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8337 BUILDING PERMIT TOWN OF QUEENSBURY No. 8337 WARREN COUNTY, NEW YORK -PERMISSION is hereby granted to Michael Lopez 0 OWNER of property located at Stevens Road Street,Road or Ave. fD in the Town of Queensbury,To Construct or place a One Family Dwelling + at the above location in accordance to application together with.plot plans and other information hereto filed and N approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is Reynolds Road 7773 Fort Edward, N. Y. 2. CONTRACTOR or BUILDER'S Name same us 3. CONTRACTOR or BUILDER'S Address (D Same C m 4. ARCHITECT'S Name O Iv 5. ARCHITECTS Address 6. TYPE of Construction—1Plesse indicate by X) :k )Wood Frame ( I Masonry ( )Stool ( 1 O 7. PLANS and Specifications 0 241x401 per plot plan, specifications and M No. application submitted including sewage system. a Y- 8. Proposed Use One Family Dwelling d rn N $5. 00 C/O Paid N $7 0. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Sept. 1 1984 W (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Ousensbury before the expiration date.) Dated at the Town of Queensbury this 29th Day of February 1984 SIGNED BY � for the Town of Queensbury Building and Zoning i • /- TOWN OF QUEENSBURY (Space inside block to Ix. filled in by WARREN COUNTY, NEW YORK Building Inspector) ) Application for Application No. : Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. 19. 7,(minl; District • \ iillic nl Work n THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1)l,r��`('(I b ' P//`/ showing the actual dimensions of the lot to be built Itcni;ir)/f upon, The exact size, and location on the lot of the • building to be, erected or altered MUST BE SUB- ' MITTED WITH THIS APPLICATION. • I _ • l/y 7 /e 7 TOWN OF QUEENSBURY REDATE 1 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. FED 2 1964 The undersigned hereby applies for a permit to do the following work A.M. •75 •0D )"�- RM. which will be done in accordance with the description, plans and specifi- • 71g�gI2f}11 )12�I�2�314I5I6 cations, and such special conditions as may be indicated on the permit. ° ° tRQ ` ° ° ° ° • The owner of this property is: . ��'' G�d YYlichi'pal Ho pet- ( eY !'6 !dS Fd 777.3 alimillalin0 r'orr Edi, 4tid (NA'•!E) (P.O.ADDRESS) The person responsible for 'supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: fli i C r) ig- Enl-oP Ae ) r) ids 0d '273 . (NAME) (P 0 ADDRESS) Name of Builder / i // Address I / / / Name Of Plumber / / / / Address / / / / Name of Mason / 1 I / • Address t/ `/ Lot Number Unit Estimated value of proposed work$ 3(7, 0 0 0 Name of Village . . . .drn 9 u e e /vs 8 VA - Name of Street . . . .• 1... V e is- Rd Side of street: north 0, east 0, south 0. west ilit Nearest Cross Street C 0 C I h th g d Distance from this cross street . - jA0-©.-'-;3).Q00. Ft. '. Property is north ,south ,east' Kj, west )(from Cross Street If on Corner, which corner, northeast 0, northwest ❑, southeast ❑, southwest • (Designate by marking with an `.`X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY l Construction of a new building. Main Building ❑ Addition to a building. , One-family dwelling 1 ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ n Store building El -car attached garage ❑ . Other: • Accessory Building . • . One-car detached garage ❑ l l 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 luilding(s) in solid line. y Size of property /G ' ft. x 2.r ft. Size and use of existing buildings, if any . 1) y H /1 s w Size of proposed building . . . . . . ft.x .Zo ft. • Height(from grade to ridge) i ft. • • Front yard s$ ft. '`A Side yards 3 0 ft. and' V ft. )(Rear yard g !q 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-N . (cont'd.) BUILDING SPECIFICATIONS., • Kind of construction:\Wood fram , fire safe, etc.?. . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... ... Will any second-hand lumber be used? . . . . Iff so, for what? dr Material of foundation walls Cotl..c.e.�a.l"�• • •a a=.k-- Thickness ('d Depth of foundation walls below grade Continuous foundation? yes Will there be a cellar? . .9 If so, material of cellar floor . .�LX-e 2_ Type of roof: Sloped or flat? . c-c5f7t:271D. . Material of roof W0, . Y11 ./. . . . I. IVI6-1L. Size,wood studs "x 6' ", spacing t.(�. . . . .`'o.c., length 5 • ft. Size, floor beams, 1st floor " x IC) ", spacing le "o.c., span R I- ft. Size, floor beams, 2nd floor .00...• " x ", spacing "o.c., span ft. Size, ceiling beams i2�. , �"x 4- ", spacing . . . . /2. "o.c., span '-.4 . . . ft. Size, roof rafters or bee'aAms abc � •4 ", spacing . . . . . . . ."o.c., span `� ft. Exterior finish W:10O•Si.0t4 W With what material? (U t . .,p(ji-1101 .( Finish of interior walls. . . . ..//.'L.!l. .��. =T c2 /G ^� If garage is to be attached, of what material is wall between garage and main building to be constructed? �1� Is there to be an opening between tarme and buil ing? Kind of heating system . . E r• . tOil burnel(k or coal? i Will a flue-lined chimney-be provided? .0 fl. • . Depth of chimney foundation below grade f Height of chimney above roof Will there be a fireplace?... . . 00 Depth of fireplace hearth Will a toilet be installed?. :6 f� Will a kitchen sink be installed and connected to water supply? ( Water supply(public water supply or pump) . . . . Pe 7 G Distance of cesspool from any private well t feet Will drainage system be provided with required traps, cleanouts, and vents? .C4� Town of Queensbury / AFFIDAVIT County of Warren State of New York I swear that to tt ki a r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are.a true and co.,.�lete statement of all proposed work to be done on the described premises and that of provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to theyroposed work shall be ..mplied with,whether specified or not, and that such work is authorized by the owner. • Sworn to before me this Signature .... /.. / OW R.OWNER'S R'S AG T.ARCHITECT.CONTRACTOR 4 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:, 1. Gross floor area T ; 1- . 2 . Type of heat er-1jp(. ,Li l o - (57 3 . Is the building mechanically cooled?' On °4 . Percentage of area of windows and doors �� � G A. Over 16% Only Uo value of gross area of walls , roof/ceiling a floors osed to ambient conditions • 2 . Floor over h ted spaces YES 'NO a. Are foundat walls insul -ted? YES NO 1 . If YES, wha is :th value? • 3 . Slab on grade YES N a. If YES , what t-s the R va of insulation around perimeter df floor? 4 . Is base ent heated? YES NO • a. value of insulation • 5 Type of insulation B. -Under 16% Only 1. R value of roof and floors exposed to ambient conditions_ 12- c� C 1 L 9 c 2 . R value of exterior walls 3 . R value of glazed area /42,oq' 4 . R value of doors ` � 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) (p 10 . Type of insulation � ? (4& ' L ( OAP, C. Controls v 1 . Thermostat maximum heat setting (-JJ 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 dudt in other areas E . Piping Insulation 1. Size of hot water or cooling carrying agent pipe I)1 i 2 . R value of pipe insulation F. Service Water Heating 1 . Performance efficiency • tOOY0 2 . Temperature control setting maximum la G. For Swimming Pool Only 1 . Maximum heating - O ` Telephone No. 7� 7-�- �3 x4t/Nekar;4W/r// (applicant ' ssignature) TOWN OF c)UFFNSBURY BUILDING & ZONING DEPARTMENT SEWAGF DISPOSAL PERMIT APPLICATION 1. Owner ' s Name /yn iG J/i e /0 to Address A 4.y'p id s i d 9 9 7:3 . Telephone No. 7 9 2. Property location S' (/e n S Rd 3 . Name of person or firm responsible for installing system C h p--2l L.d p Telephone No.. 7 9 g s-7 8-S3 Address P y d. 7 73 4. Number of bedrooms (residential buildings only) 3 b c9 m S 5. Daily flow S.0 _ gallons/day 6. Septic tank capacity Q o v gallons 7. Topography: Cfti lad, rolling, steep % of slope 8. Nature of sbiJ 'hd depth • 9. If ground water, bedrock or. ..impervious material is apparent at what depth does it begin? .30 ft. 10. Percolation test: A is required B is not required C If required what is the rate minutes/inch 11. Water supply: einicipa_L well, other 12. Type of system proposed: ►, 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 4N1g, , !1 ��' I9/I I d .72� 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. • CITY OR VILLAGE ( TOWNSHIP COUNTY STREET AND NO.OR ROAD AND POLE NO. i \� - i r POLE NO. BETWEEN WHAT TWO CROSS STREETS IS ` PREMISES LOCATED? ( ( . :--` ` \ - SECTION BLOCK LOT OCCUPANT'S BUILDING NAME OCCUPANCY OWNER'S NAME • AND ADDRESS k ( 1 ( .f ! ( •• , ) i1 