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7688 TOWN OF QUEENSBURY (Space inside block In Ix- lilletl in by WARREN COUNTY, NEW YORK Building Inspt•cior) Application for \ppliratiun No. ' Ycrmit Issued 19' . BUILDING AND ZONING PERMIT I',•rmii Expires 19, %,mine District \ olio „1 Work, THREE (3) Copies of a PLOT PLAN, Drawn to scale \plin,k�.c`d Iiv showin the actual dimensions of the lot to be boil} Itt•It):iIN upon, Tithe exact size, and location on the lot of the . . . . . . . . . . . . . . . . . . . building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. -TA 4Y 9 DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK f 6 DEC 1 31982 ANSWER ALL OF THE FOLLOWING. :m� The undersigned hereby applies for a permit to do the following work Y which will be done in accordance with the description, plans and speeifi- n e. C/.o cations, and such special conditions as may be indicated on the permit. The owner of this proper.ty. is: 4!0) S /E I E)' Co.✓/.(�. �.07�� IP A.ADDRESS) The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: �gi/io . . .� �. . . . . . . 3 . ! .A2P/Sai✓�2G. . if iI*r oAlj!1' T. . .07Oas. . . . . . . . . . . . . )NAM IP—O AADDPESS/I Name of BuilderU' .. - / ES .Address 9. . .Th`.�C1�t/prJ1J !rD / /z StJ/ . . . . . . . . . . . . . . . . . . . . . . . . .Address . . . . . .�` w Name of Plumber. . . . . . . . �wI . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason. . . . . . . . . .S.4VJ G . . . . . . . . . . . . . . . . . . . . . .Address . . . . . . . . �. . . . . . . . . . . . . . . . . . . . . .. . Lot Number. . . . . . . . . . . . Unit . . . . . . . . . . . . Estimated value of proposed work s . . . . . . . . . . . . . . . . Name of Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . ./�r. .9L . . . . . . . . . . . . . . . . . . . . . . . . . . . . Side of street: north X. east ❑, south ❑, west ❑ Nearest Cross Street W !1�<Q 15�04O . Distance from this cross street . . . . . . Ft. Property is north ❑,south ❑,east , west ❑from Cross Street If on Corner,'which corner, northeast ❑, northwest ❑, southeast ❑. southwest (Designate by marking with an •'X'• in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY 19 Construction of a new building. Main Bonding ❑ Addition to a building. One-family dwelling ❑ Two-[amity dwelling ❑ Alteration to a building.❑ family apartment house El of a building. y P Store building ❑ . . . . . . . .-car attached garage ❑ Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage 0 Other work. Describe;. . . . . . . . . . . . . . . . Two-car detached garage Private chicken house ❑ ' • " " " • ' • • • " • • " . . . . . . " • • . . . . . . . . . . . . . . Private storage building ❑ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy. SEE. �j jam, �f�t� 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. NORTN Show proposed building(s) in dotted ,liine and existing tluildings) in solid line. 71-8X y1B11 X A 1.7 Size of property . . X. - X'7.�7. ft. x . . . . . . . . . . . . ft. Size and use of existing buildings, if any . . .yQI!!E. r . . . . . . . . . . . . . . � . . m W Z 8./. ft.x = Size o[proposed building . . . . . . . Height(from grade to ridge) . . . . .0d .! !QX• • • ft. Front yard . . . . . . . . .3.�/ .5. �. . . . . . . . . . . . . . . . . . ft. Side yards . . . y.�+. . . . . . ft. and . . . . . . . . . . . ft. Rear yard . . . . . . .7��. . . . . F+.�c7t!? . .�'�..rc . . . ft. souTN If on corner,setback from side street Note Note: Al! distances are not, as measured from street side fine to nearest part of building. (OVER) 7-73-M (cont'd.) BUILDING SPECIFICATIONS, . Kind of construction: Wood frame, fire safe, etc.?. . . . . .l�v���. . fe-l'"W • • • • . . . . . . • . . • • • • • . . . . . . . • • • . Will any second-hand lumber be used? . . . . NO . . . . . . . If so, for what?. . . . . . . . . . ? s'�E'�• • . • t . • . • . . • . . . . . • Thickness . . . �0. . . . . . . . . .. . . . . . Material of foundation walls . . G Depth of foundation walls below grade . . . . . . . . 'a rr ..! ... . . . . . . . . . . . . . . Continuous foundation? . . .�t/�S . . . . . . . . . Will there be a cellar? . . . J . . �� r—�4�GR r�� �y iN. . . _ . . . . . . �C If so, material of cellar Moor . . Type of roof: Sloped or flat? S. F.o�EQ. . . . Material of roof . . . . .Z�o!ram AGE . . Size, wood studs . . . . . . . . . . . . . Z . . . ."x .�o. :d. ..4 . . . . .", spacing . . .d. . . .6 . . . ."o.c., length. . . . �.I.. . . . . ft. Size, floor beams, Ist floor . . . . . ??. . . ... x . ./b. . . . . . . . . . ', spacing . . . . .t"A . . . . . ...o.c., span . . . . Size, floor beams, 2nd floor . . . . .i2�. . ."x . ./o. . . . . . . . .... spacing . . . . /. 47. . . . . ...o.c., span . . . . Size, ceiling beams . . . . . . . . . . . .a7. . . . "It . . . . . . . .", spacing . . . . /6. . . . . ...o.c., span . . . . .49. .. . . . . ft. Site, roof rafters or beams . . . . . . .. . . ."x .X ./.A. . .", spacing . . . . fEa. . . . . ...o.c., span % 4 ft. Exterior finish . . . . . . . T. . . . . . . . . • r�/.w� .tf'fr9'V'5'With what material? .. . . . .Gt!p o.Q, , p`•S !'�.✓ '� . . . TjC4 ea . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls. . . . �X. • . . . . If garage is,to be attached, of what material is wall between garage and main building to be constructed? A... . T ftT. .%.?G/3�Fo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening betty n garage and building? . . . . . . . .OF4. . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . Kind of heating system . . . . . • e�•E��CT�P i•C Oil burner or coal? . . . . .�"�`-. . . . . . . . . �. . . . . . . . Will a flue-lined chimney be provided? . . . .YES. . . . . . Depth of chimney foundation below grade . . Height of chimney above roof. . . . . . . .Af/✓. . . . :?. is ... . . . . . . . . . . . . . . . . . . . . . . . . . . .�O . .;. . . . . . . . . .. . . . . . Will there be a fireplace? . . . . tr.4 . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed?. .. . . . . .Y-G;'r� . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . . . .�!FS S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply(public water supply or pump) . . . . . . . .lt/ELG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . .. . . . emu.i`fiO. . . . Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . Y�>.-N . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to it bei t-of my knowledge and belief the statements contained in this application,together with the lane and specifiestions sub- mitted, are a true and w.�plete statement of all proposed work to be done on the deembed peemrsea and that a� ions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertain' mpoeed 6tJt shall be complied wi hether speed or not, and that such work is authorized by the owner. v Sworn to before me this Signat 0.... ER'S etGEN7,�At ���i�� � ,C.O............T.on.......... ..... - ..., ......................................day of................................I.................19........ ..... _ _. . _. ......_....._..................... NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: By................................................................................................. ............. WILDING PERMIT TOWN OF QUEENSBURY No. 7420 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to David aad Gladys Prol OWNER of property located at ' and Ern Lake OSOlEJe Street,Road or Ave. in the Town of Ousenabwry,To Construct or place a ode-FalailY Dwlling aC at the above location in accordance to application together with plot plans and other information hereto filed and approrrpd and in compliance with the Town of Queensbury Building and Zoning Ordinance. Ia+ 1. 011WERSAddrassl. 33 Harrioun Road Massless, N. J. 0740S 2. CONTRACTOR or BUI LDE RS Name ORO Custom Ns 3. CONTRACTOR or BUI LDE RS Address _ 9 Jobe Clend©n Rand Gleas Falls, now York ;* 4..ARCHITECTS Name. - 5. ARCHITECTSAddress too • S. TYPE of Construction—(Plwse indicate by.)(l - >♦ A (s!Wood Frame ( 1 Masonry 1 1 Steel 1 1 E M 7. PLANS and Specifications 29 ex42'.. Per Plot plat, specifications and # No. application sabnittsd including sawge $Ystss. 8. Proposal the One—romilr Dwelling $S." C/o Paid $".06 PERMIT FEE PAID—THIS PERMIT EXPIRES _ UIX 1 19-1� H III a longer period n required an applioatgn for an extension must be made to the Building and Zoning inspector of the f� to in of Oueasbury before the expiration data.) tsV Dated at the Town of Queensbury this 14tJi Day of D,eyembe! 19-12— ar it SIGNED BY for the Town of Queensbury M Building and Zoning 1 mpectqr 'J t THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY June 10, 1983 41 STATE STREET,ALBANY,NEW YOR Date Application No.on file � 3-82 A 6 a 41�.710 J THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant lamed on the shove application number in the mixes of David H. Prol, North Side of N.Y. Route9X„Queensburq,New Yore in thefollowing location; A Basement A let Fl. A 2nd Ft. Outside Section 2 Block 1 Lot 5 wm examined on 6/7/83 and found to be in compliance with the requirements of this Board. PIXTURE RXTURES RANGES COOKING DECKS OVENS MEN WASHERS EXHAUST FANS OUTIETS AClES SWITCHES INCANDESCEM fl1IDRE3DEM AMT. II W. MAT. K.W. MAT. K.W. HAT. K.W. HAT. H.P. 26 43 21 1 3 1 FR DRYERS I FURNACE MOTORS III AAIIANCE IEWERS SPECIAL REC•PT TIME CU3CKf I ,py I UNIT HEATERS hk?Tn2UTIET M MERS -MAT. K.W. I OIL H.P. I GAS H.P. A4V.. W. W.G. ART. ARP. "T. ARP3. TRANS. MAT. H.P. SYSTEMS .ART.' WAM NO.OF MIT 1 lU SERVICE DISCONNECT NO.OF S E R V 1 C E AMT. I ARP. TYPE I QUIP.I 1/tW 1 1.9 3`N 39 3W 1 3.9 AW I Iiii OPECc_ `COND. OF CG.G. ND.Of HI.ItG OF W.H-I G. NO.OF IIEUTRALS W. 1 200 CB 1 X 1 0 OTHER APPARATUS: 2 PAM -GFCI T S �7�E1+:RM�' 1-Smoke Detector ELECTRIC HEATERS: 3-2.5,2-2.094-1.592-1.0 KW'S OKO Custom Hoes 9 John Clendon Road Glens Falls,New York 12801 9 BRANCH MANAGER Per nnnv inn n.u....A,n ­w nii-nI­rrIrI^Ate AAI mr Ainr DC A TCRCn IRI AXIV RA A NIUCR i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 _ This is to certify that work requested to be done as shown by Permit No. has been completed This structure may be occupied as a 1.oratioO owner By Order Town Board TOWN OF QUEENSBURY Building H Zoning Inspector <RCAnv[ •9Naiw^ PRINTING. GENE FALLS. N r 12401 I1IS171I.SGSE TUWN OF QUFFNSBL'RY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner ' s Name DAVID H . PROL Address 33 Harrison Road, Kinnelon , New Jersey 07405 Telephone No.(201) 838-7371 2. Property location North side N.Y . State Route 9-L , 700 ft . East of Top 0 ' The World Road 3`NNa--e of person or firm responsible for installing system �/ LE IQ/17AJ�rt�p Gpt/ST T'etle®phone No._ Wz p� 3� Address 4 . Number of bedrooms (residential buildings only) 4 5. Daily flow 600 gallons/day 6. Septic tank capacity 1000 gallons 7 . Topography: flat, rolling, steep 8 of slope 10% ± 8 . Nature of soil and depth O ' - 6 ' sand/small stones 9. If ground water, bedrock or impervious material is apparent at what depth does it begin?Seasonal high ground water at 3 ft . 10. Percolation test: A is required B is not required C If required what is the rate 4 minutes/inch 11. Water supply: municipal , well, other Well 12. Type of system proposed: drywell, tile field, otherPressure/fill system Any contractor, corporation, individual, etc. engaged in the construction of a sanitary sewage disposal system who covers the same before inspection, does not have an approved permit, or varies from the approved application will be subject to a penalty of $250 as provided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance. Date 1//� �� yz�z —T— z signature of applican On separate sheet of paper submit a diagram of the proposed septic system with all dimensions, including distance from any structure, distance from property line and domestic water supply, etc. Include all dimensions of the system itself. SEE MAP ATTACHED Form 3-82 TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE ti A permit must be obtained before beginning work. ANSWER ALL of the following: 1 . Gross floor area 2 . Type of heat AW ANNIPw MfiN0' �G 3 . Is the building mechanically cooled? �✓O 4 . Percentage of area of windows and doors /(D A. Over 16% Only 1 . Uo value of gros area of walls , roof/ceiling and floors exposed to ambient n itions 2. IS , averheate spaces YES nda on walls ins t 7 E NO Y what is the ue?3 . de YE O , what is t R value of insu tion around er of f or?4 . he„ ' d? YE NO f insulations 5. Type of insulation r/ 6Q� S�/�pF7j/f=N B. Under 16% Only 1 . R value of ro f �d'floors exposed to ambient conditions_ 2 . R value of exterior walls c�?,S 3 . R value of glazed area e L 75- 4 . R value of doors_ / 5 . R value of floors over heated spaces 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab Ala- Sp B. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below grade)�L2, 10 . Type of insulation aPF/X 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 pi-" 2 . R value of pipe insulation F. Service Water Heating 1 . Performance efficiency/em.4 2. Temperature control setting maximum / D� G. For Swimming Pool Only 1 . Maximum heating Telephone No. ,.40/-,f38 -73,/ (ap—plica *' s signatur ) ►pr` TOWN OF QUEENSBURY Building Department Inspectors ort Date 3-f7 G5 3 Name L.oration � ca�,t�_s A Permit No. � Weather Remarks Exca0ation Footing Forms Footing 6 Piers Foundation Cement Coat Water roofin Backfill Final Survey Framing Sheathin Roof Felt Roofing Siding, Masonry Veneer Rough Plbg. jea Relief Valves _ Wall Board Ext. Porches Finished Floor Interior Trim Stairs 6 Railings Cellar Dr. Tile Concrete Floors _ Plb . Fixtures _ Gar. Fireproofing Door Closers chimney Water Meter Inst. Septic Approval Floors Foundation Insulation Walls _ Ceiling Building-Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date 1% Name_ EgiaL I ocatioaAj_QL All,JlAf Permit No,- 7A ,P(T weather. Remarks Excavation Footing Forms Footing S Piers Foundation Cement Coat Water roofin Backfill Final Survey Framing Sheathin Roof Felt Roofing Siding Masonry Veneer Rough P1 Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs 6 Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers chimney Water Meter Inst. Septic Approval Floors _ Foundation Insulation Walls Ceiling Building Inspector REMARKS t ago TOWN OF QUEENSBURY Building Department Inspectors Report Date /Z 'AZ Name L.ocatien 94 T�.472/c S�-�! Petmit No. Weather Remarks Exca�Yation M ffYDA'oPk Footing Forms Footing & Piers Foundation Cement Coat waterproofing Backfill Final Survey Framing Sheathin Roof Felt Roofing Siding, Masonry Veneer Rough Plb .. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors _ Plbg. Fixtures _ Gar. Fireproofing _ _Door Closers Chimney Water Meter Inst. Septic Approval Floors Foundation _ Insulation Walls _ Ceiling Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inrpeetore Report Date 3"-6,;�' Name �y�64 I.oeatim�PT9G Permit No. 710 YT Weather Remarks Excaj�dtion _ Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough P1 Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs 6 Railings Cellar Dr. Tile Concrete Floors PI . Fixtures _ Gar. Fireproofing _ Door Closers Chimney - Water Meter. Inst. Septic Approval Floors Insulation Foundation Walls Ceiling A, . Building Inspector REMARKS /1/G� Fi AZ, TOWN OF QUEENSBURY Building Department buvectorms Report Date /Wln . Name I ocatim__ Permit No. 7 (0 8 X eathc Remarks Excaoation Footing Forms Footing & Piers _ Foundation Cement Coat 1010 Water roofin Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough P1 Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile _Concrete Floors _ Plb . Fixtures Gar. Fire roofin _ Door Closers Chimney Water Meter Znst. Septic Approval Floors _ Foundation Insulation Walls Ceiling Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date h'%3 -8-'r Name���LL Location it Permit No. Weather Remarks Excatgation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough P1 Relief Valves Wall Board Ext. Porcheszz Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector! REMARKS