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1987-526 k BUILDING PERMIT TOWN OF QUEENSBURY � No. $7-526 / WARREN COUNTY, NEW YORK + 1� ^• CD PERMISSION is hereby granted to Lois Strainer r.s OWNER of property located at 21 Old Aviation Rd . Street, Road or Ave. l in the Town of Queensbury, To Construct or place a Addition to One—Family 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_ r2CONTRACTO WNER'S Address is 21 Old Aviation Rd . Queensbury , N. Y . 12801 r 0 w 00 R or BUILDER 'S Name w Tim Chase w r• ro 3. CONTRACTOR or BUILDERS Address P . O . Box 62 Glens Falls , N . Y . 12801 4_ ARCHITECT'S Name N t✓ 5. ARCHITECT'S Address p a, C Y• W 6. TYPE of Construction — (Please Indicate by X) rt Y• O (K4 Wood Frame { ) Masonry { I Steel { ] .'b f5. 7_ PLANS and SPecif"tions " No. 12 ' x 23 ' per plot plan and application a. Proposed Use One—Family Dwelling FJ, rt Y- 0 0 0 $ 18 . 00 � PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 , TS 88 no {if a longer period is required an application for an extension must be made to the BuildingW town of Queensbury before the expiration date.) and Zoning inspector of the Y• 'bated at the Town of Queensbury this 12th Day of August 19 87 SIGNED BY c'�{ for the Town of Queensbury Building and Zoning Inspector �� TO BE COMPLETED BY BLDG . DEPTa f - I-• t JErWxt L+ ieeel7 � 6urf�t Application No . Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation AUG Queensbury, New York 12801 Vari anc No , qsite P an Revie BI91LDING & Co of 0EPT ~A Appr ed juo APPLICATION FOR. FUILDING AND ZONING PERMIT �� p 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 : P . O. Address_ 01 � Id� ,{{� ��-yy {{ {, 1 y - - L) . W1Ecw-.. U�c1 T �y�° ir}{j L^ � S � y 1 �Z `3C� S Tel . Property Location : Aw p 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 : N '1I 39 Name P . O. Address Tel , No . Name of builder Address Tel . Name of plumber Sr� L 4 Address Tel . Name of mason w _ Address Tel . s NATURE OF PROPOSED WORK : * ZONING INFORMATION : _Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , _Y�Addition to a building drawn reasonably to scale and attached hereto , Alteration to a building showing clearly and distinctly all buil4ings , (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 FOR. DEMOLITION PERMIT , STATE SIZE AND whether interior or corner lot . Show .location LOCATION OF STRUCTURES AFFECTED . of water supply and location and configuration � of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . * Size of property 10 ft X rSOC,a ft . * Existing buildings ) Size ft X ft . PROPOSED BUILDING AND USE : � GAII�W- .= � A �, '?, AV S2 V4 x 3"- * Exist j_ng building ( s ) use Size of new structure I ft X ' s ftf Foundation-pier/slab/ yawl partial/full * Proposed building , distance from property line {circle one } * Front yard lift Rear yard ��} rr, ft He of stories {habitable space} bin� * Side yards -� � ft and t ft Height ( grade to ridge ) _ Jt( ft . If on corner , setback from side street ~ft If residential , no . of families C)w"`tQ.. No . of rooms ( excluding baths ) C)V\ P OCCUPANCY INFORMATION No . of bedrooms r>ot- 0 nar * PRIMARY BUILDING - No , of bathrooms n ' �C7ne family dwelling Primaryheating system C'�ecec.)�5: * Two family dwelling �yF+c► ftte No . of fireplaces -to be installed y. 'oAU * Multiple dwelling / Number of units Wi Permanent occuancll a wood stove be installed? /.ScS * Transient occupy Central Air conditioning? Nu * occupancy Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial * Other Ranch Contemporary Log cabin Raised ranch Mansion Duplex * If addition , what 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-- frames fire safe etc . Will any second-hand or ungra ed lumber be used? if so , for what? rt Foundation wall material �``� rir ��� Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar?�1U Heated or heated? Floor sq. footage scI ft Will there be a basement` r-b Will any portion be used as living space? �7 ( if so , what portio�t? sq . ft . - - Type of use? Type of roof - sloped flat/shed/other Material of roof Size , wood studs '3��f _" spacing_ __."o , c . length ^ft . Joists ( £loor beams ) 1st . floor _ ' " X " spacing_ (a,_"O - c . span LL _ ft . Jcaists-c€�arir }�p "'..,.$) 7nr3 r-- Z sraac�ns-T. n � � - Overlays (ceiling beams ) �4 "X �z spacing f�"o , c . span I4 ft . '-1 Clu lax n shaClny O�G �•� _ f} _ Roof trusses (pre-engineered) spacing_� + " a . C . � span—7�ft . Exterior wall finish V:=Cc � Of what material.? Interior wall finish. ` , S , 4P k-{-c f<.