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1985-440 BUILDING PERMIT TOWN OF QUEENSBURY No. `-� �] WARREN COUNTY, NEW YORK �� � _ a "PERMISSION is hereby granted to Dorothy A . Smith OWNER of property located at Eisenhower Ave . Street, Road or Ave. in the Town of Queensbury, To Construct or place a Addition to dwelling at the above location in accordance to application together with plot plans and other information hereto filed and O approved and in compliance with the Town of Queensbury Building and cloning Ordinance. ti O rt 1 . OWNER'S Address is Box 142 Eisenhower Ave . Gens Falls , New York cn W_ 2. CONTRACTOR or BUI LDEWS Name �Dale Matott 3. CONTRACTOR or BUILDER S Address 4. ARCHITECT'S Name L=] r- rn CD 5. ARCHITECT'S Address � fD n <' C B. TYPE of Construction — (Please indicate by X) ( }4 Wood Frame I ) Masonry I 1 Steel I ) 7. PLANS and Specifications No. 35 ' x101 per plot plan , specifications and application submitted . 0j sz l-+ B. Proposed Use One-Family Dwelling (parch and living area added) Cr ;:;:1 rt 0 $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 19 $ 6 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the M town of CYueensbury before the expiration date.) F� I✓• Au u st 8 5 � Dated at the Town of Queensbury this y19 t Day of g 19 u0 SIGNED BY app ' for the Town of Queensbury BuIIding and Zoning Inspector TOWN OF QUEENSBURY (. Space inside block to he filled in h% WARREN COUNTY, NEW YORK Building Inkpettorl Application for •! 1 init 1IC111 A pP l�[ 4'1F14[ 19 BUILDING AND ZONING PERMIT P1 .1-111i1 Expires ari /C j111114.a Disiri['1 4 olcic Id Wqwk e ^ s THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale - showing the actual dimensions of the lot to be built upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF QUEENBBf.f4= � f 1 � nQ E � cs � hole A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK n A U U 1 2 1986 DU ANSWER ALL OF THE FOLLOWING. Av f .&& y �t� P.M The undersigned hereby applies for a permit to do the following work 71A-M 1d�1f yy��r� 1 4 5 h which will be done in accordance with the description, plans and specifi- ?! �1� f-.q�-►=`z . 1 . ) . 1 . 1 5 f cations, and such special conditions as may be indicated on the permit. The owner of this nperty is: y �J70 The person responsibkc for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is_ (NAMEI - . IP O ADDRESS} ' Name of Builder . V,GC.J e 4a_ - G7 . . - . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . - . Name of Plumber . . . . . . . . . . . . . . . . . , - . - . . , Address . . . . - . . . , . . . . . . . . . Natine of Mason-, J9� 'le, . - �.�[. �' G? . . . . . , Address - . - . . . - . . . . . . . . . . . . . Lot Number • . - . - - • • - Unit . . . . . . . . - - . . Estimated value of proposed work S . . rc, C 1L?4? ! �. . . . . . - . - Name of Village . . . . . . . . . . . . . 1 . . . I F' , �= . It Side of street : north 0. east 0 , south ❑ . west 1V&meofStreet , . . . . . v . , ' , :. . . . . . . . . . . . . . . Nearest Crass Street . . . L • oF: 0 Distance from this � ross street . . . . . . . . . . . . . • - . . . . - F1 . Property is north ❑ . south ❑ , east iI; , west from Gross Street If on Corner, ,which corner, northeast V . northwest ❑ , southeast ❑ , southwest (Designate by marking with an "X " in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main BuRding Addition to a building. One-family dwelling Two-family dwelling C] Alteration to a building. . - - . I I -family apartment house Ej Demolition of a building. Store building . . . . . - -car attached garage L� Other: Accessory Building One-car detached garage © Other work. Describe. . . . • • • . • • . . . • • . . . Two-car detached garage � Private chicken house 0 Private storage building O 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, size and setbacks of pro- posed buildings, and the location of all existing buildings. ►toR7M Show proposed building(:) in dotted line and existing Wilding(s) in solid line, 1 ! '; d Size of property . . . . . . 1 ? ft, x . . . _ -. . . ft, ti Size and use of existing buildings, if any h j f _`r / ji 'r Size of proposed building ' . * . ft. x . . . , . . . . . , ft, Height ( from grade to ridge , . i . . . . • . . - . . . - . . . . .. ft, Front yard . . . .. . . . . . . . . . . . . . . . It. Side yards - ft. and . . . . . . . _ . ft. Rear yard + : . . . _ . . _ . . . . .,:.s t.t : .a;5 fit SOUTH If on corner, setback from side street - ft. Note: All distances are net, as rneasured from street side ` line to nearest part of building. {OV£R1 7.,, 73 �M (cont'd. ) BUILDING SPECIFICATIONS. Kind of construction: Wood frame, fire safe, etc.? . . . Vj05c ) XZ) . Will any second-hand lumber be used? . . . . J:Kkk - If so, for whin? . • " -- �.klo f4c . . . . . . . . . . . . . . . . . Thickness . . . . . Material of foundation walls , . .f"�`�ri,C_I't i°.