1988-644 BUILDING PERMIT
TOWN OF QUEENSBURY No 88-644
WARREN COUNTY, NEW YORK )d
v 0). \V 1 0
•
PERMISSION is hereby granted to Jane Potter 14.
rn
OWNER of property located at \i‘A Meadowbrook Rd. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 1 Car attached garage
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
Sl'
57 Seminary St. Fort Edward, N.Y. m
0
2. CONTRACTOR or BUILDER'S Name cD
HFH Construction
3. CONTRACTOR or BUILDER'S Address
Dix Ave 0
Glens Falls, N.Y. 12801
4. ARCHITECT'S Name
0
0
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( A Wood Frame ( ) Masonry ( )Steel ( )
0
7. PLANS and Specifications
0
No. 13' x 24' as per plot plan, spceifications and application. z
0
8. Proposed Use laD
VARIANCE #1394 0
Attached one car garage with overhead storage.
Crq
CD
$ 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.)
Dated at the Town of Queensbury thi 31st Day of Augus 19 88
SIGNED BY a(", / for the Town of Queensbury
Building and Zoning Insp ctor
- 014411 01 QUeCilibtlry ,- . .. --- ,t
1-1
BUILDING and ZONING DEPARTMENT Val?, /3 0
Bay and F-laviland Road,,R.D. 1 Box 98 AUG �� �
• Queensbury, New'York 12801 BUILDING & CODE DEPT.
4 . Approve b : J
APPLICATION FOR O ,
BUILDING AND ZONING PERMIT I-
*• * * * * * * * * * * * .. .a. *. * * * .it * •it * :* * * * * * * * * * * * * * * * *
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 maybe indicated on the Permit. •
The owner of this property is: �g-e` GL2dLi&j4----'.
P.O. Address 57 -,_ ��� �-4/ Tel. 717-1
Property 'Location:' 1- ' Tax Map No. 4,1lo/ a/ vol.-
Street number or building lot number
Subdivision name_.,(if applicable) — . .
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS :BUILDING CODES IS:
. arize4-e- —,_ -7 _, .. ' '
Named P.O. Address - Tel. No.
Name of builder 1-1- (1) Address Q.[I-E . �Q--Tel. 1.1 -o 9-
Name of plumbe Address Tel.
Name of macron �� Address Tel. 793-6e8d
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
_Construction of a new building * TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
K 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 dimensionsj' * 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
FOR DEMOLITION PERMIT', SPATE 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 . 7,5 ft X /U-6 ft.
* Existing building(s) Size g2 1/. ft X fL 7 ft.
PROPOSED BUILDING AND USE: *.Existing building (s) Use
Size of new structure ft X 4 ,ft . * •
Foundation-pie s ab 1, •artial/full * Proposed building, distance from property line
*circle one)
* Front yard / ft Rear yard .. 5 ft
No. of stories (habitable space) �/J * Side yards /,�' ft. and 3 ft
Height (grade to ridge] / ' ft. If on corner, setback from side street ft
If residential, no. of ilies *
No. 'of rooms(excluding baths) - * OCCUPANCY INFORMATION .
No. of bedrooms -, . '
* PRIMARY BUILDING - •
No, of bathrooms * ALOne family dwelling
Primary heating system Twofamil dwelling.
Type of fuel * Two. family
No. of.fiXeplaees..to be installed * Multiple dwelling ./. Number of units
Permanent occupancy
Will a wood stove be installed? sna * Transient occupancy
Central Air conditioning? ��. * p y
* Business
BUILDING STYLE, PRIMARY STRUCTURE *• Industrial •
Other '
RanchContemporary Log cabin * If addition, what mill use be?
Raised ranch Mansion Duplex - /
Split level Old,,style . Bungalow * ifl'� ���
Cape Co - Cottage Other * ACC6 SORY B LDING- .
Colonial F• 'Row ' : Town House . * • Detached garage/o.- car/ two car/ car
(.;CIRCLE ONE PLEASE ) * _Attached garage one car/ two car/` car
* * * * * * * * * * * * * * * * * * Private storage bui sing
ESTIMATED MARKET VALUE OF . * !
Other
CONSTRUCTION
\ $' ��v �� *
\\INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
\rm BPA9/86. md-vl
. '. .
. . •
•
. • . ..,-"'
BUILDING PERMIT: APPLICATION CONTINUED .-
• .
•
—. .. ,
BUILDING ti;ECIFICATIONS:
•
- /
Type of construction, wood frame, fire safe,etc. - • 7,620--e-d ‘Z..--,---r...-e_L___ •
Will any second-hand or ungraded lumber be used? If so, for w at? _.,.6 .
Foundation, wall• material (L42-72...e... .-- ickness ' • .
Depth of foundation, below grade (to bottom of footing) . . •
Will therebe a cellar?,,/x4 Heated or unheated? Floor sq. footage - sq ft .
Will therebe a basement? .,42,4 Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof -slopes/f1 t shed/other Material.-of .roof ' 6.....,
Size, wood: s ... .4.:.. "x " spacing - "o.c. length Afl' ft. . .
--- .
Joists(floor beams): 1st. floor "X "- spacing "o.c. span ft. .
-----
Joists (floor beams)Y2nd. floor "X " spacing - "o.c. span ft.
Overlays(ceiling beams) "X " spacing •no.c. span ft.
Roof rafters :' "X " spacing o.c. span ' - ft.
Roof trusses(pre-engineered) spacing - "o.c. span .' 'ft.
Exterior wall finish- \J„,..... . ,Qa4.;,1 Of what material?
Interior wall finish
If a gara e i. :to be atta hed, .describe mate 'als to be used for FIRE SEPARATION:
../'
Is there ,i-, be •an open' g between garage and dwelling?......wo If so will a Fire-rated
door, enclosure, and self-closing device be•Iorovided?
Will a flue-lined chimney be installed?. /74-0 Height above roof ft. •
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft._in. . _. . • '
Water supply Muzucipa or :private well _ • •
SEPTIC SYSTEM . ance 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, o et's agent,arcnitect,contractor . .
. ..-,
day of , 19 .
. .
. .
' . ..
Notary Public, Warren County, N.Y. . .
* * * At * * * * * .* * * * * * * * * -* * * * * * * * * * * * * * * A * *, it * * * .* * * * *
, .
, . . . . .
SPECIAL CONDITIONS OF THE PERMIT: , ._ .
_ , ) , . . • .
• . .
, . .
, . • .
, _ ..,. . . .
. _ .
.. . . .
. ..
i ,., • • , ,
, . . . .
. . .
,...
' • .
' " , •,. . :, ,. „ - .
. .
.. ,. 1.,• - •
. ..: . _
. . .
. . .
. . . . • .
. ,..J--. , .-- • .
. .
. . .
. .. .
. .
i ,. . . . .
. .
. .
. _ _. .
. •
• , . • .
. .
, ',: ;.:::•-• .
• -, ..; :.- -
• • • -
.. •, -:::- , . ..
• • .
. . . . • . _
- . .
. .
. .
. - . • : . . . . •
.. . . .
•
. . . . .
. .
. .
. .
,. .
. .
. . .
. . . . .
• .
. . .
. . . . . . By
: .
..,-- .
. .•
. .
. .
. . . .
, ,,, . •
. , . .
, . •
,. ...
, .
- ' •
. -..
. .
u INTERIM BUILDING _PERMIT: :.
'PERMIT APPLICANT'
CONSTRUCTION LOCATION •
EFFECTIVE . DATE S
APPROVED BY • '-‘,),‘,;(4, sj;;-?::..-,e;ss-:,_-., - -
SPECIAL: CONDITIONS ; ;
• This ,will certify 'that,all submittals for a Building
Permit have been received and .-fee, has, .been. paid
During the pro,cessing,'` 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 D,epartment, . following processing .
POST;, THIS INTERIM .PERMIT: IN ;A CONS IC C ION ! !
Build g Codes Department
TOWN OF QUEENSBURY
. 1 .
f
y
eC..��-1.1�!e,..e.e,,,,i.a�i.J_�,..��1.��iJ,�L,�ik"..p,..o.Co,A.C.��,J „.. �,�i.a�i��i.J.�/.o,�t,..� ..).,ka�,,,k.m.jR."...,i.��.U�.CAS,„.ik R1.aRi.ati.,...o,."...." ,.. fit,.�..,.?R",�a��,..;�i,j�!`�,�
THE NEW YORK BOARD. OF FIRE UNDERWRITERS 1,1.GT: I.
SCE ).,:1?
BUREAU OF ELECTRICITY
�; 41 STATE STREET,ALBANY,NEW YORK 12207
-(: U:,i ill �C �,^ ,rlr, n�
%; Date P'I�kt.[i 3�; 1�" Application No.on fife l,D C..ts:1 ;.: T •5 JO.� I
E.
�, THIS CERTIFIES THAT JJ 67 4/ F.
L
'4c: only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
i,-': JANE POTTER, Nr:_1DCiii'IiF'C}O RR iO:; 408 QUEENI. T?AAn N.Y. ®-
7.
. in the following location; ❑ Basement. _,❑ 1st Fl. ❑ 2nd Fl. `',�' Section Block Lot
�' was examined on T I'T,I(l.! F,., '" `a"�`.' and found to be in compliance with the requirements of this Board. 'i
FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
i. OUTLETS ECEPTACLES SWITCHES
-. INCANDESCENT:FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ij
:
i a
1; N
�' DRYERSer. FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL RK'PT. TIME CLOCKS BELL UNIT HEATERS MULTI OUTLET DIMMERS
a ' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. SYSTEMS
NO.OF FEET AMT. WATTS ': n
W. v
1, i
^i SERVICE DISCONNECT NO.OF S E R V I C E E =_
' . AMT. AMP. TYPE EQUIP. I,B'2W 1,9 3W 3,B'3W 3,e'4W NO.OFF CC,gCOND. OF CC.COND.. NO.OF HI-LEG OF HI L G NO.OF NEUTRALS O A JGRAL -I
1•?p I:3
c
it OTHER APPARATUS:
. j
1.
=, .1: • . ,...„,
. , .. Ei
o y
i'
:J
.;
�' • 4
-<; '•i] +POt'.! R(f,?1•, IT. BRANCH MANAGER
Per i :;
This certificate ':
■■ must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
• pt-? "?. CM II ri 0 0 ® ® ® 0 !MEMO ® ® 0 0 0 0 0 0 0 0 0 0 ® n 0 0 0 0 .:'Y
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804. %
TELEPHONE (518) 792-5832 0�/
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME Q�/i%/l /
LOCATION1 � �U�°� Ems/ JJG7,
DATE 1- f <-1 PERMIT it 6474�,
APPROVED
YES NO
FOOTING/PIERS (/
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
`�i 1 NAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE .:& RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS(
GARAGE FIREPROOFING
DOOR CLOSER(S) 1.04-
SMOKE DETECTORS,
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
1 /
11l 'l A•!r
INS°ECTOR
, .
. ',A..I.NFO-RMATION FOR BUILDING DEPARTMENT
1•...:1:7,--'...- . ,--
,,
' '7 ' •
AT ARE IN THE PROCESS OF ISSUING A CERTIFICATE
•
. - ' OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
_....
1. AS COVERED IN AN APPLICATION FILED WITH OUR -
.--.
.,,
ii..:..,
.:.. DISTRICT OFFICE.
. .
A
THE NEW YORK BOARD OF FIRE UNDERWRITERS
,z..,
i.:.APPLICATIO .
N NO /)(30 9
I, - • - oe 7,,,/,', 6. - ... dZei ,
., _.......7.... _ . ..
/ _., -
‘ . . ..1.
DATE ,
INSPECTOR
FORM 1131)(REV.1/8t,) .
. ,
. ,
....._...:
...
...
./.:..-
._.:
• •
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTI RECEIVED /gAir)
NAME ii_i-l.Z21(7 / 4:6-
LOCAT `%�G -f' '(1/41 1 1
DATE /_3 2? PERMIT #if (/q
APPROVED
,,,,,,,,r__, YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING ;•' L
ELECTRICAL ROUGH-IN • ',
INSULATION: 1
FOUNDATION 4',
FLOORS `\ ,/'
WALLS
CEILING 4%`r
FINAL INSPECTION: 7 '\
CHIMNEY HEIGHT /
ROOFING .1
SIDING /
EXTERNAL PORCHES/STEPS •\
STAIRS-CLEARANCE & RAILS \
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS k,
FINISHED FLOORS \
GARAGE FIREPROOFING \,
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
/,
rn �� N
'. jyJ �^yACO Ii ...�J'a'�; ,, fA/c:i(�11.
INSPECTOR
_Jown o/ Queeniurcy .
BUILDING and ZONING DEPARTMENT
M J Bay'and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME nr ? U
LOCATION vJe_a_rao_t_o fcQr„ D_
i �yC/
Date 9/d�/ Permit No. d - [�
* * * * * * * * * * .* * * * * .* * * * * * * *
✓ = APPROVED - YES / NO
� �Footing/Pier Forms ;a
dJFoundation •
Waterproofing
Backfill :
Framing
Roofing s'
Siding 1
Masonry Veneer ' •
Rough Plumbin /
Relief Valves , /
Ext. Porches \,
Finished Floors V
Interior Trim ,r
,Stairs & Railings'
Cellar. Drain Tile . N' /
Concrete Floors `rI
' Plbg. Fixtures ,A
Gar. Fireproofing / .
Door Closers ,
Smoke Detectors / ,
Chimney /
INSULATION: i ''�t,
Foundation �'
Floors
Walls '
Ceiling j
FINAL ELECTRICAL INSPECTION •
DRIVEWAY APPROVAL
Final Building 'Survey •
Next scheduled inspection (call when ready)
Remarks- '
•
10-/d ‘j.1, i .4 ' 611
Buil ng Inspec or
6/86 and-vl '
Jouin of Quceniu9,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME r-LY/tA
LOCATION/
Date -j�j"/ Permit No. r�.U'G:� yl
l
* * * * * * * * * * * * * * * * * * * * * * *
✓ — APPROVED - YES`j NO
(�F oting/Pier Forms v
Foundation - 4/
Waterproofing
Backfill
Framing
Roofing
Siding � •
•
Masonry Veneer
Rough Plumbing\
Relief Valves
Ext. Porches
Finished Floors '1,
Interior Trim •
Stairs & Railings ‘. •
Cellar. Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing ,'. `,
Door Closers 1 y
Smoke Detectors r
. Chimney
INSULATION: �1d3
Foundation I
•
Floors /
Walls I
Ceiling
FINAL ELECTRIC L INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection/(call when ready)
Remarks-
GUI Pe 4Jw
�\ I - H
at0,1 ,
Building Inspec4d
6/86 and-vl
WA
i
r;-
"t7
1
x
at
tt
01-
-7,
iz777777777 -=ZI,
t de
JA
en
T:7 r-a>w IPA -V>*; cql�
NhQ..LQj
-
ol
k.-4 W. A t4L w r=l
All
I " * 4 " ca
%IJXU�s
jAr4* far
4P
11A V- V ",-7
ea4t-sr. a,ri _ +-ter
j
r
t i
---- ---- - -
j
2cxnT- -Tr,
i
1
�..... Beni+..._•.._..-w+_--�..._....-. -. -�+.-air...._-- .�..+�.-.+ram-...,_- .__....
r-
r�QT .
t.Jb,Nfe� Vc;l eg
l
KALE 4iiyy.4y REVISIONS BV DATE
DATE 7 i Str- 't� } % l�/
OR_,N.t j _cKD.
NO