8485 C/O Paid
• •
CERTIFICATE OF OCCUPANCY
4
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
eptember 26
Date S 19 8 4/
This is to certify that work requested to be done as shown by Permit No. 8485
has been completed.
This structure may be occupied as a One-Family Dwelling
Location Lot 155 Peaav Ann Road - Section 4 Land O'Pines Suhdivisi: n
Owner Michael McDowell
By Order Town Board
TOWN OF QUEENSBURY
"." -7" /,
/.„." )
Building & Zoning Inspector
CREATIVE -INSTA" PRINTING. GLENS FALLS N S 12801 I 5181793-5656
BUILDING PERMIT
TOWN OF QUEENSBURY No. 8485
•
WARREN COUNTY, NEW YORK
•
PERMISSION is hereby granted to
Michael McDowell
Lot 155 Peggy Ann Road, Section 4 Land O'Pines
OWNER of property located at Street Road or Ave.
sv
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 _ .
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
O .
1. OWNER'S Address is 92 Main St.
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Roger Thomas and Sons, Contractors
0
rt-
3. CONTRACTOR or BUILDER'S Address
Box 12 0B „0,
Hadley, New York 12835 Lri
4. ARCHITECT'S Name - Q
LQ
LQ
1<
5. ARCHITECT'S Address
0
sy
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( ) Steel ( ) '
7. PLANS and Specifications •
36 ' 6"x26 ' 4" dwelling, 20'x24 ' two-car attached
No. garage per plot plan, specifications and application
submitted including sewage system.
CD
8. Proposed UseFli
_
One-Family Dwelling 1
H•
H
$5. 00 C/O Paid - t7
$ 115. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 R4
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the H
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this l lth Day of May 19 R 4
SIGNED BY _ `M . a " for the Town of Queensbury
Building and Zoning Inspector
•
•
;�, TOWN OF QUEENSBURY
(Space inside block to he filled in by
�% WARREN COUNTY, NEW- YORK Building Inspector)
Alication for - pplication No,.
PP Permit Issued 19-
iS-6 BUILDING AND ZONING PERMIT Permit Expires. .Ig.
/. nine District
1 v \ aloe „1 \\'car`,.
:�' by /�fic/(
• , THREE (3) Copies of a PLOT PLAN,_ Drawn to scale .\)�►n-u�c•cl •
" 6 showing the actual dimensions of the lot to be built_ Izc'n�:�r)Gf'
I1 upon, The exact size, end location on the lot-of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
• TOWN OF QUEf 11lsf-3L1E''Y
DATE REONVE) [D,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MAY r( � C
ANSWER ALL OF THE FOLLOWING. eQin;Lo Pc-C-��ode
The undersigned hereby applies for a permit..-to do the following work 84
�PI.1\_ i
which will be done in accordance with the .description, plans and specifi- 1819110111)12)II 112131 )516
cations, and such special conditions as may be indicated on the permit. `.
•
The owner of this property is: .
. - . . . Mi -i . .Cn(L�.-. . .IA v:cic1/scA . N14))%v�(4` ;5.P io.phtw.STD,. c�t.6 tie Fh 1).1•t��_. :. . .
(N .4E) IP.O.ADDRESS)
The person res nsibie for supervision"of the work insofar as the Building Code and the Zoning Ordinance apply is:
. . Rod ,7d��"4S.k. s c, .Coly►T LA,a.p14, b x 130 6, 'rlti bLt1l Wkl- i'. )2.4635
(NAME) (P.0 ADDRESS)
•
• Name of Builder.. ... . . .s.I ?" ' . - Address . . .$ANS I
V Address - sr
Name of Plumber
Name of Mason so Address `l _
Lot Number. .155 Unit 4Estimated value of proposed work �� ► ®®®
Name of Village .Lpl* ®, P%V 7P P%).6 b%9•./. �t� V(Eg1 eNiti, %' f-
Name of Street . . Qf'GsGN. •Aa48N• •1).•DJ4b Side of street: north 0, east 0, south X. west ❑
Nearest Cross Street . . W... tatt46 014,t1 Distance from this cross street i 12, Ft.
• Property is north ❑,south. ❑-,east i west. ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast X, southwest
. (Designate by marking with an "X" in the correct space.)
.NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Building
❑ Addition to a building. . . One-family dwelling
❑ Alteration to a building. Two-family dwelling ❑
• ❑ Demolition of a building. -family apartment house ❑
Store building ❑
• . . 1 -car.attached garage
Other:
• Accessory Building
One-car detached garage ❑
fi Other work. Describe 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
huilding(s) in solid line. .
• Size of property )25 ft. x 17 0 ft.
Size and use of existing buildings, if any
H y '
t
s m Size of proposed building S S�° ft.x '�'a ft.
Height(from grade to ridge) ' s ft.
Front yard 41 5 : ft.
Side yards . . . ..3.�. . . :. . . . ft. and 3 ''` ft.
Rear yard . .5V.( ,i 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.?. . .WFO.j • .F. p.. • • • • • • • • • . • • . . .• . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? 1/1Z If so, for what?
Material of foundation walls . . . . C ovsc941 `. . k1.. Thickness
Depth of foundation walls below rade '1 PT" Con tnuous foundation? �G-.S
Will there be a cellar? ES" If so, material of cellar floor 4" Cb lts coot f st*A
Type of roof: Sloped or flat? Sf04E D Material of roof . .F.1 E..6;fLAL AS(. , Sdit1311LES
Size, wood studs `1.. . " x ( ", spacing 1 "o.c., length • ft.
Size, floor beams, 1st floor 2. . " x )o ", spacing II). . . ."o.c., span . . . .% 1. ft.
Size, floor beams, 2nd floor 2 . ' x ® ", spacing 42. . . ."o.c., span . . . .l'$•2. ft.
Size, ceiling beams " x ', spacing "o.c., span t ft.
Size, roof rafters or beams °.4.. "x 1�. ", spacing 16 "o.c., span . . . . J Pe L, . . . . ft.
Exterior finish Wkot7> With what material? Sl� Q�°� � G� , .S.W .•JSg151141)
Finish of interior walls. . .$..T . .$7.ANUS
If garage is to be attached, of what material is wall between garage and main bui<1Qing to be constructed?
• )2: ,�. p.e.►•)(•• SSE.cfC .4V: . .S'TvDi. .� ibu 0•G
Is there to be an opening betwee gar ge and building? .. .`BLS-7`!�a a.c. ..pj�l .Ili.s�t,
Kind of heating system C.l0<.��4. . vs. �i�l\a? Oil burner or coal?
Will a flue-lined chimney be provided? Web • Depth of chimney foundation below grade '"'"
Height of chimney above roof
Will there be a fireplace? W® Depth of fireplace hearth
Will a toilet be installed? �{ES
Will a kitchen sink be installed and connected to water supply?
Water supply (public water supply or pump) . . . .p'v.berk
Distance of cesspool from any private well ES 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 tt ba r of my know,ledge and belief the statements contained in this application,together with the plane and specifications sub-
mitted, are.a true and co.,.plete 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 pertaining to the proposed work shall be complied with,whether s. ified or not,
and that such work is authorized by the owner. rTim) ( e
Sworn to before me this Signature �® ft. .r►.As..(%y)
OWNER,OWNER'S AGENT.ARCHITECT,` TRAC'1;
day of 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
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 1424 SQ. Y 1 1.. vP416
2 . Type of heat : HL&cT2« (YOU Step VALMAc.�
3 . Is the building mechanically cooled? iNn
4 . Percentage of area of windows and doors I • S 0 3
A. Over 16%. Only
1 . U 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
1 . 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 value of roof and floors exposed to ambient conditions
OtmcoT- V- 3 0
2 . R value of exterior walls
3 . R value of glazed area a-.2 `36
4 . R value of doors '• IO . IN)
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) P.- 90• t
9 . R value of heated basement/cellar walls (below grade) 4j13•D
10 . Type of insulation F1ea6►1-• 'gA� W �-�s! � -s J'-bb , MGM:0 r®A)".3 �iO%4o%.1
C. Controls V.A.
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 carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency Pen- PINO V. Stdc-S-
2. Temperature control setting maximum )$S o F .
G. For Swimming Pool Only
1 . Maximum heating
Telephone No.
