Loading...
8472 BUILDING PERMIT TOWN OF QUEENSBURY No. 8472 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Thomas and Gail Hazelton OWNER of property located at Tee Hill Road Street,Road or Ave. H Dwelling Q in the Town of Queensbury,To Construct or place a One-Familyg 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. t. OWNER'S Address is p. O. Box 1128 a South Glens Falls, New York 12801 a w N 2. CONTRACTOR or BUILDERS Name x iy same m rt 3. CONTRACTOR or BUILDERS Address 0 same 4. ARCHITECT'S Name H M 5. ARCHITECTS Address fD x 6. TYPE of Construction—(Please indicate by X) �t O ru (20 Wood Frame ( )Masonry ( )Steel 7. PLANS and Specifications 24 'x68 ' per plot plan, specifications and No. application submitted including two-car attached garage and sewage system. 8. Proposed Use O One-Family Dwelling M $5. 0 0 C/O Paid N $ 143 . 00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 1984 1< (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of te t7 h town of Queensbury before the expiration date.) N N Dated at the Town of Queensbury this 9 th Day of May 19 84 W SIGNED BY for the Town of Queensbury Building and Zoning Inspector 0. • "'ft' TOWN OF QUEENSBURY (Space inside block to lie filled in by WARREN COUNTY, NEW YORK Building Inspector) lication for Application No. r • 19. pP 1 crmit Issued BUILDING AND ZONING PERMIT Permit Expires. 19. Zt)itillL District \ alto• (II \fork., . ' THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1'1'1•'"c•d by showing the actual dimensions of the lot to be built kcInarKS' 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 O `f 5 .61 1/ DATE TOWN OF QT.IEEl1IS131.JR A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORKREG EIIVE n ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies-for a permit. to do the following work yg lea which will be done in•accordance with the .description, plans and specifi- A.M. • , . cations, and such special conditions as may be indicated on the permit. 718 9p.O1t11}12i1J2)3)4I5I6 T owner of this property is: Ct. , met or Oz t� /L ? 7. ¢i°. Y . ...... 1 4 a,A )` /?e. 2? //le. .1. . . ,Se• C-r ...A. -r-.s. °1.,= . ./ / (NA•E) • / / (P.O.ADDRESS( • The person responsible for 'supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: �. 06u �7 �. ,17 �'. -�� : E) . l . /J-�l• �� /lam AD'DRE S)'• r'• • • • . . - • • • • -..- (NAME) / (P.O.ADDRESS) • // 5: C�L ' li Name of Builder. �`/o'?'! s z�G�� Address ���' /�"n J� � i,z/- Name of Plumber Address Name of Mason Address Lot Number Unit Estimated value of proposed work S 7 e)ra `) Name of Village �/ Name of Street 72 Ai2L Rd Side of street: north 0, east Dil, south ❑. west 0 Nearest Cross Street . 0A. sy. . . /6104.t1 Distance from this cross street 6 a 0 Ft. Property is north rg,south ❑,east i i, west 0 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 Xi Construction of a new building. Main Building ❑ Addition to a building. • : One-family dwelling 0 ❑ Alteration to a building. Two-family dwelling • ❑ Demolition of a building. -family apartment house E. Store building El. . ,A -car attached garage' N 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, sike and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted- line and existing Aid/j',, ,-,,,,,7 re.. huilding(s) in solid line. Size of property . • . . . . . . . ft. x . . . /. . . . . ft. cc �,3 Size and use of existing buildings, if any 40 • Goielber i 4 a3 �� W Size of proposed building �y ft.x . . a.