1986-621 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-621
WARREN COUNTY, NEW YORK
IL) --k515
PER MISSIO is hereby granted to Myron�H. Howk
OWNER of property located at
Ogden and oa s Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Storage Shed o
at the above location in accordance to application together with plot plans and other information hereto filed and. 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 412 Ogden Road
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address pr
a
m
same
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4. ARCHITECT'S Name
0
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5. ARCHITECT'S Address
0
0
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6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
12'x16' per plot plan, specifications and application submitted.
No. cn
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8. Proposed Use CD
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Storage Shed U'
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$ 5.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 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 23r'd Day-of September 19 86
SIGNED BY /714 a. /--' for the Town ofQueensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT. ,
Application No. •
.cc77 ocun of Queenihur y Permit Issued 19 TOWN OF
BUILDING and ZONING DEPARTMENT Permit Expires 19 QUSE�1RY..
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ' f .. d ~
Queensbury, New York 12801 Variance No. 11 .1
Site Plan Review No. L F U198
P-71-'7 1 - 7 Approved by: A.m. flee—.
S /2I�J
APPLICATION FOR 6i0e5iGh� �}� 718�9IIiQ—�'.�71I2o;141516
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BUILDING AND ZONING PERMIT
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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.
The owner of this property is: .�,�, /F 11 /(f hit /10 Lu) /< .
P.O. Address 11( 2 6'&-.2'i W R J), 7 C-t e./V A:..L s 6
F Tel. MZ- 91/0
Property Location: eo ft, 06'-,J,�4/ �e.,, iAi tit AD, /07-?t7I-/ - / Tax Map No. / .
Street number or building lot number
Subdivision name (if applicable)
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THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
M YR a ill 71, H 6 1,d fc( '`fZ U dC'/v R-r) - !� '- y0
Name P.O. Address - Tel. No•
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Name of builder )rh /— Address ' /.2- G! Ui/V trd Tel. 9�� • 97`
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,
_Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
_Other work (describe) * set-back dimensions from property lines. Give
f * street and number or lot number and indicate .
,• * whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND
LOCATION OF STRUCTURES AFFECTED. of water supply and location and- configuration
* of septic disposal area.
. *
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 3 3 d ft X l� 0 ft.
* Existing building(s) Size 6,65 ft X 1- 5 ft.
* . .
PROPOSED BUILDING AND USE: * Existing building(s) Use k; 'jj)/Af p.F •
Size of new structu e f.Z ft X 16 ft *
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Foundation-pier/slab crawl/partial/full * Proposed building, distance from property line
(circle one) * '
No. of stories (habitable space) / *-Front yard " '�jd ft Rear yard 2- ft
Height (grade to ridge) f G6' ft. * Side yards r�'� ft and e�l,i' ft
If residential, no. of families * If on corner, setback from side street ft
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
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No. of bedrooms *
No. of bathrooms * PRIMARY BUILDING
Primary heating system / 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? * i Permanent occupancy
Central Air conditioning? Transient occupancy
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* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial -
Ranch Contemporary Log cabin * Other.
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow * . '
Cape Cod Cottage Othe * ACCESSORY BUILDING-
Colonial Row Town House * ' Detached garage/one car/ two car/ , car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * A Private storage building
ESTIMATED MARKET VALUE OF f a * ' other
CONSTRUCTION $ J O �*
72
97--e---
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl ,
BUILDING PERMIT APPLICATION CONTINUED -
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BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc.
Will -any second-hand or ungraded lumber be used? If so, for what? /)&7 j J.•nv rR
s,c kid fi/Po ni T fE,r' 5 v/i/ 6 w g f Rrr tr) /e T-K
Foundation wall material : Thickness /'c"
Depth of foundation below grade (to bottom of,footing) • /par' ,
Will there be a cellar? ,i/D Heated oriheated?) Floor sq. footage / 9 2-- sq ft
Will there be a basement? Will any portion be used as living spaeo7. .
(If 3i what; portR1an sg.ft: - - Type of use?
• Typo Of roof - sYcpEi��/if : t;/;1jed/otilo Material o goof
SY2e, wor�c�
oZ.._ :� (p spacing / ��
� d:c, length .-.r .._ft. 3ws
stru�l� �� ��
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft. .
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) . "X " spacing "b.c. span ft.
Roof rafters 02_ "X f " spacing /6 o.c. span /Z ft•.
Roof trusses (pre-engineered) spacing "o.c. span ft. •
Exterior wall finish /?&/? 0 - 547-r-,r.4J Of what material? Qj, c9 J .
Interior wall finish /1/zi fil E
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be .an opening between garage and dwelling? /ij(j If so will a Fire-rated
door, enclosure, and self-closing device be 'provided? �---'
Will a flue-lined chimney be installed? Height .above roof ft.
Depth of chimney foundation below grade ,-� ft.
Depth of fireplace hearth — ft. --in. •
Water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
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Town of Queensbury
County of 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 BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work shall be complied with, whether specified or not, and that such work is.
authorized by the owner.
SWORN TO BEFORE ME THIS Signature . .72Y/W-C9-1-32---ItL
Owner, wner's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
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SPECIAL CONDITIONS OF THE PERMIT:
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By
' TOWN OF QUEENSBURY
- WARREN COUNTY , NEW. YORK •
Application for : BUILDING . PERMIT 'IN COMPLIANCE WITH THE NEW_ YORK H'''
STATE ENERGY CONSERVATION CODE
• A permit must be obtained before beginning work.'
. ANSWER' ALL of the following:p . • ' . . ' •'•
1. Gross floor area / 7 ;z_ �
. '2 . `Type of heat / o. 5 . . .
• 3 . Is the building mechanically cooled? 1O
4. Percentage of area of windows and doors /1, 1 g .
.
. A. . Over 16% Only `
1 . Uo value of gross area of walls , roof/ceiling and floors !
• . exposed to ambient conditions ..
. 2 F1obr 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 hea•ted? YES NO
a. R value, of insulation •
j.,
5. Type of insulation
B. Under 16% Only
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 unheated spaces ' . 1.- ' . ... .:—.. ' . -I :-. ,:,,
• 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)
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10. Type of :insulation p /i/ /^.
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
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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. TWnperatttre control setting maximum
gr, ' ' PW?.miti n _ POQi gn?Y,
1. Maximum heating
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•Telephone No. 9 /21.` j ) yt V /6'2;/ ram;
(ap icant ' s signature) -
gown of Queenibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 146(,,L)
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LOCATION ((tGtn 4 Lart ,1 1Uc.,f_ciS
Date / g 5Prmit No. 36,
✓ = APPROVED - YES / O
(,.&ooting/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 I
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
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