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1985-703 C/O Paid CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK r ✓� Luau 19 — 9 !r'� ""f�} , I C) _ _ l C - 85-703 "is is to certify that work requested to be done as shown by Permit No. has been completed. This stricture may be occupied as a ONE FAMILY DWELLING j q MAR'TINDALE ROAD Location FLOYD Ho MART INDALE , JR . Owner By Order 'Town Board 'TOWN OF QUEENSBURY Building d► Zoning Inspector CA [i.TIV! "IMiTh ' FRIXTlNG. QLEH'3 FhL45 M "/ xa0f Vblelxe Leee x E M P o x A x Y CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date September 22 19 86 This is to certify that work requested to be done as shown by Permit No. 85- 7 0 3 has been completed. This structure may be occupied as a One-Family Dwelling L.ocarion Martindale Hoed Owner Floyd H . Martindale , Jr . TEMPORARY CERTIFICATE OF OCCUPANCY F'OR 60 DAYS By Order Town Board TOWN OF QUEEN5BURY Building & Zoning Inspector } BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 703 WARREN COUNTY, NEW YORK w PERMISSION is hereby granted to Floyd H . Martindale , Jr . � r• OWNER of property located at Martindale Road Street, Road or Ave. a, CD in the Town of Queensbury, To Construct or place a One-Family Dwelling :° 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. ` t . OWNER'S Address is RD # 1 , Box 1517 Lake George , New York 12845 w 2. CONTRACTOR or BUILDER 'S Name Same ''r * r• 0 w ro 3. CONTRACTOR or BUILDER'S Address W Same a w a 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by XI i ) Wood Frame I I Masonry S i Steel (X ) log 7. PLANS and Specifications 28rx36 ' per plot plant , specifications and application No submitted including sewage system . CD ro 8. Proposed Use One—Family Dwelling r• H a $ 5 . Tune 1 86 00 C /O paid 7�t` ev 9 1 d'6 rD r $ 140 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES 99 ri (lf 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.) aq Dated at the Town of Queensbury this l�26t"bay of November 19 85 SIGNED BY rrF cZ.c ✓ .('�j _ 't, , for the Town of Queensbury Building and Zoning Inspector 14F4 �' TC31MN OF Q11EENSBURY (Space inside block la be fillcxl in by , WARREN +COUNTYs NEW YORK Building lea ptmvlorl A lication far .\ 1-1114 stiKs«I Pp Pc4rnti11 BUILDING AND IQMING PERMIT Ile-l„lid ExIiiraw . � Y:. .tiitw Da%irirt a PLOT PLAN. Drawn to scale �I �� �� •:� i•tl h� _ sFwvring Ilse actual ditr+urwslews of the lotto be built iupon. T1tr estact size. and location on the lot of the . . . . . . . - - building to be erected or altered MUST BE SUB_ MUTED WITH THg4 APPLICATION-`~' Vj PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK A PE fV U V ANSWER ALL. OF THE FOLLOWING, The undersigned hereby applies for a permit to do the following work s ff ` �t 11213141516i which will be done in accordance with the description, plans and specifi- a ' ' catiews, and such special conditions as mey be indicated on the permit. The owner of t`jhAs property is: rJ1 ` er . . . e#ccrc. .! : .Y . . . . . . . . . . . . The person responsibic for supervision of the work insofar as the Building Code and the Zoning Ordinalam apply is: Name of Builder . . . . , Ott< 'l .� 'R . . . . . , , . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber C5�vaa, i?, . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . Nauss of Mason . . �N^� . . �� Sz1�c Z . . . . . . . . . . . . . . . . . . . . . . . Addre �,;�,Mb N,R,+'? . � �•-u.'�. �4�Ew��L P�-� - I U ! . , . Lot Number . . . . . . . . . . I . Unit . . . _ . . . . . . . . Estimated value of proposed work t"� .�©� ?. � . . . . . . . . . . . . . . . . . Name of Village � .Y . , . , . . . , . . . . . . » . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . �?�' ? rrt.�F�G . . �. . . . . . . . . » . . . . . . . » . . Side of street: north ❑. east , mouth Q, west c- / Nearest Cross Street �!'+ . . . �. �. . . . . . . . . . . . . . . . . . . . . . . Distance from this cross street , . . . K?. t?.'r. . . . . . Ft. Property is north , south Q . east i i . west 0 from Cross Street If on C'.orner. whi corner, northeast E3 . northwest [] , southeast 13, southwest (Designate by marking with an "X" in the correct space4 NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Rain Bru ading , C3 Addition to a building. One-family dwelling © Alteration' to a building* Two-family dwelling 0 Demolition of a building. -family aparttstent house Store building C7 . . . , . . . . -car attached garage [� Other: . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . Accessory Building Cl One-car detached garage 0 Other work. Ekwri'be: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage 10 . . . . . . . . . . . . . . . . . . . . . . Private chicken house . . . . . . . . . . . . . . . • » � � � � � � � • I . Private storage building . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . Other: . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or at change of occupancy- Indicate on the plot plats street "awe. the location and size of the property, the locationb sine and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. Show proposed buildings} in dotted litre and existing CR �` �� huilding(s) in solid litre. Size of property . . . 3_ .... . . . " , » . ft. x . . . '.rQ . . . . . ft. Size and use of existing buildings. if any , . ! • . • . . . W a "' Size of proposed building . . . 7ti- . . , ft, x ft, Qr Height (from grade to ridgei . . . . . . . . . . . . . . . . . . fe. Front yard . . . . Side yards . . . . . . rb hand M o cv;J ({ s e..C. p Rear yard . . . . . . . . . �! ` . . . . . . . . . . . . . . . » . . . . . . t+o uT M It on corner, setback from side street » - I . . . 1 . . 4 . . . . . ft. Nose - All dissances are was, as wsaaserrd /Mm ssrees seder line to nearest pars of building. rowan) 7-73—M BUILDING SPECIFICATIONS,* Kind of construction: Wood frame, fire safe. etc.? . . . . . . . . . . . . . . Will any second-hand lumber be used.? +t-� c' . . . . . . , . If so, for what? . . . . . . . - Material of foundation walls . . . . Yb '! ? . . %s 'f �r'� 7''hidtneaa . . �'i . . » . . . . . . » . . . " . . . Depth of foundation walla !.p�low grade . . . . . . " . . . . . . . . . . . . . . . . . " . , , , , . Conk uous foundation?" . . . . . . . . . . Will there be a cellar? . . . Y!C:!5 . . , . . . . . i so, material of cellar floor . . . . .f. . L .`= C rc Type of roof: Sloped or Hate' © ' ? . . . . Material of roof . . I�a< 'tJG' Gt, S s , v ' Sire, wood studs .L vr,- . .' . . . . . . . . �'. . " x !�. " " . . . . . . " +# » .ri " �, aprCing . . . . . . . .j . . . o.c., length. . , » r . " . . ft, Size, floor beams, 1st floor . . . . . . L. . x , L . . . . . . . » . . . spacing . . . . . . . : I,47 » . "o.c., spray: . . .` . . ft. Size, floor beams, 2nd floor . . . . . . . � . . " x J � ", spacing . . . . . . . . . +( . . "o c., span . . , { . . . , . . . . ft. Size, Ceiling beams . . . . . �+ ^ x '^ •• 711 U%i 5 ' L7 . „ L , _ �" i1j' E +�e+x , spacing . " . . , . . . "o,c.. span . , . » 7do ft. Site, roof rafters or beams . . " : "', spacing . . . . . . . . . . . . . . "o c., span , . . . . . . . ft, Exterior finish . . . E► 6G �? " . . , . . , . , . . " . . . . . . . With what material? . . . Z-,Q..� , . . . . . . . . . . . . . . . . Finish of interior walls . 2a G n.. . . . . . If garage is to be attached. of w#at material is wall between garage and main buU4ing to be annstrvicted? , . . . , . . . . I . . . . . . . . . . . . . . . . . . . » . . . . . . . . . . . . . . . . Is there to be an opening between gars and building? . ,N. . 1A . . . . . . . . . . Kind of herring system .N r lr'v r?» " S a �'l� . " Oil burner or coal? . . . . . . . . Will a flue lined chimney be pravidad? � Depot of chimney foundation below 3, . . . . . . . . . grade . . . . . . . . . . . . . . . . Height of chimney above root . . . . l`�!, �!`'.t-. . . . » . . . . , . . " . . . . . . . . . . . . . . . . . . . . . . . . . . " . . . . . . . Will there be a fireplace? . . . at! . 9 : ',4-. . . . . . . . . . . . . . Depth of fireplace hearth , . . . . . . , . . , . . " . , . . . . . . » » , . . . . Will a toilet be Installed? . Y' . , " . . " . . Will a kitchen sink be installed and connected to water supply? . . .L � ! . . . . . . . . . . , . » » . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) " , c G-;. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . » . . , . . . . . . . . Distance of cesspool from any private well . . . . . J" !?[�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage systern be provided with required trips, cleanouts, and vents? . . . ?�� . `}. . . . , , , , " . . . . . , . . . . . . . Town of Queensbury AMDAVIT County of Warren State of New York I swear that to tc y�,,rr Tof my knortlse" and beliaf the suetaasants mmuibwd in tirir applkaew,a. �r w" dw PUes and aryraiflaw"am ru6- mitted. an a true and ou.,,,yp�ss statement ad all proposed work so be bona an tb* dsscribad pre qsd that w► iriana e1 thr BUII.p- IH4 CODE, THE TANIH[# ORDINANCE, and all "w laws partaiaira w tlrs proposed work elan Jim o � ar no% lad thal ouch work is suLboriled by the owasr. ��, 'r Swwn to helare rue this f/OM/Nt; .. . . y r 4WNfA. tr'a ENT. AACNIrECY N TOa �. .��.- . . .. .. day of , 19�..� N4rAAY PUSLIC, WAaaaN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT-. Br .. .. . ... .. ... .. . .... .... ...... .. . . . . .... .. . .. .. .. .... . . ............ ........ ..... ............. . ... ... .. ..». ... TOWN OF QULENSBURY WARREN COUNTY , NEW YORK Application fors BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK, STATE 'ENERGY CONSERVATION CODE A ppermit must be obtained before beginning work . ANSWER ALL. of the followings 1 . Gross floor area �� C' { t [ ref ,,....-. .. 2 . Type of heat_ de<k i2Ur,--) ,2 S SO la r 3 . Is the building mechanically Cooled ? �� S 4 . Percentage of area of windows and doors , A . Liver 16 % Only 1 . Uo value of grass area, of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES Aki 1 . If YES , what is the R value ? 3 . Slab on grade YES a . If YES , what is the R alue of insulation around perimeter of floov ? 4 . Is basement heated ? YES no R value of insulation S . Type of insulation Under 16s only 1 . R value of roof and floors exposed to ambient conditions .3 � 7 / 2 _ R value of exterior walls 'BSI f aQ� ,_ I r] / 2nc } 3 . R value of glazed area__ _ 4 . R value of doors 5 . R value of floors over unheated spaces !t/ Pr 6 . 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 ) lO . Type of insulation r ,gC0Z G- c. ,i-s C . Controls 1 . Thermostat maximum heat setting 166 D _ Duct Systems 10 Is duct system installed in unheated spaces ? YES 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 a 1 _ Performance efficiency 20 Temperature control setting maximum G . For Swimming Pool Only 10 Maximum - Telephone No . 3' `� me � 'r ( aprj1wIIc & nL0s signature TOWN OF QUERNSBURY - BUILDING i ZONING DEPARTMENT SFWAGF DISPOSAL PERMIT APPLICATION 1 . Owner ' a Name Co 7z3 I I.7 s1 �T,.0 4..1 } `c? im . Address o li -- - + 1 Asks Kr C� 7�_ Telephone No 9 5 2 . Property location P4010ZT..✓ e e.- n ,,� ,N 3 . Name of person or firm responsible for installing system_ ft /w?& -- Telephone No . Address 4 . Number of bedrooms ( residential buildings only) �+ „ 5 . Daily flow ''jSt> gallons/day 6 . Septic tank capac3LtyCl1 © _ gallons 7 . Topography :t�f ?at r' "olli steep % of slope 8 . Nature of soil and depth, ,q ,� , �p 9 . If ground water , bedrock or impervious material is apparent at what ,depth does it begin? r J ft . 10 . Percolation test : A is reouired B is not required C if re:qu red what is the rate 40� "T minutes/inch 11 . Water supply ; municipal , well , other W4C;LA. 12 . Type of system proposed : drywell , tile field , other Tt Lai� oesg igo Any contractor , corporation , individual , etc . engaged in ' thod 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 rwovided for in Section 6 . 010 of the Queens��blury Sanitary�7 Sewage Ordinance /009 Date. A?gtna 1 W w �E Iva �3 _ IUD l� q+ ure o app scant On separate sheet of paper submit a d1a�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 , F ID Form 3- $2 T-% awn of Queensheiry BUILDING and ZONING DEPARTMENT Bay and Havikand 'Road, R. D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME J"1./1�2 {"1 t! JD -L.- I - LOCATION AA-�. +& �A- o " r � DATE ?`:U PERMIT NO. tY5 - 'mil 6 3 _ SOIL TYPE - Sand - Loam - Clay -_ Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: / Absorption field, total length Length of each trench Depth of trenches 2 _� f Size of grave] %=s SEEPAGE PITS{Number of) _ Size- ft. X _ ft. Gravel size PIPING : Size Type Bldg . to tank - -:3.'-11 sc Aeos 15� Tank to dist . box 4Z �. L { #ep Dist. box to field/pit .c, rr �/ Openings sealed? YES NO Partial LOCATION/SEPARATIONS : J Foundation to tank Foundation to absorption -3'co :tt. Absorption to lot line t . Separation of pits LOCAT2 - TEM Chi PTOPERTY (circle one) Front Rear - Left side - Right side - CCKMEN f _ J 40 Ll�e � • SYSTEM USE APPROVED Y NO t B i inq Iw3f ector 01/86 and v1 dp002 TOWN OF QUEENSBU RY Building Department D S� Pence Ma. 8T 3 WewRlaac Remarks Excavisa tzon Foo tIng Forms Footing 6 Piers Foundation Cement Coat Water rooafin Bacicfill Final Survey Framing ti Shea th.in Hoof Felt Roofin Siding Masonry, Veneer Rough Pl Relief Valves Wall Board Ext . Porches Fi n.i sled Floor Interior Trim Stairs 6 Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . File roofln Door Closers Chimney water Meter Inst . Se tic Approval Floors Insul a tl on Foundation _ _ - Walls Celli Building Ixxspector REMARKS TOWN OF QUEENSBURY Building Departmeut � Date //��s- .s- NasserLF, n r►wr V tc,fe- a-rz Location Wli Pern3it Now ff s'_ "7 3 weather Remarks Excav>at on Pootlngr Forms Footing & Piers Foundation Cement Coat: Water in , BackPill Final Surve Framing Sheathing Roof Fel t Roo�fi siding Ma;r4qpXy Veneer Rou h PI _ Relief Valves Wall Board Ext . Porches Finished Floor _ Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors P,Zbg . Fixtures Gar . Fireproofing__ Door Closers _ Chimney_ Water Meter Inst . Septic A royal _ FleTe7z`s Insulation Foundation Walls coiling Bblirding 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. At DATE CITY OR - �/ VILLAGE TOWNSHIP (' COUNTY y I ,r • '../ STREET AND NO. OR ROAD AND POLE NO. tPOLE NO. BETWEEN WHAT TWO CROSS STREETS IS ' PREMISES LOCATED? ° ' ' '_' ' _ ,I SECTION �' BLOCK f LOT OCCUPANT'S t BUILDING NAME OCCUPANCY OWNERS NAME ,r 7EL. AND ADDRESS - / CURRENT SUPPLIED BY y. 1—''1 FROM THEIR OFFICE Is BUILDING DEFECTS NEW OLD U IRK NEW ADDITIONAL ❑ REMOVED O LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLEDN . RNCH NUMBER OF OUTLETS LLampfReceptscles MOTORS HEATERS (CIRCUITS OFFICE USE Loos- ONLY tiara Side AttocW t N.P. Watts A.W.G. Crilltay Well Recap'I6 Switch Pendant Bracket No. Type Each No, Each No. Gauge INSPECTION side side Sub. bass Bear mans tit FI_ Znd Fl_ 3rd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE, This application is intended to couer Ilse above listed equipment to be inspected but if at time oI inspection there is found edditiotul equipment not above listed, you are authorized to make the impaction and adjust the fee to carer the additional equipment, as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXF 3SED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERSOF VA WORK TO SE INUMBERI (CAPACITY( STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF DATE OF L APPLICANT APPLICATION { STREET ADDRESS - + TELEPHONE # T OR PO5 OFFICE - { { ZIP LICENSE NO. . CODE f WHEN APPLICABLE 46 EL (REV- 1f85) A SEPARATE APPLICATION MUST BE FILE,b 'FOR EAC14 SEPARATE BUILDING I