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87-226 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-226 WARREN COUNTY, NEW YORK 0 �r PERMISSION is hereby granted to Robert L. Moors n rt Richardson st. Ext. r OWNER of property located at Street,Road or Ave. H in the Town of Queensbury,To Construct or place a Alterations to dwelling (roof) of at the above location in accordance to application together with plot plans and other information hereto filed and CD approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is Richardson st. Ext. Queensbury, NY 12801 2. CONTRACTOR or BUI LDER'S Name same ~' w n a. 3. CONTRACTOR or BUILDER'S Address 0 same ° CO rt 4. ARCHITECT'S Name X rt 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) N rt (X)Wood Frame ( ) Masonry ( )Steel w rt r• 7. PLANS and Specifications No replacing roof and eliminating dormers per specifications and rt application submitted. ° a. 8. Proposed Use m N One—Family dwelling (alterations to roof) N CrQ $5.00 C/0 $ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Dec. 1 19 87 (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.) Dated at the Town of Queensbury this 8th —Day ofMay 19 87 SIGNED BY (X• /✓ for the Town of Queensbury wilding and Zoning Inspecto � TO BE COMPLETED BY BLDG. DEPT. I a Application No. APR 2 41907. �n of QueenJlury Permit Issued 19 AG and ZONING DEPARTMENT Permit Expires 19 s �t11LDING & CODE DEBT id Haviland Road, R.D. 1 Box 98 Zoning Designation /OueensLury, New York 12801 Variance No. Site Pla view No / p 6 o 17 APprov l APPLICATION FOR I i EU I LD I NG AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following .work which will be done in accordance with the description, plans and specifications submitted, and such special conditions as may be indicated on the Permit. -- ----------------------------------------------------------I `L°-p�-�--------------------------- K) The owner of this property is: t{ 4 / q P.O. Address ems' !—�• L I�r A)rL/ Tel. Property Location: Tax Map No. / / Street number or building lot number Subdivision name (if applicable) THE ARSON RESP NSIBLE FOR SUPERVISIO OF ORK AS REGARDS BUI DING CODES IS: Name P.O. Address Tel. No. Name of builder 4 ze- Address Tel. Name of plumber Address Tel. Name of mason Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: _Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition to a building drawn reasonably to scale and attached hereto, �P Alteration to a building showing clearly and distinctly all buildings-, (no change to exterior dimensions) whether existing or proposed and indicate all Other w rk (d scr be) //r,�,ei; '� set-back dimensions from property lines. Give street and number or lot number and indicate FOR�EMOLOIF­IO/N��I , ST T SYZE ARID whether interior or corner lot. Show location of water supply and location and configuration LOC TRUCTURES AFFE TED. * of septic disposal area. * COMPLETE INFORMATION REQUIRED-BR Size of property I- • ft. I Existing buildings)-Size,; ft - _ft. PROPOSED BUILDING AND SSE: \\ '� Existing building(s) Used Size of new structblr ft X ft * " Foundation-pier/slab rawl/partial/full Proposed building, distance rom propert, line (ci! cle one) '� Front yard;' f t Rear yar 1r No. of stories (habitable space) Side yards ft and , t Height (grade to ridge) ft. If on corner, setback from side%spree ft If residential, no. bf iiies No. of rooms(excludi Jg bathe) " CUPANCY INFORMATION L' No. of bedrooms ,' No. of_bathrooms I __ PRIMARY BUILDING - _1 /- '- x Primary heating system I One family dwelling Type of fuel Two family dwelling No. of fireplaces to be installed Multiple dwelling / Number of units Will a wood stove be installed? Permanent occupancy _ Central Air conditioning? Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin Other Raised ranch Mansion Duplex If addition, what will use be. SDli_t 1_AVP_l_ ni a Stvl e Runaal nw BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction wood frame fire safe,etc. YP � 4 Will any second-hand or ungraded lumber be used? If so, for what? �of i Foundation wall material Thickness Depth of foundation below grade (to•bottom/ ff footing) \ Will there be a cellar? Heat d r unh aytyed? Floor sq. footage sq ft Will there be a basement'. l�nl'1 any p rtion be used as living space? (If so, what portion? sq.- t� - - ape of use? Type of roof - sloped/flat/she do ,her Material, of roof Size, wood studs "X spacing it length ft. Joists(floor -beams) lst. floor "X it spacing "o.c. span ft. - Joists (floor beams) 2nd. floor "X " spacing '(o.c. span ft. Overlays(ceiling beams) "XAfspacing "o.c. span __ ft. ._ Roof rafters iX- spacing span 7,3 t. , Roof trusses(pre ne gine ed) spacing./ O.C." span ft. Exterior wall finish L1. to U act f1lb bf what material? Interior wall finish — -_----- If a garage is to be attached bed terials to be used for FIRE SEPARATION: n Is there to be an opening between garagg apd dy;e ling? If so will a Fire-rated door, enclosure, and self-closing devic be• p o ided? Will a flue-lined chimney be installed. 1 ight above roof ft. Depth of chimney foundation below grad ftf Depth of fireplace hearth ft. i J Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well(indluding adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) Town of bury County off Warren A F F I D A V I T STATE OF NEW YORK I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done !on the described premises and that all___ - provisions-of-the--BUIL-DING-CODE;=THE-ZONING- ORDINANCE-,-and-all _other_.laws_pertaining__to= the proposed work shall be complied with, whethex specified or not, and that such work is authorized by the owner. 1 . J ----° _C�� � SWORN TO BEFORE ME THIS Signature____ Owne , owner's agent,architect,contractor day of 19 Notary Public, Warren County, N.Y. SPECIAL CONDITIONS OF THE PERMIT: . TFIUUi�! C'lh C �1IS-r:l1:7Q_f:1C'C•' 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;`worki ANSWER ALL of the following: 1. Gross floor area \ , 2 . Type of heat ti 3 . Is the building mechanically cooled? 4 . Percentage of area of windows and doors 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 Rvalue 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 ex os d to ambient conditions_ 2 . R value of exterior walls r 3 . R value of glazed area 4. R value of doors 5 . R value of floors over unheated 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 N0 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 Ill Jown o f QueenjLry �) BUILDING and ZONING DEPARTMENT o Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Date / Permit No. T-- * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney Vl'NSULATION: Foundation Floors Walls / Ceiling FINAL ELECTRICAL INSPEC 0Yq DRIVEWAY APPROVA Final Building S rvey Next scheduled inspection (call when ready) Remarks- Buildir-Inspector 6/86 and-vl Down of QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ` S REPORT NAME Aook c? LOCATION �N rej)5ZJAJ- Date rj, / Permit No. v� * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill XFraming Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- z 141 W`OtTlOA/- iL Bu lding Insp cto 6/86 and-vl 7