6125 4-11 BUILDING IN PERMIT 1
TOWN OF QUEENSBURY No. 6125
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Gertrude A. Young (1-
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OWNER of property located at Brayton T�YlP Street,Road or Ave. N
in the Town of Queensbury,To Construct or place a Addition and alterations to dwelling ?
at the above location in accordance to application together with plot plans and other information hereto filed and i..0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0
1. OWNER'S Address is R. D. #1 4
Lake George, N. Y.
2. CONTRACTOR or BUILDER'S Name
Lake George Construction
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3. CONTRACTOR or BUILDER'S Address "C
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Lake George, N. Y.
4. ARCHITECT'S Name
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5. ARCHITECT'S Address N
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17'
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6. TYPE of Construction-(Please indicate by X) 'O
(X)Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
11 'x20' per plot plan, specifications and application
No. submitted.
8. Proposed Use
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One-Family Dwelling
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$ 6. 00 PERMIT FEE PAID -THIS PERMIT EXPIRES May 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
town of Queensbury before the expiration date.) p�
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Dated at the Town of Queensbury this 5th Day of October 19 7 9
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SIGNED BY � for the Town of Queensbury ri-
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B ilding and Zoning In ector
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TOWN OF QUEENSBURY
(Space inside block to be tilled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for . \l'l'li`Aim No.
Permit Issued _19
BUILDING AND ZONING PERMIT "','nit ENpires if)
7A,}lu District
\Milt.ut' n) Work%
THREE (31 Copies of a PLOT PLAN, Drawn to scale \i'l "`id by
showing the actual dimensions of the lot to be built lti'maI Xf
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB- _
MITTED WITH THIS APPLICATION.
J
/ d- y 7/ )TOWN OF QUEENSBURY
HATE la Et GE a V Ei
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. OC'1 4 iVi9 • j
The undersigned hereby applies for a permit to do the following wodc" MA. Oa Fee ' PAL
which will be done in accordance with the description, plans end s ecifi- 41819110111112311213141616
cations, and such special conditions as may be indicated on the permit.
The owner of this property is: �L. �
• • • . . . . . . . . . .
(NA''-) • (P.O AOORE • (
The person responsible for supervision of the work insofar as the Builditg,"Code and the Zoning Ordinance apply is:
. . . .D.p.L F ,,z-N 1, ik L!-\k t^ G r-4p&1= C0 N rR c ri4t'7'1j . ... . .ZAk . . .cr.c'n f'-E
(NAME( ) (P o AobRESs(
Name of Builder LAk r G-E&RG.a_ Co)J$7t?L crtou Address . . .4R.,Y1 C�= c46p ' kit"
Name of Plumber /' " ` Address 0 if ''
r, t, i, Address . ,,
Name of Mason T . . . 4 ,. . . . . . .
tS
Lot Number. .3 5/6" Unit Rt., 11, A,,,..
' Estimated value of proposed work$ Zr.SD G, D�
Name of Village . A�.s.1r M6L,y. 1'4tx,.7- 1 76w,v 0E- ea. F,r-A-4S 19.'°re
Name of Street . .i?•A)-ro"✓ h ANF Side of street: north El, east 0, south D. west 0
Nearest Cross Street , AS.sEk.48&.'-. .Pr; . ..Po.AND. . . . . . . . . Distance from this -ross street t; 00. . . . Ft.
Property is north ❑,south 0,east west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest 0, 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
i Addition to a building. One-family dwelling
4i Alteration to a building. Two-family dwelling 0
❑ Demolition of a building. -family apartment house 0
Store building ❑
.-car attached garage ❑
Other:
Accessory Building
One-car detached garage ❑
❑ Other work. Describe Two-car detached garage ❑
/�� C�1j 01K;e0 0�014 J Private chicken house ❑
�✓ Private storage building
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-
NORTH posed buildings,and the location of all existing buildings.
Show proposed buildings) in dotted line and existing
huilding(s) in solid line. 5 P�o7 PcA�
£ y iv Fs y
Size of property ..28.A c t2 e • ft. x ft.
Size and use of existing buildings, if any . ..4 7. S i /
$T.-eA4'.n�,tri in
D1� �TI►tC��g.�
r m Size of proposed lsiailding ^+jV. tt.x 2 0 ft.
Height(from grade to ridge) / ft.
