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1985-521 i I / I CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK Date t t.:3 , r % 19 This is to certify that work requested to be done as shown by Permit No. fi F - A i has been completed. Die r r `� This structure tray be occupied as a one-raTriI �Ne ] lin 21 SILACPL Location ljot 110 Suqalc rine Poad ( 47tre t- TMTo % 21 ) The rine �, of tJl.ttl'"1CM 5%vtAC- ic3rt tk C r-u- 0- E- n & 1--ur ".7 C7vvner rau 1 in cc)nst-ructi.on co m y Inca By Order Town Hoard PrOW N OF QUEENSBURY Building 6► Zoning Znapect�r I CRE TIV€ "INST A" PRINTTN6. QLCAS FALLS N V i2SO1 IS 101132 SdSS BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 521 WARREN COUNTY, NEW YORK Q PERMISSION is hereby granted to Paulin Construction Co . Inc e sr OWNER of property located at Lot 110 Sugar Pine Road ( St . Noe 21 ) Street, Road or Ave. -mil. a Ines of Queensbury rA in the Town of Queensbury, To Construct or place a One-Family dwelling 0 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_ 0 1. OWNERS Address is RI} # 1 Rte . 67 Mechanicville , New York 12118 2. CONTRACTOR or BUI LDE R'S Name Same 3. CONTRACTOR or BUILDER'S Address 0 Same rt Y 0 4. ARCHITECTS Name En Cn rr In CD CD elm 5, ARCHITECT'S Addreess 0 0 LV 0 6- TYPE of Construction — (Please indicate by X) }" S 1 l X) Wood Frame f ) Masonry l 1 Steel ( } PLANS and Specifications 26rx641 per plot plan , specifications and application No. submitted including two-car attached garage and sewage system. a. Proposed Use 4 One—Family Dwelling M $ 5 _ 00 C/O Paid $ 171 . DO PERMIT FEE PAID — THIS PERMIT EXPIRES AI�� 7 1 1 79 � � llf 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 fD Dated at the Town of Queensbury this 12th Day of September 1985 Y/�/ f SIGNER BY ! I' _ ���'-+�i+ for the Town of Queensbury Building and Zoning Inspector Q TOWN OF QUEENSBURY (Space inside block to he [illctl ist b% WARREN COUNTY, NEW YORK Building luspec•torl ,( ,S)i ;1 atioll No.Application for 1't•+ rrr + 1 lsmut•tl 19 . . BUILDING AND ZONING PERMIT l'rr mis Espirly% 151 I)i%tri( 1 THREE 131 Copies of a PLOT PLAN, Drawn to scale showingg the actual dimensions of the lot to be built Kt'117 + r' upon, Tha exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORKji ANSWER ALL OF THE FOLLOWING. t�ar_4", The undersigned hereby applies for a permit to do the following work rr �j e7�I which will be done in accordance with tine description, plans and specifi- R.M. i 6 `�` cations, and such special conditions as may be indicateci on the permit. $ s�r" � .� The -owner of this property is: . .`""?•�. :--c . - W D. ADDRESS) / o The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: . NAMES ' _ d d d d - - • IP•0 ADDRESS} . . . Name of Builder . - C Ys v1 \h? . . �i ?S - - . . . . . . . Address . . . . . . . . . . . , . . . . . . . . . Name of Plumber . . : �- I . . . 3� . �s Va.ri �. - - Address . . . . . . . Name of Mason . . .V` r~ . . . S e } , u . . , . " Address . . . . . . I . . Estimated value of proposed work S . .�-7"�+ . . L> 0 � . Lot Number . � . . . . . Unit . . . , , . . . . . . . . . . . . . . . . . . . . . Name of Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street .tt . a► , . VVZ�C-S. . . . . . . . . . . . - Side of street : north G7, east 0 , south © . west 0 Nearest Cross Street 'tis-.Q r.• .'