8482 ►- C/OPaid
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. 8 4 8 2
has been completed.
This structure may be occupied as a Addition to one family dwelling
tor living area and deck
Location Lot 26 Knolls Road North
Owner Joseph T. Murin
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING. GLENS FALLS. N Y 12801 (5 1 8179 3-5 6 5 8
BUILDING, PERMIT
TOWN .OF QUEENSBURY
No.. :8482
WARREN COUNTY, NEW YORK.
in
PERMISSION is hereby granted to Joseph T. •Murin D
- H
OWNER of property located at - Lot 26 Knolls Road North Street,Road or Ave.
area).
in the Town of Queensbury,To Construct or place a Addition to`dwelling (deck -and 1 i v i ng _ 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
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Donald Russell
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3. CONTRACTOR or BUILDER'S Address N
Bolton Landing, New York
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4. ARCHITECT'S Name' Z
0
, rt-
04
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(3 Wood Frame ( ) Masonry (, )Steel ( )
• post and beam
- - .7. PLANS and Specifications
32'x12' deck and 14'x14 ' :room per plot plan,
No. specifications and application submitted.
ai
0 N..
8. Proposed Use rt
One-Family .Dwelling (addition_of deck and room):
rt
no
$5. 00 C/O Paid o
$ 18. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 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 1-,--'
town of Queensbury before the expiration date.) .
Dated at the Town of Queensbury this 11th Day of May 19 84
SIGNED BY I�1a- l C for the Town of Queensbury
Building and Zoning Inspector
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TOWN OF QUEENSBURY
(Space inside block to he filled in by
WARREN COUNTY, NEW. YORK Building Inspector)
Application for Application No. :
Permit Issued _19. .
BUILDING AND ZONING PERMIT Permit Expires. • 19.
Aiming. District
Attu I \\'nrl
THREE (3) Copies of a PLOT PLAN, Drawn to scale AI'I"'"` cl by f6�/r/ /
showing the actual dimensions of the lot to be built Rcmai')(S !/ L
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
pS 6 -1 - I 7 / (o / 5 /// / ) `f TOWN OF QUEENSBURY
DATE RCEI L=+'
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 'LP
ANSWER ALL OF THE FOLLOWING. ,. •1111 1 J l L �ii.
The undersigned hereby applies for a permit:to do the following work A.M. `
which will be done in accordance with the description, plans and specifi- �!$�9�10�1��12�1' �3 .4I5I6
cations, end such special conditions as may be indicated on the permit. ��� � 6
/ Pe
The own f this property is: _ !J,`Lr �r l���ll:J
4o -erfh I, niu.r, 1. pots N' '
(NA`4E) / (P.O.ADDRESS)
The rson responsible for •supe ision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. . . . n 12,�. . . e is Se.-1� 61.- .r.-� .Lai)clr
(NAM/E) J (P 0.ADDRES
Name of Builder. . 11Q.1 d I CL TI I Address . . .P/10-
Name of Plumber no.Y1 a.- Address
Name of Mason no n e Address
Lot Number. . .c Ca Unit f Estimated value of propposed work 5 . . . . U . . .(Q.u8-0
Name of Village �.!/ eevo.io u r ( .�1 CZ je. .�,hogs. . . „fr.-we/op 1.1-0?-.N9. . . . . . . . . . . .
Name of Street .�j.Y.�.G.1 5 ]] . C.)Q.- (d (Vac... !. . . El. . . . . . . Side of street: north 0, east 0, south 0. west• �. • • • J
Nearest Cross Street . i.d_ e • . K'L,O.t . . . . . . . . . . . . . . . Distance from this cross street Ft.
Property is north ❑,south ICI,east 0, west. 16,from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.)
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NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
,?.. Addition to a building.
One-family dwelling S
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
• Accessory Building
,,// �I I( /I• One-car detached garage ❑
8 Other work. Describe- ) C fV G ad. 11 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 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
tuilding(s) in solid line.
Size of property ' C�, �A ft. x ft.
•
r Size and use of existing buildings, if any
m Size of proposed building•. . .H. . . .6 ft.x . .) • • • ft.
4 Height(from grade to ridge) y ft.
Ca--> R .) Front yard t 1 ft.
Side yards . a 40•! • ft. and . . . .0 O ft.
NIAC) (S KO al I J l(I1 \ Rear yard Loa 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 '
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc. Wood- Pa5-1 1 e-IQct-t/Y) n
Will any second-hand lumber be used? . . .( 25 If so, for what?. r� . . !?a . .Q�ro,s5Cd-em. (
Material of foundation walls . . . . . Thickness Cer(ih
Depth of foundation walls below grade . . . . Continuous foundation?
Will there be a cellar? . . . . .►'\ L+'. .Q If o, material of cellar floor
Type of roof: Sloped or flat? .._C.Q Material of roof
Size, wood studs . . . . • •X..> "x ", spacing "o.c., length • ft.
" ", spacing
"o.c., span ft.
Size, floor beams, 1st floor . . . �2.x . . - x P
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams
, spacing "o.c.,?Y " X g span ft.P
Size, roof rafters or beams . . 4+x. " x ", spacing "o.c., span ft.
Exterior finish . .Li,4'�r With what material?
Finish of interior walls. . .Q C.cLCz
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 garage and b�tildingr'
Kind of heating system . . ( .r✓.lee -! 5 W l r Oil 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? ''Yl.0?1-'.t Depth of fireplace hearth
Will a toilet be installed? irkb
Will a kitchen sink be installed and connected to water supply? . .076
Water supply (public water supply or pump) h 0
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? . . .Y\6
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tr, bra of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.•lete statement of all proposed work to be done on the described premises and that a provisions of the BUILD-
ING CODE,THE ZONIN&ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature ... .. ..
