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6293 BUILDING PERMIT TOWN OF QUEENSBURY No. 6293 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Adam Wygnanski OWNER of property located at Hemlock Road Street,Road or Ave. in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) 5 at the above location in accordance to application together with plot plans and other information hereto filed and approved and incompliance with the Town of Queensbury Building and Zoning Ordinance. 0 1. OWNER'S Address is p. 0. Box 747 Lake George, N. Y. H. 2. CONTRACTOR or BUI LDER'S Name Del Lewis 3. CONTRACTOR or BUILDER'S Address R. D. #1 Lake George, N. Y. x m 4. ARCHITECT'S Name F5,,, 0 C) x 5. ARCHITECT'S Address 0 00 IZ 6. TYPE of Construction—(Please indicate by X) IX)Wood Frame ( 1 Masonry ( )Steel ( 1 7. PLANS and Specifications 12 'x12 ' per plot plan, specifications and application No. submitted. 8. Proposed Use f''' rt One—Family Dwelling (additional living area added) rt 0 $6. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 80 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the I town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 18th Day of April 19 80 SIGNED BYEJ1-.1P. e f8 for the Town of Queensbury Building and Zoning Insector ' r TOWN OF QUEENSBURY t (Space inside block to lie tilled in by WARREN COUNTY. NEW YORK Building Inspector) A lication for %NAoatim PP Permit issued 19. BUILDING AND ZONING PERMIT l...rmit Expires. Ift 1.4,rinr District \;AIiu „1 Work$ THREE (31 Copies of a PLOT PLAN, Drawn to scale ' \l't"'"c'cl 1" showing the actual dimensions of the lot to be built Rem:i1 Xc upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. ,4 3 C) _ i 411,10 TOWN OF443 QUEENSE.�., DATE [t. 11 M E DJ A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK u�, • ANSWER ALL OF THE FOLLOWING. AP 1 7 1980 The undersigned hereby applies for a permit to do the following woe& A.M. P.M. which will be done in accordance with the description, plans and specifi- 71M11(111.11121MIN6 cations, and such special conditions as may be indicated on the permit. The owner of this propert• y is: 1.s* ,G .7 y (NA•:E) IP.0 AD ESSI /2 e 5es— The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) /� QDRES 1 k,e . /J __. N, y E C�1 J/ /� s-e Name of Builder � � ��� `���')AckIrem. Name of Plumber '"-'`.Z Address Name of Mason Address Lot Number Unit . . . . • . • . . . . Esti Xmed value of proposed work S 2�!- "`—'c-) Name of Village 2 c,2.w+ / `7 Name of Street . . . ;�/�-�4�- d�� Side of street: north 0, east 0, south O. west 0 Nearest Cross Street-(- i-kg AC-1 Distance from this -ross street /3---Zf, Ft. Property is north 0,south ❑,east i i,west 0 from Cross Street If on Corner,which corner,northeast D, northwest ❑, southeast 0 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 0 ❑ Demolition of a building. -family apartment house ❑ Store building 0 . . . -car attached garage 0 Other: Accessory Building One-car detached garage ❑ Other work. Describe: Two-car detached garage 0 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 huilding(s) in solid line. i Size of property 7 ft. it ft. Size and use of existing buildings,if any N N F r .�-'L-f 1' �'' ft. i m Size of proposed building t.x Height(from grade to ridge) ft. Front yard l'a , ft. Side yards . . . .7 /F/:`! and ft. Rear yard '6 ' 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. (OVERI 7-73-M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame,fire safes Ftc.?. . . • . • ' • " • • • • . . . . . . . . . . .. . . • • . . . . . . . . . . . . . . • Will any second-hand lumber be used? l." ``' If so, for what) Material of foundation walls Thickness Depth of foundation walls below grade Continuous foundation? Will there be a cellar? If so, material of cellar floor Type of roof: o d.or flat? Material of roof ri Size,wood studs / „x ",spacing l ' "o.c.,length. . . . t • ft. Size, floor beams, 1st floor .. . ."x /0 ",spacing . . ,l(p "o.c.,span /-?� ft. Size, floor beams, 2nd floor 2, "x ' ", spacing . . /6 "o.c.,span . . . ./Z.. . . . . . ft. Size, ceiling beams "x ", spacing "o.c.,span ft. Size, roof rafters or beams Z.-"x ",spacing / 6 "o.c.,span /17 ft. Exterior finish it -" 1 — C . -!Zr.