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8171 C/O Paid CERTIFICATE OF OCCUPANCY I� OWN OF QUEENSBURY u WARREN COUNTY, NEW Y`ORK b* Date. January 9 19 8 This is to certify that work m1unted to be done as shown by Permit No. 8171 has been completed € This structure may be occupied as a One-F am i l y Dwelling Location Lot i3 Sunset Trail (Pickle Hill Acres Subdivision) Maurice and Riti Prevost Owner By Order Town Board TOWN OF QUEENSBURY c. Building Zoning Inspector CATIYR "IN#TA' fR�NTr[i�} 4A#N# tAtF.B RY ,r li4r fs}'#k# CR BUILDING PERMIT TOWN OF QUEENSBURY A No. 8171 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Maurice and Rita Prevost (Pickle Hill Acres N OWNER of property located at Iot 13 Sunset Trail Street,Road or Ave, top in the Town of Queensbury,To Construct or place a One-Family Dwelling a 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 .I". rt 1. OWNER'S Address is N R. D. #1 Glens Falls, New York to C Q 2. CONTRACTOR or BUILDERS Name M rt F. Fisk Constructiori Co. Inc. 3. CONTRACTOR or BUILDER'S Address P. O. BoK 328 Hudson F lls, New York ror+ n t•I, 4. ARCHITECT'S Name M W x cn N•G N� 5. ARCHITECT'S Address rt KH fD K gD 6. TYPE of Construction—(Please indicate by ) Cn I... Ir ~ (}d Wood Frame ( 1 Masonry ( )Steel 7. PLANS and Specifications 61 r 8 rx44 t per plot plan, specifications and Noapplication subm`tted including two-car attached garage and sewage system. Q o 8. Proposed Use M I One-Family Dwelling w• N $5. 00 C/O Paid $115. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May l 19 84 E (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the IIT town of Queensbury before the expiration date.) I_j W 7th Dated at the Town of Queensbury this Day of October 19 83 SIGNED BY a. � for the Town of Queensbury Building and Zoning Inspector • A TOWN OF QUEFNSBURY - BUILDING DFPARTYENT R. D. #1 BAY A':D FAVILAND ROADS GLFNS FAILS, r'FV' YORK Phone 792-5832 DATE: TO: Our records indicate that you were issued a building permit number / o ,� L � � for the construction of r Our files show that the required inspections are incomplete. If still under construction please contact this office for an extension of your building permit, or if completed please contact is so we can take your card out of the active file. Next required ins ection R e For all new construction Town Law recuires 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 rake arrangements to update your file. OUFFNSRURY BUILDING DFPARTMENT TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY. NEW YORK Building Inspector) Application for .\}> li`atioO No. pP Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. 19. 7,nning District • \ aloe n1 Work,S PLOT PLAN, Drawn to scale •\1'1""`c'c1 b ��d/1;(� THREE (3) Copies ®f a P T �/� G /�� showing the actual dimensions of the lot to be built kc'inarKS upon, The, exact size, and location on the lot of the building to be erected or altered MUST BE SUB- ' MITTED WITH THIS APPLICATION. / / • -J- 4 '"l -, g.Y TOWN OF QUEEIeI51aURY 0.'7 /-- / . 13 �'U DATE RECEOYED A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. 00T 1 419���� The undersigned hereby applies for a permit to do the following work. A M. VJ ' �, which will be done in accordance with the description, plans and specifi- g1819�1 111 1I213l41�IG cations, and such special conditions as may be indicated on the permit. , , , •""fib , ' : . l . The owner of this property is: '1 Al X V = 7 piG✓. .7 rr-P 7`24:tf/GS/� c`j v/' .cj.i.LC° (,mil e/a.Sg(..W�/ /f ` /2cryc .(NA• E) / (P.O.ADDRESS) / The person responsible for supervision off�the work insofar_ 0 as the Bp ding Code and the Zoning Ordinance apply is: \�. 1 /- /� IC? /J s A:�. . ✓ . , (7 R? G( 1' / u b. f✓7 So jJr; \/ ./7 !7f (NAME) IP.0.ADDRESS) Name of Builder /— //`S k Ou Tv S/ 6 y 'J fi Address . / C 6 o j‹. 2 2(Fi./ v. S0.6/. /2 ,f.4) Name of Plumber S `'-,'‘-t Address r. Name of Mason fir"` Address Lot Number /3. . . Unit Estimated value of proposed work$ . . . N5/ 0. oU,.66 • Name of Village /O Ct(jY l 9' /j Name of Street . . .-�i_.'./.Se.T -7 d9lC Side of street: north 0, east f , south 0. west ❑ Nearest Cross Street ✓)��-f Z'• / f/l ,---c' ",., Distance from this cross street . Ft. Property is north 0,south g,east E i, west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, 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 ❑ Alteration to a building. Two-family dwelling • ❑ ❑ Demolition of a building. -family apartment house ❑ Store building El • -car attached garage ❑ Other: Accessory Building J ❑ n One-car detached garage 0 Other work• . Describe. '� "6 /l `�C i`-,�vr ❑ / Two-car detached garage 7� Private chicken house CI r �� 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 buildings) in''dotted line and existing • tuilding(s) in solid line. ? / Size of property • 2 c?/ ft. x . :.% RP . . . ft. Size and use of existing buildings, if any • \ / rc 1) . F- 1 N ( I �� s `, m Size of proposed building . . ft.x . .4. • ft. jPP°Height (from grade to ridge). . - . . / ft. Front.yard / ci/�' K� U/ ft. . <? Side yards 7"/ 7_(7- ft. and //6V... .7cF . ft. Rear yard . .2 '7 6 )( /""f 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., nn Kind of construction: Wood frame, fire safe, etc.?. .�✓. °• '• .! `��� �• •/• ✓� �... ... ."2' Will any second-hand lumber be used? A/.^G If so, for what7 Material of foundation walls (i i G.� C' l4 Thickness /O ' Depth of foundation walls below grade Continuous foundation? . .. r;...c. . Will there be a cellar? ,,�'�C If so, material of cellar floor " Ca .ic'2 c�/f Type of roof: Sloped or flat? Zit" r9-'0..4n Material of roof A -cd. .c�'l7N,f Size, wood studs • . • • "x .C ", spacing . . . . '. . . . . ."o.c., length .cf•' ft. Size, floor beams, 1st floor . . . . " x 76 ", spacing . . . .`.. . . . ."o.c., span . . ft. Size, floor beams, 2nd floor . ." x f ", spacing "o.c., span ft. Size, ceiling beams -' " x ", spacing fG f' "o.c., span .45-'9 /Gam'.. . . ft. Siie, roof rafters or beams .2K '.- 4 " x 777oJ'f^`S ", spacing . . . . 7 "o.c., span ft. Exterior finish . . . t74•%-• to/J >!)• • • With what material? Finish of interior walls 7,.4.41 lr/ia• • G� r� If gars a to be attached, of what material is wall between garage and main building to be constructed? • 7e2 CO. ‘". t? .73f,�r�Rj, Is there to be an opening between garage and building? Kind of heating system . . f_ � l..J•/ '! C •, Oil burner or coal? . . . .C3't/ Will a flue-lined chimney be provided? ) �� Depth of chimney foundation below grade Height of chimney above roof Will there be a fireplace? ✓ e. .S Depth of fireplace hearth 2 Will a toilet be installed? Will a kitchen sink be installed and connected to water supply? )7As Water supply (public water supply or pump) 7-9Q-X-� Distance of cesspool from any private well c p`/? /-'z 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 tr. bca i of my know,Iedge and belief the statements contained in this application,together with the plans and specifications sub- mitted, area true and co.z.•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 th,whether specified or not, and that such work is authorized by the owner. )/f Sworn to before me this Signature �Lc / fc 4l✓ yam✓ ���`L C'7 (� OWNER.OWNERS A E T ARCHITECT.CONTRACTOR day of 19 ✓✓✓ 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 — % / 7 q 2 . Type of heat o:7l.ri V,0f 0 /� 3 . Is• the building mechanically cooled? /0 0 4. . Percentage of area of windows and doors A. Over 16% Only 1 . U 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 /44-4_ S i/ ..r-71--- B. Under 16% Only 1. R value of roof and . floors exposed to ambient ' conditions77/7'917-7- . . 2 . R value of exterior walls ; Citry • 3 . R value of glazed area (km-� • 4 . R value of doors 5. R value of floors over unheated 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 /-be2 • 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 • 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. ` /" 72- f 2_ 7 � r {"applicant ' s signature) 1 _ TOWN OF QUEENSBURy BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner ' s Name l.)re/ L/� f�-. �r� �! ✓ /"fie �� 5 Address cSmu.fiiv rI , ( �11,d' PP Air i Zvi, � Y Telephone No. 2. Property. location ,_ \ it �5 /��r�, /�//C p F 1�,! I,�Jrirz /u_ti� 3 . Name of person or firm responsible for installing system , ;,5'j� aJ Telephone No. P2� 2- � � Address /.X O 7 c , sly ((oh . /if, f ,/ jL 4. Number of bedrooms (residential buildings only) 73 5 Daily flow j`c5 0 _gallons/day. • 6. Septic tank capacity gallons 7. Topography: flat, rolling, steep % of slope 8 . Nature of soil and depth 0/ 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? 