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1985-685 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY F WARREN COUNTY, NEW/ YORK 3u y� [ f ': Date ] unB3 li I� 19 06 z ! • � C � � 1 a p LAS This is to certify that work requested to be done as shown by Permit [ R 1� has been completed. This structure may be oacu 'ed as a 2� Location 2 opt 12 S u � I 5. Z e Owner By Order Town Board 01rOVV V OF QUEENSBURY Building & Zoning Impactor CREu4 TIVE "fMlTIL PRINTING. GLFMS FRLLS. M Y 12001 {f lB�if 3-fffe BUILDING PERMIT TOWN OF QUEENSBURY No. 85 - 685 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Ken Collette OWNER of property located at _ Lot 12 Sugar Pine Road ( St . 4 24 ) Street, Road or Ave. n x in the Town of Queensbury, To Construct or place a One-Fam±l_ Y Dwelli g (D 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. n O 1 . bWNEWS Address is RD # l Box 455 ~ N Hudson Fallsr New York rr rt ra 2. CONTRACTOR or BUI LD'ER•S Name same r 0 3. CONTRACTOR or BUILDER'S Address rt F- rQ same to 4_ ARCHITECT'S Name I-S r• 5. ARCHITECT'S Address (D [f1 r Q a S. TYPE of Construction — (Please indicate by X) _ C!1 , ( A wood Frame I ) masonry f I Steel f } rim 7. PLANS and Specifications 0 24rx76 ' per plat plan : specif ±cat±ons and application No. submitted including two-car attached garage and sweage I , system . V 8_ Proposed Use 0 One-Family Dwelling D m I €u $ 5 . 00 C/O Paid $ 1506 00 PERMIT FEE PAID - THIS PERMIT EXPIRES June l 19 8 (lf a longer period is required an appi lost ion for an extension must be made to the Building and Zoning inspector of the �C town of Ctueensbury before the expiration dam.) Dated at the Town of Oueensbury this 18 th Day of November 19 85 N ,,� � /� 47,SIGNED BY �"" -''" 40ea �"'` for the Townof QueensburyBuilding and Zoning Iector TOWN OF QUEENSBURY (`apace inside block to br lilltA in b. . WARREN COUNTY, NEW YORK Building In"walowl Application for ,%I)I)Iiluliull No.,r RP V('1.91M INMIttiel i BUILDING AND IDN114 PERMIT Poe-IIIil t:xllimbs . %a In lllI I)i%l rig % ca u�- Cca P 4r N : d Iv I .1 r1'..1.1. • PLOT PLAN. Draw to scale tPIII �.. .•cl hu n showing the •ahsal diononsions of the lot to be built tta•Il1:Ir upon. Tl%o exact size. and location on the lot of the d . . . . . . . . . . . . . building to be erected or altered MUST BE SUB_ MITTED WITH THgS APPLICATION. TaWN OF QUEENS13URY nArf A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL QYF THE FOLLOWING. The wad"gned hereby applies for a permit to do the following work A'� � � � � which vrl1l be dove in accordance with the description, plan: and cifi- P pa , 1 , 1 . 1 .0 - . . . 1 . 1 , 1 . 1 . catioes, end such special con4itions as may be indicated on the permit. 'D I"VC t The owner of this property is: , .1 . . . rf . r . . . . . . . . . . . . . . . . . _ . . . . . . . . » . . . . . . . . . _ . . . . " iMAAEY iP O A17DRESSI The person �resp/onseihit: for supervision of tth--�e' work insofar as t/he BuildingCode and the Zoning Ordinance apply ix: :e'....-: . 4.-4 /[� .{,• 'S-�'. �-! .' :}? . ? . { •�.+x sa tee. T�a /f1_�p .i!�.e�:..�'r.' . . . . . . . . . . . . . . . • IMAMiEY � IP 4 w6W1Ei111 Name of Ruilder . J x� �c . . , t r/r '. . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . Name *( Plumber . . . . . . . . . . . . . . . . . . . . . Address Name of Mason . . . "v..s �a/lC' . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . - . . . . . . . . . . . . . . , . . . . . . . . . . . _ . . . . . t Lot Number . , . , . . [ . . . Unit . . I . . Estimated value of proposed work f . . . . . . . . . . . . . . . . . . . Noma of Street . . . i e� . . . na f. . . . . . . . . . . . . . . . . . . . . . . . . Side of street: north C3. meet ©. swath I0 . west (3 Nearest Gross Street . . ..Fry. c-". vrz . . . . . . . . . . . . . . . . . . . . Distance From this cross street . . . . . . . . • . , . . . . . . . . 1 t Property is north ❑, south Meant V; , west ❑ from Cross Street If oar% Corner. which corner, northeast U . ne thwest Cl . southeast O. Southwest (Designate by marking with an "X'* in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main $ ding ,Addition to a building. One-family dwelling Wa p © Alteration to a building. I w4 1 4 - -f dwelling 0 Demolition of a building. -family apartment house O Store building C3 , " , � , -car attached garage Other: I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I , . Accessory Building One-car detached garage n [� Other work. Describe: . . . . . . . . . . . . . . . Two-car detached garage Private chicken house 0 . . . . . . . . . . . . . . I . O ' ' ' ' � Private storage building . . . . . . . . . . . 1 . . . . . . . . . I . . . . . . . . . . . Othen: . . . . . . . . . . . . , . . » . . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in for new building. or addition to existing building, or a chance of occupancy, Indicate on the plot plan atreet aerlees. the location and size of the property. the location. sitne and setbacks of p.v posed buildings, and the location of all existing buildings. Mor%TM Show proposed' building(s) in dotted lists and existing Wildings) in solid line. Size of property . . . . Its a le'.S . . . . . . . it. Size and use of existing buildings. if stt)t - • '. . . . ..�• 14 74 e / 1 y �i. Size of proposed buildisg - . . Height (from grade to ridge) e Front yard 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards . . , . o . . . . . . . h. and . .? r/ . . . . . . . , . . ft. Rear yard . . . . . . Z�- H. . . . . . . . . . . . . . . . . . . . . . . . . ft. SOOT M I f on corner. setback from side street . , . ft. . . Note: A11 dis$aaees ■re nee, as measured from szreee Sid& J fine to nearest par$ of buifdiviIIIII. tpviERY 7-73 —M {cont'd.} BUILDING SPKCIFICATICINS4 Kind of construction: Wood frame, fire safe. etc*? . Will any second-hand lumber be used? . . . . eV.0 . . . . . . . If so for what? . . . , . . . . Material of foundation walls . . . . . . » .G a rs? .c, c . . Z? t'et r � . . . . . . . . . . , , . . Thiekne" . c * . . . . . . . . . . . . . . » . . . Depth of foundation walls below grade . . . a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? Will there be a collar? -ems. . . . . . . . If so, material of cellar Roar cx c� a7;",� . . . . . » . . . . , . . » . . . . . . . . . . . . . Type of roof: Sloped or Rat? . »S/girvra? . . . . . . . . , yyMaterial of roof » . !�s�+rn'? /; Size. wood studs . . . . . . . . . . . .z , , . . . . . '" x _ .ti . . . . . . ". spacing . . . . . a . . . . . ."o.c., len C� » ft. Sire. Boor beams. 1st floor . . . . . . . . . . " x . . . . . .� * . . , . , spacing . . . . . C F : . . . . . ."o,c., span . .i. . . . . . . , . ft. Site. floor beams. 