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8456 C/o Paid CERTIFICATE OF OCCUPANCY TOWN Of CIUEENSSURY WARREN COUNTY, NEW YORK Date 19 This is to certify at work requested to be done as shown by Permit No, 8456 has been completed. This structure may be occup,ie d as a +©z er Family Dwelling Location ]' ^k- Apple hc)use Lane Owner David 1 . HatIn By Order Town Board TOWN OF QUEENSBCIRy Building N Zoning Inspector CRSATWV "tNSTA PRINTING. GL¢NS rALLS N • I1601 Iltf li53 if S• 4 BUILDING PERMIT TOWN OF QUEENSBURY No WARREN COUNTY, NEW YOR K David A . Hatin PERMISSION is hereby granted to A 1 Chou ap T a n P _ Street, Road or Ave. OWNER of property located at L0t4—iov C ('West Mountain bark Subdivision ) in the Town of Queensbury, To construct or place a _ ()n��r YtweI 1 ; 23g: at the above location in accordance to appkication together with plot plans and other information hereto filed and approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance. x W rt 1 . OWNER'S Address is 12 Spring St • • Apt . 3 Glens FallS , N . fir _ 2. CONTRACTOR or BUILDER'S Name Boghosian Bros lnc . 3. CONTRACTOR or BUILDER'S Address N 3 Doten Ave . o r'I' Saratoga Springs : N _ y * 4. ARCHITECT'S Name 'CS "F f-' VD 0 5_ ARCHITECT'S Address tl] (D L" fy 6, TYPE of Construction — (Please indicate by K) rD (X) Wood Frame I I Masonry 11 Steel [ 1 7. PLAINS and Specifications 281X70 ' per plot plan , specifications and application No. submitted including two- car attached garage and. sewag 8. Proposed Use One-Family "Dwelling M w $ 5 , 00 GAO Paid December 1 19 64 _ C $ 1010 00 PERMIT FEE PAID — THIS PERMIT EXPIRES (If a longer period is required an application far an extension must be made to the Building and Zoning inspector of the town of Clueenshury before the expiration date.) Dated at the Town of Oueensbury this nd _ , ; Day of ay fZrC:* Lit'. SIGNED BY for the Town of Queensbury LQ Building and Zoning Inspector TOWN OF QUEENSBURY {Space inside block to !x& Mled in b% WARREN COLIN"YY„ NEW YORK Building Insfsttitrar, Application IOC �Ir }'crn,ir Is.tet•+tl I51 BUILDING AND ZONING PERMIT I' , i„ i, I: �ltircti ��► 7i ,nii,ll I )i%trit r THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scaie 4 o, :, ,. ,•d I,� y� � shawl ,e� the actual dimensions of the lot to be built I2, n.irK57 upon, The exact site, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED gWITH THIS APPLICATION. !J � r `f •` OWN Off` C�UE)`ef�I15SUFt'Y C,ArF {� A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK � 1. RE I V E RD ANSWER ALL ©o THE FOLLermit o do MAY 1 � � The undersigned hereby applies for a permit +o do the followingwork �(* �^�! which will be done in accordance with the description, plans and specifi- A IW cations, and such special co. diNons as may be indicated on +he permit. 71 $ 191l,O o 11213) 4 { 5 The owner of prp rty s. .� •►r .! _ . . . . . . . . . . . - / 2 [`!, sal . . . >` . . . . INA '4E! ffP o. oaaessr The perso ponsi is �ffyor rvision of the work insofar as the Building C e and the Zoning Ordinance apply is: �Glr L? . �e4 . . . . . . . . . . . . . . . . . . . ter*! [" S . . T.'�xi' e . . . . . . . . . INA E1 �_. IP O DRE55} d,Si4N. . . 5• NC . . . . - . . . . . Address . J' !'! Name of Builder . . . . 1�' „ � Name of Plumber . . . . . . . L Address rZ ! i'rF . . . . . . . . . . . . . . . . . . . _ . Name of Mason . . . . . . . . . . . . . . . . Address . . . . . . - Lot Number . . . . . . . . . . . Unit . . . . . . . _ _ . . . Estimated value of proposed work S 40_/5�/. .Q 0 Nameof Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 'Name of Street . , , , . . /k'�• _�` /o-fe . . /tr/�° . . . . . . . , . . . - - Side of street : north CT, east ❑ , South O . west 0 fV Nearest Cmss Street . . . .++. f! 3Y. . . . . Distance from this gross street . . . `7� - - • Fr , Property is north ❑ , south ❑ , east (west ❑ from Cross Street If on Corner, which corner, northeast 0 , northwest © . southeast southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Building C� Addition to a building_ One family dwelling Q 0 Alteration to a building. Two family dwelling C7 D family apartment house Demolition of a building. Stare building � C2.. , . -car attached ,garage [� Other: . . . . . . . . . . . . . . . . . . . . . . , - - . Accessory Building One-car detached garage 0 Other work_ Describe. . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house d Private storage tldi74c / ty �r Other: , , -2 . .4c . . _ . . . . . . . . y�. . . . . - ZONING . 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 huilding(s) in solid line. Size of property . . . . . !�L ' . . - . . . ft. a . , !rCo /�, . it. Y� / Size and use of existing buildings, if any . . . . . • • • . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . w ��� . / . . . . . ft. �t may_ r Size of proposed building ft• % Height (from grade to ridge) . . . . . f4 + � , � Front yard . , . . . %d . X. !'� . . . . . . . ft. +M Side yards . . . . 14S x �. . .. . ft, and . .� r'/�?. . _ . /�' flecLu rn3¢ Rear yard . , . . . . `d' `J .l. . . r! . . . . . . . . . . . . . . . ft.. . sa u l"N If on corner, setback from side street . . . . . . • • • • . • . . ft, Note, All distances are wet, as measured from street side line to nearest part of building. (OVER) 7 -73 _M BUILDING SPECIFICATIONS., Kind of construction : Wood frame. fire safe, etc.? `' • , . . . . . . . . 1 A;Ne� Will any second-hand lumber be used? . .N If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . H . . _ . . . _ _ . . . . . . Material of foundation walls . . . . . . . . fQ- . , G . . _ . . . . . . . Thickness . . . t/O . . . . . . . . . . . . . . Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . > > Continuous foundation? . . . . . . . . - Will there be a cellar? . . . E'3. . .- . . . so, material of cellar floor Ca"`C + I . . . ay/ �yy Type of roof: Sloped or flat. . . , . /c, Material of roof . . . . // +d +s6^ . . . . . . . . . . . . . . . . . Size, woad studs . . . ' . . . . . . . , , x _ . . . .�P spacing . . . . . . . . . . . "a.c., length . . . . + . . . . . . . ft_ Size, floor beams, 1st floor . . . . • . . . . . " x +'� - . . - . . ", spacing . "o.c., span . . . . . . . . . . ft. Size, floor beams, 2nd floor . " x . . . . . . . . . . . . . . ", spacing . . . . . . . . _ . "o.c., span . . . . . . . , . . . . ft_ Size, ceiling beams - - . . . . . . �a, SE'vc_['` x , r? x y . . . . . . . . , ", spac'sng - - . c "o.c., span . , , 1Cr241; . , . , , , . ft. Si,?e, roof rafters or beams . . . . . . . . // " x . . . . . . . . . . ", spacing . . _ . . , . . . _ _ . "�., span . . . . . . . . . . . . . . ft. �X� C1rc Ge"�. . . . . . . . . . . . . . With what material ? - ,.^ ✓ Exterior finish . . . . . . � - - . . . . . . . (., E' 47. . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is tb r att c e , of what material is wall betwpen game nod main building to be constructed? Is there to be an opening betw� garage and building? . . . � � ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . sew'0,40vje"1*4 . . . . . . . . . . . . . . . . . . Oil burner or coal ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provf ? . . . . . . . . . . . . . Depth of chimney foundation below grade . . . . . _ . Height of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Wilt there he a fireplace? . . , , . . . . I . . . . . . . . . . . . . . . Depth of fireplace hearth . . - . . . Will a toilet be installed? . Ad' -5 . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink he install and connected to wate�ply? . . . : �. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) /.4 . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . .y/�If � . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr. $..e iaf my krwvKledge and belief the statements contained in this application, together with the plane and apecifcatinas sub- mitted, are a true and oo,Aetete statement of all prn x)mA work to be done on the described preen that on pa tom of the BIJILD- ING CODE. THE ZONING ORDINANCE, and all other laws pemining posed w 14 s it with. whether specified or nos, and that such work is authorised by the owner. Sworn to before a this Signature y}�� OWNER- OWNEF4 $ A O NT, ARCHITECT, CONTRCTR 1.5. . . . .. . . .. . . day of. ... . . .--. //!u.ff�. . .. . . . . . ... . . ... . . 19 g7 . . . . NOTARY PUBLIC. WARREN COUNTY. N. Y.. . . . . . . . .. . . SPECIAL CONDITIONS OF THE PEFIMIT: 13y .. . . .. . ...... . ...... . . ....... . .... . . . . .. .... . . .. ... . . . . ..... .... . . ... . . . . . . . . . .. . . . 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 followings! 1 . Gross floor area Sgr ' 2 . Type of heat 39 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 10 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 val a of roof and floors exposed to am lent conditions 1.2 2 , R value of exterior walls 3 . R value of glazed area r� 9 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 ) g . R value of heated basement /cellar walls ( below grade ) 10 . Type of insulation / ' +�s-' &Akr woe, 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 + eying agent pipe 2 , R value of pipe insulation J� 7 F _ Service Water Heating 16 Performance efficiency. 2 . Temperature control setting maximum G , For Swimming Pool Only 1 , Maximum heating / , u Telephone ( a plicant ' s signature ) TOWN of ()UFFNSBURY BUILDING & ZONING DEPARTMENT SEVk7AGF �fDIS/POSSALL PERMIT APPLICATION 1 . Owner ' s Name � Grir Address x .2xt ,&' /e/ia �e � rwe fi.. 5 . . 5f 04fols A/ Telephone No . G}`r'cY3 2 . Property location__ 3 . Name of person or firm responsible for installing system 30 hoslr.1 v 210sr ,9i✓C- Telephone Address yc4 o,r-f-✓ Sp. z� 4 . Number of bedrooms ( residential buildings only) ' 5 . Daily flow 'rf uallons/day 6 . Septic tank capacity P gallons T . Topography : flat , rolling , steep % of slope 8 . Nature of soil and depth 9 . If ground water , bedrock or impervi.o s material is apparent at what depth does it begins ft . 10 . Percolation test : A is reauired B` *j is not required C if required what is the rate (2= minutes/inch 110 water supply : municipal well , other 12 . Type of system proposed : drywell , the field ; Cher Any contractor , corporation , individual , a gaged in the construction of a sanitary sewage disposal system who covers the same before inspection , does not Per- mitt an approved perit , or varies from the approved application will be subject to a penalty of $ 250 as provided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . Date signature o app scant 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 . ✓��,, � r ��,,�L� G�--„' C7 / 6G" Form 3- 82 �t /�` •�`' G � ' w. a THE NEW 'YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY r � Wr41 STATE STREET, ALBANY, NEW YORK 12207 a. Date November 5 . 