8755 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8755
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Seymour Resnick
OWNER of property located at Rockhur st Road Street,Road or Ave.
to
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in the Town of Queensbury,To Constructor place a Addition to dwelling (living area)
at the above location in accordance to application together with plot plans and other information hereto filed and O
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. sr
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1. OWNER'S Address is
1221 Union St. m
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Schenectady, New York
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2. CONTRACTOR or BUILDERS Name
Owen Sherman
3. CONTRACTOR or BUILDERS Address
New Vermont Road
Bolton Landing, New York o
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4. ARCHITECT'S Name
G
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5. ARCHITECTS Address 0
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6. TYPE of Construction—(Pease indicate by X)
(g)Wood Frame (x)Masonry ( )Steel
7' PLANS and Specifications 4 0 t x12' per plot plan, specifications and a
No. application submitted. ^sz
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8. Proposed Use 0
One-Family Dwelling (additional living area added)
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$5. 00 C/O Paid ' M
$60. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 19 85 1..j
(if a longer required F'f g period is r wired an xpirtifor an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 13 th Day of April 19 84
'SIGNED BY {Q�t.�y �C . for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY (Space inside block to Ix filled in by
WARREN COUNTY, NEW YORK Building Inspector) •
. A lication,for Application No.
�� Permit Issued - 19.
BUILDING AND ZONING PERMIT Permit Expires. , • 1g.
Zoning District +
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\1'1)"( ect by v /
showing the actual dimensions of the lot to be built ltcina1'KS'
upon, The exact size, and location on the lot of the .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
/ 5-- l— 3 f 4 - I - TOWN o� QUEE1vSBUR`;`
DAT RECEllVE �,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK r
ANSWER ALL OF THE FOLLOWING. r ��
The undersigned hereby applies for a permit to do the following work �• 0�
which will be done in accordance with the description, plans and specifi- A.M. ' 1'•N1•
cations, and such special conditions as may be indicated on the permit. 7)8)9)1Q)1j12)1)2), 41516
The owner of this prapert is: . `'� �< -�
54tgnotnr Kull i a )72 I /�r►'t apt Si. �er)anee., .j .,.1\ 6k.r. e?.k..
(NA`,IE) (P.O.ADDRESS) J
The person responsible for •supervision of the work ins far as t e BuildingCode an the ZoningOrdinance apply is: ,
Qt v 5)ey r,'.-ari . �e►kr �er t—,v t111 ' 1, `5, 1*-Lzrci . .L '� •J �"
(NAME) ,` (P.O.ADDRESS/ P �( I
Name of Builder L�G3Y•!. . .61`►E:�" '2y1'1.. ... . . ... ... . . . .Address 4�'a 'let!►°'!1cainf. Ve .' ,i1 1. 4(tr1
Name of Plumber 'S�.M'i Address 1^le, 0
Name of Mason 5 aryl Address 5 .v.v:t-c...
Lot Number. .`2.. . . . . . Unit Estimadue pf proposedork 3 f
.
Name of Village . t.4?e''t �tnr'n t . M.r-
Name of Street . a k•(.ulZ_1. .1 p.Q.- V Side of street: north _0, east 0, south 0. west 0
Nearest Cross Street Distance from this cross street . 35'L Ft.
Property is north 0,south ❑,east ri., west. ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑. southwest
(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 1
❑ Alteration to a building. Two-family dwelling • ❑
• ❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
• • Accessory Building
• . One-car detached garage ❑
❑ Other work. Describe: Two-car detached garage ❑
12 X 4i® A..),1 +,'�t,� `1' Private chicken house ❑
Private storage building ❑
roar t U.t.I.atn'13 . . 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 building(s) in dotted line and existing
luilding(s) in solid line.. .
Size of property . : I ft. x ) 2‘ P t.
Size and up of elxistin _buildings, if any 4 x 7i�
•
m Size of proposed building '1 ft.x . .I.a+ . . . . . ft.
Height (from grade to ridge,�))J�. . .�.� • 6 ft.
Front yard `r'7_ ft.
Side yards 2 ft.a and r/ 47 ft.
Rear yard , 2. i'l.1 vv.) 40 2,'1 t",e,-- ft.
SOUTH If on corner,setback from side street fkiA, 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., cl )) II�l - \'' `
Kind of construction: Wood frame, fire safe,, tc2 Ma spas?f't. l "ler 1• \tei 1 `�1 ei, 1.;-a '"tc tAfre .
Will any second-hand lumber be used? . . . 42 i If so,q r what II
Material of foundation walls . . . .0 b 11.4, . . a l e:r Thickness . .
Depth of foundation walls below grade Continuous foundation? —
Will there be a cellar? p Ifs , material of cellar floor ,
Type of roof: Sloped or flat ...51ar d.s. - Material of roof . . . . .1']'I+:+ \e 7,3
Size,wood studs I "x ' ", spacing ( "o.c., length. .s ft.
Size, floor beams, 1st floor " x ", spacing ` '' "o.c., span ft.
Size, floor beams, 2nd floor .r " x ) es ", spacing ! �� "o.c., span . . . . I .. ft.
Size, ceiling beams �K C1 • • • • " x •2A q 1' ", spacing "o.c., span . . .4�? ft.
Via!
Size, roof rafters or beano, ii "x . t. . .�°t..? v!.)1 .", spacing . . . . "o. ., span ft.
Exterior finish . . . . .1.V:1• With what material? .+4 a -
Finish of interior walls Vked71-.raek
If garage is totitexattached, of what material is wall between garage and main bui<Iding to be constructed?
Is there to be an opening betwe rage ndJ utlding? ��
Kind of heating system . .a.) 4 ►'t. .ga�,,. . .71. ., .k1r 1'l?i;.e. Oil burner or coal? r+ I
Will a flue-lined chimney be provided? . .��)�•iEJte.0.-. . Depth of chimney foundation below grade
Height of chimney above roof. . 5 '
Will there be a fireplace? . . 5.! K.I.aal!I\ Depth of fireplace hearth
Will a toilet be installed? .I��,l$ , 4.
Will a kitchen sink be installed and connected to waer`supply? . . .=X16 1 h ,
Water supply (public water supply or pump) . . ku.?i!L.
Distance of cesspool from any private well , . feet
Will drainage system be provided with required traps, cleanouts, and vents? riC 4.
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt, bard my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.a.p lete statement of all proposed work to be done the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the reposed work shall complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature 03!t Cte, s . 4,41 4, `
OWNER.OWNER'S AGENT,ARCHITECT,CONTRACTOR
1 ''W day of...6.erI ' 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 160 "Pif
to
2 . Type of heat
3 . Is the building mechanically cooled? 4iffa
4 . Percentage; of area ofwindows and doors ) e9 ®
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposedo. ambient conditions
2 . Floor over ;:lt*bed spaces E"S NO
a. Are foundatio, walls '' n`slated? YES NO
1. If YES , wha is £he R value?
•
3. Slab on grade Y - NO
a. If YES , wha'l is the Rvalue of insulation around
perimeteeof floor? .
4 . Is basement heated? YES Nb•
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1 . R va ue of roo and floorsxposed„tio ambient conditions
m maw--
2 . R value of exterior walls pq •
3.. R value of glazed area ' . . to q
7-4 . R- value of doors - / 4
1 Pk
ty'5 . R value of floors over unheated spaces N
6. R value of slab edge insulation - unheated slab !V 4
7. R value of slab insulation .- heated slab -' ')
8 . R value of heated basement/cellar walls (above grade) .a
9 . R value of heated basement/cellar walls below grade) 7C 111
10 . Type of insulation q rp 1 ,i/ ,
C. Controls
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct system installed in unheated spaces? )YES NO
a. If YES , R value of duct installation A/
b. R value of duct in other areas
E. Piping Insulation
1 . Size; of hot water or cooling carrying agent pipe XIA
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 r1�9
Telephone No. 694
- Zr7c5 oQie-e a
(applicant ' s signature)
TOWN OF QUEENSBURY
Building Department
Inks Report Date f://,3
Name / J4Ji C-
Location /Lot-ii
Permit No. f17 SS Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing 1CC
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. Fireproofin
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
Building Inspector
REMARKS
cle v /,/i iusQ
/ZUEW�S'f k— /iT S1D�
TOWNJJ OF QUEE SBURY
Building Department
Inspectors Reps Date d 2/7/1
Location /� C 6 r! c G0
Permit No. -17 S Weathew
Remarks
Exca'jia tion
Footing Forms
Footing & Piers
Foundation
Cement Coat ;Z. /fA___-
Waterproofing
Ba ckfi ll
Final Survey
Framing
Sheathing
Roof Felt /
Roofing ,l
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
Chime
Water Meter Inst.
' Se tic A roval
Floors
Insulation Foundation
Walls
Ceiling
/4,4 /51,
Building Inspector
REMARKS
•
TOWN OF•QUEENSBURY
Building Department•
/ /'
Inspectors Report Date r6J /.9
Name )57E:5 /C S
Location /',n, i i./ 5 -'
. Permit No. 7 S�; Weather
7))4 , 7ffg�/24.,4, CO/U7,P-__. Remarks
Excavation y
Footing Forms
Footing &-Piers jor
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 ,r`
Interior Trim
Stairs & Railings /
Cellar Dr. Tile /
Concrete Floors f
Plbg. Fixtures
Gar. Fireproofing ( I
Door Closers
Chimney
Water Meter Inst. 1
Septic Approval f
Floors ?
Insulation Foundation
Walls
Ceili g
Building Inspector
REMARKS
• 518/793-1695
011
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