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1987-046 BUILDING PERMIT TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK PERMISSION is hereby granted to v' j OWNER of property located atak Street, Road or Ave. :~ ►.lterat:L tO 4t•ell1=g (cellar repair) in the Town of Queensbury, To Construct or place a of rmation hereto filed and at the above location in accordance to application together with plot plans and other info approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. rOWNE11dress is r at" " C1eslts Tolls. ltfl�r Tarr 12MI OR or BUILDER'S Name mule#OR or BUILDER'S Address L1113M Shore VrIve Ia ko George. 3hm 'York 12843 I 4. ARCHITECT'S Name i S. ARCHITECT'S Address I li 6. TYPE of Construction — (Plasma indicate by X) S ! Wood Frame i I Masonry i ! steel I ! n r r: 7. PLANS end Specifications IoyM fNo. ropalir Cft.jjgW W&JIsR per fsjle0ifiC4at3.0U& AMA &"11Catton OUbWAtted i a. Proposed Use lhte--iawiil�► 1"JI/*I�lfat}� Cs^sPair r.'!I].YY" alpr.Ils) Y fi! $ n_ tlet PERMIT FEE PAID — T"IS PERMIT EXPIRES gyp# 1 , 18 4if a ianger period is requ ired an application for an extension must be made to the Building and Zoning inspector of the W town of Queury before the expiration dads.! H iDated at the Town of Queensbury this ZSth Clay of _ T!o?�F 19 SIGNED BY i-' for the Town of Queensbury Building and Zoning InspectorE' 1 V I TO BE COMPLETED BY BLDG . DEPT . car► / Application No . /Otvn O/ Queers -3 upy Permit Issued _19 TC vyN rOF QUEc�N$r{_+40kr � BUILDING and ZONING DEPARTMENT Permit Expires 19 M f L #f AyI I Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation 1 I_ I + _► i� 1! Oueensbury, New York12801 variance No . FEB 2 B Site Plan Review No . i Z Approved by : BIIIL.DING 8t CODE DEPT. APPLICATION F / I♦a%�i ..�� / } lT3c /�L1 w77 e RUIEDING AND ZONING PERMIT 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 . The owner of this property is : P . O . Address g Lv c? ` rr �} Tel . ��� Property Location : i r C {F1 aV [ _ Tax Map Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name - -i P . O . Address Tel , No . Name of builder4v.. , Ir1I1C � lIAA/ / � S Address Z- Akk [- G a3i L Tel . S 4-1Name 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 , Addition to a building drawn reasonably to scale and attached hereto , 5 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 t.1, * street and number or lot number and indicate whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . of septic disposal area . * * COMPLETE INFORMATION REQUIRED BELOW . Size of property` ,p U ft X d jo ft . * Existing building ( s ) Size = ('cS ft X ��ft - * PROPOSED BUILDING AND USE : * Existing buildings ) Use --� Size of new structure ft X ft Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line * ft ( circle one ) Front yard ft Rear yard No , of stories (habitable space ) * Side yard su _ft and ^ft Height ( grade to ridge ) ft . * If on corner , rsetback from side street ft If residential , now of families Now of rooms ( excluding baths ) * OCCUPANCY INFORMATION No. of bedrooms PRIMARY BUILDING - No . of bathrooms __One family dwelling Primary heating system * Two family dwelling Type of fuel Multiple dwelling / Number of units No , of fireplaces to be installed Permanent occupancy Will a wood stove be installed? * Transient occupancy Central Air conditioning? Business * BUILDING STYLE, PRIMARY STRUCTURE Industrial } ,� Other FV / i PINL- It c t ; k- (� /t J l7 0 ev �an J Contemporary Log cabin * If addition , what will use be? Raised ranch Mansion Duplex split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BTJILDING- Colonial Row Town Rouse Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * * * + * Private storage building ESTIMATED MARKET VALUE OF * 6tiler CONSTRUCTION � " � a 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 . Will any second-hand or ungraded lumber be used? If 'so , fonfwhat ? Foundation wall material / 0 r /3/ Thickness Depth of foundation below grade (to bottom of footing ) VO �11i � a Will there be a cellar? _MA Heated or unheated? Floor sq. footage sq ft Will there he a basement? -Y&Will any portion be used as living space? ( If so , what portion? sq. ft , - - Type of use'r> Type of roof - Sloped/flat/shed/other Material of roof Size , wood studs luxrlspacing „o . c . length ft , .joists ( floor beams ) 1st . floor +'X +' spacing +'o . c . span ft . .foists (floor beams ) 2nd , floor +'X „ spacing '+o . c . span ft . Overlays ( ceiling beams ) ++X " spacing +'o . c . span ft . Roof rafters FIX '+ spacing o . c . span ft , Roof trusses (pre-engineered) spacing '+o , c , span ft , Exterior wall finish Of what. material ? Interior wall finish 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 SEPTIC SYSTEM Distance from ANY private well { including adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of warren A F F I D A V I T 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 he 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 - � -_-------- - day of lg -owner , owner ' s a nt , arcbx-cect , contractor Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : BY TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN C014PLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning works ANSWER ALL of the following : Z . Gross floor area �i. r '• 2 . Type of heat a 3 . Is the building mechanically cooled ? �-� 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 ES ., NO a . Are foundation walls :ins( laIted ? YES 1 . If YES : what is ,,-t�h-e R value ? 3 . Slab on grade YES �N.G a . If YES , what is the R value of insulation around perimeter of floor ? 4o is basement heated ? ES NO a . R value Of insulation f`f +' ( f 5 . Type of insulation Be Under 16 % only 1 . R value of roof and floors exposed to ambient conditions. 2 . R value of exterior walls 1R � 3 , R value of glazed area T fi1: e ? AA ?1q 4 . R value of doors _ 5 . R value of floors over unheated spaces IV 6 , R value of slab edge insulation We unheated slab 7 . R value of slab insulation - heated slab Ai 4 N Be R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement � C:�/cellar walls ( below grade ) � 10 , Type of insulation C . Controls - � 1 . Thermostat maximum heat setting = D . Duct Systems 1 . Is duct system installed in unheated spaces ? YESNC7 a . if YES . R value of duct installation b . R value of duct in other areas E , piping Insulation 10 size of hot water or cooling carrying agent pig 2 . R value of pipe insulation �^ F e Service Water Heating 1 . Performance efficiency �' 2 . Temperature control setting maximum_ G . For Swimming Pool Only 1e maximum heating Telephone No . 4( aplica signature ) .fawn a� �eeeeny �urt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT A NAME' LOCATION Date / e4l�`Permit No . ✓ "PROVED - YES NO Footing/Fier Forms 1.ofoundation 14ate rproof ing %O tck.fill Framing Hoof a.ng Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior TrX% m 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- Build ' g Inspector 6/86 and-vl flow" v/ Quee" Jiury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R,D_ 1 Box 98 Queensbury, New York 12601 BUILDING INSPECTOR ' S REPORT NAME. LOCATION g ^em I 2 Fs� i9 Date Permit No . ^._... ✓ APPROVED - YES ` NO &Xe�oting/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 Final Building Survey Next scheduled inspection ( call when ready ) Remarks- 'RC- P1 rAC (, M �A/ J� 0 3 4 A e& !> o rurj-1 [,LI Ar,,.L. 0A1 L4 Building Inspec tipr 6/86 and-vl n W W a 1Y o ww � a o � x © L w o wlam- am m� � � wv W J ?c r F a' z z 4 t W W � � G W H ESN < � ❑ ' 11 W C) a' W _Z 0 F^ 0 Cr:C u u < LuQ ,. s iF Cy D QLLI 0 N d � 00 2 0Fw _ z J 0 = 0 d L] J U) �` z Un Q W f fj J C] Z a a � w �t d Y W in CLJCK x r ~ „r• C] w < N ~ 3 2C � ` � am Pw< a] _ C (n W U C7 CI !s U' 0 Wm J COY W W Us ;}r C LL,D �K Z J tr}; Q M J i LL F` w C1 INW `k Q T w w WI W 'R•(^+1 Y