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1985-175 I i CER.TIFIC.ATE OF OCCUPANCY TOWN OF +QUEENSSURY WARREN COUNTY, NEW YORK i f� ue�u5� 00. -85 19 This is to Certify that work requested to be done as shown by Permit No. has been completed. ,�}dLi rfiOlr� -i—u pne-- }�Qm 11� G}Wt� l t Y1Q This structure n v occupied as a �' :� i i C r, n c r E - r^ I..oCYrlgn %l.lY1.' ETk'CC ply,, /rinp*� Owner ct t h i s r+ 3 I i By Order Town Board OrO'WN OF QUEENSBURY f Building & Zoning Inspector I CO Cn T1Vt "lNir F" P'I�IMTING OI EN F 5 nLLS N Y 12001 I91E0793.5456 BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 175 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Wilson Mathias OWNER of property located at Gurney Lane: Street, Road or Ave. in the Town of Olueensbury, To Construct or place a Addition to dwelling at the above location in accordance to application together with plot plans and other information hereto filed and to approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 'O t. OWNER S Address is Gurney Lane RD # 2 Glens Falls , New York r� v} 2. CONTRACTOR or BUI LDE R'S Name Ken Mattson 3. CONTRACTOR or BUILDER 'S Address 64 Blind Rock Road Glens Falls , New York :✓ �s 4. ARCHITECT'S Name (' C-� Sll M 5_ ARCHITECT'S Address B. TYPE of Construction — (Please indicate by X) ( �i Wood Frame { ) Masonry [ ) Steel { I 7. PLANS and Specifioations 121x22 ' per plot plan, specifications and No. application submitted . ! 4 B. Proposed Use F - Mr One-Family dwelling - ( additional living area ) H- 0' ::1 ::% LQ ,5. cap el {I' i rY! 1 cYS W o $ 20 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES December 1 19 85 p 0 {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 daRe.) F" F_A Dated at the Town of Queensbury this 9th Day of �+j1 a-r 192_ cq SIGNED BY _ :�Jj Ory 6 , for the Town of Queensbury Building and Zoning Inspector Cif y TOWN OF QUEENSBURY iSpace inside block to ix' l,iled iu b% WARREN COUNTY, NEW YORK Building lnspt•ct(ir) Application for XI 'I'I " " ""11 No. 1,(,j Full lv: u(ql iQ. BUILDING AND ZONING PERMIT 1' s mil F.spirer . I !7 i!, P13i)tt• DiNtrir l THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale 41 'I "'"` cf1 hV - ` - -- showin( the actual dimensions of the loft to be built I�t l,,:lrkf upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB MITTED WITH THIS APPLICATION, TC>WN O [JI EN zrF ? rtY 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 7 } ' which will be done in accordance with the description, plans and specifi- 141516 cations, and such special conditions as may be indicated on the permit. L The per of this ct rty is: i ,r INA *Fj iP O ADORESSI The son respo�}hsibkG for supervision of the work insofar as the Building Code and the Zoning Ordinance appiv Is: {�i-1 . . . , +,U( pc SG+ #- . . . . . . . f t 1 +tom C (tr. . . . .� . 6 , [NAMAEI tP O ADDRESSI Name of Builder . . .�. . . . . . . . . . . . . . . . . . . . . Address tG'_l . . �CA L.� . . Y` !� !C - . - 1K?t?. .• . - Name of Plumber . . . . . . . . . . . . . . . . . . . Address . . . . _ � -- . . . . . . - - , . . . . . . Name of Mason "--Pk.P'ii. k4 . . . . . . . . . . . . . Address 1,- ll Lot Number , , - . - . . . . . Unit . . . . . . . . I . . . Estimated value of proposed work 3 . . . Name of Village . ,,.,^. . . . . . . . . . . . . . . .f. . - . . . . . . . . . . . . . . . . . . . . . . Name of Street . -6:pc-l!xI�.'s-;;-sN��,�`�� . . 4�s?se` a 7.�. . . . . . - - Side of street: north O , east 0 , south D . west p Nearest Cross Street . .W s✓`r1 • 1 !tL � • •t':`t-? � . . Distance from this cross street . . .0� . . kvN.M.ES - ' Property is north )9, south 0 , east r i , west ❑ from Crass Street If on Corner, which corner, northeast V , northwest © , southeast O , .0nuthwest (Designate by marking with an '•X" in the correct space.i NATURE OF PROPOSED WORK OCCUPANCY © Construction of a new building. Main Byiltling Addition to a building. One-family dwelling Dg. Alteration to a building. Two-family dwelling 11 Q Demolition of a building. . . d I -family apartment house 0 Store building [] -car attached garage Q Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage Q Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage El Private chicken house C7 Private storage building 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. size and setbacks of pro- NORTH posed buildings, and the location of all existing buildings, Show proposer! Wilding(O in dotted line and existing lauilding(s) in solid line. Size of property . . . . . . . . ft. x . . ~? , , ft. Size and use of existing buildings, if any . . . . . . . . . c. # 1") Size of proposed building . . . . . . ft. x . . �L �+- . . . ft. Height (from grade to ridge) . . . . . . . I& . . . . . . . . . . ft. Front yard . . . . . . 4? . . . . . . . . . . . . . . . . . . . . . ft. Side vards . . . Iv. O .. . . . . . . ft. and . .1�5P • • • . ft, Rear yard . . . . . .1 Q . . . . . . . , . . . . . . . . . . . . . . . . ft. s4U7H If on to n +b corner, setback from side street . . . . . . . . . . . f Note : All distances are or, as measured from streetet side dine to nearest part of building. tovsRl 7-73— M (cont'd.y BUILDING SPECIFICATIONS., Kind of construction: 'Wood frame, fire safe, etc,? Will any second-hand lumber be "se- . . . } �-C� . . , . . . if so for what? . . . . . . . . . . .Thickness - . . : , ,�y.,n . - , . �...." + '�' a . . . �, I , . f { . . . . . . . - . - TItlClcness .Zr2' . . . . . . . . . Material of foundation walls . . - 44���` , Continuous foundation? . . . :�- Depth of foundation walls below grade . . . . . . . . Will there be a cellar? . . D . . . . . . . . . If so, material of cellar floor . . . . . Type of roof_ Sloped or flat? Material of roof . . 4� r !�. . . �A? 144;� -f ' . . . . . . . . . . . . . Size, wood studs .zk�. ' + . , `Z. . " x ? '. . -t.Is-q, ' =�- . . ", spacing . . . . . . .t Lip. ."o.c., length . _ . . , . . , . . ft. Size, floor beams, 1st floor . . . . 2 „ x . . . . . . ", spacing . . . . . . . . . . . . . . ..ox., span . . . . . . . . . . . . . . ft. '" Size, floor beams, 2nd floor x . . , . . . . , . . ", spacing . . . . . . . . -v , . . , "o,c., span . . . . Size, ceiling beams '* x . . spacing . . . . . "Ld . . . . "a.c., span . . . . . 7 7, . . _ . . ft. Siate, roof rafters ar beams . . . .t4 . , . . . . . " x . . . . . . . ", spacing . , . . . . . o_c.. span . . . . . . . . . . _ ft. Exterior finish . . , . ! .ems ? . . . . . . . . . . . . . . . . . . • . . . . . With what material ? . r. '� ��'r'j . . . :� f ' ., . . . . Finish of interior walls , , . . . . . . PPorl k:�IV5_r . , , . . . . . . . . , I . . . . . . . . . . . . . . . . . . . - If garage is to be attached, of what materiel is wall between garage and main buijding to be constructed? Is there to be an opening between garage and building? . . . '`` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . tf3G? : . . . . . . . . . . . . Oil burner or coal? . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . Will a flue-tined chimney be provided? i - -sue. . . - . , . - - Depth of chimney foundation below grade . . . Height of chimney above roof . . . . , , . . . . . . . . , . . . . . . Will there be a fireplace? . . . . . } L�. . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . . . . . . E C7 . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . . - . . . . . . . . . - . . . . , . . . . . . . . . . . . . . Water supply (public water supply or pump) . . _ . n ' iL r� • . . . , - . . . . . . . . . . . . . . . . . . . _ . . . . , . . . . . feet Distance of cesspool from any private well . Will drainage system be provided with required traps, cleanouts, and vents? . . . . • • • . . . . . • • • . • AFFIDAVIT Town of Queenshury County of Warren State of New York I *weer that to tt �TMlf my knowJedae and belief the rtatenwols contained in this application, whether with the eu and ape f thetianr LDsub- mitted, area trot and co.. ,�1ese statement of all proposed work to be e n the described premt*e* and that all ions of the BLFILD- whether specified or not, ING CODE, THE ZONING ORDINANCE, and all other laws pertatnt � sed w slta NTaomed �� and that such work is authorized by she owner. KC: Sworn to before me this Signature .. 4b it .. . t7WNER. � NEA'S GE HITEGT, CONTR%4CTC1p dayof. . ._. . . . .. .. . ... . .. . . . . .. . . 119. .. . . .. . . . .. . .. . . NOTARY PUBLIC- 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 -Z & + " - r A 2 . Type of heat oc C� LZA 3 . Is the building mechanically cooled ? % c7 4 . Percentage of area of windows and doors A . Over 16 % Only 1 . U value of gross area of walls , roof / ceiling and floors exposed to ambient conditions , j� 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 ES NO a . If YES , what is the R value of insulation around Perimeter of floor ? e;,` 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls 3 _ R value of glazed area 4 . R value of doors 5 . R value of floors over heated 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 ) 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 . -7 1 � > ( applicant ' s signature ) TOWN OF QUEENSBURY Building Department Inspockwo D s Name Permit Na. _" Wexsth,er 4re77 .�` Remarks Excavation Foo tIng Forms Footin & Piers Foundation Cement Coat Water roofin Backf ill Final Survey Framin Sheathin Roof Fel t Roofin Siding Na sonr Veneer Rough PI Relief Valves Wall Board Ext . ,Porches Finished Floor anterior Trim stairs & Railings Cellar Dr . Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing k . Door Closers azIA chimneyL Water Meter Inst . Se tic Approval Floors Insulation Foundation Walls Cel_Z i.729 Building .£nspector REMARKS iat�cv „c RUfK eutiuu VAL Ll IM yV a� C' Ak C F L11 Vu cip r efSE�� -D2 '? }5.31i, t t '18kt vd{l 1 � Li� � �if� ',} r� • ,� � 1�J15 jr • 8ft�tU � Saar oc t_c�� �� �a� �� �+��us��+ I'ATEUT �f OWAt tir 11EENaT3uL' � ^' �.�1Q'.�tu �tluut4 LEW 1Delt R „ fd �19 5Ac4eni } a � Tq G{ C'FitWIY 7 � c AV � in ; moo° x � Ir Inj �e S faon } ul00 Au y uj � 0 � r . 1 ZVO L 84 - 40w 7A-7 9 TZ era � • opt- 1 f 4G� ff ` r f Fl