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6325
ti BUILDING PERMIT TOWN OF QUEENSBURY No 6325 ` WARREN COUNTY, NEW YOiRK PERMISSION is hereby granted to Marilyn L . Mathias OWNER of property located at • �T—�=�-- Foof `"c *'✓ s � Street, Road or Ave. W in the Town of Queensbury. To Construct or place a .addition to dwelling ( living area ) I I 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. L� 1 . OWNER'S Address is R . Do y 2 Glens tF!' alls , N . Y . M rt N• 2. CONTRACTOR or BUILDER'S Name 0) M Same 3. CONTRACTOR or BUILDERS Address Same �f 4_ ARCHITECT'S Name Q Kb ' r w 5. ARCHITECT'S Address rR O 0 C1. 6. TYPE of Construction — (Please indicate by X) be l Wood Frame 11 Masonry I T Steel I l 7. PLANS and Specifications 12 ' x24 ' addition to 2nd story per plans , No. specifications and application submitted . w• B. Proposed Use rt Y- One-Famlly Dwelling ( additional living area added ) � rr 0 $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES T December 1 19 80 m (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the h-' town of Queensbury before the expiration date.) F N r- Dated at the Town of Queensbury this Pith Day of May _ i9 (� QQ SIGNED BY - ��' S7E"- P` - —�f �i� F for the Town of Queensbury Building and Zoning In TOWN OF +QUEENSiBURY (Space inside block to tx• filled ii] by' WARREN COU4NTY. NEW YORK Building insix ct4tw) Application for �t1rmiiSlsP11 BUILDING AND IONING PERM 1,441111it tspimp% 114 Ztki% inmm District l :4Yli4• THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale 1i>> :� ,. =•<1 1]ti'. showiwg tha actual dimensions of the lot to be built Mupon, T1te *xact also. and location on the W of the bu1dingl to be ereetod or altered MUST BE SUB- MITTED WITH THIS APPLICATION, ,"TOWN OF QUEEN5E. ✓ rc nAiE Y 11AV A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MAY idtYJ ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work 7181g11g1AI 111213141516 which will be done in accordance with the description, plans and specsfi+ • + • • a cations. and such special Got+WRi+ons as may be indieated on the permit. The owner of this pr perty is: ..,+. . . . . . . . .►! Aar .1 . . . . . . , - . . . , , (MA ••F} sP.O Ap�P The person responsible for supervision of the work insofar as the Buildipg.Code an the Zoning Ordinance apply i%: Ail is. (=�,..2 1) Z v t �eA lea I I S . . . {NAMf:I f,Prye3 C]fl 'S 1 Name of Builder . f2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . Address E . . , . . . . . . . . Name of Plumber . . . . . . . . . . . - . . , , . . . . . . . Address Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . Address - _I k . . . . . . . . . . . . . Lot Number . . . . . . . . - - . Unit . . . . . . . . . . . . Estimated value of proposed work S Nameof Village . . . . . . . . . . . . _ . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . r, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . .4 C �tAq , _ ,l[o� c� !ode oVoreat: north O . east ® . south D. west !� Nearest Cross Street �a "*e . .� ''ttVC . �X "4f W + "� ' Distance from this "Toss street . _ . . .�. . " � z . . '^ ` • �+ s . Ft . Property is n arth I�] . south , east i , west 0 from Cross Street . If on Corner, which corner, northeast �i , n=rrthwest Cl . southeast O RoutY3wYAt (Designate by marking with an '*X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY © Construction of a new building. Main MdWing S. Addition to a building. l x sty Cs +a?` R Cane-family dwelling Q Two-family dwelling � ❑ Alteration to a building* -family apartment house 0 Demolition of a building. � �� ( Store building -car attached garage ❑ Other: . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage 0 Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage + + / Private chicken house Private storage building Q COther. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . - ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of omupency. Indicate on the plot plan street names. the location and size of the property, the locatiotng size and setbacks of pro- MO"TN posed buildings, and the locatiods of all existing buildings. �1 cjitow proposed buiidingW in dotted line and existing hWlding(s) in solsd�+ line, Size of property . -? . '? GtLt 5 ft. x . . _ . , . . . - . . _ it. Size and use of existing buildings, if any . . . . . . . • • • • . c `! K . .sir. . . . . . . . . . . . . . . . . . . . . . . . . . . . Size of proposed buildin t ��4- .}. . ft. xy. Z-46 . �.{. . . r]f1jt, cf [{ Height (from grade to ridge) . . . .cr2 2 . . . . . t. Front yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side yams . . . . . . . . . . . . . . . ft. and ft, Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . BOUT M if co corner, setback from side street . . . . . . . . . . . . . . . ft. . . ,Nora: AIt distances are net. As measured from sereee side { j line to nearest pare of building. Cove:"] 7 -73—M (cont'd-) BUILDING SPECIFICATIONS., � , Kind of construction: Wood frame, fire safe, etc.? . . . lwcxG-� . . . 4 Y . ..:A_, . . . . . . . . . . . . . . . . . . . . . . . . . . . . Willany second-hand lumber be used? . . . . . . . . . . . . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . _ . . , . Thickness . . . . . . . . . , . Depth of foundation walls below grades - '.6' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . . . . . . . . Will there be a cellar? #'. ' f so, material of cellar floor . I,, » . . . . . . . . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or flat? . . � G Material of roof . .�s4.(.t+_:: �r . . .1: .��"lk.fl ]S� `, ,r` . . , , . - Size. wood studs . . . . . . . . . . ' x G'. . . . . . . . . . . . "', spacin . . . . . . .I. to . . . ."o.c.. length . . . . . 1 '4 . . . . . ft. Size, floor beams, ist floor . . . . . . . , . . " x . . . . . . . . . . . . . . . ", sparring . . . . . . . . . , "o c., span , . . . . . » . . ft. Size, floor beams, 2nd floor . . . . . . . . ^ x . f G? . . . . . . . . . . ", spacing . . . . . . . .t 1b. . . ."o.c., span . . . , . a4Y. . . . ft. Size, ceiling beams . . . . . . . . . . . . . . , " x U . . . . . . . . . . . . ". spacing . . - . . . . .1.4b . . . . "o.c., span . . . . . . . ?. �t sue . . " x . . f� . Si>?e, roof rafters or beams . . _ . . , . . . . . . . . . ", spacing . . . . . . . _ F,b. . . . "r,.c-, span _ . . . . . . . ,1�>. . . Ft. Exterior finish . . .0�QdK* PA- *• • B G- it,{� . !"*-. . . . . . With what material? dip. '. Finish of interior walls . i 1 Gt. . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wail between garage and main building to be constructed? Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Kind of heating system . . l~ C ! C. . . . . . . . . . . . . . . . . . . . . Oil burn *r or coal? . . . . . . . . . . . . . . Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chifhney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof, . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C ? i� . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? Willa toilet be installed? _ '.. . . . . . . Its . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . _ . . _ . . . Water supply (public water supply or pump) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury � A"IDAVIT County of Warren '`hate of New York I swear slut to so b a raf my knowledge and belief the statements contained is this applicotioa. m4etbor with the and epecifioadabs sub- mitted, are a true and oo.,. lete statement of all proposed work to be done on the deerribed preausee and that al}raviaiasa or nos, ING CODE, THE ZONING ORDINANCE, and all other laws perWain" the pro work shrll 6e eygsl sstt�t,. wspecified and that such work is authorized by the owner. Sworn to before the thus 3istfature '. . . ✓ . _ . . .. _ _. '" . . `� ---. ._. . U,"1 +> 6W Q�VYHEWS AGENT, ARCHITECT. CONTRACTOR day of. . . . . . r /�' ��. ... .. .. . . . . 14 a �'- -� NOTARY pUVSLJC.. WARREN OUNTY, M. SPECIAL CONDITIONS OF THE PERMIT: Ily .. . . ........ .. .... . . ..... ... . ._ . . ......... .... ,..... ..., .,. .. .. ., .,..., .... .... ._._. _. .,_. .. .._...... TOWN OF QUEENSSURY 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 _ . 3 , Ts the building mechanically cooled ? - - 4 . Percentage of area of windows and doors s . Over 16 % Only 1 . Uo value of gross area of walls , roof/ ceiling and floors exposed to ambient conditions 2 . Floor ove heated spaces YES NO a . Are fo lotion walls insulated ? YES N (] 1 . If Y what is the R value ? .3 , Slab on grade YES O a , If YES , what is t R ue of insulation around perimeter of fl r ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation I3 . under 16 % only 1 . R value of roof and floors exposed to ambient conditions ./2 - 2-- s�'" 2 . R value of exterior walls 3 . R value of glazed area _____� �l ,ter SO/3 f' _ 4 . R value of doors /[�/ 5 . R value of floors over heated 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 Controls 1 . Thermostat m imum heat setting D . _Duct Systems 1 , Is duct system i stalled in unheated spaces ? YES NO a . If YES , R val of. duct installation fa , R value of duct in ther areas L . Piping insulation 1 . Size of hot water or co ing carrying agent pipe 2 . R value of pipe ins lation - F , Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . -;Maximum 'heating 4 ^7 � eIephot No . ( applicant ' s signature ) r THE NEW 'YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 r 5Bate :? t° 3 ..'' Application No. on file t;, i 51 ., 'M' '7 ^' " `'" THIS CERTIFIES THAT f away the electrical equipment as described below and introduced by the applicant named on the above application number in the prensiaes of _ e1 :..? '"; i3 t. ' 7 't c: : �+ � 7 .Y'.IF., f :.: "! :: .� .. - .. . . - . '!'x. .x •r^ i.. L r'. s - im thefolGdwing location; ❑ Basement ❑ Tat Ff. ❑ 2nd Fl. Section Block Lot was examined an and found to he in compliance with the requirements of this Board. FIXTURE EF7AClF3 SWITCHES - RXTURES RANGE5 COOKING I3ECE5 OYENS DISH WASHERS EXHAUST FANS Ql/TUFTS INCAMOESCENY FLUOMMceHT AMT. K. W. AMT, K. W. AMT. K.W. AMT. K. W. AMT, I H. P. DRYERS FURNACE MOTORS FUTURE AFMANCE FERNES SPECIAL REVII1 TIME CLOCKS BELL UNIT HEATERS M SYSTEMS RT D1MMAiRS AMT. %. W- OIL H, P. GAS H. P- MAP. NO. A. W. G. AMT. AMP- AMT. AMPS- TRANS• AMT. H- P. No. OF FEET A11AT.% WATTE SERVICE KMSCJOMMCT NO. OF S E R V I C E AMT. AMP. TYPE METEREQIUIP. 1 2W 1 0 3W 31 3W 3'a 4W IJD, 1;ayz ND. OF CC CONO. NO- OF HFIEG •H' NO. OE NEUTRALS OF HELL RAL OTHER APPARATUS= u,-.•1,, T -+ 'i BRANCH -MANAGER Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF +QUEENSBURY Building Department hupecuwa Repcwt Date Name, { Locatkm C2 "rrt c tz Permit No. Weather Rerwrks Excat)ra ti.on Footing Forms Foo inq & Piers Foundation Cement Coat Water roofin Backfill Final Survey Framing Sheathing Roof Felt Roofin ,siding Masonrg Veneer Rou h Plb . ,Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors p1bgs Fixtures Gar . Fireproofing__ Door Closers Chimney Water Meter Inst . Se tic Approval Floors Foundation —� Xnsulation walls Ceiling Building Spector REMARKS i �V6 •rs3 V w i { a /NZ 11 iL �R