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1988-118 BUILDING PERMIT TOWN OF QUEENSBURY No 88-118 WARREN COUNTY, NEW YORKo. o �(p `�✓ 1 Iq w PERMISSION is hereby granted to John & Anthony Brock OWNER of property located at Rte 1 fLf(/c ShkioStr et, Road or Ave. �' in the Town of Queensbury,To Construct or place a Alterations to building n' 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. 1. OWNER'S Address is 34 Denim Drive Clifton Park, N.Y. 12063 0 2. CONTRACTOR or BUILDER'S Name P James Fregoe rt I 3. CONTRACTOR or BUILDER'S Address o RD 2 Middle Rd. Lake George, N.Y. 12845 n 0 4. ARCHITECT'S Name 5. ARCHITECT'S Address rf rt co 1/40 6. TYPE of Construction—(Please indicate by X) w ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 220' x 60' alterations to mall as per plot plan, specifications and application. rt co 8. Proposed Use Alterations to mallH. rt 0 rt 0 td $ 12.00 PERMIT FEE PAID -THIS PERMIT EXPIRES November 1, 19 88 (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.) N. 04 Dated at the Town of Queensbury this 7th Day of Aping April 19 88 SIGNED BY -7 _ � /� for the Town of Queensbury Building and Zoning Inspector 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 / J` A 0 ,fit Fr- 2 . Type of heat O .1 , (l r/ 3. Is the building mechanically cooled? 4. Percentage of area of windows and doors j '`7 0 a Ste. A. Over 16% Only 2 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 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 i a. R value of insulation 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 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? 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 agent pipe 2 . R value of pipe insulation. F. . Service Water Heating J 1 . Performance efficiency il(�/ g 2. Temperature control setting maximum v G. For Swimming Pool Only 1. Maximum heating Telephone No. (applicant ' s signature) . FOWNOFIIEid ,;;;,; ;,.: • TO BE COMPLETED BY BLDG. DEPT. Mai:DINGM:c19..c7n // Application No.Jocun ci q, lueenibury Permit Issued 19 RDBUILDING and ZONING DEPARTMENT • ' Permit Expires 19 M° 17989Bay and C1ansburya New YorkD. 1 1201 X 98 •VarianceeNognation ODE DEFY. ' -'Site-Plan Review No. j r' Appr ed / P�� - 4 APPLICATION FOR • ili0 el° r/11 /1. 77: BUILDING AND ZONING PERMIT • 1' `+' �"v ` * * * * * * * * * * * * * * * *• * * * * * * * * * * * *'.* * * * *• # *.. * * *::•* A PERMIT MUST. BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies fora 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: 1J01-�/1�.' /l c. '•1e/ivT//UN V &UCJC - !/P.O. Address .�4) o:J E/'(/in a')P /ye:- ` CU FTOw P IC Ar y /,z05• Tel. (5/g) 3W 9030 !-Property Location: 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 P.O. Address Tel, No. Name of builder if(2, 02. 4 /- cn v � e"Address /?D)LL N ide:n �(�� I,<< . Tel. oK —S`'z 0 �r - •' Name of plumber . Ain o y, • Address Tel. Name of mason /V �,q e Address Tel. ' NATURE OF PROPOSED`4vORK: * . . 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, • 4---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 * 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 ft. • • * Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use , Size of new structure ' .n ft X 60ft . * - Foundation-pier slab crawl/partial/full * Proposed building, distance from property line (circle one) • * Front yard ft Rear yard ft No. of stories (habitable space) ./ * Side yards. ft and - -ft - • Height (grade to ridge) lit ft. * If_ on corner, setback from side street ft if residential, no. of families -----• No. of rooms(excluding baths) -'- - * • OCCUPANCY INFORMATION No. of bedrooms * PRIMARY BUILDING - • No. of bathrooms . *• One family dwelling Primary heating system - - Two family dwelling Type of fuel 0 1/ Ho r A ; *:---multiple dwelling / Number of units • No. of fireplaces to be installed ' Permanent occupancy Will a wood stove be installed? /v 6 *- - * Transient occupancy • Central Air conditioning? Business ' BUILDING STYLE, PRIMARY STRUCTURE ' *' • Industrial • - - Other ' • Ranch Contemporary Log cabin * If addition, what will use be? - Raised ranch. Mansion • Duplex - , Split level Old style Bun glow * - 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 frame, fire safe,etc. , ,� ��_ lt/r, , Will any second-hand or ungraded lumber be used? If so, for what? /01, ' Foundation wall material 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 - sloped/flat/shed/other • Material.•of roof Size, wood studs "X " spacing ."o.c. length ft. 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 ' "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish Of what material? • Interior wall finish • • 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? 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) . Town of Queens bury A F F ;7 D V I T STATE OF NEW YORK County of Warren . 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 donelon 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 r not, and that such work is authorized by the owner. SWORN TO BEFORE ME THIS Signature_ _ ,� , ;( / • Own r, o er'sAent;arcnitect,contractor • day of 19 . Notary Public, Warren County, N.Y. , . . * * * * * * * * * * * * * * * * * * * . * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS. OF THE PERMIT: - oks f c r s r�r1_ C6476 I ,tz v d.v o G xis ,-Vv°° Leial IX,.eo / (7"l TT4 � s n-r/c-roi2A'L- c( (G--5,. AN,/ Ai,,-uJ�� R 1--s t ALL j3 G I Ui 2t- • 1 U 0 6 TA-i ,✓ /4- 1 vA�‘.0 1 Ax6, P��io (i: I3-6- I-0 ©ccu)611- t/cV . . . . • )9(---- . . • • By ,2 " cn,.ea6Ajeo a �1 a G9,- 5� 134J'CA) B„Cl/✓ I 7°,a = 9 93 �: i�✓ r /A/d. =90.9.3 ,...,A.'''' 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