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7828 C/O Paid CERTIFI ATE pF OCCUPANCY "OWN OF QUWfMMy CoUrtTy, NOW Y K g bW_.___ January 2 19 4 This is to out* duct to be done as &owa b, Pmufr Nm 7 8 2 g has been cosopama " Tbir m be ocwpisd las a one-Family Dwelling Leonia C. G. Wood bu y I � B1► Order Town Board TOWN OF QURRNSBURY Band' Zaa; CIMATIVt '•INSTA'• MFNr1M6. GLIMS FALLS. N r Ize0/ Ia1 1»Y-fNe o M BUILDING tNG PERMIT TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK No. 7828 PERMISSION is hereby granted to C. 'G. Woodbur, Mine Wood Hollow Su ivisYon) OWNER of Property looted at Lot 22 Pine NO d hollow Road n S t./le, 7 Street,Road or Ave. In the Town of Queensbury,To Construct or Place One-Family Dwelling • at the above location in accordance to application together with approved and in compliance with the To of Queensbu Building Plot plans and other information hereto filed and ry Iding and Zoning Ordinance. Q 1. OWNERSAddnessis 679 Upper Glen St. Glens Falls, New York k r 2. CONTRACTOR or BUI LDERS Name Same 3. CONTRACTOR or BUILDER S Address Same ] 4. ARCHITECTS Name N N ro w 5. ARCHITECTS Address a E O 0 w* 0 6. TYPE of Construction—(Please indicate by X) O 1-j F-+ (31 Wood Frame ( )Masonry ( )Steel ( ) jr O E 7. PLANS and Specifications i 0 32 x2 with 22'x24t two-car attached garage 0 No. Per pot plan, specifications and application a sub mitted ted including sewage system. 8. Proposed Use One-Family Dwelling 5. 0€i C t $ /O Paid t� jol.00 PERMIT FEE PAI —THIS PERMIT EXPIRES December 1 1983 (if a longer period is required an applicati n for an extension must be made to the Building and Zoning inspector of the town of Ouemobury before the sxpira ion date.) N k Dated at the Town of Qusensbury this 3 d Day Of ay f983 G SIGNED BY lD for the Town of Queensbury N BU IM a0onirill Inspector F,• O I W • TOWN OF QUEENSBURY (Space inside block �x• filled in by WARREN COUNTY. NEW YORK Building Inspector) Application for `) ) i ermtstte 9. . BUILDING AND ZONING PERMIT l' rmit Expires. 19. . ' %.oniin.: District Value Of Work% THREE 131 Copied of a PLOT PLAN, Drawn to scale. _..\1)111- `ill I)• showingthe actual dimensions of the Iot.to be built ltc•mairKf• •upon, Te exact size, and location on the lot of the . , • building. to be erected .or altered MUST BE SUB- ' MITTED WITH THIS APPLICATION. " v'" OF OUEENSBURY —:5— ; —.S. /2 / 8j . E C E 0 - E - ( ()ATE1 : 4 1:[ A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 1983 ANSWER ALL OF THE FOLLOWING. - . .d •c 7'�8(J(10(1�(1?• M• • P.M. 2�14(5�6 The undersigned hereby applies for a permit to do the following .wo _,_�2(3( , • which will be done in accordance with the description, plans and specifi- f ti ` r U � _ cations, and such Special conditions'as may :be indicated.on the permit.' ' , �pG, I6• /N u The owner of this ropert is: �.�Cj` � s�a e a t- J 1 / '1 - �^� E (P.O.ADDRESS) The person responsible for •supervision of the work insofar as the Buildipg:Code and the Zoning Ordinance apply is: .L-- 0-I A-f1/4---- . 67,y (NAME) �j • (P.O ADDRESS) Name of Builder C Cr' ® v Address Name of Plumber,- ". . ~`i.�: . i Address Name of Mason 'r FZI.t f-41 1----4 Address j. Lot Number 1-7-1---- Uni�, f Estimated value of proposed work S .`5•---L ]`-1 r io Name of Village - r Name of Street4.1 %). +4` ,— - r Mile of,ctreet: north. 