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1985-614 C"ERTIFICA.TE OF OCCUPANCY TOWN OF QUEENSBURY WARREN {COUNTY, NEW YORK 3 oq Pit, Date Is This is to certify that work requested to be done as shown by Permit No. ` 'r i i has been completed. This structure may occupied a Cr e F' a.?r i - D 11 i nc� .736.4 f3Tt fir. irr_ 1 F sure pidCle , Qe:ct-5- on �. T } Location M'tidp'�`► Owner Crrr + T.nc7er .__nf ' By Order Town Board TOWN OF .QUEENSDURY r, i Building & Zoning Inspector CRilY T1Vi "VN'JT k" vNVN TING. GLCMS WALLS M v I2101 41f 4VT43-S{SB BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 614 WARREN COUNTY, NEW YORK r PERMISSION is hereby granted to Connie P And r nn OWNER of property located at Lot 1 Asur e Drive Street, Road or Ave. a Rainbow Ridge Section 21 �1 in the Town of Queensbury, To Construct or place a orie—F'ami ly Dwelling ice.. 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 O.ueensbury Building and Zoning Ordinance. 1 , OWNER'S Address is 5 Qu een sbury .Avenue Glens Falls , New York c' tD m b 2. CONTRACTOR or BUILDER'S Name Native Construction 3. CONTRACTOR or BUILDER'S Address PO Box 164 Hudson Falls , New York 12839 o 4. ARCHITECT'S Name 1,,.. Cn %= 5. ARCHITECT'S Address P.(D fD d 6. TYPE of Construction — (Please indicate by X) 0 � rt [ xl Wood Frame I I Masonry I ) Steel i I a T. PLANS and Specifications 391x23 ' per plot plan , specifications and application No. submitted including sewage system . S. Proposed Use O One-Family Dwelling rn r Ii E3 $ 5e OO C/O Paid +~-� $ R4 _ () 0 PERMIT FEE PAID — THIS PERMIT EXPIRES May 1 1986 `C (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Qusensbury before the expiration date.) Dated at the Town of Oueensbury this 23rd Day of October 19 85 � SIGNED BY for the Town of Queensbury Building and Zoning I nspector TOWN OF +QUEENSBURY itiparc inside block to 1x• tilk•al in b. , WARRIEEN COUNTY,, NEW YORK Building lntilm"ct+r11•1 Application- tor Ap Ylll atrrlrl Nct. l•c.rr,rir Ishnelled 19 BUILDING AND ZONING PERMIT l'..r,,lir VNpireee, l? f. •111114h Il.,tri[ 1 ... ,,...._ I #1 Copl s of PLOT PLA . Drawn to scale \I rl rr. .+� 4-d liy owtn fha actaal dimlens ona o the lot to be bail} k,•o-l}:rr 1Kf buildin #0 61e erected ar�lterad of the upon, exact size, and location o of tIT1��-VRTH--TMS�APPLICATI _..._.. ..._� /Wyc -,C 5 - 24 TOWN �(C[�►n1F' Q[ IELES7{Yl"(� SBU E�'{Y�1 � A PERMIT MIDST BE OBTAINED BEFORE BEGINNING WORK iE1 J! 1 ANSWER ALL OF THE FOLLOWING., � ; The undersigned hereby applies for a permit to do #ire following work A.Mlqqv�l J t1+.IQE. which will be done in accordance with the. description, plans and spacifi- 718112131415 16 cofions, and such special conditions as may be indicated an the permit. The ow er of this, propert rG rt/✓L' 1 .tt? . . . ` 1. J �tJ' E+ c+"�5G►n.1 . . - - wj%. RE] iP D. AGORESSI The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply i4: - :7x^ _ .X .-Re . .!!'/ 'M '!f'�1. "Gi . . . . . . . . 'e.��... : k - - - /.Ea' i - - . . . F 9L1.'��1 - . / ��' S�y rNAME0 Tee ApDR 551 Name of Builder .fx J�l .lrl 64? !v! 57/ oPQG.J­/;G- r✓ . . . - Address NameG'e?ry Address !'?' G1K . /rc `'►. i!z! .• i9' S . - . . . Narne of Mason ./�/. !C'�'?t� . . f4!��-{a�5/T! �/c � �� . . Andress . . . . l�-'�i!� .�7,�.