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1985-714 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Bate Imhis is to certify that work requested to be done as shown by Permit NO. ynhas been completed. This structure may be a"vVed as a Location Owner By Order Town Board TrOWN OF QUEENSBURY Building & Zoning laspector CRKATIV K -IM;TA" PM1"TVN0 FALLS M Y Niini {Still{lf3-l�54 1 I i 'sy s T E M R A x t CERTIFICATE OF C�+G+CT,.JT-'' AN�'Y TOWN OF +QUEENSBURY WARREN COUNTY, NEW YORK I paw Mav 23 lq 96 This is to certify that work requested to be done as shown by Permit No. 85-- 714 has been completed. one--Family Dwell. 1n.g This structure may be occupied as a off West MOUTILain Road Location Kenneth and Laurier ffr!r. ris Owner rrju- oRA.RY CERT1r TCATE OF' UCC4JT°e1A:f.''_' FOR ]BY Order Town Board i� 30 L'tsf' PENDING FINAL ELECTRTGAL j 'ToV N OF QUEENSBURY .Cl i Building & Zoning [nspector BUILDING PERMIT 4 TOWN OF QUEENSBURY No. 85-714 WARREN C(3lJNTY, NEW YQRK `rt w Kenneth and Laurie Harris PERMISSION is hereby granted to t� West Mountain Road Street, Road or Ave. p' OWNER of property located at r�x H• One—Family Dwelling m in the Town of Queensbury, To Construct or place a at the alcove 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. "+ 7 1 - OWN1 . OWNER'S Address is P . O . Box 499 Glens Falls , New York 2. CONTRACTOR or Bt31 LOE Neva England Log Homes m r r+ 3. CONTRACTOR or BUILDER "SAddress � O Box 427 G Lake George , New York + N- 4. ARCHITECT'S Name 0 Cx. r5, ARCHITECT'S Address TYPE of Construction — (Please indicate by AC) ( xl logs .Wood Frame [ Y Masonry ( } Steel ( 7 - PLANS and Specifications 24rx36 ' per plot plan , specifications and application No. submitted including sewage system . m S. Proposed Use N One—Family Dwelling N• �c r7 $5 . 00 C /o paid S6 � 91 . 00 June 1 19 t4 $ PERMIT FEE PAID — THIS PERMIT EXPIRES IIf 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-1 Cry 29th November 19 85 Dated at the Town of Queensbury this , � r Day of SIGNED BY /yry" "°` Q � �' for the Town of Queensbury Building and Zoning Inspector TOWN OF QU EENSBU RY (Space inside block to he lil"I its br . WAR1iElsl COUNTY. NEW 'Y'ORK Buiklitll� lssrfaktitgrl ��'M ���� for .�L414T� 14 :Ii 14111 Nit). r PP f'('1"It111 ll*.%kll*fl f BUILDING AND ZONING PERMIT 111011tlit F.xhire% , 1f1 . %rs .11lllr: lYi%irie t t it t 1 l u 111 % 1 wk .rrw • w....� �ur� • PLOT PLAN. Drawn to scale ti .i art ot 4-41 by s6owiAviv nq fhe actual ditnmsions of the lot to be built l�ti lrl:lr)(f upon. 'ibo exact size, and location on the lot of the P . buihding to be orectod or altered MUST BE SUB- MITTED WITH TI i%S, APPLICATION,`""` L �7 f E 0 R q V F= D A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. NOV er � ,p � Wi The uadersigned hereby applies for a permit to do the following work A.1 . O/which will be done in accordance w" the description. plans and spacifi- 71e� � ?l2I1410 Catioos. and such special faaaf�ifioas as rosy be indicated on the permit. ' The owner of this property is; IK cj. ►. . 1- . [rR Y#'�-Fk cot . . .him fa,e.A sb. . . . . . . . . . . . . . . . d I . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . I NAAEI W O A00RESSI The person responsibic for/ supervision ofthe work insofar as the Building Code and the Zoning Ordinance apply is; � rt!h c tt . .A04opgC?i7 `e . rrSt1ct4t61 ] . to i►o E sf Name of Builder . . . 