8273 C/O Paid
•
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY t
WARREN COUNTY, NEW YORK
Cellne 7;•, a
Date 19 _
•
This is to certify that work requested to be done as shown by•Permit No. 8273
has been completed.
This structure may be occupie as a One--Family Dwelling
Location
Lot 71 Nelson Road (Ste No
Owner William Chambers
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE ••INSTA•• PRINTING. GLENS FALLS. N V 12801 IS 18)793-5658
'4t_ BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8273
WARREN COUNTY, NEW YORK
7.
PERMISSION is hereby granted to William Chambers ~ '
OWNER of property located at Lot 71 Nelson Road (St. No. 6) Street, Road or Ave. CO
Court House Estates Section Two o
in the Town of Queensbury,To Construct or place a One-Family Dwelling
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.
En
1. OWNER'S Address is 31 Windy Hill Road
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
McCormack Industries
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3. CONTRACTOR or BUILDER'S Address
7 Sarella St. H
Glens Falls, New York
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4. ARCHITECT'S Name
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rnP.)
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
()Q Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications 1736 sq. f t. dwelling with 2 0'x2 2' two car attached
No garage per plot plan, specifications and application o
submitted including sewage system.
8. Proposed Use
One-Family Dwelling
N•
$5. 00 C/O Paid
$ 136. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 1984
(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.) F'
LQ
Dated at the Town of Queensbury this 8�th Dayof December 1983
SIGNED BY � (I'� /�
- _____ for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
lication for Application No. :
pP Permit Issued lg. .
BUILDING AND ZONING PERMIT Permit }Expires. 19.
7,"nin District
• \ ;line ''I Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\11) `c'd 1)5: ,
showing the actual dimensions of the lot to be built_ kcii,arfCS'
upon, The exact size, end location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITHHIS APPLICATION. I
3 Co'` - 14 — 7 1)J;rJ&3 TOWN REGfJV, EDOF' AIJEEIN SBURY
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK (; 3
ANSWER ALL OF THE FOLLOWING. A.M. 1y1•db r✓.Iv,P.M.
The undersigned hereby applies for a permit to do the following work
��
which will be done in accordance with the description, plans and specifi-
cations, and such V
conditions
l specia as may be indicated on the permit. //11 S
• � - t`°
The owner of this property is: .
M.d.. .W'lRLll 1'. . .c k1.Ai�.&-yEe •
(NA'lE) (P.O.ADDRESS) -
The rson responsible for • supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
5
C I . . .MfGCo�,��4 l Mcct M/C /. . ,,. L: C. A .I I
(NAME) (P.O.ADDRESS)
Name of Builder M C,(AF.,(t11 fit)ti 1 A)t - Address . . ji i .4 t'2,,� 67 - 6 5`•
Name Of Plumber. . . &?IS! .0 L • Address /� �'J A-1/6L.i 20- 6..if-
Name of Mason. . .0 g41(b i--04 Address C1 S7661 i/0RZ
Lot Number 7/ Unit Estimated value of proposed work 3 &O.. OVO
5T/t Name of Village . . . • . . • �% bv;6g_
Name of Street . . ./J.� t 6 Side of street: north 0, east 0, south 0. west 0
Nearest Cross Street . . .5.cm Distance from this cross street Ft.
Property is north ❑,south Gil,east i i, west ❑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 '
U1.1- Construction of a new building. Main Building
❑ Addition to a building. One family dwelling
❑ 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 ❑
0 Other work. Describe: • o2 e) K GR _ -77- Two car detached garage • ❑
a,y,q 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
Nez,b IJ f huilding(s) in solid line.
• Size of property 15,5 ft. x . . .166 ft
, Size and use of existing buildings, if any
U, y J
0 W Size of proposed building J 7.�it.. ft.
Height (from grade to ridge) )q ft.
Front yard (.D ft.
1-Ur 7�. Side yards . . . . ft. and 40 ft.
Rear yard . Co. 0 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
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc. tLc.81•
Will any second-hand lumber be used? IL.,)G If so, for what?
Material of foundation walls . . .iG.`". .61.s.1-_,.t.. Thickness . . . ./6"
Depth of foundation walls below grade tJi 4 M SL�
Will there be a cellar? ye-3 floor If so, material of cellar
Type of roof: Sloped or flat? . .6.f3/ Lr Material of roof . . P, GT•
Size,wood studs Z. "x q ", spacing iCa "o.c., length 6 • ft.
Size, floor beams, 1st floor .Z " x . . . . IC) ", spacing i Co- "o.c., span 7/ ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams -rtu.�-t�. • '. x ", spacing "o.c., span ft.
Size, roof rafters or beams 1TO3. . " x ", spacing "o.c., span ft.
Exterior finish . . . .'l0./\)1�'L. . . .6.40." ''I— With what material?
Finish of interior walls YLa:k• •►J W. Z
If garage is to be attached, of what material is wall between garage and main bui,lfling to be constructed?
5/6 . . . . .JJ.41.kk)01( -
Is there to be an opening between gr e d building? ye,
Kind of heating system /e " anOil burner or coal?
Will a flue-lined chimney be provided? . . .A0 . . . . . . . . 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? ye-3
Will a kitchen sink be installed and connected to w ter.supply? Ye3
Water supply (public water supply or pump) Pi)LjcIC'
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . .)14
AFFIDAVIT -
Town of Queensbury
County of Warren
State of New York
I swear that to tr. ,a r of my knowledge and belief the statements contained in this application,together with the lens and specifications sub-
mitted, are a true and co.a. lete statement of all proposed work to be done on the described premises and that rovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain' e p sed w hall be complie wt ,.whether specified or not,
and that such work is authorized by the owner. ('�
Sworn to before me this Signature .t•WN• . . l
OWNER'S G NT,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 followings
1. Gross floor area 1-1 .
2 . Type of heat
3. Is the building mechanically _cooled?
4 . Percentage of area of windows and doors , :('Q 9
• A. Over 16% Only V
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 N0.
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 and floors exposed to ambient conditions.
SC)
2 . :R value of exterior walls
3 . R value of glazed area EA
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 k_je,w6)L
C. Controls
1. Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? Y •." NO
a. If YES , R value of duct installation (f_
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. • AJIA.
" - \Applicant' s •.`s ' gnature)`
• McCURMACK INDUSTRIES •
7:.Sarella Street
GLENS•FALLS, NEWYORK 12801
TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE 'DISPOSAL PERMIT APPLICATION
1. Owner 's. Name Me- '\4/dtL/ C14747 .A9 5
Address 'V///0 .1) r. h- ((
eiii)1/0 .
•
Telephone No.
2. Property location rsr 71. /tziotu 6/0'-- coo 18.7'1 U4, f---c 1
" 3 . Name of person or firm responsible for installing system
G 1,lLj fiiL /Ai 06-r,./63-///2)//C17478Egj Telephone No. .7993 xjI
Address
4. Number of bedrooms (residential buildings , only) Z
5. Daily flow gallons/day
6. Septic tank capacity locy0 gallons
7. Topography: flat. rolling, steep •
% of slope
8 . Nature of soil and depth � ntr
/7N
- 9.. If ground water, bedrock or impervious material is apparent at what
depth does it begins ft.
10. Percolation test: A is required . . /40
B is not required
- C If required what is the rate minutes/inch
11. Water supply: municipal, ell, other
12 . Type of system proposed: drywel , 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
signature f. applicant
On separate sheet of paper submit a' is ram of the proposed septic system
with- all dimensions„ including-distan e from; any. structure, `distance from
:property. line and domestic. watersupply, etc. Include all dimensions of
the system itself . "
McCORMACKd NDUSTRIES
LL
7 Sarella Street`".
GLENS FA S,'NEW YORK 12801
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Form 3-82
BUILDING DEPT.COPY OF APP+IOA,TION ,QRM 4 - L.NEW ypRek<BOARD OF FIRE UNDERWRITERS.
FILE THIS CO((Y'•tfVf HJJIIBUfLD NrG DEP IIIEHEIV'REOUIRED. '—)i /j
CITY OR
-x/j-(5t��,,j )
. �/1/ L��/ L^ 1✓/
VILLAGE "f , TOWNSHI ;•I : COUNTY _ _
STREET AND NO.OR 7 ! ` \' ' 7/ I C ! `v ,i.'�),'i L! C.L 'L I I'C1 Li i' /
ROAD AND POLE NO. 71 A/aL-5"UjJ jj\A POLE NO.
BETWEEN WHAT TWOCROSS EETS IS _
PREMISES LOCATED? AC,Cc,t P'-I ,ll C. D G • S CTION T BLOCK LOT
OCCUPANT'S ,�JJ �,'` �/����� BUILDIN „ { _
NAME •OCCUPANT'S,
/ /j/ 11/;it aii, Pi!. _jA- I`,/41.:, . .0 _.;I_�v) IOCGUPA CY`;> ;kid k...d Ti -t � C� .-
OWNER'S NAME �/�� 1�1,, I 'R .�1 /f /-,I �,�{ /�
AND ADDRESS In//f L/l( m c I-r/. t4 Al/2_/ W1/un.. f'T tL L. a/ : ` \j,
CURRENT 1 l
SUPPLIED BY FROM THEIR OFFICE
BUILDING WORK �// D ECTS
IS NEW I1 OLD IllREMODELED ❑ IS NEW 'L� ADDITIONAL ElFVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
- Loca- +
tion
Side Attach't ' I-LPL.,- Watts A.W.G. WATTS
Ceiling Wall Recepfls Switch Pendent-_Bracket No. Type Each No. Each NO• Gauge NO. EACH
r
.
Out- 1� `� ..
side
Sub- - . '
base - -
•
ment • - .1 l,!i .}I;
•1st Fl. J .- .
2nd Fl.
3rd Fl. _
Y.. i f 1t F
•
REMARKS: LIST OTHER ELECTRICAL DEVICES NOS-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 1 spection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additionalquipment,as rovided 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 I I)6 COMPLETED .LSJ 1 SIZE OF SIGN
SERVICE MAKER
ENTERS OF
BUILDING SIGN • i ' ( ''
INSPECTION REQUESTED - • t �- 1 i f !`:4�( e I
ON OR AS NEAR AS � �! f'i`-_• °/
POSSIBLE NEW OLD -
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION NIAV IE RETURNED.
APPLICANT MGCO .M frli V-, i NC/0/,} / �J1 J /� .0 DATE OF
'• APPLICATION iI'Z5/CJ-5
cq-
STREET ADDRESS //� -ilk" 7 5l/j/,c� : 4_4-- `?i. -
CITY OR POST OFFICE V! t..[ "� r Z�i l /V •")� CODE Jai ,ZIP LICENSE NO.
WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
•
TOWN OF'QU••EENSBURY
Building Department
Inspectors Report. Date ' /?/i z/
Name G gen"? (3a 4l Ark._
[.oration CC, 7 7/ -11x-Vs04J Ade
. Permit No. 1? : Weather
F/4// L AD- d Remarks
• Excatiation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
•
Roof Felt
///./\/K:\
Roofing
• Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim %r/(7),..
Stairs & Railings� ['�
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures / r'' ,<%'
Gar. Fireproofing/(,
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation '
Walls •
'Ceiling
G'( Qom'
Building Inspector
REMARKS
•
//j
TOWN OF QUEENS-BURY
Building Department j
Inspectors Report Date /a/6.
Name ("_ `71',.4717,31 S
Location i r'
Permit No. & %,y Weather
Remarks
Excat,a 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
Stairs & Railings
Cellar Dr. Tile /
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst. ��,�--
Septic Approval /r� 642
Floats '
Insulation Foundation
Walls
'Ceiling - -
_
Bui ding Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Re ort Date - �/�6
Name C. )47,,i
Location Q
Pewit No. c9 7J Weather
Remarks
ExcaO a ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer ^`
Rough P1bg. � '%
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
P1bg. Fixtures
1//
Gar. Fireproofing
Door Closers
Chimney i- c14
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
'Ceiling ' '
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
��
Inspectors Report Date 7.�,�'� 0 4/
Name C f1fgd..3r.�!�.g
Location ,1//,/ f?/P/ ; tf`7
Permit No. F 7 3 Weather
Remarks
Exca)aton
Footing Forms
Footing & Piers
Foundation CY<
Cement Coat
Waterproofing l-'//;
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
ced-!/.4g7 GEC
✓G�
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
inspectors Report Date /'1/-2�/
Name
Location 4o2- 71 A/44�z a' etr a (ST. l /
. Permit No. e .7 R Weather
ly CO,e/OkiCrid‹._ • Remarks
Excatia tl on
Footing Forms d/ 2 -j
Footing & Piers e7 /41 F7f A
Foundation eb— 72/ I
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
•
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches .
Finished Floor 0 /
Interior Trim
Stairs & Railings ,/ •
Cellar Dr. Tile ,/ j
Concrete Floors ,/ j
Plbg. Fixtures //
Gar. Fireproofin
Door Closers
Chimney
Water Meter .Inst. I
Septic Approval
Floors
Insulation FOUnda ion '
Walls
Ceiling
.Building Inspector
REMARKS
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