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7145 BUILDING PERMIT TOWN OF QUEENSBURY No. 7145 WARREN COUNTY, NEW YORK t7 David Capron w PERMISSION is hereby granted to C tom- OWNER of property located at 1 Greenway Circle Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alteration to dwelling (roof) b at the above location in accordance to application together with plot plans and other information hereto filed and 00 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 1 Greenway Circle Glens Falls, New York H r7 2. CONTRACTOR or BUILDER'S Name fi Donald Freeman fD 3. CONTRACTOR or BUILDER'S Address 4 Greenway Circle n Glens Falls, New York ~ a H 4. ARCHITECTS Name N 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) ~ 11 tt O M O Ft 7. PLANS and Specifications l-h !v add pitched roof to existing flat roof per No. specifications and application. submitted. 8. Proposed Use One-Family Dwelling H H N• $ 10. 00 PERMIT FEE PAID—THIS PERMIT. EXPIRES May 1 19 82 iq (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 13th , Day of October 19 81 SIGNED BY • ce -�- for the Town of Queensbury Buildi g and Zoning Inspector • • TOWN OF QUEENSBURY. (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) • Application for \''`'"`�``"n ' pP 1'rrmit Is,uerl _ 19. - BUILDING AND ZONING PERMIT Permit Expires. Ig. . i.(,thint District \ :ilni• of Work THREE (3) Copies of a PLOT PLAN, Drawn to scale \i,l,rn`cd by L f4(2 showing the actual dimensions of the lot to be built itc(ilarleS' upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. . TOWN, ;r`OF QU ?u 1.TR Y f` ( -- ( 5 (0 - 13 — R CCEQ �� l . DATE # • A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK OCT ! 31981 • ANSWER ALL OF THE FOLLOWING. o0 A.M.l0 The undersigned hereby applies for a permit. to, do the following work • 7 $ 91.G11'12} 21o'�-'S 6 which will be, done in accordance with the description, plans and specifi- °.�` o ' i. cations, and such special conditions as may be indicated on the permit. • The owner of this property is:, yy V. �i qA/y . . . . . . . ;.a S.Lc�S;.. ..vim. . . . :-y*': , • INA.'':_I (P.O.ADDESS) The person responsible for 'supervision'of the work insofar as the Building Code and the Zoning Ordinance apply is: �p(NAME) .,a ♦• (P.O ADDR/ESS), / �'t' ° 1 _� r. (�+' �, 6/ - f. '.`Z.t.�7- C.4.& , Name of Builder.�^�. .o. . :�?.f. . • • • .,•�. •`� *= _ac,•)• 'S. h� Address i l!Y.r N .' !6 • Name of Plumber ' ' • • .' ' , ' ' Address Name of Mason ' ' Address 00 Lot Number .Unit ' Estimated value of proposed work S 00 Name of Village Name of Street Side of street: north 0, east 0, south ❑. west ❑ Nearest Cross Street Distance from this r.ross street Ft. Property is north 0,south ❑,east i, west 0 from•Cross Street If on Corner, which corner, northeast ❑-, northwest ❑, southeast D. 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 A Alteration to a building. Two-family dwelling ❑ El Demolition of a building. -family apartment house ❑ Store building ❑ -car attached garage ❑ Other: • Accessory Building f One car detached garage . ❑ 0 Other work. Describe: � r J4' �r` Two-car detached garage -' 1-,) c";0-,),?2.,,5- Private chicken house ..._ Private storage building ❑ r�� . . /�. . . . 4,6... . . . . . . ') 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 building(s) in solid line. Size of property ft. x • ft. )'`% [� ) • Size and use of existing buildings, if any w J^"� t.-9 7'. • a � Size of proposed building ft.x ft. C 2 ' T.. El - Height (from grade to r ft. Front yard ft. ` Side yards • idge) ft. and ft. Rear yard ft. 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., . Kind of construction: Wood frame, fire safe, etc.?. . . . . .i4 `Y.•• • • . . . . . . . . . . . . . . . . . • • • . . . • . . . . . . Will any second-hand lumber be u ed? . . . ./.v Dom. . . . If so, for what Material of foundation walls . . . . !�1�°c� Thickness c '' Depth of foundation walls below grade / Continuous foundation? Will there be.a cellar? . . -/Lb If so, material of cellar floor Type of roof: Sloped or flat? . .S.46p&d Material of roof �, Size,wood studs " x J�", spacing "o.c., length ft. Size, floor beams, 1st floor . i.c " x S" ", spacing /4 "o.c., span 9 ft. Size, floor beams, 2nd floor �. . . . ." x ", spacing 1 6 "o.c., span ft. Size, ceiling beams . " x ", spacing "o.c., span ft. Size, roof rafters or beams -�- 0, " x jU • ", spacing /z. f` "o.c., span . . . ./.(o. . . . . . ft. Exterior finish tie.,klj .3/ ,,,J . .P/.?)e With what material. � Finish of interior walls. . . . . . . . .! . If garage gara a 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? --------.- /t)© Kind of heating system Oil burner or coal? Will a flue-lined chimney be provided? Depth of chimney 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•3)ci i of my knowledge and belief the statements twined in 's application,together with the plans and specifications sub- mitted, are a true and co.a.'lete statement of all proposed work be done on the ascribed pre 1 d't{�at all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pe nu to ef:fro sed wo1lttl? 1 ccngpjted with,whether specified or not, and that such work is authorized by the owner. ( i Sworn to before q this a- Signature EN . OWNER.OWNE AGEN .ARC ECT.CONTR TOR /3 ./`t day of 19�1. 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 0 )(31, Ff- 2 . Type of heat 77 A{i2 ( 0,Z.) 3 . Is the building mechanically cooled? •— 4 . Percentage of area of windows and doors < X .11 f ) -io 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 ----- paces E-S NO ' a. Are foundation walls insu ated? YES ii NO ' • 1 . If YES, what is the R vl`ue?- 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 5. Type of insulation B. Under 16% Only 1 . R value of roof and fboorpexposed to ambient conditions 2 .. R value of exterior walls 1?- i 3 . R value of glazed area � / v,c; 4 . R value of doors /�'� �ib • . • 5. R value of . floors over heated. spaces R, I • • 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) J 10. Type' of insulation . r-/Zee �`j C. Controls . ' . . ' ' • • 1 . Thermostat maximum .heat setting �cf 0 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 • 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 . • • Telephone No. . • . (applicant ' s signature) '•?,P.,g.?-.Al.,1,),AA AA A-),A)-A:),X-3,Al.A.),A A Al.Al.Al.Al.Al.Al.Al.Al.Al.Al.Al.Al.!--etk...1..,L-49,1-..,!,,-1?-,i ,(4.•):9t(-1-..,(..AnAt.4.49:4-.?-n.,1-),,<1,...3,•!,4,I4,141-- ,!4 -1,14 >- THE NEW YORK BOARD. OF FIRE UNDERWRITERS ,..- k cl BUREAU OF ELECTRICITY 17._-. 41 STATE STREET,ALBANY,NEW YORK 12207 >-' '• ri". ' - * Date (;.:-.'.';',.-:,:,.:_;".,-.-' !'...1, i.:i ,,1_ Application No.on file ,,:_ , :, ,....--,_ . .. A ..-.. t THIS CERTIFIES THAT isi i only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of )-- :.._ : . , ::': .5... .-__. ' k in the following location; E Basement 0 1st FL. 0 2nd FL. Li':-L 1,..."-, '..:'•'''''' Section Block Lot : was examined on : " .: and found to be in compliance with the requirements of this Board. r -_ )-- .- .. r '.' FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS FIXTURE OUTLETS ECEPTACLES SWITCHES frAERcuRv INCANDESCENT FLUORESCENT vApoR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. i.- T- 1- DRYERS 1 FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PL TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS >- SYSTEMS ' 4.. AMT. K.W. OIL H.P. , GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT.. WATTS ...• i 5-- - 5- SERVICE DISCONNECT NO.OF S E R V I C E METER ,- AMT. AMP. 1 if 2W 1 if 3W 3 lif 3W 3„ff 4W No.oFpEircoND. No.OF HI-LEG A. .G. No.OF NEUTRALS TYPE EOUIP. OF ACC's. 8ND. , OF HI-LEG OF NEUTRAL )" 1- T.- • ' 1- - :'.. ,. .• .:. T.- - ' , OTHER APPARATUS: >- 1- /- -‹ ), ).• >- ).- ).- . / • }" 731,.. 81 III, ,,,, __,...,...,,_...,7 _ . ).- - • . . ,.. . 1.. .-. _l'--;-',C•'-....i. .. :.1 .11. .-.: ' -. BRANCH MANAGER ;' 'Per - ' ,)..- 9..• , ,.., .:-. i''Y Y Ye l'e?I?? ''7'i'''?i—iii`i—i'i—i'i-i•'''',--i' i-i.i-ieii'i'l'•-ri•crl• i-i•i-i-il r•-i i-i.i'?ri'-'i,7,-7,,ri i''?i-7 i".?i'''?i—i•'1...,'CY Vt Y COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. r.__4 • TOWN * F QUEENSBuR'y Building Department Inspectors Report Date /lam Name /7 . CAP R er,it/ motion / &QcEf.kc)AY Cs ac.c Permit No. 7/V.T. Weather Remarks ExcaT>a t on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing (/ e:)/sc Sheathing Roof Felt Roofing Siding Masonrj Veneer Rough Plbg. 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 Floors Insulation Foundation Walls Ceiling 42, Building Inspector REMARKS �, 6- /,/- k`�P( - Ir') I i o..-1, '1, .Z.e,;o A4 PY 3 — a x/o -