6465 BUILDING PERMIT
TOWN OF QUEENSBURY No. 6465
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to George and Jane James
OWNER of property located at off Pilot Knob Road (Kattskil Street,Road or Ave.
in the Town of Queensbury,To Construct orplace a (enclose porch 0
Al_tration to duelling m
at the above location in accordance to application together with plot plans and other information hereto filed and O
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. W
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1. OWNER'S Address is iU
514 Ackerman Ave.
Ho-Ho-Kus, N. J. 97423
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2. CONTRACTOR or BUILDER'S Name (p
Len Taylor c,
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3. CONTRACTOR or BUILDER'S Address
West Fort Ann, N. Y. 12827
4. ARCHITECT'S Name
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5. ARCHITECT'S Address ti N
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6. TYPE of Construction—(Please indicate by X)
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(X)Wood Frame ( ) Masonry ( )Steel ( ') n O
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7. PLANS and Specifications I—'(D
7 'x11. 6' existing porch enclosed for additional • H
No. living area per plot plan and application submitted.
irt
8. Proposed Use (L
Fl
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One-Family Dwelling
$ 10. 00 PERMIT FEE PAID -THIS PERMIT EXPIRES February 1 19 81 O
1-11
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the I-h
town of Queensbury before the expiration date.) ro
Dated at the Town of Queensbury this 17th Day of July 19 8 0 o
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SIGNED BY ,g.� 7z. f Q2•a) for the Town of Queensbury
Building and Zoning Inspect 0
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TOWN OF QUEENSBURY (Space inside block to he tilled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for Application No.
Permit Issued 19.
BUILDING AND ZONING PERMIT l',.rmit r.rpires. 19
7.orii„.: District
\Am'of Work i
THREE (3) Copies of a PLOT PLAN, Drawn to scale \11"""'`1 by
showing the actual dimensions of the lot to be built hent:if Kf'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. TOWN OF QUEENSBUrt
R _
ECEIIVE
DATE
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Jt ... li I98°
ANSWER ALL OF THE FOLLOWING. A.M. P.M.q I.g 1 9 1101111121 1 1 2)3)4)5)6
The undersigned hereby applies for a permit to do the following week
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. 40,
The
owner of this property issue -- j /�G.{'.rrn ah /' �/ �/
9 4, f . 0 (4 ST A 1%)e c ' . . . . . . . . . . . . .�i!2. . . . NO-/ /�ci r /+'
(NAVE) (P.O.ADDRESS) 67 fd
The person responsi ' for isi/'of the work insofar as the Buildia .Code and the Zoning Ordinance apply is:
GI)zsl F 7 . /2- h ti la . ,27
(NAME) i (P.O ADDRESS)
Name of Builder Address
Name of Plumber Address
Name of Mason Address
Lot Number f '- '\'' Unit Estimated value of proposed work f
Name of Village . . e.e n.s •b.c.. :-1 Le
Name of Street .K0, �i,((• •8c'-.�(. . . .qff j4T Knt� ede c>Z...treat: north O, east, O, south O. west
Nearest Cross Street . 0 4• Distance from this ^rosy street . 3 irl . . Ft.
Property is north 0,south O,east ri, west 0 from Cross Street
If on Corner,which corner, northeast O, northwest ❑, southeast ti southwest
(Designate by marking with an "X"in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
- Addition to a building. One-family dwelling 8
thal
Two-family dwelling ❑
- Alteration to a building. . . . . -family apartment house ❑
❑ Demolition of a building. Store building ❑
4 , 5 c:^� -car attached garage 0
> Other:
, rf/ <0 ,,,, ,eU P r —. x /i, '` Accessory Building
One-car detached garage ❑
0 Other work. Describe. Two-car detached garage
Private chicken house ❑
Private storage building 0
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-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
o t uilding(s) in solid line.
. 1- - .7 Size of property ft. x ft.
Size and use of existing buildings, if any
_. .
s + g W Size of proposed building ft.x ft.
Height(from grade to ridge) ft.
Front yard it.
Side yards ft. and ft.
9 4 Rear yard 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.
(OVER)
7-73—M
(cont'd.)
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 Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof
Size,wood studs "x ",spacing "o.c.,length • ft.
Size, floor beams, 1st floor "x ",spacing . . , "o.c.,span ft.
Size, floor beams,2nd floor "x ", spacing "o.c.,span ft.
Size, ceiling beams "x ", spacing "o.c., span ft.
Size, roof rafters or beams " x ", spacing "o.c., span ft.
Exterior finish 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 Oil burner or coal?
Will a flue-lined chimney be provided? . Depth of chiihney 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 installed and connected to water supply?
Water supply (public water supply or pump) ,
Distance of cesspool from any private well feet
Will drainage system be provided with required traps,cleanouts, and vents?
AFFIDAVIT
Town of Queenshury /
County of Warren
State of New York .
I swear that to tr. earof my know1edge and belief the statements contained in this application,together with the plans and specifications sob.
mined, are a true and co.A.plete statement of all proposed work to be done on the described premises and that aft 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.OWNERS AGENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
, - ........--.....
SPECIAL CONDITIONS OF THE PERMIT:
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 following:
1 . Gross floor area ltf`_.�o.St: I'0 C H ''f' . • /•
2 . Type of heat 0 i /
3 . Is the building mechanically cooled? /Vd
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 alue of insulation around
perimeter of floor?
4 . Is basement heated? YES ,N0
a . R value of insulation
5. Type of insulation ,, , .'
4
B. Under 16% Only
1 . R value of roof and floors exposed to ambient conditions
9 II
/7_
2 . R value of exterior walls ;) 17. fT _/ I
3 . R value of glazed area e - I .
i/7
4 . R value of doors R -- / I/ ,Q
5 . R value of floors ove4eated spaces R /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)
9 . R value of heated basement/cellar walls (below grade)
10 . Type of insulation 1.- .t;.lrx. 9..„ „
14
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 1A,1 y t.i) ,..
F . Service Water Heating
1 . Performance efficiency 1 _ %f-
2 . Temperature control setting maximum
G . For Swimming Pool Only
1 . Maximum heating
Telephone No.
7 .2 � CI 2` � 7 (ap icant ' s sinature)
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