8357 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 12801 1818)793.5658
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8357
WARREN COUNTY, NEW YORK
0
n
PERMISSION is hereby granted to Gregory Garafalo fD
CU'
OWNER of property located at Moon Hill Road 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. r n
H
1. OWNER'S Address is O
RR #1 Box 1629
Lake George, New York 12345
2. CONTRACTOR or BUILDER'S Name
same
0
0
3. CONTRACTOR or BUILDER'S Address
same
l�•
4. ARCHITECT'S Name :b
O
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( I Masonry ( )Steel ( )
0
7. PLANS and Specifications tD
24 'x36 ' per plot plan, specifications and
No. application submitted including sewage system.
5
8. Proposed Use
One Family Dwelling
ID
$5. 00 C/O Paid H.
$105, 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 19 84
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 21st Day of March 19 34
SIGNED BY 4c4- a A � for the Town of Queensbury
Building and Zoning Inspector
\�,e/ TOWN OF QUEENSBURY (Space inside block to Ix filled in by
\ WARREN COUNTY. NEW YORK Building Inspector)
Application for .\pplication No. .
PP Pi Is,uetl 19
BUILDING AND ZONING PERMIT mit Expires lq
i`,'iiint: District
\ aloe ill \V:,rk% Ak
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'i °"`'(1 1i i
showing the actual dimensions of the lot to be built Itc.)„.i)Kf
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. TOWN 0 'k.a
fie , 33 .1
MAK 21 , 484 I„
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK a ' L.
ANSWER ALL OF THE FOLLOWING. 718191� L11- ' ? ' . I c;'
The undersigned hereby applies for a permit to do the following work
which will be done in accordance with the description, plans and specifi- I D - G.
cations, and such special conditions as may be indicated on the permit.
The owner of this property 's:
-� �: (`~-r�cc .\. . . . . . . ? C 1.L f L . . cQ . .1, 1 Z`i .
E `� NA .�1 ,a o-aDbaEss)
The,Rerson respon le \d� M supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
f�*S.e. c, ':. .q cvcc s=�.,7 K.:
(NAME) (P 0 ADDRESS)
' .4. C'c 1 �.�# \ �h ( �1. . . .-.P, �. C=-cvcc Q, k ,.$
Name of Builder. . �G;. .�• . �` �-% Address
Name of Plumber "° Address
ty
Name of Mason Address
Lot Number Unit Estimated value of proposed work S 61.5-i 662)
Name of Village t—Pc-N<e • • • '' • `
.s \ , . . Side of street: north L7, east 0, south 0. west 0
Name of Street �,��`�! � � � i
Nearest Cross Street . . . . 5.\ . . . • •\A^• ...
. . . . . . . . Distance trim the -ross street . .` il. . .O1.i.`'�. Ft.
vyz
Property is north ❑,south 0,east [ west Q from Cross Street
If on Corner, which corner, northeast ❑ northwest ❑, southeast 0. southwe-st
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
I+.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 i
-car attached garage ❑
Other.
Accessory Building
One-car detached garage 0
O 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, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
z 1 � ��\ i1 ,
, huilding(s) in solid line.,t
Size of property ► Y ) ' ft. x ft.
1k Size and use of existing buildings, if any
1
s w Size of proposed building ' y ft.x c" ft.
1)4 Height (from grade to ridge) ft.
Front yard f L 0 ft.
Side yards 'li 0 ft. and t-2,C' ft.
Rear yard 1 u 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.,
Vic\ . . . '�,t.-. . . . . . . . . . . . . . . . . . . .
Kind of construction: Wood frame, fire safe, etc.. . . . . • • • • • • • • • • • • •
Will any second-hand lumber be use's! N If so, for what?
Material of foundation walls `' ��ozK Thickness .44"
Depth of foundation walls below grade 5' t Continuous foundation? )'
Will there be a cellar? )' -. If so, material of cellar floor Ct -`" E--' '`
�. . \\. : ' r..l,.e.+
Type of roof: Sloped or flat? . .S\e,' :e-a Material of roof . . .�'
„x \V ,.
Size,wood studs � ",spacing "o.c., length 1 �•'/:S. . . ft.
2., "x ", spacing iv °
Size, floor beams, 1st floor "o.c., span . . .\i. �. . . . . . . ft.
1i�
Size, floor beams,2nd floor "x spacing "o.c., span . . . 11 ft.
Size, ceiling beams "x ", spacing "o.c., span ft.
Size, roof rafters or beams . . . 2. . . . . . . " x ", spacing lip "o.c., span ft.
Exterior finish . . . * With what material? . c I-X L -"?..j% VI
Finish of interior walls Yi-" GNI%v. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system . e‘V.,,—;•G. . . . g .;\"" Oil burner or coal?
Will a flue-lined chimney be provided? OCR Depth of chimney foundation below grade
Height of chimney above roof. . . . . . . . . .ti.P.
Will there be a fireplace? - Depth of fireplace hearth
Will a toilet be installed? . 1'
Will a kitchen sink be installed and connected to water supply? p.a.--
Water supply(public water supply or pump) \--\-NCYT
Distance of cesspool from any private well t- ` feet
Will drainage system be provided with required traps, cleanouts, and vents? S
Town of Queensbury AFFIDAVIT
County of Warren
State of New York 7 J
I swear that to to 1,ei j of my knowledge and belief the statements con i in this application t gether with the plans and specifications sub-
mitted, area true and co.e. lete statement of all proposed work to be on the described p1. , ses and that 11 moos of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaini the proposed work ,'be compli whether speed or not,
and that such work is authorized by the owner. 7
Sworn to before me this Signature / ,
WNE • : ?AGENT,A HITECT,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 ILt5v-
2 . Type of heat 5 1C-N-r
3 . Is the building mechanically cooled? 1
4 . Percentage of area of windows and doors tt L
• 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 i. 1
3 . R value of glazed area R
4 . R value of doors
5 . R value of floors over unheated spaces k
6. R value of slab edge insulation unheated slab
7 . R value of slab insulation - heated slab
4
8. R value of heated basement/cellar walls (above grade) ArA
9. R value of heated basement/cellar walls (below grade) !'i
lr
10 . Type of insulation
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 f
1 . Maximum heating
/
Telephone No. i,111!i, . 1+ C -7-2
(aPpli¢r n 's sr`gnat re)
f
TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
I
# r 1
1. Owner's Name v� ` , '' ,' i € i"
Address , ,, t 6 r) (`' :) L�(k 4' ' :'
. k . ril , . t 1 r `' Telephone No. fit,` "
2. Property location ', ' t: 4 it--,..2 t ili (` /Y4 & F = i -3. Name of person or firm respopsible for installing system
r ` a "1f ,,4 4 .. Telephone No ' 4
Address / 4 A. ( ',�,._ .; , , , �.G , ,r ;µ t 4.
4. Number of bedrooms (residential buildings only) A V J-//.
5. Daily flow 36 gallons/day
6. Septic tank capacity ( -Q gallons
7. Topography: fla 'rolling, steep
% of slope
8. Nature of soil and depth J cTi.1,1 is
H.;
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? NOV ... 0 ft.
10. Percolation test: A is required
B is not required ie
C If required what is the rate s minutes/inch
11. Water supply: municipal, ell other
12. Type of system proposed: drywell; the field, other
Any contractor, corporation, individual,-- '' etc. engaged in the construction
of a sanitary sewage disposal system who covs the same before inspection,
does not have an approved permit, or variesti,#from the approv a application
will be subject to a penalty of $250 as prided for in Se tion 6 .010 of the
Queensbury ni ry Sewage Ordinance.S
Date i / ? `
sa r o is n
r
On separate sheet of paper submit a diagram of t 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
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /i7
Name 7.eif/'.4 F Dom'0
Location /77C ,ems /ems Xb 64, 4 k..
Permit No. k S''1 Weigher
ff 4 ,(j c p Remarks
Excavation
Footing Forms
Footing & Piers •
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing I
Sheathing
Roof Felt
Roofing '__ t-------
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches �a
Finished Floor
Interior Trim
Stairs & Railings U.�
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing ,{/r
Door Closers JU'k"r
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
.----11(4t,e-----1(;-/, 1-----4,-7--(-----)
Building Inspector
REMARKS
F"f. 6k lh- `tYy
TOWN' O -QUEENSBURY
Building Department
Inspectors Report Date 7/1/?"�
Name v¢1.4 2t e
Location./kfAl ,4%' L / L�
Permit No. k 3 5 7 weather
Z-/U 5 P 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 -7' AU j N ,PA-Ze m/(,
Finished Floor G/
Interior Trim ew<
Stairs & Railings G
Cellar Dr. Tile
Concrete Floors /
Plbg. Fixtures ('
Gar. Fireproofing NV,1
Door Closers /_"/ff
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
'Ceiling
Building Inspector
44-(7ee-
RE MARKS
1 J )
TOWN OF QUEENSBURY
Building Department
Inspectors. Report Date /.74 a
Name (;.4-/e,.q-1—
Location 1 GC?AJ 4 is ( .4/ &MI
Permit No. a.3 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing ((.7?/ ,_ .
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
Ceilin
Building Inspector
REMARKS
351
TOWN OF QUEENSBURY
Building Department
in.pectors Report Date '`� �'',
Name /7- 2Le
Location "L1 YV ,* A7a
Permit No. 3 6-7 Weather
Remarks
Excatra ti on
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
\\(//1
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
1/4e1-
KA140
Building spector
REMARKS ffer.e4/-1, 441—?
//
� - CQkg Ae,,a,eye
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 0/6'7'N�tiom %��l.
Permit No. g 3s 7 Weather
Remarks
Excavation
cok
Footing Forms
Footing & Piers C,/ -
Foundation
Cement Coat
Waterproofing
Ba ckfi l l
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. \\\\\/\/(lix
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
Ceilin
Building Inspector
REMARKS
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