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1986-494 BUILDING PERMIT TOWN Of QUEENSBURY ` No. 86-494 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Paul J. Hayes OWNER of property located at Ridge Road l lU'_A Ae s d o c PA Street,Road or Ave. in the Town of Queensbury,To Construct or place a Two-Family Modular 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. 'd w N 1. OWNE R'S Address is Helen Drive Glens Falls, New York x iv M 2. CONTRACTOR or BUILDER'S None v� John Hughes 3. CONTRACTOR or BUILDER'S Address Bay Road Glens Falls, New York w 4. ARCHITECTS Name 00 M 7d O W a 5. ARCHITECTS Address S. TYPE of Construction—(Pleas indicate by XI a ( )Wood Frans 1 1 Masonry 1 1 Steel 1 1 7. PLANS and Specifiatiws y 93'x46' per plot plan and application submitted including ° NO' two-car attached garage and sewage system. w d F+• B• PropoadUse Septic disposal soil information to be submitted before Certificate of Occupancy is issued. O Two-Family Modular Dwelling C $5.00 C/O Paid ~ w $ 164.00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 1 19 87 � (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the M town of OLeersbury before the expiration date.) N W 18th August 86 °o Dated at the Town of Queertsbury this Day of�. g 19 SIGNED BY _ �- Ir./., s for the Town of Queensbury Building and Zoning Inspector • • n // TO BE COMPLETED BY BLDG. DEPT. -town o/ Queeniu .1 Application No. 'i, � OF i�UEEi�1S9I..IRY Permit Iurd 19 0 L5 �p E 0 "BUILDING and ZONING DEPARTMENT Permit Expxpires 19 1� Bay.and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No., AUG 1 1986 1 oD L�� Site Plan Review No- - P.M. 56 _ _ �� PPL I CAT I ON FOR Approved b : slg }r1213►41;16 's 1. _. �'�{ BUILDING AND ZONING PERMIT , . al� A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description', plans and specifications submitted, and such special conditions as may be indicated on the Permit. The owner of this.property is: 1 , 411F®6 P.O. Address (, pgajI_„ . �9 Tel. 79 3-Z.bo/ Property Location: VipP Pp, Tax Map No.aTS ( 2/ Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: �01-I-> 9 4-06,1-fre.--5 Name P.O. Address Tel. No. Name of _Installer jtA601,6J661grz,SAddress Tel. Name of plumber - Address Tel. Name of mason Address Tel. MOBILE HOME INFORMATION: * ZONING INFORMATION: New Home Placement � * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, --* drawn reasonably to scale and attached hereto, Replacing existing Home * showing clearly and distinctly all buildings, Size of. new Homeq? ft X 46 ft • * whether existing .or proposed and indicate all * set-back dimensions from property lines. Give Single wide • Double wide * street and number or lot number and indicate No, of rooms (excluding baths) * whether interior or corner lot. Show location * of water supply and location and configuration No. of' bedrooms * of septic disposal area. * No. of bathrooms Ai * COMPLETE INFORMATION REQUIRED BELOW. Fireplace? Wood stove? fed * Size of property i f2 7 ft X i f ft. Foundation style and size: * Existing building(s) Size ft X • ft. Piers- No.of Size- ft x ft- * Existing building(s) Use * Depth below grade ft. * Proposed building, distance from.property line FOUNDATION _ Footing _size J4, " X_ID.L" * * Front yard ft Rear yard gyp© ft . Wall material t d&'G. V5L.K , * Side yards ft and �� ° ft Wall thickness ] Height L[-$ft. * If on corner, setback from side street ft * OCCUPANCY INFORMATION Total depth below grade 14 ft. Grade to Home floor level ilvii" ft. * PR ARY BUILDING - 10W* * * * * * * * * * * * * * * * * * * * * ne family dwelling * Two family dwelling Proposed date of placement 0 / / * , Multiple dwelling / Number of units * Permanent occupancy Aprox. Value. of Home. $ o po®� * Transient occupancy Water supply - Well Municipal * Business *' Industrial Septic Permit required? * other ' • * If addition; what will use be? * FURTHER INFORMATION REQUESTED • * ACCESSORY BUILDING- ON THE REVERSE SIDE OF THIS SHEET.* • Detached garage/one car/ two car/ car * Attached garage/one car/ two car/ 2—> car * ' Private storage building • * Other * Form MHP 5/86 and-vl APPLICATION FOR MOBILE HOME PERMIT, "(CONTINUED) State of New York Division of Housing and Community Renewal INSIGNIA OF APPROVAL OF THE STATE- BUILDING CODE '1 . INSIGNIA SERIAL NUMBER 2 . NAME OF MANUFACTURER voc,i6 ' --44(6ty e ; U4 . 3 . PLAN APPROVAL NUMBER 4 . MODEL OR COMPONENT DESIGNATION . 5 . MANUFACTURER ' S SERIAL NUMBER ,,t.A.y .l W434 6 . DATE OF MANUFACTURE • All the above information ii to be found on a plate or sticker which should be affixed to the Mobile Home. Complete above with that information. * * * * * * * * * * * * * * * * * * * * * * * * * * . * * * * * * ** * * * Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren I swear that to the best of my knowledge , and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING 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. Signature tt 4 Own: , owner' �gent,arcnitect,contractor • • * * * * * * * * * * * * * *-* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: 0e) --to P;;,ii SC,614 C177gi • • • • • • • By Jown, o tteerd ttru BUILDING & CODES DEPT. 4 MODULAR / MOBILE HOME ACCEPTANCE DATA NAME (Property owner) PAIY/ �, �—� ADDRESS east side Ridge Road -.Tax Map No. 55-2-22.24 Location of property upon which home is placed BUILDING PERMIT NO. 86-494 /r A State of New York Division of Housing and Community Renewal INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE COUNCIL/ DHCR 1. INSIGNIA SERIAL NUMBER 2. NAME OF MANUFACTURER Ae:/-A C1 -gam /t74)05/44f 3. PLAN APPROVAL NUMBER .0'1 r C ) 2- l 4 . MODEL OR COMPONENT DESIGNATION 5. MANUFACTURER' S SERIAL NUMBER 907 6. DATE OF MANUFACTURE /l 8&' All of the above information is to be found on a plate or sticker which should be affixed to the Mobile/ Modular Home. Date Building Inspector COMMENTS: Form MHA 3/87 and/vl • 70wn0a eenj tr .BUILDING & CODES DEPT. MODULAR / MOBILE HOME ACCEPTANCE DATA • NAME (Property owner) Pi'2'�z jjG. W55' • ADDRESS East side Ridge Road, Tax Map No.• 55-2-22.24 Location of property upon which home is placed BUILDING PERMIT NO. . 86-494 • (/// ,s State of New York Division of Housing and Community Renewal • INSIGNIA OF APPROVAL OF THE STATE BUILDING CODE COUNCIL/ DHCR . 1. INSIGNIA SERIAL NUMBER Z-3 7 3 2 . NAME OF MANUFACTURER ,9 4O5',AJa 3. PLAN APPROVAL NUMBER !v f 0 2-Al 4 . MODEL OR COMPONENT DESIGNATION • 5. MANUFACTURER' S SERIAL NUMBER 2:7O 6 . DATE OF MANUFACTURE All of the above information is to be found on a .plate Or sticker which should . be affixed to the Mobile/ Modular Home. 2,- -/1377 • D` ate Building Inspector • COMMENTS: • • Form MHA 3/87 and/vl 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 21-1``p7,- 2 . Type of heat 3. Is the building mechanically cooled? 4 . Percentage of area of windows and doors ®/ 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 f roof and floors exposed to ambient conditions ' 2 . R value of exterior walls 9 3 . R value of glazed area ` - •zr 4 . R value of doors • 5 . R value of floors over unheated spaces % I 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 • 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 I ' Telephone No. ‘5,7 (appli ant ' s sign ture) _town of Queenitur, fyUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 4 v5,5 p.�QUL. (No -rz+) LOCATION OF Date4 23'r P7 Permit No. g'& A/79 * * * * * * * * * * * * * * * * * * * * * 1/ = APPROVED - YES / NO Footing/Pier Forms Foundation 4?\ Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Fi 'shed Floors , - n erior Trim tairs & Railings / Cellar Drain Tile - ncrete Floors eA/z 4/et f'IN/Ifi4� ifeiS-g. Fixtures ar. Fireproofing /> 1...21 r Closers 1/ tA6noke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION AOT' AfW e Y6' DRIVEWAY APPROVAL * Final Building Survey (� Next scheduled inspection (call when ready) Remarks- N 51c. 56 1'A-Z- FgOA l 64) A/ c se_ '2 3 311. L13 • 3 �✓� (A-) I/1 ar P/tk, Nem'l 9'03 65) tt• 7—e- 47 - Buildin nspector 6/86 and-vl _Jo n o f Queensburcy BUILDING and ZONING DEPARTMENT ab Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTIONL NAME it/tf, LOCATION x„ P L eT i 21' DATE (/ /&7P RMIT NO. rlv(, — /77(/ SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES -(NO/ Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench 60 Depth of trenches �27/r' Size of gravel'_ �. SEEPAGE PITS4Nuinber of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank CSC d 4' Tank to dist. box Dist. box to field/pit 4,', i<01/[L. Openings sealed? S NO Partial LOCATION/SEPARATIONS: Foundation to tank / ) ft. ;>(/' Foundation to absorption Z.cft. Absorption to lot line /.3 ft. Separation of pits ///4 ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Frnnt - Rear (eft side -1 Right side - COMMENTS: SYSTEM USE APPROVED 41110 NO Buil ing Inspector 01/86 and vl ,,q l dh//*- -5- 2 --AZ- 1 /V �Z'� auin o/' Queeniur, a� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BAU 12 BUILDING INSPECTOR ' S REPORT NAME QJ -✓ �jl-� ( G LOCATION— iL D.lrL n Date/ /g'j/88 Permit No. G * * * * * * * * * * * * * * * * * * * * * * * A� Pr = APPROVED - YES / NO rooting/Pier Forms oundation L----'` Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey } Next scheduled inspection (call when ready) Remarks- Fes 6 (�g X 7 6 --'''.A)C' .-, ),./I 7\K 1"/7/ .?‹ I it' pi -i'-' --) Buildig Inspector 6/86 and-vl L,64J Ps or r) RLrom,1 colm. s , H sJv v O' L4pps of= 45 ►O&O +gyp w 40" 30 E RE MONS BY x w mi IL 1 T b r Q OL bi DATE 7/ $CALE DRAM JOB p"m SHEET f of 1 sHMS STOCKDRAI/TIM No. ►W" 6