8565 BUILDING PERMIT
TOWN OF QUEENSBURY
No. A S F S
WARREN COUNTY, NEW YORK A
PERMISSION is hereby granted to Ronald Merletto
OWNER of property located at Lot 29 Zenas Drive (St. No. 22) Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling N
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.
�i
1. OWNER'S Address is F�
M
rt
rt
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2. CONTRACTOR or BUILDERS Name
Pro-Craft, Inc.
3. CONTRACTOR or BUILDER'S Address
co r
rt o
Zenas Drive rt
Glens Falls, New York z N
4. ARCHITECT'S Name 0 %.0
N
MM
N�
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5. ARCHITECT'S Address
d
Fi
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ►Masonry ( )Steel 1 1
7. PLANS and Specifications i
561x40' dwelling, 201x22' two•-cat attached
No. garage per plot plan, specifications and application
submitted including sewage system.
8. Proposed Use
O
One-Family Dwelling
$5. 00 C/O Paid
$ PERMIT FEE PAID —THIS PERMIT EXPIRES .Tama? 1 19�_ �
(if a longer period is required an application for an extension must be made to the Building.and Zoning inspector of the 17
town of Queensbury before the expiration date.) E
(D
Y
Dated at the Town of Queensbury this 13 th Day of June 19 84 �.
N.
SIGNED BY r for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to he filled in by
WARREN COUNTY, NEW. YORK Building Inspector)
for for Application No.
Permit Issued I9. .
BUILDING AND ZONING PERMIT Permit Expires. ICJ.
'Aiming. I)istric•t . .
• \ ;iltu (II Work.
THREE (3) Copies of a PLOT PLAN, Drawn to scale -\1'1"•"``'`I b • i'—��`e. / ����
showing the actual dimensions of the lot to be built Kcn,;irKS'
upon, The exact sire, and location on the lot of the ,
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
4-
. !TOWN OF QUE
DATEI'M ��
OBTAINED BEFORE BEGINNING WORK ,. , FFF C
A PERMIT MUST BE .1,'�4"l g�yC,���
ANSWER ALL OF THE FOLLOWING. Clr7 r a i_ 6vv P.M.
•
The undersigned hereby applies for a permit-to do the following work A-M. t� 1 2 3 4 51A
which will be done in accordance with the description, plans and specifi- 7I$19 , 1_m--t�-•--d� .
cations,- and such special conditions as may be indicated on the permit. `'- it''
The owner f this property is:
gonad kh e,--{ e 7ro
INA`.E) (P.O.ADDRESS)
The person re ponsibie for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
•f` lLC 756 1, in.) ,
//(,NAME) / (P.O ADDRESS) �--
Name of Builder i/w e F I / AjC- Address 2&7 J S ,(d2- 6'r ,C,
Name of Plumber T kti L STty !✓5- Address 59 /9 7`
Name of Mason J'.4`3 57 2, Z C= . . . . . . . .Address . . . .,e 7.-7/9-4 V. . . . . . . . . . . . . . . . . . . . .
:'c ILot Number t Gf. . Unit Estimated value of proposed works . . . t bJ .6 6 a
` Name of Village . . . . .a.0 0 E. . . 3 l_
2,12 Name of Street �� 7J • l Li. Side of street: north �, east asouth 0. west ❑
` ' Nearest Cross Street He 6'//./)L.7). . ,G7,Ce Distance from this cross street 0b 6 Ft.
Property is north 0,south ❑,east X, 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
Construction of a new building. Main Building
. ❑ Addition to a building. , One-family dwelling .:._).,/ CC th LS.
❑ Alteration to a building. Two-family dwelling 0
0 Demolition of a building. -family apartment house ❑
Store building ❑
. . .02.- -car attached garage f /
Other:
• Accessory Building
• • One-car detached garage El
l] Other work. Describe Two-car •detached garage ❑
010 t x .1.2 ' 1--4)•o e ,-- - Private chicken house ❑
/ Private storage building ❑
• 4 71 Or. .74ha j: 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 buildings) in'dotted line and existing
lluilding(s) in solid line. c_ / J
Size of property //✓ ft. x / `j/ ft.
Size and use of existing buildings, if any
F LO)z N
H t
s w Size of proposed building . . , . .,j. ft.x . . . . . WO . ft.
\ Height(from grade to ridge) /.6 ft.
. Front yard 3.2 f ft.
Side yards • ,.5 6) ft. and z..S— ft.
'L/v S D 2 Rear yard `Z 3 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.,
Kind of construction: Wood frame, fire safe, etc.'
A)60 D 1=2 A- Ai
Will any second-hand lumber be used?1� c Nv If so, for what?
Lo k Thickness . .IP
Material of foundation walls r
Depth of foundation walls below grade $ Continuous foundation?
Will there be a cellar? )I $ If so, material of cellar floor . . .'. . .c s- c.. . .SC.
Type of roof: Sloped or flat? . . cS'L.D./?t . . . Material o roof
Size,wood studs . "x 6 ", spacing cAZ"o.c., length $ ft.
�Z x e", spacing /' . o.c., span.Size, floor beams, 1st floor " p g � " p ,/d. ft.
Size, floor beams, 2nd floor x ", spacing "o.c., span ft.
Size, ceilingbeams ", spacing "o.c., span ft.
��s �T . . o.c., span .3. ft.
Size, roof rafters or beams
x ", spacing
Exterior finish / 2{'t/G-' With what material? . .
Finish of interior walls c/SLC7 v G/C
If garage is to be attached, of what material is wall between garage and mai bui<IQin to be constructed?
Q2 )(62 a�L'� W I i—;;' . . . . a�.
Is there to be an opening between garage and building?
Kind of heating system LL- Oil burner or coal?
Will a flue-lined chimney be provided? 4/v • Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? By U Depth of fireplace hearth Will a toilet be installed? • y
Will a kitchen sink be installed and connected to water 2supply?
Water supply (public water supply or pump)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? . . .�' S
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt-b r of my knowledge and belief the statements contained in this application,together with the lane and specifications sub-
mitted, are a true and cr,.,.•lete statement of all proposed work to be done on the described premises and that a�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 me this Signature ...... . .. ER AEF�fJSJo �L C/1._............. ....
0 NER.0 A ONTRACTOR/
day of 19. . �(�
NOTARY PUBLIC, WARREN CO,UNTY.'N. Y.
SPECIAL CONDITIONS.OF THE PERMIT:
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By
TOWN OF QUEFNSBURY-
BUILDING & ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner ' s Name d in- ZGLT/d
Address '7--L A-.S '7)Q i
L LTU /}-L L S _ Telephone No.
2. Property location Lo r // '21
3 . Name of person or firm responsible for installing system
•
Kee, — ete-4-FT/N , Telephone No. 798' /3 ,3 3
Address Z(-77 J -S S` fv
4. Number of bedrooms (residential buildings only)
5. Daily flow gallons/day
= 6. Septic tank capacity / Y O ?f gallons
7. Topography: 40.
rolling, steep
% of slope •
8. Nature of soil and depth „/g'ti7) "
9. If ground water, bedrock or impervious....material is apparent at what
depth does it begin? -- ft.
. 10. Percolation test: A is required
B L/ . is not, required
C If required what is the rate minutes/inch
- 11. Water supply: municipal, well, other.: . An/Ay/ e /cif 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,
;—x-- -. does not have an approved permit, or varies.-.=from the approved application
. will .be subject to a penalty of $250 as ptovided for in Section 6 .010 of the
Queensbury0/7/1/
SSanittary Sewage Ordinance.
Date .-
' sig ture of applicant'
/Ld
On separate sheet of paper submit a diagram of ther oseic 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.
/, 0-0 0
etyyForm 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 c ,2/f� '4
2 . Type of heat 1 gz.6.;.G •
•
3 . Is the building mechanically .cooled?' 1tfO
4 . Percentage of area of windows and doors / Ua2-
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 /r 1l
�„
4 . R value of doors ,5
`
5. R value of floors over unheated spaces Tell
i •
6. R value of slab edge insulation - unheated slab /v/fr
it
7 . R value of slab insulation - heated slab /0, g� z S�yeo
8. R value of heated basement/cellar walls (above grade) /`i//
9 . R value of heated basement/cellar walls (below grade) // / .
