Loading...
1985-166 TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 1q j 3 5 Date This is to certify that worm requested to be done as shown by Permit No. has been completed. C3�1 P, ram Icy �`i ng C n This structure may ${� as a �u N " It' .[,r •fi f" �, � '1IJ-tE* rJrE^ r+ C,rtr• cF . l-�C' . 3_ � '.`. " C' T- I.., r�vCrerr �;2 Location F" rC�nC_�kl 'cr.zrtI ;_r_ Owner By Order• Town Board T6WN OF QUEENSBURY ► utldirAS N Zoni k'd InspectalK C IIkEi4r�V! '•�NLT w-- rA�n TING :GLCN9 i/4LLs. BUILDING PERMIT TOWN OF QUEENSBURY No. s 5- 166 WARREN COUNTY, NEW YORK � m PERMISSION is hereby granted to French Mountain Enterprises Inc _ 0 OWNER of property located at Lot 65 White Pine Road ( St . # 1 ) Street. Road or Ave. G 0 in the Town of Queensbury, To Construct or place a One F aMlly Dwel l inct rr 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. ed t. OWNER'S Address is RD # 1 � rt• Lake George , New York � r• 2. CONTRACTOR or BUILDERS Name rA (D En Same H tj 3. CONTRACTOR or BUILDER 'S Address Same , 4. ARCHITECT'S Name C O . rr 5. ARCHITECT'S Address � Ln ff 6.yti O r• rr fi. TYPE of Construction — (Please indicate by X) M I b k ) wood Frame ( I Masonry ( I Steel ( } 1--'• rf fD 7. PLANS and Specifications 4 0 r x 60 r per plot plan , specifications and �Cl application submitted including sewage system 0No. + and two-car attached garage . 8. Proposed Use One-F arnlly Dwe:l l ing 0 m l h9 lv $ 5 . 00 C/OPaid December 1 1985 $ 171 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the + C town of Queensbury before the expiration date.} C7 1985 � Dated at the Town of Queensbury this 3rd Day of _ May I-• SIGNED BY for the Town of Queensbury � Building and Zoning Inspector TOWN OF QUEENSBURY (Space inside block to Ix• filled it, b, WARREN COUIV"l'Y. NE:W YORK B1111tling Inzpcctxxrl Application for riI'llW 1SdIo oidi `" I9. ir[�1't115F 11.xtx•,d BUILDING AND ZONING PERMIT 1'0,111il I­ a,ird. , n r THREE 131 Copies of a PLOT PLAN, Drawn to scale showing the actual dimensions of the 1o+ to be built upon, The exact size, and location on +he lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. T O`J'Jfi C?F C1L3C e 1 4 URY OATC A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK t -ri ANSWER ALL OF THE FOLLOWINr7. } '' The undersigned hereby applies for a permit to do the following work Px M�' 1)12 . � which will be done in accordance with the descrip+ion, plans and specifi- 71 $l?1 x I cations, and such special conditions as may be indicated on the permit. The owner of this propert is: �r Y. IIZ FkrLfL !t/ . . f T.s+.. . �!s!!c. . _ . . . . ,�. �f~ ''+� rNP .El . . [p O. AVDRES , for supervision of the work insofar as the Building Cede and the Zoning Ordinance apply is: The person responsible /}wxyi . . . . . . . . . . . . . . . . . . . . . . . . . . . • �1'��f r .""" HA � t4t E) • . iP O ADORE SS} Name of Builder . .4fdnr. 5 . Akddress . . . . . . ..^�e'r . . . _ . _ . . . . . . . . . . . - - Name of Plumber . - . . . . . . . . Address . . . . . . . . Name of Mason . . . . . . . . . Address . P 5 7 1 Lot Number . . . . tom' . � 5 . . Unit , . . . . . . . . . . . Estimated value of proposed work 5 I C�Q, + ?O Name of Village . .tJ. e.•..... .ity}. A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street - trstF{ xs� . . - � � Side of street: north 1]t, east 1] . south C� . west Nearest Cross Street Distance from this cross street Ft . Property is north © , south ❑ , east i''r", west 0 fromjCArdoss Street If on Corner, •which corner, northeast 0 , northwest ETA southeast Cl . ,;outhwe%t (Designate by marking with an ..X.. in the correct space_} NATURE OF PROPOSED WORK OCCUPANCY Main Building Construction of a new building. f3nc*-fami1y dwelling C� Addition to a building. jP Two-family dwelling D Cl Alteration to a building, /f, �/ -family apartment (souse � © Demolition of a building. GG