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1985-644 BUILDING PERMIT TOWN OF QUEENSBURY No 85- 644 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to David A . Gray OWNER of property located at _ �" � 2gd en Road Street, Road or Ave. Qj in the Town of 0ueensbury. To Construct or place a _ Addition to dwelling 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. G1 H ly 1 . OWNER'S Address is Box 411 Ogden Road Glens Falls , New York 2. CONTRACTOR or BUILDER 'S Name Ri Same 0 Iv 3. CONTRACTOR or BUILDERS Address Same 4, ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction — {Please indicate by X} ¢¢, Fy- { 34 Wood Frame ( ) Masonry { ) Steel Q 7. PLANS and Specifications 12 r xl2 t per plot plan , specifications and application a No. subm,±tted . ¢ fD B. Proposed Use 1F" w One-Family Dwelling ( living area added ) $ 20 . 00 PERMIT FEE PAID -- THIS PERMIT EXPIRES au.ne l 1986 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Ciueensbury before the expiration date_) Dated at the Town of Queensbury this �4 ,th Day of November 1985 SIGNED BY F! /G f/x '__ for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY ( space inside block trP ix• fided in bs WARREN COCINTY. NEW YORK Building in!)pectnt•) sgsrlinlii¢ li ds .APPlica#ion for ls.tw ! lg BUILDING AND ,iZONING PERMIT �° � ,,, � � EX10ire.N . 0 , /4mnsI`q Divlrirl ------ alm. nl Wor-v, -- THREE £ I Copies of a PLOT PLAN. Drawn to scale �'+ i '1 "'i l� k- l 11% showin t a actual dimensions of the lot to be built Itt •M.1I KS upon, Tle exact size, and location an the lot of the . . building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN C3F Q NJ Hare U IE V `L� !! L A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 98 ANSWER ALL OF THE FOLLOWING. 0 �' ! The undersigned hereby applies for a permit to do the following work A.M. �gil Y 4 ` by6 which will be done in accordance with the description, plans and specifi- '71I . t�,� „ � � ! , i . cations, and such special conditions as may be indicated on the permit. The owner of this property is: c •__ I / -te3,cs, e"1. -+1,,L°-4 - .(yr ,�r3'- ta.'. .-7'.'t47SS . . . . . . . . . . . . . . . rl P o. ADDRESS) INgGf F) ( ,The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: Name of Builder . . . . . . . . . +. . i v} . : . . . . . - . . . . . Address . . . . Name of Plumber . . . . . . . . . . 1� . . . - .address C '3\ . . . . . . . . . . . . . . . Name of Islason . . - . . . . . . . . : �4 �w s . . . . . Address Lot Number . . . '7-// / . . . .,�-��UZnit . . . . . , - . . . . _ Estimated value of proposed work S . . . . . �` *✓ f � � ?-�. . . . . . . . . . . . . . . . . . . . Name of Village . . . . . . .i.- V.eec . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . _ . . . . Name of Street . . � ,'� l`.��. '� ''' . . . . . . . . . . . . . . . . . . „ • Side of street : north , east / south O . west O Nearest Cross Street 'c] �{. . . . . . . . . . . . . Distance from this Bross street . . . .`'T r` ' . . - . . . . 1't, Property is north 0. south east i i . west El from Cross Street If on Corner, which corner, northeast L,l , 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 BuiR ling 11?'�Addition to a building. One-family dwelling Q Alteration to a building. Two family dwelling -family apartment house � Q Demolition of a building_ Store building -car attached garage C Other: . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage ❑ )Other work_ Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage 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- posed buildings, and the location of all existing buildings. hrORTM Show proposed buildings) in dotted line and existing ttuilding(s) in solid line. Size of property . , . !/. 5 , . . . . . ft. x C'' ' . . . . . ft. Size and use of existing buildings, if any law X . . � . . . . Size of proposed building . . . ft. x . . . . l ?— , . ft- Height (from grade to ridge) . . . . . . . .f .�. . . . . . . . . . ft' Front yard . . . . ' F . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards ft. and . , . . . - . ft. Rear yard . . . . . . . . . . . . . . . . . it- SOUTH If on corner, setback from side street ft. Note : Alldistances are net, as measured from street side line to nearest part of building. r� r7 I+pYERl f " 733 K (co ni'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.? . . . 