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1986-489 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-489 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Maurice Lebowitz OWNER of property located at 6 Main St. Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to comm. bldg. 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. H. 1. OWNER'S Address is P. 0. Box 2016 Glens Falls, New York N• rt 2. CONTRACTOR or BUILDER'S Name Alvin Williams 3. CONTRACTOR or BUILDER'S Address South Glens Falls, NY rn z 4. ARCHITECT'S Name H. cn rt 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( ) Masonry ( )Steel ( 1 a. a 7. PLANS and Specifications N• rt N• No. 10'xl0' per plot, specifications and application submitted. 0 rt 0 8. Proposed Use ICommercial Building (addition) $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 87 Q. (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the a town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 14th Day of August ig 86 SIGNED BY for the Town of Queensbury Building and Zoning Inspector To' BE COMPLETED BY BLDG. DEPT. / Application No. orv®l of Queeni ur. Permit :Issued 19 BUILDING and ZONING DEPARTMENT \, Permit Expires 19 TOWN OF QUEENSBURY Bay and Haviland Road, R.D. 1 Box.98 'Zoning Designation ) LE G (� EI VtL��, I] Queensbury, New York-12801 Vail nct No. — y L�� Site lap Review No. AUG 1 1986 Appro ed \ , A.M. . 0°° RM APPLICATION FOR .',':; • J ` 7I I9)1,° M11:5l6 BUILDING AND ZONING PERMIT . * * * * * * * * * * * * * * * * * * * * * * * •*, * * * * * * * * .*. * * * * * :.•* —' 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, puns and specifications submitted, and such special conditions as may be indicated on the Permit. a The owner of this property is c //?u u e /e/o t,,, / / Z P.O. Address e6 /J6/ c` / ( (..;~ /e fu3 I-ti //s N y Io_, i7/ Tel. .?Io? • c-k, Property Location: 0 /-9 i'rU 5'± 6?/r rvs F //S iU V I a kG/ Tax Map No. /..:// / / /4, Street number or building lot number /3/ - / - jS Subdivision name (if applicable) . THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: ` /vl a-�'-r•G� A e 60 w I 2 Ro i5, a0/L (9 (e(US F-a//s NY( ,74q 7 a-ska 6 Name P.O. Address Tel. No. Name of builder 4Lv/N GUIL4b1j0 Address $. t;/eKS///c Tel. Name of plumber / Address Tel. • Name of mason pe.14 •,Q0Ze// Address `i,62,1/77- / 7 Tel.. NATURE OF PROPOSED WORK: * ZONING INFORMATION: 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 andl.indicate all Other work (describe) * set-backdimensions 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. a /c.)4-s • * Size of property j/S ft X AZ)' ft. * Existing building(s) Size 36 ft X 3.0: ft. * PROPOSED BUILDING AND USE: * Existingbuilding(s) Use p g Qrc;` t,cNi 1DA rT1-- Size of new structure 10 ft X /O ft Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) *• Front \yard ft Rear yard 75- ft No. of stories (habitable space) * Side yards '• 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) * OCCUPANCY INFORMATION No: of bedrooms *• PRIMARY BUILDING - No. of bathrooms * One family dwelling —Primary heating system e/ecL,'G * Two family dwelling Type of fuel - " . No. of fireplaces to-be installed Q * Multiple dwelling / Number of units Will a wood stove be installed? /v U * Permanent occupancy Central Air conditioning? /v p * ,Transient occupancy *'_Y( business BUILDING STYLE, PRIMARY STRUCTURE z Industrial Other Ranch Contemporary Log cabin _% If addition, what: will use be? Raised ranch Mansion Duplex Split level Old style Bnu aloes * Cape Cod Cottage Oth ) q6 ,-a,1 e * ACCESSORY BUILDING- . - Colonial Row Town IIo se * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car . * * * * * * * * * * * * * * * * * * • Private storage building • ESTIMATED MARKET VALUE OF *'TOther CONSTRUCTION $-.1• * — INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/B6 and-vl TO use g0 //t/G s j�7.___ BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of constructi.on;Fod frame,• fire safe,etc. • Will. any second-hand or ungraded lumber be used? If so, for what? V6 Foundation wall material ' _ r Thickness 13 ''X/(o FTG. -- Depth of foundation below grade to bottom of footing) AJ, /vY Will there be a cellar?"40 Heated or unheated?' Floor sq. footage sq ft Will there be a basement? /v6 Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - slope )flat/shed/other Material. of roof /1-e / *- q, Size, wood studs"'; "X, " spacing /4 "o.c. length ;X ft. Joists(floor beams) 1st. floor "X L. " spacing 11, "o.c. span /e) ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) .L "X / " spacing / , "o.c. span /D ft. Roof rafters "X 1 " spacing A(, o.c. span /4/ ft. Roof, trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish'? -7/ /—ij Of what material? r/y ti,Ggd Interior wall finish -V " s Lee—frock • If a garage is to be attached, describe materials to be used for FIRE SEPARATION: • IZ`t3 -0/3P• jC I _ Is there to an opening between garage and dwelling? )If so will a Fire-rated door, enclosure, and self-closing device be/provided? Will a flue-lined chimney be installed? NA_ Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well well SEPTIC SYSTEM Distance from ANY private well(including adjoining properties 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 Warr„pn 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 ilertaining to the proposed work shall be complied with, whether specified or. not, and that such work is authorized by the owner. Ij SWORN TO BEFORE ME THIS Signatur ftner owner's - ent arcnitect,contractor day of ,G�•C.(�ji 19� — Notary Public, Warren County, N.Y. • * * * * * * * * * * * * * * * *: * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF ,THE PERMIT: • • • By . 62A443 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 /00 2 . Type of heat ;%-; /r/G 3 . Is the building mechanically cooled? N6 4 . Percentage of area of windows and doors g 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 A B. Under 16% Only 1. irR v lue of roof and floors exposed to ambient conditions Z �. Igo /Z./7 I 2 . R value of exterior walls e // 3 . R value of glazed area NONC / • 4 . R value of doors A/o ex --, e,ri o r d:o-0rC • ;- 5 . R value of floors over unheated spaces n-/f 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) /064/C. - 9 . R value of heated basement/cellar walls (below grade) /Vona 10. Type of insulation C. Controls 1 . Thermostat maximum heat setting `76 0 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 4)ey joes 2 . R value of pipe insulation F. Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maxima G. For Swimming Pool Only 1 . Maximum heating Telephone No. 79'a- seal ���� CAL •� r(a�pplicant ' s sAgnat.ure) Jown of Queeniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT id NAME P ` n LOCATION c • /4---,- Date 9� / Permit No. ; , g f * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YE,✓/ NO looting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing \1 Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings /\ Cellar Drain Tile / Concrete Floors / Plbg. Fixtures Gar. Fireproofing / Door Closers J Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - A, Bu. irTg spector i 6/86 and-vl