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1986-578 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-578 QK ` WARREN COUNTY, NEW YOR K PERMISSION is hereby granted to `�' Joseph and Lupe Santa Lucia OWNER of property located at t j`-" West Mountain Road Street,Road or Ave. in the Town of Queensbury,To Construct or place a Alterations to dwelling (roof) 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. OWNER'S Address is RD #2 0 Glens Falls, New York 0 2. CONTRACTOR or BUILDER'S Name • same fD rn 3. CONTRACTOR or BUILDER'S Address rt same 4. ARCHITECT'S Name w• 5. ARCHITECT'S Address CD En rt 6. TYPE of Construction—(Please indicate by X) o G ( A Wood Frame ( I Masonry ( I Steel ( ) rt H. 0 7. PLANS and Specifications alterations to dwelling — changing roof per plot plan, w No. specifications and application submitted. 8. Proposed Use P> One—Family Dwelling (alterations to roof) rt r- rt N• 0 $ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 1987 ran (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt O town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 16th Day of September 19 86 • r• ® �y 0 SIGNED BY 69.,4 G N for the Town of Queensbury Building and Zoning Inspector n 0 0 . • 94 TO BE COMPLETED BY BLDG. DEPT. kb Q Queeniur , / Application No. M1 awn UPermit Issued 19 �- : , ,s - r =5: BUILDING and ZONING DEPARTMENT Permit Expires 19 f 1+ , �.,� f;,: hI I ��� l i 1: Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation !+•. ( i+i, L`= J �� ,'- ++ ' I Queensbury, New York 12801 Variance No. � I _/ '• ]�_ j_ - - o1.2. Site Plan e .Lew No. %'!� i_i 28 ? I?/4 . --------, - Approve F;AL I 94,2n1213 SS (G e 7'2 718191 � APPLICATION FOR ., € �� a tG, e 1 a P d ' • BUILDING AND ZONING .PERMIT G Cl *::.* 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 special conditions as may be indicated on the Permit. 1 • The owner of this property is: �SE*/ Zcfpr i53,,///7,9 L' �i i,4 2 P.O. Address A0 Irv4r; 7- , 7 , R,1a ig0. .5� Ci C� . S .i 4 SMy,Tel.7 ?* '23 , Property Location: ±, A/F-gt-,.i'7`i /Y,'. 4 0)( 44.c.7 r /147iA /%xesl Tax Map No. / / Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS REGARDS BUILDING CODES IS : o 5 f A ,.�1:0P-17`6 ZV ,', /� 0V••/1 F„771177.4242 ,a'�r'. l( ). Ut 2 3 —,-5-0<3'i' Name P.O. Address Tel. No. Name of builder Sirs Address Tel. Name of plumber Address Tel. Name of mason Address Tel. NATURE OF PROPOSED WORK: ,,. ZONING INFORMATION: t Construction ofA-building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, )( Addition to a bu ld' g * drawn reasonably to scale and attached hereto, 'yC Alteration to a buining * shoTng clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) /'1a►,55 14 ' ' * set-back dimensions from property lines. Give ,/� Etc,; * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * • ' * COMPLETE INFORMATION REQUIRED BELOW. 0 . . Size of property d 2, , / ft X .a' - ft. * Existing building(s) Size 26 ft X �s CJ ft.�fv,ir ; * r PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure ft X ' ft * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * / * Front yard ' GF 0 ft Rear yard /0 ft No. of stories (habitable space) / * Side yards `_ _ft and / Z„ ft Height (grade to ridge) ft. If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) /./ * • OCCUPANCY INFORMATION * No. of bedrooms * PRIMARY BUILDING - No. of bathrooms / Primary heating s stem �,=rq„ 6,o /-� ;/ * One family dwelling Type of fuel i9 3 * Two family dwelling . No. of fireplaces to be installed rvew ' * Multiple dwelling / Number of units Will a wood stove he installed? ,e0 * / Permanent occupancy Central Air conditioning? /Vp * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE x Industrial Ranc Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition, what will use be. Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * J Detached garage/one car/ two car/ 0 d e car ( CIRCLE ONE PLEASE ) *- -,:-Attached garage/one car/ tw,o car/ / car - ` * * * * * * * * * * * * * * * * * * ' 'Private storage building ESTIMATED MARKET VALUE OF *'_ $ Others ' _� . CONSTRUCTION 5 * Q • 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 frame, fire safe,etc. Ivaco Rtf4) Will any second-hand or ungraded lumber be used? If so, for what? /✓O' Foundation wall material i'llek:':OC,-,t1A1nverClict adelftThickness /p " Depth of foundation below grade (to bottom of footing) Will there be a cellar?///'5 Heated or unheated? AritOrkso Floor sq. footage 3'G O sq ft Will there be a basement? vrWill Will any portion be used as living space? ey/eu (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/otherStpinfOMaterial. of roof Size, wood studs 2 "X 6 spacing / "o.c. length S ft. Joists(floor beams) 1st. floor Z "X •/d " spacing 16 "o.c. span Z9 ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) 2. "X " spacing /4. "o.c. span 2 y ft. Roof rafters 2 "X ` '' spacing /4 o.c. span /o ft. Roof trusses(pre-engineered) spacing /jP' "o.c. span ft. Exterior wall finish R04104, P74 y;,ok,/ Of what material? 