8190 BUILDING PERMIT
TO N OF QUEENSBURY No. 8190
ARREN COUNTY, NEW YORK
►1.
PERMISSION is hereby granted to F an1clin nn Deketers
OWNER of property located at 1 orrhard DriveStreet,Road or Ave. ^
in the Town of Queensbury,To Construct or place a Addition to dwelling (Laving Ares �
at the above location in accordance to application together with plot plans and other information hereto filed and ¢'
approved and in compliance with the To n of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is 1 Orchard Drive k
Glens Falls, New York
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2. CONTRACTOR or 61.11I LDER S Name (gyp
Valente Construction 9
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3. CONTRACTOR or BUILDERS Address
Rt. 9N Box 167
Lake L zerne, New York 12846
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) n
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(20 Wood Frame ( )Masonry ( 1 Steel ( )
7. PLANS and Specifications Fi
291x3 1 per plot plan, specifications and �•
No. application submitted. M
8. Proposed Use
One-Family Dwelling (additional living area)
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$5. 00 C/O Paidf
$ an_ nn PERMIT FEE PAID—THIS PERMIT EXPIRES May 19 84 � O
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the :3
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 26th Day of October 1983 tip,
SIGNED BY a' for the Town of Queensbury
Building and Zoning Inspect F!•
W
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
• • Application for Application No.
�� Permit Issued 19.
BUILDING AND ZONING PERMIT Perini' Expires. 19.
%("ii"l District
• \ :lilt id Work$
THREE (31 Copies of a PLOT PLAN, Drawn to scale •\1'1".""(1 I)Y
showing the actual dimensions of the lot to be built Itci,,urKs-
upon, The exact sire, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
(O _ 'c /d/ �•
/ -3 TOWN OP' OLJEENBBU�Y
DATE [-iiE 0 E 1 �Y .rE EA PERMIT MUST BE OBTAINED BEFORE BEGINNING WORKOCT 5 198
ANSWER ALL OF THE FOLLOWING. .. e d- 18;aq,:m. •
The undersigned hereby applies for a permit. to do the following work 9Z01Z�jj2pp 213,4I506
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 of this property is:
.44(/</;4 4- ill aiLi /'�'11 C�� t rv`
///�,ie r.. p 7'&•- / 6 �L//,.n� b;2- Qc-c 1L�O
' c (NAME) (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordi once apply is: '
Ur (NAME) (P 0 ADDRESS)
Name of Builder s/6 � dej"��, Address .� �� 45 ,/
Name of Plumber Addres• s J ae c 'J J
Name of Mason. . . ea 6C-• /2-CC zy''E' ' Address r v -��' S.S f
Lot Number I Unit Estimated value of proposed work S a� 0 `2
Name of Village . . ... .0-Z.LI.S-' '''s 2,.I. re-/ ' ,
Name of Street V C-H-24"0'(0 D a. ' Side of street: north ❑, east 0, south 0. west ❑
Nearest Cross Street . . .f.AJ/N Cr L,1 " 0 0, Distance from this cross street ? 4:77 Ft.
• Property is north ?,south ❑,east i 1, west 0 from.Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, 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. .Alteration to a building. One family dwelling
dwelling ❑
• ❑ Demolition of a building. -family apartment house ❑
Store building ❑
• -car attached garage ❑
Other:
• • Accessory Building
• • One-car detached garage ❑
Ei Other work. Describe Two-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, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
• t„Jt;�ct2�-sr I uilding(s) in solid line.
Size of property ' 7 c? ft. x / S-`` ft.
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.� �` s C� 1V
a —� . Size and use of existing buildings, if any ' 2 S�
-� n
_ }. '� % r,. F
i __ �. W Size of proposed building . . ... !. . . . ft.x �" ft.
L. 0Height(from grade to ridge) /S.^ ft.
I - `-.1 Front yard �.' ft.
�‘ Side yards / S f ft. and . .e.• `Str••�`• d. . . ft.
i
Rear yard . 9 O 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.' w r42-°`-1" r
Will any second-hand lumber be used? IV'b If so, for what
Material of foundation walls p 0 '--!'`� g- 'i `"'':`- Thickness
Depth of foundation walls below grade J-1 ( Conti uous foundation?
Will there be a cellar? . . . . / (1. . . • • . If so, material of cellar floor _ ,'
Type of roof: Sloped or flat? ge:e.e,-'0 ` Material of roof tj 2 6 --,,er .• i-1�`
Size,wood studs "x • • • ", spacing „. "o.c., length P- • ft.
" x i 2— ", spacing .f G "o.c., span /6
Size, floor beams, 1st floor . . . ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams "x ", spacing r "o.c., span if4
t2 ft. �ji�t�fr
Size, roof rafters or beams . . . . . . .. "x . ", spacing 2 ` "o.c., span 3 •2 ft.
Exterior finish Si ---(4-- n(ept1,-"j' With what material?
Finish of interior walls 5 X-tic� `�
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 gagag a a��nd� building?
Kind of heating system 65- 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? "-
Will a kitchen sink be installed and connected to water supply?
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;•b4 r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.•.p lete statement of all proposed work to be done ottlte described p purees a • that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to e p posed,wor all • .•mplied 'fh,whether specified or not,
and that such work is authorized by the owner. /`(_j�.,� /
Sworn to before me this - Signature L CC...
OWNER.OWNER' AGENT.ARCHITECT.CONTRACTOR
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 %6' sr-
2 . Type of -heat �1—,r93 -
3 . Is the building mechanically cooled? Yew
•
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 andfloors exposed to . ambient conditions
2 . R value of exterior walls
3. R value of glazed area ' d t
4 . R value of doors ` 3
5 . R value of floors over unheated spaces 1 cJ
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 � 'y
1. Thermostat maximum heat setting" d")
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 -
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Telephone. No. �T �f
(applicant ' s signature) •
TOWN OF QUEENSBURY
Building Department
Inspectors Report • Date l 7 t//`1
Name Fi--#.141/c/, Vie.g re''
Location 1 /C'1/4 L0//2-
. Permit No. ?) j lJ Weather
y /-,& / /L�Remarks
Excat)a ti on
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 IV- T _L7�- •
- 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
"127,1L—ems
Building Inspector
•
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Date /, --2 ! 3,3
Name , .�� ice_
Eton kb
Permit No. 57 761 Weather
•
Remarks
Excavation
- Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill /
Final Survey
Framing (fV7\
•Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
/1///:\)1C/\::f
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
B ilding Ins ector
REMARKS
1
TOWN OF QUEENSBURY
Building Department
ingiectors Report Date /v -3 I
Name .Pp*A
Location ' __C9n,rj iJ 0114
Permit No. Y / q/a Weather
•
•
Remarks
Excavation ////
Footing Forms i
Footing & Piers '
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves / 1,
Wall Board
Ext. Porches
Finished F1-or
Interiorm •
Stairs & Railings
Cellar Dr. Tile - N
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling '
ui ng Insp ctor
•
REMARKS
1
Valente Construction
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• �dlUo ��Illliuu� .
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Route 9N Pride and Workmanship is
Lake Luzerne, N.Y. 12846 the Foundation of Our Homes Phone (518) 696-2689
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