0, east. ❑, sotat west 0, Nearest Cross Street t AA--, Distance from this -ross street .f - Ft. Property is earth 0,south ,east El,west ❑from Cross Street, If on Corner,which corner,northeast ❑, northwest ❑, southeast tl 'southwest (Designate by marking with an"X"in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main Building Construction of a new building. One family dwelling Cl Addition to a building. ❑ Alteration to a building. Two-family dwelling 0 El Demolition Demolition of a building. - • . . . . -family apartment house ❑ Store building • 0 • . - . . . .le-car attached garage .. Other: Accessory Building One-car,detached garage . ❑ Q Other work. Describe: .-)f. / • >'?�``(es Two-car detached garage a. I )(a,o t . c.cc--- Private chicken house . ❑ Private storage building 0 'R—F/`. 9 aAr-a,f-e . 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,site and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(t) in dotted line and existing . htiilding(s).in solid line. • Size of property I ft: x ft. T3"1: ��C ZZ, buildings,Size and use of existing if an may] a w Size of proposedibuilding ft.x V ft. Height(from grade to ridge) • ft. Front yard ft. Side yards /4-- ft. and ft. Rear yard 2� e_ ft. 7 SOUTH If op corner,setback from side street . ft.. .. Note: All distances are nee, 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? -."--C---- . If v, for what?. Material of foundation walls C._. .17-7 ., • (s !• .00L—AN, Thickness /6 Depth of foundation walls below grade • . . . Continuous foundation? r"-,......f . . . . . . . . Will there be a cellar? - -"K.'.'I If solmaterial of cellar floor C---4- 17-71c-P.... c_i ir _ Type of roof: Sloped or flat? . . . 5 .),,---77.M. Material of roof . . 11 1.1°14, 31-1 41-`4C-0,-- Size,wood studs n.----- "x .10 0,spacing ( 1, ft. Size, floor beams, 1st floor `1-,.= "x f ---• ' ,',spacing . . i o" ' i . . . •c,sPan (, 14- ft. Size, floor beams, 2nd floor ei--- "x i.. --- ", spacing 1 "o.c.,span . . . . 11:71-. . . . . . ft. ", spacing I .1,_ "o.c., span I ri-. ft. Size, ceiling beams --2- "x if,czi 1.— " x "qv f i c, Size, roof rafters or beams ", spacing _....","o.c.,span ft. Exterior finish r---iir- With what material? Finish of interior walls 'V rdt--Ji k"—liF)ki,.- ...-:-=-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to e attached, of what material is v!all between garage and main building to be constructed? % 7 —17 \\'—'1•11"AL,' ., --j--. ---E- ,. Is there to be a opening bet,weez.Fcarze and building? Kind of heating system -r..., , Oil burner or coal? Will a flue-lined chimney be provided? .1.'4 ---. Depth of chiniiity foundation below grade • Height of chimney above roof Will there be a fireplace? - - — Depth of fireplace hearth • Will a toilet be installed? i'l6N-S- Will a kitchen sink be installed and connected to water sypply2_ 1 kJ Water supply(public water supply or pump) -r-c.,;, , IL-4 C. Distance of cesspool from any private well feet Will drainage system be provided with required traps,cleanouts, and vents? . AFFIDAVIT . Town of Queensbury County of Warren State of New York . I swear that to to bard my knowjedge and belief the swarm contained in this applies ' ,together 'th the na and specifications sub- mitted, are a true and coa.plete statement of all proposed work to done on e deecri remises . . • _pro ns of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertai ' to the posed 7 shall lied with,whe er specified or not, and that such work is authorized by the owner. , """" Sworn to before me this Signaturres. ‘ _ • VYL)L• 191i OWNER,OWNERS AGENT.ARCHITECT.CONTRACTOR day of • 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 2 . Type of heat e� 3 . Is the building mechanically cooled? o 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? YES NO a. R value of insulation 5. Type of insulation B. Under 16% Only 1. R value of nand 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 heated spaces *C'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 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 f " 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 J G. For Swimming Pool Only 1. Maximum heating Telephone No. 1 )-- �'�'� (applicant ' s signature) • TOWN OF QUEFNSBURY BUILDING & ZONING DEPARTMENT SEWAGF DISPOSAL PERMIT APPLICATION 1. Owner' s Name C (- `.. , `-- --.) U Address 6 7 1 j Telephone No. T1' -LI 2. Property location`f5 '"eej=4 7 /- ' l(,b ) V 7 3 . Name of person or firm responsible for installing system �` '�b" L S = lcL y Telephone No. /? 1 J 3 4 ' Address L- 4. Number of bedrooms (residential buildings only) - 5. Daily flow gallons/day 6. Septic tank capacity gallons 7. Topography: flat, rolling, steep % of slope • 8. Nature of soil and depth LS 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? ft. 10. Percolation test: A is required B is not required C If required what is the rate minutes/inch ) 11. Water supply: unicipal, well, other 12. Type of system proposed: drywell, (tile field, other Any contractor,. corporation, individual, etc. engaged in the construction of a sanitary sewage disposal system who covers the same before inspection, does not have an approved permit, or varies from the approved application will be subject to a penalty of $250 provided for n S ction 6 . 010 of the Queensbury Sanitary Sewage Ordinance. Date +'�-� — 3 .,K-/ r signature of applicant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions, including distance from any structure, distance from property line and domestic water supply, etc. Include all dimensions of the system itself. /000 c;a(• 5‘e t,'c - ili4- Dcst- .1Aoc 15 0` 4-;(y 3 .54Ate 1 Form 3-82 i BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR r h a VILLAGE .,,/ { TOWNSHIP clu C ' ', 0-3t.i�+`t','/COUNTY 5 1 ..4j'��.... ;. I. ROAD AND POLE NO. :jilt 1'`.�'--S . 0t --i F(_4:_._�i v J Kell 1--� ✓ I `h 7,--'1- POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S BUILDING F-y NAME OCCUPANCY / OWNER'S NAME . AND ADDRESS - CURRENT BBSYPPLIED 6h�� /flyµ Vo\-7 FROM THEIR OFFICE BUILDING NEVy'1J l V OLD❑ REMODELED ❑ WORK NEW . ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED BRANCH NUMBER OF OUTLETSFixtures fs MOTORS HEATERS Lamp Receptacles CIRCUITS NUMBER OF LAMPS Loca- - tjon Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge I F M.V. Out- side Sub • - base Base- ment 1st Fl. 2nd Fl. 3rd Fl. E REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN • SERVICE • MAKER ENTERS • BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS - POSSIBLE NEW - OLD - • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. ' . PRINT NAME AN- DARDRESS —� p NAME OF j�� ) - 1,�1"' DATE OF ^- `V. / APPLICANT -V C .N. \S < uaa r % _ APPLICATION :la- STREET ADDRESStP, --- Vim. l -- '- ZIP LICENSE �OSTOFFICE �~ `� C CI �--tom._ CODE -- WHEN APPLICABLE _ 6 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING � 4001387 THE NEW YO K . BOARD, OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET,ALBANY,NEW YORK 12207 Date August 250 1983 