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7744 BULL DIN PERMIT TOWN OF QUEE14SBURY No. 7744 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Tim Chase OWNER of property located at Lot 51 John Street (Mountain View Subdivision) Street,Road or Ave. in the Town of Queensbury,To Construct or place a 0nQ-1Vssm i l Y r)wr.x1 1 i na }*+3 at the above location in accordance to application together with plot plans and other information hereto filed and 3 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. A. OWNER'S Address is P. O. Box 228 Cleverdale, New York 12820 2. CONTRACTOR or BUILDERS Name Same 3. CONTRACTOR or BUILDERS Address Same o rt ce 4. ARCHITECT'S Name C4 O J j 5. ARCHITECT'S Address In fi M 0 ft & TYPE of Construction—(Plaese indicate by X) 1 $Wood Frame ( i Masonry t 1 Steel ( 1 7. PLANS and Specifications 241x32' per plot plan, specifications and No. application submitted including sewage system. o 0 (m i 8. Proposed Use One-Family Dwelling H. 1-4 k $5. 00 C/O Paid t $ 77. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 1 1g 83 (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.) O Dated at the Town of Queensbury this 15th Day of March ig 83 SIGNED BY for the Town of Queensbury np and Zoning Tnspector • 1../�,r TOWN OF QUEENSBURY t (Space inside Klock to be filled in by WARREN COUNTY. NEW YORK • Building Inspector) • Application for ,‘1 >licaticl No. Permit Issued 19. BUILDING AND ZONING PERMIT l',Jmi( Expire'. • lg. . ' i. 'i in.' District - ;slut• of Work S THREE (31 Copies of a PLOT.PLAN, Drawn to scale. 'A1r1 "`c'c1 IW showingthe actual dimensions of the lot to be built 14(.111111.gs' upon, Te exact size, and location on the lot of the building' to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. . 3 " /5"-8 3 'TOWN OF QUEENSBURY DATE : R IECEIVIE, 0 A PERMIT MUST BE•OBTAINED BEFORE BEGINNING WORK MAR 1. . 1983 e ct i 4. ANSWER ALL OF THE FOLLOWING. Z fe-e— . 7181911011.112)1 The undersigned hereby applies for a permit to do the following.:week I 3141516 which will be done in accordance with the description, plans and specifi- :. , . . cations, and such special conditions as may .be indicated`.on the permit. , ,0 The own 9f this props y is: r" • y� ii ,.- ' (NAVE) (P.O.ADDRESS) The person responsible for. •supervision of the work insofar as the Building;Code and the Zoning'Ordinance apply is: —re rvx �� �5 '� ' (P.O ADDRESS) may, (NAME) el A [_, J Name of Builder.. . ! /.'.t►'� . . l �- Address-�51.. O)L,. .ZZ f C` ucfeitA't t- j: 1'ZY�CU Name of Plumber. . . , .)'L . . ..... . . . . . . . . . . ....Address. q) Name of Mason T I r"1, Ll ' '— Address • Lot Number. . .W 1 Unit Estimated value of proposed work$ . . .0 t Name;of Village . . : m.ee --�: h;ti�'z - Name of Street . .S.©it V SI ' • Stile of.etree:: north A, east ❑, south• ❑. west .O elf Nearest Cross Street ./.I. • /� fA 1 Distance from this ^ross street tt. tProperty is north 0,south �e st c i,'west 0 from Cross Street. . If on Corner,which corner,northeast 16, northwest 0, southeast C southwest • (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Eg• Construction of a new building. • Main Building . El Addition to a building. One-family dwelling ❑ Alteration to a building. Two-family dwelling 0 ❑ Demolition of a building. . .-family apartment house ❑ Store building ❑ -car attached garage I] Other: • • Accessory Building • One car detached garage 0 I:: 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 Wilding(s) in solid line. ( � Size of property . . . . /.4"O. . . . . . ft: x o 6 ft. N. Size and use of existing buildings, if any u F W ut 1�/ LIj �O _ m ft.x3 ft. t' _ Size of proposed building Height(from grade to ridge) . / to ft. / i/6 ' Front yard , 6 ft. _ /�t1 • Side yards 5-0 ft. and g ft. ,S d i1 N 5t Rear yard 9 G ft. 7SOUTH If op corner,setback from side street TO 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., �,t Kind of construction: Wood frame, fire safe et j?. . .40§,MP . . . . . . . . . . . . . . . . . . . . . .. . . . . • . .. . . Will any second-hand lumber be used? i . If so, for what) Material of foundation walls . . eOOt,G1Qt'%l' Thickness g Depth of foundation walls below grade Continuous foundation? .