8272 C/O Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 24 19 8 4
3
This is to certify that work requested to be done as shown by Permit No. 8272
has been completed.
This structure may be occupied as a One -Family Dwelling (porch. enclosed)
Location Hillman Road, Cleverdale
Joan Ma Moynihan
Owner
By Order Town Board
TOWN OF QUEENSBURY
T)
Building & Zoning Inspector
rorAr.ve INST• PRINTING GI ENS FALLS N Y 12801 IS'1.8.1293-5658
BUILDING PERMIT
TOWN OF QUEENSBURY No. 8272
WARREN COUNTY, NEW YORK
c-I
0
PERMISSION is hereby granted to Joan M. Moynihan
OWNER of property located at Hillman Road, Cleverdale Street, Road or Ave.
0
in the Town of Queensbury,To Construct or place a Alteration to dwelling
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.
sv
1. OWNER'S Address is
Box 256
• Cleverdale, New York
•
2. CONTRACTOR or BUILDER'S Name
Adirondack Contracting
3. CONTRACTOR or BUILDER'S Address •
Box 159
Star Route,- Glens Falls, N. Y. H
H
4. ARCHITECT'S Name -
0
5. ARCHITECT'S Address (-'
I—=
- (D
6. TYPE of Construction—(Please indicate by X) (D
lJ
( )Wood Frame ( ) Masonry ( )Steel ( ) !L
H
O
7. PLANS and Specifications -
9'x9' porch enclosed per plot plan, specifications
No. and application. submitted.
0
8. Proposed Use
One—Family Dwelling �t.I.
e (D
• . Hn
$5. 0.0 C/O Paid ' - O
m rt
10. 00 (DH'
• $ PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19 84 a O
(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.) K rt•
O
Dated at the Town of Queensbury this 8 th December 8 3 '
y � Day of 19
SIGNED BY • E`1 a, 1�''G for the Town of Queensbury
Building and Zoning Inspector
W
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK - . Building Inspector)
PPlication for Application No. •
Permit Issued - 19.
BUILDING AND ZONING PERMIT Permit Expires. . 19.
'Amine District
. \ aloe of Work i
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\pprok ec1 by , /j ,-
showing the actual dimensions of the lot to be built 12c•inzirKs-
upon, The exact size, and location on the lot of the J
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
I TOWN OF QUEENSBURY
f — 3 / / RECEll 21218DATE U ^1
A PERMIT MUST BE OBTAINED-BEFORE BEGINNING WORK- ;)EC 6 198
1�
ANSWER ALL OF THE FOLLOWING. t b/
The undersigned hereby applies for a permit;to do the following work A p
•
which will be done in accordance with the description, plans and specifi- 7 8 91o11)12j12)31�►p516
c@_ 9__B �- 11- e-• t l t , t U
cations, and such special conditions as may be indicated on the-permit. , . &\o
Th owner of this property is:
. oc,.k M, • tea n� 0.� sg,,x z56, Cleo -� cip, g.y, .,ZSa v
INA-4E) (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
Joo- - M. -tylo tA.:�•A.,,,_ sA1,v� •
Ai(N E) (P 0 ADDRESS)
�,U-v1,`AG.CL< COV-+4 i LJAddress gd?c /� 57 1r R :, �ACv-S Q 5 �)
Name of Builder /2S6
Name of Plumber 'S'4 w`� Address
•Name of Mason Sr`�``� Address Lot Number Unit Estimated value of proposed work 3 S-636_
Name of Village CQP'``-e'y'`S la-Lo^
Name of Street .R,l t,v,tt '— "�• Side of street: north 0, east 0, south lg. west 0
Nearest Cross Street Distance from this cross street Ft.
•
Property is north , ,south ❑,east i i,west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast V, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Bui,Itling .
Addition to a building. . One-family dwelling
❑R Alteration to a building. Two-family dwelling ❑
0 Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
• Accessory Building
One-car detached garage ❑
0 Other work. Describe: &i- -- � Two-car detached garage ❑
Private chicken house 0
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, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in'dotted line and existing
Q�• 1 -Ac v a, )tuilding(s) in solid line.
Size of property !33 ft. x 2wft.
v K
- Size and use of existingbu}Idin s,tif any,la �G
3 • ` m Size of proposed building ft.x 9 ft.
oyJ Height (from grade to ridge) )1 ft.
Front yard •
ft.
i I _ 4t, r.
. TOWN OF QUEENSBURY .
. • • WARREN COUNTY, NEW YORK
. Application for: BUILDING PERMIT IN COMPLIANCE WITH. THE -NEW YORK
•
STATEENERGY CONSERVATION CODE .
A permit must be obtained before beginning work .
ANSWER ALL of the. following: .
' . .1. Gross floor' area 8�r ._59, A. . .
2 . . Type of heat. ; : Lt740�f' CJ ..
3. IS 'the building mechanically cooled? //X -
4 . . Percentage of ar a of windows and doors
A. Over 16% Only .
1 . Uo value of oss area of walls , roof/ceiling and floors
• exposed to ambien` conditions
4
2 . Floor over heated spab.es 'ES . NO
.a. Are foundation walls ' sulated? YES NO .
• . 1. If YES , what is he R value? _
.3 . Slab on grade YES NO .
• . a. 'If YES , what ': s the R value of insulation around •
perimeter o ' floor? .
4 . Is basement eated? YES NO .
• a. R valu- of insulation . •
5. Type of insulation
COUnder 16% Only -
1. R valu'e of roof and floors exposed to ambient conditions_
3e.,
2 . R value of exterior walls (/
• 3 . R value of glazed area _ . : - GLOIrt.0-- ,
. 4 . R value of doors o ,',-- • , '
5 . R value of floors over unheated spaces 34,
•
6. R value of. slab edge insulation. - unheated slab /Z• .:'
7 . R value of slab insulation - heated slab Naka_ . . ,..0 •
8 . R 'value of heated basement/cellar walls (above grade) ,//412e. .
9 . R value of heated basement/cellar walls. (below grade) /611-
• c
10 . Type of insulation TI h�(fI 5
C. Controls - ' • ' .
1 . Thermostat maximum heat setting
D. Duct Systems .
1 . Is .duct system installed in unheated spaces? YES NO
' ' a. ' Tf 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 •
.e .G. For Swimming Pool Only
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. ,
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. .
•
•
CITY OR , \\
VILLAGE - - TOWNSHIP ( ) ?>V I,.`, ._I,(:_( COUNTY V).J 3,d t4.
STREET AND NO.OR
ROAD AND POLE NO. �1 I 1 'W.1,AAA. I"\(-\ POLE NO. r
1
BETWEEN WHAT TWO -
CROSS STREETS IS ` I -
PREMISES LOCATED? I", e fI t':+Gt,:ti Kai (.� ,1`A 1+', I--(Jo SECTION • BLOCK LOT
OCCUPANT'S - t } BUILDING
NAME ��Ctl,,u'l i'I t I�t,__;vs_ttj.—{1`/..._ OCCUPANCY
OWNER'S NAME r„ii 'Vl I :, Z< / r Z
AND ADDRESS .`4,,)�i 1,. 1 1 , 1 \::`-h o,_,,. "A-..k+\ � : ,Y�'-)-f'3(V,-.1t N. i 2.✓
CURRENT 1 SUPPLIED 1 J/0co.f,\ tr\ly' (l,,.k FROM THEIR - OFFICE
BUILDING r NE`tW❑ t OLD L REMODELED ❑ WORK NEW REFECTS MOVE
IJ ❑ ADDITIONAL� REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS LAMPS
Loca- __ - _
tion -
Ceiling Side Attach't Switch Pendent Bracket No. Type H.P, No. Watts No•
A W.G. NO WATTS
Wall Recept'Is Each Each Gauge EACH
c ,
Out-
side
Sub-
base '
- ,•
Base-
ment t
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 CONCEALED TRANSFORMERS OF VA
WORK TO BE - (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN -
SERVICE MAKER
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED NEW OLD
ON* OR ASPOSSIBLE
AR AS t�r�` './ r 7/
POSSIBLE ,�j/j / /-�
•
111
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF \ 1- t l (, DATE OF' I7 {!
APPLICANT ""1L;�'�- 'r\ � n(4 ,. k.U�. APPLICATION ( t l
STREET ADDRESS r-�C)(. -^ J '1- 31=,.' t..` AA. •k 'a
CITY OR C. �,ai- ;I-AC`t L NN:L' ZIP i; '- 3 LICENSE NO. -
POST OFFICE `- CODE WHEN APPLICABLE
A SFPARATF APPI ICATIfN MUST RF FII Ff9 MR FACH SFPARATF RIM f]iN(;
TOWN OFCUEENSBURY
Building Department Inspectors Report Date . //41
Name_,o Q1°'41/74i;, )
Location /;/, � 1✓
Permit No. in,7 r Weather
Remarks
•
Excatia tion
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 f
Stairs & Railings
Cellar Dr. Tile
Concrete Floors 1
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney •
Water Meter Inst.
Septic Approval
Floors •
Insulation Foundation
Walls •
—Ceiling ' •
•
•
• . Building Inspector
REMARKS •
,44-0.42. � =•
s
�/ 7—f00
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date l'O ��y
Name`/ / t/Ji;g4i l
Locatign /// 111/
. Permit No. ./ 7 . Weather
Remarks '
Excat)a tion
Footing Forms
Footing & Piers
Foundation „rv, ,..,�,�X5P.k
Cement Coat "Vic._, •
-
Waterproofing
Backfill
Final Survey
VEOFraming d
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 FDUndation
Walls
'Ceiling "
4-4
2:-/f;
:Building Inspector
•
REMARKS
f.-e,4rn �� s � o�r�s� 4/0--
•
TOWN OF•QUEENSBURY
Building Department
ees eport • Date (Z
Name 1
'/
Location472,44,
(Jo 1—
Permit No. Weather
Remarks
Excavation
Footing Forms • avl
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
Floors ;
Foundation
Insulation
Walls
'Ceiling '
•
Building Inspector
REMARKS •
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