1984 .application No. on file 051786-84 A 630208 THIS CERTIFIES THAT only the electrical equipment as described below and Introduced by the applicant named on the above application number in the premises of w David H.atlin , Applehouse Lane , Queensbury , New York a in the following location; El ,Basement El Iet FT. U grad Fl. Section Block lout was examined an 1 0/1 7 /W+ and found to be in compliance with tale requirements of this Board. NXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EX04AMV RANI OUTU TS IMCA14MSCENT FLUORESCENT AMT. K. W. AMT. K. W. AMT. K-W, AMT, K. W. AMT, R. P. 20 38 19 2 FR DRYERS FURNACE MCATORS FlITURE APINUANCE FEEDERS SP*CIALR*C*PTj TIME CLOCKS I SSU UNIT HEATERS MULTI.ODUET DIMMERS %� AMT, K. W. OIL K P. C;Az H. P. AMr. AMT. AMP. AMY. AMPS. TRANS_ AMT. H. P. S. OF M .AMT. WATTS 'y - NO. OF FEET 11 e 1 SERVICE DISrONNECT No, OP S E R Y 1 C E _ . AMT. AMP. TYPE SWIp. i.d 2W 1 ,A' '3WflAy 'jW S,A 4W NO. OF PER �CONU. co UWCG NO. OF HI-LEf' OF HI A I NO. OF NEtn"L4 OFkAl L 200 1 C$ I I X 1 4/0 1 2 /0 OTHER AIMARATUS: 1 - 15 anzp- G . F . I . Receptacle 2 Ton Heat Pun* SUICk�1e Detector 1Y PECT David Hatlin � 12 Spring Street Apt . 3 Glens Falls ,, New York BRANCH MANAGER COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEEMSSMY Building Department ft r Report D.te�� N+r sae A' t•s! L MCSS e Past No. ticWeather Remarks Rxcatya ti on Footi Forms Footin & Piers Foundation Cement Coat Waterproofing Backfill Final Surve Frami Sheathin Roof Felt Roofi 5.id3ng Masonry Veneer Rou h P1 Relief Valves Wall Poard Ext . Porches Finished Floor Interior Trim .stairs 6 Railings Cellar Dr . Tile Concrete Floors P1 Fixtures Gar , Fire roofin Door Closers Chimne Water Meter Inst . Se tic A roval Floors Foundation Insulation Walls u Ceilin Buildings rnspector RsxS . r, . mac = L - TOWN OF C EENISSURY Building- Department Report. Date�9'> Location -- G Pewit Na. -Aq'co Weather Remarks ExcatYa ti on rooting Forms Footing & Piers Foundation Cement Coat Water roofin 8aC]tfi11 Final Survey Framin Sheathing Roof Feat Rooflnq Si din Masonr,V veneer Rough PI Relief Valves WaI2 ,Board Ext . Porches Finished Floor Interior Trim stairs & Railings Cellar nr . Tile Concrete Floors PI . Fixtures Gar . Fireproofing ,Door Closers Chi.mne Water Meter Inst . Septic Approval Floors _ Insulation Faundatir�rl Walls Coil i _...... Building Inspector REMARKS BUILDING DEPT. COPY OF APPLICATION FORM 48-EL. NEW YORK BOARD OF FIRE UNDERWRITERS_ FILE THIS COPY WITH 13UILDING DEPT, WHEN REQUIRED, CITY OR VILLAGE TOWNSHIP ,t/' r,. COUNTY � STREET AND NO. OR ROAD AND POLE ND. ,L' a Z40AIC, POLE NO. BETWEEN WHAT TWOT/' CROSS STREETS IS PREMISES LOCATED? c)e (. "' .: ,�. /' SECTION BLOCK LOT OCCUPANT'S BUILDING NAME (, OCCUPANCY '"1 f OWNER'S NAME Y AND ADDRESS " CURRENT j SUPPLIED Or �, �`' !' /'J .�- BY �/'� FROM THEIR ♦/ ��'SX � OFFICE 1—I DEFECTS is NEW NEW 16d OLD ❑ REMODELED El is NEW ADDITIONAL ❑ REMOVED D LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Fixtures & MOTORS HEATERS BRANCH LAMPS Lamp Receptactes CIRCUITS Luca• trot Sido Attach"f H. P. Watts A_W_G. WATTS coiling Wall Recepels Switch Pendant Bracket No. Type Eadt No. Each No. Gauge NO- EACH Out. side Sub- base Mort 7st Fl. 2nd Ft. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is inumdad to cover the above-listed equipment to be inspected but if at time of inspection !here is found additional equipment not above listed, You are authorized to make the inspection and adjust the fee to rorar 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) ICAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED ON OR AS HEAR AS POSSIBLE Ze Are NEW OLD AVOID DELAY B�Y.,GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF / "L�fy _ „/r ff ..ti! DATE OF APPLICANT 'TP y_y`� �C�' ,.-l�`�' APPLICATION�yCL�t � f STR E E T ADOR ESS CITY OR y f �/ 21P . LICENSE LI POST OFFICE 7 �' i �{;,/ `T CODE /? , J/ WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING AFFI't 40065 "'WE