1991-323 BUILDING PERMIT
TOWN OF QUEENSBURY No. 91-323
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Harold Lansburg
0
OWNER of property located at � � $C1" Sherman Avenue Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 1/2 of Duplex
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. iv
1. OWNER'S Address is
RD#4 Big Bay Rd
Queensbury NY 12804
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2. CONTRACTOR or BUILDER'S Name
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self -5
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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CD
6. TYPE of Construction—(Please indicate by X) -s
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( Wood Frame ( ) Masonry ( )Steel ( ) _ CD
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7. PLANS and Specifications
No. 480 sq foot 1st floor/520 sq ft second floor as per plot plan, cp
specifications and application and in accordance with Site Plan 37-91.
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8. Proposed Use
1/2 of Duplex - Single family residence
110.00 July 25 92 0,
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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.)
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Dated at the Town of Queensbury this 25th Day of July 19 91
SIGNED BY (//7 for the Town of Queensbury
Buillingand oning Inspector
TOWN OP QUEENSBURY
REVIEWED BY �J� MI ,
.. 1�_� FEE PAID $ T
F * " PERMIT NO. 7/3 j I OWN OF RECEIVED
SBU
BUILDING PERMIT APPLICATION
MAY 161991 .
BLDG. & CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
'WILL BE MADE UNTII. APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
•
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • • • • • • • • • • • • * • •• • •• •• •• • •• • • • • • • • • • • • • a • • • •
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The owner of this property is: d e e aL4 ., S ,/� „.
P.O. Address / •
Tel. s-r c, L
Property Location l/t,.es' fair ✓ on 4 /1/0 -C Tax Map No" T / y c3•a
Has there been any split of this property since October 1, 1988? / 1/
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Ala r 7" I ✓ v
eL. W o '...t e S
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NATURE OF PROPOSED WORK: ES EIMATED MARKET VALUE OF
a
/` CONSTRUCTION: $ 0 B a b
V Construction of a new building *
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
a Size of property a y 0 ft x ft.
Alteration to a building * Existing Buildings(3) Size 4,, //g- ft. x /r A- ft.
(no change to exterior dimensions) *
Proposed building - distance from proper line:
Other work (Describe) • Front yard // 2_ ft. Rear yard /) ° e 0 f r"x
* Side yards ? 5 ft. and /D _5 ft.
*
GROSS AREA OF PROPOSED STRUCTURE a If on corner, setback from side street ft.
iz°
1st Floor `/‘ ()sq. ft. I w.? I %. OCCUPANCY INFORMATION
' , : a
2nd Floor /t7 '`g i o sq. ft. l'I. �.)"• - Primary Building -
r211). One Family Dwelling
Other Floors � /1 sq. ft. y�(not cellar or bas .:.ent) ��fl-y' X Two Family Dwelling
TOTAL FLOOR AREA 0o o sq. ft.
d / * Multiple Dwelling/Number of units
•�� IF Business
Size of new structure J 5 ft x L 0 ft.
Foundation-pier/slab/c:._': ', rtiai/full • Industrial •
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(circle ,:wk.; • Other
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Ho. of stories (habitable space)
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Height (grade to ridge) ft. • If addition, what will use be? /f///
If residential, no. of families
Ho. ote � *
ooms(excluding baths)
Ho. of bedroom: • Accessory Building
No. of pattuoony •
Primary heating Detached Garage ONE/TWO Car
•
tinem /e�f. /* Attached Garage ONE/TWO Car
Type of fuel-7`/6�
No. of firepLcestobe i,wt j f Private storage building
•
Willa wood stove be instai d _ • Other C a r o r t
Central Air conditioning o •
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. c 1 , a ."1-1 -2.--
Will any second-hand or upgraded lumber be used? If so. for what? ill
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing) L// 7
Will there be a cellar?. /J/C7 Heated or unheated? .,01 Floor sq. footage q ft.
Will there be a basement? /Uv Will any portion be used as living space? A/ D /``tt
(If so, what portion? 1 ' sq ft. Type of use? ./l/` A-
Type of roof sloped at/shed/other Material of oof aJE, O cP
Size, wood stu•s "x 4 " spacing/b " o.c. length `r ft.
Joists (floor beams) 1st floor "x - -" spacing "o.c. span c. ft. C, #?C- V e 7i. -e--
Joist (floor beams) 2nd floor Z "x /0 " spacing !p "o.c. span / 3 ft.
Overlays (ceiling beams) 2_ "x 41 " spacing " o.c. span 2 4 ft.
Roof rafters / "x (2 " spacing o.c. spa Z Co ft.
Roof trusses (pre-engineered) spacing21( " o.c. span 2_- (e. ft.
Exterior wall finish Yid,' 7 of what material? vi V / `
Interior wall finish S ': - e t /. e c. IC /
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: /lam%
Is there to be an opening between garage and dwelling?"/ G' If so will a Fire-rated door, enclosure,
self-closing device be provided? 1lj 4-
Will a flue-lined chimney be installedi Height above roof ,/✓ ,4 ft. /f//rade
g
Depth of chimney foundation below ft.ti��
Depth of fireplace hearth Aft. in..
