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8450 BUILDING PERMIT TOWN OF QUEENSBURY No. 8450 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Michael NieholG n OWNER of property located at West Mountain Road Street,Road or Ave. 9 (D in the Town of Queensbury,To Construct or place a Addition to 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. N 1. OWNER'S Address is R. D. #2 Box 167 N Glens Falls, New York 2. CONTRACTOR or BUI LDERS Name Don Whalen m 3. CONTRACTOR or BUILDER'S Address N tf' Taylor Woods Road West Fort Ann, New York 0 4. ARCHITECT'S Name rt a N• 0 5. ARCHITECTS Address A� a 6. TYPE of Construction—(Please indicate by X) 04 Wood Frame 1 ')Masonry ( )Steel ( 1 7. PLANS and Specifications 18 'xl4 ' per plot plan, specifications and No. application submitted. 0 t3 8. Proposed Use tt One-Family Dwelling (living area added) 0 w $5. 00 C/O Paid N $ 32_ 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 84 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the tQ: town of Queensbury before the expiration date.) Y Dated at the Town of Queensbury this 3 0th Day of April 19 84 N. � �� W SIGNED BY 4h1�i.[.L.. �� t�.l�►'YPlil for the Town of Queensbury Building and Zoning Inspector Q1 M fL • TOWN OF QUEENSBURY (Space inside block to lx filled in by WARREN COUNTY, NEW YORK • Building Inspector) • �prylication for Application No. : 6'Q' Yrrmit issued 19. BUILDING AND ZONING PERMIT Permit Expires. lg. 7.ccint District • \ aloe nI Work, THREE (3) Copies of a PLOT PLAN, Drawn to scale '\I'1 •-""'`1 by showing the actual dimensions of the lot to be built Rcimirks- I/ upon, The exact size, and location on the lot of the ___ _ _ building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION: (� TOEWN OF QUEENS UR 7l1 A' 8r7 —;i — ill Ai-�l (b � n DATE E Il n E. L �tfJ A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �UUf 1] l/ ANSWER ALL OF THE FOLLOWING. io tau A) �'CO 4 d. The undersigned hereby applies for a permit to do .the following work A,ly) a p Nil- which will be done in accordance with the description, plans and specifi- 718 O)11)12)1 ,13)411 I cations, and such special conditions as may be indicated on the permit. . ��� • The owner of this property is: )3e7(.. /gyp 7 (�t- (NA'.)E) (P.O.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: S1 .,-‘rn (P O ADDRESS) (NAME) j�� I �, �� ,�_�,/� Name of Builder 1� \NI�Ak--& Address (1L.0e• • •\��'9'"`"s Name of Plumber. O '12' Address Name of Mason \DO l.--) 1P T`" i` ,e5-1 ' Address t — /�j� Lot Number Unit Estimated value of proposed work 3 i IO GOO f& Cb�° J Name of Villagea).-ee . � w Name of Street . N. y`fN�N :• •1 P• • • • • • • • • . Side of street: north 0, east 0, south ❑. west Nearest Cross Street i\.0 U Distance from this cross street Ft. Property is north p,south ❑,east i-i, 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 ' y,❑ Construction of a new building. Main Building Ora" Addition to a building. One-family dwelling t 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 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, site and setbacks of pro- -- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in'dotted line and existing • . • 0 huilding(s) in solid line. Size of property ft. x ft. aSize and use of existing buildings, if an -F• 4 it -J-1 `2S ..ya SA-t'4 S N s in in s -iiIkf) E W Size of proposed building . . . . . . ft.x . 1 4ft. -�W • Height(from grade to„rid�ge) 0,- ft. Front yard t 0t/ ft. ' Side yards • W ft. and 1. 0 ft. Rear yard l d 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., 1 Kind of construction: Wood frame, fire safe, etc.?. . C:20.P• • • 7r--: - • • • • • • • • Will any second-hand lumber be usgsl ... ,,� If so, for what Material of foundation walls "C Thickness AI Depth of foundation walls below grade Continuous foundation? Will there be a cellar? . . . L2 ) If so, material of cellar floor n_ _ I Type of roof: Sloped or flat? . �. Material of roof . .6S.10. . .. . . . i 1?(1�v' Size, wood studs . . .2;� c-. "x ", spacing I `e. . . ."o.c., length. r. • ft. Size, floor beams, 1st floor "x ", spacing _____— "o.c., span ft. Size, floor beams, 2nd floor 2 . ." x ", spacing 10. . . ."o.c., span I ft. Size, ceiling beams . . . . . . 2--. " x . . . . Cj ", spacing /0. . . ."o.c., span ft. Size, roof rafters •r beams14.10. 2}•.(O x ", spacing 10. . ."o.c., span ft. Exterior finish . !fay..(P . •Q.a.61 -- i4,-) t With what material?-- Finish of interior walls. . .1i a?!. . ' 1-P If garage is to be attached, of what material is wall between garage and main bui.Jding to be constructed? • Is there to be an opening between garage and building? Kind of heating system -��.ee... . j' Q A l - 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) . . pu Distance of cesspool from any private well ‘.0© feet Will drainage system be provided with required traps, cleanouts, and vents? . . . os Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt A�j t of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.,.•lete statement of all proposed work to be done on the described premt and that all rovisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to e pro sed w k :,all compl- wi ,whether specified or not, and that such work is authorized by the owner. . , Sworn to before me this Signature OWNER.y ER'S AG NT.ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN:COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • B TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK //11r 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 PaAkagi: 6010AVAC 6010/ 3 . Is the building mechanically cooled? O® t . . 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�o�f roof and floors exposed. to ambient conditions 2 . R value of exterior walls V1 3. R value of glazed area , 4 . R value of doors 14- 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 I 8. R value of heated basement/cellar walls (above grade) '-- 9. R value of heated basement/cellar walls (below grade) 10. Type of insulation 1 6iLA-S Q •U2 4' C. Controls 1 . Thermostat maximum heat setting 61 D. Duct Systems 1. Is duct system installed in unheated spaces? YES NOV. • a. If' YES , R value of duct installation b. R value of duct in other areas . E. Piping Insulation 1/ 1. Size of hot water or cooling carr ing agent pipe 2 . R value of pipe insulation 1 ` F. Service Water Heating 1 . Performance efficiency te§eit ' . 2. Temperature control setting maximum - } lt) G. For Swimming Pool Only ' 1. Maximum heating - ' Telephone No. ---/q3-7 Try / ,� �4 . appligfnt ' s signature) F,' . BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. ' FILE THIgCOPY WITH BUILDING DEPT.WHEN REQUIRED. C�V L TOWNSHIP )i/EF,€,J5 }C ,/-)/�/ COUNTY / s IL AGE r STREET AND NO.OR // f �r..� if/ _ ROAD AND POLE NO.1/ ' / �///f/4/ Z 6 /// POLE'NO. BETWEEN WHAT TWO f,,,,% '_„s t�%[= -"?f Lt�/`,ef re_pc) CROSS STREETS IS 5?.{J.p R'7* / ,'`R. $D`y ECTION BLOCK L PREMISES LOCATED? �'1/"' G+ A- OCCUPANT'S J j BUILDING / NAME ,G 7/ /7/`/ ibwy ,1f�f('' .off-C-5 OCCUPANCY f--".J �-"`/C—/A 3l'�' OWNER'S NAME �7 i ,.i! r '"s AND ADDRESS /..30t.G /6,7 /_{%' „11.7 c_a- / 7/27,4,/ t ._15 t L, BURRENT Y PLIED `/ //4 P42 • FROM THEIR (t/ A ! 4-%5 OFFICE BUILDING / ' �—�/� WORK DEFECTS IS NEW❑ OLD❑ REMODELED•JG l IS NEW ��ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures& BRANCH LAMPS NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS Loca- tion H.P. Watts No. A.W.G. NO. EACH WATTS Ceiling Wall Attept't Switch Pendent Bracket No. Type Each No. Each Gauge Wall Recept'Is 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 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 / J,// C !e" NEW ` ' OLD POSSIBLE �/ �F I� / El • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF /I- / / C4 el• J//f ,tl=t`i,-/ a APPLICATION 2 77 `G7- DATE OF APPLICANT - V f STREET ADDRESS�-s / `�•� 7 ./ ) " 'Jrf 57 /I f /� -J / CITY OR I rf/ P (4 t•� CODE! 2l�' ! WHENAPPLIICABLE POST OFFICE l / ` _ __w. . 'AT,rrAI aalleT RL FII Fn FC1R FACH SEPARATE BUILDING