1988-288 _ y
BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-288
WARREN COUNTY, NEW YORK
(YA ')1 N
Marie Kell
PERMISSION is hereby granted o
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OWNER of property located at3 Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration — Roof over Mobile Home
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. N,
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1. OWNER'S Address is r`
aline RD#4 - Box 279 - Maine Ave. ti
Glens Falls, N.Y. 12801 t
2. CONTRACTOR or BUILDER'S Name
Glenn Gregory
3. CONTRACTOR or BUILDER'S Address 41
RD#4 - Box 11 - Luzerne Rd.
Glens Falls, N.Y. 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X) O
( )Wood Frame ( 1 Masonry ( I Steel ( )
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7. PLANS and Specifications 11)
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No. Roof over mobile home as per specifications and application
8. Proposed Use 0
Alteration — Roof over mobile home N.
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$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 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.)
Dated at the Town of Queensbury this 25th Day of May 19 88
SIGNED BY ---v4)7 /D` , for the Town of Queensbury
Building ana Zoning Inspector
TOviI v Ur tuts..:s5:.,....,.
TO BE COMPLETED BY BLDG. DEPT. I? fl rr n `-,� rj 1
f
e] / Application No. ly;� u J -
uwil u nuceeiidburc� L! r
`�C,•� Permit Issued 19 I.;,� �:
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Havilarid Road, R.D. 1 Box 98 Zoning Designation BUILDING & CODE DEPT.
Queensbury, New York 12801 Variance No.
�� '\'',• Site Plan Review No. 4/..._ r&r\'��
Approved by:
APPLICATION FOR P P 4
/
BUILDING AND ZONING PERMIT
* * * * * * * .* * * - * * * * * * * * * * * * * * * * * * * * * * * * .* * * * ::•*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. (7(
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 -a,t this proper is: m/� //L' ,1 L'GL 7
P.,O.- .ddd es & U ,i-- LU fn /—
�� /� �-- Tel.
Property Location: 5-7/77YI G, 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.
/-iy/A/ G•2LlG'vY2• Address Ti94/ evL- fLO Tel. 7 c Z 9 z- yK
Name of builder / o /� iC(/L� �
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
OleD e a/rr - Alin r "V * 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 ft X ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE:
* Existing building(s) Use
Size of new structure ft X ft *
Faundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle o e) *
* Front yard ft Rear yard ft
No. of stories (habitabl space)
Height (grade t r. ge) ft. * Side yards ft and ft
H
He residential, o. of. ilies * If on corner, setback from side street ft
IfNo. of rooms(e c u ing ths) * OCCUPANCY INFORMATION
No. of bedroo *
* PRIMA BUILDING -
\ No. of bathro ms 1'
Primary heat. g s •tem * ne family dwelling
Type of fuel * Two family dwelling •
\ * Multiple dwelling / Number of units
No. of fireplaces to be installed
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other
Raised ran h Mansion Flex * If addition, what will use be?
Split level 01 -yle Bungalow *
Cape Cod ottage Other * ACCESSORY BUILD G-
Colonial w Town House * Detached garage ne car two car/ car
( CI CLE E PLEASE ) * Attached garage car/ two car/_ car
* * * * * * * * * * * * * * * * * _Private st ge buil ' g
ESTIMATED MARKET VALUE OF * _Other
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CONS`PRUC'PIO� e• *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 41/86 and-vl
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BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc.
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)
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft
Will there be a basement? Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/otherC/9814-- Material. of roof (7/9Lt/fH/72G-d)
Size, wood studs 9. "X " spacing 2j "o.c. length /�'� ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters 9 "X " spacing 2 V/ o.c. span /) ft.
Roof trusses (pre-engineered) spacing "o.c. span ft.
Exterior wall finish ti /,y,j/' 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 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 BEFORE ME THIS Signature
Owner, owner's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
j J vJMVJ`hL\+V ,,,,4 "%Ai VJ vJatit°vJ4rvJ JdWv v v vc/'q'v 'yJAeVJ4vJf��vJ.:4::V PTN Jf��V•/
1' - MIDDLE DEPARTMENT,INSPECTION AGENCY, INC.
900 Haddon Avenu NJ
e Collingswood, . .08108 e
C rr r �!~f g3 i , /
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,j ,<T:,a ,�. ` < ,cf�r oafs. June 23, 1988 e
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`� �iertlf lCg that the electrical .equipment listed has been examined and is approved as being in accord
C with the National Electrical Code`applicable governmental, utility and Agency rules. C`
f11i y. r A r) 4rj 1 \ UA 1 el
Owner: Marie Kell r ` 1 `occu anc ,
Y , i r , >S1 ;, r , � p Y Mobile Home �`
Occupant: Same k_l i ,4 t �. J
CJ Location: f 1,11 eq i 1 ,- 1 t , E ,r t ti i} 1
c
o Mai ne Avenue, ueensbur Warren t Thls certificate covers the eleclric.1,equipment and installation inspected this
i \ 5< date. If additional equipment�ehould be introduced or alterations made to
t existing system this certificate shall be null and void, and application for e
Equipment: 2-G. .' ram- \ inspection should be submitted promptly to this Agency.
F.C.I . , �,1.-Rec e ptca 1 e; 1'5 0-.Am S e r.v,i:c ei?6Holder of this certificate should present same to his property insurance carrier
C „,- ,z, CO
p IGt i' i k f has;--.•:"
'�,' �, \ (agent an asevidenceof certification of electrical equipment approved
g company)
\, as specified. / �'
( Marie Kell t',P„t, -, �r y
Applicant: u 4tl fin 1 5•
Maine Avenue No. et
( LGlens Falls, New York 128011 " 15-022253
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454 r1 l.-1 pc‘ /lit !1 lln.4./)c%, . e1u..1 s)c .,.5.«+41$*a cZeew_/4"1 l' 4�1. .��a. fa. R5,k Sk&d„' ii e(?.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME r& c/-
LOCATION !`(/9-f// 6- Cb L.-Qs,frJ2
DATE Lf1/2-C./ F 9 PERMIT # c:&?
/APPROVED
YES NO
FOOTING/PIERS ///
MONOLITHIC POUR FORMS
FOUNDATION/DAM'-PROOFING
BACKFILL APPROV'.
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-I
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING •
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING 44 �r
SIDING W L1.rr (AJ iL
EXTERNAL PORC,%ES/STEPS
STAIRS-CLEA',NCE & RAILS
PLUMBING FIX URES/RELIEF VAL E
' INTERIOR TR M/PRIVACY DOORS
FINISHED F •ORS
GARAGE FIR PROOFING
DOOR CLOS;R(S)
SMOKE DET:CTORS
FINAL ELECTRICAL INSPECTION
FINAL APPRO AL OF CONSTRUCTION • /
A SIGNED CE'TIFICATE OF OCCUPANCY MUST BE
OBTAINED FR• THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
•
REMARKS:
/ZoO e 0UB— /l'�d�'(c4- /) )4 —
a..U5r(2 Lier e-D ) b;„(_13
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INSPECTOR
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