1985-526 CIO Paid
CERTIFICATE OF OCCUPANCY
TOWN Of QUEENSBURY
WARREN COUNTY, NEW YORK
Dare 19
This is to certify that work requested to be done as shown by Pertnit No. 8 5 - 5 2 6
has been completed.
This structure may be occupied as a ONE FAMILY DWELLING
Location LOT 64 ORCHARD DRIVE ( ST _ NO . 24 ) OLD ORCHARD
SUBDIVISION
Owner
By Order "Town Board
"I`OWrN OF QUEENSBURY
Building & Zoning Inspector
C RE RTIVE "'IN9T i4"" PRINTINQ GLEM3 PY1LL5 N Y Y�OS Sls�)90.SFSE
BUILDING PERMIT
TOWN OF QUEENSBURY No. 85_ 526
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Thomas C lune
OWNER of property located at Lot 64 Orchard Drive ( St . No . 24 ) Street, Road or Ave.
Old Orchard Subdivision
in the Town of Queensbury, To Construct or place a pn P—F a rn i l3Z Dwelling
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 Oueensbury Building and Zoning Ordinance_ y
O
i- OWNER'S Address is IL
Wincrest Drive to
Glens Falls , New York n
r
s✓
2. CONTRACTOR or BUELDER`S Name fp
Howland Construction Inc *
3_ CONTRACTOR or BUILOER'S Address
Brix 140 Star Route
Glens Falls , New York O t-,
N 0
04 rt
4_ ARCHITECT*S Name En
Onto+
1"f pis.
r3
O O
Fi {
S. ARCHITECT'S Address [L ::r
to ty
6. TYPE of Construction — (Please indicate by X)
C I�-
I x? wood Frame I I Masonry I I Steel i 1
I.r.
O
7. PLANS and Specifications
481819x6516 " per plot plan , specifications and
No. application submitted including three-car attached
garage and sewage system -
B. Proposed Use
One-Family Dwelling
m
$ 5 . 00 C/O Paid 0
cu
260 . 00
T EXPIRES April 1 19$ 6 F+-
iIf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ~
town of Clueensbury before the expiration date.)
C7
Dated at the Town of Queensbury this 17 th Day of S e17t « 79 8 5 N
r
SIGNED BY C'/ _, :+ for the Town of O.ueensbury
Building and Zoning Inspector o �-_
TOWN OF QUEENSBURY (Space inside block to Ix, fillet( it] b.
WARREN COUNTY* NEW YORK Building Instwclot'I
. ,,,, ;, : n d
Application for tt , , ,, lsme l5k
BUILDING AND ZONING PERMIT l ,., ,,, �, E%Ilpires . IrJ
Di„ rir,
THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale i 'E " i el l,}
sirowingg the actual dimensions of the lot to be bull!
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB_
MITTED WITH THIS APPLICATION.
Hare (TOWN OF QLTEENSH1LIf2Y
rr
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK � � � IS � V I
ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a permit to do the following work '
which will be done in accordance with the description, plans and specifi- r ,2t'�S:
cations, and such special conditions as may be indicated on the permit. 7181911
� 112
� 3 5 6
The owner of this properity is: 1 -
c ' '. . . . . . . . . - . . . . l• c!rL'�la� - r!1/'�d E r rrE'•. SI
f IwA"E) IP O. AgORE5RES5k The person responsibie for supervision of the work insofar as the Building Cade and the Zoning Ordinance apply is:
t./s,II.E' ,/'G7it• !^ft% . . ST . ?t !E'E'fac?IZ f G7� cC:. ' S eV: `�! . . . . . . . . .
. -�h'' . �d3 t7 AdORESS}
INAME} /+
�14s+ �>t`, 4c? . . vt rt!r�.r . . ..�'+q e. . . - - Address . . .
Name of Builder . /7`O. ?. . . . . .
Name of Plumber . ��" . r ? *G ?� _ p .a •. . . . . . . . . . Address 6C>r-v. eP;V 0 w—w �E eefJ, . G �'. �r-c, !3Z[-y;,
Name of Mason . . . ./ s� t !. L�ex }� .-- . `. . . . . . . . Address - . . . . . .
Lot Number . . . . Unit . . . . . . . . . . . . Estimated value of proposed work S eJ'/G? Cif— - - - - .
Nameof Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
Name of Street . . �.�Ah ? . . . �?! ` � . . . . . . . . . . . Side of street : north ❑ . east ❑ . south . 0 . west
Nearest Cross Street !^ ' "". . . . . . + '?'''� S �+� Distance from this wrass street
Property is north 07 south ❑ , east . west from Cross Street
if on Corner, which corner, northeast l 1 , northwest 0 , southeast Lam . southwest
(Designate by marking with an "X" in the correct space-)
NATURE OF PROPOSED WORK OCCUPANCY
Main HuRding
Dr`tl Construction of a new building. One-family dwelling
El Addition to a building. Two-family dwelling
CD Alteration to a building. - -family apartment house
0 Demolition of a building. Store building 0
. . . 73. . . -car attached garage C1
Other: . . . . . . . 1 . . 1 . . . . . . . . . . . . . . . . .
Accessory Building
One-car detached garage
[] Other work. Describe: . . . . . . . . . . . . . . . . . . . . Two-car detached garage
Private chicken house
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Q
• 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, site and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH Shaw proposed building(s) in dotted line and existing
huilding(s) in solid line. r
Size of property . . . f.5 f `l 3 . . . ft. x . .! . . . . . ft.
Size and use of existing buildings, if any . • - . . • • . .
ION
"' Size of proposed building . .•;« ` • - ft, x .�.�. it.
Height (from grade to ridge) . . - Z /~`. '`''s.ff . . . . , . . . . . ft,
Front yard . . . . . .i ? . . . . . . . . . . . . . . . . . . . . . . . ft.
Side yards . . . . . . . ./. . . . ft. and . . . `a + . . , . . . . ft.
Rear yard . . 5 . . . 0 . . . . . . . . . . . . . . . . . . . . . . .
ft_
SOUTH if on corner. setback from side street , , . ft. . .
!Vote All distances are net, as measured from street side
line to nearest part of building_
(OVER)
7� 73 �l4
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction : Wood frame, fire safe, etc.? . . . W0040- . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? 0. . , . . . . II so, for what? . . . . . . . . . . . . . . . . . . . . . .
Material of foundation walls . . . . G.00+ . . .-r"z-7'r, .a . . . . . . . - . . . . . . . . . . . . . . . . . Thickness . . . tom. .
Depth of foundation walls below grade . . . 7 " .0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? - . . . . .
Will there be a cellar? , If so, material of cellar floor
Type of roof: Sloped or flat? �'-. - S ''.s-y'' Material of roof
Size, wood studs . . . . . - . . - . . . . . . . . " x . . . . , .4.. . . . . . . . spacing . . . . . . ! G�. . . . . "o.c., length . .!✓? . 4�- . . , . ft.
Size, floor beams, Ist floor . . . . G . . . . . " x , . . . . ! [?. . . . . . . '"� spacing . . _ . . ,rCr . , . . , . "o.c., span . . / . :s - . . . , ft.
Size, floor beams, 2nd floor . . . .G . - - . . " x . . . . . . % - . . . - , spacing _ , +� / „ ! 7 s acre .✓G. . . . 4%, . . . , o.c., span . . .7.'4
Size, ceiling beams . . . . . . . . " x . . _ spacing, - - . . . � "o.c., span _ �' .fr � . . . _
ft.
Size, roof rafters or beams . , . . , . . . '" x - - . .! 2 . , . . . . . ", spacing . . . . . . C. . . . . . . "o.c., span . . . : , . , ft,
Exterior finish - . . . . . . . t04-� �cf . . . . . . . . . . . . . . . . . . . . . . . . With what material ?
Finish of 'interior walls . . . . , /z. . Cr!p '! r - , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall bgtwreen garage and main building to be constructed?
A. .
Is there to be an opening between ga ge and building? . �! ?. . . . . . . . . . . . . . . . . . .
Kind of heating system . . . . . 'w�4+r� . , .'. . . . . . . . . . . . . . . . . . . . . Oil burner or coal_
Will a flue-lined chimney be provided? . . . ter-S."15 . . . . . , Depth of chimney foundation below grade . .U, . . . . . . .
Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will there be a fireplace? . . . . car . . . . . . . . . . . . . . . . Depth of fireplace hearth . .rG. ` . . . . . , . .
Will a toilet be installed? . . . . . . � .+t }. . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . - . . . . . . . _ . . . . . - . . . . . . . .
