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8508 BUILDING PERMIT TOWN OF QUEENSBURY No. 8508 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Kenneth Pulver V OWNER of property located at Lot 65 Revere Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to dwelling (sun porch) 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. 'b s✓ N 1. OWNER'S Address is RD #3 Revere Road n Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Ken Collette 0 rt 3. CONTRACTOR or BUILDER'S Address rn Ut RD #1 #455 Hudson Falls, New York • CD 4. ARCHITECT'S Name ri ID 0 Iv 5. ARCHITECT'S Address 0' 6. TYPE of Construction—(Please indicate by X) Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 14 'x18 ' per plot plan, specifications and No. application submitted. p, rt' 8. Proposed Use O One-Family Dwelling (sun porch added) cn rt 0 22. 00 $ PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 84 • k (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n H town of Queensbury before the expiration date.) v�R Dated at the Town of Queensbury this 18th , Day of May 19 84 SIGNED BY —Mad a 19-J-di1•t g for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY (Space inside block to lx filled in by WARREN COUNTY, NEW YORK • Building Inspector) Application for .\pplication No. , 19. pP l crt„it Issued BUILDING AND ZONING PERMIT Permit Expires. Ig. /Ai nn� District THREE (31 Copies of a PLOT PLAN, Drawn to scale .\I'I"""c•cl by , v showing the actual dimensions of the lot to be built ltc'mark upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. / 1 TOWN OF QUEENSBUR'( / c 5—_ S— 6 S' C /7/ sDATE C �t A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK lE �41 o , ti!i ANSWER ALL OF THE FOLLOWING. Refr • LAs The undersigned hereby applies for a permit to do the following work A.M718. /:2�17�12�y�2 ���o which will be done in accordance with the description, plans and specifi- ° ° ° i ° ° °���° ° cations, and such special conditions as may be indicated on the permit. . • A-67--r , /fQ `_...? The owner of this property is: . n • . ./7A'!.,4,4 5-. . iJ.V. . .P il�ek - goof/Le �/• E/N. f A/4- iti.)t (NA"E) (P.O.ADDRESS) The person responsible_ for •supervision of the//C C' work insofar as the Buillding Code and the 1 Zoning Ordinance apply is: kP h/ Ce//e// S� #j .�3 f k� v a-dN /L/1'n�A- .;e - (NAME) IP.0.ADDRESS) - Name of Builder / /,-; Co/4/f •. . Address Name Of Plumber I iV/ Address Name of Mason /kg'^' //F/r Address Lot Number. . 6.5:7. . . . Unit Estimated value of proposed work I ./ojs`Oz' Name of Village . .rt a!??�•s¢c'e Name of Street . . 2g,./e,2 e .2,11 Side of street: north ©, east 0, south 0. west 0 Nearest Cross Street . . 43 t;i c,/< O✓ems Distance from this cross street Ft. Property is north 0,south ❑,east ill, west. 0 from Cross Street If on Corner, which corner, northeast ❑, northwest Q, southeast ❑. southwest • (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY " ❑ Construction of a new building. Main Building 0 Addition to a building. . . One-family dwelling ❑ ❑ 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, 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. t- 6t' Size and use of existing buildings, if any .-;5 / F- . /�4±}S- P Iii %, `_,. I I �� W Size of proposed building . . . . . / /. . fix ! ft. y o'' l I Height (from grade to ridge) S ft. �� =� Front yard S� T ft. zn Side yards SO ft. and S`0 r — ft. Rs,iP2 e 42Q2 . Rear yard 6 O r ft. SOUTH If on corner,setback from side street . /.p0 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.2 I'U°z-^'U 7L-r nn'-e Will any second-hand lumber be used? .J C' If so, for what? Material of foundation walls Cc':vr!' < f'/o Thickness 'C.."/' Depth of foundation walls below grade . . . .Yr Continuous foundation? Will there be a cellar? /✓O If so, material of cellar floor , Type of roof: Sloped or flat? .Y/oy uO Material of roof /1 a/'(.n/i sA. 4--54-4 Size,wood studs " x t/ ", spacing /a "o.c., length. r • ft. Size, floor beams, 1st floor "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 /a ft. Size, roof rafters or beams -7- "x J o - ", spacing / "o.c., span / - ft. Exterior finish Cit/oE..R.••_„ With what material? ,p/,nsE Finish of interior walls. . . .S/<'<?T.A ,,,,<- If garage is to be attached, of what material is wall between garage and main budging to be constructed? ,Dive; J Is there to be an opening between garage and building? 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 installed2 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, b, i of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.a.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. ."--- e,.........a....0 Sworn to before me this Signature /':::„.....w., OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By • • 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 • TOWNSHIP I/..: COUNTY STREET AND NO.OR ROAD AND POLE NO. POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S / - BUILDING NAME �, , /'� /l - /i ' OCCUPANCY OWNER'S NA�E - AND ADDRESS CURRENT SUPPLIED • FROM THEIR !-- / ' _ 'i OFFICE BY ��-' f B SUILDING NEW Q OLD❑ REMODELED ❑ WORKSNEW ❑ ADDITIONAL❑ REMOVED• DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED •NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS Lamp Receptacles CIRCUITS Loca- tion Side Attach't H.P. Watts A.W.G. WATTS Ceiling Wall Recept'Is Switch Pendent Bracket No. Type Each No. Each No. Gauge NO. EACH Out- side ( Sub- base ' Base- ment . • 1st Fl. 1-/ - • 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 ,, 'r COMPLETED J SIZE OF SIGN • SERVICE ' ' ,, • ENTERS MAKER BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE _, _ NEW OLD 1-1 • • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF / DATE OF APPLICANT 4 • ( -- h/- -�' APPLICATION - STREET ADDRESS i. ' Ir / l - ZIP LICENSE NO. POST OFFICE %✓ - / i /- CODE/ _. WHEN APPLICABLE _ A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING ),n)..A,),..“9,1 .,/.),9,!,)- C. 4.•)",4.94-.�.lad_CJ.,,I4.9 a%",-,,n),,PAA7,,I.-I C�9. 11,!,"491,9,1-•_C),9,1."At..S..1-1X),9,1,.%7JAJJ,!..a..,1a..1.a.?.-"l,n),..l149,1,,,_,J."4-1,4lai.C.2...Ine•I.•J_9I.g w 1; �S.St`)L THE NEW YORK BOARD. OF FIRE UNDERWRITERS r Y y r -6 BUREAU OF ELECTRICITY 'T ;1 �, AC. 41 STATE STREET,ALBANY,NEW YOF2K 12207 r io Date U ''L"g 1 , S? Lt Application No.on file 05'94�" 4 A �° ¢� ' 7 2; THIS CERTIFIES THAT ' -c, only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of . _▪4 r..nn I-ui v,ar' y Rc v%T'._ RC'`?d „ Queer bu9Try, :.<l��C•7 YrDrL:. ;Y �= in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section ^„9Block tz;J Lot (5J it was examined on and found to be in compliance with the requirements of this Board. ,r .' 7/27/84�, FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ; -- �c OUTLETS RECEPTACLES SWITCHES MERCURY �� INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P: 1-0 C 'Y .. t' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS a SYSTEMS v �' '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 'Y !p • t 91 SERVICE DISCONNECT NO.OF S E R V I C E METER ;r - TYPE EQUIP. 1 2W .2'3W 3,B'3W 3,0'4W NO.OPERC.gCOND. OF CC.COND. NO.OF HI-LEG OF I1--LEG NO.OF NEUTRALS OF NEUTRAL ' 'T ._ , OTHER APPARATUS: • i T C, �' T T =t, y i.' s�D f''v,'3 i Li,57`p ,i T? d o L :Fails bvc�.l Y o--'L �•J 8•4 L� -- -0 �`� BRANCH MANAGER 1 '" Per _ - eCYwYYwYYeYaYYsYYiY-7.?rergi—FeY.Y-4'T&.Yi-iYYeYePYsY1-gYYiYYwrYiFYEYYeYvii--4YYiY7',i- ev—i-re Ys CI COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. • TOWN OF QUEENSBURY Building Department Report Date 5/l 7/3 Name M 1 U — (e T T �. Location /d2€fin sJ _ Permit No. g_5"6 87 Weather Remarks ExcaOation 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. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors ' Insulation Foundation Walls 'Ceiling . Building Inspector REMARKS i L S 1 x3 ' QA 9 X3 . . • . . . .. . ,,j,, ,-J-L?a n .i,y • '()) , . \l • q s•`-t,l 4,- t). . . . , . . fanirid r4")) . , • .0.: —)----,1 =)(\ .\.,) j , . .. . ..... .. , . ; . . ,.----. _ • Q7 (-, ; . . 1 ‘_,Ii`•-•, , ..1,... , { I ."-) • \. , \ 0 .---- . . , , 1 — ,), I 1 •:1_(7 — . . , , . . • -----'--- :i . . , . • . • , ! , II i / \-npv , . . . . , I , k . . I I, 1 1 ). .._ . .. . . . . , . . . , . , . ., •. . . . . . , , . . . , .