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8408 BUILDING PERMIT TOWN OF QUEENSBURY No. 8408 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Neal P. Hubbell OWNER of property located at Upper Ridge Road Street,Roar[or Ave. �z 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. `"`` 1. OWNER'S Address is Star Route Glens Falls, New York r 2. CONTRACTOR or BUILDERS None Edward P. Carr, Jr. a s 3. CONTRACTOR or BUILDERS Address 244B Woodchuck Hill Road Lake George, New York 12845 C ro b 4. ARCHITECT'S Name f� CZ tq 5. ARCHITECT'S Address M p t 6. TYPE of Construction—(Please indicate by XI ( )Wood Frame ( )Masonry ( 1 Steel ( :K T.og 7. PLANS and Specifications No. 24'x40' per plot plan, specifications and application submitted including sewage system. : S. Proposed Use 1 �� One-Family Dwelling h-s• $5. 00 C/O Paid $119. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES Nov. 1 19 R4 M F (if a longer period Is required an application for an extension must be made to the Building and Zoning inspector of the ►�' .` town of Queensbury before On expiration date.) F+ tl Dated at the Town of Queensbury this 23rd Day of April 19 84 SIGNED BY for the Town of Queensbury x Buirding and Zoning Inspemr 0. •$ • TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Alication for --- Application No. pP Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. lg. ""tuning District THREE (3) Copies of a PLOT PLAN, Drawn to scale Al'l "‘`c1 l) 4///i :/ -—-- , Lr ' showing the actual dimensions of the lot to be built RI:mm.0' 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 yFr 1-<// II TOWN OF OUEENSBURY 2- DATE RECEIVED A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. APR 1. 8 1984 The undersigned hereby applies for a permit to do .the following work EA. which will be done in accordance with the description, plans and specifi- �''�' P P 7 $r„,;(.0,izi:eri2,,r)2.1.3.1—ef-D. 14. 5�6cations, and such special conditions as may be indicated on the permit. ,. I f �/� i c � _, The owner of this property is: -al F-1 P, .H u-.'i)Z.4.C..C.. . . . 5 -1-A R go c^--r e G c. r.)S F.A c.L j ,.J ,Y, i z Ei O ) (NA''4E) (P.O.ADDRESS) • The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: pL L: GAI2V- woo Oc.W,.-c.vs IA Lc- a O rc-(=A)S rALI- 1,3 Y . (NAME) (P.O.ADDRESS) Name of Builder. . P<-'1.TG. . . ACL.R. Address . .e•-?oP:gc.Hi-c.. .N..c- D Name of Plumber PE i L. C A (2,t? Address . t,-,C,O t c.1a.1,-.c,`r, l-1-c z L fZ D Name of Mason D la U- .H L 2 Address P r,.3 '^'"o D Lot Number Unit Estimated value of proposed work I .at,),000 Name of Village C s-- 4,0 $ 13(----- CZ- 1/4' — G c. r.)S PALLS Name of Street 2=PG c (2.Q Side of street: north ©, east 0, south ❑, west ❑ Nearest Cross Street . J Y — ) Li i Distance from this cross street 3 3 o O Ft. Property is north • south ❑,east [1, west.. 0 from Cross Street If on Corner, which corner, northeast El, northwest ❑, southeast Q. southwest • . . (Designate by marking with an "X" in the correct space.) --•,/ NATURE OF PROPOSED WORK • OCCUPANCY " u I Construction of a new building. Main Building ❑ Addition to a building. •. One-family dwelling ❑ Alteration to a building. Two-family dwelling ❑ • ❑ Demolition of a building. -family apartment house ❑ Store building ❑ • -car attached garage ❑ • Other: • • Accessory Building - . One-car detached garage . 0 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 buildings) in"dotted line and existing . huilding(s) in solid line. Size of property . . . 1. 0 fix . .2.,U ft. Size and use of existing buildings, if any I- on in is is m Size of proposed building z`t ft.x . . .'-/9. . . . ft. Height(from grade to ridge) Z7' ft. Front yard "f'i ft. Side yards �(. ' ft. and l 40 ft. Rear yard '=1Co 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 , (coned.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . . G o(a . . . . . _ . . Will any second-hand lumber be used? /,-)O If so, for what' Material of foundation walls /3 C.- 4)G y� Thickness /0" Depth of foundation walls below grade G Continuous foundation? vL Will there be a cellar? 1.'6 5 If so, material of cellar floor GOx-0 R-(i 4 Type of roof: Sloped or flat? .5.�-.C.Y.p t P. • • • • • • . Material of roof 1'z" c D x Q t- Y �o o O Size, wood studs z' " x �1 ", spacing i (-"o.c., length • $ ft. Size, floor beams, 1st floor 7 " x 4 ", spacing ( 4-' "o.c., span 4 4 ft. Size, floor beams, 2nd floor " x Cc' ", spacing `f "o.c., span Z.41 ft. Size, ceiling beams ?- " x e, ", spacing ?- "o.c., span . . . . .i.`I. . . . . . . ft. Size, roof rafters or beams „x l Z ", spacing 114 "o.c., span . . . .i .8. . . . . . . ft. Exterior finish P'r a ct,p 1, LOG With what material? 600 o- Cc. o G... Finish of interior walls. . . . -o..Q `:-. .5./7°.4' .T—. 2 UG.Y. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 0=r HQT / s 2 Oil burner or coal? a r<_ Will a flue-lined chimney be provided?y "6= S Depth of chimney foundation below grade 3 G ,/ Height of chimney above roof Will there be a fireplace? AJo Depth of fireplace hearth Will a toilet be installed? - Y&"3 Will a kitchen sink be installed and connected to water supply? e'L:=5 Water supply (public water supply or pump) 6A->C= 4-e- -$ P L rn ? Distance of cesspool from any private well /0 0 4- feet Will drainage system be provided with required traps, cleanouts, and vents? ' 3 Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt: bca of my know,edge 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 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. �`` � ' P yam/ , Sworn to before me this Signature �'�`i / AG r OWNER.OWNER'S AGENT,AR I fCT,CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By OWN; OF r"QUEENSB,URY WARREN COUNTY,,. NEW .YORK.` A lication for BUILDING COMPLIANCE WIT H..THE NE.W . YORK STATE ENERGY CONSERVATION CODE A permit. must be obtained before beginning work ANSWER ALL of the following. ` ` 1 Gross floor area 2 Type' of. heat I .:1. _ 3 . . Is - the building mechanically cooled? 4 . Percentage of area of windows and doors I � �► 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 's 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_ 2 R value of exterior walls 3 . R value of glazed area 4 R value of doors 5 R value of floors over unheated spaces 6 R value of slab edge ,insulation unheated slab < 7 . R value of slab insulation - heated slab 8 . R value of heated .basement/cellarwalls (above grade) ((I a 9. R value m t ". • ue of heated. basementi celiar '-:walla (below grade) 10 . Type of insulation -k C. Controls jj 5 1. - Thermostat maximum heat setting "O D. Duct Systems 1. Is duct system installed in unheated spaces? YES N 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 ^t � ' 2.. Temperature control setting maximum _ j G. For Swimming Pool Only 1 : Maximum heating Telephone No. ?:o/ Z; 06/ (applica nt ' s ' si• ature) TOWN OF QUEFNSBURY BUILDING & ZONING DEPARTMENT SEWAGF DISPOSAL PERMIT APPLICATION 1. Owner' s Name !✓G � P /-/ ,,, fj B =1, Address Srie9 2 E.o 6. 1- . • G(-• ,JS 4 /, /, / Z 6G / Telephone No. - Z -067 a 2. Property location 1 f 9jrsG ' l26 (r�57- Arorzu or 6 p up,. ) 3 . 'Name of person or firm responsible for installing' system C h', Telephone No. Address (-JOcin C 7/ C K /- (( !� 4. Number of bedrooms (residential buildings only) •,,"3 5. Daily flow gallons/day 6; Septic tank capacity gallons 7. Topography.: flat, rolling, steep % of slope �. 8 . Nature of soil and depth. 9. If ground water, bedrock. or impervious material is apparent at what depth does it begin?AZ,1JE rqr- L'C9. 'ft. , 10. Percolation test: A is required B is not. required C If required what is the rate 6--7minutes/inch 11. Water supply: municipal, well other 12. Type of system proposed: drywell, C e 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 fthe - Queensbury. Sanitary Sewage Ordinance. Date y// • e f signature of app i 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. qmow /J Form 3-82 �j ,� `7 _ =i _ � 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 ( /?/fi li f ,•;jj_+,`V COUNTY STREET AND NO.OR -, r ROAD AND POLE NO. �•--- ") "i;- � ! i� Cc T"� }'� POLE NO. BETWEEN WHAT TWO CROSS STREETS IS _ PREMISES LOCATED?_ /-r b;- /%1('_'�.-�'-+ !. t ;�i is . l,!-(�� f' SECTION BLOCK LOT OCCUPANT'S / / BUILDING "— NAME /(< G '�-I �-`"> !ft- OCCUPANCY i 1/- ; /� / /t,.;l P( OWNER'S NAME AND ADDRESS /..� ,f ` ='G7c-"' ( , t`—_ CURRENT ,r r SUPPLIED BY ia( __- ?"t. FROM THEIR ;'" + C OFFICE BDEFECTS SUILDING WNEW +❑-"-OLD❑ REMODELED El IS NEW lil` ADDITIONAL REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& HEATERS BRANCH LAMPS Lamp MOTORSReceptaclesCIRCUITS Loca- tion Celli ng Side Attach't Switch Pendent Bracket No. Type H.P. N Watts No A W.G. NO WATTS Wall Receptls yP o.Each 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 OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE /:-✓ J/`/l". ( /-217 _ NEW OLD • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF - APPLICANT ,,.J i•� �� I-i i - APPLICATION //' ' • "�DATE OF STREET ADDRESS • `- .-• - - CITY OR _ ZIP _ LICENSE NO. POST OFFICE - - t CODE - WHEN APPLICABLE t A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING TOWN OF QUEENSBURY Building Department Inspectors Report Date , /,/r'9 Name / v.3 �.V L G . Location R'I Permit No. el,OR Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing ' (7/c 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 I N. Gar. Fireproofing `., Door Closers / \, Chimney ( N. Water Meter Inst. V _ Septic Approval r - Floors Insulation Foundation Walls Ceilin. ...0101111i Building Inspector REMARKS TOWN OF•QU•EENSBURY Building Department Inspectors Report Date /0/ 81 • Name Location . Permit No. ,51`f D P Weather Remarks Excavation Footing Forms • Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. \l/r/ Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile G/— Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling • Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date --J�"� Location fi i fZ.e ply f Permit No. a/ Weather U L108 Remarks Excat'taton ��\ Footing Forms 'tip 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 Building Inspector REMARKS �rs, A 12-284 14OI — tr` - • >a 4 clyj'7L cJ.S -74'9 o r( :- 174' , 1 _;.r pU I i /1:: . 1 ®�9i > V • i -. _____ 4 Squares 7`3 Ni a to the Inch