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8132 • c/0 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 17 190 Date This is to certify that work requested to be done as shown by Permit No. P, has been completed. 0 n n.:I y -- inq This structure may be occupied as a Location of lv o (3 on an k74 r(-1 e ar P 1 Owner By Order Town Board TOWN OF QUEENSBURY • Building & Zoning Inspector CREATIVE "INSTA• PRINTING, GLENS FALLS. N Y 12801 151E1)793-565B BUILDING PERMIT TOWN OF QUEENSBURY No. 8132 WARREN COUNTY, NEW YORK x a PERMISSION is hereby granted to Karl A. Paulsen OWNER of property located at of f Pulver Road and on Lake Georg9treet,Road or Ave. ro in the Town of Queensbury,To Construct or place a One-Family Dwelling s at the above location in accordance to application together with plot plans and other information hereto filed and F-' En approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. MfD 1. OWNER'S Address is 10 Spr ingwood Manor Loudonville, New York 12211 2. CONTRACTOR or BUILDER'S Name Paulsen Realty Co. O I-h 3. CONTRACTOR or BUILDER'S Address ro r 1100 Central Avenue Albany, New York n 4. ARCHITECT'S Name O fv a w 5. ARCHITECT'S Address a 0 6. TYPE of Construction—(Please indicate by X) r Iv 7C X Wood Frame ( ) Masonry 1 1 Steel ( ) D 0 M 7. PLANS and Specifications O 34'x50' per plot plan, specifications and No. application submitted including sewage system and m Per Variance No. 816 granted 3-16-83 . B. Proposed Use One-Family Dwelling 5. 00 C/O Paid o s105. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 84 I If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rz town of Queensbury before the expiration date.) Dated at the Town of Queensbury this -1 Oth Day of September 1983— W SIGNED BY 1l tfti, C J p for the Town of Queensbury E Building and Zoning Inspector N F-+ W W 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 4/ 2 . Type of heat D Z RiY`' 3 . Is the building mechanically cooled? 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 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 Und4r 16% Only 1. R value of roof and floors exposed to ambient conditions_ R 39 2 . R value of exterior walls 3 . R value of glazed area 4 . R value of doors 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 8. R value of heated basement/cellar walls (above grade) 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation C. Controls 1. Thermostat. maximum heat setting D. Duct Systems 1. Is duct system installed in unheated spaces? YES X 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.y3 8 73 l pli cant ' s signature) TOWN OF QUEENSBURY Spa(e inside block to be filled n b, WARREN COUNTY, NEW YORK Building Inslx"or) Application for pp11(at1011 No. 1'c rmlt 1"'lled 19 BUILDING AND ZONING PERMIT Perm i I F"Fires. 19 7 nun_ U.trict ilia• 1 \1'-rl. , THREE (3) Copies of a PLOT PLAN, Drawn to scale showing the actual dimensions of the lot to be built kc111a1 k5 upon, The exact sire, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF QUEEN SBURY DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. t W F P M The undersigned hereby applies for a permit to do the following work A.M. 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 property is: tczr.4.. .A,.z'aic.Z o.s .:h9yror .Trip nor. . . t «o1c.E!'Cer ./Y,. ., . . r z.i .INA AE) 9 P O ADDRESS) The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: I . . . . . NAME)IP O ADDRESSI Name of Builder. "./Gt.4t.R e./<l,. /e.a.l.L` . .Cc,. . . . .Address . fl4D.Cc c Name of Plumber. . .j.3 C f.%Ye .A(rc,e.,:1? J a He.(. ?/h m b ion Address . . /.6.C 4 e.-)..e R'` .5 ,. . .Cx g.as j./4r!!g/V,y"?baI Name of Mason. . .1/ruA-*t. -B.a 4c.ck,-.,?.. . . . . . . . . . . . . .Address .t/o> t. o i.C. . .//[. ., Lot Number. . . . . . . . . . Unit . . . . . . . . . . . . Estimated value of proposed work S /O.c?ds2,... . . . . . . . . . . . . . . Name of Village . . . . .l,Pt te. . _. $e y. . . . . . . . . . . . . . . . . . . . . . . Name of Street d-cy . . . . . . . . . . . . . . . . . Side of street. north , east , south jo. west Nearest Cross Street . .'P/'.4 0 t . y h.o G Distance from this •-rocs street C`. . . . . . . Ft. Property is north ,south ,east X,west from Cross Street If on Corner, which corner, northeast 0, northwest , southeast Q, southwe.i Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY 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 car attached garage Other: G"J41f . . . . . . . . . . . . . . . . . Accessory Building One-car detached garageElOtherwork. Describe:. . .0• •ll•(?• • • • • • • • 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, site and setbacks of pro- NORTH posed buildings,and the location of all existing buildings. Show proposed building(&) in dotted line and existing buildings) in solid line. Size of property . . . . ...3.. . . . . ft. x . . . 7.Q.'ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . N N 1. W Size of proposed building . . .Co: . . . ft.x . . +T.O!. . . ft. 6 Height (from grade to ridge) . . . .16.1. . . . . . I . . . . . . . ft. Front yard . . . .7,7.'. . .A. . . . . . . . . . . . . . . . . . . . . . . Side yards . . . P?.Q. . . . . . . ft. and . . . /42.O. . . . . . . ft. Rear yard . . 1.00. . . . . . . . . . . . . . . . . . . . . . . . . . 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 TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEG?AGF DISPOSAL PERMIT APPLICATION 1. Owner' s Name- L Address lam^ t n,1 /.y - 1, .7i./yz y, '!/e IV 4 /22 // Telephone No. 2/ 2. Property location 3 . Name of person or firm responsible for installing system c a 1•-t /19, '4 a" s/, C n Telephone No. 6 S6 Address o r E i L, Yr c. C-t-5 l•`L C 13 u y 4 . Number of bedrooms (residential buildings only)L: wo 5. Daily flow 0 D p gallons/day 6. Septic tank capacity cc 0 gallons 7. Topography: flat, rolling, steep of slope pLoZt,, 8. Nature of soil and depth SQ /.,d Lo 7' 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? 8''ft. 10. Percolation test:A is required B is not required C If required what is the rate minutes/inch 11. Water supply: municipal, well, other 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 45 - 7 23 s gnature 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. Form 3-82 i i I TOWN OF QUEENSBURY Building- Department Refit Date_49 Naive L.ocatian Pli Permit No.3')Weather Remarks Exca0ation Footing Forms Footing & Piers Foundation i Cement Coat i Waterproofing Backfill j Final Survey Framing Sheathing Roof Felt Roofingj Siding I Masonr2 Veneer Rough P1b . Relief Valves Wall Board Ext. Porches j Finished Floor I Interior Trim Stairs & Railings i Cellar Dr. Tile Concrete Floors P1bg. Fixtures Gar. Fireproofing I Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceilin j I Building Inspector I REMARKS I i I i I I I i TOWN OF Q*UEENSBUkY Building Department Inspectors Report Date '29ZL r NameAl Location Permit No. 3 -2-- Weather 1 Remarks F d r t1' C1 P Excavation 1 Footing Forms A Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framin Sheathing Roof Felt Roofing Siding Masonry Veneer l Rough P1b . Relief Valves Wall Board i Ext. Porches I Finished Floor l Interior Trim Stairs & Railings r ' Cellar Dr. Tile 1 Concrete Floors Plbg. Fixtures 1 Gar. Fireproofing IVI Door Closers let Chimney Water Meter Inst. Septic Approval Floors ' Insulation Foundation I Walls j Ceiling , I Building Inspector REMARKS roc'- i I' i 4 I I TOWN OF QUEENSBURY Building- Department Inspectors Report Date_ / 16 A'P.41 Name_ I.oca tion ra l y e,, d. Ptrmit No 9137 weather 1 i Remarks I Exca0a tion Footin 'Forms Footing & Piers Foundation Cement Coat waterproofing Backfill I Final Survey Framing1 Sheathing Roof Felt I Roofing Siding Maso rw Veneer Rough P1b . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Vi, Cellar Dr. Tile Concrete Floors PI . Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors ' Foundation insulation Wa11.9 Ceiling — zo' Building Inspector REMARKS TOWN .OF OUEENSBU I( Building- Department In ra epart Date // _ Name L.Ocat+o®_ Permit No. Weather Remarks Excatm ti on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding' Masonry Veneer Rough Plb . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney i Water Meter Inst. Septic Approval Floors Foundation Insulation Walls Ceiling i B ilding Inspector I REMARKS i I i TOWN OF WEENSBURY Building- Department hopeetoirs Report Date /0 -AZ`8 Name4(l Permit No. /3, Weather Remarks 1 Exca0ation Footing Forms Footing & Piers Foundation o Cement Coat Waterproofing Backfill Final Survey FramingI Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plb . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim I Stairs & Railings Cellar Dr. Tile Concrete Floors P1 . Fixtures Gar. Fireproofing Door Closers Chimney I Water Meter Inst. I Septic Approval I Floors Insulation Foundatio l Walls Ceiling Building Inspector REMARKS