8443 � •_' ,,ram ;- a :i.�;
I
1
CERTIFICATE OF OCCUPANCY LJ NCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date .F51rr i � "' i9 ,cs
This is to certify that work requested to be done as shown by Permit No. ry
has been completed.
This structure may be occupied
�e,�d^�gas a
1 � n n t - r ar: i 1 ; fl e 11 3 n rr
+ A VI kc
Location ota P. tip in 4171 e�� L � C�
Owner
I
By Order Town Board
7Y3WN OF QUEENSBURY
I
I r
Building & Zoning inspector
CRi/iTWC " M3TA rA1NTIp G. GLEfVS i/iLLS ry v IE40f V1f pV)p 3-S il9R
r v
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
9LC n =`71!- C' A" 7 to c
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a
1ocation _ " " OLI n t a in 'V icv
Ovmer
i T- i^'". p !51., 1% `' T ? . UT" T(N `i, l ; ^.l.t C
T r7 By Girder Town Board
TOWN OF QUEENSBURY
Building & Zoning inspector
C REFTIME "iM41'il rRiM?pry{., GI.{M$ FAIL9 14 R 11E03 {41e{>4]-Sy?0
BUILDING PERMIT
TOWN OF QUEENJBURY NZ 443
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to JamF+s Sbnvah @
to
OWNER of property located at Mountain View Lane Street, Road or Ave. ro
d
in the Town of Queensbury, To Construct or place a one-Family Dwelling Q
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_
f. OWNER'S Address is 4 Sweet Road
Glens Falls , New York
2. CONTRACTOR or BUI LDER'S Name
Frederick Fuss 0
t-r
3_ CONTRACTOR or BUILDER"5 Address F+•
Stephan Drive O
Hudson. Falls , New York
M
4. ARCHITECT'S Name
t"
S. ARCHITECT'S Address
6- TYPE of Construction — (Please indicate by X)
( N Wood Frame I ) Masonry ( Y Steel ( }
7. PLANS and Specifications
28 ' x70 ' per glut plan , specifications and
No. application suln.itted including sewage system 0
and two-car attached. garage . �
IU
8_ Proposed Use
One-Family Dwelling
N
t—+
$ 5 . 00 CIO Paid
$ 164 . 00 PERMIT FEE PAIL? - THIS PERMIT EXPIRES November 1 19 84 m
(If 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_) F"
N-
Dated at the Town of Queensbury this 27 thy,, Day of April 19 84 �
SIGNED BY for the Town of Queensbury
Building and Zoning I nspactor �?
TOWN OF QUEENSBURY ESpace inside block to lx• filled in b%
WARREN COUNTY, NEW YORIK Building l}ttspec'tol-)
pAlication for V('Il 'i1il IslYrk till. 19
l c�r r„ i, ls,,,ed
BUILDING AND ZONING PERMIT l'r ', r,tii, . spires . Iff .
lnun,� llistric9
:11I it- rhl We 11'l.
byecl G_
THREE 13 ) Copies of a PLOT PLAN. Drawn to scale A} yrrnx c
shows`ng the actual dimen
upon sions of the lot to be built
, The exact size. and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
$ :a ] - 1 C. '��' .%.v! - J�-/ TaWN C)F c�ufE_fE(_r+tSBUR�r�j
f7ATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. PR 2
1994
The undersigned hereby applies for a permit to do the following work AlMa s P-klrl.
which will be done in accordance with the description. }clans and spacifi- 7'I $I91*0 " 1121c 1516
cations, and such special conditions as may be indicated on the permit.
The owner of this property is.
. . . . . .�><l i•I't.E- .:� �; �.7.✓. 4:, 1 . .. . . . . . . , . . . 7. - - - - .�, r P O. A D D R ESS i .
!NA AE!
The person responsible for supervision of the work insofar as the Building (,xAe and the Zoning Ordinance apply is:
{NAME} (P O /Y'DORESSY
.1 f'. , C. (� .1 .? S . S , . . . . . . . , - . . AddressS� e� •#crcr .s. - .:: .�. ✓. d . s x r, . i I1 S N.- . 1 F �y
Name of Builder . ��` . �'. . . .
Name of Plumber . . . . . . Address - . . '. '. . . . . . . . . . . . . . . . . . ' . . . . . . . . . _ . .
Name of Mason . - - r'. . . . . . . . . . . . . . . . . . . . . . . . . - Address " . - . -
Lot Number Unit . . . . . . . . _ . . . Estimated value of proposed work S .
Name of Village -(r`pL;.e -.eP) + t . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f . . . . . . ,
Name of Street .� ► �x - .f✓ , . �g s l' cI 'a `�- Side of street: north ❑ , east M . south ❑ . west ❑
Nearest Gross Street . . . Distance from this cross street . . . . ' . . . . . . . . . . . he .
Property is north ® , south ❑ , east , west ❑ from Cross Street
If on Corner, which corner, northeast Li , northwest ❑ , southeast ❑ . Qouthweat
(Designate by marking with an "X" in the correct space-)
NATURE OF PROPOSED WORK OCCUPANCY
® Construction of a new building. Main SuRding
One-family dwelling
0 Addition to a building. Two-family dwelling
0 Alteration to a building. . . d -family apartment house �
0 Demolition of a building. Store building �
. . 'A '. . . -car attached garage .�
Other: . . . . . . . . . . . . . . . .
. . Accessory Building
One-car detached garage
Q Other work. 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, sire and setbacks of pro-
posed buildings, and the location of all existing buildings.
NORTH Show proposed building(sl in dotted line and existing
liuildingi(s) in solid line.
Size of property . . . . . _ . . . ft.
Size and use of existing buildings, if any . . . . . • . . . • •
A
Size of proposed building . . . . � . . ft. x , . � . . . . . . ft_
Height (from grade to ridge) . . . . 2 .4� . . . . - . . . . . . . ft.
Front yardrk- Side yards _ . . . . . 9� ft. and . . , f. 4� . . . , . . . . ft,
v7 { !d car, Rear yard . . �. f��.-. � . . . . . . . . . . . . . . . . . ft.
souTH If on corner, setback from side street . . . . . . . . . . . . . . . ft.
Noce : All diseauces are not, as measured from street side
7 line ra nearest part of building-
.7 � (O V ER1
f " ( -J ' M
(cont'd,y
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.? . . ' F'�? fi vxa
Will any second-hand lumber be used? . /7. Q . . . . . . . . . _ If so, for what? - . . . . . . . . . . . . .
Material of foundation walls . _ . . . . C-yxI iC yaJf . . 16 raC .k, . . . . . . . . . . . . . . . . . _ Thickness /0. `.'. . . . . . . . . . . . . . .
Depth of foundation walls below grade . . C . . - . - . - . . . . . . . - . . . . . . . . . . . . . . . . . . Continuous foundation? . . . . . . . . . .
Will there be a cellar? . ,Y__c . . . . . . . . If so, material of cellar floor
Type of roof: Sloped or flat? cf . . . . Material of roof . . " + . . . . . . . . . . . . . . . . . . .
Size, wood studs . . . . . . . _ . '. . _ _ " x . . ." . . . _ . . . . . "', spacing . . . . . . !°. ."' . . ."a.c-. len
gth . . .tr . . . . . . . : ft.
floo
r oor beams, Ist floor . . . - - , - - . - " x . . . !� . . . . , . , - . ", spacing . . . . . 1'G . " . _ . . "`o.c„ span . . �!�Z! ... , , , . ft.
Size, floor beams, 2nd floor . . . . . . . " x . . . .! d . .`. . . . . . . ", spacing . "o.c., span _ !' ' . . . . . . . . ft-
Size, ceiling beams '" . . . . . spacing '� .t . - "o_c., span
Site, roof rafters or beams . . . . " . . . . "' x . . . . .` . . . . . . . ", spacing '. `"' "n.c., span . . 7 ft.
Exterior finish a! ,%' . C. /ctec ��{t !?d . . . . . . . . . . . With what material? . . +c . C
Finish of interior walls . . . , - . C L dr 4JA , . . .
If garage is to be attached, of material is wall between garage and main building to be constructed?
. . . . . . . . . . . Lc.? c1gVG''. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Is there to be an opening between garage and building? [ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Kind of heating system . . .0 4CCO fr. :C . . . . . . . . . . . . . . . . . . . Oil burner or coal? eKIX?. . . . . . . . . . . . . . . . . . . . . . . . .
Will a flue-lined chimney be provided? � , . . . . . . . Depth of chimney foundation below grade .' + " . . . . . . . . .
Height of chimney above roof . . . . . _ . _ . . . . _ _ . _ _ . . . . . . . . . . . . . .
Will there be a fireplace? . . . . .`X . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . , . . . . . . . . . . .
Will a toilet be installed? . . . . t
Will a kitchen sink be installed and. connected to water supply. . . . . . . . . . . . . . . . . . . . , . . . _ . . . . . . . . . .
Water supply (public water supply or pump) 00�. . ? d
Distance of cesspool from any private well . . . , . . , . .! v' C1 C? , u . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . .y .-e Ll . . . . . . . . . . . . . . . . . . . . . . . . . . .
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tr. Ab� y i of my knowledge and belief the statements contained in this application, together with the piano and apeo9tucations sub
mitted, are a true and co.. fete statetnent of all proposed work to be done an the described premises and that all oy ions of the BUILD-
ING suh-
INC. CODE, THE ZONING ORDINANCE, and all other tows pertaining to the proposed work akat be complied rvtth, whether specif;ad or not,
and that such work is authorized by the owner.
Sworn to before me this Signature cz_acp_, '{4� d
f !! OWNER. 6WNEF'$ AGENT, ARCHITECT. CONT AA&fo - - - - - - -- - - - - -
day of. .. . . .
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
Hy .. . . .. . . . . . _.. .
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 *
10 Gross floor area &
2 , Type of heat C-
3 , Is the building mechanically cooled ? 1116
4 , Percentage of area of windows and doors
A . Over 16 % Only
1 . Uo value of gross area of walls , roof / ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces YES NO
a . Are foundation walls insulated ? WES 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 ?
4a is basement heated ? 'YES NO
a , 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
4 , R value of doors
5 . R value of floors over unheated spaces I , ( li_.
6 . R value of slab edge insulation - unheated slab.
7 . R value of slab insulation - heated slab
S , R value of heated basement/ cellar walls ( above grade )
91 R value of heated basement /cellar walls ( below grade ) _
10 . Type of insulation
C , Controls
1 , Thermostat maximum heat setting
D , Duct Systems
10 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 . Pi2ing Insulation
1 , Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F , Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum
G , For Swimming Pool only
1 . Maximum heating r
Telephone No .
( applicant ' s signature )
TOWN OF OUFF'NSBURY
BUILDING & ZONING DFPARTMENT
SE[^?AGF DISPOSAL PERMIT APPLICATION
1 . Owner ' s Name �1 C' S + o t4_4r
Address < f :v �
Telephone No
2 . Property location -J
3 . Name of person or firm responsible for installino system
( � Telephone No .
Address r /�'ct r2 fir'
4 . Number of bedrooms ( residential buildings only)
50 Daily flow„ C�' 7 gallons/day
6 _ Septic tank capacity gallons
? _ Topography : flat , rolling , steep
% of slope / /C; ,OC-
80 Nature of soil and depth or"] ( ) mot`
9 . If ground water , bedrock or impervious material is apparent at what
depth does it begin? `J ft .
10 . 'Percolation test : A is required
B is not required
C If required what is the rate GV --„J minutes/inch
1l . Water supply : municipal , well , other
12 _, Type of system proposed : drywell , file field , other
field ,
Any contractor ,. corporation , individual , etc . engaged in the 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.
,zb :L9,hature of applicant
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 . � /
Farm 3 - 82
TOWN OF QUEENSBURY
Bnildiaz Department
Lwpeat+arrs 'Report Date jag
Name
Erocatia�o
Pent ait No. Wmther
,rr {�_r, '4 J� Remarks
(-r Excar�7a tion
Footing Forms
Footin & Piers
Foundation
Cement Coat
Water roofin
Baclkfi l l
Final Survey
Framin
Sheathin
Roof Felt
Roofin
Sidin
Masonr veneer
Rou h PI
Relief valves
W&12 Board
ILxt . Porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar Dr . Tile
Concrete Floors
P.1111,170 Fixtures
Gar . Fire xoafin ---—
Door Closers ✓ C9 _
Chinine
Water Meter Inst .
Se tic A royal _
Floors -
Foundation _.
Insulation WaIIs
Ceilin
�,B;u1iI ding nspc=ctor
REMARKS
fi
THE NEW ''Y ORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY —
Far At STATE STREET, ALBANY, NEW YORK 12207
^ Date March 8 , 1985 Application No. onfile 051195 � 84 I1 A �` '�" 'r3 G "'
THIS CERTIFIES THAT �+ r J �J
only the electrical equipment as described below and introduced by the applicant named on the above opplicatlon number in the premLses of `
Jades & Joyce Shovah , Mountl. an Vkew Lane , Queensbury , New *ork
in the following location; ® Basement ® lot Fl. ® Snd in, o u t e l d e Section Block Lot
was examined on and,found to be in compliance with the requirements of this Board.
_ 3 /r1. /t 85
RXTURII ACMES SWITCHES FIXTURES I RANGES 1COM14G DECKS OVENS DISH WASHERS EXHAUST FANS
SIItTIIfTS INCANDESCENT FWONSCENT
20 56 21 13 1 `? Fr
DRYERS FURNACE MOTORS FUTURE APMIANCE MMRS SPECIAL R5CrPTj TIME CLOCKS I SELL I UNIT HEATERS MIATI-OUTLET DWI,MERS
MAT. C W. OIL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. P. SYSTEMS -AMY, WATTS
_ NO. OP !!ET
1 Rang 1b _
1 Dr e 10
SEEN OCTMSCdNN NO.OF 1 HW silo E R Y I C E
AMT, AMP. TYPE L°filll!'. 1 A' 21v T X 9W 9 X SW 9 X NW NO, PER A,CDND. C]F CC. CONO NO, Of HhIEG OF- I-� NO- GP NEUTRALS p, NEUTRAL
200 CS 1 ] 4f 0 1 Z / O
OTHER APPARATUS:
1 - Snake detector Electric Room beaters : 3 - 2 . 0 k . w .
1 - 15 amp - GFT Breaker 4 - 1 . 5 k . w .
5 - 1 . 0 k . w .
4 - . 75 k . w .
2 - . 5 k * w .
James & Jo ew Sh 01
_ k Sweel Road 239
Glens Falls ,, New York 12801. BRANCH MANAGER
Per
COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 7
10
T WN OF QUEENSBURY
Building Department
Ind Report. Datc��
Naxae
locwbo�e
Permk Na Wastl�er
�r - ]S./ Remarks
Excaoa ti on AV I
Footing Forms
Footing & Piers
Foundation
Cement Coat
Water roofin
Baclkfi ll
Final Survey
Framin
Sheathing
Roof Pei t
Roofin
Siding
Masonry Veneer
Rough PI
Relief ValVes
WaI.I. Board
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Pr . Tile
concrete Floors
P2pg , Fixtures L�^
Car . Fire roofin r
Door closers ...-
Chl Lw
Water deter Inst .
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
B ilding Inspector
REMARKS
TOWN OF QUEENSBURY
Building- Department
t Rye DateCl�fr(JPC
L.ocala�oa , e c� �, w„
permit No. Wcat6er
Remyrlrs
Exca�ta ti on
Footling Forms
Footin ec Piers
Foundation
Cement Con t
Nater roofin
aacxfill
Final survey
Framing
sheathin
Roof Pei t
Roo.Elngr
Sidin
MR50nrij veneer
RouciTh Pl bq
Relief Valves
Wall Board
8xt . .Porches
Finished Floor
Interior Trim
stairs 61, Rail In s
Cellar I1r , Tile
Concrete Floors
plbqm Fixtures
Gar. Fire rooF!n
Door Closers
Ch1mne
Water Meter rnst .
Se tic Approval
Floors
Insulation Foundation
A*al l s
C'el l i
Budding Inspector
REMARKS
mar n , 4 �r , � r � �
TOWN OF CMEENSBURY
Buflding Department
Dear 'l'e 2 3 , 'r
Name
LO=Ldoa
Pee wit NM ��i�i6� W eaetlaer
45f Remarks
Footing Forms
Footing 6 Piers
Foundation
Cement Ccaa t
Waterproofing
BacJicfil3
Final Survey
Fzaming
Sheathing
Roof Felt
Roo ring
Sidin
Masonry veneer
Rough URa�n
Rel.ie�f
Wall B
Ext . P
Finish
Interi
Stairs
Cellar Dr . Tile
Concrete Floors
P3 . Fixtures
Gar . Fire ragfin
Door Closers
Chimne
Water Meter Inst .
Se tic Approval
Floors
Inaulation Foundation
walls
Celling
Building Xn.sctor
REMARKS
BUILDING DEPT, COPY OF APPLICATION FORM 46-EL. NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THISCOPY WITH BUILDING DEFT. WHEN REOUIRED.
CITY OR
VILLAGE TOWNSHf COUNTY r- f
STREET AND NO, OR
ROAD AND POLE NO. ' 1 - ePOLE NO.
BETWEEN WHAT TWO _
CROSS STREETS IS
PREMISES LOCATED? I i. r f• (. SECTION BLOCK LOT
OCCUPANTS t BUILDING
NAME `� r� �.. I OCCUPANCY
OWNER'S NAME i
AND ADDRESS '
CU
RRENT
BY FROM THEIR OFFICE
FEcTS
isUILDING NEW OLD El REMODELED l�l ISORK NEW ❑ ADDITIONAL ❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUT No. ofc tares MOTORS HEATERS 'BRANCH
Locr Lamp Receptacles CIRCUITS LAMPS
tion
GeiHrg Side Atlech't RacepCls Switch Pendant Bracket No. Type E'— Na P' EWat Na. AG'w6` NO. WATTS
EACH
Wall
Out.
silo
base
Base-
ment
1st FI.
2rd Ft.
3rd FF.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE,
This application is interWad to cover the above listed equipment to be impacted but if at time of inspection there is found additional equipment not above listed,
You are authorized to make the inspection and adjust the fee to cover the additional equipment, m provided by the a pplicant.
SIZE OF ELECTRIC SIGN TOTgL
MAINS FEEDERS LAMf+S WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF rilORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACi TYI
STARTED COMPLETED SIZE OF SIGN
SERVICE
ENTERS MAKER
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS �}
POSSIBLE NEW El OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
APPLICANT }: i i i/iC _ --- DATEOF
APPLIC TION
STREET ADDRESS / if
CITY OR I r 2!P LICENSE D,
POST OFFICE �-�- �� f '> / '� ! f� � NO.WHEN APPLICABLE.
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING