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1985-149 CERTIFICATE OF OCCUPANCY : TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK f:`tb Lo S f , , Date I 'F,L, 6 19 �' G T ~ Lf..'5 This is to certify that work requested to he done as shown by Permit No. �� " has been cotnplettd. Ou r�a yw l �� f This structure ma �urpicd asapI. _ti I7w�e ] 3.`nr* ���..L-4 �lJt L 2..4)Cati+Orti X,C1_ [` G' t' ;'Cc?i"'C72" E' r)r lyE� { r' 't T�,t.� , F } ""} 1 T' y_. fc or Owner �� ,� � r^ . T �� z y i [ flfalk By Order Town Board TOWN OF QUEENSBURY r' Building & Zoning Inspector EileCw TlyE -01ry3TM PRINTING, GLENS Y Ix#ni I]101]9 3-}YVS# or BUILDING PERMIT TOWN 4F QUEENSBURY No. 85 - 149 WARREN COUNTY, NEW YORK w PERMISSION is hereby granted to Paul M . Healy OWNER of property located at Lot 95 Sycamore Drive ( St . No 6 ) Street, Road or Ave. � The Pines of Queensbury in the Town of Queensbury, To Construct or place a One—F arn±ly Dwelling td 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. F- �C 1 . OWNER'S Address is 27 Walnut St . Glens Falls , New York 2. CONTRACTOR or BUILDER 'S Name Same O rt 3. CONTRACTOR or BUILDER 'S Address Cl) ttlt rt Same Cn z � O 1) d. ARCHITECT'S Name O Cr+ IK fD C7 ft 5. ARCHITECT'S Address (D B. TYPE of Construction — (Please indicate by X) ( Xi Wood Frame i S Masonry I ) Steel ( 1 7. PLANS and Specifications 4 85 ' x25 ' per plat plan , specifications and tj No, application submitted including two-car attached garage and sewage system . xv B. Proposed Use I- One-Family Dwelling sD $ 5 . 00 C/O Paid $ 178 . 00 PERMIT PEE PAID — THIS PERMIT EXPIRES November 1 19 85 (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 _26th Day of April 1985 SIGNED BY �i a• spect r for the Town of Queensbury Bu 1d'C ng{aand Zoning In TOWN OF QUEENSBURY I. Space inside Mork to lic 1ii11•ci in b. WARREN +COUNTY. NEW YORK Building; fn%pt"orl l•c•'n,„, `I`r Ju No.APRlication for 1 %'Ncc 19 BUILDING AND ZONING PERMIT i', -I !nil Expires /A PT in+ I)i%irirl ♦ ,Ilttc Ohl THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale 11 'I Ir , r. c <l hr showi .g +he actual dimensions of the lot to be built 1< f l„� l yX upon, Tha exact size, and location on the lot of +he building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, Q -- Gr ! 'r{ 2S�/'�S- . . . . _ TOWN OF QUEE�Nf SOURYY�, nary R IE V9 � 1'I F i � 41 A PERMIT MUST BE OBTAINED BEFORE BEGINNING' WORK � S �� 1aF [ � C ANSWER ALL OF THE FOLLOWING. ' �,� �, f' OTM. The undersigned hereby applies for a permit to do the foltowing work A IVI.which will be done in accordance with +he description, plans and specifi- ?18191R*11121 , 1 , 1 $. 1 , 1 , 1 . cations, and such special conditions as may be indicated on the permit. !� n C ,I The owner of this property is; L fN R'�Fl IP o. Auo"dS4 The person responsibiu for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is. . INAMEII - - . IPO ADDRESSY . [�.tdRi7 Name of Builder . . ?"?' . L?IJE ' VOYE7 . ,Chpio s?S . C� - . Address ! Ste . LJr`r4^/ !tt!C . .s.'" 9�k�f: !,f . sy�2ry gi' l A y Name of Plumber . .;"F;0W 7� _ .ez,5'S Address . .0 c+jerdm.+ l4%. 10 + . . . . . . . . . . Name of Mason oe -- . . . . . Address c Lot Number . . Unit , . .— . Estimated value of proposed work $ . . d . . . . . . . . . . . . . . . . . . . Name of Village . . . . . . !"'S'4!a�i ?�!r ,g c.'.2.