Application No.0mfile 025755-83 THIS CERTIFIES T ^T A 6 O 7 6 6 z M'the electrical equonmu a daeerihed 8da,e C•8. �toodb the• nt Mined an the s ygew" ber in thopr miiee4 f ury r P rkowod Hollow Road, Queeansburq, New York is the f"'meing location; ❑ am-ment ❑ at Ft. ❑ 2nd Fl. • was examined on $/ 6/83 Section Block Lot 22 ,. MW found to be in compliance With the requirements of this Board OU ACtrS SYUf OM f otetts AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W.23 44 28 AMT. w Aim r flow r 'AMT, K.W. bIL N,R GAS K P. AMT. NO• n/ txa�acs UNIT NlA S iMltTi aYOwl AL W.G. AMT. AM►. AMT. AM/S *AM. AMT. N.P. ��r�... NO.OF!rT AMT. WATTS 8lR1RCaMOM PIT M OF #1 Q 5 E R v C E AMT. AMP. TYPE t,r aw �/3f31r 3X MW ND.OP CTJ41D. A.. . �. 2 0 0 (,*$ 1 Na oP►a.ieG � Nc>.cop N6uraA� �w. � 4/0 OTM AMARAT11& . Else. Heaters, l-2.0kwt 2 2*5kwe 2-1.5kwj 3-.75kw se P I-GFC1 SMA*Dleteetor Dave Kobor E 121 Hudson 8©. Ol+rtes Palls, Nr 12801 fi W 9 P It. JA w f tN ANY MANNER. • • TOWN O•F•QUEENSBURY Building Department Inspectors Report Date / 2 6 Name � 9� I ' ,7d ,f5 Location L",i 4 ?,-,. Permit No. '7 A Al' Weather • / �✓11 *q/t 4 Remarks Excajial ttiLo�n Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey • Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches (44, Finished Floor / Interior Trim v O3/ : Stairs & Railings ' Cellar Dr. Tile • Concrete Floors Plbg. Fixtures cry_Gar. Fireproofing � Door Closers Chimney • Water Meter Inst. Septic Approval Floors ' Insulation Foundation Walls Ceiling • B it ing Insp ctor REMARKS • • So-KC 0-0-DX ('s) - �� TOWN OF QUEENSBURY Building Department Inspectors F! Date - 23 '83 Name rq Location You, 1-2). Permit No. ' weather 1 )U Remarks Excatia ti on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey V Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. 10/7 al\c, 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 Floofs Insulation Foundation Walls ' Ceiling /1",ae, "-1 2Zetf,0 Building spector REMARKS TOWN OF QUEE SBURY Building Department Inspectors Report Date , /6 Name /:;( 1,,t5i,:may Location ,,15 1.«4& ���e l:, Permit No. '7 Y g g Weather (57 / e Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat. Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors if Plbg. Fixtures Gar. Fireproofing Door Closers Chimney WaterMeter,pr, Inst.Septic c Approval FloOrs FOundatidn Insulation Walls Ceiling . G/ I Building Inspector REMARKS r)/4(,./.4 /moo TOWN OF QUEENSBURY Building Department Inspectors Report Date �5/9/(Y 3 Name C, - C- C,J d o d r a k-4 Location / Pi n r (,v,n r1 /td//Q c.d Permit No. '7, a,Y Weather Remarks Excaiia ti on Footing Forms Footing & Piers Foundation V/ O Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. 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 Floors Insulation Foundation Walls Ceilin Building Inspector REMARKS • TOWN OF QUEENSBURY Building Department Inspectors Report Date 4— Name 1,aiol_ cation LU 2 �177 ze} Permit No. At71'b / .rat ✓U-.' Weather Remarks Excatra ti on _ Footing Forms / _ A Footing & Piers S�✓ �' �" Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing • Roof Felt • Roofing Siding • Masonry Veneer Rough Plbg. 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 Floors Insulation Foundation Walls Ceilin B Inspector • REMARKS ,\ ]y? x T x k f - - , w . a R c v A r i 0 R N L L. C3PtILQ T " LO-T 2 SCALE ORAWN..SY. 1 o 1 F>L-4.1 w Z REVISED 701 L �-6m- 'OVED BY - ORAWfNG NUMBER MADE SN U.S.^. f 1