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8537 C/O Paid CERTIFICATE OF OCCUPANCY • TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 _ 8537 This is to certify that wor requested to be done as shown by Permit No. has been completed. This structure may be occupied as a Addition to one—family dwelling Location Luzerne Road ' Fred Carvin Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA" PRINTING. GLENS FALLS. N T 12801 (518)793-5658 BUILDING PERMIT TOWN OF QUEENSBURY 8537 No. WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Fred Carvin OWNER of property located at Luzerne Road Street, Road or Ave. N in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) 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. ice• 1. OWNER'S Address is R. D. #3 Luzerne Road Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Robert Balogh r, Balogh Construction Co. N 3. CONTRACTOR or BUILDER'S Address ti R. D. #2 John St. Glens Falls, New York 0 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 12'x16' per plot. plan, specifications and H. application submitted. r No. O F✓ � 8. Proposed Use C rt 4•O One—Family Dwelling (living area added) sv 0 H $5. 00 C/O Paid m ~' $ 16. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 84 Ili - (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 31st Day of May 1984 SIGNED BY JCL a. for the Town of Queensbury Building and Zoning Inspecto r4 TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. : Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. . 19. . %oning District • \ ;dile of \1'nrk THREE (31 Copies of a PLOT PLAN, Drawn to scale \1'Iii."`c•c1 b\• showing the actual dimensions of the lot to be built R' iii;ir) upon, The exact size, and location on the lot of the • building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. I • 1`/J/J� 3,</�7� TOWN OF QUEENSBURY L ���� [RECEIVEDI �- I S dD TE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MAY1984 ANSWER ALL OF THE FOLLOWING. 1 OU e-€ . �� A.M., P.M. The undersigned hereby applies for a permit to do the following work . 19�1 2 3 4 5 6 which will be done in accordance with the description, plans and specifi- 7181913.4, . e,1 12l Asa 15 I a cations, and such special conditions as may be indicated on the permit. . F� C.l° aRU+ � Pp 3 ' The owner of this ro rt A (NA.E) P.O.( ADDRESS) The per on responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: o�C� % ,GvGl� X-0 ? ✓.rr /0 s �, , /�; (NAME) (P.O.ADDRESS) Name of Builder8/92 /7 Q/US% '//C%%D/eJ CO'Address ."zQ. `��1L7V s7:7— -/- --____— N Address Name of Plumber - Name of Mason S7 ' 7' e Address Lot Number. ,Z tHt Estimated value of proposed work 3 Name of Village . . 4Rc. . -. C, L Name of Street Ny R Side of street: north Pr, east 0, south 0. west 0 Nearest Cross Street 417'1 E /1,2 c.> Distance from this cross street N / /(7 Ft. Property is north 0,south ❑,east ig, west 0 from Cross Street If on Corner, which corner, northeast 0, northwest ❑, southeast Q, southwest • .. (Designate by marking with an "X" in the correct space.) • NATURE OF PROPOSED WORK OCCUPANCY " ❑ Construction of a new building. Main Building g Addition to a building. One-family dwelling ❑ Alteration to a building. Two-family dwelling ❑• ❑ Demolition of a building. -family apartment house ❑ 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 • N` building(s) in solid line.. q�( Size of property. %0 ft. x // / ft. 6 � jetk ,t G Size and use of existing buildings, if any k � W ,tr�n. :►2' `m ' / ft.x 1 6 ft. s 194 Size of proposed building ii.j .. 1 ' Height(from grade to ridge) N �� ft. 4y Front yard 7 / ft. \. / ( . " Side yards N. / ft. and '1 ' ' ft. 410 ( Rear yard (v / / 6 ft. 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) 7-73—m (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? -U If so, for what2 • Material of foundation walls . COX-)C/ T 8 G Thickness . . .ce Depth of foundation walls below rade S t Continuous foundation? 47" Will there be a cellar?,f(0€Z. .r'' �?P If so, material of cellar floor f/ "i CU-4)C/2E/ G- Type of roof: Sloped or flat? ' ' ' 4� • Material of roof /9 , /t��_ Size,wood studs " x�' ", spacing 2— "o.c., length ft. Size, floor beams, 1st floor . "x , ", spacing "o.c., span ft. Size, floor beams, 2nd floor x ,Q ", spacing / 6. . . ."o.c., span . . . ./.2- ft. Size, ceiling beams " x 6 - , spacing / "o.c., span . .} . ft. Size, roof rafters or beams ", spacing /6."o.c., span . {. . . . . . ,ft. Exterior finish � -7Z F With what material? U t/�r� S/Q�YtJ Finish of interior walls. . . .�,�'�` ���C I If garage is to be attached, of what material is wall between garage and main b uil&ing to be constructed? Is there to be an opening between garage and building? - - /t) Kind of heating system Oil-burner or coal?- - Will a flue-lined chimney be provided? , ?. Depth of chimney foundation below grade . , Height of chimney above roof ,C) Will there be a fireplace? A/C) Depth of fireplace hearth A-J/4- Will a toilet be installed? C-2 Will a kitchen sink be installed and connected to water supply? ak--) U Water supply (public water supply or pump) Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? A-)/•-a- Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to it 1,e,r of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.L.plete statement of all proposed work to be done on the described premises and that ail provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining a propo k shall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature W'b(. .... Ir G--tl 0G 3/U,S CO. OWNER, ER'S‘AJANT,ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • • By TOWN OF QUEENSBURY - BUILDING DEPARTMENT R. D. #1 BAY AND HAVILAND ROADS GLENS FALLS, NEW YORK Phone 792-5832 DATE: March 7, 1986 TO: Fred Carvin RD #3 Luzerne Road Glens Falls, New York Our records indicate that you were issued a building permit number 8537 May 31, 1984 on for the construction of Addition to dwelling Our files show that the required inspections are incomplete. If still under construction please contact this office for an extension of your building permit, or if completed please contact us so we can take your card out of the active file. The next required inspection final • FOR ALL NEW CONSTRUCTION TOWN LAW required a Certificate. of Occupancy to be isued by this Department before occupancy. Noncompliance may result in legal action. To avoid further delay and possible legal action, contact this office to make arrangements to update your file. QUEENSBURY BUILDING DEPARTMENT R c�)4J3 Asst. Building Inspector 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 .7S-'47- • 2 . Type of 3 . Is the building mechanically cooled? /A,G ` 4 . Percentage of area of windows and doors A. Over 16% Only 1 . Uo value o 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 C 3 t7 • 2.. R value of exterior walls /e/( 9. • 3 . R value of glazed area 4 . R value of doors 5. R value of floors over unheated 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 heated basement/cellar walls (below grade) €Er 10 . Type of insulation /`1 rvwx. C. Controls D 1. Thermostat maximum heat setting g d 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 ,e-M2. 2 . R value of pipe insulation . F. Service Water Heating 1 . Performance efficiency 2. Temperature control setting maximum / 4- G. For Swimming Pool Only hJc 1. Maximum heating /v Telephone No. 7 3 -er79 /� / • (applic t s ' gnaNure) G2�s✓j4e. i • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. . • CITY OR 1 r f •.` VILLAGE - TOWNSHIP C.,./6 v COUNTY (C/ �/G A STREET AND NO.OR /,/ v ROAD AND POLE NO. f _{,,./.7/4.7.iie./1 J[; R (> POLE NO. BETWEEN WHAT TWO ', i CROSS STREETS IS /1�, , ��,. f J !_'- PREMISES LOCATED? L -"i '--i V"/ `i'-f ""� - .�. - ( ,1 SECTION '"� ( BLOCK / LOT _,� J OCCUPANT'S BUILDING NAME �j �PU/� OCCUPANCY I,r ,-f , /fir 1 _./ f 1• i. OWNER'S NAME AN /�-�w�^T�`� ! , ,J` qi / / /� ) / AND ENT ADDRESS /, 2(/ /y . ��' / �1a SUPPLIED . J / ,r f BY A!f/ -, !!!L//0) FROM THEIR //J/-J / OFFICE BUILDING WNEW❑ OLD REMODELED ❑ is NEW ❑ ADDITION REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures MOTORS HEATERS BRANCH LAMPS Lamp MOTORS CIRCUITS Loca- tion Ceiling Side Attach't Switch Pendent Bracket No. Type H.P. No. Watts No. A W.G. NO. WATTS Wall Recept'Is Each EachGaugeEACH Out- side - Sub base Base- . ment 1st Fl. 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. \\ This application is intended to cover the above-listed equipment to be inspected 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,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN `OF WORK CONCEALED TRANSFORMERS OF VA 'IVORK TO BE (NUMBER) (CAPACITY) \TARTED COMPLETED SIZE OF SIGN iRVICE MAKER \TERS ILDING OF SIGN 'ECTION REQUESTED OR AS n n '13L NEAR AS NEW I I OLD I 1 \VOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE DATE O• RETURNED../ 1 NT � '-f1r�/ 1 APPLICATION 4 "Y 1 r DDRE�SSS 1 12Z6W/V `. /mac"'-A ' �y E�i l 44S/ (/ CODE /29`�/WHEN APPLICABLE - A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING - TOWN OF QUEENSBURY Building. Department Inspectors Report Date , Ii/i),Li Name F/Le_J Location („ 1 - e_4),9a Permit No. rather Remarks . Excat,a tion Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding 2/1 Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches ]� Finished Floor 1 \ 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 ' A Building Inspector REMARKS 261 6oT LI-A . . . .. ? . , . r . . . . ' A , ()I / t /1)t-eti 1 i I i • 'MD/I-telex) 2. ' 1. 26 . .. f . /10 / , . . A'D 1-216 ---_-_--- •