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1985-634 c/r r 3c? s TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Ju7:c° .i. : 19 This is to certify that work requested to be done as shown by Permit {No* has been completed. ► sL OXYNI be occupied as a n n c --T arl .i I t This structure may � � � Location lict Y T c f F u � E n s}:-a_r�T ee ire _ c. _ Owner ,7 c c F By Order Town Board TOWN of QUEENSBURY t ri' Building N Zonina InsPtxtor CM&ATIVK "9" STA" "IMTIXG. GLEIYE FALLS M Y 12601 IS131]S S-Si33 - __ _ s T i m 0 x A R Y CERTIFICATE OF OCCUPANCY TOWN OF {QUEENSBURY WARREN COUNTY, NEW YORK Date May 13 1986 This is to caertifv that work requested to be done as shown by Permit No* 85- 634 has been completed. one-Family Dwelling This stricture may be occupied as a Lot 118 Sugar Pixne Road ( St . No . 5 ) The P3new of Location Que en s"b-ury Joe Roulier Owner TF:TqYURAi.Y Ch!?:LIFlCATk OF OCCUPANCY By Order Town Board FOR 30 DAYS , TOWN OF QUEENSBURY f Building d/ Zoning inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 634 WARREN COUNTY, NEW YORK. PERMISSION is hereby granted to Joe ROulier OWNER of property located at _ LOt 118 Suciar Pine Road ( 'rat NO . 5 ) Street. Road or Ave. The Pines Of Queensbury � + One-Family Dwellincr O in the Town of Queensbury, To Construct or place a , (D at the above location in accordance to application together with plot plans and other information hereto filed and �d approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0 71. OWNEWS Address is Box 301 N• Cleverdale , New York F2. CONTRACTORorf3UlLDER'S Name same o Or CONTRACTOR or BUILDER'S Address 00 same su A. ARCHITECT'S Name t fD F- ACHITECT'S AddreOr n ss0 PE of Costruction — (Please indicate by X) ( :k yyoad Frame { I Masonry I ) steel 7. PL =1C01 ' per plot plan , specifications and applicationsted including two-car attached garage and sewag e KD f S. Proposed Use �] One-Family' Dwelling � w• 1� �C $ 5 . 00 C/O Paid tzj $16e 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) F'- 19_A -9 ` Dated at the Town of Queensbury this '� 7y���t- Day of Or- tnf-ler,�] ,�} SIGNED 6Y Il �� ` /�' for the Town of Queensbury —'�. Building and Zoning Inspect TOWN OF Qi. VEENSBUR I { space inside block to ism filled its by WARREN COUNTY. NEW YORK Building lntcjX*tn.arl I Application for ;, 1}nIs I%x 11 tilt. 19 }'x�r1T11 lM1>1 NY1 BUILDIN �i,i„� l 1«G AND ZONING PERMIT l'r „md F.)i sirif 4 _ In .Y.a arir t Ingo I II Copps of PLOT PLA 'Drawn to scale n showiny the actual dimeseons o the lot to be built ttpon, The exact size. and location of of +he building to be rrec APPLICATION OF QUE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 3 Q ANSWER ALL OF THE FC7LL01NING. �/ tr dt'el4150 The Undersigned hereby applies for a permit to do the following work A.M:which will be done in accordance with the description, plansand epeeifi- "f8 ��, � •� * ' Cations, and such special conditions as may be indicated on the permit. ' �rJfiCIO The owner of t-_hi-s operty is; . . ir;A AE I 1 . . . . eP o AVCt1iE�SS1 The person responsibiv for supervision of the work insofar as the Building Code and the Zoning 0 inance apply is_ c , . INAMEf . . . . . toO AVORESSI . Name of Builder . . . . _ -� �3 '�.S- . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . , - . . . . . . . . . . , . . . . . . _ . . - . . . .-S C^ �. . . . . . . Address _ . Sera e .� _` . . . . . . . , . Name of Plumber . f+f . . . . . . . . . Name of Mason ^? . . S K _ , , , . . . . . . . . . . . . . . . . . . . Address . . . Lot Number . . . ! . - Unit . . . , , . . . . . . . Estimated value of proposed work S . . . . . . .t . . . . . . Name of Village , . . . Ue� G.,-,.r'�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . �e ..� J.!• 4C .� . . . . . . . . . Side of street: north ❑. east Or. South C3 . west C] Nearest Cross Street /. ,�'% re - . . " I � % Distance from this ^roes street . . . . . G'?. kt. Property is north Or, south 0 , east i~i , west © from Cross Street If on Conser.,.which corner, northeast [j . nt)rthwest 0 . southeast southwest (Designate by marking with an "X'" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY 7544 Main Btsiiding Construction of a new building. one-family dwelling 0 Addition to a building_ "Two-family dwelling 0 Alteration to a building. -family apartment house � © Demolition of a building. Store. building � . . . .A . . -car attached garage Other: . . . . . . . . . . . I . . . . . . . . . . . . . . . . Accessory Building 0 ,Sw One-car detached age 0 0 Other work. Describe. . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house 0 . . . . . . . . . . . Private storage building 0 . . . . . . . . . . . . . . . . . . , ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a chartge of occupancy- I dicate on the plot plan street names, the location and size of the property* the location, sits and setbacks of pro- posed buildings, and the locatinre of all existing buildings. NORTM Shaw proposed building(!) in dotted line and existing twilding(s) in solid line. �o Size of property . . . . . . Z--.?9. . . . ft. x ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . y ^ r . . . . . . • . . . . . . . . , . . . . WC c.?5�. . _ . ft, at Size of proposed building . . ram.'? it. x Height (from grade to ridge) Front yard . . . . . . . . . . . . . .Cm . , . . . . . . . . . . . . . ft. Side vards . . v?�. . . . . ft�.,,.and . . , , %' . . . . . . ft. ��r a � Rear yard . . . . . . . . . . 3'd?r . . . . . ft. aoYt N If on corner. setback front side street . . . . . _ . . It. Note: All distances are ttes, as measured fro"! street side !t`rte to nearest bars of building. (ova Rt 7-73-M {coni'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.? . . . . . . . . Will any second-hand lumber be used? . . . .o%+ . . . . . _ . . . . If so, for what? . . . . . _ . . . . . Material of foundation walla . . . . . . . . , .Crr ^ c -. f:c . . G'<�, . Depth of foundation walls below grade . . . . . . . . . . "' . , _ . . . . . . . . , Continuous foundation? . . . . . Will there be a cellar? . . �C s , , _ . , If so, material of cellar floor . . . . c+ -. , Type of roof: Sloped or flat? !s M o Material of rof �r+ i S . G4 . . . . . . . . . . . . . . . Size, wood studs . . . . . . . . . . . . . ". . . . " x . . . . �'r. . . . . . . . . ", spacing . _ . . . .L�W.V.. . . . "o.c., length , ' . . . . . ft. Size, floor beams, Ist floor . . . . . x . . . . . . . . . . . . ", spacing . . . . . / . , "o.c., a Size, floor beams, 2nd floor . . . :r� . . . . " x . . . . r''�' . . . •' n �" ft. spacing '� •• Size, ceiling beams . . . . . . . . . .<:;Fpc . . x . . . . . �/ . . . . . . . „ spacing . . . . . . . . _ o.c., span . . . . . ! �' ft. pa g `/ . . . . '"o.e,. spars . . . . _ . t 2 . . . . ft. Site. roof rafters or beams . . , . . . . . " x . . . . . �? TLQp55. spacing . . . . . �-2 Y . . . . "n.c., span . . . . , ft. Exterior finish . . . . .+—C RYs , . . , s r/ With what material? . . .� - . . . . , Finish of interior walla . . . . . . ,S.' ccc, , , , , , , . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main buijdi to be constructed? r ti: >'o go!, ...5.: .� ,G,'''r+.' .,,• . . r'f,, S'/, `.r c:.o r..,�[ . i!_:� _. e r �„ •� . X. _ � !3yy Is there to be an opening between waraire .and building? . . . . . , y'� s� . . - _ Kind of heating system . . . . .-£ . . . cam ./ .�� ! . .c. . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . , . . . Will a flue-lined chimney be provided? . . . . . . . . . . . . . I 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? . .. . . . . , <'{5 _ . . _ . . _ . . . . , , '. . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? , . . . . . Water supply public water supply or pump) . . _ . 4 . . . . . 4 . . . . . . , . . . . , ;�?~,?.!-u- c�q C Distance of cesspool from any private well feet Will rainage system be provided with required traps, cleanouts, and vents? . . . . Town of Queensbury AFFIDAVIT County of Warren State of New fork 1 swear that to tr, ysrs,of my knowledge and hWW the siaternenta contained in this application, U*Otkwr with the plans end apecifiaations sub milted, are a trur and oc,.,,,rl*to statement of all proposed work to be dote on the described prenmses and That all of tFle HiJIL.IS- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall b�plied �ba� spslcw II or and that such work is authorised by the owner. Swom to before me this Signature . . . . . ~ I r OWNER. " I GENT.S raEHT, ARCNI-_-~TECT, CpNTRACTQp day of. 3 a 19 . ,r7 t" . . . . . . . .. . .. . . . .. . . . . . . . N6TARY Aye1LIC, WARREN couliTY, ry. Y. SPECIAL CONDITIONS OF THE PERMIT: By TOWN OF QUEENSSURY 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 5; 1ecrzy-" 2 . Type of heat 0 4 ,,5 3 . Is the building mechanically cooled ? C> 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 value3 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 Am, R value of insulation 5 . Type of insulation Be Under 16 % only 1 . R Value of roof and floors exposed to ambient conditions 2 . R value of exterior walls " 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 ) lii:074��, 9 . R value of heated basement/cellar walls ( below grade } 14 . Type of insulation__ co Controls '7 1 . Thermostat maximum heat setting QUO 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 cleating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum/heating Telephone No . / ' "--_ { applic nt ' s signature ? TOWN OF MEFNSDURY BUILDING i ZONING DEPARTMENT SEF?AGF ©ISPOSA� PERMIT APPLICATION 1 . Owner ' s Name- ;3r z _ Address �Qr 3a r Telephone No . 4 ' 4 2 . Property location s� rrJ" 3 . Name of person or firm responsible for installing system r'f, ate, Telephone No . Address 4 . Number of bedrooms (residential buildings only) 5 . Daily flow' gallons/day 6 . Septic tank capacity 7 . Topography : as rolling , steep of slope 8 . Nature of soil and depth 90 if ground water , bedrock or impervious material is apparent at what depth does itrbegin? € t . 10 . Percolation test : A is required B is not required C If required what is the rate minutes/inch Ile Water supply : ' muriicipal well , other 12 . Type of system proposed : drywell , the field , other -: x0 Any contractor ,_ corporation , individual , etc . engaged in " the construction of a sanitary sewage dispcsal 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 r' _ signature ' o 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 4 TOWN OF QUEENSSURY N Location ,� W tether Per l�o. Remarks ExcalYa t=on Foot in r Forms F,00ti & Piers Foundation Cement coat Water roofin gacill 22 Fi.na2 Snx* Frawan Sheathsn Roof Fel t Rpofi siding Yyasonx veneer Rau Irh Pl Relief valves iVa1I Sher gxt . F.ini.shed Floor interior Trim Stairs & Railin st Jill Cellar Ur . Tile Concrete FloorsFIJI P1 Fixtures Gar • Fire rQotin 7)oor Closers 'MI'll Jill Chimne r inst - Water Met royal Se F].oars Foul Insulation W8128 Ruile3ing' inspector REMARKS THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY F� At STATE STREET, ALBANY, NEW YORK 7 207 Date October 2891986 Application PI onfilc 10070�3-85 _ A F �; 9918 THIS CERTIFIES THAT only the electrical ngesip+ratrst as described below and ink by the applicant nansad am the above application noasber in the prAensises 4( Joe Roulier .r Sugar Pine . Queertsbury s New York in thef011owing location; C1 Basensent ® Ist Fi. ❑ and FT. Outside Section 90Block 8 Gat 118 was examined on 6.f 11/f36 arad found to be in compliance with the regssiretraents of this Berard. o IIXTURE ErTACtlS SWITCHES RXTURES RANGES COSII[ING DECKS OVENS QISH WASHERS E7CHAUST FANS OUTLETS I WCAMPIRSCEN4 ru cazsceny AMT. K- W- AMT, K. W. AMT. _ 31 56 28 26 5 3 F DRYERS Ig61RNACE MOTORS IiITURE APPLIANCE NEBERS SPECIAL REC'MT TIME CLOCKS SELL UNIT HEATERS MUITt,t1Y S LIIIIA/IAERS AMT. K, W- DAL H. P. GAS H. P. AMT. NI?. A. W, G. MT- AMP. AMT. AMPS. TRANS. M . H, P, SYSTIMS AMT. WATM � ti0. OP NET l srer 1ffI0 SERVICE INSCO01046 ? No. of S E R V I C E AMi. AM►. TY►E MffTER R 1 .i' 7w 1 X 9W 7 .I 9w 3/r 4w NO. R's't�a' 'of EC NO. OF III A. NO. Cr I�w� Gf NE RM. 1 200 CB 1 x l 4 /0 ? l0 OTHER AIAARILTIIS: s — 1- GFCI Electric Heater : 6-- 2 . 0 kw 1- Smoke Detector 2- 1 . 5 kw 3- l . O kv �Ir 4- • �s1 r Box 301 Joe Rou13e ClevElydale r New York 12820 239 BRANCH MANAGER 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 credential. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MA TOWN OF QUEENSSURY Building DePartment } ,r^ RGV* t Date,4:S�. Na�aa�s LOCU MM p' I/ W caather Prsseit No. 5" " 4s R err+a rks !IN/4 11 Exca cYa is on Footin Farms Footin & Piers Foundation Cement Coat Water ofin Ba.ckf.i.11 Final survey Framin Sheathin Roof Felt t Roofin Sidin mason,rT3 veneer Rou h Pl Relief valves wall Board p Ext . Porches �` Finished Floor C.y- t n! 161 Interior Trim ""I T ! �4Fi top ►�� stairs & Pa.,in S Cellar Dr . concrete Floors l �II�IS pI Fixtures Gar . Fire resofin jut 167 + poor Closers Chimne Water Deter Inst . Se tic A roval Floors ------ Foundation . -- Insulation weIIq Ceilin Building Tnspectar REMARKS rp;4-s ,r46T G[.zrsEv r TOWN OF Q,►UEENSBURY aueldiag- pepartment Date N.� L�scatwR L p7 P� No. Sr 5 �� �� V11rat�aea Remarks Excat'ra tion root InForms Footin & Piers Foundation Cement Coat Water roof-in gackfill Final Surve FrBa+iIn } Sheathin Roof Felt Roo fin Siding Masonr Veneer { Rou h Pl �'� Relief Valves Wall Board Ext . porches Finished Floor Interior Trim Stairs & Railin s Cellar nr . Tile Concrete Floors pl r . Fixtures Gar . F! a roofin or Closers IIII Chimne Water Meter Inst . Se tic A royal Floors - --- Foundation ��--�- Insulation Walls Ceili Build%ng InsPectcrr REMARKS TOWN OF QL! EENSBURY Building Department Inspefters��y�� R�'t � �NAU"O y Perrrait New RS'= v4p 3 4� weather Remarks Excao)a tion Footing Farms Footing & Piers Foundation Cement Coat Water fan Hackfill Final Su-r ngr sheath-in ,Roof Feat Roofflztg Sidi Masonrtj Veneer Rau h P1 Relief Valves Wtall Heard Ext . Porches Finished Floor Interior Trim Stairs 6 Raili.n Is Cellar pr . Tile Concrete Floors P2 _ Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst . Sa tic A royal rovjnda tion -- Insulation Walls Building Inspector REMARKS f �� � 4S-. w{7 7A 4w 4 7�z ot TOWN OF +QUEENSBURY SuRc us. Dopurtmout Naase - 2 LAM:^ e Remarks Excat'i`a tl on Footin Farm-s Foot.in & Piers roundation cement Coat plater roofin Baeclefill Final Surve Framin d IN WIN ,Slheathin ,hoof Fe].t Roof I SIdin Masonry Veneer Roes h PI Relief valves NINNINwall Board Ext . Porches Finished Floor Interior Trim Stairs & Raisin IS Cellar L►r . Tile NNINNINNI NNINNIN Concrete Floors pl . Fixtures Gar . Fire roofin ,poor Closers Chi.mne Water Meter Inst . septic A royal laox•s aundation Ynsulation Walls Ceiling r-- uilding Inspector REMARKS N., J1LOI c� Pic rti( TOWN OF - QUEENSBURY Bniidium- Dep rtment lummcbms Repmrt Na no Imcatim— per ait N*a we throw Remarks EXC4201a ti on FoOtInj FDrms Fcoting & Piers Founda tlon Cen!+mt: Coat water rOGiFST! Ba�fixx Final Survey. Praain sheathing Roof Felt ROCEing Siding Masonr Veneer Rouclh Pl Relief Valves Wall soaxd ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tire Concrete Floors Pl . Fixtures Gar . Fireproofing Door Closers Chimne Water Meter Inst . Se tic Approval FlcKirs insulation Foundation Walls Ceiliz! r ' wilding Inspector REMARKS TOWN OF QUEENSBURY Building- Department &vwt, Date Nano LW-^ a w Permit No, � Weartl�er Remarks E'xca0a ti on 4rootaj7a Forms r Pootlna & Piers Foundation cement coat Water fin BaclEfill Final Serve FrBmin Sheathing Roof Felt ROOfi ------------ SIdIngr Masonr Veneer Rou h 1°I ---------------- Relief Valves Wall Board ext . Porches Finished FiooAis Xneerior Trim Stairs & Railcellar Dr . Ti concrete Floors _ Plbg. Fixtures Gar .. Fire roofi g Door Closers chime Water Meter Xnst . _ Septic Approval Floors Insulation 1°oundat30r� Nalls Icelli BuIld-ing Inspector REMARKS