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86-282 ,T BUILDING PERMIT TOWN OF QUEENSBURY No. 86-282 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Homestead Village, Inc. x Luzerne Road 0 OWNER of property located at Street, Road or Ave. m in the Town of Queensbury,To Construct or place a Storage/Office m at the above location in accordance to application together with plot plans and other information hereto filed and a approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. C w 11 N 1. OWNER'S Address is P. 0. Box 123 W Hudson Falls, New York H 2. CONTRACTOR or BUILDER'S Name Kenneth Collette 3. CONTRACTOR or BUILDER'S Address RD #1" Hudson Falls, New York r ar N 4. ARCHITECT'S Name rD �t (o 7d 0 w 5. ARCH ITECT'S Address P� 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame (x) Masonry ( ) Steel ( ) 7. PLANS and Specifications v� rt 40'x40' per plot plan, specifications and application submitted, n No. W including sewage system. 09 8. Proposed Use O Storage/Office Building r• $5.00 C/O Paid r $ 36.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 �g 87 a r• (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Op town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 5th Day of June 19 86 SIGNED BY uelz for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY (Space inside block to Ix- filled in be WARREN COUNTY. NEW YORK Building inspc-c•tcu•) Application for Application No. : - i'rrmit Issued BUILDING AND ZONING PERMIT Expires. IA. Disiric•t One copy of. a PLOT PLAN, Drawn to scale I 1 showin the actual dimensions of the lot to be built Ili i11:��'Kf upon, a exact size, and location on the lot of the . . . . . . . . . . . . . . . . . . . building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. HER y - `. . . . . . ..�/� . ►cF it �';1 1 r'� y— DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK . ';y, ANSWER ALL OF THE FOLLOWING. A.M a iv9. The undersigned hereby applies for permit to do .the following work yEft011 S pg�39 � 9 Y PP P g ' � 1 ' e � afa +a , which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. L� )r The owner of this property is: . . . . . . . . . . . . . . . . . . . ... . . ... . . . . . . . . . . . . . . (NA' EI (P 0.AUDRESSI The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . )NAME) (P 0 ADDRESS) Name of Builder. . . . . . #1. . ; l C). /fC.t�-. . . . . . . . . .Address . . . . �. . . . . .116112�ew . . AWL& Name of Plumber. . . . !©�'�y.'—, .�5. . . .�/QA.'. .. . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason. ��C�i P�/. . l; f�% �" 1 . . . . . . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . . . . . . . . Lot Number. . . . . . . . . . . . Unit . . . . . . . : . . . . Estimated value of proposed work S /. .cry' .. . . . . . . . . . . . . . . . . ... . Nameof Village . . . . . . . AL'i �j . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . . �41-�.�. i .'C--- •�. • • • • • • Side of street: north ❑, east ❑, south ❑, west Nearest Cross Street. . . . ./.as'�. . . . D a. . . . ... . . . . . . . . . Distance from this cross street . ./. . . . . . . . . . . . . . Ft. Property is north I south ❑,east i i, 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 Construction of a new building. Main Buitding ❑ Addition to a building. One-family dwelling ❑ ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. • • • • • • . --family apartment house ❑ Store building ❑ . . . . . . . .-car attached garage ❑ Other: . .5-10-0.44- . . .apr_1I.6 . : . . . . . . . . . .(� Accessory Building One-car detached garage (D Other work. Describe:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7' ❑ Two-car detached garage Private chicken house ❑ ' Private storage building V Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy. 1 Indicate on the plot plan street names, the location and size of the property, the location, site and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing huilding(s) in solid line. - . Size of property) ft. x . . . .1.�.��. . . ft. r Size and use of existing buildings, if an v �t . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,q W Size of proposed building . . . . . v. . ft.x . . . U. . . ft. Height (from grade to ridge) . . . . . . t . . . • • • • • • • ft• Front yard . . . . .V.).. . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards . . . . /. .; . . . . ft. and . . . :2 .?. . . . . . ft. A PC AtE Rear yard . . . . . ,.Ci'. . . . . . . . . . . . . . . . . . . . . . . . . . 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.) B\UILDING SPECIFICATIONS., lKind of construction: Wood frame, fire safe,.etc.?. . . .13144�exlr• • • . •. . . . . . . . . . . . . . . . . . . . . . . . . • • • • • / Will any second-hand lumber be used? . . . 14.0. . . . . . . . If so, for what?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . .d�. . . •134 Pe Y. . . . . . • • • • • • • • • • • • • • • • • • • • • Thickness . . . . . .e .. . . . . . . . . . . Depth of foundation walls below,grade - - - - �. . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . Continuous foundation? . . Willthere be a cellar? . . . . . . . . .d. . . If so, material of cellar floor . . . . . . . . : . `�. . . . . . . . . . . . . . . * * * . . . .. . . . . . Type of roof: Sloped or flat? . .Sv�? . . . . . . . . . Material of roof . . . . . ..450# . . . . . . . .�� I.1�/ G%� . . . . . . . . . . . Size, wood studs . . . . . . . . . . . . . . . . . "x . . . . ��. . . . . . . . .", spacing . . . . . ��a? . . . . ."o.c., length. . . . .I .•. . . . . ft. Size, floor beams, 1st floor . . .54 A./b. • • " x • • • • • • • • • • • • • • .",spacing . . . . . . . . . . . . . ."o.c., span . . . . . . . . . . . . . . ft. Size, floor beams, 2nd floor . . . .`.. . . . . . " x . . . . . . f­:7. . . . . .... spacing . . . . . . . :. . . ."o.c., span . . . . . .-. . . . . . ft. Size, ceiling beams . . . . . . .:. . . . .: . . . . "x . . . . . . . . . . . . . . .', spacing . . . . .; . . . .�I. . .o.c., span . . . . . . . . . .I. . . . ft. Site, roof rafters or beams . PI SS/s j. . "x ,IR X& . . . . . . . . .", spacing . . . . .�,� . . . . . o.c.,,span . . . . .�,�- . . . . . ft. Exterior finish . . . . .i L.�ej. • P. !'/,�• g, .� With what material? . . . . . . .�. . . . . . . . . . . . . . . . . 1.� Finish of interior walls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? . . . . . . . . . . . . a41K, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between garage and building? . . . . .IV.0. . . . . . . . . . . . . . . . . . . . . . . . . . . ... .. . . . . . . . . . . . . . . . Kind of heating system . . . . . .. . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided . . Z7. . . . . . . Depth of chimney foundation below grade . . . . 11' . . . . . . . . Height of chimney above roof. . . ./vl • • • • • • • • ---I � . . . . . . . . . . . . . .. . . . • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . lAd. . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . -- . . . ... . . . . . . . . . I ... . . . . Will a toilet be installed?. .. Ytos. . . . . . . . . . . . . . . ... . . . . . . . . . .o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . A7f� ryi. . . . d N l:. . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply. . . .�.�.a. . . . . . . Water supply (public water supply or pump) . . g4b1 j e... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well .. . . . . .j. -0. . . . . . . . . . . . . . . . . . . . . o . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with•required traps, cleanouts, and vents? . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York 1 swear that to tr, be i r of my knowledge and belief the statements contained in this application,together with the plans and specificadoits sub- mitted, are a true and co.,.plete statement of all proposed work to be done on the described premises and that all pprovisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be co plied 'tlt,tlletber specified or not, and that such work is authorized by the owner. Sworn to before me this . ...a . ,�ACTOR . . ........... ..... .... Signature .......... 'OWNER,OW ER•S AGENT.ARCHITECT.CO TR . ............�..y................day of.......... .....................19. .��d ....... ..... ............ ......... 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 2 . Type of heat 3 . Is the building mechanically cooled? 