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1985-311 � s CERTIFICATE I.FICA.TE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date 19 11 , , � E � requested This is to certify thatwork �uested to be done su shc►w N n by Permit o. F S - 3 1 has been completed. cey This structure may be occupied ArvvveI1 :LncT I PL Location i:c�t � F anf 7 usan Flace ( � al. l. e3 Sul zvi i [�r ) Vd ,7 T Y L WL C3aTr ir3ncl Cm r �-: Y arE i s Owner I By Order Town Board TrOW*N OF QUEENSBUR.Y Building & zoning Inspector I I CRCw TIYC ''INST w" r♦lVNTINfs. GLSNS Fi4LL3. N 1' 12f01 V313�i433 V1s■ _ _ . ._._ { BUILDING PERMIT TOWN OF QUEENSBURY No. R5- 11 WARREN COUNTY, NEW YORK PEf;MISSION is hereby granted to David OWNER of property located a _ Lots E and 7 Susan Place Street. Road or Ave. ( Dallek Subd±xrlsion ) H, in the Town of Queensbury, To Construct or place a t1r3 at the above location in accordance to application together with plot plans and other information hereto filed and fu approved and in compliance with the Town of Q.ueensbury Building and Zoning Ordinance. C'] F2. CONTRACTOFI ER'SAddressis 137 Day Street Apt . 1 Glens Falls , Flew York � �C CA or BUI LDEWS Name f'I 44 Same N 3_ CONTRACTOR or BUILDER'S Address Same ti a rr A_ ARCHITECT'S Name W i� 5. ARCHITECT'S Address 1 fi. TYPE of Construction — (Please indicate by X) r� ( x} Wood Frame I ? Masonry ( I Steel I } 03 G.+ 0 ram. PLANS and Specifications (D 9 ' xla2 ' per plot plan , specifications and application N� submitted including two-car attached garage and sewage s stem . Proposed Use Onc-Family Dwelling 0 7 * r $ 5 _ 00 C/o Paid $ 220o OO PERMIT FEE PAID - THIS PERMIT EXPIRES Januaryy� IIf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the W- town of Oueensbury before the expiration date.) F-+ 'C Dated at the Town of C lueensbury this 2 5 th Day of June 19 5 E sir c C2 . ,� e SIGNED BY a. for the Town of Queensbury � Building and Zoning Inspector �7 UQ TOWN OF QUEENS►BURY L inside block tar be lilled ill b% WARREN tC,DIiNTY. NEW YORK Builtiinl; Cnsparet>'r} tit,. Application for •cl Ig BUILDING AND ZONING PERMIT c THREE ( 3 ) Copies of a PLOT PLAN, Brawn to scale "owingthe actual dimensions of +he lot to be built upon. Te exec+ size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, -RIO N C1F OU�{EE£ SEWRY IT MUST BE OBTAINED BEFORE BE A PERM GINNING WORK �J ANSWER ALL OF THE FOLLOWING. I', '_'� ea +C The undersigned hereby applies for a permit to do the following work �j �+ M- which will be dons in accordance with the description, plans and specifi- I�$y �yyi;r�yl1213 1516 cations, and such special conditions as may be indicated on the permit, 1 `7'"�"7 The qwner oft is properly is: AeV AQ M ^0011FIESS1 I J The r n respo�]sibie or supervision o the work insofar as the BtszIding Code and the Zoning Ordinance apply is: Z tot . . - ' APO DRES } ,MAM�E} I Name of Builder . - 'L' Address F I I Name of Plumber . - Address t Name of Mason - �.tlr �I�. � - Addres. �c _. . JIM Lot Number . 4(0- 4•. . . Millis . Estimated value of proposed work S !e j. �'� • . . . . . Name of 'Villa Su� �l�r Na foe 5 yry / -^ XWWA�street: north C1 , east D . south ❑ . west Nearest Cross Street . . . " S this ^Toss street . . . . . . . Property is north ❑ , south ❑ . east ,a�,f est ❑ from Cross Street If on Corner, which corner, northeast �T i , northwest 11 , southeast Ci . sc,utlhwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main BuStding Construction of a new building. One-family dwelling Q Addition to a building. Two-farnifv dwelling 0 Q Alteration to a building. - - - I . -family apartment house Q Q Demolition of a building. Store building 0 - . 42, . . . . -car attached garage 01her: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building . . . . . . I . . . . . . One-ear detached garage Fj 0 Other work. Describe. . . . . . . . . . , Two-car detached garage . . . . . . . . . . . . . . . . . . . . . . . . . Private chicken house . . . . . . Private storage building 71 0ther: . . . . d . . . . . . . . . . . . . . . . . . . . . . . . . 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. site and setbacks of pro- posed buildings. and the location of all existing buildings. MORTM Show proposed building(s) in dotted line and existing huilding(s) in solid line. Size of property . . . ft. x ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . Fd . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . , . . # La Size of proposed building . . . . . . . . . . ft. x . . . , . . . . . . ft. Height (from grade to ridge) . . . • . . . . . . . . . . . . . . . . . ft. Front yard . . . . . . . . . . £t. Side yards . . . . . . . . . . . . . . . ft. and . - I . . . . . , . . . . . . ft. Rear yard ft. so U It H If on corner, setback from side street . . . . . . . . . . . . . . - ft. !Vote : All distawces are net, as measured from street side line to nearest part of building. fovaRt 7�7 3 « t.M - (cont'd.) BUILDING SPECIFICATIONS„ Kind of construction. Wood frame, fire safe, etc.? . .\4%%J'Po0ID. . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? l . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . . .L . Thickness Depth of foundation wails below de . . - . - . . . . . . . . . . , - Conti trxous foundation? , . . . Will there be a cellar? . . . . `-� vh If so, material of cellar floor . . .6 �7,G L , Type of roof: Sloped or flat? . . .4?l? !=Y?. . . . . Material of roof. `�_ ti? !? } r A. . . _ . . . . . . . . i . . . . . . . . . - Size, wood studs . . . . . . . , . . . . . " x . . . . . . `�. . . . . . . . ", spacing . . . . . . .1 L? . . "o.c. length . ., ft. Size, floor beams, Ist floor . . . . . 2 " x . - , . . . �. +� . . . . . , spacing acin . ~o.c.,, s 1 l� . - n . . . . . P g pa . . . . ... � . • . . ft. Size, floor beams, 2nd floor . � .��! " x . . . . . . . . . . . . . . spacing . - . . . . _ . . . . . "o�c., span . , _ � . . . . . . . . , ft. Size, ceiling beams . . . . . . . . . . � C. IVZ 'S �l ' rs� -�, spacing . . . . , , � iy t� .,o.c span . . . . . . . OPP C/ ' i ft. Size, roof rafters or beams . . . . _ . . . . , . . x . . . . . . . . . . . . . . . spacing . . . . . . . . . . . . . . "o.c., span , . _ . . . . . , . . . . ft. Exterior finish . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . With what material ? - - -\+117. .�t? . . . . . . . Finish of interior walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If ,garage is to he attached, o.,Lwhat material is wall between ara a and main building to be constructed? . . . . . . . . . . . . . . . . . . . . . . . . . . . ` . . .'�''Z c„'� L. . . `�+?'s � '` i Is there to be an opening between garagre and building? . . .` .t�so . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . '� . . . . . Yt 1 . . . . . . . . . . . . Oil burner or coal ? . . . . . . . . . . . . . . . . . . f . . . . . . . . Will a flue-lined chimney be provided? -"�� . . . . . . . � F. Depth of chimney foundation below grade . . ,S , . -% . . . . . . . Height of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r . . . . . . . . . . . . . . . . , . Will there be a fireplace? . . . ' l-'ram' . . . . . . . . . . . . . Depth of fireplace hearth . . . . �� �` . . . . . . . . , . . . . . . . . _ . Will a toilet be installed? . ' t ln' ' i . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water sup l ? . . e54 . . . . . . . . . . . . . . . . . . . . , . . _ . . . . . . . . . . Water supply (Public water supply or pump) . . . . . - . . . . . . . . i' . . . . . . . . . . . . . Distance of cesspool from any private well . P . I . . . . . . . . . . . . . . . . . . . .�. . . . . . . . . . . . . . . . . , . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . ] . : . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt jit. fof my knowJedae and belief the statements contained in this application, together with the plats and specifications sub- mitted, are a true and ou.,, fete statement of all proposed work to be clone on the desert pramtses and that wA I of the BUILD- ING CODE, THE ZONIN ORDINANCE, and all other laws partaining fgthe pno w shall be oomlilied with, hetheerr specified or swt, and that such work is authorized by the owner. �t'/'''/�s/Z"�+�'// Sworn to before me this Signsture ow R. NER'S AGENT, ARCNFI'ECT. CONTRACTOR . . . . . . . . day of. . . . . . . . .. .. .... . . . .. . .4 ... . . _. . . .__. . . . .. . 19 . . . NOTPARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT-. l3y .... .. . ... .. . ...... . . . .. .... . . .. . . . . . .. .. . . ...... . . .... . . . ... . . . .. ... . .. . ...... . . . ... .. .. . ... .. . ...... 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 2 . Type of heat. 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors / Z 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 eosed to ambient conditions 2 . R value of exterioz walls_ 1C � 1 --- 3 . R value of glazed area 4 . R value of doors_ � � 5 . R value of floors over unheated 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 v 1m performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating � - LrJ7 Telephone No . �J ( applicant ' s ' gnature ) TOWN OF OUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGg. DISPOSAL PERMIT APPLICATION t 1 . owner Is Name Address_ L , , A2 f� QC� -, 0k G '4 JOIF ,,f �T/elephone No .7/, f.? 5 %pvb 63CeL S� 2 . Pr erty locationr '•s Q /'7G' �`dl�o ]�- , 3 . Name of person or firm responsible for installing system Telephone No . Address 4 . Number of bedrooms ( residential buildings only ) 5 . Daily flow d�S�C.� gallons/day 6 . Septic tank capacity. /', ©C� gallons T . Topography : flat rolling , steep % of slope Be Nature of soil and depth 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? 'Offs / c: 4, ft . 10 . Percolation test : A is required B ' . --- Is not required C If required what is the rate /9 —.5' minutes/inch 11 . Water supply : municipal well other 12 . Type of system proposed : dryweil , file fd other 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 . Date slg4liaturlvo pp scant 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 s THE NEW YORK 'BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY I` 41 STATE STREET. ALBANY. NEW YORK 12207 vAte June 27 , 19$6 Applications .vo. orl file 486421.85 A 6 6 3 3 7 4 THIS CERTIFIES THAT ,Vacation nunsber in the premieeecifc only the electrical equipsrserst as deecribed below and in trodtseyd by the applicant rue+rsed on the aboae a Gay & Davis Jarvis , Susan Place ► Queensburys New York OUtside Section 48 Block 3 Got rnirle o in thejn d on lucatiorsi Beleement let ,FT. ❑ 'T andfouInd to be in compliance with the requirements of this Board. was esam 5 r,13 /g6 RXTURES RANGES COOKIHO DECKS OVENS CHSH WASHERS EXHAUST YAMS MXTWIE ,ACUIS SWITCHES wrAT. E_W. Wt. Ic. w. AMT. t.w_ AwIT. K. w. AMT. H. ►. ot"WS INCA.- ---M rLUt}RE'SCEM 22 62 28 22 DRYERS FURNACE MOTORS FUTURE AITl1ANCE PBMIR klGlllt REC'►"T TIME CLOCKS 71RRL UNIT HEATERS AWLTI�OUTIET d11YIMIYERS SYSTEMS AMr. wATTs AMT. K. W. Oli H. R GAS H. ►. AMT. ND. A. W. G. AMT. AMP. AMT. AMrS- TRANS. AMT. H. ►. NO, t7F HE'T 1 er 31"' . 1 C E -SERVKM DISCONNECT NO-OF E it HO. Or NEUTRAIS METER NO. Oi CC. CONo. A. W. G. NO. Gf HI-wa A W. ' a' OF NEUTRAL AMT. AMP. TYPE �jw, 1 X 3W I X 3W 3 X 3W 3041,4w rm" JF Or CC. 1 :OHM Or ell-LEG ], 200 CB 1 x 1 410 1 2 /0 _ OT"02 Al7ARATM 1- GFCI EE 1- Smoke Detecto'rr Gay & David .Jarvis 137 Bay Street Spt 1 L� BRANCH MANAGER Glens Falls , New York 12801 ' , Per 4 This certificate mast not be altered in any mannerr return to the office of the board if incorrect. Inspectors may be ide»tifLed by t r credentials. COPY FOR BU! 1...[DING DEPARTMENT. JWS COPY OF CERTIFICATE MUST NOT SE ALTERED IN ANY MANNER. u ;OWN 4F CWEENSBURY guildin� UeP&st%nent sae. �,�C.dtwo � wcs+ra.e�r p,eree,it No. Remarks ExcaJatson Footin Forms n & Piers Footi Foundation Cement Coat Water roofin Sackf.ill Final. Survey Framin Sheathin Roof Felt b �� Roof.in Siding veneer Masonr ,Rou h PI Relief valves ,,all Board Ext , Porches F ini shed Floor t" Interior Trim ` l "n s Stairs # Ra Cellar Dr , Tile Tile Concrete F pl Fixtures Pax . Fire roofin voor. Closers Chi.mne Tnst , water Meter se tic A roval Floors Found Insulation Walls Ceilin Building Inspector REMARKS �.* TOWN OF QUEENSBURY BuO z ins' Department �pa.te. � � 25�' • $� b Jill, 6 r f N.m+C ..i �'b1ipei W+e�t3ser Pit No. dl 4C " Remarks Excaoatson Fo[xtin Forms Footin & Piers Foundation Cement Coat water roofin Backfili Final Surve Fraa�i n Sheathin Roof Fez t Roof.i.n S.i.ding Masanr veneer �. Rou h PI Relief valves wall Board sxt . Porches Finished Floor Interior Trim Stairs Rail n 5 Cellar Dr - le co,n,crete Floors P, . Fixtures Gar . Fire rpofin Door closers Chimne 11 Water Meter Inst . Se tic A r0val. F200r5 FC[�ldP Insulation walls �-- -� � Ceiliri9 Building Inspector REMARKS TOWN OF QUEENSBURY Bunaiva' Departlo,"t Na►wtw*a Peed Nrr. Remarks ExcaQatlon Footin Forms Footin & Piers Foundation Cement Coat Water roofin IIIIIIIIII fill 00 Final Survey Framin Sheathin Roof Felt Roofiri Siding Masonr Veneer Rou h PI Relief valves Wall Board Ext , Porches Finished Floor interior Trim Stairs & RaT 16 s Cein llar Dr . Concrete Floors PI Fixtures Gar . Fire =.00fin Door Closers Chimne Water Meter Inst . Se tic A royal Foundation »_---- aCnsulation Walls Ceili ter,.- fi! c for Bui ding InsPe REMApKS TOWN 4F C EENSBURY Bnalding, DeVartment Date - Name i.AP=Mon y 0, Pa'm t No. 5-— Revorks ExcaVat an Footin Fara+s Foati Piers Foundation Cearewnt Coat Water roofin Backf111 p'1na1 SurVe Fram.in SnsathIn Roof Felt Roofln Siding Masons veneer Rou h Pl Relief valves Wall Board "t . Porches Finished Floor Interior Trim stairs A Bailin s Cellar Dr . Tile Concrete Floors pjbCr, Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst . Septic A royal Floors poaiinda t ion Insulation walls Celli -ti t la u dingy gnspeatar REMARKS TOWN OF QUEENSBURY Buildius pepsrtm+ent I� Date% : L��" Id Nam" I'Lid, It L°'cal ion PlIp W,cathesr p No. Remarks z1xca1L'ra t-.on Foot.i.n Forms Footin & Piers Foundation Cement Coat IY+b Ra Water roofin [ LL Baakfill Final Surve Framl Sheathin Roof Felt Roofin Siding masonr Veneer Rou h Pl Relief Valves Wall Board Ext , Porches Finished Floor Interior Trim stairs & Rabin IS Cellar Dr . Tile Concrete Floors pl rm Fixtures car , Fire roofin Doer Closers Chimne Water Meter Inst . Se tic py roval Floors_ , Found titan —� Insulation Walls Cel .?in Building .insPector REMARKS a TOWN OF QUEENSSURY Building- Department r. rmftuw*om R"xwt Dace Nwane , �- P N0. r Weaather Remarks Exca0at on Footing Forms Footing & Piers Foundation Cement Coat Water mofin Baokfill Final Surve Framing sheathin Roof Felt Roofin Siding Masorlry Veneer Roucrh Pi Relief valves Wall .Beard Ext . Porches Finished Floor InterJ.or Trim stairs & Railings Cellar Dr . Tile Concrete Floors Pllbg . Fixtures Gar . Fireproofing_ Door Closers Chimne Water Meter Xnst . Septic Approval Floors Foundation Xnsulation _......_ Walls Ceiling Buw-ldlbg Xnspector REM"KS , c.,6►Z� �lTly �r2M s m& L a w 0i A S z-+i3 '�`�7v2[i N�► L�{ CCC7�q '',t� /'� X? 1 �'[OAri�'`