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1985-605 lot IFCERTIFICATE OF OCCUPANCY . TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Cate � .: 19 ( p _ Lj - D5 "ilia is to certify that work requested to be clone as shown by 'Permit No. V has been compieted. J 1� c` yy �� y i { �,--"�. '� � This structure may be r�occupied as a P . i Zocation Tao �'� c I a_ ne c c� : { . t . y. �c•A. Owner By Order Town Board 'TOWN OF QUEENSBURY f Building & Zoning, Inspector 5 C REI,TIVC "META - LNINTING GLENS •MLLS M T � 1aa it �a�aa 3-la56 4 s' • T E vi P O R A R Y CERTIFICATE +DF OCCUPANC" TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date August 13 1456 This is to certify that work requested to be done as shown by Permit No. 85-60 has been completed. This structure may be occupied as a one--Family Dwell. ir �f, i.ot 4 Sugar eixue Road ( 5t . No . b) Location owner Doriald Kru6ctr E`_.POBARY CERI'IFiCATE OF OCCUPANCY FOR gy Oder Town Board 30 DAYS . TOWN OF QUEENSSURY C� J00 Building 61 Zoning Inspector Ir ti BUILDING PERMIT TOWN OF QUEENSBURY No. 65- 605 WARREN COUNTY, NEW YORK F PERMISSION is hereby granted to Donald Krucre OWNER of property located at T nf- Q '4 lyar Pi nP Fxnad ( st Nn 8 ) Street, Road or Ave. 0 £3 in the Town of Queensbury, To Construct or place a One. F ami ly at the above location in accordance to application together with plot plans and other information hereto filed andPA approved and in compliance with the Town of Queensbury Building and Zoning Ordinance- 7q Fi fM 1 . OWNE R"S Address is Sugar Pine Road M Queensbury, N . Y . r3. CONTRACTOR or SUI LDE R'S Name same CONTRACTOR or BUILDER 'S Address Ct 0 tp Same 20 p 0 4. ARCHITECT'S Name Md 6. ARCHITECT'S Address N i3+ 6. TYPE of Construction — (Please indicate by X) 4 IC ) wood Frame { ) Masonry f 1 Steel f 1 7_ PLANS and Specifications + 56 ' x3 +6 ' per plot plan , specifications and application No. submitted including two-car attached garage and sewage o sv stem . M 8_ Proposed Use 'TJ sv One-Family Dwelling H_ $ 5 . 00 C/O Paid 'd $ 150 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES may 19�$ 6 ..-- (lf a longar period is required an application for an extension must be made to the Building and Zoning inspector of the F� town of Queensbury before the expiration data.( ~ Dated at the Town of Queensbury this , 18 th Day of October 19 65 SIGNED BY 7 for the Town of Queensbury Building and Zoning( Inspector TOWN OF QUEENSBURY (,space inside block to he fint•d in b% WARREN COUNTY. NEW YORK Building In ipito tor) Apphcaiioii Application for 1c' 1I111it1s.1Ic Ic} _. lc? BUILDING AND ZONING PERMIT \ :, 1tw 10 ,1'„rk f' THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale A1 ,1 F: e a1 showing the actual dimensions of the lot to be built itc 1,,.II 1C$ upon, The exact size, and location on the lot of the !wilding to be *rented or altered MUST BE SUB- MITTED WITH THIS APPLICATION, TOWN OF QU1�El1Ss ! 1 ` ; - Ss` �� �41� r f Nd � 1 . A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK � fell ANSWER ALL CIF THE FOLLOWING. '� t 1 The undersigned hereby applies for a permit to do the following work &Mod which will be done in accordance with the description, plans and specifi- 718 19 I�N*111'21 x ) 213141 1 cations, and such spacial conditions as may be indicated on the permit. ,/a The qokrner of this l9. pro ty is �Q �+�� '"�` r • Qt . . . . - . •J t.a et+i r wQr3 r{d- 41 . . . . . . . . . . . . . CNA CP 0. AUOR ES51 V The person res nsibie fear supervision of the work insofar as the Building Code and the Zoning Ordinance apply i4: f'] �/' IP-o A00AESSI Name of Sunder . . � ' ' ' ' . . . ' Name of Plumber , _ . r . , —_ (_ Address . . . . . . . . . . . . . . . . . - . . . Name of Mason - - . . &t 6.nr .. +1. . . . . . .+;C,;.. 4c... . . Address . . _ . . . - Lot Number . . . . . . 'Unit . . . . �} Estimated value of proposed work S � P? P x MO O Name of Village . . . . . G/7 !f. . — f ,!. Q-s. . . . . . . . . . . . . . . . Name of Street . . . �. °� ![�'�� . . d . . . Side of street : north (3, east ❑ , south © . west ($' Nearest Cross Street . . • Distance from this wross street . . . . . . . . Ft, Property is north W. south ❑ , east i i , west © from Cross Street If on Corner, which corner, northeast U , northwest © , southeast southwest (Designate by marking with an "K" in the correct space.I NATURE OF PROPOSED 'WORK OCCUPANCY Construction of a new building. Main BuEttling on 0 Addition to a building. One-family dwelling © Alteration to a building. Two family dwelling [] D -family apartment house Demolition of a building- Store building � . -car attached garage Other: Accessory Building One-car detached ,garage r Q Other work. Describe: . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house 0 • • 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 naroes, the location and size of the property, the location, site and setbacks of pro- posed buildings, and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing huilding(s) in solid line. Size of property . . . . .� . " �? - . . . . ft. x . + ta. . . . . . it. r Size and use of existing buildings, if any . . . . • - . "' Size of proposed building . . . .Z t? .' 1t• x�. ` . . . . . . . ft. Height (from grade to ridge) ft. Front yard . , . . . . or'�.0 . . . . . . . . . . . . . . . . . . . . . . ft- Side yards . . . . . . . Q . ft. and . . . . . . . . . . . . . . . ft. Rear yard SOUTH lion corner, setback From side street • . - , • • ft. Note: All distances are wet, as md'asureel from street side line eo nearest pare of building. +� (OVER) r� I " 3�M (coni'd. ) BUILDING SPECIFICATIONS., Kind of constructiorATood frame, safe, etc.? . . . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hart ~ �. . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . �r . . . . . . - r . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . , Depth of foundation walls below grade . . . . . . . . . ��. . . . . _ . . . . . Continuous foundation? . . . . . Will there be a cellar% . . . . .Io . . . If so, material of cellar floor . . , . . �rt-. . t. . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or flat? . . . . . . . . . . . . Material of roof . . . . . . . . . . . . . . . . . . _ _ . . Size, wood studs - - - - - - - - - - - - - - - _'" x . . . . . - . . . . . . ", spacing , . . . . /. .G.. , r. . "o.c., length . . . . . _ ft. Size, floor beams, Ist floor . - . . - . . - - ;L,, x spacing - ! ^ . . - , . "o_c , span . . . . . . . . . . ft. Size, floor beams, 2nd floor . , . . . . . . Zt� " x , , . . e Q . r-. . - . ". spacing . . . . . . Xo� . . - "o_c_, span Size, ceiling beams . . . . . . . . . . . . . . `x . . _ . . . . . . ", spacing . . . . . . r -C.�. - "o.c., span - . _ - , . . _ , _ . . . ft. Site, roof rafters or beams . . . . , . . "" x . - - . - . . , spacing . . . . . . . . . . . . . . "o.c., span . . . . . . . . . . . . . . ft. Exterior finish With what material `? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . . a 444a . . tfC+R' . . - . . - . . , . . . . . . . If garage is to be attached, ghat /m{�aatterrikall is wail between garage and main budding to be constructed? . , . , . - - .I . V. T . 1T�.