7067CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 _
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
Location
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
ep[pnv[ NNnw- rNINTINO. cL[Ms rwlu. M r IS101 1a1$11»3a56
r
BUILDING PERMIT
TOWN OF QUEENSBURY No. 7067
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
OWNER of property located at Chestnut Ridge Road Street, Road or Ave.
in the Town of Queensbury, To Construct or place a One —Family nwP1 1 i ng
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.
1.
OWNERS Address is
1 Poplar Lane
Glens Falls, New York
2.
CONTRACTOR or BUILDERS Name
Ken Collette
3.
CONTRACTOR or BUILDERSAddress
R. D. #1
Hudson Falls, New York
4.
ARCHITECTS Name
5.
ARCHITECTS Address
6.
TYPE of Construction — (Please indicate by X)
K) Wood Frame 1 1 Masonry 1 ) Steel ( 1
7.
PLANS and Specifications 53'x46' per plot plan, specifications and
No.application submitted including two —car attached garage
and sewage system.
8.
Proposed Use
One —Family Dwelling
$5.00 C/O Paid
$ 164.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 1982
(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.)
Dated at the Town of Queensbury this 26th
SIGNED BY
and
of August 1981
the Town of Queensbury
TOWN OF QUEENSBURY
WARREN COUNTY. NEW YORK
Application for
BUILDING AND ZONING PERMIT
THREE 131 Copies of a PLOT PLAN, Drawn to scale
showing the actual dimensions of the lot to be built
upon. The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
(Space inside block to be filled ill by
Building InspecttN')
\ppGration No.
Permit Issued 19 .
Prrmil Expires. 19.
Y,,ilinc District
\:,Inv cal Work j
\I'pnr, ud by
Rom:o1(i
DAZE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a permit to do the following well'
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit.
TOWN OF QUEENSBURY
n E a E 0 V E 0
Im AUG L 51P81 -ee /^It�
A.M. 110,1 1 l P.M.
� too i ncl�dt�
The owner of this to rty is:
Po /•t.2.. L.tn a ....Quec vj 6•�•j... .
%i3• .. I ° IRO. ADDRES51 ...............
Lsl2.. ,%ft ,V.... GC ................ .
(NA •tEl
The person responsibie for supervision of the work insofar as the BuildiftE,.Ctide and the Zoning Ordinance apply is:
/J tNAMEI ,�y W O ADD E551
Name of Builder../C E.N....�0%%/1.�........ ...........Address . S!t!?.�D........... ..... .......
Name of Plumber..82 ... .. Address L. 6'0'`Os' ... .. .... .. .
Nasne of Mason .. /tJc .N . e+//C!C ...... Address .`
Lot Number........... Unit ..... . Estimated value of proposed cork t J-OJ dqa
Name of Village .. G. /.etir4 ..t!-�' ...... .. n
Name of Street . ICA.es� vJi...�t cXs:e.. e4' ........... Side of.etreet: no th ❑, east ❑, south ❑. west
Nearest Cross Street . SaN.lnns ... Q , w3e ........ Distance from this -rocs street Ft.
Property is north ❑, south B, east t i , west ❑ from Cross Street
If on Corner, which corner, northeast G, northwest O, southeast ❑. muthwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK
® Construction of a new building.
❑ Addition to a building.
❑ Alteration to a building.
❑ Demolition of a building.
❑ other work. Describe: ................ ....
OCCUPANCY
Main BuildingOne-family
dwelling
41?s
Two-farn v dwelling
❑
-family apartment house
❑
Store building
❑
.. 2 -car attached garage
C
Other: .. ... ................. .
Accessory Building
One -car detached garage
❑
❑
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.
I No.
r
N
W
a
SOUTH
Indicate on the plot plan street names, the location and
size of the property, the location, size and setbacks of pro-
posed buildings, and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
building(s) in solid line.
i
Size of property .. /4F-0........ ft. x . �.y-; ..... ft.
Size and use of existing buildings, if any ............. .
........ nJo.+!P............................
Sue of proposed building .. -V... ft. x ?�G . ft.
Height (from grade to ridge) ... v1J.r.. ft.
Front yard ...75. ft.
Side yards ....$.O........ ft. and .. Ste.......... ft.
Rear yard ../ 6 .........I .............. .. ft.
If oat corner, setback from side stint • . ft.
Note: All distances are net, as measuredfrom street side
line to nearest part of building.
7-73-M
(OVER)
(cont'd.)
BUILDING SPECIFICATIONS,
Q
Kind of construction: Wood frame, fire safe, etc.? . • . • ..• ........• ......................
second-hand lumber be used? ...... &).a..... If so, for what?.......... ....................
Will 1
..
.
any
Material of foundation walls ..CP �lL e. • 61�c.. - Thickness /U..................
.
Depth of foundation walls below grade . 36. .............. I ................ Continuous foundation? .,f/c4......
Will there be a cellar? . ,y C4 If so, material of cellar floor . LOV 42af ..�i ......................
(fat? Material of roof Aj. h• .. • .7 •S„ t . Si .....................
.
.
Type of roof: Sloped or .S/.6jQs .........
a " x . & ............... spacing .. a� Y...........o.c., length ... 8........
ft.
Size, wood studs ............. .....
Size, floor beams, 1st floor ....... �_ " x .LO...... .... .. ", spacing .... lL. ....."o.c., span . /.4�..........
ft.
Size, floor beams, 2nd floor ......i ... " x J.4............ ", spacing ....A 4........ "o.c., span ../..`✓..........
", "o.c., /3 ..........
h.
ft.
Size, ceiling beams ............ , ...... x . G ............ spacing ... ,/4 ... �.... span .
or beams .. —4. _Ax4� " x �'t �' ". spacing 11..* 24 ..... "o.c., span . J6 .........
ft.
Site, roof rafters
Exterior finish..aOAeLjV'A-)WN...................... With what material? . Pi. ......................
.
Finish of interior walls. ......................................................
If garage is to be attached, of what material is wall between garage and main buij&ng to be constructed?
S� eel . E ve.C.. . C/JX............................................................
.
Is there to be an opening between garage and building? .................................................
Kind of heating system . b!c.A f" .p✓ Zp....-.-lcsra a ..... Ofl bdrner or mal? ............................
.
Will a flue -lined chimney be provided? .:- .. Depth of chimney foundation below grade ".............
Height of chimney above roof. 7.........................................................................
Will there be a fireplace? .. ry.fS........... Depth of fireplace hearth Ja..............................
Will atoilet be installed?....y fA................................. ......... I ............................
.
Will a kitchen sink be installed and connected to water supply?. YCLS........... .. • • • • .. . • • •
.. • •
Water supply (public water supply or pump) . 10 VMP ; • . .....• .....
d S ... • • • • . • • .
.. feet
Distance of cesspool from any private well ....... I .... • •
Will drainage system be provided with required traps, cleanouts, and vents? ...............................
` AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
with the and tsons sub-
swear that to it, �a i of my koowJedee and belief the statements contained in Iku appliation, together epsrafN'+
•• ions BUILD-
mitted, are a true and w.,.plete statement of all proposed work to be done on the described prenusee and that *e of the
ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the Proposed work 4611 be cam�plfed wtUM whether speeifwd or not,
and that such work is authorized by the owner.
tme ... .
Swom to before me this Sit i.. __..._._...
OWNER. OWNERS AGENT, ARCHITECT. CONTRACTOR
_...... ...__.day oL_..........._....___. ......_.........19._.....
......................................
NOTARY PUBLIC. WARREN COUNT', N. Y.
SPECIAL CONDITIONS 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
2. Type of heat Ar.r Pump - Ott is hnI' Pi (l
3. Is the building mechanically cooled? ti es
4. Percentage of area of windows and doors /s/ /b
A. Over 16% Only
1. Uo value of gross area of walls, roof/ceiling and floors
exposed to ambient conditions
2.
3
Floor over heated spaces YES NO
a. Are foundation walls insulated?
