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applicationsTOWN OF QUEENSBURY WARREN COUNTY,NEW YORK Appli BUILDING AND ZONING PERMIT {Space inside block to be filled in by Building Inspector) Application No. Permit Issueel ——_______-19 Permit Expires,—1. i at Work £ RemarksTHREE(3)Copies of » showing the actual dimen upon, The exact size,and lo ing to be erected or altered MUST BE SUB-taMITTED WITH THIS.APPLICATION, g =t y ie TOWN OF QUEENSBURY a Fels ) | Giuty 7,97|DECEIVE |‘A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK JUL 3.1 1984 |"ANSWER ALL OF THE FOLLOWING.EE 4 The undersigned hereby applies for a permit to do the following work TC ie Toe eee ees tee cttanes wile We dusieiplcs,plone aad specth-71819 }4oH12}12)3)41518 Tallon and such special conditions as may be indiceted on the permit. |eyavettaTEM”Citmacen +Pucice.aye,AtatacJrheBt .The responsibie for,supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:CMe,0:Praehen AE.ok a eeeinsides”10,NobHESS)’ Name of Builder..os Oe Pec edsantRathi\Name of Plumber.:‘Address Name of Mason...>F-L.....Address Lot Number...AZ.Unit ..Estimated value of proposed work$72,A-4.0-.0 Name of Village.7R+U2V.tg Bitttinaketegp.:Fee lena) Name ot Street -Lolucte,2bends,PActCw...Side of street:north CI,eat ©,south O.west fi Nearest Crom Street Aad:A0L::Reece...Distance from this cross street ....?.0-@ : Property isnorth C1,south C1,east 5%west Cfrom Cross Street If on Corner,which corner,northeast (1,northwest 1,southeast1.southwest (Designate by marking with an “Xin the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building.Main Building ‘Addition to a buildi One-family dwelling Alteration to a buitdit Two-family dwelling Demolition of a building.ae teil apartment house tore building -car attached garage cook Other::‘ Accessory Building, 3 One-car detached garage Other work.Describe:.....5-25.+<TebeP deed aries Private chicken house Private storage building. .Sie Other:....fe a > go0o00 : qo00K 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- cae posed buildings,and the location of all existing buildings. Tt Show proposed building(s)in dotted line and existing nan eas ‘huilding(s)in solid line. Size of property LZ 2.......fux AZZ...feee,iS Size and use of existing buildings:if any ils :£3: 1 —_——Height (from grade to ridge)... Front yard eeSideyards... lWxet_nx_Ra Rear yard ....... souTn Ifon corner,setback from side street - (over) 2-73-6. (cont'd.) BUILDING SPECIFICATIONS, Kind of construction:Wood frame,fire sale,ete...Atk,Adres ‘Will any second-hand lumber be used?,..-21<0...If so,for what?aieMaterialoffoundationwalls .... 40...<Bftred Thickness ..... Depth of foundation walls below grade C2”Continuous foundation?G42. Will there be a cellar?+.»If 0,material of cellar floor .p Type of roof:Sloped or flat?. 24 ¢-a.cd+....Material of roof fe Size,wood studs :“Petal:sees pacing coe aH ft Size,floor beams,Ist floor Ria’EAL.spacing ....42...:ft. Size,floor beams,2nd floor (Prge hh:4.0.ir A Ge..."08 Span ..ft Size,ceiling beams Puce"AH he Side,roof rafters or beams een 2.4 i Exterior finish.7k ‘With what material? Pople ot hoterion walls.2-1urPEce,If Eeeto be ee of what material is wall between garage and main baits to be constructed?Mtr ned? : Is there to be an opening Bigs end building Pac.. Kind of heating system Oi burner or coal? - Willa flue-lined chimney be provided?..2/o7......+Depth of chimney foundation below grade Height of chimney above r 3 Will there be a fireplace?Ors Depth of fireplace hearth ...../..- Will a toilet be installed?y Will a kitchen sink be installed and connected to watey supply?“Yer Water supply (public water supply or pump)ee : Distance of cesspool from any private well Will drainage system be provided with required traps,cleanouts,and vents? AFFIDAVIT 2 fesseRecent ee eigerseeetestatement ofINGGdTHeZONINGORDINANCE,EVER set petanig We ype wot a aeaeInetehrkeaebytowneweeee os Sor w belo me hi cm lear tak sec TOGoa NOTARY PUBLIC,WARREN COUNTY,N.Y. ‘SPECIAL CONDITIONS OF THE PERMIT: ee ee es| ||WARREN COUNTY,NEW YORK |j 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 followin: a Gross floor area,IDS. 2 type of heat,i LEcTuic .i. a Is the building mechanically fesiea?ee4Feldaegeofareaofwindowsanddoors‘alaA.)Over 16%Onl Ty U,value of gross area of walls,roof/ceiling and floorseXposedtoambientconditions |2,Floor ever heated spaces YES Noa.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 aroundperimeteroffloor?.ee4.Is basement heated?YES No :a.R value of insulation 5.Type of insulation.eeeeB.Under 168 Onl: TL]R value of roof and floors exposed to ambient conditions 21)R value of exterior walls.[2-19 3.)R value of glazed are a | 4.)R value of doors.Sis. 5.R value of floors over heated spaces 6 +R value of slab edge insulation -unheated slab 7,R value of slab insulation -heated slab ® |8.R value of heated ba ent/cellar walls (above grade)3_9.R value of heated basement/cellar walls (below race-10.Type of insulation Garorpan -Rrsnis Ronen. :fentrots .| +Thermostat maximum heat setting 202 D. Buct SystemsVi]Ts duct system installed in unheated spaces?Yrs |0 +If YES,R value of duct installation.»/e +R-value of duct in other area| | E.Piping InsulationSizeofhotwater or cooling carrying agent pipe R value of pipe insulationerviceWaterHeatin:a~|Performance efficiency.: 7 ee+,|Temperature control setting maximum,FoIs|or Swimming Pool Only 4*#2" +)Maximum heating gei)hl s eessti)Fe »aneHephong.Np.792-(acoi-*.,-tn datas Diahee, ,(applicant's signature)|+Vu Kit #13 Rane Wed Merny POW UF VUES BUIC BUILDING &ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION Reiner is nonce On OrCeepaaress/-2 Paah i)Lu ae A pace Telephone No. Pee Ue ADaesee|2.Property location Kat */2 Line Mbadkwe 3.Name of person or firm responsible for installing system )y¢s77 (+Asche ‘Telephone No.ale Sed dcr anstaSaeaeotteee 4.Number of bedrooms (residential buildings only). 5.Daily flow YO qallons/day 6.Septic tank capacity__/Any gallons 7.‘Topography:flat,rolling,steep %of slope 8.Nature of soil and depth_w/¢wdecp 9.If ground water,bedrock or impervious material is apparent at what depth does it begin?Ete 10.Percolation test:A is required B v7 ___is not required C If required what is the rate.minutes/inch ll.Water supply:municipal,well,other__/rwnes D 12.Type of system proposed:drywell,tile field,other.EL fardde (G0 FE) 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 applicationwillbesubjecttoapenaltyof$250 as provided for in Section 6.010 of the Queensbury Sanitary Sewage Ordinance. Date 277-7 Ce aera.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. Form 3-82