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1986-547 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-547 �,� W RREN COUNTY, NEW YORK "J i 1q3hn and Judith Schultz PERMISSION is hereby granto OWNER of property located at 3 ci Fox Hollow Lane Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) 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. L+ 0 0 1. OWNER'S Address is 39 Fox Hollow Lane w Glens Falls, New York 0 a. 0 a. 2. CONTRACTOR or BUILDER'S Name �' rt OKO Custom Homes 5' m 0 5- 0 3. CONTRACTOR or BUILDER'S Address rt 9 John Clendon Road N Glens Falls, NY 4. ARCHITECT'S Name 0 rt 5. ARCHITECT'S Address L." o U' 1-.J 0 6. TYPE of Construction—(Please indicate by X) o (x)Wood Frame I ) Masonry ( )Steel ( ) 0 0 4 7. PLANS and Specifications p No. 17'x18' per plot plan, specifications and application submitted. co 8. Proposed Use P> One-Family Dwelling (family room added), n a w H. 0 rt H. H. I✓ 0 0 $ 32.00 PERMIT FEE PAID -THIS PERMIT EXPIRES April 1 19 87 n rt 0 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 town of Queensbury before the expiration date.) ... (n F-' Dated at the Town of Queensbury this 8th Day of September 1g 86 H �9 CM SIGNED BY p 6 0^'- , for the Town of Queensbury Building and Zoning Inspector (.....(jr)Glj TO BE COMPLETED BY BLDG. DEPT. Application No. a[uit of QueenibJ/ury Permit Issued 19 BUILDING and ZONING DEPARTMENT {� = ? (fieZ. , , Permit Expires 19 � ���:� �E� r� ,� If sit, ,�` 't Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation i e�k' L, iU L U ' R i Queensbury, New York.12801 Variance No. i '� ', Site Plan. view No. P ) ) ,Ja `'i 1 `_, -2'7 . - ,/ - /, 0 5 Approve Am. -52i` '° lE`ip . APPLICATION FOR /!jtM L.,_ 42,44.,--- - • . ' ` EU I LD I NG AND ZONING PERMIT A) . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * # # * * * * .* A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and specifications submitted, and such .i. special conditions as may be indicated on the Permit. The owner of this property is: ' . ti- � �v b I T/1 C�'fULT Z LO T.S 4 �'/ /� f . P.O. Address ,r /7`9LLO[..) 44}-,V y�C_C"A!S St 04 / O/ Tel.79f-/,SZ9 Property Location: .SS`/}/.t/C 5f 31 Tax Map No. / /6" Street number or building lot number 77 - ,.... abr Subdivision name (if applicable) ePERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: ' ,7 UuaYE Be.k zz.g roc.c_6:-)e lPD aeiiurif A)Y/2fZt. s -727Z Name (_, P.O. Address Tel. No. Name of builde60. (� 5yaill HetifeMiddress• R ��� Tel. °f yL •203 0 Name of plumber = 4 .--r." Address Tel. Name of mason Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, XAddition to a building * drawn reasonably to scale and attached hereto, • Alteration to a building * showing clearly and distinctly all buildings, • (no change to exterior dimensions) * whether existing or proposed andtindicate all Other work (describe) * set-back dimensions from property lines. Give * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND • * whether interior or corner lot. Show location of'water supply and location and configuration LOCATION OF STRUCTURES AFFECTED: * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. // . . . * Size of property ' /3 , ft X ab4O ft. * Existing building(s) Size rp 2 ft X Z S ft. * . . . . . . . . . . . . . . . . . . .. . . . . . PROPOSED BUILDING AND USE: I * Existing building (s) Use ,( LO EZL6,(J Size of new structure /f ft X /7ft Foundation-pie slab rawl/partial/full * Proposed building, distance from property line (circle one) * Front yard ft Rear yard / LD �74/- ft No. of stories (habitable space) � * Side yards " ,3e ft and ft Height (grade to ridge) /3 /6 ft. * If on corner, setback from side street ft If residential, no. of families No. of rooms(excluding baths) - 1 . * OCCUPANCY INFORMATION No. of bedrooms * ' No. of bathrooms * PRIMARY BUILDING - Primary heating system `-{,7-14. * One family dwelling * Two family dwelling Type of fue1,4/ 744 -$ *--Multiple dwelling / Number of units No. of fireplaces to be installed . • Will a wood stove be installed? _ * Permanent occupancy Central Air conditioning? -- * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other. ' . . 