1985-711 „ L
CERTIFICATE UP C�+�+CtJPAl'�1 +�Y
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
( ►roI3
Dace ,l<i r l
'This is to certify that work requested to be done as shown by Permit No. . .
has been comPleted. D1
'i7xis structure may be occupied as a� _
Location
ration
0lI ner
By Order Town Board
TOWN OF QUEl:1�ISSURY
} r'
$uildina of zrmiax Inspect” _
G 16EATIVE "INiTA" PRINTING. GLEMS FALL5 N `/' 42661 16167793,5696
BUILDING PERMIT
TOWN OF QUEENSBURY No. 85- 711
WARREN COUNTY, NEW YORK
+ O
rt
t
PERMISSION is hereby granted to Scott and Gloria Hickok %13
Ctw
OWNER of property located at Lot 90 SycamoreDrive ( Ste No * 5) Street, Road or Ave. n
e roes o ueens bury r
0
One-Family Dwelling
in the Town of Queensbury, To Construct or place a '
at the above location in accordance to application together with plot plans and other information hereto filed and x
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
6
1 . OWNER'S Address is ?C
r3.
CONTRACTOR or BUILDER'S Name
A & A Construction
� o
CONTRACTOR or BUILDERS Address ro rr
rr
G Amy Lane
Glens Falls , New York tz
ro o cn
n
A_ ARCHITECT'S Name 1Dkr1 g
0
G ro
ro
rp C
:3 rt
5. ARCHITECT'S Address C.
r(
'-C
6. TYPE of Construction — (Please indicate by X)
( ) wood Frame I ) Masonry f ) Steel ( k
7. PLANS and Specifications
26 ' x68 ' per plot plan , specifications and application submitted )
No. including two-car attached garage and sewage system .
8. Proposed Use
O
nd
One—Family Dwelling l
>v
a
157 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 19 86
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t:�
town of Queensbu ry before the expiration date.) to
w
th Da of November 19 85
26
Dated at the Town of Queensbury this 26 y
tj
SIGNED BY //{ +� • { , for the Town of Queensbury
Building and Zoning I nspecto
TOWN OF QUEENSBURY
(Space inxide block to bc• fllla•al ip ln-
WARREN COUNTY. NEW YORK Building lnapert4wo
Applicailaw #or Alw1u :rrirnl Nu.
114•r11111 iti.NuyYl tq
BUILDING AND ZONING PERMIT 1•01rn61 E%pires , �lS"i .
% ulsw roi %'1•.rrl
THREE 13 l Copies of a PLOT PLAN. Drawn to scale '►�+11rr r. <•11 hV
shawl nq the aehtal dimensions of the lot to be built itvIM11IC4•`
on up . The exact sins. and location on the bt of the
building to be erected or altered MUST BE SUB-
MiTTED WITH THIS APPLICATION,
{-TOWN (0�F Ql7Er=Nf 1�Sj3lj a`;`',�
• na,ra ; �" � 1'�`J I.� � Cf ll i j
A PERMIT MUST BE OBTAINED BEFORE BE6INNINC•r WORK lYiil.11 �u,+J
ANSWER ALL QF THE FOLLOWING. NOV �<� 5
The uadersignsrd hereby applies fora permit to do the fallowing work A.M: � � 1 yo' � _m
which will be done In accordance with the description, plans and spacifi- 9p���� �� �� `f} �18
■ a a ■
cations. and such special conditions as may be indicated an the permit.
The owner of this properity is: 0 r1Vc c-
1
1NA'4E1 iP o. AODRIl51
The person responsible folrr� supervision of the work insofar as the Building Code and -the Zoning Ordinance apply i*a:
NAMIEf . . . . . . . . , . . . C' J
I �. ,r. 13P O ADORE581 . . . . . • . • . . . . . . .
. . . . . . . . . . . .
Name of Builder . . . /'� Y_/."q - . L'' m/� p S.?'`��` 'f? . Y5� 1 . . . » . » . . , Address , . s�',a r"', A?!? .+gz•.�V. t
f, Name of Plumber . . 00.• �.''. . �G'.t!J�'�aw.. . . . . . . . . . . . . . . . . . . Address , .r'J"r1/e7. GH . . . r'°/r-;: . . . . . . . . , . . . . . . .
Narita of Mason , 1IF d+. 57.0 ?'!' 7'�!P+� . . . , , , . . .. . Address . . . � v r�+c���. ,s e5'vr r�r . . . . . . . . .
Lot Number . J90 . . . Unit . . . . . . . . . . . . Estimated value of proposed work S ` 0. . . . . . . . . ,
Name of Village
Name of Street . . . - � !�7- c . s - ayl�x� S .C✓�p. -Side Of street: natYh 0. lssifl �. south Q. west Q
,p. .
Nearest Cross Street . . . ?�Q x..1. ar . . . . . . . . . . . . . . . . . . . Distance from this gross street Ft.
Property is north Q, south ❑ . east 11 , west 0 from Gross Strayer
If on Corner. which corner, northeast E3 . northwest 0 . soulhesst C1.46uthwest
(Designate by marking with an "X" in .Yl e,;orrect space.)
NATURE OF PROPOSED WORK OCCUPANCY
® Construction of a new building. Main WwAlding
❑ Addition to a building. One-family dwelling
❑ Alteration to a building. Two-famiiy dwelling 0
0 Demolition of a building* I . . . . . I . -family apartment bxKne ❑
Store building 0
. . . -car attached garage C]
Other: . . . . . . . . . . 1 . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building
One-car detached garage ❑
fl Other warm. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage ❑
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, site and setbacks of P40-
NOIITN posed buildings. and the locatiaq of all existing buildings.
.haw proposed buUding{s) in dotted line and existing
I%tilding(s) in solid liras.
Size of property . » .1--3 a, . . » » • . - ft. x . . . . . ft.
Size and use of existing buildings. if any . . . . . . . . . . . . . .
. . . . . . . . . . . .
• er Size of proposed building ft. x . . , . » . it.
Height (from grade to ridge) . » . . . . . . . . . . . . . . . ft.
Front yard . . . . . ..„"` 0. . . . . . . . . . . . . . . . it.
• Side yards . . . . . . . . . ft. and , . . 31 . . . . . . . . [t.
.0 12 0 Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft.
SOUTH If on corner. setback from side street . . . . . . . . . . . . . . . ft'. .
Note: All distances are net, as measured from $treet side
tine to nearest part of building.
tovaws
7 -73-M
BUILDING SPECIFICAT'IONS., (oont'd.)
Kind of construction: Wood frame, fire safe, etc.?, . . . r '4.
Will any second-hand lumber be used? . . . "/✓,uf,+ . , . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . .
Material of foundation walls ., . . , �h A � f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . v-? ,'
Depth of foundation walls below grade . . , . . Ca . . . . . . . . . . .. . . . . . . ntinuous foundation?
Will there be a cellar? , _ . .yr'. , floor m . . . . If so, material of cellar . . G+h C. k_tp .
Type of roof: Sloped or flat? . . . �'/`� . . . . , . Material of roof f 6r G . ^ ✓ fG. 5 �j'�r ?yy/%�^
Size, wood studs W . . . . .
I .Size, floor beams, 1st floor . . . « " x . 1/' . . . . . . . . . ^� spacing . . . .f . . . . » . -�o.C., length .
`. . . • • . . . . . hi
Sire, floor beams. 2nd floor o� . . . . . " x . �I A . . . , spacing . . . . /. (0 . . . . . » o.c., span . , ! s' It.
. . . . . . '•, spacing . . . . $ (.o. . . . . ."a c., span . .' -� . . . . . , . . . ft.
Size, ceiling beams . . . . . y `YG 55. '-9 it . . . . . . . . . . . . . . . ^, spacing . . . _ . d S'" . . . ."o.C., s n ft.
Site, roof rafters or beams . . . " a "" . . . . . . . . .
in . e • . . . . . . . . , spacing . . . . . . . . . . . . . . ""o.c., span .. . . _ . . , . . . . . . . ft.
Exterior finish . . . ! !^ . l i . . . . . . . . With what material? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Finish of interior walls . . , , . .? .r+. . .Ae4 , , . . . . . . . . . . . . . . . . . . . . . . » . . . . _ . .