2nd floor . . . . . . . » . " x . . . . .! C? , . . . ", spacing . . . . , td . . . . . . "o e ., spun . ,;5! . , . . . . . . . . ft. Sine, ceiling beams . . . . . . . . . . . . . . . . . " x . . . . » » , . . . . spacing . . . ". . . . . ."O,c., span . . 1 ?: . . . . . . . . . ft. Si>"e, roof rafters or beams . . . , . ;? . . . " x . . . . '. . . . . . . . . spacing . . . , . ,� �. . . . . , ."o c., span . . /, .y, . . ft. . . , . Exterior finish . . . . . . . . . . . . . . . . . . . With what material? . !ee !~.. . . . . . . . , . Finish of interior walls . . . . . . . S . +'�'e'.7~,rr:?�< .. � . . . . . . . . . . . . . » . . . . . . . . . . . . . . _ . _ _ . . . , . . . . . . . . , , . . . . . . . . . . . . . . . J 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 gaursge and building? . . . ,� . Kind of heating system .] i c _ . . . . , . , . (ail burner or coal? Will a flue-lined chime be vided? f , . . . . . , , r e}' Depth of chime foundation below de . . . , , . . . . . . » , . . . . , , . . . Height of chimney above roof , . . . y. . . . : . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . �x :ps . . . . . . . . . . . . . .P . Depth of fireplace hearth . .5 . '. . . . . . . . . . . . . Will a toilet be installed? . , , , Will ■ kitchen sink be installed and connected to water supply? . ` ,` . �s. . . . . . . . . . . . . . . . . . . . . . . Water suPP1Y (public water supply or pump) . . . . ,rv. +�G✓:� e . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . --- . . . . . . . . . . . . . . . . . . . . Will drainage system be provided with . . Clean , . . . . . a s feet tK Y p required traps. cleanouts. and vents. . . Town of Queenshury A!`FIDAVIT County of W rren State of New York I rwrrr that to it IYi 14VOf my k. sad belief tic etalaiuents annained is this application witld the and Initted, are r true and e..r. se an od all ptviwsad work w be goals an for drecrlbed sere a" tlrat �assi of is I ING CODE. THE zotY1N INANCE, and all odwrl laws pewtaixring so the proposed work ahalf bsroalpKed wltat►ar epsaiRfallsa Dp and that ouch work is a by sba owner. ram ' Sworn so 6ators.,sar-�Quis ��+ .( . . OWNER. OWNERS AGENT, AItCMiTECT, CONTRACTOR .. .J.. . . . . . day of ... . . ...., . 19. . . . . NOTARY PUaLIC, WARRaH C Y,ftjrV, SPECIAL CONDITIONS OF THE PERMIT: r By .... .. .. .. .. .... .... .. . . ....... . . . TOWN OF QUVENSDURY WARREN COUNTY , NEW YORK Application fors BUILDING PERMIT IN COMPLIANCE: WITH THE NEW PORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the followings 1 . Gross floor area <'r� i' 2 . Type of heat S,2 .IZ c 7 F 3 . Is the building mechanically cooled ? A." C" 4 _ Percentage of area of windows and doors A . over 16 * Only 1 . Uo value of gross area of walls , roof/calling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO A * Are foundation walls insu stied ? YES No 1 . If YES , what is the - 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 values of insulation 5 . Type of insulation Be Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. 30 2 . R value of exterior walls / 3 . R value of glazed area /. S 4 . R value of doors <7 5 . R value or floors over unheated spaces ' 6 . R value of slab edge insulation - unheated slab 7 . R value of Slab insulation - heated slab B . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /collar walls ( below grade ) 10 . Type of C . Controls L 1 . 'Thermostat maximum heat setting '7c 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 Heating 1 . Performance efficiency F 0 2 . Temperature control setting maximum G . For Swimming Pool only 1 . Maximum heating Telephone No . ( applicant ' s signature ) TOWN OF QUEENSBURY BUILDING a ZONING DEPARTMENT SEwAG'F DISPOSAL PERMIT APPLICATION 1 . Owner ' : Name r P Address_ /Z V I-Ay /U y Telephone No . 2 . 'Property location � � �� � t �• 3 . Name of person or firm responsible for installing system t _ Telephone No . Address 4 . Number of bedrooms ( residential buildings only) _ 5 . Daily flow e/' C"0 gallons,/day 6 . Septic tank capacity gallons 7 . Topography : fla , rolling , steep # of slope w - 8 . Nature of soil and depth 9 . If ground water , bedrock or impervious mat+eri.al is apparent at what depth does it begin? f to 10 . Percolation test : A is required B is not required C if required what is the rate minutes/ inch 11 . water supply : ( municipal , wrellr otherWiN ` 12 . Type of system proposed : drywell , ile fief—, other Any contractor ,. corporation , individual , etc * engaged in ' thd 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 / / S . ' ,�.-�.� ' Ignatu e of z.cant On separate sheet of paper submit a div�a r____a�m of the proposed septic system with all dimensions , including distancm any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . love Gam- ' T•4A01L' #L7�ar r3 ox. Form 3- 82 k 4000532 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY Fs]r 41 STATE STREET, ALaANY, NEW YORK 12207 Date 714a,y 120 1986 Application ,No. on file Ci01851/$f? A 660134 THIS CERTIFIES THAT only the electrical equipment ae described befosw anti Introduced by the applitYrsat named an the abase applicwtion munnLer in the prTPnnsees of Gen CDlletlre r Sugar Pi rle tad F Glens rails r Now York in thefollowinAlocation; Basement let Fl. ® 2nd Jq. C. tYMBide Section Block Lot 12 oxen crammed crr ir/2! $�i and found to be in cornplionew with the requirements of this Board. PIXTUR£ LESS1MITCH� RXTUE,E9 OK RANGES COING OECCKS OVENS MSH WASHERS EXHAUST FANS [%.TTIRTS lJOA1MGESCEttT F41li]KfSCETiT AMT. K. W. AMT. K. W. ANT. K_W, AMT. K- W. AMT. H. P. 3 28 44 34 DRYERS RXNACE MOTORS FUTURE APIUAHC£ P*KWRS SfECIAI.RRCIPT TIME CLOCKS REu IltitT HEATERS MI *vS MJIKET DIMl1AERS TRANS. ANT. H. r. #. TENS AMT. WATTS ANT. IC, W. OK H. P. GAS H- P. ANT. NG. A w. (}. ANT. AMP. ANT, AMP$. NO. OF PElT 1346 1 30101 is S�VbCE � 140.or 1 1* ] () E R V 1 CMan E AMT. AMP. TYPE ', 1 .e 2W 1 0 9W 9 ,W SW S p' 4w NO- C* CCft �eCQNO. of ecWCOOMI . No. GF MAW oiF A.�'� NG. Oi NEUTEA45 �h EUtTRAt 1 4/0 2Io OTHER AWARAUn: 2- C= I— R,YIKai e 11 Potter fed BRANCH MANAGER r�rT +�ocrs-t , NY 12831 fi ;ri4 Per This certificate must not be altered in any !Wanner; return to the office of the Board if incorrect. Inspectors may be identified by their c . fs. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF CUEENSBURY Building Department ineoectom Report Date N.�ae Permit No. �!