1. If YES, what is the R value?
YES NO
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 roof and floors exposed to ambient conditions_
/2 _ 2 n
2. R value of exterior walls R - -)"
3. R value of glazed area
4. R value of doors ,r-- /q
5. R value of floors over&heated spaces %;f.,-
6.
R value of slab edge insulation - unheated slab�,1:ti
7.
R value of slab insulation - heated slab
B.
R value of heated basement/cellar walls (above grade)_„_
9.
R value of heated basement/cellar walls (below grade)_,-L
10.
Type of insulation
C.
Controls
e
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 N4
b. R value of duct in other areas nIJA
E.
Piping
Insulation
1.
Size of hot water or cooling carrying agent pipe a
2.
R value of pipe insulation_prJ,<
F.
Service
Water Heating
1.
Performance efficiency ✓,i-,y '�
2.
Temperature control setting maximum
G.
For
Swimming Pool Only
1.
Maximum heating
Telephone No. /i¢. !=3ng 4/ 1 ✓l C (.1/ �J
(applicant s signature)
TOWN Of QUEENSBURY
Building Department
lo.pomm Rgwwt Date
Name_��E
L Catilm
Permit No. '- D Weak
Remarks
Exca0ation
Footing, Fors
_
& Piers
Foundation
_
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough P1
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
_
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing—
Door Closers
Chimne
Water Meter Inst.
Septic Approval
Insulation
Floors
Foundation
Walls
,Ceiling
_
��Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
lw� Report Date 1/ S
Name L r E
Locatim_!'tTX��y� )eiD�6
Permit No. :W1 1_ Weather.
Remarks
Excay>a tion
Footing Forms
D
Footing 6 Piers
Foundation
Cement Coat
waterproofing
/
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough PI
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs 6 Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing_
Door Closers
Chimney
Water Meter Inst.
Se tic Approval
Insulation
Floors
Foundation
Walls
Ceiling
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
lla.peaton Re,Rortr_ Date
J
a'mit Na ,(1(n� then
Remarks
Excavation
Footing, Forms
_
Footing6 Piers
Foundation
_
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough P1
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing_
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Insulation
Floors
Foundation
Walls
Ceiling
&�-Vz zzad�s�-
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inaptwtors Report Date `47
Name `m .s_ -t-AL
Loeabon_ xlf f. �,f� dI'c
Permit Na —1 o b 1 Weather
Remarks
Exca0ation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough PZ
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
Insulation
Floors
Foundation
Walls
Ceiling
m�
Building Inspector
REMARKS
i
TOWN OF QUEENSBURY
Building Department
[arpadal%part Date --I
Name
ea (n 2 e e e
Location q P
Permit No. d f� � � Bather
Remarks
Exca�,a ti on
Footing Forms
Footing & Piers
Foundation
_
Cement Coat
Water roofin
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough P1
Relief Valves
Wall Board
Ext. Porches
Finished Floor
—
Interior Trim
_
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
_
Gar. Fire roofin
Door Closers
Chimney
Water Meter Inst.
Septic Approval
„
Insulation
Floors
Foundation
Walls
Ceiling
Building Inspector
REMARKS
walati0A IhsPee 1-i aI
TOWN OF QUEENSBURY
Building Department
larpeeton Report Date_ 4Z / -- &V
Permit
Remarks
ExcatYa tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough P1
Relief Valves
Wall Board
Ext. Porches
G b4::V',e SMOVLp BC
- Finished Floor
ery Lo E
Interior Trim
i7GTC,K [5 /3(/F LT:
Stairs & Railin s
Cellar Dr. Tile
_
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers &I
Chimney
Water Meter Inst.
Septic Approval
Insulation
Floors
Foundatio
Walls
Ceiling
-�V
Building Inspector
REMARKS
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY /�/(q{,"��-
41 STATE STREET. ALBANY. NEW YORK 12207 V -7
PU
I
Date December 23, 1981 Application No. on file 501626-81 A 5 7 r n G
J ...
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant naFned on the above application number in the pransisr of
Ken Collette, Chestnut Ridge Rd. Glens Falls, NY
in thefollowing location; ®semIN ® 1st Ft. 8nd Fl. gar7att/outside 3eetion Black Lot
was examined on 12 -9-81 and found to be in compliance with the requirements of this Board.
RXTURE
RXTUIBS
RANOES
COOKING
DECKS
OVENS
DISHWASHERS
EXHAUST
FANS
ACIB
SWITCHES
OUTLETS
INCANNXENT
FIUOMSCEM
v
AMT. I
K W.
AMT.
K. W.
AMT.
KW..
AMT.
K. W.
AMT.
H. P.
24
47
29 1
1
1
1
6.3
3
FR
DRYERS
FURNACE MOTORS FUTURE
AFNIANCE REDERS
SFEOAL OW"
TIME CLOCKS
I UNIT
TRANS.
HEATERS
N LTI TIM
No. OF FEET
DIMME S
."T.
K. W.
OIL
M.I.
GAS
H. P.
AMT.
NO. A W. G.
"T.
Mr.
"T.
AAVS.
AMT.
H. P.
mT.
WATR
(;
8
SERVICE DISCONNECT
NO.OF
S E R v I C E
AMT.
I AAV.
TYPE
EOUIF.
10 tW
1 / SW
S F Sw
S F �W
�' MR%COND.
OF CC CG .
NO. OF HI"KEG
OF NIW 1 C
NO. OF NEUTRALS
W NWEII MAL
.L
200
Cb
1
%
1
4/0
1
2/0
GT aTW
tors: 1-1/2 hp.
2-smoke-detectors.
1-15 amp. GRI breaker.
Saco W. Corhouse
RD. #1, Potter Road 239
Gansevoort, NY 12831 BRANCH MANAGER
Per
COPY FOR RI1?111ING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT RE ALTERED IN ANY MANNER.
4001744 THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
Ib 41 STATE STREET, ALBANY, NEW YORK 12207
Date April 9, 1982 Application No.onfie 503551-81 A5812r4
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the abode application number in the premise of
John Le Chestntt� Ridgl, Queensbury, New York
in location; n
thefolknwing Basement Ist Fl. 2nd FT. outside Section Block Lot
was examined on 3 -30-82 and found to be in compliance with the requirements of this Board.
RXTWE
ACLES
SWLTCHES
RXTURES
RANGES
COOKING
DECKS
OVENS
DISH
WASHERS
EXHAUST
FANS
INUNwESCEM
FLUORES[EM
v
MIT.
K. W.
"T.
K. W.
AMT.
K.W.
AMT.
K. W.
AMT.
H. P.
�LRS
DRYERS
FURNACE MOTORS FUTURE
AFFlIANCE RFDERS
ISHICIAL RSVPTJ
TUM CLOCKS
I NU I UNIT
TRANS.
HEATERS
"E:OUTLET
NO""�T
DIMMERS
'MIT.
K. W.
OIL
H. P.
OAS
H. P.
NO.
A W. G.
MIT.
AMP.
AMT.
ANDS.
HAT.
H. P.
-AMT.
WATTS
ft
SERVICE DISCONNECT
NO. OF
S E R V I C E
AMT. AMP. TYPE
MUIR
1 p tw I O TV S N tw t,e AW MO, GPER . � OF CC COMA. NO. OF NFIEG Of Ho. a NEVFRALS of EWUIGtAL
OTHER AFIARATUS:
L-25 k.w. heat pupp
1-3/4 h.p, compress units
1-FR. humiderfier.
BrLtn R. Meurs, Inc.
RR#1 Box 587 Cointy Lien 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.
SPECS FOR JOHN LEE'S HOUSE
10" block walls
4" concrete floors
10" X 20" concrete footings
2 X 6 sills (Treated)
2 X 10 floor joist, with 2 X 6 exterior studs, 2X4 interior studs
Trussed roof
-'z CDX roof sheathing
Pine board & batten siding
7/16 aspenite wall sheathing
300 lb. roof shingles
12" ceiling insulation
6" wall insulation
6" floor insulation
2" drywall taped