1987-451 BUILDING PERMIT y
TOWN OF QUEENSBURY �
No, 87-45i
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to John Hastings w
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OWNER of property located at Y4 West Mtn . Rd . Street, Road or Ave. 1
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in the Town of Queensbury, To Construct or place a Addition—Solar Room nwa
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
RR5 Box 338
Glens Falls , N . Y , 12801
2. CONTRACTOR or BUI LDER'S Name
Solar Additions
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3. CONTRACTOR or BUILDER'S Address
Greenwich , N . Y . an
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
B. TYPE of Construction — (Please indicate by X)
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lXl Wood Frame i I Masonry l 1 Steel S l rr
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7. PLANS and Specifications
No_ 121 x 161 addition to one family (solar room) as per plot plan ,
specifications and application .
S. Proposed Use
Solar Addition
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20 . 00
� PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 , 19 88 0
0f a longer per Pod is required an application for an extension must be made to the Building and Zoning inspector of the y
town of Qusensbury before the expiration daps.)
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Dated at the Town of Queensbury this�y 15th Clay of _ July 19 87
SIGNED BY 7 r / for the Town of Queensbury
Building and Zoning I ncspector
-
TO BE COMPLETED I3Y BLDG . KEPT .
Application No . TC7N{: i 1 C?`
/awlt o ueen3f� ur Permit Issued 19 I R
BUILDING and ZONING DEPARTMENT Permit Expires
Bay and Haviland Road, R-0. 1 Box 98 Zoning Designation i 261987 � -
Queensbury, New York 12841 Variance No. p Via" e ct r
i /j y(J; Site P1 eview BUILDING & CODE DEPT.
Approv ]�y . /
(" APPLICATION FOR
ElJ I LD I NG 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 the Permit .
The owner of this property is : JL"il"7f/fir 11,4 ar t A`6 Jr
P . O. Address A', ` C1X .3 /:� R Tel . :Zfj:F
Property Location : & i6ps / ,r/ f . � t jf 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 :
'Ir /7 * ) I u3 7�i n S
Name r/�� ,r ,lr P . O . Address Tel . No .
Name of builder r G . ifa�t 1246+ S Address t_- e'c�r ► � c:.rct, fli., Tel .
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
* 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 .
Af * 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 X.Z�6ft
Foundation-pier/491 )/crawl/partial/full * Proposed building, distance from property line
(circle one)
* Front yard ft Rear yard ft
No . of stories (habitable space ) _ _� * Side yards ',S ' �ft and ft
Height (grade to ridge ) A/C ..t- _ ft .If residential , no . of families * If on corner , setback from side street ft
No . of rooms ( excluding baths ) / * OCCUPANCY INFORMATION
No . of bedrooms PRIMARY BUILDING -
No . of bathrooms
Primary heating system .S6L .4 * One family dwelling
ill * _Two family dwelling
Type of fuel /
No .- of fireniar_.es to be installed /t * Multiple dwelling / Number of units
Will a wood stove be installed? '" Permanent occupancy
* Transient occupancy
Central Air conditioning? O&Z Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Ranch Contemporary Log cabin * Other '
Raised ranch Mansion Duplex If addition , what�wil 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 COMPLETEDI
Form SPA 4 /86 and-vl
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,
2 . Type of heat 4r t- 14 �
3 . Is the building mechanically cooled ? /vG'
4 . Percentage of area of windows and doors
A . over 16 % only ; eb
1 . U . value of gross area of walls , roof/ ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces YES
a . Are foundation walls insulated ? YES NO
� 1 . If YES , what is the R value ?
3 . Slab on grade YE ` No
a . If YES , what is the R value of insulation around
perimeter of floor ?
s . Is basement heated ? YES NO
a . R value of insulation /t / ,v/
5 . Type of insulation Z/y� �'ir�Gl 7' $�'// "eee� Y ��
Be Under 16 % Only 11114
1 . R value of roof and floors exposed to ambient conditions.
2 . R value of exterior walls
3 . R value of glazed area
4 . R value of doors Y
5 . R value of floors over unheated spaces
6 . R value of slab edge insulation we unheated slab
7 . R value of slab insulation - heated slab
Be R value of heated basement/cellar walls ( above grade )
9 . R value of heated basement/ cellar walls ( below grade )
10 . Type of insulation
C . Controls �� l+` '�" � /
1 . Thermostat maximum heat setting " a �`G
D . Duct Systems
1 . Is duct system installed in unheated spaces ? YES NO
a . If YES , R value of duct installation
b . R value of duct in other areas
- E.- -Piping Insulation N
Y. Size of hot water or cooling carrying agent pipe
2 , R value of pipe insulation
F . Service Water Heating
Y. Performance efficiency
2 . Temperature control setting maximum
G . For Swimming Pool Only Al
1 . Maximum heating
Telephone No .
( applicant ' s signature )
,/►' ' c '1 //
1Q ,_ town of Queen36ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. i Box 98
Queensbury, New York 12801
V
BUFLDING INSPECTOR ' S REPORT
NAME
LOCATION
Date / Permit I3a .
APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumb ' ng
Relief valve
Ext . Porches
Finished Floor
Interior Trim
stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar , Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRI AL INSPECTION
DRIVEWAY APPR VAI ._,,,
Final Building Survey _
Next scheduled inspection (call when ready }
Remarks-
lding"Inspector
6/86 and-V1
.JOtvn o Q"een31"ry
� Y BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, Now York 12801
BUILDING INSPECTOROS REPORT
NAME
LOCATION . r - ,r
Date 7 sS-7 Permit No oil `7'c ,$ !
✓ s APPROVED - 'YES O
Footing/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
Cb.kmney
4/INSULATIC7N :
Foundation
Floors
Walls
Ceiling
FINAL ELEC'T'RI L INSPECTI
DRIVEWAY APPRO
Final Building Survey
Next scheduled inspection (call when ready
Remarks-
r
Building In Pector
6/86 and-vl
fir BUILDING and ZONING DEPARTMENT
r ' ,Bayy and Haviland (toad, R.D. 1 Box 98
r, Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
Date / Permit No .
✓ = APPROVER - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Fr
4,off'raming
Roofing
Siding
Masonry Vene
Rough Plumbin
Relief Valves
East . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
1Plbg . Fixtures
Gar . Flreprooyhg
Door Closers
Smoke Detect s
m Chiney
INSULATION .
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final, Building Survey
Next scheduled inspection (call when ready )
Remarks--
Building Inspector
6/86 and-vl
BUILDING and ZONINGS DEPARTMENT
G �1 Say and Haviland Road, R.D. 1 Box 96
Cf Queenshury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCAT I N G
Date/ %� Permit Now - e?� _z
APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
(,pcdckf i 11 DJ[/ .0
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
Doer Closers
Smoke Detectors
Chimney
I N S U Y.AT I ON :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( call when ready )
Remarks-
Inspector
6/B6 and-vl
1 flown of 'Quee4n56ury
1 BUILDING and ZONING DEPARTMENT
1 Bay and Haviland Road, R.O. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCAT ON
Date / permit No .
APPROVED YES *NO
Footing/Pier Forms
Foundation
waterproofing
aackfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors '
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
P1139 . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
IN S U LAT 71 ON
Foundation
Floors
Walls
Ceiling
FINAL ELECTRI L INSPECTI
DRIVEWAY APPR Sur
Final Buildiu Survey
ed nap
action all when ready
flext schedul i ,
Remarks-
U IY
Building i spector
6/86 and-vl
town of Queenshury
r ,y� BUILDING and ZONING DEPARTMENT
Bay and Hawikand Road, R.D. i Sox 98
Queenshury, Now York 12801
! BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date ,vim-4/ permit To .
�✓ APPRO ED - S
%'footing/Pier Fos'ms�
Foundation
waterproofing
Backfill
Framing
Roofing .
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext , Porches
Finished Floors
Interior Trim
Stairs & Raili s -
Cellar Drain le�
Concrete Flo s
Plbg . Fixtu s
Gar , Firep offing dd
Darr Clos s
Smoke Det ctors
Chimney
INSULATI N :
Foundat ' n
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAI• .
Final Building Survey
Next scheduled ingpQction Ccall wtxen ready
Remarks- f
Building Inspector
6/86 and-vl
BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS,
FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED.
TEMP'• III
crrY OR -
VILLAGE "/, TOWNSHIP COUNTY if - •• „Y
STREET AND NO. OR A
ROAD AND POLE NO. l
BETWEEN WHAT TWO POLE NO.
PREMS9Eg LOCA,TEO7
OCCUPANT'S
SECTION BLOCK LOT
NAME .f 1 ! geA.If r_• OCCUPANCY
OCCUPANCY OWNER'S NAMEAND ADDRESS ,; !',-: c . 'f f.�s' '_.%, fe-?r �i-:(f {' r TEL. # -7
SUPPLIED �q _ - -
' � FROM THEIR =� i OFFICE
BUILDING
IS NEW ❑ �Sl WORK •, .. 1�'�rr1I DEFECTS OLD IS NEW ❑ ADDITIONAL +LI REMOVED t__!
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS Na- of Flleruree 8 BRANCH
ilon Lamp Recaptaclea MOTORS HEATERS CIRCUITS OFFICE USE
ONLY
[yailllp Side well Re gp k� Swi4c1+ Pendant Sradret No. Types Each NOS No. A,W.4.
Gaups INSPECTION
tG6u"
Sub-
ItlMlt
far FI.
tad FI.
3rd Ft.
REMARKS, LIST 4TMER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT LOSE THIS SPACE,
This aPPOication K intended to cover the above-listed equipment to be inspeeterl but if at time of irmpsclian Blare is fou rld additional
You are auth*ricad to make the inspection and adjust ebe fae to camrar the additional oqu ipmant 'vat above listed,
SIZE OF aquipmant, tl pravidad by the applicant.
MAINS FEEDERS ELECT"W SIGN TOTAL
LAMPS
CHARACTER WATTSE]lPOS EO OAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF
VA
WORK TO BE CNUMBE SIGN
ICAPACIYYy
STARTED COMPLETED 512E OF SIGN
SERVICE OVERHEAD UNOERGR4UNO
ENTERS MAKER
LOIN OF SIGN
INSPECTION ARAS REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD
AVO16 DELAY BY GIVING FULLAND ACCURATE INFORMATION. ALL SPACES
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. DATE OF
PRINT NAME AND ADDRESS APPLICATION
NAME OF
V SIGNATURE
APPLICANT �I'1� OF APPLICANT'A 7e, r ! + (,G.�•u.,a 'r!y
STREET ADDRESS
YEL19PHONE #
COSY OR POST OFFICE ZipLICENSE NO-
CODE WHEN APPLICABLE
46 E� (REV. 1f86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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