. . Distance frc,m tk7is cross street 055 l t . Property is north ❑ . south , east L J . west 0 from Cross Street If on Corner, which corner, northeast 0 , northwest l3 . southeast Lam , southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY .. Construction of a new building, Main Buattiing on 0 Addition to a building. One-family dwelling � . Two-family dwelling � G] Alteration to a building. C`]' F'] Demolition of a building. -family apartment house Store building, . . :-. . . " -car attached garage Other: Accessory Building One-car detached garage n Other work. Describe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage . . . . . . . . . . . . . . . . . . . . . . . . . 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- posed buildings, and the location of all existing buildings. NORTH Show proposed building(s) in dotted litre and existing %Uilding(s) in solid line. Size of property • . . . k . . . . . . ft. x . .�i 7.0 ft. i-a} f+d Size and use of existing buildings, if any . 1 �1 . ! ►• . f' "t Size of proposed sed buildin ' ft. x p g , . . . . . . . . . . . . . ft- Size (from grade to ridge) . . . . . . . . . . . . . . . . . . . . . ft. y'C Front yard . . _ , , , . CY ' . . ft. �1' �" Side yards Z� . . , . . . , ft. and . . �t . ' `� . . . . ft. S�k Rear yard . . . C � }. . . . . . . . . . . . . . . . . . . . . . . . . ft. SOUTH f f on corner, setback from side street . . . . . . . ft, . . Note: All distances are nee, as measured from street side line to nearest fare of building. ry COVER} f . 73 . M (cont'd.) BUILDING SPECIFICAT'IONS., Kind of construction. Wood frame, fire safe, etc.? . Will any second-hand lumber be used? . . . .Q. _ . . . , _ If so, fear what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls - r?fi � . . U' 1s� k .5 . . . . . . . . . Thickness . . a ' Depth of foundation wails below grade _ . (o . . . . . . A . . . . . . . . . . . . . . . . . Continuous foundation? 7�k . , , . . Will there be a cellar? . . . . . . . . . . . If so, material of cellar floor . ram �� . . _ , , Type of roof: Sloped or flat? . . . QP. . : °t}'� . . .1 . . a . . . . . , Material of roof .� +��1 �4� °'�,�i� . Size, wood studs , , , , , , , , , , , , , , , Z , ' x � . � . . , ' . . . . . . . . . . _ ", spacing . . . . . '. (,p. � �. . . . "o.e., length . it. Size, floor beams, 1st floor , . . . . . . . . . " x . AP. . . . . . . . . . . ", spacing . . . _ . �.fv. . . . . . "a.C., span , . ,l� .tar. . NWC- , . ft. Size, floor beams, 2nd floor . . . . . . . . Z. . "" x . . ) .t? , . . . . . . . . spacing . . . . . . ? b . . . . . "o.c., span .1. . . . !?- ft. Size, ceiling beams . . . . . . . . . . . . . . . . " x . . . . . . . . . . . . . . . ", spacing . . . . . . .s "o.c., span . . . . .. 1? F . , , . ft. Size, roof rafters or beams . . . . . . . . . . . . " z . . . . . . . . . . . . . . ", spacing . . . , . . . , . . . . . ..n.c., span . . . . . . . . . . . . . . ft. Exterior finish . . . . . . . . . . . . . . . . . . . . . . . . . . d d With what material ? Finish of interior walls . . . . . +� vy" �S . . . . . . .44aJ . . . . . . . . . . . . . . . . . . . . . . . . . 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . e o - r' . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ail burner or coal? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? .r . . . . . . . . . . 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? . .` c . . . . . . . . . . . . . . . . . . '. - 4 - _ . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink he installed and connected to water supply? . lz�s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) r. W) C al�ZA . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . I - - - Distance of cesspool from any private well At.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? _ t_+Gas. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York. I swear that to tt h�ri iof my knowjedge and belief the statements oosttsined in this application, together with the plans and spedficatione stiles matted, are a true and co.L,alete statement of all proposed work to be done on the described prermaes and that all of the $i,�iILI]- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed wa�mkall be compiled wit ,whey th r speed or loaq, and that such work is suthorised by the owner. n � ( 4� „` Sworn to before me this Signature `f U l �C� . . .. . . '�s~4.�.. . . day Of 19.q - l7w NER. ER'S AGENT, ARCI#1TECT, CONTRACTOR NCfYARY PUBLIC. 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 ALL of the following : 10 Gross floor area 2 . Type of heat.' sv 3 * is the building mechanically cooled ? tCvo 4 . Percentage of area of windows and doors A . Over 16 % Only o g s , roof/ ceiling and fle_oJ�s 1 . u value of roes area of wall _ exposed to ambient conditions 1Z 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 YESr 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. C01 V� 0 2 . R value of exterior walls '1 3 . R value of glazed area, €� - t �r - 4 . R value of doors yk" •� 4 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 ) h 9 . R value of heated basement/ cellar walls ( below grade ) � ! J f7 14 . 'Type of insulation �. � a-�k C . COntrOls 1 . Thermostat maximum heat setting D . Duct systems 10 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 1 , Performance efficiency 2 . 'Temperature control setting maximum �- v G , For Swimming Pool Only 1 . Maximum heating f � n Telephone No . :9 cf2 ( applicant ' s signature ) TOWN OF 4DuEFNSEURY BUILDING 6 ZONING DEPARTMENT . SETWIAGF DISPOSAL PERMIT APPLICATION - 1 . Owner " a Name ^4h-xs Address_ 2 Telephone No . ,"f ' 2 . Property location 1 y Su 5 •a -oc' 3 . Name of person or firm responsible for installing system Telephone No . 9 `� �? I Address 4 . Number of bedrooms { residential buildings only ) 5 . Daily flow (.40C)C�) gallons/day - 6 . Septic tank capacity gallons 7 . Topography : flat , rolling , steep of slope $ . Nature of soil and depth , +�. , ♦ x Q ,\ 9 . If ground water , bedrock or impervious material is .apparent at- what depth does it` begin? ft - . . 10 . Percolation test : A 43jk is recsuired. B � is not , required C ff-- re ired what is the rate minutes/inch 11 . Water supply : municipal , well , other� i , �� y , 12 . Type of system proposed : AJ#W the field , +C� � 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 appi-ication will be subject to a penalty of $ 250 as provided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . Dat ' applicant 1 ... c` �sgnatureo On separate sheet of paper submit a diagram of the proposed septic system with all dimensions , including distanc- a from any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . Form 3 - 92 _ TOWN OF 4UEE"S13U tY Buildluc Department /y Nwa ,yid _ r PerwiL No. . �-• Rewa rxs ,rtrx,catYa Lion Footin Forms Footin & Piers Foundation cunt coat Water in Backfill Final Surve Frami ir Sheathin Roof Felt Roofi Sidin ` Masonr veneer Rou h Pl Relief Valves (� Wall BIOAZ'd Ext _ Porches Finished Floor interior Trim k Stairs & Ra lin s Cellar Dr , ile Concrete Floors Pl , Fixtures , Gar . Fire roofin Door Closers Chione Water Meter rnst • Se tic A rvval Floors poundatIC0 insulation Walls cei l r) �gti,ilc33ny Inspe or �REMARKS y 40573EI THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY -' F-R#d 6.5 JOHN STREET, NEW YORK, NEW YORK 100318 Date January 27 , 1986 Application No. on file 095 379--85 N 722790 THIS CERTIFIES THAT only the electrical equiprtwnt as described below and introd"ced by the applicant named on the above application nnm.ber in the premises of Paulin Construction Co . Sugar fine , Glens Falls , New Yor±s in thefullowin,glocation; lst Ft. 2nd Ft. Outelde Section Block Lot 110 was examinod on 12 / l3 r$5 and found to be in compliance with the requirements of this Board. FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUGRI!SCEI'+-� y AMT. K. W. AMT. 9, W, AMT, K,W, AMT_ K. W. AMT. H. P. . 