6657 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 : I
Location s: : -„: 77/
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
cREATIvs "INSTA" PRINTING. GLENS FALLS. N Y I2SOI 1518)793-56Se
BUILDING PERMIT
TOWN OF QUEENSBURY No 6657
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Frank J. Dillon K
OWNER of property located at Sunset Lane & Assembly Point Rd. Street, Road or Ave.
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 U
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 0
3605 Bouton Drive"
Lakewood, Calif. 90712
2. CONTRACTOR or BUILDER'S Name
John P. Matthews
3. CONTRACTOR or BUILDER'S Address
R. D. #1 to
Lake George, New York
to
4. ARCHITECT'S Name N
rt
5. ARCHITECT'S Address
W
a
cri
6. TYPE of Construction—(Please indicate by X) cn
CD
( It Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications 2 6 'x4 6 ' per plot plan, specifications and ro
application submitted including two-car garage 0.
No.
in basement and sewage system.
8. Proposed Use See Variance #678 granted 8-20-80
One-Family Dwelling sz
$5. 00 C/O Paid
$ 94. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 81
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
CD
Dated at the Town of Queensbury this 16th . Day of October - 1980 Fri
SIGNED BY A9_04.47c fJ for the Town of Queensbury
Building andning Inspector C •
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TOWN OF QUEENSBURY t (Space inside block to ix. filled in bv
WARREN COUNTY. NEW YORK Building Inspector)
Application for Application No.
Permit Issued 19•
BUILDING AND ZONING PERMIT l'i.i-mit Expires. 19. . '
%.uiiin;_ 1)i'strict •
;clue nl 11•c,rk,%
�l�l �e<1 h�
THREE (3),
Copies of a PLOT PLAN; Drawn to scale• .\1 pru
showing the''.actual dimensions of the10,4o be built
upon, The exact,,six., and location .on:the'lot of the
• building to.'be erected or altered;MUST BE SUB-
MITTED WITH •THIS APPLICATION.* •
/S J TOWN OF QuE NSln•`U1-:;
J� ` 5..
2 L /6/4L DATE ig , V ",
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 0 '�' i�� `80 ••`=�`.
ANSWER ALL OF THE FOLLOWING.
A.M. P.M.
The undersigned hereby applies for a permit to do the following work 7 g g 1 1112 1 2 3 4 5 6
which will be done in accordance with the description, plans and specifi- ,e l. I s I P .! I. , , 1. 1 , I„
cations, and such special conditions as may be indicated on the permit. C•/o /fieiu c1
- The owner of this Pe Y ro rt is:
P - � `
l=4RA'uf:. . . :�. biLLott 1 1 i41 1. .tK�• .ci c . . . lU /,. . . . . . . . .
(NA,'E) (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Buildijg:Ccide and the Zoning'Ordinance apply is:
.J OH 4u P. u1l TK -5 iZ•b,#,t . . .1 /l:S ...S'D:- LA-Y=`cd', :7rci e AA i
(NAME1 • (P.O ADDRESS►' '
Name of Builder. . . .Tv:m-. P.. .f . 3.i;r v:S. . . . ... . . . . . . .Address.
Name of Plumber r t Address
Name of Mason ;I Address
Lot Number Unit Estimated value of proposed work$ (v�0o�9,�� �s`t ��9
Name of Village . . .A.J ikv)1/3.4f.; •Fei r'T • `
Name of Street . . yQ44 x• . . 4.W.. Bade of:street: north ❑, east. 0,south ❑, west 0
Nearest Cross Street .45Skmr34-1. . . /).c'. .,.i . . .r'�r•L'. . . . . Distance from this ^rocs street
Property is north 0,south 0,east F,west 0 from Cross Street•
If on Corner,which corner, northeast ❑, northwest P, southeast C southwest
(Designate by marking with an "X" in the correct space.)
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NATURE OF PROPOSED WORK •OCCUPANCY •
Main Bui ing /
Construction of a new building. One-family dwelling LY
CI Addition to a building.Demolition of a building.
Store building
`Two-family dwelling 0
0 De
Elerati Alteration to a building. . . . . .-family apartment house D.
6 �m 0
4s
. . . . .-car attached garage 0
Other:
• • Accessory Building
, One-car detached garage ❑
❑ Other work. Describe:. . U0/1' �: • • • Two-car detached garage
( 7 0 a Private chicken house '❑
p Private storage building 0
— 1,O — 0 I 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, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(5) in dotted line and existing
building(s) in solid line.
•
W Size of property b.�• • • • ft. x J(' / ft.
u Size and use of existing buildings, if any JV.0
l� F
a m Size of proposed building . . . .+ . . ft.x • . Lf� ft.
,....._0
Height'(from grade to ridge) . .45.J4'71• • • IZ I ft.
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Front yard 30 ft.
Z Side yards /k ft. and .13 ft.
Rear yard -7 ft.
SOUTH .*' If opcorner,setback from side street '13 ft.. ..
Note: All distances are net, as measured from street side
line to nearest part of building.:7.15 MI t f lmV4
(OVER1 v
7-73—M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe,etc.) I,UDcfd 2 .L
Will any second-hand lumber be used? /ilO If so, for what? i,
Material of foundation walls ideta-q( C,-,,.cil-Z-: Thickness
Depth of foundation walls below grade Continuous foundation? /r-s
Will there be a cellar? Yes If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof •
Size,wood studs -. "x q ",spacing /.,6 "o.c., length e • ft.
Size, floor beams, 1st floor . . . .a. "x . . ,4c ",spacing. ...4 6 "o.c.,span 13 ft.
Size, floor beams, 2nd floor "x ", spacing "o.c., span ft.
Size,ceiling beams
"x /v ", spacing aY ' "o.c.,span ✓0 ft.
Siie, roof rafters or beams .1c "x — ", spacing "o.c.,span ft.
•
Exterior finish . . .Ram Y Qi 4. With what material? . . Pi it/Li
Finish of interior walls-. :... _.. :5''Fl:6u91-. Afe,-/L
If garage is to be attached, of what material is wall between garage and main building to be constructed?
. . . . vi?-c..i. . .6.14-4/G.... . . . . .(KV. . .4..!--0!'?..... . . . . . . . . . . . . . . . .
Is there to be an opening between garage and building? -
Kind of heating system f�.i.'rEo.c. Oil burner or coal?
Will a flue-lined chimney be provided? I/Cl . Depth of chithney foundation below grade
Height of chimney above roof. . . . . . . . . .1 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will there be a fireplace? . : ... . c, J Depth of fireplace hearth /5
p �� P P , ,
Will a toilet be installed) L./6.7
Will a kitchen sink be installed and connected to water supply? y6-/::-
Water supply(public water supply or pump) r.k.'i ! /� _
Distance of cesspool from any private well ler -f" feet
Will drainage system be provided with required traps,cleanouts,and vents? yes
AFFIDAVIT
Town of Queensbury
• County•of Warren
State of New York
I swear that to tt b t of my knowledge and belief the statements contained in this application,.together with the plans and specifications sub-
mitted, are a true and co.k. lets statement of all proposed work to be done on the described peettuses and that ail provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the roposed work shall be complied with,whether specified or not,
and that each work is authorized by the owner. G' /
Sworn to before me this Signature G���..G � 4.t Ad i
N@ OWNE 5 AGENT.ARCHITECT:CONTRACTOR
day of 19
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
TOWN OF QUEENSBURY
r;•
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 /Jq ,
2 . . Type of heat s . ;
3 . Is the building mechanically cooled? iV O
4 . Percentage of area of windows and doors /516
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
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
06-E F sin ti3 —
2 . R value of exterior walls Eig
3 . R value of glazed area /, e
4 . R value of doors )3
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5. • R value of floors over heated spaces s�
6. R value of slab edge insulation - unheated slab A/'
7 . R value of slab insulation - heated slab JL/4
8 . R value of heated basement/cellar walls (above grade) j(/,4-
9 . R value of heated basement/cellar walls (below grade) 4//4.
10 . Type of insulation
C. Controls
1 . Thermostat maximum heat setting 26 `ic
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES 66)
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 ,:y/
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency ; -cec•i2Ic a-
2. Temperature control setting maximum /V:576
G. For Swimming Pool Only
1 . Maximum heating
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Telephone No . 668'-5306/ •� G zG ,
( pplicant ' s signature)
TOWN OF OUEENSBtJR`S$
BUILDING AND ZONING DEPARTMENT
BAD' AND HAVILAND ROADS, R. D„ ff 1
GLENS FALLS, NEW YORK 12801
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF OtJEENSBURY
OCCUPANT'S NAME_ rhHNh � ��av ADDRESS kisbyhs<<d 6,n,7 _
TELEPHONE OWNER'S NAME isk1.
ADDRESS NUMBER OF :BEDROOM__2
GARBAGE GRINDER? ,y o YES OR NO) TOPOGRAPHY: FLAT, RC�L LING► STEEP,
ELOPE, GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS, ETC.
PERCOLATION TEST WATER SUPPLY: MUNICIPAL, WELL, OTHERA,16 q'ta°2S'.
DIAGRAM OF PROPOSED SEPTIC SYSTEM
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OTHER PERTINENT INFORMATION
IT IS HERE 3Y AGREED THAT IF THIS APPLICATION .AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWS
DATE •u/s, %o SIGNATURE OF APPLICANT 214 '4c A 4r�
:.SAKE GEORGE PARR COMMISSIO1? APPROVAL
SPECIFICATIONS
•
Excavation : Excess dirt to be stockpiled on vacant lot in shore
colony - for possible re-use.
Foundation : Poured concrete footings 8 x 18
Poured concrete 8" foundation walls.
Floor 4" Concrete
Footing drains : Crushed stone and 4" PVC drain to road
Floor Framing: 3 - 2 x 10 beam
2 x 10 Floor joist
3/4 T & G floor decking
Wall Framing: 2 x 4 studs
1/2 sheathing
3/4 " sawn pine siding •
3/4 " urethane insulation
3 -i 5/8" friction fit fiberglass
1/2 dry wall
Ceiling & roof: 2 r, i rafters
A i 12 Lea's
1/2 ):oo`.: sh -ibdng
J
15 it _,At
ohcil t shingles
1ih:r 'i a insulation
1/?
interior walls: 2 x 4 .scud
1/2 clr;'.,all r,u`:h sides
Exterior door : : t.11 insHlat:ed
Interior doors: Ur in sh birch-stain or paint
':1inci_ws : Wood insulated glass
Dock : 2 x 3 framing with 2 x6 deck treated
Fireplace: 33" }icatalator with outside air intake and wood box
Inside stone
Exterior-sided like house
Plumbing : Copper-water
Plastic waste
Fiberglass shower and tub shower
Ceraird c toilet, sinks
Stainless Kitchen
Heat: Electric baseboard main level
Kitchen cabinets- and 2 bath vdi,i,_.ies and tops - allowance $ 2,000.0'3
Carpet and vvnal flooring ,allowance $ 1,400.00
Painting and Staining - allowance $ 2,000.00
• Gravel for around foundation and under floor - allowance $ 300.00
Electric - 200 " r i c:: .. ;nd sw-i e., er code.
l ! . .`- o u. ! of de c,G:
2. deceph nle on deck
3. • pot on rear
4. .Spot on North west corner
•
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• ±J SPECIFICATIONS CONTINUED ✓'"'A t.Z/
V
Phone: Living room by fireplace, master bedroom and 2nd bedroom
basement front
TV Jacks - Livingroom by fireplace
kitchen counter
master bedroom 6 3gZ11- 2 .
basement front
Garage doors- 8 x 7 panel door •
Permits - Paid by contractor •
Archetect fees - Allow $ 100.00
6 '
Grading - to use soils available on property
Water line and pump - submercable 1 1/4 " plastic line
approx 100 ft in lake. ✓
Septic - 1000 gal concrete tank, 120' leach field
Not included in conc ce -- Retaining walls for garage
Patio under deck
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 8 l4'
Name Le,
Location .aYo,,, 4)I A s
Permit No. 66 S7 Weather
Remarks
Excaj>at1on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey '®
Framing E
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
B -te -1///1110:1011
uilding Inspector
REMARKS
TOWN OFQIJEENSBURY
Building Department
Inspectors Report Date_ /31/3/03/
Name o AJ
Location s6fpsfE caG044- - Au-5 =/h. Pr-
Permit No. CO G .-57 Weather
Remarks
Excat'a tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill �t M S
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
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
FoUnda tide
Insulation Walls
Ceiling
"-e../da-f9/1,00
Building Inspector
REMARKS
SEE 5/4� L ��
TOWN OF Q EENS U RY
Building Department
Inspectors Report Date - 9r/'
Name �/1/ice
Location „4- •
Permit o. � 6& 6-7
7 Weather
Remarks
Excaiia ti on •
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roo fin.
Siding
Masonry Veneer
Roush Plb. .
Relief Valves 11111111,
Wall Board I�'
Ext. Porches
Finished Floor 111111
Interior Trim 11111111111111k.
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Fib. . Fixtures
Gar. Fire.roofin•
Door Closers —'
Chimney
Water Meter Inst.
Se.tic A.•roval maw
Floors '
Insulation Foundation
Walls
Ceiling
•
Building �'nspector
REMARKS
•
Pox
/5/-/a la[
?_zo-8,
TOWN OF QU•EENSBUR
Building Department
Inspectors Report Date
Name /`//,ter,
Location /4_5s . A4.
Permit No.'_. 662 5'7 Weather
Remarks
Excal>aton
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 c\j/f
Finished Floor
Interior Trim N
Stairs & Railings
Cellar Dr. Tile / N
Concrete Floors �.
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
5,
Building Inspector
REMARKS
S /
�] I Cd�4ckirt)
•
TOWN OF QUEENSBURY
Building. Department
Inspectors Report Date Gi
Name D7/`d/✓
Location /24-,n,
Permit No. ��- eather
Remarks
Excat ation •
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
Floors
Foundation
Insulation
Walls
Ceilin
w •
/41
j
Building Inspector
REMARKS