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8390 BUILDING PERMIT TOWN OF QUEENSBURY 8390 No. WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Stanley Poli cr Cn rt• OWNER of property located at 14 Colonial Court Street, Road or Ave. - N Addition to dwelling (family room- in the Town of Queensbury,To Construct or place a ��•,, at the above location in accordance to application together with plot plans and other information heretoPaYcFaiII riy approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. O 1. OWNER'S Address is 14 Colonial Court Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Same H n 3. CONTRACTOR or BUILDER'S Address o Same o H- 4. ARCHITECT'S Name ~ n O ri r 5. ARCHITECT'S Address 6. TYPE of Construction— (Please indicate by X) (>I Wood Frame ( ) Masonry ( ) Steel ( ) • 7. PLANS and Specifications 8 'x14 ' addition to family room and 8 'x14 ' No. open porch per plot plan, specifications and • a application submitted. N. N. fi 8. Proposed Use - O- One-Family Dwelling (additional living area and porch) o rt O o -� sz b L $ 10. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 84 O oH (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O 1—' town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 18th Day of April 19 84 SIGNED BY '7'/?6tri �. i for the Town of Queensbury Building and Zoning Inspect.- ►) / TO W ' N OF QUEENSBURY s. (Space inside block to be tilled in by WARREN COUNTY, NEW YORK Building Inspector) • Application for Application No. . Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. In. 7. niin;.!. District ti \ Ate nl \\'nr{ .%• THREE (3) Copies of a PLOT PLAN, Drawn to scale \1'1" 'c" 1 by U G��� % --- showing the actual dimensions of the lot to be built lteniar)CS upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 9 a _ 1 -- 1 / 7 ../(. C'(. •/.grl A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK TO:.. f � y ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work APR 1 019 which will be done in accordance with the .description, plans and specifi- cations, and such special conditions as may be indicated on the permit. �+•l�= �E:IL:: . 71sl911a11412)1�2�3 , The owner of this s�prn rt {//•l jc.4 4 /V coLo /#4. G i dsftis� 5 s I sgrAw��" " ' ' E (P.O.ADDRESS) (NA'''-) The person responsible for supervision'of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P.0.ADDRESS) Name of Builder Address Name of Plumber Address • ` Name of Mason Address Lot Number Unit Estimated value of proposed work 3 1 3, Name of Village Name of Street . . '4I.CO4A•g4 1/ft— Cr Side of street: north 0, east INl, south 0. west ❑ Nearest Cross Street . .p..iv Its w• D Distance from this cross street-. . .Q4'2 .3- ( Ft. Property is north 0,south ❑',east Yr' 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 . XAddition to a.building. - One-family dwelling • X ❑ Alteration to a building. Two-family dwelling . ❑ ❑ Demolition of a building. -family apartment house ❑ Store building ❑ -car attached garage ❑ • • Other: Accessory Building • . One-car detached garage ❑ ❑ 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 Ituilding(s) in solid line. . Size of property • ft. x • ft. Size and use of existing buildings, if any y N t s m Size of propose• d •building ft.x . l< ft. Height(from grade to ridge) ft. Front yard . . ft. • Side yards 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.?. . . ..•;WO• • •/�•,` °•�• • • • • • • • . • • • • • • • . . . . . . . . . . . . . . . . Will any second-hand lumber be used? NU If so, for what' `.. 'j4d Irr • 4 i.o' id Thickness 'l® 111 Material of foundation walls . . .e Depth of foundation walls below grade 4/0 Continuous foundation? . . .ye5. Will there be a cellareX41i-. SAtatf so, material of cellar floor Type of roof: Sloped or flat? . ... . . . ... .. . . Material of roof . . .fii...wagrop Size,wood studs Z " x eze ", spacing Z. V "o.c., length. . . ... .•. . . . . ft. Size, floor beams, 1st floor . . .Z "x • . • • ", spacing . . . . /.S. . . . . ."o.c., span ft. Size, floor beams, 2nd floor " x ", spacing - "o.c., span ft. Size, ceiling beams " x it ", spacing l!n "o.c., span k ft. Size, roof rafters or beams . 2. "x ", spacing /4' "o.c., span -9 ft. Exterior finish S('mil//A With what material? . . f9t--(-1 199?11/CJi'7 i Finish of interior walls. . . .)/e.5'. . .ea04.4-4 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 . .�4-ge,r7C/C• 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? NO Depth of fireplace hearth Will a toilet be installed? t'1f d Will a kitchen sink be installed and connected to water supply? . . /V 0 Water supply (public water supply or pump) . . P4.43.4-1.C. 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. bard my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.i.pp lete 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 the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature 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: 1. Gross floor .area 2 . Type of heat Ak • 3 . Is the building mechanically cooled? tilb • • 4 . Percentage of area of windows and doors Zd 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 a. Are foundation walls insulated? YES dio 1. If YES , what is the R value? • 3 . Slab on grade " YES NO a. If YES, what is the alue of insulation around perimeter of floor? • 4 . Is basement heated? YES NO a. R value of insulation • 5. Type . of insulation145:44CA'940124 B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions• _ 2 . R value of exterior walls 3 . R value of glazed area 4. R value of doors 5. R value of floors over unheated spaces 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) 10 . Type of insulation C. Controls 1. Thermostat maximum heat setting 90 • D. Duct Systems A/o U�'r► ti/G 1 . Is duct system ?nstalled in unheated spaces? YES NO a. If YES , R value of duct installation b. R value of duct in other areas E . Pipingr. 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. 7f2. J /6ic - 0 � I (applicant s g ature) BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. -- _.. ( CITY OR VILLAGE ///1 ( r/^ 7,'/>/';/'c y% TOWNSHIP L///�!,.,21. , � f(.: COUNTY- t..i i. -f/;:: ` ..: f .i_ •:ff STREET AND NO.OR - ROAD AND POLE NO. / '-/ :'.. r- L.__(-V//' r-- L t POLE NO. BETWEEN WHAT TWO CROSS STREETS IS - ''1 PREMISES LOCATED? '--,r_P - / 'y.(,J Cl i,/. SECTION BLOCK LOT OCCUPANT'S _ -`e BUILDING NAME :1/i li.--u_ :r' i `tom%(V/ /-( OCCUPANCY OWNER'S NAME :,; r AND ADDRESS fi ( /.:,...„:::;, ! /)/1'.4/. fi-- +ram �7 , � ce s,� %i/.�'...^11.0;i L, `-.:, CURRENT /, SUPPLIED / �/- r FROM THEIR, -V !- OFFICE BY I//:;i/e r-i,-<=� :%�(-'-'/i F: r.:IC t! i 1 /'.=i�-'r_t� 7 BUILDING WORK DEFECTS IS NEW OLD❑ REMODELED ❑ IS NEW Ill L ADDITIONA REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS Lamp Receptacles CIRCUITS Loca- tion Ceiling Side Attach't Switch Pendent Bracket No. Type H-P' No. Watts No A W-G. NO. WATTS Wall Recept'Is Each Each GaugeEACH Out- j r _ side / f • Sub- base Base- ment 1st Fl. - ..7 ,:,(, 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW Ft OLD 1-1 AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. } / NAME OF J %-y, �1 -', �, .�_� DATE OF ;/ % ;, r, �/'' "/ APPLICANT - 7 r i1 i_ '7- I / -/ APPLICATION 1 4-7"�r iu /C STREET ADDRESS f ( `-"`-)(...---().'?...)/ %197 CITY OR _ �- ZIP --t / LICENSE NO. POST OFFICE - - ---i i71/( /---/ i 1.. CODE / -. ✓I WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING TOWN OF QUEENSBURY •Building Department Inspectors Report Date iOL'2I 'f Loca J J°^ c 4 r �-� 1- . Permit No. 79'c"7 Weather 041 A061.%✓,04 r� Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill • Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer l'//:\/// 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 • • • . . Building Inspector REMARKS • TOWN OF QUEENSBURY Building Department J,� Inspectors Report Date �P/e9 i� Name j`0, .10 Location r . Permit No. a 3 9 o Weather Remarks Excat>a tion Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey ,%7 Framing L-9 .(:)17C : Sheathing ` Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors P1bg. Fixtures Gar. Fireproofi • Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceilin G�Uj C i�/ Buil ' g Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date . _ Name /O() / Ca,/ Location (;C G7/t!(4-4 C� Permit No. P 3 70 Weather Remarks Excat'ation Footing Forms Footing & Piers Foundation. Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofs g Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceilin )211/1,-e_Y Building Inspector REMARKS TOWN O•F•QUEENSBURY Building Department Inspectors Report Date `_ Name_POZ, /'C Location /- 7, -➢.' Permit No. 495%O Weather Remarks • Excat>ation -;:42Ac Footing Forms U/ Footing & Piers L.-'' ' /e< Foundation Cement Coat Waterproofing Backfill • Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry 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 •„fe„ Building Inspector REMARKS I 0 CvLviUdill— C_0oter .N . ,... . . `---,.--,_, ..... _ In. . . , \ ,,,,,,,,_ -----------eo # T--___. . • ..\ , _ , . • .• 1\ ------- ----.f ; HH . . 6'c+ CT . s— _LOT. ff/r \`y\-9 . . . FRniicy . Rai, I a r /6 i . �o ,,�'� 30 "DO/iv. . ill:4...44 _ --.------ . /.----. .4 0-7.' if. / ) • er LOT /Of +0 . . _ _ ., .-( r7--: ------ /15 DUI /) /o /o,,,, -ic 2-..I/V E