10 . Type of insulation 1-1 6j 6 Gt, AS )-5/9-7T-1 5 .
C. Controls-1 . Thermostat maximum heat setting !�I
S-----O
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
a. If YES , R. value of duct installation � /
b. R value of duct in other areas /V
E . Piping Insulation
1. Size of hot water or cooling carrying agent pipe Ai
2 . R value of pipe insulation
F. Service Water Heating '
1. Performance efficiency gi "o
2. Temperature control setting maximum /VOa
G. For Swimming Pool Only 1�
1. Maximum heating /
c
Telephone No. �� r J335. 4,, ,
.
. f (applicant ' s signatu )
' •
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 SI TOWNSHIP t I _ •' '+• a COUNTY f/, j-. `i'1., %it}
STREET AND NO.OR L- r t
ROAD AND POLE NO. i !: ./ ` ,—!-'-/ �J-J1 e-',4 i f e POLE NO.
BETWEEN TWO /l PREMISES RWHAT LOCATED? /t) S / /.~+~ I / r t %:j ! 1) Dfi SECTION '" BLOCK - LOT
OCCUPANT'S t� I_ _ BUILDING
NAME i`. . -., /''• i:+ t• .�` ._j OCCUPANCY
OWNER'S NAME
AND ADDRESS L`j7✓ C if.k�• j f - t- /
SUPPLIED f— ,+/9(� /"�
BY FROM THEIR f OFFICE
B •
DEFECTS
SUILDING NEW,C� OLD❑ REMODELED O. WORKSNEW .,E1,' ADDITIONAL❑' REMOVED ❑ •
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No. e MOTORS HEATERS LAMPS
Lamp of ReceptaFixturescles BRANCH
CIRCUITS
Loca- _
tion •
Ceiling Side Attach't Switch Pendent Bracket No. Type H.P. No. Watts. No. A W.G. NO WATTS
Wall Recept'Is -Each EachGauge 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.
OF ) ELECTRIC SIGN TOTAL
SIZE
MAINS �;.( 0 0 /i,.� ��/'¢' 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 n n
POSSIBLE NEW I I OLD I I
r
AVOID DELAY B GIVING FULL AND ACCURATE NFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF ({/,J � � r.�J/
APPLICANT �`-�"'�'�l APPLICATION r `f !
r i
- STREET ADDRESS > ,Qi"I rites +/ +"!
CITYfir
POST OFFICE !C `� l CODE ZIP j WHEN APPLICABLE
A CFPARATF APPI ICATInN MI IST RP PII Fn FnR FA(_H CFPARATF RI III flIN(_ '
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date Jr`i 3/,�
Name pa ���f . 1!J_') ie7`'T
Location Lb a" A-s- On--
Permit No. 2 S c; Weather
P-a, • )2 sr Remarks
Excavation �4 Q ,�
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 i,/'
Ext. Porches i/,''
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. FireproofingL/- c/h—
Door Closers
Chimney l�
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
'Ceiling "
uilding Inspector
I REMARKS
S on,a kx
•
TOWN OF•QUEENSBURY
Building Department
Inspeciot Report Date 7 %�-b �/
Naine_____J° O —C -F-r— ('71 / T2i
Location LoT' 7.t/U4 .s %z
Permit No. 4 Weather
Remarks
ExcaOat 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
Septic Approval
Floors
Insulation Foundation '
Walls '
Ceiling " '
Building Inspector
REMARKS
vac,
ri,k CVS
• TOWN OF'QUEENSBIJRY
Building Department
•
Inspectors Resort Date ( ./// / c'
Name 12o 4/• /J?C Lac/ / -
Location 441.q-.5- ,02
Permit No. { al Weather
6,5-ly s • Remarks
Excatja ti on /
Footing Forms �,-� 6,,K .
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 FO�ndation
Walls
'Ceiling '
4 �
BuTding Inspector
REMARKS
il
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