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6093 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK o Date ' .v ,.021 19 lq 301 . -)--d2 o 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 O�n 1 4 f'YI'( l :::DLA/(2-f t/ P Owner E : Vv6?L( (. -and, U'_I uia.-0 -/" kJ/11J iej By Order Town Board • TOWN OF QUEENSBURY Building & Zoning Inspector • CREATIVE "INSTA" PRINTING, GLENS BALLS. N• 12801 I5I81793-S659 BUILDING PERMIT TOWN OF QUEENSBURY No. 6093 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Edward and Lillian Trombley OWNER of property located at Lot 24 Algonquin Drive (St. #1) Street, Road or Ave. ri in the Town of Queensbury,To Construct or place a One—Family Dwell inq 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. fZ 1. OWNER'S Address is Davern Drive Fs- Lake Luzerne, N. Y. 12846 ~ )v 2. CONTRACTOR or BUILDER'S Name Martin C. Mosher 5 3. CONTRACTOR or BUILDER'S Address 4 Helen Drive Glens Falls, New York 4. ARCHITECT'S Name O fi r.n rt /P 5. ARCHITECT'S Address ':=1 HI LC1 6. TYPE of Construction—(Please indicate by X) r. (X)Wood Frame ( ) Masonry ( )Steel ( 1 d 'ri 7. PLANS and Specifications 26 'x68 ' per plot plan, specifications and application No. submitted including sewage system and two—car attached garage. 8. Proposed Use 0 One—Family Dwelling rD $5. 00 C/O Paid 5H. $70. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 80 'C (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) () Dated at the Town of Queensbury this 18th Day of September 19 79 N SIGNED BY h/_ Oi for the Town of Queensbury BdAlding and Zoning Inspect r• TOWN OF QUEENSBURY (Space inside block to Ix filled in by WARREN COUNTY, NEW YORK - Building Inspector) bb .kpplication No. ' Ay�plIca on for Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. lg. . 7(min. District . \ ;due Id Work' THREE (3) Copies of a PLOT PLAN, Drawn to scale •\PI"r"`eel by showingthe actual dimensions of the lot to be built itemarKf upon, Te exact size, and location on the lot of the building fo be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. - !� /7 1owN OF QUE NSEt.„- /' /DATE .0 l: A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 7gEX 1E l 1Y ANSWER ALL OF THE FOLLOWING. P.M.:, The undersigned hereby applies for a permit to do the followingwork i.M• : .71819110111112111213141 which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. The owner of this property is� tOq t'er / )r/ . r. . . . .e d,u-t- � .� ./ -/�� ,A-E...te.zi4 ,,. . /(,f1 �INA.,,�) IP.O.ADDRESS) L/ The person responsible for -supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: - AME) IP.O.ADDRESS) , \Name of Builder Address 4- - 4iPJame of Plumber Address C,) 'A Nsaeite of Mason • Address (, Lot Number ;/ Unit Estimated value of proposed work$ G -d Name of Village �^, ,/ Name of Street t-2�C�,�f''', • A../A... Side of street: north 0, east ,south 0. west 0 Nearest Cross Street - L ;,,�G-� `' Act,. • Distance from this cross street Ft. Property is north 0,south ❑,east [1, west 0 from Cross Street If on Corner, which corner, northeast northwest ❑, southeast ❑, southwest (Designate by marking with an "X" in the correct space.) • NATURE OF PROPOSED WORK OCCUPANCY Main Building Construction of a new building. One-family dwelling ❑ Addition to a building. Two-family dwelling CI ❑ Alteration to a building. -family apartment house CI0 Demolition of a building. Store building ❑ -car attached garage ❑ Other: Accessory Building One-car detached garage ❑ ❑ 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, site and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing • luilding(s) in solid line. 4 Size of property /'-7- ft. x 4�'D ft. Size and use of existing buildings, if any N p lil W PI Size of proposed building �6 ft.x . . ��.4• • • • ft. Height(from grade to ridge) ".3 ft. Front yard - �� ft. Side yards IS.