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7516 .r 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 Building & Zoning Inspector CREATIVE "INSTA PRINTING GLENS FALLS N T 12501 (5 1 8179 3-5 6SB BUILDING PERMIT TOWN OF QUEENSBURY No. 7 516 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Linda Lea Muller ti OWNER of property located at Upper Ridge Road Street,Road or Ave. Iv 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 N approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. )y L OWNER'S Address is 154 Bay St. H Glens Falls, New York 2. CONTRACTOR or BUI LDER'S Name Pope Hill Construction Co. Inc. 3. CONTRACTOR or BUILDER'S Address R. D. #2 tti Granville, N. Y. 4. ARCHITECT'S Name N. (D 5. ARCHITECT'S Address 00 IL IZ 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( 1 Masonry ( )Steel ( ) 7. PLANS and Specifications 24 'x42 ' per plot plan, specifications and No. application submitted including sewage system. p 8. Proposed Use One—Family Dwelling $5. 00 C/O Paid $ 119. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 83 (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.) Dated at the Town of Queensbury this 2nd Day of September 19 8 2 SIGNED BY p for the Town of Queensbury Buil ing and Zoning Inspector �G TOWN OF QUEENSBURY (Space inside block to be filled in b, WARREN COUNTY, NEW YORK Building Inspector) Application for ')')''i`ation No. ' Permit Issued 19 BUILDING AND ZONING PERMIT P„,rmit Expires ICJ. /.,,ilia_ Uistrirt \ a l l is (bI Wort,$ THREE (31 Copies of a PLOT PLAN, Drawn to scale \11)"" (11 I"' showing the actual dimensions of the lot to be built k<m.ilKf' upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN CT CUEEN ,BUP`( c (0 — 471— 3 8./3//s 2--' _ ,--. ,r? rF i-t=:,-1 DATE L a ; L A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Aiti3 3 1 iqb.? a ANSWER ALL OF THE FOLLOWING. g A.M. 124 `�' r2 ti M. 12 �`�' 6 The undersigned hereby applies for a permit to do the following work 7 I I 111I1.)e I .I I 1 . ' which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. �tr0 i 0,-c, The owner of this property is: 9(.i.rtd4c— . ..ea_= /'?tt//e4r' /1-g Sao. S7re2 4'-Tc e/4'.4)y / )/ (NA"E) (P .ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P O ADDRESS/ Name of Builder. .':) f/.`L GC,/s c,u .r-.✓c-• Address R 074 °2 0 Pei ✓i LL L: A/'° Name of Plumber. .1; 0c-,. .//..:i-L• . .c,: -✓s:. .E.„, . ..i-. 4: . . .Address R 1-1 ('' z'`.,V,4Le; ivt Name of Mason. . .f,../p.&:-. . /1. -4. . .C;,,. .s: . .c.ca ='' Address f,D. . .; G . :.--. . Y::L1. . .gy Lot Number Unit Estimated value of proposed work S C.6, 66 6 Name of Village . R,(� ! T'a2- Name of Street . . . . l.r. ¢� Side of street: north 0, east ®;south 0. west ❑ Nearest Cross Street . . ./SQht..' . . r 54q Distance from this gross street v? r> : e/ s Property is north @st.outh 0,east Ei,west 0 from Cross Street If on Corner, which corner, northeast 0, northwest 0, southeast 0. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY 27 Construction of a new building. Main Building ❑ Addition to a building. One-family dwelling ' Two-family dwelling El lAlteration to a building. -family apartment house ❑ ❑ Demolition of a building. 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. 4' Indicate on the plot plan street names, the location and . y. size of the property, the location, size and setbacks of pro- posed buildings,and the location of all existing buildings. K. NORTH Show proposed building(s) in dotted line and existing ),;oho it''5 671. ►iuilding(s) in solid line. Size of property .P.?'?accr-e s ft. x ft. Size and use of existing buildings, if any .:zf F S+3-iOU(�_ S/t e C's, S_m .,e'°.',. /..�e �9'-','L Size of proposed building (2 ft.x . . vs ft. �'?— i Height(from grade to ridge) ft. rk 's Front yard ft. Side yards ft. and ft. iiou.. - 1 Li g Rear yard OVA 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—'4 (coned.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.? /O 6 f4 P2.rmc Will any second-hand lumber be used? AT(1 If so, for what? ,. Material of foundation walls �U�%f�C✓`� (% t "'�C...,L"T G Thickness Depth of foundation walls below grade b Continuous foundation? Will there be a cellar? If so, material of cellar floor Type of roof: Sloped or flat? . . . .-?`-•G•e•`'-d. •_• • • . Material of roof . . . . . . 1.in!3-4-17i. Size,wood studs 4"'-.• • •"x • •Li ", spacing i 6 "o.c., length • ft. Size, floor beams, 1st floor '2. "x . 1 0 ", spacing /73 "o.c., span ft. Size, floor beams,2nd floor " x . i V ", spacing . . .,l i, "o.c., span ft. x ", spacing i.�. "o.c., span ft. Size, ceiling beams p g p Site, roof rafters or beams "x . .6. . . • ", spacing . . . .1... . . . ."o.c.,span ft. Exterior finish inroG d L..,4.,.., ff With what material? Finish of interior walls. . . . .u .C4-.7.1 0.e'17 If garage is to be attached, of what material is wall between garage and main bui<ilting to be constructed? Is there to be an opening between garage and building? Kind of heating system . . . /' L.(c TA,:<G Oil burner or coal? Will a flue-lined chimney be provided? . . . ..1 . Depth of chimney foundation below grade " Height of chimney above roof. . . . . . 11`.'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ._ . . . . . Will there be a fireplace? . .W/o.c.d. .:s.%u f Depth of fireplace hearth Will a toilet be installed?. . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? Ir . Water supply(public water supply or pump) w*.t.- "4'PU.l ( Distance of cesspool from any private well /S u feet Will drainage system be provided with required traps, cleanouts, and vents? l s" AFFIDAVIT Town of Queensbury County of Warren State of New York I swear that to it p4 of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.4plete 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 with,whether specked or not, and that such work is authorized by the owner. / Sworn to before_my this Signature �/ Y� OWNER.OWNERSAGENT.ARCHITECT.CONTRACTOR /f day of � � 19.�� NOTA L NTY. N. Y. SPECIAL CONDITIONS OF E PERMIT: By TOWN OF OUFFNSBURY BUILDING & ZONING DEPARTMENT SEWAGE' DISPOSAL PERMIT APPLICATION 1. Owner ' s Name 4,.,, ,t'y , ,/ Q Address /'y !f ; ( � %:; �J ' ;,� ;)/ Telephone No. �' '� 2. Property location 4 ;•( 3 . Name of person or firm responsible for installing system Telephone No. �� f Address r C F,A/ r fry 4 . Number of bedrooms (residential buildings only) ',& r-CC �< ' 5. Daily flow 45 0 gallons/day 6. Septic tank capacity / OGG gallons 7 . Topography: flat, rolling steep • % of slope 5--/o Nature of soil and depth .5'4nL4- - LoF1p') - L1(6 / hi ��F�' 01, If ground water, bedrock or impervious material is apparent at what depth does it begin? J4pLt, g ,� ' ft. 10. Percolation test: A V is required B is not required C If required what is the rate Jr f minutes/inch 11. Water supply: municipal, well, other p, 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 nl ' '/, � 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. /f:_ag-td/t/4- 3 Za L-F ---e &I-C-;14/6 4/2- Form 3-8 2 A61-eLYQ:(-611 -' ' eS:3' iv TOWN OF <<UI F.NSHURY -?DyC k-V4l` Cpet%A DYL, WARREN COUNTY , NEW YORK ' Ve. +, ckc \ok‘w 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 (°‘ 1 . Gro'ss floor area V\d 0 S Q - . 2 . Type of heat ►'1+� � o 3 . Is the building mechanically cooled? No 4 . Percentage of area of windows and doors tZ . Z 1 7o 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 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls , 2.0 3 3 3 . R value of glazed area . . t .'13 4 . R value of doors ik 14 .`1 -5. R value of floors over heated spaces 6. R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slab 8 . R value of heated basement/cellar walls (above grade) C L 1 9 . R value of heated basement/cellar walls (below grade) 1 ,`lb 10 . Type of insulation ��GL 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. (applicant ' s signature) TOWN OF QUEENSBURY ��pC %S.V% CM YVCtlo-.. WARREN COUNTY , NEW YORK iy �� ��v��w 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 . Gro'ss floor area \'1d0 5Q 2 . Type of heat t,@�'�-� 3 . Is the building mechanically cooled? No 4 . Percentage of area of windows and doors ,Z 21 7, 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 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls 7-033 3 . R value of glazed area . ' ,q 3 4 . R value of doors R 14 .9 -5. R value of floors over heated spaces 6. R value of slab edge insulation - unheated slab N/A 7 . R value of slab insulation - heated slab N/A 8. R value of heated basement/cellar walls (above grade) , L 1 9 . R value of heated basement/cellar walls (below grade) L ,L-t 10 . Type of insulation 6).y0- 41A0g— 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. (applicant ' s signature) TOWN OF QUEENSBURY Building Department Impeders Report Date Name 0�-//Z4 n".412.- Location !Q/274,c t7.D Permit No. 7s/ Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill (7)11* Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board � ��, Porches /�� Finished Floor (�/ e Interior Trim Stairs & Railings Cellar Dr. Tile — Concrete Floors Plbg. Fixtures Gar. Fireproofing /k Door Closers _ r ' Chimney Water Meter Inst. Septic Approval Floors Foundation Insulation Walls Ceiling Building Inspector REMARKS ,t8P F7A/flG 45`Zza7e« '.0sP rl o irl 0c1�� TOWN OF QUEENSBURY Building Department Inspectors Report Date %0". Name /e//4/LE e Location cS►�.t'.A Permit No. Weather Remarks Exca{ra 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. to///e Septic Approval Floors Foundation Insulation Walls Ceiling e a-AastA-2 Building Inspector REMARKS eel—/Qk 41-ajirl/td?;;CiAL!" -4-f . 46*(7 , 20 L, � TOWN OF QUEENSBURY Building Department Inspectors Report Date/A —?�&A Name /Ve/ G /Q Location A?i Dae R 1' Permit No. 17676 Weather Remarks Excav'a tion Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer t 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 VrA-t— 'Walls � Ceiling N Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors R Date f. -Z Name flu Location P'4- "jL- Permit No. 7 S /(o 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 \\,\7(\l(„„, Concrete Floors Plbg. Fixtures Gar. Fireproofing , Door Closers Chimney 2 Water Meter Inst. Septic Approval Floo s FOu-datiOn Insulation Wa is _ Ceiling Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date 9 ' " Name " Location /��'�'L :> 17 9L Permit No. '7 576 Weather Per Cent Complete Remarks Excavation Footin Forms Footing & Piers Foundation Cement Coat A A .. Water roofin Backfill _Final Survey Framing Sheathing Roof Felt Roofing Sidin Masonry Veneer Rou h Rou_h lit_. -_ Relief Valves Wall Board 1111111111111111111111MIL Ext.Porches Finished Floor _ Interior Trim Stairs&Railin s _- 1111 Cellar Dr.Tile Concrete Floors Plh .Fixtures Gar.Fire roofin Door Closers iimummi Chimp Water Meter Inst. 1111111111111111111111111 Se tic A royal Building Inspector REMARKS TOWN OF QUEENSBURY Building- Department Inspectors Report Date ?A f Name L-/L1 cIok f1t U 1 1- Location P i r. ��e,r/� (�� i c� 5 a o. 7.5 / Weather Remarks Excat7a ti on Footing Forms L/ [ fc 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. 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