{'S- lay R K .... Weather ]�"/I�l/✓'�� Remarks Exca0at3on Footing ForMs Footing & Piers Foundation Cement Coat Water roofin Backfill Final Survey Fram3 Sheath-in Roof Felt Roofin Siding Masonry ven0er 09 nougrh PI Relief Valves d Wa I I Dchard Ext . Porches Finished Floor Xnter.ior Trim Stairs & Railin s �! Cellar Dr . Tile Concrete Floors PI . Fixtures Y Gar . Fire roofin Door Closers Chimne Water Meter Inst . Se tic Approval Floors Insulation Foundation WBIIs Ceiling Building Inspector RrM"KS crwn o 'Queenj ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 $ � F 2rY- SEPTIC DISPOSAL SYSTEM INSPECTION NAME d L 4 e d LOCATION 1 DATE 3�.,.I ,1 PERMIT NO- 4r SOIL TYPE - Sand - Loam - Clay - --- Percolation Required? YES NO f Percolation rate - Min/Inch - TYPE of SYSTEM: y Absorption field , total length �Q Length of each trench _ r ! Depth of trenches Size of gravel dL SEEPAGE PITS{Number of) Size- ft. X Gravel size PIPING : Size Type Bldg - to tank Tank to dirt_ box Distw box to field/pit openings sealed? YES NO Partial LOCATION/SEPARATIONS : Foundation to tank -ft. Foundation to absorption _may ft - Absorption to lot line ft - Separation of pits t- LOCAZ`I�YSTENI ON PROPE (circle one ) Front Rear - Left side - Right side - COMMENT SYSTEM USE APPROVED YES NO Building Inspector 01/86 and v1 1�'r � _fouvrt D� �f! [��"rt3dtrrt� ! BUIEDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury. New 'York 12801 SEP/TIIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE / G_ PERMIT NO. SOIL TYPE - an - Loam - Clay - percolation to Required? YES Percolation rate - Min/Inch TYPE of SYSTEM: I Absorption field , total length G1 Length of each trench Depth of trenches 1 Size of graveY SEEPAGE PITs4Number of) Size- ft. X _ ft . ,j Gravel size 1'fL( PIPING : Size Type Bldg . to tank Tank to dirt . box Dist. box to field/pit enings sealed? YES. NO Partial LOCATION/SEPARATION S Foundation to tank ft- Foundation to absorption eft . Absorption to lot line t . Separation of pits ft- iACATznt P^^6YSTEM ON PROP] TY {circle one) Front Rear - LLeftt Side - Right side COMMENT P" 11 + SYSTEM USE APPROVED YES NO Building Inspector 01/86 and vl i`C3WN OF QUEENSBURY Building Department 6us"etw. t Name Penui t. No. - to We.+ad"w Rear+arks Exca*a tlon rooting Forms Footing & Piers Foundation Cement Coat waterproofing Bac&fill F%nal Survey Fraari n Shea thin Roof Felt Roofin SI ding Masonry veneer Rau h PI Relief Valves Wall Board Ext . Porches Finished Floor rnterior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors if pl . Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Snst . Septic Approval Floors Fortnda ti sl _N �-- — rnsetlation Walls 14 oO i y Gelling 14 ow Building inspector REMARKS TOWN OF QUEENSBURY Building- Department In"mmclare Rat Date_ / 2-- NatseLAMMUM p rnmt No._S� �i - fo_ —Weather Remarks Excatra tion Foo tIng Forms Footing & Piers Foundation Cement Coat water roofin BaakiFi ll Final Survey Framin shea thi n Roof Felt Roofin Siding Masonry veneer Rough PI Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers chimney Water Meter Inst . Septic ApproVal Floors insulation Foundation Walla Cei 1 i ng _.._._.._..........__. SuiZding zn pe for REMARKS TOWN OF QUEENSBURY Building- Department, Iarge s � R Date • � �t Nause �g Location z 67' C- l2 Permit Ne. - to weaGt�,ea Remarks Excatya t on Footin Forms Footing & Piers Foundation Cement Coat Water roofin DaC*fill Final Survey Framing Shea thin Roof Pei Roofing Siding Masonr Veneer Of Rough PI Relief Valves Wall Board Ext. Parches Finished Floor Interior Trim Stairs & Rail-in s Cellar Dr . Pile Concrete Floors PI Fixtures Gar . Fare roofin Door Closers chimney Water Meter Inst .- Se tic Approval Floors Insulation Foundation Walls Cei 3 i _._........ Building rnspector REMARKS so Ige oe� -74 Ile /ne