7081 BUILDING PERMIT
TOWN OF QUEENSBURY No. 7081
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Norman Teator
OWNER of property located at Hall Road Street,Road or Ave. gu
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in the Town of Queensbury,To Construct or place a Alterations to dwPl 1 ing
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 R. D. #1
Lake George, New York
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2. CONTRACTOR or BUILDER'S Name
Gerald Morin
3. CONTRACTOR or BUILDER'S Address
1179 Washburn Drive
Hudson Falls, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) • fi
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1 1 Wood Frame ( 1 Masonry ( 1 Steel 1 ) K
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7. PLANS and Specifications
enclosing existing 24 'x20" garage for living
area per specifications and application submitted. n
No.
Part
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8. Proposed Use D sZ
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One-Family Dwelling (additional living area) • Q-'
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$10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 82 H.
(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.) W
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Dated at the Town of Queensbury this 2nd Day of Sept. 19 81
SIGNED BY ;44l icr. , for the Town of Queensbury
/ Building and Zoning In ctor
II, 4
TOWN OF QUEENSBURY ` (Space inside block to be tilled in by
WARREN COUNTY. NEW YORK Building Inspccuw)
Application for ,�l'1'li`Jtion No.
•
Pp Permit Issued 19.
BUILDING AND ZONING PERMIT ''..t,°it Expires Ig
/.(u`ii„t.t District
Am'ol Work I
THREE (3) Copies of a PLOT PLAN, Drawn to scale \P l "•`I by
showingthe actual dimensions of the lot to be built Rutn.ii Krupon, Te exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBURY
I DATE REGINVIE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK � � p�
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ANSWER ALL OF THE FOLLOWING. AUG a re9�-c1 f �
The undersigned hereby applies for a permit to do the following work: A.M. s 1
which will be done in accordance with the description, plans and specifi- 16
?I1� -a_-a_ a-. _a _r.
cations, and such special conditions as may be indicated on the permit. i
The gwner of thi property is: _
fieriv a-e7 j ee.fir' Fl. ✓o t/r•'e %e_u r 1- Ac/ wo,/ ,,e'e 1/ /ems /f'f A1,y, /- M'
(NAVE) / (P.O.ADDRESSI
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
Cc-rai !!')eA,r4
(NAME) DI O ADDRESS)
Address l/�Cf lse�t s 6�i r%n �►T �%� n„ .t°, / -�'j
Name of Builder ��'el'd It?s'�'► z e
Address C./ .s. . t. 1s..c .y. .
Name of Plumber.)' /�i•'S ;— f. . . . . . �` s
Name of Mason Address
Lot Number Unit Estimated value of proposed work S fi i. • • . •,,
Name of Village
Name of Street . . . . Side of.otreet: north 0, east, ❑, south ❑. west 0
Nearest Cross Street Distance from this, -ross street Ft.
Property is north ❑,south CI,east i i,west 0 from Cross Street
If on Corner,which corner, northeast 0, northwest ❑, southeast C. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main Building
O Construction of a new building. One family dwelling g
❑ Addition to a building. Two-family dwelling 0
Alteration to a building. , , . -family apartment house ❑
❑ Demolition of a building. Store building 0
-car attached garage ❑
Other:
Accessory Building
One-car detached garage ❑
❑ Other work. Describe:. .4'i? b..)�:-In, . .Q .rr 3 . Two car detached garage ❑
Private chicken house '�—
cZ q{ )sr , . , l-.LA/.1. • • •a r 7Private storage building ❑
J R_t / 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 loeatieer.of all existing buildings.
NORTH'.- 4.- \ •
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Show proposed buildings) in dotted line and existing
13uilding(s) in solid line.
,� i Size of property ft. x ft.
ISize and use of existing buildings, if any
Sn`t6y� v W Size of proposed building ft.x ft.
�, Height(from grade to ridge) ft.
Front yard It.
Side yards ft. and ftft.
Rear yard
SOUTH If op 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 .
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(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame,fire safe, etc.?. . . . . . . . . . . . . . . . . . r'14. -:--.-.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? '''71-4-7 If so, for what)
Material of foundation walls eiz-744-4-v-x .4e-44-- 5111
thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? . ....-riet-4.) If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size,wood studs 4,2- "N i- ",spacing /4 "o.c., length (ge.. ft.
Size, floor beams, 1st floor ,2, -x 6 ", spacing • • • /C. "o.c.,span ft.
Size, floor beams,2nd floor " x " spacing "o.c., span ft.
. . "x :ttieta.4 ", spacing 2. it "o.c., span /Z-
Size,ceiling beamsft.
Size, roof rafters or beams . . . . . . . 2-. . ." x . .y. . . .v...44 ", spacing 7--v. "o.c.,span Z° ft.
Exterior finish id 4 #51k-Zt4" if ft-.4ft.' With what material?
Finish of interior walls. . . .K-fr ik-11-44',A...4-the
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 betw n garage and building?
Kind of heating system . rit_ Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chibmey foundation below grade
Height of chimney above roof
Will there be a fireplace? ..-0-.4, Depth of fireplace hearth
Will a toilet be installed?. ... 94!t--. . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to water supply?
Water supply(public water supply or pump) 7"---1,
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 tr, }wad my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mined, are a true and coa.plete statement of all proposed work to )3e ...e on the described prenuses and that all_provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws penal, 1. the proposed woeesiudi be complied with,whether specified or not,
and that such work is authorized by the owner.
..-.
Sworn to before me this Signature -4•1'4, ... ,1/.--g-,;:ft_fiL
eS owNsR.6VVNER'S AGENT,ARCHITECT,CONTRACTOR
J/ day of
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 5„,
2 . Type of heat
3 . Is the building mechanically cooled? c,
4 . Percentage of area of windows and doors
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ fling and floors
exposz. to ambient conditions_
2 . Floor over heated spaces YES NO
a. Are fou •ation wall Insulated? YES NO
1 . If YE' what ' the R value?
3. Slab on grade • 5 NO
a. If YES, w► - t is the R value of insulation around
perime -r of flo. ?
4. Is bas went heated? YE NO
a. value of insulation
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls X- /l
3 . R value of glazed area__-- 1 , .�, ya
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
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
a
10. Type of insulation � it AAer-i'CI S - L��, a�+rd
C. Controls
1 . Thermostat maximum heat setting
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
E . Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F . Service Water Heating
1 . Performance efficiency
2. Temperature control setting maximum
G . For Swimming Pool Only
1 . Maximum heating —
Telephone No. r tel:` % r�r��_ ,
(applic,.a'nt ' s signature)
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date X - 11/'
Name ` 1¢T27R
Location Z i47:2>
Permit No. 7e9g/ Weather
Remarks
ExcaVa tion
Footin. Forms
Footin. & Piers
Foundation 111111111W A 7
Cement Coat
Water•roofin•
Backfill 'Aft
Final Survey -��=
Framin.
Shea thin•
Roof Felt
Roo fin.
Siding �-
Masonr Veneer _
111111
Rou.h P1.• .
1111,
Relief Valves _111
Wall Board
Ext. Porches
Finished Floor matiom
Interior Trim it
Stairs & Railin•s
Cellar Dr. Tile
Concrete Floors
P1.. . Fixtures , io
Gar. Fire•roofin• J'Door Closers
Chimne
Water Meter Inst.
Se.tic A••roval
Floors
Foundation
Insulation Walls
Ceiling
Bus ding Inspector
REMARKS
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