1 , . . , . . - • • • . Will any second-hand lumber be used? . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . .��. . . . . , . . . . . . Material of foundation walls . . , . . . . . . . . . . . . . . , , , . Thickness Depth of foundation walls below grade . . . . �-( . . . . . . . . . . . . . .� . - . , . . . . . . . . . . . - Continuous foundation? . .c.� ..� `' . . . Will there be a cellar? . . . , . )Ug . . , . - . If so, material of cellar floor . . . . . . Type of roof: Sloped or flat? . . ...`� 4 . . . . Material of roof . . . .. C e +'TSS , . .%�W 1.f1, i R _ Size, wood studs . . . . . . . . . . . . . . . . . " x . . . , . . �-!. . . . . . . ... spacing . . . . ./. . . ". . . . "o.c., length ! . C?. . . . . . It. Size, floor beams, 1st floor . . . . +1 >! . , . . " x . . . . . . . ", spacing . . . . . . . . . . . . . . "o.C., span . . _ . . . Size, •floor beams, 2nd floor - , k+ " x . . - . - - . . . . . _ . ", spacing . . . F . '"o.c., span . . . . . , . . . . . . Size, ceiling beams . . . . . . . . tv,+A : . . . , " x . . . . . . . . . . . . . . . ". spacing . . . , . , "o_c_, span ft. Sire, roof rafters or beams . . . . e--f, . , . . . " x . . . . . /. .I-.. . . . . . . '", spacing . . . . . . . . . "o.c., span . . . . . J . . . ft. Exterior finish . . . - - - • - - . e_� +e-ut e 5'f ��, ,.v •`'1, - - - With what material? . . . . A I�L . . . . . . . . . . . . . . . . Finish of interior walls If garage is to be attached, of what material is wall bet een garage and main building to be constructed? Is there to be an opening between garage and building? . . . CU/�.Fik' . , . - . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . _ . . . Kind of heating system . . . . . . . . . . . . . . . . ._ ! vC -. , , . , - , , Oil burner or coal? . . . . . . , , .1Q1-ok . . . . . . . . Will a flue-lined chimney be provided? . . . . . ,Q,41 . . . , . Depth of chimney foundation below grade . . . . . . . . . . . . . . . Height of chimney above roof . . . . . . . . . . . . . . !'tt,�t . . . , . . . . . . . , . - . . . . . . - . . . . . . . , - Will there be a fireplace? . . . . PJ C� . I . . . . . . . . . . . . . . Depth of fireplace hearth . . - - - , . . . . . Will a toilet be installed? . . , - . ru Ct . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . � + - A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water suPP1Y (Public water supply or pump) . . . . . . . . . . . . . /� 1q` . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . ! f . , . . . . . . . . . . , . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . Town of Qaeensbury AFFIDAVIT County of Warren State of New York I swear that to to ]kt+uf my knowledge and belief the state ma eontained in this application, together with the plans and specifications ruh- mitted, are it true and ea.,. lete statement of all proposed wont to be done on the dem*F abed promises and that a of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed woo [l be aampilied whether specified or not, and that such work is authorized by the owner. , �/ Sworn to before me this Signature � OFF, f CC. ° �r l r CY'VVphe r�. - EHe 4GEN ' NfTECT, CONTRACTOR e?-. .. . . . .. . . .. .day of . . . . 19 11 . . . .. . ... . . . . . .. . ... . . . . . . .. . . 140TARY pUBL.TC, 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 . Grass floor area 2 , Type of heat 3 . Is the building mechanically cooled ? rt } 4 . Percentage of area of windows and doorsA . Over 16 % O 1 1 . Uo valu of gross area of walls , roof / ceiling and floc e �exP.vs� t ambient - Floor over heat d spaces YES NO a . Are foundatio walls insu ted ? YES NO 1 . If YES , who is th value ? 3 . Slab on grade YES a . If YES , what the R 1ue of insulation around perimeter floaxr ? 4 . Is baseme heated ? YES NC1 a . R lue of insulation s . Type of insulation H . Under 16t Only 1 . R value of roof and floors exposed to ambient conditions. 