85-742 C/O Paid
CERTIFICATE OF OCCUPANCY
_ TOWN OF QUEENSBURY
WARREN COUNTY, VIEW YORK
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 85-742
has been completed.
This structure may be occupied as a Addition to professional office
Location 356 Ridge Street
Owner Dr. Alfred Willett
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING, GLENS FALLS, N Y 12801 15181793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY No. 85-742
WARREN COUNTY, NEW YORK
Dr. Alfred Willett is hereby granted to f y
rn
356 Ridge Street
OWNER of property located at Street, Road or Ave.
Addition to professional office
in the Town of Queensbury,To-Construct or place a
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. rt.
rt
1. OWNER'S Address is 356 Ridge Road
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Robert Borgersen
3. CONTRACTOR or BUILDER'S Address
15 King Road r„
Saratoga Springs, New York K
4. ARCHITECT'S Name
rt
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
26'x26' per plot plan, specifications and application submitted.
No.
a
N.
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8. Proposed Use o
Professional Office
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0
$5.00 C/O Paid
$ 40.00 PERMIT FEE PAID—THIS PERMIT EXPIR •S July 1 19 86
(If a longer period is required an application for an extension must be m de to the Building and Zoning inspector of the
town of Queensbury before the expiration date.) o
19th December 85
Dated at the Town of Queensbury this Day of 19
rr,
SIGNED BY ‘79G Cam, „airyfor the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY Y-
(Space inside block to be tilled in by
WARREN COUNTY, NEW YORK Building inspector)
Application for .\pplication No.
Permit Issued. _19
BUILDING AND ZONING PERMIT 1'(.t l„it I.:xpires. /Th 1(7
%oninL District �1
\ alai• '.I \V ,rl. ,� 1/
One copy of a PLOT PLAN, Drawn to scale \11't'"c'cl h
showing the actual dimensions of the lot to be built It,,m.,rKS'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
I .
S- 0- ' TC_."-N OF OUEENSBURY
• d1'._:.-.. ----- DATE E! j ire 1�1! 1; 1.1 1�t E El)
t, ; lI ti
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK iiUU
ANSWER ALL OF THE FOLLOWING. 046 I 7 I b
The undersigned hereby applies for a permit to do the following', work f.)M. "t!r 50- fche410P.It1l.
which will be done in accordance with the description, plans and specifi- 7i819,1 , .11z3.) 19
cations, and such special conditions as may be indicated on the permit. i a heiCL-OZ7d-if)
The Kner of jhisyroperty is:
(NA 4E) IP O ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zonin Ordinance apply is:
V,
(NAME) IP O ADORES
Name of Builder. Address
Name of Plumber. . •.. .1 '.* er _ .`. . .Address -3 ' l t- 1 �
Name of Mason Address . . .
Lot Number Unit Estimated value of proposed work S aa(( d/04a
Name of Village . . . .q,44 -: vi,� n
Name of Street 3 3-6 Sit � � ?e Side of street: north 0, east 0, south 0. west gr
Nearest Cross Street : . `'A- Distance from this gross street Eye Ft.
Property is north ❑,south [a',east i i, west ❑from Cross Street '
If on Corner,which corner, northeast ❑, northwest 0, southeast D. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK I OCCUPANCY
❑ Construction of a new building. Main Building
W Addition to a building. One-family dwelling ❑
❑ Alteration to a building. TwCo-family dwelling ❑
❑ Demolition of a building. . p. .-family apartment house ❑
Store building ❑
. _ . .-c att ched garage ❑
Other:
Accessory Building
One-car��� detached garage ❑
0 Other work. Describe• Tx+o 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, site and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
' •,_,. huilding(s) in solid line.
Size of property . . . .czar ft. x . . Ls. .6. • • . . ft.
1
` y Size and use of existing build4ngs, if any . A 049 . . • .
W Size9"
e m of proposed building . . .�.,� ft.x .�,.�'. • • • • ft.
Height(from grade to ridge) / ft.
Front yard . . . . it t4 ft.
Side yards
-37-°• ftl. and I0 ft.
Rear yard 8'7 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.
\< t (OVER)
i
(coned.)
BUILDING SPECIFICATIONS., �l
Kind of construction: Wood frame, fire safe, etc.?. . • °' :-A-.?. • . • • • • • • • • • • • • • . . • • • • • • • • • • • • • • • . • • • •
Will any second-hand lumber be used? itlk,a If so, for what
Material of foundation walls L •.J Thickness
Depth of foundation walls below grade . . . tit
Continuous foundation? .
Will there be a cellar? I If so, material of cellar floor
Type of roof: Sloped or flat? . . . . . . . . Material of roof .. . . . . . . . . .' .
Size, wood studs Z. 1 � x ��",spacing /4' "o.c.,length Y • ft.
Size, floor beams, 1st floor "x . . r 0 ", spacing "o.c., span . . . !. .'. . . ft.
Size, floor beams, 2nd floor "x ", spacing "o.c., span ft.
Size, ceiling beams , " x G ", spacing Art d r "o.c., span . ... . . . . . . ... ft.
Siie, roof rafters or beams � "" x L. ", spacing o4 "o.c.,span < 3 ft.
Exterior finish . . . .tf.r. .u .¢ . • ..4A.rra.°a'I With what material?
Finish of interior walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . .
If garage is to be attached, of what materia is wall between garage and main building to be constructed?
Is there to be an opening between gar ge and building?
Kind of heating system . . /+ Oil burner or coal?,..A---
Will a flue-lined chimney 1+ provided? Depth of chimney foundation below grade
Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .
Will there be a fireplace? . Depth of fireplace hearth
Will a toilet be installed? •
Will a kitchen sink be inst lled and connected to water supply?
Water supply (public wate supply or pump)
Distance of cesspool from ny private well feet
Will drainage system be f rovided with required traps, cleanouts, and vents?
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tt bra j of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.plete 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 proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner. h� Q ��p�fiert4-4-4- -----
OWNERSworn to before me this Signature f!.�f '°`' ".l...OWN AT,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
VA
By
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW PORK-
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work.
ANSWER ALL of the following:
1. Gross floor area (7‘ 44411-
2 . Type of heat ,
.144
3. Is the building mechanically cooled?
1_9-4-
4. Percentage of area of windows and doors /0
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 isulated? YES NO
1. If YES, what is th R value?
3. Slab on grade YES NO
a. If YES, what is the R value of insulation around
perimeter of floor? K
4. Is basement heated? YES NO
a. R value of insulation
5. Type of insulation
41;10 Under 16% Only
1. R value of roof and floors exposed to ambient conditions
I
2 . R value of exterior walls /3
3 . R value of glazed area I �<
4 . R value of doors /3
•
5. R value of floors over unhated
----__
d 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 1.e)►•q Iiz,ys Ion,r15
C. Controls J #75
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 J,
1. Size of hot water or cooling carrying agent pipe /
2 . R value of pipe insulation j
F. Service Water Heating
1 . Performance efficiency_
2. Temperature control setting maximum
G. For Swimming Pool Only.
1 . Maximum heating
Telephone No. c if N
(applican 's signature)
N. �
'�f
TOWN OF QUEENSBURY
Building Department
InsPea' Report__/
Loco.'
Permit No.
Remarks
Excaitation
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