8613 C/O Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK •
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Date jinn e F. 19 E.
This is to certify that work requested to be done as shown by Permit No.
"c513
has been completed.
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This structure may be occupied as a One amily r)taTe11 i_nq
Tee Hill Road
Location
Owner Raymond and Gail Chandler
By Order Town Board
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TOWN OF QUEENSBURY
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Building & Zoning Inspector
CREATIVE "INST A" PRINTING. GLENS FALLS. N V 12801 (518)793-5658
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CONDITIONAL
CERTIFICATE OF . OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Septem1-)er 2E 19 8
This is to certify that work requested to be done as shown by Permit No. 8E13
has been completed.
This structure may be occupied as a One—Family Dwelling
Location Tee Fill Road
Raymond and Gail Chandler
Owner
CONDITIONAL CERTIFICATE OF OCCUPANCY By Order Town Board
PENDING COMPLETION OF RETAININ(; .WALL •
IN REAR YARD, TOWN OF QUEENSBURY
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Building & Zoning Inspector
CREATIVE ••INSTA" PRINTING. GLENS FALLS. N Y 12801 (518)793-S658
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BUILDING PERMIT
TOWN OF QUEENSBURY No. 8613
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Raymond and Gail Chandler
OWNER of property located at Tee Hill Road
Street, Road or Ave.
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. sv
1. OWNE R'S Address is Middle Road ¢
Lake George, New York
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2. CONTRACTOR or BUILDER'S Name o
Fregoe Construction
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3. CONTRACTOR or BUILDER'S Address Fi
R. D. #2 Box 2209
Lake George, New York
4. ARCHITECT'S Name
N
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5. ARCHITECT'S Address •
I-1
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6. TYPE of Construction=(Please indicate by X) •
( ) Wood Frame ( ) Masonry ( )Steel (X) Logs
7. PLANS and Specifications
40'x30' per plot plan, specifications and
No. application submitted including sewage system. o
8. Proposed Use
One-Family Dwelling 5
$5. 00 C/OPaid t:)
$133 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 85
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 3rd Day of July 19 84
SIGNED BY na /�,�G��y� for the Town of Queensbury
Building and Zoning Inspector
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TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
!"P 1'ccrmit Issued 14. .
BUILDING AND ZONING PERMIT l't.rtnit P.xpires. ►g.
%nnin;; District - (�
• \ :ilia. id Work.'
i
A
THREE (3) Copies of a PLOT PLAN, Drawn to scale . 1t 1trtt`c•clht' ,7
showing the actual dimensions of the lot to be built ltct„arKf
upon, The exact sire, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
/MO 43 (0/2../eil TOWN OF QLIEENSBURY
RECEHE
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK w �l 1984
ANSWER ALL OF THE FOLLOWING. J P` ' c=e'
A.M. /-' r` P.M.
The undersigned hereby applies for a permit to do the following work �Iglglp�11�12�112 3I4j5I6
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. f - f1� d /
Thwner of this property is: -
VP-i mom, 6)C ,.C:-G� i �[e c.\ . . . . l(d Ue nc) L�, -. ... � -
(NA,'E) • (P.O.ADDRESS) •
The rson responsible for •supervision of the work insofar as the Building Code and the Zoning.Ordinance apply is:
Y R Doi B.0 .��D oc .ri c'a .L'2� La6 &_.e . .
�J.�.me> .r e�2 t t
(NAME) (P IO')ADD/R�E'SS{
Name of Builder. l.re- G'�' Ce"�E�" Va. c.'� Address . 4'e � �
Name of Plumber Vey)
Address
Name of Mason. . V y) S,-. t Address 'VOA- A-�'^
Lot Number 2'4 Unit Estimated value of proposed work S gOUcsc'
Name of Village
Name of Street . . . 1?r' . RS I Side of street: north 0, east 0, south 0. west x
Nearest Cross Street R ER12Don/ -R.,,1> Distance from this cross street t 4 Q ' Ft.
Property is north ,south ❑,east L ii, west ❑from Cross Street
If on Corner, which corner, northeast 0, northwest ❑, southeast El. southwest
(Designate by marking with an "X" in the correct space.)
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NATURE OF PROPOSED WORK OCCUPANCY
0 Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling a
❑ Two-family dwelling Alteration to a building. -family apartment house •❑
CI of a building.• Store building ❑
-car attached garage ❑
Other:
• Accessory Building
- One-car detached garage El
❑ Other work. Describe •
Two-car detached garage ❑
Private chicken house CI
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
I uilding(s) in solid line.
Size of property lig 117 7' 151' ft lx7 ft.
Size and use of existing buildings, if any \P
F
s m Size of proposed building 40 . ft.x 3 Q• . . ft.
Height (from grade to ride) -` 1-- ft.
Front yard SD i ft.
Side yards . . . .. . ... . . . • • • . ft. and 40 ft.
Rear yard (7, 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.
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(OVER)
7-73—M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.7 1c1c. "4 0x
Will any second-hand lumber be used? n C' If s—o, for what?
Material of foundation walls I.0 .�(c, � cb(c k. Thickness . .1 P
Depth of foundation walls below grade . . . Continuous foundation? . .4i.0 . . .
Will there be a cellar? . . .yam If so, material of cellar floor . . . . rhe a l
Type of roof: Sloped or flat? . . ..),' . Material of roof U.5(:?er#t�-ti..:, 5.1-1,
Size, wood studs ,- " x L- ", spacing I(p "o.c`., length •- ft.
Size, floor beams, 1st floor y"x C ", spacing (.ta. . . ."o.c., span ((o. . . ft.
Size, floor beams, 2nd floor , " x . . ", spacing "o.c., span )Z.. . ft.
Size, ceiling beams 2_ " x g ", spacing 1 "o.c., span I' ft.
Size, roof rafters orbeamss .s _ "x ", spacing .7. . ."o.c., span �J. . . . ft.
Exterior finish L�jj..,. .Y2.- cl.5 0: With what material?
Finish of interior'Walls. . . . . .`. . 1x(0 VC11 ;;;-;a� / 'sI��-e--4.--coc_1.c. •
If garage is to be attached, of what material is wall between garage and main building to be constructed?
414
Is there to be
an opening between garage and building? '—
Kind of heating system .(0,-.1- .�l elea - k:<•w,ir[ Oil burner or coal? `—
Will a flue-lined chimney be provided? y . Depth of chimney foundation below grade 7
Height of chimney above roof
Will there be a fireplace? t( 5 • epth of fireplace hearth
Will a toilet be installed? tic S
Will a kitchen sink be installed add connected to water supply? t- eS
Water supply (public water supply or pump) . . . L.i.e_t i
Distance of cesspool from any private well '1 ZD feet
Will drainage system be provided with required traps, cleanouts, and vents? . . . . e'er
Town of Queensbury AFFIDAVIT t
County of Warren
State of New York
I swear that to tt ve,rof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, area true and co.,.p lete statement of all proposed work to be done on the described p mtses and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining toi e proposed all be complied with,whether specified or not,
and that such work is authorized by the owner. - - /
Sworn to before me this Signature '. g''.; ,�{.�
OWNER. NER AGE(T' CHITECT.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 4-Ox .30 MO s1j I
2 . Type of heat o voe,re
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors viiJ
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 CetNO
a. Are foundation walls insu ated? YES NO below rc,Ll�i)
1. If YES, what is the R value? 5
3 . Slab on grade YES
a. If YES , what is the R value of insulation around
perimeter of floor?
4. Is basement heated? 410 NO
a. R value of insulation
5. Type of insulation 2bp,e- -
Under 16% Only
1. R value of roof and floors exposed to ambient conditions_
2 . R value of exterior walls
3 . R value of glazed area
4 . R value of doors
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)
9 . R value of heated basement/cellar walls (below grade)
10. Type of insulation
C. Controls
1. Thermostat maximum heat setting 7(,
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES (27:1:2-)
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 trtIa
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency {,�(n�1
2. Temperature .control setting ihaximum
G. For Swimming Pool Only
1. Maximum heating "
Telephone No. 4WSZ04 ` .(' //j,�jjr"
applicant sgignature)
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TOWN OF QUEFNSBURY
BUILDING & ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. _ Owner ' s Name e7. hnelnd 4-
Address Mae 74 talee) Gem Ivy
Q 1
Telephone No. 46g-2014
2. Property location --a, 14111 'Pc
3 . Name of person or firm responsible for installing system
'Dov d Gp,rQ Telephone No. (,(cg- ems-8
Address tala acre 5. Lake 6,04.4,
4 . Number. of bedrooms (residential buildings only) L}. .
5. Daily flow gallons/day
6. Septic tank capacity'Zy(g (g-Zq '��, < a �Q ( / gallons
7 . Topography: AgglIProlling, steep •
% of slope
8 . Nature of soil and depth Sir
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? qa ft.
'10. Percolation test: A is required
B ... is not required
C If required what is the rate minutes/inch
11. Water supply: municipal/CD other
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
Queensbury/ Sanitary Sewage Ordinance.
Date 6 0/9/0 '/ Av`i/4,j,�
4e
/// sign tur Off/fapplicant
On separate sheet of paper submit a ! iagram 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 .
Form 3-82
.. A 4A.IJ.• - -- -- - A - 4 - i I I -.
1,, 4001297 THE NEW YORK BOARD. OF FIRE UNDERWRITERS
1; BUREAU OF ELECTRICITY
�; 41 STATE STREET,ALBANY,NEW YORK 12207
Date October 15 , 1984 Application No.onfile 059 j5 _ (L /Is �� ��
i THIS CERTIFIES THAT A. '
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-' .only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
.12- -<, Mr. & Mrs. R. Chandler, Tee Hill Road, Glen Lake, New York
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in the following location; ®• Basement :0 1st Fl. a:2nd Fl. O1_1tEl ide Section Block Lot
•- '�; was examined on n 7 S f Q 4 and found to be in compliance with the requirements of this Board.
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d; FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ,.
RECEPTACLES SWITCHES ERCURY
OUTLETS INCANDESCENT FLUORESCENT MMI AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P: ,�
-c� 32 42 27 39 2 FP 'y
:T
-Ik' 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.P. NO.OF FEET 'AMT. WATTS
Y
1 :.17T!1D - o =
0.<1 SERVICE DISCONNECT NO.OF 1 Omer S10 E R V- I C E ;,.
'AMT. AMP. TYPE METER 1,H'2W 1,9'3W 3,B'3W 3,9'4W NO:OF CC.COND. OF CC.COIJD. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF N UTRAL T
1 200 GB 1 x 1 4 0 1 2/0
OTHER APPARATUS: Y
r
Elec. Heaterl0-1 . 25kw; 3--4 .5kiy ,T
2 SmokeDetectors y L
`' 2_15 amps GF G I Receptacles 'T
., i
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-' K&D Electric •
' P.G. Box 44i' LayR lure Lane 229
BRANCH MANAGER
Chestertown, New York ,.r
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;x. 4 -
' Per %
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., COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENS BURY
Building Department
inspectors Report Date 6 ig-#
Name q-V C 1 .✓a I e:z_
Location - 1=t i
Permit No. SG ( I Weather
; JL v SUy� Remarks
T Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Ba ckfi ll
Final Survey
Framing
Sheathing
Roof Felt 4./(\K
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board ‘49_/1--
Ext. Porches t%&-£-,
Finished Floor ✓&..1---
Interior Trim U/f4 -
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
F CeiT4 Ic/0 /1/S c
oz�c /L
Dtce. JC cr6 a.rc
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P/119.
TOWN QUEENS BURY
Building Department
Inspectors Report Date cip 11.
�Name � �'' ,afr/
Location ;� - ,1 r zc4
. Permit No. 9 c S Weather
•
Remarks
Excat)aton
Footing Forms •
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey •
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. 1_
Relief Valves
Wall Board
Ext. Porches v �
Finished Floor✓ Cis'1l /1
Interior Trim kr'''
Stairs & Railings '
Cellar Dr. Tile
.Concrete Floors f
'Plbg. Fixtures V 0// .
Gar. Fireproofing 4!74-
Door Closers ✓ W A.1
`Chimney ✓
Water Meter Inst.
Septic Approval
FloOts •
Insulation Foundation
Walls •
Ceiling `
Building Inspector
REMARKS
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yen (4re_ 0 era G(0eZ c(:) A7-,
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(N&tt h qv- Y arc{.
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TOWN OF QUEENSBURY
Building Department
inspeetars Kurt Date P
Name__�f'37}L�S ex� j, C-` /-/4-m e.r,
Location y 'L ¢/ Cr. r I }
Permit No. -T 1p Weather
Remarks
Excatia t 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
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
`Building Inspector
REMARKS
CP.FFegoe COns �c t0r1 : .
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