8069 C/O Paid
i
CERTIFI ATE OF OCCUPANCY
TOWN OF QUEENSBURY.r,
f.
WARREN COUNTY, NEW YORK
Date November 23 1984
This is to certify that work rejuested to be done as shown by Permit No. 8069
has been completed.
This structure may be occupied as a One—Family Dwelling
Location — Sub.
Owner Robert R. Lynn ,
i
By Order Town Board
C'
TOWN OF QUEENSBURY
Building & Zoning Inspector
GLENS 2351�
CREATIVE INST Ate' PRINTING L FALLS, N Y 10t 1 1793-54S!
S ... y _.s. ;. i«, r ,
B IL DING PERMIT
TO N OF QUEENSRURY
No. 8 t16 9
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert R
OWNER of (Clendon Ridge-Maurice Cobs Subdivision
property located at Lot BeI10 s 'r 1 Street,Road or Ave.
x
in the Town of Queensbury,To Construct or lace a. 0
p One—FaM i 7 y D_ wg1 1 ;ng
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
0
15 Wing Street
"C
Glens Falls, New York �
2. CONTRACTOR or BUILDERS Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
n o
I" rt
4. ARCHITECT'S Name
O W
O (P
h+
5. ARCHITECTS Address ,R+
fb
3 w .
K
6. TYPE of Construction—(Please indicate by X) n
M
( )Wood Frame ( ►Masonry ( )steel (x) -logs
7. PLANS and Specifications O0
3 6'x62 r per plot plan, spec�f ications and applicat� S
No. submitt including sewage system. 241lx24 a detach. V
garage.
B. Proposed Use p
(D
One-Family Dwelling and Two.-Car Detached Garage
. C/O Paid
143 . O 6�<
$ PERMIT FEE PAID—THIS PERMIT EXPIRES March ,1 19IL4-- G —
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (gyp
town of Queensbury before the expi ion date.) Fj
F-
Dated at the Town of Queensbury this lst Day of_ August 19IL-L _
SIGNED BY for the Town of Queensbury
Bulk ling and Zoning Inspector 699)
OWN OF OUE£NSBURY - BUILDING DFPARTMENT
R. D. #1 B"iY P:D PAVILAND ROADS
GLYNS FALLS, r'FY' YORK
Phone 792-5832
DATE:
Our records indicate that you were issued a building permit
number g p 9 n �
for the construction of ���, -�
Our files show that the required inspections are incomplete.
If still under construction please contact this office for an
extension of you building permit, or if completed please
contact Is so we can take your card out of the active file.
Next required in-spection �'K'y
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy.
Noncompliance may result in, legal action.
To avoid further delay and possible legal action, contact this
office to nake arrangements to update your file.
OUF£NSAURY BUILDING DFPARTYENT
TOWN OF QUEENSBURY (Space inside block to{x• filled in by
WARREN COUNTY. NEW YORK K Building Inspector)
Application No.
• Application for Permit fsstued 19.:.
BUILDING AND ZONING PERMIT Er,,ires, Itl.
i.i i iiii.: District
X Ale cal Work,S
THREE (31 Copies of a PLOT PLAN, Drawn to scale. ‘1'1 .".i•c1 by
showing the actual dimensions of the lot to be built It.•m:i.Kf
upon, The exact size, end location on the lot of.the . •
• building to be erected or altered MUST BE SUB- .
MITTED WITH THIS APPLICATION.
• �'8 O 1, "
� • - • • • •� � •�'• • TOWN OFQUEENSBURY
l �/` / �. �, I3'a OATS -
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK RECEIVE 0
ANSWER ALL OF THE FOLLOWING. AUG 3 01983
The undersigned hereby applies for a permit. to do the following.:work �� _� a"
which will.be done in accordance"with the description, plans and specifi- A•M /`f a P.M.
cations, and such. special conditions. as.may..be indicated on the .permit. 7181911 1)2I3)4`5`6
. . . . . . .
The owner of this property is:
P Pe Y
7' e, Lc�Nrd is-LWIni Str'eci- C-�Gnis Fig llr NV /di'fl/
04
Qbr�: �'� . . . . . . . ( A••1E) i"
. . (NA•'F) (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Buildipg;Code and the Zoning Ordinance apply is:
. . .R'aher-f R. t_,./r✓N
(NAME) • (a•O ADDRESS)'
Name of Builder. . . . ..5eht . " Address
Name of Plumber Se/f Address
Name of Mason. . .411e.c/N.' O " Address . . . les7leyr`crwYJ
Lot Number. . . .3. . . . . . . Unit Estimated value of proposed work$ . 4'Od an
Name of Village ARieAPSLwr.0 ,
Name of Street ,fie/l v,'aS Circle Side of:etreet: north ❑,:east• ❑, south 0-, west` 0"
Nearest Cross Street 1-1-f.Zerrre Distance from this -rocs street " 2SV13 Ft.
Property is north 0;south 0,east 5,west 0 from Cross_;Street
If on Corner,which corner,northeast ❑, northwest 0, southeast 0 "southwest
(Designate by marking with an"X" in the correct space.).
NATURE OF PROPOSED WORK OCCUPANCY
GI Construction of a new building.
Main Building
El Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling 0
❑ Demolition of a building. . .-family apartment house - 0
Store building ❑
-car attached garage ❑
Other: •
Accessory Building
One-car,detached garage " 0
0. Other work. Describe. Two car detached garage
a, •Car- �j r- D eTct c e4 q c_,� S� Private chicken house 0
- Private storage building ❑
c � r 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(s) in dotted"line and existing
Iiuilding(s).in solid line.
r ff Y
X oco.34n',� a�L ,34
5t1x � /
Size of property ft. x ft.
Size and use of existing buildings, if any At6)'`'e
F
. • W Wul Size of proposed building . .- ft.x 6-2- ft.
Height(from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
Rear yard ft.
7 SOUTH If op corner,setback from side street ft.. ..
Note: All distances are net, as measured from.street side
fine'so nearest part of building.
(OVER)
7-73—M
(cont'd.) '
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe,etc. ices
Will any second-hand lumber be used? AM If so, for what?
Material of foundation walls C•'''-1E^`J- b/or k thickness
'
✓Depth of foundation walls below grade 5 Continuous foundation? 1
Will there be a cellar? tits If so, material of cellar floor ce-00' I 54-6,6
Type of roof: Sloped or flat? . . sru' s.t Material'of roof `?7PilaH" .<2/.1e/:;eier
Size,wood studs 'Z "x Lf ",spacing ' t to "o.c.,length ft.
Size, floor beams, 1st floor L "x I v ",spacing . . , r "o.c.,span /Li' ft.
Size, floor beams,2nd floor
„x ", spacing ' "o.c.,span ft.
✓ Size, ceiling beams . . � -
-1jui1?:-e.5. . . . 2,. . . "x Li ", spacing Z.. "o.c., span ® ft.
,� Siie, roof rafters or beams 1- S L " x :. . .4 . . ... . . . . ", spacing - L "o.c.,span 0 ft.
Exterior finish ,P'`I c ' With what material? wt,i?fe lane
Finish of interior walls / ,J 3 `r. .C/r t-I'h2-''Jr
If garage is to be attached, of what material is wall between garage and main building to be constructed?
tretela-47`G-.c6iL
Is there to be an opening between garage and building? (9S
Kind of heating system . .L!}6 ' -./.-&-- 6:—i.c.. ...(1.5 '.% ?!"et . . . Oil btirner or coal? "-6
Will a flue-lined chimney be provided? v�_s Depth of chifhney foundation below grade — ✓
• Height of chimney above roof I r' 1
Will there be a fireplace? AtO Depth of fireplace hearth
Will a toilet be installed?. . .geS-
Will a kitchen sink be installed and connected to water supply? gG',--
"
Water supply(public water supply or pump) e�" ''
Distance of cesspool from any private well /co feet
Will drainage system be provided with required traps, cleanouts, and vents? . .ycs
AFFIDAVIT
Town of Queenshury
County of Warren
State of New York ,
I swear that to tr.';carol my know)edge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,. lets 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 pertaini proposed k s be complied with,whether specified or not,
and that such work is authorized by the owner.
Signature V...."•t.•... .. ..
Sworn to before me this OWN& OWN ENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE.PERMIT:
•
•
By ..
' l
TOWN OF QUEE.NSBURY
BUILDING & ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner' s Name W/V4174 ;4 "? L. /i//
Address lS � SIrwj (� /✓S r l(c /v 7 /d a?)
Telephone No. ' ne-- 57Fq
2. Property location C(,,,/do,./ rS/ i� ��f�f�cr, , a///(ems 0i-de
3. Name of person or firm responsible for installing system
(Rnderi' R L yN!✓ / /- Telephone No. S` P7
/j
Address _/S /,vc G.57. L s /-�c45
4. Number of bedrooms (residential buildings only)" 3
5. Daily flow gallons/day
6. Septic tank capacity !63D gallons
7. Topography: 4, rolling, steep
% of slope •
8. Nature of soil and depth 5 M4
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? 90 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 bjeke
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 as provided for in Section 6 .010 of the
Queensbury Sanitary Sewage Ordinance.
Date i/ e.) Ze--/74
in
signature of appl—scant
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. .
/ 41,1- 7 -
Form 3-82
•
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 ./Z(GO S,,6
2 . Type of heat umdj e/ c/—,' .h/5e,/'oar0_-.
•
3 . Is the building mechanically cooled? NO
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 3-1(" c/,eci_�iYmS- m Litica/N loj La`d
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 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 N/R
1. Thermostat( maximum heat setting --
D. Duct Systems r•AT1 /knect.cag(.0
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 r�l�
1. Size of hot water or cooling carrying agent pipe •
2 . R value of pipe insulation
F. Service Water Heating nlA
•
1. Performance efficiency
2. Temperature control setting maximum •
G.. For Swimming Pool Only •
1 . Maximum heating
Telephone No. 951---578-1
(applicant' s ignature)
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR
VILLAGE TOWNSHIP I+; ;, . ., , .. . COUNTY - i
STREET AND NO.OR . .._1
ROAD AND POLE NO. A -f i •i j _ _ r / POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? ▪ - ,_ . 1 J SECTION BLOCK LOT
OCCUPANT'S .._, BUILDING ---- -�___
NAME .'.i ' . a` - :.�.! OCCUPANCY 'r.2 ; , .I --?e.,.i C_'" ( z1. f.d/ 6
OWNER'S NAME __
AND ADDRESS - - ▪ -'5— . /-.`` :._//:. 'i ,/ . :'c ,-- _ ti.: :ri` .f.-a, •}1
CURRENT - .
SUPPLIED / !/ j '- -y 'i.• f ��.
BY /I.i7 r4 `/ ,�''1 fir- 77)//le-1 ;. FROM THEIR i', e-- r t %- .� OFFICE
ISB NEW
,NEW C,aY OLD❑ REMODELED ❑ WORK DEFECTS NEW '� ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
Fixtures&
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS BRANCH CIRCUITS NUMBER OF LAMPS
Loca-
tion 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.
1- ) •
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 1-1OLD n
POSSIBLE 7,/ I/'�;f/. ,�' . r / NEW
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS l
NAME OF '2 ,�. ;2 ) z DATE OF c-Y/ ; '�,-J
APPLICANT r•f��'L— i I (./ '(\/ APPLICATION ? -'/! C _
i
STREET ADDRESS /=s_ I )./,/l%(;'. ---/.
CITY OR -. _ �--- / ZIP �;`,, / LICENSE NO.
POST OFFICE _ . ;_'i/t., - ! L Al V CODE; .L / WHEN APPLICABLE
46 EL(REV. 1/82) A SEPARATE APPLICAT16N MUST BE FILED FOR EACH SEPARATE BUILDING
`J6 //Y)1, --1 i/!e - \
TOWN OF QUEENSBU Y
Building Department
Inspectors Report_ Date /0 i/t`7
Name 'O L //,rftj
Location %-(3 :7 L. 4-6 c_L. L ,
Permit No. • (;/•�` J Jther
�1 emarks
Excavation •
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing ✓// a
Siding [ -�
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches rl ,¢(7 r`�/f4^-,_
Finished Floor
Interior Trim ,)
Stairs & Railings f j/l.e_A-r ,Jip
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures ✓ -/ �
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling •
Building Inspector
REMARKS
TOWN OF'QUEENSBURY
Building Department
Inspectors Report Date fZ-/f - t3
Name ///47 - • .
Location // LAjve-
Permit No. R 6 ib9 Weather '
•
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
Plbg. Fixtures
Gar. Fireproofing
Door Closers •
Chimney /
Water Meter Inst.
Septic Approval (V 6 I .
Floors
Insulation Foundation
Walls •
' Ceiling '
,4„,
/Buildin• In ector
REMARKS
� t
r a X $
TOWN OF'QUEENSBURY
Building Department
Inspectors Report Date 7/d (o /rP 3
Name 12 0 6 T
Location Lo 1_ e I/i,n , .0 C I y'c- �P
Permit No. k 6 6 % Weather
Remarks
Excatja ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing ,/pf�
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 J Cellar Dr. Tile
Concrete Floors /
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
'Ceiling
eeete-1----D
Building Inspector
REMARKS
0
TOWN OF•QU'EENSBU RV
Building Department• �c,4
Inspectors Report Date q 6 /8 3
Name p o i,_„. 1- ./y "
Location LOT- R 13-e (l 0 w s C ; c/P
. Permit No. 8'5 `i Weather
• Remarks
Excatia 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 /K\
Wall Board
Ext. Porches
Finished Floor
Interior Trim / \\1,
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures •
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
•
Ceiling'
77/2 :1)
Building Inspector
REMARKS '
1 I -I- -"- i
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