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1985-103 i `C i CERTIFICATE AiTE CJF OCCUP AiN(O"'OY TOWN OF {QUEENSSURY WARREN COUNTY, NEW YORK t5 Zq 1 Date This is to certify that work requested to be done as shown by Permit No. has been completed. c`n —T aT i. nrJ This structure a occu ied as a done P ' nYa ,_.r r cacl Roca Ov mer t 7, r l e F r c t 1 By Order Town Board 'roWN OF QUEENSSURY f Building +lir Zoning Inspector I GRCAYIVC 'p"ST A" rRIXT�NG. GLFX3 FhLL$ M Y It30� 1' Ml1133 569• BUILDING PERMIT TOWN OF +QUEENSBURY No. 85- 1 03 ALA +09 WARREN COUNTY, NEW YORK PERMISSION is hereby grant Stanley H .rye5ellec k OWNER of property located at West Mountain Road Street, Road or Ave. cn n in the Town of Queensbury, To Construct or place a One-Family Dwelling rt� at the above location in accordance to application together with plot plans and other information hereto filed and r• approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. M •C 1 . OWNER'S Address is 53 Country Club Road. x {Glens Falls , New York fn fD I� 2. CONTRACTOR or BUILDERS Name ] same 3. CONTRACTOR or BUILDERS Address same 4. ARCHITECT'S Flame [D to r1- S. ARCHITECT'S Address O G r 6. TYPE of Construction — (Please indicate by X) O (x) Wood Frame I ) Masonry I ) Steel C D 0r 7. PLANS and Specifications 30 ' x6218 " per plot plan , specifications and application No. submitted including cane-car attached garage and sewage system . 8_ Proposed Use Q D One-Family Dwelling I ps $ 5 . © 0 C/O Paid II-�• $ 89 ' 00 PER MIT FEE PAID — THIS PER MIT EXPIRES November l 19 85 � (If a longer period is required an application for an extension must he made to the Building and Zoning inspector of the £ town of Queensbury before the expiration data.) Dated at the Town of Queensbury this 1 Oth Day of April 19 8 5 SIGNED BY / / 1 , o. . for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY (Space inside block tr) lx• filled it, b% WARREN COUNTY, NEW YORK Building; Ittsprctrtrl Alg)li( atii"n No, Application for PvI III iI Is3iled 19 BUILDING AND ZONING PERMIT III •,-mi= I'.xhires 7•.nn :up; 13��(rie ( THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale } "! I" < "` e•rl lts ��t! m ` showingq the actual dimensions of the lot to be built upon, TFta exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. / TOW" �fOF' QUE'Et�fJNJaSRURY A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ��� ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work A.I.M. which will be dons in accordance with the description, plans and specifi- 718 '�TAIJ2� 1) 91 1 � 1 ` cations, and such special conditions as may be indicated on the permit. " ' - r � . , . , The owm of this propert is; C L7L, �j t,. \,E' . �-{ 4` 4.° . .GL !`► . . . . . . �( �` S'c.� . V7 .kt . iC. i',�y"�°�#�. . . . .�. {)f . Jay/ �� . . . �"�- iP0 ADDRESS) / • The person responsibi'i: for supervision of the work insofar as the BIa"lding Code and the Zoning Ordinance apply i ;: . . . . . _ _ . . . . . . . . . . . . . . . . . . �`. G� Y?+ . [?.- . . . . INAM E} iP 0 ADDPESSI Name of Builder , - . . L1t:v:`NIN , . . . . . . . . . . Address . . . . .1 LR Yil a. , . . . , . , Name of Plumber . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . Lot Number . , , . . Unit . . . . !/ Estimated value of proposed work S . . . ' . . ! e . `.�. . . . . . . . . . . . . . . . . . io 1�. Name aF Village , . . .�L-�. .R-'. �: 5. . . . . . , �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street - LaQt y • . - • IT ' �y Side of street: north 0 , east , south ❑ . west 0 Nearest Cross Street , fL'I Q •T t i' ? . . . . Distance from this -•rocs street . . ./. . . - . . . . G� ex Property is north 0, south ❑ , east i , west from Cross Street IF on Corner, •which corner, northeast I=r , northwest ❑ , southeast D . 4outhwest (Designate by marking with an "X"' in the correct space.)i NATURE OF PROPOSED WORK OCCUPANCY Main BVi4ding , .� Construction of a new building. One-Family dwelling n Addition to a building. Two-family dwelling 0 © Alteration to a building. -family apartment house © Demolition of a building. Store building . . .f - . -car attached garage Other: Accessory Building One-car detached ,garage I] Other work. Describe: . . . . . . . . . . . . . . . . . , . . Two-car detached garage . . . . . . . . . . . Private chicken house . . . . . . • Private storage building Other: . . . . . . . I — . . . . . . . . . . . . . . . . . . . . . . . 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- posed buildings, and the location of all existing buildings. NORTH show proposed building(s) in dotted line and existing ry huilding(s) in solid line. ++�v'liine. 'ems Size of property x/:. AIAL 04 ft. a . . • . • . Size and use of existing buildings, if any . . !'IFS • — — t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . INNNN _ # / 7 . L o - '"" Size of proposed building ? ri ft. x zoN,.r� J ft. t. `'`� �.�y Height (from grade to ridge) . . . . • . . - . � a:�"^ [I ik Front yard .:� .=?. f `-'Jl , e.- ' ). !' '. c t J. , . , . . ft. Side vards�?rti°.�D + . . . . . , . ft. and s . � Nor ft. . . f �, t f Q fIr Rear yard ,.!�!' G'. . �:* N . . .. r'�,i'r _ . ft. . '. _ so 0 TH If on corner, setback from side street , . . . - - ft. Note: Aft distances are wet, as msasurned from st reet Side line to nearest part of building, ry r� (OVER! (cont'd_y BUILDING SPEGIFICA►TIONS„ Kind of construction : Wood frame, fire safe, etc.? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . . . ; P. . , . . ; If so, for what? . . . . . . . . . . . Material of foundation walls . . . . �" *7 t ..+ , . . S� C)C C' S. . . - . - . . . . . . . . . . . . . . Thickness ' Depth of foundation walls below grade , - . . v . .do Gr h v- -':, . - , . . . . . . - - . , . . C?ntinuous foundation? , . ,y�C�, S', . Will there be a cellar? . . "' . r_`' If so, material of cellar floor . . . ; '. P?' e ';: e Type of roof: Sloped or flat? :.. . " s . . Material of roof . . . ,. s- :�?� :! !� . . :. �ir'- 1qx - .4 , • „ � Size, wood studs . . . . . . . . . . . . . . . . . . . . x .}+! Y . . . - . . spacing . . , . . r , . . . . . . "o.c.,`lenglla . . . . . . . . . . Size, floor beams, Ist floor . . . . . . . . . . . . " x . fIL>r . P - . spacing . . , . , 'r. . . . "o.c., span . . . , e''� ft. Size, floor beams, 2nd floor - . - - • - - - , • " x �y // spacing . . . . �3 . . . - "o.c., span . . . . _ . ., . . . ft. Size, ceiling beams . . . . . . . . . . . . . . . . . " x . s v 40 . . . . . " spacing . . - . `. . p , . . . .� , , . . . ft. s cin "o.c., span . Site. roof rafters or beams . . . . . . , . . " x + , . . , . `", spacing . . . .,1. G- ',? . . . - "n.c., span . . . . . ? .3. . . . ft. Exterior finish . . . . - - , . . .+��i .� �t r�. l .r (r . `` . With what material? - - . . . Finish of interior walls . - . . . - . . . : ;h . . . . . . ,. sK . . . . f .:: . . . . . � E? v f. C4f CJ . . . . . . . . . . . . . . If garage is to b� attached, of what material is wall between garage and main bu} t/�7g o be con cted? 4 # !!4•: . . . . kf.). �. ,' '' $ . : . . a +e t^. 1.°J . . *�-11' J�/ ! �! . "SC?. TU Ci Is there to be an opening between garage and building? . . . . . . .`. . - . r . , f 4'. 51 'L , Kind of heating system , . . - . . . , �! .c .,. . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . _ . . . . _ . . . . , , . , . , . . . . . Will a flue-lined chimney be provided? . . . - . . . . . . . Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 0000 . . , . . _ _ . . , , Will there be a fireplace? . . . , , . .. 0 . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . .. . . . . . .y. C�! ,Q. , . . - . , . . . . . . . - - . . . . . , , - . . . . . - Will akitchen sink be installed and connected to water supply? . . . - - t .�� . . ° . , . . . . . . . , . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) - - . . . . . - Distance of cesspool from any private well . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . .'Ve. . . . . . - I . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr, Arerof my knowjedge and belief the statements contained in this application, together with the plane said specifications sub- mitted, are a true and co.+. lete statement of all proposed work to be done o the ileac abed premises and thst all provisions of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to proposed work ehall he nnm whh whether specified or rwt, and that such work is authorized by the owner. Sworn to before me this Signature . . /'+ ' ¢ r ,r tgn M ��" QI�� _ INE R'S AG EN'[ fIC'HYI7ECT. CONTRACTC7R . . . , say of. .-. . . .-,,.-{ ..;_J..ss. .-:u . .. . . . . _. . .-.. . . 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 : r 1 . Gross floor area ti.. 2 . Type of heat 3 . Is the building mechanically cooled ? } � .Q 4 . Percentage of area of windows and doors " f A . Over 16 % Only 1 . U value of gross area of walls , roof / ceiling and floors o 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. ? YE NO a . R value of insulation 5 . Type of insulation B _ Under 16 % Only roof and floors exposed to ambient conditions! C " r 2 . R value of exterior walls 9 ' +► 3 _ R value of glazed area - crt 4 . R value of doors 5 . R value of floors over unheated spaces Go R value of slab edge insulation - unheated slab ? _ R value of slab insulation - heated slab 11� --- 5 , 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 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 . - s ( appla. cant ' s signature ) TOWN OF QUEFNSHURY BUILDING & ZONING DEPARTMENT SEwAGF DISPOSAL PERMIT APPLICATION l . owner ' s Name e Q Address ' L� `C �i Imo^ ' ('� Telephone No . � 7 � 2 . ' Property location 3 . Name of person or firm responsible for installing system Telephone No . Address 4 _ Number of bedrooms ( residential buildings only) 5 . Daily flow `a'� _ gallons/day 6 . Septic tank capacity AAC-JPiC_ gallons 7 . Topography : flat , rolling . steep % of slope 8 . Nature of soil and depth 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? 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 tz`.le fTel , other 4 6 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 $ Z50 as provided for in Section 6 . 010 of the Queensbur-y? Sanitary Sewage ordinance . Date / J e o ` a 3Cant 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 . } A' L [_ Imo"' p /K ► Ai /?.fsw ✓� Form 3- 8 2 r-- _ -.�- - f 5 , •�. Q .� `�3 MK oo3 THE NEW YO► RK BOARD OF TF IRE UNDERWRITERS sursf:Ai s {] ► a 41 STATE 87REE=T. ALEiAEVY. NEW YC7RK 12247 C' F ��yt,�r O r 19��7 gPPlicatiun •Vo. on file (]E3�i�2fJ-F3J / e "I nurraber in the Pm�� THIS "� MT'F1Ei5 THAT the applicant nernedan the afwee apPli +► ment se �ri� 'beloee orrd introduced b� only the e0eetrical equip' t3T."W York 1 r , }llE x13 )t1t i r Block Lot �,�a1lor c. r L St I Ii an Fl. cyutside section Boaenre^nt let lcl. >C 2nd in the fallowing lorsot�7fon12�10� and found to be in compliarLce with the requirements of this Board- in exomineaT 07i EARS COOKM a DECKS CIMENS DISH WASHERS RiLFIAUST FLANS NXTURES }/44T. K. W. ►)pT. K-W. wr. K-w ►�0r H. F1%TURE ErTAtxES SWITCHES µU4D4MSCENr N viocrtcµT AµT. K. W- OVIMS 16 38 18 uN1r NEwTERS NtULTWUT4ET aRs fERdERS SFEGAI REC'FT TIrAE CtpCKS RELI. � FLEET I.�AkT. whT1S WTURE AFMA�NCE v a4,MT. AMT'S TRANS. MkT. H. P. .� DRYERS FIfRNwCE WI4TtSR5 r4o , G, AMT. AMT. K. W. 04L H. P. hWt 31f3 V i C E a 5 W. G•E � A. W. G. NiO. OT 4dE41/R+4-4S CK 4aEUTRhL SERV p= DISC4WHECT Nd. OF MO. GP cc. cprw. A. W. Ho. CK HI.IEcf oF HI.IA G METE! T X 2W 1 X SW 9 X SW 20 �W VIERe' OF CC. C4NL7. AMT. AIrrP+: GOASF, 4/0 Ila 1 x 1 pp cb OT"s AFFARAYUSr. 1-- e det ? } 15 1 arop 43 3_ 2 , 0 3.w i1eC . heaters ' 4- 1 , 5 kW 2-- 1 . 0 kW _ ��ss�11F i;src7�m rlec . Bfewtfe+f AitILNAtiER ,�/ BC*t f347 s dens Fisllls , ;STY 12801 Psr This cerrif+cote must not be altered in any manners return #a the Office of tfie Board i# incorrect. inspectors may be identified by t#reir credru4tials. - - - - _. - -- --- -- - - -- ----- - CmP'Y FOR 6UiI..DING C]EPARTk#ENT. THIS COPY OF CEF2TIFiCATE 1rI115T NOT SE ALTERED IN ANY „«, , Orr QUEENSIBU Y dirtmoult ,44 f) Oljq`4 IWILIdiloka a Ramat p,.teNd S6 4 `� TII Pernlit Remarks f ' Lxcaiatan Footin Farms Footi.n & Piers Bement coat Water roofin gacjcf i l l ANNA Final 6urve Fxa run leathin JR Felt J,L goofin p S �- Siding veneer Masonx Rou h PIs- Rellef valves wa xI $era Ext • Porchesr� C Finishes FloorTrim Of In ter R © ailin S Stair fi i2e Cel.lax r` • Concrete Floors PI Fixtures ANNANANd Gar * Fire roll III Door ,Closers Chimnet�eter xnst . Water roval Se tic Floors `"-� --~-- Insulation Wa2Is -- -�-"� � Cei� Bul din In Pector FILle. [ Y REMARKS ANN Ovid J)AJ �--- ToV1 to OF ClUEENS IBURY IUD- �_------- -- Date r r g RIP INN LAWAINOM Remarks gxcat' on Foot.12"2cj Foxxns Footin & Piers ion Cementtcoat �atet r,oafin packfill Final Surve Fxamin 5heath3.rx Roof Felt Roofi gitlin Masorir veneer Rau h PI Relief valves f11a1I Soar porches l inja Floor Irxterivr Trim Stairs & Rai.li s Cellar Dr . Tile Concrete Floors to Fixtures ire roofin Gar . F 50or Closers Chime water Meter Se tic A rcrval Floors v FastYnd —�„�---�� Insulation pTa2.4 l3 Bull nJ xnspector pE;MApX;5 f ..too* — OL Af r Tow-m OF QUEENSSURY ..Mpocwm Namet �' l..oca►siao C;d' C 1 t5 '�` tilylcp,ther Persait No. � Remarks EsCaf)'a t I on Footan Forms Footin 6 Piers Ill Foundation Cement Coat Water roofin Bachfill Final surve Fxamly, .vp t Roof Felt C7 [ Roofin f sidi masonrL2 vel Rau h PI Relief Valves Wall Board Ext . Porches Finished Floor interior Trim stairs S Ra lin s Cellar Dr , ile Concrete Floors PI F^a.xtures Gar . Fire roofin Door Closers Chimne 11 if Water Meter Inst . Se tic A royal Floors Foy tibn --- Insulation Wal� la- —� -- - {lding Inspector REMARKS ,C c K 15 ',AAA 4-&60 rrtr2 ,f r� .' ON All t,v5 19�,,c r 13 � � ► c3 cl ►z i TOWN OF QUEENSSUR'Y Building Departweat , Iaep+sotoee Re+�sart Date �o " l�j�..._' Nacre ` Pernsit No. — C] WeeRheer Remarks ExcatYa txon Footin Forms - Footin & Piers Foundation Cement Coat Water roofin Hacicfill Final Survey Franun Shea thin Roof Felt Roofin Siding Masonr Veneer Rou h Pl b . Relief valves Wa11 Soard Ext . Porches Finished Floor �nteri.or Trim Stairs & Railin s Cellar Dr , Tile Concrete Floors Gar . Fire roof.2 _ Door Closers Chimne Water Meter InSt . Se tic A roval Floors roun��!I Insulation Walls Ceilin Building nspector REMARKS .� GJ TOWN OF QUEENSBURY Building Department i "pedwrr Report D t,. �. Name 2 gfi6� Loaatioo W6&4�7-- 2'eG+ 6C?;j - '=P !.`Lr• Perna N*+ S6'— t v 3 Werlher Remarks Exca$atson Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Baci fill Final. Survey Framin Shea thin Roof Felt Roofing Siding Masonry veneer Rou h Plbg- Relief valves Wa14 Board Ext , Porches Finished Floor WFire m lin s Tile oors res oofin Door C.I oserS Chi,mne Water Meter Inst . Septic ApPxOVal. -- Oars ernda tiara Insulation _ Wa 210,v Welling + W� r Building Inspector REMARKS TOWN OF QUEENSBURY Buildin= D*P&rtmey� lntt� N� R"Hwt Date L.,omulm ST- Permit Na. - Weathmr Remarks Zsxcatsa Lion Footina Forms Footing & Piers Foundation Cement Coat Water roofin sa�kfill Final Surve Frami n ,, Sheathing Roof Felt f Roo fin Siding Masonxtj veneer Rough Pl Relief valves WA11 Board rxt . Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors Plbqe Fixtarres Gar . Fire roofin Door Closers Ch,imneti — Water Meter Inst .Septic Approval Floors Insulation Foundation Walls Celli Bud ding Inspec or REMARKS