8361 • - BUILDING PERMIT
TOWN OF QUEENSBURY No. 8361
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to William and Denise McLaughlin
OWNER of property located at Bardin Drive Street, Road or Ave.
N•
il
in the Town of Queensbury,To Construct or place a One—Family Dwelling
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.
1. OWNER'S Address is Bardin Drive
Glens Falls, New York
N•
0
2. CONTRACTOR or BUILDER'S Name n
Caruso Enterprises, Inc. a
La
3. CONTRACTOR or BUILDER'S Address
340 Dean Road
Hudson Falls, New York
4. ARCHITECT'S Name
M
5. ARCHITECT'S Address
fi
N
6. TYPE of Construction— (Please indicate by X) fi
N•
(X) Wood Frame ( I Masonry ( ) Steel ( ) !D
7. PLANS and Specifications
54 ' x28 ' per plot plan, specifications and
No. application submitted including two—car attached
garage and sewage system.
8. Proposed Use
One—Family Dwelling o
CD
$5. 00 C/O Paid
$ 115. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 19 84 N.
(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.)
Dated at the Town of Queensbury this 26th Day of March 19 84
�C�, 0
,+����:�
SIGNED BY �� �• � for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY 1
(Space inside block to Ix. filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for .\1)plicatioo No. ,
Permit Is.ued
_14
BUILDING AND ZONING PERMIT l',.rntit Expires Ft
/(,hint. District
\ Au. (.1 worts$
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i>1"-(} d by 7I,fI y j
showing the actual dimensions of the lot to be built kc•mcu ks' '-/
upon, The exact she, and location on the lot of the
building to be erected or altered MUST BE SUB •
-
MITTED WITH THIS APPLICATION.
TOWN OF OUEENSBURY
DATE RECEllVE '
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK AR ; ' t J
ANSWER ALL OF THE FOLLOWING. ��p F e -e. �r
The undersigned hereby applies for a permit to do the following work 7 1 8 1 9 11914121 1)213141516
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. t Cih / pi C
The wner of this roperty is:
IA,i/f/J . . , ?"-. iik si i?t . . ,/21?sil.!<Y�t-e / ��G';;j/f la. . fJer it. U/'.i'r
IN `AP) IP 0 At;DRE551
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
ere.h , IA), c- l R i.�..,` $,e ,F'4Af /et,. i/ J;S ell( iC/3.4.r' /t/.
/ . Lf 3 f,
/NAME) ' (P 0 ADDRESS)
Name of Builder.C'91r i- t /t'/► rog/ 4/s/=p / e- Address 3'o E..4,v !RV///4,P.Sedi j%'/F*6Zl, /``'
Name of Plumber. . .(.;•?,?'.E'.'/,.'. .��km i.'. . . . ".r. . . . . .Address .e..e- � . J 4, . . !' .!. ?
Name of Mason / , /)k h 77J.1I3"1.., Address .
,..57. ,,,.." -1-'
Lot Number Unit Estimated value of proposed work 3 s2�r U oe
Name of Village i.v-n 4-Pi A!e'h_JP c-
/
Name of Street .$?r !i. . .0 '.! (!' (9, Side of street: north 0, east 0, south O. west jg
Nearest Cross Street . . . ell. . . .I Distance from this -Toss street /6a Ft.
Property is north EA,south 0,east i i, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Q, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
XI Construction of a new building. Main Building
❑ 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 ( j
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-
NORTH posed buildings, and the location of all existing buildings.t1/4 / Show proposed building(s) in dotted line and existing
o', 11 r K1' huilding(s) in solid line.
ti
a Size of property ie C' ft. x 2 2 ' ft.
ra Size and use of existing buildings, if any . . C/e?t. .
wu v~i
W � ‘ SSA
7 W Size of proposed building ft.x . . 23". . . ft.
k`j Height (from grade to ridge) 2/ft.
Front yard /e ft.
t\ Side yards I Cr ft. and '7 0 ft.
8 4v-A joy, /7,'w't'e 7- ma Rear yard
y ?,r 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
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . • • • .'' `i'). .•ate'• 1
. . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? . . . .44- If so, for what? `�
Material of foundation walls . . . . • • �:.4'•r..4 . , 4'�" C.v...1 ... . . . . . . . . . . Thickness
Depth of foundation walls below grade 7 Continuous foundation? / '- Z$'."
Will there be a cellar? y-et If so, material of cellar floor V' et.,L r r/r 7,4,,
Type of roof: Sloped or flat? 9�'i"'a Material of roof . . . . . .5'h. am. h ,
Size, wood studs • "x t` ", spacing 64 "o.c., length S. ft.
Size, floor beams, 1st floor 4-. . . " x / d ", spacing (C "o.c., span / 7 ft.
Size, floor beams, 2nd floor 2- " x /U ", spacing f fv "o.c., span / 3 ft.
Size, ceiling beams ... Z— " x �' ", spacing 2-4' "o.c., span / ft.
I'eS es 2. „
Siie, roof rafters or beams x ", spacing 2 %"' "o.c., span (-7. . . . ft.
Exterior finish . . . goJrt, ¢- /3,..J ° With what material?