4 . Percentage of area of windows and doors A. bver 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 t t ; 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_ CW ' iI 2 . R value of exterior walls A 3 . R value of glazed area 4 . R value of doors Y 5. R value of floors over unheated spaces R14 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) �l 9. R value of heated basement/cellar walls (below grade) 10 . Type of insulation q2f c),(w 1--11 o�-I_" 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 l Telephone No. (applicant ' s signature) V N � -own of Quvenj�ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION Owner ' s Name__ - ® � j C��� �� '1 c+: / �f� sC Tel Address Person/Firm installing system. _ 1 �i Number of bedrooms (residential only) Total daily flow: (compute @ 150 gal.per bedroom per day) __ Topography: flat - rolling - steep - (circle one) Degree of slope Nature of soils: Csan loam 'clay- other- Depth ft. Ground water-- at what depth? ft. Bedrock or impervious material--at what depth? ft. Percolation Test - 'Not recTuired f Required -Rate min/inch. Domestic Water Supply - Municipal Well - Other IMPORTANT! On a separate piece of paper , submit a diagram of the proposed septic system with all dimensions; including distance from any structure, distance from property lanes and distances from any domestic water supply or shore-line of lake, stream, pondo3r. wetlands. Include all dimensions of the system itself. Description of. proposed system: Septic tank size 000 gal. Tile field- Length of each trench ft. Total field_ ft. Size of stone # Seepage Pit (s) Number / Size ftX_ k ft. Size of stone#_ 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 Town of Queensbury Sanitary Sewage Ordinance. Ot e,,a 77r_ '7 'A-" �- / JS 'gnature o1f A licant �y �� Date 1 /B6 and/vl !r".r Septic System Inspections: ' A. All applications for septic system installation, alteration or repair, as reuuired by the. Town of Queen's.bi ry Sanitary Sewage.'Ord-inanc4e,`'shall be submitted to the Building Department at least 24 hours before" start of -Constiuc-tibn and shall. include a plot plan shocaifiq: ' A) th`6 proposed iocati6h of the system 2) location and distance to lot lines 3) location and distanei' to structures 4) location and distance to any water supply 5) size and dimensions 6f all tanks, distribution boxes, tile fields and/or drywells B. No system."shall be covered before inspection and approval by the Buildings "Inspector. Failure to comply with this requirement may result in the uncovering of the system by the ,installer and a fine of up to $250. 00. C. An approved copy of the plot plan4shall'.be available-on the construction-:site...-- -.Failure to -produce said—plot_-plara:_A_t__time of_ in_specti_on may result in an immediafe.. work. s-toppage. D. Should unforeseen probloms during construction prevent proper installation, alteration or repair of an approved -system, a new proposal must be submitted. to the Queensbury Building Department before further construction. - \ •: " ' ter _ ,i .. TOWN OF QUEENSBURY Building Department In ,Report D ce V3 Name Permit No. a Weather Remarks Excatya ti on Footing Forms Footin2 & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbqr. Relief Valves Wall Board Ext. Porches Finished Floor / Interior Trim / Stairs & Railings Cellar Dr. Tile Concrete Floors P1 . Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS TOWN OF'QUEENSBURY Building- Department hupectors Report Date Name - - Location (� Permit No. Weather Remarks ExcaiM ti on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofin 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 Insulation . Foundation Walls ceiling �r Building Inspector REMARKS TOWN OF QUEENSBURY Building Department huVecto'e Report Date,.C�_ Name !�lt�,z1/5 r�/hr1 Permit 140° Z Weather Remarks Excat>ation _ Footing Forms Footing & Piers ' Foundation Cement Coat Water roofin Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough P1b . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fire roofin Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceilin Bui1 g Inspector REMARKS l � - Cl SANITARY . SEWER SERVICE LUZERNE RD. GLENS FALLS N.Y. PHONE 792-7257. 4 O: -. 5 �o c 9 I ���A-' w -c- 4-4- -a- �- - - �- -� - -- !- - --- i- 1� -�- --- - -- ---- -- --- - -- 1 L- I - i J-- + -i-- , - I -- --- -- - - -I- -a-- - -- I -- �-� -- - - - -- -- - - - - tf I '