6260 1
4
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 6 .e! - / 19
`8
This is to certify that work requested to be done as shown by Permit No. (03 t p 0
has been completed.
This structure may be occupied as a h.- -
H
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a y
Location ThIpiwcer),0,
Owner . Ge.raitt t LfidL0clk, f S a ij
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA• PRINTING. GLENS FALLS. N V 1280 I 1518)793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY No 6260
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Gerald and Linda Pisani . N
OWNER of property located at Lot 98 Triphammer Road Street, Road or Ave. A,
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 N
approved and in compliance with the Town.of Queensbury Building and Zoning.Ordinance.
s2
1. OWNER'S Address is 2 511 Country Lane 'b
Baldwinsville, New York H-
N.
2. CONTRACTOR or BUILDER'S Name
Orville Fuller
3. CONTRACTOR or BUILDER'S Address
35. Crownwood Lane
Glens Falls, New York
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4. ARCHITECT'S Name lc)
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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(X)Wood Frame ( ) Masonry ( I Steel ( I P
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7. PLANS and Specifications
74 'x32 ' per plot plan, specifications and
No. application submitted including two—car attached garage
and sewage system.
8. Proposed Use
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One—Family Dwelling
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$5. 00 C/O Paid 5
~-
$230. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 1980
(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.)
(D
Dated at the Town of Queensbury this 13th Day of March 19 8 0 H
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SIGNED BY / G for the Town of Queensbury a
Build g Zoning Inspecto
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TOWN OF QUEENSBURY (Space inside block to Ix filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application
No.
PP Permit Issued 19.
BUILDING AND ZONING PERMIT Permit Expires. 'g.
i.otin;; District
\ iloc of Work
•
THREE (3) Copies of a PLOT PLAN, Drawn to scale \►1
1 ' d 1i
showing the actual dimensions of the lot to be built ken,:IrKs
upon, The exact size, and location oti the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION, . •
TOWN OF QUEENSE-..
-i�- RE .C .EIIVED
/! V DATE
A PERMIT MUST BE OBTAINED _BEFORE_ BEGINNING WORK MAR 1 .3.1980 . 1
• ANSWER ALL OF THE FOLLOWING. A.M. �3� t���M�� 1
The undersigned hereby applies.for a permif.:•to. do the following work 7I8I9i1(�11�12I1I2I13I4�5�6
which will be. done in •accordance with the description, plans and specifi-
cations, and such special conditions as maybe indicated on the permit. E. -.. Od_ Ti 14.0 ,
T y owner of this property is: , .
c-r��� --,L�? ,e4 ..n(-5'44e .. . —o?.--/1. . d ti"/2s!.2,1741.. . 44-v/tis ei ce-- ti%.
(NA`••E) (P.O.ADDRESS)
The perso sponsibie for upervision of the work insofar as the Building Code and t Zoning Ordinance/ apply is:
✓l �/xLL C. (.Gil I� -.3 s.. cdo0.n ��r vc_ — �7-z c�cis- /. 69z.cs ,i,u )f I
(NAME) .(P.0 ADDRESS)
Name of Builder S421r Address ..
Name of Plumber • •
Address
Name of Mason �� Address
Lot Number /D Unit A. . . . Estimated value of proposed work S .//SOG2`J
Name of Village . . (J.(- ',5f rl/)7
Name of Street ��/,77�7`'�/J7 ./ 0 Side of street: north 12 , east 0, south O. west 0
Nearest Cross Street . .y.►. 4'v --7Ae.0 Distance from this •cross street � 2%' Ft.
Property is north south ❑,east El, 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 •
CCZ Construction of a new building. Main Building
❑ .Addition to a building. One-family dwelling
. Two-family dwelling ❑
ElAlteration to a building. • , • . . . . .-family apartment house ❑
❑ Demolition of a building. Store building ❑
. . . .7_ -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 SPECIF ATIONS. Fill,in for new building, or addition to existing building, or a change of occupancy.
t Indicate on the plot plan street names, the location and
' __N %,,,-'- \ IIP 1 size of the property, the location, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
. NORTH Show proposed buildings) in ,dotted line and existing
- N'\ I�D buildings) in solid line.
/ ',Fir Size of property
/� ft. x � ft.
9f (Q -Size and use of existing buildings, if any
t
`: j` W Size of proposed building . . . .7 K. ft.x /
Height (from grade to ridge) . . . ....... •o2"1j ft.
0
Front yard :7 Q ft.
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• V. Side yards . •. . ft. and 7' ft.
RL1/L�t2C !r
/�D Rear yard /e-17 ' ft.
SOUTH If on corner,setback from side street ft.. ..
Note: All distances ore 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, ettc/'. . . . a.C?./). .!. 7/9? . • • • . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? ,//G If so, for what?
Material of foundation walls ��0C/�S Thickness /
Depth of foundation walls be o grade 5— i Continuous foundation?
,
Will there be a cellar? . . . . --S . . . . If so, material of cellar floor ( �'/�`� 7—
Type of roof: Sloped or flat? L- )/G77 Materi of roof . . .5i9/ T'
Size,wood studs "x ", spacing /.6. . . . . ."o.c., length. . . . . F.. . . . ft.
Size, floor beams, 1st floor " x / 0 ", spacing ./ "o.c., span /`/ ft.
Size, floor beams, 2nd floor " x '6 ", spacing /6/ "o.c., span /f ft.
Size, ceiling beams o2 " x ", spacing . . . c Y- "o.c., span 2 .c- ft.
Size, roof rafters or beams . . . .eZ. . . . ." x - ", spacing . . . Iz, __ "o.c., span // ft.
Exterior finish 6-/- A/,'.►Z1?f With what material? . . .,///1.1�
Finish of interior walls. . .; 42//2,1.CGvItLe—
If garage is to be attached, of wha mate* is wall between garage and main building to be constructed?
Is there to be an opening between garage and building? X
Kind of heating system �� /,e.e Oil burner or coal?
/
Will a flue-lined chimney be provided? . . . .. . . . • Depth of chimney foundation below grade . . .S
Height of chimney above roof. . c ,,
Will there be a fireplace? Depth of fireplace hearth /
Will a toilet be installed? . Y�
Will a kitchen sink be installed and connected to water sus sly? ;-s
Water supply (public water supply or pump) F /.LJ a—
Distance of cesspool from any private well f feet
Will drainage system be provided with required traps, cleanouts, and vents? T
Town of Queensbury / AFFIDAVIT
County of Warren
State of New York
I swear that to th bra i of my knowledge and belief the statements contained in this application,together with the plane and specifications sub-
mitted, are a true and co.,.i lete statement of all proposed work to be , :�, the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertai ' . to IT proposed work shal coin j'ed with whether s 'red or not,
and that such work is authorized by the owner.
Sworn to before me this Signature ..
OWNER, WNE 'S AGEN ,ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY..N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
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::' -..k. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ,f1- 7
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il: in the following location; .0 Basement El 1st Fl. D 2nd FL. cr tr-L;1 cic,.. Section Block Lot ,,n t..-
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!;.!c: was examined on 3/6 IC 1. and found to be in compliance with the requirements of this Board. 0.-
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.,-, .,.!Q FIXTURE FIXTURES ' RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
I �; OUTLETSFLUORESCENT VII
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‘.' 11Z: FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS ,r ZIT-
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 '- ;_
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SERVICE DISCONNECT NO.OF ".;.A J S :1:q E R V I C E ;r
i AMT. AMP. TYPE METER 1 if 2W 1 Sr 3W 3 W 3W 3.W 4W NO.OF CC.CCOND. OF CC.COND. NO.OF HI-LEG OF HI-A. .LG. NO.OF NEUTRALS OF NEUTRAL T
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1_ OTHER APPARATUS: er.
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COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. _
_
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name . Q S a n•C
Location /'i('��,t9An, „, r� ,L
Permit No. i°o 6,c> Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill ></-1
Final Survey v
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 j
Gar. Fireproofing / /
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors •
Insulation Foundation' '
Walls
Ceiling
Building Inspector
REMARKS
1 // a .
r
TOW OF Q EENSBURY
Building. Department
Inspectors Report Date 2
Name PiSs3 )4
Location C 9 f , ii r c
. Permit No. & G Weather
Remarks
Excatation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing (-f>
Backfill it
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 (7)./4(:.
Floors '
•
Foundation '
Insulation Wa115
• •Ceilin
Buildin 'pector
•
REMAR
4)
TOWN OF QUEENSBuRY
•
Building. Department
.1napectors Report Date 3 -eC1
Name �7f,�,.- U, P
Location Zer
Permit No. r,g•/ad Weather
Remarks
Excavation •
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing C)//
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
P1bg. 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 Report Date
Name f//ce
Location ,?"ec4.'ore,
Permit No. (p a2(0 0 Weather
Remarks
Excavation
Footing Forms ��f/
1/
Footing & Piers /
Foundation
Cement Coat.
Waterproofing
Backfill
Final Survey •
•
Framing
Sheathing
Roof Felt .
Roofing
Siding
:/;;X:::: •
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 " " "
Coiling "
Building Inspector
•
REMARKS
10 LaCrosse Street. Hudson Falls. New York 12S39
Phone: (51S) 747-4128
I
ENERGY FACT SHEET
• for the building package supplied by
NORTHERN HOMES, INC.
PROJECT NAME FULLS -- 5AN1
DRAWING NUMBER: 2_776 .
BUILDING TYPE:•
LOCATION : To WN of u.P_E_N-GSOrzY
Compliance Procedure: Design By Acceptable
Practice (Part 5)
County: \/1/,4ZR_ ./s4
Degree Days: 9000
Allowable Glazing Percentage (of total wall area) (o,0 <% _
Total Wall Area: 2.608 .sF
Glazing Area: 3 45.A sF
Actual Glazing Percentage (of total wall area): )3.3
Thermal Transmittance Values •
Code Values Design Values
Roofs and floors exposed to ambient
conditions Ur = . 051 Ur =.028
Exterior Walls U = . 08 U =.049
Glazing U�a = . 69 ' U0. =-555
Entrance Doors Ua . 40 Ua =,071
Floors Over, or above grade basement walls .
enclosing unheated spaces U f . 08 Uf = .063.
Slab Edge Insulation Unheated Slab Ri = 5. 5 ' Ri =NA
Slab Edge Insulation Heated S 1 ab .Ri = Ri = NA
Heated Basement/Cellar Walls (above grade) - Uw = . 08._ Uw =NA
Heated Basement/Cellar Walls (below grade) Ri = 5. 5 Ri = 1�R
1. At 9000 degree days Ur = . 04
Notes:
A. Roofs and floors are calculated based on j 0 percent
. . . . continued
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- 2 -
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framing and _ 70 percent insulation.
B. Exterior wall s are calculated based on j5 percent
framing and 85 percent insulation.
C. Glazing includes all fixed glass, operable windows, sliding
glass doors, glass panels-in entrance doors, etc.
D. Slab edge insulation extends NA inches below the top of
slab and/or from the top of slab to bottom of slab and horizontally
NIA inches under the slab.
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. -
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900
PLOT PLAN
tF 5CA LE: i" = ZO ' 0 "
GG -"'- 58 - 'Lo" E
THE USE OF THESE PLANS FOR CONSTRUCTION OR ANY OTHER PURPOSE WITHOUT WRITTEN PERMISSION FROM NORTHERN HOMES INC. IS PROHIBITED.
DO NOT SCALE THESE DRAWINGS. THEY MAY NOT BE FO EXACT SCALE. USE ONLY THE DIMENSIONS SHOWN.
OWNER AND CONTRACTORS SHALL: CONSULT APPLICABLE BUILDING CODES TO INSURE THAT PLANS AND DETAILS CONFORM TO ALL REQUIREMENTS. THEY SHALL VERIFY ALL DIMENSIONS BEFORE PROCEEDING WITH
CONSTRUCTION WORK AND SHALL NOTIFY NORTHERN HOMES DRAFTING DEPARTMENT OF ANY DISCREPANCIES BEFORE WORK IS PERFORMED.
WORTHERN HOMES SHALL NOT BE RESPONSIBLE FOR ANY ADDITIONAL COST OR STRUCTURAL PROBLEMS RESULTING FROM THE FAILURE TO FOLLOW THESE PLANS AND THE DETAILS AS OUTLINED IN THE
NORTHERN HOMES CONSTRUCTION GUIDE.
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4"7.83
TR/PHA MM ER
rEM 2432