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5766 �'- BUILDING PERMIT • TOWN OF QUEENSBURY . No 5766 6\ )\� � �� WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Robert Collins :h OWNER of property located at 6 Amy Lane Street, Road or Ave. g fi in the Town of Queensbury,To Constructor place a Addition to dwelling (living area) rf at the above location in accordance to application together with plot plans and other information hereto filed and 0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is R. D. #3 Amy Lane co Glens Falls, N.Y. 2. CONTRACTOR or BUILDER'S Name Anthony A. LoCascio 3. CONTRACTOR or BUILDER'S Address R. D. #3 Glens Falls, N. Y. rn 4. ARCHITECT'S Name t-' 5. ARCHITECT'S Address N 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( 1 7. PLANS and Specifications 14 'x22 ' per plot plan, specifications and application No. submitted. 8. Proposed Use One-Family Dwelling (additional living area) rt 0 $ ( 6. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 79 r (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.). (D F-' Dated at the Town of Queensbury this 2nd Day of May 19 7 9 N. SIGNED BY )j- 'LSk. V' for the Town of Queensbury Building and Zoning Inspect (" TOWN N OF QUEENSBURY (Space inside block to Ix' tilled in by WARREN COUNTY, NEW YORK Building Inspectr) • . Application for Application No. . �@� Permit Issued 19. BUILDING AND ZONING PERMIT l',',,n;t Expires. . 1g i,( flimt District \ il uc• nI \\'nrk THREE (31 Copies of a PLOT PLAN, Drawn to scale \1'1'r `i'c1 l"' showing the actual dimensions of the lot to be built Rci„cirKS upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. ' -7 _ 3 TOWN OF QUEE► SBURY DATE • • • D Ei. 4 0 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK AN 2 ANSWER ALL OF THE FOLLOWING. J19 P.WL. The undersigned hereby applies for a permit:to do- the following work 1 t. ' 2 3 b 4 which will be. done in accordance with the description, plans and specifi- 7 8I 91101111111- r,- _, , I ,VIM I, I p l�1 cations, and such special conditions as may be indicated on the permit. A The owner of this prQ rty is:. R (NA'El• y (P.O.ADDRESS) The person res.. sibie for su rvision of the work-insofar as the Building Code and the-Zoning Ordinance apply is: A - n p�E) s'r F V (P 0 AGGRESS) / �,J/�E C • Name of Builder. . . . . V?V fe . . _• •N`•-�.• ('T..�. . - •Address Name Of Plumber' ' i / . - Address / /� Name of Mason D" "/ /f A. eie• N Address . . g-0 lti 6 . / ��5 Lot Number Unit : . . . . . . . Estimated value of proposed work i f,1'` `mot' Name of Village . . . . h�.•G.,il,f'� Name of Street 6 /i�'�'t. d' o Side of street: north 0, east ❑;south ❑. west Cl Nearest Cross Street . . . . .s ✓" ( Distance from this cross street Ft. Property is north 0,south ❑,east i i,west 0 from Cross Street If on Corner, which corner, northeast 0, northwest .❑, southeast 0. southwest • - - (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ❑ Construction of a new building. Main Building Addition to a building. One-family,dwelling . i Two-family dwelling ❑ ❑ Alteration to a building. ❑ Demolition of a building. . .-family. mily apartment house ❑ Store building ❑ -car attached garage • ❑ .. Other: . . Accessory Building — One-car detached garage Other work. Describe I U 1 h q Two-car detached garage • ❑❑ ,-r- Q q Private chicken house - ❑ -t 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 names, the location and size of the property, the location, sire and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing ,i y".'" ' Ituilding(s) in solid line. Size of property '/tf ft. x )11-6 ft. Size and use of existing buil ings, if any ZZ i°34, I- , .11 6 i-e f' / �, 7i m Size of proposed building // ft.x . . . .2i. . . . . ft. - Height (from grade to ridge) . "" ft. . Front yard , .r ft. Side yards /0 ' ft. and C/O ft. Rear yard /2 p' ft. souTH If on corner,setback from side street ft. )Vote: All distances are net, as measured from street side . line to nearest part of building.. (OVER) - . 7-73—M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? If so, for what Material of foundation walls Thickness Depth of foundation walls below grade Continuous foundation? Will there be a cellar? If so, material of cellar floor Type of roof: Sloped or flat? Material of roof Size, wood studs " x ", spacing "o.c., length • ft. Size, floor beams, 1st floor "x ", spacing "o.c., span ft. Size, floor beams, 2nd floor " x spacing "o.c., span ft. Size, ceiling beams " x ", spacing o.c., span ft. Size, roof rafters or beams " x ", spacing "o.c., span ft. Exterior finish With what material? Finish of interior walls If garage is to be attached, of what material is wall between garage and main buijffing to be constructed? Is there to be an opening between garage and building? Kind of heating system Oil burner or coal? Will a flue-lined chimney be provided? Depth of chimney foundation below grade Height of chimney above roof Will there be a fireplace? Depth of fireplace hearth Will a toilet be installed? Will a kitchen sink be installed and connected to water supply? Water supply (public water supply or pump) Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt .Oeaj of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.,.� lete statement of all proposed work to be done on the described premises and that all provisions of the BUILD- ING 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 OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By TOWN OF QUEENSBURY WA'zyR,EN COUNTY, NEW YORIC Application for: BUILDXNG PERMIT IN 'COMPLIANCE WITH THE NEW YORIC STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work. ANSWER ALL of the following: 1. Gross floor area ° = • `. 2. Type of meat. . . kad � . . Ati;fSf. Td 3. Is the building mechanically cooled?. . •�l.O OOO OOOOO 04. 41-0 • 00 ,0060000 4. Percentage of area of windows and doors. . • ✓.S.5-• • a • • • • •a • • e a a . • e 0 • a A. Over 16% Only - 1. Uo va-lue of gross area .of walls, roof/ceiling and floors expo:_d to ambient conditions. . .. . O . . . . . . ..• • • •• a.e.. . a . a • a a OOOOOOOOO • • 0 0 0 0 0 0 . • • 0 • • • • • . •o • a e 0 • • 0 0 0 0 • 0 0 • • 0 • • • a • • 0 • . 0 • 0 0 0 0 20 Floor over heated spaces YES MO a. Are foundation walls insulated? YES NO 1. If YES, what is the R value?. . . . . . . . . . . . . . . . . . . . . . . . 3. Slab on grade YES NO a. If YI4S, what is the R value of insulation a'ro'nd Perimeter c, f1 oa r S o o e e o • • o o• . • o . o e o • . . e e . o • 0 0 0 0 0 • o o . o • • o o • o e • e O e e 4. Is basement heated? YES NO a. R value of $ �� � o e a . • e 0 0 . • • e o 0 0 0 • . o . o • . e • 0 0 • e • • • • e 5. Type of in51lle'3tiL -0 • 0 0 0 0 0 0 •-o • • a • a . 0 .• a a 0 e 0 0 o,i.. 0 0,0 • 0 e • 0 a o 0 0 0 H. Under 16% Only /. U value of roof and floors -:]':posed to ambient. conditions. 'gr _• • o • o a • 0 • • e e 0 0 0 • 0 • • • • 0 0 • 0 0 • e • a • c 000 0 • • o o • 0 0 e • 0 0 • 0 0 0 ..a 0 • 0 0 0 o a o 2. U value of exterior i�t9;alls• • o • .�o • o e o m o a o • o e • 0 0 0 0 • o o e o 0 0 • 0 0 0 3. U value of glazed a ea. O • . 0.. • •O� O O . O O • . • • O • • .,0 •• • a • • OOO O O O 4. U value yye of doors. a O O • O K O O • O • O . O O • • • O O • a O O • • O O 6 • O a O . O O • • O • O • • S. U value of floors over heated spaces O • . • • . . . . . . . . . . G. R value of slab edg. insulation m unheated so9ab. . CMW1e ¢c' e 70 R value of slab insulation m heated �lab• . • 00 • • • • • ae.. 00 • 0 oa . S. U value of heated basement/cellar walls (above grade) . . . . . . . 9. R value of heated basement/cellar walls (below. grade) . . . . .. . 9. 10. Type of insula ion. . zeedea . • /DO Oa Or? V. 61:• lip �9 • • • m a 0 0 0 0 0 C41/ iy g Go-�s " 6P / `� C. Controls ols ( heat 1. Thermostat maximum hula tL sst ing. o • . o • . o • • e o o • • e o a e o � • 0 o e o o • o D. - Duct Systems 1. Is duct system installed ign unheated spaces? YES NO a. If YES, R value of i'uct installation. . • • • • • . ..• •... . . • •• a - b. R value of duct in other areas. . . . a . . . . . ..a . . , . ao . . . . . . a . _E. Piping Insulation 1. Size of hot water or cooling carrying agent pipe. . • . . • . • • • • . 2. R value of pipe insulation• •• o e o o • • . o • o e . 0 a o . o e a a a • o e o o e • •a • F. Service water Heating 1. Performance efficiency. .... . .• . • . • . 000OOO . • . aa . . oa . . o • 0 • • • • • a 2. Temperature control, setting maaxir um O o • . . a . . .. . • . . • • a • a • • e 0 • . G. For Swimmineg Pool Only 1. Maximum heating. e • 0 0 0 • 0 • • • • • a • • • e o • e o • • 0 • • • 0 0 0 0 • • e e • e 0 0 0 • • 0 . %0 414• ka.lJ_..Ca,1-1,M.t)._C_•kJ./,�.CJ.._CA kJ •1.),4-1,.C-.A..I1 I�444.).¢J kkk kak k),k •1 .C._C�_C ,1.04 JCJ..U"4.A.),RAA.A.A. �l)�Aan".).7.l�.CJ,9.U_9.C4,t.a.C�A�.Ia¢�,S4- THE NEW YORK BOARD. OF FIRE UNDERWRITERS . ,r , . BUREAU OF ELECTRICITY y 4 41 STATE STREET,ALBANY,NEW YORK 12207 'Y -C s rr Date Application No.on file - - ,r �r THIS CERTIFIES THAT 'Y only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of - y �r 1)- .).- -(' in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd FL. Section Block Lot I; was examined on • .. ' • and found to be in compliance with the requirements of this Board. ,r I A- FIXTURE ECEPTACLES SWITCHES FIXTURES MERCURY RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS , OUTLETS INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P. IT r , =G - �r A- -4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PL TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS it . 'AMT. K.W. OIL ' H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. YSTEMS AMT.- WATTS •>' -{i NO,OF FEET y C 0- 1I SERVICE DISCONNECT NO.OF S E R V I . C E r AMT. AMP. TYPE EQUIP 7.B'2W 1.,if 3W 3 JB'3W 3,B'4W NO,OPER COND. OF CC-COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL Y i - A- -A -(, A- OTHER APPARATUS: A- V- -Si A- A- . r 1 A- V-- --( A- A- `CI •- -<r A- r 1 A- ' •r AA- H — r -U - ti•r ,r .41 • - • -' BRANCH MANAGER -C .r A- ' Per ( •r A- H COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEE SBURY Building Department Inspectors Report Date /--/S' -G) Locationu s �9 Permit No. 5 7 / Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt &PPIP Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim J Stairs &Railings \ 7 Cellar Dr. Tile \.,,;\ Concrete Floors / \\ Plbg. Fixtures, Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building In pector REMARKS I ' T OWN• OF QUEENSEURY ` . • Building Department • Inspectors Report Date / Name /v j Location /7"� Permit No. (0() Weather Per Cent • Complete Remarks Excavation Footing Forms Footing & Piers y Foundation Cement Coat • Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. Relief Valves Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plbg.Fixtures Gar.Fireproofing • Door Closers Chimney Water Meter Inst. Septic Approval i, Building Inspector REMARKS r If