6043 C/O Paid
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CERTIFICATE OF OCCUPANCY.
TOWN. OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
( /-- / - /
This is to certify that work requested to be/done as shown by Permit No. 6043
has been completed.
This structure may be occupied as a Addition to One—Family Dwelling
7 Windsor Drive
Loradon
Owner Kenyon L. Douglas
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE •INSTA PRINTING. GLENS FALLS. N Y t 2801 [918)793 56511
BUILDING PERMIT.
TOWN OF QUEENSBURY
No. 6043
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Douglas L. Kenyon C7
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OWNER of property located at 7 Windsor Drive Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) N-
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.
7v
1. OWNER'S Address is N
7 Windsor Drive
• Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Robert W. Weaver, Jr.
3. CONTRACTOR or BUILDER'S Address -
17 Manor Drive �,
Glens Falls, New York
N•
4. ARCHITECT'S Name
�.L
in
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5. ARCHITECT'S Address CJ
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6. TYPE of Construction—(Please indicate by X)
(A Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications
No. 16 'x24 ' per plot plan, specifications and application
submitted.
8. Proposed Use h'
rt
One—Family Dwelling (additional living area)
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$5. 00 C/O Paid
$10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 1g80
(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.)
Lci
Dated at the Town of Queensbury this 2 2nd Day`of August �g 7 9
SIGNED BY for the Town of Queensbury
Build Zoning Inspecto of
Z
4 TOWT OF UEENSBURY ) •
N (Space inside block to lx• filled in by
WARREN COUNTY, NEW YORK
Building Inspector)
Application No. .ApPlication for rrm s,ue( - 19.
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BUILDING AND ZONING PERMIT I' rmit Expires. . Ig. .
i'aiOliiii..1 District . . . •
• . '5 ,luny nI Work'
THREE (3) Copies of a PLOT PLAN, Drawn to scale \I;I,r"`ed by
showing the actual dimensions of the lot to be built kciniii•K
upon, The exact size, and location on the lot of the.
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
6 6 - 1 - t . . El-22 /7g TOWN OF QUEENSEURY
DATE D _E V E LL ti E TT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING
WORK
ANSWER ALL OF THE FOLLOWING. AUG G `' 19/° a i
�; i-2eer
The undersigned hereby applies for a permit. to• do the following work - . • A.M. �� P.M.
which will be done in accordance with'the description, plans and specifi- ' 71819110111112111213141516
cations, and such special conditions as may be indicated' on the permit. A, J6
The owner of this property is: /
�) cJ n Q - , [ : .(/ J1. ob 1,0 r N1 P_ �,� G,"
yJ Q u'1 l Y"' •{ F . (R.O.ADDRESS)
The per n responsible for ',supervision of the work-insofar as the Building Code and the-Zoning Ordinance apply is:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t7 .l1Tl'0 '. . ate./. . . . . . :.G. . . . . . . . .
(NAME) . AD
DRESS))
DDRESS)
Name of Builder W e- /54e Address
` ' ' Address
Name of Plumber .
Name of Mason ` Address •
Lot Number • Unit • • Estimated value of proposed work S 5"---66d. 0-cD
Name of Village .
Name of Street T T 1 .f N• a)f- Side of street: north 0, east ❑, south ❑. west zttg
Nearest Cross Street . . . . G(S.A..? S / Distance from this cross street . . . 5 Ft.
Property is north ❑,south` ,east i), west 0 from•Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Q. southwest
•
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. • Main Building
Addition to a building. . One-family dwelling
❑ Alteration to a building. Two-family dwelling 0
0 Demolition of a building. . .-family apartment house ❑
Store building ❑
. -car attached garage • ❑
Other:
Accessory Building
. One-car detached garage •
Li
0 Other work. Describe - •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-
posed buildings, and the location of all existing buildings.
. NORTH Show proposed building(s) in.dotted line and existing
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building(s) in solid line.I• i_/pp�� /
Size of property . . . . .U. . . . ft. x . ./ ft.
Size and use of existing•buildings, if any •
F
s w Size of proposed building 1 (. . . ft.x . . . . . ft.
•
Height (from grade to ridge) . -,..-(Li ft.
Front yard 25 ft.
Side yards . . . . ft:apd, . Z .fi ft•
Rear yard 3: ft.
SOUTH - If on.corner,setback from..side street ft.. ..
1iro1e: All distances are net, as.measured from street side
line to nearest dart of building..,
(OVER) - . .
7-7 3-M
(cont'd.) •
BUILDING SPECIFICATIONS., -
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . .
Will any second-hand lumber be used? )'l..O. . . If so, for what
Material of foundation walls . . . . . . 1 4 L zb 6(_o C_K. Thickness ��d
Depth of foundation walls below grade -jQ" Continuous foundation?
Will there be a cellar? A.) 0 If so, material of cellar floor nn
Type of roof: Sloped or flat? Material of roof . . . . . . d�5.p .L- /
Size, wood stuff 2. • • "x q ", spacing /] . . . ."o.c., length . . . ft.
Size, floor beams, 1st floor . . " x ", spacing 1 �. . . ."o.c., span 1 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 /. �yS ��. . . . . .", spacing "o.c., span `a ft.
Exterior finish 6 4 . • • • • • • . With what material? 1/0O dj
Finish of interior walls ZO (--K
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 . . . . 2. ,,S T/iv 6 Oil burner or coal?
Will a flue-lined chimney be provided? Depth of chimney foundation below grade
Height of chimney above roof q
Will there be a fireplace? /v d 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? . . . . .
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt; lard my knowledge and belief the statements contained in 's pplication, ther with the plane and specifications sub-
mitted, are a true and co.i.pp lete statement of all proposed work to be done a described�k premt and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining _ e propo w r- sh be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
OW ER,OWNE S AGENT,ARCHITECT,CONTRACTOR
day of 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 Ti. . . .:•: 1
2. Type of heat .. 4.0f e .. .. . .
3. Is the building mechanically cooled? 1,242 . .. . . .. .. ...
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... Floor over heated spaces YES 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? YES NO
a. R value of insulation ., .. .. e. ..,. .... .; .
5. Type of insulation
B. Under 16% Only 3
1 . U value of roof and floors exposed to ambient conditions r �
2. U value of exterior walls O
3. U value of glazed area ' t 0 ? 5
L .. U value of d ors 2-5 .. . . . .. .
5. U value of floors over heated spaces r
6. R value of slab edge insulation - unheated slab • ,
7. R value of slab insulation - heated slab
8. U value of heated basement/cellar walls (above grade) . .
9. R value of heated basement/cellar walls (below grade) . . ... . . ...... . .. .. .. .. .. ..
10. Type of insulation . .. ... . .. . ..... .... . . ............. .. . . ....... .. . .. .. ... .... ..
C. Controls
1 . Thermostat maximum heat setting
D. Duct Stems
ss duct system installed in unheated spaces? `ES NO
I
a. If YES, R value of duct insulation
b. R value of duct in other areas ....... ........... . ..... ... .. . . .. . .. .. .. .....
E. Piping Insulation'
1 . Size of hot water or cooling carrying agent pipe .. ... . 24u00..
2. R value of pipe insulation
F. Service Water Heating
Performance efficiency...® ..... . . . ..... .. . . . . .... . .. . . .. .. .... . .. ... ... .. .
2. Temperature control setting maximum .. .,„
G. For S(�.�i�.mming AP��o�r{¢i�l�O.31y
�LtSPi..1.11 Wei Hea Lin. . 3.. ...
Telephone No. _
Applicant's Signature
TOWN OF QUEENSBURY
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Building Department
Inspectors Report Date es-/g -j9
; Name /°' t`4,4J,r)
Locationjtsinr-
Permit N Weather
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66413 Per Cent
Complete Remark
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings
Cellar Dr.Tile
Concrete Floors
Plbg.Fixtures
Gar.Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
—57
Building Inspector
REMARKS
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