Loading...
1987-108 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-108 j WARREN COUNTY, NEW YOR K f - �j D Robert: Hebert PERMISSION is hereby granted to 0 OWNER of property located at ' y 1 Lo Sherman ave . Street, Road or Ave area Alt . tom Alt • to dwelling (convert garage to living rot n the Town of Queensbury, To Construct or place a 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. so rt F2CONTRACTOR E WS Address is Upper Sherman ave . Queensbury , New York 12801 or BU1:LDEWS Name Byron B . Rist K} 3. CONTRACTOR or BUILDER'S Address RR #1 BOX 1469 tro Lake George , NY cra ro 4. ARCHITECT'S Name C N r5ARCHITECT1, 'S AddressYPE of Costruction — (Please indicate by X) I XI Wood Frame i ) Masonry I ) Steel i ) w rr m 7. PLANS and Specifications S - No. convert garage to living area per specifications and application . 0°30 0 m Y B. Proposed use (converting attached garage to living area) ,, 0 One—Family Dwelling o w � r• o0 C - r tm e7 $ lot I0 PERMIT FEE PAIL] — THIS PERMIT EXPIRES Nov . 1 19 87 0 (If a longer period is required an application for an extension must be *rude to the Building and Zoning inspector of the In H town of Queenshury before the expiration date.) 'rt 0 rt Dated at the Town of Queensbury this nd Day of A2ril 19 87 ry ? for the Town of Queensbury SIGNED BY Building arrd Zoning Inspe TO BE COMPLETED BY BLDG . DEPT . TOWN OF QUEriA-'��] / Application No . 3 _JDwre C+ Queen3hu/'s�[ Permit Issued 19 ".( i jlikf`�YtiVV1114iiii BUILDING and ZONING DEPARTMENT Permit Expires 19 11�11� 1` bT Bay and Haviland Road, R. Q. 1 Box 98 Zoning Designation i MAR 2 7 t�4■ 0ueensbury, New York 12801 Variance Nc . _ Site Plan i No . BUILDING 8c G4DE DEPT. Approved ' ta2 , D APPLICATION FOR S BUILDING 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 they Permit . The-owner of this property / ,is : , yc,. , f�`/ G- P . O. Address ��-R.� Sh a - Lw , A6. � / S+' � Tel . r'_f Property Location : s y krc Tax Map No . Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR 'SUPERVISION OF WORK AS REGARDS BUILDING CODES Is : Name f� pp P . O . Address Tel . No . Name of builder 2>y _ LS rC lS F _ Address a vfr :e Tel . Name of plumber 4> 1 rr-o f Address Tel . Name of mason 2> rrLs 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 , ,,woilteratlon 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 * street and number or lot number and indicate whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . * size of property, ft X �c'C."5 ft . * Existing building ( s) Size_ ft X S`�r ft . PROPOSED BUILDING AND USE : &-PC t S 7-tA1 * Existing building s ) use s e .at4 T l r Size of new structure ftxft ~ Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line (circle one) No . of stories (habitable space) * Front yard ft Rear yard ft Side yards ft and Height ( grade to ridge ) 1 s ft . * * If on corner , setback from side street ft If residential , no . of families Now of rooms ( excluding baths ) * OCCUPANCY INFORMATION No . of bedrooms PRIMARY BUILDING - No , of bathrooms Primary heating system x tlOne 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 �� .. �gD � ised ranch Mansion Duplex * If addition , wh t will use be? Split level Old style Bungalow Cape Cod. Cottage Other ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) " Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * _Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood fr fire sa£e , etc . Will any second-hand or railed lumber be used? If