r:i- (% �( b /_ f '� CURRENT BYPPLIED/{� , , -L ( ` (L:f '(` l It FROM THEIR r i ( +r'r •i i OFFICE. • BUILDING WORK DEFECTS •�IS NEW OLD❑ REMODELED ❑ IS NEW E ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED • NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS Lamp Receptacles CIRCUITS Loca- . lion Ceiling Side Attach't Switch Pendent Bracket No. Type H.P, No. Watts No• A W.G. NO WATTS Wall Recept'Is Each Each Gauge _ EACH Out- side • • Sub- base • Base- ment 1st Fl. 2nd Fl. • 3rd Fl. • 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 CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN - SERVICE MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED ' ON OR AS NEAR AS n • POSSIBLE NEW OLD I I • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF i'/ , _� .-4-4" /�� L DATE OF 4 APPLICANT APPLICATION t •� STREET ADDRESS• I J /.. l/{- k/l` /6 _- • CITY OR . r. a.L r J ( 1 1C l I ,/ PS / LICENSE NO, • • POST OFFICE I. (>> •a I s- ) r (' 1 / CODE I t' wHEN APPLICABLE I ` A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING MD /JO TOWN OF QUEENSBURY Building Department h speefors Report Date i 30//S Name oa k e L np e.2 Location TP c 12.."1 L.J Permit No. �.7 Weather Remarks -FT eV A L 0/1/\. 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 J Ext. Porches ✓ ( I Finished Floor t/�d/y' Interior Trim �f 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 Ot4= t 1, TOWN OF QUEENSBURY l�aealds�eg Depn.rtanent Inspectors Rem Date /V./S/E3-/ Name ie7 =,:_ • Location 5-i4`At a C Permit No. '3 3 7 Weather ,/A Ai • Remarks Excat at1on Footing Forms Footing & Piers Foundation 0.0,.07-/N /?e.4JT' O'tJ Cement Coat // /g)ICe2t _ z_7 Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing ✓ /4 Siding I (a% - Masonry Veneer Rough Plbg. Relief Valves Wall Board (Q/lci Ext. Porches t/ A1C) Finished Floor ✓f /7/0 Interior Trim '—< Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures ✓ /UQ_�f� Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling L< /1 Building Inspector REMARKS TOWN OF:QUEENSBU RY Building Department Inspectors Report Date Olh Name `W 14•We. L4)/Q 2-- Location c e at 1,5 j -4'. • . Permit No. .8•`"i q-7 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 \/\:/ (f/ Finished Floor Interior Trim Stairs & Railings • ' Cellar Dr. Tile Concrete Floors Plbg. Fixtures f Gar. Fireproofing Door Closers Chimney Water Meter Inst. 0/21,___ Septic Approval Floors Insulation Foundation ' Walls ' Ceiling Ceiling " ' Building Inspector REMARKS 1, • TOWN OF QUEENSBURY Building- Department inspectors Report Date Vieofr Name .�'J).%e- Lc�p Location �iy�ir.,--c ip Permit No. 7:5 J'7 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing ' Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer � � Rough Plbg. � :/ `v i ,-- %3 f7 /t v-oyl 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 1 • TOWN OF•QUEENSBURY Building Department Inspectors Report • Date Ai�j l f fg Name i]n r'CLe. 4,n 7A7 CJJ / Location -re.()r2A) S ,fit -S Permit No. 53 ! 7 Weather Remarks Excatia tion Footing Forms Footing & Piers • Foundation Cement Coat Waterproofing ' Backfill Final Survey Framing (51 • 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 Di►te -/7 /6/ 7/7� Name %�n,� �a��' �. Location :5")' :/ /`a.B 5 . Permit No. 2 3.3'J Weather Remarks Excatia 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 I Cellar Dr. Tile / Concrete Floors Plbg. Fixtures Gar. Fireproof ng Door Closers Chimney Water Meter Inst. Septic Approval FloOrs " Insulation Foundation Walls - "Ceiliri " ' (77 Building nspector REMARKS • TOWN OF•QU.EENSBURY Building Department Inspectors Report Date, Z�2-V k Name 7/2,1,- ,� y Locaton cV.0�,e. . Permit No. f 3 3 7 Weather Remarks Excatation Footing Forms • / �� Footing & Piers'L/ Foundation Cement Coat • Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board dr 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 " ' uilding Inspe for REMARKS • , . . , . . . . . e . .-1,..,--. ..............-.,---a.f..---. ........-. 2. -',......... ..—..-,-........ .---. 0/ ......„......„) I\ . . i\ I .1 I , , - L-7 i . • , . ; . , . , ) . , Q 1 i , c-, 1 l'4--- h Air , 1,.. , 4'0E1 . .; \\41/ 4\ .' , 4 ___,,r,...„_....._ _ • ...._._ . ..._._ ............._ _._, c,• _ ._ . . . ,.1 . .- -- . \ A