Will a kitchen sink be installed and connected to water supply? _ . . t�(4:5.r . . . . . . . . . . . . . . . . . . . . . . . . . . . ,
Water supply ( public water supply or pump) . . . . . . . . . . . . . . . . , , . . . . . . . . . . . . . . . , . . . . .
Distance of cesspool from any private well . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . , . . . . . . _ . feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . .
Town of Queenshury AFFIDAVIT
County of Warren
State of New York
I swear that to tr. b s o of my knaw,ledge and belief the statements contained in this application, together with the plans and speeifiewtiooa aub
mused, area true and cu.:, Iete ataCeRlLMt of all proposed work to be done on the daeeribed prorotsea and that an ovisiona of the SUILD-
ING CODE, TIME ZONING ORDINANCE, and all other laws pertaini the pro wor shall be comptied witft, whether apeci!ied or aot,
and that such work is authorized by the owner. �r
Sworn to before me this Signa -40 40Y�
J/ OWNER. OWNE4 S ENT• ARCHITECT. CONTRACTQFI
. . .. . . day of . . t!G? tt[. . .. .. . . . 19 . . .
NOTARY PumtiC, 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
STAVE ENERGY CONSERVATION CODE
A permit must be obtained before beginning work .
ANSWER ALL of the following :
1 . Gross floor area 3 �
2 . Type of heat 46zjycc4. 4 _+ '009— �
3 . Is the building mechanically cooled ? ^) o
4 . Percentage of area of windows and doors
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
Z . R value
o., of roof and floors exposed to ambient conditions
2 . R value of exterior walls ' 3L
3 . R value of glazed area /E' c~'
4 . R value of doors ' f `
5 . R value of floors over unheated spaces
6 . R value of slab edge insulation - unheated slab_ z '/
7 . R value of slab insulation - heated slab AZO
8 . R value of heated basement/ cellar walls ( above grade ) !ti'- / ,15mm
9 . R value of heated basement/ cellar walls ( below grade )
100 Type of insulation
T� � ., c A r r9 rr+ r3 G4 7�FrF+*�E� ,9 a� 1•c� � 5. /�
C . Controls
1 . Thermostat maximum heat setting � C7
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 p g/e Ael
2 , R value of pipe insulation Gk3/ I/
F . Service Water Heating
1 . Performance efficiency h+ f7
2 . Temperature control setting maximum
G . For Swimming Pool Only f�
1 . Maximum heating Ae
- -
Telephone No ,
( plicant ' s signature )
TOWN OF QUF£NSBURY
BUILDING ZONING DEPARTMENT .
SEP?AGF DISPOSAL PERMIT APPLICATION -
1 . Ow-ner " s Name
Address iV.� c' z„� ,��.d 4
Telephone No .
2 . Property location 'dec. ;l -'*4 -4 Q & h6yy� z9jefl J _
3 . Name of person or firm responsible for installing system % �
Telephone
Address
4 , Number of bedrooms ( residential buildings only ) _
5 . Daily flow gallons/day -
5 . Septic tank capacity=__ /G u gallons
7 . Topography : flat , roll steep
% of slope
8 . Nature of soil and depth^
9 . If ground water , bedrock or impervious material is ,apparent at what
depth does it' begin? fte
106 Percolation test : A is required
g is not required
C I req4uxrec3 what is the rate minutes/inch
11 . Water supply : municipal , well , other , �,. �, ,., fsa�� Q4� .�
`-----
12 . Type of system proposed : drywell , <,,Lef�iels3 , 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 . r
Date
gnature of applicant
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
CO
TOWN CIF QUEENSB'URY
Bnildimi- Department
lwpectows Report
PenniR
()o ��•
v� Lr+��i , �c sv Remarks
Excavla t on
Fcatin FOXIMS
gaatin & Piers
rounda tion
cement coast
Prater raofi.n
Bgcicfi3l
Fi.na3 gurve
Frami
Shesthin
Raof Fel t
Rapfin
sidin
Mas veneer
Rau h PI
Relief Valves
Wall Board
gxt _ Parches
Finished Floor
Yn ter I Trian
stairs & Railin S
Cellar Dr . Tile
Concrete Flacars
p3 r . Fixtures
Gar . Fire raofin
poNar Closers
Chimne
Water Meter Iixst .
Se tic A roval
Floprs
Fae�a. i n .
Insulation Wa13 s
Co.
`Rui.2 i 9
I. —Spector
REMARKS
TOWN OF QUEENSSURY
pepa=tu"Out
In,pectIMs E r I
ft� �t
Remarks
SxcaQation
FootI Forms
FQotin Piers
Foundation
Cement coat
Water roof An
gacicfil3
Final St-cve � ,.
Framin
Shea thi n
Roof Fe1. t
Roofi
Sidi
magronru Veneer
Rou h PI
Relief valves
Wall Board
Sxt . Porches
Finished Floor
Interior Trim
Stairs & RaTile IS
,Cellar pro
Concrete Floors
,Pl rw Fixtures
Gar . Fire roofin
Door Closers
Chia+ne
water Meter Inst .
Se tic ApPrOval
Floors
Foundation -~ —
Xnaulation Walls --
Cellin -��--�
Bull nJ nsPectot
REMARKS
�,�,,�..ve � ,t�[ry (A/5
AA Of /WL44
I� � AJI cJ L�' -
TOWN OF C EENSBURY
Swead:es- nevartmeet
Date
In""Mcbmis °` r I
fc � Air3
Name -- ,
L � W ca►thar
: c
PIPII
Permit No. Jill
�.-r--
,Rema rks
ExcarYat on
Footin Forms
Footin & piers
Foundation
Cement coat
Water roof.in
Backfill
Final Surve
Frami
Sheathin
Roof Felt
Roofin
S.idin
Masonr Veneer
Rou h P2
Relief valves
fi8ll Board
Ext . Porches
Finished Floor
Interior Trim
stairs & Rabin in 8
cellar Dr -
con,crete Floors
P2 Fixtures
Gar . Fire roofin NUNN
Door Closers
JIM
Chimne
Water Meter Test .
septic A roval _
Floors
Foundation
Insulation Walls -------�'� -
ceilin — --
r'-
BUI +ding Tnspectc�r
REMARKS
TOWN OF QUEENSBU R.Y
Building DePart=Out
bwp"tws Repcwt Date..
Name Ll "/
Persrwo Noo 2 5' � S� � ' WeaaNrer
Remarks
Excatra taon
Footin Forms
Footin & Piers
Foundation
Cement Coat
Water roofin
Backfi..11
Final survey
Frams-n
Sheathin
hoof Felt
Roofin
Masonry Veneer
Rou h PI
Relief valves
Wall Board
Ext . Porches
Finished Floor
znter.iDr Trim
Stairs & Ral2in s
Cellar Dr • Tile
Concrete FZcsars
p wrFixtures
Gar . Fire rPofin
,Door Closers
Chimne
Water Meter Inst .
Se tic A rovaal
FI oc>rs
Founds tiOn _ --�---
Insu2ation walls _
Celli �_....
In
speTn cfor
,Su�..ldirzg
.REMARKS
TO 5 e PT r TA
TOWN OF QUEENSBURY
Building Department
inspecters RgsarR
Naas! �2 r f/ --
L.otatioa
Ponvit No.� � �'?T— 'causer
Remarks
Excat7a t xon
Footin Farms
Foot in & Piers
Foundation
Cement Coat
In
Water roof rtr
Backfill
Final curve
Framin
Shea Chin
Roof Felt
Roo fin
Sidin
masonru Veneer
Rau h Pl
,Relief Valves
WaII Board
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railin Is
Cellar I)r , Tile
Concrete Floors
P FibFixtures
Gar . Fire roofin
Door closers
Chimne
Water Meter Inst ,
Se tic A roval
Floors
Foundation
nd tion
Insulation WeIIS
ilx
Building nspector
REMARKS
TOWN OF C UEENSBURY
Bmoiainff Department
Ift"-re Repeat Date leI 'K )�
Namef 'rGAl
Remarks
ExcaQa ti'on
Foot�lnq Forms
P'ooCin & Piers
' Foundation
Cement Coat
Water roofin
Hacicfi l l
Final Surveg
Framin
Shea thi n
Roof Fel t
Roofin
Si din
Masonry Veneer
Rougrh PI
Relief valves
Wall Board
Ext , Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr , Tile
Concretes? Floors
PIL>go Fixtures
Gar . Fire -roofing
Door Closers
Chimne
Water Meter Tnst .
Se tic Approval
Floors
Insulation Foundation
Walls
i3ing
+T�uild ng Inspector
Q REMARKS
uCA-rrcu! 1,A - (70 IZ .tee. `3