8625 BUILDING PERMIT
TOWN OF QUEENSBURY No 8625
WARREN COUNTY, NEW YORK
M
PERMISSION is hereby granted to Michael Lesperance I
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OWNER of property located at Lot 80 Brickoven Road Street,Road or Ave. b
tD
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 n
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. " M
1. OWNER'SAddresais 47 Jude Lane
Scotia, New York 12302
2. CONTRACTOR or BUILDER'S Name
Robert Weaver
3. CONTRACTOR or BUILDER'S Address Q
117 Gansevoort Road rt
South Glens Falls, New York 00
0
4. ARCHITECT'S Name
bid
W
A
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5. ARCHITECT'S Address
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to
6. TYPE of Construction—(Please indicate by X)
(74 Wood Frame I ►Masonry ( )Steel 1 ►
7. PLANS and Specifications
68 'x24 ' per plot plan, specifications and
No. application submitted including 2 car attached
garage and sewage system. O
8. Proposed Use
fD
I
One-Family Dwelling
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$5. 00 C/O Paid ~'
$ 143. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 1 19-15 v
(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 the expiration date.) I
N
Dated at the Town of Queensbury this 9th Day of July 19 84
SIGNED BY ///� (�• i(/p.� PJ for the Town of Queensbury
Building and Zoning I
TOWN OF QUEENSBURY (Space inside block to by filled in by
WARREN COUNTY, NEW. YORK Building Inspector)
PPlication for Application No.
Permit Issued 19-
BUILDING AND ZONING PERMIT Permit Expires. lg.
• /.uiiiii •District
THREE (3) Copies of a PLOT PLAN, Drawn to scale -\I)I Div,`ccl by
showing.the actual dimensions of the lot to be built Itcmar)Cf'.
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
��qq// /Q�� �7 16 TOWN 'O!n�jr QUEENSEI Y
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ,lui,_ 6 i o I`
ANSWER ALL OF THE FOLLOWING. A.M. l d- �� '•s . �-
The undersigned hereby applies•for-a permit.:•to do the following work • 71g191101111211)213141516
which will be done in accordance with the description, plans and specifi- ° ' , ,
cations, and such special conditions as may be indicated on the permit. CIO I ''iC'
The owner of this roperty is:c^
(NA•-.E) (P.O.ADDRESS)
T person responsible.for supervision of the work insofar as the _Building Code and the Zoning Ordinance apply is:
(NAM) (P 0.ADDRESS)
�t� f ? �Ns_t/�0ler gb 5 6 F
Name of Builder. . Address (. . .G •i
Name of Plumber. . 1) 1 C-0 '`•)t `z 1 '1-- `i)l- / Address •
Name of Mason . t c; -iS US<e._ •� Address
Lot Number. . . Unit[a t)Fc Y . )`sumafe l v52, alue of proposed work S FS5 e-
Name of Village
Name of Street . . (.Ca<QU .N Side of street: north 'E, east 0, south 0. west 0
Nearest Cross Street . . . .0-.U.°1-AZ- Distance from this cross street 3. . c'b Ft.
Property is north ' ❑,south"g.,east , west. ❑from Cross Street
If on Corner, which corner, northeast " ', northwest 0, southeast ❑. 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
-21
❑ Alteration to a building.
Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building El
77. -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, 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.
Z0—t)
Size of property. . f ff.?). . . • . . ft. x ft.
Size and use of existing buildings, if any
F
H
a W b" Size of proposed building . . . •• • ft.x . ..a: • • • • • ft.
Height(from grade to ridge) 27 ft.
Front.yard 70 ft.
Side yards 3.7 ft. and ti� ft.
Rear yard Jo G 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 constructio od• Wo frame, I g safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber fiie—used? ,,k1 . . . If so, for what ,
`° rt ' (� Thickness
Material of foundation walls / ,
C it ' Contin ous foundation?
Depth of foundation walls be ow rade •�
Will there be a r? . . IL- If so, material of cellar floor . . . f/0 foc j
Type of roo • Sloped or flat? Material of roof . . . . V•C! L — z 4,-N�&L . . . .
Size,wood stu s "x 7 ", spacing / "o.c., length �• ft.
Size, floor beams, 1st floor 4... . . "x Y ", spacing / "o.c., span %L ft.
Size, floor beams, 2nd floor 2— . ." x to ", spacing / G "o.c., span i "-- ft.
Size, ceiling beams . . ... . . . . . .j g(.)55x2. ", spacing Z "o.c., span . . ft.
Size, roof rafters or beams "x ",.spacing "o.c., span ft.
Exterior finish �� I�(60iT-_-2 With what material? p/A)L
Finish of interior walls
If garage is to be attached, of what material is.wall between garage and main building to be constructed?
-lK.tCe. -a?._ S/Roc-
Is there to be an opening between garage and building? y`._S'
Kind of heating system 2 C. C t l?
Will a flue-lined chimney be provided? .r� — s • Depth of chimneyfoundation below grade . . . . '3'Height of chimney above roof 2
Will there be a fireplace? . . . .(--(2.. Depth of fireplace hearth Z 4'
Will a toilet be installed �S
Will a kitchen s• lled and connected to water supply? 7--43
Water supp y_(•public water pply or pump)
Distance of cesspoo rom any private well . N/ feet
Y
Will drainage system be provided with required traps, cleanouts, and vents? / ± 5
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt bc�r of my know,Iedge and belief the statements contained in thin application,together with the plans and specifications sub-
mitted, area true and co.i.pplete 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 prop rk shall be complied with,whether specified or not,
and that such work is authorized by the owner. l
Sworn to before me this Signature (�0
cl OWN R.OWNER'S AGENT.ARCHITECT,CONTRACTOR
day of la 19.z�.
