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8228 BUILDING PERMIT TOVVN OF QUEENSBURY ' No. 8228 WARREN COUNTY, NEW YORK f PERMISSION is hereby granted to Michael Middleton OWNER of property located at Lot D Bellews Circle Street,Road or Ave. � Maurice Combs Subdivision �. in the Town of Queensbury,To Construct or piece a at the above location in accordance to a ppiication together with plot plans anti otfter information hereto filed and (D approved and in compliance with the Tt of ir Queensbury Building and Zoning Ordinance. N 1. owivERSaddressis 47 Algon in Drive a Glens Pal a, New Stork 05 (n rt 2. CONTRACTOR or BUILDERS 0 Name I � Robert Balogh Construction Co. 3. CONTRACTOR or BUILDERS Address R. D, #2ohn St. Glens Fat s,.. New York a 0 4. ARCHITECT'S Name c N. f�D W 5. ARCHITECT'S Address I Oa B. TYPE of Construction—(Plate indicate by X) oil R+W (x)Wood Frame ( 1 Masonry ( 1 Steel ( ) tr- .IA 7. PLANS and Specifications 4 t x 2 4'', dwelling ~ with 22lx22.T two-car aftched No. garage ',including sewage system per plot plan, specifications and application Submitted. 8. Proposed Use n One-Family Dwelling �yl $5. 00 C/o Paid $ 134. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June l 19_R4 (If a longer period is required an appiicat' n for an extension must be made to the Building and Zoning inspector of the C7 town of Queensbury before the expir�ion date.) F-+ i.� Dated at the Town of Queensbury this 10th Day of November . 19g3_ t+• SIGNED BY 6 ' for the Town of Queensbury Bui ing and Zoning Inspector `-0 TOWN OF QUEENSBURY (Space inside block to lx. filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for for Application No. Ir Permit Is.ued 19. BUILDING AND ZONING PERMIT Permit Expires. 19. /. iiint. District • \ ;Om.nc• nI \\'c>rk j( THREE l3) Copies of a PLOT PLAN, Drawn to scale .\1'1>>.'>`"1 by showing the actual dimensions of the lot to be built llc'nuarkc 7 upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. �,, I TO OF Q1-IEET�lSIBU1'Y DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK joy ! () �i983 ANSWER ALL OF THE FOLLOWING. • A ht �.5?= w c- M The undersigned hereby applies for a permit to do the following work 7! l��iell��ll �xl�l3lll� which will be done in accordance with the description, plans and specifi- _ ' °' ' ' cations, end such special conditions as may be indicated on the permit. (' r �, ./:e.:5-7. . . . . . ER E 0 -i. 11 vE The owner of this property s: H/C p /DhLE T-Oti ? � C_('UCz &lad D/e/ �.C—�iJfJ 1-LC' (NA.E) (P.O.ADDRESS) yt/Ci The r rson res sibi o o supe isi of the work insofar as the Build' g Code and the Zoning Ordinanc apply is:/. 0,'Ye?Z C4/2/ve7ifigkell9SOArg ,/e.b '(--2 JD1-7/0 ,S-71- • S--i -rri• ,✓/{ (NAME) GC,© (P 0 ADDRESS) r /� 7� �7� ,/u�c CO/USTEU'C�D�Ca• Address t 2 �lf/ ' S �(.'71�S �5j/Vy ame o B elder �1 -t' S' Name of Plumber. . `,/"J / ' Address Name of Mason. �/. '. ?rF? •CdNs.T- CC), Address Z•b •• 2 (lYW/. ("7 G- 7 Lot Number 0 ' Unit Estimated value of proposed work l 5 6, 000 Name of Village Name of Street . .2j t-//-e '-' a, l'c R a Side of street: north 0, east 0, south 0. west 0 Nearest Cross Street Z 12i- .e./. • �.2-st e Distance from this cross street Ft. Property is north ❑,south ❑,east Ft, west ❑from Cross Street _ If on Corner, which corner, northeast 0, northwest ❑, southeast Q. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY " X Construction of a new building. Main Building ❑ Addition to a building. . . One-family dwelling E Alteration to a building. Two-family dwelling ❑ 0 Demolition of a building. -family apartment house ❑ Store building ❑ 2—-car attached garage Other: Accessory Building / , One-car detached garage ❑ 0 Other work. Describe X f Two-car detached garage ❑ liJf 47 'k Private chicken house El?/ /�/�/�f Private storage building El C cl,-, 9 14-'a I -p 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 huilding(s) in solid line. . S e -)c.fq-7 . Size of property .per-La7 ft. x . .� Gt• Size and use of existing buildings, if any F H s m Size of proposed building _ ft,x—> ft. Height (from grad to-ridge) r ft. Front yard' ft. Side yards ft. and---, ft. 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 used? .'G If so, for what' --�� Material of foundation walls . . ! ,A dcd Thickness /0 fi Depth of foundation walls below grade . . . .