7863 BU L DING PERMIT t
TO N OF QUEENSBURY No. 7863
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Edmund and Dorothy Clark ,
.3 ?Q Sc
OWNER of property located at Ridge Road (Lot 4 Ridge Meadow ,Road or Ave. a
in the Town of Queensbury,To ConstructOne-Family or place a y Dwelling bp
at the above location in accordance to application together with plot plans and otter information hereto filed and H
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. rt
1. OWME R'S Address is 2 Meadow Drive n
Glens Falls, New York
to
n
2. CONTRACTOR or 8UILOERS Name
Heritage Construction
Rich DeForest
3. CONTRACTOR or BUILDERS Address
Greenfield Center, New York
N.
a
w
4. ARCHITECT'S Name
' Si►
5. ARCHITECT'S Address
6. TYPE of Construction—(Plesse indicate by X)
(K)Wood Frame ( )Masonry ( )steel ( )
7. PLANS and Specifications
281x40' solar saltbox with 1818"x22' attached o
No. garage (2 car) per plot plan, specifications and
application submitted including sewage system.
S. Proposed Use
One-Family Dwelling
$5. 00 C/O Paid
170. Ofl _�' gMhjm 83 _
$ PERMIT FEE PAID—THIS PERMIT EXPIRES 1 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the M+•
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 2 4 h Day of May 19$
SIGNED BY S for the Town of Queensbury
l(bilding and Zoning inspscK
f
TOWN OF QUEENSBURY • • (Space inside block to he filled in by
WARREN COUNTY. NEW YORK Building Inspector) •
Application for • Application No.
PP Permit Issued 19. . •
BUILDING AND ZONING PERMIT' r.•rmit Expires. • 10: , '
'toning. 1)'stric•t
VAR. nl Work$ .
THREE (3) Copies of a PLOT PLAN, Drawn to scale. . . ••‘i)1"•"k`'`l h •
showing the actual dimensions of the lot to be built ItemarKs"
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 OITEENSP,URY
IE El .
• DAZE . - R E 0
A-PERMIT MUST BE.OBTAINED. BEFORE BEGINNING WORK MAY� 1963
ANSWER ALL OF THE FOLLOWING. AA. - P.iil!m
The undersigned hereby applies for a permit to do the following :woxk 7181911T.i)i1j 112131415 j 6.•
cD_ D D D- A L a C D_ 1
which will be done in accordance with the description, plans and specifi- /I� r
cations, and such special conditions as may be indicated on the permit.' ' �, & l 75 c a oft"-
T112 owner of this property is: d
`c.d .v. c,. . 1-- ..o,�, .oY.O' 1 S C. c.N-K' a o M.s§,..6W .�v.1�lA. . . -.�Q. . . . . .s I.
, .1
(NA•'E) (P.O.ADDRESS) '
The person responsi to for •supervision of the work insofar as the Buildv)g:Code and the Zoning Ordinance apply is:
.A..•�.) sk cik-CWVC, - cis �ba v
(NAME) • (P.O AODRESSY i t'
Name of Builder ���0.�S..�'•.o• I YS'C1(4�:�1C.1nna.r0VCRT Address . .,. /.• C..r. .. .1.it t Cl. • lC CU.,.!�lc.V.c. . . . . .
Name of Plumber. Address n I
Name of Mason C•\ '(lit •n• • .Kkyv�y Address .C��.�Q•(, 1.21 C�Q�(°l `�1 t�
Lot Number l'#' Unit�i� CaQO.M* Estimated value of proposed work S .g6, 000
V.%.,k.:11 S Q. .. .
Name of Village: . .� {.
• Name of Street •��k'kV,• •90 04 • ' . Stile of.4street: north O,east. 0, south. O. west:- a
Nearest Cross Street Distance from this ^rocs street Ft.
Property is north ❑,south 0,east 5,west 0 from Cross Street•
If on Corner,which corner,northeast ❑, northwest ❑, southeast C 'southwest
(Designate by marking with an"X" in the Correct space.)
•
NATURE OF PROPOSED WORK OCCUPANCY
® Construction of a new building. - Main Building
[l Addition to a building. One-family dwelling gl
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. • • . • . . .-family apartment house • . ❑ .
Store building • ❑
• -car attached garage 54
• Other: •
• Accessory Building
One-car detached garage . ❑
▪ Other work. Describe: Two-car detached garage
. •,9-./ .q e et r a Sc 91 d 1 x /8 ' I// Private chicken house ❑
✓ Private storage building -" Cl
• 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 Indicate
proposed .building(!) in dotted line and existing ,
lluilding(s).in solid line. . •
Size of property 1 3S-. . ft: x .3,0C) . . . ft •
Size and use of existing buildings, if any
1-
s • m Size of proposed building %• • ft:x - Lf Q ft.
Height(from grade to ridge) . QC ft.
Front yard 110 ft.
• Side yards ' 3O ft. and SC. . ft. •
' Rear yard , ft.
SOUT H ' If olp corner,setback from side street ft..
Note: Ali-distances are net, as measured from street side
line to/nearest part of building.
(OVER1�%
•
7-73—M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safn etc.) '1 ��VfY(NTIN9.
Will any second-hand lumber be used? . . !`s0 If so, for what)C.. — `Q�i
Material of foundation walls CO`N Y��it 4 '�*1 Thickness .
Depth of foundation walls below grade .TK) . S. .sl Continuous foundation? . .�.$S. . . .
Will there be a cellar? NId If so, material of cellar floor '�1
Type of roof: S ose• or flat? G Material of roof . . .•.F1Sle.k 1fiS-C.• • ,Nt•NN QS)
Size,wood studs t "x t 0 ",spacing .�Gt. jsrn. . . ."o.c., 1aigth ft.
Size, floor beams, 1st floor "x�. . .—-! x . . . .", spacing . . , "o.c., span 14. . . ft.
Size, floor beams,2nd floor �,c "x + �X i. . . . .", spacing � "o.c., span dL ft.
Size, ceiling beams "x% "t‘xIS• • • • • • spacing . . . . . .�. y. . . ."o.c.,span 1�. . . . ft.
Site, roof rafters or beams " xj ", spacing "o.c.,span aQ ft.
Exterior finish With what material? W.!^ .Q. . . .�.`ry�. I&V4.4. . . . .
Finish of interior walls gol 0G-V 4s
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 between'garaege and building? 91 W U 0 i
Kind of heating system . O\.(.t t[.1". N( S . . %3 V C• • • • • • • • Oil burner or coal?
Will a flue-lined chimney be provided? .ys..S Depth of chimney foundation below grade .0'`%"‘ Si S:. . . .
Height of chimney above roof \ �04�
Will there be a fireplace? t%A.® Depth of fireplace hearth
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply? j&S
Water supply(public water supply or pump) 4 W r w 0.„\cLY
Distance of cesspool from any private well . . .1\1b. .W q \NR.c'i y —CO '14.\.1 . . dN0:44 k.1/4.% - feet
Will drainage system be provided with required traps,cleanouts, and vents? \IkS
AFFIDAVIT
Town of Queenshury
County of Warren
State of New York
I swear that to a v,,aof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co... lete statement of all proposed work to be done on the described premises and that all provision of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertai to the proposed shall,be mplied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature -....
OWNER.OWNER'S AGENT.ARCHITECT. ONTRACTOR
. ....._t. . ... ... ... 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 •c•Cik
0 1
2 . Type of heat S O\ 'J b (14 S"TV Q.
3 . Is the building mechanically cooled? Q\ O
4 . Percentage of area of windows and doors
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1 . If YES , what is the R value?
3 . Slab on grade YES NO
a. If YES , what is the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES NO
a. R value of insulation
5. Type of insulation
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 ,1 .; 3 . WS
4 . R value of doors , k
5. R value of floors over heated spaces 2L
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 4( O r(36` \ ISc)('y G.hU (
C. Controls o II
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES
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 carryin �agent pipe
2 . R value of pipe insulation r�1
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum //fb 9) /04
G . For Swimming Pool Only
1 . Maximum heating
Telephone No. ! 1 5 '� 16J 1'i°4-'"L._
(applicant ' s signature)
/~
TOWN OF QUEFNSBURY
BUILDING & ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner' s Name NeNs.N.1 r QA cl...,\ `\ls.,
Address `-a. csNM tloa0 W c) \c- \ V ct, CT. `c ..c Q\�,S 1 N.
/// k
Telephone No. " \% - S 11
2. Property location c).,•‘ p -- 1-.6-r O R-,:\ C_ .k( \‘(-\sk.(kkArsiS
a
3 . Name of person or firm responsible for installing systemp W G..yI c
�. 6.v6,` \ Y.� - CS) 4.e/ *\ A. 0v )0.V4 Telephone No. 14i - �310 .
Address \-CI- \ %\-a a._ S 1r t\ VI k Soy, C ``\\S. N.,N.
4. . Number of bedrooms (residential/'buildings only) 3
5. Daily flow ? 450 r /5-b g! r��gall'ons/day
6. Septic tank capacity I , b o o gallons
7 . Topography: flat, rolling, steep
of slope .
8 . Nature of soil and depth 6 a 4,0 - I k ( (1 sqVA1( c\
9. If ground water/1'7:1ock or impervious material is apparent at what
depth does . it begin? ft.
10. Percolation test: A . /is required
B is not required
• Enicip;i_ well,
C If required what is the rate minutes/inch
11. Water supply: other12 . Type of system proposed: drywell,Mile field, other c e e\ S\( S 1 Q.,. .
J
Any contractor,_ corporation, individual, etc. engaged in 'the construction
of a sanitary sewage disposal system who covers the same before inspection,
does not have an approved permit, or varies from the approved application
will be subject to a penalty of $250 as provided for in Section 6 . 010 of the
_____.___Queensbury_Sanitary__Sewage._Ordinance.__________
Date 5--" C C.
signature of applicant
On separate sheet of paper submit a diagram of the proposed septic system
` with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself.
/ ice
i
Form 3-82 Ag �IC .-rL-e r/ '676D •
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR t'`' .�
VILLAGE V---- ` ` \''' ',;\,-• TOWNSHIP f, •,ti COUNTY \
STREET AND NO.OR tt
ROAD AND POLE NO. 'V ',e,';c\ l; ., t, • POLE NO.
BETWEEN WHAT TWO T �-°: �'•
CROSS STREETS IS 1 I '1 1t I ,,�! ,f
PREMISES LOCATED? �'-,, ,: !,. '"o.C,- ; CO 4\l,,f -c';,,f\A i�Ia r I-•(l'tZ SECTION BLOCK LOT 44' Et(
OCCUPANT'S r ( BUILDING
NAME '' - � \, l G,\.A( OCCUPANCY
_ s.
OWNER'S NAME
AND ADDRESS „'i ; ;fa \r, YL- '') `,,°;• (,. C',C.\,, •‘;i{,l: '`' (.-_ - c , i1S
CURRENT - . . . -' .
S
SUPPLIED Q�l�l(}\ C. C-.. \rlP. '�.-.t-., i,.\r,r..,,•hi i /.\ d J .� FROM THEIR i f ,•()", ,_f < OFFICE
BUILDING C) WORKV DEFECTS
IS• NEW� OLD❑ REMODELED ❑ IS NEW ❑1 ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& I • BRANCH
Lamp Receptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS
Loca-
tion Side Attach't H.P. Watts A.W.G.