so , for what ? Foundation wall material &:-& Is T`Y& 4 Thickness Depth of foundation below grade: (to bottom of footing ) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space ? ( If so , what portion? sq . ft . - - Type of use? Type of roof - slope flat/shed/other Ney-Y ( 5 rpot44aterial of roof Size , wood studs_ spacing "o . c . length - `ft . doists ( floor beams ) 1st . floor '"X or spacing ""o . c . span ft . .foists ( floor beams ) 2nd . floor ""X "" spacing "`o . c . span ft . Overlays ( ceiling beams ) ""X spacing ""o . c _ span £t . Roof rafters "" X '" spacing O . C . span f t . Roof trusses (pre-engineered) spacingAoq.}t- _ c . span ft . Exterior wall finish rf of what material? Interior wall finish If a garage is to be at ached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and salf-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) Town of f Warren A F F I h A V I T STATE OF NEW YORK County of Warren 1 1.� 1 I swear that to the best of my knowledge and belief the statements containers 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 compliers with , whether specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature... i- _ _________ ___ Own , er " s g r ent , archizect contactor day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : 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 : 10 Gross floor area 2 , Type of heats pcd� w �c ' , 3 , is the building mechanically cooled ? /fL") 4 , percentage of area of windows and doors A , over 16 % Only 1 . U 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 % Only 1 , R value of .roof and floors exposed toambient conditions. 2 , R value of exterior walls ` 3 . R value of glazed area � r 3 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 - 120MAPON96 slab '' Iip 89 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 NO a . if YES , R value of duct installation b , R value of duct in other areas E , Pip ! n2 insulation 1 . Size of hot water or cooling carrying agent pipe 2 _ R value of pipe insulation F . Service Water Het, n 1 . performance efficiency 2 , Temperature control setting maximum G , For Swimming Pool only 1 . Maximum heating Telephone No . ( applicant ' s signature ) wn o `o,fueen96urc BUILDING and ZpNING E dl �Brgc x 98 Bay and Havensbund N w York 12801 C]ueensbu ry, BUILDING iNSPE TOR. v S 'REPORT NAME LOCATION Permit 1,10 . + Date * * * * * * * * � * APPROVED - SITS NO Footing/�'ker Farms Foundation Waterproofing pack.fill Framing Roofing s}ding Masonry Veneer �- p.ough Plumkzing �- Relief Valves �-- EXt . Porches Finished Floors interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Pllog W Fixture s ,Car . Fireproofing Door Closers smoke Detectors ChimneY 1N St3LATi0N Foundation Floors Walls Ceiling I2ISPECTION FINAL ELECTRIC -- - Aj DRIVEWAY APPR.Our Final Building insPecti n CC- envey ready Next scheduled � Remarks- 6-e ---� ins e for paui ding 6/66 and-vl 4001442 THE NEW YORK BOARD OF FIRE UNDERWRITERS � p� BUREAU OF ELECTRICITY 41 STATE STREET. ALBANY, NEW YORK 12:207 Dat,E$ Application No. on file ' ' February 10 . 