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+
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1. OWNER'S Address is 39 Fox Hollow Lane
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Glens Falls, New York 0
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2. CONTRACTOR or BUILDER'S Name �'
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OKO Custom Homes 5'
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3. CONTRACTOR or BUILDER'S Address rt
9 John Clendon Road
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Glens Falls, NY
4. ARCHITECT'S Name
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5. ARCHITECT'S Address L."
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6. TYPE of Construction—(Please indicate by X) o
(x)Wood Frame I ) Masonry ( )Steel ( ) 0
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7. PLANS and Specifications p
No.
17'x18' per plot plan, specifications and application submitted. co
8. Proposed Use
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One-Family Dwelling (family room added), n a
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$ 32.00 PERMIT FEE PAID -THIS PERMIT EXPIRES April 1 19 87 n rt
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(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.) ...
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Dated at the Town of Queensbury this 8th Day of September 1g 86 H
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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 - ,....
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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
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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
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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.
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