1987-572 BUILDING PERMIT y
TOWN OF QUEENSBURY Na. 87-572
WARREN COUNTY, NEW YORK t4
PERMISSION is hereby granted to James
B dames & Lois Parrish
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OWNER of property located a# 4g Bay Road Street, Road or Ave. j
in the Town of Queensbury, To Construct or place a Addition - Screened In Porch to Rear of House
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_
f. OWNER'S Address is
Box 529
Queensbury , N . Y . 12801
2. C+:]NTRACTdR or BUILDER'S Name fa
m
Daniel Holcomb
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3_ CONTRACTOR or BUILDERS Address
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Box 53 w
Warrensburg , N . Y . "Is
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4. ARCHITECT`S Name =r
5. ARCHITECT'S Address
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6. TYPE of Construction — (Please indicate by X) to
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( >0 Wood Frame ( ) Masonry ( Steel ( } Py
ry
7. PLANS and Specifications
No. 10 ' x 15 ' per plat plan , specification and application .
8. Proposed Use
Screened in porch to one family
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$ 10 PERMIT FEE PAID - THIS PERMIT EXPIRES March 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 m
town of Queensbury before the expiration date-) M
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Crated at the Town of Queensbury this 26th pay of August 79 87 0
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SIGNED BY %-vow ` sty � 1i . . for the Town of Queensbury n
Building and Zan ing I nepector
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TO BE COMPLETED BY BLDG , DEPT .
f Application No .
:7 Wig 0/ QuE�E�nj ary Perm t. I55ll�e[3 1J � I0
BUILDING aiTd ZONING DEPARTMENT Permit Expires 19
Bay and Havi!and Road, R. D. 1 Box 96 Zoning Designate J � i �1� •-
Queensbury, New York 12801 Variance No , AUG 2 = i
Site Plan Review Na , I HU!L.D . ,G � Cry/DE DEnrt' .
f Approved by :
n' / Get
APPLICATION FOR
PUILDING 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 : jGlrrle'os 0 kdft� l arms ri
P. O. Address 'a - Tel ,
Property Location : 7r Tax Map No , /" /
Street numb r or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION 5OF WORK IAS REGARDS BUILDING CODES IS :
L.Ccx 1 1 C C i C GYYI L� I. 1oX .�3 W ka 6 } 2� Y'
Name P . O, Address Tel , No .
Name of builder S ,P , rrY• ,g; r� 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 ,
,X_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
LOCATION OF STRUCTURES AFFECTED , of water supply and location and configuration
* of septic disposal area .
* CO1Vp1L1r4T .QEIMpiTTON REQUIRED BELOW
Size of property , C? ft X iz> elf t .
Existing buildings ) Size 41e/ 7 ft X 33 ft .
PROPOSED BUILDING AND USE : * Existing/�build,�`g ( s ) Use �5 c C
Size of new structure j5 ft X /j' ft "� t!Ui �^ (,,,4t - Vxt!� ip - -
Foundation-pier/slab/crawl/partial/full Proposed building , 1stance from property line
(circle one )
No , of stories (habitable space ) /VA x Front yard ft Rear yard J ('dam-� ft
* Side yards ft and ft
ft .Height ( grade to ridge ) ik If on corner , setback from side street ft
If residential , no . of families iq
No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION
No . of bedrooms NA
* PRIMARY BUILDING -
No . of bathrooms
Primary heating system x One family dwelling
Two family dwelling
Type of fuel /J
No . of fireplaces . to be installed,� L/t * Multiple dwelling / Number of units
Will a wood stove be installed? /y{ �+y * Permanent occupancy
Central Air conditioning? /Iff} * Transient occupancy
� Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
<:z Contemporary Log cabin * Other Raised ranch Mansion Duplex If addition , what will use be .?
Split level Old style Bungalow * r�
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town Souse VDetached garage/one car/ 4cocar .Car
( CIRCLE ONE PLEASE ) * Attached 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
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BUILDING, PERMIT APPLTCATION CONTINUED - !
BUILDING SPECIFICATIONS : t A
Type of construction , wood frame , fire safe , etc .� lA'��C --C-e "
o " C.,,L_ Y�t'i1 - inyered
will any second-hand or ungraded lumber be used? If so , for what ?
Foundation wall material AM Thickness
Depth of foundation below grade (to bottom of footing ) IyA
Will there be a cellar? hiQ Heated or unheated? UY160, Floor sq. footage 4iC3 sq ft
Will there be a basement? _110 will any portion be used as living space ?�mmAJn
( if so , what portion? seq. ft . - - Type of use?
Type of roof - sloped/flat she other Material of of _3 n )
Size , wood studs C " X� ' spacing "o . c . length ft.
Joists ( floor beams ) lst . Floor _"X " spacing "o . c . span ft .
Joists ( floor beams ) 2nd . floor " X spacing "o . c . span ft .
Overlays (ceiling beams ) "X of spacing " o . c . span_ £t .
Roof rafters . - " X spacing e . spanft .
Roof trusses (pre-engineered) spacing "o . c . span ft .
Exterior wall finish 50 F-C' Cr 4 Of what material? JC r eil
Interior wall finish V y. tD
If a garage is to be at-Cached , describe materials to be used for FIRE SEPARATION :
Is there to be an opening between garage and dwelling? F5 if so will a Fire-rated
door , enclosure , and self-closing device be provided?
will a flue-lined chimney be installed? M C> Height above roof ft .
Depth of chimney foundation below grade._, A _-4q-ft .
Depth of fireplace hearth ft . in . ` �
Water supply - Municipal or private well / r4
SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining pzloperties ft .
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury A F F I D A V I T
County of warren 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
.provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to
the proposed work shall be complied with , whether specified or not , and that such work is
authorizfnd by the owner . ///J,]
SWORN TO BEFORE ME THIS Signature -� �-��!
er , owner ' s a ent , arcn3.tect , contractor
day of
19 $ JEAN P. MARK'EY
WNM
N07/17CY ltllQaQ,�'��'3R1��'1r111�Cp
No Public , Warren CQbnty , W. RESI NY .
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If * * * If * * , * * * * * Of If * * * * * * * r * * * * If * * * If * * * * * * * * * If If
SPECIAL CONDITIONS OF THE PERMIT :
By---------------------------------------
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY. NEW
YOR�K� -58320�
TELEPHONE ( 518)
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECE�D -
NAME /^�
LOCATION
DATE Z APPROVED
Sr .,, f AJ C l� YES NO
FOOTINGIPIERS
MONOLITHIC POUR FORMS
FOUj4DATIONI DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
.FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHESISTEPS
STAIRS-CLEARANCE & RAI _1--
PLUMBING FIX'TURESIRELIRF VALVE
INTERIOR TR}MIPRIVACY DOORS
FINISHED Fr)DORS
GARAGE FIREPROOFING
DOOR CWSE,R (S)
SMOKE DET*CTORS
FINAL ELECTRICAL .INSPECTION
FINAL APPRDFrAL OF CONSTRUCTION
E OF OCCUPANCY MUST BE
A SIGNED CERTIFICAT HE BUILDING DEPARTMENT BEFORE
OBTAINED FROM T
THESE PREMISES ARE OCCUPIER;
.REMARKS
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aTNSPE
TOR
C� J'u ZPT ,Pits Y Af4-- l 11(0 v5&
._..louvre o� �ueerts ura�
BUILDING and ZONING DEPARTMENT
Say and Haviland Road, R.D. 1 Box 98
Queenshury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ak :ajil
LOCATION rf
Date Q� 7:r Permit No
✓ APPROVED - NO
rjq/Pier Forms_ ec�C
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 ELECTRI L INSPECTION __..
LIRIVEWAY APPR V ' -
Final Buildi Survey
Next scheduled inspectiran Ccall when ready)
Remarks-
Building I ector
6/86 and-vl
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