8779 BUILDING PERMIT
TOWN OF QUEENSBURY
' WARREN COUNTY, NEW YORK No. R779
a
PERMISSION is hereby granted to Frank N. Parisi
OWNER of property located at Gunn Lane, C 1 emprda 7 p Street,Road or Ave. 'zi
in the Town of Queensbury,To Construct or place a Acicl i f-i can f n A el 1 i lt
, hi
3—(- �near ea
at the above location in accordance to application together with plot plans and other information hereto filed and M
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. '
N,
1. OWNER'S Address is
2772 Maida Lane
Schenectady, New York 12306
2. CONTRACTOR or BUILDERS Name
Gary Mordeau
3. CONTRACTOR or BUILDERS Address
428 Melrose St.
Schenectady, New York 12306
4. ARCHITECT'S Name (D
t7
H
5. ARCHITECT'S Address
ti
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Au
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6. TYPE of Construction—(Please indicate by X)
(,%4 Wood Frame ( 1 Masonry ( )Steel ( ) f r
7. PLANS and Specifications
28 'x24 ' per plot plan, specifications and
"O' application submitted and Var. 926 granted 9-19-84.
8. Proposed Use 3y
W
One-Family Dwelling (additional living area) N w
CN
$5. 00 C/O Paid '
40. 00
w
$ PERMIT FEE PAID—THIS PERMIT EXPIRES Apri 1 1 19�r„L r
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the H
town of Queensbury before the expiration date.) (D Os
Dated at the Town of Queensbury this 2'1st Day of_ September 19—_
N
SIGNED BY ► for the Town of Queensbury
Building and Zoning I n
i
3
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TOWN OF QUEEN&3URY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
pplication for Application No.
a Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. 1g.
"Lolling District
• \ aluc nl Work $ 1
THREE (31 Copies of a PLOT PLAN, Drawn to scale '\1'1 "�`'c1 bY i
showing the actual dimensions of the lot to be built Itc'marXS
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. •
TOWN OF QUEENSBURY
BY VARIA-Aft 9'96 �v. . �.,. �. \°I��f
la _ 3 - II RECEIIVE.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. SEP 2 01984
The undersigned hereby applies for a permit-to do the following work d' ° y�- -) 4
A.M: � l/ KM-
.
which will be done in accordance with the description, plans and specifi- ? 8FFg 1ry11 1 2 3 4'
cations, and such special conditions as may be indicated on the permit. , 1, t•1 e A l�il� i.j`l' .
•The owner of this property is: . , , �i
V` �� ' ' ' N.A, ' ' ' (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance appl
(NA''4E1 y is:
(NAME) (P.O.ADDRESS) ( 4
Name of Builder. Wts.so.‘.."\ • .6 . ` �'J Address .�. .,�. • ��•C•D S ✓U,.) A• N•�� !
Name of Plumber x Address \k- iDC
Name of Mason Address
Lot Number Unit Estimated value of proposed work c
Name of Village
Name of Street . . .( \/.•N\v‘• • . -•WNIVF(...- Side of street: north 0, east p, south O. west 0
Nearest Cross Street V.,` v ' 1•c-- • o
._ .• Distance from this cross street k0 Ft. ±
Property is north ❑,south ❑,east gt, west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast a southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY •
❑ Construction of a new building. Main Buittling
Addition to a building. One-family dwelling
Two-family dwelling ❑
❑ Alteration to a building. • -family apartment house ❑
❑ Demolition of a building.
• Store building ❑
• -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, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
• • building(s) in solid line.
Size of property ei 0 ft. x . .S.°f CA ft.
Size and use of existing buildings, if any
wi-
s m Size of proposed building . . ..Y.. . . • • ft.x • 4... • • • • ft.
Height (from grade to ridge) ft.
Front yard /5. ft.
Side yards . . . .,5 :..M '1't ft. and .31 5 .)1 • Et.
Rear yard . . ./,55 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., Q
Kind of construction: Wood frame, fire safe, etc.7 �IV' 90 % `r`Ry't�-5k,
Will any second-hand lumber be used? . . . 0 If so for what7
Material of foundation walls . . C.a`+�.C•v` � �• . �D. Thickness
Depth of foundation walls below grade t-f ' Continuous foundation? . . .e S .
Will there be a cellar? . . .N ca Ik so, material of cellar floor
Type of roof: Sloped or flat? . .��o.� �. • • • Material of roof . .�S 'Vn�`� A\`�
Size, wood studs "X ", spacing "o.c., length • ft.
Size, floor beams, 1st floor " x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams " x ", spacing "o.c., span ft.
Size, roof rafters or beams "x ", spacing "o.c., span ft.
Exterior finish D.Nr: • • • s •V\ With what material?
Finish of interior walls. .$. .moo v.N .. . '0 \•`► • . •1 ,N\\ NQv. �r
If garage is to be attached, of what material is wall between garage an man bui<1Qing to be constructed? IV A
Is there to be an opening between garage and building? N
Kind of heating system . `•!t.CA.`!`\. .1N'0.0. Oil burner or coal? IV
Will a.flue-lined chimney be provided? . Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed? � p
Will a kitchen sink be installed�kand connected to water supply? . . .(. P f !�C. � .Rr( \St��. '\v�C�
Water supply (public water supply or pump) . . V. .'Q ` (J
Distance of cesspool from any private well 1U1 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 it e a of my knowledge and belief the statements contained in this application, •._:`. with the plans and specifications sub-
mitted, are a true and co.,.plete statement of all proposed work to be done on the described pre..ises an. that al rovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work sha . co. plied wits,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature ,
OWNER.OWNERS AGENT,AR HITECT,CO RACTOR
day of 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-: y
1. Gross floor areasieW G �J sif. Ey.% ,® 5f. l" 0TM- t [-' 3 54-,
2 . Type of heat WM, e o tie clkAt t1 :•11.1. c.AAA,(a)
3 . Is the building mechanically cooled? 140 0
4 . Percentage of area of windows and doors 3 %
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_
'fir- V64t4
2 . R value of exterior walls
3 . R value of glazed area /Z (12 -
4 . R value of doors "2 o4 t
5 . R value 'of floors over unheated spaces SC• `l �
6. R value of slab edge insulation - unheated slat?
_ 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) ..
AK
10. Type of insulation W ►mot ? tz) rgrobt.445
C. Controls
1 . Thermostat maximum heat setting sf4/-1Sii
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation 14
is‘
b. R value of duct in other areas
E . Piping Insulation
1. Size of hot water or cooling carrying agent pipe 1,4
A
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 kitAr
1 — \`�.
Telephone No.
(applicant ' signature)
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
VILLAGE TOWNSHIP ti; ; - COUNTY `1‘,/ "
STREET AND NO.OR 7IJAJ i ) . { /j r-'z_z/ e J j ? it/ ,�. \ POLE NO.
ROAD AND POLE NO. I �\ fi-�7 L/ (`+� /`"-�..
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S C-'' BUILDING t
NAME •�_ .- 'h .r�.,'=� �`.1 of,i.. t OCCUPANCY ' �.!•..�. V. -.r-, .� •a c C
OWNER'S NAME - `;?ti' - 46 ‘. - .c 'r•
AND ADDRESS e� - ...... §`.., �••\ ,.. -r., - �� �.` ;� 1�. TEL # 1 J ,`R.>''a "-^I � �'
h,.
CURRENT _. . - ti `;I �t
SBYPPLIED /t / —- 1j(7 FROM THEIR I���• if—,.-`� OFFICE
BUILDING !' /", WORK C. � "'" DEFECTS
IS NEW CI OLD❑ IS NEW C ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
of Fixtures&
MOTORS HEATERS BRANCH
NUMBER OF OUTLETS Lamp Receptacles CIRCUITS OFFICE USE
Loca- ONLY
Lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Eaeh No. Gauge INSPECTION
Out-
. side
-
Sub-
base
Base- .
ment
1st FI.
