8898 BUILDING PERMIT
TOWN OF QUEENSBURY 8898
No. '
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert and JcaAnne Kof a+k
OWNER of property located at Lot 71 Orchard Drive, Street No. 1$
Street,Road or Ave. p
(Section 2 Old Orchard Subdivision) -A
in the Town of Queensbury,To Construct or place a Qnp—rAmi 1 17wP1 1 i '� i
at the above location in accordance to application together with plot plans and other information hereto filed and`" rt
approved and in compliance with the Town of Queensbury.Building and Zoning Ordinance.
1. OWNER'S Address is 140-7 Weeks Road 4
Glens Falls, New York
M
2. CONTRACTOR or BUI LDERS Name N
Gregoire Construction 0,
3. CONTRACTOR or BUILDER'S Address
64 Burgoyne Road
Saratoga, New York 12866
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4. ARCHITECT'S Name W rt O
M • rt
0
rt z
IW• o 1_j
o .
5. ARCHITECT'S Address H NO
tJ 00 0
O
F•+ }i
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6. TYPE of Construction—(Please indicate by X)
O ^d
X )Wood Frame ( )Masonry ( )Steel
Ai fD
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7. PLANS and Specifications (Z,
741x26' per plot plan, specifications and
No. application submitted including two-car attached
garage and sewage system. a
8. Proposed Use C
H- O
One-Family Dwelling ED :1
P- cu
$5. 00 C/O Paid
$ 164. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES June 1 19 85
(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.) Q,
27th November 84 M
Dated at the Town of Queensbury this Day of 19
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SIGNED BY for the Town of Queensbury
Building and Zoning I nspecrb
•
TOWN OF QUEENSBURY (Space inside block to he filled in by
WARREN COUNTY, NEW YORK Building Inspector)
A lication for Application pP fermis Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. ►g.
/. 111L. District
•
THREE (3) Copies of a PLOT PLAN, Drawn to scale
showing the actual dimensions of the lot to be built k1•n,;11.K$
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. _
6 6 _s-,_ ) pia 6 f� � 0
U QU� '` u�(Jj�n1}f1Jn�rs URy
DA
EE D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Ni_;kr � ,.
ANSWER ALL OF THE FOLLOWING. r-
A.M. /� •
v C.!. 0, -e
The undersigned hereby applies for a permit.to do the following work 71819 1f),11111211 2 P.M.which will be done in accordance with the .description, plans and specifi- !. 1 ,1, 1, 1, 1 a
cations, and such special conditions as may be indicated on the permit. .
The owner of thishhhJJJ pr perty is: . ;;i. /Y o 44. 2
` (NA•.4E) f IP.O.ADDRESS(
The person responsible for •supervision-of the work insofar as the Building Code and the Zoning Ordinance apply is:
'.J ( r, �:t• Z . . .,!4•G'� a:. ' o.C:i< , . . . . . . . . . . . . . . . . .'. . . . . . . . . . . . . . . . . . .
- .(NAME) n .--f- .,. (P.0.ADDRESS)
'6 e jam„ h s• C' . ''" « f f: t 6 ,J,r C•�••`:Fr.S i_ Y it, "4.i W a! •1 G9-iJ F
Name of Builder. . . 'r'.5 cv. t.',f�• •
1• r?r":-)s.°i''•?.. 6'..e<`=1- • •Address .�,•. g y . • • ,A(�/ .\. . . . . . . .
Name of Plumber. . ,me:',"..... .C,>r '.•;!1 !. . . . �!1. � ''''� ,,:4.4.4-'N91''. // Y..!G`l tS ,,,,
Address �,.g`-. :: ��
Name of Mason. . �J; •%:;, .�• .• �• ��'.�.:fc"-`'•'4-4�u•7`-"ti Address
Lot Number. . . . .7T5. ]-Unit . . ._ e • Esti ated value of proposed work I a
51(, Name of Village ,. �t P,,e...-q .r .!3':4Cr 1? .�..;le, , i.,�j��J,•, ;N -f(,�.:z,e
1
11 Name of Street Q rLC id/�r7`� Side of street: north 0, east ❑, south 0. west 0
Nearest Cross Street . .W. vlif.0 J1-? '� Distance from this cross street Ft.
Property is north ❑,south ❑,east [1 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 Building
❑ Addition to a.building. One-family dwelling 0
❑ Alteration to a building. Two-family dwelling
❑ Demolition of a building. -family apartment house ❑
Store building ❑
•
r -car attached garage ®.
. Other:
Accessory Building
. One-car detached garage ❑
0 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
• l�uildin (s) in solid line.' .
g 3re.o1)!A 4.-- 1166(Loy
•
Size of property /S ft. x . . ./ . .I . . . . ft.
Size and use of existing buildings, if any
- 0
0 m Size of proposed building � ,1 ft.x .r>c?.-b. . . . ft.
L zy
Height(from grade to ridge) 7 ft.
Front yard I�' ", s ft.
• Side yards . f ft. and . ..1.�✓:b. . . . . . . . ft.
Rear yard /S .C) 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.,
0 N
Kind of construction: Wood frame, fire safe, etc.?. •`J• • • • . • . • . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . • •
Will any second-hand lumber be used? t1 C� If so, for what
Material of foundation walls 0-0/0 C-2`'7- - Thickness . .i0. . (./.G.q-/C_. . . .
Depth of foundation walls below grade S r/-- Continuous foundation?
Will there be a cellar? 6 If o, material of cellar floor . .<-%GDiti.C-4rc-Z-�
Type of roof: Sloped or flat? . . 6..1. '— . . . . . Material of roof . .p .1./.c-c) Tip/
Size, wood studs r�c'Y x , spacing / "o.c., length. . . g • ft.
Size, floor beams, 1st floor . . . . . . • . "x / 0 ", spacing /(,,, "o.c., span ft.
Size, floor beams, 2nd floor . . . .r. --. . . " x / ", spacing i "o.c., span ft.
Size, ceiling beams ? ��. "x . , 21 >; __ "o.c., span ft.
Size, roof rafters or beams .. ./1) "x "G ���'� ,3t oa g(-' 1• •�• ✓. •"o.c., span ft.
Exterior finish •Uf.o t, ' . • . With what material?
Finish of interior walls c5'l-'e e-T li-o /C /✓ S'1,---cam
If garage is to be attached, of what material is wall between garage and main building to be constructed?
.. ta-C-re. '.w.l�.. . . . . . ./4. r-'v'cJi i� r1 ,----re f_
Is there to be an opening between gar \.ge and building?
Kind of heating system . . . .-/dam( i1- ` { Oil burner or coal? •
Will a flue lined chimney be provided? ��--5• • • • • • . Depth of chimney foundation below grade 7 f"�
Height of chimney above roof. r
Will there be a fireplace? V(7—.S' Depth of fireplace hearth
Will a toilet be installed? \'-e3 ,
Will a kitchen sink be installed and connected to water supply? . y%(
Water supply (public water supply or pump) 1P). a/• c-
• Distance of cesspool from any private well / 4 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 th b, of my know)edge and belief the statements contained in this application,together with the plane and specifications sub-
mitted, are a true and co.i.plete 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 /9-q.ff"— -.A-4- "11cl'r----C-C. -
WNER.OWNER'S AqaplIRT,ARCHITECT,CONTRACTOR
6 day of 4✓ro7,1 192�q
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By .
TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner ' s Name
„.4v,/1,tr_.
Address
Telephone No. 7
2. Property location ("de.(- ,;o J/2 L j 7/
3 . Name of person or firm responsible for installing system
e � (7-1\//(A,/ees-,- Telephone No. ,oNe 33 f 4
Address
4. Number of bedrooms (residential buildings only) V-
5. Daily flow I /; 0 gallons/day
6. Septic tank capacity •
/a au gallons
7 . Topography: flat, rolling, steep
of slope &r
8 . Nature of soil and depth_J„E,,,.-yLd,
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? F 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 `yj1,44.--3,,A,,cdylr
t /
t
12 . Type of system proposed: drywell he field, ther
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
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 r-Va o
2 . Type of heat d,CA'5L-Elit
3 . Is the building mechanically cooled? ''j' ,,,
O
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 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
l
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . ' R value of exterior walls i Y
3 . R value of glazed area
4 . R value of doors R 7. 1
5. R value of floors over unheated spaces
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
C. Controls
,
1. Thermostat maximum. heat setting � 6
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 j(541:-
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. ✓�G !x-��
(applicant ' ature)
i
lI
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
1. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
t. TEMP.# DATE
I,
CITY OR ,,,CM .1 +'
VILLAGE \ a-`,! A _06.-„L.. --& TOWNSHIP f';___% j,r•_;[/ COUNTY - -/, .r=,I...
STREET AND NO.OR) II
ROAD AND POLE NO. 1' - -— _ POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS �I - I C x-( }.y;--
PREMISES LOCATED? ( , rI'V}'/�c.i A I\ — CCU elf 1 n\}� (');;Q-SECTION �, •-� DLOCK ( L0 'LOT
OCCUPANT'S '"' 11 ___ ( BUILDING _
NAME %- !�n I, `
• ��. 4� ( I t i.-. ,- ; \ OCCUPANCY L_.,s , ,0 e.i'V 1 i .` '�^-
OWNER'S NAME // II_ ( �^- .�/
AND ADDRESS / 1-10- 1 i�-�='�,(C hell — i.^,'-i'-/IiC 1:21 (-S 41 '/ TEL.#
CURRENT II
SUPPLIED 1 _� e /
BY ,/1/ +"-7 A_S (1_-; 7 4/1/JL.FROM THEIR OFFICE
BSUILDING j NEWi ,. OLD❑ IS
DEFECTS NEW ❑ ADDITIONAL REMOVED ❑
11 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NNUMBER OF OUTLETS Lamp ep esf Fixtures MOTORS HEATERS BRANCH OFFICE USE
Receptacles
CIRCUITS
Loca- .1 ONLY
tion Ceiling Side AttaRecep''t Switch Pendant Bracket No. Type H.P. No. Each No. A'au a INSPECTION
Wall Recep'Is Each Each Gauge
ii -
Out-
side J
-
Sub- I'
base II
- -
Base- III
ment
ment Ii
1st Fl. II
2nd Fl. l
11
3rd Fl. I
i'I
•
I - •
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
Il
l
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 II ELECTRIC SIGN TOTAL
MAINS Ii FEEDERS . LAMPS WATTS
CHARACTER I EXPOSED GAS TUBE SIGN
OF WORK II CONCEALED TRANSFORMERS OF VA
WORK TO BE I (NUMBER) (CAPACITY)
STARTED il COMPLETED SIZE OF SIGN
SERVICE OVERHEAD I, UNDERGROUND MAKER
ENTERS
BUILDING II OF SIGN
INSPECTION REQUESTED I
ON OR AS NEAR AS it
POSSIBLE II NEW OLD 1-1
AVOID DELAY BY GIVINGIFULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF i DATE OF 7,-9
/ ! 'y-1APPLICANT r '-�`-� !< 7 l.-�".'.i',:c'.�G / t' fl,.; (�jlAPPLICATION //_STREET ADDRESS l Vc' it 7 ..✓�A C`) `��G'
TELEPHONE#
CITY OR j Ij �^ / ,+ ZIP a 7%'y} / LICENSE NO.
POST OFFICE -� ,,� C ./"// r.S /1. '`., CODE 'J r ri�)1 WHEN APPLICABLE
II-
46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN F® QUEENSBURY
Building Department
Inspectors Report Date /� 2 S
Name Pize/G/n/4 L dCa11,S/2 c
Location V t v? -7/ l0. C'6� ,
Permit No. ? i P Weather
C-7N4L (-e4'v,�pCi2fJ gs) PT Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing J •
Sheathing
Roof Felt \\ ,/
Roofing
Siding ✓ �pi�—r /
Masonry Veneer i
Rough Plbg. r"
Relief Valves
Wall Board-- 1 7 - /
Ext,. Porches ,� A/c7 /
Finished Floor L.,/-
Interior Trim
Stairs & Railings ~(, (113)
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures ,/' C9
Gar. Fireproofing ✓ _
Door Closers
Chimney `/ C .
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
l
Building Inspector
REMARKS
C/e :T2G` —0G in,)S( Gh
S/n c).�e e6er e c T
•
TOWN OF CQUEENSBURY
Building Department
Inspectors Report Date Ft*9 '
Name C 14r� f �4Q- ��h1:C�!)C�G I fto kv
Locmtion ( E E7h 1 -4- v ,); J /1
. Permit No. 7$ Weather
Remarks
Excatia tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey �^
Framing r/ r
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer 4
Rough Plbg. '7 r i/1✓
• Relief Valves
Wall Board
Ext. Porches
Finished Floor
\-\\14\:\,\\
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
• / W I i./4) r
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /2.12.0/?`/
Name . tky
Location OL.401 O'z-e-141-/EdoO?_.
Permit No. 5c9, Weather
Remarks
Exca fia ti 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
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 6J -
Floors
Insulation Foundation
Walls
Ceilin
Building Inspector
REMARKS
l Ca
•
2 C
TOWN OF QU•EENSBURY
Building Department
Inspectors Report Date /1-/! 5!
Name ( -/1 e_c E,y e- r°1 .<r ate
Location QN,_e_ -moo {/1,2 , 16 7/
Permit No. 9S 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
h5-
Bu.L ng Inspector
REMARKS
•
•
TOWN OF'QU•EENSBuRY
Building. Department
Inspectors Report Date //=R/? V
Names � e jai;J I l�1-(Xlii t-).•J
[motion (�zc /A-_-0---b ,02, Ko s Ky
. Permit No. c�SS Weather
Remarks
ExcaVataon
Footing Forms
Footing & Piersl/ / Y
Foundation C/ f�_
• 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
FlOOts
Insulation Foundation
Walls
'Ceiling
Building Inspector
•
REMARKS
cce Sl=►C r c..-. I I/t✓'u ! 'lam r.17 o�`5 K I I � /),/ •
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