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7987 C/O Paid CERTIFICATE OC%,w P:ANCY x TOWN OF t", UIENSSURY WARREN COUNTY, NEW YORK Date November 16 19 S 3 �a. ,W This is to certify that work requested to be done as shown by Permit No. 7987 has been completed. This structure may be occupied as a One-Family Dwelling Location Lgt 8Pi.ne Wood go1jM Road Owner C. G. Woodbury By Order Town Board TOWN OF QUEENSBURY Building & Zon o'inspector t X CREATIVE "INSTA PRINTING, GLENS FALLS N V 12001 151S17030030 BUILDING PERMIT TOWN OF QUEENSBURY NO. 7987 x WARREN COUNTY, NEW YORK PERMISSION is hereby ranted to C. G. Woodbury y sr Xo 4�0 . OWNER of property located at Lot 8 Pine Wood H011OW Road Street,Road or Ave. (Pine Wood Hollow Subdivision)in the Town of Queensbury,To Construct or place a One— am i 1 mmll i ng. o� at the above location in accordance to application together with plot plans and other information hereto filed and R+ approved and incompliance with the Town of Queensbury Building and Zoning Ordinance. ' 1. OWNERS Address is M 679 Upper Gleri- St. Glens Falls, New York 2. CONTRACTOR or BUILDERS Name Same o ct 00 3. CONTRACTOR or BUILDERS Address b W Same m 4. ARCHITECT'S Name 0 O Qj x o S. ARCHITECT'S Address I"' I-+ O E 0 6. TYPE of Construction-(Please indicate by X) a �` (x)Wood Frame ( 1 Masonry ( )Steel 7. PLANS and Specifications 50'x26' per plot plan, Specifications and No. application submitted including two-car attached garage and sewage system. B. Proposed Use One-Family Dwelling r- $5. 00 C/O Paid L4 $_115. 0 PERMIT FEE PAID—THIS PERMIT EXPIRES February 1 19 8$ 8 (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.) l-1 114 F+- Dated at the Town of Queensbury this 25th Day of July 19 83 SIGNED BY for the Town of Queensbury Bui and Zoning inspector 1 TOWN OF QUEENSBURY (Space inside block to lx filled in by WARREN ApplicationCOUNTY, NEW YORK ' , Building Inspector) for .\pplication No. . a Permit Issued • 19. BUILDING AND ZONING PERMIT Permit Expires. . Ig. Y.cnlin;.: District . \ alttc nl Work ,% • THREE (3) Copies of a PLOT PLAN, Drawn to scale \PI'I"`ed by showing the actual dimensions of the lot to be built ►tt'I„arKS' upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. -' I TOWN OF QUEENSBURY o — S -k 1 - _F 7 - 1 2 I0EOVE 11 DATE • A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK JUL 1 19t33 ANSWER ALL OF THE FOLLOWING. A.M: P.M. The undersigned hereby applies for_ a permit. to do the following work 7Iglg11O11112)1)2)3`4,5I6 which will be done in accordance with the description, plans and specifi- dp ,u�,,w,_ cations, and such special conditions as may be indicated on the permit. '. • 6 (;,n•1aU eA,13 The owner of this property is. t .\ (j INA''1E) )P.O.ADDRESS) The person res _ nsihic.or }ssU vision of the work'ins° arr�a's the Building Code and the Zoning Ordinance apply is: (NAME) "" (P.O.ADDRESS) �`��--)-7'',' \l''.tti`�t Address Name of Builder. . A:-..,..:(‘''') (;�> 1'VL S Address Name Of Plumber �-L Name of Mason,' �. _\ -�,�_) Address Lot Number s Unit Estimated value of proposed work S ��4 D I L, t� Name of Village 1__\_\.,7 ,._ 4:3 F r`— Name of Street\3 --;'1777-�i i �L 1 G�Z� Side of street: north 0, east ❑, south ❑. west �\ Nearest Cross Street Distance from this cross street 1•t. Property is north ❑,south ❑,east [—I, west ❑from Cross Street If on Corner, which corner, northeast 0, northwest ❑, southeast Q. southwest (Designate by marking with an "X" in-the correct space.) • • NATURE OF PROPOSED WORK OCCUPANCY , 61 Construction of a new building. Main Building \ ,• ❑ Addition to a building. . . . . One-family dwelling .Eis. ❑ Alteration to a building. Two-family dwelling • ❑ ❑ Demolition of a building. -family apartment house ❑ Store building ❑ • . . . .Z,-. .