8156 C/O Paid
I
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBUlkY
WARREN COUNTY, NEW YO K
October. 31 19 84
j
This is to certify that work requested to be done as shown by P it No. 8156 t
has been completed.
This structure may be occupied as a One-Family; Dwelling }
4
Location Lot 75 Nelson Road (St. No. 7)
s
Owner Raymond Bander
I
1
By Order Town Board
TOWN OF QUEENSBURY
I
Building & Zoning Inspector •
t
y
GR[ATIV[ INi7A' ♦RtNt'tMG. Gl.[N5 IALLR N 1' 12•.01 4 1[�lM;;;;•
BUILDING PERMIT
TOWN OF QUEENSIBU Y No. 8156
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Raymond Bender
(Court House Estates Subdivision)
OWNER of property located atNo. Street,Road or Ave. 1
Jd
in the Town of Queensbury,To Construct or place a One—Family J)wellin
at the above location in accordance to application together with plot plaits and other information hereto filed and p
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. _
1. OWNER'S Address is
27 Pinewood Circle
Danbury, Conn. w
�t
2. CONTRACTOR or BUI LDERS Name
McCormack Industries
3. CONTRACTOR or BUILDER'S Address
7 Sareila St. it
Glens Falls, New York it
4. ARCHITECT'S Name l'n
_l M
F�
W
5. ARCHITECTS Address 0
N0.`
6. TYPE of Construction—(Please indicate by X) F
( Wood Frame ( )Masonry ( )Steel ( ►
7. PLANS and Specifications 741x40" per plot pl*n, specifications and
No. application submitted including two—car attached garage
and sewage system. p
8. Proposed Use M
One-Family Dwelling
N.
$5. 00 C/O Paid
J80. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES 1984 G
(If a longer period is required an application for an extension must be made to the Buik ling and Zoning inspector of the M
town of Queensbury before the expiration date.)
FA
N.
Dated at the Town of Queensbury this 13 th Day of t. b r 1983
SIGNED BY a� for the Town of Queensbury
Building and Zoning Inspector
I
_.,
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
PP Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. 19.
, }1I1,L District
. \ aluc n1 \\•nrk$
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'I "x``I by JC S
showing the actual dimensions of the lot to be built Itcn1;11•K.c
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
3 6 t ph/6.
ly J6 WNOF. QUEENSBURY
— �� DATE D \Y/O 11ii
BEGINNING WORK
BE OBTAINED BEFORE
A PERMIT MUST
ANSWER ALL OF THE FOLLOWING. (..A.; I `.•'` 'L idd
The undersigned hereby applies for a permit to do the following work A.M. /fc do P.fYi,
which will be done in accordance with the description, plans and specifi- 718I9110�10112)1l2'3 41510
y y- R 1 t R 6 0 , , p •
cations, and such special conditions as may be indicated on the permit. 'C.
0`fnC�ti4�
•
The owner✓ULcyvD PInLgOal — 1O 7�A/�4,604 ) D: CCoZ o6 L T //,.
(NA.IE) (P.O.ADDRESS)
The pe n responsible for .supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
�/,,f��� (NAME) �s
Name of Builder. .Mc'•..0 !���"�.c..`C •/& 0,)- 4G Address . .7.�3#L � / , t-� '
Name of Plumber. . .r.-CrA � C Z�7�-"- Address /
Name of Mason itn l��' 6 Lc AM-) Address . .fiLD Jv
- c�i 1 Lot Number�S. _ . • Unit Estimated value of proposed work S '0) GOO —
5 Name of Village .�d.� .U.Cy9' U5• . t)4V
Name of Street .d11. CAN a n Side of street: north 0, east 0, south O, west ❑
V .C4ic '
Nearest Cross Street �Z. .�/ti/.(l� Distance from this cross street Ft.
Property is north ❑,south 03.,east Li,west 0 from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast D. southwest
(Designate by marking with an "X" in the correct space.)
•
NATURE OF PROPOSED WORK OCCUPANCY
V Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling g1
❑ Alteration to a building. Two-family dwelling • ❑
El Demolition of a building. -family apartment house ❑
Store building ❑
. .?: -car attached garage ❑
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-
- posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
building(s) in solid line.
7�3 -
Size of property . .`�3 3. . . . ft. x . . .3.6. .„. . ft.
Size and use of existing buildings, if any
t Z 0)4) h•rifk-
x w vhi ft.
���
wvi
Size of proposed building . . . 7g. . ....
/fft.x . .
r Height(from grade tom fidge) 1! ft.
i f ` _ 7- ft.
Front yard
• Side yards bQ ft. and . . ft.
.045 i ft.
Rear yard >j
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
Y
(cont'd.)