2 . R value of exterior walls_ �lQ cj 3 . R value of glazed area &' -F �l 4 . R value of doors llj z� 5 . R value of floors over unheated spaces 114q _ ' t / 5 , R value of slab edge insulation - unheated slab fogl / ? _ R value of slab insulation - heated slab 8 . R value of heated basement/cellar walls ( above grade ) 9 . R value of heated bas .�me/nt/cellar walls ( below grade ) r� 10 . Type of insulation -} � r �`j[� s Co Controls 1 . Thermostat maximum heat setting L� Xr► J A . _Duct Systems 14 is duct system installed in unheated spaces ? Y$ 3s "` 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 age pipe 2 . R value of pipe insulation � -I... F . ServicerWater beating 1 . Performance effici y 2 . Temperature coDx of setting maximum G . For Swimming Pool, Only 1 . Maximum heating Telephone No * C] 7 .1 J �� appl oeapt"' s signs ure ) e i d � /ocun BUILDFNG and ZONING DEPARTMENT Bay and Haviland Road. Rt D. 1 Box 98 Queensbury, New York 12801 BUJ Lf) fNG INSPECTOR ' S REPORT NAME y LOCATION Gh Date Permit Permit No . , Footing/Pier Forms APPROVED - YE NO Foundation j Waterproofing If Backfill Framing 4%cc nfIng d in r Masonry Veneer Rough Plumh'ng Relief Valves xt . Porches in 'shed Floors Llonnterioz Trim Stairs & Railings Cellar Drain 'file Concrete Floors l'lbg . Fixtures Gar , Fireproofi Door Closers 4.ogmoke Detectors Chimney INSULATIO Foundation Flcx)ors Walls Ceiling LoPTNAL ELECTRICAL INSPECTION 3 IVF.WAY APPROVAL 111<el Bu,lldi.ng Survey 0010 Next scheduled inspection ( call when ready Rema rks- '04 �;.�.. 6/86 and-vl Building Inspector TOWN QUEEN isupty Building- Department Name Rom' •._ Date_ ti'i 7 q �' a W a..r� p aronkMa, _ ti Sc Vw eathar Remarks 1�s'xCatYa t z on Food Forms �°'ooti 6 Pi era Founda tion Cement Coat Aster zx►ofin Bac+lEfill Final Surve Frami ' Shea thi ` Roof Felt Roofs Sidi Mason Veneer Riau h Pi Relief Valves Wall Board Ext . porches shed Floor In'terf or Trion Stairs & Raili s Cellar Dr . Tile Conarete Floors Plb9a Fixtures Gar. Fire roofin Door Closers Chimne water Meter Inst . Se tic A r©val Floors Insulation Poundation Walls Suildinq REMARKS Tt7'WIV OF QuEENSBURY Buildi=; DeW►rtzmeet N D"ateA017 pmvnit eathew .L`xca0a tz on Rema rlrs Footi Foxms Faotin Piers Foundation Cement Coat Water roofin ��kfall Final Survey Fra Hein Shea than Roof Fel t Raofin gr E.. S-id,zn Mason Veneer Rou h Pi Relief Valves wall Board Est . Porches P-inas'hed Floor rnterjor Trim Steirs & Rallin s Cellar nx . Tile Concrete Floors PI - Fixtures Gar . Fire roofin Door Closers Chime Wa ter Afeter Xnst . Se tie A roved '+aI I2 - v3P#vw Floors . t xnsula taon f"oun�3a tion 7 to Ih Wa %{J ,��r�r� I I s *K71, I ealan _ uil nJ InsPector REMARKS n TOWN OF QUEENSSURY Building Department hupecams Dane_ �.5.— Naaw L000ti0 rm Peereoit No. weather Remarks Exuaoa ti on Footsn Farms .. Footing & Piers Foundation Cement coat Water fin Backfill Final Survey Framin she&thing Roof Felt Rooel Siding masonry Veneer Rough Pl Relief Valves W.M 7 7 Board Joe— Ext . Porches Finished Floor rntexior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors _ P.i . Fixtures Gar . Fire roofin V=. Door Closers Chi-mne Water Meter rnst . Se tic Approval Floors lnsulativn pOUnda tic+ri Walls ceili Building Inspector REMARKS W TOWN OF +C EENSBURY Building Department Nectar FePoft Date Name r .ocafioo E r Penua taro. w.,adww S!�G..4'.h, 4 1}b ►r-» x✓' Remarks sxcal�Ya ti on rooting Forms Footing& Piers Foundation Cement Coat Water fin Bac�irfill Final Survey Fraa'ri.n sheathin Roof Felt Roo,fIncy ---------- SIdIng Masonry Veneer Rough Pl Relief Valves Wall Board sxt . Porches Finished Floor Interior Trizn stairs & Railings Cellar Dr . Tile Concrete Floors Plbcy . Fixtures Gar . Fire roofin Door Closers Chimney Water Meter Inst4 septic A rova3 T Floors _ insulation Foundation _ T_ walls ceili C ' BuIlding ,Inspector REMARKS u � � op , , t Ass S \wNc �s 4 I 7i ltr{ '"ram ►t � V� � t�Q��'Aw~ � '� � � lug i 1 4 R ------------------ s 1 tit'. f ' r 147- 1- 53 :4 niosZTaEAsT SAv6P.4v- { THAN TN\� M4r ti..AS MAvF ;'¢&rq AM Ac'TuD%- S. Q,/t 4 •M TM( (t.vw0 0A( A T-4( C..vLe-t►+� .• Arc -Of oC •TNE ~l ST p.'f. i Soc�GT;..s:•,�..fC1S 9 •• -ll; , VAN `�e' • p J op JI a '•`ter 4-M5. you r i "lAP of o(: V-* 1 D A V 1 ID A TL G E, l_ Q Ca SZ N`3 Q "E �c ACE: t.•^ 30' 17) 1id4 VATt US E-n Mo. 2401.7 . 1 I I -i I i J; 1 /j / f, 1 7 a' t