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8006 BUILDING PERMIT TOWN- OF QUEENSBURY No. 8 006 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Joseph Carusone OWNER of property located at Lot 153 Peggy Ann Road Street,Road or Ave. Section 4 Lan ' ines u iv lion ,(D„ in the Town of Queensbury,To Construct or place a One—Family Dwellings at the above location in accordance to application together with plot plans and other information hereto filed and . 0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. K sr N 1. OWNERS Address is O 1 Empire Avenue p Glens Falls, New York M 2. CONTRACTOR or BUILDERS Name Lake George Construction 3. CONTRACTOR or BUILDER'S Address Lake George, New York to 0 0 c i it rt N•H o to 4. ARCHITECT'S Name :3 W � ro m aw 5. ARCHITECT'S Address 00 ro- :j Fi- 6. TYPE of Construction—(Please indicate by X) N a, w 1K)Wood Frame ( ►Masonry ( )Steel 1 1 7. PLANS and Specifications 40 tx60 t per plot plan, specifications and No- application submitted including two-car attached garage �. and sewage system. o 8. Proposed Use O One-Family Dwelling M m I per, $5. 00 C/O Paid . $122. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 1 1984 L, (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Clueensbury before the expiration date.) C iD Dated at the Town of Queensbury this 2 9th Day of July 1983 H H w SIGNED BY ` for the Town of Queensbury � Building and Zoning Irfipector TOWN OF QUEENSBURY (Space inside block to be tilled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. Pp l'crtnil Issued 19. BUILDING AND ZONING PERMIT 1'ormit Expires. 19. /Awing District . \ aloe „l Work if THREE (3) Copies of a PLOT PLAN, Drawn to scale -\1)1 ""`'`1 1i showing the actual dimensions of the lot to be built Rcmmui)( upon, The exact size, end location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF QUEENSBURY/ `�,/ 4^ /5� 17 1 1/ &3 DATE REGMED A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 3UL ' 7 1983 ANSWER ALL QF THE FOLLOWING. A.M. P.M The undersigned hereby applies for a permit to do the following work '718i91, , , ,), 1. l which will be done in accordance with the description, plans and specifi- c516 ations, and such special conditions as may be indicated on the permit. FL 71/ ti4 , /b The owner of this propert is: (i� dos-eph• C`�a 1ev 50 it)C I Fyn 49/1%12e cu-e, G(t»s FOIS wy 1.01-a,0/ INA".E) (P.O.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: Jos-e p h Ca, V s 6bv-e. / ewoo, .?e icu-e_. G 4ms Fails /eV irk-Iso/ ��pp (NAME) �(P.0.ADDRESS) Name of Builder °�u -e �Sf-• •CZAITSI- 0c /j d'0 v1 Address k� � i i' Name Of Plumber 6 l t 7=F uvgr-P it S Address /(i/t'�SUi / Q tS ) t Name of Mason. . . . } / CTe..�►f. . ?-u� ! .�'. y1. . . ... . . . . . . . . .. . . . .Address C, , !1 Lot Number. I /,-- Unit Estimated value of proposed work 3 6`53 Orr° Name of Village . . . c .V.q 2.t1s hV 4. ii Name of Street . . . .0 Qr;1dt"_7 col aSide of street: north ❑, east a, south ❑. west ❑ Nearest Cross Street . .1. �0 iQ S1 Distance from this cross street / Ft. Property is north ❑,south ❑,east , west._ 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, southwest 5� N' (Designate by marking with an"X" in the correct space.) Sedgy o i;eS NATURE OF PROPOSED WORK OCCUPANCY ' Construction of a new building. Main Building ❑ Addition to a building. One-family dwelling Q ❑ Alteration to a building. Two-family dwelling • ❑ Demolition of a building. -family apartment house ❑ Store building ❑ • . . . . .1. .-car attached garage ®' • Other: Accessory Building • One-car detached garage ❑ Other work. Describe • Two-car detached garage Private chicken house ❑ Private storage building El • 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 buildings) in dotted line and existing • I uilding(s) in solid line.... Size of property I;>> ft. x ft. 0 Size and use of existing buildings, if any f I; � N s p w Size of proposed building 14 0 ft.x 6® ft. }idHeight(from grade to ridge) o9 1 ft. Front yard 3 4. _ ft. - Side yards 1 ° ft. and J' O ft. PEW) r Rear yard • q ft. SOUTH - If on corner,setback from side street ft.. . 13•D Note: All distances are net, as measured from street side £5 t . • • line to nearest part of,building. (OVER) 7-73-M (cont'd.) BUILDING SPECIFICATIONS., 1 . Kind of construction: Wood frame, fire safe, etc.?. . . . . . 0 D G" . . F1''g?^'t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? wQ If so, for what Material of foundation walls C-evn•ell-F 0/6 tf-L_ Thickness /o " Depth of foundation walls below grade `T Continuous foundation? N° Will there be a cellar? If so, material of cellar floor . . .Q LNI. Type of roof: Sloped or flat . . .? . . a.o.p.... .d. . . . . . Material of roof . .f!1??!S�U.`':s. . .4.oe G. . .$k!mf �i'c Size, wood studs cp...... "x 7' ", spacing /G "o.c., length 5 • ft. Size, floor beams, 1st floor 0-- " x I P ", spacing /6 "o.c., span // ft. Size, floor beams, 2nd floor " x ", spacing "o.c., span ft. Size, ceiling beams cry. . . . " x . . - .6 ', spacing IS "o.c., span ft. Size, roof rafters or beams c--. . •" x • • • • /•r • • • • • •", spacing /6 _"o.c.,.s an /' ft. Exterior finish i.�d o d. " �"mo�'t'`daQ d� With what matertaf (P' C/G)7�ti %Zt,S. •�C: Finish of interior walls. . .5./••"�+:� o t k. t(o " If garage is to be attached, of what material is wall between garage and main building to be constructed? X.1/: . .N-. .YA-. .si RolK. Is there to be an opening be ween garage and building Kind of heating system . .6.lA€.-.. . .... C. . . .0.e.a± ro ik 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? ItA,0"-- Depth of fireplace hearth Will a toilet be installecP Will a kitchen sink be installed an connected to water supply? �!J-ec9� Water supply (public water supply or pump) 6)v b( ',� _ Distance of cesspool from any private well l)%l ytn 0 u., n 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-bda j of my knowledge and belief the statements contained in this application,together with the plane and specifications sub- mitted, are a true and co.,.p•lete 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 perta' ing to th proposed w 5k shall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature ..-. ... ... OWNER.OWNERS AGENT,ARCHITECT.CONTRACTOR day of 19.... ... NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: By • TOWN OF QUEENSBURY ,aN *� 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 1SS 2 . Type of heat 1N, 3 . Is the building mechanically cooled? q, I 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 5. Type of insulation B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions Tika 2 . R value of exterior walls elk VA, 3 . R value of glazed area a , ct , 4. R value of doors _ • 5. R value of floors over heated spaces htn 6. R value of slab edge insulation - unheated slab 7K L 7. R value of slab insulation - heated slab (/P 8. R value of heated basement/cellar walls (above grade) Ni A 9. R value of heated basement/cellar walls (below grade) WA 10. Type of insulation ;Altke.\4441 S • i°e e. mac-; C. Controls 1. Thermostat maximum heat setting D. Duct Systems 161. 1. Is duct system installed in unheated spaces? . NO -a. If YES, R value of duct installation I / b. R value of duct in other areas E. Piping Insulation 3 � 1. Size of hot water or cooling carrying agent pipe 2. R value of pipe insulation R— F. Service Water Heating 1. Performance efficiency 2. Temperature control. setting maximum /i/D G. For Swimming Pool Only � 1. Maximum heating �1 Telephone No. J 7�- 530 ap 1 • cant ' s signature) TOWN OF QUEENSBURY BUILDING .& ZONING DEPARTMENT. SEWAGE DISPOSAL PERMIT APPLICATION. 1. Owner ' s Name apse N e/Q„izus P i Address I Eiuw,itg. 22 AO. , .P. Telephone No. 2. Property location Lo i 13 s m LA�u O 'r f P5 • 3 . Name of person or firm responsible for installing system et-/C-4-011'.- Ct CX"---) Telephone No. Address 4. Number of bedrooms (residential buildings only) 3 5,. Daily flow . .6"`U gallons/day . 6. Septic tank capacity , /OGC) - gallons 7. Topography: AP rolling, steep % of slope i 8. Nature of soil and depth • 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? ft. 10. Percolation test:. A is reguired B A/ is not required C If required what is the rate minutes/inch 11. Water suppl . municipal well, other 12. Type of system proposed: drywell tile fiel they " 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 a provided for in Section 6 . 010 of the Queensbur Sanitary Sewage Ordinance. . Date v / , gnature 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 -fie 7 , 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 J VILLAGE TOWNSHIP �00f.;•�'I`, > ?I710 (., COUNTY <.,e)0r) _,.( , STREET AND NO.OR (! . ' a.- AIM r ROAD AND POLE NO. P C; f `'1 0 Y'\ h l,R t) "'` a.✓:-Ji) /5.`1 POLE NO. 3 I/-•- BETWEEN WHAT TWO 1 f ' ..--,- CROSS STREETS IS pp r j _f j PREMISES LOCATED? t( (`) f 7 t.?)fir`"3 I-(((i ilij 10l± SECTION BLOCK LOT/}-1 - OCCUPANT'S ""' !!-- �) .{ ) BUILDING . NAME .�' u)�)IJ �+ - rl C.r11I.� ;,J t, f[�) ! OCCUPANCY G<. ,' r OWNER'S NAM AND ADDRE SE 1 �: '1 �0j I7 ' 0.1.re3. P'; e:-, t_ CURRENT •i BUBYPPLIED V/ 1 ,. .), J FROM THEIR OFFICE BSUILDING NEW L'J OLD❑ REMODELED ❑ IS NEW ©" ADDITIONAL❑ REMOVED DEFECTS ❑ - LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures& BRANCH NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS Loca- tion CeilingSich't Wallde Recep'IsAtte Switch Pendant Bracket No. Type H.P. No. watts No. A.W.G. I F M.V. Y Each Each Gauge 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 POSSIBLE NEW El OLD El a 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 / -7 -e... ; DATE OF f"' /_ APPLICANT -•`- 1 �� f t.� )�t APPLICATION �)'�'�I t� STREET ADDRESS 0 r') nfi:%"1 's 1+ CITY OR _f - tt ! r• f (` ZIP s <' t_ LICENSE NO. POST OFFICE ���i:�T �iv'i d-'�'�t�I'� �,—' CODE/Cr�1.� 1 WHEN APPLICABLE 1 1 46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING TOWN OF'QUEENSBU RY Building Department . Inspectors Report Date A) ' Zc—u'1 Name T; ,f-!Z (J 6,4. Location i'--2Z.F 6 5- I Ai . Permit No. 0 C) (,, Weather .Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing. Backfill Final Survey Framing L/" l d • 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. /7 Septic Approval L/ C� Floors ' Insulation Foundation ' Walls 'Ceiling 4A1Bulding Inspe for REMARKS / tO 1)6 94141- 5-eiTZ b1,1%. lffO0 Ai— Ge" ,i (6A- KIL[C� Sri! . TOWN OF QUEENSBuRY • Building Department Inspectors Report Date 9 r L.%4i- Name �', 7)eiJ.5:"D • Location .�e�v-/S� � �r's' ,(l'RJ Permit No. 0[ '", Weather - • Remarks Excavation Footing Forms Footing & Piers c'IG 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 I \ 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 • M- �� p1�'�_ Bui ing Inspector • REMARKS •CONSTRUCTION GUIDE NU.WtNI fA . N. Y. -- tM iMiER 11 FAc REFER>E±NCE ©ETAtI NUNERS s INC. CUSTOM DESJG D a 'LION OR ANY OTHER PURPOSE WITHOUT WRITTEN PERMISSION FROM NORTHERN HOMES INC, IS PfiOHISITEO. N HOME` , : . I COPYWRIT 1� 8Y NORTHER p MAY NOT BE TO EXACT SCALE, USE (ONLY THE p1MENSiONS'S�iOWN, pcvlsEo �R��►t���r: fa�I*G DWil'S,ly, j'RU APPLICABLE BUILDING CODES TO INSURE THAT PLANS AND DETAILS CONFORM TO ALL RI QUIREMENTS. T $EFORE PROCEEDING WITH DATE`: Ig RATE' ' Y%p 1 'SU OR L �Y NORTHERN HOMES DRAFTING DEPARTMENT OF ANY DISCREPANCIES BEFORE, WORK IS PERFORMED. � TFHEY SHALL VERIFY ALL DIMENSIONS PROBLEMS RESULTING FROM THE FAILURE O FOLLOW R STRUCTURAL OB DRAWING N0. ORDER N1�. FOR ANY ADDITIONAL COST 0 C)NSIBLE+E.E PLANS AND THE DETAILS AS OUTLINED IN THE ES �n I,InT (Pit E T01 -