1987-213 BUILDING PERMIT
TOWN OF QUEENSBUR'Y No 87-213
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to. Raymond Adams
a
OWNER of property located at 7 Cottage Hill Road
Street, Road or Ave, �
in the Town of Queensbury, To Construct or place a Two—Car Detached Garage
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1 . OWNER'S Address is 7 Cottage Hill Road "''
Queensbury , New 'York o
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2. CONTRACTOR or BUI LDER'S Name
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3, CONTRACTOR or BUILDER'S Address b
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4. ARCHITECT'S Name
5_ ARCHITECT'S Address "
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B_ TYPE of Construction — (Please indicate by X) d
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I *Wood Frame I I Masonry I ? Steel I i
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7. PLANS and Specifications
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No_ 24 ' x30 ' per plot plan , specifications and application w
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8. Proposed Use
Two-Car Detached Garage
$ 10000 PERMIT PEE PAID - THIS PERMIT EXPIRES December 1 1987
(If a longer period is requ fired an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this Sth _ Day , ,Lsoff May 19 87
SIGNED BY W G�.K L , av' for the Town of Queensbury
Building and Zoning Inspector rdr
TO BE COMPLETED By BLDG . DEPT .
�] / Application No . Ti4y r^ QF ._ t�P�_ s,
.JOw" O/ Queen3ls"ry Permit Issued 1S T
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Oueensbury, New York 12801 Variance No . APR Z 9 1998
Site Plan Revie a
■ (,. t) �� BUILDING 8c CODE DEPT.
f "T " .` _,•...• f , kM- Approved by * 44
APPLICATION FOR i C)
3 �f✓c7 �1' �
RUILDING AND ZONING PERMIT - - - -
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING .
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description , plans and specifications submitted , and such
special conditions as may be indicated on the Permit .
The-owner-of-this
7-property-is �rr � C3r" 'CS
P . O . Address f G� Cs9 �-t 1 ] Qf�S EC S 1�i • sir Tel .
Property Location : 0. I I r e°n�S I�S ' 7• Tax Map No . / /-
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSI LE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
ame P . O . Address Tel . No .
Name of builderRoxy!L%2fA ] AAQAN5 Address ? o tiL2, *o)( Pd. Tel .
Name of plumber Address Tel .
Marne of mason a05 N t uJ �I G'anl tu�}.� ddressu Fdc"I�R c +r►"� - Tel .
NATURE OF PROPOSED WORK : ZONING INFORMATION :
V° Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
Addition to a building drawn reasonably to scale and attached hereto ,
Alteration to a building * showing clearly and distinctly all buildings ,
� (no change to exterior dimensions) * whether existing or proposed and indicate all
other work (describe) set-back dimensions from property lines . Give
street and number or lot number and indicate
* whether interior or corner lot . Show location
FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area .
COMPLETE INFORMATION REQUIRED BELOW . 7
Size of propertl j C) 1 ft x fc� 0 ft .
* Existing buiIding ( a) Size. ^ft X�ft -
PROPOSED BUILDING AND USE : * Existing buildings ) use
Size of new struc e X30 ft
Foundation-pier sla /crawl/partial/full Proposed building, distance from propert line
circle one) * Front yard ft Rear yard �S ft
No . of stories (habitable space) * ,Side yards ft and ��b - ft
Height (grade to ridge ) o2 � ft • setback on corner , setack from side street ft
If residential, no * of families
No . of rooms (excluding baths) * OCCUPANCY INFORMATION
No . of bedrooms PRIMARY BUILDING -
No . of bathrooms one family dwelling
Primary heating system �
�, Two family dwelling
Type of fuel * Multiple dwelling / Number of units
No . of fireplaces to be installed Permanent occupancy
will a wood stove be installed?
Transient occupancy
Central Air conditioning? Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
* her
Ranch Contemporary Log cabin If addition , what will e be? � Str3t ----
Raised ranch Mansion Duplex * ]
* L +�
Split level Old style Bungalow
Cape Cod Cottage Other � BUILDING-
Colonial Raw Town House * .Detach{ed garage/one car two ear car
( CIRCLE ONE PLEASE ) * Attached garage/one car r/ car
Private storage building
ESTIMATED MARKET VALUE OF Other
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET + TO BE COMPLETEDI
Form BPA 4/86 and-vl
BUILDING .PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc .__ _ LijGtiC} �7
Will any second-hand or ungraded lumber be used? If so , for what ? !� (�
Foundation wall material (�' n y ; - j, i j buy Thickness
Depth of foundation below grade (to bottom of footing )
Will there be a cellar? Heated or unheated? NO
floor sq. footage sq ft
Will there be a basement? �_. _Wili any ,portion be used as living space?
( If so , what portion? sq . ft . - - Type of use? +
Type ofroof - sloped/'flat shed/othe "1 Material of roof E, p
Size , wood studs'"X spacing o . c . length `ft .
.foists ( floor beams ) 1st . floor `` ""X . '" spacing ""a . c . span -- ft . . Cere`Ooki +
.joists ( floor beams ) 2nd . floor -�""X_._ spacing r1o . c . span�ft .
Overlays (ceiling beams ) =7 "X.", spacing (4 "o . c . spancA4 ft .
Roof rafters .2 X_-j(c �spacing�o . c , span
�ft .
Roof trusses (pre-engine±r qd) spacing "o . c . span ft .
Exterior wall finish� of what material ? .J X5 4, t/r'CW Vllrocd CF A
Interior wall finish ryr94
If a garage is to be attached , describe materials to be used for FIRE SEPARATION ;
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door , enclosure , and self-closing device be provided?
Will a flue-lined chimney be installed? f{� Height above roof ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft . in .
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well ( Including adjoining properties ft .
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury
County of warren A F F I D A V I T STATE OF NEW YORK
I swear that to the best of my knowledge and belief the statements contained
in tMi application , together with the plans and specifications submitted , are a true and
complete statement of all proposed work to be done on the described premises and that all
provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to
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the proposed work shall be complied with, whether s
19 pecif ' d or not , and that such work is
authorizeLd by the -Pt
4 T' �yr
SWORN O 131VO ME THIS Signature
Owner , o er " s agent , archixect, contractor
0
No ry Public , War n County , N . Y .
* * ,► * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF HE PERMIT :
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Td�3N dR. DE l2[3EE13SBi3
BUILDING AND CODES DEPARTMENT
y4a HAVILAND ROADS I2801
QVENSBURY . NEW PORK
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TELEPHONE f518 ) 792-5832
%311 DING INSFECTC3R' IS REPORT
REi?UEST FOR INSPECTION RECEIVED___—!!lv
NAME s
LOCATION T #
L�L7CAT PERMIT 2f---�` APPROVED
DATE YES NO
FOOTING/PIERS
Mf1NOLITHIC pOUR FORMS
FOUNDATION/D'�MP�PROOFING
BACKFI _ APPROVAL
ROUGH PL BING
FRAMING OUGH-IN
ELECTRICAL
INSULATIONS
FOUNDATION
.FLOORS
WALLS
CEILING TIONS
�FTNAL INSP EIGHT
~ CHI+I'3NEY H
ROOFING
SIDING S ! —_-
EXTERNAL PORCF!ESIST I
STAIRS-CLEARANCE & RELIEF ALVEJ_
PLUMBING FIXTURPES,VAcy DOO ~---
.XNT,ER.rOR TRIM!
FINISHED FLOORS
FING - --"
GARAGE xREFRc. -------
DOOR CLOSER (S)
SMOKE DETECTORS
LECTRICA L INSPECTION
FINAL E �- --
FINAL APP14C]VAL OF CONSTRIJCTXON
OCCUPANCY MUST FORE
A SIGNED CERTIFICATE L ING DEPARTMENT
OBTAINED FROM THE BOCC PIED!
