8740 BUILDING PERMIT
TOWN OF QUEENSBURY No 8740
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John R. Buchanan
_ 4
Reardon Road and on Glen Lake O
OWNER of property located at Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Alterations to dwelling .
at the above location in accordance to application together with plot plans and other information hereto filed and f7tl
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is RD #1
Reardon Road
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Wesley Veysey
3. CONTRACTOR or BUILDERS Address
61 MacArthur Drive
Glens Falls, New York
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4. ARCHITECT'S Name ¢'
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5. ARCHITECT'S Address ¢+
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6. TYPE of Construction—(Plesse indicate by X)
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1 1-Wood Frame ( ).Masonry 11 Steel
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7. PLANS and Specifications ti
perimeter of dwelling to remain but roof and x
No. interior to be altered M
per plot plan,
8. Proposed Use
One-Family Dwelling - alterations to roof and interior
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$5. 00 C/O Paid M
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$ _30-00 PERMIT FEE PAID—THIS PERMIT EXPIRES p t9
�r,i 1 1
(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.) O
Dated at the Town of Queensbury this 5th Day of S Apt 9=ber lArt
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SIGNED BY for the Town of Queensbury 0+
Building and Zoning Inspect
TOWN OF QUEENSBURY
(Space inside block to he filled in by
WARREN COUNTY, NEW. YORK Building Inspector)
for for Application No. :
Permit Issued • 19. .
BUILDING AND ZONING PERMIT Permit Expires. lc).
/Arnim.: District .
\ aloe „l \\',rrk• .,I
THREE (3) Copies of a PLOT PLAN, Drawn to scale API)"cd by ✓ \ �n
showing the actual dimensions of the lot to be built Its+„arks
upon, The exact size, and location on the lot of the .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
1 95.1— 3 - /7 9/V& DATE TOWN OF QUEENSBURY
I) A PERMIT MUST BE OBTAINED. BEFORE BEGINNING WORK J 6 198�
ANSWER ALL OF THE FOLLOWING. ,
The undersigned hereby applies for a permit to do the following work Al2.M; TUB L_0 -��"""-P.M.
which will be done in accordance with the description, plans and specifi- ,.7i819t14�111l21421314J5I6
,,i_ G_-P- i P. L s I C • WJ
cations, and such special conditions as may be indicated on the permit.
04tn (�. L
The owner of this aropertLis:4 a cl t h4�t
(P.O.ADDRESS)
The pe son responsibi • for 'supervision of the work insofar insofar as the Bt ild}'ng Code and the Zoning Ordinance apply is:
dN Ca
• /' ' /(NA - (P O.ADDRESS) -
Name of Builder. . . .: ',71 r• Address
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work?P Yl.a`yo 0 0
Name of Village .
Name of Street . . ,ee �Pf d.. . . Side of street: north 0, east $, south 0. west 0
Nearest Cross Street . ./. P //// /2(,"!/' Distance from this cross street Ft.
Property is north ' 0,south 0,east i 1, west. 0 from Cross Street
If on/Corner, which corner, northeast ❑, northwest ❑, southeast ❑, southwest
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. (Designate by marking with an "X" in the correct space.)
. NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Buittiing
❑ Addition to a.building. One-family dwelling
Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
• r / Other:
. . .i.It. . . .p.e:c i,n.Lr.-e r. . of .'t:�,P_ . .4ti.,f ,:r,a:� .t.s . . Accessory Building
• One-car detached garage
O Oth• er work. Describe:?''. . . . ..C_. ,- ' i.... .-. .Z"1./ r^l Two car detached garage ❑
/l/; /43 / 1 i1 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 building(s) in dotted line and existing
luilding(s) in solid line.
I. N. Lot, 6-e . Size of property . . l 0 ft. x A° ft.
f�l Size and use of existing buildings, if any
F .
y
e P W Size of proposed building ft.x ft.
.. Jj . • Height(from grade to ridge) ® ft.
)1f - Front yard • . • eO ft.
/e /
Side yards / ��J ft. and VC) ft.
i/Ct', •r�/i k . 0 Rear yard 3 C> f , ft.
SOUTH If on corner,setback from side street ft.. .
iNote: All distances are net, as measured from street side
line to nearest part of building.
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(OVER)
7-73—m
(cont'd.)
BUILDING SPECIFICATIONS., •
Kind of construction: , ..o. fl ra , fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • •
Will any second-hand lumbei be used?1G:/"J(6 If so, for what7
Material of foundation walls u / . . `0
G ,l ,
Thickness
Depth of foundation walls below grade< Continuous foundation?
Will there be a cellar? /\I 0 _ If so, material of cellar floor //
Type of roof: Sloped or flat? . .:?.S`' ' . • • • • • Material of roof . ..A /V, i/• S Iv ��
Size, wood studs r-.-� " x y ", spacing /' "o.c., length ft.
Size, floor beams, 1st floor �C• "x ", spacing . . . . ,;!- . . . . . . ."o.c., span . . ,/G j ft.
Size, floor beams, 2nd floor " x /O ", spacing iG "o.c., span ✓ ft.
Size, ceiling beams " x �,,, ", spacing "o.c., span ft.
Size, roof rafters or beams / " x v ", spacing /� "o.c., span . ../.2-" ft.
Exterior finish S0 rr = -1,/��"�G`k 5/% `' 'T With what material?
S �ec Ce2.
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?
Will a flue-lined chimney be provided? . Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? i\I v Depth of fireplace hearth
Will a toilet be installed? c
Will a kitchen sink be installed and connected to water supply?
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?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt J,d,;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.,.p lete statement of all proposed work to be done on the described premises a d that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the p posed work shall be implied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature .......... ... .....e'% f/� '�^ k
� �(f/ OWNER.OER•S AGENT,ARCHITECT.CONTRACTOR
�
day of y 19....b.`7 Q
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By . .
I-
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 f/GU 1 5F
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2 . Type of heat /_.`��C 1• �P cfr'r�- c_
3 . Is the building mechanically cooled? 40
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
a. Are foundation wa is ins , to ? ) df", NO
1. If YES1 w at ' s the a e? ,
3 . Slab on grade l Y S
a. If YES , a/ s th R v e f i lsk - tion around
perimet- e of loot. 1 I
4 . Is basement ated. V I
a. R- value of ins 1 t ' o
5. Type of insulation /- ;
0
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls — 1 7
3 . R value of glazed area S
4 . R value of doors 1 1
5 . R value of floors over unheated spaces 11 -
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 FikrlW S
C. Controls Q
1 . Thermostat maximum heat setting e
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
E . Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2 . R value of pip insulation
F . Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. j - — ,? ?ice / gL.7'(applica6t ' s si4nare)
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
TEMP.# DATE
_CITY OR r—
VILLAGE`--. /,''/ / li TOWNSHIP •l ) .-r, , COUNTY/-"c.>t` !.. , o""-\_�
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STREET AND NO.OR :" / 1 /,
ROAD AND POLE NO. it..r -/r' {'(t.d 7- / r / POLE NO.
BETWEEN WHAT TWO _
STEETS IS
PREMSIS SL OCATED? / r', />_?// SECTION BLOCK LOT
OCCUPANT'S _ BUILDING -
NAME '•_-i [ +°. ./'•-. 9r . r: A) %, , __ OCCUPANCY - .
OWNER'S NAME / J -
�:' ✓ . TEL.#
CURRENT
SUPPLIED '
BY 1,` - - /•/i,- i;r�,-:.. / FROM THEIR i OFFICE
BSUILDING NEW❑ OLD IN, IS
NEW ❑ ADDITIONAL '❑*" REMOV D DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
f Fixtures& BRANCH
NUMBER OF OUTLETS
Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE
Loca- ' ONLY
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
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Out-
side
Sub-
base
Base •
-
ment
1st Fl. �-- ff�,
/ -
2nd Fl. r •
3rd Fl.
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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 /4 CONCEALED TRANSFORMERS OF - , , VA
WORK TO BE 1 (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
• - SERVICE OVERHEAD UNDERGROUND MAKER
' ENTERS
BUILDING - OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW n OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF I r I/ .- DATE OF
APPLICANT /r�+/'. _ /',`'/ try'/ Ir APPLICATION
/ / 1.4- J r T , • .- / TELEPHONE# / / , -�> /STREETADDRESS �'� -='� - r' //
POST OFFICE , f•` CODE I. '•. ( /r LICENSE NO.
.. WHEN APPLICABLE
46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN ®F QUEE SBU Y
Building Department
Inspectors Report Date '2-A(13'`7)
Name " ic4
Locatio
Permit No. -i 7 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding I Masonry Veneer i
Rough Plbg. L.
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 l
Water Meter Inst.
Se tic A roval
Floors
Insulation Foundation
Walls _
Ceiling
Gam/ l6ill/
Building Inspector
REMARKS
INFORMATION FOR BUILDING DEPARTMENT
r-1- 14. ACtticet. >°2 6/6
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE.
THE NEW YORK BOARD OF FI UNDERWRITERS
ei
LOC TIO
DATE INSPECTOR
FORM IRO(REV.1/781
TOWN OF QUEENSBURY
Building Department
Inspectors Report /J Date gib 3
Name -TO{Lh /` . fj(.l c�Gin �n 1J
Location h R,i 4.(
Permit No. , '7 40 Weather
Remarks
Exca f>a t 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
\\)C1/1
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
'CC)4
Bui ding Inspector
REMARKS
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