�u f 7_ Continuous foundation? . . Will there be a cellar? . y+ If so, material of cellar flo . . 7 Type of roof: Sloped or flat? . .,SCC7Pe� Material of roofc Size, wood studs 2, • " x ", spacing ."o.c., length ft. Ci T 1 Size, floor beams, 1st floor Z " x/p ", spacing /6/.t."o.c., span ./7-14-X=— 1.1( ft. Size, floor beams, 2nd floor 2" x lO ", spacing f� (o.c., span . i /)`�—/A'. . . ft. Size, ceiling beams . . x . •� ", spacing /6 "o.c., span %6. . . . ft. Size, roof rafters or beams �• " x e ", spacing /6 "o.c., span ( � ft. Exterior finish 7/. . • With what material? . ://'2.tiet /A) -- C.Lfj-P, �Ja ® Finish of interior walls //2 ��- If garage is to be attached, of what material is wall between' , garage and main building to be constructed? . . .`2 . . / c4cv Q .ST(_/!S W . . . Is there to be an opening between garage and building? . Kind of heating system . 43C� — Oil burner or coal? Will a flue-lined chimney be provided? Depth of chimney foundation below grade . . . Height of chimney above roof. . :2. Will there be a fireplace? AJC2 Depth of fireplace hearth TN Will a toilet be installed? (f Will a kitchen sink be installed and connected to water supply? t f Water supply (public water supply or pump) W 7'- -- 4—C.),- f' Distance of cesspool from any private well ,/0 C3' feet Will drainage system be provided with required traps, cleanouts, and vents? . . . es Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt bc,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.i.�lete 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 zropos(/id_wi>"Sha be complied with,whether specified or not, and that such work is authorized by the owner. `-6N Sworn to before me this Signature i OWNS .OW R'S A NT,ARCHITECT,C NTRACTO,R 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 / (Q 9'7 2 • Type of heat 3 . Is the building mechanically cooled? d G • 4 . Percentage of area of windows and doors, A. Over 'k6% Only 1. U value of gross area of walls , roof/ceiling and floors expos to, ambient conditions 2: Floor .over hewed spaces YES O a. Are foundation •wal,ls : insula d? YES NO 1. If YES , what ' s . the value? • 3 . Slab . on grade YES NO a. If YES , what is he R val .e of insulation around perimeter of loon? 4. Is basemen heated? YES NO a: R ue of insulation : ; 5. T •e of insulation "\ B. Under 16% Only 1. R value of roof and floors exposed t ambient .conditions re-7 h/,C- n l t3or Je 2 ,�o �f 9.'.` 2 . R value of exterior walls 0( . 3 : R "value of glazed area 4W. L LSO 4 R value of doors )''l, 5. R value o.f floors over unheated spaces 6. \R value of slab edge insulation Unheated slab 7. R value of slab insulation - heaated slab 8. R value of heated basement/cellar 'walls (above grade) 7r "f 9 . R value of heated" basement/cellar walls (below grade) 10 . Type of insulation / dL(C'Tjbw.©% C. Controls nib © / -� .egjrizes /f 1 . Thermostat maximum heat setting 70 D. Duct Systems 1. Is duct syst Installed in unheated spaces?. ; YES.. NO a. If YES , R lue uct installation b. R value, u 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 Telephone No . . ? 7J � • 6 / nt ' s (:applica si.g lire) TOWN OF ..QUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner ' s Name `i/041)62 /t DA 7 / Address Telephone No. 7 9 '-77 ;36 2. Property location GD (74' ('z- ' 3 . Name� of person or firm responsible for installing system ,?AN/ e.U.S, c. So,5 Telephone No. 6 5 -90 7 AddressJ/ 2eo ,'l , ON /5-6' --��'�� /2g©7 4. Number of bedrooms (residential buildings only) 5. Daily flow gallons/day 6. Septic tank capacity 1.O 00 gallons 7 . Topography: flat-rolling, steep % of slope - . 8 . Nature of soil and depth . Sr )' T Y 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, gro, other GC) �- 12. Type of system proposed: drywell, tile 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 apenalty of $250 as provided for in Section 6 . 010 of the ' Queensbury Sanitary Sewage Ordinance. Date s ignatu e of app c-ant 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. CIT.Y'OJ t b(L_Li.59E / f lF-'.L''�-��_J�/'r ':� (-.:f TOWNSHIP COUNTY i� / e-I• '(�"Ff�..."` STREET AND NO.OR f ROAD AND POLE NO. L,. ', % / /�/, p-_;_ (`" / ;' /� POLE NO. BETWEEN WHAT TWO — CROSS STREETS IS );J jF �^� f 5} PREMISES LOCATED? r / A i SECTION BLOCK LOT OCCUPANT'S BUILDING _ } NAME , ;`! )l /_: !..�),"%.11 OCCUPANCY i /'': / p I r— r/ OWNER'S NAME J 1 • AND ADDRESS r'j;(..f: hsF-..l.J�••:!ffli,_l�C,;-/CURRENT SUPPLIED SUPPLIEDBY !J ' FROM THEIR j}�'V ` ; / ,r�� ?A OFFICE BUILDING //` -- WORKSNEW ADDITIONAL❑ REMOVED DEFECTS ❑IS NEW t� OLD❑, REMODELED ❑ 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. Type H.P. No. Watts No A W.G. NO. WATTS Wall Recept'Is Each Each GaugeEACH 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 1-1OLD 1-1POSSIBLE //� 1 / .�j. J� ( - /—i/ NEW • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF i DATE OF • APPLICANT •r - - APPLICATION STREET ADDRESS CITY OR ZIP LICENSE NO. '- POST OFFICE CODE WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING TOWN OF'QUEENSBURY Building Department Inspectors It rt Date Name ( Location Pvia.-.L . Permit No, or <2 a Weather • Pi/VA— frT ‹, Remarks v Excaation Y Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill • Final Survey Framing • Sheathing / Roof Felt Roofing 0 Siding Masonry Veneer `� Rough Plbg. Relief Valves Wald Board Ext. Porches I v f Finished Floor Interior Trim • °tit, Stairs & Railings 6} Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofin l� AL Door Closers ►1 Chimney Water Meter Inst. Septic Approval Floors ' Insulation Foundation Walls 'Ceiling ' • I ,D U� L, 4 /�n 7 IO r J • B ' ding Ins ector v REMARKS • SM0< :7 Vcr -ra�CSJ• - O l/e 7}-1V1.14-6 .g 2X(C 6t 9//w TOWN OF QUEENSBU RY Building Department Inspectors R rt Date re„eitt Name Location I ti- Irocation PA a Permit Na. Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing / Roof Felt Roofing Siding Masonry Veneer / Ofc Rough Plbg. �V/ 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. fl Septic Approval Floors Foundation Insulation Walls Ceiling 4tA‘ Building Inspector REMARKS • . TOWN OF'QUEEN SBURY/• U Building Department a`�i! / Inspectors Repar� Date Naune 9 ci Location i ( L Permit No. k� 01.8 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing ()K • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior TrimStairs & Railings• Cellar Dr. Tile Concrete Floors :/:\/\:///' Plbg. Fixtures Gar. Fireproofing / Door Closers ,` • Chimney • Water Meter In,. Septic Approval Floors Insulation Foundation Walls Ceiling ' • B icing Inspec r REMARKS • TOWN OF'QUEENSBURY Building Department Inspectors Report Date /a/& /d_3 5� Name ]ii. i L 11 ae I I•� 1)1 i c)ci 1E `1-cn1 Location ! n r !,i f@//e&os C 1 r c I-e . Permit No. Y A Weather Remarks Exca$a ti on 111 Footing Forms �J q l-ct, e �l 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 11)0614 c kip Building Insp ctor • REMARKS TOWN OF QUEENSBURY Building Department Date 11-3 -13 Name /'l l G0 ,� Location 6/N - 44-AA-- . Permit No. g° Weather Remarks Excatjation • Footing Forms Footing & Piers Foundation (J) Cement Coat CI Waterproofing • Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Y Stairs & Railings Cellar Dr. Tile Concrete Floors P1bg. Fixtures - Gar. Fireproofing Door Closers ,j Chimney Water Meter Inst. J Septic Approval Floors Insulation Foundation Walls 'Ceiling • • • uilding Ins ector REMARKS TOWN OF•QUEENSBURY Building Department . Inspectors Date ! 1 '3 U-x3 Name 775, . L cat LMW6 . Permit No. b'a Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough P1bg. Relief Valves \ \(\\ Wall Board Ext. Porches f Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval U Floors Foundation Insulation Walls Ceiling • Building Inspector REMARKS • /6 0 d *-1-a 8 • • TOWN OF'QUEENSBURY Building. Department . Inspectors �Re Date // " JO -I> Name lull/� ��./� . Location �_-/LGf/1,�At`b Permit No. rF a a 3 Weather Remarks Excatiaton / Footing Forms 4V/ !/` Footing & Piers 1 Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board 1 Ext. Porches Finished Floor l` 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 'S; e4 Ae• Building7nspector REMARKS . , \ . , . . ,r;\ . \ . • • ti S. r..r o r l T , - ))Jo.•.1r\.) •j' Ll 1 1, 61 _, t py2 �. —� 1".7) : •.a N b` .071101-- __ `� F Cfl o- ! o 1 z I I ' alr c.+mayN • ° is r w r OZ `�'x . ,°l,, 0 3aA'aL31 o ool �. 0 L`4�► .- N 7.-------\-").0:1\j\__ 42 F . • (1 • l t • / Cc i. N `^ c F .2 "......i • .....,- --....—.—.--'-'-.--'-:-,‘=:\---___:N._ he d