Front yard /2 0 ft.
Side yards F tsri'C / }�'' ft. and Ai"' 22-. ft.
Rear yard 2 6 ft.
SOUT H If oda 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
' (cont'd.)
BUILDING SPECIFICATIONS., �A
Kind of construction: Wood frame, fire safe,etc.?. . .v"°t'D . • F.n''\
Will any second-hand lumber be used? ti� If so, for what)
Material of foundation walls . . .CuNc.o e 7 g Thickness . /"N
Depth of foundation walls below grade . .T.v . .13.E1 12 t,c Pr Continuous foundation? , t5
Will there be a cellar? P° If so, material of cellar floor
Type of roof: Sloped or flat? . .5.1-z>pGP Material of roof . , .ICY:ct b 't c.c rnut.-
Size,wood studs 2. . ."x e., ",spacing 2 zi c, "o.c., length e ft.
Size, floor beams, 1st floor 1 "x L. ", spacing /4 "o.c.,span 6' / /c ft.
Size, floor beams, 2nd floor P^ " x `� " spacing "o.c., span ft.
2 „x c" ", spacing /C "o.c., span 2�� ft.
Size, ceiling beams ,
Site, roof rafters or beams 2 '"x ", spacing /C " "o.c.,span /0 ft.
Exterior finish PF'........ With what material? W 'jj
Finish of interior walls. . . ...Y(T.1- !".4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached,of what imaterial is wall between garage and main building to be constructed?
Is there to be an opening between Wgarage and building? . . .,A.J1A
Kind of heating system . . . . .l4l.c`.:b. . .5. P'✓t: 6.41.5.T./At t' Oil burner or coal? /C)c-)
Will a flue-lined chimney be provided? . . . J''0 Depth of chimney foundation below grade A'7k
Height of chimney above roof Ai/P /P
Will there be a fireplace? Ai/P Depth of fireplace,hearth, r
Will a toilet be installed? . `+ r I
Will a kitchen sink be installed and connected to water supply? VEs-
Water supply (public water supply or pump) PL,(P
Distance of cesspool from any private well FX r 5- ' l N Cr- 5�1'Tie c !AN t7 4 /)R/t/A ro-`13 feet
Will drainage system be provided with required traps,cleanouts, and vents? Yr 5'
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to th bea c of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and ooa.plete statement of all proposed work to be done on the described premises and that aIl ' ions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the p •.• . work shall be complied wi whether specified or not,
and that such work is authorized by the owner. '�
Sworn to before me this Slgn.ty á! •
N R.OWNER'S AGENT,ARCHITECT, NTRA OA i
day of. 19 /
NOTARY PUBLIC,WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
TOWN OF 7UEENSBURY
WARREN COUNTY , NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YOrcK
STATE ENERGY CON5i:RVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following:
1. Gross floor area 2 v - L> F l
2 . Type of heat �A'���'� j r�'� � •
3. Is the building mechanically cooled?
IVO
4 . Percentage of area of windows and doors /2 3/4
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 . 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.
B. Under 16% Max
1 . U value of roof and floors exposed to ambient conditions
2 . U value of exterior walls ° 6 '�
3. U value of glazed area
4 . U value of doors ' O 7 5 . U value of floors over heated spaces ,F''f&
6 . R value of slab edge insulation - unheated slab c' f�
7. R value of slab insulation - heated slab /P`
8 . V value of heated basement/cellar walls (above grade) a
9 . R value of heated basement/cellar walls (below grade) .E1A
FIR2E- 0-1_AS' Ak7O TaEl7Mc uL
10 . Type of insulation �
C . Controls
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES c
a . If YES , R value of duct installation.
b . R value of duct in other areas
F . Piping Insulation t//A
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 N�
G. For Swimming Pool Only //'
1 . Maximum heating /'
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /.Z/cJ7y
Name C1 le,j h 'r- //
Location sr
Permit No. v /c S Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough P1bg,,
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
Wails
Ceilin
Building Inspector
REMARKS
"ow 4J 0 //�
- TOWN OF QUEENSBURY
Building Department
" - "i Report Dat%0' -22-7,
Name 64.v ,-6e-r ✓u cr€
Loca cJ �a
P- ,.• No. ! a S Weather
Remarks
Excatation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
'ding i
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
Building pector
REMARKS
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