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88-222 BUILDING PERMIT TOWN OF QUEENSBURY No. 88-222 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Hiland Park Corp N Lot #7 Masters Common South I OWNER of property located at Street, Road or Ave. 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. r• 1. OWNER'S Address is RD 5 Box 481 Glens Falls, N.Y. 12801 n 2. CONTRACTOR or BUILDER'S Name Same 0 n b 3. CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name 0 rt 5. ARCHITECT'S Address w cn rt ro ri 6. TYPE of Construction— (Please indicate by X) m fx) Wood Frame ( ) Masonry ( ) Steel ( ) 0 7. PLANS and Specifications O No. 48' x 72' as per plot plan, specifications and application including attached 3 car garage. 8. Proposed Use One Family Dwelling 0 ro $5.00 C/O ny 246.00 December 1, 88 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 r (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.) Cr) Dated at the Town of Queensbury this 13th Day of May 19 88 fD SIGNED BY for the Town of Queensbury on Building and Zoning Inspector /ti(p t TO BE COMPLETED BY BLDG. DEPT. �] Application No. ' _/own of Queenitur1 Permit Issued 19 I BUILDING and ZONING DEPARTMENT TOWN Permit Expires 19 P Bay �_ ,and Haviland Road, R.D. 1 Box 98 Zoning Designation }f7(J� [d I �'1' _,; I Queensbury, New York 12801 Variance No. `-' 11 II /` Site Plan Review No. ADp 2 7 198p �i Approved by: er /fir n o ALF IBUILDING & CODE DEPT, 1 APPLICATION FOR 0 _ I� BUILDING AND ZONING PERMIT ..! •• �O ,� 3da4,-4 . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ::.* 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: 1V//g/1+D /,�'� V a P.O. Address /s'� t5 2X 07. 6,f*S / J/s /V Tel.<�3_c,2OOO Property Location: J,p }" L 7 Tax/Map No. / / Street number or building lot number ( �,/ • Subdivision name (if applicable) //1g y—,E,QS l/G,4, /J1 0/'L/ V o t/ �/ THE PERSON RES ONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: .P/i,P'/ 6RO & ,Alt 4 - Q.1&fir' //! Z w' 19/41/1 9 r3 - 2c c c Name P.O. Address Tel. No. Name of buil a ress ////re1• 79�' o? '"° Name of plumber �f'/j9/y1 E Address ,. Tel. Name of mason(z2v/ #C0�/yQ� 7e S,Address Cj4J S J,¢,//S „er Tel. 1 y,3 — 9e 7 3 NATURE OF PROPOSED WORK: * ZONING INFORMATION: V/Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, _Addition to a building * drawn reasonably to scale and attached hereto, • Alteration to a building * showing clearly and distinctly all buildings, _ (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) * set-back dimensions from property lines. Give * street and number or lot number and indicate *FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration • * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property /fa ft x1 O ft. * Existing building(s) Size _ ft X -- ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure 0ft X��ft * Foundation-pier(slab)brawl/partial OD * Proposed building, distance from property line (circle one) * ` * Front yard / ft Rear yard 0 ft No. of stories (habitable space) �L * Side yards del ft and �(;� ft Height (grade to ridge) .�' _ ft. * If on corner, setback from side street ft - If residential, no. of families / No. of rooms(excluding baths) — ,�,�,Y* OCCUPANCY INFORMATION No. of bedrooms * No. of bathrooms a * PRIMARY BUILDING - Primary heating system 6s4., „j�-/},,p * X One family dwelling Type of fuel /1,47EE, / 0 /9.s �` * Two family dwelling No. of fireplaces to be installed .� * Multiple dwelling / Number of units * Permanent occupancy wi 11 a wood stove he installed? 12./.19 .< BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. (,,��cv v Ede4-/1? Will any second-hand or ungraded lumber be used? If so, for what? A/Q ii Foundation wall material ANKR4I? /�vi,eck�0-Cf. Thickness � Depth of foundation below grade (to bottom of footing) Will there be a cellar? W. 5 Heated or unheated? c 4/' Floor sq. footage /'7 ei) sq ft Will there be a basement? Will any portion be used as living space? 4' (If so, what portion? sq.ft. - - Type of use? 1 Type of roof - sloped flat/shed/other Material. of roof �ts4J, /)" �f'4/ '6/- Size, wood studs "X ,LPL " spacing J , "o.c. length 9 ft. Joists(floor beams) 1st. floor ,2 "X/p " spacing / "o.c. span /0 ft. Joists (floor beams) 2nd. floor "X /© " spacing /e, "o.c. span /4Jt. Overlays(ceiling beams) "X " spacing/I, "o.c. span ��., ft. � Roof rafters , "X " spacing /; o.c. span is ft. Roof trusses(pre-engineered) spacing "o.c. span — ft. Exterior wall finish 5 / le/ Of what material? 6 fA 1� �j,/71-R Interior wall finish may,j- -- 244,),59,71 tiJ,4 bIf a garage is to be at chug, describterials to be used for FIRE SEPARATION: &/" f--/ / Cc) t, fI�f�,�ccc A Is there to be an opening between garage and dwelling? VI_S If so will a Fire-rated door, enclosure, and self-closing device be provided? "1 ; ,S Will a flue-lined chimney be installed? ,6 S Heightve roof ft. Depth of chimney foundation below grade '/Oft. n1 4S c nk` C4 De pth of fireplace hearth ft. in. � ,/ /l Water supply - Municipal or private well /rite�/ c SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties/2cC7 ft. (A separate application is necessary for any repair or new installation of septic system) 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. SWORN TO BEFORE ME THIS Signature___`" ,,, , owner's agent,arcnitect,contractor day of (jJ 19 n SANDRA K C EL r�,, v �'�_� Notary Public,State of New York /\ I Warren County,No.490917 36 Notary Public, Warre County, N.Y.COmm.Expires on Oct. 19,19 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: 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 c3lQ� 2 . Type of heat 1 3 . Is the building mechanically cooled? 4 . Percentage of area of windows and doors �<2 ..e71-•e? ,tr., L 724 A. Over 16% Only 1 . U value of gross area of walls , roof/cei ng 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 floors exposed to ambient conditions_ 2 . R value of exterior walls 3 . R value of glazed area 4 . R value of doors 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 0 . 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 4JI h _ R value of duet in other areas l� \ . No / / k.6 6 �, • 3�d _ / 3r6 °o ` ` �,,—\ .. / ti a / �' 3/� iX‘ \ / \o / a� • \ • \ I < \ \ z - • • \ �, / '+ o" o' \ / }1 rri Ai S u 1 / .11. / A+ • • '''‘) \ ,7 ,,.. , ‘‘., , . ,. . „ _� 3 . ' - ,..„ ._ rt., 3� u55.;� - 1 / / / N `r tit/ " y 3ro \ \ 0 • ` "1_ f? • 1 4/ ' . -- $01 - ' / . 1:i \ — N a , ,, . . • . , 0. , . ., „,,, , . o', c4 �.\ I \ v / r \ o % til>/ '' 57/ /�ti ` ! ��' �( r _ .-- _. . 1 / O_ C - -/ � _ tr./ ,�, P / � 4 v TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /O NAME LOCATION DATE /Q- 3/ PERMIT # U0 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL _ ROUGH PLUMB G _ FRAMING ELECTRICAL R0, 11111 INSULATION: FOUNDATION FLOORS T _ WALLS cEILING (-FINAL INSPECTION: CHIMNEY HEIGHT _ ROOFING SIDING EXTERNAL PORCHESe'.TEP" 10 ` STAIRS-CLEARANC41 & RAI►:' PLUMBING FIXTU'! S/RELIE ' � � INTERIOR TRIM/;'RIVACY Doi ' FINISHED FLOO S ��� GARAGE FIREP IFING DOOR CLOSER(S.) -_ SMOK E DETEC ORS101111',' FINAL ELECTR ' AL INSPECTION Ora FINAL APPROV L OF CONSTRUCTION ' WSW it BE A SIGNED CERTIATE BUI�DINGF CDEPAM MENTMUSTBEFORE OBTAINED FROM THE THESE PREMISES ARE OCCUPIED! REMARKS: C/O INSPECTOR _awn of Queeniturcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /X/ 7 ; LOCATION � /2,e Date yc.27 / �a Permit No. ��j ' (,7* * * * * * * * * * * * * * * * * * * * * * * 00/ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing X Roofing Siding Masonry Veneer kRough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproof in• Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICA INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- B'"n S7uat uv to c� I-- ray) Bui din Inspector S/86 and-vl 113�� c� i{!7 Jown of Queenibury / BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME J ,L / ra LOCAT I ON ~ /17. d ,s Date gr Permit No. 61,agg- APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing kfill `/ 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. Fireproofi g Door Closers Smoke Detector% Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECT ' CAL INSPECTION DRIVEWAY AP"OVAL Final Buildi g Survey Next scheduled inspection (call when ready) Remarks- _ B it g I pector 6/86 and-vl Y/ M c� / _town of ?aeen3hur y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 924,9A/c) pi R IC, LOCATION (C7_ 7 i / s Date�4 /rr8 Permit No. W'',Z1� * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES ,/ NO ,toting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Vene= Rough Plumbin• 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- B 1 in Inspector o and-vl INFORMATION FOR BUILDING DEPARTMENT WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION FILED WITH OUR DISTRICT OFFICE. THE NEW YORK BOARD OF FIRE UNDERWRITERS APPLICATION NO._614 I L C I DA" SP . OR , FORM IRU iRE\. Ir86) ELECTRICAL INSPECTOR ATTACH TO SERVICE EQUIPMENT ONLY •--vie Ads , + « 1`iT^"Rs...aD7��r-;�v.y.. .ep�acgF:i r<!Ij ilrjfi,!'s�'Y+A� ,j•a'k 4nc .. on--.w^-"--++•r •+ -^ . ,. . -. ..,• .�.t., ,� v+ � CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 31 19 _81 This is to certify that work requested to be done as shown by Permit No. 88-222 has been completed. This structure may be occupied as a One Family Dwellins; LuC if/ Laster Corsmwns South Location Owner Hiland Park Corp. By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector