6640 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6640
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Vance Potter <
n
13 Newcomb St. Street,Road or Ave.
OWNER of property located at
inn
in the Town of Queensbury,To Construct or place a Addition to dwelling (living area)
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 13 Newcomb St. •
Glens Falls, N.ew York
2. CONTRACTOR or BUILDER'S Name
Same
H
3. CONTRACTOR or BUILDER'S Address
CD
Same -
a
O
5
a3'
4. ARCHITECT'S Name
cn
rt
I-i
(D
N
-
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( 1 Masonry ( )Steel ( ) �y
7. PLANS and Specifications W F'
12 'x20' per plot plan, specifications and <
No. application submitted. o
8. Proposed Use11 p
One—Family Dwelling (additional living area) ¢,
0
H
$ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1981
(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.)
Dated at the Town of Queensbury this 7th Day of October 198 0
SIGNED BY A for the Town of Queensbury
Building anu Zoning Inspector
TOWN OF QUEENSBURY `- (Space inside blo•
ck to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for Application No.
Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. 19
- 7.,,!iinnt District
\is!tic ,}1 11•urk i
'AppriA
THREE (31 Copies of a PLOT PLAN, Drawn to scale lei 111,11 by
showing the actual dimensions of the lot to be built
gr
upon, The exact size, end location on the lot of the
• building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
D — D — oZ o /d 1 D ® 'lU' NI SITU i�?
DATE
A PERMIT MUST BE OBTAINED. BEFORE BEGINNING WORK 11/0E w a'ANSWER ALL OF THE FOLLOWING. Get - b 1980
The undersigned hereby applies for a permit to do the following woetk : .
which will be done in accordance with the description; plans and specifi p,M; ' P.M4
cations, and such special conditions as may.be indicated on the permit. iI$I91QL11I12I1L213I4I5t6
i
The owner of this property is: rl /C, ��� � ccv1
iNA''E) (P.O.ADDRESS)
The person respgnsibi supervision he work insofar as the Building:Code avid the Zoning Ordinance apply is:
, . U� (NAME) �/ • (R.O ADDRESS►`
Name of Builder Addr•ess
Name of Plumber Address
Name of Mason Address
Lot Nus}tber Unit Estimated value of proposed work S . t p9670 0'0 C)
Name of Village C"?oee.dJ? ` e V :- - - '
Name of Street . . . .Al <)Co.t?'lb ST Side of:etreet: north .0, west D, south 0. west ❑
Nearest Cross Street . . R. i CPI,1ea Sd n-) , ` Distance front this -Toss street . . Ft.
Property is north ❑,south ❑,eastri.,west ❑from Cross Street,
If on Corner,which corner,northeast 0, northwest 0, southeast C southwest
(Designate by marking with an"X"in the correct space.)
NATURE OF PROPOSED WORK -OCCUPANCY
❑ Construction of a new building. Main Building
One-family dwelling PD
CEO to a building. Two-family dwelling ❑
(2] Alteration to a building. . • , , . . .-family apartment house ❑
0 Demolition of a building. Store building 0
- -car attached garage ❑
Other:
. Accessory Building
1 • One-car detached garage ❑
❑ Other work. Describe:. .77''i'n'. Two-car detached garage ❑
2—/ Yt h a h e w Private chicken house . ❑
Private storage building 0
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-
posed buildings,and the location of all existing buildings:
NORTH Show proposed building(s) in dotted line and.existing
liuilding(s) in solid line.
Size of property )7 ft. x / ft.
Size and use of existing buildings, if any .c J.T. •X •C.?
~ � .. . . ft.x ,2 o ft.
i m Size of proposed building . . . '
Height(from grade to ridge) / ft.
Front yard >''J h"f ft.
Side yards l 4 ft. and . . (Yif/ ft.
Rear yard Y/ffjy4-5 - ft.
7 SOUTH If op 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.,
liP/0 -1(v
Kind of construction: Wood frame, fire safe,etc.)
Will any second-hand lumber be used? If so, for what?
Material of foundation walls S ..y../S. ..4,4'. . . Thickness ..
Depth of foundation walls be)ow grade Continuous foundation?
Will there be a cellar? ty If so, material of cellar floor
Type of roof: Sloped or flat? 4aterial of roof •
Size,wood studs "x ",spacing /6 "o.c.,length a • ft.
Size, floor beams, 1st floor x spacing "o.c.,span ft.
Size, floor beams,2nd floor x ",spacing . "o.c.,span ft.
Size, ceiling beams x ", spacing "o.c.,span ft.
Size, roof rafters or beams "x C ",spacing / 6 "o.c.,span /2— ft.
Exterior finish S 4f/L-15 With what material?
Finish of interior malls. . . . . . . . . . . . . . . . . . .
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 Oil burner or coal?
Will a flue-lined chimney be provided? Depth of chiin*sey foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed)
Will a kitchen sink be installed and connected to water supply?
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?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tt harof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.plete 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 proposed workAhal ..).plied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature Gt44./CR.-- •
OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N.Y. S .
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 /��j �' ///
2 . Type of heat %4
3 . Is the building mechanically cooled? /V
4 . Percentage of area of windows and doors
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floo' over heated paces YES NO
a. A - foundati• walls insulated? YES NO
1 . If YES , what is the R value?
3 . Slab on gr- • - YES NO
a. If YES , at is the R value of insulation around
perim:ter • floor?
4 . Is basement heate. ' YES NO
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed ambient conditions
Z
Lf) = /2 - / 7. 1 a t
2 . R value of exterior walls , - / 3 •
3 . R value of glazed area l2 -
4 . R value of doors J2 �.
5. R value of floors over heated spaces ) /
6. R value of slab edge insulation - unheated slab /V it
7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
3 `bk14
9 . R value of heated basement/cellar walls (below grade)
* I y /
10 . Type of insulation ��/LGj (�``. �/if'L � l�
C. Controls /
1 . Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. f YES , R 'value of duct installation
b. R clue of duct in other areas
E . Piping Insulat . n
1. Size of hot wa . or cool ' ng carrying agent pipe
2 . R value of pipe in lat • on
F. Service Water Heating
1 . Performance efficie cy
2. Temperature contro setting ximum
G. For Swimming Pool Only
1. Maximum heating
•
Telephone No. 1 ( `t (e
(applicant ' s signature)
.r, VIVE Cj 6-;a tiJ�A" ,CJ..,C ?,.-1.,,1-1, Na.IaA,... .J..,IJ.,A.),.b._,A-K,O,,IJ./),A.'/,J,,/. .4.J.•!-)_,/,1,..1J,,.l_r_V,A.1,..IJ,9A.XVQ,/,".).,I.l)".4 ).,..e.C),iJ.,ti),/.J!_C):.tiINl)z/-J_.,Cx.4a,.1.ti)_,&I,.U..Ca./,Jr
THE NEW YORK BOARD OF FIRE UNDERWRITERS -
Y
J i
BUREAU OF ELECTRICITY r 7.
41 STATE STREET,ALBANY,NEW YORK 12207
Date i.4� :_i Application No.on file r �"t c. A 5 ' -: 'r Y
n) r •
f..„ k THIS CERTIFIES THAT r 'p Y
r C
Ik� only the electrical equipment as described(below and introduced by the applicant named on the above application number in the premises of r
-� ka t ...`-.., L. :',2,;•:�.a ..... `�`c_l KJS=... ..._s:3.) t� -_.','l")l: 1:::-Ll_::u_ ... _,-.-.dl., L,..LL:\:J .(c): 1:. :.