� . - - . . . . . . . . . . . . . . . . . . . . . . . (� Name of Street `,xQ.. . . . . . . . . . . . . . . . . . . Side of street: north 0 , east Q , south © . west ja Nearest Cross Street . . �^''Qr?�* '?�-. !�'�'} . . . . . . . . . . . . Distance from this cross street . . . Property is north Lam, south © , east )"'A , west ❑ from Cross Street If on Corner, which corner, northeast U , northwest [1 , southeast hzouthwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main B"Ading © Addition to a building. One-family d welling w C3 Alteration to a building. Twcrfamily � 0 Demolition of a building. -family apartment !rouse Store building "Z_ . . . -car attached garage 3E Other; . . . . Accessory Building One-car detached garage Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private chicken house . . . . . . . . . . . . . . 0 Private storage building . , . . Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS, Fill in for new building, or addition to existing building, or a change of occupancy. j Indicate on the plot plan street names, the location and size of the property, the locations, size and setbacks of pro- MDRTH posed buildings, and the location of all existing buildings. proposed buildings) in dotted line and existing ttuilding(s) in solid line. Size of property . . . . . . ft. x . , , . .� 7O . . . ft. 4 Size and use of existing buildings, if any . . . e! /A . . . . . . rgyp y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . dc 1i Size of proposed building Ft.ft. x ��.- ++� ft. Height (from grade to ridge) . . . . . . l.7. . . . . . • . . . . . ft. . . . . . . . . . , 45"/rye Front yard � �? . . . ft. Side yards . . . '45 . . . . . . . . . ft. and A?-. 5. . . ft. $S Rear yard . . . . . . . . . . . . . . . . . . _� . . . . . . . . . ft. SOUTH If on corner, setback from side street . , . . ./''rA. . • • . • • fit. . Note : All distances are net. as measured from street side line to nearest part of building. roveRs 7 -73 -M tcont'd, ) BUILDING SPECIFICATIONS., Kind of construction : Wood frame, fire safe, etc.? . . . . , . �� ' - ti2A I . Willany second-hand lumber be used? . . . . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . sr Material of foundation walls . . . . . r'7�!v?'- � . . . . . . . . . . . . . . . . . . thickness It!© . . . - . . . . . . . . . . . Depth of foundation walls below grade . . . . . . ! . . _ _ . . . _ _ . . Continuous foundation? . 45;47 ' / . . . Will there be a cellar? . . . Y' ? . . . . . . . If so, material of cellar floor . . . , , , �'�o �y�te .�4 . . . . . . . Type of roof: Sloped or flat? +� 4+?l�" [� . - . . . . . Material of roof . . . - . r'y' ?�'!'!`. . . . . . �+R' !,#V d e. e- . . . . . . Size, wood studs . - . . - . . . . . . �^ . . . . . . . . . ^, spacing . . . . . ?� . .. . . _ . ."o.c., length . . . +�5 . . _ . . ft. x . . . - . Size, floor beams, 1st floor . . . . ~'�- x . . . . . . .6P . . . , . ", spacing . . , , . /� +fit► . _ . . . „o.c.. span . . . y. . . . . . . ft_ Size, floor beams, 2nd floor . . . �— . . . . . " x . . . . . . ��. . . . - . ", spacing; . . . . . ?' � . . . . . "o.c., span . . . . . . . . . . . ft. Size, ceiling beams . . . . . . . . . . . . . " x . . . . . . '�� . . . . . . spacing - . . . . . , . "o.c., span - . . . . . . . . ft. Size, roof rafters or beams , . . . . . /. . . . " x . . - - - "S( . . . - . . . ", spacing , - - . - MAY - "o.c., span . X CE?SZR5.