If garage is to be attached, of what material is wall between garage and stain buU&ng to be constructed?
Is there to be an opening between garage and building? . . .�,P S. . . . . . »
Kind of heating system . . . . ►�lee kt't . . . . . . » , . . . . . Oil burner or Coal? . . » , . . . . . . » .
. . . . . . . . . . . . . . . . . .
Will a flue-lined chimney be provided? . . . C.`� . . . , Depth of chimney foundation below grade . . Y, o
Height of chimney above roof ad. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will there be a fireplace? . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . .
Will a toilet be installed? . .`.. . IeO.�. . . . . . . . . . . . . . . . '. . , . . . . . . . . . . . . . _ . . . . . . . , . . . . . . . . . . . _ . . . . . . . . . . . . . . . . .
Will a kitchen sink be installezand connected to water a�pp{y? . . . . ,�/�.�'. . . . . . . . . . .
Water supply (public water supply or Pump) • S/ a! . G. . . . . , _ ./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ' _ . . . . .
Distance of cesspool from any private well . . . . . . .1.6b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 . . . . . . . . . . , . . . feet
Will drainage system be provided with required traps, cleanouts, and vents? _ le2 040A . . . .
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
1 swear that to tc A4 tuf my kno+tladas and balls! the atawnumm amtairred is this applic ttiee, tether with, tlr. and epeeificatiops aab-
mitted, are • true and ew..uoteto atataeasnat of all psapoe r roerk to ba dt►twe eer sire dareelbed pretareea �hai1 of the $ II,I!-
Ind CURE, THE ZONING ORDINANCE,owam sad all etlhar lawn partaiaiag �g.th� Pro work be �.
and that artclr work is authorised lsY the orraer. -'"
Swore to before me
.ER. 4WMER'S AGENT, ^nc140ECT. ddiiT' 1AGTGp. . _ . . .. .. . . .. ... .
-. ._ . .. ........ � R. !ES
�- Sta of New York
w Wstsop County; #02DA5931875
ARY P iC. WAR Cott MTV. H
SPECIAL CO DITIONS 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 / 4r60
2 , Type of heat yoo ► -Ijrytc
3 . Is the building mechanically cooled ?
4 . Percentage of area of windows and doors
A . Over 16 % Only
1 . Ua value of gross area of walla , roof/ ceiling and floors
exposed to ambient conditions
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 NO
a . If YES , what is the R value of insulation around
perimeter of floor ?
4 . Is basement heated ? YES NO
AV R value of insulation
5 . Type of insulation
B . Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls
3 . R value of glazed area 1. 2
4 . R value of doors Jr f
5 . R value of floors over unheated spaces
6 . R value of slab edge insulation -- unheated slab �✓
7 . R value of slab insulation - heated slab
Be 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
E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F . Service Water Heating y �
1 . Performance efficient
2 . Temperature control setting maximum �' J
G . For Swimming pool Only
1 . Maximum heating
or r
Telephone No . .25-roo /
:: 2 " � f-
( a,6. plIcant ' s signature )
TOWN OF QUFFNSBURY
BUILDING i ZONING DEPARTMENT
SFF'AGF DISPOSAL PERMIT APPLICATION
1 . Owner ' s Name fb'r7`
Address
Telephone No .
2 . Property locationyc�
7
3 . Name of person or firm responsible for installing system
Telephone No .
r
Address
4 . Number of bedrooms ( residential buildings only)
5 . Daily flow gallons/day
6 . Septic tank capacity _ _ / (z7` � gallons
? . Topography : fly, rolling , steep
of slope
8 . Nature of soil and depth C?.
9 . if ground water , bedrock or impervious material is apparent at what
depth does it begin? ft .
100 Percolation test : A is required
B is not ,required
C If required what is the rate minutes/inch
11 . Water supply : (:'m nu icipal , ,)well , other
12 . Type of system proposed : drywell , rihe field ,'' other
Any contractor , corporation , individual , etc * engaged in thg construction
of a sanitary sewage disposal system who covers - the same before inspectiono
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
E __ s ;Vgnature of appl1 ant.
