1987-366 BUILDING PERMIT
TOWN OF QUEENSBURY No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Daniel P . Ro ers
ra
17 Colonial Court Street, Road or Ave.
OWNER of property located at
I
Addition. to dwellin ( orch)
Queensbury, To Construct or place a o
in the Town of ,
at the above location in accordance to application together with plot plans and other information hereto filed and rn
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 17 Colonial Court
Queensbury , New York �
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2. CONTRACTOR or BUI LDE R'S Name David Myers *+y
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3. CONTRACTOR or BUILDER'S Address P i C . Box 46
Glens Falls , New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by X)
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{ x) Wood Frame I 1 Masonry i Y Steel i }
7_ PLANS and Specifications
1Q x12 screen porch per plot , specifications and application
No.
' '
S. Proposed Use one—Family Dwelling
( screen porch added)
lowo0
PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 19 88
(if [awn of Qu�sbur�yubefare the application
deDe.}xtans'wn must be made to the Building arxl Zoning inspector of the
Dated at the Town of Queensbury this 19th Day of
June 19 87
�_ �.... for the Town of Queensbury
SIGNED BY
— Building and Zoning inspector
To BE COMPLETED BY BLDG . DEFT .
/� Application No . TC)WN OF QUEENSBi. "•"
7o"In pI Q�, een3iury Permit issued 19 [2 E 6 N u Rn
BUILDING and ZONINGDEPARTMENT Permit Expires 19 ��yJ�
Bay and Haviland Road, R. D. 1 Box 98 Zoning 'Designation N Du
Queensbury, New York 12801 variance No . JUN ] 51987
Site Plan ow No ,
4 4, Approv BUILDING & CODE DEPT.
CATION FOR -��- � r
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u
BUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING .
work
The undersigned hereby applies for a Building Permit tcdficationslsubmitted , which andsuchll
be done in accordance with the description , plans and sp
special conditions as may be indicated on !the Permit . ...
The owner of this property Tel * IS
P . O . Address 1
Tax Map
J /
Property Location : C,.L; -'"
ti Sr a4 No .
Street number or building lot number
Subdivision name ( if applicable)
THE, PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : 7 14q -
1JA fx a , q..4► (w 12 1I4 � Tel . No ,
If IName P . O . Address
Address �� e¢ +', [ JS -r<te � 5 w+ Tel . �l +�k 't �7
Name of builder_ 2� -- Address Tel .
Name of plumber. Address Tel .
Name of mason S `
NATURE OF PROPOSED WORK :
* ZONING INFORMATION :
_Construction of a new building
* A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
drawn reasonably to scale and attached hereto ,
NL.Addition to a building
* showing clearly and distinctly all buildings .
Alteration to a building * whether existing or proposed and indicate all
� (no change to exterior dimensions) * ,set-back dimensions from property lines . Give
other work (describe)
street and number or lot number and indicate
* whether interior or corner lot . Show location
FOR DEMOLITION PERMIT , STATE SIZ • MM * of water supply and location and configuration
L A RUCTURES D * of septic disposal area .
*
� COMPLETE INF'ORMIiTION REQUIRED BELOW .
/
Site of property / a ft X t J ft .
ftft .
* Existing building ( s ) Size +�,I'L,k
PROPOSED BUILDING AND USE : * Existing buildings ) Use
*
Size of new structure 1 "u ft X—"eft * Pro osed building , istance from roperty line
Foundation-pie sla crawl/partial/full * P ft
rcle one} * Front yar d lft
No . of stories (habitable space ) * Side yards ft
Height ( grade to ridge) ft . If on corner ack from side street
If re ' dential , no . of famil ' s OCCUPANCY INFORMATION
No . of ms ( excluding ha s)
No . of bedr s� _ ,� PRIMARY BUILDING -
No . of bathroom _ -�( one family dwelling
Primary heating m Two family dwelling
Type of fuel Multiple dwelling / Number of units
No . of f ' places to be I talled * Permanent occupancy
Will od stove be instal d? * Transient occupancy
Cen al Air conditioning? * Business
BUILDING STYLE, PRIMARY STRUCTURE " IndustrialOther '
Ranch Contemporary Log cabin if addition , what will use Sae?
Raised ranch Mansion Duplex * a Cr. w �_
Split level Old style Bungalow
cottage Other ACCESSORY BUILDING- car
Cape Cod g * Detached garage/one car/ two cart
Colonial Row Town House Attached garage/one car/ two car/ car
( CIRCLE ONE PLEASE }
*
Private storage building
Other
ESTIMATED MARKET.' VALUE OF
CONSTRUCTION _
$ llaao _ _ _ _ _
S SHEET , TO BE COMPLETED !
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THI
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction VA;col�frame , ire sa£e , etc _
Will any second-handYor ungra a / lum2�er be used? If so , for what ?
Foundation wall material_ Acu _ IC
Depth of foundation below grade Thickness
9 (to bottom of footing )
Will there be a cellar?_ �IaHeated or unheated?
Will there be a basement? Floor sq* footage sq ft
xl ,� Will any portion be used as living space?
( If so, what portlonz. y sq . ft . - - Type of use?
Type of roof r- sloped flat/shed/other Material of roof S/�-bu.h / A
Size , wood stiicis "X �, s r�lae. se S/ltw+(.4 k.
_ �_ pacing "O . C . length 2S r ft .
Je&a,tts ( floorb eams) lst . floor "X Is IF
span ft .
foists ( floor b ,,,
2nd . floor "X spacing" spacing ""o . c , span ft .
Overlays (ceiling beams ) ,� "x 11 spacing""o _ c . span 1 Y ft .
Roof rafters �. X spacing p
Roof trusses - p g o . c . span ft .
{pre-engineered) spacing "o . co span ft .
> Exterior wall finish Sc
AInteriar wall finish
Of what material ?
If a garage is to be attached , describe materials to be used for FIRE SEPARATION :
Is there to be opening between garUAV
elling? if so will Fire-rated
door , osur and self-closing devided?
Will a flue- chimney be instal eeight above roof
Depth of ch ' ney foun a ft .
o .
Depth of replace hearth ft i
Water s Ply - Municipal or pr ' ate w _
SEPT SYSTEM _ Distance fro ANY ,princluding ad ' ining properties ft ,
(A eparate application is ecessary air or ne installation of septic system)
Town of Queensbury
County of warren A F F I AA V I T STATE OF NEW PORK
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 done on the described premises and that all
prov sions of the BUILD CODE , THE ZONING ORDINANICE , and all other laws pertaining to
the oposed work sh be complied, with, whether specified or not , and that such work is
autho ' zed by the ner .
SWORN TO BEFO ME THIS SignaturB _ t�.
Owne ' e ' ' s agent , arcnxr+ect, contractor
da of 19
Nota Public , W ren County, N . y .
At IF It
SPECIAL CONDITIONS OF HE PERMIT :
By
Queen3t "r�
_lOW+Z DEPARTMENT
BU1LD%NG and ZC7iJINC3 Box 96
Bay and Haviland Road, R.D i
2gOi
C)ueensbut'y. New York S
BUILDING
INSPECTOR ' S REPORT
NAME
LOCATION
Permit i3G • tfJ
Date '�— =� * * * * * " * tao
nPPRG7VFM YES
Footing/Pier Fa
Four dat i.on
waterproofing
g cicfill
gaming
Roofing
Siding � .
Mas r]/ Veneer___ -
Rougr plumbing
__ --
Relief Values`._.---
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Dra 3-n Tile
Concrete Floors
,lb, - F fixture s
Gar . Fireproof !
pocr Closers
Smoke L]etectors
Chimney
S13 SU LAT I ON
Foun dat i.on
Floors
Walls
Ceiling It3SPEC'TICtL�l��- -
F-INXL ELECTRICAL
llRIVEWAY AppRUV Survey
Final guildin$
I3ext scheduled insp
eetiarn (call when ready)
Remarks-'
gui n9
Inspector
�,/gf and-ul
c7-tvrl of Qlueere 3t "ry
! BUILDING and Zo t4tNG DEPARTMENT
Bay and Haa4land Road. jrk i Box 9B
geensb
`� ury, New York 12801
TQR ' S REPORT
�yUILDING INSPEC
��.NAME
--Y"
LOCATION /�7 L/ 7 ,r
permit No I dv � •
* k * * * * * * * se, * APPROVED - YES No
Footing/Pier Forms
Fo un cla t ion
Waterproofing
aackf ill
LP06-iming
Roof in9
Siding
Masonry Veneer
Rough Plumbing —�
Relief valves ,�- - -
Ext . porches
Finis'ned Floors
Interior Tram
Ra3lin9s�
Stairs & Tile
cellar 'Drain r
concrete Floors r- �-
Plbg . Fixtures
Gar , FireProof ing_ �—
poor Closers �--
Smoke. Detectors �-^—
chimney
INSUI.A'TION
Foundation
Floors
walls
ceiling
FINAL ELECTRICAL II3SPECTI -
llRIV EWAY APPROVAL -
Final 'Building Survey
Next scheduled insP
ectlon (call when ready
Remarka_
Building Inspector
6/86 and-vl
G 44+'yj ' CCy�rr ,/
/,' �.,J'own a/ Queerrshur�y
/� BUfLOING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date zcol—/_ Permit No .
APPROVED - NO
XFooting/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-
fijug
Bdti di g Inspector
6/86 and-vi
� •B4� ZLf 3a E ~"
57 .63 ' i
95
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' �RaGxA�"C �$ �} 1LpEstS
TOWN OF COUNTY, N Y
j SCALE. "� tea. DATE APRr4 5r_ t`27$ .
LANDSORVEYORSG LE.NSFALLS, N,Y. _4
j i j l.P.F. • IRON FIPE FOUNb