• • • •'ft. ti�� ► ;� Height (from grade to ridge) ,X ft. � ft. L Front yard . . / `i Side yards : v ft. and f t3 ft. Rear yard //S ft. SOUTH If on corner,setback from side street ft.. Note: All distances are net, as measured from street side line to nearest dart of,building. (OVER) 7-73-?'2 . (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.7 L 11‘9.1.0 /2%417✓> -;:- Will any second-hand lumber be used? . . ./iVIL If so, for what7 Material of foundation walls . . .C.f/v -,✓r /c32r z/� thickness /J�� Depth of foundation walls below grade Continuous foundation? 4/L-S Will there be a cellar? . . .`�%.,5 If so, material of cellar floor 4/" /t< �r�z Type of roof: Sloped or flat? . .S 0✓ Material of roof /3% -r /.,!13s. . . 4. ',:1g G Size,wood studs :-. " x G? ", spacing . . •/ 7. . . . . . ."o.c., length �' • ft. Size, floor beams, 1st floor 2_ " x i6 ", spacing /6 "o.c., span . . . . i' ft. " / ", spacing . . ./ x Size, floor beams, 2nd floor x �, � "o.c., span . . . . P7.� ft. Size, ceiling beams ,.-- x . . . .�. .j,. . _,.", spacing 7'/ "o.c., span . . . . .2I. ft. Site, roof rafters or beams c;. " x . . . . la. (f-kl ", spacing . . . ..`... . . . . . ."o.c., span _,- ft. Exterior finish 7 With what material? . . . .'Pi:or 7Z. �-�-�• �j''�•�✓`-'--•' Finish of interior walls S/i A �•r,d /`- If garage is to be attached, of what mate�r+ial is wall between garage and main building toto be constructed? , {{ Is there to be an opening between garage and building? 7 Kind of heating system YG.L c 7 '•L Oil burner or coal? . . .A/4 Will a flue-lined chimney be provided? . . .i�.i:5:a 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? • (7/tl•". Will a kitchen sink be installed and connected to water supply? >J1 J' Water supply (public water supply or pump) is). . '4--- — , , Distance of cesspool from any private well /61) feet Will drainage system be provided with required traps, cleanouts, and vents? s/A.J Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt 1,4,4 i 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 this Signature OWNE NE 'S A N7,ARC ITECT.CONTRACTOR day of - 19..,e--/ __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 I36-0 2 . Type of heat ' IELe_cr{2iC 3 . Is the building mechanically cooled? NO 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 of roof and floors exposed to ambient conditions 2 . R value of exterior walls 3 . R value 'of .glazed area A " 2 F± 4 . R value of doors • ' l I C! • • 5. R value of floors over unheated spaces R IC) 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab • 8. R value of heated basement/cellar walls (above grade) 9 . R value of heated basement/cellar walls (below grade) .10. Type of insulation FI SE)26-t45 ) )We- 7l-,Y1N C. Controls . o • 1 . Thermostat maximum heat setting 1/6 • D. Duct Systems 1 . Is duct system installed in unheated spaces? ® NO a. If YES , R value of duct installation b. R value of duct in other areas � E . Piping Insulation �/nlL 1. Size of hot water or cooling car ying agent pipe i'2 2 . R-value , of pipe insulation 1I • F. Service Water Heating 1 . Performance efficiency / 4. 2 . Temperature control setting maximum f/2 0 G. For Swimming ;Pool Only 1 . Maximum heating Telephone No. fr/7/U-17,-.3, f- C• (applica ' s si ature) TOWN OF OUEFNSBURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner ' s Name v / j- .l.- 2r�' (* _,J Dd /447, 4.v Address . c /..�,-cv Telephone No. 7;& .�'�,'j 2. Property location s A`i‘ , I 3. Name of person or firm responsible for installing system 4 l,4c 7 • fl4Z/L%v,2i Telephone No. 79j --;3; 37 Address /'; !�. 6/ /42 ) �ci- L�% /�S' /'�JC� A/ V. i /��� 4. Number of bedrooms (residential buildings only) 5. Daily flow ice) gallons/day 6. Septic tank capacity j cj gallons 7. Topography: flat,(rolling) steep % of slope //4 -,!.