1988 00876 /87 A � � � � 59 � THIS CERTIFIES THAT only the electrical equipmerat as deecribed below and introdraced by the applicant nanseed oft the above application number in the premiaee of � "Robert Siebert Upper Sherman Ave . West Glens Palle . NY - in the flowing locYrtlon; ❑ Basement © lat Ff. 0 ttad Ff. ouCS�.de Seniors Block L'ot raroa ezamirsesd vn ���.r� $ - and fasand to be in compliance with the requirements of Chia Board. RXTUEE �t��, SWITCHES URNS LE RANGES CODKIW[iOECKS OMENS IUfSH WASHERS EXHAUST FANS ... OUT LETS INCANOESCENr FLUOMSCENT A AMT. K. W. AMT. IC. W. AMT. K.W. AMT. K. W. AMT. H. P. PRYERS RURNACE MOTORS FUTURE APPLIANCE FEEt]IERS SPECIAL REC"PT TIME CLOCKS ML UNIT HEATERS MUM-04M T OIMiIIYtERS AMT. K. W. AIL H. P. GAS H. P. AMP. NO. A. w. G- AMT. A/AP. AMP, AM15, TRAM, AMP. H. r. TGMS NO.�#T 'MT. WATTS SERVICE DISCONNECT tsO. OP S E R V I C E - EQUIP or Hi-Wc •OF H�AAV. r s v J "° � ' iG No, ct NtwTKAu � OTHER APPARATM 239 / Edward Lagay BRANCH MANAGER � Trout Lake R.d . Bolton Landing . 12814 Per This certificate must not be altered in any manner, retum to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. iBtjjL[]tt3G and ZC►NING DEP,p,RTMENT Fray and Viaviland R a York d. - I Box 98 Gueensbury, l BUILDING INSPECTOR ' S REPORT NAMEb 1 & 6 . .r A�! � LOCATION �, 1 f+ permi't Date * * * * * * * * ✓* * APPROVED - YES NO D'V Footing/Pier Forms Foundation Waterproofing gack.f i l l �C Framing Roof lng Siding �--' Masonry Veneer 5(` o plumbing �-- i1 `Reli.ef Valves Ext . Porches Finished Floors Interior Trim �— Stairs & Railings_ Cellar Drain Tile Concrete Floors P1bg • Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney 7C IN STjLATION Foundation Floors L,4a'lls Ceiling FINAL ELECTRICAL IIISPECTIi7t3_�.^- 1)RIVEWAY A.FFROV Survey 'r- Final Building Next scheduled insp ection (call when ready) Rernarks- Building Inspector 6 /gb and-vl BUILDING DEPT. COPY OF APPLICATION FORM dG-EL, NEW YORK: BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TIEMp, A DATE CITY OR COUNTY , VILLAGE i.1 ,E S . (.{I„ �4 TOWNSHIP .. — STREET AND NO. OR [ ROAD AND POLE NO. 4 �-�"' -X `f i u 1+ `^f `f . f r :. r,; POLE N BETWEEN WHAT TWO dFr" / —� �fy CROSS STREETS IS +r..Y,.,/r7 I p.iy ,�l' - BLOCK f LOT PREMISE LOCATED? SECTION OCCUPANS , / BUILDING T' NAME � c F� * ,r`St - { ✓� OCCUPANCY TEL, OWNERS NAME 'i '( AND ADDRESS �I=,r S r,�. - t . -'^"� ! SUPPLIED FROM THEIR (, rY ,'� fF +:- �! v OFFICE BUILDING �y� t—�'' DEFECTS IS NEW 1!�7 OLD 0 IWORK NEW kCl ADDITIONAL Q REMO'VED 0 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Lair R iisap'bsGlr MOTORS HEATERS CIRCUITS ANCH OFFICE ONLYUSE lion Side AtteaA Ft Swish PerKle.nt Braakot No- Type E14 ach He. ENabab No. GM INSPECTION . Ceilinna WaB Reaep'h Out- side Sol! bra BAN ment list Ft. 2nd Fl. and Pr. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. i Tbn a{rplicasion is intended to cagier the abore•lisled equipment to be inspected but if at time of inspection there is found additional rquiParNnt not eboee Irstad, you are authorised to mike the inq]e Lion and adjust „W fee to cover the additional equipment, es provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS TS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE iNUMSERI SCAPACITYM STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDER43ROUND MAKER ENTERS OF SIGN BUIL JNG INSPECTION REQUESTED O OR AS HEAR AS NEMf OLD N PEl OSSIBLE "DID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE. OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION _ PRINT NAME AND DDRESS SIGNATURE ! NAME OF -( /�} - OF APPLICANT APPLICANT TELEPHONE STREET ADDRESS - � �J ZIP - LICENSE NO. CITY OR ,� �' l,-_ _ C / - Y CODE ! WHEN APPLICABLE POST OFFICE � !.-.. _ An EL (REV. 1186) A SEPARATE APPLICATION MUST BE FI LED FOR EACH SEPARATE BU 1 LDING I ZY op i E 2 Qa L' x i r, L Gk_ 2 { i _. ,. - _