8552 BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK No. 8552
PERMISSION is hereby granted to William Huckle
OWNER of property located at Victoria Driye Street,Road or Ave. E
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. mow"
1. OWNER'S Address is Greenway Circle 00,
Glens Falls, New York
m
2. CONTRACTOR or BUILDER'S Name
Robert Ruggles Construction
3. CONTRACTOR or BUILDER'S Address
5 Wincrest Drive
Glens Falls, New York C
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4. ARCHITECT'S Name Q
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O
H
W
N
5. ARCHITECT'S Address C7
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6. TYPE of Construction—(Please indicate by X)
k)Wood Frame ( ►Masonry ( )Steel
7. PLANS and Specifications
491x281 dwelling, 22tx2V two-car attached M
No. garage per plot plan, specif icatlons and application I
submitted including sewage system.
8. Proposed Use £
Fr-
One-Family Dwelling "C
t7
$5. 0 0 C/O Paid (D
. 00 Fa
$ 171 PERMIT FEE PAID—THIS PERMIT EXPIRES January l 1985
(If a longer period is required an application for an extension must be made to the Buildi and Zoni
town of Queensbury before the expiration date.) ng n9 inspector of the
Dated at the Town of Queensbury this 8 th Day of June 1984
SIGNED 8Y �f Q, „ .Afa ..4G) for the Town of Queensbury
Budding and Zoning I
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
pp Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. • lg.
7,()ning District
• - \ oIut O1 \)'cork.,$ ---
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1'1"''"c•cl by / f-. '( e?- --(---7
showing the actual dimensions of the lot to be built Itcn,arK►
upon, The exact size, end location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
_ ` i of 6 /5-15'yT0 o QuE s®uRY
$5 oC DATE IR b p VIE
OBTAINED BEFORE BEGINNING WORK l{ D
•
A PERMIT MUST BE J�f� � 19�
ANSWER ALL OF THE FOLLOWING: A.m. I C o c
The undersigned hereby applies for a permit to do the. following work 7�8�9 Z 11�1�� P.M
which will be. done in accordance with the description, plans and specifi- a 4 'I s mil,��14 '41516
cations, end such special conditions as may be indicated on the permit. °'
The owner of this property is:
,`,`i 'i. LL.1 i /�UU e
(P.O.ADDRESS)
The person responsible for -supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) IP.0 ADD ESS)• .
Name of Builder •
£ i .!`�, Address
Name of Plumber. . . . . . .5.. . . ..`%O .i.r5. - Address
Name of Mason 'N�`�/.--'.T44124.7'. . -Da A)'74 U/.Address 1,4"
Lot Number Unit Estimated value of proposed work S J D,D0 -
Name of Village {.cl= k. �✓: 1-.1. . . .I..t� >�6
Name of Street \f tC.'T "2•i•At .J- Side of street: north 0, east 0, south O. west ❑
Nearest Cross Street ... .... .l-J' --Ct%hA/ L+ g Distance from this cross street . .C.c96.s4W-, H.
Property is north ❑,•south ❑,east 'Li, west ❑from Cross Street
If on Corner,which corner, northeast 0, northwest ❑, southeast southwest p
(Designate by marking with an "X" in the correct space.)
• NATURE OF PROPOSED WORK OCCUPANCY '
Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling ri;K.-
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building El
• . . . 2 -car attached garage E''
Other:
• Accessory Building
. One-car detached garage ❑
l Other work. Describe- • • Two car detached garage ❑
Private chicken house ❑
. Private storage building CI
Other:
ZONING SPECIFICATIONS. Eill,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
- Ituilding(s) in solid line.
Size of property . . ) n ft. x .2 G-.2. . . . ft.
Size and use of existing buildings, if any
F N tea, >,y 2., 9 a.-c y-e._
s W Size of proposed building . . • R. . . ft.x . 2s�. . . . . ft.
Height(from grade to ridge) t Z; ft.
//� Front yard _
Side yards • r-}�, ft. and . . ..Z, . ft.
0,) 'I cyr F,;/1.. SOUTH 1 \V If on corner,setback from side street . . . . ..5 J ft.. .
Y Note: All.distances are net, as measured from street side
line to nearest part of building.
1 VER) .
7-73-M .
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.' ViT.3•r .1%:'
Will any second-hand lumber be used? 1r� If so, for what2
Material of foundation walls ‹..D.hr 6'' '7-4 Thickness . . .8 6
Depth of foundation walls below grade & 1 Continuous foundation? . .
Will there be a cellar? . , .big1/s' If so, material of cellar floor C,2�/#.( .•'e 1""9"-
Type of roof: Sloped or fla ? . .....�.Ib/..g/Material of roof 41/,--Aa,a 1
Size,wood studs "x c. ", spacing ,e— "o.c., length. . . ., ft.
Size, floor beams, 1st floor "Z "x I Ls9 ", spacing l 4, "o.c., span . . . .,).4t ft.
Size, floor beams, 2nd floor . . . . . :7. . . ." x I b ", spacing / , "o.c., span . . . ./ ,tom,'. . . . . . ft.
Size, ceiling beams " x 1P ", spacing ) 4 "o.c., span . . . 2. .,. . . . . . . ft.
Size, roof rafters or beams -z " x Ps ", spacing /.../.. "o.c., span . . . / . . . . . ft.
