6544 • BUILDING PERMIT
TOWN OF QUEENSBURY No 6544
3 I ,1 � WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Theodore A. Merrill .
•
OWNER of property located at ' 1 Garner Street Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) 1-3
at the above location in accordance to application together with plot plans and other information hereto filed and
O
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is O
1 Garner Street
Glens Falls, New York
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2. CONTRACTOR or BUILDER'S Name1-1
II
Ken Collette •
•
3. CONTRACTOR or BUILDER'S Address
Collette Lane
Hudson Falls, N. Y. - •
•
4. ARCHITECT'S Name
FJ
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)L
K
5. ARCHITECT'S Address
•
Fi
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6. TYPE of Construction—(Please indicate by X) •
(X)Wood Frame ( ) Masonry ( 1 Steel (
7. PLANS and Specifications
second floor addition 12 x36 dormer
No. per specifications and application
submitted. •
8. Proposed Use
1-6
One-Family Dwelling ^ '1'
F'-
H- O
C �
Fa-
10. 0 0 rt
$ PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 81 14 o
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n 1
town of Queensbury before the expiration date.)
fD N
PJ H
Dated at the Town of Queensbury this 2 8 th Day of August 19 8 0
SIGNED BY -C-67-7Q6e /� for the Town of Queensbury
Building and Zoning Inspector •
TOWN OF QUEENSBURY - (Space inside block to be tilled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for .\pplication No.
I'ertnit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. lg. . '
%uiiin_ i)istrict
\Ally„I Work f
THREE (3) Copies of a PLOT PLAN, Drawn to scale. 'Apprf A e<l 1w
showing the actual dimensions of the lot to be built- , Relimi-K%;. -_
•
upon, The exact six*, and location on the lot of the
• building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. ' '
Ai/_ — AC---- fAik/ TOWN OF QUEENSBU/ DATE ,D IE G E I V E n
A PERMIT MUST BE•OBTAINED BEFORE BEGINNING WORK r
ANSWER ALL OF THE FOLLOWING. _ AUG 2 61980 'G;ci -
_ ag
The undersigned hereby applies for a permit to-do the following weal[ - - A-M: lA i r, �' p imi
which will be done in accordance with the description, plans and specifi I ' 11nt1�%t J 2 3 415i6
cations, and such special Conditions as may.be indicated on the permit. .7 8 9 . •
�V .I` '
The offer of this property is:
`-1 112.o0..0-st• {t. jAe..4't-c(4 O tee— C�6\r.r-. S (,64 F.Q.Qs pi, 1 te'I
(NA•1E) (P.O.ADDRESS)
The person responsible for -su,pnervision of the work insofar as the Buil;dijlg.Code and the Zoning Ordinance apply is:
11-tbn _ a— � MoY`�eA
(NAME) • MO ADDRESS)' ++� � ,,��-- nn
Name of Builder
C e_ . L-A __Address- CcAte ) It�^-u-••'cc c S b.);`..
Name of Plumber Address
Name of Mason Address
Lot Number Unit Estimated value of proposed work S kii00k3 r
Name of Village 2. ' . .•
Name of Street . . . .G°`r '5 �.' Side of:street: north 0, east• 0, south.0. west 0.
Nearest Cross Street . --t-Lo.,-- —, S " "'' Distance from this ^ross street Ft.
Property is north tlk,south 0,east i,west 0 from Cross Street.
If on Corner,which corner, northeast 0, northwest ❑, southeast C southwest' -
(Designate by marking with an "X"in the'correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
� Main Building
Construction of a new building. One family dwelling
Addition to a building. Two-family dwelling
❑ Alteration to a building. -family apartment house D.
❑ Demolition of a building. Store building ❑
-car attached garage ❑
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Other:
Accessory Building
One-car detached garage 0
0 Other work. Describe:. .-Fes P?7.�(.74.6.o r Two-car detached garage 0
// ' - Private chicken house 0
Private storage building 0
Other:
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of occupancy.
\ Ce-2--- '"Qf—j-cj:------------- Indicate on the plot plan street names, the location and
size of the property, the location, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing-
hiiilding(s) in solid line.•
`)
Size of property :7S ft. x / . ft
Size and use of existing buildings, if any
F .
•
i la Size of proposed building�� /�` ft.x . .3.(a. . . . ft.
Fieight'(from grade to ridge) ft.
Front yard ti f S' ft.
Side yards t. and
ft.
Rear yard ft.
7
SOUTH If opcorner,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.,
Kind of construction: Wood frame, fire safe,etc.?. . . . • • `-'. . . • •.` • • . .• ' . ' ' ' ' ' . • ' ' .' . ' ' . ' . • • . • • • • • • • • •
Will any second-hand lumber be used?, 0 0 If so, for what?
Material of foundation walls z3I Ac Thickness
Depth of foundation walls below grade — Continuous foundation?
Will there be a cellar? `"' iitl If so, material of cellar floor
Type of roof: Sloped or flat? . . 5?�"'.�"'` Material roof -
„x ,,,spacing 4 "o.c.,length ? ft.
Size,wood studs ' ' 'Size, floor beams, 1st floor . 71(.71.-
- ,.x . .„, spacing ..., "o.c.,span ft.
Size, floor beams, 2nd floor
N 1jk. . ."x ", spacing , . ."o.c.,span ft.
. . . . . ' i
Size, ceiling beams 19
.x ",spacing �'. "o.c., span ft.
„x ",spacing "o.c.,span I, ft.
Size, roof rafters or beams
Exterior finish S j r"` With what material? `C- -a. C
Finish of interior walls. . . . .5 ??- '.4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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? 4 C3 wr—P -
Will a flue-lined chimney be provided? . Depth of chifimbey foundation below grade
Height of chimney above roof. . . . . : . . . . . . . . • • •
Will there be a fireplace? '`3 Depth.of fireplace hearth
Will a toilet be installed?. .. . . . .O.'
Will a kitchen sink be installed and connected to water supply? PO
Water supply(public water supply or pump)
I Pr
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 te, be,T of my knowledge and belief the statements contained in this application,together with the plans and.pecificationa sub-
mitted, are a true and co.'. late statement of all proposed work to be done on the described premises and that an provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed Work-dull be complied with,whether specified or not,
and that such work is authorized by the owner. �' n �}�_�
Sworn to before me this Suture �1' A +.�'' laa
OWNER.OWNER'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:
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1. Gross floor area
2 . Type of heat /
3 . Is the building mechanically cooled?
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4. Percentage of area of windows and doors
A. Over 16% 'Only
1 . D _ - -
xposed to ambient conditions
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2. Floor ov- . heated spaces YES
a. Are fou .,ation walls insulate, YES NO
1. If YES, what is the R slue?
3 . Slab on grade YES _ N.
a. If YES, what is the value of insulation around
perimeter of floo -
4. Is basement heat=. ? YES NO
' a. R value o insulation
5. Type of i sulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2. R-value- of exterior walls /:31
3 . R value of glazed area
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 P '
8 . R value of heated basement/cellar walls (above grade) _
9 . R value of heated basement/cellar walls (below grade) -/- J�
10. Type of insulation LQ-)A
C. Controls
1 . Thermostat maximum heat setting
D. Duct Systems
• 1. Is duct system inst-alled in unheated spaces? - YES • NO
a. If YES , R value of duct installation
•b. R value of duct in other areas
E. Piping Insulation �� jg
,�/!�1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F . Service Water Heating
1. Performance efficiency /
2. Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating tjik
Telephone No.
(applicant ' s signature)
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