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1985-041 �. k CERTIFICATE CC�F +DGC V I'A.1`�5+��' TOWN OF QUiEENSBURY WARREN COUNTY, NEW YORK Date 19 This is to certify that work requested to be donne as shown by Permit Now r ty has been completed. .]" 1� E? �. .� 17". C' 1tJ r— Pc? A This structure may be occupied as a l.ascation , r F' 7 471 ci-T-e' Cc, ] -1 .i r) Owner By Order Town Board XOVA N OF QUEENSBURY Building & Zoning Inspector MUM CIIIEATIVE "'IN¢T F" •NINFING. GLENS FALLS N Y 12"61 IS 1017%S-S*so t BUILDING PERMIT TOWN OF QUEENSBURY No. 85-41 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Richard Collin OWNER of property located at 10 Carlton Drive Street,Road or Ave. H f,+ in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) o 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 10 Carlton Drive Glens Falls, New York 2. CONTRACTOR or BUI LDERS Name Ken Mattson 0 3. CONTRACTOR or BUILDER'S Address 64 Blind Rock Road Glens Falls, New York rr 0 4. ARCHITECT'S Name :j a w C 0 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (K)Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specificstions 121x26' per plot plan, specifications and R, No. application submitted. o B. Proposed Use -H-:3 One—Family Dwelling (additional living area) o � a . 0 C OPai 12. 00 $ PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 19 85 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 8th Day of March 19 85 SIGNED BY Gi. for the Town of Queensbury Building and Zoning I nspector OWN OF QUEENSBURY (Space inside block to lie filled iu by Building Inspector) WARREN r* . NEW YOt K I )plitaxion tics. Application for • 1}i111111 it]ued ` BUILDIN6 AND 20NIN6 PERMIT , r.'1'ire% YAJIm5;_ District t aloe• " "! 11'nrl. ,� � i — ,. THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale showingg the actual dimensions of the lot to be built uponto be erectd 0 buil . The exact size, and location on the lot of the MITTED WITH THIS eAPPLICIATION, BE SUB- - 'Yxj -rc>vv N Ot= GtL1EinPl s t lC'�' -yr - - 1 J f + f f1AiF LE V9 � A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK VV � J ANSWER ALL OF THE FOLLOWING. ` " a P.fA. The undersigned hereby applies for a permit to do the fallowing work tt A,�• l 1 which will be done in accordance with the descrip+ion" plans and specifi- f A �l g 9 Y121� 2� � �l5 ` 1 ions as may be indicated on the permit. ea+ions, and such special condit The owner of this p n rty i er + C..l.[!-k " # .a e:�.h�'.t ""�� t '.l.' f NA`RE5 The rson respo1n�swibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply ,y -r. . . .Y "'!�^ ��'? 4 y` . . . . G•c �.""!l' 40 (2 ?0 C- " . Cot.,was. . . I%Swl rI�P 4 AGaRE551 Name of Builder . . �-~�l`ti' - �� 6 ��� l . . . Address . .!: . .. . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . Name of Plumber . !� k" �" . . � �,�, . Name of Masan . - t� . . O t-�r Address '- . 0dd Lot Number . . . . . . . . . . . Unit . . . . . . . . . - . . Estimated value of proposed work S 1 � Name of Village . . Q. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street "°""' " r0� �'�'" Side of street: north ❑ , east V south L7 . west 'Nearest Cross Street - � �Mh*.tA .. ' Distance from this ^rocs street - - . . Property is north "VdL south © , east 'LA . west ❑ from Cross Street If on Gorner, .which corner, northeast 0 , northwest ❑ " southeast southwest (Designate by marking with an "X" in the correct space.} NATURE OF PROPOSED WORK OCCUPANCY Main Bmi}ding Construction of a new building. One-family dwelling j8! Addition to a building. Two-family dwelling 0 D Alteration to a building. . -family apartment house 0 Demolition of a building, Store building - . . . - . . . -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . . . Accessory Building . . . One-car detached garage � . . . . . . . . . . Two-car detached garage 0Other work. Describe � � � • ' • �: • . � - • - • • Private r�— chicken house Q ` 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 narnest 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 T G P N t4uilding(s) in solid line. — Size of property* °�' - . - . ft. x . . . t s T . . ft, ciW .r t-'E. Size and use of existing buqdirtgs, if and . . . . . N�" Size of proposed building . . .�. r� . . . . ft. x 'Q41V] Height (from grade to ri e) . . . . . . . . . . it. Front yard . . . . . . . . - Q . . . . . . . . . . . . . ft, Side yards . . . . . AO . . . . . . ft. and . . . . � .� . . . . . . . ft- Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. $l3UTM If on corner, setback from side street * ft. !Vote: All distances are net, as measured from sfrees side line to Wearies part of building- (OYEA) 7 -73 —M (cnnt'd.� BUILDING SPECIFICATIONS,., Kind of construction: Wood frame, fire safe, etc.? . . . L4.00d , Will any second-hand lumber be used? . . . . . :C?. . . . . . , . if so, for what? _ . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . Material of foundation walls . . .L O ". . . 6;0AA.C-,. , - , . , l.t7GMC_ Thickness . . . � Q to . . . . - . Depth of foundation walls he w grade . . . . 7 . 17 4P . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? Will there be a cellar? . If so, material of cellar floor ww-'G . . � , , , , , . Type of roof: Sloped or flat? . . . ' t"t>P. dk>. . . , Material of roof . . . c r-a.�! N-0444 �. . . .C�, Size. wood studs . . . , . . , . . . . . 2.-. . . , , "" x . , . . . . . .re* . . . . . spacing . . , . . 1 .46P . . "o.c., length . . . . . . . . . . . . . ft. Size, floor beams, 1st floor . . , , �`-� . - . . " x . - . . . . . .I. Cs . . . . '", spacing , . . . , �.f�., . . . . . "o_c_, span . . . . . ,- _ . . . . ft. Size, floor beams, 2nd floor . . . . . . . x . . . . . . . . . . . . . . . " spacing - . . , . . , . . . . . . . '"o_c., span p t . . - . . ft. Size, ceiling beams - . . . . . " x . . . . . . , .��! . . . - . . spacing . . - . . "a.c., span �'i . . . . . - ft. Size, roof rafters or beams . . . . . . Z . " x . . . . . . . �'.e . . . . . ", spacing - . . . .t rap . , . "n.c. span . A. 4' � , . . . ft. Exterior finish - - - . . . . w4)419;:! , c..t19 ! ! fg? - - With what material? Ar..` C�. . . . P.1kVve . . Finish of interior walls . . . . . . , . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? - � . . . . . . . . . . . . . . . . . . . . . . . r"71-.la ' . . . . . . , . . . . . . . . .. . . . . . . . . . . - . . . . . . . . . . . . . . Is there to be an opening between garage and building? , . . .l`3 . . . . . . . . . . . . . . . . . Kind of heating system ' 41k 0o. . . - . . . . . . . . . . . . . Oil burner or coal? . , . �114twa . . +C�•'S , , , , . Will a flue-lined chimney be provided? . . N C > . . . . , . . . Depth of chimney foundation below grade . . . . . . . . . . . . . . Height of chimney above roof. , . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . 40&L-4; . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . .Will a toilet be installed? . ""t . r4�e . . . . . . - , . . . . . 4. . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . . . . . . . . . . .. _ Water supply ( public water supply or pump) ."t'f.? awJu-k- Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . Feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queenshury AFFIDAVIT County of Warren State of New York 1 swear that to sr Isis+of my kno+iledge and belief statements contained in this appi"tion, togedwr with the beans and specification sub pitted, are a true and oo.:.�+lete statement of all work to be done on the described premises and that a0 �noviaione of the BUILT]- INO CODE, THE ZONiNcs ORDINANCE, and mill other laws pertai�the Proposed w shall he comptiied with, whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature .. . . Q NER, QW NER'S AG EtJT, AFlCMITECT, CONTRACTOR - _ . . . . . . _- . . . . . day of . .. ^. . . . . . . 19 NOTARY PUR9_1C. (WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: By .. .. .. . . . .... .. .._ ... . .. . . .... . . . . .. .--. . . .. --. . . . ..... . .. ... . .. .... _ ... TOWN OF QUEENSRURY 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 �� Z, r • 2 . Type of heat W:9 UJL!� � 3 . Is the building mechanically cooled ? 4rAIZ) 4 . Percentage of area of windows and doors t2> A . Over 16 % only 1 . U 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 S . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. c� 2 . R value of exterior walls 3 . R value of glazed area 4 , R value of doors 406dt` V . 5 . R value of floors over unheated spaces 6W R value of slab edge insulation - unheated slab K4>mwowg " 7 . R value of slab insulation - heated slab s . R value of heated basement / cellar walls ( above grade ) L� 9 . R value of heated basement /cellar walls ( below grade ) 10 . Type of insulation *:71 �'„. C . Controls 1 . Thermostat maximum heat setting c + 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 . Pi2i_ng Insulation 1 . size of hot water or coo3ing carrying agent pipe 2 . R value of pipe insulation F . Service Water Beating 1 . Performance efficiency 2 . Temperature control setting maximum G . For swimming Pool Only 1 _ Maximum heating Telephone No . ( applicant ' s signature ) TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS rQUEEN.SBURY, NEW YORK 12804, TELEPHONE (5I8 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR IN5rpECTION �;ECESVSD NAME LOCATION DATE I ` PERMIT #� APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FIAORS WALLS CEILING ti / IMAL INSPECTION: V CHIMNEY HEIGHT ROOFING SIL]ING �r� EXTERNAL PORCHES/STEMS � . ..... STAIRS-CLEARANC & RAXLS PLUMBING FSXTU + ES/REL F VALVE INTERIOR TRIM"RI VAC'i' RS FINISHED FLOCtS `• GARAGE FIRIEPA36OOFING DOOR CLOSER S}�-- SMOKE DOT;rAL RS FINAL ELECTL INSPECTION FINAL APPROOF CONSTRUCTION A ,SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED' REMARKS : 4 INSJTOR _ .roW% OF QUEEMS SUFL Building DeF+�rtm°nt f� . Date Remarks Excacyation Footin Forms Footin & Piers Foundation Cement Coat water roofin gackf- l Final Surve Frwmtn Sheathin Roof Felt IIIII Rooi'in Siding peneer Z4 sonr Rau h p2 Relief valves Mall. Roaxd Ext . Porches Finished Floor Tri.m Intera.ar r stairs & Razlin S o Tile Pro Concrete Floors ._ PI Fixtures fin Gar • Fire poor Closers Chimne Meter Inst , 'water royal Se tic A Floors �~ FDA Insulation W&IDA --� �---- Ce1.�- r~ Su ' i 9 :rnsgector VEMA,RKS TOWN OF QUEENSBURY Building- Department rp � 3 Inspeelms Repcwt Date '3 /j A 2$ fa Naxne.__ R i C. " t Ldliftw im to C a.v7 Permilt No. Z�_ y { Weather Y Remarks Excaj>la tion rooting Forms Footing 6 Piers Foundation cement Coat waterproofing Backfill Final Survey Framin sheathing Roof Fel t Roofin Siding Masonry Veneer on Rough Pl 7 F rs 7 Wall Board -,� t xar,rr•t».c Finished Floor xnterior Trim P3 . Fixtures Fl ocSrs Foundation .Insulation Walls Ceiling Building frnspectov REMARKS C3 4 JV'kr 44ram"" Uj u c.- Cra L z— f:�o rL.. r"iA[ J-4r�—