$ . . . ft. Exterior finish . . , �`!`� � ` ,/ -'� K -$. . . . . . . . . . . . . . . With what material? Finish of interior walls . . . . . .v`'l#�r� ' �� . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between, Farage and train buitdiing to be constructed? Is there to he an opening between garage and building? , , . , , . ./t! G? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . -/`/'-i°.'.?7— - W!4 ?��-r'V '. . . . . . . . . . . . . . Oil burner or coal? . _ }? /4 - . . . . . . . . . . Will a flue-lined chimney be provided? . . X49N�5- . . . . . , Depth of chimney foundation below grade . . . ,�f-r . . . . . . Height of chimney above roof . . . . . . . . . . �; . . . . . . . . . . . . . . Will there be a fireplace? . . . . . Yam . . . . . . . . . . . . . . Depth of fireplace hearth . . . . ?ctM . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . . . . . . . . . . . . . . . . . . . . Q z - Will a kitchen sink be installed and connected to water supply? . . . . - Y�.S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water suPP1Y (public water supply or pump) . . . . . . , . P4;0 et ( t ,q r. . . . �r,�'!a'e!j4,y'. . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . N. ,. '�^'� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . , . . . . . . , , . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . /✓/'+ . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury A"IDAVIT County of Warren State of New York 1 swear that to te. h.a'fof my knowledge and belief the statements contained in this application, together with the plane and apeeific dons sub- mitted, are a true and on... late statement of all proposed work to be done on the described premises and that a ions of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to +spr 11 be compiled wit wYhether specified or aot, and that such work is authorized by the owner. Sworn to before me this Signature .. . . . .. . . . .. .-. .-- �gWNER, pLVN ER'S AGENT HIF T. CQNTRACTOR day of 14. . . . . NOTARY AUSt_IC, WARREN 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 AI.L of the following : 7 1 , Gross floor area 2 . Type of heat 3 . I-s the building mechanically cooled ?. � 4 , Percentage of area of windows and doors T J4 A . over 16 % Only 1 . Uo 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 of roof and floors exposed to ambient conditions 2 , R value of exterior walls 3 . R value of glazed area 2 4 , R value of doors `_7> 5 , R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab, 41�_ T . R value of slab insulation - heated slab c - 8 , R value of heated basement/ cellar walls ( above grade ) 14` 9 . R value of heated basement /cellar walls ( below grade ) 109 Type of InsulationW CcLLL)yce n C . Controls u 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 i As 2 . Temperature control setting maximum } �+ G . For Swimmin Pool Only 1 . Maximum heating Telephone No , pplicant ' s signs ire ) TOWN OF OUFFNSBURY BUILDING & ZONING DEPARTMENT S"TAGF DISPOSAL PERMIT APPLICATION l . Owner ' s NameAddress c;2 L4/.sg z,,ev C1-4ffN ..s G-ec -z e--S Telephone No . �793 - Se 7a 2 . Property location �107� 46 cYS` FrN S r'F c GJ �?►lS GIr.? ' � 3 . Name of person or firm responsible for installing system Telephone Address ? Gl *�,b�"mac' GCJtsPJd `70e � .lrr?.rl ► G.�1 �i�'.2/•r✓ G s� .n/. Y'. 4 . Number of bedrooms ( residential buildings only) �tris 5 . Daily flow ee gallons/day 6 . Septic tank capacity /49G+ C7 gallons 7 . Topography : flat , rolling , steep % of slope 147..2 .q 7' 80 Nature of soil and depth .S,iJ' Z> y' 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? /V/.• ft . '7^ 10 . Percolation test : A is required B. X is not required C If required what is the rate minutes/inch 11 . Water supply : municipal , well , other o#V4 i1 //GIYEI, 44� 12 . Type of system proposed : drywe11 the field , other s,6�,POEr?7 — �vct� sJ LL 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 . r/ �rd Date 2.3C�!`$y�" � f " signature af app cant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions , including distance from any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . Form 3- 82 THE NEW YORK BOARD OF FIRE UNDERWRITERS � BUREAU OF ELECTRICITY 7an 41 STATE STREET, ALBANY, NEW YORK 12207 February 19 , 1986 4PPlicatiun74'0. on file080446i 8S A 6554027 FIES THAT ical equt pn ent es described below and introduced by the appiica t named on than above application number in the prarninea of Paul M. �aly, Syc ore Dr , Glens Falls , New York in the following location, Basement let Ft. 8nd Fl. Section. Block Lot Outside a 95 was esami.Led on /7 /$ and found to be in compliance with the requirements of this Board. RxTom FIXTUI ES RANGES COOKIMG 'DECKS CfVENS I1ISti WASHERS EXHAUST VAN15 OUTLETS ACLES SWITCHES MICANDESCENT MXXWSCEM I MPAW A T. K. W. A t K. w, AMT. K.W. AMT, K. W. AMT. N. P. DRYERS FURNACE MOTORS MTUM APPLIAMCE RTEpERS SPIPCTAL EEG'IPT TIME CLOCKS I UNIT WANES I IMULTIOUTLET OVAMERS OIL M. P. GAS N. P. AMT. No. A_ W. G. AMT, AMP, AMT. AMPS. TRANS. AMT. H. P. NO OFS�IRET AMT.. WATTS 1 rncr 31fl SERVKN DISCONNECT NCt. Oi S E R Y I C E AMT. AMP. TYPE 1 X 2W 1 X SI1r 3 / SW 3 X IW • 06t CONb. Or CCCOND. ND. of NFLEG CoA.w•LEG Na. or NEUMAIS cW haW. LlTNAL OTHER APPARATUS: 1- GOFOCWTW 1- Smoke Detector tyyy 3i: A"' Electric Heaters : 3- 2 . 0 kw 2- 1 . 5 kw - 2- 1 . 0 kw 3- . 75 Icco R Paul M. 'Healy 27 Walnut Street RRAN cc}}CA- ANAGER Glwna JFalls , New York 12801 Per This certificate myst not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF C'HMENSBURY Buildins- D.iPa:tment ium * s Repcwt Date Name L &A A.. %,c �.Pees�rit Rio. S_ 1'f weather 1A15 JP6c-7- /o Al' R ema rks Exca0pa tson Footing Forms Footing & Piers Foundation Cement Coat Wa ter rooaFi n Backfill Final Survey Framing Sheathing Roof Felt Roofing Masonry veneer Rou h Pl Relief valves Wall Board Ext . Parches Finished Floor Interior Trim stairs & Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fire xoofin Door Closers Chimney Water Meter Inst . Se tic A royal Floors _ Insulation Foundatibu Walls Cell-in 014 Bu'xldiihg rnspector REMARKS a c7 x S — C TOWN OF QUEENSIBURY Building- Department InepmLae�s Rapor! Date„ / r Name I o,cwtio�a� Permit. No. _ W eI Remarks FxcatYa taon F'ootCin Forms Footin & Piers Foundation Celreent Coa t Water rooFin Back€ill Final Surve Frami n Shea thin Roof Felt poofln SI& masanxg veneer Rau h Pl Relic€ Valves Wall Board Ext . Porches Finished Floor Interior Trim stairs & Railin Is Cellar Dr . Tile Concrete Floors P, Fixtures Gar , Fire roafin pc-,or Closers � Chi imne Water Meter Inst . Se tic A rova3 Floors Foundation _ �...