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1985-413 BUILDING PERMIT TOWN OF QUEENSBURY No 85_ 413 WARREN COUNTY, NEW PORK PERMISSION is hereby granted to Nnrman Bena4nk _ _ tl�i t 15 tj OWNER of property located at Lot r51 Peggy Ann RnaA Street, Road or Ave_ to � 7tj in the Town of Queensbu ry, To Construct or place a Arf i f- ' nn t� r3 w 'I 7 i rig ( 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, 1 , OWNE WS Address is Peggy Ann Road Glens Falls , New Fork 2. CONTRACTOR or BUI LDE R'S Name L t Roger '1"t71C7111 a 8 ,-to F- Ln 3. CONTRACTOR or BUILDER'S Address Stony Creek , New York 'b Iv LO 4, ARCHITECT'S Name 0 5_ ARC.HITECT"S Address ¢r 6. TYPE of Construction — (Please indicate by X) f wood Frame I ) masonry ( ) Steel { } 7_ PLANS and Specifications No. 24 ' xl4 t per plot plan, specifications and application submitted . Q, 8. Proposed Use Cu j 44 „1 res ' n-i [A rtI One-Family Dwelling ( Ca l -- ad p mr. mod ) M 4 m c to � rt 0 $ 10000 PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 1986 n {if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Q M town of Clues sbury before the expiration date.! Dated at the Town of Queensbury this 5th Day of August SIGNED BY G for the Town of Cueensbury Building and Zoning Inslpecto TOWN OF QUEEWSBURY (;pace inside block to #x• filled in by WARREN COUN717Y, NEW YORK Building in"6cl4n-) Application for l'(11. cl, 11 I%i'.u1 19 BUILDING AND ZONING PERMIT I'461-r„ i, E*%pines /t3nin l} i%trix t \ ,, I , I, 1 11' Irl THREE 131 Copies of a PLOT PLAN, Drawn to scale Ai ,i :, i. ,•,l Ix showinei the actual dimensions of the lotto be built k, lr,:Il kS upon, T�* exact six*, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, 1` �'c3wf� l(C{�SpF t�i.Z](I4EI1��f�f'f]+1SBC3FI-2`t,�y'! t/ - / .J,/ . . . . . . . . . . . . . . . . C71YTF - IE G IE 9 '17 [ U A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. -I ' ' S IDS The undersigned hereby applies for a permit to do the following work A.M. ��� P•N4, which will be done in accordance with the description, plans and specifi- 718191�*lpj?1213141516 cations, and such special conditions as may be indicated on the permit. The owner of th`iss property is: / C? y .!" 4 . !3 cL'.►v ►� c � c _ . . . . . ,G (a Ea � I t fl �A.) `C� s� _ V t � <✓ The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: . {NAM£) ' . . . . - . IP0 AODR£SS) . . . . p. ,r� + a ✓ . , 1 +fir U w7 _ !a. .S . , - - . Address . . .s �+J-Y . .[ . V -C E' /�L d. Name of Builder . . - . . . q . . ( . . . . . . . . . . . . NameofPlumber . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . Address , . - . . - - Lot Number . . . . . . Unit . . . . . . . . . . . - Estimated value of proposed work f _ _ '.0 C,. . . . . . . . . . . . . . Nameof Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . p P ` . . /3''? "I. . . . . . . . . . . . . . . . . . . . . . . . . Side of street: north ❑ , east 0 . south [� , west Q Nearest Gross Street - . . . . . / . . . . , r5. . ' . . . . . . . . . . . . . . . Distance from this ^rosy street . . . . . . Property is north ❑ , south , east : 1 , west ❑ from Gross Street If on Garner, which corner, northeast 0 . northwest 0 , southeast CI - southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY d Construction of a new building. B Main uilding One Tw Addition to a building. -family dwelling a © Alteration to a building_ Two-family dwelling C] Demolition of a building. -family apartment house Store building � . 1 . . . . . -car attached garage C7 Other: . . . , . . . . . . . . . I . . . . . . . . . . . . . . . . . , Accessory Building One-car detached garage 0 Other work. Describe; . . `� t~ .r, .e".� �'`! . � � . . 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, site and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. Show proposed building'(*) in [lotted line and existing huilding(s) in solid line. / Size of property . . . 1 . . . - - . . ft. x f. ' . . . .�. . ft. Size and use of e�l�tst ng buildings, if any . 4s�. .r' .� � . . . . . .,,.,f,./.''' . _ . . . . IWs " Size of proposed building . . . . eft. a . . . . . . ft. Height (from grade to ridge) . . . . . . . . . . . . . . ft. Front yard 7. �r' . . . . . . . . . . . . . . . . . ft. Side yards . . , 6? . . . . . . . . . ft. and . ft. Rearyard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. SOUTH corner, setback from side street . . . . o • • . - • f N Natece .- +e All distances are nee, as m*asstred from street side line to nearest load of building. (OVER) 7-73-M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction' Wood Frame, fire safe etc.? . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . O If so, for what? . . . . . . . . , Material of foundation walls . . . . . . . . . .. . , . . . . . . Thickness g. . . Depth of foundation walls below grade . . !- �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation ? . . . . .Will there be a cellar? J!� . . . . . . . . . If so, material of cellar floor . . . . . . . . . Type of roof: Sloped or flat. . - . lam! !' ' . . . . . . . . Material of roof . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Size, wood studs . . . . . . . . . . . . . . . . " x . . . . . . . . . . . . . spacing . . . . . . . . .,.,. . . ."o.c., length . , . � ft. Size, floor beams, Ist floor . . Q. . . . . " x . . . . . . . . . . . . . . . ". spacing . . . !. e* . . . . . , "o.c„ spun . . . . . . . . ft. pa Size, floor beams. 2nd floor " x . . . . . . . . . . . . . . . ... spacing . . . . . . . . . . . . . . "o.c., span . . . r. . . . , - - ft. Size, ceiling beams . . . - . . . . . . . . . , . " x . . . . . . . . . . . . . . . ", spacing . . , f - - . . . . . . "o_c., span . _ . +� . . . . . . ft. Size, roof rafters or ms .�'�. �C? . . . . " x . . . . . . . ", spacing . . .1' Cr . . . . . - "n_c., span . . . ►. ti r. < < . . . . ft_ Exterior finish - - ! .° . .`• • 7t.� .t / /. . . . . . . . . . . . . . . . . . . . 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 chimney foundation below grade . , , , . . . . . , . . . . Height of chimney above roof. . . . . . . . . . . . . . . . . . . . - - - - - - . . . . . _ _ . . . . , . . . . . . . . . . . . . . . . . . . . . . . . Will there he 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 Que+enshury AFFIDAVIT County of Warren State of New York I swear that to U. bgWTof my knowledge and belief the statements contained in this application, together with the Dtaiaa wrtd specif�catiena sub- mitted, are a true and oti.a.p lete statement of all proposed work to be done on the described prenuses and that a of the BUILD- ING CODE, TIRE ZONING ORDINANCE, and all other laws pertaining so the proposed work ahall he complied whether specified or not, and that such work is authorized by the owner. Sworn to before me this SignNture OWNER- OWNER'S AGENT, ARCHITECT, CONTRACTOR day of. . . . .62.47' . .5.�.. 19 a `7 V NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT; By . . . . . . . .. .. .. .... .. . . ... . . . .. .. . . . ... .. . . . .. .. .. . . .. . . . . ..... ...... ... . ... . . .. ... .. TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMI- rilANCE 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 / ✓ O 2 . Type of heat te�- 1 C `�r ► d �� 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 a blent conditions (y .2 c ,5.._.� 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 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation B . Under 16 % Only i . 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 8 . R value of heated basement./cellar walls ( above grade ) 9 . R value of heated basement/ cellar walls ( below grade ) 10 . Type of insulation Co 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 . Maxi/mum heating Telephone No . - ( applicant ' s signature ) TOWN OF 04JEENSBURY Building Department Iaapacbms Report, , _ Dat. Y /2-1. — Nama_ rs �, ► .. 0. k Irocs�#iao o -I r Persoilt No. c5_ - 1 ,r ► � W�t]aex Remarks Earcat�at on Foot in Forms Footin & Piers Foundation Cement Coat Water roofin BacRfill Final Survey Framin ' sheathin Roof Fel t Roofin Siding masonry Veneer Rou Relief Values Wall Board -� Ext . porches Finished Floor 2nteriox Trim Stairs & Rai-l.i.n s Cellar nr . Tile Concrete Floors p r , Fixtures Gar . Fire roofin Door Closers Chinme Water Deter Inst . Se tic A royal Flc]o Foundation Xnsulation Walls Ceilin Building InsFctor REMARKS IPe iZ t tT TOWN OF QUEEMSSURY Building- Department Inspectoce Report Date_ S� Navas L.oeatioM Pervnk No. - - Weather Remarks Fsxcat}a tsoUn / Foe nQr 800tin & Piers Foundation Cement Coat water ofin Be Final Survaij Fraau n Sheathin Roof Pei It Roafin S. Masonr Veneer Rou h Pl Relief Valves Wall Roara Ext . Porches Finished Floor Znteri.or Trim Stairs & Rallin Is Cellar Dr . Tile Concrete Floors Pl Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst . Se tic A royal Floors Foundation Insulation Walls ceil3n ui ing rnspectar REMARKS TOWN OF QUEENSSURY Building Depurtmnent Ieopoeboea Report Date Nam! 4N 1. mma4tina Pewznk No. Westlaer Remarks impq=,� orms Piersnatf.ina . Final Survey FramI n Sheathing Roof Felt Roo fin Siding Masonr Veneer Rau h PI Relief valves idall Board Lxt . Parches Finished Floor .- Interior Trim OL Stairs & Railin s Cellar Ur , Tile Concrete Floors P3 Fixtures Gar . Fire roofin Door Closers chirune Water Meter Inst . Se tic A roval Floors Foundation _... Ynsulation Wall$ Ceilin -� Building Inspector REMARKS i "7(j V Y I^l w_ Job �/ i C. Y' voo rs T -T boor I ' V3 i s� Z Z cy pi o I �- � z � � ��► at � � � Y -j lb cc 4 i I t kh i No•ca 11 U U i N vhh x Z _J rlp" 7W � 1 VI WI O .9 fl a �•,° ;'. 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