Exterior finish •�• •�.64f/-?: 0,�'� 12. • • With what material? Y//w�f
Finish of interior walls Gam,yr..‘a) • • • •D,4 2 rf'
If garage is to be attached, of what material is wall between garage main building to be constructed?
Is there to be an opening between garage and build ng? (grr1 -
Kind of heating system ' -5-y.7 Ai. /Lip, Oil burner or coal? /
Will a flue-lined chimney be provided? t ti • • • • Depth of chimney foundation below grade . ea
Height of chimney above roof `
Will there be a fireplace? /". Depth of fireplace,hearth N. J f 6
Will a toilet be installed' P-;-`, -
Will a kitchen sink be installed and cone ected to water supply? 4/ f. ._
Water supply (public water supply or pump) P )f-1
115
Distance of cesspool from any private well / feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . . .(,�'
Town of Queensbury AFFIDAVIT
County of Warren -
State of New'York-\ - :
I swear that to tt, ba i 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.a.�lets statement of all proposed work to be done on the descri premises an that all •visions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the propo w rk shall pliedi4,whether or not,
and that such worleis authorized by the owner.
Sworn to before me this Signature a~
0 R.OW ER AGENT.ARCHIT CT,Co 'TRACTOR
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 Z
2 . Type of heat iL _/?, • A' Fig POvp
3 . Is the building mechanically cooled? LiV- s_
4 . Percentage of area of windows and doors
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
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
g .3S
' 2 . R value of exterior walls g. _;�
3 . R value of glazed area a- 2.
4 . R value of doors /` . ,, __c
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.tof heated basement/cellar walls (above grade) p_ 7
9 . R value of heated basement/cellar walls (below grade) 177. -2
10 . Type of insulation A- FA? 4 pzu g%Q
C. Controls ,� ®�
1 . Thermostat maximum heat setting 4
7 {-�bz 04 75
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES
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
2. Temperature control setting maximum % 4,0t` / 4/O ryi'i-j( ,
G. For Swimming Pool Only
1 . Maximum heating
Telephone No.
(applicant ' s signature)
TOWN OF OUEENSBURY
BUILDING & ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner ' s Name (rt
Address � " 'r trtii1 ` ( • `e.:.
. A / e 1.)Telephone No. `� 2„ z
2. Property location r ' fz)
3 . Name of person or firm responsible for installing system
et(A74-7# .&E;) L g ; Telephone No. 79 3 7
Address
4. Number of bedrooms (residential buildings only) 7
5. Daily flow './5_0 gallons/day
6. Septic tank capacity /t0 gallons
7. Topography: flat, rolling, steep
% of slope C;
8 . Nature of soil and depth ? f,� r e L
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? `z . 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 0.1 ) L
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 $250 as provi. -d for in Section 6 .010 of the
Queensbury Sanitary Sewage Ordinance.
Ade
Date - f ��
/ nature of apply t
On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself.
4 cr::V./Z$L-
Form 3-8 2
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/"I. e i, x{£ t 2,0":e y COUNTY \Oil/-7 .—
STREET AND NO.OR' +,
ROAD AND POLE NO. ` " \(' 4 T•f% L1 -qsI4 POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS PREMISES LOCATED? r" 'A.11/ - \I1 t. f•'r/t 1 t. _J t e,*1 SECTION BLOCK LOT
OCCUPANT'S BUILDING
NAME l ti J 1 1 , k t r k' OCCUPANCY \Th, ,\ 17 11 I r-,J *;
OWNER'S NAME
AND ADDRESS 1„.,1 " . Lk k 52.4./ 1 tS - / r''t t N.ir�,�+, 1
CURRENT
SUPPLIED
BY �,, '' !) ) ) FROM THEIR WORK J-,-, / I: 4,1,, �- 5 ,r, , OFFICE
•BUILDING NEW S!J OLD El REMODELED III IS (12 ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
1
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. o Watts N A.W.G. WATTS
Wall RecepYlsEach Each GaugeNO. 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 Y r , CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED '••i—� I COMPLETED SIZE OF SIGN
SERVICE — 0
ENTERS MAKER
BUILDING /- L OF SIGN
INSPECTION REQUESTED + -
ON OR AS NEAR AS
POSSIBLE NEW OLD El
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF / fT J DATE OF
APPLICANT -j- 4;��, )(i, J '1— IJ;- G- L' C APPLICATION C g' �,�,
STREET ADDRESS ) ) )-.(1 ( ! I 'J s
POST OFFICE l_ /_ T copy LICENSE WHEN APPLICABLE ._
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBU RY
Building Department
Inspectors Report Date 7//7�'4'
Name W m , ff tt k
Location V i c ,
Permit No: .(c S'7 Weather
Remarks .
Exca$ation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing40AIL__ •
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
'Ceilin
Building Inspector
REMARKS
•
TOWN OF'QUEENSBURY
Building Department
Inspectors Report - • Date 9741V1
Name k\o ( ,u e S yucict
_5
Location �o i ,�j
Permit No. 'ASS LU WVeather
Remarks
• Excat'ation •
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 , ®ate i//d/f'
Nametr,�T�-1:'I G '7
-Location 0. , e,A7)7L 1 14 7,
. Permit No. ��,rT Weather
6'6 L&'.5, G p air n 4. Remarks
Excavation
Footing Forms e> 0�
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 F
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors '
Insulation Foundation '
Walls
Ceilin
Building Inspector
REMARKS
.,
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