8463 BUILDING PERMIT
TOWN OF QUEENSBURY No 8463
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Charles Hermance
OWNER of property located at Holden Avenue Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (storage)
at the above location in accordance to application together with plot plans and other information hereto filed and
Au
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
(D
1. OWNER'S Address is 4 Holden Ave.
Glens Falls, New York
K
5
Di
2. CONTRACTOR or BUILDER'S Name
same o
3. CONTRACTOR or BUILDER'S Address
same
4. ARCHITECT'S Name . x
0
(D
5. ARCHITECT'S Address
(D
6. TYPE of Construction—(Please indicate by X) (D
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
4 'x8 ' per plot and application submitted.
No.
8. Proposed Use
One—Family Dwelling (storage area added) . rt.
N-
0
$ 5. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES Dec. 1 19 84 r
(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.)
CD .
Dated at the Town of Queensbury this 7th Day of May 1984
SIGNED BY -7/11, G.�J. a' to for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY (Space inside block to Ix filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
OA Permit Issued 19-
"3 BUILDING AND ZONING PERMIT Permit Expires. ----- l ►cI.
Y.cniin_ l)�stric•t -
�Cl1aJ \ aluc. ��I \\'nt•k , /
•LA Drawn to scale •\I�I)i•���c•cl by /////f�i� /l—
THREE l31 Copt®: of a PLOT PLAN, I '
showing the actual dimensions of the lot to be built Item .ii'Kf
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
) (7 , _ ( 5-1`f/i�DyE TOWN (OAF QUEENSBURY
AT
H E
Ell V El
3A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. MAY 41984 A,Ds
, di, Q-,._. u
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- 7I81911OI11)12)112I3I41616
l l e l ! l e l l l 6
cations, and such special conditions as may be indicated on the permit.
t
The owner of this property is:
INA'1E) IP.O.ADDRESS)
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 9 -14 "4 Address . . . ; '62°-'4'1-' .a."--e--e.' '` %-e4
Name of Plumber �c,x t� Address
Name of Mason ' 1 Address
Lot Number I I ;? Unit Estimated value of proposed work S / 0 U' -
Name of Village ,
Name of Street . .)t4t; &2;4,.• `_• ..- `Side of street: north I, east 0, south O. west CINearest Cross Street . . ;Paa - • • •r,. Distance from this cross street Ft.
•
Property is north 0,south ❑,east i f, west ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑. southwest
(Designate by marking with an "X" in the correct space.)
.. • NATURE OF PROPOSED WORK . OCCUPANCY
❑ Construction of a new building. Main Building
N Addition to a building. s"#•;, One-family dwelling P
❑ 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 ` ,
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, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
huilding(s) in solid line.
Size of property- . , �� . . . . . . ft. x ./Q • • • • ft.
r Size.and use of existing buildings, if any
Ill
m Size of proposed building L/_.ft ft.
Height(from grade to ridge) 7 ft.
Front yard ft.
Side yards ft. and ft.
\. ' t, _ GG.�c, Rear yard 4 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.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • • •
Will any second-hand lumber be used? . . If so, for what7
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? . . . If so, material of cellar floor
Type of roof: lope. .r flat? Material of roof
Size, wood stu s s "x ", spacing "o.c., length • ft.
Size, floor beams, 1st floor ✓'►'.iJ.. ' Ko x ", spacing "o.c., span 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 " x ", spacing "o.c., span ft.
Exterior finish With what material?
Finish of interior walls
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 =p.-dam 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?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt:-is a r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.L.p•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. I._, 7t ►6 �i�ra_,J/,
-
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
r.r. k\-
Z t( g F-T
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 L) ✓ (xC1'Q
11,-
2 . Type of heat (j')7�
3 . Is the building mechanically cooled? //itg'—
4 .. Percentage of area of windows and doors
A. Over 16% Only
1. U0 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 NO
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 kNO
a. R value of insulation
5. . Type of. insulation W(Y12e,
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
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 Va, k
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 J\fOj\
Telephone No. 7F /t/✓e al12.4 � -�1�-
�. (applicant ' s signature)
,r-
or ettorn 6 061,t 0 F Got icti A,t
,
,.:
Nilliftwom.....
)
974cit, Y4op
,,......._._____
7 FT, ' k '
1 i iw
1
L.— AP,