1987-554 BUILDING PERMIT
TOWN OF QUEENSBURY No 87-554
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John W . & Shirley Taylor as
1
OWNER of property located at Asse } t Street, Road or Ave. n
in the Town of Queensbury, To Construct or place a Dieck
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 c..�
1318 Honeysuckle Lane o
Lake George , N . Yd 12845
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2. CONTRACTOR or BUILDERS Name tea
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3. CONTRACTOR or BUILDERS Address
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d_ ARCHITECT'S Name
5. ARCHITECT'S Address y
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6. TYPE of Construction — (Please indicate 6y X) �
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i I wood 'Frame ( ) Masonry { } Steel I l F'
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7. PLANS and Specifications
No. 7 ' x 14 ' per plot plan and application .
8. Proposed Use Deck to One-Family dwelling
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$ 10 * 00 PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 , 19 88
Of 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 Oueensbury this 20th Day of /August 19 87
SIGNED BY + Z2 for the Town of Queensbury
Building and Zoning Inspector X,/�
TO BE COMPLETED BY BL1DG ,, DEPT.
Application No .
OCl/►T � LlPEIt3� Et�'1� Permit Issued 19 a 'JINN OF CUE.-iIkiCI
BUILDING and ZONING DEPARTMENT Permit Expires 19 D
Bay and Havifand Road, R. D. 1 Box 98 Zoning Designation
Queensbury, New York 12841 varian No .
Site lan evi N AUG 17 �U�7
App d BUILDING Bc +CODE/}DEPT.
Y APPLICATION FOR I w /'.�� o
FU I LD I NG AND ZONING PERIL I T
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 : 0 I f�' )
P . Q. Address / 31 JTpAEyxuckLE Z,4.yE Tel . �►. + ' ` � 7 Imo.
Property Location : ZOOA(E %Too* Tax Map No .
Street number or building lot numberr3
Subdivision name ( if applicable) Sx I1! QG Y / !' "0#" ;P"
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Name P . O . Address Tel . No .
Name of builder p #41"4E Address Tel .
Name of plumber Address Tel .
Name of mason MJF 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
whether interior or corner lot . Show location
FOR DEMOLITION PERMIT , STATE SIZE AND
� . of water supply Arid location and configuration
LOCATION of STRUCTURES AFFECTED .
of septic disposal area ,
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COMPLETE INFORMATION REQUIRED BELOW .
Size of property 7 ft x /4042 ft .
Existing building ( s ) Size �ft Xft .
PROPOSED BUILDING AND USE :
Existing bui dings ) Use �C/}-]'Ipr✓
Size of new structure 7 ft X /4/ ft _ 1) tpJ e1
Foundation pier slab/crawl/partial/full Proposed building , distance from property line
( circle one ) �1
No . of stories (habitable space) M44 � Front yard ft Rear yard ��
ft . Side yards ft and
Height ( grade to ridge ) -�- if on corner , setback from side street ft
If residential , no . of families
No * of rooms ( excluding baths ) ---- * OCCUPANCY INFORMATION
No . of bedrooms PRIMARY BUILDING -
Noo of bathrooms �^`
�� One family dwelling
Primary heating system �Type of fuel Two family dwelling
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Multiple dwelling / Number of units
No6 of fireplaces to be installed -
�, Permanent occupancy
Will a wood stove be installed? -( Transient occupancy
Central Air conditioning? ^-'� '�
* Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
,� Other
Ranch Contemporary Log cabin If addition , what will use be?
Raised ranch Mansion Duplex
Split level Old style un o
Cape Cod Cottage Other * ACCESSORY BUILDING-
Coloni.al Row Town House Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) Attached garage/one car/ two car/..car
_X._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 , wood frame , fire safe , etc . k! 0 d AP
Will any second-hand or ungraded lumber be used? If so , for what ?
Foundation wall material �` Thickness ,� -
Depth of foundation below grade (to bottom of footing ) e
Will there be a cellar? r- Heated or unheated? do� Floor sq. footage sq ft
Will there be a basement? ,r- Will any portion be used as living space? Wo
( If so , what portion? sgoft . - - Type of use?
Type of roof - sloped/flat/shed/other ''~Material of roof
Size , wood studs "X '" spacing " o . cl length ft .
.3oists ( floor beams ) 1st . floor "x '" spacing "a . c . span ft _
Joists ( £loor beams ) 2nd . floor " x " spacing "o . c . span ft .
overlays (ceiling beams ) "X '" spacing '"o . c . span ft .
Roof rafters "'X " spacing o . c . span ft .
Roof trusses (pre-engineered) spacing " o . cv 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 County of Warren I I} A if I T STATE OF NEW YaRx
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
authorized by the owner .
SWORN TO BEFO ME THIS Signat - ______ __- -
Owner , er " s a _ nt , arcnZKe ;t , ntractor
day 19
Notary Publi , arren County , N . Y .
SPECIAL CONDITIONS OF THE PERMIT :
B�'-----...............-....__ __-__-----__-__
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY S HAVILAND ROADS
QUEENSBURY, NEW PORK 1280*
TELEPHONE (5I8) � 92-5832
BUILDINNO INSPECTOR' REPORT
REQUEST FOR INS Sc ION RECEI ED
NAME
LOCATION �y _
DATE G lJ PERM T
APPROVED
YES NO
FOOTINGIPXERS
MONOLITHIC POUR FORMS
FOUNDATIONIDAMP-PROOF N
BACKFXLL ,APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
XNSULATSON:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHE STEPS
STAIRS^-CLEARANC & RAIL
.PLUMBING FIXTUR SIRELIE VALVE
INTERIOR TRIMI IVACY RS
FINISHED FLOOR
GARAGE P IREPR FING
DOOR CLOSERS)
SMOKE DETECTO
FINAL ELECTRICA INSPECTION
FINAL .APPROVAL F CONSTRUCT N_�
OY, TO ISSUE C/o OR C,/+C
A SIGNED CERTI CATE OF OCCU ANCY MUST BE
OBTAINED FROM HE ,BUILDING D ARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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LIEPAR'�
?' TOR
UILDING and ZONING DEPARTMENT
f 'Bay and Haviland Road, R. D. 1 Box 98
r� Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION/
..tar. ' 7..�ct
Date Permit No .
✓ APPROVED - NO
Footing/Pier Forms
00 ndation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing th-
Relief Valves
Ext . Parches
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-
build ng Inspector
6/86 and-vl
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