1985-073 c f r�
CERTIFICATE CJF 0CCTJPANCY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Sure3
vale T U 19
This is to certify that work requested to be done as shown by Permit No.
has been completed. " r`c+M�l' �hA� I I U'n
nc*�
This structure may be occupied as 1aa
Location
O wrner
By Order Tourn Board ,
70VA N OF QUEENSBURY
f Building & Zoning Inspector
t
C R�ST�YC ""fN 3T A" rA�MT1Hf,. RLENLI FA�L3. M T IYaU� l]YiS��f 3-S SS•
BUILDING PERMIT
TOWN OF QUEENSBURY No. _85_ 73
WARREN COUNTY, NEW YORK
c�
su
PERMISSION is herebygranted to , 3
Gary D Bowen -----OWNER of property located at RayLar)d Road— __ Street, Road or Ave.
in the Town of Queensbury, To Construct or place a _ O>nta 1 am ily��sra� f t +g
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 RD # 1 H1Iand Dr ive
Glens Falls , New York
2_ CONTRACTOR or BUI LDERS Name
Same
C
3_ CONTRACTOR or BUILDERS Address W
W
Same Iti
S�
7d
4. ARCHITECT'S Name O
5. ARCHITECTS Address
6. TYPE of Construction — (Please indicate by X) <
( x} Wood Frame I 1 Masonry ( ) Steel ( l
C3
7. PLANS and Specifications 0
72 ' x26 ' per plat plan , spec3 cations and application. ( ,I
No. submitted including two-car attached garage and.
r-
w
8. Proposed Use
One-Family Dwelling
E
N
$ 5 . O4 C/O Paid r-,
$ i22 - OO PERMIT FEE PAID - THIS PERMIT EXPIRES October 1 yg R - �
(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.)
Dated at the Town of Queensbury this-�,28th Day of March 19 85
SIGNED BY for the Town of Oueensbury
Suildingand Zoning Inspector
TOWN OF QUEENSBUR.Y space inside block to lxb filled i„ bs
WARREN CpLIiVTY, NEW YtaRK.
Building; lnsneclorl
\ ,phi ati(m No.
Application for l'<-rmrt 1.,rrM 19
BUILDING AND ZONING PERMIT °, i ,,, ii Fxl-oires Itl .
hV
THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale
showingthe actual dimensions of the lot to be built
n upo . Te exact site, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. ) f
.-7 t ` �ryni TOWN OF QIJEEN5ESUP4`
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
IErgF9VI
ANSWER ALL OF THE FOLLOWING. { ArNE ;; ( .(nt3!Q - �
The undersigned hereby apdance with the description, pans an spec 44
plies for a permit to CIO the following work ( 2-7� P.
in
which will be done accorld ifi- Nf 1yryry1 � x ' 13 5 6
cations, and such special conditions as may be indicated on the permit. '�`` $ � f+s"l 1 =
T e ow�jner of his p perty is, �tsL3 l
� l f` 1. ice. . . v f C RESSk . . . . . .
t5. AUDRESSI
T�e person respon�sibia four supervision of the work insofar as the Building Code and the Zoning Ordinance apply i%_
] y (z .4 . . . i..r', . ! ).b . . . ! . . -� . .JAJri• 'o' hobi�£ss`t `
Name of Builder , . . fJ - Address , . - . . �' � . . . . . ,
Name of Piumber Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Narne of Mason . . . . . . . . . . . . . . . . Address -
. . Estimated value of posed work S
Lot plumber . . . . . . , . . . . . Unit . . . . . . . . . . . . . . . . pro
Name of Village .
�. i.-fs `
Name of Street - . t tT �s?.!•l• 1.-• F`-� �� ` . . . . . . . . Side of street: north , east ❑ , south ❑ . west a
Nearest Crass Street . . . - . . . �. . . . . . . . . Distance from this cross street . . .
Property is north ❑ , south �, east i i , west ❑ from Cross Street
If on Corner, which corner, northeast [3 , northwest 0 , southeast southwest
(Designate by marking with an "X" in the correct space_)
NATURE OF PROPOSED WORK OCCUPANCY
Main Building 051% .Construction of a new building. one-family dwelling
El Addition to a building. Two-family dwelling
fl Alteration to a building. . . . . -family apartment house
ED Demolition of a building. Store building
a. . - . -car attached garage
Other; . . . I . . . . . . . . . . . . . . . . . . . . . .
Accessory Building
(;
One-car detached garage
ID Other work. Describe. . . . . . . . . . . . . . . . Two-car detached garage
Private chicken house
• • . . � - � . . . . " Private storage building
I
Ot her: . . . . , - . . . . . . . . . . . . . . . . . . . . .
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of aecupancY•
Indicate on the plot plan street names. the location and
size of the property, the lacatiotz, site and setbacks of pro
posed buildings, and the location of all existing buildings.
oonTM Show proposed building(s) in dotted line end existing
ttuilding(s) in solid line.
{ L4A
Size of property `Z,00. . . . . . . ft. x . . . �C JCS . . . . ft.
< ►`.1 .4 ! ►.E. . .
aSize and use of existing buildings. if any . .
# ( C Size of proposed building . . -. - . . ft. x ` ' . , ft.
Height (from grade to ridge) . . . . �Front yard A. . . . . . . . . . . . . . ft.
G .? . . . . ft. and . . . _ . . . . ft,
(�OEtYSide yards - . . .
1�►S [ L - t�S � 'RC>� 'c s 1y' Rear yard . - . . . . SIC . . . . . . . . . . . . . . . . . . . . . . ft.
{'�'� If on corner, setback from side street . . - ft. .
SO IJ T M
Note : All distances are nit, as Measured from sired side
line to nearest part of building.
.•} ry3 ;OVER)
(cont'd. )
BUILDING SPECIFICATIONS.,
Kind of construction_ nod fra m fire safe, etc.? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lute r be used? t%.]. C: . . . . . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . .} . ,
Material of foundation walls , [;LL.�KE7e . . . . . . . . . . . . . . . . . . . . .
I`hickness - - -
Depth .f�f� . . . . . . . . . . . . . .
of foundation walls below grade . . . - . . '
�' . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . , . . _ .
Will there be a cellar? . . , ,4 E � , , , . , If so, material of cellar floor . . . C ram? r.J, ''; '
Type of roof: Sloped or flat? . . f . ! 2 . . . . . . . . Material of roof . , . 7Z& ? +w.>.<+s Lic,'!�p. . . . . _ . , .
Size, wood studs _ . . . . . . . .`Z� . . . . . . . . " x . . . L . . _ . . _ . . . . '", spacing . . . . . . 4 .L. . - . . "o.c., length . . . . . . . .� . . . .
Size, floor beams, Ist floor . . . . . - . " x . . . .1, (J . - . , . . . '", spacing . . . . . . .t. . ' o.c., span ft_
Size, floor beams, 2nd floor x . I . . . . . . . . . . . . . ", spacing . . . . . . , . . , . _ _ "o.c., span . . . . . . . . . . . . . . ft.
Size, ceiling beams . . . . . . . . . . . . . . . . . . " x . . . . . . . . . . . . . . . ", spacing, . . . . . . . . "o.c_, span
Site, roof rafters or beatJts . . . . . . . . . . . . " x . . . . . . . . . . . . . . `", spacing . . - . , , . . . _ _ . "n.c., span ft.
Exterior finish . . . . . . -- - - - - - - - - - - - - - - - - - - - - . . . . . . . . . With what material?
Finish of interior walls . . . . .c5hMI~ . . .l�'ac.>C K. . . . . . . . . . . . I . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what materia s l between garage and main building to be constructed?
. . , . . . . N .0 . . .
� . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Is there to be an opening between garage and building? . . . , N .0 . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . , . . . .
Kind of heating system . . . tE ,. i C . . . . . . . . . . . . . . . . . Oil burner or coal? . . , . . . . . . . . . . . , . , , - - - _ . . . . .
Will a flue-lined chimney be provided? . , - N CP144 <w . Depth of chimney foundation below grade . . . _ . . . . . . . . .
Height of chimney above roof. . c . . . . . . . . . . . . . . . . . . . .
Witt there be a fireplace? . . . . . N. . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . .
Will a toilet he installed? . . "AjV1e_.$. . . . . . . . . . . . . . - . . . . I . . - . . . . . . , -
Will a kitchen sink be installed and connected to water supply? . "4et '�. . . . . . . . . . . . . . . . . . .
'Water supply (public water supply or pump) LA 3 L:.4K- . /f. . �4-" ' .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Distance of cesspool from any private well . . . . . . . . t7� A<:- . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . feet
Will drainage system be provided with required traps, cleanauis, and vents? . . . . . .LIM .E: � . . . . . . . . . . . . . . . . . .
Town of Queenshury AF'$"IDAVIT
County of Warren
State of Now York
I swear that to tr. AN.,e r of my know/edge and belief the statements contained in this appliratiors, together With the plans sod specifications attlt-
mitted, are a true and ao., ste statement of all proposed work to be done on the described premises and that all provisions ens the BUILD-
ING CODE, THE ZONING ORDINANCE, and Al other laws pertaiai to a proposed work eha complied with, Whether specified or not,
and that such work is sutboriaed by the owner.
Sworn to before mle in Signature . .
D N ER'S T. ARCH4?ECT. CCFI47RACTC7R
t� .�. . . . .--. .day of. .. . . . I . �.�LF ^-c L1 .. . . . ... . .... . . .. 19. . ( . )
. . . . . .. . .
NOTATtY FUBt-IC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT-.
By .. . . . ... . . . . .... .. . . . ... .. . . .... . . . . .. . .. . . .. .. . . . .. .. ..... . . ... .. . . ... . .. ..... . ...
i'
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 � OOQ
2 . Type of heat R ' C Y
3 . Iv the building mechanically cooled ? 1ti1 7
4 . Percentage of area of wtndo and doors
A . Over 16Bs Only r
on
iU value of gro area of wall , roof /ceiling a floors
/exposed to a Zoo
ant cand3. t-3-on
r
2 , Floor 9c4er heated spa s YES NO
a . Ake foundation ils insulated ? YES NO
1 . if YES , at is the R value
3 . Slab on grader YES NO
a . If YES,,.'' what is the R value of insulation a�rr and
periy" ter of floor ?
4 , Is 14 sement. heated ? Y'9S NO
R value of insulation
5 Type of insulation
Be under 16 % Only
1 . R val pf roof and floors exposed to ambient conditions
2 . R value of exterior wall f f
3 . R value of glazed area `� 2 -
4 . R value of doors 1� 14
5 . R value of floors over unheated spaces
60 R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
Be R value of heated basement/ cellar walls ( above grade ) ram~
9 . R value of heated basement/cellar walls ( below grade )
10 . Type of insulation FeE-�+ �cr"+' �"�
C . Controls oT
1 . Thermostat maximum heat setting �s
D . Duct Systems
10 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 coaling ca r ing agent pipe 1
2 . R value of pipe insulation -u'- 11
F . Service Water Heating_ JJ
1 . Performance efficiency J a
2 . Temperature control setting maximum
G , For Swimming Pool Only _f�--
1 . Maximum heatr�ing
Telephone No . ` ] `f 3 C� 1
( app ant ' signature )
t
TOWN OF C)UEFNSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
1 . Owner ' s Name_ A ' �' C7 W i L. A t.j t� Cfa '1T L.� �+AF' ylS ihJG
Address ,�^c ��► 1 1 G 1Ciki [ V) C
Cn( rE a...l or, "rN L�ls4L, _�f�. Telephone No .
2 . Property location I L lq +�3 [�
3 . Name of person or firm responsible for installinQ system
l ! G v Jac. r�-J Telephone No . �} '3 [ Cam ! c7
Address M
4 . Number of bedrooms ( residential buildings onJ.y)
5 . Daily flow n /? ' _caallons/day
6 . Septic tank capacity gallons
7 . Topography : flat , olling , 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 I required what is the rate minutes/inch
11 . Water supply : munacipa well , then
12 . Type of system proposed : drywell file field other
Any contractor , corporation , individual , etcw 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 . i
Date
signatu a 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
TOWN OFF QUEENSBURY
Building DeParttneut
lospoebwo Rsapoet Date
MintName
Permit No. 'S - '7 Weather
ather
,r' ,,/L+ Remarks.
_ ExcatYa ti can "'
_ Footing Forms
Footi.n & Piers
Foundation
Cement Coat
Water roof-in
Bacxfill _
Final. Serve
Framing
Y Sheathin
Roof Felt
Roofin
Siding
Masonru veneer
Rou h P'I,Ibgo
Re2ief Valves
Wa21 Board
Ext , Porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar Dr . Tile
Concrete Floors -
PI . Fixtures
Gar . Fire roofin
Loose Closers
Chime
Water Meter xnst .
Se tic A royal
Floors _
Foundation _ .
Insulation Walls _.......
Ceilin
Building Inspector
REMARKS
4DO1442 THE NEW YOR.K BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
gyp dT STATE STREET, ALBANY, NEW YCRK 12207 A .�TIt] J�. T �8S Application No. on file 0796622 85 f
Date
THUS CERTIFIES THAT b the aWicant nnanerd an the oboae OPP'I t"O'"'Uaaber in the Fremisew of
only the electrical equsp»nent as described below and introdTAoed Y @JTvi York
Gary Bowen t 1fsvtjsTLd Rosd P gl�.eemsbury ,
® Basement ® lst FT. 0 2" FL.
outside Section Block Lot
in Lhe follo aoing location;
anaa esamLraed oi� �� I �,�3 and found to be in compliancy With the reqg+i�Pvementa of this Board,
P.
AMT. K.w.
p1CTURE RXTURE5
RAN[iES COOKING DECKS Q 5 DISH WASHERS EXHAUST FANS
ACLES SWITCHES MCANGESCEW FL_���NT Y AMT. K. W. AMY. K.W. AMT. K-W. AMT. M`
camas + 1
25 46 23 2 3 Z
SPECIAL REV" TIME CLOCk5 FELL UNIT HEATERS �LTI-QUT�T CMIMA�EE+
FUTURE APPLIANCE PEEPERS SYSTEMS AMT.- WATTS
[1RYERS FURNACE MpTCfRS TRANS. AMT. K• P. ND,iDF FEET
AMY- K.W. OIL N. P. OAS
M. P. AM� AMT. AMP. AMT. MAPS
Ho
I C E
SERVICE DISCONNECT No. OF w W. G. No. OF P�E+x7RALs of faESfTRAL
METER AW "or GF CC. CGNb. OF CC CtG7N6. NO. OF }141EG GF HI-LEG
AM7. AMP. TYPE 1pLNP. 7 X XW 1 X �' S JP S\v S.A' PER !1
1 00 i 4 /0 i 2 �3
OTHER APPARATUS:
i smoke Detector
Elec . Reeters : 3- 2 . 0 3- 1 . 0kFa ;
EdWard LaGoy 239
Trout La►cs +ROad BRANCH MANAGER
BoltL�xl ,LSTldlug , New 5torU 12814 �
- Per
_.
COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED-IN,ANY MA'NNE ,
Towt4 OF QUEEt4iSSURY
$uildiat Department
des Ropo t Date
Location
Nam
Pe: nit NNa _ '? W eatlaer
Remarks
Sxca�ation
Foot%n Forms
Footi lG Piers
Foundation
Cement Coat
Water roofin
Backfi] i
Final Surve
illilir Will
Frasni
Sheath.in
Roof Felt
goofin
sidin
Masonr veneer
ltou h PI
Belief Valves.
Wall Board
Bart . Poarches
Finished Floor
2rster . or Trim
Stairs & Railin s
Cellar Dr • Tile
,Concrete Floor's
Pl Fixtures
Car . Fire roofin
Door Closers
Chx�e Snst .
Water Meter
Se tic A royal
Foundation
Insulation Walls
Ceilin
Lj
ld3nJ TnsPectOr
REMARKS
nntT*%�
TOWN OF QUEENSSURY
Sualdias Department
Zarpoe w* Report Date
Naaee '
Lraca
Per+oait No,.. 'Weather
Remarks
Excao,at ' on
Footin Forms
Footing & Piers
Foundation
Cement Coat
Water roofin
Ba clkfill
Final Surve
Framxnff
Sheathin
Roof Felt
Roofin
Siding
masonry Veneer
Rou h Pl
Relief Valves
Wall Board
Tsxt . Porches
Finished Floor
interior Trim
Stairs & Railin s
Cellar Dr . Tile
Concrete Floors
Pl Fixtures
Gar . Fire roofin
Door closers
Chimne
Water Meter inst .
Se tic A roval
Floors
Foundation
Snsulat3on ,Malls
Ceiling
Bul in nspector
ZZ EMARKS
TOWN OF QUEENSBURY
Building Department
lnopecUws Report Date 73 AZ
Name �
Pert No._ 5" 7 Weather
Remarks
Sxca%)a ti on
Footin Forms
Footin & Piers
Foundation
Cement Coat
Water roofin
HackfIll
Final.. Surve
,Framin
Sheathing
]goof Fel It
ROofin
siding
Masonr Veneer
Rou h P1h -
Relief Valves °
Wall, Hoard
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar Dr , Tile �
Concrete Floors
111111111111111
Pl T , Fixtures
Gar . Fire roofin
Door Closers
Chimnae
Water Meter 2nst ,
se tic A roval
Floors �-
Foundation
Fnsulation Walls
Ceilin
Bsailding nspector
REMARKS
i
i
i
i
TOWN OF COJEENSBURY
suIldifts aewrxmment
'noPeckw* n
mane
Location
Wanther
Remarks
ExCajYa is on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Water roofin
Ba ckfill
Final Survey
Framing
. Sheathing
Roof Felt
Roo-fin
Si d.ing
Nasonrg Veneer
Rough Pl
Relief Valves
Wall .Board
Ext . Porches
Finished Floor
Interior Trim
Stairs & Rallin s
Cellar Dx . Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers `
chimney
Water Meter Ins t .
Septic Approval
Floors `
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS