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8355 i BUILDING PER MIT TOWN OF QUEENSBURY No. 8355 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Michael F, Sheehan OWNER of Roa s property located at _ Lod 81 West Mountain and Peggy Ann Ste,Road or Ave. � in the Town of Queensbury,To Construe or place a One-Family Dwelling 0 at the above location in accordance to application together with plot plans and other information hereto filed and Q approved and in compliance with the TO n of Queensbury Building and Zoning Ordinance. 1. OWNERS Address is 54 Sanfor St. , Box 199 Glens Fat S, New York � m _M 2. CONTRACTOR or BUILDERS Name Gary Baker', dba Gary Baker Construction :j I CONTRACTOR or BUILDER'S Address 20 Alden ire. Warrensburg, N. Y. o 4. ARCHITECT'S Name rl' Epic Designs m A Division of J. M. Weller Associates, Inc. ~ M 5. ARCHITECT'S Address to Upper Bay Road rt P. 0. Box 996 �: " Glens Falls, New York 0 i 6. TYPE of Construction—(Please indicate by X) rt N F+• (74 Wood From ( )Masonry ( )Steel ( ) 6 W 7. PLANS and Specifications 40'x 8 ' dwelling, 20'x24 ' two car attached ►ti No. garage and including sewage system per plot plan, specifi 'ations and application submitted. 8. Proposed Use One-Family Dwelling � ��"�'"'"' > $5. 0 -0m $ 17$�00/0 Pa_PERMIT "C Kr- 7" '�'�3��a'5-11 *d FEE PAIL—THIS PERMIT EXPIRES October 1 19 84 1r V 0) (If a longer period is required an applicaY�pn for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expire ion date.) F , Dated at the Town of Queensbury this )th Day of March 19 84 M i �ZniSIGNED BYfor the Town of Queensbury Bui ng aector W TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. !'M Permit Issued 19. BUILDING AND ZONING PERMIT l.ornlit Expires. Ig. Zoning District \ ;ilia• of Work$ THREE (3) Copies of a PLOT PLAN, Drawn to scale .\11" `c'c1 by showing the actual dimensions of the lot to be built Itc'nc:ii.Kr 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 QUEENSBUR'( tat -.8 - 2/ liy)0,.)2..3 )s'RA- REGEM DI DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MAR 1 6 1984 . - ANSWER ALL OF THE FOLLOWING. A �1 /3Z.6 d rP•1y- The undersigned hereby applies for a permit-to do the following work 7181911s�11��2111 E 2131415, 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 propertyis: . . _ , N" 6a y , :�4 5i; �+ �° r 4 A !y . �a .�.�.. . . . `. .� t 7 .�.��.t�.dV t N3TL' .(P.O.A u.iELR.� �. • d' ''1'', 5. I �,L • J.N`. J (NA'�E} (P.O.AD RESS) 1 0-940) The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: C- 8 t g.,. 1)E' kej ,t4•kE-P. C:N 9,\) A . �,.Zh �\,1)E u. �'.(:)V).N.(tik<IA v.{,q,)4 ?- (NAME) l (P O.ADDRESS) )2 655 Name of Builder 1,s 8 K��4-�G.,I��`.V`-•\ \ \A Address �C vfl• 7 Name of Plumber CSA)`t11�) Address ANN . Name of Mason <5Ps Address SPhS f Lot Number. . 81 Unit�1 O bt I��"Estimated value of proposed work 5 14,bo`v Name of Village . .Q� - -CP•`},` '''''�Y$:\1''s. KA> Side of street: north 0, east Name of Street . . �t`lE.� • �• • • •,(�• • • • X south ❑, west 0 Nearest Cross Street gC�'`�`� tWilA " Distance from this cross street ©N o9 NZ9-- Ft. Property is north ❑,south ❑,east Li, west. ❑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 ' X Construction of a new building. Main Building ❑ Addition to a building. , . . One-family dwelling . IA Two-family dwelling El Alteration to a building.• -family apartment house ❑ ❑ Demolition of a building. Store building ❑ . . . .7-. .-car attached garage Other: • Accessory Building .. One-car detached garage ❑ ❑ Other work. Describe:. 41. . k• �l`i•- ul 9 Two-car detached garage ❑ ao t x a y , a cot.- ciq Qr q j -e Private chicken house ❑ V 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 building(s) in solid line. • Size of property 13t) ft. x �6D ft. Size and use of existing buildings, if any w m building . . . . . . . . ft.x `� b ft. a sliT pLo. Size of proposed Height(from grade to ridge) ft. Front yard � ft. Side yards • 3 o ft. and . . .