8730 BUILDING PERMIT
TOWN OF QUEENSBURY No. 8730
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Forest and Donna Bevins ►�
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OWNER of property located at Corinth Road Street,Road or Ave.
s
in the Town of Queensbury,To Construct or place a one-Family Dwelling (contemporary solar) p
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.
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t. OWNER'S Address is RD #2 �
Glens Falls, N. Y.
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2. CONTRACTOR or BUILDERS Name I-'^
Same c'
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3. CONTRACTOR or BUILDERS Address
Same
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4. ARCHITECT'S Name O
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6. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( )Masonry ( )steel O Concrete Block/L4lood Frame ,
earth banked 3 sides
7. PLANS and Specifications
No 25'x46' per plot plan, specifications and application •n o
submitted. Using existing septic system. 0 M
8. Proposed Use
One-Family Dwelling (comtemporary solar) o
$5. 00 C/O Paid
$ 91. 00 PERMIT FEE PAyID—THIS PERMIT EXPIRES March 1 �g 85 Q Fa
(If a longer period is required an appiiation for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the exE ration date.)
Dated at the Town of Queensbury this III 28th Day of August 19 84 0
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SIGNED BY for the Town of Queensbury
Building and Zoning I
i
(2
TOWN OF QUEENSBURY ` ,
(Space inside block to be filled in by o
WARREN COUNTY, NEW. YORK Building Inspector) r
Application for Application No. . (,
Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. lg.
% wing District , -
• \ aluuc nl \\'"rk$rn
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THREE (3) Copies of a PLOT PLAN, Drawn to scale API)"(II by l� -/j 'j
showing the actual dimensions of the lot to be built Ilt niair)(c
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. •
L / " t/ rr . . TG117"+3 OF QUEENSBURY
DATE Ti) R 3 E g y E -•,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORKill
ANSWER ALL OF THE FOLLOWING. F.til7 Z 4 19
The undersigned hereby applies for a permit to do the following work `� �� •�r j•
which will be done in accordance with the description, plans and s ecifi- A.m. 5C I'•m.,
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cations, and such special conditions as may be indicated on the permit. 718y213�_R ,4I '6
, , ,9I101112, _e .),14 , ,_ R,
The owner of this property is: _
F-0it;=% i A{,Am)A 'd:.l)$ A..) 5 7,7, U.4 lY-& Dnx 436,F9 GI'.
(NA';E) (P.O.ADDRESS) •
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P 0 ADDRESS)
Name of Builder v(4 rn r-. Address
Name of Plumber „Sri tr;(= Address
Name of Mason Sig r II& Address
Lot Number Unit Estimated value of proposed work S �,5 t 66'6
Name of Village . . .(7%i.tr C./1).3 few Q y
Name of Street . . COIZ t _",/--i-1 -Re A O Side of street: north 0, east j1., south O. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north ❑,south ❑,east 171, west 0 from Cross Street
If on Corner, which corner, northeast L1, northwest ❑, southeast ❑, southwest
. (Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY "
N Construction of a new building. Main Building
❑ Addition to a building. . One-family dwelling
Z.
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
• -car attached garage Cl
Other:
•
• Accessory Building
One-car detached garage ❑
0 Other work. Describe: US r ri 1 eX 1 SJ t et S Two-car detached garage ❑
Si'f171 G y� S l. e• ►''n Private chicken house El
V Private storage building ❑
. . .ag; ,<,.. . f/z±Li.5,_. Eai h ) q.i ed 3 St d es Other:
Con re cep/ S c) ICir. •
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 building(s) in dotted line and existing
• Co 2 ,t T't U RcJ Iuilding(s) in solid line.
Size of property /5 ft. x y0 ft.
is X ,�5G
Size and use of existing buildings, if any rr '•5loehri--
N
s Isu W Size of Proposed building . . . .,A5.. . . ft.x . . .1f.4'. . . . ft.
Height (from grade to ridge) ft.
Front yard /52 7 v co ft.
Side yards 4 0 i • V o ft. and J a k . 6'O ft.
Rear yard /0 ir X /3 2 / 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 .
•
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.
�oNf` 4
G6 T>✓ j(OC IC • �COL) P:\
Will any second-hand lumber be used? /0 0 If so, for what
Material of foundation walls . . .CO tO SC.E T.�: Thickness . . t>�. . .3�. .a�.z[. . . . . . . .
Depth of foundation walls below grade .
. . . . f. C"! . . . Continuous foundation? . M5
Will there be a cellar?.. . A-)0 If so, material of cellar floor
Type of roof: Sloped or flat? .Sic3.-(�1;. Material of roof . 'p i1 19 r.'T ern` ." i i ROO(. i/l) G
"
Size, wood studs r ; c a
' "x
", spacing =.l 4 "o.c., length. . . . (. . /. . . . ft. /( yt}
�'
�' /C
Size, floor beams, 1st floor :�. " x :S ", spacing "o.c., span j' / ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams . " x ", spacing /CT "o.c., span ft.
Size, roof rafters or beams oZ. . "x ", spacing "o.c., span I t- ft.
Exterior finish . . . .aaiaQ•D • • .`s' . With what material? 41.'000
Finish of interior walls. . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening.between garage and building?
Kind of heating system ' ' Oil burner or coal?
co
Will a flue-lined chimney be provided? y f 5- . Depth of chimney foundation below grade
Height of chimney above roof I` ��
Will there be a fireplace? ...112�: Depth of fireplace hearth
Will a toilet be installed? y.
Will a kitchen sink be installed and connected to water supply? Y6-6
Water supply (public water supply or pump) . .V.te 0• (2
Distance of cesspool from any private well . . . i!.Q feet
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, A, j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and coa.p'lete 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 me this Signature
OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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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 / Q. 5 SQ ,
2 . Type of heat G A5 •
3 . Is the building mechanically cooled? 'A)
.4.. Percentage of area of windows and doors ; z ;;
A. Over 16% Only
1 . U value of gross area of walls , roof/ceiling and floors
exposed to ambient' conditions y/ a e. J�CL¢ , 3 2 -
It&afo� T1..C. '1l — ® ao `� FCCd V nas.�- s O
2 . Floor over heated spaces YES ; NO `
a. Are foundation walls insulated? ' YES ' NO -
1. If YES , what is the R value? 5 R
3 . Slab on grade YES N1O
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 L.t) ST /s?0 FOCI I ) '' SIB g72G1.i 5 Bt$7L
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
4 . R value of doors
5 . R value of floors over unheated spaces R®F
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)
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10 . Type of insulation
C. Controls
1 . Thermostat maximum heat setting 9
D. Duct Systems
1 . Is duct system installed in unheated spaces? NO
a. If YES , R value of duct installation _ j) •
b. R value of duct in other areas oJJ
E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe . COP-PER
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.
`'r(applicant ' s signature)
TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
1. Owner' s Name FOfLC 5 ?- bl Air/3 OO,/nl A i3eVily'
Address ie ,n .2- 9b< 10- 4- '� >'Si1,17- AC -
?th'&/v,5 .&)/2- Telephone No.
2. Property location oFf :4✓i 4
3 . Name of person or firm responsible for installing system
OS /tir Telephone No.
Address
4. Number of b ro m )(r si iential buildings only)
Y)
5. wily f 11A1
gallons/day
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6. Septic tank cap c''ty r - gallons
7. _. .o raf t ollin steep
g P y: .� g. e ill
of slope /
T
8 Natui e of soil and depth
9. If g ound water, bedrock or impervious material is apparent at what
dept does it begin? ft.
10. Per .lation 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
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
signature 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.
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.
TEMP.# DATE
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CITY OR / -
VILLAGE �rl L1•it,l l 'Ft.1 f t 'j TOWNSHIP 0 jt i-1C7i v.IF' i COUNTY` 9�O
STREET AND NO.OR POLE NO.
ROAD AND POLE NO. �(i,2 l ,,J -1-t_' R(
BETWEEN WHAT TWO 111
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S BUILDING A,
NAME I'/)a71=.S r - L t/nt)S OCCUPANCY fU t
OWNER'S NAME �•-
AND ADDRESS 5 y YTl f k 0 L; ,,,) i?e y )l '. 1=) TEL.#
CURRENT
SBY UPPLIED 9 1 L( FROM THEIR (7,/ ,;-. rf,i /(s- OFFICE
BUILDING WNEW Q OLD III IS
NEW ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
•
NUMBER OF OUTLETS No.of Fixtures& BRANCH
Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loca- ONLY
tion Side Attat:h't H.P. Watts A.W.G.
Ceiling Wall Reeep'Is Switch Pendant Bracket No. Type Eaeh No. Each No. Geuge INSPECTION
Out-
side
Sub-
base
Base-
ment
1st Fl. 2 tJ V ,
2nd Fl. I
3rd Fl.
1
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 /.) t7 FEEDERS LAMPS WATTS
CHARACTER XPOSED GAS TUBE SIGN
OF WORK V 61 CONC-EED TRANSFORMERS OF VA
WORK TO BE _� - (NUMBER) (CAPACITY)
-
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER
•
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE - NEW 0 OLD •
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
APPLICANT fbe ij /-)I7////S DATE OF �( a�//G
{� ,. J �/� APPLICATION rl 1 O
STREET ADDRESS IN s Q �` ro YIC)X �/ V`1 TELEPHONE# 'l _ O ��,
CITY OR ` / /� ZIP t LICENSE NO.
POST OFFICE `r11/• / 1 f !?/G /! t// CODE / Cyr j WHEN APPLICABLE
46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBURY
• Building Department
•
Inspectors Report Date ,)5 -
Name R „1t=,2/9
Location rw„ .b /C Y
Permit No. 7-30 Weather
r�N4L "C'� %t5ek- Remarks
Excatia tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill i/ -- o, K
Final Survey
Framing (mot r7 2 t z6- ') Ur i
Sheathing
Roof Felt
Roofing I/ oz.L'F[J b, t�
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
Wa11s
Ceiling
• Building Inspector
REMARKS
j3.e�‘-,.--,-1 /0;3� -//!OD
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /0 '.2-2• gS^
Name /3�tl J)f1 Location CC 021:N f 1-( 12 b
Permit No. 77 3D Weather
I Nit1.-- F tiv Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
' Waterproofing
Backfill
Final Survey
Framing L' .4OFG jT.S I,GoT ZGoiFf� i IV
Sheathing
Roof Felt
Roofing // /2a Roo FiNL- L•le i/'t2r'4/ir
Siding 1/�' Nor FT ILLS/4-T 1;)
Masonry Veneer `'
Rough Plbg.
Relief Valves d/ O k
Wall Board �/
Ext. Porches ! 7�i r,
Finished Floor L., / .K
Interior Trim I� c��K
Stairs & Railings NIA
Cellar Dr. Tile
Concrete Floors
\:
Plbg. Fixtures / ,/(9 K, I
Gar. Fireproofingj/f l/ /}
Door Closers V NIA-
Chimney
r
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
614441 m 64,1W
Building Inspector
REMARKS a
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c,,, - Pi5N D'rt6-
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1) DL'%stva i 72/4v! nGo% /iitsi //, j)
TOWN OF jQUEENs URY
Building Department
Inspectors Report Date . /' l.,s,
Name '2C 7 i'�C� (/, n/j / //
Location (°l0 z,/'Vi-/-r 12-dj'
Permit No. 7 3 (7 Weather
, ////,Q ' i� Remarks
Excat>atzoh 1�- �
Footing Forms ' �27' ��
Footing & Piers •
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing i' .p j't
Roof Felt 'Ai
Roofing t4., JJ`T,9-V- (i__oini3O t 2%
Siding AJ0-17
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim .i4- 4 Jor),, S
Stairs & Railings ef-e- na.... j,r77A j(
Cellar Dr. Tile '�' , n
Concrete Floors
Plbg. Fixtures _ r
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst. \/
Septic Approval jg,,
Floors ji
Insulation Foundation 7- \
Walls
Ceiling I _�
t T
Building Inspector
REMARKS
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V?'oiu
TOWN OF QUEENSBURY
Building Department
z /3/ s—
Inspectors lz Date e
Name10 2e,s� ilSdat.),n15
Location G i,A-6/
Permit No. 'l 30 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 Flopr /
Interior Trim
Stairs & Railings I
Cellar Dr. Tile /
Concrete Floors /
Plbg. Fixtures %
Gar. Fireproofing ,l _
Door Closers
Chimney �.
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
/61-1>4 gjt3 -
Building Inspector
REMARKS
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date '-
Name
Location
Permit No. 77 3. c7 _ Weather
Remarks
Exca'ia ti on •
Footing Forms •
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey /4/,‘ :1
Framing "�I
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 R Date 9/ L Y3 1
Name 7'4/1 0
Location �. ("Lei
Permit No. 7 3° Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation J
Cement Coat 1// /
Waterproofing v
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 f'cl c) f !1 1
Name I�UR.c✓S e.(J, U
Location C-oIL'4' r+ mcv .Pi yzct Yi'ear1f
Permit No. �< Weather 6co fbiL a clue
J
37 36 Remarks
Excat'a tion
Footing Forms / r
Footing & Piers ,/"C7r
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
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