Loading...
1987-088 BUILDING PERMIT TOWN OF QUEENSBURY No- 87-88 WARREN COUNTY, NEW YOR K o L . Don Read � PERMISSION is hereby granted to C m rI. OWNER of property located at end of Brayton Road , Cleverdale 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. t . OWNEWS Address is Cleverdale , New York. 12820 ro 2. CONTRACTOR or BUI LDEFt S Name John P . Matthews 6 1-h t7d L� 3. CONTRACTOR or BUILDER'S Address �C rt RR #1 0 Lake George , New York :U 0 w 4. ARCHITECT'S Name C} I� ro G ro 5_ ARCHITECT'S Address ' C3. 1� I� t9 6. TYPE of Construction — {Please indicate by X} i x} Wood Frame d } Masonry i ) steel d 1 7. PLANS and Specifications 20 ' x25 ' per plot plan , specifications and application and Var . 1209 No. 9 0. P. S, Proposed Use rt One—family Dwelling (additional living area) o• rt 6 o . o0 Oct . 1 19 87 PERMIT FEE PAID — THIS PERMIT EXPIRES m tr (if a longer period is required an application for an extension must be made to the Ruilding and Zoning inspector of the i..Y town of Queensbury before the expiration date.) On Dated at the Town of Queensbury this 25th Day of March fg 87 / / ! SIGNED BY "t - own far the T of Queensbury OQ Building and Zoning Inspect 11 Prot ro w TO BE COMPLETED BY BLDG . DEFT . Application No . I ;,,ror.: ti..3F 0JLZ1N5L.+ur • r' _foam 01 Queei" 39 dry Permit Issued BUILDING and ZONING DEPARTMENT Permit Expires Bay and Hawiland Road, R. D. 1 Box 98 Zoning Designation [1 Oueensbury, New York 12801 variance No . C] 3M AR 2 4 Site Plan Review No . ` - Approv by " ISUILDird4Ga tic CODE DEFT. APPLICATION FOR Ik A �o FU I LD I NG 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 : 7)A Ili P . O_ Address Lo 0 do it gh A L Tel . Property Location7! T11A1 +�I Tax Map No . / f Street number or building lot number subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O . Address I / Tel . No . Name of builder ,JOeyy A 1KATMIkAd Address ���f r� . � Tel . �q "+.�}s.�y ■ Name of plumber Address Tel . r 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 , 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 praperty lines . Give * 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 8 � ft X#70-ft . * Existing buildIng ( s) Slze�^ft X ft • PROPOSED BUILDING AND USE : * Existing building ( s ) Use I .�► Size of new structure 0 X� � ft Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line (circled e ) y - 1 _ _ft * Front yard 6 ft Rear axd �jr No . of stories (habitable space) Side yards ft and ft * �_ Height ( grade to ridge ) _ /ti ft • If on corner , setback from side street ft If residential , now of families Now of roams ( excluding baths ) 1 OCCUPANCY INFORMATION No . of bedrooms x. PRIMARY BUILDING - Now of bathrooms 1 / One family dwelling Primary heating system Two family dwelling Type of fuel g2ji.. Multiple dwelling / Number of units No . of fireplaces to be installed__ Permanent occupancy Will a wood stove be installed? o0 * Transient occupancy Central Air condltloning? � Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Other Ranc Contemporary Log cabin '� 7 If addition , what will use be . ised ranch Mansion Duplex 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 * {]tk3er CONSTRUCTION $ ` L, . . . . . . . . . . . INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED , Form BPA 4/86 md-vi BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood ramee , fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? ��rL Foundation wall material Thickness 80 R � Depth of founda �r low grade (to bottom of footing ) Will there be a�`t �'7 -Heats ar unheated? Floor seq. footage 0roV sq £t Will there be a basement?�`JfAb&LWill any portion be used as living space? ( If so , what portion? sq . ft . . . Type of use? Type of roof - sloped/flat/shed/other Material of roof Size , wood studs__ _ '" spacing_ �"o . c . length ''8 ft. Joists ( floor beams ) lst . floor � "x " spacing �I ►y�"o . c . span -ft . Joists ( floor reams ) 2nd . floor A'X " spacing "o . c . span ft . Overlays ( ceiling beams ) "X OF spacing "o . c . span ft . Roof rafters i�"X_L_" spacing .IG„ o . c . span __j _£t . Roof trusses (pre-engineered) spacing A' o . c . span ft . Exterior wall finis Yt r S pf what material? � Interior wall finish ���"` If a garage is to be attached , d scribe 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? !C�o` Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth �ft .vme ►i.. n . Water supply - Municipal or privatewar SEPTIC SYSTEM i Distance from ANY private well ( includi.ng adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) Town of A F F I D A V I T STATE OF NEW YORK ry Warren County off 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 Signature - • N� er , owns ' s agent , arcnirect, eontractor - day of 19 ,� �� Notary Public , Warren County , N. Y . * IF * * * * * * * * * * IF * * * * * * * * * * * * IF * * IF * * yr * * * IF * * * aAr * * * * IF IF 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 2 . Type of heat_, &JYA 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors A . Over 16 % Only i . U value of gross area of walls , roof/ ceiling and floors ex sed to ambient conditions 2 . Floor o r heated spaces YES NO a . Are f ndation walls insulated ? YES NO 1 . If , what is the R v e ? � 3 . Slab on grade S No a . If YES , what i the value of insulation around perimeter of flOO 4 . Is basement heat ? YES NO a . R value o Insulation 5 . Type Of 1 ulation B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions, r "' 2 . R value Of exterior walls � • Ici 3 . R value of glazed area jy . Zo 3 'Mo 4 . R value of doors 2 • �rj S . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab Be R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement/ cellar wallas ( below grade ) 10 . Type of insulation Co 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 C , For Swimming Pool Only 1 . Maximum heating Telephone No . _ 44ks J )'g( a plic nt ' s signature ) �0 _.J'vu�n v� �ueenshsere� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D- 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION e Date/ Permit No a i O r = APPROVED - YES NO ooting/Pier Forms oundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plum bin 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- ; Building Inspector 6/86 and-vl BUILDING DEFT. COPY OE APPLICATIONO ON FTHIS wITHLD NCa NEP EW VORKNBOARD OF FIRE UNDERWRITERS. FIL TEMP. # DATiE c ' CITY OR > S t COUNTY t �," r),t_,a r VILLAGE (� F,{ [ ; c TOWNSHIP { STREET AND NO. OR POLE NO- ROAD AND POLE NO. BETWEEN WHAT TWO CROSS STREETS IS SECTION BLOCK LOT PREMISE LOCATED? OCCUPANT'S - OCC BUILDING CY `� +j r NAME OWNER'S NAME TEL. # AND ADDRESS I f CU NT �i // ff SUPPLIED #� 11' :'� # , �.r �,q, }a.4, FROM THEIR G Jr_.�{ ' f f YJ+ r' '" OFFICE BUILDING f ��,{ WORK DEFECTS B NEW L�_l OLD ❑ IS NEW ❑ ADDITIONAL ❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No, of Flxtures & BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY Lor+ tior Side Attach't E Each No. Eel, No. Gauge INSPECTION Ceiling Wall Racep'k Switch Pendant Bracket No. TYP• Out- side Sub- due Base- mart I" FI. 2nd FI. 3rd FI, REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: GO NOT USE THIS SPACE. This application is intended to cover the abtrye•I isted equipment to be inspected but if at time of impaction there is found add iti"all equipment not above listed. you are authorized to make the inspecdnn and adjust the fee to Oliver the additional equipment, as Pr"itled ISV the apPIi"ril- E LECT R IC SO GN TOTAL SIZE OF FEEDERS LAMPS WATTS MAINS CHARACTER EXPOSED GAS TUBE SIGN CH WORK CONCEALED TRANSFORMERS OF VA WORK AK Be {NUMBER) {CAPACITYI 57ARYED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNOERGROVN6 MAKER ENTERS 'OF SIGN BUI La ING INSPECTION REQUESTED ON OR AS NEAR AS NEW FO OLD POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS DATE OF i NAME OF N APPLICANT APPLICATIO r ,/ STREET ADDRESS � ?`: x..f i ,. . (: .L. : , TELEPHONE # FI'a" r`.+' LICENSE NO. CITY OR COiDE i t _ f WHEN APPLICABLE POST OFFICE 4e EL (REV_ aln5) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING „j` 4 Nj oil E .� 4