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7795 r CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSSURY WARREN COUNTY, NEW YORK vate �19 4 . 907N/ n.i. �. . cerdh that work requested to be done as shown by Permit Has bem co.nplc ed. t This structure may be occupied as a cl is111 11111111111111 ...... l.ac�iww ckr� By Order Town Board rrowN OF QUEENSDURY Building & Zoning Inspector CRLOTIVi "YNiYN4 ' rRlNT�NG. ¢L(M¢ Ii4LL3. M Y [ tiU} [] Rl�11}_li,yi ' BUILDING PERMIT TOWN OF +QUEENSBURY No. 7795 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to George Carpenter � rt OWNER of property located at Lot 5 Sherman Island Road Street, Road or Ave. ro in the Town of Queensbury, To Construct or place a One^F m:i y Dwelling fy 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. fp rt t . OWNER'S Address is Hunter Street Glens Falls , New York 2_ CONTRACTOR or BUILDER'"S Name OKO Custom Homes 3. CONTRACTOR or BUILDER 'S Address 9 John Clendon Road Glens Falls , New York rr 4_ ARCHITECT'S Name Ln rd' tr LD 5. ARCHITECT'S Address H V3 F- 6. TYPE of Construction — (Please indicate by X) 1� f �j Wood Frame f ) Masonry ( I Steel { 0 w 7. PLANS and Specifications 281x59 ' per plot plan , specifications and No. application submitted .including one-car attached garage and sewage system . 8. Proposed Use One-Family Dwelling 0 $ 5 . Q U C/O Paid ► $ 96 . OQ PERMIT FEE PAID -- THIS PERMIT EXPIRES Noyernbe3_ 1 39 83 flf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the F , town of Queensbury before the expiration date.) F- Dated at the Town of Queensbury this 1 5 th Day of AN]r i 1 39 83 fa SIGNED BY for the Town of Queensbury Building and Zoning h or s TOWN OF +QUEENSBURY )Spare inside block 10Iyr, filitad in b%- W^RRIEN ICoumTY. NEW YORK Building JlvwFrec1gsw1 Application for .Irlmit ISMS \cr. i'rrrnif lw.titrcyci BUILDING AND ZONING PERMIT r, , i31� Fls;pire. Y.. .s°usr� i)„tria s k :else.• is! 11'.x�l, ,� THREE i 3 I Copies of a PLOT PLAN. Drawn to scale R! sl .r. �� c•tl h4' showinq Hta actual dimensions of the lot to be built itc,r+:+rlC' upon, The oxac# size. and location on the lot of the building to be erected at altered MUST BE SUB- MITTED WITH THIS APPLICATION. _ TOWN OF ©I3irENSBEJRI" C1 Id 3Ar f � fVFW A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK AVR 1 51983 c/ ANSWER ALL OF THE FOLLOWING, fi , ' J 4e-e The undersigned hereby applies for a permit #a do the faliowiny week 12 g e� ( which will be done in accordance with the description. plans and spacifl- .? I as l b . a ' • , ' � 4 cations. and such special conditions as may be indicated on the permit. L CO/0 The crwvwr of this prppgarty is: f The person responsible for supervision of the work insofar as the Buildiftg.C`,rrde and the Zoning Ordinance applv is. .� . . . . . . . .. . . . . . . . . . . . . . . c snr . , . ,iw'o iioi:+R#ass ,, _ Name of guilde �r�' `` t r'• ✓ < ` i! . . . . Address T}. s't/y ' !�- . . . . . t1 Name of Plumber ! 3- '"c"� . . . . . . . . . Address . . . . . . . . . . . . . . Name of Mason - . . . . , r �r r / Address . . eooLot Number. . . �. . . Unit . . . . . . . . . - . . estimated value of proposed work fG? C. , . , . , . . . . `4 Name of Village . . 4'. ���?-�'.�. !•''�"�', ,r-/.. . . . . . .,r} . . . . . . . . : . . :. . : . . . . . .f. . . . . , . , . . . , , . . . . . . . . . . . . . . . Nanette of 5tr eet~ 'r' �+`'!tr/''". .! - � " /} . . . . e rg . . . . . . . Snde of �etreat: north C , east © . sotit3s ❑ . west ❑ Q Nearest Cross Street . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance from )ties Ft. es ~toss street . . . . . . . . - . . . . , , property is n arth ❑ . south © , east a; , west ❑ from Cross Street If on Corner, which corner, northeast Cs , nor-thwest © , southeast Q Qouthwest (Designate by marking with an "X*, in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building, t]tt Main Hu"ing e-family dwelling 0 Addition to a building, Two-family dwelling 0 © Alteration to a building. -family apartment Rouse 0 Demolition of a building. Store building, � Ir" -car attached garage 'E 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 chance of occupancy. Indicate on the plot plan street names, the location and size of the property, the location, shoe and setbacks of pro- poser! buildings. and the location of all existing buildings- NORTH Show proposedbuilding(s) in dotted line and existing lyuilding(s) in solid line. Size of property . . . . '� . . . . . . . ft. x Size and use of existing buildings, if any . . . . . . . . . . . . . . Size of proposed building . +at ' . . . ft. x . • . ft. Height (from grade to ridge) ft. Front yard . . 33 . r� '' . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards ft. and . . . 5_<n' . . . , . . ft, Rear yard . . . . , . . . . ./✓3 _ .�'�.. . . . . . . . . . . . . . . . ft, SOUTH If op corner. setback from side street . . . . . . . . . . . . . . . ft. , . Note. All distances are "as. as oseasared from street side lime to nearest Part of buildinj. covER, 7-73—M {ccnt'd.) BUILDING SPECIFICATIONS. Kind of construction_ Wood frame, fire safe. e . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? y .. �� . . If so, for what,? . . . . . . . . . . . . . . . » » » . . . . . . . ,t. . . . . . . . . . . . » . Material of foundation walls . .� . . . . . » . /'. � . . . . . . . . . . , . . . . . . . , . . 'Thickness . /0 _ _ . Depth of foundation wails I de . . . . . . ,�. . . . . . . . . . . . . . . ,:. . . . . Continuous foundation? 1/00� > Will there be a cellar? . . . i' If so, material of cellar floor -%' `. I'4 .' . . . , , , , , , , » . . . T of roof: Sloped or flat? .-rc G3 �' . . . Material of roof ;P/J.Cm xw. . ffl, d4 Gti'C. . ' . . . Type ped Size, wood studs . . . . " x . _ _ . . _ . . . . . . . spadnfr . . ' . _ . . . .a.c., length . . .c�5' . :. . . . , ft. Size, floor beams, 1st floor . . . . .t�7 . . , . " x . sparring . . I' a. . . , . . . "O.c„ span / , . . . . . . . . ft. Size, floor beams, 2nd floor . . . . . , . . . . . " x . . . . . . . . . . . . . . . ", spacing . . . . . . . . . . . . . . "o.c., span . . . . . . . : » , . , . . ft. Size. ceiling beams . . . . . . - x s "o.c., span . . . . . . . . . . . . . » ft, . . . . ;; ram . , . . , . . . pa , ~ p Sire, roof rafters or beams s cin o.c_, span . . . . . . . . . . . . . . ft. Exterior finish . . . . - . . . . . , / . ✓. ? r . . . . . . . . . . . With what material? f. C.? ` �. ._ . . . . . . . . . . . Finish of interior wails '45F aL". ._C_ t . . . . . . . If garage is to be attached hat material is wall between garage and main building to be constructed? ' ' Is there to be an opening between garage and building? C"`� . . . . . . . . . . . . . . . . . . . . . . » . , . . . . . . . . . . . . . Kind of heating system . .. �� .4= .V--}'t? f,�ti : . . . . . . . . . . . . . } . . , . . . . . . . . . . . . . . . . . _ . . . . . . . . Will a flue-lined chimney be provided? . . . . . . . - Depth of chilho" foundation below grade . . . . . . . . . , . Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . i. , . u . . . , . . . . . Depth of fi lace hearth. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? '' - -'� . . . . . . . _ . . . . . . . . . . . Will a kitchen sink be installed and connected to wat pply? . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply {public water supply or pump] Distance of cesspool from any private well . . . . . . , . . , ! `. . '. , . . . . , . . . . feet Will drainage system be provided with required traps4 cleanouts, and vents? . - '" . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to tt A rof my knowledge and belief the stateta mis contait+ad in ibis opplicatiwn, together with tine view &nd aptcifcations sab.» mined, are a true and co,..�,rleta etnuwneat of all proposed work to be dons on the doosimbed prenures and that of tit* BUtLD- ING CODE, THE ZONING ORDINANCE. and all other laws prartaimi to the posad work bwe bether specified and that such work is authorised by the ownw. �r Sworn to before me this . oWNR, Eti'S AGENT. Hl+t CY.�ACTOR daya!. . . . ... . .. .. .... .. . . . . . .. . --- . . .. .19 .. .. . . M0TARY Pum_ic. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: by .... . ..... .... .. ...... ..... . . ..... .. . .... ...... .. .................. .................... ..... --. . . . ........ TOWN OF QUEENSBURY WARREN COUNTY , N $W YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YOi4K STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the follo wing : 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 10 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 �vtse Of insulation <:: Under 16 % Onl of roof and floors exposed to ambient conditions_ 2 , R value of exterior walls 3 . R value of glazed area^ 4 , R value of doors sm R value of floors over heated spaces 6 . R value of slab edge insulation - unheated slab 7 , R value of slab insulation - heated slab 6 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) 10 , Type of insulation /Qi?f v4 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 . 74fF2 - 2et> ' ( applicant ' s signature ) TOWN OF OUFFNSBURY BUILDING & ZONING DEPARTMENT SFWAGF DISPOSAL PERMIT APPLICATION 1 . owner ' s Narme/ � Address ,' -7-- ��7 ! � ` L Telephone No 2 . Property location �tp s ,� '00 3 . Name of person or firm responsible for installing system J0 C� 7-z:E:;V Telephone No . Address 4 . Number of bedrooms ( residential buildings only ) � 5 . Daily flow gallons/day 6 . Septic tank capacity ,/ 24:f>c+ gallons 7 . Topography : < flat ' rolling , steep % of slope f� Be Nature of soil and depth 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? ft . 10 _ Percolation test : A is required B is not required C If required what is the rate minutes/inch 11 . Water supply : municipal , well , other 11r10i4 �� 12 . Type of system proposed : drywell , ile field , other Any contractor , corporation , individual , etc . engaged in ' the construction of a sanitary sewage disposal systems who covers the same before inspection , does not have an approved permit , or varies from the approved application wI ll be subject to a penalty of $ 250 as provided for in Section 6 . 010 of the. Queensbury Sanitary Sewage Ordinance _ Elate signat re of app lcant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions , including distance from any structure , distance from property line and domestic water supply , etc _ Include all dimensions of the system itself , Form 3 - 82 tif- TOWN OF QUEEMSB u RY Building D.P&:txne„t �dporc We,.tl� Remarks Zxcaopa tion Foo tf Forms POOLP&Jpg & Piers P'ounda Lion Cement Coat f+*ater roofin . BacJfcfill _ P"inal surYe p r, in Sheathi Roof Feat Roofin Sidi !K4-WO$Ixoj veneer Rots h PI Reli of valves Wall Board Bxt . Parches Finished Floor Interior Trim stairs & Railin s C0.I1ar Dr. Tile Concrete FI©ors . Fixtures Gar . Fire roofin Door Closers _ Chimne Watte.r Meter Inst . +4'e ti.0 A royal Floors Insulation Found t.ft,f$ on -- � Ma32- s Celli iBUI dingr .£nspeCtbr REMARKS TO WN OF QUEENSBuRy $uilding� 13epsrtment Ift""at"S R.Pt ,Name t-e+aat�eas ; Y'ea'nmiR Now. � 9s- W eat}am Reanarks $xca t3 a t on Foo tin Forms Foot , & Piers i"G+unda tiara Lament Coat A*atar raafin �sclrfill , Final surve Fraaari shera thi Roof Fel t Raofin Siding .-Ams0n.ry Veneer Rou h jPlbam Relief Val vas Wall Board Ext . Porches Finished Ploor tnter3or Trim Stairs & Rail-in s Cellar Dr. T.I ccmcre to FI oars Pl Fixtures X. Fire raafin Dear closers Chimne Water Meter Inst . _ se tic A ravel _ Floors rnaula Lion Pounda Lion `~ Iva I Is Ceilin B '2da rns ctor REMARKS der e�� THE NEW YORK BOARD- OF FIRE UNDERWRITERS _ BUREAU OF ELECTRICITY _ +- August: 8t 1983 41 STATE 7STRE ET. ALSANY. NEW YOF'tr29W81 - 83 ,`.. Date Appr"tion No. on fife ` T V "'T 1 THIS CERTIFIES THAT only she eleeL40e er�u' nlratew t e rt baLrlyq_ a maintrnod �d by iTse o�pEEcw Eyttnati I.I�Tt Sh x 811 S �1V x 1 Z iCfn the prramtaes of �+�IB 1:�1ry LtY x 7 [LB plan L S 1 2111C3 Wo"a 3 y g� p in the following location: U Basement t at ri. ❑ 2nd Fl. S' ar age o ut $ l d e Section Block Lot was examined on and found to be in complionce w lre with the requmento of this Board. 3 , 3 OUTLpXTURE�S RANGES COOKING DECKS OT DISH WASHWS EXHAUST FANS �. OUTLETS RCEPTACLES SYi11TCNES IFKANOESC£M ftuo bCEM Y AMT, C W. AMT. K. W. AMi. K.W. AMT- IK. W. AMT. H. P. 21 36 22 1 F'r . .:. DRYERS FURNACE M0TOR5 R"UM APPLIANCE FBDERS SPECI*A RMFF41 TIME CLOCKS 6E11 UNIT NEATERS NN►RTI-OWLET C�IIy�IY{ERS �, AMT. C W. OIL H. P_ GAS H, P. T. AMT. AMP, AMT. *MPS. TRANS. AMT. H. P. SYSTEMS AMT. WATTS — y No. OF FRET 1 HW T 10 I 600 SERVICE plSppNNEICT NO. OF S E R Y I C E AMT. AMP. TYPE SNP. 10 4W 1 1 ,ar 3W 3 X SW 3-0 4W D #PER�.�r'�°N°' CIF Cc OIJD. HIG. Gf H4lEG OF rMI4I G IVG. of HtVTRAIs Os P EUTG. 200 C$ j I x ] 4 / 0 210 OTWR APPARATUS: 4 Electric Room Heaters : 20 1 . 9 kw . l - 2 . 0 kw 1 - . 5 kw , 2 - 1 . 25 kw , 2 - . 7 1 - Smoke detector w 2 - 20 amp GF1 Bweakerf i _ Carpenter a T Geor . � �> 73 Huneer Street 239 Glens Falls , New York 12801 EiRANCN MANAGER ' COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY Building Department Ift"MMM. Re sate ,� --3� - Name At- Permit No`_ '7 `I 9 +` weathar Remarks ExcaiYa tt on Footing Forms Footing & Piers Foundation Cement Coat Water roofin Ba cJkfil l Final Survey Frami,n Sheathing Roof Felt Roofin Siding Masonry Veneer Rough Plb . Relief valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors Plbgo Fixtures Gar . Fire rooli.n Door Closers chimney Water Meter Inst . Se ti c Approval Floors zi xnsulation Foundation __.. Walls Ceilin _ Building ,£nspector TOWN OF Q►UEENSBURY Building Dep&rtment .ctaas 1te„oet Date Namur Locatim pernmit Na W'eautLer ,Remarks Exca a Lion Footing roans Footincl & Piers Foundation Cement Coat waterproofing Ba ckfi ll Final Survey Framzn Shea thi Roof Felt Roofin .— SIdIEZ Masonr Veneer .- -- -- -Rougrh PlbgA Relief Valves Waal Board Ext . Porches Finished Floor Snt,erior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fine roofin Door Closers chimney Water Meter rnst . Septic ApeEoval Floo s insulation Foandatiori Wail l s ceilin Bu ' in nspector / REMARK'S TOWN OF QUEENSBURY Bruildins Departateat Im"mmAors Report. Date_ E _r. Name LAmatiao p' Nw west Remarks ExcatYa t t7n Footing Foams .�Pootinff & Piers Foundation Cement Coat NO Wa t a+r roafi n ' Bacxfill Final survey F.ramin Shea thin Roof Fel t Roofing .Si ding masonrg Veneer —Rough P2bg Relief Valves Wall board E"xt . Parches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors P2paw Fixtures Gar . Fireproofing, Door closers Chimne Water Meter Snst . Septic Approval Floors _ Insulation Foundaticvuor Walls eillnC Building Inspector REMARKS TOWN OF QtlEENSSURY BUISIdiag Dopartment Inspectors Rgpmt Date ms "-dt - Jv� Nemre_aid. ( ':!Qmtpt Parma No. ` I ( q 5 Weather Remarks _ ,�xcatYa t ' rsn �Footjng Forms oe ..Footing & Piers goo Foundation Cement Coat water roo€in _ Ba cJc€il i Final Survey Framin -. Sheathing Roof Felt Roo€in Siding Masonry Veneer Rough PI Relief Valves wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors PI: . Fixtures Gar . Fire roofin Door Closers Chicane water Meter Inst . septic Ap mroval F1C>Olr` 1 n Fvu�� tion Insulatio walls ► ceiling Building Inspector REMARKS BUILDING DEPT. COPY OF APPLICATION FORM 46-EL. NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THfS COPY WITH CITY BUfLDING DEPT. WHEN REQUIRED, rY r} VILLAGE '- TOWNSH tP � COUNTY r..,,+"� STREET AND No. OR - �. ROAD AND POLE NO. % BETWEEN WHATCROSSST TWO �' r.: . • . POLE ND, PREMISESREE LOCgTE07 OCCUPANTS - SECTION BLOCK LOT l NAME f r BUILDING O'Y'VNER'S NAME - T OCCUPANCY AND ADDRESS r $SUYPPLIED BUILDINGFROM THEIR _ ;./ ,-, I OFFICE IS NEW OLD ❑ REMODELED ❑ WORK DEFECTS IS NEW Lq ADDITIONAL © REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Nm of Fiwturas & BRANCH Lamp Recaptact MOTORS HEATERS CIRCUITS NUMBER OF LAMPS Iion rs. OSNinp Wall Reca�p`ls Switch Po Want Bracket No. Type H.P. we /ya -W G. I F Each No. mob Gauge Out- side Sub. bow / Bwe- `� meat 1st FI. 2nd FI_ "! 3rd FI_ K LI _ T C ICAL DEVICES NOT S T FORTH ABOV DO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to he inspected but it at time of i nep You are authorized to mrke the inspection and adjust the fee to cover the adtlitional equipment, as proyittedasti*" there is found additinrral aquillment not abow listed, SIZE OF by the applies nL MAINS J FEEDERS j ELECTRILAMPS TOTAL CHARACTER WATTS OF WORK EXPOSED GAS TUBE SIGN WORN TO BE _LNMGEAL'ED TRANSFORMERS OF VA iNUM8ER1 STARTED . ,/f- COMPLETED l ' SIZE OF SIGN [CAPACITYI SERVICE ENTERS MAKER 1 !N OF SIGN NSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF APPLICANT WE APPLICATION fT '1!(y3 ., STREET ADDRESS CITY on POST OFFICE GORE LICENSE NO- WHEN APPLICABLE 46 EL (REV.. 11821 A SEPARATE APPLICATION MUST BE FI LED FOR EACH SEPARATE BU I LDING STATE OF NEW YORK DEPARTMENT OF HEALTH AW OFFICE OF PUBLIC HEALTH DISTRICT OFFICE 29 BAY STREET 0 GLENS FALLS, N .Y. 12BOI • TEL. (StS) 793-3893 DAVID AXELROD, M.o, Ian T _ Loudon , NT . D _ ; D , P . H . c`ommfsaioner ` Regional f3 alth Dlrector Northern Region Brian S . Fear , P . E . TOWN or QI,i68NS19 L,IRY District Director M, P.if. •711919P �jx! aI�I�IsIe May 23 , 1983 Mr . Stephen Lynn Queensbury Town Hall RD # 1 Glens Falls , N .Y . 12801 Re . Heatherbrook Subdivision - Lot 5 Queensbury (T) , Warren County Dear Mr . Lynn : This letter is to confirm a meeting today with George Carpenter regarding the use of dry wells instead of a tile field on Lot 5 . The subdivision map approved April 6 , 1977 showed tile fields as the only means of sewage disposal . It is acceptable to this office that dry wells be employed , provided that it is done under your direction and in accordance with the New York State Department of Health Standards . Very truly yours , BSF/mh Brian S . Fear , P . E . District Sanitary Engineer cc : George Carpenter 73 Hunter St , Glens Falls , NY