8501 C/O Paid
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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. 85 01
has been completed.
This structure may.be occupied as a One—Family Dwelling
Location Lot 4 Big Boom Road (Lambert Subdivision)
Owner Rona 1 d Rnhi•1 1 arr9
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. 8501
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Ronald Robil,lard
Lot 4 Big Boom Road (Lambert Subdivision)
OWNER of property located at Street, Road or Ave.
(existing foundation)
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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
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. r
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1. OWNER'S Address is 26 Terra Cotta Avenue ~'
Glens Falls, New York n
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address ti
O
Same rt"
4. ARCHITECT'S Name
N.
0
0
5. ARCHITECT'S Address
0
0-1
sv
6. TYPE of Construction—(Please indicate by X)
14 Wood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications 24 'x24 ' detached garage
32 'x56' per plot plan, specifications and application p
No. submitted including sewage system. Will use existing m co
foundation - see permit 7494 issued to Darlene Gould, H• I
8. Proposed Use August 13, 1982. fi pv
N.5
One—Family Dwelling ,,�
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$5. 00 C/O Paid o t7
s✓ �
$ 122. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 84 H
H
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt
town of Queensbury before the expiration date.) H.i
Dated at the Town of Queensbury this 15th Day of May 19 84
SIGNED BY 1//1 a f41 for the Town of Queensbury
Building and Zoning Inspector G
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TOWN OF QUEENSBURY (Space inside block to lie filled in be
WARREN COUNTY, NEW YORK Building Inspector)
pplication for Application No. ,
l'crntit Issued - 19
BUILDING AND ZONING PERMIT I'ormit Expires. ►g.
"toning District
. \• aliic (,I Work .l�
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\pi„.„ ccl by
showing the actual dimensions of the lot to be built 1tt'nt:irks"
upon, The exact size, and location on the lot of the .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBURY.
DATEREG ,E V" D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK T
ANSWER ALL OF THE FOLLOWING. iY,7 ��� F. •
The undersigned hereby applies for a permit to do the following work , 1 , ,
which will be done in accordance with the description, plans and specifi- ,P516
1 . '
cations, and such special conditions as may be indicated on the permit. L. .
The owner of this property is:
'i C2u, b. . Xo.,Q./. LI M ,Z 7-6,A5ct Cdnf.7 1/6.i1.6..,L6AJ6 ff},z„LS, ,i, y. , i'?goL
(NA•.„E) (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)
Name of Builder. ./).0 rU/ Lb. . d106%I.1-./3-.X.6 Address . Ye4z.fa 9. 40..m. ().v.4). .6Lo,6//i.L:.S.t./.1:y. .
Name Of Plumber.A.0 L1./9 Lb /i°6.).4i,A.J 1 Address.,46) 7'6AA 4 ,Co T, .M.. 64.65 691-0t.xJ:'l. . .
Name of Mason.AO 9.L..6. . . 1;.0.61L.1.tm.i...) . Address - 6 7-64 A & rm I)w.,•, 06144 `f1 Li,S) Lb,/
Lot Number Unit Estimated value of proposed work S . -" 4''-'i oZsej
Name of Village TOW A1. .vi .a..Q6.t0..5.f.3..0A`/
Name of Street . . A81.6 .'00.r1 • •AC•Ab Side of street: north 0, east 0, south, 0. west El
Nearest Cross Street . .6 L•\f l k;t/,. ./i oi9b Distance from this cross street . . . l,.,.LY)/.tit.- . . . . 141.
Property is north jai,south ®,east i, west from Cross Street
If on Corner, which corner, northeast L7, 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 Buittiing
❑ Addition to a building. . . , One-family dwelling
❑ Alteration to a building. Two family dwelling ❑
❑ Demolition of a building. -family apartment house D.
Store building ❑
-car attached garage ❑
' Other:
" Accessory Building •
One-car detached garage ❑
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14 Other work. Describe:.GD/US.%/?0.6Y OA.J OF Two car detached garage K.
ill e./). . H O. &. .OAJ. ., . . P.e6--4X.!s/.;A(6 Private chicken house ❑
• I d ' Private storage building CI
f 4 U.A). .3./'.. .DL.t.... . .D�T i_t- . . . .(.r�.C1.)- ,,-`_'=• Other: '
Lr , u G74(
ZONING SPECIFICATIONS. Fill n for new building, or addition to existing building, or a change of occupancy.
- .• Indicate on the plot plan street names, the location,and
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size of the property, the location, size and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
building(s) in solid line.
Size of property . . 46.7, 5. • • ft. x /76 ft
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• Size and use of existing buildings, if any
in In
s. m Size of proposed building . . . . :..51. . . ft.x S'S ft.
Height(from grade to ridge) ft.
Front yard JP. . . ft.
Side yards /G. . . . ft. and . . . . . .6.�7.' . . . ft.
Rear yard //•r ft.
SOUTH If on corner,setback from side street feet. . 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.?. L/J.a4.i. ./.'Jl.faln6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? . . A.J If so, for what7
Material of foundation walls . . MbIt.)J Thickness ./.0
Depth of foundation walls below grade X.2 Continuous foundation? y�
Will there be a cellar? 966 If so, material of cellar floor .6,/f.1Ji
Type of roof: Sloped or flat? S La 1'6 b Material of roof . .j.1/./ LJ4/-e6. . .( 6.4�STaS
Size, wood studs "x 6 ", spacing /6 "o.c., length • ft.
Size, floor beams, 1st floor .>.1 " x /O ", spacing /69 "o.c., span ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams " x .- (� . . .. spacing /lv. ."o.c., span ft.
Size, roof rafters or beams "x . ( U�� ", spacing /6 ."o.c., span ft.
Exterior finish With what material?
Finish of interior walls. . 3 J.'/& T P,O.LK
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? .AN
Kind of heating system IOQb Oil burner or coal?
Will a flue-lined chimney be provided? .16.5 . Depth of chimney foundation below grade A/-
Height of chimney above roof '
Will there be a fireplace? Y66 Depth of fireplace hearth c
Will a toilet be installed? 9 -5
Will a kitchen sink be installed and connected to water supply? /&O
Water supply (public water supply or pump) . .P.U.6,14 A'. ..:sU.f PLY •
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. hia-j of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are.a true and co.,.p lete statement of all proposed work-to-be-done on the descnbecTp`rehuses and that all provisions of-th�UILD-
ING CODE,THE ZONING ORDINANCE,and all other laws-pertaining to the proposed work shall flied,with,whether specified or not,
and that such work is authorized by the owner. � )
Si ature .... ._ �� �' - ..(/...L., / t-. \._ ....
Sworn to before me this OWNER.OW ER`S AGENT;ARCHITECT.CONTRACTOR
da of /.f��GG!.. 9_4/
NOTARY UBLIC. WA N CO Y. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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By
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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: •
/600
1. Gross floor .area Aptigegi
2 . Type of heat /J)OOb
3 . Is the building mechanically cooled? /J )
' 4. Percentage of area of windows and doors pra /N
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
R-3Y
• 2 . R value of exterior walls ,-j9/
3 . R value of glazed area A7-,1,/, p61/ PAd/--
4 . R value of doors iq-/j
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)
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9 . R value of heated basement/cellar walls (below grade) 1,6 i
10. Type of insulation c/ ,g f f( ,(,,7 J ,5,3
C. Controls
1. Thermostat maximum heat setting go °
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 ha
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency 1%71460Z,
2. Temperature control setting maximum •
G. For Swimming Pool Only
1. Maximum heating
Telephone No. 793-- 7 9
' (app icant ' ksignat re)
TOWN OF QUEENSBURY
BUILDING &ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
Rilf3 ( 1,1_, ARI)1. Owner' s Name -toi\j /q �Jl
Address 46 -� fit eAryrrfr Ave, ) L-6,05 f/ L1,5/ U Y1 /O? O l
Telephone No. 79,3 - 9
2. Property location Ad, B0a ) •
3 . Name of person or firm responsible for installing system
(OU,)A)F,, J Rci,, 9,Ai t ,66 ARIA R Telephone No. 7713-7.4'
Address 44 - 7 4AA & 7Th1' r9 VA, 1 6,16fo iALL6, A.M4.) 11411K /.1g'cl!
4. Number of bedrooms (residential buildings only) j
5. Daily flow gallons/day
6. Septic tank capacity / 0 O 6 gallons
7 . Topography: flat, rolling, steep
% of slope fw)-j
8 . Nature of soil and depth
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? ft.
10. Percolation test: A is required
B is not required
C If required what, is the rate minutes/inch
11. Water supply: municipal, well, other 764W p p 6I04A1MoA y ir)MYf P,
12 . Type of system proposed: drywell, tile field, other
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
Qu.eensbury .Sanitary Sewage Ordina,p.ee
Date
Jsigna ure ap' licant
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.
TD /6-0-174
Form 3-.8 25•0 I, r / l Lg /� �
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 -' L J`•/,:C1_''L. COUNTY
- . STREET AND NO.OR
ROAD AND POLE NO. POLE NO.
BETWEEN WHAT TWO f✓0«7 ;{ 6.J U jT r,} pZ—i:
C4�Cr4 )•CROSSSTREETSIS
PREMISES LOCATED? /aJr
SECTION BLOCK LOT
OCCUPANT'S ,r BUILDING NAME ).,,,� r/,/f/»- OCCUPANCY ) L.J (-_/`.J/{)t5.
OWNER'S NAME
AND ADDRESS
CURRENT -
SUPPLIED
BY - - r - . . -_ FROM THEIR / .;;. OFFICE
BUILDING NEW El OLD❑ ElREMODELED IS
DEFECTS
ISNEW ❑ ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
Loca-
tion
Ceiling Side Attach't Switch Pendent Bracket No. Type H'P' No. Watu No. A W'G' NO. WATTS
Wall Recept'Is Each Each Gauge 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
ENTERS MAKER.
BUILDING �`�•-`�. OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS /
POSSIBLE f..li/ (1./// !/ NEW OLD Fl
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF DATE OF
APPLICANT APPLICATION
STREET ADDRESS • -
CITY OR /. ZIP LICENSE NO.
POST OFFICE - . . CODE - I WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBURY
Building Department Inspectors Report Date 7/4/ .j
'-'(
Name ic;:c3 /
Location J/'& fer)
Permit No. `�' ��t 1 ( Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
•
Final Survey
Framing //� .�� •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer / /J
Rough Plbg. df Relief Valves
Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors /
Plbg. Fixtures V
Gar. Fireproofing /\
Door Closers /
Chimney /
Water Meter Inst. /.
Septic Approval
Floors '
Foundation •
Insulation
Walls
• Ceiling
/ lam-/ L �)
Bui ding Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department p. v�
Inspectors Repart. Date 4-74
Name IqohaI d • R0 /3 ; /1cir-d
Location i T 1.1 2;5 13 dQ n-, c1
Permit No. O / Weather
Remarks
Exca fia 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
if
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
TOWN OF•QUEENSBU RY •
Building Department
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Inspectors Report Date I/" ..379'
Name /.q-,2
Location (-/ /�c�-��,•, �
. Permit No. '9 CO/ '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 6
Finished Floor 1
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/i2 Inspectors Report Date S .`7Name 1,-��q s g01.1 //a-o,2
Location L( , C o ith re_d .
Permit No. W other
Remarks
Excatation
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
4
Building Inspector
REMARKS
CS1Pl 1bD
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