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
•
L -U _ TOWN OF QUEENSBURY
G7
. Ft S �c r i a� 3.
• 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
2• , Type of •heat . 16.1615,ck_,
3 . Is. the building mechanically cooled? C)
•• 4 .:•. Pei-centage of area of windows , and doors ,7j
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
-nifsc -R 3 8 rc-\um ko
2 . R value of exterior walls
. 3 . R value of glazed area Z
4 . R value of doors 1 \4
• 5. R value of floors over 'heated spaces ts/a
6. R value of slab edge insulation - unheated slab Nk s-
• • • • . 7 . R value of slab insulation - heated slab
•
8 . R value of heated basement/cellar walls (above grade) yiq
9 . R value of heated basement/cellar walls (below grade)
10. Type of insulation ,1 btt & A Vv►t.., �-
C. Controls
1 . Thermostat maximum heat 'setting t•
'`:',S
D. Duct Systems
1 . Is duct system instal4ed in unhe. ed spaces? YES NO
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
G. For Swimming Pool Only
1. Maximum heating
•
Telephone No. 3cj , 0 VY '') YV , LDS (2-(0I1x--2--
GA 7o / 7 2_ ) (G E). (applicant' s signature)
r ( �
r 0 2-
TOWN OF QURFNSBURY
BUILDING & ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner ' s Name m 1 c.4(2 _(_
Address LC? v i)2_
'SCo I o Pr 1 L -a isizy k2_?o2 Telephone No. 7 ( - 7 2_ co
2. Property location ) F=p--) C�LOS -
3 . Name of person or firm responsible for installing system
A- 1 C.L Telephone No. 7 c 0 4
Address VV1 t'ok be_
4. Number of bedrooms (residential buildings only) 7
5. Daily - flow gallons/day
6. Septic tank capacity (Ns- j 3 c1)As Qurjf.iia, i 5 gallons
7. Topography: 41ftrolling, steep
% of slope
8. Nature of soil and depth S Nq.l / 5 hd
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? OP- 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
12. Type of system proposed: drywell, tile field, other elk) Pi
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 )(
sig ature of applicant
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.
MO F.n ,D) s7; /36).
17// .2s nT /2/7 ' L ef-el f !d
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 (j(J L��L)J fjr U I' TOWNSHIP COUNTY ZCi-Aic-<-)E2 AI
STREET AND NO.OR
ROAD AND POLE NO, POLE NO.
BETWEEN WHAT TWO '-'
CROSS STREETS IS /1 --• it- ic. _I fl!!1
PREMISES LOCATED? ,j; I /-Y`Z.. \I U") IC K-O V' It/ SECTION BLOCK LOT
OCCUPANT'S J BUILDING '''��\
NAME OCCUPANCY -Pt C C ( fL/ (.,
OWNER'S NAME. -/ n�- / J
AND ADDRESS Vt'\ <'SI _�(9 1`-'C L/-2 7✓DP z A-N 4.. S� F(/J /)' y- r 2 ,0 a_.
CURRENT 11 //(
BBYPPLIED ' l NI
FROM THEIR (Ti L. �!( "L , OFFICE
BUILDING / V Y 11 0 WORK / DEFECTS
IS NEW . OLD❑ REMODELED CI IS NEW ADDITIONAL El REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU NSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
Loca- -
tion Side Attach'? H.P. Watts A W.G. WATTS
Ceiling Wall Recept'Is Switch Pendent Bracket No. Type Each No. Each No. Gauge NO. 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 2 33-� 4 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 t )/l) F )% OGZ)(),k. OF SIGN '
INSPECTION REQUEST D ' • �j
NEAR AS
POSSIBLEA /1 ' C.
0 Li---- • NEW ` I OLD -
AVOID DELAY BY GIVING/ FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION AY BE RETURNED.
NAME OF C DATE OF
APPLICANT 1 ' ,� `�> ��t 7 �� N. APPLICATION �/� rl
STREET ADDRESS/'? �,( (>� /.� 1/ A 10 - !!!
pOST OFFICE�C __C�� 1q � '1�� ZIP CODE tz30 LICENE NO.
WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
•
TOWN OF•QUEENSBURY
•Building Department
•
Inspectors Report Date /9/.1
Name r'h r's�� _ /.e 5pe 4,je-
Location R,4c r),i'AJ r di
. Permit No. - r) $?/a a c Weather
NAB /( �L� Remarks
Excatya tl 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 ✓ _j�i
Ext. Porches
Finished Floor✓
Interior Trim '✓ yL✓
Stairs & Railing.�� (94 _—
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures ,✓ ���
Gar. Fireproofing ice; ( -"
Door Closers
Chimney • t
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation '
Walls
Ceiling
Building Inspector
REMARKS
TOWN OF•QU EENSBU RY
Building Department
Inspectors Report Date ///// y
. Name 141 r X • �',S7ZGc.,/�Jr
/_
Location f'3�t h /'/ • c_f/ ,a
. Permit No. 6 D- Weather
Remarks
Excat'a ton
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 1
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls '
'Ceiling
(—/4E
• Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department 4 '
Inspectors Report Date l/p !f
Name flit (-,} q e L e s n ek-aii c 9
Location G 2-e d f J
Permit No. 7 c Weather
Remarks
Excat'a tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
:/\:///1/
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
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