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7988 b BUILDING PERMIT TOWN OF QUEENSBURY No. 7988 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to C. G. Woodbury J n s T./tits. t l OWNER of property located at Lot 2 0 Fine flood Hollow 'Road Street,Road or Ave. � in the Town of Queensbury,To Construct or place a One—Family Dwe?l i lg p. at the above location in accordance to application together with plot plans and otber information hereto filed and , approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. n 1. OWNERS Address is 679 Upper Glen St. Glens Falls, Nets York 2. CONTRACTOR or BUI LDERS Name Same r 3. CONTRACTOR or BUILDER'S Address O Same IV O ro 4. ARCHITECT'S Nano p+. O M O 5. ARCHITECT'S Address 0+ x 0 N 6. TYPE of Construction—(Please indicate by X) (xl Wood Frame ( )Masonry ! )Steel go IV 7. PLANS and Specifications a 50 t x26 t per, plot plan, specifications and No. application submitted including two-car attached garage and sewage system. S. Proposed Use One-Family Dwelling 0 $5. 00 C/O Paid M $115. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 1 tg 84 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the W town of Quem abury before the expiration date.) N �C Dated at the Town of Queensbury this 25th Day of July i983 SIGNED BY for the Town of Queensbury i irfg and Zoning inspect TOWN OF QUEENSBURY (Space inside block to be tilled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. . Permit Issued 19. BUILDING AND ZONING PERMIT l'i•rmit Expires. Ig. 7,i,niii, District . \ ;clue "1 Work, THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1'1""`'c1 by showing the actual dimensions of the lot to be built il(•u►arks' 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 OJ r--J 7/f ix� DATE 1 RECEIVE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK JUL 1 81983 ANSWER ALL OF THE FOLLOWING. P.M. A'M' The undersigned hereby applies for a permit:Jo do .the following work 7181911.0p121112)3141516� � O which will be done in accordance with the description, plans and specifi- , , i ' lit g cations, and such special conditions as may be indicated on the permit. . r f '�L G�`e The owne> of this property is. �, l -, (2, , ,J•,:.;7 �;a ham- / v�.�>1\�. j' f� '-- r• .. ��f (NA 1E) (P.O.ADDRESS) The person responsibie-for -supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P 0.ADDRESS) Name of Builder. . ,, J. J L�t `�, Address Name Of Plumber '/� ~' V\---`` �'•' i(L'r Address Name of Mason rf' ti 11 �N--°N"---5`i',--9 Address Lot Number Unit Estimated value of proposed work S. , Name of Village - 3 Name of Street .e`,1 ' -I- -A,-`T'J l'(�' Side of street: north 0, east p, south O. west 0 Nearest Cross Street Distance from this cross street Ft. Property is north ❑,south ❑,east i i, west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, 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 • ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ Store building ❑ y -car attached garage K1 Other: • Accessory Building One-car detached garage ❑ ❑ Other work. Describe- Tµo car detached garage ❑ 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 buildings) in dotted line and existing • Iluilding(s) in solid line. _____, Size of property rl—07 ft. x ft. Size and use of existing buildings, if any • cr s m Size of proposed building .4�. CI . • • • ft x - ft. Height(from grade to ridge) �' ft. Front yard -- r ,� ft. Side yards "�� / ft. and ft. L Rear yard ! ft. SOUTH If on corner,setback from side street 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., Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be use, ? j`0 If so, for what? r�,k i Material of foundation walls ,,,,,% k j'/ - ` Thickness -r 9 �, Depth of foundation walls below\grade . . . . = Continuous foundation?‘. G'�S. . . Will there be a cellar? "�1- If o material of cellar floor -'�.`S��t� Type of roof: Sloped or flat? . . .�p- / . Material of roof �'� �"4 )\}) Ems% YP P �^ cz ezz Size, wood studs 1-- "x `a ", spacing . . . .`� "o.c., length. . f� 1 . . . . ft. Size, floor beams, 1st floor " x • • •i • • •' ", spacing . . . t "o.c., span I T ft. Size, floor beams, 2nd floor ' x 1 , 7D ", spacing i "o.c., span f'�-- ft. Size, ceiling beams 1_ f . ", spacing . . ."o.c., span ft. Size, roof rafters or beams - x ", spacing "o.c., span ft. Exterior finish t� `�}` With what material? Finish of interior walls • •5(i W `L ----- If garage is to be attaAled, of what material is wall between garage and main building to be constructed? Jam` `.. . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between garage and building? Kind of heating system -�'��-0 (' Oil burner or coal? Will a flue-lined chimney be provided? . Depth of chimney foundation below grade Height of chimney above roof Will there be a fireplace? Depth of fireplace hearth Will a toilet be installed? --"•L`--3 Will a kitchen sink be installed and connected to water supply-5. 5 Water supply (public water supply or pump) 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 tt ,j of my knowledge and belief the statements contained in this application,together with the ana and specifications sub- mitted, area true and co.i.p•lete statement of all proposed work to be done on the described-premises and.that all a visions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertai mg to the proposedd work shall be complied witF nether specified or not, and that such work is authorized by the owner. / Sworn to before me this Signature .� i' B ` .�. OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR 'yv C day of ``� �� 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • • • By . TOWN OF QUEENSBURY 1 �� 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:p� 1 . Gross floor area 1 (. 2 . Type of heat ""'EC-) 3 . Is the building mechanically cooled? U 4 . Percentage of area of windows and doors rS / ' A. Over 16% Only 1 . U 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_ 73 7 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� 1 .. Thermostat maximum heat setting 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 C ' -''' 2 . Temperature control setting maximum -C--7 }- G. For Swimming Pool Only 1 . Maximum heating Telephone No . (applicant ' s signature) TOWN OF QUFENSBURY BUILDING & ZONING DEPARTMENT SEWAGF DISPOSAL PERMIT APPLICATION 1 Owner ' s NameC . .• ��� 3ti' Address , -�� 3 S Telephone. No. l 3`' 1.___17: 2. Property. location T t`�& _i"-T 2 l i7z-4- ,.1 ) 3 . Name of person or firm responsible for installing system l! '^ ( Telephone No.- 1 4- Address 4. Number of bedrooms (residential buildings only) 5. Daily flow 45 -d gallons/day 6. Septic tank capacity jZ gallons .�7 . Topographyflat, rolling, steep % of slope 8. Nature of soil and depth 9. If ground water, bedrock or impervious material is apparent at what depth does it, begin? ft. 10. Percolation test: • A is required B is not required C If . required what is the rate` minutes/inch 11. Water supply: municipal, well, other VNA U I , 12. Type of system proposed: drywellle field, other 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 "i Se tion 6 .010 .of the Queensbury Sanitary Sewage Ordinance. Date �' �� .• �� �� 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. . ; - Form 3-82 BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR 0e ~ VILLAGE t. t i\I� � a/t t �j TOWNSHIP COUNTY ��JF�3�-ff kr_n'},a t STREET AND NO.OR (", ,;: - „� `` { ,--?- ROAD AND POLE NO. c “ ":kaJ c::.-1' ,t ' . 1 r P` .�1-7.<r.,?t".1(( V 'ti. r 4 9) POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT ''S OCCUPANT'S BUILDING NAME OCCUPANCY OWNER'S NAME P,r T AND ADDRESS (�, , f+.,j" ,�-..,.i T `:,JJ c- •I 5 1,. ).. "i'\'') Cr j.- -.0 T \' ‘...i— c CURRENT � I SUPPLIED c ' `I ,/`y\ BY FROM THEIR OFFICE DEFECTS'���ISU1LDING NEW Q, OLD❑ REMODELED ❑ SORK NEW LJ ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures& BRANCH NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS Loca- tion Side Attech't Type H.P. No. Ea No. A.W.G. Ceiling Switch Pendant Bracket No. Wall Recep'IsEach Eachch 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 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 MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS n POSSIBLE NEW I I OLD ri a AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OFDATE OF -4 APPLICANT 14, ic-',,W r- %• ..,ice` ��.... -.' APPLICATION ' .T /, .--''/ C : / +._) l.) )- F--.)STREET ADDRESS ,�1 (4�- ZIP LICENSE NO. POST OFFICE -ITY OR c �`^� - �`'- �,- �F -"',r � CODE WHEN APPLICABLE 46 EL(REV. 1/82) A SEPARATE APPLICATION.MUST BE FILED FOR-EACH SEPARATE BUILDING TOWN OF'QUEENSBURY Building Department Inspectors Report • Date id -27 -43 Name C:6 • Location Lt% 2i ✓'dii/&-tbur'1r Permit No. •i q 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 J Ext. Porches �✓ 0 1 Finished Floor Interior Trim g/ / O rc Stairs & Railings; �) ' Cellar Dr. Tile Concrete Floors Plbg. Fixtures , 017L, Gar. Fireproofing) (51 Door Closers ,,/1 (? Chimney • Water Meter Inst. Septic Approval Floors Insulation Foundation ' Walls CeJlin . l \ Ali/ -;"- t `y Building inspfctor REMARKS D&1d �z-7l,S — V TOWN OF QU•EENsBURy Building Department Inspectors Report Dare Name ' Location Gei7"'Z-O ,4 /A /6.(2. '- ' Permit Weather Remarks .Excat,atlon 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 b/dam; • TOWN OF QU•EENSBU 'Y • Building Department. Inspectors Report • Date Name -14-9j>/1e./ Location � Z'"- `22) /`'//5' 040 4r s 011 Permit No. Weather - • 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. PorchesIN Finished Floor j - Interior Trim Stairs & Railings I 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