(applicant ' s signa ure a
TOWN OF QUEFNSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
1. Owner' s Name 1� � 12• $ i°119:5- J\M(.ks\A€L ) C -1)vq,11411..
Address IImo�,,°� - I % ttIm STI���T gLGNS fJ L.S, M N•
Telephone No. -1 301 B
2. Property location 1.61 15.5 ,. LAW) (01 14ES S nbke .,ckiEeS6V g.`j 114•) •
3 . Name of person or firm responsible for installing system 1
aosizos 1k likb,Ns k So`A.s, Pxyt .t4C Telephone No. 6c)C." 11 171
Address to1A 63, v, AD1aE,i, '� e� 1 le,15
4. Number of bedrooms (residential buildings only.)
5. Daily flow 46 S-v gallons/day
6. Septic tank capacity '®®® gallons
7. Topography: flat, rolling, steep
% of slope VLJT
8. Nature of soil and depth .S1 .4f LAI.NAN1 8lAW O VT. bEeN.
9. If ground water, bedrock or impervious material is apparent at what.
depth does 'it begin? ft.
10. Percolation test: A is required
B 1 . is not required
C If required what is the rate minutes/inch
11. Water supply: municipal, well, other WO 1, 1CIO+t•
12. .Type of system proposed: drywell, tile field, other b9=fwe.1-A.,-S
Any contractor, corporation, individual, etc. engaged in the construction
of a sanitary sewage disposal system who covers the same before inspection,
does not have an approved permit, 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 1` ki v a 1(wV 6466.to-1-w-wiNNs ka'_‘)
signature of app`hic.i
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.
(Set 5 R.
Form 3-82
•
•
- 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 Q. �}�� scj\ ,'�-. TOWNSHIP - COUNTY \--33 C f,1,,
STREET AND NO.OR -
ROAD AND POLE NO. (.2 (_- r-�f� p k\\\ b 1 N POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS ( -�
PREMISES LOCATED? '�` t ��a - '�V 1;1J SECTION BLOCK LOT
OCCUPANT'S • BUILDING r
NAME I`('S ia-_1 �{\ S). =\11 I C.k i 1\C'.�.. V�C r)l\'-'C` LL OCCUPANCY P,{Yl q i�!v a 4 ){ E C^ }'\�C
OWNER'S NAME _ �J
AND ADDRESS (�.:(z,!'t'i(; M1\ .x. J �l • 9 Z�-C i�� t". LL*may , t � 1 � r6 0
CURRENT J '
SUPPLIED i ^
BY i` ) �, } • FROM THEIR OFFICE
BUILDING WORK DEFECTS ,
IS NEWll, 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 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 •
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
ON OR AS NEAR AS
POSSIBLE NEW I I OLD ri
s
AVOID DELAY BY GIVING
`FULL AND ACCURATE IINFORMATION. ALL SPACES
�IMUST BE FILLED IN OR APPLDATE OF ICATION MAY BE RETURNED.
NAM OFAPPLICANT ��'D(.•'te 1ti it Or C :.�4,. ) . (1)• '��-.� � tti1L_ APPLICATION i l {+\t i
L
STREET ADDRESS �-�`�4` `
LICENSE NO.
POST OFFICE ITY OR ,I� 1._L`- 4 �l ` CODE 1 �6 WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
..ask.l.n.ti...nateaxL0,,P,aPi " .n. ti,,w.�ne n,w1"".,w1."..l ".aPiantiaP�auanne..",w".,".1ianti,w",p."a�i.a� 4.
4002791 THE NEW YORK BOARD. . OF FIRE .UNDERWRITERS
<, BUREAU OF ELECTRICITY .
i' 41 STATE STREET,ALBANY,NEW YORK 12207 • 0
�, VLr o —
__ Date October 16 , 1984 Application No.on file 0i52434--84 A 69. 6 z
-- < THIS CERTIFIES THAT i�
1, only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of . 7.
4 Mr. & Mrs . Michael McDowel , Peggy Ann Road, •Queensbury, New York —
-:
in the following location; El Basement ❑_1st Fl. ❑ 2nd Fl. Section Block Lot
was examined on 9/2 6! 8[I and found to be in compliance with the requirements of this Board.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
-< OUTLETS _ INCANDESCENT FLUORESCENT MVAPONY •
AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P:
•
-<
21 41 18 31 2 r,
4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
{4 'AMT. K.W. OIL ' H.P. GAS H.P. AMR- NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. YSTEMS AMT. WATTS v `-
_ NO.OF FEET
�; 1 7�a1
�, ,.T . - -
_ SERVICE DISCONNECT NO.OF -- 1J1 .Y�'1'S t_V E R V I. , C E ....
-AMT. AMP. TYPE E�U�p 1,B'2W 1,R 3W 3,B'3W 3,B'4W NO,OPER%COND. OF CC.COND- NO.OF HI-LEG OF HI--LEG NO.OF NEUTRALS OF NEUTRAL
1 200 GB 1 x 1 4/0 1 2/0
OTHER APPARATUS:
i
{ 1- Smoke Detector .
1-15 amps G_'GI Breaker
Elec . Heaters : 3.-1 . 0kw; 2-1. 5kw; 1- . 75k-w; 1- . 5kca
Lobe...- Thomas " Sons, Contractor ! ; 2 o:'Y 12t?
G T
Hadley, New York 1283E BRANCH MANAGER
Per i
eFii COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
•
TOWN OF QUEENS•BURY
Building Department
Inspectors Report Date / , 5/5Y
Name .,/!s�'e7c,e,,,,
Location t —J55 I' ,44%11 IF13
. Permit No. (54,eir Weather
/7/4YZ., rAJ P Remarks
Excava t.i on
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 L/,- Q
Interior Trim LV /�}
Stairs & RailingsV •
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures V
Gar. Fireproofing/A/W
Door Closers ,/
Chimney
Water Meter Inst.
Septic Approval
Floors '
Insulation Foundation
Walls
'Ceiling ' •
Building-Inspector
REMARKS
•
•
•
TOWN OF'QUEENSBURY •
Building Department
Inspectors Report Date �/.27 g l
nuJe
Name /4cf ./J ( /
�s
Location p r y i rMj /La)
. Permit No. '°` iS Weather
Remarks
Excavation
Footing Forms •
Footing & Piers `--6r,4(/f .(�
Foundation `J
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
.12)) (:\\
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
Building Inspector .
REMARKS •
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 0 y 49,9'
Name C'264//J -/Y
Location P G��' 4//f/ ._
Permit No. r .%' Weather
Remarks
Excatia ti on
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 1,//1//
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
v Building Inspector
REMARKS
/ /
S76 ti
TOWN OF'QU•EENSBURY
Building Department
Inspectors Report Date ? i?/ I
Name_iy�i Ce 74r,!,v a�u�
Location L i SS— _ttp�= 5 y"01/11
. Permit No. i{ '� ✓ 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
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing . \\)(c
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation nsulation
Walls
Ceiling
•
Building Inspector
REMARKS
1-4-49AS<___ iti,A,(y
flt/Sz1/(1)—(
✓L71)( lv/0eAli
•
TOWN OF QUEENSBURY
Building. Department
Inspectars Report Date 1 f d `1
Name Mike— Ale.00. -
L.ocation /5 Y y m!,; •?.
Permit No. 82f fr S Weather
Remarks
Excat7aton
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing V : !v
Backfill V e/
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board ?
Ext. Porches I
Finished Floor I
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 " '
Building Inspector
REMARKS