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1988-163 BUILDING PERMIT TOWN OF QUEENSBURY No. 88-163 ro WARREN COUNTY, NEW YORK Dalon Showalter . PERMISSION i FlAbyAedto '- OWNER of property located at 1 /X Ashley Place Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alteration 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 Same Iv N ° 2. CONTRACTOR or BUILDER'S Name Len Taylor w rt to 3. CONTRACTOR or BUILDER'S Address Patten Mills Rd. Fort Ann, N.Y. 4. ARCHITECT'S Name o0 CD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( ) Wood Frame ( ) Masonry ( )Steel ( ) 9 7. PLANS and Specifications r~r fD ri No. Interior removations only - no structural changes as per rt application. o' 8. Proposed Use uwi Internal alterations $ 18.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1, 19 88 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 20th Day of April 19 88 SIGNED BY Q�� a. ,azze -i2 for the Town of Queensbury Building and Zoning Inspector /j/4J TOWN OF QUEENSBURY OWN OF 3; WARREN COUNTY, NEW YORK IJ \1' Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEWS 1 8 "S88 STATE ENERGY CONSERVATION CODE BUILDING & CODE DEPT. A permit must be obtained before beginning work. • ANSWER ALL of the following: • • 1. Gross floor area • 5 0 , �. • • 2 . Type of heat s 11 3 . Is the building mechanically cooled? /,VO • '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? gip NO a. R value of insula ion • . 5. Type of insulation B. Under 16% Only 1. R value .of roof and floors exposed to ambient conditions • 2 . R value of exterior walls / 1' • 3. . R value of glazed •area 4 . R value of doors p, 5. R value of floors over unheated spaces '�T.� �/ 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) 10. .Type of insulation /^f 6'L7 6 L,453 • 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. 7p2 - (.O 6 (applicant ' s ignature) 4 TO BE COMPLETED BY BLDG. DEPT. TcsYMIT CAYEE;,;.F'•,�. / Application No. (:N 'S j j �iJj i Own of Queeniur, Permit Issued 19 U 5 J �i Jj BUILDING and ZONING DEPARTMENT Permit Expires 19 APR 181988 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No. Site Plan Revi \ BUILDING & CODE_ DEPT. ), Approved by /S '- ( 416: t�/i--to \ `� /� �' ` APPLICATION FOR i Ak 670 BUILDING 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: DAL0/K cJ(T i°(ATA-1!T 3_,TFlP P.O. Address / D X S / /2-Lr/� pL` - 6J s ( L L Tel. Property Location: 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: j-L=li `-r i d_A)— /7kT "L i/ /1'ji LL s iP " - F e R r -/1/#-- % y 2 -b 2 67 Name P.O. Address Tel. No. Name of builder pp V i / Address Tel. Name of plumber r Address Tel. Name of mason Dr 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 property 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 REQUI? D LELOW. * Size of property. ft X ft. * Existing building(s) Si e ft X _ ft. PROPOSEDD BUILDING AND US : * Existing building(:) •.e Size of n wwstructure3C J�4f X ft * U Foundation-pier/slab/crawl/partial/full * Proposed buildin•, u.i-tance from •rop=rty line (circle one) ft * Front yard t Rea. ya•- No. of stories (habitable space) ft * Side yards it an. Height (grade to ridge) ft. * If on corner, setha • from sid: street _ f- - If residential, no. of families No. of rooms(excluding baths) * OCCUPa CY ' I 'ORMAT1ON * No. of bedrooms * PRIMARY BUI PING - No. of bathrooms * One fami y d e- ing Primary heating system * Two • y dwelling Type of fuel * Multiple dwelling / umber 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 Ranch Contemporary Log cabin * If addition, what will use be? Raised ranch Mansion Duplex '/ Split level Old style Bungalow * KlrC-1 r 4V 0ral?Al b` Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town I-Iouse * 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 $ f © a, /('d * - r 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: r Type of. construction, wood frame, fire safe,etc. ')( S r U pS Will any second-hand or ungraded lumber be used? If so, for what? /VO Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? Heated or unheated? Floor sq. footage /5_2j sq ft Will there be a basement? 4(0 Will any portion be used as living space? L (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Material. of roof Size, wood studs "X " spacing / 4, "o.c. length '' ft. Joists(floor beams) 1st. loor 1, "X '- " spacing 16 "o.c. span Lit ft. Joists (floor beams) 2nd. floor --- "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered),_ spacin "o.c. span ft. Exterior wall finish 4c Of what material? Interior wall finish 5WW)77 g K 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? 5' If so will a Fire-rated door, enclosure, and self-closing device be provided? L--5 Will a flue-lined chimney be installed? — Height abtove 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 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 authorizedby the owner. SWORN TO BEFORE ME THIS Signature ry/ _ J' Owner, owner's gent,arcnitect,contractor day of 19 Notary Public, Warren} County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: l ( (A)k t L 13'& l ki-,-- a AJ,-t. A LimiivL A-►`(CM/5 S C A ,V 6 G S _ By e MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 APPLICANT COMPLETES THIS SECTION t� (227,4/ %7 Date:/9' 7 City, Town or Township 2 /A r 5' IV 5 47 11 / County 1 ' A.H State (' Location/Address / A-sit L 1 Y / J,4 a (If Located in Rural Area - Please Attach Directions) Pole # Owner • 17.4 / G RI J 1/ '1'A .L rI: i Permit # • Occupied As f j(-'0 L L 1 rile Building: Newl I Old' Occupant A 04 T , Work Area in Building (Floor #, etc.): I fl 00 App. for: Wiring Service I I or: Ready for Inspection: Fee Remitted-$ Cash n Check n m.o.! 1 Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches Amp. Service Surface Unit Dishwasher Range Lighting Water Heater Air Conditioner Dryer Pump Receptacles • Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans • Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 1,/2 2 3 5 71h 10 15 20 25 ' 30 40 50 75 100 Mark Number of Each Size Applicant's — Signature ff;— j ! 11 License # Permit # o T/A _ f, • Utility: Applicant's Address:F". �r 4 T T Iv 111 / I...45 /r 0 (NAME) (OFFICE LOCATION) (City) " v /- / (State) fti 7• (Zip) / 2 V 7 Service Request # Phone #' `� '" �7 rr Electrician: lyIDIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above? or: Red Notice LBhel TI Rougi;Wiring Outlets Surface Unit Oven Switches. . Range Garbage Disposal Receptacles 1'— Water Heater Dishwasher ` Fixtures Air Conditioner Dryer Amp. Service Equipment - Burner,Wiring &Controls for Amp. Receptacle Amp. Service Conductors ''� Pump Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 .143 1/2' 3/4 1 1'/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID I I RW Progress: Inc.❑ LKD I I Contractor • I CFT Violation: Work Comp.❑ Inc. ❑ CASH I L/A Owner Fee CHK # I1 L/A Due MO # Ti IPA Municipal INV # Other Side❑ Utility Applicant I Date: Owner I I Cut in Card I I Temp # Date INSPECTORS SIGNATURE n Final # Date -- APPLICATION FORM NO.250 EL 11/86 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND 'GADS QUEENSBURY, NEW YORK 12804- ja.. ..L.Hilt./ TELEPHONE (518 792-5832 BUILD IG INSPECTO: 'S REQUES •' INSP CTION RE r VED f/Z NAME LOCATION Af 1 / DATE-A lI `1 d # tf`_/(( APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO" FOUNDATION/DAMP-PR.. BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS r, CEILING U FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST 'S STAIRS-CLEARANCE & PLUMBING FIXTURES/'E EF VALVE INTERIOR TRIM/PRIV.•CY DOORS FINISHED FLOORS GARAGE FIREPROOFI SrE/e/o 0 DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL I SPECTAON . . . ✓FINAL APPROVAL OF IONSTR TION OK TO ISSUE C/O 0- C/C A SIGNED CERTIFIC'TE OF OC UPANCY MUST BE OBTAINED FROM THD BUILDING DEPARTMENT BEFORE THESE PREMISES AlE OCCUPIED! REMARKS: /e211L ( 74 Ce. i ` 6icx, - cw,At 501 l,e46,/,,:-/ ARRIVE 3' g() '� DEPART 3 -55 V / I INSPECTOR • awn of QueenAury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 -Jt./E4A, azov/4-7,- BUILDING INSPECTOR ' S REPORT NAME jL .60L-C62 c t.) LOCATION // 6-Za.24L _ Date 9-( /, ,,j- Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding • Masonry Venee 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 ,rf \ INSULATION: s' Foundation / Floors_ �` \ Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey 7 Next scheduled inspection (call when ready) Remarks- / 1//7 4 6/01-(i :r► • Building sjebtc r \6/86 and-vl awn of Qur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 fiinQueensbury, New York 12801) �� , ,P0121(A(4 BUILDING INSPECTOR ' S REPORT NAME /.00 4 7/ ,ih ,)a-!r/7) LOCAT ION J/! aQ my- , gae — Date ,5"/a7/4P Permit No. D D -/z,3 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofi 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 Detector_ Cyimney NSULATION: Foundation _ Floors ` Walls �� / ((- Ceiling j�r Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Buil g nspector 6/86 and-vl Jocun o/ Queeniktry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �S[�Q U JA-1.-7—r61Z- LOCATION J 7 s f��` 9LI4Ce- Date31/9 /gg- Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill ///:/ XFraming P -- Roofing Siding Masonry 'eneer Rough P1 sing Relief Val :s Ext. Porches Finished Floor- Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofigg Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELE TRICAL INSPECTION DRIVEWAY APPROVAL Final Bui..)ding Survey Next scheduled inspection (call when ready) 4aej, eRemarks- .( ' Ve ldn• nspector 6/86 and-vl A ' v VlA �-IV. Ij a6�l P1416P s14OwA4-rc-R L L fit/ rA`iLs R %99- /02 4 q