8203 BUILDING PERMIT
TOWN OF QUEENSBURY No 8203
WARREN COUNTY, NEW YORK
4
PERMISSION is hereby granted to Johin Pohl a
OWNER of property located at 4 Cedgrwood Drive Street,Road or Ave.
in the Town of Queensbury,To Constructor place a Addition to dwelling (living area) �
N
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.
1. OWMER'S Address is 4 Cedarwood Drive
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Ken Collette
m
3. CONTRACTOR or BUILDERS Addrew p,
a
k?. D. #1 #455 �t
Hudson Falls, New York 12839
4. ARCHITECT'S Name
G
�f
F,.
5. ARCHITECT'S Address fG
6. TYPE of Construction—(Piesse indicate by X)
(3d Wood Frame ( ►Masonry ( )Stool ( ►
7. PLANS and Specifications
16 rx22 t per plot plan, specifications and
No. application submitted. N
8. Proposed Use
fi
One-Family Dwelling (additional living area added)
W.0
rr
$5. 00 C/O Paid a
$ 20. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES May l dg 84
(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.) i
F+r
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Dated at the Town of Queensbury this 31st Day of October Ig 83
SIGNED BY !/'1 .� Q, /✓�,Ct,c, for the Town of Queensbury
Building and Zoning I
TOWN OF QUEENSBURY (Space inside block to lx filled in by
WARREN COUNTY, NEW. YORK Building Inspector)
Application for Application No.
!+p Permit Issued 19•
BUILDING AND ZONING PERMIT Permit Expires. 'g
Zoinii, District
. \ attic of Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\p1,rn"c•cl Iw
4_...,c
showing the actual dimensions of the lot to be built l<cn,arKf'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB •
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MITTED WITH THIS APPLICATION. TOWN OF QUEENSBURY
/ 1 �/ DATERECEIVE U
6 U l / Q • / /�//
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK � i OG 1 `) I 1 b3"
ANSWER ALL OF THE FOLLOWING. ` .l q 1l1 J12 1� P4 P.�
The undersigned hereby applies for a permit:to do the following work 7i, I . a t - ')' 1 ' "
which will be done in accordance with the .description, plans and specif I- t.
14� j
cations, and such special conditions as may be indicated on the permit. /
The owner of this property is: . .
. ./.91 Q .1-4/ .: .JW: . F. /... . . . . . . . . . . . .y. .( '.c..sa�•:�. .OZ.'. . Q.u:R,c-�0.4'JP,,
INA'4E) - (Fn.ADDRESS)
The person responsible for .supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) / IP.O.ADDRESr
Name of Builder. . �J ���C'/��. Address . . Jim
Name of Plumber. . : 0lli A Address
•
Name of Mason; . .A.N ed. • • ''l/e ` Address 54 h7 l'
Lot Number y Unit Estimated value of proposed work$'/OJ 0�
Name of Village Q..11 e e-'')S Ku.
Name of Street . .f,--2pe ive-6 O 0IfJ Side of street: north 0, east 0, south 0. west 0
Nearest Cross Street . ./e.9 7 .e1 72-4' Distance from this cross street .3.ao Ft.
Property.is north ❑,south. a,east i west. ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Q, southwest
_ _ _ (Designate by marking with an"X" in the correct space.)
.NATURE OF PROPOSED WORK OCCUPANCY .
El Construction of a new building. Main Buittiing
Addition to a building.
One-family dwelling [i
�l ❑
ElTwo-family dwelling Alteration to a building. -family apartment house ❑
Cl of a building.• Store building • ❑
. -car attached garage ❑
Other:
Accessory Building
• - One-car detached garage ❑
❑ Other work. Describe: Two-car •detached garage ❑
Private chicken hour# ❑
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
l;uilding(s) in solid line.
Size of property ✓DD ft. x /0�+5 ft..
flan 5-6 ,�1�vsP . . . . . .
Size and use of existing buildings, if any .
) . 3°x 6
.�� ab <
Lil a t/5'}'3 m Size of proposed building /6. . . ft.x Ps02 ft.
1 i y0' Height(from grade to ridge) /6 ft.
I I Front yard `7°� • ft.
r
Side yards /-5` . ft. and . coo ft.
L€d2.2�.voz3�. v•Q, Rear yard .Sot 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) .
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7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.? //o^,0 Nze4n7N
Will any second-hand lumber be used? N If so, for what
Material of foundation walls Thickness .i
Depth of foundation walls below grade 4// Continuous foundation?
Will there be a cellar? NC) If so, material of cellar floor
Type of roof: Sloped or flat? . .S/dopedO Material of roof . 0.35-- /6• .a sP14 4/7
Size, wood studs "x `7 ", spacing /C "o.c., length • ft.
Size, floor beams, 1st floor " x / 0 ", spacing / E. "o.c., span i. - ft.
Size, floor beams, 2nd floor -- " x ", spacing —� "o.c., span — ft.
Size, ceiling beams 2... " x ", spacing / "o.c., span / ft.
Size, roof rafters or beams " x '7 ", spacing / 6 "o.c., span . ,P-p ft.