79/.-fr°Nr. Interior wall finish 54, 4 7-/�® + 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? pt/ ,4 / ;pj ,Qr/,-, Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney'foundation below grade ft. vbe,ri= e 0e4 Depth of fireplace hearth ft. in. Q / Water supply - Municipal or private well /17 (,ice�° A 0,10 `� ,�, SEPTIC SYSTEM Distance from ANY private well(including adjoining properties yd- ft. (A separate application Ois necessary for any repair or new installation of septic system) /VVi li! i i e. / v 7r = ice l!k.) P' .�s�1. 2._ /.�is7}` o, ' 'ese Town of Queensbury County of Warren AFFIDAVIT STATE OF NEW YORK ••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 Signature • Owner, owner's agent,arcnitect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • By t - • Note : When started, this was to be a renovation . The c� decision to do a new bldg . l4 Jown of Queenatur, came when the condition of BUILDING and ZONING DEPARTMENT the old one was discovered. �. Bay and Haviland Road, R.D. 1 Box 98 Applicant has up-dated permit Queensbury, New York 12801 application to reflect changes, including drawings of the new . construction. APPLICATION FOR - S BUILDING AND ZONING PERM' - -- A PERMIT MUST BE OBTAINED BE 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 special conditions as may be indicated on the Permit. The owner of this property is: JOSEPH & LUPE SANTA-LUCIA P.O. Address RD 2 WEST MT. RD. BOX59 GLENS FALLS, NY 12801 Tel. 793 5238 Property Location: SAME Tax Map No. 74 / 1 / 22 Street number or building lot number , Subdivision name (if applicable) ' THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: OWNER, AS ABOVE SAME Name P.O. Address Tel. No. Name of builder SAME(OWNER) Address Tel. Name of plumber 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, X Addition to a building * drawn reasonably to scale and attached hereto, X Alteration to a building * showing clearly and distinctly all buildings, (no change to exterior dimensions) * whether existing or proposed and indicate 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 LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. NOTE : * THIS NEW STRUCTURE WILL BE * COMPLETE INFORMATION REQUIRED BELOW. BUILT ON AN OLD, ORIGINAL * Size of property 75''' FRONT ft X 102 ' ft.DEEP FOOTING. SET-BACKS WTI I REM,q pi F * Existing building(s) Size ft X ft. SS MM * PROPOSED BUILDING AND USE: DWELLING * Existing building(s) Use Size of new structure 28 ft X 30ft * Foundation-pier/slabs partial/full •* Proposed building, distance from property line * (circle one) * Front yard f2 ft Rear yard 90 ft No. of stories (habitable space) 1 Height (grade to ridge) 16 ft. * Side yards 15 ft and 3 ft If residential, no. of families 1. * If on corner, setback from side street ft No. of rooms(excluding baths) 4. . . . * OCCUPANCY INFORMATION No. of bedrooms 2 * No. of bathrooms * PRIMARY BUILDING - * x One family dwelling Primary heating system GAC., HOT ,_IR Type of fuel GAS * Two family dwelling No. of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? * —Permanent occupancy *Nt7 Transient occupancy Central Air conditioning? NO * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary. Log cabin * Other Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial 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 $ * -----2-0 0-0-0 INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 -md-vl rS �, BUILDING PERMIT APPLICATION CONTINUED - • BUILDING SPECIFICATIONS: Type of construction,Cwood frame, fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? 1,1C Foundation wall material +D C'y Thickness k) Depth of foundation below grade (to bottom of footing) .Q ksz. {..J _ j ' -- 6 ' Will there be a cellar? WO Heated or unheated? Floor sq. footage sq ft Will there be a basement? PO Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - slo flat/shed/other Materialof roof . 9kk,t_ << `06 G= Size, wood studs 2,. "X L, " spacing lip "o.c. length 5- ft. Joists(floor beams) 1st. floor 2 "X F " spacing \-(D "o.c. span \o ft. . Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) 2_ "X \o " spacing "t-E- "o.c. span 15- ft. Roof rafters .2 "X " spacing -'-\ o.c. span \Cp ft. Roof trusses (pre-engineered) spars an -ft. Exterior wall finish `Q L-\La)oo 0 Of what material? Interior wall finish Q riN.09.)3tc c , If a garage is to be attached, describe materials to be used for FIRE SEPARATION: hex'-e to be an opening between garage and dwelling? If so will a Fire-rated re, and self-closing device be' provided? Will y_ fr, —l-incd chimney be installed? NVb5 Height above roof 3 ft. Dh ^� �; ' grade ft. Dept-14- -f--fireplace hearth ft. in. Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well(indluding adjoining properties ft. (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 t s application, together with the plans and specifications submitted, are a true and compl to statement of all proposed work to be done ;on the described premises and that all provis ons of the BUILDIN CODE, THE ZONING ORDINANCE, and all other laws pertaining to the pro Posed work shal .e complied with, whether specified or not, and that such work is authorize. by the o er. SWORN TO BEFtr ME THIS Signature Owner, owner's agent,architect,contractor d.of 19 Nota�fy Public, Warren .ounty, N.Y. p, : * * * * * * * * * * • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 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. Gross floor area • e4, 6 cS ' f2 2. Type of heat er/ a "0 /%4 3. Is the building mechanically cooled? ,/YO 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? 316. 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 �e B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions_ /2— 3 c7 2 . R value of exterior walls 2--( q 3 . R value of glazed area — • 4. R value of doors n - Z 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) /2-9 / r 10. Type of insulation /-`0/4 4- �( C JA- • C. Controls 1. Thermostat maximum heat setting 2 D. Duct Systems _ 1. Is duct system installed in unheated spaces? YES zNO 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 0 1. Performance efficiency ed- 2 . Temperature control setting maximum g ,1 G. For Swimming Pool Only 1. Maximum heating - • Telephone No. 2 '4-' „t f (fapplicant ' s signature) 1 Jown o/ QueeniLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME Sill' A J'1-.4- G k'c>I.4 LOCATION GV /417_ z t-,0 Date C Z`j/ ; - Permit No. / -15-11 * * * * * * * * * * * * * * * * * * * * .* * * ✓ = APPROVED - YES / NO Footing/Pier Forms _ Foundation Waterproofing Backfill _ Framing _ 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 DRIVEWAY APPROVAL c )(Final Building Survey 2%K Next scheduled inspection (call when ready) Remarks- / _ / i Building Inspector 6/86 and-vl Jown of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME C LOCATION 12u 0 • Date ( /j / '7 Permit No.• -51 * * * * * * * * * * * * * * * * * * * * .* * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing ILIRoofing ),Siding fr Masonry Veneer Rough Plumbing )( Relief Valves )<Ext. Porchesfl V Finished Floors • 'yxtnterior Trim.ci Stairs & Railings 1s Cellar Drain Tile Concrete Floors YPlbg. Fixtures Gar. Fireproofing Door Closers • {Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling XFINAL ELECTRICAL INSPECTION "DRIVEWAY APPROVAL )<Final Building Survey Next scheduled inspection (call when ready) Remarks- c 17 7 . /0 c� / cy� / e 0a/ Building Inspector 6/86 and-vl Cu /lec/ i//01//d'7 Jowl' of 2ueeniurj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME --PS-el / SOH74 /ccC-i9 LOCATION/ I v.►Ves7- pf oa/ VVL date // / X/ Permit No. S-7,f17 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer d/ )(Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile f Concrete Floors / Plbg. Fixtures \/ Gar. Fireproofing A Door Closers Smoke Detectors \ Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspe or 6/86 and-vl N f2 _Jown o� Queeniurty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME n NT A Li) c(A LOCATION ja) 120 Date nit / Permit No. O(P '-6-r U * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill gaming oofing 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- . . i Building Inspect 6/86 and-vl J Jown of Queeni‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME Jab-- 1/-RAJ'A ) icr,4 LOCATION 12//li _ 17& Date /0/6 / 8 Permit No. i� = APPROVED - YE NO Footing/Pier Forms Foundation Waterproofing Backfill Framing 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 At, INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey : Next scheduled Inspection(call when ready) Remarks- - I6. c q; re iff6. 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ScpF 6,IG'c4 6+2,.zc7` 0.9( ,p p• lV Val r. o C s}, G ��' O \ „ �,,,r�3,� cly+�k 4• 'Nirn f��cntan�a ��+``* � � (n; Jc.drj w ,op° el Gr d L �4 pc� f nthenyZ R. Ju+fC Jpfacg 3_. �! V p 9dl�t ydgfi .JuneI9G$��,433+7 C r o ° '9r_- DAMIAtJ J. S3pW14Na 'E.•..1¢. �''�.., n `/ .: ._..�., O{,hgr T'c.�.a off' Q.�tCNs6va•V WP.RQE.As CUv.s-rX, 0"(, r�'� r Y" O f�o�oored GogwyCrnce-Jo.s.¢Grivdo/p¢Snn#�L�cia $c 4�E: \". -30 "DATE= ,�v�."{ 17� I`l7 @s A A/;-horry A(rrf icr . �� JaitA .$. VAIA DuSf-s.S Prc;ecs—d Cc�✓G+�ancP-r':n�,Fn YF.cE J✓.rc A. LAwo SvzeE�oZs, G�E►�s F-A�.�.s e+Y. \ ^for9ia fv Jos. �G1cn•r/v kr, nl�cro Y 1.�.F.c (R+N P-tc ¢o+wo