Finish of interior walls s.A.P4 7.viz/C
If garage is to be a tach, of what material is wall between garage and main building to be constructed?
. .XX<6. . . . . .....`�.l•<di.". h. (-.7 . •`� j /,t . . h.Cie"(• X lf'r e c 1e .,Si® Gd v..,.," s r.+'
Is there to be an opening between garage/ and building? /w/t1 IV .)y .0lem 4
Kind of heating system 7e I .'7Ct ( /G Oil burner or coal?
Will a flue-lined chimney be provided? ''*'-s . Depth of chimney foundation below grade 7 r
Height of chimney above roof. . . . . . 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .r
Will there be a fireplace? ,e.5 Depth of fireplace hearth
Will a toilet be installed? . . . . . . . . . .C.3... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and'connected to water supply? ye f •
Water supply (public water supply or pump) 4 4'l.'C (,.. . IL-z-• s
PP Y P PPY c �P/it C� � 1 . p� , F
Distance of cesspool from any private well _5 ./�PJ/. -e C. • '?z4•4+-. .41.f.•. . . . . . feet
Will drainage system be provided with required traps, cleanouts, and vents? 71 r
Town of Queensbury ) AFFIDAVIT
County of Warren
State of New York
I swear that to tt va 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.e, 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 mposed 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 WNER'S AGENT,A CHITECT,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 eeA ,y / C.„
3 . Is the building mechanically cooled? /Ye .
4 . Percentage of area of windows and doors /2 �^
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 )C NO
1 . If YES , what is the R value? // /: Y�✓�
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 ,AZ NO
a. R value of insulation
5. Type of insulation ,": A'
B. Under 16% Only
1 . R value of roof and floors exposed to ambient conditions
12 f G77� h ,t •
2 . R value of exterior walls '
3 . R value of glazed area 4./19 S4/IVfl✓e.s
4 . R value of doors �sI c ,. •1
T--
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 �p;Ay•.. 'A� , yw /q'. 7'
C. Controls
1 . Thermostat maximum heat setting y�' i 74-
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO A
a. If YES , R value of duct installation
b. R value of duct in other areas
E . Piping Insulation 7 1,
1 . Size of hot water or cooling carrying agent pipe r'
2 . R value of pipe insulation
F . Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum /U& rC /G c
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. 7517-
ppl ' cant ' s signature)
CARUSO ENT ,,r WC.
3419 Dezrr
TOWN OF OUFFNSBURY
BUILDING & ZONING DFPARTMFNT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner ' s Name tvi/f%Jr►,3. "_ i•j//1 /,its-,isi "''' /11€ 411711-
Address Ori"v L /�'c.• �, a ( 6)leee17S%t
Telephone No. ?9,1- 6 (`Jr3
2. Property location g c?y )7 /)v i c'
3 . Name of person or firm responsible for installing system
;" fJiJ /cn tc,J; � Telephone No. 793'37�/
Address 4).0,-)7 e Lr/raj 1 h/�/ _7
4 . Number of bedrooms (residential buildings only)
5. Daily flow Ynf7 gallons/day
6. Septic tank capacity //et ev. gallons
7 . Topography: flat, rolling, steep
of slope t/i, e_
8 . Nature of soil and depth 5;),74, f O -
c
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 Q- 5- minutes/inch
11. Water supply: municipal, well, other
12. Type of system proposed: drywell', tile field , other
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 $250 as provided for in Section 6 .010 of the
Queensbury Sanitary Sewage Ordinance.
Date 3/i 3/F i y 4,/
gnate of applicant
On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself.
Form 3-8 2
Proprwat Page No. of Pages
PROPOSAL SUBMITTED TO PHONE DATE
STREET
JOB NAME
CITY, STATE AND ZIP CODE JOB LOCATION
ARCHITECT DATE OF PLANS JOB PHONE
We hereby submit specifications and estimates for:
II�P ]rnpOSP hereby to furnish material and labor — complete in accordance with above specifications, for the sum of:
dollars ($ ).
Payment to be made as follows:
All material is guaranteed to be as specified. All work to be completed in a workmanlike
manner according to standard practices. Any alteration or deviation from above specifica- Authorized
tions involving extra costs will be executed only upon written orders,and will become an Signature
extra charge over and above the estimate.All agreements contingent upon strikes,accidents
or delays beyond our control. Owner to carry fire,tornado and other necessary insurance. Note:This proposal may be
Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days.
,errrptatt r of Proposal-The above prices, specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature
to do the work as specified. Payment will be made as outlined above.
Signature
Date of Acceptance:
FORM 1111-9 OOPYRin1HT 1Ann-Ave nahln from/ !Inc.Townsend.Mass.01469
ci. r
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /3/A1, !
Name J' eZ4/49/9 47
Location i2D f.4" DAL
Permit No. tia6 3 !o/ Weather
Remarks
Excavation
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
a
Floors
Foundation
Insulation Walls
Ceiling
Building Inspector
REMARKS
/ . 8 w E f �g ,` Tors&"
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date SA.7/
Name 1?�1Ga i414eGrAJ.
Location 81, 6
Permit No. fj' 3 / Weather
Remarks
Exca(,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. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
fCeilin
Building Inspector-'
REMARKS