BUILDING SPECIFICATIONS., r
Kind of construction: Wood frame, fire safe, etc.7 G�oz 0
Will any second-hand lumber be used? . . . . .AN If so, for what7
Material of foundation walls (G " 15(...u. - Thickness 10
Depth of foundation walls_ below grade 8 Continuous foundation? .}.e-33
Will there be a cellar? 1C3If so, material of cellar floor N L,J•i',6
Type of roof: Sloped or flat? . . . 5 t.o.P ED Material of roof -A r
Size, wood studs Z " x y ", spacing 7 . . . ."o.c., length ft.
Size, floor beams, 1st floor " x /0 ", spacing )x p "o.c., span 1(p ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams - c.3 . . . • "x ", spacing "o.c., span ft.
Size, roof rafters or beamsT.5S• • • "x ", spacing "o.c., span ft.
Exterior finish V iNJy4'• • • .6101 al„ With what material?
Finish of interior walls t/Z'l 1'4 co iL
If garage is to be afached, of what material is wall between garage and main buiR ing to be constructed?
. . f'1.l�' .0 be A
Is there to be an opening between gArage 9ind building? . .y.c3
Kind of heating system . . .11160- .110/1.411 Oil burner or coal?
Will a flue-lined chimney be provided? . . . .y.e.3. . Depth of chimney foundation below grade
Height of chimney above roof III
ti
Will there be a fireplace? ,Ye3 Depth of_fireplace hearth �0
Will a toilet be installed? - 1,63
Will a kitchen sink be installeand connected to water u pl ? ye-3
Water supply (public water supply or pump) UCJ
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? 165
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt. Aa i of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.a.pp lete statement of all proposed work to be done on e d ribed premises and that all roviaions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaini to e p po ork 1 be complied ' ,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
OWNER.OWNER'S AG T.ARCHITECT,CONTRACTOR
1 0 I/ A day of — 19...63
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
By
•
a TOWN OF QUEEN.SBURY .
• WARREN COUNTY , NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH _THE NEW PORK
STATE ENERGY CONSERVATION CODE
A. permit must be obtained before beginning work.
•
ANSWER ALL of the following:•
I. Gross floor area 4
II A � r ..
2 . Type of heat �c � 00/�.
3 . Is the building mechanically cooled?
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 ES " NO
a. • Are, found�ation walls insu ted? Y�ES • NO
• 1. • If YES, what is the R value?
3 . Slab on grade YES 0 •
a. If YES , 'what is- the —alue of insulation around
- perimeter of floor? -
4 •
. Is basement heated? YES _. tJ. .
a. . R value of - insulation •
- 5. Type of insulation ,
B. Under 16% Only
' 1. R value of roof and floors exposed to ambient conditions_
3A
. 2 . R value of exterior' walls e��
3 . R value of glazed area 3f
. -. 4 . R value of doors • 3^ h
5. R value of floors over unheated . spaces
6. R value of slab edge insulation - ,unheated slab 6,
7 . R value of slab insulation heated slab" • ----
8 . R value of .heated basement/cellar walls (above, grade) 6r..5- .
9 . •• R value of heated basement/cellar walls (below grade)
10 . Type of insulation J ) 65e6-gf 6.5
. C. Controls
1. Thermostat maximum heat setting 5 •
- D. Duct Systems .
r 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 6 .--6
E . Piping Insulation
. 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
G. For Swimming Pool Only .
1 . Maximum heating . .
Telephone No. ?J 7410 7 - ' ' .- - - : CnI.'491.4,4 : r. - ,
•
�( pplicant ' s ; griature).
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
(('''' �/ r;
CITY OR
VILLAGE TOWNSHIP ( t+ ° , %f; ,?1 j., COUNTY t
STREET AND NO.OR
ROAD AND POLE NO. LaV� 70 L'L.6O5 J76 POLE NO.
BETWEEN WHAT TWO j� ��* /,1yr J� �J{` r; I -
PREM S SRLOCATED? /IliC�,?Cr.�y''d� %"/J/t-.i i)/:?,/Jvr4711�,eid to gION - ,.• BLOCK LOT 70
OCCUPANT'S '7f4 /IW Gfv 1) 13 AII�1 1�,,, OCCUPANCY /�3//i '4
BUILDING
NAME (f 7
OWNER'S NAME tt,,_7 ' _
AND ADDRESS k A II.M1N4)� 13L-�//j& r 7 OJA,/L_ j,1/.G 21 c i ri:C/r; . illiM//I.Jet GIN,V,
CURRENT ✓ "
SUPPLIED
BY El
. FROM THEIR 1I�, OFFICE
BUILDING NEW El OLD❑ REMODELED ❑ WORK NEW 1J ADDITIONAL❑ REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
Loca-
tion
CeilingSide Attach't Switch Pendent Bracket No. Type H.P. No Watts No. A W.G. NO. WATTS
Wall Recept'ls yP Each EachGauge _ EACH
Out-
side
Sub-
base
Base- i
ment
1st Fl.
i
2nd Fl. /
3rd Fl.
•
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 (; {i 7 J (NUMBER) (CAPACITY)
STARTED I cn ( COMPLETED/fir/AZ/ SIZE OF SIGN
SERVICE 7 I /n� A , MAKER
BUILDING 'II �_1)--5 I c.fD.e../1th, OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS n
POSSIBLE NEW OLD I I
r AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF 2 Y/140 4JL1 / `L_�./(I.0 L�'C._, DATE OF ! 0 / l
APPLICANT _ 99 - ,rj��--s / ` APPLICATION/ J '� �, 11.
STREET ADDRESS `° 1. 70 °a..6-c i Et. CQ(3 I i il.._JV 3 ��/L3r!'r/7 : L 6c5. 4./
POST OFFICE CCITY OR ODE/ 'i'`...' LICENSE NO.
WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
- - --------- ---- --------
4000384
THE NEW YORK BOARD OF FIRS L NDERWRITERS Le'
�— BUREAU OF ELECTRICITY
CC 41 STATE STREET,ALBANY,NEW YORK 2207
Hate November 13, 1984 Application No.an file 4114-83 A 630866
THIS CERTIFIES THAT
only the electrical equipment as described bolow and introduced by the applicant nomad on the.above application number in the promises of
��J�wu-l�l.. .i►
McCo ek Ind. Lot T Nelson Road
ry ..;
in the following location; Basement Ise F7. Snd Ft. Quo ��section Block Lot k �{
.; t�esic�e
was examined on and found to be in compliar�lce wi h the'requirements of this Board.
"G HXTURE AgRg SWITCNK OVENS 0111"W IXNAUST FANS
OUTUffNT KINMESCENT AMT, K.W. .W. MIT. K.W.. AMT. K.W. AMT. H.P:
+m
29 47 31
2 Ir'1t `}
DRYERS FURNACE MOTORS MMUMMMOMMM Mmum. nAwwas pu tumm MATiRS MMT40UTIl}T owmall 5
W. OIL ' H.P. GAS I M.P. AMT. NO. A.W.G. AMT. AM►. AMT. Amn TRAW. AMT. M.►. N0.S"w AMT. WATTS j
n
1 Im fto
SERVICE D=NNECT NO.OF n floE R V t C E
No
�Alr. AMP. Tree R t,r 2w T�►.aw a 0 aw a A aw No,GP CC.COND. A w.pp� of llFteG A w•p� NO.OF NEUTRMS A W.G.
PER X OF CC.COlID. % OF!R lKi Of NEUTRAL rt 1
1 200 CB 1 X 1 4/0 2/0
OTHRR AMARATM.
1-3 Ton Heat Pump
1-15 amp GFI Breaker
1-Smoke Detector
ELECTRIC RESTERS: 2-. 5 KW'S
William C. Carpenter Asso. Inc.
P.O. Box 2014
Glans Falls,New York 12801 BUNULNAGN �-
Pn
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MU "TN T 8E A LTIR00 IN ANY 9A N N E R. j
•
TOWN OF QUEE SBURY
Building. Department
Inspectors Report Date .Z!' "
Location ,%" ,./‘/ se_..>d✓ te
. Permit No. 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 V
Finished Floor
Interior Trim a
Stairs & Railings' O
Cellar Dr. Tile
Concrete Floors /�
P1bg. Fixtures Floors /
Gar. Fireproofinyt,41
Door Closers C11c
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
' Ceiling '
ge-?4
V B ilding Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors It Date /2 ' r7- i
Name _
Location . o t 7 44444A
Permit No. V,5 £ Weather
Remarks
Excatia ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey 0 ; //
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
P1 . Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
auf ilding Insp ctor
REMARKS
TOWN OF QUEENS-BURY
•
Building Department
. Inspectors Report Date r` ` /7-8 3
Name
Location /{ ,i
. Permit No. Xi S, Weather
Remarks
Excagia 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 1
Wall Board f \
Ext. Porches / \
Finished Floor
Interior Trim I �.
Stairs & Railings 1
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation
Foundation
Walls
Ceiling
4Bdis4tor
REMARKS •
• 7da°re64_, 744
TOWN OF QUEENS-BURY
Building Department
Inapecteregep Date (/— 7 (F3
Name (�?
Location
. Permit No. 3/S(13 Weather
•
Remarks
Excatta ti on
Footing Forms
Footing & Piers
Foundation f,ferL
Cement Coat
Waterproofing C
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
• Buiping Inspector
•
REMARKS -
TOWN OF CUEENSBURY
Building Department
•
Inspectors Date /0//1 C�
Namef�_ •
Location /A geA -
Permit No. /74 Weather
Remarks
Excatia Lion
Footin Forms c/1 OK
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 l
Stairs & Railings
Cellar Dr. Tile /
Concrete Floors
Plbg. Fixtures /
Gar. Fireproofing
Door Closers /
Chimney / •
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls '
'Ceiling
PR
• fuilding 14pector
REMARKS