} Y
kin the following location; :0 Basement ❑ 1st Fl. ❑ 2nd Fl. r ,1,1. :.f E•i; Section Block Lot y
was examined on and found to be in compliance with the requirements of this Board. Y
r
E: FIXTURE FIXTURES RANGES COOKING DECKS_ OVENS DISH WASHERS_ EXHAUST FANS ;
RECEPTACLES SWITCHES MERCURY
$ OUTLETS INCANDESCENT FLUORESCENT aVe AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. • AMT. H.P: I>'
L}.r r
r 'Y
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,r. F
� SYSTEMS -
L J jT'AMT. K.K.W.W. OIL ' H.H.P.P. GAS H.H.P.P. AMT. NO. A.W.A.W.G.G. AMT. AMP. AMT. AMPS. TRANS. A . H.P. NO.OF FEET .AMT2 WATTS Y -�
i SERVICE DISCONNECT NO.OF S E R V I C E
METER • r
AMT. AMP. TYPE EQUIP ,B'1 2W 1,B'3W 3,S'3W 3,6'IW NO,OPER�COND. OF CC.COND. ,NO.OF HI-LEG of HI--•LEG NO.OF NEUTRALS 1 OF NEUTRAL >'
I� el e -,,,J, r.,.,1 ;1 ,d :- Yna el �r�l 1, y
.} OTHER APPARATUS: y
C' T _
•
,Y
INSPECTION ;Y
I iY
r
r
; ,71.f.:,::',1'3 a. 1:j G1:::::tk-2),-'
!_."; 21`;77i;yi .ill f._ .mi l'. .• _
g
`i ' BRANCH MANAGER -
Per _ - = - ;r __
4 ® l] ri 99 rg�ca�7EE
® 51ESISMIENE6 rilegiffilinlEESEMEMESNEWEZ I Ili 41 =-'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. -
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date .2 ea
Name S
Location 4/e G(/Coas1/ S7L
Permit No. 6 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey 0
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Til-
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
•
Building Inspector
REMARKS
•
TOWN OF 'QUEENSBURY
Building Department
•
Inspectors R part Date /0— 7—`P'r%
Name /-47 r�
Location .A.1-e&- is 4,a 1
Permit No. !n G Weather
•
Remarks
Excatation
Footing Forms
Footing & Piers AM /.1;4
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing r •
Siding
Masonry Veneer \ J
Rough Plbg.
• Relief Valves
Wall Board / \ •
Ext. Porches • _ %
Finished Floor 1
Interior Trim
Stairs &Railings •
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors '
Insulation Foundation ' '
Walls
Coiling
Building spector
REMARKS
• 7 0 'I
_______ .e—c-x-e=o— ........4..e...me • ,,- -- ,_ . -•.. _._,. .,.....,.._____ . ..._ _
. I
4 /7 a
2 XF pd Cl'of 6 °
L ,
L-11->e/5.7hP7 /2 --
riirpo •
c-,-tele jz ,
• to eo.fiRt 1
f •
7-,
:',;/"6t_. •-vi-e.....
1 6,7-1../L61/L
.
.
0
f
V1
01tIteN I'Ir+` oe.,
� aZ• Zt� �
16 ;cE
> S+
� �g -
ui
' WT WYr�R
Ae
- Lai
i OR.o�sP i
1011%1.Ua
SAS
r
3
•0
.0
h
i
ONAUTHORIZED ALTERATION OR ADDITION TO THIS
MAP IS A VIOLATION OF SECTION 72011 (D OF, THE NESU ET
STATE EDUCATION LAW. EW YORK
1.915.
Vi..Toit M tPCLOL
I 'AERE6`( cEe-r%F-A T. ALepaf
skv k"cks $Aax •TNgT -VK ►S
pI.AN WAS MAWS VotoM AM Ac.rUAI,
Sugv�y op -"'E G►ZooNa Accortvtu(% ,^
To t.Ecotta Aao S%Ab%A5 N
LA2lf•AT%*%b% 1+4* ScwNOAi��S .ANO
1Mo Q.• V E MENY S ON '{11 E P¢.EMtS ES
AWO -rK E 2E AVE Ato E►+Gi�O ACti MEaTS
oTNEt TN►.N SNswW
w
VA
- .. Jolla B. VAN P�sFw
p q-m : / 0 o
M AP of p, Su2JEY V^k0E roR
V Art C F• -? o-t -t F-X
TOWN OF Qure. QNiguft-1 WA2QEN COUNTY, N.Y.
SCALE: 1''. Zo DATE: S6-9"r io, 14)190
J oHa 5. IIAO DOSSO
LAND SURVEYORS, GLENS FALLS, N.Y.
I.P.S. = IRON PIPE SET
N, `(. STIt�E t,.1c. N4. Zdo9S I. P.F. = IRON PIPE FOUND
tf En• � L1grE0 DtST.
ki
N
O
M
130- Z- ZO
80. 1 ss- el