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Application and related info. BUILDING PERMIT TOWN OF QUEENSBURY No. 8557 WARREN COUNTY, NEW YORK 0 0 c PERMISSION is hereby granted to Douglas Fiore 'Q r OWNER of property located at Lot 3 Oakwood Drive (Forest Hill Par]6)reet,Road or Ave. to in the Town of Queensbury,To Construct or place a One—Family y Dwelling O at the above location in accordance to application together with plot plans and other information hereto filed and n N approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 2. CONTRACTOR or BUI LDE R'S Name Ruggles Construction � r 00 3. CONTRACTOR or BUILDER'S Address M rf-I Cn M 5 Flincrest Drive rt• Glens Falls, New York m w X' 4. ARCHITECT'S Name 0 ro0 aw n xo tj 5. ARCHITECT'S Address C' (D 6. TYPE of Construction— (Please indicate by XI K 1 Wood Frame 1 1 Masonry ( )Steel ( I 7. PLANS and Specifications 50'x38 ' per plot plan, specifications and application No. submitted including sewage system and two-car garage 0 under �j m 8. Proposed Use 'I a One-Family Dwelling N, F' $5. 00 C/O Paid $ 143 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 1985 (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.) N tj Dated at the Town of Queensbury this�l,,2 th Q � Day of Jllrie 19� W SIGNED BY /n2G [/s�' for the Town of Queensbury Building and Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 8557 WARREN COUNTY, NEW YORK b 0 PERMISSION is hereby granted to Douglas Fiore 1b OWNER of property located at Lot 2 Oakwood Drive (Forest Hill Par)gjreet, Road or Ave. m '9 in the Town of Queensbury,To Construct or place a One-Family Dwelling p at the above location in accordance to application together with plot plans and other information hereto filed and M A approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 2. CONTRACTOR or BUILDER'S Name Ruggles Construction 0 �+ 0 3. CONTRACTOR or BUILDER'S Address ® et 5 Fincrest Drive Glens Falls, New York x¢ 1-x 4. ARCHITECT'S Name £O b O >b W H xo n 5. ARCHITECT'SAddress W C 6. TYPE of Construction— (Please indicate by X) ;K) Wood Frame ( 1 Masonry 1 1 Steel ( 1 7. PLANS and Specifications 501x38' per plot plan, specifications and application No. submitted including sewage system and two-car garage 0 under o a B. Proposed Use 1 One-Family Dwelling $5. 00 C/O Paid $ 143.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 1985 (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.) 1.4 1+ Dated at the Town of Queensbury this 12th Day of June SIGNED BY for the Town of Queensbury Building and Zoning Inspector CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a Location Owner By Order Town Board TOWN OF QUEENSBURY IL- Building b Zoning Inspector CREATIVE "INSTA" PRINTING GLENS FALLS. N Y II60% 15 1 6 17 91-5650 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET,ALBANY,NEW YORK 12207 Date Application No.on file M Ae THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant namedon the above application number in the premises of in the following location; ❑ Basement ❑ 1st Ft. ❑ 2nd Ft. Section Block Lot was examined on and found to be in compliance with the requirements of this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT RE RT vSroR AMT. K.W. AMT. K.W. T. K.W. I AMT. I K.W. AMT. I M.P. DRYERS FURNACE MOTORS - FUTURE APPLIANCE FEEDERS SPECIALRECTT TIMECLOCKS BELL I UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. N.W. OR H.P. I GAS I H.P. AMT. NO, A.W.G. AMT. AMP. AMT. AMPS, TRANS. AMi, H.P. NO.OF FEET AMT. WATTS SERVICE DISCONNECT OF , S E R V I C E AMT AMP TYPE METER 16[W 1 A 3W 3 A 3W 3 p IW NO.OF CC.CORD. A.W.G. NO.OF HI LEG A'W.G. NO.OF NEUTRALS A.W.G. FOUIP. PER 9 OF CC.COND. OF MIAEG OF NEUTRAL OTHER APPARATUS: [NSpECTI®N FEE PAID BRANCH MANAGER Per TOWN OF QUEENSBURY TOWN OF QUEENSBURY Building Department Building Department inspectors Report Date Impeete m Report _ Date //Ll_Y - Name /mot !US b re Name ,nr,bf, F i is. Location ) l.ocatioa l C ct k a+c n d /J•-. PCs No. Wather Permit No. R'S'ti Weather Remarks Remarks Excatation Excavation Footing Forms Footing Forms Footing & Piers Footin2 & Piers Foundation Foundation Cement Coat Cement Coat Waterproofing Waterproofing Backfill Backfill Final Survey Final Survey FramingFramin Sheathing Sheathing Roof Felt Roof Felt Roofing Roofing Siding Siding Masonry Veneer Masonry Veneer Rough Plbq. Rough Plbg. Relief Valves X j Relief Valves Wall Board Wall Board ✓ Ext. Porches Ext. Porcheswncr, Finished Floor Finished FloorInterior Trim Interior TrimStairs & Railin s Stairs & RailiCellar Dr. Tile Cellar Dr. TilConcrete Floors Concrete FloorPl . Fixtures Plb . FixturesGar. Fire roofin Gar. FireproofDoor Closers Door Closers Chimne _ Chimney Water Meter Inst. Water Meter Inst. Septic Approval Septic Approval Floors Floors Insulation Foundation Insulation Foundation Walls Walls Ceiling / Ceiling �,c,,✓c �i1.�[.c.— �,� 'CAS ���z.� Building Inspector Building Inspecto REMARKS REMARKS LJ J1r:9) Y s, u C7 �pJL- TOWN OF QUEENSBURY TOWN OF QUEENSBURY Building Department Building Department Inspectors Report Date (c 3 7y Inspectors Report Date Name EfMeZ& t,,dorz 2u&6- e Name Location O Z /hun/i2�+ Location h'7 TA 'r.0 Permit No '2i CS-7 Weather Permit No. 552 Weather Remarks Remarks Excavation Exca#ation —Footing Forms Footing Forms Footing B Piers Footing B Piers Foundation Foundation Cement Coat Cement Coat Waterproofing Water roofin Backfill Backfill Final Survey Final Surveyl " FramingFrami.n Sheathing Shea thin Roof Felt Roof Felt Roofing Roofing Siding Siding Masonry Veneer Masonry Veneer Rough P1b . Rou h Plb Relief Valves Relief Valves Wall Board Wall Board Ext. Porches Etntarior t Porches Finished Floor loor Interior Trim rim Stairs & Railings ailings Cellar Dr. Tile . TileConcrete Floors loors PZ . Fixtures ures Gar. Fire roofin Gar. roofin Door Closers Door Closers ' Chimne2 Chimney Water Meter Inst. Water Meter Inst. Septic Approval Se tic A royal Floors Floors Insulation Foundation Foundation Walls Insulation Wa11s Ceiling Ceiling Building Inspector Building Inspect( REMARKS REMARKS r TOWN OF QUEENSBURY (Space inside block to be filled in b% WARREN COUNTY, NEW YORK Building Inspector) AApplication `o. PPlica4ion for Permit Is.ued 14 BUILDING AND ZONING PERMIT Prn„it F.spires. Z,minc District %a I uo „I Work,a THREE (3) Copies of a PLOT PLAN, Drawn to scale AI'PI'mud he showingthe actual dimensions of the lot to be built ReInUOT upon, Te exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS PPLICATION. TQ1F�-N OF 91219691SI9,HU.Rv DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �J�U14 7 ly ANSWER ALL OF THE FOLLOWING. A.M. // t3�}el a ;__r_p.M, The undersigned hereby applies for a permit to do the following work 2IS 9 4 j 121314Jb)6 which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. The owner of this prgpert fs: . . . . . .FA11 . . . . . . . . . . . . . . . . . . . . . . . . .I.RO. . DRE. . . . . . . . . . . . _ _ . . . . . . INA'd El .AD The person responsitiie Eor supervision of the work insofar as the Building Codea and d the Zoning Ordinance apply is: . Q:. j .Q A.: 4, L�, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . INAMEI IPO ADDRESS) Name of Builder. . . . . . /s L.f-,�. . . . . . . .�... . . . . .Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber. . . .`.. . .�,j.•. . }�{.2 {)� . . . . . . . . . . . . .Address . . . . . .e. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Narneof Mason. . . . .0 •DP. r�.F �. . (,A PS. . . . .Address . . . . . �rtlf2�. t�.CR�. . . . . . . . . . . . . . . . . . Lot Number.•3. Unit . .6 f . . . . . . Estimated value of proposed work$ .. . . g.D •O.F:t4. . . . . . . . . . . . . . . . . . Nameof Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . . . . . ..0AP— j9e • • • Side of street: north ❑, east ❑, south JR, west ❑ Nearest Cross Street . . . . . .Kc>fS. f--�i4:H . . . . . . . . . . . Distance from this cross street . . . . . . . . . . . . . . . . . . . . Ft. Property is north ❑,south ❑,east , west ❑from Cross Street If on Comer,•which corner, northeast ❑, northwest ❑, southeast ❑. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main BuRding Construction of a new building. One-family dwelling ❑ Addition to a building. Two-(ami(v dwelling ❑ ❑ Alteration to a building. . • . . , _ . .-family apartment house ❑ ❑ Demolition of a building. Store building ❑ Z .-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,caion site and setbacks ld pro- posed buildings,and the location of all existing buildings. NORTH L Show proposed building(s) in dotted line and existing D Y vGD r. building(s) in solid line. Size of property . . . .1. . . . . . {t. x .1. ..3. . . . ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . •� `7it„ly�.C.. . . . . . . . . . . . . . . . . . . . s W .. Size of proposed building . . D. • • {t.x •✓�: : • • ft. Height (from grade to ridge) ... . . ./. .� .• • • • • f�• Front yard . . . . . . . . ..71'�. . . . . . . . . �� ft ft. Side yards . . . . . . .• • • • . and . . .� 0 . . . . . . Et. I Rear yard . . . . . . . . .6.0. . . . • • • —1 F F 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.?. . . . . I Al—ff"3"_�> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . . . . y-M. . . . . If so, for what?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . Material of foundation walls . . . . . . . . .L.�p/✓.r... .i . . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . .r. . . . . . . . . . . . . . Depth of foundation walls below grade . . . . . . . .�.. . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . .�1r;. Will there be a cellar? . . . . . . If so, material of cellar Boor . . . . . .�i�✓v�. . . ... . . . . . . . . . . . . . . . . . , . Type of roof: Sloped or flat? /. . . .4; Lo.totz. . . Material of roof . . . . . . ./ i.f.. . .: . . . . . . . . . . . Size,wood studs . . . . . . . . . . . . . . . . . . x . . . . . 414. . . . . . . spacing . . . . . . . . .I.L."o.c., length. . . . '. . :. . . . . Size, floor beams, 1st Boor . . . .-. . . . . ..x . . . . ../. .,6. . . . . . . spacing . . . . f.,6. . . . . ...o.c.,span . . . ./i . . . . . . ft. Size, floor beams, 2nd floor . . . . "x . . . . . . l p. . . . . ', spacing . . . . .l.�. . . . ."o.c., span . . . .�. . . . . . . ft. . . . Size, ceiling beams . . . . . . . . . . . . . . . . . . "x . . . . . .o. . . . . . .", spacing . . . .1 ..4. . . . . ."o.c., span . . J. .�. . . . . . ft. Site, roof rafters or beams . . . . . . . . . . . ..x . . . . , .�. . . . . . .... spacing . . . . !. . . . . ."o.c., span . . .�/.), . . . . . . ft. 7" ' ' With what material? . . . . . ...d.✓. L . . . . . . . . . . . . . . . Exterior finish . . . . . . .)1./.,h Finish of interior walls. . . . . . . . . . . /./a. . . . . . . . . .b~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . I(garage is to be attached, of what material is wall between garage and main bustling to be constructed? Is there to be an opening between garage and libiz ding? . . . . . . . ¢Y. '. . . . . . . . . . . �. . . . . . Kind of heating system . . . . . . . . . . . L r��... . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . . . . . . . . .�. . .[. . . Will a flue-lined chimney be provided? . . . . . . . ; Depth of chimney foundation below grade . . .' % ' . . . . . . . . . Height of chimney above roof. . . . . . . . .`. . .Z?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . Will there be a fireplace? . . . . . . . . . y . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . '. . . . . . . . . . . . . . . . . . . Will a toilet be installed?. .. . . . . . . .!. .(_+ Will a kitchen sink be installed and connected to water supply?. . . .vo.;.J ._. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . . . . . �0$ .L.C<. . . . . . . . . . . . . . I . . I . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . ./if1Z;W. ... . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York 1 swear that to te, be6i of my knowledge and belief the statements contained in this epplieeti n, ther with the plans and specifications sub- mitted, are a true and co.,.plete statement of all proposed work to be done on the deem remises and that all visiotu of BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the propo wor elte11 be com hid hether a fed or not, and that such work is authorised by the owner. Sworn to before me this Signature ........... ........._.. . QGv Eit ...... _.. OW N 'S A�N .AR CHI OR' �ECT.CO TOR .............. ......................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 f � 2 . Type of heat ) 3 . Is the building mechanically cooled?_ � p 4 . Percentage of area of windows and doors / SL y A. Over 16% Only I I / 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 1. R value of roof and�y ;xposed to ambient conditions_ 2 . R value of exterior walls p �Z b 3 . R value of glazed area , 4 . R value of doors__ � L/ 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 ra - -0 8 . R value of heated basement/cellar walls (above grade)—Y K - � 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation fR? 44,id c jt=-6 Z n C. Controls 1 . Thermostat maximum heat setting �2 D. Duct Systems 1. Is duct system installed in unheated spaces? YES pt0 ) a. If YES , R value of duct installation CC�� 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 i F. Service Water Heating 1. Performance efficiency 2. Temperature control setting maximum G. For Swimming Pool Only 1 . Maximum heating Telephone No. (a plicant s sign e) TOWN OF OUFFNSBURY BUILDING 6 ZONING DFPARTMFNT SFP'AGF DISPOSAL PERMIT PPLICATION 1. Owner ' s Name " Address Telephone No. 2. Property location 3 . Name of person or firm responsible for installinq system Telephone No. 2 Address 4. Number of bedrooms (residential buildings only) 3 5. Daily flow 7�5_0 gallons/day 6. Septic tank capacity fj gallons 7 . Topography: flat, rolling, steep 8 of slope Akd) 8 . Nature of soil and depth per' 9. If ground water, bedrock or impe ions material is apparent at what depth does it begin? 4�41 Q ft. 10. Percolation test: A is required B V is not required C IfIfr9quired what is the rate minutes/inch 11. Water supply: municipal, well, other r , 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 2 . g ,�C �&" sign ture of app an 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 4E-EL. NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. -- CITY OR VILLAGE TOWNSHIP � s f^ COUNTY - STREET AND NO.OR "/'�- ROAD AND POLE NO. POLE NO BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? �.•I '�AI'"t /a& SECTION % BLOCK Z LOT OCCUPANT'S BUILDING NAME OCCUPANCY :^ OWNERS NAME AND ADDRESS ��— ffURRENT —� SUPPLIED BY r FROM THEIR OFFICE BUILDING NEW OLD❑ REMODELED❑ WORK DEFECTS IS NEW ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS Loc. Lamp Rm"tacka CIRCUITS tion CeilingSid,. AttaM't H.P. Watts A W.G. WATTS Wall Raeept'h Switch Pendent Bracket No. TYPe Bch No. Each No. Game NO. EACH Out. aide Sub- base Bess mant 1st FI. 2nd FI. 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 impacted but if at time of inspection Mere is found additional equipment not above listed, You are auMorized to make the inspection and adjust the fee to cover the additional equipment,se provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER - EXPOSED GAS TUBE SIGN OFWORK - CONCEALED TRANSFORMERS OF VA WORKTOBE " (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE ENTERS MAKER BUILDING %`� "� OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY Gf JG FULL A7ARATE O ATION. ALLSPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAMEOF J - DATE OF yy,� APPLICANT '' APPLICATION�LG_f STREET ADDRESS r�: V CITY OR ;-%f. ZIP :S LICENSE NO. POST OFFICE CODE WHEN APPLICABLE A SEPARATE APPLICATION MUS BE FILED FOR EACH SEPARATE BUILDING w .