8420 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. 8420
has been completed.
This structure may be occupied as a Additional living area for one family
dwelling.
Location Knolls Road South
Owner Peter and Mary Anne Purcelli
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA• PRINTING. GLENS FALLS. N Y 12801 15181793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8420.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Peter and Mary Anne Purcelli
`. >� ro
OWNER of property located at Knolls Road So,j',\ Street, Road or Ave.
(D
in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) n
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.
1. OWNER'S Address is Star Route
1-1
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name (D
ro
Bob Beck Contractor
C)
3. CONTRACTOR or BUILDER'S Address
South Bay Road
Fort Ann, New York H-
•
4. ARCHITECT'S Name
I
5. ARCHITECT'S Address O
1-1
F-'
6. TYPE of Construction—(Please indicate by X) O
(x)Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications 12 'x16 ' per plot plan, specifications and
No. application submitted.
8. Proposed Use
One-Family Dwelling (additional living area added)
rr
$5. 00 C/O Paid
$ 20. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 19 84
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ri
town of Queensbury before the expiration date.) O
Dated at the Town of Queensbury this 24th Day of April 19 84
fD
SIGNED BY i//�C. �� /l/.L' f for the Town of Queensbury ~'
Building and Zoning Insp• or •
G 3 _ 1, 3 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. Gross floor area Iq
2 . Type of heat
3 . Is the building mechanically cooled? u d
4 . Percentage of area of, windows and doors . 191,
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
1 . If YES , what is the R. value?
3 . Slab on grade "� SKIM Qu gizcoup
a. If YES, what is the value of insulation around
perimeter of floor?
4 . Is basement heated? YES•
• NO
. a. R value of insulation •
5. Type of insulation ' 611AS
B. Under 16% Only -
1. R value of roof and floors exposed to ambient conditions
9'"• - � R-sb
2 . ' R value of exterior walls • Jr-
3 . R value of glazed area
4 . R value of doors - •
5. ' R value of floors over unheated spaces 1
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)
9 . R value of heated basement/cellar walls (below grade)
10, Type of insulation
Controls /
1 . Thermostat maximum heat setting
•
D. Duct Systems
1 . Is duc system, installed in unhe ed spaces? YES NO
• a. If , R yalue of duct in allation
• b. R value of duct in othe areas
Aoki( E. Piping Insulation
1. Size of hot Ovate or c - oling carrying agent pipe
2 . R value of pipe in ation
F. Service Water Heatin
1. Performance of, iciency •
2. Temperature ontrol setting aximum
G. For Swimm' g Pool Only
I . Maximum heating
Telephone No. 439_ ese78
(applicant ' s signature)
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW_ YORK Building Inspector) -
Ap�PQ lication for Application No.
Permit Issued 19. .
BUILDING AND ZONING PERMIT I'�.�rmit Expires. 19
Zoning District
• \ ;iAtte ''I )fork .%
THREE (31 Copies of a PLOT PLAN, Drawn to scale \i'I "ecl by / r
showing the actual dimensions of the lot to be built Ilt•marKS- P
upon, The exact silo, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION, TOWN OF QUEENSBURY
/6 DATE
0? — 3 - I, 2 -- 7.--- . . . . . . . . . . . ... 47,h. . ./.56 . REDEIIVE 3
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK • A PR 1 8 1�
ANSWER ALL OF THE FOLLOWING. A.�A.eze , '
789111I121234 6
• • •
The undersigned hereby applies for a permit•to do the following work , I , I ,�P1 i 2 I I , I • I
which will be done in accordance with the description, plans and specifI- . • . / C/0
cations, and such special conditions as may be indicated on the permit. � �`�
The owner of this property is:
19ET£R It�►q(11,9m) Poach as I
(NA•.;c) (P.O.ADDRESS)
The person responsible for -supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P 0.ADDRESS) A
Name of Builder. .+u�:b Tee/ �1'`.YgL� ,Gcd Address So. ' Ti ' le, FI AAA
Name of Plumber Address
Name of Mason -$ 1GK.' CjKJ')ieitiok Address " e! ' '
Lot Number Unit Estimated value of proposed work 3 ''/ / COO
Name of Village
Name of Street Nbok,b`S IQd AD 101r-i---4 Side of street: north 0, east ❑, south 0. west ❑
Nearest Cross Street . . .t;?0 .i... 0 Distance from this cross street 460 Ft.
Property is north 0,south ❑,east i , west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Q. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. • Main Buiking
• One-family dwelling g
Addition to a.building. ❑
❑ Alteration to a building. Two-family dwelling
❑ Demolition of a building. -family apartment house ❑
• Store building ❑
-car attached garage ❑
. Other:
• Accessory Building
t One-car detached garage El
CI Other work. Describe 1 a X Two-car detached garage ❑
I .1 d ; „y ct,y,,p to 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.
NORTH Show proposed building(s) in'dotted line and existing
• huilding(s) in solid line.
Size of property ft. x ft.
• Size and use of existing buildings, if any
I-
3 W Size of proposed building I a ft.x . ./. r'. • . . . ft.
Height (from grade to ridge) ft.
Front yard ft.
Side yards ft. and ft.
Rear yard ft.
SOUTH 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
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • • . . . . . . . . . . .
Will any second-hand lumber be used? XX) If so, for what2 �l�
Material of foundation walls CO.)U C,..>L7¢„ Thickness
Depth of foundation walls below grade C/ Continuous foundation?
Will there be a cellar? .AU If so, material of cellar floor C0j-4ei(E7
Type of roof: Sloped or flat? //�- Material of roof dS /'J4L7
Size,wood studs 42 . "x 114 ", spacing /6 "o.c., length ft.
Size, floor beams, 1st floor 01- "x .$ ", spacing "o.c., span Ag-- ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams " x ", spacing "o.c., span ft.
Siie, roof rafters or beams " x .g ", spacing "o.c., span L . ft.
Exterior finish CC-aR.1-oP ( With what material?
Finish of interior walls
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between ara e and building? JQO
Kind of heating system -77cOil 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? y()' Depth of fireplace hearth
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply?
Water supply (public water supply or pump)
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tr, bei r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.h lete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain/' p poegd w k s all be complied with,whether specified or not,
and that such work is authorized by the owner. �N)//
Sworn to before me this Signature
f/ 174 OWNER,OWNER'S AGENT,ARCHITECT,CONTRACTOR
day of ' � g 19....71..
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
By
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
, FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR /J
VILLAGE TOWNSHIP CfJI t 'J `!' COUNTY (/-4•\iC; U
STREET AND NO.OR / //f / -
ROAD AND POLE NO. /I q�C�1-f,) ((W Z ,—/'_`1 I->/C.;c. i C (j/ J A J `"f POLE NO.
BETWEEN WHAT TWO
PREMISES LOCATED? F'��"•'" ' . •-' "" ' `�4- •
1 _ SECTION BLOCK LOT
OCCUPANT'S .- BUILDING
• NAME ,7l �fc>•!I)AJ, ('(i C'C f,r-11 OCCUPANCY J,i ) •—L//C)(7
OWNER'S NAME
AND ADDRESS • -
CURRENT
SUPPLIED A)�lll7+f ?rj /�f✓ FROM THEIR - OFFICE
IS ❑ S
BUILDING �(NEW] OLD REMODELED ❑ WORK NEW, DEFECTS
ADDITIONAL --"� REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
Loca-
tion •
Side Attach't H.P, Watts A W.G: WATTS
Ceiling Wall Recept'Is Switch Pendent Bracket No. -Type Each No. Each No. Gauge NO. EACH
:-
Out-
side
Sub-
base
Base-
•
ment
'I Z
1st Fl.
