1988-258 BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-258
WARREN COUNTY, NEW YORK ro
SO)..
Gary & Mary Ann Edie
PERMISSION is hereby granted to
OWNER of property located at 19 Pinion Pine Street, Road or Ave. o
in the Town of Queensbury,To Construct or place a Deck `D
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
' Same
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2. CONTRACTOR or BUILDER'S Name
Scott Williams
3. CONTRACTOR or BUILDER'S Address
1 Martell Rd.
Glens Falls, N.Y. r=1
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
r-•
1/40
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6. TYPE of Construction—(Please indicate by X) F'•
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(x)Wood Frame ( ) Masonry ( )Steel ( ) ro
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0
7. PLANS and Specifications
No. 25' x 18' deck as per plot plan, specifications and application.
8. Proposed Use
t7
Deck to one family dwelling
$ 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 Muy 23 Day of May 1988
SIGNED BY e`, /1'� for the Town of Queensbury
Building and Zoning Inspector /v
TO BE COMPLETED BY BLDG. DEPT. '' O QUEENcirtiEY
I� i 1.
cc''�� Queenilury
Application No. [11 L_ i i i' _ wn o f a ,.. " , ,J
Permit Issued 19 ,�.
BUILDING and ZONING DEPARTMENT Permit Expires 19 Lill
MAY q v 1988
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation .k
Queensbury, New York 12801 Variance No. BUILDING & CODE DEPT.
1 //j Site Plan Review No.
qv
� ✓I vll Approve b
°
f=e-e-
APPLICATION FOR //// _
BUILDING AND ZONING PERMIT
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *;i
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 ��C(I
owner o is property is: CcV�tl �� In !`�
P.O. Addr s �( _pI n 10(/\ f( t `e., si V filo, 0is-k, . _ 6'{�,(/(S . Tel. �q J- Z
Property n: id P1 n I0 N'1 pi ff CVO eeil S • Tax Map No. / /
Street number or. building lot number
\d Subdivision name (if applicable) G V1 1c We C 5 t 4e s
cTH�E PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: , ,c� I Cocc I 6 ' W Ili (c4a3 c r k (
c �'F Tel. Now 'Eat C
Name
P.O.
Name of builder SC CIA .. 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 exterior dimensions) * whether existing or proposed and indicate all
{Other work (describe) deLI--- set-back dimensions from property lines. Give
* 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 4 (4 e )(1;7ft X 1ta_D ft.
* Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of ne ., ucture ZS" ft X le) ft
Foundatio -pie:/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) *
* Front yard ft Rear yard ft
No. of stories (habitable space) * Side yards ft and ft
Height (grade to ridge) ft. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) * ,OCCUPANCY INFORMATION
*
No. of bedrooms * PRI RY BUILDING -
No. of bathrooms
Primary heating system * One family dwelling
Type of fuel * Two family dwelling
No. of fireplaces to be installed * Multiple dwelling / Number of units
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 ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow *
d Cottage Other * ACCESSORY BUILDING-
Colonial , Row Town House * Detached garage/one car/ two car/ car
CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * —Other
CONSTRUCTION00 *
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: t� r
Type of construction, wood frame, fire safe,etc. (tcc1�c 't' o e cL ( Q(k
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, whatportion? sq.ft. - - Type of use?
• Type of roof - sloped/flat/shed/other Material...of roof
Size, wood studs "X " spacing "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 "X " spacing o.c. span 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
County of Warren STATE OF NEW YORK
I swear that to the bes't 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=sha?.1-hea.comp1ied-'1iith', .G1hethe-r-speC-?fied-0?=-nGt, and t-ha.t-such-work i.w----- - - ..
authorized by the owner.
SWORN TO BEFORE' ME THIS Signature < C n (,
Owner, owners
L agent;arc,nitect,contractor
2-0 day of (YICk l( 19 3.
Notary Public, Warren County, .N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY f
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ,3„ U 9/
NAME _N(Y k L rn ki,,,, (2/1 m a C�,!.2. /
LOCATION`X 04,, —/1 _ 1 P Iii),I - 44 < 4P
DATE J�/&/%v 9 PERMIT # ✓I r).7
6 06 x
j / APPROVED
k 1 YES NO
FOOTING/PIERS k
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL f !
ROUGH PLUMBING I
FRAMING •' ,.�
ELECTRICAL ROUGH—IN y
INSULATION: '
FOUNDATION fr
FLOORS r; 1
WALLS it
CEILING k .
FINAL INSPECTION: '
CHIMNEY HEIGHT
ROOFING I
7
SIDING I ,
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) is
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
J>
11 I,
A SIGNED CERTIFICATE OF \OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
a
REMARKS: i
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RD # 6 BURGOYNE ROAD
SARATOGA SPGS., NY 12866
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