` 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? ' C_4) if so will a Fire-rated door , enclosure , and self-closing device be - a Will a flue-lined chimney be installed? -',�--� Height ah'�ve tea{ ft . L7etTi o -cTi-mziec�IIIda tion D ear - r water supply - Municipal or private well � SEPTIC SYSTEM _ Distance from ANY private we l ( inclu� �adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury A F F I D A 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 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 - { iLMn_ __`✓_ _ _______ ___ _________ _ Owner , owner ' s agent , arcnarect , contractor day of 19 Notary Public , Warren County , N . Y . * ,rr it it �1r * �r * * _ * * * * it a1r * ,k * rt * * x ,r it +k ,k ,r k * a► * * * * * it it it x * yr yr 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 , Gross floor area 2 , Type of heat L 3 , is the building mechanically cooled ? t� 4 , Percentage of area of windows and doors + ' 6 A , Over 16 % Only 1 , Uo value of gross area of walls , roof/ ceilings and floors exposed to ambient conditions 2 , Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 10 If YES , what is the R value ? 39 slab on grade YES NO a . If YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES a . R value of insulation 51 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 , r� 1 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 1'`-7 ) A $ , R value of heated basement/ cellar walls ( above grade ) tjV 9 . R value of heated basement / cellar walls ( below grade ) NrLA 10 , Type of insulation kaCc c VySS C , Controls 1 . Thermostat maximum heat setting D , Ductj Systems . 1 . s duct s tem in a ' led in u e ed spa YES /� NO I YES R v lue of 'lu ' install t_iSa.n ` b _ R value 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 Y. Performance efficiency 2 . Temperature control setting maximum G , For Swimming Pool Only 1 . maximum heating , Telephone No , ( applicant ' s signature7 4003361 THE - NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY FNLG 41 STATE STREET, ALBANY, NEW YORK 12207 pate SEPTMMB)!R 230, 1968 Application No. on file 023158/87 7 THIS CERTIFIES THAT A ? MTg79 only the electrical egtsip~rst as described below and introdsrced by the appLieant naased on the above application number in the premises of LOIS STRAINER, 21 AVIATIUM ROADO QI E8SSSa.3RYP NY in the following Location; Ffl 131mmmrnt 0 lat Fl. ❑ 2nd Fl. GARAGE/OUTSIDE 'Sections 2 mock 6 L,at 19 was examined on 9/ 9,/ 83 and,jound to be in conrpiiance with the requirements of this Board. FtXTtm FIXTURES I RANGES ICOOKING altars I OVENS DMH WASHERS EXHAUST FANS OWLETS ECEPTACLES SWITCHES INCANDESCENT I FIIUORMCENT I AMT. K. W. AMT. K_ W. ANT. K.W. AMT. K_ W. AMT, K P, 12 + 10 1. 4a fi DRYERS FURNACE MOTORS FUTURE APPUANCE POWERS SPECIAL RECPT TUAE CIONgKS RELI UNIT HEATERS tMULTI-4UT4ET DIMMERS ANT, K. W. Lail H. P. GAS K P. AMT. ND. A. W. p- ANT, AMP, ANT. ARMS. TRANS, ANT. M. P. 1 . OF T FEET ANT. WATTS 1600 SERVKZ DISCONNECT No.# S I R V I C E ANT. AMR, TYPE 1 ,a� $W I X 3W 9 X 3W 3 X +LW - reR'*CCMID. OF CC. CCsaO. No, OF NIAIG -HI•• N6. Of NEUTRALS 17F NEU RAL OTHER APPARATUS: 2-- GFCI 1— 1 J1 HP MOTOR >rLECTP_IC ;ROOM HEATERS : I — 2oO kW 1 — 1 . 5 KW T1Z-1 CHASE PO BOX 62 r�) ��'} GLENS F'ALL.S s MY 12801 pC J � BRANCH MANAGER Per This certificate must not be oltered in any manner; return 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. awn v/ Queens6ury BUILDING and ZONING DEPARTMENT 7rKk Bay and Haviland Road, R. D, 1 Box 98 1 Queensbury, New York 12801 BUILDING I (N�`,S� PECTOR ' S REPORT NAME .y21.2 LOCAT 1 ON_o;?/ e°a� Date/ Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Sackfill f' Framing j Roofing Siding ,Masonry Veneer Rough Pl ng Relief valve Ext . Porches Finished Floo Interior Trim Stairs & Railin _µs Cellar Drain Tile, Concrete Floors Plbg . fixtures (zar . Fireproofi g Door Closers Smake Detector Chimney INSULATION Foundation Floors walls Ceiling FINAL r:LE T INSPECTION I]RIVEWAX APPROVAI. ^., Final Building Survey Next scheduled inspection ( call when re y ) Remarks— �'"i 4 Bui ng Inspector 6/86 Md -vl own a/ ueensl �ur BU DING and ZONING DEPART NT Bay nd Haviland Read, R. 0- 1 ox 98 r� ueensbury, New York 12 01 SUILDf INSPECTOR ' S EEPRT NAME LOCATION ' Date Fermi Now Footing/Pier Forms — ROVED - YES NO Foundation Waterproofing Backfill Framing Roofing Siding ✓ Masonry Veneer �- Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs 6 Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY APP OVA Final .Build ng Survey Next sch vled inspecteion { call when r ady ) Remarks ` LG. " YC1 J541pohjr- 4,7- to Sr �s aS 6k 5/8+5 and-vl Building In ctor own o� �iree+►� dh+cer,� BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAMEv--=LOCATION Permit No . ✓ = - Footing/Pier Farms APPROVED YES NO Foundation Waterproofing Bankfi.11 L, 'ra; i n g Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete: Floors Plbg . Fixtures Gar . Fireproof ' g Door Closers Smoke Detecto s Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey 'Next s+ctxeduled inspection ( call when ready ) Remarks- $ it nspe for 6/$E and-vl Quee01siurt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R_ D. 1 Box ga Queensbury, New York 12,30, BUILDING INSPECTOR ' S REPORT NAME LOCATION Date_ / Permit No . - ��c�� ✓ fPPR -]E7D - L.�tzng/Pier Forms,���Y— NO Foundation Waterproofing Rackfill F ram_i ngr Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railing Cellar Drain Tile Concrete Floors Plbg . Fixtures Car' . Fireproofin Door Closers Smoke Detect Chimney INSULATION FouEn d�ion Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROV Final Building Survey iVexC scheduled inspactian ( call when ready ) Remarks- . iBmullldizngInspector t*/85 and-vl L� I UILDING and ,TONING DEPARTMENT Say and Havirand Road, R-D. 1 Sox 98 dueensbury, New York 12801 BUILDING INSPECTOReS REPORT tJAME _-� or LOCATION Date Permit No . Footing/Pier Forms APPROVED - YES NO Foundation Waterproofing Backfill �ami ng Roofing Siding Masonry Veneer ugh Plumbing Relief Valves Ext , Parches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . F'reproofi g Door Closers Smoke Detector Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELEEC CAL INSPECTION DRIVEWAY A ROVAIL__ Final Bull ing Survey^'�`�' Next scheduled inspection Ccall when ready } Remarks- Building Inspector 6/86 and-vl 'V68aU ING and ,ZONING DEPARTMENT d Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME f� IAF' �/�'G • l LOCATION / Date f✓/_ 5 ,rPermit NO , o as fvo ✓ = APPROVED - 1 Footing/Pier Forms oundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing -- Relief Valves Ext . Porches Finished Floors Interior Trim "Stairs 6 Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL_ Final Building, Survey Next scheduled inspection (call when ready) Remarks- / �le r' Building Ins a for 6/86 and-vl BUILOiNG DEPT. COPY OF APPLICATION FORM 46-EL. NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. CITY on M; VILLAGE TOWNSHIP fffCOUNTY STIR EET AND NO_ Oil ROAD AND POLE NO. POLE NO. BETWEENMFIAT TYPO EETS IS PRREMMSRLtICATED? SECTION BLOCK - LOT OCCUPANT'S, BUILDING NAME Y Ji t r1 t YZ., OCCUPANCY - 1 OWMER'S NAME i5 AND ADDRESS ' `^ GUNRENT E BY SUPPlIEO A, { k,. ,i�. !. 1_;w FROM THEIR .iDEFECTS1 ,'} dFFICE IS r - view Q Tl OLO 'X IY�RK NEW Q ADDITIONAL REMOVED ElLIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NLYdMER OF OUTLETS Now of BRANCH Lasnp Ro dw MOTORS HEATERS CIRCUIT Lu CIRCUITS OFFICE USE ONLY Side AMeck't H.P. Wa[�k A-W.O. Co"km YYs6 Ree1071 Swi1rM PerrdMd Breekst Na T'rPe £[lpk Na Eack Nam- GsuYl1 INSPECTION Out- slde Sutr Meer [[IMII 1st F1. 2nd FC 9rd F1. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: 00 NOT USE THIS SPACE, This ePOlieetion is inler[dsd tO a .M ehorrlls[ed equiflnssnt to be ingrecled lwlt if at time of i YOU awe eY4wortred to make WooUNPeEbOn and adpast the for rimsCOY1r Mlle o"itiaMI OSpeC tMMe Yr found additional exPl:p.nenx no11 eborre listed. as PYGIMIdMd'1 Mi Iw Y d+e iPINiEen[. SIZE MAINS FEEDERS �'. ELECTR PC SCION .... . _.TOTALC"ARAC .-_.. . LAMPS yYATTS . _ OF WORK ER ` I �;�. _ CONCEALED EXPOSED GAS TUBE SIG N TRANSFORMERS OF VA WORK TO10- A E ` . V {NIIRMBERI. 4 l `"' COMPLETED ? ;)cI -) S12'E OF SIGN ICAPACITYY ...... ENTVICE ERSER E UNDERGROUND MAKER ' - ._-___--- WILDING OIK'SIGN INSPECTION REQUESTED t ON OR AS NEAR AS OLD POSSeBL£ AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF }f MUST 8E FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME A_Illp ADDRESS NAME OF # t ' V SIGNATURE APPLICANT -" �.. OF APPLICANT . ' STREET AOpRESg _. TELEPHONE r { J CPOST OFFICE �'-- i�L -° F ( 1 l• 1 C �5[,.: zw CODE MNiEN AEPYLWABLE as EL (REv_ 1/e6) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING