1985-278 C/O Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 _
This is to certify that work requested to be clone as shown by Permit No. 8 5- 2 7 8
has been completed.
This structure may be occupied as a Addition to one family dwelling
Location + Newcomb Street
Owner Wilfred P . Klein
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE -'INSTA-- PRINTING GLENS FALLS. N T 12501 ISISITSS-S4 a
r
BUILDING PERMIT
TOWN OF +QUEEN5BURY
No. $ 5- 27 $
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Wilfred P . Klein
F-h
OWNER of property located at Newcomb St - Street, Road or Ave. �
CL
in the Town of Queensbury, To Construct or place a Alteration/addition to dwelling hd
at the above location in accordance to application together with plat plans and other information hereto filed and
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance_
F-
M
t_ OWNEWSAddressis Box 132 Newcomb St .
Glens Falls , N . Y .
2. CONTRACTOR or BUI LDEWS Name
same
3. CONTRACTOR or BUILDER'S Address
m
same
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4. ARCHITECT'S Name
rx
SIk
S. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by X)
( A Wood Frame i ? Masonry i ) Steel
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7. PLANS and Specifications �
ly
remove existing parch and bedroom and. add new r
No. bedroom and parch per pleat plane specifications O
B. Proposed Use ¢
One-Family dwelling ( alterations and addition ) fi
F�-
$ 5 . 00 C/o Paid Q"s
$ 1 n _ CI [} PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 19 86
(If a longer per➢ad 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_)
ro
Dated at the Town of Queensbury this 11th Day of June 19 85 �+
N-
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SIGNED BY Glri G'y i L . D .s for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
(Space inside block to }x, filled in b%
WARREN CC3UN*rY. NEW YORK Building lnspcY•enr)
4� i�ali
Application for r�[%.Nu No.
BUILDING AND ZONING PERMIT hf .i �,T;t 14•xivoires . t �)
.1�f �1t111"Y'• I);+.T rirt i
�L :I Itt[' fkt \% fwL
THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scaly k� ilfr„ f•<1 1,1 �"--
sFtowingg the actual dimensions of the lot to be built
upon, Tha exact size, and location on the lot of the
. . . . . . . . . . . . . . . .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
r
L FsAFF 911
A PERMIT MUST 8E OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. JU N L a W5The undersigned hereby applies for a permit to do the following work 5 /=
which will be done in accordance with the description, plans and specifi- A,fyl" s M6
cations, and such special conditions as may be indicated on the permit. 71 �1g1l� , 1 � 1 , J . 1 .
The owner of this $z Per- t is:
:f. . . . . . . /�'' t.JC JM - I -_ .. .
WO AVORESS$
The person responsihie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. . NAM E} ' - - - - - . , I O ADDRE'SS} , - - - - -
Name of Builder . . _ e . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . .
Name of Plumber . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . .
Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .
AV eD,
Lot Number . . . . . . . . . . . Unit . . . . . . . . . . . , Estimated value of proposed worm S . . . '.5io 000 F
Nameof Village . . . . . . . . . . . . . / . . . . . - . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . .
Name of Street . JI.1.e. C� 2G.Q .� { Ct. . .Sr . . . . . . . . . . . . . . . . . . . . . . Side of street : north ❑, east 0 , south ❑ , west
Nearest Gross Street . .Q1Q 6r ( sJ- . . . . . . . . . . . . . . Distance from this ^ross street r 0 - . . - . . . . . . . . Ft .
Property is north south ❑ , east i i , west ❑ from Cross Street
If on Corner, which corner, northeast 0 , northwest 0 , southeast ❑ . southwest
(Designate by marking with an "X" in the correct space.)
~ NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building, Main BMAding
f� Addition to a building. One-famih dwelling
C� Alteration to a building. Two family dwelling
0 Demolition of a building. family apartment house
Store building 0
-car attached garage C')
Other- . . . . . . . . . . . . . . . . . . . . . . . . . .
Accessory Building
One-car detached garage C1
C] Other work. Describe: Two-car detached garage
Private chicken house
Private storage building (�
_x�.A- Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ZONING SPE ATIDNS. Fill in for new building, or addition to existing building, or a change of aacupancy.
FIC
Indicate on the plot plan street names, the location and
sine of the property, the location, size and setbacks of pro
NORTH posed buildings, and the location of till existing buildings.
Show proposed building(s) in dotted line and existing
0 zg:r hu"tlding(s) in solid line.
lid . . O,
Size of property . ..�.C�t . . . - - - ft. x - f :% :! . . Et,
Size and use of existing buildings, if any .
Size of proposed building ft. x . ft.
Height (from grade to ridge) . . . . . . . . . . . . . . . ft.
Front yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft.
Side vards . . - . . . . . . . . . . . . ft. and . , . . . . . . . • . . . . . It.
Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft.
If on corner, setback from side street . . . • • • • • . . . • • • it.
Note: All distances are net, as measured frorn street side
line tts nearest part of building.
tovgRi
7- 73 — M
(cont'd. }
BUILDING SPECIFICATIONS..
Kind of constructiori6Wood F fire safe, etc.? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? . . .t> f :e'a . . . . . _ . . If so, for what? . . . . . . . . . . . . . . . .
Material of foundation walls . . . . . . . . . .42AIc�t r2 . . . . . . . . . . . . . . . Thickness . . . . . . . . . - . . . . . . . . . . .
Depth of foundation wails below grade . . . . • • • • . • . • . . • - - - • - Continuous foundation? . . . . .
Will there be a cellar? . _ - . .!L° " . . . . , . If so, material of cellar floor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Type of roof. Sloped or flat? _ . . . . . . . . . . . Material of roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e, Size, wood studs ,+rt.. . . . to x . . . . .1r, - . . . . . . . spacing . . . . . . . . . . . ."o.c., length . . . . . r . . . . . . ft.
Size, floor beams. 1st floor . . . . . . . . . . x . . . . Gv . . . . . . . . . ", spacing . . . . .I�!'O . . . - . . "o.c., span . . . . . . 4Q. . . . . ft.
Size, floor beams, 2nd floor - . . . . . . Pox . . . . spacing - . . . . "o.c., span . _ . . . �� . . . . ft,
L Size, ceiling beams . . . . . . . . . . . . . oi.-,-. , to x . . . . '3;.I. . 4,."', spacing . . . . .,=�. �. . . . . "o.c., span . . . . . . - . . . ft.
r Side, roof rafters or beams . . . . . . . . . "' x .'"` spacing ."o-c., span . ft.
Exterior finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . With what material? . . . . �+' I�- -/. . . . . . . . . . . . . . . .
Finish of interior walls . . . . . . . . . egPw -le-o C.. Af . . . . . , . . . . , , , . . , , . . . . . , . . . , . . . . . . _ _ . . . _ . . . . . . .
If garage is to be attached, of what material is wail between garage and main buij4ing to be constructed?
Is there to be an opening between garage and building? . . . . . . . . . . .
Kind of heating system . . . , . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a flue-lined chimney be provided? . . . . . . . . . . - - • - Depth of chimney foundation below grade . . . . . . . .
Height of chimney above roof . . . . . . . . . - . I . I . . . . . - . . . . . . . . . . . . . . . . . . . . . . I . I _ . . - . . . . . . . . . . - . . . . . I . . . . _ . . . . .
Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . .
Will a toilet be installed? - . . . . . . . . . . I . _ I . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink he installed and connected to water supply? . . . . . . . . . . . . . . . . . . . . . . . . . .