4/4 ft. c 10. Percolation test: . A is required B. _ is not required . C If required what is the rate ///5- minutes/inch 11. Water supply: municipal, well, other J) /�/f/�. �i 12 . Type of system proposed: drywell, tile field, other 77(-P 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 .Sanitar"y Sewage Ordinance. Date 10 '� � .3 � % �J°��:(,,, 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. • CITY OR /,,, - - _ VILLAGE - / - 1 i��-j_/: �'�; :/;� �/� .r`:'�..-> TOWNSHIP rf r• r%'<..��=, =./--,:...7'_ COUNTY � ��� N/;:;j./ STREET AND NO.OR l _ - / / ROAD AND POLE NO. / , ,+=r- POLE NO. BETWEEN WHAT TWO __ / CROSS STREETS IS t, -- - / /' _ i' r r'°"=- r " �'4�% i SECTION BLOCK LOT f PREMISES LOCATED.=__"-�•' �>"~ �J � f' / %�` OCCUPANT'S __ �' BUILDING - NAME , 7 r`- �. 7- OCCUPANCY -�D 4_: /e?_ i.r. / OWNER'S NAME - (- �_. % / AND ADDRESS 7• i' .i.,/ /( • f '. 1., , 1 f:...._/:� .. + / /,', :{ .. �� tr - - . CURRENT / / / SUPPLIED J�/ , ` / f ..�--� -- - BY 1 ° /d�1l / f 4-:-.J 4•// FROM THEIR { / ,---. .., / ".%'/.r .. N. OFFICE BSUILDING WNEW,I OLD El REMODELED El IS NEW El ADDITIONAL Ill REMOV D DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures& BRANCH NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS LAMPS' Loca- tion Ceiling Side Attach't SwitchPendent Bracket No. Type H.P. No. Watts No. A.W.G. NO WATTS Wall Recept'lsyp EachEachGauge EACH Out- side Sub- base Base- ment 1st Fl. 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 (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS n POSSIBLE NEW OLD I I • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF ,7-/ - ,.=��- ,,,.r 7' rc , //, /' DATE OF �r - / �/ ,wZ APPLICANT ,J - ` `-_ • APPLICATION STREET ADDRESS I' A., "/'._ '•/,7 t" , / /)'�: ,CITY OR • POST OFFICE f _ 2-'(i j`/_, 1..5 �!:/:` /-;r//7 ts'j ZIP '2 - LICENSE NO. r CODE -`,� WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING • • TOWN OF QUEENSBURY Building Department Inspectors Report Date >7V. Name j-q y0 i7 _7 Location /3 5-6),,k 6 Permit No.�/ 7/ Weather d•150C:" Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt \\\\\2(:/:\I Roofing Siding Masonry Veneer Rough P1bg. Relief Valves Wall Board Ext. Porches /,../'< Finished Floor 1/ Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors / Plbg. Fixtures t� . Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Buildin f spect5r REMARKS t-3 TOWN OF bUiENSBURY Building. Department Inspectors Rom_ Date Hi/2:/44-/ Name n-G Location ! .1..,-z7 Permit No. 9 7 ) Weather Remarks ExcaVa tion 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 E/ ©/ti Stairs & Railings/ Cellar Dr. Tile Concrete Floors Plbg. Fixtures ✓'( O/c Gar. Fireproofing LA G j•t _ Door Closers v 0/ Chimney Water Meter Inst. Septic Approval _ Floors Insulation Foundation Walls Ceiling Building spector REMARKS j' TOWN OF QUEENSBURY Building Department Inspectors Report Date °7`r/, Name _ Location '041 e i P I Permit No. (5'1 `7, 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 �d �/l Floors Insulation Foundation Walls Ceiling * dj/1._A 74;7c (-61(/1--) Building Inspector REMARKS //1Vb - TOWN OF QUEENSBURY Building Department Impeders Report Date /Zi4174 Name FR E(// 9 Location 5'v6QF ✓ I �-✓t'e- • . Permit No. R/7/ weather Remarks Excavation Footing Forms Footing & Piers �� �� Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer V 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 L vIC- Walls ' Ceiling Cbill P-A,,, . Building In pector REMARKS TOWN OF'CIUEENSBURY Building Department Inspectors R-. . Date to 26.' `83 Name 1 Ever.sr • Location CU'L`3 '1 •fi . Permit No. A' t 1/ Weather Remarks Excatia t on /ALe Footing Forms I f 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 Floors Insulation Foundation Walls • 'Ceiling •J Building I spector • REMARKS