8187 BU WING PERMIT
TO N OF tUEENSBURY No. 8187
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John Hughes y
O
OWNER of property located at Route 149 (Lot 79 Led eview Village) 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N
1. OWNER'S Address is 375 Bay Road
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Same
3. CONTRACTOR or BUILDER'S Addreas
Same o 0
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4. ARCHITECT'S Name %O F-i
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5. ARCHITECT'S Address C
N.
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6. TYPE of Construction—(Please indicate by X)
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X )Wood Frame ( )Masonry ( )Steel ( 1
7. PLANS and Specifications 28 t x4 r per plot plan, specifications and
No. application submitted including sewage system.
8. Proposed Use
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One-Family Dwelling m
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$5. 00 C/O Paid S
$ 98. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 84 "C
(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.) g
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Dated at the Town of Queensbury this 2 th Day of October 19 83
N.
SIGNED BY ara. for the Town of Queensbury
Building and Zoning Inspector ktgD
/ •
TOWN OF QUEENSBURY t • (Space •inside block to Ix• filled in by
WARREN COUNTY. NEW YORK - Building Inspector)
i Application No.
Applecafion •for I'erinit issued 19. •
BUILDING AND ,ZONING PERMIT ' Permit Expires. lg. •
Y.uiiing. District
kalov .,I Work if
\lil�r���ecl by
THREE (31 Copies of a PLOT PLAN, Drawn to scale. .It`�i�,�(Kf •
•
' showing the actual dimensions of the lot to be built
upon, The exact size, and location on the lot of the
- building' to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. '
0 o2S TOWN OF QUEENSDURY
3 � — I ^ a- z / A- � .' D � 0 � � �.
DATE
0
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK OCT 4p 19�.
ANSWER ALL OF THE FOLLOWING. A.M. ,UI) �b3,00 P.M.-
The undersigned hereby applies for a permit. to do the following .work . -. 7I81�1� ]��12�1P 1 141
which will be done in accordance with the description, plans and specifi- ,
cations, and such special conditions as may .be indicated on the permit.
The owner
• 'Iof this property is: •
(NA•'E) 37 lt3A u )el-)U{�.I11. . . /U.C3l� v (P.O.ADDRESS) a
The person responsible for • supervision of the work insofar as the B.uildiclg;Ccide and the Zoning Ordinance apply is:
(NAME) 11 • (P.O ADDRESS)
Name of Builder. - 3 //
,TO • • Up(eS . Address.. -375 0 , •JAL
•
Name Of Plumber. ..SfgM CORA-101)5 `f Address . /Q.v 7- - 4• ER ieJ J 044S6-vc� T
• Name of Mason N .84/d1N)IN Address (,LJ£ST• • / T. • 4•.it/1/
Lot Number. . . . . .'1 1. . . Unit Estimated value of proposed work S . . . of a 00
~
Name of Village . . .l. 0.4U1.Y . . 0.� C� V h'. . . . - .ep ,S AtruR Y :, .' . ,.':
,6.
Name of Street .�.��• •%�`�'• •� . RDA. • j•��� • •� .•`�-�• •J.L. -
Side of:•street: north IEJ, east, 0, south O. west
Nearest Cross Street
Distance from this --Toss street Ft•
Property is north 0,south 0,east i 1,west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast b. southwest
(Designate by marking with an "X" in the,correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
•
Main BuildingRIConstruction of a new building. • One family.dwelling
[I) Addition-to a building. Two-family dwelling ❑
❑ 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..
escribe •
Two-car detached garage
Private chicken house ❑
. Private storage building El
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, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH .Show .proposed buildings) in dotted line and existing
• htiilding(s) in solid line.
Size of property /U 0 ft. x :/---) ft.
Size and use of existing buildings, if any
~ � . . ft.x �� ft.
i m Size of proposed building . . . .
Height'(from grade to ridge) . ft.
Front-yard E• ft.
Side yards '2v ft. and S ft.
lc�l Rear, yard ft.
SOUTH If otp 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. OUP �f'i0y
Will any second-hand lumber be used? /S/O If so, for what
Material of foundation walls / 't) C' Thickness /Q "
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor . . . . - emf.V.T
Type of roof: Sloped or flat? . . . .J�/41-?e. . . . . . . Material of roof /4SS• • • �S'f��i�/��c'-�
Size,wood studs "x •4 ",spacing . . . . ./. 6. . ."o.c., length - ft.
Size, floor beams, 1st floor "x JU ", spacing . .,t /fir. . ."o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams . . . ..1.iet)s.S "x Roc)F" ", spacing . . . . . . . ?- "o.c., span c -cP ft.
Size, roof rafters or beams "x ", spacing "o.c., span : . ft.
Exterior finish Po4.0.6 ' S/Q/N . . With what material? i/Air
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 between garage and building?
Kind of heating system . . . C ,Na/4- 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? /41-6-5
Will a kitchen sink be installed and connected to water supply?
Water supply (public water supply or pump) . . J9&J0..ATE }F17 i Te/t1
Distance of cesspool from any private well '/ feet
Will'drainage system be provided with required traps,cleanouts, and vents? Y--e S
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to th bca r of my knowledge and belief the statements contained in this application,together with the plans and spfications sub-
mitted, are a true and co.i.plete statement of all proposed work to be done on the described pretmees 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 OWNER.OWNERS AGENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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•
•
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By •
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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 /2q‘4'
2 . Type of heat ., {
3. Is the building mechanically cooled?
4: Percentage of :area of windows and doors / , 5 �(�
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 roo and floors exposed, to ambient conditions
2 . R value of exterior walls 1,
3 . R value of glazed area X
4 . R value of doors / 147t
5. R value of floors over unheated spaces /1/ 1k
6. R value of slab edge insulation - unheated slab 67(1 -2
7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade) A
9 . . R value of heated basement/cellar walls (below grade) g
)
I
1.0. Type, of insulation '7 j A
Aft j
C. Controls
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 piped
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. - 0SlitAK`,, ,-�Y As./
applicant ' signature)
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• .. 'j .;TOWNSHIP - . - -, -,r:' COUNTY
STREET AND NO.OR
ROAD AND POLE NO. - • - / POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S BUILDING
NAME OCCUPANCY
OWNER'S NAME
AND ADDRESS
CURRENT
SUPPLIED BY FROM THEIR OFFICE
,— fDEFECTS
BUILDING
NEW IJ OLD❑ REMODELED El IS
NEW L ADDITIONAL❑ REMOVED LI
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
Loca-
tion
Ceiling Side Attach't Switch Pendent Bracket No. TypeH. N Watts N A.W.G. NO WATTS
o o
Wall RecepeisEach Each Gauge EACH
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
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF •,,.. � DATE OF
APPLICANT .j - ,�- ir`� -- APPLICATION
STREET ADDRESS -f
CITY OR ` "i 1, ZIP LICENSE NO.
POST OFFICE �r ._. -i /:: CODE . •— ' lit t WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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