THESE PREMIsr3s ARE
,
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INSPECTOR
g;, ILDING and 7-0 1ING iDE D RTMENT
98
Bay and Havilandensbury, New York 19801
Queen bury,
BUILDING INSPECTORS P, ET'dRT
NAME
LOCATI
ON
permit
Date
* foe* APPROVED — NO
�tES
Footing/pier Forms
Foundation
watterpr find
Backfill
Framing
Roof ing
Siding _
Masonry Ven er
,Sough Plumbs -------�'� .
Relief Valves - -
Ext . Porches
Finished Floors
Interior Trim
stairs & Railings
Cellar ,,In 'rile
Concrete Floors
Plbg . Fixtures
Gar , Fireproofin
poor Closers
smoke Detectors
Chimney
IN SUI.A PION :
Foundation
Floors
Walls
Ceiling
FI13AL ELE RICAL INSPECTION
DRIVEWAY pItDVAL
Final Bui ding Survey
d inspection
call when read
Next schedule y
Remarks-
6N",4 VA
4'ng1n�gspectar
6/86 and-vl
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BUILDING and ZON;NG DE D FtxBOx 'T
Bay and Fiaviland ReW 98
York 12801
GlueensburY• N
BUIL-DING INSPECTOft15 REPORT
NAME
LOCATION
NO *
Date
* * * * * * * * * 000 * APPROVED - NQ
)�9octi.ngfpier porn's
Foundation
W at.e rproof in4
BaLc)cf ill
Framing
goofing
Siding
Masonry Veneer � ----
Rough plumbing�--
Relief VB,1Ves �.r--
Ext . 'Porches
FITUShed Floors
Interior Trim
stairs & Railings
Cellar Drain Tile
Concrete Floors
plbg . Fixtures
Gar . FireProofing
Door Closers
Smoke :)etectors
ChlmneY
INSULATION :
Irolmdation
Floors
Walls
CeilingELECTRICAL IN S'£'ECTION�
FINAL
DRIVEWAY ApPROV
Final Building SurVeY.��
13ext scheduled insP
action (call when ady
re
Remarks-
Buildi g nspector
6f8Ca and-VI
/own n� QeteenSbary.
BUILDING and ZONING [3EPAR71u4EN I
Say and Havifand Road, R.D. 1 BOX 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
;50
NAME 1 ve�, {
r
'77::
L-OCATION s� j
�+ permit Now
Date /�
APPROVED - YES NO
Faati.ngf/Pi.er Forms
Foundation
WaterPrcvOf ing
�ackfill
taming
Roof ing
Siding
Masonry Veneer
Rough Plumbing - -�--�— �- ,
Relief Valves ---- -'
Ext . porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors y
Plbg . Fixtures
Gar . FireProofing
Ixar Closers
Smoke Detectors
Chimney
INSULATION -
Foundation
Floors
walls
Ce i l ing �-
FINAL ELEC ICAIJ INSFECTIOl3� J
DRIVEWAY PROV
Final Building Survey_.-
section all when ready )
Next cheduled insp
Remarks- a tAAIJ (P6`D T4
+� �►_ pism � w6i c;r+r
Buil ing Inspect
6/66 md�vl
vI I ._70tun of Qi ueensbury�
SU�1 ILDiN+G and ZONING DEPARTMENT
gay and Havikand Road, R. D. i Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
If
LOCATION
natc��f�—��T �±perM± t Na ,
APPROVED - YES NO
Footing/Pier Forms
xFoundation
waterproofing
Sackfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext , Parches
Finished Floors
Interior Trim _
Stairs & Railings
Cellar Drain Tile
concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION
Foundation
Floors
walls
Ceiling
FINAL 'ELECTRICAL INSPECTION
DRIVEWAY APPROVA1,,.,_ ^ ---
Final Building Survey
Next scheduled inspection Ccall when ready )
Remarks-
Building Inspector
6/B6 md�vl