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85-483
i I Ii fib► k i I CERTIFICATE OF OCCUPANCY 4 TOWN OF QUEENSSURY WARREN COUNTY, NEW YQRK ebb �S�J Eoatc E`T { ; .r 19 n This is to certify that work requested to he done as shown by Permit Na. I has been completed, � This structure may be occupied as a R e t did 7 1- r WQ-[ is E'ar �k s �i_r-? Es 7'c7t�� c `� __ � � 'fit , r.rrt� P' rartr �•� ^ n.-�c: Location Betty .Tame 9<-Wter OVM" By Order Town Board vrOWN OF QUEENSBURY / / F 07 Building & Zoning Inspector I CREATIVE '9NSTA PN{NTING OLEN% FALLS N Y 12001 1] ISIT]]-S♦'Jt . . _. ....-. _ - . . . ._ ... .. _ ..__ _. _ _ _ _... .. . .... ... .. .. .. ..... .. . .. .. .. . . BUILDING PERMIT A TOWN OF QU EENSBURY No. 8 5- 4s 3 WARREN COUNTY, NEW YORK ` PERMISSION is hereby granted to Betty Jane Baxter bU ~ 1�m a � Route 9 500 ft. , north r OWNER of property located at Street, Road or Ave_ � rt Mont-ray Road in the Town of Queensbury, To Construct or place a gn-FA it fitore r.l 131 at the above location in accordance to application together with plot plans and other information hereto filed and W approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. CD W 1 . OWNER'S Address is West Fort Ann, New 'York X x rf- m 2. CONTRACTOR or BUILDER'S Name Jahn Hughes 3. CONTRACTOR or BUILDER'S Address 375 Bay Road Glens Falls , New York 4. ARCHITECT'S Name 0 rt (D S. ARCHITECT'S Address B. TYPE of Construction — (Please indicate by M (X) wood Frame ( } Masonry I ) steel ( ) (D tt w 7. PLANS and Specifications MODULAR BUILDING F-� No. 25rx621 per plot plan , specifications and application W suhmitteda including septic system. . o �t 8. Proposed Use (D Re to ±l Store $ 5 . 00 C/o Paid $ 120 ' 00 PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 tgB 6 I1f a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Ousensbury before the expiration date,) Dated at the Town of Queensbury this 2 9 th ❑ay of August 19 85 SIGNED BY �Ct,.ez 4e for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY # :'ipacc inside block tt► lxk fillcti i,t b} WARREN COUNTY, NEW YORK Building In*povctot'I Application for pi4h( alien No. i*a emir IN.Sm4l iR BUILDING AND ZONING PERMIT I'r.l',rri, r.arires Iff 7!a �nin�� 13;+trirl THREE 131 Copies of a PLOT PLAN, Drawn to seal* showin the actual dimensions of the lot to be built Kr'+rr.I , IKS upon, Th9 exact size, and location on the tat of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 6 rF _. I _ I 3 . t . . 'V./r -/. . . . "TOWN OP QUEENSBURY nAii A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 15 u IE " V `"' ANSWER ALL OF THE FOLLOWING. +�U � } The undersigned hereby applies for a permit to do the following work J r fd which will be done in accordance with the description, plans and specifi. ►A.M-/ cations, and such special conditions as may be indicated on the permit. 7181911" ?l 1 1 5 ' The owner of this property is:. .7, T. i. . ... r9 ay.0 . . . ,G7�7 r°3.ac T t w^. _ . . _ �, . . . . . . . . . . . . . . . !NA'.•gl 1P 0 ADDReeSSY . The person responssi/bie for supervision of the work : �j insofar as the Buitding Code and the Zoning Ordinance appiv is J,.7 IP d ADDRESS) Name of Builder 14st Address Name of Plumber . . D.4 A e ,y: .P! . . 14 o ♦-e+ ee. -s, . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason Dopv/. C . AR. A. /,cLs.. . .. !. . . . . , . . . . . Address . . . . _ . . . _ _ . . . . . _ . d - - . Lot Number . Unit . . . . . . . . . . . . Estimated value of proposed work S . , ,rrc . d:.',r 42' ". "' Name of Village , . x r car.YS.l:+c:r�r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street la r. . .9. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Side of street: north 0 , east © . south 0 . west 0 Nearest Cross Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance from this cross street . . . . . , ft . Property is north EW, south © , east i i , west © from Cross Street If on Corner, which corner, northeast 13 , northwest ❑ , southeast southwest (' Designate by marking, with an "X" in the correct space_) NATURE OF PROPOSED WORK OCCUPANCY [Erpoe Construction of a new building. Main Building F1 Addition to a building. One-family dwelling D Alteration to a building. Two-family dwelling 0 Demolition of a building. family apartment house fl Store building, -car attached garage (](her: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ „ . . . . . . . . . . . . . . Accessory Building One-car detached garage Cl 0 Other work. Describe: . . . . /'��l i.�• • a 1 . . . . . Two-car detached garage Z . . , 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 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 huilding(s) in solid line. Size of property . . . . . . 3 . . . . ft. x + .ci'.3 r. . . ft. Size and use of existing buildings, if any • . . . . Uj 11 Size of proposed building , . . . ? ..ft x �•' " . . ft. Height (from grade to ridge) . . ./. ? . `. . . . . . . . . . . . . . . ft. Front yard . . . . . . . . . . . . . . 4 . . . . . . . . . . , . . ft. Side yards . . . . . _ . . . . . . ft, and .J� .13. . . . . . . . Rear yard c> 4'? . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. so V T N If on corner, setback from side street . . . . . I . . . . . . . . . ft. Note: All distances are pat, as treasured from street side line to nearest Part of building. COVER) I � 13 �m BUILDING SPECIFiC.ATIONS., Kind of construction. Wood frame, fire safe, etc.? . . . .L"-P -? "�. -V+!, •+* +w-. . . . . . . . . . . Willany second-hand lumber be used? . . . . . .�if t> . . . . . IF so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . - . j0 x4 ri✓C r.crr'c, Z w 4� . .. . . . . . . . . . . . . . . . Thickness . . ry _" . . . . . . . . . . . . . . . Depth of foundation walls below grade . . . . .Al. '' . . . . . . . . . . . . . . . Continuous Foundation? . .y. ,z..,a . . . . Will there be a cellar? . . . _ .y e., S . . , _ _ . If so, material of cellar (hoar . . . . .0 .v rY.G r.G» . . Type of roof: Sloped or flat? . .5.l.Sr .c 4. . . . . . . . Material of roof . . . .,*.FS+ph ow ! z . .- fir< rtg.+ . . . . . . . . . . . . . . . . . Size, wood studs . . . . . . . . . . . . . . . . . ,Z)-. " x . .N . . - . - . . . . . . . ". spacing . . . . . . . . . . .!� . "ox., length _ . . . _ _ .0• ~4�; ft. Size, floor beams, xst floor , . . . . .. " x hx . . . . . . . . . . . . ", spacing . , . . , . , . . . .l.G . "o.c., span Size, Floor beams, 2nd floor . _ . . . . . . . . " x . . . . . . . . . . . . . . spacing . . . . . . , . . . . . . "o.c., span . . . _ . . . _ . . . . . . fit, Size, ceiling beams . . . . . , . . . Gx . . . . . . . . . . . . . . "'. spacing; . . . . . . . . . . . . . ..o_c_, span . . . , , , . , . . . - , ft_ Side, roof rafters or beams . . . . . ''.+ 'S . x . . . . . . . . . . . . . . spacing . . . . . . . . . C.G. . "o.c., span . , sl :.-? . . . FL Exterior finish , . . . . . . - - - Y. r N .�. . . , .S. o�sr•�,g . _ _ With what material ? . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . . . � . `. . . . - .rr)r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an opening between garage and building? . . . . . . . . . . . . . . . f . . - . . _ _ . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . Kind of heating system , , . llc,,,i- r. . .e.,~' � . . . . . . Oil burner or coal? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade , , . , . . . . . . . . . . . . Height of chimney above roof . . . . . . . . . . . . . . . . . . . . _ . . . . Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . , . . , , . . . . . . Will a toilet be installed? , cr 5. . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink he installed and connected to water supply? . . - ri!. o. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . , . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT Caunty of Warren State of New York 1 swear that to Lr. y,-a r of my knowledge and belief the statements awttained in this application, together with the plans and specifications subr mitted, are a true and ou...• lete statement of ail proposed work to be done on the described premises and that al�l }rovisions of the SUILII- INCr CODE, THE ZONING ORDINANCE, and all other laws pertaining to the reposed work hal! complied witlt, whether speeMed or not, and that such work is authorized by the owner. Sworn to Wore me this Signature . . . .. . . OWNER. OWN AG T, ARCNiT£CT, CDN TRACTOR I Id day of, .. . . . . . . . .... . . .. . . .. . . . .. .. . . . . ..... . . 19 . . .. . NOTARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT,. By . . .. .. . . . .. . . .. ... . . . . ... . . . .. . . . . . ... .. . .. ... . . . .. .. . .,... .. ... . .. .... .. ...... . . .... ..-.. . . _ - TOWN OF QiUEENSBURY 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 followings : 1 . Gross floor area ' G> 2 . Type of heat_ If Ze c: Z xCc 3 . Is the building mechanically cooled ?_ L� S 4 , percentage of area of windows and doors A . Over 16 % Only 1 . Uo value of gross area of walls , roof/ceiling and floors Vxposed 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 H . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls / r 3 . R value of glazed area 4 . R value of doors l.7_ _ 5 . R value of floors over heated spaces �+ Q 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab s . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) 10 . Type of insulation �T/.*W" Co Controls 1 . Thermostat maximum heat setting 4;) 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 . Sire of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Meating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No * v.. 631szcant ; a gnature ) TOWN OF QUEFNSBURY BUILDING & ZONING DEPARTMENT SE'WAGF DISPOSAL PERMIT APPLICATION 1 . Owner ' s Name � ��r - ..n .✓.-� 1'�..a. ,� �- r Address Z v �? ,p. ►^�� , T ,.r�. , t .,. c� Telephone No . 2 . Property location 3 . Name of person or firm responsible for installing system Telephone No . ti el -±Z to 6 Address 4 . Number of bedrooms ( residential buildings only ) 5 . Daily flow gallons/day 6 . Septic tank capacity sf0 gallons 7 . Topography : flat , rolling , steep % of slope z 8 . Nature of soil and depth _r 9 . If ground water , -bedrock or impervious material is apparent at what depth does it begin? _ ft . 10 . Percolation test : A is required B is not required C if required what is the rate minutes/inch 11 * water supply : municipal , well , other Yo? e. ,f 0, dePat" 12 . Type of system proposed : drywell , the field , otherY Any contractor ,. corporation , individual , etca engaged in the construction of a sanitary sewage disposal system who covers the sam^ ?^Pfore inspection , does not have an approved permit , or varies from the r - ^ - . wed application will be subject to a penalty of $ 250 as provided for � n 5^ction 6 . 010 of the Queensbury Sanitary Sewage Ordinance . Date gnature o appl zcant 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 -8 2 .. 4000532 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY " Had 41 STATE STREET, ALBANY, NEW YORK 12207 /� �y p �r Date October 11 . 1985 Application No. on file 092843--85 A 6 4 9 8 d 5 � THIS CERTIFIES THAT only the electrical equipment ae described below and introduced by the applicant named on the abase application number in the premises cdf Betty Baxter , Lake Ceorge Road , Glens Falls . New York _ in the foilowing location; ❑ Basement ElIst Pg. ❑ 2nd Fl. outs3 do Section Block Lot was usamined on 91f gf 5 andfamnd to be in compliance with the requirements of this Berard. FIXTURE ACC SVATCHES FIXTURES RANGES 000KING MCKS OVENS DISH WASHERS EXHAUST FANS CILR ms INCANUESCEIhIT FLI .-Sf-'EFn y ANT. K. W. AMT. K, W. ANT. K.W. ANT, K. s DRYERS FURNACE MOTORS FUTURE ANNUANCE R#RDERS ISNICIAL 11HIII TUNE CLUCKS MI.L UNIT HEATERS WAXTiAUTM DYNMER6 ANT. K. W. CKL H. P. GAS H. P. ANT. "0. A. W. G. ANT. AMP. ANT. AMPS. TRANS. STSTW" N U. CW FEET SERVICE DISCONNECT NU. DF S E R V i C E ANT. AMP. TTpE 1 .X 7W 1 X 9w 1.3 X 9W 9 X 4+M KIIIIC. NP. GF CC COFIb. FIO. OF HIAEG of lWK-LEO NO- OF weuraALs A. W. G. _ 1 200 CB L x I I 1 1 4/ 0 I t /O OTHER AFFARATUS2 ■ Sam W . Corhouse 0 11 Potter brad Ca.nsevoort . New York 12831 BRANCHMANAGER Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF C?UEENSBURY Bulldlccg D*pa,rtme]mt c,._ Mftwe Name I7►ece� •- Locatiaa pen Na M►cac}ia '-` 8_3 Rerearlrs Excat}a Lion Footin Forms Footin & Piers Foundation cement coat W'a ter rooXi ncr Bac* 11 Final Surve Framin Shea thi n Roof Felt Roofin Siding Masonr Veneer Rau h Plb . Relief Valves Wall Board 8xt . Porches Finished Floor Interior Trim Stairs & Rai.lin s Cellar Dr . Tile Concrete Floors Plbcy , F.ixtuxes Gar. Fire zoofili Door Closers Chimne Water Meter Inst . Se tic A roval Floors Xnaula tion Found& tion Wells ` Ceili64 OR y wnz- z Building Xns,pector . � atc � REMARKS f h' t6 YS L b !_, rLe u Aw r i2.iz -'4 ab .f r'1 7 7own olQtoteen, ary grwl. QUEENSBURY TOWN OFFICE BUILDING BAY AT HAVILAND ROAD GIUEENSBURY , NEW YORK , 12801 TELEPHONE: (518) 792--5832 r qqq September 24 , 1985 TO : The. Building Department Town of Queensbury FROM : N . W . Bodenweiser , Fire Marshal SUB . Final Inspection prior to C . Q . Betty Jane Baxter ( Retail Stoke ) Route 9 Queensbury , NY 12801 This building conforms to all sections of the Uniform code regarding fire prevention . NWB/gp SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE IPF=IRON PIPE FOUND I RF=IRON RO7 FOUNO LANDS OF SUTTON 641-103 S-18=26=20=E 300.000 _DEED REFERENCE : —WW ^BER=MIN ASS0047 SS;INC. o 70 DAVID F. 1`01NE0. CHARLES F. N VEO. cabin F-RANK C.MINEO g HARRY G. BERES 644-634 414181 Ch An N cabin . t l W L ARE BO AC :6 l w IQQ� , N-1B=09-2.0"W 100//' 2 sforo .Q• � r• <a.rv�?s• car- Y I I 3 �64-6-19 crushed gfon p hovoe tp ! c C. blk. O I �._v �3. parking area '` 60 r'0 00� IP' N=18=45'00='W 20000, IIPF IIPF 3-I8'45_ :594..94 E. ---F_ —Q conc curb TO LAKE GEORGE / V. Ys ROUTE 9 M GLENS FALLS PLOT- PLA-N of lands of DAVID F .MINED , CHARLES F MINEO, FRAM' K C. MIMEO ood MARRY G. BERES TOWN OF QUEENSSURY ,. WARREN COUNTY, N.Y. SCALE . ll-50' JULY 16,1984 PREPARED BY = WAYNE R. RAYMOND LICENSED LAND SURVEYOR GLENS FALLS A WEVERTOWN, N.Y.