Ceiling %all Veaep is Switch Pendant Bracket No. Type Each No. Eaeh No. Gauge •I F M.V.
Out-
side -
Sub- - -
base
Base-
ment
1st Fl. -
•
•
2nd Fl.
3rd Fl.
I
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 FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK , CONCEALED TRANSFORMERS OF VA
WORK TO BE - (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE
ENTERS MAKER
BUILDING OF SIGN
INSPECTION REQUESTED NEW I I OLD
ON OR AS NEAR AS S
POSSIBLE - �/%/(.,,-1/Z / -,� IZZ FI
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 - � L f ti V. DATE OF
APPLICANT - -^ -^ •. r:4' - J t, APPLICATION -
STREET ADDRESS - . ' :' •'`,' '. '. `'lj I. . \J \/ \ .,/
/ •
CITY OR S \ \ - ` �t , ZIP ` .�c ` LICENSE NO.
•-.POST OFFICE `- - - C \.
1�,: ,•\. CODE t r- t t WHEN APPLICABLE- f'-
46 EL(REV. 1/82) ,A SEPARATE APPLICLTION MUST BE FILED FOR EACH SEPARATE
i - / ,. a
TOWN OF•QUEENSBURY
Building Department
Inspectors Report Date .�j46, 4
Name ;a • _
Location -%p' i j,,6 1 ,.)5
. Permit No. .78 a Weather
> '/VAS jk s Remarks
f /
Excavation
Footing Forms
Footing & Piers'
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. .
Relief Valves /
Wall Board ,\\/ \/te- /'
Ext. Porches
Finished Floor f
Interior Trim Valk:
Stairs & Raili gs/ �/-
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures 1,-
Gar. Fireproofingi
Door Closers ff2-(9
Chimney
Water Meter Inst.
Septic Approval
Floors
• Insulation Foundation
Walls '
Ceilin
J/
,y,
,,
,,,, „.... ,„,,,_,4,,„,,
• Building Inspector
REMARKS
' . -.7"1"(-474_, 66-- *ZZZ '--- 0
TOWN OF'QUEENSBURY
Building Department
Inspectors Report Date 1/-/S - i
Name Cla
Location e%d7P- 41,0, /,
Permit No. '7 r? Weather
Remarks
Excavation
Footing Forms
Footing & Piers
• Foundation
Cement Coat
•
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. /~
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
Foundation
Insulation Walls
Ceiling '
griAt
ilding I spector
REMARKS 11
MOO
TOWN OF QUEENSBURY
Building Department
lnupeetors Report Date Q/�v
1 r
Location K7( i•&,F" P})
Permit No. '7,QC Weather
Remarks
•
Exca pa tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing /� •
Sheathing �f
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. �- ''j' C Zj6GGr.c
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
Ceiling
Building nspector
��• REMARKS
0
. TOWN OF QUEENSBURy
Building Department
Inspectors Report Date 8-4- .4.5
Name C ,e
' Location
Permit No. Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing •
Backfill
Final Survey
Framing �"' � '\. •
Sheathing
Roof Felt •
Roofing
Siding
Masonry Veneer .
Rough Plbg.
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 '
Ceiling
Buildin Inspector
REMARKS •
•
TOWN OF QUEENSBURY
Building Department
•
Inspectors Report Date Kr—z 9 '6'3
Nametkl‹..
Location 4
Permit No. 7 ' WeFaiher
Remarks
Excavation
Footing Forms
Footing & Piers •
Foundation
Cement Coat
Waterproofing
Ba ckfi ll
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
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
Ceiling
17(.(/_/-7;
:71 y ,//7"Cc--7.-e -r -----/
Buili Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
DateName •
Loeaton
Permit No. `7 Weather
Remarks
ExcatYation '
Footing Forms
Footing & Piers )/-
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt •
Roofing
Siding
Masonry Veneer
Rough Plbg.
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
Ceiling
`Building inspector
•
REMARKS
11)7
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