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1987-822 BUILDING PERMIT � TOWN OF QUEENSBURY Na. 87-822 � WARREN COUNTY, NEW YORK CD PERMISSION is hereby granted to Roger Brown 4 OWNER of property located at Pinewood Rd . Y Street, Road or Ave. ,! in the Town of Queensbury, To Construct or place a Addition- 1 Car Garage 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. 0 1. OWNER's Address is Box 54 RD 4 r090 Queensbury , N . Y . 12801 � a 2. CONTRACTOR or BUI LDEWS Name Roger Kearns 3_ CONTRACTOR or BUILDER'S Address Cleverdale , N . Y . Y• [Ip O 4. ARCHITECT'S Name q rL R. 5. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by x) 94 Wood Frame ( ) Masonry I ) SteelIt ( 1 a F+- 7. PLANS and Specifications rt O No. 12 ' x 28 ' as per plot plan , specifications and application . n B. Proposed Use p' 1 Car garage c� w K w na 0 $ 20 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES "July 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 (:kueensbury before the expiration date.) Dated at the Town of Queensbury this 7th Pay of f December 19 87 SIGNED BY ;ice/ /fit c"a - �. rt �c�'.� � for the Town of Oueensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT - i 0VVN (--1F QUE_ ;Ai:v � [sulri n /�}eeFt} ►136 Application No . � � �1 1c "e '� Permit lC Issued 19 iliE i.J,S BUILDING and ZONING DEPARTMENT Permit Expires 19 NOV 2 51987 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queen ury, New York 12801 Variance No. BUILDING & CL)E d)EPT: Site Plan view No . Approve y - f "� ll�f • ' APPLICATION FOR BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undernigned 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 Tel . Property Location ; - Tax Map Street number or bulldin4 lot humber Subdivision name Cif applicable) THE PE ON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS ; NaW6 P. O. Address / � Tel . No . Name of builder ' -�� - ddress /,� AV. Tel . L; 5Lq - `.� 9 S Z Name of plumber Address Tel . Name of mason �,-esc . 0,4o . Address eI R Tel . [ ( "s' 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 T * 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 " T 5 �ft x /'. -, ee ft i . * Existng buildings) Size ' ft X 3Q ft . PROPOSED BUILDING AND USE : * Existing b ' lding ( ) Use Size of new structure /� ft X.Wft ._ Foundation-pier/slab/crawl/partial/full Propose uildin distance from property line: (circle one) ,� Front yard ft Rear yard f't . No . of stories (habitable space) TW * Side yards ft and ft Height ( grade to ridge ) I & ft - If on corner , setback from side street ft If residential , no . of families! No . of rooms (exeluding baths ) * OCCUPANCY INFORMATION No. of bedrooms No * of bathrooms * PRIMARY BUILDING - Primary heating system One family dwelling Type of fuel * Two family dwelling * 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, PRIMA2Y 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 CIRCLE ONE PLEASE * Detached garage/one car/ two car/ carh ( ) —At garage/one car/ two car/ car Private storage building ESTIMATED MARKET VALUE OF * other CONSTRUCTION t d INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI 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 ungr-aTe lumber be used? If so , for what? � —T Foundation wall material--JA ,e Thickness Depth of foundation below grade (to bottom of footing ) Z;2r Will there be a cellar ?- it;D Heated or unheated? r Fl r sq. foots a -(� sq t Will there be a basemen ? �v_will any portion be used as living space? T/3 -..t i _*Q0 (,•jRe4 ( i£ so , what portion? 910 sq. ft . - - Type of use? Type of roof - slope flat shed/other Material• of roof 'fW40 W PES Size , wood studs or spacing "a . c . length ft . Joists ( floor }seams ) lst . floor " spacing "r+ . c . span � ft . Joists ( floor beams) 2nd _ floor =X - spacing.- "o . c . span —.Ft . Overlays ( ceiling beams ) "�lt—_ 1 - �+ �=e ' 'r' •, a Et . Roof rafters "X +L/ " spacing _or�. c . span 2 eft . - --- Roof trusses (pre-engineered�/) spacings"o . c . span ,�ft . Exterior wall finish Tti / Of what material? L20a Interior wall finish % rs..z�D►�, �}, e�. If a garage is to be attached , describe materials to be usdAd for FIEF SEIPARATIONo Is there to be an opening between garage and dwelling? A= Tf so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? Height above roof - 4�5 ft . _ Depth of chimney foundation ]below grade ft . Depth of fireplace hearth eft . --- i.n , p Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( includi4ng adjoining properties rtp W (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 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 IL .. 3 Owne owner ' s agent , arcnxtect: 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 , Gross floor area r 2 , Type of heat 3 . Is the building mechanically cooled ? © rT 4 . Percentage of area of windows and. doors A . Over 16 % Only 1 . U value of gross area of walls , rjnOf / ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES a , Are foundation walls insulated ? YES /N/O 1 . if YES , what is the R value ? . 7i7 -6 3 . slab on grade <2EP NO a . if YES , what is the R alue of insulatiory arQund perimeter of floor ? =e'ddd " 40 Is basement heated ? YES NO a . R value of insulation_ V�d • o -� 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 3 . R value of glazed area 4 . R value of doors 5 , R value of floors over unh-e_a"ted spaces 60 R value of slab edge insulation'. unheated slab 7 . R value of slab insulation - heated slab $ , R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) 10 , Type of insulation C . Controls 1 . Thermostat maximum heat setting D 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 . PiTTjD Tn LL1 � it� n 10 Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation 1 . Performance efficiency 2 . Temperature control setting maximum . POOL '�nl `r 1 . Maximum heating Telephone No . 2 23 - q34 3 ` Z.,,` { a plicant ' s signature ) Gis' ra " Iq1!0- Mir THE NEW YORK BOARD OF FIRE UNDERWRITERS f :a7: f 1 BUREAU OF ELECTRICITY i 41 STATE STREET, ALBANY. NEW YORK 12207 Date „ 1� F'TF.'IB1F4 f+ I " ft 'l Application No. on file � �� � � tl ( s3 -, • -,. THIS CERTIFIES THAT only the electrical equipment as described below and introcluced by the applicant named on the ab~ appiication number in thoprwmiaws of R0('rEk PF<k !t in the folloteing location; Basement ❑ lac F'l. ❑ Znd Fl. Section Black Lot was examined on o.Il I 1 and found to be in compliance with the requirements of this Board. RXTtm RXTURES I RANGES COOKU40 DECKS I OVENS I DISH MASHERS EXHAUST FANS OUTLETS IRECEPTACWS1 SUMTCHES INCAN0t§C16 FLUORESCENT I OTHER AMT. K. W. AMT. K. W. AMT_ K.W. AMP. K_ W. MAY. H. P. DRYERS FURNACE MOTORS MMM APMIANCE FEEDERS ISPSCIALVECOPTj TIMS CLOCKS /[tL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. dl H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS, TRAMS. AMT. R_ P, N Systems co T AMT. WATM SERVICE aSCCMINECT N0.OF S E R V I +C AMT. AMP. TYPE EEQQUIIPP I .e 2W 1 ,e sw 3 X 3W a 1 AW NO. #PHI ACOMb. of E W-G' Id. NO. OF HI-MG ' I& NO, # NEUTRALS �NWt IXGf AL OTHER APPARATUS: BRANCH MANAGIcR Per This certificate must not be altered in any manner, return to the office of the Board if incorrect. inspectors may be identified by their erederMiok, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ptun o/ Queen3l ury BUILDING and Z()NING DEPARTMENT Bay and Haviland Road, R, D. 1 Sax 88 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATIONS iril¢-yry `� IJF 5 i ' e Date __. {.J� — Permit No . l ! APPROVED - YES 140 Footing/Pier Farm`' Foundation waterproofing Backfill Framing Roofing Si ding Masonry Vene r Rough Plumbin Relief Valves Ext _ porches Finished Floors Interior Trim Stairs 6 Railings Cellar Drain Til Concrete Floors Flbg , Fixtures Gar . Fireproof g_ D,,, r. Closers ;gym<�)ke Detecto s C:h imn ey I N SU I.AT I ON Foundation Floors Walls Ceiling FINAL 'ELECTRICAL ILVSPECTION _ I)ItIVEWAY APPROVAL Final Building survey P3ext scheduled inspection (call when ready Rc.mar . f f � Building nspector Eal86 and-vl ._.lawn a� �tteens6etrt� BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R-D- 1 Box 98 Queensbury, New York 12801 BUILDING I PECTOR ' S REPORT NAME LOCATION {/I Date Z 2` _ permit No . * * * * * * * * * * APPROVED - YES No Footing/Piet Forms Foundation Waterproof in Backfill Framing Roo f ing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproof ng Door Closers smoke "Detect rs Chimney AINSULA TON : oundaLion Floors Walls Ceiling FINAL ELECTRICAL SNSPECTIC?l3___, _.._ DR1VSWAY APPROVAL Final Building. Survey Next scheduled inspection (call when ready ) Remarks- Building Inspector 6/86 and- cal Jvcurr a Q" evns6ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. I Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ,lv epi" ? r LOCATION 1,j7 ew ayr,�rer/ar /) Date/6/ Permit No . _��( c/) ✓ - APPROVED - YES NO 4 ooting/Pier Forms _. oundation Waterproofing Backfi I Framing Roofing Siding Masonry Ve eer Rough Plum ing Relief Valv s 3,xt . Porches Finished Flo s Interior Trim Stairs & Raili g Cellar Drain Ti e Concrete Floor Plbg . Fixture _ Gar . Firepro ing Door Closers _ Smoke Detee ors Chimney INSULATIDN Foundatio Floors Walls Ceiling_ FINAL ET CTRICAL INSPEC ION DRIVEWAY APPROVAL-- Final Bu ding Survey Next scheduled inspection ( call when ready ) Remarks- 1 it 4 } r Building Insspectoir 6/86 and-vl � � ��US�= dds �tGffT G? �x� C'a�G�(atfrf-f 13G�C7 7 PO4*t J3UILDING and ZONING DEPARTMENT Bay and Haviland Road, R-D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTORIS REPORT NAME 6 LOCATION � .�.—L Permit �* #r' APPROVED O Doting/Pier Forms oundation oraterproofing Backfill Framing Roof in f Siding Masonry Vene r Rough Plumbin 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 ELECTRI AL INSPECTION DRIVEWAY "PR A► . Final Building Survey NexC scheduled inspecCion (call when ready ) Remarks- l f Building Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORIC BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. LL TEMP. Y DATE CITY OR ! / _ /,,•^r" _ VILLAGE ( --• �`'! T;�: _ - TOWNSHIP /" .yq - „�,".�-. COUNTY STREET AND NO. OR POLE NO. ROAD AND POLE NO. _ G? ,f, ,:t'.".•- .� ' ' ?' < J BETWEEN WHAT TWO -^r~ /// - - PREMISE RL EATS �' .r: r . x '.'�.: ' -' % '1 + *'f, ECTION / • . �/ ^I BLDCK L07 OCCUPANT BUILDING .- NAME i . ,:T . ,,,r ..l,._. ,` x. --r`7e..�^a►f.: OCCUPANCY DWNER-S NAME {' TEL. AND ADDRESS fV f SUPPLIED i ...�' p, f f- FROM THEIR ,f <� "+r'•' •! a . OFFICE BUILDING �i r - WORK II--�� r DEFECTS IS .f New {L'# OLD © IS NEW I.J A bI TIONAL REMOVED Q LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No, of Ye 8e BRANCH NUMBER OF OUTLETS H LwowRoomptacepceclee MOTORS HEATERS CIRCUITS OFFICE USE 1•060.. ONLY heel Side Attach't H.P. Watts A-W.G. Oailioa WaN R,ea�•N Switch pendent Bradial No. Type Lr,' Ne. Each No. Oaf INSPECTION Out- aide ! Sub- bon Swiss- 'went Tat Ft. Ind Fi. 3141 Ft. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. T hit application is intended to cower the above•listed equipment to be irnpected but if at Ilrna of inspection there Is found additional equipment not above listed., year are autharized to make the impaction and adjust she fee to cover the additional equipment, as provided by the applicant. SIZE OF ELECsTRiC SIGN TOTAL MAINS FEE43ERIS LAMPS WATTS CHARACTER - EXPOSED GAS TUBE SIGN OF WORK CONCEALEO TRANSFORMERS OF VA WORK TO BE {NLMWBERI ICAPACITYJ STARTED COMPLETED SIZE. OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS Of SIGN BUILDIN INSPECTION REOVESTED ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATIQ PRINT NAM"ND ADDRESS -„� i ySIGNATURE NAME OF ,6r� - r K �� ,L..• r:'+ sRJ 1i.3 �Mc'..• .A gIG NATV RE APPLICANT { ,•� 6 _� f OF APPLICANT �"..fit+ STREET ADDRESS "`) Y'T� `rr / /� ��� '�'� �/'�.t-7 {yam. ZIP / TELEPHONE CITY O. POST lO#RFfCE W be l' ti:."Y/GrAj ..' A CODE �` / WHEN APPLLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING i Q � i I I I 1 I I I r j y .fu