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85-742
C/O Paid CERTIFICATE OF OCCUPANCY CCUPANCY . TOWN OF QUEENSBURY WARREN COUNTY, NEW 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 1518 793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 85_742 WARREN COUNTY, NEW YORK • Dr. Alfred Willett PERMISSION is hereby granted to p 356 Ridge Street �I OWNER of property located at Street, Road or Ave. in the Town of Queensbury,To-Construct or place a Addition to professional office at the above location in accordance to application together with p?ot plans and other information hereto filed and rD approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. III 1. OWNER'S Address is 356 Ridge Road Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Robert Borgersen f, r• 3. CONTRACTOR or BUILDER'S Address CM? 'I 15 King Road cr Saratoga Springs, New York nl mi m� 4. ARCHITECT'S Name rti 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. al p.I N•i rtl 8. Proposed Use N•'I 0 Professional Office �! rt 0II bl $5.00 C/O Paid of $ 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 j town of Queensbury before the expiration date.) o il 0 19th December 85 ~' Dated at the Town of Queensbury this Day of 19 0 SIGNED BY 7 rl a, z i E for the Town of Queensbury Building and Zoning Inspector , CD - TOWN OF QUEENSBURY -, (Space inside block to he tilled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. . l'crmit Issued 19 BUILDING AND ZONING PERMIT pc. ►...pires. ., 17 7oill District Jr 1 \ aliie o1 Work% lit _� One copy of a PLOT PLAN, Drawn to scale \l'l'o''c•d b showing the actual dimensions of the lot to be built lt.,in,tr)5 upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. ci _ s` l . D &5 13 i(f �Tr.?,N OF U E SE R 3-__X_.. -4----- . / DATE 1 ' Wil rg ici .4;; ft ' ryw 16 �lr q1` k-n A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 9{�{ ANSWER ALL OF THE FOLLOWING. -O6 17 Itibb The undersigned hereby applies for a permit to do the following work A.M. if 5g f+tigNOP.M. which will be done in accordance with the description, plans and secifi- 7183911,0 -i-ll-` Z ` MI9 cations, and such special conditions as may be indicated on the permit. a'a/ Lc>dd-0 The ner of this property is: � r� �I'.j . . . p-ll, i iv i '. :I.--v;? . .V10 t t 1.llll5 b . . :. • (NAME) ' (P O ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zonin Ordinance apply is: p /6H`� /t , /t? (NAME) 4 IP O ADDRES. Name of Builder. /1-64(41- Address Name of Plumber. . . . .-4^- 7. '#iir `. . .Add Tie ss -3 e / 4_, - - —.--F - Name of Mason f Address . . . . Lot Number Unit Estimated value of proposed work$ '( d/ 044' Name of Village . . . .' • �+:%: Name of Street 3 6 R;ie € Side of street: north 0, east 0, south 0. west fgf Nearest Cross Street : . � ~--- Distance from this -.ross street ./` 0 Ft. Property is north ❑,south t1",east i 1, west 0 from Cross Street - If on Corner, which corner, northeast D, northwest ❑, southeast U. southwest (Designate by marking with an "X" it the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ❑ Construction of a new building. Main Building IX Addition to a building. One-family dwelling ❑ ❑ Alteration to a building. Two-family dwelling 0 ❑ Demolition of a building. • • -family apartment house ❑ Store building ❑ . . .!. . . .-c att ched garage ❑ Other: Accessory Building Once-car detached garage ❑ ❑ Other work. Describe Two car detached garage • CI 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, size and setbacks of pro- NORTH posed buildings,and the location of all existing buildings. Show proposed building(s) in dotted line and existing 4•,,,..4-4-k huilding(s) in solid line. Size of property . . . . a, . . . . ., ft. x . . 1�..6. . . . . ft. i Siz' and use of existing b9uiillld�m_g,�s, if any . sg'.f.�k' d.`. . . M Siz W use of proposed building . • ft.x G ft. titilek Height (from grade to ridge) /9' ft. Front yard . . . . tf4 l ft. Side yards `37`- • • 1. and 90-0 ft. Rear yard . . . r e7 ft. e SOUTH If on corner,setback from side street ft. Note: All distances are net, as measured from street side 'k`ii line to nearest part of building. U (OVER) 11 / I (coned.