Exterior finish . .G.0/4R.Lok With what material? /17,456,1,/7C
Finish of interior walls. . S'X.Ce4¢//c:c,.-::
If garage is to be attached, of what material is wall between garage and main buillding to be constructed?
../... . . . . . . .". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Is there to be an opening between garage and building? /'>O
Kind of heating system . . . . . . . . . . . . . . . . . . . . . Oil burner or coal?Will a flue-lined chimney be provided? /V J Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? Al Depth of fireplace hearth —
Will a toilet be installed? . 0
Will a kitchen sink be installed and connected to water supply? 4'e-
Water supply (public water supply or pump) .to 04/1 r_
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"b. j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are.a true and co.,.plete 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 ../� "`e""`r _
1
Jn OWNER.OWNER'S AGENT.ARCHITECT,CONTRACTOR
C/•3��day of / 19 .
NOTARY PUBLIC. WARREN COUNTY. N. Y. _ __
SPECIAL CONDITIONS OF THE PERMIT:
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By
TOWN OF OUEY".'aNSBU m
W ,_a' E: COUNTY, N:i'W YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORZK
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
_1 SWER ALL of the following:
1. Oros floor Chet. • a.d 16D is o6.1r°O DW D o o a m o o D o u, m a o a m m o J o a v W D D o a e W o x m o e z o
2. Type of he' �o e • mo mo o • o o nim o,s D a o e D o m e o 0 o a O a a • 0 0 o m n o m a m a m a+ c• • a n m m
3. Is the building mechanically �i� C £�r m h o��o ,. e o o • o • m D o o D o o n 2• o ® a m o m D c a o a+
�u and
a/-
Percentage of area o+- windows y nd �y 6P dL.63 D m W�a• 370e.ID O D O m 0 0 0 O O 4 0 b"6 B O O J M m O 6 O
4. A• Over 16% Only
1. U0 value of gross area of walls, roof/ceiling and floors
exposed to ambient OOnditienG a m O a O a a • a m O a O O e • a a O o O O • O Y e D D O O O
a • O O O Y O O a a O r O m O a 0 a • 0 0 0 • 0 0 0 O G O O m • J a Q a 0 0 0 Q 0 0 0 0 0 • O D O b a 0 0 • a a O a 0 0
2.m Floor over heated spaces ES NO
as Ara foundation walls gyins insulated? YES NO
1. • If YES, what i theRvalue?. . . . . . . . . . . . . . . . . . . . . . . .
3. Slab on grade YES NO
a. .E,M Wi , what is the R. val'.un of inzn3ation aronad . rc rlma t e
of .je o=d �` a Y • 0 6 a • a v O n a R e P a m m 0 4 n M1 a 0 U m ,, J 0 6 !� f •P O .f tl a of 0 F e O m _ O O
4 . 1s basameaat heated? ¢• YES CFO
a. Z. value of ;,�,�!'G:g'iy..ir"W.:�. d8 n a e o u e.• a .v n m c m e n m o o o a e o m D e, a e n o _ r H o c O
5 . Typl [fo��' �y.�$Y't. �•,CAL",...%.Cy n!n a e. a a e u ., m c o p a c n a c m a a Y m a O a m i. •T a s a O a a a a o o c m
F.. Under-.Y..oems'G'•:3 Only
1. U value of roof and floors t i">•i:Po`.a c1d to ambient t a o di >iM.3Y? a D _ a
O o c o'er fa-o o O • • o c a a a • W a a o o D o • a m m o r c a c o m o a • a a u o c a o m • o c o m e o o a o o D c u
2• 0 value of C�Z.leAl•�riot' wa. g S m o ••o ®
k a O a a J a a o a • o • O e a O a a o o a D a m a o o m
36 U value of glazed area. o e • • • a o • a D • a o o a o a u a • e w OOOOO D • • o a e r
4 aU value o 1
5. Uvalue of floors
loor®m oev e p heated
a•�O�/O�}m�pY p a b a T((gApO G a O,a O O O O O o a O a O O O O 9 O O •
od Y4 �� m 6 6 � b O 0 m O • a 6 .. O 4 O W O G O O 6 S
S Y R value of s - ad: :, insulation - unheated si ab m .�"P a a a D a a m
7. R value of slab is?•4"auIat'i('- 1 heate?'. �.''6:.�.a ."�`.i o aE8' A ro a m c• o o a m m m a c o a
8m value of Mated a biw+m`'mcaric .4.,,ar walls , 1?ove _ deyso- o m ,-
. below � a
9m P. valve o � heated� 7 basement/cal/al? walla g ?d�t$ Qs
a o m
10 •
Tvp :'s of
C a co Joca.olw
. a .yy h([;{ ,% ow1tat madm Wit. .?a"Lli Till&t`''a t ::m ta+•'ice ::` O,alo a ro o m a a r, m m a: o c a a o .a c :. o w r, a o
I. Xo ..;'1:c`aa., system installed t all'e in unheated 'r:: J soo YnS
YES, t, ry of q (Ng,;)
a;! a J r. `d E l, l?. ,�a Al.d, o 1, • 1O' $.k�Vi 14.CY d,t'�,Ao .�'„D �.a a m a o a m a :s a r.• o o J r r. +. m O
m R valve Ate duct in o!. '+ ]r !'�ad.\il• 5 G 9 •v o •i n P O a O 9 -., N e O s' l a C • O 5 L a
1.
.� aD as a
vi 5.,z•U of a3 F.><'t water or c o o.@.i 4.^.q carrying F'g h3 f!'}t
2e R value of pipt4 ?�,u }'�.1i�.,io n o •a •oaoa a. c• o ma uw aocm a 00oei, aauomcw h
F. Sor,ii,t,o =7 t r Heating y q
Icam. FP fo,v}:92paYngottg y i,�ii+i-,,tov�e7 o dd »l,14.�r a a o • o a c x » n 0 a .o a 0 D 0 a 0 o 0 a c o w m 0 a o D a s
2. Tt ``..to4 rat ure concontroli�i'�'�:•E.,.LnS''•j 31.a ei.'�.�a�19�C�o a m a m a r• o • D a o v P T s a a* ,. c a u • a e
G,u ir!'a•` y.°.. S�aY.'h n
mmi
q, Poo' Only _-
2.c 1 i3: b > 3.u '? g� b�'•'- �g n T m a a e v n ,s m o a r, c a+ a e a o • e a o w m a o u ,o w o x. c: a m o a n o +. o a a
A
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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 - TOWNSHIP/f,-'t�c�f�:
/ .iJ-;/5ji; ,, _ -- COUNTY 4IJ+q,,g r),i j
STREET AND NO.OR �} I /
ROAD AND POLE NO. d y i �',-�, • ,,,'"� (7 , j, POLE NO.
BETWEEN WHAT TWO / li '
CROSS STREETS IS r )
PREMISES LOCATED? ��/_i-,A.7:7 S C-G,, � /7:i iC - '?S,SECTION BLOCK LOT - -
OCCUPANT'S BUILDING
NAME ,��;' , i�,.,f•, A/ f�.g,4 / OCCUPANCY -
OWNER'S NAME P II
AND ADDRESS ,.. -„.-;.:�/F,
CURRENT i /
BY
,f/) /7j !%/:f•,
SUPPLIED - FROM THE /THEIR . /r.->/- r. OFFICE
Ill�ll .: DEFECTS BUILDING WORK NEW❑ OLD Val REMODELED ❑ IX REMOVED ❑
IS
IS �i� NEW ❑ ADDITIONAL
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& i BRANCH
NUMBER OF OUTLETS Lamp Receptacles MOTORS • HEATERS CIRCUITS LAMPS
Loca- • -
tion Side Attach't H.P. Watts A.W.G. WATTS
Ceiling Wall Recept'Is Switch Pendent Bracket No. Type Each •"No• Each No.. Gauge NO. • EACH
Out- b
side fy / at '
Sub- .
base • •
Base-
ment
1st Fl.
/ i r'; i `f
2nd Fl. •
3rd Fl.
li
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
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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 ,i ,,o EXPOSED GAS TUBE SIGN
OF WORK (" ° '' CONCEALED TRANSFORMERS OF VA
WORK TO BE , ,,l0 z,s-. �,Af,,,,.2 r—(NUMBER) (CAPACITY)
STARTED �' J COMPLETED' SIZE OF SIGN
SERVICE "
ENTERS .)'-,`^„``'4 --,72,) MAKER .
BUILDING OF SIGN .
INSPECTION REQUESTED
ON OR AS NEAR AS •
POSSIBLE r r i - 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 \ "-.o C_//,^/ — APPLICATION
STREET ADDRESS - ,-.+7. - -
l `� • tom
CITY OR ZIP LICENSE NO.
POST OFFICE c '<.` ., it -- /.- / / '/ CODE J „ ,' WHEN APPLICABLE
v • I .)->
A SEPARATE APPLICATION MUST BE FILED"FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBURY
Building Department
inspectors peport Date it ,
Name c�1� u
Location 0- F �' ,�.i T riJ
Permit No. 6 73 Weather
Remarks '
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey / /<
•
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer j Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor /
Interior Trim e/
Stairs & Railing
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls i
'Ceilin
Bui ding Inspec or
REMARKS
TOWN OF CEENSBURY
Building Department
Inspectors Rmeet Date I 1.— f—
Name I 1°-FL -
L.ocation off, Adorn
Permit No. `j8 0 3 Weather
Remarks
Excavation
Footing Forms ())(<1
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. Fireproofin•,
Door Closers
Chimney
Water Meter Inst.
Septic Approval
FlOOrs 'i;
Insulation Foundation
Walls
Ceiling;.
B lding I pector
REMARKS
in
C lk
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-77
111PA
II r
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V3 /t. ,.k- 0
5-''
-- ,:_ ( 6) tea.,
CV sf
f I 1 O�. s-r. 1-10 � , / I-
15 1� A)?'� p
I d °,
T 1 A,,./..
I viAfi¢C
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