— ft.and . . . . > `� ft. �✓ ' Rear yard �� ft. GG SOUTH If on corner,setback from side street . . �`� ft.. .. Note: All distances are net, as measured from street side line to nearest part of building. (OVER) (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc. iT-'--'L `J•-�4�'Yw Will any second-hand lumber be used? 7 1�0 If so, for what? Material of foundation walls I e Thickness /4 ' Depth of foundation walls below grade O Continuous foundation? . . . . o Will there be a cellar? If so, material of cellar floor . . �✓ ''����i Type of roof: Sloped or flat. . . . . . . Material of roof . . . .. . \(! Size,wood studs a "x / ",spacing "o.c., length ft. Size, floor beams, 1st floor "x ./0 ", spacing /4, "o.c.,span /f... ft. Size, floor beams,2nd floor "x ", spacing "o.c., span ft. Size, ceiling beams " x ", spacing / "o.c., span s=2 6 ft. Site, roof rafters o beams . :7i erero. . . ."x ", spacing a z/ "o.c., span 4, ft. Exterior finish . . ., . . . . . .ia `. With what material? . . Finish of interior walls /V If garage is to be attached, of what material is wall between garage and main bui<laging to be constructed? Is there to be an opening be een garage and building? Kind of heating system . . . . -:� Oil burner or coal? i Will a flue-lined chimney be provide ? . . . Depth of chimney foundation below grade . . . 6' 0Height of chimney above roc 7?/-e' r Will there be a fireplace? Depth of fireplace hearth Will a toilet be installed? Lo Will a kitchen sink be installed and connected toter supply? . Water supply (public water supply or pump) . ...1 . Distance of cesspool from any private well . . . ./.O.Q. . ---b - feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to th-bj(of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and complete statement of all proposed work to be done on the described premises and that as provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. n -���g Sworn to before me this Signature l� OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • By Xic/t- ., , th • TOWN OF ntfEENSBURY BUILDING AND ZONING DEP/0111 ANT BAY ANT) IIMILAND ROADS, R o D a �I GLENS FALLS, NEW YORK 12 S 01 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF OUEENSBURY OCCUPANT'S NAME __L 4.4,14 .44 A RRESS jjefuhAk, TELEPTTONE 9 02 - /-2 s-a ADDRESS j /L, NUMBER OF BEDROOMS --- --�-- GARBAGE GRINDER? . - (YES OR NO) TOPOGRAPHY: 4010 ROLLING, STEEP, SLOPE, GENTLE SLOPE,, OTHER NATURE OF SOIL: CLAY, SANDY LOAM, GRAVEL, ROCKS, ETC. PERCOLATION TEST WATER SUPPLY: MUNICIPAL, `WELL . OTHER DIAGRAM Or PROPOSED SEPTIC SYSTEM L OTHER PERTINENT INFORMATION IT TS HEREBY AGREED THAT IF THIS APPLICATION AND PLA*1S ARE APPROVED, INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE WITH DETAILS SHOWN DATE SIGNATURE OF APPLICANT )1%1.-de?. i�,;a r• ��1.a r ' ' LAKE GEORG:E PARK COMMISSION APPROVAL: s ;nature date) 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 .. . ... .. .. .. . . 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? . .. .. .• 14. Is basement heated? YES NO a. R value of insulation .. .. .. .. .... .... .. . 5. Type of insulation B. Under 16% Only 1 . U value of roof and floors exposed to ambient conditions ... ... .... . . . 2. U value of exterior walls .. . 3. U value of glazed area 4. U value of dtzors .. . .. . . .. .. . 5. U value of floors,over heated spaces 6. R value of slab edge insulation - unheated slab .; 7. R value of slab•insulation - heated slab 8. U value of heated basement/cellar walls (above grade) .. 9. R value of heated basement/cellar walls (below grade) • 10. Type of insulation . .. .. ... . CO Controls Trmostat maximum heat setting D. Duct S stems 1 . Is duct system installed in unheated spaces? YES NO a. If YES, R value of duct insulation b. R value of duct in other areas E4 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 setting maximum .. ... .. G. For Swimming Pool Only 1 . Maximum Heating Telephone No. Applicant's Signature i\-6w►, 6 ( .e, 11 tir.!i.--,a• a..m.,1. •,a•,La•�x•. •py,ps4.,!.�.•.�eppAn.l tip• a.1.)_nana•.a tiaN.a•.. •c)",,a ti...b.l e.i.e..14n.,x".›a,...In•.a•.!.a•.i.•.�a. .,.•.i... �..1,�a•.a•.,_n)i_"."4..,a,!.a..,!.4. THE NEW YORK BOARD. OF FIRE UNDERWRITERS y 1 BUREAU OF ELECTRICITY r F. 41 STATE STREET,ALBANY,NEW YORK 12207 Date -- Application No.on file i THIS CERTIFIES THAT r only the electrical equipment as described below and introduced by the applicant named on the application numberin the premises of ,r above ;i -C. ;•,_." - ,, - - -< in the following location; :❑ Basement •❑ 1st Fl. ❑ 2nd Fl. "T.,. Section Block Lot T was examined on :. . -..... .' and found to be in compliance with the requirements of this Board. . r L' . -t . FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;C ECEPTACLES SWITCHES — MPR URY OUTLETS INCANDESCENT FLUORESCENT VAPOR _-AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ,lip -< DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS r SYSTEMS Y -.< '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 - I ,- . , , s SERVICE DISCONNECT NO.OF S E R V I C E - ;i �` AMT. AMP. TYPE METER .1�'4W 1..W 3W 3,0'3W 3 JB'4W NO,OPER%COND. OF CC.COND. NO.OF HI-LEG of HI-•LEG NO.OF NEUTRALS OF NEUTRAL 'Y ,a ;iy G . , �.. -(1 OTHER APPARATUS: . 0- 3 _ :> C1 'T '" e. BRANCH MANAGER • fi! ' - - .. - . , .. ._... - - ;..1 Per r� --< '' "C vf 'E Na[ [ lf v[ [v[ nit/vie MZrlirlit( li t vrvf[rU \Acv ,h 1L MIxf['f[ Af v �i[ [ [ [uc1frif v rir [mei lit alit 1*tat lit Ili v v v tat Wit a lilt , -' i r5 r1• COPY FOR RUBLE hi'G DEPARTMENT. THIS COPY OF CERTCFiCATE MUST NOT BE ALTERED IN ANY MANNER. • TOWN OF QUEENSBURy • Building Department Inspectors Report Date 11-,/e✓--- Name - Location7- - . Peamit No. O 66 3 Weather Remarks Excaf,ation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding .. Masonry Veneer t Z) Rough Plbg. Relief Valves Wall Board Ext. Porches.. Finished Floor Interior Trim Stairs & Railings 1 Cellar Dr. Tile Concrete Floors Plbg. Fixtures / Gar. Fireproofing ,, Door Closers /. Chimney Water Meter Inst. Septic Approval FlOors ' Insulation Foundation ' Walls ' Ceiling • Buil g Inspector • REMARKS /'kee s /ec. ;4 TOWN OF QUEEN BURY Building Department Inspectors Report�—_ Date -7,9 Name //,/),i c. Location /.�"/ zt,:t.) Permit No. / Con 7.3 Weather Remarks Excavation 1 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 •i 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 4; c Building Inspector REMARKS /goea / yet 7 4 TOWN OF QUEENSBURY Building. Department Inspector Report rite ;/c9 7`7 Name Irv.'"Location �� Permit No. " W G c T 3 Weather h 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 f Plbg. Fixtures Gar. Fireproofing Door Closers 1 _ Chimney / Water Meter Inst. Septic Approval I Fl OO.r`s Fcunda tic.j Insulation ' jells Ceilin4 Building spactsr REMARKS TOWN OF CIU EEN5BURY• Building. Department Laspectors Rep Date, 30 2 y Name • Location 4) Permit No. 'Weather 6 0 rj • Remarks Excafiation Footing Forms Footing & Piers I ,A/- <9-/(2 Foundation Cement Coat —4— Waterproofinc Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. 1 Relief Valves • Wall Board Ext. Porches Finished Floor Interior Trim I Stairs & Railing: Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing I • Door Closers Chimney L_ Water Meter Inz:t. I Septic Approval Insulation P7,32.1 L 57 •, 1 37.1ilding ,spector REMARKS • A ti \\j is' Q \1 • / G�� (J/14.-('