85-547 BUILDING PERMIT
TOWN OF QUEENSBURY No. 85-547
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Charles O. Sicard
OWNER of property located at off Glen Lake Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration to dwelling
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 RD #1 0
Lake George, New York In
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2. CONTRACTOR or BUILDER'S Name
George Sicard
3. CONTRACTOR or BUILDER'S Address
RD #1
Lk, George, N. Y.
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( 1 Masonry ( 1 Steel ( )
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7. PLANS and Specifications O
enclose 10' 10' section of deck for living area
No. and new roof per plot and application submitted.
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8. Proposed Use
One-Family Dwelling x
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$5. 00 C/O Paid
$16. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 19 86 ¢ W
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.) x 1-1 ID
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Dated at the Town of Queensbury this 26th Day of Sept• 1985
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SIGNED BY �% for the Town of Queensbury C, (D
Building and Zoning Inspect. I_,. n O
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TOWN OF QUEENSBURY
(Space inside block to be filled in in
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application
No. '
Permit Issued 19
BUILDING AND ZONING PERMIT Permit Expires VI
%online. District
\ ;ilnc• "I Work$
TR MEA-3-l-,Copies of a PLOT PLAN, Drawn to scale \11" "d b
showing the actual dimensions of the lot to be built k<m:irKf
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
2/q' / - c;R y' / Y1/ 7/95.
TOWN OF QUEENSBURY
A EI0E [ V .—,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK12
ANSWER ALL OF THE FOLLOWING. L.H : 6 1 =''
The undersigned hereby applies for a permit to do the following work0/ /., 4"z'9,te $9°V
which will be done in accordance with the description, plans and specifi- A.M.: .M.
cations, and such special conditions as may be indicated on the permit. 71M11•c4114: 1j2)3) ,', (6
The owner oft ' pro rty is: a a
INA 4E) IP D.ADDRESS) { 95
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) . IP D ADDRESS)
6 U; c j�. .
Nameof Bwlder. . . . . . . . . . . . . . .r . IC-.��- ( Address . . . . . . . . 144.
Name of Plumber J+ 1.4 Address
Name of Mason ��� Address .�
ePcP
Lot Number Unit Estimated value of proposed work$ / �`
Name of Village
Name of Street c' C /-``t-K r fir) Side of street: north 0, east 0, south 0. west ❑
Nearest Cross Street Distance from this Bross street Ft.
Property is north ❑,south ❑,east i 1, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Q. 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
Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
Accessory Building
�-��,,G�9 --- ,O h One car detached garage (-�
0 Other work. Describe: Two-car detached garage ❑
/0 / S6c 77100fr OP b C1 FOR.- Private chicken house ❑
Private storage building ❑
//,.8/Zi4eC4"'Mee, . te5.0. ./V&A) A 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
luilding(s) in solid line.
Size of property ft. x ft.
Size and use of existing buildings, if any
N 0
a m Size of proposed building ft.x ft.
Height(from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
Rear yard 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
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.'�(/:'9°� • t'�`. . ^ —. • •
Will any second-hand lumber be used? If so, for what
Material of foundation walls C�'�''�P�7 l"t1-0645
Thickness cr
Depth of foundation walls below grade � — /11.k.L5 pol-`'N Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? . . . s.t.- f.e. . • • . Material of roof S�,,,�(c. . ./Qi. . .00
Size,wood studs ?C ' " x t ", spacing li T "o.c., lenth • ft.
Size, floor beams, 1st floor a- K 1 "x tC ", spacing . . . . . ./6.,. . . . ."o.c., span ft.
Size, floor beams, 2nd floor . .1-t.(e. . . " x k i,I ", spacing "o.c., span ft.
2- kiG ,. x 1 r
Size, ceiling beams ", spacing "o.c., span ft.
'
Siie, roof rafters or beams . . . . ��. 2
�. . . "x ", spacing "o.c., span ft.
Exterior finish bo/CitA 'f r,17Gt.', With what material? W o.90
Finish of interior walls. . . . . . . . . . . .-,s1rp.1 P-pc..t,. . . . .-3. "'v't . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .h-?7,4
Is there to be an opening between garage and building? /v A
Kind of heating system J. I ittc••Li. .h. tq Oil burner or coal? o).f. . ,.A.°'"`-
Will a flue-lined chimney be provided? -5 . Depth of chimney foundation below grade £
2`4-
Height of chimney above roof
Will there be a fireplace? 0`' Depth of fireplace hearth /v/�'
Will a toilet be installed?. .. . . . . . . . . /t! 4 •. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connecte to water supply? N ri
Water supply(public water supply or pump) 1vv�
Distance of cesspool from any private well IP( feet
Will drainage system be provided with required traps, cleanouts, and vents? ,N O
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tr. b4 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 at all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the .. ..'sed work sha}l a no pH with,w ther specified or not,
and that such work is authorized by the owner. ..7t— o
Sworn to before me this Signature ... ..... . ..._ .. it
• NE NEWS AGENT ARCHITECT.CO TRACTOR
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
2 . Type of heat Pce i A ((L_ A( I
3 . Is the building mechanically cooled? /ti 0
4 . Percentage of area of windows and doors
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 ,
IPUnder 16% Only
1. R value of roof and floors ex poised to ambient c9..nditions
>`` rbn J(As 2 2 ) -._
2 . R value of exterior walls �j t1l ,(1Z I,{ . 47. /Cr
3 . R value of glazed area 11\Cctr410 24,P it
4 . R value of doors pr -' ..( c\foo2 -
5. R value of floors over unheated spaces A)/4- s
6. R value of slab edge insulation - unheated slab 1/ 1
7. R value of slab insulation - heated slab it? !!
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10 . Type of insulation F, [..7Nn_r' t,A j
C. Controls
1. Thermostat maximum heat setting
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 /V /Z
E. Piping Insulation
1 . Size of hot water or cooling carrying agent pipe /Vif
2 . R value of pipe insulation �!
F. Service Water Heating ��� v
1 . Performance efficiency
2. Temperature control setting maximum /ye9
G. For Swimming Pool Only
1 . Maximum heating A41(,-2
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