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1985-193 .I " CERTIFICAL"TE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK nth 13 B[n •yam] Date r-: , 19 This is to ccrtifyr that work requested to be done as shown by Permit No. has been completed. _ M 11l This structure may be o lLIACd� 4 a fj Location JLLI l0.. ro. Owner x r By Order Town Board TrOW'N OF QUEENSBURY Pi Building b Zoning Inspector r G I�En T�VE "1MSTw"' FRONTING. GLEMS FALLS M Y Ira01 IS ISYT33SESb , . BUILDING PERMIT TOWN 4F +QUEEN5BURY No. 85- 193 WARREN COUNTY, NEW YORK v sv PERMISSION is hereby granted to -Tulsa M . Haag rl", Cu OWNER of property located at Lot 33 Gilmore Ave . ( St . Now 7 ) Street, Road or Ave. in the Town of Queensbury, To Construct or place a One-F aMlly Dwelling t 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 . OWNEWS Address is 2234 Newberry St . Williamsport , PA 17701 2. CONTRACTOR or BUILDERS Name Richard M . Haag 3_ CONTRACTOR or BUILDERS Address 18 Sunset Drive p Glens Falls , New York rn r+ � w 4_ ARCHITECT'S Name W D N• N S. ARCHITECT'S Address i rDg fD fD 6. TYPE of Construction — (Please indicate by M C (D 1K ) Wood Frame ) Masonry i ) steel S S 7. PLANS and Specifications No. 69 ' x28 ' per plot plan , specifications and application submitted . c 8_ Proposed Use N 1 ftl One-Palnily Dwelling 9 $ 5 . 0 0 C/O Paid $122 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES December 1 1985 � (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) H I.... Dated at the Town of Queensbury this 14 th Day of May 19 85 `Q SIGNED BY _ � for the Town of Queensbury Building and Zoning inspector r -7 �v TOWN OF QUEENSBURY (Space inside block to be filled it, br V1/ARREf+i GClL3ftii'1•Y. NEW PORK Building InKpector) llas h(joie.,, *No. Application for f.s•, ,,, ,, bNxwd 19 BUILDING AND ZONING PERMIT ", EX1';res ��+�^�'' 19 THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale showinyy the actual dimensions of the lot to 6e 6uilt upon. The exact sire, and location on the lot of the building to 6e erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, Tb Nit aF QUEENSBURY 7 , I I I /�O/y - f, - . 6�'i� 14" 0 A 'PERMIT MUST BE OBTAINED BEFORE BEGINNING 'WORK MAY I di - '0 � 'e r/ ANSWER ALL OF THE FOLLOWING. n 1 P.M. The undersigned hereby applies for a permit to do the following work ■}r1A$f� �1�2� �� �� � � � which will be done in accordance with the description, plans and specifi- + cations, and such special conditions as may be indicated on the permit. C /0 The owner of is props is: .5 . (NA- :F) {P o. ADDRESS} .� . The person respo siN • for W pervision of the work insofar as the l3ksildi�r g/Code and the Zoning Ordinance apply is: I frs�Al' /B �5'�.rtts�7� i••� t'ZW*4014 �ItSy a+ ,f�/,. (z8cs/. _ 4 ". .�E , y',1 . .. - - Ipo AQORESS} / r '" ii' . . /�!•. .!TT�r�A Addressrr�//?E ! s !9ttJ . . . - - . Name of Builder . + l r r r Name of Plumber 004 . . . ' . . Uc Address rr ee -�/ Name of Mason . . . . . . . . Address - Lot Number . . . . Um . . . . . . proposed 5. . . . . . . Estimated value of work S . . Name of Village . .C /trl, .el+S.Afl ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . GXr//1fd7r '4°. ''!'rE� . - . . . . . . . • . Side of street: north �I , east C3 , south ❑ . west �, S' � J�rC. . . . . . . . . . . . . . . . . Distance from this wross street . . . . Nearest Cross Street - . . . Property is north U1. south l� : east i i . we5t 0 from Cross Street If on Corner, which corner, northeast [3 , northwest ❑ , southeast � . southwest (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 JX L� Addition to a building. Two-family dwelling rD © Alteration to a building. , . . . . -Family apartment house M I] Demolition of a building. Store building Ej too. . -car attached garage E4 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 building, or addition to existing building, or a change of occupancy. Indicate on the plot plan strreet names, the location and size of the property, the lomdon, size and setbacks of pro- posed buildings, and the location of all existing buildings, NORTH Show proposed building(it) in dotted line and existing C 7'[" irP l;uilding(s) in solid line. / Sine of property . . I . '#� . . . . . . ft. x . . .I "Q . . , . ft. Size and use of existing buildings. if any . . a to "' Size of proposed building . " : : ° . . . ft. x . ►' ' Height (from grade to ridge) A . . . 16 ft. Front yard . . . . . . 0 ft- EFront yards - /.4, . . . . . ft. and 1S . . . . . ft. Jq,� Rear yard . . . . . . . . .# " . . . . . . . . . . SOUTH ft. / W ••�� ig r H � If on corner, setback from side street .N. .4 . . . . . . ft. Note: All distances are net, as measured from street side fine to nearest part of building. COVER, 7 -73 -M BUILDING SPE.CIFICATIONS4 Kind of construction: Wood frame, fire safe, etc.? - . . . . . 4.�.°C ^® . . /�+!+e '. , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber he used? WO. . . . . . If so, for what? . , ... . . . . . . . . . . . Material of foundation walls Z"! . ThicknessQ. Depth of foundation walls below rade . . . . . . . . P Conynuous foundation? . , c",_ . . . Will there be a eeilar? . . . . �,��" I so, material of cellar floor k!W4 Age , l" . . . . ,�� � Type of roof: Sloped or flat? �"�' , . aterial of roof . . . tfS if%t++ ',r�?S Size, wood studs . . . . . . . . . . . . " x , . . spacing . . . . . f - . . . , . "o.c., length u . . . g'� ft. Size, floor beams, Ist floor . . � . . . . . " x . . . . �. . . . . . . . ", spacing . . . . , l�? . - . . . , "o.c_, span . . /' r ` . . . . . . ft_ Size, floor beams. 2nd floor .ft . , . . " x . . , . ", spacing . . . . "O.c., span . . . �/r ft. Size, ceilingbeams . . . . . . . . ca - - . . . . . " x . . - . . . . . . . . spacing /4) . . 7` � . . . . . - ft_ P g "o.c., span e+ Site, roof rafters or beams � . . . . . . " x - - - ", spacing . - - - .ld* . . . . . - "o c , span . ��. . _ . . . _ ft_ Exterior finish . . . . . . .Jj !%�! - - . , . . . - With what material? - - . , IA% *;!o�. , . . . Finish of interior walls . . . . .�1 '�y' . . �'A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' . . . If garage is to be attachetL of what ma�te,� I is wall be een g��arrp�ge and n uiJidin to be constructed? tfo�?`r. .+'iGSCi e'!V/;i. ?.�! . . !`. - -C`�h?4� . . . .� iZL"4 . . . . . . . . . . . . . . . . . . . . . . . . u . . - Isthereto be an opening between � and building? . . _ . . . A� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . 4 . . . s' �t . . . . . . . . . . . . . . . . . . . Oil burner or coal ? . . . . . . . . . . . . . . Will aflue-lined chimney be provided? 5• - . • • Depth of chimney foundation below grade . . . _ IK . . _ . . . . . . Height of chimney above roof, . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ Will there be a fireplace? . . . . . . r'5 . . . . . . . . . . . . . . Depth of fireplace hearth - - . , . lc4 �'� . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . Z"f. . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed an connected to water upply? . x°5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply ( public water supply or pump) �y4�V . . - . , . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . Distance of cesspool from any private well . . . . . . . .Ao . . . . . . . . . . . . . . • • • • , , . , , feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . i5r''s°' S . - . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of New York I Swear that to tr, pia rof my know,tedge and belief the statements omtsined in this application, together with the plate and spe WwAtkms pub- mitred. are a true and co." fete statement of all proposed work to be done on the described pretmaes and that an Provisionsof the BUILD- and CODE, THE ZONING ORDINANCE, and all other Laws pertaining to the proposed work shall be complied wi tt] wltl specified B or L- and that such work is authorized by the owner. Sworn to before me this Signature . . . . . . . . . . - OWNER• OWNER'S AGENT, AACWTECT, CONTRACTOR dayof. .. . . .. . . ... .. .. . . . ... . . . .. . . . . . . ... . . ... . . .. 19. . . .. . 340TARY PUBLIC. WAF41MEN 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 : 1 . Gross floor area r!A5�� 2 . Type of heat e�6epe0erC 3 . I-s the building mechanically cooled ? / f5 4 . Percentage of area of windows and doors A . over 16 % Only 1 . U value of gross area of walls , roof/ ceiling nd floors o exposed to bient conditions 2 . Floor over heated s ces YES NO a . Are. foundation wa s insu ed ? YESNO 1 . If YES , what is a value ? 3 . Slab on grade YES NO a . If YES , what is e R valu of insulation around perimeter of oor ? 4 . Is basement ated ? YES No a . R valu of insulation 5 . Type o insulation B . under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. 2 . R value of exterior walls c' ff-- 3 . R value of glazed area rf_,l 4 . R value of doors 5 , R value of floors over unheated spaces, . 6 . R value of slab edge insulation - unheated slab /Vr¢ 7 . R value of slab insulation - heated slab �� 8 . R value of heated basement/ cellar walls ( above grade ) loeo.5 9 . R value of heated basemen//t /cellar walls ( below grade ) w s 10 . Type of insulation fe' Cd ° d` Co Controls a 1 . Thermostat maximum heat setting. 75 D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES 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 Only 1 . Maximum heating -� Telephone No . r' __ ` ' ( applicant ' s signs re ) c U r !bc TOWN OF OUEENSBURY BUILDING & ZONING DEPARTMENT SEV+IAGF DISPOSAL PERMIT APPLICAATION 1 . Owner ' s Name c .C' Address /c4" L ^ *Aa /1/.;�'� d' cif Telephone No . 2 . property location ZpZ ;e33 �e5J#W4er oe owl4ee 3 . Name of person or firm responsible for installing system � �/� Telephone No . Address 4 . Number of bedrooms ( residential buildings only ) J 5 . Daily flow gallons/day 6 . Septic tank capacity /(9E1U 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? 10o percolation test : A is recuired B x is not required C� It required what is the rate minutes/inch 11 . Water supply : municipal , well. , other^�;PA 12 . Type of system proposed : drywell , the field , other alz 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 QueensburySanitary Sewage Ordinance . Date signature o lieant 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 OF QU EENSBU RY Building Department buWactors Repert Date Name f2 IL A G- - i.e�eatsan Permit No.. eels f 7 j Weather Remarks Excay,Ya t on Footin Farms Footin !G Pi ers Foundation Cement Coat �illlWaterproofing 8ackfl l l Final Surve Framing Sheathing Roof Felt Roofing Siding Masonry veneer Rough PI Relief valves ~' Wall BoarMrr . Ext . Porc FinishedFlom .-' Stairs & s Cellar D Concrete Floors Pl Fixtures Gar . Fire roafin Door Closers chimney Water Meter Inst . Se tic A royal - Floors Founda tide Insulation Walls -- • eilin _._.._.... Bui di Inspector REMARKS S 5 v r THE NEW YORK BOARD OF FIRE UNDERWRITERS r n BUREAU QF ELECTRICITY-� April 2 , 1986 41 STATE STREET, ALBANY, NEIT19 1 11307 ti Date Application No. on fete DtfL�U ! A 657740 THIS CERTIFIES THAT only the electrical equipment eel described below and Ifttrudueed by the applicant named on the alraue application number in the prernimm of Richard M . Haag , Gilmore Avenue , Queensbury . New York Lot 33 in thefollowinB locat m � let Fl. ❑ and Flo ent Outsides i4.f`%11r� section 77 Black ,Gat 1 . 20 was examined on andfound" to be in compliance with the requirements of this Board. IS Ft%TU" FIXTURES RANLiES COOKING DECKS I OVENS I NSH WASHERS EXHAUST FANS OUTLETS IPTACLES SYVRCMS IPICAPIORSCRM FLUORESCENTI 14AW I 23 46 31 22 1 3 F'R. x DRYERS FURNACE MOTORS P SPECIM ERUPT TIME CLO"S EMU UNIFT NEATENS MMTI-*UiLET INIMMERS AMT. K. W. OIL H. P. OAS H. P. T, NO. G. AMT. AMP. AMT, AMPS. TRANS• AMT, H. P. NO. OF PERT roms AMT. WATTS 1Wryer 0 1 2# 10 SER yrKE MC S E It i C E ANT. AMP. TTPE Eit 1 X ZW I ! Ar 3w E Ar 3W 31 4W I P10. W*CGNb. cW CC. C&D. NO. 8F HldlG W'� NG. OF NEUTRALS CIF F. G. 1 200 CB 1 x 1 4/0 1 2 /0 OTHER APPARATUS: 1 - Smoke Detector Electric Heaters * 3- 2 . 0 kw 1- G . F . C . I . 2— 1 . 5 kw - 1 . 0 kw 2- , 75 kw .. +j 1 - . 5 'kw 01 Richard M . Haag 239 " 18 'Sunset Drive BRANCH MANAGER / Glens Fells , Now York 12801 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors moy be identified by their credentiak. COPY FOR BUILDING 'DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY Building Department inapectmm get Date to,f—�-� Name Locwtian 1 f -AAA Pcrm��ryryit//��No._._ . � ` 3 W esthe�r IGrI�+ " ��/T+r_�r► M7 Remy rJcs Excac�ation Foot in Forms Footin & Piers Foundation cement coat water roofin Ba ckfi.l l Final Surve Fraiain Sheathin Roof Fel t Roo fin Siding Masonr veneer Rou Relief Valves wall Board Elft . Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr , Tile Concrete Floors P FII, Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Ins t . Se tic A royal Floors Foundation Insulation Walls _ - ceilinsr � - -- Build ng Inspector �^ FIE/MARKS �" Y1..Q � 1 'lJ �-- � r" "1R%' L.- G-�� t � Fry' �✓JC'LrLLr �"r TOWN OF QUEENSBU RY Building Department Ions Report, A A- <; DateName �u Location 7 Pe unit No. 51_s - i ri ------------------- Remarks ExcatYa t on -------------- Footing Forms Footing 6 Piers Foundation Cement Cost Water roofin Baclrf'.i3i Final Surve Framing Sheathing Roof Felt RoofInIg SidlEg Masonry veneer Rough Pl f Relief valves Wall Board Ext , Porches Finished Floor Interior Trim Stairs & Railiri s Cellar Dr . Tile Concrete Floors P122go Fixtures Gar . Fireproofing Door Closers CwMne Water Meter Inst . SeptIc.ApPrOwwral Floors Insulation Foundation _ APalis Ceili Building Inspector REMARKS LpaR Sofcr p1 Er't3 aow.r srs as taIV R Ff1246 PlAeE j Ero*RANeE NALc . ,jy, - OW 7 NIS r3FF40%,e ROCA fwr6- u N7/e. +eAr+a.r i� t 00"e W P 6, 31+1,5P TOWN OF QUEENSSU RY Building Department Ldpectars Repast Date 2 .•� ion Permit Now ��!� � Weather Remarks $]CCa4'r8 t s on Footin Forms 1 Foot & Piers Foundation Cement Coat Water roofin Backfi 11 i Final Surve Frami-n Shea thin ,Roof Felt Roofi.n f Siding Masonr veneer nou h Pl Relief valves Wall Board Ext , Porches Finished Floor Interior Txim Stairs & Railin s Cellar Dr . Tile Concrete Floors pl To Fixtures Gar . Fire raofin Door Closers Chimne Water Meter Inst . Septic A roval it �• Floors Foundation _......� Insulation walls Ceiliri Bux2dzng Inspector REMARKS TOWN OF QUEENSBURY Bnild:as- Depart,mant i la, reehaer► Date 471ALAWAAM ' Permit No. R 5 - 1 �? W+arlLrar _ pReM&Xlcs I ErLaunda t onn Formsn 6 Pierstion t Coat Water ,roofin ,19acJtfi l l Final Survey Fraav i Sheathing Roof Felt 11 Roofing Siding Masonry Veneer RoulPh Pl Relief Valves Wall Board Sxt . Porches Finished Fxoor Interior Stairs & Bailin s Cellar Dr . Tile Concrete Floors P3 Fixtures Gar , Fire roofi.n Door Closers ClUmne Water Meter Inst . Se tic A royal " Floors Foundation Insulation Walls eilin Du Id - 9 Inspector REMARKS TOWN OF +QUEENSBURY Building DePartrment I� eclo�rrs Report Name 14A- 4--6- Card fgtl2anotwl Ave, Pt No. __ Remarks sxca�ra ti on -5 - Footing Forms Footing& Piers _ Foundation Cement Coat A90211 _ Waterproofing _ Baakfas.I _ Final Survey Framing } sheathing _ Roof Felt _ Pooffingr _ Si din Masonry Veneer Rough Pl Relief Valves Wall Board - sxt . Porches N _ Finished Floor Interior 'rim _ Stairs & Railings Cellar Dx . Tile Concrete Floors PlP2 , Fi xt UZ-es Gar . Fire roofin Door Closers Chimney Water Meter Inst . Septic Approval Floors Insulation Foundation Walls "Ceilin .Building Inspector REMAIRKS TOWN OF Q►UEENSBURY Building Department larpackwo Rapmt D4%te_ Name A /T L mmt&m Co 7- o-rr � oz, Pernaidt Na S -- Weather Remarks Excavation Footing Forms Footing 6 Piers Foundation Cement Coat water roo€in Ba cx€ill Final Survey Framing Sheathing Roof Felt Roofin SIdIpg Masonz-51 Veneer Rougrh Plb . Relief valves wall. Board Ext , Parches Finished Floor Interior Trim Stairs 6 Railings Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar, Fi re z'nofi n poor closers Chimney— —. Water Meter Instw se tic Approval Fl ooxs Insulation Foundation walls Cei l i n Buds ng Ins ctor REMARKS TOWN OF QUEENSBURY Building Department hmpoebwe Report Date _ C ? Za S Name .T i l �a ct I.oca ion Permit Na. es 3^ — f ter, 3 weather �-. o s TW�k t f Remarks ExcatYa ti.on Footin Farms Footing & Piers -- Foundation Cement Coat Water roofin Backfill Final .Surve Framin Shea thi.n Roof Felt Roofin Siding Masonry Veneer Rough Plbg Relief Valves Wall, Board Fxt . Porches Finished Floa-r ' Snterior Trim stairs & Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar , Fire roofin Door Closers Chimney Water Meter Snst _ Se tic A royal _ Flnor� Xnsulat.ion Foundation Wall s _ Ceiling Buildings Inspector REMARKS I ,ovl .tea ,off' .6� Wd