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6716
CERTIFICATE 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. l9 1 I has been completed. This structure may be occupied as a ��LL� P.ilfea H-1/1 Location , WI Yl E-nr-c( 41 Owner Cti otrvkla,c, -u AL_. By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE -INSTA" PRINTING, GLENS FALLS. N V 12801 15181793-S658 t BUILDING PERMIT [ - TOWN OF QUEENSBURY ; ._ No. 6716 WARREN COUNTY,NEW YORK In i �'S —re; I)Us- 61,S -e PERMISSION is hereby granted to C.' G: Woodbury & Son, .Inc OWNER of property located at Lot 5- Hummingbird Lane Street, Road or Ave. 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 O approved and in with the Town of Queensbury Building and Zoning Ordinance: O0.1 1. OWNER'S Address is • 679 Upper Glen St. Glens Falls, -New York tn 2: CONTRACTOR or BUILDER'S Name 0 same (1) (3_ 3.:CONTRACTOR or BUILDER'S Address- ?- (� same 4. ARCHITECT'S Name O 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) • K )Wood Frame. ( -) Masonry . ( )Steel ( ) =Fi 7. PLANS and Specifications r =: r 26 x48 per plot plan, specifications and •Iv No: application submitted including sewage system and two-car garage in basement. . 8..Proposed Use One-Family Dwelling $5. 00 C/O -Paid $ 101. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES. July 1 ig 81. (If a longer period is required an application for an.extension Must be made to the.Building and Zoning inspector,of the iL town of Queensbury before the expiration date.) = Dated at the Town of Queensbury this '5th Day of December 'fig 80 - SIGNED BY /'. T" V for the Town of Queensbury Building and Zoning Inspector I—' 4 • r.4 • . TOWN OF QUEENSBURY t (Space inside block to be filled in b, WARREN COUNTY. NEW YORK • Building Inspector) • Application for Application No. PP Permit Issued 19. BUILDING AND ZONING PERMIT hermit Expire;. IC. - •i. ,iII m District nlnc•cal N"ork f . • THREE 131 Copies of a PLOT PLAN, Drawn to scale '.‘pprf "'`l by showing the actual dimensions of the lot to be built ltc•tiiarKf' • upon, The exact size, and location on the lot of the. . building. to b. erected or• altered MUST BE SUB- MITTED WITH THIS.APPLICATION. . TOWN OF QUEENSBUR•. 2' 3 - :3 - S • • • • •427(///".°. bsAi . . — . R E 0 I II T iE D. ' A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK. , DEC 31980' 4. ANSWER ALL OF THE FOLLOWING. A.M. �61`° �6P•M. The undersigned hereby applies for a permit to do the following •work • 7I$19110111)12)1I 213I 4)5)6 which will be done in accordance with the description, plans and specifi- / . / cations, and such special conditions as may be. indicated' on the permit. . �giv'/' O �e of l_ The owner of this property is: . i,.a.GJ.0v. . u ,l-5i #i ,d,�, ., ... . . . . . ?1. .fir/ +. ..J .G;l-v,.-* //� /v!-�.(NA•.E) (P.O.ADDRESS) The person responsible for •supervision of the work insofar as'the Buildij)g:Cc)de and the Zoning Ordinance apply'is: -- e— (NAME1 - • (P.O ADDRESS►` Name of Builder. . ,S�-+h.cam. . . . . . . . ... . . . . . . . . ..... : . . .•. .Address, Name of Plumber .Set Address Name of Mason -c.''z e-. Address Lot Nut}iber. . ... Unit Estimated value of proposed work S z8.47o ) • • Name of Village :Q e4 J 4 - . Name of Street. . �h, %x.S. CQA,.ra.-- Side af:etreet: north ..O,.eas t, south 0. west, 0 /a` Distance from this -toss street . . '?� - • , Ft. Nearest Cross Street �.w�..�oira..�r/••• • Property is north 0,south 0,east , ,west- 0 from Cross Street . If on Corner,which corner,northeast 0, northwest 0, southeast C southwest (Designate by marking with an""X" in the correct space.) NATURE OF PROPOSED WORK •OCCUPANCY i Main BuildingIR Construction of a new building. One family dwelling . El Addition to a building. Two-family dwelling ❑ 54- ❑ Alteration to a building. _ , , • , . .-family apartment house 0 ❑ Demolition of a building. Store building ❑ . . .2 . . .-car attached garage .g- Other: _" Accessory Building . One-car.detached garage 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, site and setbacks of pro- posed buildings,and the location of all existing,buildings. NORTH Show p •opoSed building(a) in dotted line and existing . • Wilding(s) in solid line • Size of property //pg.. . ft. x . . /-- ft. • Size and use of existing buildings,if any,. evoy e..- I- • i N m Size of proposed building . . . 24 ft.x . . .`/d' .•. . ft. Height:(from grade to ridge)_. ..2 f - ft. - Front yard XO. ft. Side yards ,n ft..and 7 ft. • . Rear yard . 7V- ft. • SOUT H If op corner,setback from side street • ft.. .. r Note: All distances are net as measured from street side line to nearest part of building.: - (OVER) 7-73-M . - j _ - • -, .... a J. ••• (cont'd.) BUILDING SPECIFICATIONS., Kind of construction:Wood frame,fire safe,etc.?. .4.zae.,. . .e' ....e. .1.tL:. :7:-. .. . . . . . . .... . Will any second-hand lumber be used? A''‘' If so, for what? Material of foundation wallstd?. .G.aA .--- eVe.,c....X Thickness , .... Depth of foundation walls below,grade . .F."..-:--,0 Continuous foundation?yV,-..r. • Will there be a cellar? . . . .)/e-4 If so, material of cellar floor . . Type of roof: Sloped or flat? . . .54,e,...i Material of roof . 54-7-/e.4,-- ,0 Size,wood studs 2... If x 6 ",spacing 2_,V "o.c.,length. .. . .d."7.-p. . . ft. Size,floor beams, 1st floor 2 „x r ",spacivii .. , , /A " o.c.,span ./2-4) ft. Size,floor beams,2nd floor "x ' ",spacing , "o.c.,span ft• . Size,ceiling beams "x ", spacing o.c.,span ft. Size, roof rafters or beam 77;44--ise-1"12'4cl i 725" te- ",spacing ; 7 v7 e47::"'"A "o.c.,span . . . .a?‘ . . . ft. Exterior finish With what material? • Finish of interior walls. -f-Z.e-e-V7---g-? -t If garage is to be attached,of what material is wall between garage and main building to be constructed? ../ / • • 4".6).:, I. •ivelv,-e•--ezi...4 . . .A. . . _14.e....9.---77--,:, Is there to be an opening between garage and building? X q-ir Kind of heating system . .e.../;;.-r--,V77-./.-c-:-. ‘e,e_s.v._Logi-A-W. . . Oil burner or coal? Will a flue-lined chimney be provid,j? xP--,S- . Depth of chitiiney foundation below grade r"-.7 P' Height of chimney above roof. . . 2 Will there be a fireplace? . /e..--.S Depth of fireplace hearth Will a toilet be installed?.ke...r Will a kitchen sink be insflled and connected to water supply? ylfre,r Water supply(public water supply or pump)' . e26,..‘1/2.-C.- Distance of cesspool from any private well . .rjedP. 1.4/A-7,6:ve%A1.--e.ht-7 feet Will drainage system be provided with required traps,cleanouts,and vents? ye-I . AFFIDAVIT Town of QueensburY / • County of Warren State of New York I swear that to tt barof my knowledge and belief the statements con fined in this application,together with plans . . • bons' mined, are a true and coa.plete statement of all proposed work to be e on the described premises and that all_provnio of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining the pmposed work shall be oompli with,w specified or not, • and that such work is authorized by the owner. ' Sworn to before me chi® -- Signature )1.--V0-No-s - • o ea.OWNER'S AGENT.ARCHI CT.CONTRACTOR . . • day of 19 NOTARY PUBLIC.WARREN COUNTY. N.Y. " . SPECIAL CONDITIONS OF THE PERMIT: • . • • • • By -Jib TOWN OF OUEENSBURY BUILDING AND ZONING DEPARTMENT BAY AND HAVILAND ROADS, R. D. #1 GLENS FALLS, NEW YORK 12801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY OCCUPANT'S NAME ADDRESS TELEPHONE OWNER'S NAME ADDRESSZ:29 r- NUMBER OF BEDROOMS ? GARBAGE GRINDER? 4/4;, YES OR NO) TOPOGRAPHY: FLAT, RCIMING, STEEP, SLOPE, GENTLE SLOPE, OTHER ,a4ee.,..„ 57 NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS, ETC. .5*-1;Aft ,/ PERCOLATION TEST/...„(.271/WATER SUPPLY: MUNICIPAL, II:ELL,—OTHERAede27-c / DIAGRAM OF PROPOSED SEPTIC SYSTEM /2/ k o 0yr `\( • - • .4. • • 01 ki <•/2 j.SHI y . 1 0 Cut- .3:447:oPP OTHER PERTINENT INFORMATION IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACI TIES WILL BE MADE IN AC RDA"TCE WITH DETAILS SHOWN. DATE 4.2,44, SIGNATURE OP APPLICANT LAKE GEORGE PARK COMMISSION APPROVAL (signature) (dri7e1 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 ,4972 2 . Type ' of heat • 3 . Is the building mechanically cooled? x/0 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 roof and floors exposed to ambient conditions_ 2 . R value of exterior walls A'-2& 3 ., R value of glazed areaA'— 4 . R value of doors A'- /SS- Ka 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)/ 2p 9. R value of heated basement/cellar walls _(below grade)/ -j; 10. Type of insulation 74/(7-/ss �« C. Controls 1. Thermostat maximum heat setting eX 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 1 . Performance efficiency. 2 . Temperature control s tting Irraximum /yp " G. For Swimming Pool Only • / 1 . Maximum heating y� Telephone No. ? ? ?Sow- ! (applicant ' s signature) F ,c.1.4.).�^��).,.a�a�x.�),,�)„cx c),A�tl.)., ),p,9 0).)„dal..�4.a... ..,a'�a.9..?4.), :).�cx• ).• a,),•.. ,.), ),tti.1„tp,ttia�.)...a•4 . .)„*.),. ),t1.)NA),•ti).��a•.�a•,.)....tia.�,.)",attia�a•,�ai-.Y THE NEW YORK BOARD. OF FIRE UNDERWRITERS Y - _ BUREAU OF ELECTRICITY LUI ,r _ ..... 41 STATE STREET,ALBANY,NEW YORK 12207- 'Y �, Date `_::i,:'i:._, :! • •__ Application No.on file '` (I,TA o� 7c-r Y . . • • 1y� 'CJ s- ,r �, THIS CERTIFIES THAT L •Y S t - 71 onlythe electrical equipment as described below and introduced bythe applicant named on the above application number in thepremises ofY H. PP � PP - iri the following location; El Basement :El 1st Fl. ❑ =-2nd Fl. -' - ' ' ..Z'tL"''':-.'11•1 Section Block Lot • was examined on and found to be in compliance with the requirements of this Board. , FIXTURE FIXTURES ERC RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS -( ECEPTACLES SWITCHES MER ' OUTLETS INCANDESCENT FLUORESCENT pURURY AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P: :11 -C' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS - 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 ' 2<< SERVICE DISCONNECT NO.OF ? '.,1.'.1.! S.=.'?_': E R V I • . C E -' 'AMT. AMP. TYPE METER EQUIP. 1.g 2W 1 if 3W 3,B•3W 3.3 4W NO,OFPER B CC.COND. OF C A.C.CON W.G. D. NO.OF HI-LEG A.W G. OF HI-LEG NO.OF NEUTRALS , OF NEUTRAL _, t+ '- '1+ OTHER APPARATUS: -1; .0 'u.'..J :S.a _:.' ._a_, ......_`:.,• T ; 'SPEON FEE PAID ,ry, , • r Mil 7-71,('..! .."‘" - .... .12 i -{P - t BRANCH MANAGER ,ti i ', Per ` v + - -- r `•YYYYYYYYYYYYYYYYYYYYYYYYYYYlYiii—Ti i'el'iYYYY4riicYYYYYYYYYYYYYYYYYwYYafYYYYYYYYYYYYYYYYYYYYYYYYY YYYYYYY'YYYYYYYYY'rYYYY 4 COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY Building Department Inspectors Report Dates'-2 v , Name ' (, Location /' ,4 /.. dl',.9i`,es) Permit No. 7,+'�.a Weather Remarks Excavation Footing Forms Footing & Piers Z ti 1% Foundation j41 2 Cement Coat Waterproofing /d,,/c/ Backfill Final Survey Framing r.C) ` Sheathing L"�^ Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext.. Porches Finished Floor Interior Trim • Stairs & Railings,j, � ' Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers 9 ® Chimney ✓' CYZ, ' (� c� (. Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling p ".176 Building Inspector REMARKS TOWN OF•QUEENSBURY Building Department InspectorsAteport /�Date .J7•f.2 Nameoe 'L f 1'. -e C�brn,/'A rj-�i/� . tion 4J'' .'j`' .'r 1f�j9'7 i /7a'/`rI / . Permit No. '7 1(0 Weathtc Remarks ExcaOa 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 ; / e1 // Stairs & Railings /_,0�e/4V-- ,A, ,/r44 Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing ;�� Door Closers �'�l v/ �.1.51714,/I Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling • Building Inspector REMARKS 1/11/6/-' - /1/ Y i i-26• Ailed r J AA y TOWN OF QUEENSBURY Building Department Inspectors Report Date /a-//D l/ cFG Name Ll' d4© 5,//2 I Location L r c I t ; ;4' -q' 1 42/ Permit No. (0 7 Ian WeKther Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. \ r Rough Htg. Relief Valves /' \ Wall Board Ext.Porches Finished Floor Interior Trim Stairs&Railings Cellar Dr.Tile Concrete Floors Plhg.Fixtures Gar.Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval L. v wilding Inspector REMARKS 07, �SD / 7 TOWN OF QUEENSBURY Building Department Inspectors Report Date Name 0t' /3-vp-0 ,/ Location f�j�yyf�� rt 6 k-i / Permit No. U 7 /(a Weather J Per Cent Complete Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Rough Htg. 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 -//0/ / Building Inspector REMARKS /00 0 J V � I I C i I I - ` p 0. I 0 I are i v,�/✓�y ; i n I Iry