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6960 C/O Paid • 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. 6 9 6 0 has been completed. This structure may be occupied as a One—Family Dwelling Location West Mountain Road Owner , Peter Alan Sheerer , • By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INST A" PRINTING. GLENS FALLS. N Y •12801 (S18(793-5698 ' BUILDING PERMIT TOWN OF QUEENSBURY No. 6960 WARREN COUNTY, NEW YORK Sheerer A Peter A. ro PERMISSION is hereby granted to OWNER of property located at West Mountain Road Street, Road or Ave. fi 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. (D N 1. OWNER'S Address is Pinewood Road Fi Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address same m rr 4. ARCHITECT'S Name O rl Iv H- 5. ARCHITECT'S Address O W 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame .( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 30'x52 ' per plot plan, specifications and No. application submitted including sewage system. 0 8. Proposed Use (D One-Family Dwelling $5. 00 C/O Paid $112. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 1982 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D town of Queensbury before the expiration date.) 1-' H. Dated at the Town of Queensbury this 22nd Day of June 19 81 �q SIGNED BY dry) for the Town of Queensbury Buiing and Zoning Inspectors �(,'� TOWN OF QUEENSBURY • ' (Space inside block to ix• filled in by WARREN COUNTY. NEW YORK Bolding Inspector) • Application for ApplicationPP 1'c•rtnit Issued 19. . BUILDING AND ZONING PERMIT Pvrniit Expires. lg. . /.uciiir. District �'alut•oI Work, •• THREE (3) Copies of a PLOT PLAN, Drawn to scale . Ap1"''►"`11w showingthe actual dimensions of the ,lot to be built 1ti'n,;,,•g(f' upon, Te exact size, and location on the lot of the • building. to be erected or altered MUST SE SUB- MITTED WITH THIS APPLICATION. AWN OF UE. Nr._ l i o /L7 // / ?f N t:4 DATE . A PERMIT MUST BE-OBTAINED 'BEFORE BEGINNING WORK. 'ION 1b 1981 • ANSWER ALL OF THE FOLLOWING. A.M. P.M. . 7 & 9 �Q 1��1a 8 & && The undersigned hereby applies for a permit to do the following.:work - o I e I_o 1-e. a k $ s 1 . which will be done in accordance with the description, plans and specifi J cations, and such special conditions as may.be indicated',on'the permit. `1 7. "' The owner of this property iss��C�Cic. G. cl • (NA•'E) (P.O.ADDRESS) The person responsible for •supervision of the work insofar as the Buildwg;Code and the Zoning Ordinance apply is: t 6 L-i ee, � ADDRESS► ?e c Name of Builder � �" ddress- '- a'``"' /ji'" Name of Plumber l ! Address c ` r t l /S 6�. r Name of Mason / / Address / r _ / 7 Si' Lot Number . . . Unit Estimated value of proposed work S . . . .c .b mod. . :-�?1, .47P. ?. . . . Name of Village...q , . ... ' r: Name of Street Side of.Street: north' gr.,east- 0,.south ❑. we.) 0 Nearest Cross Street /O6O ' Distance from this -Toss street i . Ft. Property is north 0,south 0.,east 5,west 0 from Cross Street• If on Corner,which corner,northeast 0, northwest 0, southeast C1 southwest (Designate by marking with an"X" in the correct space.), NATURE OF PROPOSED WORK •OCCUPANCY • -Construction Of a new building. • Main Building' Q Addition to a building. One-family dwelling ❑ Alteration to a building. Two-family dwelling 0 ❑ Demolition of a building. . . family apartment house ❑ Store building ❑ • -car attached garage 0 Other: • • Accessory Building One-car detached garage ❑ O Other work. Describe garageTwo-car detached Private chicken house . 0 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, size and setbacks of pro- NORTH posed buildings,and the location of all existing buildings. Show proposed buildings) in dotted line and existing . A c v ^."/ T " ' • lluilding(s).in solid line. . Size of property ft: x ft. d Size and use of existing buildings,if any .(' '" iti- N ' j y► Size of proposed building . . 3 0 f.> �� it. tam �Height(from grade to ridge) ft• Front yard 470 X /© d ,+ ft. Side yards .3 ? ft. and 6? / ft. L v` � L f I, Rear yard . J .�2 X / Q y ft. 7 SOUTH If ot;,corner,setback from side street .�•(`, • ft.. Note: All distances are nee, as measured from street side line to nearest part of building. (OVER) 7-73—M . ' (cont'd.) BUILDING SPECIFICATIONS., �J Kind of construction:.Wood frame, fire safe, etc.?. . . . . /. . . . . • • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • • . • . . . . . . . . . . Will any second-hand lumber be used?� /T v wG 1< If so, for what? Material of foundation walls / .4 C <x Thickness 1 • Depth of foundation walls below grade Continuous foundation? .VAS' Will there be a cellar? cS If so, material of cellar floor . . . . . ... -�? !�{'�'-:T Type of roof: Sloped or at? .f/ � '(4 Material of roof . .,;7.t' (F - '- -1 (� cg' .c r ,ra!%Vgmj Size,wood studs v— "x 6 • ",spacing / d "o.c.,length. ft. Size, floor beams, 1st floor "x / a- " spacing . "o.c.,s ng . . , / pan 15 ft. . . . . Size, floor beams, 2nd floor "-x / ", spacings o.c. span ft. , Size, ceiling beams ,_ x • • • 47. �. - ',, spacing . . . . .7. . . . . ."o.c., span . . . .(LSD ft. Site, roof rafters or beams . . . ."x - 6 0 ', spacing . . .,2 "o.c., span /S ft. Exterior finish With what material? Finish of interior walls If garage is to be attached, of what material is wall betweeq garage and main building to be constructed? �12� t✓ fi.6''.dck. . . . . .70. . . . . . . . Co .. . . . . . . . Is there to bean opening between garage and building? .5 Kind of heating system Y"' Oil burner or coal? Will a flue-lined chimney be provided? Depth of chimney foundation below grade Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . Will there be a fireplace? Depth of fireplace hearth Will a toilet be installed?. .7v.5. . ... . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . .y. S • Water supply(public water supply or pump) `'/'. 'P Distance of cesspool from any private well /U 0 feet Will drainage system be provided with required traps,cleanouts, and vents? y.3 AFFIDAVIT -Town of Queenshury County of Warren State of New York I swear that to to b`a j of my knowledge and belief the statements contained in this application,together with the us and specifications sub- mitted, are a true and co.,.plets statement of all proposed work to be done on the described premises and that visions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertain' posed w k e ll be compli ' ,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature ll . . OWN .OWNER'S AGE ARCHITECT.CONTRACTOR C..�l day of.... irG.._ 19.. % NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • ,x By 11 TOWN OF QUEENSBURY "if WARREN COUNTY , NEW YORK y 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 . Gros's floor area /.5-d 0 2 . Type of heat / CetrjC 3 . Is the building mechanically cooled? o 4 . Percentage of area of windows and doors / 12 Gv A. Over 16% Only 1 . U value of gross area of walls , roof/ceiling and floors exposed to ambient conditions t c9 4',j 2-. Floor . over heated spaces NO a. Are foundation walls insulated? 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? 41MNO,.Q a. R value of insulation - ( 1 7`- 5. Type of insulation f J be,- ci /ec f B. Under 16% Only 1. R value of roof: and floors exposed to ambient conditions 2 . R value of exterior walls 3 . R value of glazed area 77A evpt cP2/ e - 4 . R value of doors TA "e roavuE' • 5. R value of floors over heated spaces ,4,-//`7 6. R value of slab edge insulation - unheated slab 4 7. R value of slab insulation - heated slab /10/ f 8 . R value of heated basement/cellar walls (above grade) /a I / 9 . R value of heated basement/cellar walls (below grade) 5-4-01— r� /' 10 . Type of insulation / t�o /f f4ff C. Controls • 1. Thermostat maximum heat setting yr- D. Duct Systems 1 . ' Is- duct syst`em 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 FIeating 1. ` Performance efficiency 2. Temperature control setting maximum G. For Swimming Pool Only 1 . Maximum heating ' • Telephone No, j , (r/ l j -3 . • (applicant ' s signature) TOWN OF OUFFNSBURY BUILDING AND ZONING DEPARTMENT BAY AND HAVILAND ROADS, R. D. VI GLENS FALLS, NEW YORH 12801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF OUEENSBURY OCCUPANT' S NAME2E4_,CIL.4,•.-- ADDRESS TELEPHONE7026/C.30WNER'S ADDRESS (A),(4 ,_iez&A_, NUMBER OF BEDROOMS 3 GARBAGE GRINDER? NO (YES OR NO) TOPOGRAPHY: FLA'' , ROLLING, STEEP, SLOPE, GENTLE SLOPE, OTHER r /....017- NATURE OF SOIL: CLAY, SANDY, LOAM; GRAVEL, ROCES, PERCOLATION TEST WATER SUPPLY: MUNICIPAL, WELL, OTHER DIAGRAM OF PROPOSED SEPTIC SYSTEM 10IW De-04 el ft CO ' . 3 7 72- 76 / bevo keti S5P7: waa, j7 2._t9Def Y'61 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 4;i/V-V SIGNATURE OF APPLICANT LAKE GEORGE PARE COMMISSION APPROVAL (siamiture) (date) -41 r' • TOWN OF QUEENSBURY - BUILDING DFPARTA'ENT R. D. f l BAY PD YPVILAND ROADS GLFNS FAILS, NF'v YORK • Phone 792-5832 DATE: •i'� Y/��`� TO: ) et-. Our records indicate that you were issued a building permit number no on ''�� � G c.�. G'�•� for the construction of c 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. ' Next required inspection �L�fiLdri �- cZ t -ire For all new construction Town Law requires a Certificate of Occupancy to be issued 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. OUFENSRURY BUILDING DFFARTYENT TOWN OF'QUEENS-BURY Building Department Inspectors Report .Date _ J Mame j A a d lam Locution try . A1 ., 1-/- Permit No. GA 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 1 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 TOWN OF QUEENSBURY Building Department Inspectors Date —8— / Name . S' Sii C'a Location g, op Permit Ii1o; Weather ( 9 (4 Remarks Excavation Footing Forms Footing & Piers 4� Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves f Wall Board Ext. Porches r Finished Floor a Interior Trim f Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Bui ding Inspecto , REMARKS /V J {Z /50 ' /e •t- H - P 05/ °e OG 71i9 osi / �Z J