Water supply ( public water supply or pump) . . - . . . . . . . . . . . . . . - - - - - - - . . . . . . . , . . . . . . . . . . . . . . . . . . . , . . . . -
Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . � . . _ , . . . . . . . . . . . . . . . . . . feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to it bras of my know,iedge and belief the statenomis contained in this application, together with the pieta and specificaRtiessa aqb
rained. are a true and co't4 Iste statement of all proposed work to be done on the destaribed psatntaes and that wU isiom of the BUILD-
ING CODE, THE ZONING ORDINANCE, and all other Iowa peruinietg m the rer�C ohs ed . whether specified or not,
And that such work is authorized by the owner.Sworn
Sworn to before me this Signature . . .." ER. OWNER'S AGENT, ARCHITECT. Ci7NTRACT47R- - - --. . . .
dayof. . . . . ... . .. .. . ... . . . . . . . .. . . 19, -. . . .
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT=
13y _ .. . _. .. . _.-.. . . . ._ _ . _. . . . . . . .. . .. .... . . .... . ....... . ... . ... . . . . ... _ . . .-. . . . ..- .
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 '- rr, ` k- . _
3 . Ps the building mechanically cooled ? r ) c
4 . Percentage of area of windows and doors�J_'
A . Over 16 % Only
1 . Uo value of gross area of walls , roof / calling 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 % Only
1 . R value of roof and floors exposed to ambient conditions.
20 R value of exterior walls
3 . R value of glazed area ,
4 . R value of doors
5 . R value of floors over unheated space
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 ),OVV ►�
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 a eft p ' e
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 .
( applicant ' s signature )
6Ff' LuZuerg ! ' [
TOWN OF QIJEENSSURY
Buildingr Department
hupoebws Repwt Date
Name ram) ra E&czt2
Peamit Na. Ss' s" a -7 �' Wewtlaar
Remarks
ExcatYa ta.on
Pooting Farms
Footing & Piers
Foundation
Cement Coat
Water roofin
BacRfill
Final Survey
Fra�ni
Sheathing
Roof Felt
Roofin
ding A
masonry Veneer
Rough PlbcTv
Relief valves
Wall Board
Ext , Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr . Tile
Concrete Floors
P1 Fixtures
Gar . Fire roofi.n
Door Closers
chimney
Water !deter Inst .
Se tic Approval
Floors
Foundation
Insulation Walls
Ceiling
ACC '�� �� �,��^✓a /'S a . d+'Y`"r
Building Inspector
REMARKS
TOWN OF +QUEENSBURY
Building Department
lastrebws Report oats
Name �_7
_ I0cwSan
Permit Me. Weather
Remarks
ExcatYa t3 on ti
T Footing Forms A _
_ Footing & Piers
_ Foundation
_ Cement Coat
_ Waterproofing
_ Backf3ll
_ Final Survey
Framing
Sheathing _
Roof Felt _
Roofing_
Siding
masonry Veneer
Rough Pl bg
Relief Valves
Wall Board _
Ext . porches
Finished Floor
Interior Trim
stairs & Railings
Cellar Dr , Tile
Concrete Floors `
Pl . Fixtures
Gar , Fireproofing ,
Door Closers _ ...
chimney
Water Meter Inst .
Septic AjpprOV421
Floors
Insulation Foundation
Walls
�Ceilin
Building Inspector
REMARKS
TOWN OF QUEENSBURY
BuIldinar DopsrtmGnt
'°ea ReE1pPt Date �•---
Naaea
Weather-
Permit 1Ve. ---
¢ Rema rocs
Excaoa ti on
_ Footing Forms
Footinq & Piers
Foundation
t
Cement Coat
Water roofin
_ Ba cJkfi l l
Final Surve
..PramJnci -
Sheathing _
Roof Felt
Roofin
SIdIngr
r Masonry Veneer
Rough Pl b .
Relief Valves PA
Wall Board
Ext . Porches
Finished Floor
,Interior Trim
Stairs & Railings
Cellar []r . Tile
Concrete Floors
Pl Fixtuxes
Gar . Fire roofin •- -
Door Closers _
Chimne
water Meter Ins t .
Se tia A roval
Floors
Insulation Foundation
Walls __-
Collin
Building Inspector
REMARKS
- _ _ _ _
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