✓7 / )• • • • . ft. Rear yard - -1 5 <� ft. SOUTH If on corner,setback from side street . . . 3.-• • • • • • • . 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.?. . . ..'v`?c'D. . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? If so, for what? Material of foundation walls W..f ICE 3 Lo•c_1.<57 Thickness IC)a Depth of foundation walls below grade 1 FT- Continuous foundation? . .'. Will there be a cellar? . . .''L _ ' If so, material of cellar floor /I ,' < t�� E SLk? Type of roof: Sloped or flat? Slro9° Materia of roof . Go.�, 1. t Size,wood studs 2, " x (EA.1, .).o(9•", spacing . . ."o.c., length • ft. Size, floor beams, 1st floor 2- "x a ", spacing "o.c., span 9 ft. Size, floor beams, 2nd floor 2. " x n ", spacing )6 . . ."o.c., span . . . .... . . . . . . ft. Size, ceiling beams " x ", spacing "o.c., span ft. Size, roof rafters or beams - "x ", spacing l "o.c., span ft. Exterior finish . . ,}1 <x S9 i?jN With what material? 5184. .-T t(�s . �. � . - Finish of interior walls. . .� '. .� If garage is to be attached, of what material is wall between garage and main bulging to be constructed? . .xb. .�•.0 hS d, W. . .4�_.�. `i.(�o. . X.. .F:9 . ?.�� S.�\s51 12o...... .5 . '��K).1)i, Is there to be an opening between garage and building? . DbDP, ' Kind of heating system . . BATS Oil burner or coal? . . L a921.E Will a flue-lined chimney be provided? l<ib • Depth of chimney foundation below grade Height of chimney above roof '4 Will there be a fireplace? �E Depth of fireplace hearth . .Z .9.t.G(.)t.cL N� Will a toilet be installed2 '4 Will a kitchen sink be installed and connected to water supply? Water supply(public water supply or pump) ))V 6Lt Distance of cesspool from any private well -- feet Will drainage system be provided with required traps, cleanouts, and vents? \`1�C Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt bca of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are.a true and co.a.pp 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 the pro sed w rk shall be mplied with,whether specified or no and that such work is authorized by the owner. 1 Sworn to before me this Signature OWNER.OW R'S A r ,A CHITECT,� CONTRACTOR day of 19 v NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By TOWN OF. QUEFNSBURY BUILDING & ZONING DEPARTMENT • SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner' s Name M 1 C1;\I --L - 'S E6 1- ,4,�1 Address C4~ S- F-6(2D CT ). ) ,&N. 1'Y9 ) (Let\S F AL,I-S Telephone No. Ic5g.--- Gi.+4-` 2. Property location Lo- ') )54-, 4 0\ La V 1WJ' cvgh1`➢ 3 . Name of person or firm responsible for installing system < N(1.1/4i B(4.t'(1- CAA, T�." LT\O Telephone No. 3 -OJ r L Address 2. )LDCN AV--a \NhM,ES'g\)9-G- ' - )� 8Z,L 4. Number of bedrooms (residential buildings. only) .. 3 5. Daily flow gallons/day 6. Septic tank capacity lobo. gallons 7 . Topography: Cflat)rolling, steep % of slope fL,T 8 . Nature of soil and depth -SANApe I.L.oh,1.r — D-69-\ ‘;..}(•(\ b 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 !env N\C.1PAt_ 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 a penalty of $250 as provided for in Section .6 . 010 of the Queensbury Sanitary Sewage Ordinance. Date MA 10-) 191i1,4- L,F`i)�Qal 6 IW'I CsT�\A �v C`(o��. nature of applicant PPlicant 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 do estic water supply, etc. Include all dimensions of the system itself. ,. z- i,c,\AI,p S1-k. pi_Qi Form 3-82 •• • 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 2�, )1!) Ss) _r ) - 2 . Ty.p:e .o"f heat f-L�C aASC,AaN0s. • v3 (�Ll. EA(..(&S • 3 . Is the building mechanically cooled? VC) '.. 4 . ' Percentage of area of windows and doors ) 3". 3 • A. Over .16.E Only - ' . 1 :. Ui 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 RcV. - P-- 3 2 2 . R value of exterior walls ` 0 ' 3 . R value of glazed area P. fie% • 4. R value of doors ' - f `c 5 . R value of floors over unheated spaces . • . 6. R value o.f slab edge insulation - unheated slab 7 . R -value of slab insulation - heated slab - ' 8 . R value of heated basement/.cellar walls (above grade) to"; • 9 . R value of heated basement/cellar walls (below grade) 2`4 •10 . Type of insulation I �V ID V. Nts,1 To24" ?`MP\V42,4.lpW .6",12AbE • • C. • Controls - b _ ' 1 . Thermostat maximum heat setting C1t7 D. Duct Systems 1 . Is duct system installed in unheated spaces? YES • C-170) • • 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 &-0,t < S- - 2 . Temperature control setting' maximum 39c ' . G. For Swimming Pool Only . : _ 1 . Maximum heating - • • • ' Telepho"rie No-. 2- 94-C2 c(42:1 14 S4, S •(,v..(6`i) .V. (applicant ' s signature) • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. \J� CITY OR VILLAGE Q•J� �t_�1 :"',�•�)i�' TOWNSHIP COUNTY `tf\:,)4 . +;'s„,\I STREET AND NO.OR _ ' 1 E 4 .)lV )): E � , SsS`ice\ POLE NO. ROAD AND POLE NO. •: ) � -t� � �_ -. t-,\' BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? - k c3'\-7 ! SECTION BLOCK LOT OCCUPANT'S \f` BUILDING NAME IN1V. iN,E1-- C - '�. .C.� 1.� OCCUPANCY 1 7i C. C,Si�':;-��a��.\. OWNER'S NAME Cs)�� tr"' AND ADDRESS l i\{C {ti , \i F 'l, \ )"-#- c`- t `: '-I,.\ i L � CURRENT SUPPLIED Z�}, 1\\-:. ��.•� :.�_ (,-, BY FROM THEIR OFFICE BUILDING WR. OLD❑ REMODELED ❑ IS ❑ORK DEFECTS ISNEWNEW X. ADDITIONAL❑ REMOVED L�1 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS Lamp Receptacles CIRCUITS Loca- tion Ceili Side Attach't Switch Pendent Bracket No. Type H.P. No. Watts No A W.G. NO. WATTS ng Wall Recept'Is yP EachEach 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 POSSIBLE NEW OLD • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF t- 11\�f� lI•^'1 . .•. �. \ � ,1 'y DATE OF ` . APPLICANT "� � , � APPLICATION `� t� STREET ADDRESS-a- -,� \! .., CITY OR ZIP r-, �.- LICENSE NO. POST OFFICE •�'_ j\�-.1` \\<{,\1 I`'-�-; •r� ,� . CODE f `=' i_ WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING t ' TOWN OF QUEENSBURY. Building DepinguBeut Inspectors Report Date / /e Name '''' '.7 Location J 2 S r./)J7W ,i fi. Permit No. ,,Q 3.la Weather Remarks Excaita ti on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey • ellFraming Sheathing \ Roof Felt ' \ . Roofing - N, Siding \ Masonry Veneer rr Rough Plbg. Relief Valves Poch EX / Ext. Porches t/6 Finished Floor Interior Trim Stairs & Railings Gam" Cellar Dr. Tile Concrete Floors 7 Plbg. Fixtures 1 Gar. Fireproofingf _._.._ Door Closers Chimney t, " _— — Water Meter Inst. Septic Approval _ Floors Foundation Insulation Wall Ceiling • Building Inspector • REMARKS /1Ale-.7-A . 1?:Ge-;;; .-(47.) e: • 4/6 F/,r/,/4 z� '/Gft6 TOWN OF QUEENSBURY Building Department Inspectors Report Date /`�/3b/9 Name11�-C t Location /e/e5'r- Permit No. rY 3 n- Wether 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 Ext. Porches N Finished Floor � . Interior Trim Stairs & Railings Cellar Dr. Tile N\ Concrete Floors Plbg. Fixtures Gar. Fireproofing./ Door Closers J Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Buildi Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date 4 .36/6Y Name Location Permit No. Weath - 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 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 1 42, - dr4 � Buz ding Inspector REMARKS / C)CX'7 �% •X ✓/'� `' � �� TOWN OF QUEENSBURY Building Department Inspectors Report Date 7/7 Name I9, /1/��JLC Location ZC7/ ,? I t15;2 6p.4,Wii f/ tAl J b . Permit No. y� S'S Weather 647 FrAVcS Remarks Excatia 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 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 Ceilirf • • Building Inspector REMARKS