-'i+L4. . . . Depth of foundation walls below grade . . . .Z5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? _ . y' , Will there be a cellar? If so, material of cellar floor . . . , � _ . . . . . . . . . . . . . . . . . . . . . . _ . . . Type of roof: Sloped or flat? . - . � o,R 7C3. . . . . , Material of roof . . , '' l(O . . . 4 A P'4A CT ,�v +-,� 1'2cavtr•*✓,C, 1� t�oc-ci +w"P. Size, wood studs . . . . . . . . . . . . . . . . - " x . . . . . . .``/, . . . . . . ", spacing . . . . . � . . . . . ."ea.c., length . . . . . ,d _ . . . . €t. Size, floor beams, Ist floor , . . . . . , , - 2 - " x . . . . . - . . . . . . ", spacing . , . . _ f. . . . . . "o.c., span _ . . . . .f ft. Size, floor beams, 2nd floor . . _ . . . .d — „ x . . . . . . ", spacing . . . . 7777. . - � , "'o-c., span . . . . . . . . . . . . . ft. Size, ceiling beams . . . . . . . . . . . . . . �-� . " iG . spacing . . . f -lp . . . . "'o.c., span . . . . . / o ft. Site, roof rafters or beams . . . . , . . . " . x $ . ", spacing , "o.c., span . . . , - .t. ft. Exterior finish - . .E>. a `4 GAA--r k - ,k . • . . . . • • . • . . With what material? . . . . . .4- A . Finish of interior walls . . . . . . . . . . . . . . . . . . . . . _ . . . , . . . . . , . . . If garage is to be attache material is wall between �ara� mar• =- --- b he constructed? Is there to be an opening between gars a and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system „ G P Eat . . . <*�'i . . '. ? . , $il lit: eP er seal-� . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? . . . . . . . . . . . . . . Depth of chimney foundation below grade . . . . . . . Height of chimney above roof . . . .'P + . . . I . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? N p p. . �;�b . . . . . . . . . . . - . . , . . . Depth of fireplace hearth , , -�---�—.r. : . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . . . . - - . . . , . . . . . • - Will a kitchen sink be installed and connected to water supply? . . . . . . . - --" . . . . . . . . . . . . . . . eke . , . . , . . . . . . 1 . 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 Queenshury AFFIDAVIT County of Warren State of New York I swear that to ter. baz t of my kna++!Jedge and belief the stafaroenra contained in this application, together with t11c plans and �peciCxcationm sub- mitted, are a true and CO.t. lete statement of all proposed work to be done on the described premises and that all of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the propo ork shall be w' ittl�We specified or not, and that such work is authorised by the owner. Ll Sworn to before me this Signature o.`e ' . O;�Wk S, 0A G T. . . R - 1'RACY4R.. . . ... . . . . . . . . . . . . . . . . .. . . day of . .. .. . . .. . ..... . . .. . . .. . . . ... 14 NOTARY Pum-ic. WARREN COUNTY, N, y. SPECIAL CONDITIONS OF THE PERMIT_ By ---- . . .. . . .. ... . . . . .... . .. .... __ .. . . . --- -- -- TOWN OF QUEENSBUR"Y 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 1 2 . Type of heat i 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors. .� ,t. r 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 � NCY a . Are foundation walls insulated . YES NO 1 . If YES , what is the R value ? 3 . Slab on grade YES llNOP a . If YES , what is the FF value of insulation around perimeter of floor ? 4 . Is basement heated ? YES No a . R value of insulation 5 . Type of insulation / B . J Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls r2 - F Z 3 . R value of glazed area 1 + \/-fE� Y7/ VN0 - i�. 161 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 tdg62 1./is S Co Controls -- 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES - „'U0 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 r 1 . Performance efficiency � . 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . 70Z — Z vim 5 �� ( appl I ciwet ' s signature ) `roVVl11 OF 4�►FF _ �S�(j,� Y B� ''amc jmemAartmeat Ica 0 �aCkfi-Z-Z 221ai Shea thin �-- �+'ap�` At Ra sr�nx VeneeSr cr h pIZ Ext . Parches �"inisfi� P�oar IS Rai-tirr Ce11ar 1]x. F-ile �--� mar. Fire seater xetex tic A P'a�nd�ti n zlin , r di roW Departafteat Date wa far -�--�_ 'x'onn zn ---� ve Rif tL0.2 Re�i e� Oil trateri o 2v ---� 0"C re a Po2coz a �~- yes CIO xovai z on `�xoars R 1 dx ng,. s'Aec tcrr 10I ?E�,gKS � �� TO WP' OF QU+EENSB Up � �'+part�eet Name P"Vmk No L� Wesier Excat�a ti an F'00tln Forms 1°"oot.zn & piers Foundstion amen t Coa t Water roofin Bacxffll Final 3urve Frami sheathin Roof Pei t Aoofin siding Masonr fmeneer Rou h PI Relle valves Wail Board Ext . P,or,G.hes Finished Floor In'tierio�Zz7 Tri3n Stairs & Rail.in s Cellar Dr. Tile Concrete Floors Pl Fixtures Gax . FZre roof-in Door closers Chicane Water !deter Xnst . Se tic A rova2 Floors Irlsu 2 a ti on Feu otarti �^ Walls cell---1,f Buslding rns Pector AVEMARKs .r C Lr{J t f !i se i I -_-� fit ' ----- Z�23 `- jJt d(/ ,tpQ r� t � i f