7846 BUILDING PERMIT
TOWN OF QU ENSBURY
W. 7846
WARREN COUNTY, NEW YORK
PERMISSION is Kenneth Vanier
hereby granted to N
OWNER of property located t 29 Kiley, Lane Street,Road or Ave.
l o Constr it
in the Town of Queerisbu ry, ucKj�place a c'#' .ion o dw _7 7 i ng (1 i y i p;cr art-a) ::r
locationat the above m �i with application toter with plot plans and other information hereto filed and -4
approved and i compliance jw a To v n of Queensbury Building and Zoning Ordinance. - --__0
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1. OWNER'S Address is 20 Kiley Lane n
Glens Falls, New York
2. CONTRACTOR or BUI LDE WS Name
Byron B. Rist
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3. CONTRACTOR or BUILDERS Address �o
R. D. #1 'IBox 266c x
Lake George, New York
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4. ARCHITECTS Name
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5. ARCHITECTS Address
6. TYPE of Conmuction—(PI indicate b X)
(X)Wood Frame 1 Masonry 1 1 Steel ( 1
7. PLANS and Specificsttiom
141�16' per plot plan, specifications and
No. application submitted. r a
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8. Proposed Use O
One-Family Dv�elling (additional living area) r:r
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$5. 00 C/O Paid ..t
$18. 00 PERM elmb IT FEE PAID-THIS PERMIT EXPIRES Decer 1 19 83
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(If a longer period is required an application for an extension must be made to the Building and Zoning irg)ector of the ~'
town of Queensbury before the expiration date.) ~'
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Dated at the Town of Queenstwry this l th Day of December 1983
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SIGNED BY - for the Town of Queensbury
Building and ZcfMng or
•
TOWN OF QUEENSBURY ' (Space inside block to be filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
Alication for Application No. .
PP Permit Issued 19. .
BUILDING AND ZONING PERMIT Permit Expires. - .
7. n'iini District
. \ clue• nI \fork,%
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THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'l "`'`► by:
showing'the actual dimensions of the lot to be built i in:i X5-
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION,
TOWN OF QUEENSBURY
Jy May REOE [IVE
J
80
a /_ c 2/a DATE
A PERMIT MUST BE OBTAINED ,BEFORE BEGINNING WORK MAY 11 i 1983 r
ANSWER ALL OF THE FOLLOWING. A.M. P ' 23"t1J NP.cM. i( tic
The undersigned hereby applies for a permit; to do the following work 7I8i9j s j1t)12)1M;14I M
which will be done in accordance with the description, plans and specifi- 14
cations, and such special conditions as may be indicated on the permit. 4
The ownerof this property is:
tienne thish Varlier 29 Kiley Lane Glens Falls, N.Y.
(NA'E.1 (P.O.ADDRESS)
•The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
.Byron. B; . .Kist. . A.D. , l B 26 Box. 6e Lake George, N.Y. 1284.5
(NAME) (P.O .ADDRESS)
Name of Builder Byron B. $ist Address . .Same
Name of Plumber Address
•
Name of Mason. . . Byron. .B. . .HiSt Address . . Samte
•
Lot Number. .5Z. • . . Unit Estimated value of proposed work 5 .9.,.00.0
Name of Village Queensbury
Name of Street Kiley Lane Side of street: north 0, east 0, south ®, west ❑
Nearest Cross Street
Sweetbriar Drine Distance frc.,n this r.ross street on corner Ft.
Property is north ❑,south ®,east [I, west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest 0, southeast U. southwest
(Designate by marking with an "X" in the correct space.) .
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
® Addition to a building. One-family dwelling
Two-family dwelling ❑
El Alteration to a building. . . . • , -family apartment house ❑
❑ Demolition of a building.
Store building ❑
-car attached garage ❑
Other: •
• . Accessory Building
• . , One-car detached garage • ❑
❑ Other work. Describe: Two-car detached garage X
Private chicken house ❑
Private storage building ' ❑
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
size of the property, the location, site and setbacks of pro-
posed.buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
k t\-Q-A Lw.- huilding(s).in solid line.
100 ft.
Size of property
13
-- - - - - — - - - Size and use of existing buildings,-if ft.a xny . .26X72175
single family residence
�, addition
-
Size`
1w Size of proposed bu�l�ing 14 ft.x . . 16 ft.
Height (from grade to ridge) ft.
Front yard 36 ft.
67 ft. and 24 ft.
a Side yards none ft.
Rear yard
Lj SOUTH If on corner, setback from side street 36 ft.. ..
Note: All distances are net, as measured from street side .
. • line to nearest part of building.
(OVER)
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS., .
wood frame
Kind of construction: Wood frame, fire safe, etc.?. . . • . . .... • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • •
Will any second-hand lumber be used? no If so, for what?
Material of foundation walls concrete block, Thickness Bet
Depth of foundation walls below grade
48” Continuous foundation? . . yes
Will there be a cellar? n0 If so, material of cellar floor
Type of roof: Sloped or flat? sloping Material of roof . .asphalt. .shingle.s
Size,wood studs.
2 "x 4 ", spacing . . 16 "o.c., length $t-711 ft.
Size, floor beams, 1st floor 2 "x 10 ", spacing . . 16 "o.c., span . . .14 ft.
Size, floor beams, 2nd floor 2 " x 6 ", spacing 16 "o.c., span b ft.
Size, ceiling beams 2 " x 6 ", spacing "o.c., span l ft.
Size, roof rafters or beams ' x ", spacing 16 "o.c., span . . .30 ' ft.
pine board and batten With what material? pine
Exterior finish i el d wall ainted
Finish of interior walls. . ... . . . yy. . . . . . pinte • • • • • • • • • • • • • • • • . . • • • . • • • •
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an openingtwe ngarage and building? DNA
Kind of heating system -electric -baseboard g Oil burner or coal?
Will a flue-lined chimney be provided? no Depth of chimney foundation below grade
Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .
Will there be a fireplace? n0 • Depth of fireplace hearth
Will a toilet be installed?. . . . . . . . . . n0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to water supply? no
Water supply (public water supply or pump) ' DNA •
Distance of cesspool from any private well DNA feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . .DNA.
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tt, £, I of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.pp lete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING 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 2 ��
OW 4 w,}E�R'S G NT,ARCHITECT,CONTRACTOR
r.
day of
19
NOTARY PUBLIC, WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the following: ,
1. Gross floor area
2 . Type of heat
3 . Is the building mechanically cooled? [)
4 . Percentage of area of windows and doors ,Z®
A. Over 16% Only
1 . U value of gross area of walls , roof/ceiling and floors
exposed to ambient conditionsULJ — e (23
2 . Floor over heated spaces YE NO
a. Are foundation walls insu ated? YES NO
1. If YES , what is the R value?
3 . Slab on grade YES 0
a. If YES , what is the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES 150`
a. R value of insulation
5. Type of insulation 67' f` c6 t/�[aSs
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls
3 . R value of glazed area
4. R value of doors •
5. R value of floors over heated spaces .
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade)
10. Type of insulation
C. Controls
1. Thermostat maximum heat setting 215
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R value of duct in other areas "
E . Piping . Insulation
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. ? 1?4k---f '/ C�
a lica t ' si nature)
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR
VILLAGE Queensbury TOWNSHIP Queensbury COUNTY Warren
STREET AND NO.OR r Kiley
ROAD AND POLE NO, y y Lane POLE NO.
BETWEEN WHAT TWOCROSS STREETS IS
PREMISES LOCATED? Sweetbriar and Buena. Vista SECTION 80 BLOCK 1 LOT 25o 42
OCCUPANT'S BUILDING
NAME Kenneth Vanier OCCUPANCY i nrr 1e family Recidenco
OWNER'S NAME
AND ADDRESS flame
CURRENT
SUPPLIED Niagara Mohawk FROM THEIR OFFICE
BUILDING WORK � DEFECTS
IS NEW CI OLD REMODELED IS NEW CI ADDITIONAL ADDITIONAL REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED •
tta�
NUMBER OF OUTLETS No.of Fixtures& BRANCH
Lamp Receptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS
Loca-
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge I F M.V.
Out •
-
side
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS 200aMp
1-phase
FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK Adr11 tinna] wgrino CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED J/ l j C/l 6 /P3 COMPLETELC� V/L SIZE OF SIGN
SERVICE
ENTERS MAKER
BUILDINGUnd a cr 1 a OF SIGN
INSPECTION REOUESTEDOl�n
ORON NEAR AS PO5/27/8 3
POSSIBLE LE NEW ri OLD ri
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF D. DATE OF
APPLICANT Syron P_iv.i..Cr, G . Contr. APPLICATION 5/10/03
STREET ADDRESS R.Tl._L 30x 264C
CITY OR ZIP LICENSE NO.
POST OFFICE La L'P, r�fP I"lV rrg.8 hi s y CODE 12845 845 WHEN APPLICABLE
46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBURY
Building Department
Inspeetors'epart Date 3-713 —A3
Name t'4AJjcr'
Location j i/r LA-
. Permit No. 7 3 fflo Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough
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.
Septic Approval
FlOors '
Insulation Foundation
Walls _
Ceilin
• Building Inspector
REMARKS
BYRON B .— RIST
GENERAL CONTRACTOR t .
TEL : 518/798- 1881 JOB II- -V\
DATE sy toir3
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-BYRON ./3. RIST . .
GEWERAI CONTRACTOR
TEL : 518/798- 188f JOB
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