1988-635 BUILDING PERMIT
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TOWN OF QUEENSBURY w
No. 88-635
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to John & Lynne Hughes
OWNER of property located at 13 Helen Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Utility Shed
at the above location in accordance to application together with plot plans and other information hereto filed and c�
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. °p
1. OWNER'S Address is szn
Same r.
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2. CONTRACTOR or BUI LDEI 'S Npme
Tom spring o4
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3. CONTRACTOR or BUILDER'S Address
8 Windsor Drive
Glens Falls, N.Y. 12801
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) rt
( )Wood Frame ( ) Masonry ( )Steel ( En
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7. PLANS and Specifications rD
No. 10' X 20' as per plot plan, drawing and application a
(no septic, heat or electrical)
8. Proposed Use
Utility Shed
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 89
(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.)
23rd August 88
Dated at the Town of Queensbury t Day of , 19
6 SIGNED BY C '7J for the Town of Queensbury
Building and n� nspector
TO BE COMPLETED BY /
DEPT.
ac� // Application No. • ;0.;.JN 0 ' C_ _JE, _
wn oi QueeIIdbur, Permit .Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 I.) ' `�
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation IA . I.0
Queensbury, New York 12801 • . Variance No. _ UG 2 1988
A . Site Plan Review No
.�"\ . BUILDING & CQDE. D P-,
CAP . _ Approved by:PERMIT*G PE . /'
APPLICATION IOR �
BUILDING AND ZONING Er r .Ad' et* * * * * * * * * ..w * * * * *. * * * * * .* * * * * * * it * ' * iF * * * * *::.
A,PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF' THE FOLLOWING.
The undersigned hereby applies fora 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: __J O hr) ari .'L'V cn e /i•' 47 e'S UQ// ' '
P.O. Address /3 Heier) • aril)) . . . ,,.. .. - ' Tel. 77J,Saac/!,
Property Location: Gler 5 doe«5 Al T /cf o v I Tax `Map No. / /
Street number or building lot number '
Subdivision name (if applicable) $U(X >'et)' " PS
THE PERSON RESPONSIBLE FOR SUPERVISION OIV WORK AS REGARDS BUILDING CODES IS:
hi cSp r 4 rl g CO ti lld O✓ r�.t i i1 e.-- -6 I eim -Gt i/'S • 7 y 3-576- 7-
Name (1 P.O. Address Ispv-i „ '1'el. No.
Name of builder 1G0Y1 Spri Address F'ai ;►%1 l irIt� Tel. 793`5757
Name of plumber f / 0 Address -, Tel.
Name of mason NA Address Tel. • —
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
X Construction of anew building * TWO PLOT PLANS 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
LOCATION OF STRUCTURES AFFECTED. • .of_ water supply and location and configuration-
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED. BELOW.
* Size 'of property /1f 0 ft X /00 ft.
* Existing building(s) Size ,ve ft X o2�. ft. •
*
PROPOSED 'BUILDING AND USE: *-Existing building(s) Use Pr;rjlai- e-sld r2yjr,�.
Size of new structu /0 ft X o20 ft ' . * • U •
Foundation-pier slab rawl/partial/full * Proposed building, distance from property line
circle one)
No. of stories (habitable spac / * Front yard /a ft Rear yard ,3 / ft
Height (grade to ridge) e , ft. * Si
e) de yards S-..,4 ft and a C ft
If residential, no. of families �y/q * If on corner, setback from side street �/Q ft •
No. of rooms(excluding baths) iv it) * OCCUPANCY INFORMATION
No. of bedrooms /y/q * PRIMARY BUILDING - /
No. of bathrooms N4
Primary heating system ND hec�°- * One family dwelling
Type of fuel n/R * . Two family dwelling
No. of fireplaces to be installed A//'/ * Mu •
ltiple dwelling ./ Number. of units
Will a wood stove be installed? A44 * Permanent occupancy
* Transient occupancy .
Central Air conditioning?g' /1frq Busine
BUILDING STYLE, PRIMARY STRUCTURE *' In strial jej .
Ranch Contemporary Log cabin * them. / y
Raised ranch Mansion Duplex * f addition, what will use be.
Split level Old style Bungalow *
Cape Code ' 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 * '
$/Loo.00
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS ,SHEET, TO BE COMPLETE,D!!/
Form BPA �l/86 and-vlAl,,, //0 c t'.
7;0VAI
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BUILDING PEIMIT APPLICATION CONTINUED -
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BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. (kJOO d i C✓Will any second-hand or ungraded lumber be used? If so, for what? old
Foundation wall material C10112n -e Slab Thickness 0-
Depth of foundation below grade (to bottom of footing AM
Will there be a cellar? AJ Heated or unheated?.((/1hd•F loor sq. footage o2oc) sq ft
Will there be a basement? /l d Will any portion be used as living space? No .
(If so, what portion? ',JP sq.ft. - - Type of use? N,C) +I
• Type of roof - sloped/flat/shed/other,5�n i. Material..of roof 6Sph'tJ-1' Sh /}7 )e 4� o)(A " -
Size, wood studs 02 X spacing /( o.c. length ' ft. C.Dx 1^Oo-i"
Joists(floor beams) 1st. floor IV4 "X NIP' spacing /Vq"o.c. span NWft.
Joists (floor beams) 2nd. floor /V4. "X /s//Q " spacing 4!,4 "o.c. span Nam- ft.
Overlays(ceiling beams) a "X ( " spacing go "o.c. span l0 ft.
Roof rafters a "X C " spacing /Co o.c. span ft.
Roof trusses (pre-engineered) � spacing'/.4. "o.c. span ,//¢ ft. •
Exterior 'wall finish '/a"X 10�I C/e+jobOarc s Of what material? SgGYt,C�
Interior wall finish 9//60" aspen;4-e Ltxt11 sh ' in
If a garage is to be attached, describe materials to Be used for FIRE SEPARATION:
Nfi
Is there to be an opening between garage .and dwelling? Nig- If so will a Fire-rated
door, enclosure, and self-closing device be provided? Af/9'
Will a flue-lined chimney be installed? /\)P- Height above roof . Ail9- ft.
Depth of chimney foundation below grade /N/9- ft.
Depth of fireplace' hearth NO ft. in. •
Water supply - Municipal or private well 1\JS4
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SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties f1//3 • ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury A F FID AV I T 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 (.•"
w4
ner, owne s agent, rcnitect,cont actor
day of 19
Notary Public, Warren County, N.Y.
* * * *. * * * * * * * * x * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ..
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SPECIAL CONDITIONS OF THE PERMIT:
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TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT j\
531 BAY ROAD
It : QUEENSBURY NY 12804
(518)745-4447
ARRIVE: DEPART: INSP:.
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED:
NAME f-CI 0
LOCATION / 3 fkk7
DATE Si(?(f), PERMIT 33
TYPE OF STRUCTURE `.,;114 L/,
FOOTINGS FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING SEPTIC INSULATION •
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
/ N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT /
\y t
PLUMBING VENT \ •
ROOFING y p1J
EXTERIOR FINISH \t
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES !
FURNACE/HOT WATER OPERATING I
INTERIOR TRIM/PRIVACY DOORS f ,i
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT `� 1`
OTHER FLOORS 'SWEEPABLE
OTHER FLOORS CARPETED/ i
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS 1 1
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BATHROOM FANS
PLUMBING FIXTURES
t
FOUNDATION INSULATION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280g.
TELEPHONE (518) 792-5832
BUILDING, INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAMEl4J
LOCATION /5 X/e/p Agc
DATE A77f`7j) PERMIT #
APPROVED
*C2(- / YES NO
FOOTING/PIERS
MONOLITHIC POUR FORM'.
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN •
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
�VFINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STE! .
STAIRS-CLEARANCE & 'A LS
PLUMBING FIXTURES/R:L F VALVE
INTERIOR TRIM/PRIVA Y 'DOORS
FINISHED FLOORS
GARAGE FIREPROOFIN
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL ASPECT ;9N '' X
FINAL APPROVAL OF : ONSTRUt TION
OK TO ISSUE C/O 0' C/C A '0
A SIGNED CERTIFI<'ATE OF 0 ` UPANCY MUST BE
OBTAINED FROM T BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIEi.!
REMARKS: , T12cUa-L n rcf2
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. ZONING LDG CODES DEPT -__
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