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90-089 TOWN OF QUEENSBURY REVIEWED BY q 'gi '`0 4111.11a11 FEE PAID $ ','y�t PERMIT NO. qD - f� ice ) MAR 28 1990 BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS ILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. • • • • • • • • • • • • • • M * • * • • • • • • • • • • • • • • s • • • • • * * * the owner of this property is: 1.-e/(/r4N 133arktra.. Sitnins '.O. Address Rd ! , Lox 119 f La to �� `"F` 12g0Tel. 6S ®?07Z roperty Location I`r t (A 'tS 12&-tr - Pwv:,tia — a 44I,&Map No. (5 / / ✓1 fas there been any split of this property since October 1, 1988? / Ale • f yes Planning Board Review is necessary. yes no UBDIVISION NAME, IF APPLICABLE LOT NO. 'HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: LEAFTOGA) Sims • fATURE OF PROPOSED WORK: ESI;MATED MARKET VALUE--OF • Construction of a new building . CONSTRUCTION $ DOD 4Addition to a building • COMPLETE INFORMATION-REQUIRED FLOW: • Size of property 4q($ ' ft x ft. Alteration to a building , * Existing Buildings(3) Size a 9 ft. x 3Z ft. (no change to exterior dimensions) • Proposed building - distance from property line: Other work (Describe) * Front yar 265- ft. Rear yard /00 / ft. • Side yards 7-3 ft. and 600 / ft. • If on corner, setback from side street N/A ft. ROSS AREA OF PROPOSED STRUCTURE • � � Lake Side 1st Floor © APO sq. ft. ' • OCCUPANCY INFORMATION • 2nd Floor link gg0 sq. ft. • Primary Building - Other Floors 11711" sq. ft. • _One Family Dwelling (not cellar or basement) • Two Family Dwelling OTAL FLOOR AREA 1� sq. ft. • Multiple Dwelling/Number of units Lze of new structure 2(7 ft x 37- ft. • Business oundation-pie slab/c /partial/ ullt ' Industrial circle one) • _Other • o. of storios Ih�!bitable space) • eight (grade to ridge) a2,3 ft. • If addition, what will use be! residential, no. of families, / • o. of rooms(excluding baths) 6, • Accessory Building o. of bedrooms Z- ' __Detached Garage ONE/TWO Car 'o. of bathrooms / • rimary heating system io lede arm � ct _Attached Garage ONE/TWO Car YPe of fuel 7 • _Private storage building o. of fireplaces to be installed /VG)N. • /�f0 • stove her 1 1'�2�v� rill a wood be installed r :antral Air conditioning %oo b.e G • ,OV• ER ` aua r` pray-Gfcc- BUILDING PERMIT APPI.IcATION CONTINUED - BUILDING ;PECIFICATIONS: Type of construction, wood frame, fire safe. etc. GI lrfrie� r1C� � t /6 iC Will any second-hand or upgraded lumber be used? If so, for what? Foundation wall material C.crwt,o_Attp_. ,a-a ., Thickness t /0 Depth of foundation below grrad (to bo t of footing) �Dl)`I(� - step �aohr oV�iv (tick/ 5 -. TO 3 ' Will there be a cellar? C'f '( "J/ Heated o -un ea ed?, Floor sq, footage - sq ft. c�`�'°'�I�°`"'tom•derr�rn. Will there be a basement? ra k �11 any portion be used as living space? t\fOAJE (If so, what portion? N sq ft. Type of use? N/A-- Type of roof - loped a /shed other Material of roof A pk.LQ..t Size, wood studs "x t{ " spacing /‘ " o.c. length 7('1ft. Joists (floor beams) 1st floor 2. "x ' " spacing 1(O "o.c. span / / ft. ,(Ax. Joist (floor beams) 2nd floor :Z. "x /0 " spacing /to "o.c. span /Z ft. wi. . Overlays (ceiling beams) 2.- "x C " spacing /G " o.c. span /o-s'ft. Roof rafters "x /0 " spacing /6 o.c. span /2 ft. . Roof trusses (pre-engineered) spacing " o.c. span — ft. / - Exterior wall finish %- /1/5jeliii? of what material? I (l j-///)Ott I Interior wall finish .P.Pf rock i kiLa te of If a garage is to be attached, describe materials to be used for FIE SEPARATION: /C//ff- Is there to be an opening between garage and dwelling? HA I- If so will a Fire-rated door, enclosure, self-closing device be provided? A Will a flue-lined chimney be installed? !v O Height above roof ft. Depth of chimney foundation below grade N/`4 ft. Depth of fireplace hearth