6969 r �__:n
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
S
�
Date D4 19
This is to certifythat work ( 9
requested to be done as shown by. Permit No.
has been completed.
This structure may be occupied as a Oki rAit-,I " V" C. \(owner Ark;
By Order Town Board
2
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA• PRINTING. GLENS FALLS, N Y 12801 15 I8)793-5656
BUILDING PERMIT
TOWN OF QUEENSBURY No. 6969
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Richard J. Linke
OWNER of property located at Gurney Lane Road 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 - ;r1
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
n
1. OWNER'S Address is
4 Cottage Place
Saratoga Springs, N. Y. 12866 �+
2. CONTRACTOR or BUILDER'S Name F'
Same
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
S✓
5. ARCHITECT'S Address
r
.
6. TYPE of Construction—(Please indicate by X)
0
(Xi Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
1440 sq. ft. per plot plan, specifications . and
No. application submitted including sewage system.
8. Proposed Use
One—Family Dwelling o
1-1
$5. 00 C/O Paid
$ 110. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES 19 82 •
,Tanuary 1
(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.)
` C7
Dated at the Town of Queensbury this 2 61 h Day of June 19 81
F✓
SIGNED BY � �:P. icxc r� 4� for the Town of Queensbury �.
building and Zoning Inspect 4'7,2)
•
TOWN OF QUEENSBURY (Space inside block to Ix• filled in by
WARREN COUNTY. NEW YORK Building Inspector) .
Alication for Application N" •
PP Permit Issmd 19...
BUILDING AND ZONING PERMIT l'°lnmi( Expires. IT'. '
Zidiing. District .
N;iliit' of Work I
THREE I31 Copies of a-PLOT PLAN, Drawn to scale. .\1'I"•'"ill 1w
showing the actual dimensions of the lot to be built ki.marKS
upon, The exact size, and location on the lot of the .
• building to. be erected or altered MUST BE SUB-
• MITTED WITH THIS APPLICATION.. . ., . • . N O� 0�1tsE�dSalJ�cv
3 .. i 3 9.1 . L)N C a° Ill 1 R 0 E V E j -
DATE
-A PERMIT MUST BE.OBTAINED BEFORE BEGINNING WORK. i'l t, e- 7 'f
ANSWER ALL OF THE FOLLOWING. A.M. "`//�'� /
718191101111121113I45I6
The undersigned hereby applies for a permit to do the following :week • ' g , , , , , ,I,
. which will be done in accordance with the description, plans and specifi i
cations, and such special conditions as may :be.indicated on the permit.
Thlow r of this propert� 11�e U C k\ z P 1A(R •. JOJ,C.`1) s p.�. . ,,� . 1?._ 6(,.
r �S`. . . . .'SS) 0`
A . .
(NA•'El
The person responsible for •supervision of the work insofar as the Building.Code and the Zoning Ordinance apply is:
. . . . . . . ...t?MQ... . . . . . . . . . . . . . . . . . . ... . . . . . . . .(P.O AODRES.... . . . . . . . . . . . . . . . . . . . .•. . . . .
(NAMED •
Name of Builder. .'SGmt.. •
Address
Name of Plumber? Sc•"(-- Address
•
Name of Mason . Address
Lot Number Unit Estimated value of proposed work S ` 5�P OD
Name of Village �� "RS Dt) , .
Name of Street (��•���V�red I,o1•2 Ssde of:etreet: north aeast. ❑, south 0.west 0
Nearest Cross Street 415`` • Distance from this ^ross street Ft .
Property is north ®,south 0,east L i,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
® Construction of a new building. • Main Building
. ❑ Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling 0
. . . . . . .-family apartment house ❑
❑ Demolition of a building. Store building ❑
-car attached garage 0
\\ Other:
\
hpvL4,( Co-t9 �jVvs&" \jatrv" • Accessory Building
One-car detached garage . 0
❑ 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,size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NOa.aw Show proposed building(s) in dotted line and existing .
I t ---,� • liuilding(s).in solid line.
Size of property .I AURA ft. x ft.
Size and,use of existing buildings, if any . 3.1 OYW
ii
a a tJ�''J Size of proposed building Iy.1P.61c1 ft.x ft.
•
‘•Q( o Height(from grade to ridge) a-6 ft.
Front yard. I Ov t•. ft.
•
_ Side yards . . 5 0-r ft. and ft.
�� `- ' Rear yard . .c�-� ft.
SOUT H 1 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., n
Kind of construction: Wood frame, fire safe,etc.' ``^'aaa "C'elvt`Q• .rt c.\(, "A
Will any second-hand lumber be used? 44.D If so, for what)
Material of foundation walls L9^NsLaC4. Thickness
Depth of foundation walls below grade 4 C.'c Continuous foundation? . . .
Will there be a cellar? d` If so, material of cellar floor Co-.url v lizxl Fo 4,
Type of roof: Sloped or flat? . . . .S`4rA Material of roof . . .60. \\
Size,wood studs a`\ "x q ",spacing 1 6 "o.c., length 1 • ft.
Size, floor beams, 1st floor . . .el�. "x I O ",spacing .. , , (b "o.c.,span I A- ft.
Size, floor beams, 2nd floor " x 10' ", spacing \b "o.c., span l ft.
Size, ceiling beams a._ "x 1 D ", spacing b "o.c., span . . .�. ft.
Size, roof rafters or beams c.- " x ", spacing -) I:Z "o.c.,span Lis ft.
Exterior finish C-52'$`�4- C\0-t\DOCNNW,e With what material?
Finish of interior walls. .AP xP... .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main buijding to be constructed?
Is there to be an opening bet�engarageandd buildipg?
Kind of heating system . . " Q wao ON Oil burner or coal?
Will a flue-lined chimney be provided? . . . Depth of chititney foundation below grade 5 )
Height of chimney above roof. . .s 7 p fireplacelp ��
Will there be a fireplace? 'j°' Depth of hearth OO
Will a toilet be installed?. . .
Will a kitchen sink be installed and connected to water supply? . .1q9-.
Water supply (public water supply or pump) . . e----t
• Distance of cesspool from any private well l Q O t feet
Will drainage system be provided with required traps,cleanouts, and vents? .ti)..9
AFFIDAVIT
Town of Queenshury
County of Warren
State of New York
I swear that to tr via c of my knowledge and belief the statements contained in this applies' ,together with the plans and specifications sub-
mitted, are a true and co.,. lets statement of all proposed work to be done .n e d 1 prelim and at all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining • I p • ork s 11 own lied with,whether specified or not,
end that ouch work is authorized by the owner. , l `
Sworn to before me this g $igr+atttre (�pp // I OWNER. NE ' AGENT.AR MITECT.CONTRACTOR
day of.... ... .4. Q..... 19.0..1.. VU
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION ' CODE
A permit must be obtained before beginning. work.
ANSWER ALL of the following:
1
1 . Gross floor area I. 'O
•
2 . Type of heat Q\LI\ L o \-)0 6(9\
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1 . If YES , what is the R value?
3 . Slab on grade YES NO
a. If YES , what is the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES NO
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1. R va_lue of roof and floors exposed to ambient conditions
6 0 u
2 . R value of exterior walls -10
3 . R value of glazed area k 5
4. R value of doors . S+ \alw4) \�
5. R value of floors over heated spaces R6 u
6: R value of slab edge insulation - unheated slab dl(„„„,j1 I►�11�Ax
7 . R value of slab insulation - heated slab
8 . R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10 . Type of insulation c ‘/4-tr-14 1 V\Y'I&
C. Controls �� �
1. Thermostat maximum heat setting
D. Duct Systems
1 . - Is duct system installed in unheated spaces? YES NO
a. if YES , R value of duct installation
b.. R value of duct in other areas
E . Piping Insulation
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum •
G. For Swimming Pool Only
1. Maximum -heating
•
Telephone. No. 51 ) 5a3.a IL
(applicant ' s signature)
Torn Or c'UFrN: P UPY
BAY AND i:iA\'r.$.L.PND ROADS, z P. ?'
GLPNS P,LLS n NrF' YORY 12801
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
'A SEWAGE DISPOSAL SYSTEM WITHIN THE Tom Off' OUEF,N$PU_RY
OCCUPANT' S NAME R%cA,40,69 J 4N 6 6 DDREss G1.)r
L : n N,• 5 V4,5 aa.a. OWNER'S NAJ a _ S Gw_' ._�
_-_. ._ .- ._-__..__�._..__ _ _..�. �_- •_ _._• _
DUR)'�S NUMBER OE 'FFD POO!;'S
GARBAGE GRINDER?_1) 0. __(YES OR NC)) TOPOGRAPHY: PLATOLLYND STEEP,
SI":0Pn, @:NTLIT fLELf), OTPFP
x,7_�FnU 3 tiO i C't'_ f �°-t� E LOW,Wn d';17,;},'.l" T• ,4..-. ..�.
;•s- a _I' ��_ �, .+_u r .. .1'�.'1 ,, ,r•.ii, _)5'r ��.I1.1.�� b I•�t.,R (. iL.,,. v FTC, ------_ __.-- -_-----__-_'_._-_.__-
r i c rrr e v i a a T '^
P z?+•`OLA L ION '''T S.I'.A__0,..,5 fr.y;F e 7t i`x','.T S P LA`. T fit IN"Y C Y.l� AL, 11 $,
DIAGRAM OF PROPOSED SEPTIC SYSTEM
. t0k I neS
ace ;‘• a� 0- ‘.., ,�.. se q. Sy,
m►.0 214141
\op° 9c'k.
sr, . fi
\�,
x \,.14
OTHER PERTINENT INFORMATION
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS J RRF APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCOPD NCE
WITE DETAILS SI-iOWN
DATE JU�e .0 %1 SIGNATURE OF APPLICANT ` __.
LAKE GEORGE PARK COMMISSION APPROVAL
�) _I h 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 --,. d - _
VILLAGE ( 1 !J ,c' 1 / /,;a."4l TOWNSHIP COUNTY //.=�'%;
STREET AND NO OR /'+ / ., • / • /
ROAD AND POLE NO. / _ �.,% l�� ,��7 . ;�/ J/ 1.. ( .'" ./ POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANTS BUILDING
NAME OCCUPANCY
OWNER'S NAME '� /
AND ADDRESS /!'�' i �2 r . .
CURRENT ' ' - ' ! , a 1 • /
SUPPLIED /1 - ,,.7, '
BY 1 1, i / <% i FROM THEIR ( OFFICE
BUILDING ,NEW i N. OLD❑ REMODELED ❑ IS
NEW%I, ADDITIONAL❑ REMOVED ❑
r
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No,of Fixtures& BRANCH
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS
Loca-
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Romeo% Switch Pendant Bracket No.. Type Each No. Each No. Gauge I F M.V.
Out- ,
side :/
Sub-
base
Base- 2
ment
1st Fl. '' /'�
2nd Fl. -
/ti, _-7. I /(,)
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: // DO NOT USE THIS SPACE.
/, •-/. / �/ :./..'// I,
T . - /t ,... - // Y , - - / - -
. • / . / " , vt/'. % , .... !i-" / in-', /.' , ;,, it`'.
This'application is intended to cover the above-listed equipment to be inspected tint 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
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE
ENTERS MAKER
BUILDING OF SIGN
INSPECTION REQUESTED -/, ' —
)ON OR AS NEAR AS / / . /1 f-1
POSSIBLE JJJ , ! NEW OLD
• j / -
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND A(dDRESS / '/
NAME OF / ':;-f/%-1 /' .i".i i% DATE OF /,-2 /-
:rJ `--
APPLICANT % - APPLICATION / -
% r . ; / ,/ /'
STREET ADDRESS //, .f -!' / °i'.Lip--r :`fit. .
CITY OR ,/:, _ j--- /j !� ZIP L,�''.' / LICENSE NO.
POST OFFICE /1 / -/1 /- - /-J '// CODE/'7- '- -- WHEN APPLICABLE - -
46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING , • - .
4A cCJ.AA..UA.AA AA.LL.Q)Us._C)..lJ.._.).AA 1A.IJ.A.),AS.A�_UJ..-k 1a 1A).A.I.). Aa 4-1,1A.Aa.CJ..A J./.)AA A.1.._Ca 1JJ.C.1".s. AJ_•A.•A)•1.A•...a lla•AJ.AA•! ....la.l.„1:l.A A„.a1..�.C7..la[.a J-Jr •-_
1400133) THE NEW YORK BOARD. OF FIRE UNDERWRITERS
�, BUREAU OF ELECTRICITY .y
41 STATE STREET,ALBANY,NEW YORK 12207 i- �-
Date j17r ; 9 c 3 1
Application No.on file I 4, P -
. THIS CERTIFIES THAT ,¢ '-
1 only the electrical equipment described below and introduced by the applicant named on the above application number in the premises of Y
-<' Richard L°mac Lze 2 Gurney Lane Road, Queen ab�Tr t 2New York .
1: in the following location; .❑ Basement ® 1st Fl. El2nd Fl. out s de Section Block Lot •
�, was examined on 9/2/n 3 and found to be in compliance with the requirements of this Board. Y4
( CJ
.T FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;
i '<, OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.I': ')" -
_ -<, ^3 02 35 1 4, 6 3 _
4, f
- DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS y
SYSTEMS •
r. 't' '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 i `_
1 l;ryer il0
- I a TT'PM P R fT .'
SERVICE DISCONNECT NO.OF ' ` `y S 'r E R V I C E
METER NO,OF CC.COND. A.W.G. F W.G. A.W.G. r�r AMT. AMP. TYPE EQUIP. I A 2w 1 if 3W 3 A'3W 3 J 4W PER.9' OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL
— 1 1 200 GB 1 %
. -
OTHER APPARATUS: it cr r
3�-GL-�c,t
{ 2 Y •
t
Jives~ Detector E'r�C
:
4r
�' L
tti
7 • 7.7
-0 :i
G i
Kell
'
1 Steve
-t, 1 4 Sv7ee�Lbr1a Lane 239
,tr
-- .<1 ® Guens Valle , New York 12801 - BRANCH MANAGER .,�
' Per .. -
4 .r•
r
— fY�Y9�YY�YY�YY�-Fe -7�YY�YY��Y�Y ivr-ieY4�4-ria ri ® 0 ® 0 0 n ® ® si-le I:
_ COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
•
TOWN OF QUEE S URY
Building Department
Inspectors Report • Date -4- 603
•
`.
Location -i Ile U
Permit No. 6 9'A y Weather
Remarks
ExcaVat 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 -
jC Ext. Porches ,
Finished Floor
Interior Trim _
X. Stairs & Railings
Cellar Dr. Tile
Concrete Floors '
Plbg. Fixtures
Gar. Fireproofing
X( Door Closers
Chimney
Water Meter Inst. _
Septic Approval • ___._
Floors !
Foundation
Insulation Walls
Ceiling
ec1L
Building Inspector
REMARKS
TOWN OF QU•EE SBURY
Building Department
Inspectors Deport Date // /02 3/a'2_
Name
Location (' ¢A L cz-•..e
Permit No. Co c to 7 l Weather
Remarks
Excatia ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing .f er) -
Sheathing +_
Roof Felt
Roofing
Siding
Masonry Veneer _
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches Finished FloorInterior Trim \ /\\.7
Stairs & RailingsCellar Dr. Tile
Concrete Floors
Plby. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Se tic A roval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
•
TOWN OFQUEENSBURY •
Building. Department
Inspectors Report Date 7-- 6 _
Name I-o/f(
Location o,,e,v�-t ,
Permit No. 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 /
Stairs & Railings -
Cellar Dr. Tile
Concrete Floors.
Plbg. Fixtures •
Gar. Fireproofing
Door Closers
Chimney
. Water Meter Inst.
Septic Approval G
Floors
Insulation Foundation
Walls
Ceiling —
Building Inspector
REMARKS •
i
/if- -
&
y
TOWN OFQUEENSBURY
Building Department
Inspectors Report Date • �-�' -�i'',Z
Name
-'-
s-
Location
. Permit No. to (5 7 Weather
Remarks
Excatia tion
Footing Forms
Footing & Piers •
Foundation
Cement Coat
• Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer �A
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim •
Stairs & Railings
Cellar Dr. Tile /
Concrete Floors. N
Plbg. Fixtures •
.
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
—Ceiling " '
• Building Inspector
REMARKS
TOWN OF'QU-EENSBU RY
Building Department
•
Inspectors Report Date -5- -$-'.74
• Name /e✓!k- =
Location
_ . Permit No. (c c (ei Weather
Remarks
Excat7a t on
Footing Forms
Footing & Piers
Foundation h '
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
Plbg. Fixtures •
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval ,
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
i
x
r �
Cry
I
a,
U