1987-188 BUILDING PERMIT
TOWN OF QUEENSBURY No. 87-188
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Randolph Ball o
Corinth W d Steven s ~
OWNER of property located Street, Road or Ave.
t>y
in the Town of Queensbury, To Construct or place a Addition to detached garage
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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 RD #4
Corinth Load
Queensbury , New York
2. CONTRACTOR or BUILDER'S Name
same o
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3. CONTRACTOR or BUILDER'S Address
same
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4. ARCHITECT'S Name
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95. ARCHITECT'S Address
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B. TYPE of Construction — (Please indicate by XI
( M Wood Frame I ) Masonry i ) Steel ( }
7. PLANS and Specifications.
No. 10 ' x26 ' per plot plan , specifications and application y
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S. Proposed Use
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Detached Garage - storage area added
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10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Nov . 1 19 87 n
$ a'
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ro
town of Queensbury before the expiration dated Ty
C7G
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Dated at the Town of Queensbury this 22nd Day of April 19 87
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SIGNED BY / / ! for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG , DEPT . � � 0 N f D)
:7. / Application No . j,J�
�L�ee+F?3flLt1'!� Permit Issued 19 APR 2 11997
SUILLlING and ZONING DEPARTMENT Permit Expires 19 BUILDING & C DE DEPT;
Bay and Haviland Road, R, D. 1 Sox 98 Zoning Designation
Queensbury, New York 12801 Variance No .
Site Plan Rev No
Approved by
APPLICATION FOR
BUILDING 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 property is :
14
P . O. Address L , `0 ?G Tel .
Property Location :_ ifonnetc C, 6 t myr! f /� ) %ti '"/ r" r � Tax Map No .
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING ,CODES IS :
Name P. O. Address Tel . No .
Name of builder Address Tel .
Name of plumber Address Tel .
Name of mason 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) set-back dimensions from property lines . Give
* 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 f" . . _3 ft X_ ft .
* Existing buildings ) Size 1 -r ft Xft .
*
PROPOSED BUILDING AND USE :
* Existing building ( s ) Use -' , , � ,..- .�; ,�•'
Size of new structure £t X Z4, ft * -
Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line
(circle one )
NO , of stories (habitable space) +wmNNN"ftmr* Front yard ,� ? ft Rear yard „! ft
Heigh Side yards ovarr- _ft and �? ft
g (grade to ridge ) ft . If on corner , ��etbac)� from side street £t
If re tial , no , of family
No . of o ( excluding bat * OCCUPANCY INFORMATION
No , of be
No . of bathro PRIMARY BUILDING -
- _
Primary heating ,� V'One family dwelling
�/e�►,.
Type of £ue Two family dwelling
No , of f ' aces to be ins led * Multiple dwelling / Number of units
Will a od stove be installed . * Permanent occupancy
Cent 1 Air conditioning? * Transient occupancy
Business
BUILDING STYLE, PRIMARY STRUCTURE � Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If addition, what will use be?
ry
Split level Old style Bungalow * fi j *} _-
Cape cool Cottage Other ACCESSORY BUILDING-
Col.onial Row Town House * _-Wetached garage ne ea two car/ car
( CIRCLE ONE PLEASE } * Attached garage o r/ two car/ 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 , od frame ,, ' fire safe etc .
Will any second-hand a7 ungraded lumber be used? If so , for what ?
1
Foundation wall materi.almast. 4&A!e;V_Ct Thickness
Depth of foundation below grade" (to botta noting ) -
Will there be a cellar?_ _, Heated or heats _Floor sq . footage sq ft
Will there be a basement? will any portion be used as living space ? 6L "' .
( If so, what portion? sq . ft . - - Type of use?
Type of roof slope /flat/shed/other Material of roof 14!
Size , wood studs_? 'X_C spacing. L "o . c , length ft .
Jaists ( floo spacing O . C ." span ft .
Joists n "X spacing "o . c . span ft .
" spacing " o . c . span ft .
Roof rafters " X spacingJ�/ �coca span ft .
Roof raftricrineered} spaclnL; to
Exterior wall finish_ Of what material?
Interior wall finish sZ0A: :
If a garage is to be attached , describe materials to be used for FIRE SEPARATION :
Is there to be an opening between gars welling? will a Fire-rate
door , enclosure , and self-clo5i ice be providedd? womw
Will a flue-lined chimne ycTnstalled? �i�i"gnt above roof ft ,
Depth of chimney fo ion below grade t .
Depth of fire hearth fte
Water su - Municipal or e well
SEPT YSTEM _ Distanc om ANY private well ( indludin joining properties ft .
# separate appli n is necessary for any repair, new installation of septic system?
Town of Queensbury A F F I D A V I T STATE OF NEW YORK
Count of warren
swear that to the best of my knowledge and belief the statements contained
in thi application , toget with the plans and specifications submitted , are a true and
complet statement of a proposed work to be done on the described premises and that all
provision of the BUI NG CODE , THE ZONING ORDINANCE , and all other laws pertaining to
the propos work 11 be complied. with , whether specified or not , and that such work is
authorized b th owner .
r ✓ 3 'e,r
SWORN TO BEF THIS Signature __ ' 2 1._�- ?� -'..r^� -----------------
Owner , owneryg agent , arcnxzect, contractor
y of 19`
Nq,taoy Public , Warren Co , N . Y _
* * * * * * * * * * * * * * * * Or * w * * * * r * * fr * * * * : * * * * * * x * Or
SPECIAL CONDITIONS OF THE PE T :
TOIVN OF QUEENSBURY
UILDING AND CODES DEPARTMEN
BAY & HAVILAND ROADS T
C)UEENSBURY, JVJ6W YORK 12807
TELEPHONE (S-I 792111111158.32
BUILDING INSPECTOR ' S REPORT
REQUEST FOR RECE-rVEDNAME
-�
LOCATION
DATE
rE•RMZT #
-- i APPROVED
F"QOTIIVG/PIERS YES NO
MONOLSTHXC POUR FORAMS
FOUNDATION1DAMP-P14 F�,NG
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL DOUGH-IN
INSULATIOIV
Id
E'OUNDAT-I
FLOORS
WALL,
CEILING
)(FINAL INSPECTION:'
CH- INEY HEIGHT
ROOFING
SIDING s
EXTERNAL PORCHES.ri svi,,
STAIRS-CLEARANCE' & R� ! ca
PLUMBING FIXTU,gzsl +ELI$,, VALVE
INTERIOR T'?-17VACY DIII 60RS
FINISHED FLOLgt?S
GARAGE p_rREPVOOF"ING ----~
DOOR CLO.SER•ij'S')
SMOKE' D£TEeTORS
FINAL E'LE'CTR2CAL dNSPECTrON 4s
FINAL APPROVAL OP CONSTRUCTION
A SIGNED CERIII III
TIF.TCAPH OF
OBTAINED FROM P 'OCCUPANCY MUST BE
THR'SR p f7E BUILDING DEPARTMENT BEFORE
REMISES ARE OCCUPIED!
REMARKS:
1401-14 � .vim
4 r n + � r
Cow PL4j -
INS CTOR
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BUILDING and ZONING DEPARTMENT
Bay and Naviland Road, R. D. I Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Gate
-�I1 J�Z F'ex PCi I t IV4 . '�-
✓ * * * * '
Footing/pier Forms APPROVED - YES NO
Foundation
Waterproofing
Backfill
Lrami n g
Roofing C
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railingm --`
Cellar Drain Tile
Concrete Floors ----
Plbg - Fixtures
Gar - Fireprooging
Door Closers
Smoke Detectors
Chimney
INSUI ATION ,
Fcaun da t i on
Floors
Walls
Ceiling
FINAL %L ECTI4ICAL INSPECTION
DRIVEWAY APPRO VAL
Finial Building Survey
Next scheduled inspection (call when ready)
Remarks-
nuzldzng Inspector
and-vl �`
6/86
�oeu,►x o� ��Qe++ s� urt�
BUDDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING IN PECTOR ' S R SPORTq�p---
NAMEVOW
LOCATION
Date / t'f_ Permit No .
✓ = -
Footing/Pier Forms APPROVED YES NO
Foundation
Waterproofing
amin l
g
r aming
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 APPRQVAL
Final Building Survey
Next scheduled inspection (call when ready )
Remarks- &e/',/► 7►:- _ /i
Building Inspector `
�/86 and-vl
..Jaurn o� �uee+rs6urta
BUILDING and ZONING DEPARTAAENT
Bay and Haviland Road, R. D. 1 Box 98
Clueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME con
LOCATION f , f I
Date-T��/ G+ Pec ym± tt No . "] r �
✓ APPROVED - YE. NO
'Footing/pier Fo
Foundation
Waterproofing
Backfill
Framing
Roofing
S lA ing
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
Nexr scheduled inslsection (call when re dy )
Remarks-
Build ng Inspector
6/66 and-vl