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88-013 BUILDING PERMIT H TOWN OF QUEENSBURY No. 88-13 ro WARREN COUNTY, NEW YORK o William & Lorraine Keis PERMISSION is hereby granted to OWNER of property located at Lot 29 Cleverdale Rd. (also of 28) Street, Road or Ave. i"' U, in the Town of Queensbury,To Construct or place a addition to one family (2nd story) 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. 1. OWNER'S Address is William & Lorraine Keis w 3 Northeast Lane Ballston Lake, N.Y. 12019 0 2. CONTRACTOR or BUILDERS Name R. John McBain 0 1-t n 3. CONTRACTOR or BUILDER'S Address 1007 24th St. Watervliet, N.Y. r• Cl) 4. ARCHITECT'S Name 5. ARCHITECT'S Address 0 0 rt N 6. TYPE of Construction—(Please indicate by X) F ' C co (x)Wood Frame ( 1 Masonry ( 1 Steel ( ) n 7. PLANS and Specifications No. 2nd story addition to remainder of house (see Bldg. Permit #87-737 a as per specifications and application. 8. Proposed Use Addition to 2nd story a, a rt w $ 20.00 PERMIT FEE PAID—THIS PERMIT EXPIRES August 1, 19 88 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt town of Queensbury before the expiration date.) 0 0 Dated at the Town of Queensbury this 20th Day of January 19 88 m r+, SIGNED BY V /Z6L GC' p�i1c� for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENS:URY TO BE COMPLETED BY BLDG. DEPT. n // Application No. _/own of Queensbury Permit Issued 19 �� ✓ BUILDING and ZONING DEPARTMENT Permit Expires 19 JAN 2.01988 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Varianc- , •. BUILDING 8c CODE DEPT. Site P an Re iew No. pl Appraisal., , Aral 6 �O�v 3 � APPLICATION FOR .�'i_'..�PUILDING AND ZONING. PERMIT / ?= ?3 st4 PQ-trz 'r- 7 . * * * *. * * . * * * *. * * * * * * * . * * * * * * * * •* *. * * * * * * * * 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: . 1i//j&ry, i�C Y r�i „� e kP/S P.O. Address 3 �c r i�,�rl PCs / /'ice`s/o)-7 L G�P �_:/- Tel. y 7 7- .5 y/c- Property Location: 4 2 9 vi ;51, /a/, i i,C o f .7 `(�/�ve -ci 4• Tax Map No. / / Street number or building lot number Subdivision name (if applicable) THEE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: K `7�� h Mci3o r� 00—) - .) (172-134- Goo rPrv�ir7L, y /�/�l ( )5/� ;) 73 %6 77 Name P.O. Address Tel. No. Name of builder 3401 Address Tel. Name of plumber Address Tel. Name of mason Address 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 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 ft X CD ft. * Existing building(s) Size 3� ft X— 3 ,7—ft. PROPOSED BUILDING AND USE: * Existing building(s) Use ;S"U ,,y, y,,,p horn-� Size of new structure ft X ft * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * Rear and /�-t- ft No. of stories (habitable space) * Front yard ;1j� , ft y Height (grade to ridge) ft. * Side yards J',y, ,3 , ft and ft If residential, no. of families * If on corner, setback from side street — ft No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms No. of bathrooms *• PRIMARY BUILDING - Primary heating system * One family dwelling Type of fuel * Two family dwelling No. of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy * )C Transient occupancy Central Air conditioning? • Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial * " Ranch Contemporary Log cabin Other addition, what will use be? * Raised ranch Mansion Duplex . . . . . . . . Split level Old style Bungalow Cape Cod_.) Cottage Other * ACCESSORY BUILDING- • Colonial Row Town House * Detached garage/one car/ .two car/ car ( CIRCLE ONE PLEASE ) * ' Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF *' Other CONSTRUCTION INFORMATION ON BUILDING .SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form !PA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, od fram , fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? ACJ O Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living, space? (If so, what por • sq.ft. - - Type of use? Type of roof - sloped flat/shed/other Material of roof I,/,r,/GtssA• Size, wood stu "X'— " spacing "o.c. length ft. Joists(floor beams) 1st. floor "X " spacing "o.c. span ftQ • Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft! ��2��A``�t °S Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing , "o.c. span •2'7 ft. Exterior wall finish Sidiol ._ v"i// ) Of what material? Interior wall finish If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be 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? Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private 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 County of Warren AFFIDAVIT STATE OF NEW YORK 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 _r %/i2 Owner,'-owner's agent,arcnitect,contractor day of 19 Notary Public, Warren County, N.Y. • * * * * * * * * * * * * *' * * * * .* * * * * * * * * * •* * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • k5 T & M.lT lS 11- T-RATA Wfl By 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 follo 1 . Gross floor area E. P.* r 3 2 . Type of heat 3 . Is the building mechanically cooled? 4 . Percentage of area of windows and doors 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 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 S . 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 b. R value of duct in other areas E . Piping Insulation 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. (applicant ' s signature) _/own of çuenjur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 5 LOCATION C[. IC Date 3/3/Iar Permit No. �� �' / 3 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill )(Framing Roofing Siding Masonry V- eer )(Rough Plumb .ng (� Relief Valve- Ext. Porches Finished Floor. Interior Trim Stairs & Railing . Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRI•AL INSPECTION`. DRIVEWAY APPR ,VAL Final Buildin: Survey Next schedule. inspection (call when re�© ` Remarks- 1.�av�-ri�/G `f5'r M 04if rid p (< ©2 6e/0/1/, 1-- J(4 g- Building Inspector 6/86 and-vl 24'-pLI w r 12 4 ASS®2, ,, II O pc ` ASPHALT SHINGLES �� I/2"PLYWOOD SHEATING BEDROOM BEDROOM 2-2„x6°TOP PLATE j o f i 1/2" GYPSUM BOARD 6 METAL DRIP EDGE KRAFT INSULATION ALUM. FACIA I"x3" FURRING STRIP 2"x8"SUB FACIA VENTED ALUM. SOFFIT Second Floor of 3 1/2"KRAFT INS. cti r - BATH BEDROOM 3-2"x4" PLATE A BASEBOARD TRIM i/2" CDX SHEATING A " CARPET DOUBLE 4 VINYL SIDING 1/2"FINISHED FLOOR BUILDING PAPER 3/4"TOUNGE 8GROOVE SUBFLOOR t/2"GYPSUM BOARD , rr a. STAIRS r MASTER BEDROOM SECTION A-A SCALE: I I,—p AP ROVED j i I, TOWN OF QUEENS3UR`,, SECOND FLOOR PLAN ZONthG i BlOG CO OEPT. T (� Of OWM SCALE: 1/4 �I O /3 UEENSBURY Title` PROPOSED ADDITION TO HOME OF - JAN 20 1988 William (5 Lorraine Kels BUILDING & CODE DEPT. TOWN OF QUEENSBURY COUNTY OF WARREN,N.Y. j McBoin Contracting Company, Inc/General Droving Dra" By Scole Apprwud By: Dote Signature OF I Jim bnggs As Shown