1986-855 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-855
3N /IP REN COUNTY, NEW YORK
PERMISSION is hereby granted to Jos ph Didyk
OWNER of property located at Stevens Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Storage Shed
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.
t7
1. OWNER'S Address is RD #4 Stevens Road H.
Queensbury, NY 12801
2. CONTRACTOR or BUI LDER'S Name
En
rt
same C
CD
3. CONTRACTOR or BUILDER'S Address 0
cn
same
0
CD
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
cn
( A Wood Frame ( ) Masonry ( )Steel ( )
w
00
7. PLANS and Specifications
cn
No. 16'x32' per plot plan, specifications and application submitted.
8. Proposed Use
Storage Shed
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 1987
(If a longer period is required 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 15th Day of December 19 86
SIGNED BY ) ad., a J for the Town of Queensbury
Building and Zoning Inspector g)
TO BE COMPLETED BY BLDG. DEPT.
ac� // Application No.
wn of Queen3bur y Permit Issued 19 - ' TOWN OFQUEENSBURY
BUILDING,and ZONING DEPARTMENT • ; Permit Expires 19 ; {i
Bay and Haviland Road, R.D. 1 Box 98. Zoning Designation + U t:
Queensbury., New York 12801 , Variance ► ..
Site P an Review No., r� 1 ` A.
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1 — I — i—p�� �n- APPr•, -. , Mi. 1 +��
APPLICATION FOR +�� P l ' ell ° r e s e w
, I. AA) elo
BUILDING AND ZONING PERMIT ,
* *1 * #' * * * * ,# * * * * * * * # •.* * * * * * * * * * # * * * # * * * * * * *
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
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special conditions as may be indicated on the Permit. -
The owner of this property is: /"''C •� (2:i=Ph •iJ �,,'�`�—
P.O.. Address R,N11' t_I /-2i='L'4} J�.-/J l�L�^,4s0 �,1LL� ✓v ,I / f / Tel. Jl�-7/ �?j
Property Location: r; - , Tax Map No. / /
Street number or building lot number
Subdivision name;; ( .f applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
• Name - P.O. Address Tel. No.
Name of builder Address S 4 kt'l `'J Tel. 79 g7W
Name of .plumber No/A.-!._ Address - Tel.
Name of mason : ' Nb4V4s Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
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) • Z�Lf). . . * set-back dimensions from;.•property lines. Give
S'7
* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF' STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
• _ * COMPLETE INFORMATION REQUIRED BELOW.
. . .. .. ::..Size of property C) ft X 3027 ft.
*,.Existing building(s) Size / ft X 3Z ft.
PROPOSED BUILDING AND USE: '
* Existing building(s) Use _ 1'5�
Size of new structure ' I ti ft X g2-ft *
Foundation pier slab/crawl/partial/full * Proposed building, distance from propetty line
(circle one) * p l* Front yard ' •fin ' ft Rear yard ' f i i ft
No. of stories (habitable space)'
Height (grade to ridge) ' ' ' 12" ' ft. * Side yards f l ft and / ft
If residential, no. of families APA * If on corner, setback from side street ft
No. of rooms(excluding baths) " /V6Ate
•* OCCUPANCY INFORMATION
No. of bedrooms . . f o•7'�y-. ' . . ' . *
No. of bathrooms * PR•
IMARY BUILDING
r .' 'A-One family dwelling -
Primary-heating system"- A /, i. Two family dwelling
Type of fuel ' ffo'j (. Multiple dwelling / Number of units
No. of_fireplaces to_ be installed A/ /✓ , * permanent occupancy
Will a wood stove be installed?%J,�l�,
Central Air conditioning? / a' ' * Transient occupancy
• ��`� Business
BUILDING STYLE, PRIMARY STRUCTURE '' • Industrial -
Ranch Contemporary Log cabin * Other 7
Raised ranch Mansion • Duplex * If addition, what will use be.
Split level Old style B,galow . * -
Cape Cod Cottage C Other' * ACCESSORY BUILDING-
Colonial ' Row wn House *' ' Detached garage/one car/ two car/ car
••( CIRCLE ONE PLEASE ') * Attached garage/one car/ two car/ ' ' car
* * * * * * * * * * * * * * * * * * ' ' ' Private storage building '
ESTIMATED MARKET_•VALUE OF * X Other
CONSTRUCTION 6' *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE 'COMPLETED!
•
Form BPA 4/86 and-vl ,
BUILDING PERMIT APPLICATION CONTINUED - ,
BUILDING SPECIFICATIONS: -_, 1,\ '
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Type of construction /wood frame1 fire safe,etc.
Will any second-hand " !ed lumber be used? If so, for what? pJ/2
LGI�IL .'
Foundation wall material `� iiU _ Thickness v � _
Depth of foundation below grade (to bottom of footing) 2 '- 3 '
Will there be a cellar? /JJ�/Heated or unheated? W(5 7- Floor sq. footage Z J`� sq .ft
Will there be a basement? NCD Will any portion be used as living space? ,//414✓/=
(If, so, what portion? • ft. Type of use?
Type of roof - slo ed/flat` /other / Materials-of: roof YZ.ci• ' ANie6. P',c, 5Z-'4-5)41 Yl` 5
Size, wood studs 6, "X ,. - spacing 4/ "o.c. length 4t ft. .
- Joists(floor -beams)-ist. floor -- 1 . "X -_. 'spacing _"o.c.- span - ft.
Joists.(floor beams) 2nd. -floor_ "X_-- - " is <'cing- "0-.c---eoan- - - -ft. ---- - - __ -
/ Overlays(ceiling beams) P F "X' ( "' acing ' "o.c. span Vft.
t/ Roof rafters �."X " spacing . o.c. span /(o t ft. - .
Roof trusses(pre-engineered) spacing :(p "o.c. span d)6 ft. j
Exterior wall finish Of what material? /� /' ,
• Interior wall finish -_, A/DAI1
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? • Height above roof .....— ft.
•
Depth of chimney foundation below grade ft.
Depth of fireplace hearth -- ft. — in.
Water supply —Municipal or private well ' AQ A E
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 A F F iI D A V I T STATE OF NEW YORK
County of Warren
-: I swear that to the , best of my knowledge ane- belief-the statements contained --- -
in this application, together with the plans and-speccif ications_submitted, are____a true_ and
CQT ;'f St&_e Cit-o, =ail-p GtGc,ad- VOi iG be-=dGiF �vl the Cescl, -Lj_d-premises- and=that-e-11- - - —-
provisions of the BUILDING CODE, THE ZONING ORDINANCE, -and all otter laws pertaining to
the proposed work-shall be complied with, whether specified or not, and that such work is
authorized by the owner. - -
r
SWORN' 0 BEFORE ME THIS Signature _
�� Owner, wner's agent,arcnitect,contractor
of ( FRANK 4 SEARS, JR.
it Notary public, Stots of New York
/—e' r, ` I Warren County
Notary P lic, Warren Count d N.Y. emission Expires March30, 19
* * * * * * * * * * * * * * * * * * * * '* * * teg.*#37M s9* * * * * * * * * * * * * * * * *
SPECIAL 'CONDITIONS OF THE PERMIT:
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By
4 a, 11 lawn of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
1-/‘vI 41 i y V.
BUILDING INSPECTOR ' S REPORT
NAME 17
3Se.), Di. clyA
LOCATION
Date Vag" /_7 Permit No. N _gSS—
* * * * * * * * //* * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
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 APPROVAL
Final Building Survey
\'
Next scheduled inspection (call when ready)
Remarks-
/ / •
61,
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/////)-/ —
Building Inspector
6/86 and-vl
o e s - T L-Sri-JA, 's -
acc77 `` LA�r
wn o Queensbur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 6144A J
kJ 1a Queensbury, New York 12801 Co to
BUILDING INSPECTOR ' S REPORT
NAME Or n y l&
LOCATION ].1-017 /5 PO.
Date /07/ (p Permit No. 0, - $ 5-3"
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YE / NO
)(Footing/Pier Forms V
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile I
Concrete Floors q
Plbg. Fixtures /`
Gar. Fireproofing f
Door Closers / \E
Smoke Detectors
Chimney Il
INSULATION:
Foundation
Floors
Walls
Ceiling //
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
go
(6a ,
Building Inspector
6/86 and-vl
4,0 St6a. Vi fc,t,4 1‘
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