Store building � - . . -car attached garage Other: Accessory Building One-car detached garage ram. Q 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- 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 locatitin of all existing buildings_ t4oRTM Show proposed building(s) in dotted line and existing thuildxng(s) in solid line. Size of property . . . . . .I ft• r • • • • ft. x . . �- p . . . . . . ft, Size and use of existing buildings, if any . r . . . . . . . . . . . s '"' Size of proposed building . . . ft. x . . ,Iroo . . . - . ft. „ LA'S Height ( from grade to ridgel . . . . It. lff ' Front yard . . . . . . . . Q. _ . , . . . . ft. E i)E . . r75. . . . . . . . . . ft- Sid e yards . . - . . ,• 7Q . . . , . . ft. and t,t x I + nre7I� Rear yard . . . . . . . . �.a7. . . . . . . . . . . . . . . ft. sauTM If on corner, setback from side street . . . . . .. :jr. . . . . , ft. Note_- roll distances are Test, as measured from street side line ra nearest part of building. (OVER) 7- 73—.M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction : Wood frame, fire safe, etc.? . . W. ov .e L'? rc'`� . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . . . A�Q . . . . . . If so, for what';, . . . . . . . . . . . . . . . . Material of foundation walls . . . eO, . . . . . . . . . . . . . . . . . . . . . . . . . . . 'thickness . . . `' . . . . . . . . . . . . . Depth of foundation walls below grade . . . . G . . . . . . <<� . . Continuous foundation? Will there be a cellar? . - �! tf �. . . . . . . . If so, material of cellar floor . . . . e;:;e a c's�Eet 70 . . , , . . , _ , Type of roof: Sloped or flat? ?zti� . . . . . . . . . Material of roof . . . . . . . .dC/" Size, wood studs . . . _ . . . . , . . I . . . . . . . ': x . . . . . � . , . . . . ", spacing . . . . . .f . . . . . . "o.c., length . . . . . . . . . . ft. Size, floor beams, 1st floor . . . . Z-. . . . . _ ' x . . . . . !.P. . . . . . . ", spacing . . , d Fa. . , ^o.c_, spun . . . . . . . . . . . . . .. . . ft, , , Z . . . . . , ` x . . . . . _f!o .. . . . . . . ", spacing . . fly.Size. floor beams, 2nd floor . . . . . . . "o.c., span . . . . . . . , , . . . . _ f;. Size, ceiling 'beams ^e . " x . . . . '�/ . . . . . . . . ", spacing . . a�r4o�. . _ "o.c., span . . . . sue+ - `✓ 3. . . ft. Site, roof rafters or beams &'/' " x spacing . . . . . . . . . . . . . . "o.c., span . . . . . . ft, Exterior finish _ . . . . . Ir�AlJ(F,�� . , . . . . do, 4 /lfA/4d /�i/SJ7. 'G . . With what material ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . '> W(j . . . . G{f L•€ . . _ . . . . . . . . . . . . . . . . . . . . . If gars e is to attached,,nf what material is wall between garage and main building to be constructed? Is there to be an opening between rag( and building? . . . rf . . . . . . . . . . . . . . .�, . . . . . . . . . . .. . _ . . . . . . . . . . . . . . . Kind of heating system , . . . , : G . . . . . . . . . . . . . . . , . . . (ail burner or coal. . . . . . . . . . . . . . . . . . . �. . . _ . . . . . . will a flue-lined chimney he provided? . . . . . . . . Depth of chimney foundation below grade . . .c''r. . . . . . . . . . . . Height of chimney above roof . . _ . ! . . . . . . . . . . . . . . . . Will there be a fireplace? . . f . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . _ . ,!G . . . . . . . . . . . . . . . . . . . . . . . Will a toilet he installed? . : . . Will a kitchen sink be installed and connected to water supply? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . . , fj 6.r.C . . . Distance of cesspool from any private well . . . . . . . . . . . . . : .rOedCf. . Will drainage system be provided with required traps, ? feet f, Y P �1 p�sa eleanouts, and vents. . . .��� . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of 'Warren State of New York. I swear that to to baWirof my knowledge and belief the statements contained in this application. together with the plans and specificatiotts sttfr mitted, are a true and co.a. lets statem ent of all proposed work to be clone on the described prenuses and that an �r IUna of the BUILD- ING CODE, THE ZONING ORDINANCE* and all other laws pertaining m pro sed work shall complied �vitlt, wktether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature . . . (j1N14ER. © ER'S AGENT. ARGMITEGT, GflNTR AGTOR dayof.. . . . ... . . . . . .. . . . . . . . .. . . . . .. .. . . . . .. . . .. . . 19, NOTARY PUBLIC, WARREN COUNTY, rf. Y. SPECIAL, CONDITIONS OF THE PERMIT: Br . . - _.... .. .... . . .... .. . ... .... . ..... . . . . WARREN COUNTY , NEW YORK Application fors DUILDIMii P,RRMIT IM COMrLIANCE wlTM THE NEW YORK STATE XUBRGY - COMR,BRVATION CODE A permit simet be obtained before beginning work . ^NSMi7t ALL of the followings 1 , Gross floor area r 2 . Type of heat C. " 3 ; is the 'building mechanically cooled ? 4 . Percentage of area of windows and doors A . Over 16 % Only 1 . U value of gross area of walls , roof /ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES No a . Are fouMdation walls insulated ? YES NO 1 . If YES , what is the R value ? 3 . Slab on grade YLS NO A * If YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a , R value of insulation- s . Type of insulation 8 . Under 16 % only 1 . R value of roof and floors exV zed to ambient conditions 2 , R valuee of exturior walls, 3 . R value of glazed area > � 4 . R va lue of doors 5 . R value of floors over heated spaces 60 R value of slab edge insulation - unheated slab rl LZI i . R value of slab insulation - heated slab _ jn�� e _ R value of heated basement / cellar walls ( above grade ) ~ ,S� r 9 . R value: of heated basement / cellar walls ( below grade ) lt] . Type of insulation_ . - c . Contxols 1 . Thermostat maximura heat ststti :. g Ua Duct Systems 1 . Is duct systVm installed in unheat2d spacep ? YFS r: t'+ a . If YES , R value of ductinstallation . r b . R value of duct in other areas Ea piping _ Insulation 1 , Sire cif hot water ' or cooling carrying agent pipe 20 R value of pipre insulation ro service water Bleating c ` 1 . Performance efficiency 2 . Temperature {control setting maximum ~~ Ian G . For Swimming Pool Only A ' V� " 1 ._ Maximum heating l Tv4cphOnp Nov �. ..r4` i �'`� ► B ( a,J) PII cant ' 8 signature ] e TOWN OF QUEENSBURY BUILDING ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT ,r APPLICATION 1 . Owner ' s Name Q � :J g'�! ,� ._ L4Lf Address Telephone No . 1pc S 2 . Property location zi /d!ne 411 r. -es s 3 . Name of person or firm responsible for installina system gyp, Telephone No . 'Cv Address 4 . Number of bedrooms ( residential buildings on�.y) 5 . Daily flow gallons/day 6 _ Septic tank capacity 09 gallons 7 . Topography : flat rolling , steep $ of slope 8 . Nature of soil and depth 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? ft . 10 . Percolation test : A is required B is not required C 2f requIred what is the rate minutes/inch 11 . Water supply : municipal , well , other 12 . Type of system proposed : drywell , the field , other 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 . J Date c / �' - "r ignatu e or al5plicant 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 . OF Form 3 - 82 C r Z7. _�� 4057381 THE NEW YORK BOA OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY - 41 STATE STREET, ALSANY. NEW Y 08897$075 Date September 27 , 1985 Application No. on file A, 6 4 8 3 4 3 T141S ClRTIFIES THAT spill'scans named an the abaa�+re applicators number in thepremia" of only Lhe edectrkgd egaipment as described belosP and introduced by the John Matthews Constructlon , iwhjte p:Lne Ptoad , GleUS Fs118 , New York 65 section Block Lot in the fallowing '4a.'ati13122N BaiKement let FY. EN End Fi. requirements o this Board. Loss examined on tS ang and found to he in complianc�r xaitis the .f FIXTURES RANGES ODO :ING DECKS S MSH WASHERS E7KNAUST TANS FI]tTLIRE ACM $WITCHES NCANDESCENY FLVORESCEN7 AMT, %. W. AMT- K. W. AMT. K.W. AMT. K. W. AMT. H. P, V. OUTLETS 27 49 21 ?7 r PI"URE APPUANCE FEEDERS SPECIAL REC'PT TIME C4L7CK5 EE6L UNIT HEATNtS NVIILTITEWA T DIIMMERS a DRYERS FURNACE MOTORS SYSTEMS AMT. K. W. OIL H, P. GAS M. P. AMT. lit1. A. W. G. AMT. AMP. AMT. AMPt. TEAKS. AMT. H. P. NO- OF FEETAMT. WATTS . er S E R V I C E SERVICE DISCONNECT NO.OP A, W. c. NO. OF NEUTRALS ,.. E c. METER 1 .0 2W I A' 3W 3 Ar 3W 3 Jr AW rt�CONQ OF CC. c:: 0. NO, OF HI-LEG OF HI.16Ca OF NEUTRAL AMT. AMP. TYPE waver, 1 200 CI3 1_ x OTHEE APPARATUS: 1- G . S k .w . - Water Heater �— Smoke Detector �7 TMA Electric 239 P:itch Lririe BRANCH .MANAGER Clens Falls * NawlYork 12.801 PeO _ - 1- - - T -- T-COPY FOR BUILDINGDEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER T61; N OF QUEENSBURY Building Department ,�,rt Date Name it No.P Perm -.� Remarks Excaaha ti on Foctln Forms pootin & Pipers Foundation Cement Coat ,Water roofln 8acicf121 P no Serve Frami Sheri thi Roof FeIt Roo fin s1dingr Masonr veneer Rou h PI Re1lef Valves pta11 Board Ext . Porches Finished Floor Interior Trim Stairs & ,Bailin s Ce13ar pr . Tile Concrete Floors P1 . Fixtures Gar . Fire roo.fin Boar Closers ChInine Prater Meter Snst . Se tic A royal Floors ,---- roundation .Insulation Walls Celli auild3ng nspectar REMARKS TOWN OF QtUEENSBU RY Building- departmealt Efteprcoms Rop rt D ute Naaae I.oe+i Pe�nilt yP�ilo. -- 'W+ett6ar [ ' ! N tom• S �'1 i� Jti✓ �' Remarks E'xcatYa t.xon Footidg Forms Footing & Piers Foundation Cenwnt Coat water roofin Backfill Final Surve Framing 4 O U Sheathing Roof Fel t Rooffing Siding Masonry Veneer Rough PIR9. 2. !� Relief Valves wall Boas Ext . Porches Finished Floor Intexior Trim stairs & Railings Cellar Px . Tile Concrete Floors plbg. Fixtures Gar . Fireproofing Door Closers Chimne Water Meter Inst , Se tic Approyal lours I Foundation nsulation __.._....._ Walls . Cei2irg Building Inspector REMARKS TOWN OF ' C EE14SBURY Building- D*partmomt Rupert ,� • R lv� Pe rnmiit No. J2IE Remarks x Ecava tl on Footinmg Forms Footing & Piers Foundation Cement Coat waterproofing BacJtf�E 22 Final. Surve FraAai SheathIngr Roof Pei Roofi S.IdIng masonry Veneer Rau h P2 Relief valves Ext . Porches Finished Floor rnterjor Trim Stairs & Railings Cellar Dr . Tile Concrete Floors P1 . Fixtures Gar. Fireproofing Door Closers chimne Water Meter Tnat . ' Septic Approval Floors _ Insulation Foundation Ararl2s Calling 4 r k BuVIdIngr rnspector REMARKS k 4 TOWN OF QUEENSBURY Building Department l"" oe Rept a'" Dateo Name -- LeCa Permit Nor, 5�' _ [n Cn v eather Remarxs Excatia tion Footing Forms Footinc7 & Piers Foundation Cement Coat Water roofin BacJtfi II Final Surve Framing sheathincT Rnof Felt Roofi Sidin Nasonrq Veneer Rough Plbora Relief Valves Wall Board Q Ext . Parches � L, Finished Floor K Interior Trim Stairs & Railings a r. Cellar Dr . Tile Concrete Floors P2bgm Fixtures PlDm.Zj4 Gar . FiXB XOC71�T T3 Door ClosersLAE p {, Chimney Water Meter Xnst . se tic Approval F1Ocsrs Insulation Z'OU"dation Wa11s Cei1. tiAA Building Inspector REMARKS O .K . %P/J r� TOWN OF QUEENSBURY Busil inir Depakmoest L N e'S Ra�ysart. Date— ' '.� •' �'©L '`r r awacaipQp L'. de_,I " j Ss res Remarks ExcaOataon Footing Forms Footing & Piers Foundation Cement Coat Water roofin Bachfill Final survey Framing Sheathing Roof Felt Roo.fin Sid.ing Masonry Veneer Rou h PIb . Relief valves Wall Board Ext . Porches Finished Flo<)r Snterior Trim Stairs & Rail.in Cellar Dr . Tit Concrete Floors PI . Fixtures Gar . Fireproofing Door Closers Chimney Water Meter Snst . Septic Approval Floors Insulation Foundation _— weI1s /�� Ceilin �� v � dsng Inspector REMARKS _ _ _ _ _. _ >.: .. t . ;_:, r,