-car attached garage IIR Other: • Accessory Building One-car detached garage ❑ (] Other work. Describe Two-car detached garage - 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 names, the location and size of the property, the location, site and setbacks of pro- NORTH posed buildings,and the location of all existing buildings. Show proposed building(s) in'dotted line and existing • l;uilding(s) in solid line. . , Size of property ft. x ft. Size and use of existing buildings, if any I" y I- s m Size of proposed building S.O ft.x '6 ft. Height(from grade to ridge) ft. Front yard • ft. - Side yards ft. and ft. Rear yard ft. SOUTH If on corner,setback from side street ft.. Note: 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? f so,_r what' � 1 Material of foundation walls �� `� `-'yi Thickness Depth of foundation walls below/grade ,„Coltin uuss foundation? Will there be a cellar? If so, material of cellar floor ` ‘-'° L� . Type of roof: Sloped or flat? . f :7M12 Material of roof ` I i') 4 Size,wood studs " x • • • ", spacing . . . . . l-�. . . . . ."o.c., length .�:. . ft. Size, floor beams, 1st floor "x • • • • • • . . • • •", spacing 1 (c, "o.c., span >n_� ft. Size, floor beams, 2nd floor " " x . . . .( . ", spacing C,0 "o.c., span ) S ft. Size, ceiling beams �•" x t• ", spacing "o.c., span ft. Size, roof rafters or beams . .� j •": X •��� "spacing "o.c., span ft. Exterior finish `�`✓.1-r• • • • r" =• •1 �� r.With what material? Finish of interior walls 3VLA If garage is to be attached, of what material is wall between garage and main building 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?-� �4 r ./ 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? er— �� Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt: ba r of my know,ledge and belief the statements contained in this application,together with the plane and specifications sub- mitted, are.a true and co.,.p 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 jC�� 7.6 WARREN COUNTY, NEW YORK 66 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:Q 1 . Gross floor area I 2 . Type of heat . IL �, 3 . Is the building mechanically cooled? '� v` 4 . Percentage of area of windows and doors 13 A. Over 16% Only roof/ceiling and floors 1 . Uo value of gross area of walls , . exposed to ambient conditions 2 . Floor over heated spaces YES NO NO a. Are foundation walls insulated? YES 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 roof anfloors exposed to ambient conditions 3 2 . R value of exterior walls lazed area �" 3 . R value of g 4 . R value of doors I~1 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) 10 . Type of insulation C., . Controls r . 1 . Thermostat maximum heat setting D. Duct Systems YES (NO„) , Is duct system installed in unheated spaces? a. If YES , R value of duct installation b. R value of duct in other areas E . Piping Insulation agent pipe 1 . Size of hot water or cooling carrying 22 . R value of pipe insulation F. Service Water Heating 1 . Performance efficiency maximum 2 . Temperature control setting • G . For Swimming Pool Only I 1 . Maximum heating / )-et--1-D—C-- / Telephone No . � (applicant ' s signature) TOWN OF QUEFNSBURY BUILDING& ZONING DEPARTMENT SEWAGF DISPOSAL PERMIT APPLICATION \ 1 1. Owner' s. Name Address Telephone No. 7` I -11- 2. Property location -r7 jJ Ate kc,,,-r- 3 . Name of person or firm responsible for installing system Telephone No. '9 4)3 --S- �e. Address 4 . Number of bedrooms (residential buildings only) --� 5.. Daily flow . 4KQ. gallons/day 6. Septic tank c pa_ ity gallons 7 . Topograph : flat, rolling, steep of slope 8 . Nature of soil and depth c �� • 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- municipal, well, other 12.. Type of system prop drywell, tile field, Other Any contractor,. corporation, individual, etc. engaged in the construction of a. sanitary sewage disposal system who covers thesame before inspection, does not have an approved permit, o varies from th pproved application will be subject--to a penalty of $250 as provided or in Secti n . 010 of the Queensbury Sanitary Sewage Ordinance. Date ��!! 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. Form 3-82 • • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. VILLAGE +, i. 1{.<- ('..,,_) ( i, )4 its•_"^r+' TOWNSHIP COUNTY .1 t-. �,�i NI STREET AND O.OR �T - _(�f♦ � t� ,� t:! Y_;r„� ROAD AND POLE NO. i I` ti.:rs,.-._-\,,,: - '�- `! ,.,� 1��r'�.�I °,E .cZ d POLE NO. BETWEEN WHAT TWO yCROSS STREETS IS _ PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S BUILDING NAME OCCUPANCY „4.<', OWNER'S NAME ( ;r W tt ,, AND ADDRESS ._ i` -�\ .J \> ,'_7,*1 ):�.„`''/ CURRENT SUPPLIED BY FROM THEIR OFFICE BUILDINGDEFECTS NEW'Q OLD❑ REMODELED El SORK NEW , ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. Fixtures& BRANCH NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS Loca- tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recp'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. k 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 OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE • NEW El OLD • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS --� NAME OF r�"-'•.---„• j P 1 '� ..,,S_.._ 11:,,,T� f�• '"t' DATE OF APPLICANT "" I APPLICATION STREET ADDRESS j 4 -) (j j-_2 Y 1.-- 1-,""i CITY OR �`---k •+• I" ' 4,(.r ) ZIP LICENSE NO. POST OFFICE ---- `'��' ''-� V�'"E�''� ( tl CODE WHEN APPLICABLE . 46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 4001387 THE NEW YORK BOARD. OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 1- 41 STATE STREET,ALBANY�NEW YORK 12207 pets _ �.� 983 .Application No.on fUe 031508-83 A 612032 4 THIS CERTIFIES THAT a*the electrical equipa3aet as described bobs!and intredw ed by dm*MVUcnm named on the abet oppNextion nnnskr in timpmusises *. C.G. Waod g,ftsewm d Mellow RaW, Quessobtury,ftv fork in thefallossinN location; IN.aveoment A lot m. ❑ and P. Outside ' section !Nock Lot 8 smexaninedon en 1119183 dfountltobeincompliawes.oiththere"iratta►esgthleSmog. } "Krim RA"M 0/Q(i ` Ounes A OKAMMMWI MAkKE T. AMT. K W. AMT. K.W. AMT. K.W._ AMT. LW. Na. k P: t 20 48 28 20 A!M PUPM I ftwlCwals ,IEt„ If1NtN l OL ' N.P. "s PLO. AeT. NO .G. AMT. AMP. T.POW8 AMP4 AitT. y t.. 1 AMT. WATtS �{ 4 1*Y fMVICf 98COUNKT ItO.ew 1 5 R It V 1 C E AMr. AMP. iTPE 1 x 2W 1 X 3W 3 Ar 3W ;IW . MD.0►qi r0 Y ,.`. 1 #0 C 1 X 1 4/0 1 2/0 Lg MO ARVA►n u113`J t 3-2.5,1-2t0,4-1.25*1-1.0vl ►e3 XW18 be" labor 121 Radom i Sao Xirolo lallo,Xav Tork 12801 a COPY FOR 8UXD11e 90VW III W' .T k OF CERTIF rA ' 1 1�NtN . TOWN OF•QUEENSBuRY Building- Department inspectors Rep t- --- • Date /l 9-83 Name L. D T' Location • '04 Pl L- D()1) 17V LDI ' . Permit No. " R Xi Weather Remarks Excavation • Footing Forms • Footing & Piers • Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing 22)K/\:: Siding // . Masonry Veneer Rough Plbg. • Relief Valves Wall Board n{� ,,,99 Ext. Porches VII/ S l iZ. Na49b90 Finished Floor / , Interior Trim j Stairs & Railings/ Cellar Dr. Tile Concrete Floors V �,� Plbg. Fixtures Gar. Fireproofing// (1 Door Closers l/ 0 ,--- Chimney Water Meter Inst. Septic Approval • Floors Insulation Foundation Walls 'Ceiling " • (017,1 Building Inspector REMARKS • • S/14-d IKE 1 J -C Z? -- NA Ls d _ - RP1L,A/6 W M 619-1 r0vi K 11(15-ie Dom . TOWN OF QUEENSBURy • Building Department Inspectors Report Date g Name &.h ih/9rl. f' Permit No. `7 7 b'7 Weather Remarks Excalra ti on 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 d Concrete Floors _ Plbg. Fixtures _ Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Buz ding Inspector ector REMARKS J.)/61-el .. /tea 2P- &- • TOWN OF QU•EENSBURY Building Department Inspectors Report Date °'2-Z Naane Psl`?/) ' Location Gr tom' <' AiA167 1 + l�f tires . Permit No. I 9 %1 Weather Remarks Excat7a ti on 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 r Finished Floor Interior Trim \ IStairs & Railings N Cellar Dr. Tile Concrete Floors / \ Plbg. Fixtures Gar. Fireproofing f N. Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation 'FOundation • Walls ' 'Ceiling (-12C-"- • Buildingspector • REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date 7 2-6. v 9' Name // Location 40 7- c /17,14e0Velel' (4 t4eep .) Permit No. Weather Remarks Excatation Footing Forms � ��i✓ems /4iv Footing & Piers / (n is9r, dX/�' 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 Ceiling uildi nspector REMARKS 23i .q r - � RIEVL�EfJ - W il Law ATE AMROYlD V 1�MR:/►�AftAlft 6R3lMl�'� ' �, . _ f_ a