1988-015 BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-15
WARREN COUNTY, NEW YORK o
Nancy Wood
PERMISSION is hereby granted to I r
OWNER of property located at Warren Lane Street, Road or Ave. °'
in the Town of Queensbury,To Construct or place a Detached One Car 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 RD #3 Warren Lane
Box 239
Queensbury, N.Y. 12801
2. CONTRACTOR or BUI LDER'S Name
Daniel Wood
°
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
5. ARCHITECT'S Address
W
n
r;
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ► Masonry ( )Steel ( )
(D
7. PLANS and Specifications
No. 14' x 32' as per plot plan, specifications and application.
(Demolish existing garage after new roof is on.)
8. Proposed Use ty
Detached one car garage. co
w
10.00 °
$ PERMIT FEE PAID —THIS PERMIT EXPIRES August 1, 19 88
(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.)
rt
Dated at the Town of Queensbury this 21st Day of January 19 88 w
SIGNED BY r/G for the Town of Queensbury
Building and Zoning Inspector .
TO BE COMPLETED BY BLDG. DEPT. TOWN O� ( UEi NS3Ur•., •
Jowit o ueend�ur Application No. •
II 1�1
Permit Issued • 19 . • 11 •Il
BUILDING and ZONING DEPARTMENT Permit Expires ' 19 D
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation . JAN21 1988..
Queensbury, New York 12801 •Variant .
Site an Review BUILDING & CODE•DEPT.
I J APP !O oo i'
APPLI ATION FOR -• F'
. • /lIo C/U �`HcG-
BUILDING AND ZONING PERMIT • • . •
* * * * *' * * * * * * * * * * * *. *. *.:.* *.. * * :if. * * # * •* • . * * * * * *. * * .
A PERMIT MUST BE OBTAINED BEFORE BEGINNING• CONSTRUCTION. 'ANSWER .ALL OF THE .FOLLOWING. '
The under 4gned 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: t):Yl,(1(1 _ ! ,t)ii c 1
•
P.O. Address �`/�f�` ✓�o;V . 1 Gv'-:i t �r �: :,, a,,,_ .1// . Tel. "793-,5 k,/_7.?
•
Property Location:j/- )- f,\. 2 i, i i-;--' /<_,_- , /� „4- A Tax Map No. i / '
Street number or building lot number ,
Subdivision name (if applicable)
THE PERSON RESPONSIBLEJ FOR SUPERVISION OF WORKu A�S7 JREGARDDSS.BUILDING CODES IS:: .
!Ji n 1y J A L JOed C Lim (? l= ,-,; v' A, / /-?- ��o e,
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 exteriorr,�diJ hmensions) '* whether existing or proposed and indicate all .
Other work (I( escribe) AY_ ( ; -.. * set-back dimensions from property. lines. Give
O&c C r� ,,d •
'X/5 n C /rc, rs ri r'. . * 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. a,,2C5 •
* of water supply and location and configuration
of septic disposal area.
W% p 446L S 4 gX.(sri JG Ghat3Ge, * COMPLETE INFORMATION REQUIRED BELOW.
A-r Tt 12- Aligrw 1200 1 (S b)J
Size of property lj-6 ft X /,25 ft.
* Existing bui dings) Size /,;Z ft X /;/.7 ft.
*. . . . . .� .,. . . . . .
PROPOSED BUILDING AND USE: »�1� , .�' �7'�' -
Existing buildings) Use. . rp A/ ; 2 )
Size of new structure / • • '
Foundationipslab/crawl/partial/full * Proposed building, distance from property line
(circle one) * r
* Front yard , t ' ft Rear yard ft.
No. of stories (habitable space) / 0 * Side yards• " •_�Yj- ft and ` . ,T ft
Height (grade to ridge) /' ft. * If on corner, .setback from si4e street ft
If residential, no. of families ' " •
No. of rooms(excluding baths) ' (- * OCCUPANCY INFORMATION
No. of bedrooms " '
'No. of bathrooms * PRIMARY�� BUILDING - . / •
Primary heating system IX One family dwelling f'2o i3i^- ��oiv1 C •
Type of fuel * Two family dwelling
No. of fireplaces to be installed ' * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupanc •
y
* Transient occupancy
Central Air conditioning? Business
BUILDING STYLE, PRIMARY STRUCTURE *', ' Industrial
Ranch Contemporary Log cabin * �X Other ' �'-l_,�} > -
•
Raised ranch Mansion Duplex
* If addition, what')will use be?
Split level Old style Bungalow •
Cape Cod Cottage her-'1 C/ *�ACCESSORY BUILDING- . /
Colonial Row . Town Houserr-- * thy Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) *ll `TAttached garage/one car/ two car/ car
* * * * * * * * * * * * * * .* * * * Private storage building
ESTIMATED MARKET VALUE OF *' Other .
CONSTRUCTION $ - , .) _ *
•
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:
•
Type of,construction,, wood frame, fire saf e,etc. l 4.4�..m (� ,- i
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation_wall material �: ^
rF >.ro Thickness 7 r� a
Depth of foundation below grade (to bottom of footing) 4{.-g - .
Will there be a cellar? I2 Heated or unheated?: /70 Floor' sq. footage/ sq ft
Will there be a basement? , O Will any portion be used as living space? r?
(If so, what portion? sq.ft. - - Type/of use?
Type of roof - sloped/flat/shed/otherl/e Material.•of roof �-,/l/
Size, wood studs "X '" "spacing , "o.c. length. ) ft.
,joists(floor beams) 1st. floor 4 "X' tr " spacing ' "o. . span ft. OLb- 1lgoZ.AJ
Joists (floor beams) 2nd. floor "X " spacing, "o.c. span ft. [91/5- -oLvcriCM )
Overlays(ceiling beams). "X " spacing "o.c. span ft. . �i i P�►�
Roof rafters .. ,"X " spacing //; o.c. span 2' ft.
Roof trusses(pre-engineered) spacing "o.c. span . ft. •
Exterior wall finish . .-Of what material? •
Interior wall finish
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
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 AFFIDAVIT STATE OF NEW YORK
County of Warren
I swear that to the best of my knowledge and belief the statements contained
in this application, together with the plans and specifications submitted, are a true,and
- complete statement of all proposed work to be doneion the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to.
the proposed work shall be complied with, whether s ecified o not, and tha such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature // K,
Owner 'owner's a end act'contractor
day of j,m, 19 . . .
•
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * .* * * * * * * *. * * * * *, * * * * * * * * * * .*
SPECIAL CONDITIONS OF THE PERMIT: •
•
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By
_ own of Queen ure�
�(8 .-- c7
' LDINGand ZONINGDEPARTMENT
)t'k "BaY and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME G Wb
LOCATION liLi/-7 r..��`67A/ / '
Date //2'?/R , Permit No. ge'g5/
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation , .
Waterproofing /,.
Backfill /•
braining 17124."~ /414tW V
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 APPRO AL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
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Building Insp`ectojr
6/86 and-vl
or Bu?c RA-0 ,
Down of Queeniburj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME DAA) WO (J
LOCATION I }Aira d Low
Date /2� / 5. (- Permit No. �(G�
* * * * * * * * * * * * * * * * * * * * * *
i� = APPROVED - YE / NO
Footing/Pier Forms Geri_(Q
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Vene-
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Firepro. ing
Door Closer-
Smoke Dete' tors
Chimney
INSULATI6N:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
R)"ai t/VG UNA6-+2 U 'PP2-( 61427—S
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14 Fr -f- -- f&&(o() 60*-0` —
Bui ding Insp cto
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