6486 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6486
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Peter N. and Inez Smith
OWNER of property located at Upper Bay Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and rt
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. n
1. OWNER'S Address is •
8 Country Club Road
Glens Falls, N.Y.
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2. CONTRACTOR or BUILDER'S Name
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same N
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3. CONTRACTOR or BUILDER'S Address cl
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same
4. ARCHITECT'S Name
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5. ARCHITECT'S Address n
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6. TYPE of Construction—(Please indicate by X) ;v
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(X)Wood Frame ( 1 Masonry ( )Steel ( 1 Qi
7. PLANS and Specifications
24 'x24 ' per plot plan, specifications and
No. application submitted.
8. Proposed Use
One-Family Dwelling
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$ 26. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 81 rt
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(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.)
(D
Dated at the Town of Queensbury this 28th Day of July 19 8 0
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LSIGNED BYE V• for the Town of Queensbury
ilding and Zoning I . t2�.spe
IVOTic{. iser,r C)-/(P- 1/
I w • .
December 18, 1981
Peter and Inez Smith
R. D. #1
Lake George, N. Y.
,.; 6486
Addition to dwelling - Upper Bay Road
tephen P. Lynn
•
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December 18, 1981
Peter and Inez Smith
R. D. #1
Lake George, N. Y.
6486
Addition to dwelling - Upper Bay Road
•
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tephen P. Lynn
TOWN OF QUEENSBURY
Building Department
inspectors Report Date �!2 - 'c)
Name �.,�.X
Location ,Qi
Permit No. (7'1 4 6 Weather
Remarks
Excaiia tion
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
57 ,
Building in ector
REMARKS
TOWN/OF QUEENSBURY t (Space inside block to lxe tilled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for Arlo stAim
PP Permit Issued 19
BUILDING AND ZONING PERMIT Pei iiil Expires ICI
y.i,14me District
'.Ilui•nl \\•orl.,j
THREE (31 Copie: of a PLOT PLAN, Drawn to scale ' ‘1'111' " by
showing the actual dimensions of the lot to be built Kemal Kr
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 QUEENSB : .
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1 I._ Q� 3 �i i nATF RECE [IVEE
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK LllI) 1..; 81980
ANSWER ALL OF THE FOLLOWING. A.M. (36) od wee ,p cV cl
The undersigned hereby applies for a permit to do the following work
g I g�l()I11l12l 1 2 3 4 5 6
which will be done in accordance with the description, plans and specifi- �d; r i I6 ti
cations, and such special conditions as may be indicated on the permit. Q6, 66 c
/a . do 6er,-10/// /orb
nier of this propertyi i3: r^ A
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13 lea . !.. . (P.O.ADDRESS)1
The person responsible for supervision of the work insofar as the Buildipg.Code and the Zoning Ordinance apply is:
. : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
r INAMEI
(P.O ADDRESS(
Name of Builder LF" Address ' Vs.,0A • • • •
. . . .
Name of Plumber ts? 1-F Address t# . . . . . . . . .
Name of Mason %I kr` Address %tr• (
Lot Number. . . Ja/P. . . Unit t.rll�. . . Estimated value of proposed work S I300d c-
Name of Village . . . . .*. ft•�N.Ilt.t(z-/,„/
Name of Street • . . .E q• • 4). .f. Side of street: north O. east ❑, south ❑. west
Nearest Cross Street Top.' P.F'• 4+.).4C.1'.A Distance from this -ross street . . .e49 .Mtn.@.t.$. . Ft.
Property is north Er,south 0,east i 1,west 0 from Cross Street
west '.
If on Corner,which corner,northeast ❑, northwest ❑, southeast C south /tf/
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
CD
Main Building
Construction of a new building. One-family dwelling
ClAddition to a building. Two-family dwelling 0
Lie' Alteration to a building. . . -family apartment house ❑
Le' of a building.
Store building ❑
-car attached garage 0
Other:
Accessory Building
D /4 2ifx ' One-car detached garage ❑
0 Other work. De •be:. • !�•emorC • cTwo-car detached garage
4 a Z V ')(Zt4 ' add,4,74, Private chicken house 0
Private storage building 0
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 building(s) in dotted line and existing
Iluildina(s) in solid line.
Size of property 444 ft. x
ft.
Size and use of existing buildings, if any .1.l. #W..
NTA . '—
P i `', it Size of proposed building . P 4 ft.x .2 4 ft.
Height(from grade to ridge) t ft.
6 Front yard .w30.C)i / 0 ft.
- Side yards . . .APO ft. and 6 C) ft.