�.C'�. . . . Will there be a cellar? .•'.y:2- If so, material of cellar floor Type of roof: Sloped or flat? . . .5/off-�' M terial of roof • f Size,wood studs "x �/ ",spacing /la "o.c.,length s• ft. Size, floor beams, 1st floor . . . .a�. . . . . . "x /0 ",spacing .. , C1 "o.c.,span /.� . . . . ft. Size, floor beams,2nd floor "x ", spacing "o.c.,span ft. Size, ceiling beams - "x ", spacing / "o.c.,span / � . . . ft. Site, roof rafters or beams . . . . ; . . . . ."x ",spacing .(14. . . ."o.c.,span /41 ft. Exterior finish ,4'e5 cJl- f f ./ With what material? Finish of interior walls. . . . - �� W. . .. 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? �Q Kind of heating system . . . I/eC fi 1 Oil burner or coal? Will a flue-lined chimney be provided? ii.) `� . Depth of chiliiney foundation below grade ' Height of chimney above roof. . Will there be a fireplace? f0 C Depth of fireplace hearth Will a toilet be installed? Will a kitchen sink be installed and connected to water sP p!ly? v e 5 Water supply(public water supply or pump) . . . . ....4. • i E Distance of cesspool from any private well v� feet Will drainage system be provided with required traps,cleanouts,and vents? /Ye-5 Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to tt Deb fof my know,ledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.,.plete 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 roposetd w U be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this j Signature 'OWNER.OWNERS AGENT.ARCHITECT.CONTRACTOR day of.........g.!: U3"L 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 /o G - 6 2 . Type of heat /lrt'64 ' e, 3 . Is the building mechanically cooled? jlJ 4 4 . Percentage of area of windows and doors (`sue (? 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 NO 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 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 floorsl exposed to ambient, conditions 2) V 2 . R value of exterior walls 3 . R value of glazed area / , 3 4 . R value of doors �� a 5. R value of floors over heated spaces / 3: / d 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 7 ,Q ) 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 4/ 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 v o G. For Swimming Pool Only 1. Maximum heating Telephone No. (applicant ' s signature) TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGF DISPOSAL PERMIT APPLICATION • 1. Owner ' s Name Address 'Aeuciti3; -e Telephone No. 6 5� t?5 2. Property location S a & St 3 . Name of person or firm responsible for installing system i 144-- l,�/L��--`�C� Telephone No. Address 4. Number of bedrooms (residential buildings only) 5. Daily flow_ ( cra) gall"ons/day 6 Septic tank capacity /CM) gallons 7. Topography: flat, rolling, steep / of slope ` 8 . Nature of soil and depth S f'i-J i2 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? ft. 10. Percolation test: A is required B is not required C If required what is the rate minutes/inch 11. Water supply: municipal, well, other /'Z (41. 91r; e ‘P 4--` 12. Type of system proposed: drywell, ' le field other im 'Atic-44 Any contractor,. corporation, individual, etc. engaged in the construction of a sanitary sewage disposal system who covers the same before inspection, does not have an approved permit, or varies from the approved application will' be subject to a penalty of $250 as provided for in Section 6 . 010 of the Oueensbury__Sanitar_y__Sewage O.rdinance. Date 3/ c; AV�`"'�- signature of applicant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions, including distance from any structure, distance from property line and domestic water supply, etc. Include all dimensions of _ the system itself. /00b Ao./ s.Pp ) i5t. 13ox Z 5� /44 -ie/c4 14.S S't71(e Form 3-82 . • 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 ( a)`.-.:t�;`i�('t}C. '�L, A.-1 TOWNSHIP COUNTY I/1ti.1?r()(.I,) STREET AND NO.OR w �r- ROAD AND POLE NO. 'j / �� , }i'(;4i,J f POLE NO. BETWEEN WHAT TWO CROSS STREETS IS �'� PREMISES LOCATED? ('%: i • ,.11 ,� ;' (1 I"' SECTION BLOCK LOT •OCCUPANT'S -I `;) `! -'1 BUILDING -j-; -.1- - l !NAME 1 }^v't (.' f i C__ OCCUPANCY b,'<,` -1 Cf. i!r/- r ( 7 C_T OWNER'S NAME r•� - i J AND ADDRESS f 1 VA (•-- I') t`!�-��. (-r !r'N;( !r+;:_.i{.. r)Y1 //4 ((/%"'•i i..�-�a7i2riC-' ;j•i, ',./, CURRENT ` - SUPPLIED ,'It - q /i,�(1 j1 (4 h FROM THEIR t ::z • , ,(-;-71 J !° OFFICE BUILDING NEW0. ,(?SLD❑ REMODELED El IS DEFECTS NEW �1 ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. 8, BRANCH NUMBER OF OUTLETS LampfRec ptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS Loca- tion Side Attch't H.P. Watts A.W.G. Ceiling Wall Recp'Is Switch Pendant Bracket No. Type Eaeh No. Each No. Gauge I F M.V. Out- side Sub- base Base- ment 1st Fl. 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 7 - 2 (i �-%, '.Ji ELECTRIC SIGN TOTAL MAINS �, - < Ii.''' -" FEEDERS _ LAMPS WATTS CHARACTER POSED GAS TUBE SIGN OF WORK ED TRANSFORMERS OF VA WORK TO BE / '/ (NUMBER) (CAPACITY) STARTED j / ..) COMPLETED SIZE OF SIGN SERVICE - //)/�• MAKER BUILDING (-t`i I_•,�l ` r A/• (_ OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS J POSSIBLE /` '.. •i+ ./: NEW OLD ri • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAM OFAPPLE ANT ~ ' !!�`) CI �i ;/�-� `--- DATE O APPLICATION i/r{_� v t STREET ADDRESS (1 l r'l•ll)[ 1•)T l/f� r\'1 CITY OR /sty 1 1 ZIP LICENSE NO. , POST OFFICE I l' i-!ter i`r',.4 t�/�, f , f. - ( , CODE 1 2 i I/ WHEN APPLICABLE 46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING • TOWN OF QUEENSBURY • Building Department Inspectors Report Da$e 6 Name ' 'r'/� ` Location ZT//AA2 Permit No. -7 7 V y Weather - • • jA/XkZ Remarks Excaiation Footing Forms Footing & Piers Foundation /1' ✓ -p-)� Cement Coat t Waterproofing Backfill • Final Survey • J ,4-Y'5 Framing Sheathing Roof Felt Roofing Siding Masonry Veneer - Rough Plbg. Relief Valves Wall Board • Ext. Porches f/ (J< Finished Floor Interior Trim ,r Stairs & Railings,,-' ( \\\\\\\ Cellar Dr. Tile Concrete Floors / Plbg. Fixtures 4/' C,11-c / Gar. Fireproofing /l/°, 4` f Door Closers _• U Chimney Water Meter Inst. Septic Approval _ Floors Insulation Foundation Walls • Ceiling • ( Building Inspector REMARKS t-- - - L%1 Rie'-i-e- • T WN OF QUEENSBUR.Y a`• Building Department hupectora Report Date 7--✓.3 �eg?J ' Name Location ..per^ Permit No. � �f Weather - - r/4h V- Remarks Excaiia ti on 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 L V/4, 9-.Z — Interior Trim Stairs, & Cellar Dr. Tile Concrete Floors Plbg. Fixtures it/V Gar. Fireproofing ,+ 4 Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling &i 0(l\ T� ?'?/ .S�� Building Inspector �F1/&-E7) REMARKS 'V V u 1L11 zt()epz . S� • TOWN OF QUEEN BURY Building Department Inspectors Report Date 6-3 Name .2/- s '- Location Ti?/-'j f 7L-- Permit No. 771"V Weather Remarks Excatra t on 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 / 7 Floats Insulation Foundation Walls Ceilin. Buil ing Inspector REMARKS 60-A-ez,4,e,4 --(4/-9-r-ee-naffj • %py 9 z i • `Ufad1 _ l fl • TOWN OF QUEENSBUR,Y YYYYY Building Department Inapoctarar Separt Date 20 — Name Grll['q�5 ' motion Permit No. "7Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough P1bg. / Relief Valves j Wall Board Ext. Porches / Finished Floor j Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney WaterMeter vast.S Septis c Approval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS 1 TOWN OF QUEENSBURy Building Department Inspectors eport ®ate ��-R.3 Name Location Permit No. 'i Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer z-11,51 , 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 Ceilin Bui ding Inspector REMARKS TOWN OF QUEEN BU Y Building Department Inspectors Report Date ''✓ ` .� Name C%1s - Location 7.1 ✓t Permit No. 77 J/% Weather Remarks Excal>ation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. %%%%N/ 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 Foundation Insulation Walls Ceiling Building Inspector REMARKS 01--a I P 4 v 0,t/A n 1I. I • ' I • 17 11 torOcd :4- 6-0 4 45qo IA) 5.1--