6224 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6224
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John B. and Jacqueline D. VanDerwarker
OWNER of property located at Ridge Road Street,Road or Ave. •
in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) •
at the above location in accordance to application together with plot plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
•
1. OWNER'S Address is Star Route
Glens Falls, New York
•
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
f
Same
0
n
4. ARCHITECT'S Name
Au
II
m
K
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
F''
( Wood Frame ( )Masonry ( )Steel ( 1
fD
7. PLANS and Specifications
28 'x26' over existing garage per plan and application
No. submitted.
8. Proposed Use
One-Family Dwelling (additional living area)
QJ
1-.
$ 6. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 1 1980 w
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the •� 0
town of Queensbury before the expiration date.) 'i ` ' o
rt
Dated at the Town of Queensbury this 19th Day of December 19 79 6 1—
f� N
SIGNED BY " for the Town of Queensburyng and Zoning I n ecto N.
z3
TOWN OF QUEENSBURY ti (Space inside block to be tilled in by
WARREN COUNTY. NEW YORK Building Inspector)
Ahpli(ation No. ;
•
Application for Permit Issued _19.
BUILDING AND ZONING PERMIT 1.,,,mit Expires ICI
%.nnin.: 1)istritt
. \ ,ilia• o1 \Vurk
THREE 13) Copies of a PLOT PLAN, Drawn to scale 1"."1/4"1 by
showingthe actual dimensions of the lot to be built 1ti'in u Kf
upon, T exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
�"^�/ r / ,'�./1�J Cj TOWN OF QUEENS _...
J -7 / � ` ` 1 RE, GUIVE APE
RMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. DEC 1 ! 1919
The undersigned hereby applies for a permit to do the following work A.M. , P.M.
which will be done in accordance with the description, plans and specifi- . g g 1o1I 1 2 3 4 5 6cations, and such special conditions as may be indicated on the permit. I. I.I• , 1 I I I I • I,T wner of th roperty is: rfA �7 �—
a 6/t�.r�••. (P 0. DDRESS)
INA''FI
The person responsible for supervision of the work insofar as the Buildi.ng,C.ode and the Zoning Ordinance apply is:
a5A/71 t-. . /9 S. k7.4ct v
(NAME) (P.O ADDRESS)
Name of Builder Address
Name of Plumber .Address
Name of Mason Address
Lot Number Unit L Estimated value of proposed work$ .360-6,,v G
Name of Village . .c` eieeN.S.aEe
Name of Street . . / /.4 ., Side of street: north Ca, east, ❑, south D❑. west 0
Nearest Cross Street . . . . ea 9.z 'z_4 . . . . . . . . . Distance from this -Toss street / :.A-a- Ft.
Property is north 13),south ❑,east i 1, west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast 0. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Main Building
Construction of a new building. One family dwelling
Addition to a building. Two-family dwefling ❑
CIAlteration to a building. , , . . -family apartment house ❑
❑ Demolition of a building. Store building ❑
-car attached garage ❑
Other:
Accessory Building
r ! One-car detached garage ❑
0 Other work. Describe ` x Two-car detached garage
• Private chicken house E
-
do °' ' ' ' 'C"X f`$T 1 ~ Private storage building ❑
.5 0,`_.0, s.t. ` Hi i + r co- C G(„ 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
huildinrlsl in solid line.
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe,etc.?. .Wood. .frp.m(-
Will any second-hand lumber be used? Ni If so, for what?
Material of foundation walls C'64CI efc. 49/6c-if 'Thickness e
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? f so, material of cellar floor
Type of roof: Sloped or flat? Shyoe Material of roof . . ./s.SA ait S''i/n ie.
oZ. . �a s '. .
Size,wood studs „x ,,,spacing /� "o.c., ength. . . l./�. ft.
Size, floor beams, 1st floor 4 „x 3- ",spacing .. , .'./‘ "o.c.,span ./s -Al -k ft.
„x ", spacing "o.c., span ft.
Size, floor beams, 2nd floor
Size, ceiling beams "x ", spacing "o.c., span ft.
Site, roof rafters or beams Qt "x /6 ", spacing / "o.c.,span %'S` ft.
Exterior finish With what material?
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening be j�g�arag and building?
Kind of heating system . . lfl Oil burner or coal? ail
Will a flue-lined chimney be provided? . Depth of chilhfley foundation below grade
Height of chimney above roof�"/�
Will there be a fireplace? . . . /16 Depth of fireplace hearth
Will a toilet be installed?. . .11.0
Will a kitchen sink be installed and connected to water supply? 1Vc
Water supply(public water supply or pump)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps,cleanouts, and vents?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to to b r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mined, are a true and co.,. lete statement of all proposed work to be done n the described prenuses and that aovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain to proposed wor shall complied with whether specified or not,
and that such work is authorized by the owner. /�' Wm, /
Sworn to before m this Signature OWNER,OWNER'S/AGENT,ARCHITECT,CONTRACTOR
/� ' day of.... . .. . . 19./. ...
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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 07?
2 . Type of heat (11?:a -
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors JIX
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 a. Are Are foundation walls insulated? YES NO
1. If YES, what is the R value?
•
3 . Slab on grade ( 5, NO
a. If YES, what is the R value of insulation around
perimeter of floor? -4-7Y
.
4 . Is Alliat heated? YES NO
a. R value of insulation
5. Type of insulation & ece,21,-ii_z4„;,/,‘
B. Under 16% Only
1 . R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls
3 . R value of glazed area
4 . R value of doors
5. R value of floors over heated spaces
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
B. 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 /2?6-
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES
a. If YES , R value of duct installation
b. R value of duct in other areas
f\'
..- ` _ -fi
,.
,
s
t
1
y.
, .IIt
." A
V: 1 ' '
A I
i
it
R S e y
x
, f
,
, , t , -1 3
v JI ' I
A t . I�c �' 4 - t•
1k IN Lr / l, /� �
k ... 1
>1 <
I
!
,
,
1
1
!
T ........
r•-\\ ::::'.*V4' \\
.,.,.
. ,. :,:,,)
(-,., ,..'",...
i
-...
gilibi N. ,
N'... \''''
CI\
..,,
. --...„0
N '
t.... _
, -
. --'.. .
v
k
i '71