�a�/T Lot Number . . . . . . . . . . . unit 4 nb '. '. ltima`te�fc 'vz eof proposed work $ . . . . . . . . . . . . . . Name of Village . . _ ��" } G? � , + .j#4 . . . . . . . . . . . . . . . . . . . . . . . . . d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . .f.7�1� ' . . . G'!,,��^� .. . , . . . . . ...y... . . . . . . Side of street: north 0. east 0 . south ❑. west C] Nearest Cross Street , , . r✓� . . , )1090.r.14)49 Distance from this noes street . . . . . . . . . . . . . . . . . Ft. Property is north 14 south © . east r i , west 0 from Cross Street if on Corner, which corner, northeast ` northwest d , southeast 0 . southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK 04CCUPANCY Construction of a new building. Main Building Onc-family dwelling Addition to a building. 0 Alteration to a building. Two-family dwelling Q 0 Demolition of a building, -family apartment Rowe C] Store building . . - . - . -car atlached garage ( ] Other_ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Build K One-car detached garage 0 Other work. Describe: . . . _ . . . . . . Two-.car detached garage El 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- iNORTH posed buildings, and the locatic*mn of all existing buildings_ l — ... Show proposed building(s) in dotted line and existing /77 ytj p ,4/ �`t'Q lWilding(s) to solid line. J + Size of property . ./!� 7. , . , . , . ft. Is - . /. (3.45. . . . ft. Q Size and use of existing buildings. it any . . . . . . . . . . . . . . i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Size of proposed building . . - . . it, x :Z!s Height ( (rot, , ,tirade to ridge . . . . . . . . . . . . . . . . ft, Front yard . . . . 4` . .� . . . . . . . . . . . . . . . . . . . . �� it. 1 a ?.2. . _ .G . . . ft. Side yards . . . . .. . . . . . . tt. and . . rr Rear yard . . . . . . , �.r . . . . . . . . . . . . . . le ft. i OUTM n if on corer, setback from side street . . . •F y z ' ft. 1Vo0e: All distances are& not, as mOdsured frorrr street ride lure ro nearest ,furl of building, roveRr (cont`d.) BUILDING SPECIFICATIONS., Kind of construction-. Wood frame, fire safe, etc.? . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . Will any second-hand lumber be use . . . . . . . . . . if so. for what? . . . . . . . . . . . . . . . . . . Material of foundation walls . . /`Cr .. .>�� ©G. h ��.� .. . . . . . . . . . . . . . . . . . Thickness . . . .le . , . . . . . . . Depth of foundation walls below grade . - . . . . . . . �. Continuous foundation? . . . . . . . . . . Will there be a cellar? . . ,/ �+" . . . . . If so, material of cellar floor . . . . • • • .r. , , , • . . . . Type of roof: Sloped or flat. . . . . ,,,` "..G G0 .I"° 7 . . Material of roof , . f,G! 0x?,1? - . . .c� `�44Ae ./. , . . . . . .. Size, wood studs . . . . . . . . . . . . . . . . cac� . •• x . . . . . . . . . . . r� .•'�' spacing . . . . . rr�. . . . .^o.c., length . . . . . . . . . ft, Size, floor beams, 1st floor . . . . . ' . . . " x . . . . I'C . oil spacing . . . . /. rc. . . . . . . o.c., span . . . . /' ft. Size, floor beams, 2nd floor . . . . . spacing . . . . 6. . r,' , , . . "lo.c., span . . . . .//. . . . . . . . ft. Size, ceiling beams - , . . . . . .,&1477e46`?! f( - A +-. . . P06.0.IP i r /dA: spacing "o.c.. span ft i ft. Site, roof rafters or beams . . _ . .� r. . . " x . 1 `� ' w''r . !r. ", spacing . . . . , e%,/ rr "mc.. span . p�d. . . ` ='. ft. Exterior finish . . . . . . . . . . . . .GC/. 4??. . . . 5 ',/`�! ?7 ''? O . . With what material? . . . . I .. Clt . . . . . . , . , . - - - . . . . . . . . Finish of interior walls . 4,?.C?C' .^E . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? . . . . . . . - -/� r�.c "ti . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening between game and building? . . . , . . +A!`U''. . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . ;E �. ! !�'-! Gs . . . . . - - - - - - . 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? , , . . , , ./!j4!). • • • . • • • • . . Depth of fireplace hearth Will a toilet be installed? . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water su ply? . . . . >1r{ 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump} . - - . . - . Pee .r`4` : . . . . . . . . . . . . d . . . . . . . . . . . I - . I . . . . . . . . . . . . . Distance of cesspool from any private well . . , . . . . ./. Oro -'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 co it bw*a`fuf my knoiwknlae and belief the atawmenta contained in this application, t q"dwr with the Polaris and specsficatione "b- miued, are a true and co.a. ete *tatement of ail prapoeed work to he done on the described prenuees and that an of the BUIL D. w ING CODE, THE ZONING ORDINANCE, A all other law* port*'ni to the gromred work *hall be complied wlsrtiwsr apeeified or not, and that such work i* authorized by the owner. Sworn to before me this $i,�natune9er'rX6 ,,.t.....:-r . ,.OWNER. 4WHER'S AGEHT. ARCHITECT. CONTRACTOR 1. . .. . . . day of.. .. . . ... ... .. . . .. . . . .. . . .... .. . .. . ... .. ... . . . . 14. . . . . . 11 .. . . . . . .. . . .. . .. . ..... . . . . . .. . . "aimmy PuaLIC. WARREN coumry. N. Y. SPECIAL CONDITIONS OF THE PERMIT: i 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 : 1c 1 . Gross flour area � I /_._.... <<4. F I. .0e , 2 . Type of heat C ! e4' IL" 3 . Is the building mechanically cooled ? / / 4w percentage of area of windows and doors / � zz) - ! - ,rLO �} A . Over 16 % Only 1 . ^U0 value of gross area of walls , roof/ ceiling and floors exposed to ambient conditions ' 2 . Floor over heated spaces YE NO a . Are foundation walls i ated ? YES NO 1 . If YES , what is the R value. ? 3 . Slab on grade YES < NO a . if YES , what is t'h R=value of insulation around perimeter of floov ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation Be Under 16 % only 1 . R value of roof and floors expo ed to. ambient conditions_ 2 . R value of exterior walls f t 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 slats 8 . R value of heated basement/cellar walls ( above grade ) 9 . R value of heated bas ._ rnent /cellar walls ( below grade ) -- Zp . Type of .insulation 'F .t::� 1� ltc L' ��'""� Co Controls cs 1 . Thermostat maximum heat setting C 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 . Pipping Insulation 1 . Size of hot water or cooling carry .ing agent pipe 2 . R value of pipe insulation F . Service Water Heatinc3 1 . Performance efficiency � 2 . Temperature control setting maximum ! Ay 4D G . For Swimming Pool only - -- J - 1 . Maximum heating Telephone No . (dapplIo6ant ' s aignature ) sw TOWN OF ()UEFWSBURY BUILDING i ZONING DEPARTMENT SEKAGE DISPOSAL PERMIT APPLICATION 1 . Owner • s Name Address '�G �`.- c ~f ------ Telephone No . 2 . Property location Q-7' 3 . Name of person or firm responsible for Installinc system FA /64-!/ 1 G,r�q +� *� Telephone No . 0 Address /0G7 f5'G _ 5 Xr --- 4 . "Number of bedrooms ( residential buildings only) 5 . Daily flour' JC> gallons day E . Septic tank. capacity. ._ _gallons ? . Topography : flat , _rollina , steep of slope so Nature of soil and depth 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 12 . *Type of system proposed : drywell . ti. le field , other Any contractor ,. corporation , individual , etc . engaged in ' the construction of a sanitary sewage disposal system who covdrs the same before inspection , does not have an approved permit , or varies I om the approved application will be subject to a penalty of $ 250 as prove ed for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . Date - sIgnolture 'o vippllcant _ On separate sheet of paper submit a dia ram of the proposed septic system with all dissensions , including distance from any structure , distance from property line and domestic -water supply , etc . Include all dimensions of the system itself . ,.^ Form 3- 82 t x,. 6 xis ` , c r; r- > _ 4000490 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY _ df STATE STREET, ALBANY, NEW YORK 12207 y� pp Date August 13 r 198fi RPP[icescion rYo. on file 000209-86 A 665 ! � G7 THIS CERTIFIES THAT only the electrical equipmiPnt as described belam and introduced by the applicant nansed on the above appUention murraber in the prep sines of C omie Arelex: onr 'I Asure�--b` r . , rrxie ns➢aury 13Y in the follorcing location, � Basement QLl )at Fl. ❑ 2nd Fl. outside .Section Black Lot TAlaa esamined on 7/15/86 anal found to be in compliance with the requirements of this Board. FIXTURE WCEMACLES SWITCHES RANGES COOKING DVxS OVENS DISH WAStIERS EXHAUST FANS INCANDESCENT FLUORIESCENT x AMT. K. W. AMT. K. W_ AMT. K_W_ AMT. K- W. AMF. N. P. 12 31 12 DRYERS FURNACE MOTORS FUTURE AFMANCE FREDIIRS SPECIAL REC"►T TIME GTAICKS E44L UNIT HEATERS MULTI-OUTiEr DIMMERS AMT. K. W. CHL H. P. GAS H. P. AMT. HaA. W_ G_ AMT. AMP. AMT. AMPS. TRANS. AMT. H- P. No.Sr STEMS AMT. WATTS lit iDF FEET SERVICE DISCONNECT No. Cw S E R V 1 C E MITIR AMT. AMP. TT►E i, 1 ,I TW 1 X 3W 3 / 9W S JF 4W NG. D R!`GGND. MCC. COND- No. Or HiAEG OF IM G. NO. or NEUTRALS piA'NEU RAl OTHER APPARATUS: electric ileatars ; 3-- 3 . 0 kw 4- 1 . 5 kw 1 - ctfci 1- 1 . 5 kw -_ 1- smoke [detector =_ t-like C xidSky o� 3 q ? 365 FOrtsville Rd . BRANCH MANAGER C'ansevoor�t , -4%"i' 12831 �t - PrTA This certificate must not be altered in any vrdanner, 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. BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR R S REPORT NAME L��LxSOr L4CATIQN z � y,� C Date iG1 / Permit No . T� FaOting/Pzer Forms ✓ APPROVED - YES NO Foundation Waterproofing Backfill Framing Roofing Siding rtasanry Veneer Rough Plumbing Relief Valves Ext . Parches Finished Floors Interior Trim Stairs & Rail±ngrs Cellar Drain Tile Concrete Floors I Plbg , Fixtures Gar . Fireproofing Door Closers Smoke Detectors �— Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION 40'rF'inal Building Survey . . Next scheduled Inspection {.call when ready} Remarks- - e-Ae mil . Fro 8 6/86 and-vl ilding Inspec r TOWN OF QUEENSBURY Building Department Ift"mw*am 96port Dam Name Imo Svrz & ►} rz. 41� , 7•tlr /',US�'GC,n Cx/ Rema rks Excafia tirsn F10ot Ing Forms Footing & Piers Foundation Cement Coat Water roofin Ba ckfill Final Survey Framin Sheathin Roof Pei t Roofin Sidingr Masonry Veneer f AL Rough PI Relief valves Wall Board Ext . Porches tl-Co.41 PZ -'I' Finished Floor Snterior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fireproofing Door Closers Chimney Water Meter xnst . Septic Approval Floors .insulation Foundation - -- walls Ceiling Building nspector I1 REMARKS t % Lk f'"y2 Ary, 5 i G-'S k k AlAj 62-