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1985-102 i dd --------------------- f CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY i WARREN COUNTY, NEW YORK gu + � 65 Date r' tzc zz1 1 I9 `' r This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as f r: c'- :j 1 r r]r .c> }_ _l r} Pd Ljocatiork 71 T ea Owner I the I 7 ,r7� C' ,r . e; s; �rr7 i ffr� LQ J f/ '•' _ By . Clyder Town Board TOWN OF QUEENSBVRY I Building eSe Zoning Inspector I y C RE A T YYC 'I"STA PRINTING. GLENS FALLS N I9*01 {]1 a 1103.5656 CERTIFICATE OF OCCUPA.N(W7Y TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date L7 r £ 19 . C This is to certify that work requested to be done as shown by Permit No. has been completed. T r�r. e -Fnr� ily Dwel 3_ irvT This structure may be occupied as a Locstiott r - fi1 s r' E LxizFrrc, r?� c' T �,T,oNr T ,aC' rr4,7 .c3 Owner ` <:r CT Tgin rrt T r",j . f-.r (^CT •T'T,T r ' y By (3rder Town Board TOWN OF QUEENSSURY Building & Zoning Inspector CREA4TIVE "IMl.T I " /'RORT1R6 OLER'.1 FALLS 1Y Y l2EOl 13+l1 " 3•ff9■ .� BUILDING PERMIT TOWN OF QUEENSBURY No. 8 5 - 102 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to T=eRoy LaGross OWNER of property located at � north side Lu z er ne Road Street, (toad or Ave. T-)I in the Town of Queensbury, To Construct or place a One-Family I7We1 in�a at the above location in accordance to application together with plot plans and other information hereto filed and Y �-- approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. fy n [2, pyVNER'SAddressis 1C19 Broad St . O Glens Falls , New 'York, m CONTRACTOR or BUI LDE R'S Name Ft . Edward Building Products 0 3_ CONTRACTOR or BUILDER'S Address 111 80 Seminary Street Ft . Eduard , New York ]2828 � rn Y• 4. ARCHITECT'S Name (p L—� N (b 5. ARCHITECT'S Address � (d �0 0 o!- 6. TYPE of Construction — (Please indicate by X) R. (XD Wood Frame C 1 Masonry { l Steel ( b i. PLANS and Specifications l;icci t ion 24 ' X46r per plot plan , specifications and app No• submitted. including sewage system and one-car garage under S. Proposed Use One-Family Dwelling 0 ftl $ 5 . 0 (l Cf0 Paid. 19 $ � $ 8 9 • 00 PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 application for an extension must be made to the Building and Zoning inspector of the F,. (If a longer per iod is required an FJ town of Ousenshury before the expiration date.} Dated at the Town of Queensbury this 1 Glth Day of r it 79 85 (p � _ r SIGNED BY •.� for the Town of Queensbury �• Building and Zoning Inspector TOWN OF QUEENSSURY ( Space inside block to be lillrsl in by WARREN COUNTY, NEW YORK Btyildin}C lttzpe�tnr} Application for Application No. )'(•mill 1 %'Nue•d 19 BUILDING AND ZONING PERMIT I'l -1-mil Expires IfT ;NItr, + 0I \Vork PLOT PLAN. Drawn to scat* \ I 'I l-, • st bile- _ showing the actual dimensions of the lot to be built 1Lri!r ! r'}ff- upon, The exact sire, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, x�2 6c? � TOWN Ole QUEFN5BLIF2Y A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING, AV) 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- ry M, 71kcations, and such special conditions as may be indicated on the permit. 8r90�1 x 3 �# 6 6 The owner of this property is: . . ,�. /. �..�' ."'. !`"F Yt-�( . . � ,L/,�.Cti,� :S-.S. - /-r?"'�. - ./.��F'o..".�! .-..,,` ' � 11 .-yC�. �-+�ivS 1`r7�e.e._5' �'"Y • Y . l 1 �' C} / The person responsihia for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: a �--�- . . ./l � G �rx�ar � , .� !5�PP7'ctaD. . :`, . � o ��e% - - ���� rr, .+9r';! . . . . . . . - ��. S�� r.rar��2 5l- .. i . � -f• �� .}. rS/ `/ �- INAME1/' r / (P 0 ADE)FIESSI Narne of Builder .T f. .. :�V . . .t.? /.cI . - . �� vAe-<e . . . . . . . . - - . Address - - i f m? .1!V49,Ry� S,rt .. . . r . _:c • - - . Name of Plumber . . . .r. . . . . . . . . Address - . �! 'Oer rr Ir ov / , r Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . - . . - - 4 . Lot Number . . . . - �y . - Unit - . . . . , . . . . . . Estimated value of proposed work I . . . . JYjrxY . f�410. . . . . . . . . . . . . . . . . . . . Name of Village . . q.. GL 4SCfk'.y. . . . . . . . . . . . . . . . . . . . . I . . . . . . d . . . . . - . - , . . I . _ _ . . . _ . . . . . . . . . . . . - . . . Name of Street . . . . {.t (c' ? . - . . 1�c' l. . . . . . . . . . . . . . . . . . . Side of street: north M, east ❑f , south ❑ , west ❑ Nearest Cross Street . . �+' '- � • �� • • • • • • . . • • • • • • • • . Distance from this cross street . . 4FoV . 11l4V. . . . . . . . . . Ft. Property is north ❑ , south Weast i i , west O from Cross Street If on Corner, which corner, northeast 0 , northwest ❑ , southeast 0 . eouthwest (Designate by marking with an "X" in the correct space_) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Bt4ming 1� Addition to a building. One-Family dwelling Alteration to a building. Two-family dwelling © Demolition of a building. I -family apartment house Store building Q . . e , - . -car attached garage 0 Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage F'I 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 plat plan street names, the location and size of the property, the location, size and setbacks of pro- NORTH posed buildings, and the locatiott of all existing buildings. Show proposed building(s) in dotted line and existing %uildingls) in solid line. r�77 Size of property . . r `r' . . . . . . . ft. x . . ?`.Q.a. . , . . ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . r Size of proposed building . ¢ . r7✓ - . . . ft. x . . . y(cy . . . ft. Height (from grade to ridge) . . . . Ar/ . . . . . . . . . . . . . ft, Front yard . . . . t?C . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side vards : . r �.� —. . . . . , . . . ft. and . . !f. !r, . . . . , . ft. /=AL 7. Rd Rear yard . . . . . . . . . . . . . . . . . . . ft. SOUTH If on corner, setback from side street . . . . . . . • • • ft. . Nwe : All distances are wet, as measured from street side line to nearest part of building. �7 r� ZQVFRI f � ! ww.M I P (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc-' . . . . . . . . . '� Will any second-hand lumber be used? . . .�` . . �p . - , . . If so, or what? . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . ;.. . . . . . . . C5 - . . Ca..rG!FT 97 - . . �x. . . . . . . . . , . Thickness . . . ,/,I ��- - . . - - . - - - Material of foundation walls 1. Depth of foundation walls below grade . . . . 3(a . . . . . • . . . . . . . . . . Continuous foundation? . . . . . . _ . . . Will there be a cellar? . . ��/ �. . . - . -�t. - If so, material of cellar floor . . Z0 .AJ<,eXrV • • Type of roof: Sloped or flat? . . ` �? A . . . . . . . 1. serial of roof . . . , fEl?.G f1SS. . . 5 .t.' 71�E . -e"U � +�, . . Size, wood studs o . . . . . . . . . , " x . . ", spacing . . . . /6 . . . . . . ."'o.c., length . Size, floor beams, 1st floor . . .e . . . - - . , " x . . . . . . . - . . . . spacing . . . . . . �?. . . . . . `"o.c., span�4 .40* ft- Size, floor beams, 2nd floor . x spacing - . . . . . "o.c., span . . . . . . . . . . . . . . ft. Size, ceiling beams - . , - . . . � , . . . . . . . '" x . . . . (0 . . . . . .. j s acing . . . . . . f l'o . . "o-c-• span . . . � G . . . . . . . ft. Size, roof rafters or beams , . . v . . . . . . /900;acing . . . . . / -� . . . . . . "a.c., span . - . /t? . ft. Exterior finish . . . . . . . . . . . . . . . . . With what material? - - - I !ti +f''y —. . . . . . . . . . . . . . . Finish of interior walls . . . . . . . . .•. . . . -� } s T. .T5'ttG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and train bui fling to be constructed? Is there to be an opening between garage and building? . . . . I1- A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . ¢ T ►C . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . . . . . . - , . - - , - . . . . . . . . . Will a flue-lined chimney be provided? - Depth of chimney Foundation below grade . . 4 ± . . . . . . . . . . . Height of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . • • . , . . , . . . . .. Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . : . , . Y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , - . . . will a kitchen sink be installed and connected to water supply? . . - . yam . - - - - - - - - - - - � � • • • • • • • • • Water supply (public water supply or pump) . - . pimv ! - . . - - - . .. . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . , . . . lam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . - - Y- as . . . . . . . . . . . . . . . . . . . . . . 7 AFFIDAVIT Town of Queetts6ury County of Warren State of New York I swear that to tr. Aca t of toy knovoodge and 'belief the statements c.aattained in this appltrataan, tn�etlrer with the plain and speciftcatiotta nth- mitted, area true and co...,•,Iete statement of all proposed work to be done on the des�bed promises and that &1I Ve of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining proposed wcw shall be complied wftlt whether specified or not, and that such work is authorized by the owner. Sworn w before me thin Signature .. . U . E CIWNE R. DWNER'S A NT. ARCHkTECT. CONTRACTOR day of _ 19 . . . .. .. . .. . . . . . . . . . .. . . . . . . . .. . . r40TARY PU9L1co WARREN COUNTY. N- Y. SPECIAL CONDITIONS OF THE PERMIT: . . .... ..-. .-- . ....... .. . .- 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 I /7 (0 2 . Type of heat !FCT+c?lc-- 3 . Ts the building mechanically cooled ? v , 1urcentage of area of windows and doors A . Over 16 % Only M 1 . Ua 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 off sroof and floors exposed to ambient conditions 2 . R value of exterior walls 2- / 3e R value of glazed area /f - 4 . R value of doors 5 ♦ R value of floors over unheated spaces P " / g 6 , R value of slab edge insulation - unheated slab 3 . R value of slab insulation - heated slab 8 . R value of heated basement / cellar walls ( above grade ) R / 9 . R value of heated basement/ cellar walls ( below gradey� 10 . Type of insulation _ _ s C , Controls rr--.aacc 1 . Thermostat maximum heat setting Sin 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 10 Size of hot water or cooling carrying agent pe ' { 2 , R value of pipe insulation 4i f I F . Service Water Heating 1 . performance efficiency 2 . Temperature control setting maximum. Aoeo °73' G , For Swimming Pool Only 10 Maximum heatf ng Telephone No . �7`V -7 — / S-?So3 - ( applicant ' s s ' nature ) r TOWN OF QUEENSBURY BUILDING ZONING DEPARTMENT SETATAG'E DISPOSAL PERMIT APPLICATION l . Owner ' s Name. 5 Address / o f 15i?a.5i't? SJ•• ,, .+•+-s /`-��-S `,+'' / / ! Telephone No , 2 . Property location 3 . Name of person or firm responsible for .installing system / zF ,PT ,r�i?,tW ,� 10912S�-5' Telephone No . Address &V 4 , Number of bedrooms ( residential buildings only) . 3 5 . Daily flow VA e T [ gallons/day 6 , Septic tank capacity ,/000 gallons 7 Topography : flat , rolling , steep % of slope_ 8 . Nature of soil and depth s`007 AO 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? / jK/ f, - ft . 10 . Percolation test : A is reguired B is not required C If requlred what is the rate M -. .,'`'p minutes/inch 11 . Water supply : municipal , well , other^ 12 . Type of system proposed : drywell , the field , other fi 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 lL� signature qM applicant On separate sheet of paper submit a diaram� 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 76 TOWN OF QUEENSBURY $uildins DOPsrtmeat Ewa" a4 buWadkors Report. N#mW ' r L.oeatias . i rc m Parmit Na !410� Remarks B'xaat7a tzon Fcotin Forms Fcotin & piers Foundation Cement Coat Water roofin 8ackfil3 Final Surve PI rhea I In Roof it Roo fin sid%n Masonr Veneer Rou h F"1 11, Relief Valves Wall Board Ext . porches Finished Floor Xnterinr Trim Stairs & Rallin s Cellar Dr . Tile Concrete Floors pl . Fixtures Gar . Fire roofin Door Closers Ch one Water Meter rest . septic A roval Roars .. -----� Foundation �_._�...- Insulation wall& Ce%lin Building rnspectoX REMARK'S TOWN ROF QUEENSBURY Building Department in.poetors Report Da�te�� - - - - NI Location i C xonlowL- Pesrait No. 3 - / 0 2- eather /'" rExcatYation �'"► ' - Footing Forms n Footin & Piers Foundation Cement Coat - Water roofin Backfill Final Survey -- R Framing- Y Sheathing _ } Roof Felt Roofin sidin masonry Veneer Rough PI Relief Valves - Wall Board Text . Porches Finished Floor - Interior Trim stairs a Railing Ce3lar r.+r . Tile - Concrete Floors pl-bq . Fixtures - -- Gar . Fire roofi rs —•----- Door Closers Chimne _ Water Meter Inst . Se tic A roval Floors poundatidri Insulation Walls_ Ceiling B r3ing Snspec'tor REMARKS TOWN OF QUEENSBURY Building Department instsaetars Report Date Ns�aans I ,ovation t1+ Permit No, — /G?,2, Waatlaer R ema rks Exca0atlon Fol Farms Footin fie Piers Foundation Cement Coat Water roofin Bacxf!I I Final Serve Framin Shea thin Roof Felt Roof-in siding Masonr veneer III:Rau h Plbg Relief valves Walmilli wililll. Board Exit parches liiiiiiiiiii Finished Floor Interior Tarim stairs & Rail.in is Cellar Dr . Tile Concrete Floors pl Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst , se tic A roval 01 Fl ac+rs Paunch Insulation Walls _ Ceilin Building Inspector REMARKS TOV'V►"N OF QUEENSBURY Building Dapartmeut ,r lmspecbms Report Dale •S�l P e.Nam me, " 1F'�a ss Locatim Permit Nw &S — ✓3 a Weather Remarks Exca�Ya tion Footing Forms Footina & Piers Foundation Cement Coat waterproofing Bacicfi S l Final Survey Framin sheathing Roof Felt Roof-in Siding masonry veneer Rough PI Relief valves Wall, Board Ext , Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile- Concrete Floors Plbq , Fixtures Gar , Fire roof.i n Door Closers _--_ Chiaaie —. rater Meter Insto se tic A royal Floors Insulation Foundation Walls Ceilin F uilding Inspector REMARKS TOWN OF C EENSBURY Suildias Department Im""P e► s Rape.t Date S 4 Lecaue n Permit No��5' gfjZ2;Z Weather —. Remarks Exca%)&atxon Footing Forms Footing & Piers Foundation YV Cement Coat Waterproofing Backfi.l l Final survey Framin Sheathing Roof Felt Roofing Siding pfasonzy Veneer Rough Pl Relief Valves Wall Board Ext , Porches Finished Floor Interior Trim stairs Railings Cellar Dr . Tile concrete Floors PlbcFixtures Gar . Fire x-o ofi ng FDoor Closers -------- ChimneyWater Mete s septic A roval csors _ Foundation Insulation .__ Walls celling Building Inspector REMARKS TOWN OF QUEENSBURY Building Department I Spaeoes Rapert Date Naww - L ecatim ... :�h.. Permit Noo Wcat]hMar 0 - / U Remo rlcs ExcatYa Lion .Footing Forms .Footing & Piers Foundation Cement Coat water roofin Bac]kfi I l Final Surve Framing Shea thin Roof Felt Roofin Siding .Nasonry Veneer Rough Plby Relief Valves wall. Board Ext . Porches Finished Floor Interior Trim Stairs & Railings r Cellar Dr . Tile Concrete Floors Plba, Fixtures Gar . Fire roofin Door Closers LP Chimney Water dieter Inst . Se tic Approval _. Floors Foundation Insulation -- wa3ls ' Ceilin Buz ding Inspector REMARKS BY..........................DATE............... SUBJECT......................................................................... SHEET NO................OF............. CHKD.BY.............DATE............... ........................................................................................... JOB NO....................................... ......................................................... ........................................................................................... ... r- \l w see >> a oo SFp. 2 , rs