�. .0. . . . . . . . . . . . . , - . - - . . . . . Is there to be an opening bet W^garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . a . . . . . . . . . . . . . . . . . _ . . Oil burner or coal ? , . . . . . . . . . . . . . . . . . . , , . . . . . . . . Will a flue-lined chimney be provided? . . - � . Depth of chimney foundation below grade . . �o, Height of chimney above roof . . . . .�. . . . . . . . . . . . Will there be a fireplace? . . . . . . .y!-- � -. . . . . . . . . . . . Depth of fireplace hearth . . - � . . . . . . . . . Will a toilet be installed? . . . , - . , , - , 1 .�. . . . . . . . . . . . . Will a kitchen sin lled and connected to water supply? _ ' . . . . . . . . . . . . . . . . . . . Water supP P bl'c wa apply or pump} . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspoo ruin any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? _ Town of Queensbury AFFIDAVIT County of Warren State of New York 1 swear that to tr. bda`rof my knowledge and belief the statements containis4 s a lice ' Err with the plans and specifications sub- mitted, are a true and cu.:. lete statement of all proposed work to be done muses and that an prowions of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to shall be oomph with, whether specified or not, and that such work is authorised by the owner. r Sworn to before me this Signature NE 'S AGENT, F'MWTECT. CONTRACTOR day of. . . . . . .. . . . . . . . 19. .. . . NOTARY 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 : 1 , Gross floor area 1! ? 2 . Type of heat^ % 3 . Is the building mechanically cooled ? e) 4 , Percentage of area of windows and doorsu �� ,/je"Wot A . Over 16 % only 10 UQ value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 , Floor over heated spaces NO a . Are foundation walls i ed ? ES 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 insula l ? 5 . Type of insulation B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions_ 20 R value of exterior walls 3 . R value of glazed area 4 , R value of doors 5 , R value of floors over unheated spaces 60 R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab £3 _ R value of heated basement/ cellar walls ( above grade ) 9 , R value of heated basement / cellar walls ( below grade ) 10 , Type of insulation c . Controls = 1 . Thermostat maximum heat setting 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 ��rr--����..��^^..-- E , Piping Insulation . _-7c _`, 1 . Size of hot water or cooling carrying agent pipe ,,o 2 , R value of pipe insulation -� - F Service Water Heating 16 Performance efficiency e5 W"90 - 2 , Temperature control setting maxima de C-0' G , For Swimming Pool Only / 1 . Maximum heating / r Telephone No . ::2$F 3 � ( awtv IIcant ' s gnature ) TOWN OF OUFFNSBUR'Y BUILDING & ZONING DEPARTMENT $E'H?AGE' DISPOSAL P*RMIT APPLICATION l . Owner ' s Name Address Telephone No . 2 . Property location 3 . Nam of pervsoR or (firm responsible for installing system Telephone No . 7�? Address - ��•-� — 4 . Number of bedrooms ( residential buildings only) 3 5 . Daily flow' r . ~' gallons/day 6 . Septic tank capacity , � ��� gallons 7 . Topography : flat , rolling , steep % of slope a 8 . Nature of soil and depth - 9 . If ground water , bedrock or impervious material is apparent at what depth does it 0beg :' n? ft . la . 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- t1le field , other Any contractor,. corporation , individual , etc . ,,engaged in the construction of a sanitary sewage disposal system who co rs ) the same before inspection , does not have an approved permit , or vari s fro the approv d application will be subject to a penalty of $ 250 as r id d f i ction 6 . 010 of the Queensbury Sanitary Sewage Ordinance . 01 Date 5 nature lof app scant 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 r I �'t�CCSjj1 s '7 3 : -3 a 4 '""I II fourn 0/ Qeeeenshurr BUILDING and ZONING DEPARTMENT Bay and Haviland Raad, R.D. 1 Box 98 Queensbury, New 'York 12801 BUILDING INSPECTOR,r' $ REPORT NAME f) (Y h LOCATION8 � 0 permit No - Datie 4 � -- * * * * * * * * x * * * * • * * * * * * w y' APPROVED - YES NO Footing/pier Farms Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough plurnbi-ng Relief Valves Ext . porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors plbgg , Fixtures Gar _ Fireproofing Door closers Smoke Detectors Chimney INSULATION : Foundation Floors walls ceiling p �...� FINAL ELECTRICAL INSPECTION I)RIVEWAY APPROVAL Final Building 5urve5'�-- ------ I �►sp action (call when ready ) Next scheduled Remarks- Bull n Inspector 6/86 md--vl 43 own o� �ueenyhurr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-0. i BOX 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ► " LOCAT I ON J,: a r- L4 7 Q y kele ' � EE` Date/ _,_ Permit NO . r �r - APPROVED - YES 13O Forting/Pi —. Foundation Waterproofing Backfill Framing "Roofing ✓'Siding Masonry Veneer Rough Plumbing 0 Relief Valves Fact . Porches F ' !.shed Floors t � Cr � ! t-1lS winter or Trim StaIrs & Railings Cellar Drain Tile ncrete Floors ME Plbg ., Fixtures Fireproofing �r Closers xce Detectors r �Ch l coney rrNT sULATION Foundation Floors Walls �!ling INAL ELECTRRICAL INSPECTION Final Building Survey Next scheduled Insgection ( call when ready} Remarks- Building Inspector 6/86 and-vl TOWN OF Q►UEENSBURY Sundia: Departmont gem No. - 6 ° W Remarks ExcatYa tion Footin Forms Foot! & Piers Foundation cement Coat water in Backfill Final Surve Framin n I In Roof Felt Roafi Siding Masonr veneer Rcyu h PI Relief salves Wall Board Ext , Porches Finished Floor .I'nteriar Trim ' stairs & Railin s Ce31ar Dr . 'Tile Concrete Floors P1 , Fixtures Gar , Fire roofin Door closers Chimne Water Meter Inst . S&Ptic A roval Floors Foundation Xnaulation Walls Ceili ng Inspector REMARKS j� YI /Nr//S 4 7 :Qu IN 17 1 w o j5 C4� d0 5 �}G wi Y`wE t ? TOWN OF QUEENSBURY Building- Department Sae bows Repdwt Date Name l C gx:j ,& R Location Peareoit Na rr CAD W e.tlaer Remarks Excaoat on Footing Forms Footing & Piers Foundation Cement Coat water rvofin SacX.fill Final Survey Framing Sheathing Roof Felt Roofing Siding masonry veneer Rough Pl Relief Valves Wall Board sxt . Parches r Finished Floor xnterior Trim Stairs & Railin s Cellar JDr . Tile Concrete Floors PI . Fixtures Gar . Fire rov.fin Door Closers chimney water Meter Znst . ,se tic A ya rol 40 Floors Xnsulation Foundation _- T Walls Ceiling buildi g xnspector REMARKS PCsT- TOWN OF QUEENSBURY Buildisg Department L"Peeftwo Report Locmim parnmit Na. -A a s" __ eater Remarks Exca0ation Footing Forms Footing & Piers Foundation Cement Coat water roofin E9e DacJkfill Final Survey Fra In sheathing Roof Felt Roofin SIdin Nasonr veneer Rou h Pl Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim stairs & Railings Cellar Dr . Tile Concrete Floors Plbgr . Fixtures Gar . Fireproofing Door Closers Chimney Water Meter Inst . Se tic Approval Flours Insulation Foundation Wal t'l Cei l ih Building Snspector REMARKS TOWN OF QUEENSBURY Building Department Iftepecbm* Repart Dare��. Pernu� No. Rema rks ExcaY�a t ' on Footing Forms Footing & Piers Foundation Cement Coat water roofin Baclkfill Fina.I Survey Framan Shea thin Roof Fel t Roofin Sidin Masonry Veneer Rough PIbgw Relief valves Wall Board Ext . Porches NL Finished Floor Intexior Trim Stairs & Railings Cellar Dr . Tile Con&rete Floors PJ, . Fixtures Gar. Fire roofin Doer Closers Chimne Water Meter Inst . Septic A naval Floors Insulation Foundation Walls l - -" Ceiling Bu .Iding Inspector .REMARKS