40.1-[.AAa.K . . .rAsa.4J> Y' . . . . . . . . . . . . . . » . . . .Address . . �iA.0�cf, . .A s . . !t �.4 .✓. � . . . . . . . . . . . . . . . . . Name of Plumber . . Pl i. . . . T c>'S�.L. .Y. rs_..} . . . . . . . . . . . . . . . . . . . . . Address . .tF9. Rt . , A. 00 Vitt 4:'4y. P o rJ, F+ .Y. . . . . _ . .Address �ayttRAoii +� Nerve of Mason -5`f►- . !°� �-. . . .,.e�k'ISSa. . . . . . . . . ,+• Lot Number . . . , . . . . . . . . Unit . . . . . . . . . . . . Estimated value of proposed work $ . . . . . . . . . . . . . . . . . . . . . . . . Name of Village . . t . . 00. 0.11 1 Not A14*1a fs . . . . . '. Gy:4E A.�a:. . .I<AL. (~.%i . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . h1C>}aN �lL Jt.? . . . R_�7. . . . . . . . . . . . . . . . Side of street: north 11. esat Q. south [3 . west 10 Nearest Gross Street . . . eo )'ry F.}-. . . ft p� . . . . . . . . . . . . . . . 0 . Distance frr m this cross street . . . , , . . . . . . . . Property is north 14 . south © . east , west D from Cross Street lion C.orner.�which corner. northeast `:l . nrrrthwest ❑ , southeast 0. southwest (Designate by marking with an "X" in the correct space) NATURE OF PROPOSED WORK OCCUPANCY IM Construction of a new building. Main HWi#ding C71ne famil 0 Addition to a building. y dwelling Q Cj Alteration- to a building. Two-femily dwelling O Demolition of s building. _ . family apartment house 0 r Store building; . . . . . . . . -car attached garage Other: . . . . . . . . . . » . . . . . . . . . . . . . 1 . . . . . . . . Accessory Building One-car detached garage � I*I other work. U*scribe: . . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . 'T'wo-car detached garage Private chicken house 0 . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . ' . . . . . . Private storage building Other: . . . . . . . . . . . . . . I . . . . . . . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building. or a change of occupancy, Indicate on the plot ,(clan street ns"we, the location and size of the property, the locationo site, and setbacks of pro- NORTH posed buildings, and the location of all existing buildings, show proposed building(s) in dotted line and existing Wilding(s) in solid line. r Size o7 property . '!1 . . . . ft. x a Size and use of existing buildings, if any , » . . . . . N S "" Size of proposed building . . .? `a . �. . . ft. x . . . .3.fo.�• • Et. 164 a ens - y :� 3 2 H eight (from grade to ridge) . . . : » . . . . , - •!. $ . . . . . . it. . . i� (> . . . . . . . . . . . . . . . . . . ft, � A Front yard . . . . • . - • � ' ,,� Side yards . . . _ . .G7G? . . _ . . . ft, and . . . » P. . . . . _ . '�✓ - . r' I� ti A' PflY"l �e �� Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . » . . rG7 , . . . ft. SOUTH 3 If on corner. setback from side strset ft. _ Note: All distances are nets as asLearrred from street ride lissr to neeresI part of building. rov tt wY 7-73-1K 'd.a , BUILDING SPECIFICATIONS.. (cont Kind of construction : Woad frame, fire safe. etc.? . .4�? ( 1`� 00 ) . . ,Gs 2 r??c��x . . I�} EAt. . . x, ,'sa Kr csagyy Will any second-hand lumber be used? . . 1 3.C7. , . . . . . . . I# sa, for what? , . . , . . . , . , . . Material of foundation walls . .P.e� a r? c . . . .�,� . tint,e� ley-- .