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1985-618 C/o Paid CER.TI1rm'11CA.TE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK This is to certify that work requested to be done as shown by Permit No. a S ` 6 has been completed, b ' Faye,, # I f This structure vKhAM ix occupied assaa 011r r~71�� TTj-Y V� r-1.L: T"7 i Location r () ,f,�"_ - OultJ 'f ITT;-r1 . � VI fir-} PC':C P P(";7 D ( .c "FrrrTnT7 TT 17 T T PIP 01A Owner By Order "Town Board TOWN /OF QUEENSBURY Building & Zoning Inspector CRC A TIVC •'INST A" > MPNTIAIG. GLCNS CALLS. N ♦ I too I IS 1S)70 S.S450 Lt; 1 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 19 _ This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a _ Loeation Owner By Order Town Board CVbTOWN OF QUEENSBURY \_/ f Building & Zoning Inspector C ftK^TIVF. -INSTA" PRINTING.. GEMS r^IL S M T 19801 BUILDING PERMIT TOWN OF QUEENSBURY No. 8 F 18 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Donald Do Gray and Dorothy E . Carr t 9 Asure Drive/Mud Pond Road o Lot OWNER of property located at Street, Road or Ave. 0) ec ion ain ow i ge u ivision F , in the Town of Queensbury, To Construct or place a One--Family 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 Queensbury Building and Zoning Ordinance. 0 ri t. OwNER"S Address is Glens Falls , New York w s� 2. CONTRACTOR.or SUI LDERS Name Cl same D rt �C 3. CONTRACTOR or BUILDER'S Address C�J same n w 4. ARCHITECT'S Nance S. ARCHITECTS Address L� 0 rr B- TYPE of Construction — (Please indicate by X) fri IK 1 Wood Frame ( } Masonry ( 1 Steel ( k rd C O �t 7. PLANS and Specifications G 24 ' x28 ' per plot planr specifications and No. application submitted including sewage system _ p C c� ro B. Proposed Use ` One-Family Dwelling 0 $ 5 . 00 C/O Paid sa $ 70 . 00 PERMIT FEE PAIC! — THIS PERMIT EXPIRES Maw l 19$6 (If a longer period is required an application for an extension musk be made to the Building and Zoning inspector of the F+- town of Oueensbury before the expiration data.) 85 Glared at the Town of f3ueensbury this 23rd Day of October 79 � (D SIGNED BY / i I �G - .� for the Town of Gueensbury � Building and Zoning Inspecto — TOWN OF tgLZI EENSBURY (Space inside block tt+ 1W hitt•1i itis by WARREN COUNTY. NEW YORK Buddinit In%paY'ttsr} A :rtiApplication for ' ppiit t)I) 110. RIB 1's'I"31111 l..ut�ei 19 BUILDIN6 AND ION1N6 PERMIT I'd -I nki, Expires , If} Z. .f 1lnom SS iRtrltl ( 1 ) Coph(s of PLOT PL�Drawn to scale �1r1 ,I „� . tl Irti showin the actual dimens)ans a the lot to be built 1t. „1ur1(f' upon, 7%a exact sise. and location of of the buildin to be erected APPLI CATIO TOWN 'OF QL3[Q>�rE{\�1F��JiS{jC�1LJ1= Y DO A PERMIT MUST BE OBTAINED BEFORE BEGINNING-. WORK F"� tub ANSWER ALL OF THE FOLLOWING. Y �l The undersigned hereby applies for a permit to do the following work which will be done in accordance with the description, plans and specifi. 71819VI.00 112131415, 1 $ cations, and such special conditions as may be indicated on the permit. The own r of this property is: 7Dor . . - . . ► .tom . . _ , . - - . . . �' . . . s I rc{ IP P A00f)Ess1 Th son responsihia far supervision of the work insofar as the Building Code, aid the Zoin O inance apply is: {NAMt:1 IP O A1701FIESS4 Name of Builder . . . . . . . . _ ��•4rr?. h—. . . . . . Address . - . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber . . . . . . . . . . . . `. ' . . . . . . . . . . . . . . . . . . . . . . . . . Address _ . . . . . . . . . . . . . . . . . . . . . . , . . . . Name of Mason . . `? . . . . . . . . . . . . . . . . . . . . . . . Address - - - . . . . . . . . - . - , . . . . . . . . . . . . . . . . . . . . . . . . . . . : . a Bt . . -- Let Number . . . . ,^ Unit . . . - . . . . . - Estimated value of proposed work S . . � . y . Name of VillaL3 � AQ. ,�,1� . . . . . . . . . . . . . . . . . . . . . Name of Street . - . . . ?mil? . R� . . . . . . Side of street : north 0 . east ❑ , south [] . Wo. Nearest Cress Street . ./9 Ll r am. . . .. . . Distance frown this cross street . . . . . . . r+G' C?. . . . . . . . . Ft. Property is north ❑ , south . east ►i . west ❑ frown Cross Street If on Corner, which corner)'northeast Li . northwest Ell southeast ❑, southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main B�mtng Cl Addition to a building. One-family dwelling C� family dwelling d Alteration to a building. Two 0 Demolition of a building. Family apartment haws l� Store building Q - -car attached garage C7 Other: . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage Other work.. Describe» . . . . . . . . . . . . . . . . . . . . Two-car detached garage . . . . . . . . . . . . . . Private chicken house I . . . . . . . C7 . . . . . . . , . . . . . . . . . Private storage building . . . . Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. , . . . . . . . . ZONING SPECIFICATIONS. Fill in for new 'building. or addition to existing building. or a change of pccupancy. Indicate on the plot plan street mines, the location and size of the property, the location, size and setbacks of pro- posed buildings, and the location of ail existing buildings. Show proposed buildings) in dotted line and existing I/Yf LJ .y�> dy A.,e ' r� r2 7 Wilding(s) in solid line. : Size of property . . . . . . . . . . . . . . . ft. x . . . . . . . . . . . . it. (`a Size and use of existing buildings, if any . . . . j r Size of proposed building . . . . . ft. a . . . '` 'fir ft. Height (from grade to ridge) Front yard . . . . . . . . . . . . . . . . . . ./. . . . . . . . . ft, Side yards . . . . :-:`? . . . . . . it. and . . . . Y . . . . . _ . . ft. Rear yard . . . . . . . .� `' . . . . . . . . . . . . . I . . . { . . . . ft. so V T u If on corner, setback from side street . . . . .� I . - • • • , . , it. . . Note: All distances are see, as wtaasstred frowns street side line to nearest part of building. (OVER) (cont'd.) BUILDING SPECIFICATIONS Kind of construction. Wood frame, fire safe, etc.? , . . . . . . 0 v . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . . . . . If so, for what? . . . . . . . . . . . . . . . . Material of foundation walls . . . . j�,4- © G:� . . . . . . . . . . . . . . . . . . . . . . . . . T !C]Thickness . . . r . .f. . . , Depth of foundation walls low grade . . . . , _ . �r . . . . . . . I , , . . , , . . . , . . . . . . . Continuous foundation? . . Will there be ? le-5. . . . . . . If so, material of cellar floor . . Type of roc Slope r flat? . . . Material of roof . . . S+c • !t a L C S Size, wood stu s x ` � . . . . . . . . . . . . . . . .�" " . .tip . . . . . . . . . . . . ...�. �. . . . . ."o.c., en - .., spacing length , . . �.• . , . . . ft. Size, floor beams. Ist floor . . . . . . . C7:L,, . x . �, spacing . . . . Al . . , . , . "o.c., span Size, floor beams. 2nd floor . . . . . �' : . . " x . . . . . . . . . . ". spacing . . . , 1 _fir . . . . . "o.c.. span . . . . y. . . . . . . . ft. Size, ceiling beams . . . . . . . . , . . . . . . . . . " x . . . . . . . . . . . . . . . 'o spacing . . . . . . . . . . "a.c., span ft.. . . . . . . . . . . . . Site, roof rafters or beams . . _ . . . . . . . . . . . 010 spacing . . . !� .� . . . . . . "o.c.. span . �. . . . ft. Exterior finish . . . . . . � . . . . . . _ . . . . . . . . . . With what material? . . . . kAn P, Finish of interior walls . . . . . , A!e.e %.+t 43< 14< . , . :e7-. , 44 ,0 . . . . . . . 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 . 5�' . i, .�. . . . . . . .. . . . . . . . . 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? . . . . . . . E' S . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . Will a toilet be installed? . . . . . . . po� . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . . E'--5 Water supply (public water supply or pump( . . . . . . . . . , . . .+ . ,, F' . . . . . . . . . . . . . . .'. . . . . . . . . . _ . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . 4'eo. 3-ry . . . . . . . . . , . . . . . . . . . . feet Will drainage system be provided with required traps, cfeanouts, and vents? . . . . , , .y� '. s . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr. y s+r of my knpnViddge and belief the atatemepte oontained in this application, wr"ber with, the Plans and speei " 0" mjb mitted, are a true and cu,,,�tete statement of all proposed work to be done on the described premises and the of the HLIILI? Ind at such THE ork ZCINIMG dRDtNANCE, and all other laver pertainitts the proposed work shall be complied wk& whether spee:fied oc na, and that such work is authorized by the owner. Sworn to before me this Sidnature ���yc 7"/ OWNER. SJ WNtRFS AGENT. ARCHITECT, C¢NTRAC TOR dryof- .. .. .. . .. .. . ... . . . .. . .... .. . .. . . . _. . .. . . 19. . . . d' 040TARY PUBLIC. WARREN COUNTY, ri. Y. SPECIAL CONDITIONS OF THE PERMIT: Hy .. . . . . _.. TOWN OF QUEENSHURY WARREN COUNTY , NEW YORK Application fors 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 2 . Type of heat &C� 3o is the building mechanically cooled ? -AIfJp . 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 ,- r a . Are foundation walls insulated ? �1 NO 1 . If YES , what is the R value ? 3 , Slab an grade YES NO a . If YES , what is the value of insulation around perimeter of floor,+ ? 4 . Is basement heated ? YES 6j AV R value of insulation 5 . Type of insulation .A&42 s . under _ 16% _ _Only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls I 3 . R value of glazed area . �.- 4} 4 . R value of door' s ) 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab ►Il/f-1 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 Z 1I STY , 7 C . Controls r o 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 . Sire of hot water or cooling carrying t _ pipe 2 . R value of pipe insulation —�F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For swimming Pool Only _IV. Maximum heating ------- Telephone No . ( applica is signature ) TOWN OF QUEENSBURY BUILDING i 'BONING DEPARTMENT SEVAGF DISPOSP.�r PERMIT LICATION 1 . Owner . s Name < f Address 4 ? � Telephone No . CieS�g 2 . Property location 3 . Name of person or firm responsible for installing system �i Telephone No .,, /`ram Address ? �cc�t-irc r G� f _ r , r( 7 d A 4 . Number of bedrooms (residential buildings only) 5 . Daily flow' ggallone/day --- 6 . Septic tank capacity_ ] Q gallons 7 . Topography : flat , rolling , steep of slope 7, Be Nature of soil and depth_ C e.,I �c., - - 9 . If ground water , bedrock or impervious material is apparent at what depth does it Obegin? r �- ft . 10 . Percolation test : A E is required B is not required C If required what is the rate-j�- b -minutes,/inch 11 . Water supply : municipal , well other 12 , Type of system proposed : drywell tile field , 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 ,/ 61- 7- rs (r sig nature &o p leant On separate sheet of paper submit a d * am� of the proposed septic system with all dimensi e f ons , including distancrom any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . / �[ Form 3- 82 / cif TOWN OF QUEENS'BURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (5181 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION 41111111. DATE _ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUN TION/DAMP-PROOFING_ BACKF APPROVAL ROUGH MBING FRAMING ELECTRI ROUGH-IN INSULATIO FOUNDATT FLOORS WALLS CEILING FINAL INSPECTI 4, f CHIMNEY HEIGH ROOFING SIDING EXTERNAL PORCHES 'EPICS ^- STAIRS-CLEARANCE PLUMBING FIXTURE / IIEF LS VALVE INTERIOR TRIM/P VAC DOOR'S FINISHED FLOOR GARAGE FIREPR FING DOOR CLOSER {S SMOKE DETEC S FINAL ELECTRIC L INSPECTION �- FINAL APPROVA OF CONSTRUCTION A SIGNED CE IFICATE OF OCCUPANCY T BE OBTAINED FIRM THE .BUILDING DEPARTMENT FORE THESE PREM SES ARE OCCUPIEDI REMARKS : rnspE OR 400153 i THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 885 JOHN STREET* NEW YORK, NEW YORK 10038 Date jans.ury ;28 ' 1986 Application No. on file ile 10101 CF'-- 5 N 723000 THIS CERTIFIES THAT only the electrical equipment an described below and introduced by the applicant nansedon the above application nurnber in thepremises of Don Gray , A surer Roads Queeasbury- New ycrk _ in thefollowing locations; Fx,] Basement ® let Fl. Imo. 2nd Ft. 01haside Section Block Lot was eza.nined on and found to be in compliance with the requirements of this Board. FIXTURE ECEPTACLES SWITCHES FIXTURES M RANGES COOKING DECK$ OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT [ FUJORESCEN' u AMT_ R. W. AMT. K. W. AMT. K.W. AMT. K. W. AMT. 13 2.; 14 13 ! fr DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS ISPECIAL RECOPTI TIME CLOCKS I UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W, OIL H- P, GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. LAmT. H_ p_ SYSTEMS AMT- WATTS �t NO. OF FEET 1 .ang8 3# 6 1{7 SERVICE DI$Ct7NNECT I No. C* 1 Ihyt t 19 E R V I C E METER •W NEURALS6` OAMT. AMP. TpE EQUIP• 1 �! 2W 1 B3W 9 e 3W _ - € G• PER Js OF CCWCGND. F IG LG O F NEUTRAL 1 4 , 0 OTHER APPARATUS; Motor Ei : i - �:; kap Flectri_c RoEmx Tkester� : 2- 1 . 5 kFr 1 c* r . C . ? . 1— Sv,-moke Detectrr 1 - 1 . ?.a kc.v Anthoni, A . Lo Cascio 4 Amy Lane a� �cq� 01.t-,Tl Es Palle , New :a3G''kc 12 fit; 1 TiENERAL i1R14HAGiER 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 credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MARINER. TOWN OF QUEENSBURY Building- Dapsrtmentr Oce fie✓ r'a.E: 0 +Z f u-z� Remarks Fxcat}a t ran Footing Farms poiatipq & Piers Foundation Cement Coat Water roofin Backfill Final survey Framing Sheathin Roof Felt Roofin .Siding Masonry Veneer Rou h Pl Relief Valves Wall Board Tsxt . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fireproofing Door Closers Chimney Water Meter Inst . Se tic Approval T FloorB insulation Foundation Walla Celli �ZIUTIXrangr Inspector REMARKS -/--t-YL- 2 TOWN OF QUEENSSURY Building Department iu pectom l "mwt Daft Name r p .�+• Remarks Excavat on Footing Forms Footing & Piers Foundation Cement Coat Water fin BacJcfill Final Surveil Framing Sheathing Roof Fel t Roofin Sidin masonry Veneer Rough PI Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & RallingS. cellar Dr . Tile Concrete Floors Pl . Fixtures Gar . Fire roofin Door Closers Chi.mns Water Meter Inst . Septic A -royal Floors Foundation Insulation Walls .� Ceilin Zd btfildlng Inspector REMARKS TOWN OF QUEENSSURY Building Dev&rtmeut Name Permit No. f s L ! R we fttl.ex Remarks Exca¢atzon FootingForms Footing & Piers Foundation 4 Cement Coat Water roofin BacJ�rfill Final Surve Framing sheathing Roof Felt Roofin SIdInig MasonzW veneer Rough PI Relief valves Wall .Board Sxt . Porches Finished Floor Interior Trim Stairs & 12a11.i IS Ce] 1ar Dr . Tile Concrete Floors Tl�bg . Fixtures Gar . Fire roofin Door Closers chimney Plater Meter Inst . Septic A roval T Floors ._,..._,. Foundation - insulation Walks Cei3i Bualding inspector REXA KS cro TOWN OF QI601EENSBURY Building Department ImspM°etoa Report. Date L76A. Name LaocwtiaraU& '� r Penimit No. WC&th r Remarks Txaat3a Lion _ Footing Forms Faoting & Piers Foundation Cement Coat Waterproofing BackEI11 Final Surve Framing Shea thin Roof Felt Roof n Siding Masonry veneer Rough P1 Relief valves Wall Board Ext . Parches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors P3 . Fixtures Gar . Fire raafin Dolor Closers Chimney Water Meter Inst . Se tie Ap proval Floats Insulation Foundation We12s Ceilin BZF!ldjng Inspector REMARKS r r . f i 1 4 zo 57 cr YL 1� (N, �..e ,�r