1988-249 BUILDING PERMIT 9
TOWN OF QUEENSBURY No. 88-249
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WARREN COUNTY, NEW YORK o
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PERMISSION is hereby granted to James Sink o
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OWNER of property located at 6 Willow Rd. Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Addition—Deck
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 c,
to
ti.
2. CONTRACTOR or BUILDER'S Name
Brian Oligney
3. CONTRACTOR or BUILDER'S Address
P.D. Box 4581
Glens Falls, N.Y. 12801
N.
4. ARCHITECT'S Name
C2,
5. ARCHITECT'S Address
6. TYPE of Construction— (Please indicate by X)
CZ
Jx)Wood Frame ( ) Masonry ( )Steel ( )
Imo.
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7. PLANS and Specifications
o
No. 18 ' X 18' as per plot plan, specifications and application.
8. Proposed Use
Addtion — Deck
$ 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 18th Day of May 19 88
SIGNED BY MZ'a u ` -taZ/ for the Town of Queensbury
Building and Zoning nspector �/e ,
TO BE COMPLETED BY BLDG. DEPT. •
TOWN CF QUEENS::::—
// Application No.
_Ciown oQuecniur, '1@ Permit Issued 19 ,� `"'J w
BUILDING and ZONING DEPARTMENT Permit Expires 19 Ii
)
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
APR 2 51988
Queensbury, New York 12801 Variance No.
�� ^s3' \n Site Plan Revi o.77 BUILDING tc CODE DEPT.
�—C"\ Appr ed J�
APPLICATION FOR �y !�
BUILDING AND ZONING PERMIT
# * * * * fit• * * * * * * * * * * * * * * * * * * * * * if.. * * * * * * * * * *::•*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned herebyapplies 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: -Y;reir( ‘ii-
P.O. Address ,-1 Tel.
Property Location: 6 Vi UA) ICA9- Tax Map No. ( v / 2 /.3
Street number or building lot number
Subdivision name (if applicable) I' (01,4,s a oU'&4IS gUes-i
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
1;124E4 b ,Ur Q®. &tom 4561 ty-v&A kW, 4, A,Y• rve r
Name P.O. Address Tel. No.
Name of builder iWA 0 ice Address O. ZrAJ ( � ' °�1 S Aiiii) Tel. 141'TM?
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,
`c 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 and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property (10 ft X 130 ft.
* Existing building(s) Size ?,E, ft X 5r, ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use (205I1Wde
Size of new structure 4e ft X c8 ft *
Foundation-pier/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) P44' ft. * 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 -
No. of bathrooms One family dwelling
Primary heating system •-- *
* _Two family dwelling
Type of fuel •- * Multiple dwelling / Number of units
No. 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 hqn144
Ranch Contemporary Log cabin * If addition, what will use be? 1)iIte `312. ..
Raised ranch Mansion Duplex
Split level Old style Bungalow *
Cape Cod 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
CONSTRUCTION $ 1_1700
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: •
Type of construction, wood frame, fire safe,etc. MOP ftwo&
'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/other - Material• of roof
Size, wood studs "X " spacing "o.c. length ft. .
Joists(floor beams) 1st. floor 'L "X ip " spacing trip "o.c. span 9 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? -1
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-w_i.th-;_,whether .&pec Lfied_o.r. not,_rind,that_such work is
authorized by the owner.
d'--�`-'
SWORN TO BEFORE. ME THIS Signature
Owner, owner'sk - ,arcnirect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
INTERIM BUILDING PERMIT
PERMIT APPLICANT -FAA' i-17'
CONSTRUCTION LOCATION zyji// j „YR
EFFECTIVE DATE • ,21
APPROVED BY . .
SPECIAL CONDITIONS :
This will certify' that' all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit , the above named
may begin construction' per plans submitted. It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CONSP U C ION ! !
•
• J
Building & Codes Department
. TOWN OF QUEENSBURY
FILE COPY
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804. A21?
TELEPHONE (518) 792-5832.
BUILDING INSPECTOR'S REPORT
REQUEST F ' INSPECTION RECEIVE 7 ihd
NAME /, 24 4 4 /c_ ..
LOCATI Ni $i/ G�DATE e"//r! PERMI # p f-,271.9
APPROVED
le-ee _ YES NO
FOOTING/PIES l
MONOLITHIC UR FORMS I
FOUNDATION/DAMP-PROOFING
BACKFILL APPR\?VAL f
ROUGH PLUMBING
FRAMING e
ELECTRICAL ROU H-IN
INSULATION:
FOUNDATION 1
FLOORS \. I
WALLS
CEILING t
)(FIN(FINAL INSPECTION: . I
AL
CHIMNEY HEIGHT
ROOFING `•�\ )I
SIDING ' II
EXTERNAL PORCHES/SAPS
STAIRS-CLEARANCE & tAILS
PLUMBING FIXTURES/ FLIEF VALVE
INTERIOR TRIM/PRI C` DOORS
FINISHED FLOORS 1
GARAGE FIREPROOFI G
DOOR CLOSER(S) 4
SMOKE DETECTORS \}
FINAL ELECTRICAL I SPECT2 N
FINAL APPROVAL OF ¶ONSTRU 'ION )(
- OK TO ISSUE C/O OR.C/C \ /
A SIGNED CERTIFICA}E OF OCC�PANCY MUST BE
OBTAINED FROM THE ',WILDING D PARTMENT BEFORE
THESE PREMISES ARC; OCCUPIED!\
i .
REMARKS: f
Agi \
0/5-C f APAIP j
Cl_z_si- ,to-- Phz \ /
ARRIVE
.
N 2
DEPART J � (r J
INSPE TOR
t� c
TOWN OF QUE:NSBURY
BUILDING AND CEDES DEPARTMENT
BAY & HAVILANi ROADS
QUEENSBURY, N YORK 12804-
TELEPHONE (51:) 792-5832
BUI DING INSPECTOR'S ' 'ORT
REQUEST FOR INSPECTION RECEIV'D
NAME S I iK
LOCATION 1301
() (,U(LLOt,(J /
DATE 7/301' 6 PERMI! "# �- p
7
I APPROVEDf
i` ` N YES NO
FOOTING/PIERS l
MONOLITHIC POUR FORMS
FOUNDATION/DAMP•PROOFINGi
BACKFILL APPROV'1
ROUGH PLUMBING
FRAMING '
ELECTRICAL ROUGH N
INSULATION: 1
FOUNDATION
FLOORS
WALLS
CEILING f
FINAL INSPECTION: '
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ ,+EPS
STAIRS-CLEARANCE RAILS
PLUMBING FIXTURES":, LIEF VALVE
INTERIOR TRIM/PR IVA': Y DOORS
FINISHED FLOORS I
GARAGE FIREPROOFJNG
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL 'NSPE rION ' . . . .
FINAL APPROVAL 0 ' CONST'"UCTION
OK TO ISSUE C/O IR C/C
•
A SIGNED CERTIFI,ATE OF • CUPANCY MUST BE
OBTAINED FROM T 1 BUILDIN', DEPARTMENT BEFORE
THESE PREMISES ,RE OCCUPIii
REMARKS:
/+62O /JT" , 6-vv- ►:' v, —(--- .
l VS 16--crc ),0 or- fin, l 0e1c
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ARRIVE -
DEPART 3-`'i_ /-2?
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INSPECT R
In
MAP REFERENCE � )
9 PINES OF QUEENSBURY SUBDIVISION
BY VANDUSEN & STEVES IN 1978
FILED AS PLAT A-116
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LOT 53
22,100 SQ. FT. "
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O \ 2 S�✓ I�� CJ C i (� f � �Q
/�aufC I ih 1 ' y 9
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c. . MAP OF A SURVEY MADE FOR
JAMES J. 8 RUTH SINK
TOWN OF QUEENSBURY WARREN COUNTY NEW YORK
SCALE : I" = 30' DATE : JUNE 10 1987
-- - ti VanDusen & Steves
LAND SURVEYORS,GLENS FALLS,NEW YORK
N.Y.STATE LIC.NO,3567 I.P K = tRo tor, �o�Nv