7 Raised ranch Mansion Duplex * If addition, what 11 use b Split level Old style Bungalow * /`"/}1/4'l4L'•y GrOe• 9 Ca e Cod Cottage Other * ACCESSORY BUILDING- elonial Row ' Town House *__Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) *' Attached garage/one car/ two car/ • car * * * * * * * * * * * * * * * * * * ' :Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION * $ Kr5-.00C) INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction; wood name fire safe,etc. Will any second-hand or ungra ed lumber be used? If so, for what? G Foundation wall material0cc Thickness Depth of foundation below rade (to bottom of footing) Will there be a cellar? yHated or unheated? Floor sq. footage 30 sq ft Will there be a basement? Na Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - _loped1flat/shed/other Material -of roof 6-/j4/ll14 Cdr g E Size, wood studs .. "X ( " spacing /b "o.c. length ? ft. Joists(floor beams) 1st. floor "v I. spaeing` "o.c. span/7 ft. Joists (floor beams) 2nd. floor "X " spacing "2.c. span ft. Overlays(ceiling beams) " // "o.c span ft. Roof rafters Q "X i�,Z„ " spacing/6 o.c. spanQ�G It. Roof trusses(pre-engi red) spacing "o.c. span ft Exterior wall finish(. _, f9-Rdo Of what material? /ZK 6 Z fifoGG- Interior wall finish A," Ai-- If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? ---- If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? _ _._ Height above roof ft. Depth of chimney foundation below grade - . ft. Depth of fireplace hearth - ft. in. Water supply - Municipal or private well E,et57/I 1- SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties _ . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a_ true _and complete statement of all proposed work to be done ;on the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorized by the owner. ////%%�� SWORN TO BEFORE ME THIS Signatur �C � 1/2‘7,642- Owns4` :wner's agenomtec contractor day of 19 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: 1.1. Gross floor area ge"!p • 2 . Type of heat /7:A41- • L 3 . Is the building mechanically cooled? it%Q • 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 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 o roof and f oors exposed to ambient conditions /e— c)• • 2 . R value of exterior walls ,/ / • . . • 3. R value of glazed area 172- 4. R value of doors /174 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 lls (below grade) 10. Type of insulation � t_— 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 Telephone No. 6-41/P602 /474k.A.0 an` ' s sigh re) Ca 11 4 9/ /Y 3 : °' _louin o/ Queenihury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME _`Ok rZ LOCATION t 5- S row lc)`/0 ,cl Date 9 �S/�'� _ Permit No. v, _ 6-77 ✓ = APPROVED - 4,4s / NO Footing/Pier Forms Foundation Waterproofing Backfill )(Framing D k Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - 61 Building Inspector 6/86 and-vl (L,,f\/"k) Z6-elb No oil TzfuLes _town o� Queen3bury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME SC-0-UL iZ LOCAT I ON /DY _5j 6 S I v SL f fr9uf Date "/Z9/ � Permit No. & VOW& * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YE / NO Footin•, Pier Forms Log )�-_,'<"/'-'/'`,', 64 Foundation V _- Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile \\/\\N\ Concrete Floors Plbg. Fixtures Gar.. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - w% 1/f/ Bui ding �spector 6/86 and-vl o Fo lac.LOtu .gNe • "SPECIFICATIONS" ('C Lars PA9 Lc 72-C-6? 1) 16"x8" Concrete footings 42" below grade: 2) 8"x16"x8" Concrete block foundation. 3) 2- 8"x16" Foundation vents. 4) 2x6 Treated pine sill plate. 5) 2x12 Floor joist, 16" 0.C. 6) 3/4" T&G plywood floor 7) 9" Fiberglass insulation between floor joist. 8) 2x6 Walls w/1/2" plywood sheathing. 9) 1/2x6 Spruce siding. • 10) 3x12 Laminated wood beam at peak. • 11) 2x12 Rafters, 24" 0.C. 12) 1/2" Plywood roof' sheathing 13) 15# Felt paper and .20year fiberglass roof shingles. . 14) Soffit and ridge vents. 15) 6" fiberglass insulation in walls and 9" fiberglass ins. in ceiling. 16) 1/2" Sheetrock on sidewalls and lx6 knotty pine on ceiling. 17) #2 Common pine trim on windows, doors, and base. 18) 2-FS15 skylights; 9-CW15 Anderson windows w/screens and grills; 1-3/0x6/8 single French door w/grills; 1-6/0x6/8 interior French door w/grills. 19) 2- Trapezoid windows in peak, 4'/6" +or-. . 20) 3- Single pole switches; 3- Light recepticals; 6- Duplex outlets; 1- T.V. outlet; 1- Telephone outlet: (Light fixtures to be furnished by owner.) 21) Electric baseboard heat with wall mounted thermostat. 22) Relocate existing outside water tap and dryer vent. 23) All exterior trim, siding and soffits to match existing house. 24) No exterior steps. . 25) All interior and exterior painting to be done by the owner. "PAYMENTS" 1) $5,000.00 When work is started. 2) $10,500.00 When work is complete. I SIJ 14 NV 'l. ova w fiA. Wolof '..--G 'iG S'Z1�% �p�L-. �.L�7"*,��r ?�Y,...y' A, �, � >,�..::---•_-•-•--.— '�: t " +s '�:r v ,v Y e an x° ,, GO ,t w -.:,...xA.- ,b. k ,au,,.:!9.:M - ....�$ ^6Xr. w,., ..✓m r. , ,,.:.. ... .4 r.. ...::: ,. .. :, � 9" � � '. �, r ;.: .,., , i,.., .''1..;e ..�,.,.:,. ,., .,;.....:�� %�i��as�,v„ ��'�n ..�}d.,r•.� �-. t�� ,.�fi;'�,:�'.�.':, r+x...` ,.,a!�;,,, '�v�'�s ,'a .,.a`x.;:M� .r..+�-��' , Y.. WE a M +&, r i, n.,r�'r< ,,, .„a'^`*'r*-,,:..r^v^^?g•ry*« ;'~i^.rar%t " .k;r"�'w`..:., t /'T.tN.• fm •.:x..,1'.. '•'^-- > ".. ":;.-. �.. b<.M.. i;: ... -_ ... ,-,. "!� aa..ri«.V✓.">� c.,,..>.e+:�,,,u.vp,„.,,,.:.c.�,?�i, drhis l„G.as.M,�e„,r,ac.'1