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 .
f
Form 3- 82 _-� €j ' J
TOWN OF QUEENSBLIRY
Building' Department
Report
I,R
Name
Permit No.
Remarks
r
v,cafya ts.on
Footin Forms
Fvoti.n & Piers
Foundation
cement coat
Water roofin
Bac rfill
Final Surve
Framin
sheer thin
Roof Felt
goo In `
Siding
Masonr veneer
Rou h P1
Relief Valves
Wall Board u
gg,xt porches
Finished Floor -
Interior Trim `
stairs & Rases le $ O
Cellar Dr -
Concrete Floors
PI . Fixtures K
Gar . Fire roafin
Door Closers
Ch-I
Water Meter Inst -
Se tic A roval Floors
Foundation
Insulation walls
Ceili
,Building
REMARKS
4001534
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
rrac.7 41 STATE STREET, ALBANY. NEW YORK 12207
Date March 12 , 1986 Application ,Yo, on file 102986/85 /►
THIS CERTIFIES THAT A 655894
only the electrical equipment ae described below and intredaced by the applicant named on the above appi"tla" namber in the prrerrasea of
Scot & Gloria. Ili.chak, 90 Sycamore IV>adf Oueenshury ., Ntmi York
in thefollowing location; ® Basement ® lst FT. ® and Fi. Outside Section Bloch Lot #90
was esamlined on 2-26—P6 and found to be in compliance with the requirements of this Board.
p,OIjTIU.Efs RCEFTACUES SWITCHES R%TUIRES RANGES COOKING DECKS OVENS
W OISH WASHERS EXHAUJST FANS
INCANDESCtNT FDIKSCE�NT AMT. K. W. AMT. K. W. AMT, K.W_ AMT. K. W. AMT. H. ►.
21 45 23 20 1 2
DRYERS FURNACE MOTORS FUTURE AFFUtAIiCE FEEDERS SPECIAL REC•FT TIME [LOCKS REI4U UNIT t1EATRRf tMUFUTI-o1JTLET D
AMT. K. W. dl N. P. GAS H. ►. T. NO. G. AMT. AIM. AMT. AM/S. TRANS. AMT. H. ►. SYSTEMS AMT. WATTS
IIO. OF FRET
y� y 0
---------------
s I IIGVT # 10
SERVICE DISCONNECT NO, OF S E R V 1 C E
AMT. AMP. TYFE M�ER 1 .Ir ?W 1 X SW E X 71W S X iW NQ OF CC. COND. A. W. ty, A. W. G.Et�ItIF. MR At OF . AND, NO. OF H6lEG OF wifiG NO. NEUTIALS 4JTEA
1 200 CD I
OTHER A"ARATUS:
i- GFCT
l- Selloke Detector
Elecrtric aeatier : 3- 2 . 0 K.W.
4- 1 . 5
3- I . O I4 .W.
2- . 75 x.{�, -
Anthony A I:oCasclo �
4 AnW Lance As 239
Glens Falls , New York 12801 BRANCH MANAGER
Per _
This certificate must not be altered in any manner; return to the offke of the Board if incorrect. Inspectors may be identified -by their credentials.
COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT RE ALTERED IN ANY MANNER. —
TOWN OF CUEENSSURY
Building peP&rtment
m
Nsaae ram.^• seia/].�". '
PermA No. ,Q.59_ Wewther
Rea+a.rks
Rxcaoatlon
Footin Farms
rcwtjn & Piers
Foundst3orr
Cement Coat
Water roofin
,Backfill
Final Serve
Franti
Sheathin
Roof Felt
Roofi ir
Sidin
Masonr veneer
Rou h P.Z
Relief valves
Wall Board
Ext . Porches
Finished Floor
Interior Trim
Stairs & Bailin s
Cellar Dr . Tile
concrete Floors
plbcr , Fixtures
Gar . Fire roof in
Door Closers
Chimne
Water Meter Inst .
Se tic A roval
Fo�aMtf On_Insulation Walls
11112
r ,,An.a�i Y/.... wildi r
,: ^ `_ r ng, Znspector
REMARKS
TOWN OF Q1,UEENSSURY
Building DeparUnent
bispectors Report
Name , cs
I.o�stti�oNa
Pearnoit No. - W ewtLer--
Remarks
----------------
Exca,Va t.on
Footi.n Forms
Footin & Piers
Foundation
Cement Coat
Water roofin
Backfill
Final survey
Framing
Sheathin
Roof Felt
Roofin
sldlneF
masonilrw veneer
Roex h Pl
belief valves
Wall Board
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar ar0 Tile
Concrete Floors
P.1 , Fixtures
Gar . Fire roofin
Door Closers
Chi=&
water Meter Inst .
Se tic A roval - +
Floors
Foundation
Insulation Walls
Ceilin
i.ldiny Inspector
REMARKS
TOWN OF QUEENSSURY
Building Department
a Ite��oat Dome
��_
Namew
Location
Permit Na. $' g-_ -�,1 'Weat4er
Remarks
Sxcatm Lion
Footing Forms
Footing 6 Piers
Foundation
Cement Coat
water fin
BacJrfi 23
Final Survey
Framing
Sheath-in
Raaf Felt
RooiFing
SIdIng
masonry veneer
RoU h P1
Relief Valves
W&IL2 Board
Bxt . Porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar .Dr . Tile
Concrete Floors
Pl . Fixtures
Gar , Fire roofi n
Door Closers
Chimne
Water Meter Inst .
Se tic APProva2
F oars _
Insulation Founda tion
Walls
Cei l ix7�
BUITdPgr Inspector
REMARKS
,fro pmV5 0, Lf �-(94e>
Malaise
BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED, �''" s•^'7
TEMP. P DATE
CITY OR ,t (J f
VILLAGE [�< .). _ ' TOWNSHIP COUNTY
STREET AND NO. OR
ROAD AND PDLE NO. POLE ND
BETWEEN WHAT TWO . t`
CROSS STREETS IS
!'REMISES L ATE D? SECTION BLOCK LOT
OCCUPANT'S d° i BUILDING
NAME `.•a 'Tf- r ,/�; rr�•.� OCCUPANCY
OWNER'S NAME }
AND ADDRESS - �r' y., TEL. #
LURR t
`''e f �='#!' FROM THEIR OFFICE
SUILpiNG NEW � OLD ❑ IWORK NEW ADDITIONAL � REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLS❑
NUMBER OF OUTLET$ No. ai Fixbzras & BRANCH
Lamp Receptacles MOTORS HEATER$ CIRCUITS OFFICE USE
tion ON L Y
Ceiling Side Wall Relceph' Switch Pendant Bracket No. Typo H-P. No. Watts No. A.W.G.
Each Each G■"a INSPECTION
Out-
side
Sub-
base
Base-
Meet
let Fl.
2nd FI,
3rd Ft.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: OD NOT USE THIS SPACE,
This APPficat ion is intended to cover tha above-I isled equipment to be inspected but if at time of inspection there Is found add itiorral equipment not above listed,
you are authorized to make the inspection and adjust the fee to corer the additional equipment, as provided by the applicant.
SIZE OF .;.. _ ELECTRIC SIGN TOTAL
MAINS > ti EDERS
LAMPS - WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK "E�00*&W D TRANSFORMERS OF VA
WORK T8 BE
STARTED COMPLETED 4NUMBERI {CAPACITYI
SIZE OF SIGN
SERVICE OVERHEAD UNDERG OLPNo ENTERS MAKER
VjtJjtVtLVV
OF SIGN
INSPECTION REQUESTED
ON O POSSIBLE
NEAR AS ;pP" ¢.t ./
NEW ❑ OLD Ej
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED,
PRINT NAME ANAM OF
ND,f
APPLICANT f r go t om. ¢ •./ / . -_'"' DATE OF
4 t 2t APPLICATION
5TRE r ET ADDRESS '.. `> ~7 _ .!f TELEPHONE
CITY OR - y �,aas�._r ZIP LICENSE NO.
POST OFFICE '"� ,a7' „w"�"' CO.D♦fa_ WHEN APPLICABLE
46 E� (REV. 1/n'a) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING