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1985-046
€ BUILDING PERMIT TOWN OF QUEENSBURY No. s 5- 46 C4 WARREN COUNTY, NEW YOR K P) m cn James Kneeshaw PERMISSION is hereby granted t Mason Road /Cleverdale Street. Road or Ave. (D m OWNER of property located at m Addition -to dwelling ( deck ) in the Town of Clueensbury, To Construct or pl ace a 9 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. t . OWNER'S Address is Northwest Road � Glens palls , New York lu 0 2. CONTRACTOR or BUILDERS Name O W S r7 TCI a LL 3. CONTRACTOR or BUILDER'S Address @ G' same (D w 4. ARCHITECT'S Name (p S. ARCHITECT'S Address g. TYPE of Construction — iplease indicate by Xi Sys (X) Wood Frame ( ) Masonry f ? Steel { Y H. F - i] 7, PLANS and Specifications add insulation � 10rx24 + deck, added to dwelling � to exterior walls , modernize doors and i t wi on per plot plan , sp s No. a ecifications and. 11 s� s. Proposed Use submitted and per Variance Pao . 961 granted 1- 18 -85 . m I- One--Family Dwelling PERMIT FEE PAID — THIS PERMIT EXPIRESIt C3ctober 1 �g 85 $ l C7 (7 © 0 (if a longer period is required an appli cation for an extension must be made to the Building and Zoning inspector oft e x town of Queensbury before the expiration date.) Day March 19 85 Dated at the Town of Queensbury this 1 df- h of �, for the Town of Queensbury SIGNED 6Y Building and Zoning inspect -� TOWN OF QUEENSBURY ( Space inside block in be liiled in by WARREN COUNTY, NEW YORK Building Insprts>r) Application far •, ','"` ``t "", ~" Q� 1'x� t ls�tir•d 19 BUILDING AND ZONING PERMIT l�r •, r:.p;, e� Ili %, 3niupL l);�trix t THREE 131 Copies of a PLOT PLAN. Drawn to scale showingthe actual dimensions of the lot to be built Its rn:irlC� upon, Te exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 1 r � 8. . ;,AS� � � [fin � A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work A.M. Ed ��x�'ry�� y R . which will be done in accordance with the description. plans and specifi- 1 $1 ,`i l�"►;7 1 ;� 1516 cations, and such special conditions as may be indicated on the permit. The caner of thi�,praperty is: /] / �/]f Ia r K'•.+"`-? ' �.W/Q ;,r r+- Y - _ /C, rO ' . . . . . . . .. . INA"4c6 {P 0 ADDRESS, ;ng Code and the Zoning Ordinance apply is: The person res sile super-vision supevision of the work insofar as the Budd . . ' . . . . . . . . . . . . .J .Ei�r . . . iP O /Adl7R E551 Name of Builder . . _ r . . . . . . . . . . . . . . . . . . . . . . . . . . . Address - - . . . . . . . . . . . . . . . . . , . . . . Name of Plumber . . . . . . J,,VI mid . . . . . . . . . . . . . . . . . . . Address _ _ . . , , . . . . - . . . . . . . . . . . . . . . . . . . - . . . . . . - . - Narne of Mason . . . . . . . . 'e P7 . . . . . . . . . . . . . . . . . . . . . Address . . . Lot Number . . . . . . . . Unit . . . . . . . r Estimated value of ,proposed work S Name of Village . . . . . . S II► P �r/t A ! ! am . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . So . . . � 'w,�F +Q. . . . . . . . . . . . . . . . . . . Side of street: north © , east 0 , south ❑ . west [] y ry c +"CL? Distance from this cross street . . . . . v . Ft. Nearest Cross Street�/. . . . �i�r Property is north L`3, south ❑ , east I.i , west © from Cross Street If on Corner, which corner, northeast fi , northwest Cl . southeast Lam . southwest (Designate by marking with an "X" in the correct space.► NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. [a' Main Building / C� _,,,Addition to a building. TwofarttOne-family dwelling Alteration to a building. Two iiy dwelling 0 Demolition of a building. Family apartment house �r�, /� Store building0 1 J © d tI ° C9 i / "�w}t/ AD �•Opj.rA � s -car attached garage I� �..s w• I ,F•- 4(,Jn .xld •-..+Jp 6 n] LG+t r �i ,a e- Other: 't�F'e'e •� 'e Accessory Buiiiding 0. One-car detached garage ❑ Other work_ Describe: . . . . . . . . . . . . . 'Iwo-car detached garage nw1 �� (9 Private chicken house Q ` _ J / Private storage building ^l k .e?•-r;•lr . E'. . . .Ih l j J• . . . 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, site and setbacks of pro,- posed buildings, and the location of all existing buildings. NORTH Show proposed buildingtal in dotted line and existing + Ry rx huilding(s) in solid line. C Size of property !� Q ft, x . . Jr. �a .�. . . ft. Size and use of existing buildings, if any - . . • • • - • • FA100N . . . . e , .'. . . . .- . . . m W t' .0 . . . . . ft. x -`l°. . . . . . ft. # � R Size of proposed building AHeight (from grade to ridge) . . . . . • . . . . . • • ft. C Front yard ft. . . . . . . . . . . . . . . . . . Side vards . . . . . . . . . . . . . . . ft. and . . . . . . . . . . . . . . . ft. Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft+ so u T ra If on corner, setback from side street . . . • • • • • • • • ft. Nate: AIt distances are not,. as measured from street side line to nearest part of building. 1 taveR7 (oont'd.p BUILDING SPECIFICATIONS., Kind of construction : Wood frame, fire safe, etc.? . . . "F' d 4. . . �'� ' 4 f Ctrs / '' ��r• r d"G"`v Will any second-hand lumber be used? . . . . !?!O. . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . , . . . . . n . G"'« TE . . . . . . . . . . . . . . . Thickness . . . ol . r 3 C Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . Continuous foundation? . . . . . . . . . . . If so, material of cellar f]rxsr Will there be a cellar? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ Type of roof: Sloped or flat? . . . . . . . . . . . . . . . . . . Material of roof . . . . . . . . . . . . . . Size, wood studs - . . . . . . . � . . _ . . . " x . . . . . . . . . . . . . ", spacing . . . . . . . . . . -"ox., length . . . . . . ft. Size, floor beams. Ist floor . , . . , - - . . " x (r . . . ". spacing . . . . ./. . . . . . . "o.c-, span . . . . . . ,tr1 ,�, . , ft_ Size, floor beams, 2nd floor . . . . . . . . . . . " x . . . . . . . . . . . . . . . ", spacing - . . . . . . . . . . . . "o,c„ span . - . . . . . . . . . . . - ft- Size, ceiling beams . . . " It . . . _ . , , V d d d d ". spacing - . , , , . . , - . . . "o.c., span ft- Siie, 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I , - I . . . . . . . . . , , . . . . . , . . Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . A . . . . . . . . . Kind of heating system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oil burner or coal ? . , . . . . . . . Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade . . . . . . . . . . . . . . Height of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . Will a toilet be installed? . . . . . . . . . . . . . . . . . . . . . . . . - , . - . - I . . . . . . . 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to it, Adi t of my knowledge and belief the statements contained in this applmffT epecaficrtions sub- mitted. are a true and co.a. fete statement of all proposed work to be do the descxno of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaini proposed specified or notes and that such work is authorized by the owner. Sworn to before me this Signature __ --'''''�� OWNER. OTOR dayof. .. . . .. .. . ... . . . ... . .... .. . . . . . . .. . . .. . . L9. . . . . . NOTARY YUBL-i C. WARREN COUNTYs N. Y. SPECIAL CONDITIONS OF THE PERMIT. By . .... .. ....... . t 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 : p 1 . Gross floor area / // L' o L/r 24 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 NCl 1 . If YES , what is the R value ? a 3 . Slab on grade YES NO a . If YES , what is the value of insulation around .perimeter of floor ? 4 . Is basement heated ? YES NO a . R value of insul 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 e . 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 Heatin% 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . ( applicant ' s signature )