� Insulation malls Ceiling �- uil Ing Inspector REMARKS s TOWN OF QUEENSSURY Building Deparrtm*nt ;o�eo�rr Rltar! Date I oea►t ion Parma No. Weather x' 3 �-1 y Remarks pp Excavation Footin Forms FoOtAng & Piers Foundation Cement Coat Water roofin Backfill Final Surve Framin Shea thin Roof Fel t Roofin Sidin 0 mo sonr Veneer Rou h PZ - Relief VeIves (•� • • WaII Board a} `- foAor Last . Porches Finished Floor Lot IIIII rnteri.or Trim Stairs & Ra.ilin Cellar Dr - Tile Concrete Floors proPI Fixtures Gar - Fire roofin Door Closers Chimne Water Meter Inst - Se tic A roval Floors -- Foundation -�- Xnsulation walls Ceilin ng .-1ns1ectcr REMARKS TC3V OF QUEENSSURY sustains Department n to 7 zm*poctw.* xcU 4 & IL Lacwl3oa Weather r Pernwt No. rY Remarks Excavation Footi"n Forms Footin & Piers Foundation Cement Coat Water roofin Backfill Final Survey Framin - sheathin - Roof Fel t Roof-in Siding - Masonr Veneer Rou h PI Relief valves Wald Board 7?xt . Porches Finished Floor -. interior Trim stairs & Railin s ' Cellar Dr . Tile IConcrete Floors - PI . Fixtures � .. Gar . Fire roofin poor Closers _ .. C11_imne - Water Meter Inst . Se tic A Proval ---�-�' Floors Foundations Xnsulation wall $ eilin Build! g Inspector REMARKS ,, A-L. r� To M OF ,QUEENSSURY xWPOCOMM Repowt N , ep '�� '`'� ewe.► paranit No. Remarks Jill III, I I Jill Jill EXCAt 'a t]-on Footing Forms root!n & Piers _r roundation Cement coat Water roofin BaacJcfill pinal Surv$ rrami Sheathin hoof Felt Roofin Sidin /C d Masonr Veneer ,Rau h Pl 4 5 ALE ►/ '� Rel.fef Valves Wall Board sxt . Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors P1 , Fixtures Gar . Fire roofin po,�ar Closers Chimne water Meter Se tic A roval Floors Foundation Insulat-ion Walls Collin Build ng Inspector ,� REMARKS PgA � f �vis� i.13 COO rro .v .510 T0 V'VN OF QtJEENa,. J 13aii tang. Do R Y Name Rap°'t We- ExaatYa tY on J?etgarks 'ootin Farms Pootin & Piers POunda tfon Ceatent Coe t Water roofin Bacfiil P.xna1 starve n .Shea thi Roof Fe1 t Roo,fin Siding 11 Wasonr Veneer Rau h P1 Rell of vat ves ? W42.I1 Board Fart . Porches rn�rhea P,2oor or Zrlm Stairs & Railin s Ce12ar Dr . Tile Concrete Floors P1 Fixtures Car. .Eire roofin Dc o.r C j osers Ch Mne Water, Se t Meter Inst . A roval 1'nsulatiran PI ors nda tian W ll s -- Building Ins Pec fo P. i IroWt4 CIF C EEMSSU$L $uildins rt ent Name LOCS&M IL P No. Remarks Sxcaation Footi.n Foxe Footin & Piers Foundatiwl cement Coat _ " Water roofin - gackfill " Final Serve " Framin - Sheathin _ Roof Felt Roofin _ Siding Masonr Veneer Rou h P valves Wall Boardt . , Porches �- ----- - Finished Floor Interior Trim _ Stairs & Railin s ' Cellar Dr . Tile Concrete Floors PI Fixtures Gar . Fire roofin poor Closers Ch.iaaie Inst . Water Meter tic A roval Se FIDO.�-�-rs " FC>Unda ti on Insulation Walls Ceilin i c3in5 .inspector REMARKS TOWN OF QUEENSBURY Building Dopartment spocbw* Report DateLzo 'L �°rcatioo-. C 'fir Paget No. IF T- - rA/- Cj Weather Remo rJcs Excatia t x on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Ba clkfi l l Final Survey Framin Sheathing_ Roof Felt Roofi.n Siding Masonni Veneer Rou h Pl Relief valves Wall, Board Ext . Porches Finished Floor Znterior Trim Stairs & Railings Cellar FJr . Tile Concrete Floors P-lb90 Fixtures Gar . Fire roofin Door Closers Chimney Water Meter Snst . Se tic Apkxoval Floors xnsula tlon Foundation Walls Ceilin aT 3 ing Inspector RZMARKS 1 17d '- 00"