„1. 8 . Nature of soil and depth iU,z#11 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, ell other 12.. Type of system proposed: C_rywe2 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 c1V,PV sig na ufre f P licant `� 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. - CITY OR - VILLAGE TOWNSHIP r COUNTY /: Oa?, ", STREET AND NO.OR j ROAD AND POLE NO. ' ..- /-//��/;,,. /1 ,...4-, POLE NO. BETWEEN WHAT TWO _,9 ,1 7'!jy PREMISES OC LATED? l l�Tf f 4 i _,,. SECTION BLOCK LOT OCCUPANT'S _ �— BUILDING _ r �� NAME .�r,+�J./%/-�-� --rs" 7-FA:.c:.. �+y-.'� ?" / %P�.a/ OCCUPANCY ,j i,,,..yir%: 1 d—�d`r,si:%� OWNER'S NAME ` ! 7) 6'0)= I r;9.. AND ADDRESS �� /,/ / J CURRENT SU BYPPLIED t`.Gy!i,`✓ /. - /7ge/F/`4� /� FROM THEIR 4...-- 1 ;L. /esc�`C _!. f OFFICE( BUILDING NEW Ii OLD❑ /ram/REMODELED ❑ WORK NEW II ADDITIONAL❑ ! REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures e 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'ls 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 ENTERS MAKER BUILDING OF SIGN INSPECTION REQUESTED POSSIBLEON OR AS NEAR AS /)j,Z 6- J- NEW I I OLD ri I AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF " 7 �� �-- DATE OF APPLICANT_ 1 �,�-r'=+ %- -S� /%g^r ,-• APPLICATION --7 '% -- //-;‘:-.V-- /� � �/ STREET ADDRESS : - l �"��/= //�� , POST OFFICE -=CITY OR ✓,r. �1'yfr:,..n `%y'?r �1. ,d'/. CODE/1� / WHEN APPLOICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING TOWN OF QU•EENSBURY Building Department Inspectors Report Date /Z., /,3 Name 4 Location h i L C ,z c 9 Permit No. B`/7 7__ Weather I L Remarks Excavation Footing Forms 1/:� /1t9/ _,,/ Footing & Pierk /' ,1; Foundation Cement Coat Waterproofing Backfill Final Survey / Framing Sheathing' \ .' Roof Felt Roofing Siding / Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches 0 l /7 e7Finished Floorl /(phiq- / Interior Trim - l/C1/fi Stairs & Railings ,-✓� Cellar Dr. Tile Concrete Floors lr Plbg. Fixtures / 1 Gar. FireProofing ,/ _, Door Closers Chimney Water Meter Inst. Se tic A roval _— Floors Insulation Founndation Walls Ceiling Building Inspector • REMARKS 64L-- • • TOWN OF'QUEENSBURY Building Department Inspectors Report Date `7 ci/ y Name `-b/4,, //ft 2�L�11 //j// Location 7e—G— !-I Z !2 of Permit No. 1 Lf 7 'v Weather 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 • 1/ 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 TOWN OF QUEENSBURY Building Department Inspectors Report Date /7/ Name I c , l-f ft 2-e l Tc nJ Location % —i-F. L 2 4.9 Permit No. `/7 7 Weather 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. f Septic Approval Floors Insulation Foundation ' Walls Ceiling //am"` Building Inspector REMARKS I) 3 �,��� -' t� c—ic 7)i©.-o TOWN OF QUEENSBURY Building Department Inspectors Report Date 11 I,--)/2 LI Name (!,-)n-i. //A-2-e-//Di,1 Location •jam i-/1 LL cad Permit No. q(17 L Weather 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 Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date , /g/0 `1 Name -7'in/t W47c_f T7- l Location lee l-i IL /, -n Permit No. y`i �.2 Weather Remarks Excatja ti on Footing Forms Footing & Piers ? Foundation ,/ G ' — /Rga./1 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 TOWN OF CCUEENSBURy Building Department Inspectors Report Date J ld✓i/-c- Name I n s Ft' `—c-N A ) Location Te- - G-l-'L L 0._ce Permit No. '$ Z 7-- Weather 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. Fireproofi�" g Door Closers Chimney Water Meter In- . Septic Approval Floors Insulation Fo�3ndation Walls 'Ceiling Building Inspector REMARKS c1 _ G i R�v t, r� .v b,