2nd Fl.
•
3rd Fl.
•
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
.y
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 CONCEALED TRANSFORMERS OF VA
WORK TO BE• (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD UNDERGROUND MAKER `
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED A........"
ON OR AS OSS POSSIBLE NEAR AS /// C4L� NEW OLD
AVOID DELAY BY GIVING F LLL,A/NIDD ArCCCUR'ATTE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRES r
NAME OF —..--= // ( \ -3.1
APPLICANT ` �•j' '--. l_t `" {`•..ri`,-�- DATE-OF
APPLICATION •
..c_ 'I f .\\C -`,1{ \, \_ l,._..`:7•. -. ti i r .,./. n_'�.,
STREET ADDRESS ".u j �'�• ' `Y TELEPHONE# 1 "? ~`' '-.
CITY OR \ `c ZIP LICENSE NO.
POST OFFICE •/`1 a...:4 '3'`� CODE \ 4'^WHEN APPLICABLE
46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
-/24j IJ
TOWN OF QUEENSBURy
Building Department
Inspectors Report Date /86
Name /, 6
Location t'Af� 1.R CZ EVV 2 D 716 cam.
Permit No. 3 7 7 % Weather
AJ,$L P Remarks
Excat>ation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey .
Framing
Sheathing
Roof Felt \cc\
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches (' # _'
Finished Floor
Interior Trim l! tr---
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures /
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
Building Inspecto
REMA KS
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TOWN OF QUEE SBU Y
im wag. DepaYtment
Inspectors Report Date g/g/Q✓—
Name ?---14--je. I. 5'/
Location .-t"/1/ /.4
. Permit No. h' '7-7 7 Weather
Remarks
Excaf)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 , -lves
Wall, Boa •
Ext. Porch.s
Finished F1cor
Interior Tri'
Stairs & Rail igs
Cellar Dr. Ti
Concrete Flo rs
Plbg. Fixtu es
Gar. Firepr ofing
Door Close s
Chimney
Water Me er• Inst.
Septic pproval
Floors
Insulation Foundation
Walls
Ceiling
-,z.d = L_ ,_.0_.7.....t______
Building Inspector
REMARKS
` 53:/,'W--fri-----/
//''- -(2---(-)'-eJL,)
„..Aci
4
TOWN OF QUEENsBURy
Building Department
•
Inspectors Report Date le-V,R.
Name i-704/e-lsi
Location e(AoLci1r' 44 -
. Permit No. 9 `7`7 cl Weather
', ram / k Remarks
Excafia tion
Footing Forms
Footing & Piers _
Foundation � (/(7
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing _ ':/
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves ,f
Wall, Board
Ext. Porches
Finished Floor
Interior Trim / (f/'
Stairs & Railings 4!• }) �/ 1A-./`i
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers 11iA
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
• Walls •
Ceiling
7'7)
4
-P:( !Buildi'ng Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date !d-�/7 j "f
Name��� F✓a-nhs PCi r ; s r 4
Location CT G{M h Ct/�v C /-e �r 9.1'Q
Permit No. Sr-7 7 9 weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey ;;77
Framing ,q •
Sheathing
Roof Felt
Roofing -
Siding
Masonry Veneer
Rough Plbg. (7'
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
\Vic
Concrete Floors
Plbg. Fixtures /
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
loots
Insulation Foundation
Walls
'Ceilin
Building Inspector
REMARKS
TOWN OF QU EENSBU RY
Building Department '
Inspectors Report Date 9/; i/6V
Name PA-
Location r�.�A- i
Permit No. Weather
Remarks
Excat,a ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat C1 777L0 ROC-
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 X
Concrete Floors
Plbg. Fixtures
Gar. Fireproofin
Door Closers N
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date % 7 %y
Name -/
Location C A/ " ,
Permit No. ,.—' 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 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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