- 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 open'..g between garage and building? Kind of heating system Oil burner or coal? Will a flue-lined chimney be .rovided? Depth of chili-may foundation below grade Height of chimney above roof. . . . . . . . . . . . . . . . . . • Will there be a fireplace? / Depth of fireplace hearth Will a toilet be installed? Will a kitchen sink be installed and connect-• to water supply? Water supply(public water supply or pump) Distance of cesspool from any privat ell feet Will drainage system be provi, with required traps,cleanouts, and vents? AFFIDAVIT Town of Queenshury County of Warren State of New York I swear that to it ba r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and oo.,.plete statement of all proposed work to be done on the described premises and that all ''stops of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the pro shall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature 0 R.OWNER'S NT CMITECT.CONTRACTOR • day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: By TOWN OF QUEENSBURY ,/ ivA;z/Lif`L ice-e. e 4')e / "7 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 e.,C , i E' j e/J ) f/ ,).J,+r0.4) i g'y �—) �F 6P 2 . Type of heat 6 / ( fj�e//eit/G 3 . Is the building mechanically cooled? 4 . Percentage of area of windows and doors A. Over 16% Only 1 . value of gross area of walls , roof/c - iling and floors ex•. sed to ambient conditions 6 -- 2 . Floor over .eated spaces YES``' NO a. Are founda - ' on walls ins Elated? YES NO 11,/'/710 1 . If YES , w - t is the R value? '4'/7-& 3 . Slab on grade YES NO a. If YES , what is. the R alue 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_ - 17 Zi t 2 . R value of exterior walls / 0/I4:02 7 3 14 11/L-- bar ' Sj 3 . R value of glazed area )2 - ! ' cJ--' 4 . R value of doors ,.ez. - 5. R value of floors over heated spaces ‘ rs ,/bei,t Qs.S /2- 6. R value of slab edge insulation - unheated slab ><" 7 . R value of slab insulation - heated slab ,O S . R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below grade) 10. Type of insulation /G5',4--- j 7 7 r 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 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. —779:) -143512 (applican s ignature) I 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 / L/ 2 . Type of heat � y 0 0 D A AND 0 I L. 3 . Is the building mechanically cooled? PI 0 4 . Percentage of area of windows and doors 1 ' A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . F . .r over heated spaces YE NO (r, a. foundation walls in . ated? YES NO i.01' 1 . YES, what is e R value? 3 . Slab on grade YES NO a. If YES , what the R value of insulation around perimeter o floo 4 . Is basemen heated? YES NO L'4 a. R va e of insulation 5. Type of insulation B. Under 16% On 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 8. 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 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 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 715:4141 Telephone No. *+► (applicant ' s signature) Y1 TOWN OF QUEENSBURY Building Department Inspectors Report Date /7/3 f RO Name /q-ri G r,-i tA.) y ) n q Location (i-e n-,!o c K R . g /en. Permit No. c/o 'Weather Remarks Excattation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey i Framing Sheathing Roof Felt Roofing i .. Siding 1 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 i Door Closers Chimney Water Meter Inst. i Septic Approval i`_.._.__,_ Insulation `7 `137, 17 T=_r... x m7Dector REMARKS / f , oL TOWN OF QUEENSBURY Building Department Inspectors Report Date (0/3 o/R a Name 414 q Nib )yy PI rtik Location H-crh 10c-I< v dd - G/e, L-a/C�. Permit No. G 3 Weather Remarks Excatia ti on 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 /i Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors —/' \\\ Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation FOLtridatiDri Walls Ceiliri Building Inspector REMARKS ,b0 et b alc 10°31- e(//adcPC'''D. ,0i/ N�Ic�, )ddr Pita TOWN OF QUEENSBURY Building Department Inspectors Report Date aa'/1=1) Name GM i24N-� c_ Location j� 7.ge L G�12 Permit No. 42 it/3 Weather Per Cent Complete Remarks Excavation Footing Forms Footing & Piers L/ p/E Foundation �ff Cement Coat " 613 6f S e _5%2.e Waterproofing Pic zi /.€ /)x-- ✓'ce. Backfill V19 Ile b/ Y.t—.S Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. 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 B tlt&ng Inspector REMARKS C_;r7 N /4 .cQr �I 14) 4._.( 1Q / N N 7 N ` . ' � 0 �� � �� K �~� n ^ __��_ ___-' - '-___--__� ��- ___. _ i ---~ ' ` � � | V } \ ! ` | � f ' . ` �� � } �� ' . 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