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6491 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 Y 12801 1518)793-5658 BUILDING PERMIT &j c TOWN OF QUEENSBURY � T� No. 6491 WARREN COUNTY, NEW YORK " ' PERMISSION is hereby granted to Grendon K. Sebold ` OWNER of property located at Lake Parkway, Assembly Point - Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to 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. 1. OWNER'S Address is R. D. #1 x Assembly Point . - Lake George, New York m 2. CONTRACTOR or BUILDER'S Name 0 Wesley F. Benware 3.. CONTRACTOR or BUILDER'S Address . Kattskill Bay, New York rn � En 4. ARCHITECT'S Name (p fp n ro 5. ARCHITECT'S Address i)& O rt • 6. TYPE of Construction—(Please indicate by X) . (X)Wood Frame ( 1 Masonry ( )Steel ( ) 7. PLANS and Specifications 2 0'x2 2' per plot plan, specifications and application submitted including sewage system. No. SZ 8. Proposed Use . rf One—Family Dwelling (additional living area and new sewage system. ) $5. 00 C/O Paid • rl 0 $ '1 O. 00 PERMIT FEE PAID-THIS PERMIT EXPIRES - February 1 19 81 • CL. (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.) FO-' F-' Dated at the Town of Queensbury this 3 0th. Day of j� July 19 8 0 SIGNED BY Z_O�� � e �� for the Town of Queensbury. Building an8 Zoning Inspector (es:S TOWN OF QUEENSBURY t- (Space inside block to lx- tilled in by WARREN COUNTY, NEW YORK Building Inspector) A lication for .\pNlication No. PP Permit Issued 19. BUILDING AND ZONING PERMIT lip,mi. Expires. 1g. :- i 'Aim. District \Any 01 \\'ork% THREE (3) Copies of a PLOT PLAN, Drawn to scale \lPI,"v<I 1)' showing the actual dimensions of the lot to be built Rem,1 S 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 OF QUEENS BUi-: , tti -r- 1 - 10 7�3 TES `' RECEVUE , ' A'PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK `' ANSWER ALL OF THE FOLLOWING. JUL 3 01980 •i `� CU) Ara A.M. 35 F.et {�. l The undersigned hereby applies for a permit to do the following work g g 101112 1 2 3 4 5 6 which will be done in accordance with the description, plans and specifi- , 1, ,i. , F H. , . , cations, and such special conditions as may be indicated on the permit. , ( ; /^.-t, The owner of this property is:, r ..1 j3t, L D ,.I.L!?i- !3L oi �r� .. (NA,T1 (P.O.ADDRESS) The person responsible for supervision of the work insofar as the.Buildijlg,Cede and the Zoning Ordinance apply is: . . . 1:.J L.^:S 1 t `�! 1,=1. . N.Y.a. 0.rz L: . . . . . . . . O ADDR.!3'. f7-r.K. ./. f./ . .13./-y, 1) - (P'. ESS► . • . . L LTSLL r. 1"3 /yw� Add Rc e - u Name of Builder ress Name of Plumber. . .i<A./1/4!t=T174 C f= 4 z.S 7-.47. . . .Address Fk 1TQ ,'V n'1! /(s Name of Mason T3 5- !Y w 4 R t Address Lot Number Unit Estimated value of proposed work$ /6r © d 0 c..� Name of Village CP Cl. =.. h=.ei.u" .au 2.� ., .• ;, •. Name of Street Vf L$.T J /1 u r R P . Side of:.street: north 0, east._0,south .0. west re Nearest Cross Street Distance from this -Toss street Ft. Property is north Q',south 0,east i i,west 0 from Cross Street. . If on Corner,which corner,northeast 0„northwest ❑,southeast C southwest (Designate by marking with an "X"in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY (] Main Building Construction of a new building. One family dwelling �, Addition to a building. Two-family dwelling ❑ 0 Alteration 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 0 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- : I.) posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and.existing t_____. lsuilding(s).in solid line. i 7 —ate+-uIls Size of property . .,1. `1 . . . . . . . It. x . . ft. _ Size and use of existing buildings, if any , . (cont'd.) BUILDING SPECIFICATIONS., . _ Kind of construction: Wood frame, fire safe,etc.?. . . . . .C1.-"..9. P. 9. . . .":".-!?. 3: .a':11'.4-7-. . . . . . . . . . . . . . . . . . . . . . . . . . . . ,-- Will any second-hand lumber be used?r Ai d-I If so, for what? Material of foundation walls 13 ' '0 4 0 c-le- C it a--7-Lz- Thick nen Depth of foundation walls below grade' • 1-ic Continuous foundation? . Will there be a cellar? . . . . At .P. . . . . . If so, material of cellar floor Type of roof: Sloped or flat? J L u P P Material of roof . . .•. . .1.4-c r/4..,/. (4.4.77. . .4te.4-.4 Size,wood studs -?...- "x ilf ",spacing . . ./.6 "o.c.,length. . . . .69. ... . . . . ft. , Size, floor beams, 1st floor 1-- -x 1 0 ",spacing , / 6 "o.c.,span .t.2_ ft. Size, floor beams,2nd floor 2- " x /Cl ", spacing /.6 , "o.c.,span /7-. . : . ' ft. Size, ceiling beams -L. "it /,... ", spacing /6 "o.c.,span /.L.. . . . . ft. ' -2- " Siie, roof rafters or beams x e ", spacing / C "o.c.,span . . . . .//. . . . . . ft Exterior finish 1/(•••1 0 4.9 P j I 4§1 I if/ dr— With what material? P/ xy Finish of interior walls 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 of heating system tz..---'-4 LC..T- Oil bunter or coal?Will a flue-lined'chimney be provided? . . . .Ai. . .0. . . . . Depth of chiiiiney foundation below grade Height of chimney,above roof Will there be a fireplace? - Al 0 Depth of fireplace hearth Will a toilet be installed?. ... . . . . . /V P . . . . . . . . .'. . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? /V& Water supply(public water supply or pump) p 0 itl r F--R,0 r+-% , I-- Pi- K ie.' C p 47 1.-_ -.s 4--- Iv 7-3 Distance of cesspool from any private well / 2 0 ' feet . Will drainage system be provided with required traps,cleanouts,and vents? 4/ o AFFIDAVIT - • ' • Town of Queenshury County of Warren State of New York I swear that to tt; },e-.).rof my knowledge and belief the statements contained in this application,together with the plans and speciftcations sub- mitted, are a true and co.tutlete 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 specified or not, and that such work is authorized by the owner. Sworn to before me this Signature )1<. 11.-ee7 / OWNER.OWNER'S AGENT ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: ' . • ,,. .. - . TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Application for: BUILDING PERMIT INCOMPLIANCE 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 .. .. . .5 . . .. .... . . .. . . . . . . 2. Type of heat .. ,E L Ec T,.1 . .1-319 (i' .. . 3. Is the building mechanically cooled? /VD . .. . . .. .. ... ... . . 4. Percentage of area of windows and doors 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 N0 • 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? L . Is basement heated? YES NO a. R value of insulation .. .. ... . .... .. .. .. . 5. Type of insulation B. Under 16% Only 1 . U value of roof and floors exposed tp ambient conditions •®35 (RAT.FM-PY1) . ....Q. `l..�s ir9J'. -P...cc J i IV a) 2. U value of exterior walls • 04 7 3. U value of glazed area ' . 5 5 5 4. U value of doors • Q7 I . . . . 5. U value of floors overheated spaces .... .•. ..J. .. . . .. .. .. .. .... .. .. ... .. .. .. . . 6. R value of slab edge insulation - unheated slab .... . ... . . .. ... ... . .. .. 7. R value of slab insulation ® heated slab �I/i 8. U value of heated basement/cellar walls (above grade) .. NIP/ 9. R value of heated basement/cellar walls (below grade) ►\L/'4 10. Type of insulation . .. f P &4'.. . C. Controls Thermostat maximum heat setting D. Duct Systems 1 . Is duct system installed in unheated spaces? YES NO a. If YES, R value of duct insulation N /.9 b. R value of duct in other areas ,J`��/9 E. Piping Insulation 1 . Size of hot water or cooling carrying agent pipe N//4 P Ai105 TOWN OF QUEENSBURY Building. Deportment Inspectors Report Date ( --',/ 5--(97 Name 5, I7C")/,D Location Permit No. � [� Weather Remarks Excaf,aton Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. / Relief Valves /J Wall Board Ext. Porches / I Finished Floor Interior Trim Stairs & Railings f Cellar Dr. Tile _(J Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney —� Water Meter Inst. f Septic Approval V ,C*- ' Floors ' Insulation Foundation Walls • Ceilin • Building Inspector • . REMARKS P6;'°,41-1.. I �G 4-5,0„.2. v.i,./s.,,,:._,) F,ig /,/' '/ ' If-s g: 14 r- ], IP 2z1".&-C7'oR I Ct/1n,P / c— r I