6972 fir.
F��i^
I
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date l , An,!- 19 D,
This is to certify that work requested to be done as shown by Permit No. &/ V ;
has been completed A, c c
k)
UM-,
rILV
This structu may be occupied as a '- �1 '.�'[-�i ` -f (((vtj
Owner k(')Yl. rill et. ' Lt-i- itor-- _ _
By Order Town Board
. TOWN OF QUEENSBURY
Building & Zoning Inspector
r
i
CREATIVE "INSTA• PRINTING. GLENS FALLS. N T 12801 1518)793-S8Se
. BUILDING PERMIT
TOWN OF QUEENSBURY No. 6972
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to Ronald Butler • Pi
OWNER of property located at
Pitcher Road Street, Road or Ave.
td
in the Town of Queensbury,To Construct or place a One—Family Dwelling (1•
at the above location in accordance to application together with plot plans and other information hereto filed and 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is. R. D. #3
• Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Slopey Enterprises Inc. ro
H.
rt
3. CONTRACTOR or BUILDER'S Address 0
34 Pitcher Road
Glens Falls, New York
4. ARCHITECT'S Name A�
•
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications O
26'x52 ' per plot plan, specifications and
No. application submitted including sewage system and
two—car garage underneath.
8. Proposed Use
One—Family Dwelling • 1.<.
C7
$5. 00 C/O Paid
$ 143 . 00 PERMIT FEE PAID—THIS PERMIT EXPIRES February 1 1982
H.
(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.)
•
Dated at the Town of Queensbury this 2nd Day of July 19 81
SIGNED BY for the Town of Queensbury
Building and Zoning rnspector
TOWN OF QUEENSBURY (Space inside block to lx• filled in by
WARREN COUNTY. NEW YORK Building Inspector)
A lication for Application No.
pp Permit lssued 19,
BUILDING AND ZONING PERMIT 1',.rn,it Expires. lg.
%.ipniit District
. Value-of Work,�
THREE (3) Copies of a PLOT PLAN,-Drawn to scale 'Ail;elr%(II 1w
showing the actual dimensions of the lot to be built ltenii,gr
upon, The exact size., and location on the lot of the -
• building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. •
I - •
60' Zi • 21 TOWN OF QUE NsBu?RY
/ a 5- I- a ti. y 1 DATE • D E 0 IE 11V
E 0 •
AP PERMIT MUST BE,OBTAINED BEFORE BEGINNI
NG WORK
ANSWER ALL OF THE FOLLOWING. 198 l
The undersigned hereby. applies for a permit to do the following.:work A.M. y 4j) P.M.
which will be done in accordance with the description, plans and specifi- 7181911C�11112i J 12l 3l 4I U i
I t . t , t I , , , t q
cations, and such special conditions as may be. indicated on the permit.
A
The owner of this property is:
. . ...r. ..l !-s.t. . .‘l . .. R. . . . . . . . . . . . . . . . .t-?. . . : . . . :fir c-V 5-. . .fa. . .&L3M . .FItt to -y
(NA''E1 (P.O.ADDRESS) .
The person responsible for 'supervision of the work insofar as the Buildipg:Ccide and the Zoning'Ordinance apply is:
. vL�?. .:Y _ E tin-tcc.P r.t .. . . . ke '. . . . . . .':4. . . ?i ,et . t?c).-,. . .q? $. .Feia5. .,. g.y'
(NAME) • (P.O ADDRESS)'
Name of Builder ��H P;4S Q. i S Address. , &�E
51}c-4 E• Address
Name of Plumber .
Name of Mason Address
Lot Number Unit Estimated value of proposed work S t
Name of Village • 't(DLL'A o v 0,u..c�vIS'bU-r.( , • •
Name of Street -Ft A-�he-r `? Side of. treet: north: I , east. ❑, south 0. west 0
Nearest Cross Street Distance fiom this ^Toss street Ft.
Property is north 0,south' ❑,east g,west from Cross Street, •
If on Corner,which corner,northeast , northwest ❑, southeast C southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK .OCCUPANCY •
A' Construction of a new building. Main Building ,fir
. El Addition to a building. One-family dwelling Jg.
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. - • • • . . .-family apartment house ❑
Store building V-
. -car attached garage
Other: •
• Accessory Building
One,car detached garage ❑
0 Other work. Describe. V't `Jet, u-V Two Two car detached garage
C.c G„�czA tAryl •C,s c\EQ4-1'1 u/ ci�,Q., Private chicken house ❑
Private storage building • ❑
34.`k t6i-b'uGied WI.'N UM. - 'Other:
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of occupancy.
1 Indicate on the plot plan street names,the location and
size of the property, the location.size and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show proposed.buildings) in dotted line and existing .
' Wilding(s) in solid line.
Size of property 2 z 5 ft. x (5 0 ft.
•
Size and use of existing buildings, if any " .i%
F
W W 2- ft.x . .' . . . . . ft.
s Size of proposed building .
Height'(from grade to ridge) , .‘' ft.
' Front yard 6 ��Z./-J ft.
Side yards 64 ft. and . / 34 62-, ft.ft.
Rear yard �
SOUT H ' If Opp corner,setback from side street (6T ft.. ..
Note: All distances are nee, as measured from street side
line to nearest part of building.
(OVER) •
7-73-M .
1 �
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . yl'.5 . . • • • • • . . . . . . . . . . . . . . . . . . . . . . . . . • • • • • . • . . . . . . . . . . . .
Will any second-hand lumber be used? 140 If so, for what)
Material of foundation walls . . . ./."�?." �3L.4 ' Thickness .me'
Depth of foundation walls below grade ' Continuous foundation? > 5
Will there be a cellar? . . . . E. 3 If so, material of cellar floor KcR*.
Type of roof: Sloped or flat? P/!c/d-D Material of roof • AVE, 5//"At L cS
Size,wood studs 2_ "x L1 ",spacing . . . . . . .1... . . ."o.c.,length :r ft.
Size, floor beams, 1st floor Z."x ? ", spacing . . , /6. . ."o.c., span 13 ft.
Size, floor beams, NW-floor-oo " x ", spacing - "o.c., span ft.
Size, ceiling beams �7. "x fr- ", spacing /Er rr. "o.c., span /3 ft.
Site, roof rafters or beams . "x ( L!55� spacing "o.c., span . . . . ft.
Exterior finish i '-it" i $i 1Ii 44 With what material?
Finish of interior walls. . . . . . . p/q,!N .1. . . . . . .-. . . . PE E
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 building? ye- 5
Kind of heating system . . . . L .I k' �- Oil burner or coal? A
Will a flue-lined chimney be provided? N D . Depth of chithney foundation below grade . . . . .
Height of chimney above roof N o N
Will there be a fireplace? Y�5 Depth of fireplace hearth . . ./8 "
Will a toilet be installed? Ye- 5
Will a kitchen sink be installed and connected to water supply? Y C 5
Water supply(public water supply or pump) /7 0 i'-/P
Distance of cesspool from any private well /L feet
Will drainage system be provided with required traps,cleanouts, and vents? uC S
AFFIDAVIT
Town of Queenshury
County of Warren
State of New York
I swear that to tt•, MI-of my know,edge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,. lets 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' to the pro • work shall be complied with,whether specified or not,
and that such work is authorized by the owner. _f p
,�J�L LGG}i
Sworn to before me this Signature .... . ... ... .... 4L
WNER.OWNER'S AGENT,ARCHITECT,CONTRACTOR
2e). . day of -ift-f6 1981
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
. dy pt q q
1 6.' I''t OF (NUE .1,J:.3.t?UP(
T':T� .?'z.I�`3'r Pfr, orr.''wl D1-17, �I'j�°r' T
h
BAY AIM E i,.°:'X LA i D 1C kt . ..., - F' I.
t t, 1S PALLS N i' i YOk j,. 12 a 0 i . .
APPLICATION FOR A PERMIT TO CONSTRUCT,, ALTP R OR 'ENLARGE
P, SEWAGE DISPOSAL SYSTEM WITHIN THF• TOWN or OC?FENSPUR`.'i
OCCUPANT' S NAME WF,;' S . &,w. a £L1tL ADDRESS D 4. ?\-�c ei"' .
T ELT:PHON 760��54 w ON ER A .-._NAM F_._,_5_.jq- £.. AS.___A v _____ _ _ _ _ z_ __ _ __. ___ __ _
7 DRSS__5`mej,4-5 T roce..._ _ - ___ . - «_ NUMBE R OF DROOiS 5
________
(ARBA.Gr GRINDER? ye6 (YES OR NO) TOPOGRAPHY: FLAT, :ROLLING, STEEP,
,
•
• ...Tu'RE OF SC.3I$,e CX�„`�,v� SANDY, LOP J Gr A .,
',,V E , ROC C
"
"--. FAST'
'.ERCO TAT1ON TEST For..eri,t(c_..__"T ATE R S'UJPPL'Y. Mtil\I IC fl't"�.:, WELL, OTHER _.._. . _ __
_ _ A _
. DIAGRAM OF PROPOSF1� SEPTIC SYSTEM
M
v
11.)? .,4. doit':‘,.r
ply'V-1; r,)F'al
/4o05C
. /
/ p
WELL
•
OTHER PERTINENT INFORMATION —__ . . ..,_. ,.v.._._.._._..._. - -____._._.._,.___---.-_--
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPPOWD,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL DE MADE IN ACCORDPNC1"
•- . WITE DETAILS SHOWN,
" 11
DATE &423'81 SIGNATURE OP APPLICANT 0-7i+.c t�L — -
LAKE GEORGE PARK COMMISSION APPROVA`E, - --------
-
(sic•tr.6 tune
•
TOWN OF• QUEEN$BURY
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 j352 cr
•
2 . Type of heat —64.4
3 . Is the building mechanically cooled? 'Jo
4 . Percentage of area of windows and doors
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 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
2 . R value of exterior walls �-� 13
M 3 . R value of glazed area ? 1.1, 175 e 6, 3
4 . R value of doors e}ct-k act--)`5
5. R value of floors over heated spaces •-55
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 (90
C. Controls ec- Z) &-Ax-cQ 75�
1 . Thermostat maximum heat setting y-ViAvicY;,�a.� qwt C6vd-ccAlgASWORA
getitiLie
D. Duct Systems _
1 . Is duct syst'em installed in unheated spaces? YES O'
a. If YES , R value of duct installation
b. R value of duct in other areas •
E . Piping Insulation •I u-LATE' zL
1 . ' Size of hot water' or cooling carrying agent pipe 0.9(.thi./14 ¢i
2 . R value of pipe insulation
F. Service 'Water Heating
1 . Performance - efficiency- 42, zd f i, ;1erco SaveF
2 . Temperature control setting maximum �C� j� iT;; v
� `
G. For Swimming -Pool Only
1 . Maximum heating
Telephone No. 713-60(7 Home
(a plican ' s signature)
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /-
Locatiao `P1�"cd� =k' R
Permit No. 9'7,? Weather
Remarks
Excat>a ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing %
Backfill
Final Survey
Framing cyVIC
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim /
Stairs & RailingsV
Cellar Dr. Tile _
Concrete Floors
Plbg. Fixtures l
Gar. Fireproofing,/
Door Closers // e_
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation PFoundation 1
Walls
Ceiling
Building Inspector
REMARKS
,11/ 76
TOWN OF QU-Ef NSB Ry
Building Departnnent
Inspectors Repo its,.:.- Date /l / •17 /J1/
Name )h,a l 6,47/�
Locetith' P r T(i{�e r 00--
Permit No. 1,4 9 '7 Z, Weather
Remarks
Excaiia tl on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. A+"�
Relief Valves
Wall Board
Ext. Porches _
Finished Floor
Interior Trim f�. �;
Stairs & Railings
Cellar Dr, Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls '
Ceiling
�yy
Building Inspector
REMARKS !' aJ
_Tat,K 3/a e. 6t f k C( �: 7..5-c c
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name T e ter
Location :sr i, d�l�' /,'A
Permit No. Eo I'1 2 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing L (0�''
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. V Ic
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors ‘
Plbg. Fixtures \\s,„,„
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling V
C Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report� Date 3—8/
Name Rif
Location c
Permit No. ((q 7 Z Weather
Remarks
Excavation -
Footing Forms
Footing & Piers
Foundation
Cement Coat V .- 45/4.‘
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board .17
Ext. Porches
Finished Floor
Interior Trim 1 /
Stairs & Railings
Cellar Dr. Tile A
Concrete Floors I
Plbg. Fixtures ,y
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
Bui ding Inspector
REMARKS
•
TOWN OF QUEENSBURY
Building Department
R Date " '20'el
Name ryel7 i--,' •
Location
Permit No. 9 '7 7 Weather
Remarks
Excavation •
Footing Forms -J a l<
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 Floo
Interior Trim
Stairs & Raili s
Cellar Dr. Tile
Concrete Floor
Plbg. Fixt es \
Gar. Firoofing \,
Door Closers
Chimney
Water Meter Inst.
, Septic Approval
Floors .
Insulation Foundation •
Walls
Ceiling
Building Inspector
REMARKS
i
1
I \/ z
I
o ,
•
'
Ii
*F\0 uk-Sri., .
V
- - —