2nd Fl.
3rd Fl.
•
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but 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 1 '(/ 9 j) CONCEALED TRANSFORMERS OF VA
WORK TO BE �{ (NUMBER) (CAPACITY)
STARTED !./-r'-,/ 3 COMPLETED SIZE OF SIGN
SERVICE -" MAKER
ENTERS
BUILDING •
OF SIGN
INSPECTION REQUESTED ON OR AS NEAR AS 1 1 POSSIBLE IA)j 1_L (� i i-- NEW 1 n I OLD ❑
AVOID.DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF 1? 12 C i 9 / DATE OF
APPLICANT �`3)> V��', � `� {_C)rr 5lJ !:.rlL- ( U APPLICATION'
STREET ADDRESS ' c5 �AY 0,1} -
CITY OR II /• ZIP LICENSE NO.
POST OFFICE 1 i/J 1 Al-' I�I CODE -' %._�I WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
4
=Lrz, C ' a o -
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1 i Y
1;02,�6G3 THE NEW PORK BOARD. OF FIRE UNDERWRITERS l
-
IX
' • BUREAU OF ELECTRICITY ;y
;::- W' Fie 41 STATE STREET,ALBANY,NEW YORK 12207 4.
-_ : Date w nO 7 1934 i�4 Application No.on file 0 7 0 7 9?-8 '
Q: THIS CERTIFIES THAT ,¢ _
�r only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of .r --
1 Pe.te ' t?; M<aryunn Cod v i , Knolls tCoc`'?d „ Queet—ashrn.y, c--c.,' �}o. a. .,
: in the following location; `- 'Outs I d .. ;
❑ Basement ❑T 1st Fl. • ❑ 2nd Fl. Section Block Lot ,r
-• • , was examined on p5 ,o� and found to be in compliance with the requirements of this Board. T
iy-
•
FIXTURE 1 f FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;':
OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
, 94
�. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,r
- SYSTEMS i
'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 ,:
._ g' it
0' SERVICE DISCONNECT NO.OF S E R V I . C E ',1 —'
i AMT. AMP. TYPE EQUIP 1,B'2W 1,B'3W 3 IB'3W 3,ff 4W NO,OPERC•gCOND. OF CC.COND. NO.OF HI-LEG - OF HI-•LEG NO.OF NEUTRALS OF NEUTRAL --
1-
f
OTHER APPARATUS: • 'T
C gg a r
Elect J., L�- �1ooiI 1�e,::.}tets : 1"" 1 0 1_T < `_J ,Y
�, ,•
-{ T
4.0 r.� OF 1. s_�r-eEikc` ,T
it -:
Y
►K, . Bob ;7 ck Contractor !!!'
e, S. Bay Road
�((r 5 �! p*�ry �-9 tYr `l�/ry �y BRANCH MANAGER .
s': 4�o `.s tSILlr H New York 1282 Y �_
jtt, i
=u Per - • •• rr
`PY&YYiY4YYa YeY-fel'eYeYiYYeY• ® CI NIESIESIONOID5 ® B 0 SiD5 MI WI riill 5 5 ® Cal ® 0 531iNlniti CI 0 NO ® ® 0 • 7•
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
•
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date ' /&/ ,
Name t� C° &tt /
Location 0L-5 Z b
Permit No. F -M9 Weather
gz/ G Remarks
Excaiyation
Footing Forms
Footing & Piers'
Foundation ()1t ,
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
\\\Nx
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors '
Foundation
Insulation Walls
"Ceiling
g Inspector
ector
P
REMARKS
e)4/Sirno& 3uIL,n/UGC
ApTA 41 D61
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.1$� CP ik
A � �'' Col- se/.0 +;
.
°�,t,Y � � � � _ 5 �
$'X 1`u s o Po' Co A1c(Ef rooiih►Gf
10'
3 Cofil/Xffis14-
G 34 887
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