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7857
BUILDING PERMIT TOWN OF QUEENSBURY No. 7857 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to [[ ,,�,.,,, Thomas and .Tune Fttlt- 1ce �3 P `i-J DINNER of property located a 1 Dixon Road Street, Road or Ave, ty Alteration to dwelling cQ -( rt P vert orc� to � in the Town of Queensbu ry, To Construct or place a -- - �— �1 G.4i Lif..4 at the above location in accordance to application together with plot plans and other information hereto fled and ¢ approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. >w 1 . OWNER'S Address is 140 Dixon Road m Glens Falls , New York � rr, x• 2_ CONTRACTOR or BUILDER 'S Name ID same 3. CONTRACTOR or BUILDER 'S Address same l-- 4. ARCHITECT'S Name O d x a 5, ARCHITECT'S Address 0 Q 6. TYPE of Construction — (Please indicate by X) I X Wood Frame I I Masonry ( ) Steel I i 7. PLANS and Specifications No. converting existing 61xl3 ' parch to living area per specifications and application submitted . S. Proposed Use one-Family Dwelling ( convert porch to living area ) c m >L Fs rt rt r- 0 $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES December 1 19 83 1018 Fj Ilf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the fZ [7 town of Queensbury before the expiration date.) rij rt � Dated at the Town of Queensbury this I +-b Day of may 19$.3__,,,._ D � SIGNED BY for the Town of Queensbury F wilding and Zoning Inspe r �6 1]S fD 1� TOWN OF QUEENSBURY t jSpaec inside block to tw fillt+el in !w WARREN C; OUN't'Y. NEW YORK Building Insp'x•taetrl Application far 1pspslitutitm Nm Permit ls:,ue d 19 BUILDING AND ZONING PERMIT Vg-t mil Expires lei %., nSn,� t)istrirM THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale showinq +he actual dimensions of the lot to be built upon, The exact size. and location on the lot of +he . . . . . . . . . . . . . . . . building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 1 �=•�d 83 TC+WN ItE ]c[�a�r Ifr�.ar��7EENEEfiFIIJR t A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. 1 &' ; . Sc. I Ad The undersigned hereby applies for a permit to do the fallowing woek A.M. /u 00 /"-c p `/p.vl_ which will be done in accordance with the description. plans and specifi- 718 112 ) 3141516 cations. and such special coo ditions as may be indicated on the permit. The owner of this roperty is: �y drn oevt y.'_ Gvrrrr / ? 4r.rons , s �✓ f: / ' . . *..)GL. : . . . 1 .iNA rgC (P.fJ. ADDRESS) . _ tj. . . . . . . . . The persons responsible for supervision of the work insofar as the Buildipg.Ccyde and the Zoning Ordinance ape ly is: T.dsomas . . . . .I .��/v, ©iX�ar� . . ►'` �'� u . !` /s '�I r Y,r- .. . . . . . . . . . . . . . . . . . . . . s . CNAMEY -�— Cs'.t7 A{7CJR£SSM f Name of Builder . I !F?.0I'? 4' . . . V. ! . . 8"rke . d . . . . . . . Address - t!.`"'�'�. . /XG►Ii? . . [7 /CF75 /fe �S, Name of Plumber . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . Address . . . . - . . . _ Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . Lot Number . . . . . . . . . . . . Unit . . . . . . . . . . . Estimated value of proposed work. s /�[��• . . . . . . . . . . . . . . . . . . . . . . . . Name of Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . �4'?. . IX�?!? . . . ' . . . . . . . . . . . . . Bottle of.rstreet: n.►nth Imo, east; Do sotith O . west �` ► Nearest Cress Street r s n . . ?1 Eat. . . . . . . . . . . . d d I d Distance from this arasrstreet . . . . . . . Ft. Property is n mirth Lr.south © . east M1 . +vest © from Grass Street Xf on + � * (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ❑ Construction of a new building. Main Buittling ❑ Addition to a building. One-family dwelling Alteration to a building. Two-amipv dwelling ❑ © Demolition of a building. family apartment house ❑ r I Stare building ❑ T ( i?X e.� I I' L� �JV1C1C 'L�.•� /C� _ear attached garage . . . . . > > . . . . . . . . E' l�f SYi r( � aC 13 d fG .. G'G/r /I{ _f? ��@/Y� Other: pore } Accessory Building J One-car detached garage ❑ ❑ Other work. Describe: . . . . . . . . . . I d d . . . . . . _ Two-car detached garage . . . . . . . I . . . . . . . . . . . .. . . . . . . . . . . . . Private chicken house ❑ . - . . . , Private storage building Other: . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy. Indicate on the plot plan street namest the location and size of the property, the location, sitte and setbacks of pro- Kawrts posed buildings, and the location of all existing buildings. Nod Show proposed buildings) in dotted line and existing tyuilding(s) in solid line. Size of property h. x . . . . , . . . - . . . It. Sine and use of existing buildings, if any . . . . . . . . • • • • . « . . . . . . . . . . . . . . . . . . . . . I . . . . . . . , . . . . . . . . . . . . a Size of proposed building . . . . . . . . . . ft. x Et. Height (from grade to ridge) . . . . .. . . . . . . . . . . . . . . . . ft. Front yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards . . . . . . . . . . . . . , . ft. and . . . . . . . . . . . . . . . ft. Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. sour" Igo p corner. setback from side street . . . . . • . . . . . . . . . ft. . . Note: AIt distances are net. as measuriod from street side ` line to nearess part of building. r7 r�+� COVERT (cont`d-) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.? . . . . . . . . . . . . . . . IG' F�/ cY �I S Will any second-hand lumber be used. OW. T.�I T� � f o, for what? I�. . . . . . _ . . . .r . . . . �. .r ' +' �f f Material of foundation walls . . . /- C I . Cr `��?T// j. . . . . . . . . . . . . . . . . . . . . . . Thickness; . . . . • • . . . . . . . . . it 3 Depth of foundation walls below grade . . . ��7 ST�Nt�7 . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? � . .. . .. Will there be a cellar? . W42. , . . . . . . . . If so, material of cellar floor . . . . . . Type of roof: Sloped or flat? . . .+54. ?el! .+p. , . Material of roof . . . ./�/rL�.Gct ram? '�` '`��. Size, wood studs . . . . . . .. . . . .. x 4y'. . . . . . • . _ . ' spacint . . . . /.e< . , . . . "o.c., length .. . . . �.%' . : . f[. J �► Size, floor beams, 1st floor , �' . . ^ x `7 - ', spacing . . . /:4 1 . "o.c., span , .45<4 ft. EWS17rt�) Size, floor beams, 2nd floor . . . . e / . . - TM x . . , . . .' . . . . ", spacing . . . . ./�f . . . . . . "o.e., span . _ . . 1 . . . . . . ft. rfj'�, lE Size, ceiling beams . . . �F)V571105G . . . . , " x . . . . . . . . . . . . . . . ", spacing . . _ . . . . . . . . . . "o.c., span . . . . . . . . . . . . . . ft. Ivorr „Siale, roof rafters or beams `NSrf �' . . . " x ", spacing . . . . . . . . . . . . . . "n.c., span . . . . . ft. 6c�� 7.G 'Exterior finish . C _ . oUF'e EQ V,tI /G!/ir'�� With what material? . JPIlf�, . .'�'.1s'`'' 107 p.'fli4.'QQ�Cc�l' l/ ryphCF Finish of interior walls . 4i•?f�'-'CP.dAWC'V- v�v�.' . `/ �f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . jll / P� If garage into be attached, of what material is wall between garage and main bukWing to be carnatructed? �t� . . . . -. . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between garage and building? _ . . .Nfl7. ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system Z)41>-"T�f`fC? . . /1F9T .4:re. . . . . . . . . . . . . Oil bwtwo or coal? . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? - . . . . . . . . . . Depth of chithoey foundation below grade . .AU4. . Height of chimney above roof . . . . Aoil . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . _ . . _ . . . . . . . . . _ . . . . Will there be a fireplace? - . . AV . . . . . , . , , . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . Will a toilet be installed? . . . WA!9. I . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . !t?�i.�!. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . , NO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . /"!re . 4eli�<.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts. and vents? , . , Aj!' . . . . _ . . . . ' . . . . . . . . . I . . . . . . . . . Town of Queenshury AMDAVIT County of Warren state of New York. I swear that to it 'jai of my knowledge and belief the statatnonu contained in this applicationt together with the and specifications wM .mined, are ■ true and co... lets statement of all pn ned work to be done on the dow tibed pretebes =W that a law of the BUILD- ING CODE, THE ZONING ORDINANCE* and ail other laws parts, . tb a proposed work speeWeed or not, and that such work is authorised by the owner. � 1 Sworn to before me this G Sipwtwrs . . ,+ER, ERS h 7, ARC NTAACTO" .. . . . . ..... . .. day of. .. . . . ._ ?� . f 19_'73 11 PP NOTARY PVSLIC, 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 , £3 PT I� OA .� �G� mode 2 . Type of heat '#C7 X iS.I )1 !Ej lgo ce "r 3 . Is the building mechanically cooled ? /Up 4 . Percentage of area of windows and doors /4/2� z A . Over 16 % Only 1 . Uo value of gross area of walls , roof/ ceiling and floors exposed to ambient o dit ' o s 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 10 ` 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 ? YES NO ae, R value of insulation 5 . Type of insulation. Be Under 16 % only 1 . R value of roof and floors exposed to ambient conditions . 2 . R value of exterior wails —/ 3 . R value of glazed area /,G?� ,Ve 4 . R value of doors ,01" e 5 . R value of floors over heated 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 ) low Type of insulation., ,Zo!nzcps CO. Controls 1 . Thermostat maximum heat setting_ ;7Z7we C' ' D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation P-lc be R . value of duct in other areas r.7&cf E . Piping Insulation 1 . Size of hot water or cooling carrying agent pipe //01/ + 2 . R value of pipe insulation re Service Water Heating d�1 1 . Performance efficiency r! r 2 . Temperature control setting maximum r G . For Swimming Pool Only i . Maximum heating � + Telephone No . d / �( rJ applicant�v's signature ) TOW14 OF CMEENSBURY a w1di.S uepartmont Date ' ram. ET A.1 L --� 4 �•7 c.t�' Permit Ns� ReMa rks ExcatYa ton Footin Forms Footin & Piers Foundation Cement Coat Water xoofin �a^kfllj Final. serve .Fraarfn Sheathin Roof Fel. t Roofin sldin ir masonr Veneer Rout rh Pl Relief valves Wall Board Ext . Porches Finished Floor xnterior Trim Stalrs & Railin S Cellar Dr . Tile Concrete Floors PI ro Fixtures Gar . Fire roofin Door Closers ChImne Water Meter Inst ., se tic A royal Floors F 3Gn - xnsulation Wal.lsalls 5 Celli Bex ding nspector REMARKS TOWN CIF QUEENSBURY Builditts Department Report Date 4 Name AL Permit N'o-_ Weeatlher L /AA A L4 f4,,.RJ 4T yP Remy rks Exc"a tson Footin Forms Footin & Piers Foundation Cement Coat Water roofin Ba ckfi.l l Final Surve -Framing Sheathing Roof Felt Roofin Sidingr Masonru Veneer Rau h PlbQr. Relsef Valves Wall Board Ext . Porches Finished Floor fntersor Trim Stairs & Raslin s Cellar Z . Tile COnC.rete Floors PI y Fixtures Gar . Fire roofsn - Door Closers Chimney -" Water Meter Xnst . Se tic Approval Floors Xnsulatlon Fourardation Walls -� Cei nsn Building .inspector • REMARKS 40 4 BUILDINGS DEPT. COPY OF APPLICATION FORM 46-EL. NEW YORK BOARD OF FIRE UNDERWRITERS FILE THIS COPY WITH f TOWNSHIP BUILDINGS D£PT. WHEN REQUIRED. VILLAGE CITY OR _ !f i ]t.. i ,.,,} f/ O !� COUNTY � TOWNSHIPSTREET AND NO. OR l ROAD AND POLE NO. BETWEEN WHAT TWO POLE NO. CROSS STREETS IS r l PREMISES OCATED7 SECTION BLOCK LOT OCCUPANT'S 7`f�`�!'xllrfS �' �E� BUILDING NAME Y ' I f OWNERS NAME OCCUPANCY r.""�{f � �" AND ADDRESS r ;.n/= f CURred oe SUPPLIED AllC •Y - - FROM THEIR OFFICE BUILDING WORK l$ NEW © OLD © REMODELED f-7 DEFECTS lS NEW Q ADDITIONAL REMOVED LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Lyme ow R ise,yf�ae 4r MOTORS HEATERS BRANCH Leon CIRCUITS NUMBER OF LAMPS Lion CWInp Sid Attacth't EH.PM. No. actsach lYr+s A.W.G. I F M.V. Walll Raeap`k Srritoh Pendant Bracket No. Type a+tYa mks&& Sub- be" Boar moot fat F1. grad Pl. 3rd F1. AR : LISTOTHER ELEC ICAL EVIL SNOT SET F RTH ABOVE: DO NOT USE THIS SPgCE. This application is intended to corer the aboreJisted equipment to be mspsctad but if at time of inspwc Yo tien oi�sre is found additional equipment not above listed, You are authorized to make the inspection and adjust the fee to coret the additional equipment,. as provided by the is fican[. MAl SF ELECTRIC SIGN TOTAL FEEDERS LAMPS WATTS CHARACTER ED GAS TUBE SIGN OF WORK , TRANSFORMERS OF WORK TO r� (NUMBER) STARTED , VA '[ !r ` T '.,t COMPLETED SIZE OF SIGN (CAPACITY] SERVICE EN ERS � i � . MAKER OF SIGN fNSPECTION REOON OR ASUESTED / y� ,� / POSSIBLE NEAR AS f_{fs..�l.A! /r! 9'i 149C7fJ{�/! NEW © OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS ) �7[�' APPLICANT__.._t' 1 I i7".�(�./r� "'E OF . DATE OF ,r �f APPLICATION ✓ ` C? STREET ADOR ESSCITY OR POST OFFICE __ i `" / / r � yr_" CzipODE '� �: LICENSE NO. �LWHEN APPLICABLE 46 EL,IREV. 1l92) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING