6660 ° c/0 Paid
1.„
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Date
19
I i -39
This is to certify that work requested to be done as shown by Permit NIL.(0,0'C7
has been completed.
This structure may be occupied as a ,e‘Wy) t117:11-4e1\ t\en
Location LA>A74cWee-717V)trl'ar-Larla 247. 12,
Owner -; a -e
By Order Town Board
. TOWN OF QUEENSBURY
Building'& Zoning Inspector
CREATIVE ••INSTA• PRINTING GLENS FALLS. N Y 12501 1518)793-5555
e.
BUILDING PERMIT
TOWN OF QUEENSBURY
No, 6660
WARREN COUNTY, NEW YORK
sv
PERMISSION is hereby granted to Daniel Valente
c
OWNER of property located at
Lot 554 Sweetbriar Lane (St. No. 12)street, RoadorAve.
in the Town of Queensbury,To Construct or place a One-Family Dwelling N
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. rt
1. OWNER'S Address is Route 9N
Lake Luzerne, New York
2. CONTRACTOR or BUI LDER'S Name
Same
to l.-1
Eo
3. CONTRACTOR or BUILDER'S Address (D rt"
iD
rt cn
Same tr'ui
n �
N-
4. ARCHITECT'S Name
Ft
r
a
m
5. ARCHITECT'S Address a
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications 25 'x62 ' per plot plan, specifications and -
No. application submitted including sewage system
and two-car attachpd3 garage_ p
8. Proposed Use
One-Family Dwelling
$5. 00 C/O Paid
$129.00
PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 19 81
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
20th October 80
Dated at the Town of Queensbury this
Day of 19
SIGNED BY �J for the Town of Queensbury
Build g and Zoning In pecto
TOWN OF QUEENSBURY '_
(Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
A licatian for Itpplicatio„ No.
PP permit.Issued 19•.
BUILDING AND ZONING" PERMIT -- - -- lia•rmit Expires ; 19. - •
Zoning. District
X aloe 4)1 11•cirk j•, _• -
THREE (31 Copies of a PLOT PLAN, Drawn to scale. '.‘1)Iwf.t‘c•cI_l,,y
showing the actual dimensions-of.the lot to be built Ill•11aI N
upon, The exact size, and location on the lot of the. ..
building" to be erected or altered MUST BE SUB- • -_.
MITTED WITH"THIS APPLICATION,
/, -TOWN OF QUEEMNSBURi�'
N O i ' — , /O I a.O h$ Q DATE ;`= LS �• 11
1
IT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK OCT 2 01980
ANSWER ALL OF THE FOLLOWING. ' /,3� 676 i nP M:
The undersigned hereby applies for a permit. to do the following worrk' A.M.
. 71819i1011112111213141516
which will" be done in accordance with the. description, plans and specifi- '• a • • ,• ' ' ' -
cations, and such special conditions as may be. indicated on the permit. Few (�1 • -
The owner oft rn rty.is:
1J viz 0,, 6 ,27 . / r` ,gam G z _
INA•'F) IP.O.ADDRESS)
The person respo ibie for superv •
isio -of-the work insofar as the.Buildij ;Code and the Zoning Ordinance apply is:
. . . . . . : . . . . . . . / �? . .(/1-c6"- - . . . . . . . . : '7`".Sw Z-F -- :.' --
(NAME) < / IP.O AODRESSf
Name of Builder
.. / X`"l(s`-C //Cr''v'T Address g27k 7 /'U
Name of Plumber 0 C -.-"`-& e . Address
Name of Mason ,....... 1 -G`-'.'- 'e--- - Address /
Lot NuiFiber 5 s Unit Estimated value of proposed work S Si 6,0--0
5 Name,of Village 6•t' --3•13(A al • . ,
Name of Street • - 'u--eh 04i7 ' '• Side of:•street: north O. east• ❑.south .0. west 0
Nearest Cross Street . . . -r--.-'_ t O-1^- Distance from this -ross street ./.SZ�' i - Ft.
Property is north O,south IP,east ci,west 0 from Cross Street.
If on Corner,which corner,northeast 0,-northwest ❑, southeast C southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Building
❑ Addition to a building. - One-family dwelling
Zgr
O Alteration to a building. Two-family dwelling 0
❑ Demolition of a building. -family apartment house 0
Store building ❑
. .. . .-car attached garage 0
Other:
Accessory Building
One-car detached garage Cl
0' 'Other work..Describe Two-car detached garage
Private chicken house 0
Private storage building 0
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, size and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings;
Show proposed building(s) in dotted line and"existing
/• (5NC/ . 1iuilding(s) in solid line.
tn Size of property ft. x ./rs ft.
Size and use of existing buildings, if any
el co,i �� W Size of proposed building (P 3 ft.x . .�-.Z. . ft.
Height(from grade to ridge, / Z Z ft.
r -I- Front yard 6. S / ' ft.
.`�f/ Side yards l/ ft. and / 9 ft.
i
Rear yard dP ft.
7 SOUTH If op corner,setback from side street ft.. ..
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVERT
7-73—M
(cont'd.)
• BUILDING SPECIFICATIONS,
Kind of construction:Wood frame,fire safe,etc.? .,. . . : -'.: .0:13.T. .
Will any any second-hand lumber be used? /LC' If so, f •what?
Material of foundation walls a...) e, •"g c..... ... -thickness
'Depth of foundation walls below grade s--i_ 'FT- — Continu us foundation?
Will there be a cellar? . . y.4-71. ... . . . . If so, material of cellar floor C.-c,"-- .
Type of roof: Sloped or flat? g 64'11' "h Material of roof • 9 .3 5.-- L'-'1'•
Size,wood studs . --- "x . to ",,spacint / 4=' "o.c.,length 1r_ •-"" ft.
c-e
Size,floor beams, 1st floor - "x / b ",spacing •• •4.6 ,, “o.c.,span --.C-1---' ft,
Size,floor beams,2nd floor '.. --- 1,x ",spacing . . .1. , . . ., . ."o.c.,span ...('.-5().c. . . ft.
"
Size, ceiling beams . -, x ", spacing (6 " "o.c.,span I`1 .. . . ft.
Site,roof rafters or beams . . . .. ._ If x..........„ 6 ef
• 1",spacing ./.6. "o.c.,span C ' ft.
Exterior finish 4 6,eal7 5' ii (------(-x------ " Vi1h what material?
Finish of interior walls (-- I ( .f /-s---.-,S rz,.,..4
-z- •
If garage is to be attached6,of what matt riAis wall betweenar.age and main buildin to be nct.irted?
e•-r..› i #.-A- yk c 4;--e'/LA 71-?€••• -• "SI
Is there to be an opening between garage and building? '''/,`-t) -
Kind of heating system & C Oil burner or coal? . .
Will a flue-lined chimney be provided? y .-,--, ,. . Depth of chininey foundation below grade "-/ e
Height of chimney above roof Will there be a fireplace? - yq< ,. t Depth of fireplace hearth.' 1 q 2-1
Will a toilet be installed? - ki • .. . -
_.-
Will a kitchen sink be installed and connected to water supply?
Water supply(public water supply or pump) -7/.•.c.z--17
. „
Distance of cesspool fromapy private well .. feet
. s
•
Will drainage system be provided with required traps,cleanOnts,'-and vents? -/c...
/ '' • :-
AFFIDAVIT .
Town of QueenshorY .
• County of Warren _• .. .,.... _. ,..... ,. _ ...... .. ,
_ .
State of New York
I swear that to tt barof my know)edge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.i.plete statement of all proposed work to be done on the described premises and that all • ions of the BUILD-
• ING CODE,THE ZONING ORDINANCE,and all other laws pertaming to the p work shall be pliedwi whether specified or not,
and that such work is authorized by the owner. r
Sworn to before me this Signature
OWNER.OWNERS AGENT.ARCHITECT.CONTRACTOR
day of 19 .
NOTARY PUBLIC.WARREN COUNTY. N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
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TOWN OF OUEENSBURY
BUILDING AND ZONING DEPARTMENT
BAY AND HAVILAND ROADS, R. D. ITI
GLENS FALLS, NEW YORK 12801
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A. SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF C)UEENSBURY
OCCUPANT'S NAME 3W/L)4,6---L, 0,g7-6(.,.,4-c------ ADDRESS (Z-1- 911-1
TELEPHONE 6 6 --ac SI OWNER'S NAME
ADDRESS (,c,77/- .--r -( NUMBER OF BEDROOMS. 3.
GARBAGE GRINDER? i'l.. YES OR NO) TOPOGRAPHY: FLAT, RGLLING, STEEP,
SLOPE, GkIITLE SLOPE, OTHER al-.-- ‘4; 5"42vg-- -
NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS, ETC.
PERCOLATION TEST WATER SUPPLY: MUNICIPAL, WELL, OTHER .
DIAGRAM OF PROPOSED SEPTIC SYSTEM
e( ,re- ze
_ .
.. • • '
i '. . . 1
-1_ "Li ) I
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5 WL' "f ti
3_Lejt'‘ 1-2' 1 ______ /
,
g " ( (-c.c A.-
OTHER PERTINENT INFORMATION _
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE, IN ACCORDANCE
WITH DETAILS SHOWN,
DATE //0 2..e/fri) SIGNATURE OF APPLICANT.
LAKE GEORGE PARK COMMISSION APPROVAL
(srcrral ---
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 l 7 c
2 . Type of heat 7 re C 4 •
3 . Is the building mechanically cooled?
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? 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
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1. R value of 30 and floors exposed to ambient conditions
2 . R value of exterior walls / 5
3 . R value of glazed area /0 /, �/ Z
4 . R value of doors /a, 3
5. R value of floors over heated spaces
6.. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9. R value of heatedlbasement''/cellar ';walls (below, grade)
I I
10. Type of insul,ation 1 I,
C. Controls ' ;I ' ,! I " I
I
1 . ' Thermostat maximum! heat setting Ill
D. Duct Systems, ;j hill! , 1 1 It
1. Is duct systeml' i,nstalled in unheated spaces? ' YES NO
a. . If YES R� value of duct, installation
b. R value'1'o!f, duct 'lin other areas II I I
I
E. .Piping Insulation'] , I ! 'I
1. ;. Size of hot water orlcooling carrying agent pipe
2. R value of pipe insulations
F. Service Water Heating;'1 , j
1-. PerformancelIefficiency I •
2. Temperature .,
control maximum! II
hi , 1 pig ,
G. For Swimming Pool Only
1. ,Maximum heating H . ,
IIr,J
Telephone No.
(applicant ' s signature)
S ' /*VIAmmmrILm All mmm ii\711%715VAISitin/111VIIIV/11V.VRIUtglanninnotniivarwww.tmmissmrsmnpmrsvm»nrsua >swmmmmmmmmanMk _
i THE NEW YORK BOARD. OF FIRE UNDERWRITERS
,Y -
=j BUREAU OF ELECTRICITY 'r
bl k FP-,,,, 41 STATE STREET,ALBANY,NEW YORK. 12207 `-
Date Ary 1 1 20, 1901 Application No.on file 4 29 iG. t A G" P e7-1
. I '1 r
%THIS CERTIFIES THAT ;r
only the electrical equipment.as described below and introduced by the applicant named on the above application number in the premises of r
f N.d2;1F'8`,�e V l gE_L 'r e: °eli:T `''15i,.., L In C i `t1:'r;1`l 'V V» _�4 . .
I.., 1�=1'�? v> i•�f� �.va his L 'y
in the following location; Basement 1st Fl. •.0•2nd Fl. ��id , Section Block Lot 5 5 Y :,
,; co,
tsar-, ,
,4-, was examined on ��9 ,1 m i y l and found to be in compliance<witli the requirements of this Board. ,r ..';-:
k:,:, �, FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS 'E G_
Z.�:d OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT Mar y
:(, vwOR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. - AMT. H.P:
:f 4( ca !q t ,�
p:_.:I ;(� i1.fib. L-a`.� i�'1 .'l il_ Lla n � �`9 1.."., ,T F.-
`�' -(� DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT., TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,Y- t^
SYSTEMS
'AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET "AMT.- WATTS :Y
.)-
SERVICE DISCONNECT NO.OF '4 Rfi'.rs S :AO E R V I C E 'y
f ? METER 1.:.c'9.c ;'JY
.(i AMT. AMP. TYPE 1/6'2W 1,B'3W 3 0 3W 3%4W NO,OF CC.COND. A.W.G. NO.OF HI-LEG A.W G. Na OF NEUTRALS A.W.G. "
EQUIP. PER IB" OF CC.COND. OF HI-LEG OF NEUTRAL �'
i.J .1 ,Y -
h.l ,1 ._
, : ,L. �. 9nv, .-, T , : � f SI A; y =
.
. ;�
' 1 OTHER APPARATUS: ,y
1 Cti � <' l C' �' e � 'i•��' YnA ,T
Hi �' 1— croke de'Lc c;t c..,g 7- 1L 0 1:- 'r
. i 1 �'el c`:L3p G o ii' 0 C o i!o :' .75 MNy
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i �i �f1 L� :{��'i.4 �'.i �So�Si.+4v:.s�la5�k�a lam.:.on :�
1`_ ' ' ,c LP LimeneD Neu v o'i.k 12E24,5 BRANCH MANAGER 'ti
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COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERS R IN ANY MANNER.
TOWN OF QUEENSBUR.Y
Building Department
Inspectors. jtepOrt Date e-7?--2/
Name /
Location s; ,!tt!/`-,�,�
C9 %a r
Permit No. 0 l� 0 Weather
Remarks
Excai,a ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor !
Interior Trim
Stairs & Railings `/
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers e7
Chimney
Water Meter Inst.
Septic Approval _
Floors
Insulation Foundation
Walls
Ceilin AA
Building Inspector
/I l REMARKS
•
( 0l�
TOWN OF QUEENSBURY
Building Department
Inspectors R �jj Date 44 2 c9%
Name //4/(.yC.' .
. Location t.�u>Pt�j�, /Z^�
Permit No. ro6C00 Weather
Remarks ,
Excat ation
Footing Forms
Footing & Piers •
Foundation
Cement Coat .
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
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
. Walls
Ceilin•
y
Building Inspector
,REMARKS
TOWN OF QU ENSBURY
Building Department
Inspectors Report Date 2-,2. c V
Name riVex✓, `
Location t`le-Q e e4,-
Permit No. Co Co G Weather
Remarks
Exca[ia ton
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer /
Rough Plbg. 1� 7
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile ,/
Concrete Floors
Plbg. Fixtures —7
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Se tic A roval
Floors
Insulation Foundation
Walls
'Ceiling
Buil ing Inspector
REMARKS
•
TOWN OF•QUEENSBuRy
Building. Department
Inspectors Report Date 2—3 /
Name h/P,1,4°
Location . a/i a Y
. Permit No. (n.6 o Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
• Cement Coat'
Waterproofing
Backfill
Final Survey
Framing .
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
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
Foundation
Insulation
. Walls
Ceiling
W�
Building Ir ctor
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors It ort Date j 7-/o—
Name GI/SA//'
Location
Permit No. Weather
Remarks
Excasiation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Ba ckfi l l
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
• Masonry Veneer \
Rough Plbg. \ V
Relief Valves \/
Wall Board /\
Ext. Porches
Finished Floor ,f
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
•Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
/ggo�'�/ s��
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TOWN OF QUEENSBURY
Building Department
•
Inspectors Report Date // /( /8 c
Name i,n I .e L Vet/eil1
Locatipn LoT S 4S t Siveejbr/4i Z a.
Permit No. (a(p(p O • Weather
Remarks
Excavation
Footing Forms
v
2, /e."
Footing & Piers
Foundation
Cement Coat'
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing ,
Siding
Masonry Veneer
Rough Plbg.
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
Walls
Ceiling
Building nspector
•
REMARKS
J
n19717
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dogs, At-