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4116 BUILDING PERMIT TOWN OF QUEENSBURY No. 4116 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to James C. Piper OWNER of property located at Meadow Brook Road Street,Road or Ave. in the Town of Queensbury,To Construct or place a One-Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and 3 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. cD to 1. OWNER'S Address is C7 10-310 Regency Park Apartments ' Glens Falls, New York b •o c� 2. CONTRACTOR or BUI LDE R'S Name 1 f Oscar Sundberg 3. CONTRACTOR or BUILDER'S Address Glens Falls, New York fl. 4. ARCHITECT'S Name O W H O 5. ARCHITECT'S Address O 7C' O a 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( 1 Masonry ( )Steel 1 ► 7. PLANS and Specifications OO No. 56' x 261 per plot plan, specifications and application `i submitted including sewage system and one-car attached 0A garagp- 3 B. Proposed Use f'• One-Family Dwelling '< WOO C/O Paid `►�° $ °!%.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19= (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 9th Day of June 19 76— SIGNED BY Z &�� for the Town of Queensbury Building and ZonirIg Inspe C/o Paid CERTIFICATE LAXTI FICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date December 2 19 ZL This is to certify that work requested to be done as shown by Permit No. 4116 has been completed. This structure may be occupied as a One-Family Thvellinci Location IMeadow Rroo'r Road Owner James C. Piper By Order Town Board TOWN OF QUEENSBURY Building & Zoniig inspect—or CREATIVE "INSTA PRINTING GLENS FALLS. N V 12801 151e 1793-5658 TOWN OF QUEENSBURY t (Space inside block to lx`•filled in by WARREN COUNTY, NEW YORK Building Inspector) • • Application for Application No. . ppPermit Issued 19. . BUILDING AND ZONING PERMIT Permit Expiies. IQ '.uinn. District \ iluc• oI Work THREE (3) Copies of a PLOT PLAN, Drawn to scale \l'1"."`cc1 by showing the actual dimensions of the lot to be built 1:cm:t(KS•. upon, The exact size, and location .on the lot of the building to be erected or altered MUST BE SUB- MITTED -WITH THIS APPLICATION. • Tow : aF QUEENS®URY DATE R V ❑ B A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK `,ilI J 1976��t ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to_ do- the following work A.M. 101 which will be. done in accordance with.the description, plans and specifi- 7�8�91. Ill A�A I cations, and such special conditions as may be indicated on the permit. The (owner of this ropert is:. (NA' E) (P.O.ADDRESS) The person responsible for .supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: SA-4i A 5 A- 130 14 /(NAME) (P.O ADDRESS), • Name of Builder el R 5V���3x Address 0 0�� �`S B #/ �7.. �.4k' . :/ Name of Plumber J-�• ��_ Address _ Name of Mason � A �'/ 15° Lt '�1c Address 1- j3A/y Y. Lot Number Unit Estimated value of proposed work 5 . . .-off''-if) .0t-e2•-10 Name of Village CV g—Nit..'13 aRY Name of Street . . e2Icied k' A-04,9 Side of street: north —east 0, south 0. west 0 Nearest Cross Street . .0 e0 Nib Distance from this ri-oss street Ft. Property is north . VS,south 0,east 5, west ❑from Cross Street If on Corner, which corner, northeast 0, northwest ❑, southeast D. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY © Construction of a new building. Main Budding ❑ Addition to a building. One-family, dwelling RI ❑ Alteration to a building. Two-family dwelling El-family apartment house ❑ ❑ Demolition of a building. Store building • • -car attached garage ❑ Other: • Accessory Building • One-car detached garage El ❑ Other work. Describe• Two-car detached garage Private chicken house ❑ Private storage building 0 Other: ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy. Indicate on the plot plan street names, the location and . L size of the property, the location, size and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing '� i(1- building(s) in solid line. • Size of property • / 6L a ft. x /5Z) ft. Size and use of existing buildings, if any A��� i . . m Size of proposed building . . . .O.F. 4. . ft.x ..Z.$. . . . ft. t A . . . . . . .Height (from grade to ridge) . . •� •/ . • • • ft. " ft. Front yard • Side yards u2i ft. and .,,Z ft. �, Rear yard ¢� ft. u SOUTH If on corner, setback from side street ji,/, ft.. .. Note: All distances are net, as measured from street side line to nearest pare of building.: . (OVER) 7-73—M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . O�`. . Will any second-hand lumber be used? '/0 If so for what? Material of foundation walls /0"i' �a�Leif Thickness Depth of foundation walls below grade Continuous foundation? . . . AWill there be a cellar? - S If so, material of cellar floor . . . . . . . c Ge- Type of roof: Sloped or flat? 3 ea p64) Material of roof Size,wood studs "x ", spacing "o.c., length. ft. Size, floor beams, 1st floor " x ", spacing " .c., span ft. Size, floor beams, 2nd floor " x spacing o.c., spa ft. Size, ceiling beams " x . . . , spacin . . ."o.c. n ft. Size, roof rafters or beams " x , spaci o.c., spa ft. Exterior finish With what material? Finish of interior walls If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an opening between7garage and building? Y't 5 Kind of heating system Ee? e/- Oil burner or coal? — Will a flue-lined chimney be provided? ADO Depth of chimney foundation below grade '1'/fi Height of chimney above roof /t�� Will there be a fireplace? /1/0 Depth of fireplace hearth "lam Will a toilet be installed? Yes Will a kitchen sink be installed and connected to pt��supply? 7�c Water supply (public water supply or pump) u 1,0,976:e $u/9,//y Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to th b j of my knowledge and belief the statements contained in this application,together with the lane and specifications sub- mitted, are a true and co.i.o lete statement of all proposed work to be one n the described premises a visions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertai rig to proposed-wurks al implied wi ,whether-specified or not, and that such work is authorized by the owner.Sworn to before me this Signature Al _ /7 ` T✓ OWNER,OWNERS AGENT,ARCHI 7, ` RACTOR day o 19 NOTARY BLI WARREN COUNTY,,N. Y. SPECIAL CONDITIONS OF TH, PERMIT: • • By TOWN 4?F QUEENSBURY BUILDING & ZONING DEPARTMENT OUEENSBURY TOWN OFFICE BUILDING BAY & HAVILtNL ROADS, R o D. ,# , GLENS FALLS, NEW- YORK 1280 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPCSAL ;CYST'=M WITHIN THE TOWN OF CUEENSBU Y r 1C.cui A�;T e S NAME_ � __L -?,,,,„ /' ,2, ..._._. ..m....AD R E:ss � e?..4 J.�ddlC�_ L_ 6_ 7 EK.Ea?DICE 79 7— 796 s- OWN R S NAME Sr?.?,b1,_ /9 S_ X7—d U4,:. __z__...e __.....,. ADD R E S_ J �6- ___ s .hac)� �._�._ _ _______________ NUMBER OF I-1EDR►C3OMS_ Wail 3AGE GRxNDER? A41 ( E'S OR .No) TOPOGRAPHY G FLAT 9 ROLLING SDT,:iEP Li.LOs'iE 9 GENTLE SLOPE, OTHER MA7U-RE OF s'i L°o °d.e` SANDY, L 1/AM, (4tAV EL, ACCK, ...11 c G )57k- >4 4 .4 G/ — L°ERCOLATION TESL W ER SU ' �L.V; UNti&P :: WELL, Ors HER - TEST_____ ____ _, ._ DIAL OF POPOS1, 1 iEPT1c SYSTEM 6 7". GM EE PEF►TINENT INFORMATION IT IS HEREBY A( t EED THAT IF THIS APPLICATION AND PLANS ARE APPROVED, 9 INSTALLATION ION O} SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE. WITH DETAILS SHOWN DATE SIGNATURE OF APPLICANT LAKE cacaGE PARK COMMISSION APPROV'ALg eaz,,,_ 0 -,/,-, s TOWN OF QUEENSBURY Building Department Inspectors Report Date // � %// Name Location Permit No. 4/1¢, Weather Per Cent Complete R°mnrke Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final SurveyMEM Framing Sheathing Roof Felt Roofing g .1111.1111.1111Milfr.41 ' Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves f • Wall Board Ext.Porches Finished Floor Interior Trim �r�/ Stairs&Railings ®WA(* M' Cellar Dr.Tile / ` Concrete Floors • PlhI.Fixtures _�- j1 Gar.Fire roofin _Door Closers Chimney WaaWal Water Meter Inst. Septic. Approval 1 Building Inspector RE ARKS 3 ii_re a l � • TOWN OF QUE1NSBURY Building Department/ Inspectors Report Date / 7 ' Name 7-7/v7 S c-� Location /1 6!.'- d c, / R Permit No. `/// Weather Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor -- Interior Trim Stairs&Railings _ Cellar Dr.Tile Concrete Floors Plbg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. �T Septic Approval I &/ Building Inepector • REMARKS iy,e/-/ 5 6.,/, / )250 f�*/ • TOWN OF QUEENSBURY Building Department Inspectors Report Date b Name �� . Location /W,,eAW)/, ,/2.ert1. Permit No. 4-if 4 Weather Per Cent Complete Remarks Excavation I Footing Forms I Footing & Piers _ Foundation Cement Coat ' e. I / Waterproofing (� J /2 Backfill d� Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. RoughHtg. Relief :ilt>\/7 Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plhg.Fixtures Car.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval I ✓ Building Inspector REMARKS • TOWN OF QUEENSBU ' Y Building Department Inspectors Report Date Name 40, Location 0,7 yzeLv Permit No. 4 11(0 . Weather Per Cent Complete Remarks Excavation I Footing Forms Footing & Piers Foundation Cement Coat r Waterproofing i Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Building Inspector REMARKS .. ,. , , . • • .. •, , . , . ... , . . . , . . . . . . . . ., . . . , . . .. ,, Green Island -Haines' Rt.: .. . , . . ., CENTER STREET, GREEN ISLAND, N. Y. 12183 ••• • - The Affordable Homes . . • . . . „ . „ •A • 1 ' " r,1 'Fil (,. ' Z:") 2 2-7.•b inq: , OffiQe.518-273-5473 . ...Plant 10iii73-571-4;11- , , • ... . /1/f iiit4A-S:evoo ON ( „<-111 i)i / SPECIFICATION VVORKSHEET ' v-I'' `. `` , . . ' ... • ' . ,. ' . . . . , Customer t4r,1.-4'1,A.'724. ' (----.".• /"/"1-11;21-'• '' '' 'Job No. . . ' ' Invoice No, / ' .. .• , • • • , 4 V 4.• 1 , , 7 Date: `37 /1 6 ' . . Delivery Address. ,) . ,. ..- !,., ...!;•,.4.../ 4,1.....Z„, 1../.. ; ? '-'• - Type of House: /•f .:/..- 1,Lie4.rt.i.,:F...,... Size: 2'4- -r-/0 . . Delivery Date: • , • - Living Room on Left 1----'- Right •• Garage on Left '. l'-'''' ' Right Foundation Dimensions: C.14. (10 • .Sill: 2x6 2x8_ , Sheetrock: Yes_L'ho 1/2"V3/8" Accessories . . .,-- • . Girder: Steel Wood 1,-- Bearing Partition Size Exterior Doors:Pease 1----'' Wood . • .; ,• -.:-...-; i.^7 ' Floor Joists: First-2x8_,L 2x10 Other @ O.C. . Front:. Style • L'.- - 0 7 Sidelites ' . . Second-2x8_2x10 Other '@ O.C. • Redt 1,..----,p I yle 4.4.--,44-024:Aj' Service: Style 2- '•;. ?:-•,.!'.7 fi 7:(-:',1.''.1:•'• :t.:-)e (b2r ,, d-,?),,„,f.,.r 7b,ii?u Decking: First Floor-1/2"CD ,fr'' 3/4"T&G Other . . Glass Sliding-Wood_____Afum I--- " . . Second Floor:1/2"CD_'3/4"T&G Other ;Siding: Material ..----e--IX.. Color /"Wood . r.• . . ' .. Bridging:Metal ,` w ' Type ..I Applied: Factory Site A; .,0 .. , . .,. . ,... Shell: Sidewalls-3/8 CD 1--"---1/2"CD Other Soffit System:Alum.1--"" Color Wood -1,`---,,,,,-L.,,-,R.,....,. . 1, t,,- - _P.: . , • . ' 'Kneewalls:' Yes_ No_ : Height Sides ' • Brick Allowance Felt for sidewalls ' . , . . .I.-'"` Interior Walls: Basement-__=__Main Level Upper , Stairs: Main Basement_ ' Raised Ranch i „,.• . Dormers: No. - Size- ' Type ' Type: Fir & Pine ‘f-' Oak & Pine .---, . y\.....tv\...-R, Cantilever Front -. , • Back . Type Railings Type It . , ‘ / • Roof: Gable 1.--.'" Hip • Other Pitch -17 L-- Window & Door Trim• Ranch. Colonial Other •.•''' f, : , "- .'f. I „ • Trusses 1--/-Rafters_Top ChordBot. ChordLO.C.1-L4. . . ' ' Finger Joint Clear . ;/) 4 -.) cil 1 M', „3,;....... ,.... ' - )z . i Overhangs: Eaves ,;-.. , Gable I .•'---• Return ••`-'-/-1-,/i!--? Interior Doors A.tpe, . r-7'.#`-'t ..7r-- -1•1 ' v v-11-1,---c/1:';'"---5 0 Ceiling Joists: 2x4_L-__<2x6 Other @ O.C. Closet Doors: Sliding '•''' Bifold Swing C /•',..A.3,1i,e/ , , ( Sheathing for Gables Sheathing for Roof '.;-- --- Flooring:Oak Grade Other , • ,7 . li.., ',.., ti... . ,j-4,1•1 'i'.,";'' , Roofing: 240 Lb. Shingles t-• "- Other Color (./( Underlayment: Living Area _ Kitchen Kitchen & Bath / - ; 707/ 1'...';-/ Z..:),...i.41 :1•(,.-- Drip edge:Alum. 1---.. Gal Vent - a Ridge: Kitchen Cabinets: Yes '0' No Style f"f".„'rl-')'''.'1 / V . ., n 0 . i • Gable Louver: Wood_Alum._Soffit Louvers ‘" Insulation: Sidewalls '17 ..._ Roof 6' By Others .•- .-- Windows: D/H 1---''' Master Uni-Q --.'•-• Other .,...- Polyethylene:Yes L- , --- No :...- r" Porches,-p.,,, /.. .1 Exterior Decks: P•-'1'''it,e. •'<---'-'-'-, Type Manufacturer 0 - —'.-L-7, -P-1-1 ..... Garage: Attached Unattached_ Under__Size ri 6,-../: Reg. GI. ‘•'' Insul. Rdg's Screens ---7.f..:- is Overhead Doors: One L/Two Size (:--7A--7, Sty,le 4/ ;, ( ::..i•v, ' Glass Layout . Comb. Units l '.--f•'1'`.--e: Garage Service Door: Pease...' 'N/VCiod - ''SNle 2-'' '' :'- (-) t; , ./!/.0.<}2...., . Inserts:'Wood Vinyl ', Type (2 ; 0 j, Living Room i'140-4,1-7.1.1-% rm./ Kitchen (O. 2.- rt:'•U la.AfA.,,i?.......- Shell erected by: Shutters: Wood ' 'Alum. Color . ' . Interior trimmed by: ",i.'--='14/2--/-,%Pff:s!--' • ' '.. • • • i oz,,i 44,2 , „. , Other Special Items or Instructions: • f'...1t,-• l _7-4.,PA.-- -t-1,--12 „ .(1.... 4,4:•'1•..-.L-4' ''''. --'r,L ri,:' (P-r,t ) 1.--(-ert.iy1-1.-r - 7.57.1:-'L't- ...- .,4•Le,<-,,!:,,,,., „•,,3,.,, ry,/,14,ej:'„/'' x: 5,-;,4{ /4.t../‘:/...1,-,../.„., ,,•,:).(_.?,:t,„;.• , ,. ,. .,.:, t--- - 4, ,-,, - - , c.c /.5:- -7(,-0 .,: ,..v.,. . .-„,,,.._.„. _ ..6,-,..-/. -_)..4.././--/u.(.:,;-!..,, •-,,7.1 .` - --, / Z.— •-,4,- '' 0 /1,110,./140,..vp 7 ra C ...-1-ri i 14 /1.Y 5'?(:)0 /9 41-,41.rprec, . IPA_ L,..6.,'.. .,, .-i.' 12-7.2=-.? 'X .7:k-1.-ei-1--.0.. :„.Q..L.',..z.q-cf•, ,..,-:,e...,,,,,,,l,e){,;, ,,. od, - ,,,io .:_."-.• f I /1-I ,c,---•, ::/7" ',',' `-• i :17 1-:// ',V1 :21 -•-• ic•-=':::. - . ‘, ,1-17-' Ye, '''1.),-,ijq,•• , 7 •••\ . t j ,, ,-, ( ) L...- Work sheet prepared by /I t/71"1/-,' --/--'.,!,...i`i: /,' , Location of Trailer on Job Site • ,.• Worksheet Verified By % (I "•• '' Date DIVISION OF Vol& A pcuihat. q- Sog . 54 RAILROAD AVE. • 'ALBANY, N. Y. 12205 • 518-438-6811 Millwork and Lumber, Inc. ,...., • • . • /60 • . . • • I 136 / /3 a /6 440 ›.°1 gaina a I a 6 / • /00 ° IFoad ectdc;,v4Z)too of 6-'eicerisvtit 12(.73oseci home /06171 ton n,.) . iY7 eine/ $ec/e Ro' •