8851 BUILDING PERMIT
TOWN OF QUEENSBURY 8851
No.
^ WARREN COUNTY, NEW YORK
1
PERMISSION is hereby granted to James Whiting
OWNER of property located at 1C?( Moon Hill ..F„tgard _
Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Foundation permit for addition to dwg.
at the above location in accordance to application together with plot plans and other information hereto filed and rt.
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is Box 1616
RD .#1
Lake George, New York -
2. CONTRACTOR or BUILDER'S Name
Same o
hh
hn
3. CONTRACTOR or BUILDER'S Address
Same o
o
4. ARCHITECT'S Name
F-'
O
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications 1-h It
00
foundation only 24 'x30' for addition to dwelling
No. per plot plan, specifications and application
submitted.
0., r�+
8. Proposed Use H.
ct O
Foundation - one family dwelling
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o 5
N.
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 85 Q rl
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
•
Dated at the Town of Queensbury this 30th Day of October 19 84 W
SIGNED BY G l a - for the Town of Queensbury
Building and Zoning Inspector :
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK • ' . Building Inspector)
Application No. :
Application for Permit Issued 19. .
BUILDING AND ZONING PERMIT Permh Expires. I!.
\ il,ie District
aln, 1 \1'�nl
THREE (3) Copies of a PLOT PLAN, Drawn to scale -\1'1'r("`11 hY 1/�C/�
showing the actual dimensions of the lot to be built IZci„arX.c
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. •
—�� H D // sei
A T TOWN OFQUEENSBURY
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK D �. ' '
ANSWER ALL OF THE FOLLOWING. DLL
The undersigned hereby applies for a permit to do ,the following work Uf'T 2 9E11 1984 0(
•
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. 7�8�9�10j1 fJ2,1+ �3�4I5�6�
The owner of this property is: -
INA•1E) P.O.AD R SSI
The person responsible r supervision of thVwork insofar as the Building Code and the Zoning Ordinance apply is:
Ste/
(NAM (PJO ADDRESS)/ ill
//
Name of Builder SFl Address (3d l" l('`4 �V� l"` " • • •.. •
Name of Plumber Address •
Name of Mason. S - • Address
Lot Number Unit . Estimated value of proposed work S . . 3 6-0 d •
Name of Village •
Name of Street l Side of street: north 0, east !�, south O. west CI
Nearest Cross Street . ./ • • �KJ�/7,-4 Distance from this cross street .jam Ft.
•
Property is north i uth ❑,east i i, west. ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast [l. southwest
. (Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
in Addition to a building. One-family dwelling -'
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house E.
Store building ❑
-car attached garage ❑
Other:
Accessory Building
One-car detached garage
0 Other work. Describe- F0o.�r)PTfoAI Two car detached garage• ❑
Private chicken house ❑
• Private storage building ❑
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy.
Indicate on the plot plan street names, the location and
size of the property, the location, size and setbacks of pro-
NORTH •
posed buildings,and the location of all existing buildings.
• Show proposed buildings) in'dotted line and existing
huilding(s) in solid line.
' Size of property ft. x ft.
• Size and use of existing buildings, if any . . .02......o2�• •
H .
m Size of proposed building of if4,1 t ft•x 30 ft.
•
Height(from grade to ridge) . ,A ft.
Front yard . _. . a ft.
(S
Side yards c ft. and '0- ft.
r f t.
Rear yard tvv
SOUTH If on corner,setback from side street - ft..
' Note: All distances are net, as measured from street side
. line to nearest part of building. •
(OVER) .
7-73-M •
(cont'd.)
BUILDING SPECIFICATIONS., �,,j
Kind of construction: Wood frame, fire safe, etc.?. . . . . .". ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be usgd? a ��f so, for what'
Material of foundation walls . . �J.!44- / l U thickness id-
Depth
of foundation walls below grade �{ �, Continuous fou dationn e-er. . .
Will there be a cellar? �5 If so, material of cellar floor '� � 40 i A 1[[(,u
Type of roof: Sloped or at? . .Sher01). . . . . . • . . Material of roof SN tiu� •
Size,wood studs .,2-- " x .(.e ", spacing I a "o.c., length I t, • ft.
Size, floor beams, 1st floor 0�" x .if; ", spacing l(P "o.c., span . 101/ ft.
Size, floor beams, 2nd floor x ", spacing ke "o.c., span .h2 e ft.
Size, ceiling beams 'z "x . .& ", spacing ' "o.c., span .JJ 1-QuSS. . ft.
Size, roof rafters or beams �"x . .(p ", spacing `i ,1_"o.c., span It ft.
45o
Exterior finish q-O �� With what material? f/ - (t14
Finish of interior walls. .' .h,' T Co ek.
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system . . . . !t7t.e..4'b . .14-.(e._ Oil burner or coal? 0 t 4-- re
Will a flue-lined chimney be provided? L S Depth of chimney foundation below grade 2 /6
Height of chimney above roof 1.
Will there be a fireplace? !!I 0 Depth of fireplace hearth
Will a toilet be installed? - tp e$
Will a kitchen sink be installea and connected to water supply? aiD
Water supply (public water supply or pump) -Pdvrin
Distance of cesspool from any private well of 00 feet
Will drainage system be provided with required traps, cleanouts, and vents? ES
Town of Queensbury ) AFFIDAVIT
County of Warren
State of New York
I swear that to th bard my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,. lete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING 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 befor me this Signature
��,y� OWN ,OWNER'S,
WNER'S NT.ARCHITECT,CONTRACTOR
024 day of...(9 CX 19.
NOTARY PUBLIC, WARREN•COUNTY, N. Y.
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 f S3(e • , may
2 . Type of heat 19 1.4_ , /' oke_ '��D
3 . Is the building mechanically cooled? afo
4 . Percentage of area of windows and doors d
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions /7
2 . Floor over heated spaces (7ES 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? 4130NO
a. R value of insulation .4„,
5. Type of insulation flt Asc.
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 . Al 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 44.0
C. Controls a
•
1. Thermostat maximum heat setting VD
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 / ��
1. Size of hot water or cooling carrying agent pipe d. /
2 . R value of pipe insulation '(() 3
F. Service Water Heating
1. Performance efficiency
2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating ,
Telephone No. 7P� ' , P4A1.Z.ppl ' s/s/ gnature)
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