I.7r 002 0Rear yard . . . . Qh'S'r ft.
7 SOUTH If on corner,setback from side street I" A ft.
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73—M
NN.
(cont'd.)
BUILDING SPECIFICATIONS, gi
frame,fire safe,etc.' W G O I�. .IT ;, . . . ("'i�a(41. . . . . `:.15 t` \,,
Kind of construction: Woods" If so, for what?. . .0 R . .ttil� tii;.lab-
Will any second-hand lumber be used. ; O .c N 3�►p
Material of foundation walls ( pI @rfC�
Depth of foundation walls below grade .3 :Cs 1 Continuous foundation? . .yt°5i. . . .
Will there be a cellar? t'IO If so, material of cellar floor
Type of roof: Sloped or flat? . . . TAp 0 Material of roof . . 1 1$ A et • . •M&v7. . . t (
wood studs oZ "x 6 ",spacing i C "o.c.,length. .,;'.t.2 ft.
Size, „x . . . ./el ",spacing . ./.6 pan .
Size, floor beams, 1st floor "o.c.,s . . ./A ft.
Njd, "x . . . .tl./R ",spacing o.c., . . . ')/A ft.
Size, floor beams,2nd floor P g N/k "
�n /
Size, ceiling beams . . . "x • • -,_• s`' `, spacing . . "o.c.,span ft.
Side, roof rafters or beams .2.. . . ."x ,.,ts cing 1"4/ o"o.c.,span . . .A14.`: . .,, . . . ft.
Exterior finish . .N . t ale. ?• .(11`=s tt 7h what material? .8'. . . . SituN.
Finish of interior walls. .,, ." . . ..::,, •('+„.• • .f.1,4;A of t.i1 IPA/ski.
If garage is to be attached,of what material is wall between garage and main building to be constructed?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .rti. /.ts`. . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Is there to be an opening between garage and building? Ifp"`
W.G�c�.A. . . .C�t` Oil burner or coal? C)LSP
Kind of heating system . . . )
Will a flue-lined chimney be provided . . yes, . Depth of chithbey foundation below grade . .LAP. . Nrai.sty
Height of chimney above roof. . . 3
Will there be a fireplace? N.0. . .Ws9c..ta• .S.. ,Depth of fireplace hearth . OP.
Will a toilet be installed? • .NW
Will a kitchen sink be installed and connected to watgr supply? Ve.‘
Water supply(public water supply or pump) . . . I.QA1 ; 1It 014%
.
Distance of cesspool from any private well CO I.feet
Will drainage system be provided with required traps,cleanouts,and vents? . . .j-rzazyt l.t4
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tr, eea i of my knowledge and belief the statements contained in this applies' together wi and specifications sub-
mitted, are a true and co.,. lete statement of all proposed work to be do n the na t a provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain to P be co lied specified or not,
and that such work is authorized by the owner. �%
Sworn to before me this Signature -
....--- OWN R.OWNERS AGENT.ARCHITECT.CONTRACTOR
‘77..S day of .(i...1-.. 19.�S.O
NOTAR
Y PUBLIC. WARREN at(ITY. N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
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7 407 e , 74-'2/
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 1 (
2 . Type of heat 4'`/ ✓ A' '
3 . Is the building mechanically cooled? A/ 2
4 . Percentage of area of windows and doors f'
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor ov- heated spaces 'S NO
a . Are fo dation walls i ulated? YES NO
1 . If Y what is t • e R value?
3 . Slab on grade YE NO
a. If YES , what is R value of insulation around
perimeter of f j'or.
4 . Is basement heat,:d? YES >`O
a . R value of : nsulation
5 . Type of insu ation
B. Under 16% Only
1 . R valu roof and floors exposed to ambient conditions//4,i/
2 . R value of exterior walls
3 . R value of glazed area l'
4 . R value of doors
5 . R value of floors over heated spaces`: t.; .: f` . 7 0
6 . R value of slab edge insulation - unheated slab t, J
7 . R value of slab insulation - heated slab Ajar /{ndr
8 . R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade ). '~"
Y�
10 . Type of insulation j/% ; - /77, i&' 4 r- .- '7r
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C . Controls �1 i "
1 . Thermostat maximum heat sett ng 5 �
D . Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
a . If YES , R value of duct installation NO
b. R value of duct in other areas
E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe /7N
2 . R value of pipe insulation
F . Service Water Heating
1 . Performance efficiency ' .
2 . Temperature control setting maximum / ; a ..
G . For Swimming Pool Only
1 . Maximum heating ,-J
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Telephone No . 7175U '
`� > / (appl cant ' s signature)
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