� ' "ltidcncxs K3 . ". . . . . . . . . . . . . . Depth of foundation walls below grade , . '. .Gv: , . , . , , , . . . . . I . . . . I . Continuous foundation? . . Yf � . . _ . Will there be a cellar? . . Y.t . _ . . . . . . . If so, material of cellar floor . .Fr?` Type of roof: Sloped or flat? . . . S cp,Pt;4yt , . Material of roof Sire. woad studs . . . . . . . . . . . . . . . . . rN7,. " x , . . , _ . . . . . . . .Cw ", spacing _ . . . . , , , . . . l, c.,"o gilt . .c., lee [t. . . . . . . ,• , . . ft. Sire. floor beams. 1st floor . . . . , . . _ . ..?, ^ a . . . . . . . . . . . . !Ct "'. spacing . . . . . . . : . Lf7,"o,c.. span , . . . . .!,_� . . , . . ft. Size, floor beams, 2nd floor . . . . . . . ,- . "' x . . . . . . . . . . . . . $ . ~, spacing _ . . . . . . . . . ,I, (n, "o c., Size, ceiling beams . . . . . . . . . . . . . . . . . . " x start • . . , . , , . . . ft. Sim, roof rafters or beams _ . 2 . . x • "', spacing . . . . s . . . . . . . . '"o,e." span . . . . . ft, . _ . . . . . . . . . . . . . "', spacing{ . . . . , . . . . . ,2. 4f "rax.. span . _ . . . ./. Y2, , , Exterior finish . Gc*<zr / 8s0.n RJ` , . }: , . . iy!-,t4t: a . . . . . . . . With what material? Famish of interior walls . . . If garage is to be attached, of what material is wall between garage and main bui ding to be constructed? Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . " Kind of heating system . . . F. t?k.Q . . . . . . . . . . . . . . . . . . . . 4il burner or coal? . Will a flued4ined chimney be provided? . . . . . . . . Depth of chimney foundation below grade . . . , . . . . . . . . . Height of chimney above roof . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . ! 5 ,4 . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . .. . . . . .yt� ,s. , . . . . . . . . . . '. . . . . .Will a kitchen sink be installed and connected to water su . . . . . . . . . . • , . . . . . . . . . . . . . . . . . . . . �! . . . . .supply? . . . f . Ed 5 . . . . Water supply (public water supply or pump) _ . . P>reSc..Mc. . . , . . . Distance of cesspool from any private well feet Will drainage system be provided with required traps. CleanautS, and vents? , , . . Town of queensbury AFFIDAVIT County of Warren State of New York I swear the' to ar. Aia'fof my knowtiodes sad bellaf the statements ftintained in this appl."tinn, mitred are a roue and ma." rtaatnent of all propwnd work to be dons an dia derctibsd � m and t VI M• of the andING tag suc THE k is auL wi ORl]llVAhlC6 and all otlrr iswn Fwrtein' pr"upoeed�wee k be �� �� � or M016 and that such .nark is suttaorised by rJae awaer� +� Sworn a baton too tlia Signature -. O « .Y-l?c�e 9�r r4� . OWNER, ow End$ Aaamt; A TfCT• CONTRA,C'Tptt .. - . �. . . ..- . . . .. day FavJ.: 145- . . . . .. . . NOT AMV PUN IC, WASS" CiOUNTY, N. Y. SPECIAL CONDITIONS OF THE PERM IT: By .... ... . .. .... .. ...... .. ...... TOWN OF QUEENSHURY WARREN COUNTY , NEW YORK Application fort BUILDING PERMIT IN COMPLIANCE WITH THE NEW Y'ORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the followings 1 . Gross floor arsale;29 co r=l' 2 . Type of heat e is AC3A r'Z �/ A 3 . Ys the building mechanically cooled ?�i0r) 4o percentage of area of windows and doors 1G. 2 A . Over 16 % Only 1 . Uo value of gross area of walls , roof /ceiling and floors exposed to ambient conditions W_ . n9N 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 1 . If YES , what is the R value ? 3 . Slab on grade YES NCI a . If YES $ what is tha valus of insulation around perimeter of floor ? 4 . Is basement heated ? YES a . R value of insulation 5 . Type of insulation is €Z � C� LFl S S B . Under 16 % Only 10 a value of roof and floors exposed to ambient conditionB, RA00 - 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 60 R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 9 . 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 sy 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 E . Piping Insulation 1 . size of hot water or cooling carryin agent pipe 2 . R value of pipe insulation v;? . F . Service Water Heatin pt7E. . s3 PR+�C!Ei�u ,ctE atErS pw �ASHAftE � . EN¢.R�� fF [ G+ rt�r �Gtr f'� Et� uc2Ev Et ! 1 _ k'arformance efficiency 2 . Temperature control setting waximum� / Q 0- l� G . For Swimming Pool Only ' 1 . Maximum heating � /N / - - Telephone No * _� R ' 02;; [ + ( apl) llcaskt ' s signature ) t TOWN OF [1UEFNSHURY + BUILDING i ZONING DEPARTMENT SEWAGE DISPOSAL PEW41T APPLICATION 1 . Owner ' s Name_ — Address Telephone No . 9 -3 - C) 9 1 !20 Property location_r sr h ,j,<Q rA f,.) r- A 3 . Name of person or firm responsible for installing system 1 Telephone No . 7 �. 2 - c22) <+ 2 S Address P,m -� 149 4 . Number of bedrooms ( residential buildings only) s . Daily flow. z_/ U gallons/day 5 . Septic tank capaci gallons 7 . Topography : la , rolling , steep of slope f 8 . 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 g "`i� is not required C I required what is the rate minutes/inch li . Water supply : mu pa well , other w� SAS lZ . Type of system proposed drywell the field , other Any contractor , corporation , individual , etc * engaged in thg 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 sign-ature of applicant On separate sheet of paper submit a _dia��ram� 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 i ti t,. 8 c -I TOWN +a'F Ck" Snildin� L3nPn�mesnt ,, fir/,, Na►�ae P� Nw emar s Ex,oaya ts.on Footin Forms Footin g Piers roundation Cement Coat Water raofin Backfill Final Surve Framin Sheathin Roof Felt Roofin Siding Masons veneer Rou h Relief Valves wall Board Ext . Porches Finished Floor xnteriar Trim � 4 Stairs & Rai. lin s Cellar Dr . Tile Concrete Floors pl Fixtures Gar . Fire roofin r Closers Chimne Inst . Water deter Se tic A roval Floors Foundation Insulatlon walls: - ceilin B"'Ilding 3nsPec �or REMARKS I1tiF RM TI N FOR BUILDING DEPARTMENT vv WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION FILED WITH OUR DISTRICT OFFICE. THE NEW YORK BOARD OF FIRE UNDERWRITERS APPLI [ SON NO, d LOCA 10 nor IN Sp CTOR TOWN OF QUEENSBURY Building Dep:rtmeInt R,WGrt Date 5" Nwwe I AiGiLY4� /.�,J�f fl r Feesnaat Na. 5 7 !�P liHratlRer Remarks ExcatYa t on Footin Forms Foo . nQr & Piers Foundation Cement Coat Water roofin Bac.kfill Final Survey Framfn R Sheathing dd Roof Felt Roo Indd CJ. Siding masonxti veneer +ve7 Rou h PI Relief valves r� Wall Board ! Ext . porches Finished Floor �f• . Interior Trim S Stairs & Rallin s Cellar Dr ., Tale Concrete Floors PI . ,Fixtures Gar . Fire roofin Door Closers Chimne Water meter inst - Se tic A roval Flocr s _ Foundation Insulation Walls - Ceilzn Building Inspector REMARKS .y r TOWN OF QUEEMBURY summiding- Depsrtmamt bmwacbea Repowt Data 117 r Perrmk No. G`©,Ur Rema r*5 Excatva tion Footlnz Forms �Zbotlng & Piers Foundation Cement Coat Water fin Bacltf,£31 Final Survey Framing Sheathing Roof Fel t Roofin Siding Masonry Veneer Rough Plbg Relief Valves Wall Board Ext . Porches Finished Floor 1'nterfor Trim stairs & Railings Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar . Fire roofin Door Closers Chiame Water Meter Snst , .Se tic Ap2roval _ + Floors Insulation Foundation walls ceiling �Buflding Inspector REMARKS TOWN OF QUEENSBURY Building Department b"Vacbms Date / Z Nalne AV fZFZ ( r+ Location Perinet No. , — 71 �f Weather Remarks Exc"a ti on Footing Forms Foot-in & Piers Foundation Cent Coat Water roof3n DaaJkf t 11 t Final Survey. Framing Sheathing Rooff Felt Rooein Siding Masonry Veneer Rough P1 Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile concrete Floors ,P-Zbgo Fixtures Gar . Fire rooFin Door Closers Chimney_ Water Motor Inst . Se tic ApptoVal Floors Foundation Insulation _..._....._.� Walls rceil-ing _ Bull f ing Inspector REMARKS 1� LIAM fo r (Z L-� TOWN OF QUEENSBURY Branding- DepartmoAt Inspeck +s ttepart Date Name ' -off 1 a r r � 1.acatioo cr d�7 Perm Noe se - '71� W �, �� �tt.a Remarks 8xcatYa to on Footing Forms Footing & Piers 5 Foundation Cement Coat Watexp-roo-f-ingr BacFcfill Final Survey Framin Shea th.i n Roof Pei Roofin Siding �:M Masonrg Veneer Rough PI Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr , Tile Concrete Floors Pl . Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst . Se tic Approval Floors Tnsulation Foundation Walls Ceiling ---.._. G� dr Building Inspector REMARKS BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. Or DATE CI VI L GE _ TOWINSHIP�� � �, r„j� �'. t.J (.}, '"� COUNTY Ft_,j NO ROAD AND POLE ND f II )1 � ! � STREET AND NO. ^r � j(,ilC'".) 3� S ► CE:\r0LE Np It, I ��r7- 113Gi'� +`•.•) i ,i'^ ETWE£N WHAT TWO CROSS STREETS IS ,yam i,^�, �,�•. ,. T fX/' SECTION BLOCK LOT PREMISES LOCATED ���" £ _._�— S OCCUPANT'S BUILDING NAME kC; E= T- t,.f11.,t Q }tl� {� t K� OCCUPANCY OWNER'S NAME TEL. *i AND ADDRESS 41 CURRENT SUPPLIED ,� � (,�,ra FROM THEIR l..- aG 4 OFFICE BY BUILDING WORK DEFECTS a-1 is NEW,9 OLD ❑ iS NEW A ADOITIOFJAL 0 REMOVED ❑ LIST BEL[]W ALL EQUIPMENT WHICH YOU INSTALLED No. of Futures & MOTORS HEATERS BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles ONLY Lone, tion Sids Attach't H.P. No. No• At-,; 6' INSPECTION Crlliny Wall Rapp'Is Switch Pendant Bracket No. TYMEach Out- side Bob- base Bases Irwnt 7st FL 2nd FI.. 3rd Fl. F P REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This applicalion is intended to cover the above-Iirsted equioni"t to be Inspected but if at time of insPection there is found additional equipment not above listed. you are authorised to make the inspactiun and adjust the lac to cover the additional equipment, as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD JUNDERGROUND MAKER ENTERS OF SIGN ILDING INSPECTION REOUESTED ON OR AS NEAR AS NEW OLD O POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION, ALL SPACES MUST 8E FILLED IN OR APPLICATION MAY BE III URNED, PRINT NAME AND ADDRESS NAME PP )ANT ^ c #�-�' 9' .- —l ��r ■ ['y� -1- APPLICATION TION STREET ADDRESS —s,e�i C_._1's—A � y' 3 TELEPHONE CITY OR l .� A I t. ._^�y/ CODE 1.�.,, 5 r3 j 1LNIHCEN APPINSE �LIICABLE POST OFFICE _ [ �f. +� /' - as EL (REV. I/BS) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING L: rn i r V t i 1 Id 8 � 1 1 r tt f j• � y Eh f I 1, 1 :S J 1 1 �• f � f w T 4p1'9 st � �E o � Oct = ! E ••