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1985-396 I t CERTIFICATE OF OCCUPANCY I TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK i 2n I9� to i This is to certify that work requested to be done as shown by Permit No. ` has been. completed. �� 'C.111Yrc� This structure may s occupied ui� a One�� �mi 1 L7w 1 1 inc Ella 1 Location Lot 51g Vi13o a oac? c7t . not I. +E `Phe Fines of Oueo sk ury c har ]_ Fs and D4ar%v ,7a x owner By Order Town Board -TOWN OF QUEENSBURY Building & Zoning I tar I , C RS^TIYC "IM¢TA •MM TING. OL GNS iAI1LL5. M T 12801 13 10179 asaae CERTIFICATE ATE +CIF OCCUPANCY TOWN OF +QUEENSSURY WARREN COUNTY, NEW YORK Date I t:, u : r — 19 z ca This is to certify that work requested to be done as shown by Pet it No. has been completed. This srn+_cnirc may be occupied as a t - 1" i.]- • `v Is 1 _ in 7 .+.+stlott i.C' t Jc` i W 1 LU1t' 1'.i)i.l: r' �. i.: �. 1.^^ � �{: L( ' Fine ,- C11. (lL1iE?17 ' 1}'L° 1 Owner r# . SJr1 r P L Yf� 1:'l� .5 L : - 1 �' L- . ... F' By Order 1awtY Board , i ._ - . � rtia.. e'. 1. i ,�� i !�..i ( : . TO%" OF QUEENSBVRY Building & Zoning Inspector C RCATIVC "'4MS7A'" FR.MTIMO. OL EMB FAElM M Y IXOOI IS IR)sn.S*S* BUILDING PERMIT TOWN OF QUEENSBURY No. 8 5- 3 9 6 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Charles and Mary Jacox OWNER of property located at Lot 58 Willow Road ( 5t . No . 15 ) Street, Road or Ave. h The Pines of Queensbury u in the Town of Ousensbury. To Construct or place a clne-rarnlly Dwellinct F� at the above location in accordance to application together with plot plans and other information hereto filed and m approved and in compliance with the Town of Queensbury Building and .Zoning Ordinance. � w 1 . OWNER"S Address is CL 123 Hunter St . Glens Falls , New York l-C 2. CONTRACTOR or 8UI LDER 'S Name G Pliney Tucker w 0 x 3. CONTRACTOR orBUILDEB"SA'VTaaDiVision Road EGlens Falls , New York. 4. ARCHITECT'S Name �r o (D rl" pC) U1 1+' ca 5_ ARCHITECT'S Address i--' 0 F" HY o K=Y 6. TYPE of Construction — (Please indicate by X) @ !e (D (v I �} Wood Frame I I Masonry ( 1 Steel I ) �j Q' rn o [n 7. PLANS and Specifications kS rt No. 461x661 per plot plan , specifications and application z submitted including two-car attached garage and sewage 0 8. Proposed Use F� Al One-Family Dwelling $ 5 . 04 C/O Paid ,o $ 143 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Feb _ 1 I I f a looger period is required an application for an extension musk be made to the Building and Zoning inspector of the ft] town of Queensbu ry before the axpi ration date.) Y- Dated at the Town of Queensbury this 2 9th Day of July 19 85 +C lj SIGNED BY for the Town of Queensbury � Building and Zoning Inspector 1. F� F� N- LQ TOWN OF QUEENSBURY (Space inside block to lx• filic-d in be WARREN COUNTY* NEW YORK Building; lnzp "or) Apptioll No. Application for P r,`,I `,t l..�ttvd 19 BUILDING AND ZONING PERMIT 1t4 .1-1116 r:.ltireti 117 fi �nnl� I )+stricl THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale s#sowin the actual dimensions of the tot to be built upon, The exact size, and location on the lot of the . . . . . . . budding to be erected or altered MUST BE SUB. MITTED WITH THIS APPLICATION. e t ? 1) Townl ops= JEE[�rQasrauR 1 once Fs E II A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK JUL ANSWER ALL OF THE FOLLOWING. A.M: / �� � ��r �7/}p M. The undersigned hereby applies for a permit to do the following work I $ 3 4 6 6 wftich will be done in accordance with the description, plans and specifi- 71819�:e + 1 • 1 . 1 • } • 1 6 cations, and such spacial conditions as may be indicated on the permit. ea fly r ,.c �,01-0 The owner of this property is. I �: . . .:�a... arf, .0001 '''.• r/, r . �4 ' W Cs .k . / 2 .� . _.OV 'nr : 'e z .r-. �i Cu/� vs. ^.►J/s- . +t! y . !.�.Srr �. INA'1C1 (9 O. ADDAESSI The ,person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: i3 . t r z• _ y 1✓t 5 ✓a rJ jea ;w/!s . T./. ✓. ,N'. ��-Y' '. .�. ....r-',�� .'F'' . - .�:-•: - :x' . ?: .� - .'�'- �? (P a ,s C]bF7ESsl . - - . '�.''. :�''. ''�...�'.e^• 1� (NAME) r r !° s -crt, � ,r Address . . . Name of Builder . . . . .. . . . . . . . . . Y . . . - , . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber - . . . . . . . . . . . . . . . . . . . Address . . . . . . . . - . - . - . . . . . . . . . . . . - )! Name of Mason . . . /. .c ' '� y . /� -G r- �--. . - - . . . Address Lot Number "� -. r - Unit . - . . . . . . Estimated value of proposed work S Nameof Village . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . - - . . . . . . . . . . . . . . . . . . . . . - - . . . . . - Name of Street . . . . . .t' *-!. ! . L/� <' *-. �' . . . . . . . . . . . . . . Side of street: north 0 . east D . south 18) . west 0 Nearest Grass Street o .. d✓ - . . Distance from this cross street . . . . . . . . . . . . . . . . . . . Ft , Property* is north south © t east L i t west © from Cross Street If on iCorner, which corner, northeast 0 , northwest 0 , southeast lam . southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Building Addition to a building. One-family dwelling Alteration to a building. Two family dwelling F1 [� Demolition of a building. family apartment house Store budding - - I Z. . . -car attached garage Other: . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage n 0 Other work. Describe: . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private storage building Other: - - - - - - e . 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 location, size and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing ttuilding(s) in solid line. Size of property . . .': . dd ` .. . . . . . ft. x . . , . /, ./�" . . ft. Size and use of existing buildings. if any . . . . . . . . . . dc # 11 Size of proposed building . . . . ` !r . . ft. x .�.4% . . . . ft_ Height (from grade to ridge) . . . . . . . !: A. . . . . _ . . . . . ft. Front yard . . . . . . _ . . . . . . . .1✓"T-G it. Side wards ft. and . . . �?�' . . . . . . . . ft, Rear yard . . . . . . . . . . ' . , . . . . ft. SOUTH If to corner, setback from side street . . , . . . . . . . . . . . . ft, e - Note : nearest rdistances part are nee, as I+asesurrd Pram street side line to rtearrsl pars of building. (OVER) 7 �73 �m (cont'd. y BUILDING SPECIFICAtTIONS,, Kind of construction : Wood frame, fire safe, etc.? . . . . . . . . : . . . . . �'. . . . .. . �'' r Will any second-hand lumber be rued? . . . . . . 16-'. G'. . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . . . . +' c +c . S . . . - - , . . . . Thickness , , , 4V Depth of foundation walls below grade . - , - . . . . ..` !`' . . • • Continuous foundation? . . . . _ Will there be a cellar? :c • S. • - - If so, material of cellar floor . . C-.c.F .t1 .0 Y. .-- .. . . . . . . . . . . . . Type of roof: Sloped or flat? . . . a. /.o F'. 4�'-.� . . Material of roof . . , ,�Li . c .ra?y lxmr,� . . . . . _ _ _ Size, wood studs . , - . . . . . . . . , . . . . . . ' x . . . . . . �,. . . . . . - , spacing . . . . . . s' �. . . ."'o.c., length . . .. ": . . ft. Size, floor beams, 1st floor . . . . . . , . . . " x . . _ . . . !: t•. . . . _ . ", spacing . . . . . . .:-. c• . , , , '"o,c„ apart , ! . ! , . . ft. Size, floor beams, 2nd floor . . . . . . . . . x /. . ?? . . . . ", spacing . . . . . ,.% . .4,. . . . "o.c., span . x 4% . . . e . 2 . . ft. Size, ceiling beams �, ���,� x . . . . . . . . . . . . . . ", spacing . . . . . . _ _ _ `.o.c., span . . . . . . . . . . . . . . ft. Size, roof rafters or beams . . . . . , . . . . . . " x . , , . , • . . . . . . . . *% spacing . . . Z ,,0�' . . . . "ra.c., span ft. Exterior finish . , , L—4 mrra .yJ.A'mm. . . >m . 94C,+ ,+r *;5r; . . . . . . . . . . With what material ? . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . y,7�? . s^.}yI. 4..3. rtr. /'l. . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . m . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? ri � or/ - , . . . . _ . . . _ _ _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is t ere to be an opening between garage and building? . . . . . . . . AA me?. . m m m m m m . m m m m . . . . . mm . m . . . . . . . . . Kind of heating system . . . . , . 5r mrorK .':S. . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . _ . . . . . . . . . . . . . . . . . . . . . . . _ . Will a flue-lined chimney be provided? . . .ev_ 0: . ,5'. , , _ _ Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof . . . . . . ..2. . ,if5r' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a Fireplace? . . . . . . . . AJ G . . . . . . . . . . , . Depth of fireplace hearth _ , . . _ . . . Will a toilet be installed? . . , . . . . . - /. *e . ez:;'. . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . Will a kitchen sink be installed and connected to water supply? . . . . . 1t. S . . . . . . . . . . . . . . . u . . . . . . . , . . . , , . _ . . . . . Water supply (public water supply or pump) . . . . . `4xc a . .e z . ,Fca.-s 7a -` . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . , . . . Distance of cesspool From any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . r . .&:m". ;"S. . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of .New York I swear that to um; jj►e',j iof my knowledge and belief the statements contained in this application, te$etlrer with the plans and specifications sub- mitted, are a true and w." lete statement of all proposed work to be done on the deeexibed premises and that all pro G of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other lows pertaining to the proposed work shall be complied whh whether her speeWmad or rot, and that such work is authorized by the owner. Sworn to before me this Signature �J - x"tt~. • Y"'rl. . ... .. . ... . V O NCR MtLZ , AgCMIFECT. CONn4iki 0 . . . . . . . . . . day of. . .. .: +taC .. f. . I9 �"r"►'�. NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT,. By .... .. . ... .. . ... .... . . .. .... .... . . . _ ._ ....... . . ------- TOWN OF C)UFENSBURY BUILDING & ZONING DEPARTMENT SETS?AGF DISPOSAL PERMIT APPLICATION l . Owner ' s Name Address ,i.a Telephone No . 2 . Property location A �=31" �, .� / ! o - i •' .f� c Cx'�.r � ,�".. ,6�,, . 3 . Name of person or firm responsible for installing system Telephone No . Address r , t3 + rn �r ►—r. x f/ fi�� .4�. q� 4 . Number of bedrooms ( residential buildings only ) 5� s . Daily flow. 1/r 5 C> gallons/day 6 . Septic tank capacity ./ G" r'p-P 70 Topography : flat , rolling , steep of slope r/OA.1 1 8 . Nature of soil and depth S AL3zZ 90 if ground water , bedrock or impervious material is apparent at what depth does it begin? ft . 10 . Percolation test : A _ is required g" - is not required C If required what is the rate minutes/ inch e ll . Water supply : municipal , well , other. r�Sc_a •• c .. f .+x !`-T � - 12 . Type of system proposed : drywell , the 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 . Dates sig fur of a g icant 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 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 : C 1 . Gross floor area h 2 . Type of heatt-1�C��� 3 . Is the building mechanically cooled ? `L 4 . Percentage of area of windows and doors � 4 4 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 �j- 2 . R value of exterior walls 3 . R value of glazed area 2 w 4 . R value of doors S . R value of floors over unheated spaces £a . R value of slab edge insulation - unheated slab T 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 L.,_, i2 Lc--ed ,. - k��_o..-•c�� c�zc�1 C . Controls -ct- 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 1L} 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 c3 1 . Performance efficiency ��� � ( y 2 . Temperature control setting maximum r4t [ja G . For Swimming Pool Only 1 . Maximum heating r Telephone No . `/ .C,O .cr ( Idpplicant s signature ) TOWN OF QLUEENSBURY `JIPLt • Building- Department Inspecu" Report Date I p Name Location r $rjj- Permit No. liz 5 -- 3 4 G, Weather ExcatYa ti on Footin r Farms Foot!n 6 Piers Foundation Cement Coat Water roofin Backfill Final .Surve Frandn sheathin Roof Felt Roafin / Siding Masonr veneer . Rou h PI Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fire rvofin Door Closers Chirnne Water Meter Inst _ Se. tic A royal Floors Foundation Insulation Walls ceilin i F f; B it 'ng Inspector REMARKS �/� THE NEW PORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY �� 85 JOHN STREET, NEW YORK, NEW YORK 1003a Date .TdriL�c"L 1 16 r 1986 Appliention No. on fife CTi?�f�213�33� N 7 2 19 THIS CERTIFIES THAT only th.x electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Charles & IMary J acox a Willow 1-3oxd , Queemsbu y, New fork in thefollowing location; 1A Basement lst Fi. ❑ 2nd Fl. outside Section Block Lot 53 was examined on 1"" 33 85 andfound to be in compliance with the requirements of this Board. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS YNCANDESCENT FLUORESCENT VA AMT. K. W. AMT. K. W. AMT. K.W, AMT. K. W. AMT. H. P. r DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PTJ TIME CLOCKS EAU UNIT HEATERS MULTI-OUTLET DIMMERS AMT_ K, W, OIL M. P. GAS *I- P. AMT. NO. A, W. G. AMT_ AMP. AMT, AMPS- TRANS. AMT_ H, P_ SYSTEMS AMT WAITS NO, OF FEET 1 HC T # 3.0 SERVICE DISCONNECT NO. OF E)TS E R V 1 C E AMT. AMP, TYPE METER 1 0 2W 1 A' 3W 3 0 3W 3 X 4W NO. OF CC. COND, A. W. G. µG, OF HI IEG A_ W. G NO. PF NEUTRALS A- W, G. EQUIP. PER .e' OF CC. COND. OF HI-LEG OF NEUTRAL 1 200 C/Is 1 X 1 4/0 1 2/0 OTHER APPARATUS- w 1 SlYJ}Cf' 1t. c for 3A • P f I w. w. Chr-arlLes & nary Jac 123 Thmt:or St )aet Glens Fall. s r New York 12101, OENEIG4L MANwciiR Per This certificate must 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. T!'3WN OF QUEENSSLIRY Building- Darastment hwwocLws IN P L, Remarks ExcaQat on Footin Forms Food. Piers FO ndation Cement coat Water roofin Bacicfil2 1Pina2 Surve graiei.n S,}seathin Roof Felt Roofi Siding Masorxr Veneer Rou h Jill Relief Valves Wall Board rxt . Porches Finished F l oor Interior Trim ,Stairs & Rs� le s Cellar Dr Concrete Floors Pl . Fixtures Gar . Fire roofin Door Closers chimne rest . Water Meter se tic A acoval Floors Foundation �— Insulation Walls Ceili ding Inspector n REMARKS k TOWN OF C EENSBURY 8niidins. Department ice• �,, DDim Nana r-f- Fea�srit No. Weatbes ,Remarks Excava t2 on Foot in Forms ,Foot in & Piers FOUndation Cement Coat Water roof-in Baakfill Final survey Framin ,Sheathin Roof Fe It Roo, Sidi Masonr 7 veneer Rou h PI a e Relief valves Wall Board Ext . Porches Fini hed Floor Int & r.$or Tr W Stairs & Railin s Cellar Dr . Tile Concrete Floors Pill re Fixtures Gar * Fire roo in f Door Closers chimne Water Meter Inst . Septic A roval Floors Foundation �- Insulat!on Walls � �- Ceiliny_ Bui. Ing Snspector REMARKS TOWN CIF QUEENSSURY Building- Departmeut b, PAWOrt or= Name T 44< lz� � I 00w= cm WELC-POW Permit No. 4 3A 4r" W+erther Remar)CS J"s'xcat7a Lion root! Forts Footing A Piers Foundation Cement Coat Water roofin Vackfill Final ,carve Fraati Shenthin ,Roof Felt Roofi. Sidin Masonr Veneer Roca h pI Relief Valves Wa13 Board Ext . porches Fi rai shed Floor Interior Trim 3tsirs & Railin Ce31ar Dr . Tile Concrete Floors pl Fixtures Gar . Fire roof-in Door Closers Chimne water Meter Inst . Se tic A royal Floors - ----- Foundation �.. �... Insulation Wails Ceiling �..._ � ...� �. znspe ctor Building REMARKS ! r (P6 _ �� L� r'" �r fi�i�2 TOWN OF +QUEENSBURY BuRdins- Daps►rtment Inspectars Repcwt Date Loca6uo 44-11 Permit Nob 3 e G We lher Remarks ExcatYa tzon Footing Forms rooting , & Piers Foundation Cement Coat Water roofin I3acicfill Final Surv{e Franangr sheathing Roof Felt Roofin Siding Masonry Veneer Rough plbgw Rell of Valves Wall i3oard Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Chime Water Meter Inst . Septic AEproval Floors Insulation Foundation _. ilin Builc7i g I spector REMARKS too c.7 !tg, Iry 7 Pq C)o f*70Wa 0 ;Len3l�GG ' OUEENSBURY TOWN OFFICE BUILDING rz:" BAY AT HAVILAND ROAD QUEENSBURY , NEW YORK , 12801 TELEPHONE: (518) 792-5832 January 7 , 1986 45,! . " ry CSC Ad i RE : Jacox , Charles and Mary � F"P Lot 58 Willow Road , Street No . 15 The Pines of Queensbury TO WHOM 1T MAY CONCERN , There is a door in this house that opens from the "sun-room'" to the rear yard of the house . 'There are temporary steps that lead to the ground , that do not conform to Building Code . New, conforming steps are planned as soon as weather permits . This door will not be used until conforming stairs are built . I accept responsibility for any personal injury that might arise from their use before such time . .. Home owner r Date 1 ,J SETTLED 1763 . . HOME OF NATURAL BEAk1TY . . . A GOOD PLACE TO LIVE