Water supply - Municipal of private well Ma c i p q j
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDERA4,-0/Q" Ii$5Ji7 ADDRESS 0-cv i f4,,,r TEL. NO. S k' 3-'/ - '/ f
NAME OF PLUMBER Sc c.z { I ADDRESS 11 TEL. NO. "e'
NAME OF MASON F.
-e ADDRESS (7 TEL. NO. 4
NAME OF ELECTRICIAN 5 -" -c-- ADDRESS i( TEL. NO. t(
' DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
plans and specifications submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
such work is authorized by the owner.
Signature
Owner, owner's agent, arc act, contractor
SPECIAL CONDITIONS OF THE PERMIT: .
BY
i
ENERGY CODE COMPLIANCE APPLICATION !
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS •
Compliance Methods: TOWN OF QUEENS I nci
RECEIVEn
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; SAY 6 19
Multi-Family Dwellings
(3 Stories or Less) BLDG. S—MDE DEP _
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
. ' 42 il...4-1-f---Lep dA.---e----,-
APPLICANT NAME P ERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 2 0 c' C, Sq. Ft. /I v v o r r LA ►�
2. Type of Heat - Elec. Base Board Other
3. Is Building Mechanically Cooled? YES b< NO
4. Percentage of Area of Windows and Doors Over 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R 3 r ,.
B. Exterior Walls R / r'
C. Glazed Area R 3 . 3
D. Exterior Doors R /h/, /
E. Floors over unheated spaces R�
F. Edge of Slab on Grade (Heated Building) R �fl4
G. Basement/Cellar Walls (Above Grade) R / f 1
H. Basement/Cellar Walls (Below Grade) R /0
I. Heating/Cooling - Ducts - Piping in Unheated Space R A' g
1 6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code N( YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
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Ad/SIGNATURE TELEPHONE MBER
DATE TELE ON M1
1 INSPECTOR'S REMARKS:
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REVIEWED BY
Aih TOWN OF QUEENSBURY ,
41i«i APPLICATION FOR SEPTIC DISPOSAL PERMIT
Tout
DATE: s f
LOCATION OF PROPERTY FOR INSTALLATION ar?p &r S4i eo- e,.l a AnAYI ._
Owner's Name: AQcc /I 1Lgy S 4i9 RnL 2, COLL' d-rfarb,
Address: gtG let
Installer' s Name: M,ey �� L,i it� Telephone: f�' 7 • `/ 1- 4/ 7
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Number of bedrooms (residential only) 1 2 0e
Total daily flow (compute @ 150 gal per bedroom) 6 Cl
Topography: Circle one: Flat Rolling ' teep Slope % of Slope
Soil Nature: Circle one: Sand Loam Clay Other /Depth: ;-4
Ground Water: At what depth? 2., Feet
Bedrock or Impervious Material : At what depth? // Feet
Percolation test: Circle one: not required
Rate - /1r' (I- Min. Per Inch
Domestic water supply: Circle one: Municipal Well Other
If domestic water supply is a wel
Separation: Water supply from any sep absorption feet.
PROPOSED SYSTEM: Septic Tank / 1 d o gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trench .r o feet/Total system length 2 .j— 0 feet
SEEPAGE PIT(S): Number of /Size each if -feet
by feet
� r
Size of stone to be used #. 3 /Depth or Thickness 3._ feet
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HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks I Size of Each /U O 0 Gal .
*Alarm system and associated electrical work to be inspected by an approved
agency.
I have read the regulation on the reverse side of this sheet and agree to abide
by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON:/ 1 , DATE: S~/ ��
5k-71;X;11° Pliii. -1
4TOWN OF QUEENSBURY �',f"
BUILDING & CODE ENFORCEMENT '° a
531 BAY RD., QUEENSBURY NY 12804 ''-Z,',,= " y
INSPECTOR'S REPORT: ARR DEPART INTv,I'"C'
REQUEST FOR INSP CTION RECEIVED: -2- /__
NAME _\
LocL ION ��� kfAikb-Q--r_ Cj(�
DATE,-Z5`C1 5 PERMIT H 9 ( :77,1_
TYPE OF STRUCTURE: \ <
RECHECK APP OVED_ /
I N/A YES /NO
FOOTINGS/PIERS k
MONOLITHIC POUR FORM /
/
REINFORCEMENT IN PLACE _ /
/
THE CONTRACTOR IS RESPONSIBL\E, FOR
PROVIDING PROTE TION FROM FREEZING
FOR 48 HOURS FOLLOWING THE PLACE- /J
MENT OF THE CONCRETE. \ _
/
MATERIALS FOR THIS PURPOSE ON Sr4rE / _
FOUNDATION/WALLPOUR' \ /)
_
REINFORCEMENT IN PLACEI \ 1
FOUNDATION/DAMPPROOFING I
BACKFILL APPROVAL / \
PLUMBING VENT/VENTS IN PLACE //
ROUGH PLUMBING
PLUMBING UNDER SLAB
1
FRAMING: a
JACK STUDS/HEADERS 7
BRACING/BRIDGING I _
JOIST HANGERS 1 w
JACK POSTS/MAIN BEAM
AIR INFILTRATION BARRIER f
HEATING ROUGH-IN a
INSULATION: y 1
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS 1 R- -- --
WALLS ( R-
CEILING i R-
DUCT WORK OR PIPING IN '
UNHEATED SPACES R-
-�-
• I TOMN OF'QUEENSBURY ':" .
BUILDING AND'CODES DEPARTMENT
531 BAY ROAD-:'
f QUEENSBURY;' NEW YORK •12804
/ ' TELEPHONE • (518) _792.5832•
BUILDING INSPECTOR'S REPORT
�
REQUEST
. FFOR INSPECTION:RECEIIVED.. .. .
LOCATI oifijWd W
DATE j_2/C3'/y/ PERMIT
• TYPE OF STRUCTURE"•
RECHECK /APPROVED ; ,
/A YES NO
FOOTINGS/PIERS::- 0/7/9/
MONOLITHIC POUR FORM y// 9Y✓•%
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES' INSIBLE;..., •
FOR PROVIDING•PROTECTI' FROM
FREEZING FOR 48 HOURS F1LLOWING
-THE PLACEMENT OF THE CO RETE. •
:MATERIALS. FOR THIS PURPO E ON . ITE
;:'FOUNDATION/WALL POUR •
REINFORCEMENT IN PLACE .
FOUNDATION/DAMPROOFING
BACKFILL' APPROVAL . :
. ROUGH PLUMBING . .
PLUMBING VENT/VENTS,IN PACE
PLUMBING .UNDER' SLAB:: . ' ' .
..FRAMING: -
• JACK STUDS/HEADERS
;:BRACING/BRIDGING,:..
• :-JOIST HANGERS
JACK POSTS/MAIN, : AM,..
FIRESTOPPING; !'.;;:
WALLS
CEILING . .. -
• FIREWALLS .
,HEATING ROUGH-:I -. _ .•
INSULATION:
FOUNDATION W'LLS INTERIOR R-.
FOUNDATION WALLS EXTERIOR R-_
FLOORS;. :. R-
WALLS ' . .. .. : .. . . .:.:. _ R-
CEILING R- .
DUCT WORK;;OR. PIPING .IN, UNHEATED,.:
SPACES
REMARKS: .. I, a
ARRIVE
DEPART
INSPECT .
eAl
J � Y � Ia \1 \
TOM OF QUN'S SBUR
ciRj BUILDING AND CODES DEPARTMENT
R
`� 531 BAY ROADW
SZ, Q`UEENSBURY, NEW YORK 12804
C '�,�' TELEPHONE (518) 792-5832
S� BUILDING INSPECTOR'S REPORT C
REQUEST FOR INSPECTION RECEIVED c L
NAME (C1 Y\S ,9 t)Y ' ) YO I�'
LOCATION \' )'jeN L ,n warn
DATE PERMIT # � -,�
CC
TYPE OF STRU TURE ide- D c)[`-I' 2Fr', J f)g-?(
RECHECK APPROVE
N/A YE NO
.'FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSON SITE
FOUNDATION/W IL POUR 4REINFORCEMEN IN PLACE ,i'
FOUNDATION/D,MPROOFING y'
BACKFILL APPROVAL
ROUGH PLUMBING I
PLUMBING VENTa/VENTS ;IN PLACE
PLUMBING UNDER; SLAB"
FRAMING: /
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERSi
JACK POSTS/ 'IN' BEAM
FIRESTOPPING G
WALLS jjjjjj
CEILING /
FIREWALLS /
HEATING ROUGH-IN
INSULATI :
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WA LLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART 4i-6/( 4-�b Y
' INSPECTOR
TOWN OF QUEENSBURY 1111
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR°S REPORT ,/ j
REQUEST FOR INSPECTION RECEIVED
NAME . *1i�-Pd
LOCATION -e4_, Lp�f
DATE �ljf/512l PERMIT
TYPE OF STRUCTURE cf 4-6/ p4/
RECHECK APPROVE 1
N/A YES LNO�
FOOTINGS/PIERS f
/MONOLITHIC POUR FORM /f
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R
FOUNDATION WALLS EXTERIOR R
FLOORS R- \
WALLS R-
CEILING R- '
DUCT WORK OR PIPING IN UNHEATED '.
SPACES
REMARKS:
0, kW
01/1"44/ 1444t XIS2/14)1
ARRIVE h-
EPART 7� ��
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SPECTOR
•
TO MN OF QUEENSSUR''
•
• RECEIVED
MAY 161991
B D,90 & CODE DEPT.
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TOWN of - uEENs&w wy
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