28 46 21) 4'4 4 4 F DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS I SELL i UNIT HEATERS MULT# OU7UET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. P. NO. SYSTEMS AAtT. wAns NO. OF FEET 6Y7 Fi^@ I. ryer 3#10 SERVICE DISCONNECT NO. OF S E R V I C E AMT. AMP. TYPE #METER I JW Tw I ff 3W 3 ,W 3W 3 ,e 4W NO. OF CC. COND. A W. G. NO. OF HI-LEG A. W. G. hiO. OF NEUTRALS A- W- G. EQUIP• PER AT OF CC. CONo. OF HI•lEG OF NEUTRAL l 200 CE3 l x l 4 / 0 l 2 /0 OTHER APPARATUS: :.. l- C C1 1- Smoke Ddtector - Fl.ectrIc Heater : 3- 2 . 0 kw 2-- . 75 kw 4- i . S kw l- - 5 kw 3-- l a 0 kw c.RA Electric Co 7 birch bane 2309 Glens Faller , New York 12807 - GENIMAL MANAGER w wi. r- Per This certificate must not he 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 +C']►F QUEENSBURY Building Department ate inapectars n H�ft Jill L.ocatiao ! L>T fIN Paranit No. 5 a f Weather ReM rks Exca�Ya tyon Foot-in Forms Footin & Piers Foundation Cement Coat Water roofin Baclkfill Final 3urve Framin sheathin Roof Fel t Roof-in Sidin Arasionry veneer Rou h PI Relief Valves Wall Board rsxt . Porches Finished Floor rnte-I Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors pl F ,, Fixtures Gar . Fire roofin Door Closers Chimne Heater Meter nst . Se tic A roval 9 Floors _ �� SxisulatiOn Walls ' - Ceiling r bIWO121II rnspector REMARKS Q TOWN OF QOEENSEURY Building Department Pmralk M406 Wrat6eer Remarks 73'xcaiYa tivn Footing Forms Footing & Piers Foundation Cement Coat Water roofin Backfil I Final Survey Frain in sheathing Roof Fel t Roofin Siding AfascwIry Veneer Rough Plkz Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs a Railings Cellar Dr . Tile Concrete Floors plkgo Fixtures Gar . Fireproofing Door Closers Chimney Water Meter Inst . Se tic Approval _. Floors - Insulation Foundation Walls ' ceiling Building Xnspector REMARKS N.A l Li xle i'a l2 a �L. t AA r�JvcXsl^.1 S'j /� AZS b T( Y4 14 b r� A/44OJ5 Or r-,t2404*E - tcrd ►L c�1' C1 P4 - qzY Stutz (F Pl A14% TOWN OF QUEENSBURY Building Department bxqmK*w* Re,pa t Date Name ;;Z E , A7 l.Im ' 4*Z. A Permit. No. 1 Weather Remarks ExcatYa tson Footing Forms Footing & Piers Foundation Cement Coat Water roofin BacJkfi l l Final" Survey Framin Sheathing ,Hoof Felt Roofin Sidiniim Veneer Pl Valves oard orches ed Flooror Trim& Rallin sr Dr . 'Tileete FloorsFixtures Gar . Fire roo.fin Z)oor Closers Chimne Water Meter Inst . Se tic A royal Floors Found& tion Insulation Walls, Ceiling But ding Inspctoe REMARKS TOWN OF QUEENSBURY BUildi1mg Department Date Name Gaon 42 Pea Tait Na loveather Remar]cs Exca0aLion Foot-in Forays Footing & Piers Foundation Cement Coat Waterproofing Bacarfil.2 Final Survey Framing Shea thi n Roof Felt Roof.i.n Sidin Masonry Veneer Rough PI Relief valves Wall Board Ext . Porches Finished Floor Snteriox Trim Stairs & Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fire rogfin Door Closers Chimne Watex Meter Inst . Se tic A royal Floors _ InstrlaLion Found,otIon ta$lls Ceilin .Bui 1 d ng Snsspector REMARKS I'� / 7 L 4� 9 S S $y2 t: a f {F � ' ` .,+ '� � '� ?rS �.�+�i'JF..:, ¢a y •SS yam. .y Nf.. - ... .:. �." .:' - .q .- a .. .:�' .'r-..-m- -• ;. _. ..e ,3. a .�-14.,. ._a'�� .'� F. �r L. & ..°G4P�'�'ii d` _ �.�'ti,...��w ...a.�`.aa