Aiikft. in, / r Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well (including adjoining properties /2-0 4- ft. (A separate application is necessary for any repair or new installation of septic system) NAME OF BUILDER Lem Srrn• s ADDRESS TEL. NO. (3 -�o7Z NAME OF PLUMBER 1 t Scrvttn4,4 ADDRESS Sw4,frt12. TEL. NO. LQ S`7 -yd 7Z NAME OF MASON 8p-ovt ei Yt' ADDRESS f�SA.7 , $1. TEL. NO. we-/te/ NAME OF ELECTRICIAN P-arri1 (�' /i/9 ADDRESS / /114,2. t tkQ TEL. NO. ?3 Z - 7V 4 et) Lit Epee n DECLARATION 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 th' g11ILDING CODE- " " WING ORDINANCE, and ill other laws pertaining to the proposed :work snau zee compli with, whether specified or not, and that such work is authorized by the owner. SI ture 4/4). -� Owner, owner's agent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY WARREN COUNTY , NEW YCRK 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 /7e/b�i ,S4t �"� • e 2 . Type of heat jVai ..G t — Ze66.41.nf.'.-e,i1X-4C kaitt pe.4.4".70, 4J ,retclti,eLe 3 . Is the building mechanically cooled? .4 4 d - '- ' 4 . Percentage of area of windows and doors O.0 Q/® A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heat- 3 spaces YES NO a. Are foundat on walls insulated? YES NO 1 . If YES , what is the R value? 3. Slab on grade YES NO ' a. If YES , wh .t 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 l0 B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions_ • Job a� '- 3 8 j CI o o rs = 1'i -30 2 . R value of exterior walls /' /9, 3 3 . R value of glazed area 4 0 4 . R value of doors 1 J4. 5. R value of floors over unheated spaces R. 3 O 6. R value of slab edge insulation - unheated slab /tJ,441- 7. R value of slab insulation - heated slab NM- 8. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below grade) 4'//+ 4a L 10. Type of insulation 6../4 l 3/qrr 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 /o �u •"`''"`~ b. R value of duct in other areas i4- 6„, . -.f E. Pipina Insulation 1. Size of hot water or cooling crying agent pipe ; le .4A,w " 2. R value of pipe insulat± . /v Le �1.�-vz F. Service Water Heating 1. Performance efficiency I"/Pr 2. Temperature control setting maximum G. For Swimming Pool Only l' 1, 1. Maximus heating �( Telephone N.Q. 6 s (Q e 7 (applicant' s signature) !_, is pp , MAR 28 1990 cr, _ l Allak TOWN OF QUEENSBURY 531 QUEENSBURY,BAY NEWROAD YYORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FI REQUEST FOR INSP AL IN PECTION RECEIVED l 112, NAME S LOCATION r�`irC DATE PERRI TYPE OF TR CTURE c w RECHECK 4Y1 FIRE MA S AL APPROVAL (COMMERCIAL STRUCTURE) ,� FOOTINGOUNDATION ��ttROUGH PL MBING FIN L ELECTRICAL RSEPTI INSULATION -WOODSTO /FIREPLACE -SEPTIC REMARKS lair CHIMNEY HEIGHT/LOCATION APPROVAL B VENT/LOCATION N/A 'ES NO PLUMBING VENT =`! ROOFING SIDING Ij' DECK/PORCH/STEPS/RAILI e4-_� RELIEF VALVES , A FURNACE/HOT WATER OP'RA ING nil BASEMENT INSULATIO DUC WORK Ilia INTERIOR TRIM/pRI 'CY DIORS al FINISH FLOORS: ( BATH/KITCHEN ATERTIG. T J. 4 OTHER FLOORS SWEEPABL OTHER FLOOR' CARPETED STAIR CLEARA,CE/RAILING. A HANDICAPPED ACCESS SMOKE DETE, ORS O BATHROOM TANS/WHOLEHOUS FANS E. ALL PLUM: NG FIXTURES t•ERATINGiiiie GARAGE RE PROOFING inli DOOR C oSERS11111111 OTHER IRE SEPARATION '�= FIRE/DEMISE WALLS DUMP:TER _ SIT PLAN/VARIANCE R" FI,AL ELECTRICAL QUIREMENTS _ 0: TO ISSUE C/0 OR C/C �� OMMENTS: _ 1\14 Ai- ' 6,14\. ARRIVE \ ‘ DEPART -__-___-_ ` � TOWN OF UE Q ENSBURY -' .74) '92h2— Bay at Haviland Road, Queensbuiy, NY 12804-9 725-5 7&792 5832 Building & Codes Department INSPECTOR'S REPORT a'ZG 19 / PROPERTY LOCATION OWNER OR TENANT BUILDING SEWAGE SIGN OTHER R MARKS: f 2 CONTACT THIS OFFICE WITHIN INSPECTOR "HOME OF NATURAL BEAUTY. . .A GOOD PLACE TO LIVE" SETTLED 1763 ci\t Py,11\: TOWN OF QUEENSBURY " BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS c L r QUEENSBURY, NEW YORK 1280� `-� TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME at ,,// LtA N 'las_r y LOCAfiI((�'���' DATE • ` PERMI # 10 k�a�' APPROVED YES NO FOOTING/PIER$ 41111.111 MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING, BACKFILL APPROVAL ROUGH PLUMBING / FRAMING 1 ELECTRICAL ROUGE-IN t 8INSULATION: FOUNDATION /y // L FLOORS �' WALLS CEILING f FINAL INSPECTION: CHIMNEY HEIGHT ROOFING ,' SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBIN I FIXTURES/RELIEF VALVE INTERI , TRIM/PRIVACY DOORS FINISR D FLOORS GARAG FIREPROOFING DOOR,CLOSER(S) SMOKE DETECTORS FINA ELECTRICAL INSPECTIO FINA APPROVAL OF CONSTRUC ON -- OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ARRIVE DEPAR ` INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS , QUEENSBURY, NEW YORK 1280� / TELEPHONE (518) 792-5 /// "' BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTIO RECEIVED J 24r47e NAME LOCATIO ii ,„"/7�f- ��,i! f / i�i° 4. .cjs DATE J2,d PERMIT # R� _9.9 APPROVED 4k, 2 YES NO FOOTING/PIERS MONOLITHIC POU F.• S FOUNDATION/DAM•, P-OOFING BACKFILL APPRO L • ,�� ROUGH PLUMBING !!// FRAMING ELECTRICAL ROUG ,IN • INSULATION: FOUNDATION FLOORS WALLS 1 t CEILING FINAL INSPECTIO : CHIMNEY HEIGH ROOFING SIDING EXTERNAL PORC ES/ +EPS STAIRS-CLEA CE &`RAILS PLUMBING FIX2fURES/• LIEF VALVE INTERIOR TRI /PRIVA Y DOORS FINISHED FLO RS GARAGE FIRE OOFING DOOR CLOSER( ) SMOKE DETEC ORS FINAL ELECTRI AL INSPE ''ION _FINAL APPROVA OF CONST•UCTION OK TO ISSUE C 0 OR C/C A SIGNED CERT FICATE OF a CUPANCY MUST BE OBTAINED FROM THE BUILDI DEPARTMENT BEFORE THESE PREMISE ARE OCCUPI:DI REMARKS: ARRIVE /0;'s=1 <O / dallie.„/DEPAR `,�� INSR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INS' CTOR'S REPI'T REQUEST FOR INSPECTION R CEIVED /(7 40 it NAME 'AI41 LOCATION` / /,/. A_Ade TAW— lb /J DATE /! weld / PERM 111 --,v APPROVED YES NO FOOTING/PIERS .-- MONOLITHIC POUR FORMS ==_ O(�'OUNDATION/DAMP—PROOFING BACKFILL APPROVAL --= ROUGH PLUMBING M-_ FRAMING -_ ELECTRICAL ROUGH—IN INSULATION: ® FOUNDATION 11111111■ FLOORS i = WALLS IIIIIIIII CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE & RAI S PLUMBING FIXTURES/REL EF V' INTERIOR TRIM/PRIVAC DOOR FINISHED FLOORS GARAGE FIREPROOFINe �_ DOOR CLOSER(S) —_ SMOKE DETECTORS IIIIMIUMINE FINAL ELECTRICAL INSPECTION 1111111= FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O 6R C/C A SIGNED CERTIFICATE OF OCCUPAN Y MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMIS - ARE OCCUPIED! REMARKS: ARRIVE DEPAR J INSPECT R / ' i TOWN OF QUEENSBURY v`� �i BUILDING AND CODES DEPARTMENT .e ANW BAY & HAVILAND ROADS P QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 41/4/gl) NAMES �y7/ZO2 q( a2/2 2 QJ LOCATION �,��/�/- � `�/ � � Y1 - DATE 41 ��/Qd PERMIT # 9,0-,J . APPROVED Add/he-4 o- Y ENO FOOTING/PIERS MONOLITHIC POUR FORMS ! FOUNDATION/ P-PROOFING BACKFILL APPAL ROUGH PLUMBING . FRAMING ELECTRICAL ROUGH- INSULATION: / FOUNDATION \ f FLOORS "N\ / WALLS CEILING \ I FINAL INSPECTION: CHIMNEY HEIGHT s ROOFING M� SIDING N EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) s' SMOKE DETECTORS I FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE YES NO ARRIVE //(,: /22 DEPART /a-' /.a 'l ' E NSPECTOR4 I --Vy DUT�r- .G 9- z egg • 6�� 1 3/ /e45E-R ' ' MAR 281990 PEE �9 I 1 r o3 ZS_-- — — — 1 3 5G (Hct 46.44� ,e,erv�eOW g I I 1 Uri k +, - F � x Y , s . O c ;9 J ^� et • L ' /1'•7 (;Ledz.,.. 'i / , ' 3 ,, i 11 .),A,"- 77‘,',...c-- -;-,e)/A.,:rz.7 i'A:-..) 5 _-_-' .e..,_---_- --a-„.., 3,/,.„,-,,,. /%444/,1 - 19 t virg_21 ., ')/70'iY,V i Il• ..Jr/720 , PL S /y.i ///. c'o. 3/739 °0 • t% LAND ,te. • i < ^*�Tom`: RI It \ AB" • � .C.4A1P j V. • I \ * 52. • .0/ y • Iv..A /ea.('.eope.....i G ,o4/ R 7 6 TIP 'o s,tv its LlI o 16 9<13 y &�6 blo 24 r t + c 5; uj ti 96 , -411 a I E �. LoF l � I \JU 0 i 1 r ? Cki + F , w Z • r e,• •