OWNER.OWNER'S AG NT,ARCHITECT,CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
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 / y(X lY / np ,, /� ,/3P-
2 . Type of heat -). -� ✓.
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors 6(J cC)
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 GZ)
a. Are foundation walls insulated? YES NO
1 . If YES , what is the R value?
N 3 . Slab on grade YES O SL46
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 a /! AV`J Cie`S ;L ri f
B. Under 16% Only `J
1. R value of roof a floors exposed to ambient conditions C _
( e 1/45 V� ( o/ ( /�S
2 . R value of exterior walls ✓!
3 . R value of glazed area �.. �y�L- '� 7
4 . R value of doors Garr
�!�.
5. R value of floors over unheated spaces 19�
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
C. Controls
1 . Thermostat maximum heat setting /O d
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation No c�
b. R value of duct in other areas
E . Piping Insulation
1. Size of hot water or cooling carrying agent pipe iU U
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. c 9 o f 1g1 -114
(agpplic[ant ' s signature)
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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 I !; ; ! TOWNSHIP • r' j COUNTY
STREET AND NO.OR - I ; -r `\
ROAD AND POLE NO. •' i I. r- %i", i I , , ' r.1-' .1/•, I POLE NO.
BETWEEN WHAT TWO / -
CROSS STREETS IS
PREMISES LOCATED? , SECTION - BLOCK LOT
OCCUPANT'S BUILDING
NAME + „ OCCUPANCY i
OWNER'S NAME _ '`Y 7
AND ADDRESS , 1 1 I , i ,• , s- ,�JI t- 1.-t 3-U
CURRENT ' -. - , - -
SUPPLIED .. i BY FROM THEIR is OFFICE
BUILDING' • WORK DEFECTS
IS NEW❑ L_,OLD, REMODELED ❑ IS NEW ❑ 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 EachEach Gauge EACH
Out-
side
Sub- -
base
Base• .
ment .
1st Fl. , I +J
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 OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS _
POSSIBLE - NEW OLD 1-1
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• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. •
NAME OF '-'I DATE OF
APPLICANT ' ) APPLICATION
STREET ADDRESS "+_' /
POST OFFICE - '- • ' 1 1 ''( CODE i t: ')i WHEN APPLICABLE '
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
'K>.".1>v,4.-9 a��0..4.-M- VJCx OK"."-.1 "...,...A-M J P-usi-t"-,-,1," .7-!IXti,,_,�a-9.la.9-1ata9.IA�/,��!--1 .)a.AJ.._Ce..IJ..).L..C1,9.1- 1.A,:!—In_.I.aX.la9�anJ.,9.la7Ala".l-1,1J..IJ.X.IJna�(.a9.L1".ta5J i;.1,
. THE NEW YORK BOARD• OF FIRE UNDERWRITERS ;r
• p � BUREAU OF ELECTRICITY Y -
I Syt 41 •STATE STREET,ALBANY,NEW YORK 12207 'Y
fl y
Date I E.19 i.: 29 y .984 Application No.on file O Uk P4 A 2 6 8 7 i
r
�i 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 111,
0.. ..51t oeph °!'. 1 U.r'd.n.y i�noLL ! boOaL No/-t1 (l.�' L.r.��L L�`?„a.t1o�'-.) ,C1c T1.7'.°J Fc11.C.uy �� G'a �'�'�G.e"_?0
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- 6 in the following location; El BasementIII 1st Fl. ❑ 2nd Fl. Section Block Lot ` r .-,•
`� •., was examined on and found to be in compliance with the requirements of this Board. ;T .
I, 8/21/8r' '"'
FIXTURE RECEPTACLES SWITCHES. FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;
OUTLETS INCANDESCENT FLUORESCENT lARpppY AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P:
DRYERS' FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS r
AMT. K.W. OIL ' H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. YSTEMS AMT.' WATTS :,...--
-..C, NO.OF FEET
y
�. r
'Y
SERVICE DISCONNECT NO. S E R V I C E
,- { AMT. AMP. TYPE METER
F 1.2'2W 1,B'3W 3 0 3W 3%IW NO,OFF CC.COND. OF CC.COND. NO.OF HI-LEG OF•N•a NO.OF NEUTRALS OF NEIRRAL 'r
�r_u _p
-C. OTHER APPARATUS: ,T
Y
Y
1 IT
�, r
p Muria T. Y
Ridge
N
�',i Star Route, r i d �'X?L)1 3 ... 2' •
'��
(3)1.er C 1ss,Ncz Y0l:1:. 12801 t- e-9 ::-.
BRANCH MANAGER '__ ' '''YT-a ; Per T•
C'ilicrYereeF i-e-4,--Tei-v—reYYeYeYwi isi- CYe-ileYaYYf lailiftiODM ® M NIEVE5Inlia ® ® 0 ® rglifaitatillESEInin wrie-i
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
Building. Department
Inspectors Report Date SIB
Name JO a 4on.
1
Location Loa' JL (Cevo l Gs n , �i1 i`.2.T(-
Permit No. ( ?— Weather
Remarks
Excavation
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
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation '
Walls
Ceiling
B iding In pector
REMARKS
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- ', . ADIRONDACK' MEANS... {:! r =_
. e BARK EATER
i.,✓. �J _ " jry�� f5181 792-7954
(518) 798-4513
• A SPORTSMAN'S EXPERIENCE MURCASH. INC.
P.O. BOX 547, LAKE GEORGE, N.Y. 12845
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