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . ..^. . . •- °"�. . . . . . • • • . . . . . . . . . . . . . . . . . . . . . . . . • • • • • Will any second-hand lumber be used? ... ... • • • • • • • • - If so, for what? Material of foundation walls -,A.t.r4. . 1- Thickness r v Depth of foundation walls below grade ¢1i- 4 Continuous foundation? Will there be a cellar? .,vim- If so, material of cellar floor Type of roof: Sloped or flat? Material of roof -e_ . .-el Size, wood studs Z. 1 "x ", spacing . . . ..6. . . . . . . . ."o.c., length Y • ft. Size, floor beams, 1st floor ` , " x . . . r 0 ", spacing i er "o.c.,span . . . d, . . . . . . . . ft. Size, floor beams, 2nd floor " x ", spacing "o.c., span ft. Size, ceiling beams " x ` ", spacing /( `r "o.c., span . . !. . . . . . . ... ft. ' x . ", spacing .�6 "o.c., span / 3 ft. Size, roof rafters or beams 4 i, e c .. Exterior finish . . . .0-. . . '"'t-!" .. ��--% With what material? Finish of interior walls ` If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an opening between garage and building? Kind of heating system . . irAZ• Oil burner or coal? /.-1-- Will a flue-lined chimney b1e provided? . Depth of chimney foundation below grade Height of chimney above roof Will there be a fireplace? 1 Depth of fireplace hearth Will a toilet be installed?. Will a kitchen sink be inst fled and connected to water supply? Water supply (public wate supply or pump) Distance of cesspool from ny private well feet Will drainage system be rovided with required traps, cleanouts, and vents? AFFIDAVIT Town of Queensbury County of Warren State of New York I swear that to tt Aj iof my know,ledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.,.�fete 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. Sworn to before me this Signature OWNER.OWN R'S A ENT.ARCHITECT,CONTRACTOR day of 19 NOTARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: s. By 4 4 b a TOWN OF QUEENSDURY WARREN COUNTY, NEW YORK Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK • STATE ENERGY CONSERv TION CODE A permit must be obt6ined before beginning work. ANSWER ALL of the following: 1. Gross floor area (71 4„J,.-- e r 2 . Type of heat ,/,,AA, .fi� x !-f-W -.. 4-, 0 3. Is the building mechanically cooled? 7,4- 4. Percentage of area of windows and oors !d A. Over 16% Only 1 . Uo value of gross area of alls , 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 , 4 Under 16% Only 1. R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls /3 3 . R value of glazed area ,< ? - 4, R value of doors /3 �� 5. R value of floors over unh ated spaces_ . __� 1 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 rb.eirq tc�,93 ' ,tI5 C. Controls f! _� 1. Thermostat maximum heat setting 773 D. Duct Systems 1. Is duct system installed in unheated spaces? YES NO a. If YES , R value of ducd installation b. R value of duct in oth 'r areas E. Piping Insulation r ,, 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 Telephone No. c VI -2-6 b - (applican 's signature) • TOWN OF UEE URY - Building Department • Inspectors Report Date %9/ifg4, Name 1,k, /-LGe77- L.ocatmn3.5' W i:)_ .44:-. Permit No. g3"'-li'P2- Weather Remarks i Excajia tlon Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing �f1 • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board t Ext. Porches \ Finished Floor X Interior Trim Stairs & Railings / %; 1 Cellar Dr. Tile Concrete Floors c;, Plbg. Fixtures Gar. Fireproofing Door Closers , Chimney Water Meter Inst. Septic Approval • Floors Insulation Foundation Walls E Ceiling • ' ,- t , l • uilding I pecto. • REMARKS Wa A-19° /4-1--T1C (44/7-1 kr atribLit- E iO. moo " -X `F1". 2k‘7 Sj1 • . i G? 60 D0 _ G f `s . 7Gki it4fist,.— . F" 'pi Mtn Poof(14) 3 015 6°. .4J - 12e.I6G/ P6S"f'd/.1t., ...... ._ ..... .... ;` . ._ ...._ .,.,,. 6ff b 1n G115--- i,G,le(p,^ iNf ill , .�itso( tl 3 !I 1 G✓`4 L+. sp�cas v re wf % c `y .. .. /U 5 7Ffb�r- d! 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