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1985-088 CERTIFICATE OF CJC%(`.LJPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK J\114 tp Katie I4 n t--1 - --� 85 � 85 This is to certify that work requested to be dome as shown by Permit No, has been completed. C>M 1 nek Thia structure ma be occupied ais� `i � C i i, r �r c E ; " T � r' � I ; r [P1 r4!9y Ann �+CY..[c.a Location E1 t. t C-^ CTv . [ty'i/�] _ C'{■/cJt, 3,C 7 ' TI T E`. F� c? 7.L Owner By Order Town Board TOWN OF QUEENSBURY r Building +!'!e Zoning Inspector i r r CRCA'fIVC "9N4T A'" PRIMTIMfw IGLCMS FMLIS. M '.` IZ#dl fSli]i13-935# or BUILDING PERMIT TOWN OF +QUEENSBURY Na. S 5-88-- - ---------- WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Pro- Craft , Inc . Ann Road Section I , Pheasant Walk OWNER of property located at Lot 2 Peggy Street, Road or Ave. in the Town of Queensbury, To Construct or place a _ One—Family Dwelling Inc at the above location in accordance to application together with plot plans and other information hereto filed and C approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1 1 . OWNER'S Address is Zepias Dr ].ve Glens Falls , New York rt H t] 2. CONTRACTOR or BUILDER'S Name same 3_ CONTRACTOR or BUILDER'S Address same cn t# m o 4. ARCHITECT'S Name h rt rt• Fr• tv O � b fU S. ARCHITECT'S Address QQ hJ rv^ CG nDp N tj 6_ TYPE of Construction — (Please indicate by K) PC rt. 0 (x) Wood Frame ( ) Masonry ( 3 Steel C ) P F—' 7. PLANS and Specifications 74' 501x30 ' per plot., plans specifications and application No. submitted including two-car attached garage and sewag B. Proposed Use C p Fr- :::1 rn m one Family Dwelling H 1 D $ 5 . 0 © C/O Paid F.. $ log Go PERMIT FEE PAID — THIS PERMIT EXPIRES NosrernVoEnr 1 (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.) (D Dated at the Town of Queensbury this 3rH Day of Anr i l 19 135 W SIGNED BY ` - ,� far tfie Town of Queensbury � Building and Zoning Inspector It3 TOWN OF QUEENSiBUR ■ (.'Space inside block Ito lx• fi I'M it' b% WARREN t,:.C)iJN`f'Y. hfEW Yt7RK Building Insfsrt•tnr) ppli( jtitm No. Application for Pi runt 1.ltred 19 BUILDING AND DOMING PERMIT 1,4 -1- it Expires %.+ rttrr 1 )i.rrirr THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale 1L, ,1t.1r1Cs sltawingy the actual dimensions of the lot to be built upon. Tate exact size. and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, TOWN OF QLIEENSB'U F2Y A WORK �A.M. 1 A PERMIT MUST BE OBTAINED BEFORE BEGINNING O g y ANSWER ALL OF THE FOLLOWING. W I �� u lA.M. The undersigned hereby applies for a permit to do the fallowing work ?i S 19►z0)l1)l2) I 1 2 1 7 ) 4 1 n 6 which will be done in accordance with the description, plans and specifi- , , . 4 # 0 ,'{ � � . cations, and such special conditions as may be indicated on the permit. k The owner s?f this propertyis. / ���.� S G�•�' t .�-^ ,y INp-'G1 The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply i.: IP q ApDR S$1 - . - Address . . . . . . . . . . . . . . . . . Name of Builder . . . • - . . . . . . . _ Ad dress Name of Plumber . . . , . . . . i Name of Mason /1?//x!c-" . . Ste./.a N . . - . . . . . _ _ Address - . ��• . . . . . . . . , v` . . Unit . , Estimated value of proposed work S . . s?'r �` . . . . . . . . . . . Lot Number . . . . - . . Name of Village . , . . 4�G: ? 54! '.r��r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . /dam ���� .' ' '�` ' Side of street: north ❑ , east south west �] Nearest Cress Street ''4 . . . . . . . - . Distance from this ^rosy street _ . . . . . . . - Property is north ❑ , south 0 , east yet . west ❑ from Cross Street if on Corner, which corner, northeast L1 . northwest C1 , southeast southwe,,t (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 S210 C7 Addition to a building. Two-family dwelling 17 C3 Alteration to a building. - - , . . -family apartment house El 0 Demolition of a building. Store building r�l . . . . . . .'--car attached garage Other: . - - . Accessory Building (� One-car detached garage � © Other work. Describe. . . . . . . . . . . . . • . . . . . . . Two-car detached garage Private chicken house Private storage building . . . . . . . . . . . . . . . . . . . . Other: . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in for new buiNing, or addition to existing building, or a change of occupancy. Indicate on the plot plan street names. the location and �j size of the property, the location, site and setbacks of pro- posed buildings, and the location of ail existing buildings. M6R7M Show proposed building(s) in dotted line and existing L �.G4., .tl Al huilding(s) in solid line, Size of property . . . . . - . . . /'D � ft. x . . . . . . :c�.;,` ft. N. Size and use of existingbuildings, if any. . . . . . WC W i , w Ci. . ft. x . . . is LG Size of proposed building . . e. . . . . . . . . Eieight (from grade to ridge) . . /, `f. . . . . . . ft. Front yard . . . . . . . . . . . . . . . . . . . . . . ' .NO t�� . , . . . . . ft. Side yards . . . . - . . . r .� ft, and . . . . , . . . . f ft. Rear yard . . . . . . . . . . . . . . . . . . . . . . ft. sou'rM If on corner, setback from side street ft. !Vote: All distances ore net, as measured from street side fine to nearest part of building. y� [4YEW 7r f�7 3iM cont'd.) BUILDING SPECIFICATIONS.. Kind of construction: Wood frame, fire safe, etc.? . . . . . . . . . . . Will any second-hand lumber be used? . . . . ..t' . 0 - If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . I , . . . . . !�d ✓?? 4':O? _ • �740F . C. . . . . . . . .thickness Depth of foundation walls below grade . , . � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . , . . . Will there be a cellar? . , . . , . t } „$. . . - If so, material of cellar flncsrf rt _ '5-4-,.g Type of roof: Sloped or flat? . . . . . . z l 4 . '�:?'. . . Material of roof , . . !�`. • + er 2 4! Sue, wood studs '? . " x . . . , . . . . . . . , Af . ", spacing . . . . , . . . . , /cc $Io,c., length _ _ , . .• . V-` ft Size, floor beams, I st floor . . , . . . . . . . . " x . . , , . . . . . , spacing . , . . . . . . . . . /6. "o.c_, spun r . . . . - . . . - . " x II ft. Size, floor beams, 2nd floor . . - . . . . . . . �', ". spacing , . . . . _ . . . . . /,F ^o.c., span Size. ceiling beams . . . . . . . . . . spacing - P Site, roof rafters or beams . , . . . . . "a.c., span . . . . ft. . . . . . . . . . . spacing ? o.c., span . . . , . . . . . . '�- .�o ft, Exterior finish . . . . . . . . . . . . . . . . � . ?a. f ^ . - With what material ? /4L,. tL Finish of interior walls . f.'sq !.�, . T t= . . , , J./. cz:7 v,4 ./ . . . . . . . . . . . . . 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 . . . . . . _ . . . . . . . . G:L, C:e-, . . . . . . . . . Oil burner or coal? _ . . . . -. . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? . . . !`!. f° . . . . . . . Depth of chimney foundation below grade . . . 14eight of chimney above roof . . . . . . . ."-" . . . . I , Will there be a fireplace? . . . . . 16" 0 . . . . . . . . . . . . . . . . Depth of fireplace hearth - . • , . . . . . , , . . . , . . . , „ Will a toilet be installed? . : . . . . . se 5 Will a kitchen sink be installed and connected to water supply? . . }'� -. . . . . . . . . . . . . . • . . . . . _ Water suPP1Y (( public water supply or pump) . . . . , . . . . . . . . . . . . . . Distance of cesspool from any private well . . , . . . --~': . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . �3' `, - , • • . • _ _ . , , • • Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to tt hide iof my knowledge and belief the statements contained in this application, together with the,p�,r,lat��ns and specifteatieas sult- mitted, are a true and eu.i, lete statement of all proposed work to be done on the described preouses and that an Provisions the ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed, work shall be complied wits wltetfns specified BUILD- and ed or not and that, such work is authorised by the owner. Sworn to before me this signature . . �[J f//y ,_..-7��day . .. . . . 19 OWhIE.-R/S'A� N7, ARGHI .�TRACTLFR ` 3 of. . . . 11' I. .C...-,..-..+._""�,... . . . . . . �..3- sdy - NOTARY PV BLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: sy ..... . . .... .. . ... .. .. .... .. .. .... . . .... . . . . . - -...... ...... .... ... . TOWN OF QUEENSHURY f G- Q WARREN COUNTY , NEW YdRK 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 : 11 Gross floor area 2 , Type of heat �- 31 Is the building mechanically cooled ? * 4 , Percentage of area of windows and doors 3 /� 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 ? YES NO a . R value of insulation 50 Type of insulation B . Under 16 % Only 1 , R value of roof and floors exposed to ambient conditions . 2 , R value of exterior walls /C / :' Z 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 ) // 90 R value of heated basement / cellar walls ( below grade ) 10 . Type of insulation Co Controls 1 , Thermostat maximum heat setting s 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 F/ " G . For Swimming Pool On .X 1 . Maximum heating Telephone No . ( appl�ricant ' s _ si nature J ....2'r� ` ( 2'/--�- TOWN OF QUFFNSBURY BUILDING & ZONING DEPARTMENT SEV7AGF DISS'POSAL ,PEER—N-►_-IT,rAPPLICATION 1 . Owner ' s Name � /� C ' ,raj/` / / �✓L�" Address YZ) jTelephone 2 . Property location 3 . Name of person or firm responsible for installing system Telephone No . Z Address 4 . Number of bedrooms ( residential buildings only ) 5 . Daily flow gallons/day 6 . Septic tank capacity_ gallons 7 . Topography : flat , rolling , steep % of slope , � � / 8 . Nature of soil and depth c,�AJz>/ i 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? f t . 10 . Percolation test : A - is required B is not required C if required what is the rate minutes/inch ll . 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 / cw ,� - �� signature of applicarft 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 - 62 TOWN OF QUEENSBURY Bnildi'me D*P&rtment = . Rep t Nalfte Fermat Na, er �- - '- `�� rocs Exca aLion - Footing Forms Footing & Piers - F'ounda ti on - Cement Coat - Water roofin - BacXfill Final Survey Framin - Sheathin -- Roof Felt - Roofin - Siding masOnrY Veneer - Rouqrh Plh . - Relief Valves - Wall Board - Bxt . Porches Finished Floor Interior Trim Stairs & Railin s cellar Ar . Tile Concrete Floors - Plbg . Fixtures Gar . Fire roofin Door Closers chi.mne Water Meter Inst . se tic A roval - Floors Insulation Foundation Walls Ceilin Bull REMARKS 9' pector REMARKS THE NEW YORK BOARD OF FIRE UNDERWRITERS r BUREAU OF ELECTRICITY p 41 STATE STREET, ALBANY, NEW YORK 12207 0?5 - CJ '�r Dace ti Application No. on file.3LL�.y 3.f. . 9�r3 pp f 1�'' xl} i"�.' THIS CERTIFIES THAT A 6 ^ 'erI 5 1 0 .} airsly the electrical equipment as described &rlww and in""duced by the applicant marred ors the above application number in the premises of Pro-Graft , Inc . ,, Pheasant Walk , Glens Fatly* New York. Lot~ $2 in thefollowing location, R1 Basement © list FY. ❑ S.ul FYI outside Sectionl2l Black ,�Lat 12 was examined on and found to be in compliance with the requirements of this Board. - DRIiTUMVS ECEPTACIES S►MITCIIES FIXTURES RAN GES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ._ f GCINCANDESCENT FLUONSCENT y AMY. K. W ANT. K. W. AMT. K.W. ANT. K. W. MAT. H. P. 7 . 7 1Li L 2 Fr T � DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL RRC►T TIME CLOCKS SELL UNIT HEATERS MULTIwOUTLET DllyylYrER3 'ANT. C W, OIL H. P. GAS H. P. AMT. NG- A. W. G. AMT, AAAP. AMT. AMPS- TRANS. ANT. H. P. SYSTEMS .ANT.- 1 �� 15 NO. OF FEET WATTS I=r 0 _.. SERVKV DISCONNECT NO. OF fw' 10 E R V 1 C E AMER ANT. AMP. TYPE SOW. 1 „Ef 3W 1 0 3W 3 0 3W 3 p' AW NO. Of CC. cONp_ A, W, G. N4. OF HI-LEG A, w.. G. NO. DF NEUTEAL$ A. W. G. FEE al OF CC. CONp. CIF HI-LEG OF NEUTRAL OTHER APPARATUS: F'C-trtc Room Heat:ers . 3- 2 . 0 C.W. �- SYlxAce Detector 2- 1 . 5 k.w. :5-- 1 . 0 k.w. w- . 75 k.w. INSPECTION FEE P Fro-Graft , Inc * AN= •�"'!� Zenas DrIve 239 -._ Alms Falls , Now York 12801 BRANCH MANAGER F'tr r - COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY Be<xlditj,g Depsrtmcnt mare Repwt Names /Za - G'/tsr.c Date /r/ G.oT Peru wd.+tl�er Rema z-k s ExCat}a t.1 on r Footing Forms _ Foot-in & Piers yZ - Foundation _ Cement Coat Water roofin Back-fill Final Serve _ Framing Shea thi niq Roof Felt - •- Roo€in _ Si _ Masonr Veneer - Rou h PI _ Relse€ Valves Wall Board _ Ext . Porches Finished Floor Interior Trim - Stairs & Raili.n s Cellar Dr . Tile Concrete Floors - Pl . Fixtures Gar . Fire roofin _ Door Closers — - Chimne _ Wester Meter Inst . - Se tic A royal - Floors Insulation Foundat_iDn Walls celling' l " z1d1ng Inspector REMARKS TOWN OF +QUEENSBURY Building Department Lm"N urs Report Date b:L,t Ql;?.S Name Q, C Permit Na. 5'_ Vllewtlzer, Remarxs Excavatzan Foot! Forms Footin & Piers Foundation Cement Coat ,Water roofin Bacxfill Final Surve Framin Sheathin Roof Felt RoofinMSidi Masonr veRou h Pl Reliefval Wall. Board Ext . Porches Finished Floor Interior Trim stairs & Railin s Cellar Dr . Tile ' Concrete Floors PI , Fixtures Gar . Fire roo€in - Door Closers �-- Chimney Water Meter Inst . Septic A ZKEyal Foundation - - Insulation Walls __.. Ceilin -- Bull ing XnspeCtor REMARKS � 1 ram. a►,g tit j LID ro SO 1 f-r- 5f+ TOWN OF +QUEENSSURY Building Department L"Pactows PAwart . Bate S 3 Name 1 .,cAdi ... Z_. T „'mi permit No,* weather R�rr+a Yk:S Exca$sa ti on Footing Forms Footing & Piers Foundation Cement Coat Water roofin BackEi l l Final 5urve � • _ Framing ✓� _. --...- .- .Sheathing Roof Felt Roofing__ _— Siding Masonry Veneer _ Rough Pl hg - Relief Valves _ _ Wa 11, Board Ext . Porches M loorrimailin s. Tileloorstures roofin Door Closers _- _- chimney Water deter Inst , septic ApDroval Floors Foundation Insulation Walls Celli.n Building Snspectar REMARKS