1786 x
CERTIFICATE C F OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 27 1972
This is to certify that work requested to be done as shown by Permit No. 1786
has been completed
This structure may be occupied as,a Cant F a m i l y Dwelling
Location L.O t 11. Apia 1 eH o u S e h.ja n e
Owner llicbard Spector
By Order Town Board
TOWN OF QUEENSBURY-•,
Building & zo t Inspector
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BUILDING PERMIT
TOWN OF QUEENSBURY
No. 1786 M
WARREN COUNTY, NEW YORK C?
O
PERMISSION is hereby granted to Richard Spp tnr v
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OWNER of property located at i_ct 1 l Apple House Lane Street, Road or Ave. n
in the Town of Queensbury,To Construct or place a Dwelling
T
e System
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
62 Webster Avenue r
Glens Falls, New York
12801
2. CONTRACTOR or BUILDER'S Name
John Cifone
3. CONTRACTOR or BUILDER'S Address
89 Cooper Street
Glens Falls New Ynrk 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
►Wood Frame t 1 Masonry ( ►Steel ( ► r
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7. PLANS and Specifications
F-'
F�
No-241X361 as per plot plans and specifications submitted enc.
sewage system to
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8. Proposed Use
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One-Family Dwelling Sewage System
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C/O 5.00 rrnn
$_ 16„C10 PERMIT FEE PAID —THIS PERMIT EXPIRES 19 79 t,
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 18 Day of May 19 72
SIGNED BY fo the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
(Spare inside block to Ix. filled in by
WARREN COUNTY, NEW YORK Building Inspertor►
Application for %).plii itiwi No.
Permit ',sited 1'1. .
BUILDING AND ZONING PERMIT 1,1.,.„"il 1-xpire, VI
7(.1.1112 Ui,tri{1
\ ;ilia. n1 \1'nrl, '
THREE 131 Copies of a PLOT PLAN, Drawn to scale \l'I'l."‘,II by . . . . . . . . . . . . .. . .
showing the actual dimensions of the lot to be built 12,'1n1:ai-1
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
i TOWN Ot QUppi.EMMNSBURY
oATP E 0 j
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A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. fVIM1 1 ,8 1912. .'
The undersigned hereby applies for a permit to do the following work A.M. P.M.d
which will be done in accordance with the description, plans and specifi- I 7IdI9Il0IMIF11I2I3I4I5�6
1 � 1 1 1 t , 1 1 I 1 6 J
cations, and such special conditions as may be indicated on the permit. A
The owner ofis tD / 0,- e-- -7-e,4, '`
•
INp' cl ;P 0 ADDRESS) (/
The pers/ Az9
sponsibie for supervision of the work insofar as the BuildingCode and the Zoning Ordinance apply is:
c �(NAME) IP ). .
Name of Builder. . . .� Address 5 1 �nCJ� . "tee,/. -0 a4
Name of Plumber. . ya-9-6/k..
z G� Address . r D%L�i , ,Q4_�e___ �O 7'
Name of Mason. . Dl'7� Address . '"A . . . . . . . . . . . .acr
C
Lot Number 1/ Unit j stimated value of proposed work$ - / 5d U U
Name of Village . .,. . `y. . . .e5- - - .(Y.
Name of Street . . . . .D.r Q � '✓�-- Side of street: north 0, east Ila south CI. west ❑
Nearest Cross Street G* -,--,-r �/l �v- ^ c5OO — P C) 1 istance from this cross street Ft.
Property is north 0,south ❑,east Fc,west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main 13tiing
❑ Addition to a building. One-family dwelling [�
0 Alteration to a building. Two-family dwelling El
❑, Demolition of a building. -family apartment house 0
Store building ❑
-car attached garage 0
Other:
• Accessory Building
One-car detached garage 0
❑ Other work. Describe: Two-car detached garage 0
Private chicken house ❑
Private storage building . 0
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, silt and setbacks of pro-
- - posed buildings,and the location of all existing buildings.
NORTH n r Show proposed buildings) in dotted line and existing
a/p ti 1 S n®N J) d64 P a f�il huilding(s) in solid line.
1 _--i
r,� Size of property /(�✓�. 7( ft. x /0 d ft.
S. ` of Size and use of existing buildings, if any
$ r1, - m Size of proposed building . . .(4• • . . ft.x . . 3 C' . . . . ft.
"' S r- Height(from grade to ridge) ft.
Front yard ''O ft.
Il- Side yards �' U ft. and ft.
�oc� 1. -�`
VI
41 Rear yard 9' 7 ft.
iu
SOUTH If on corner,setback from side street ft.. ..
Note: All distances are net, es *assured from street side
line to nearest part of building.
(OVER) •
.
, (cont'd.)
BUILDING SPECIFICATIONS., .
Kind of construction: Wood frame, fire safe. etc.?. . . . . .W 0 D• •0. • . . ... ..•rt.1R.11.•� . . • • • . • . • . • • • • • • • • • • • • • • •
Will any second-hand lumber be used? If so, for what?
Material of foundation walls 3. .e,M.�.UU.. . . . . .13 L.l�C f& Thickness . . . .1.0
Depth of foundation walls below grade 4 ' Continuous foundation?
Will there be a cellar? >/ (:S If so, material of cellar floor C €.V'V\ L iv T 3C96 O psi
Type of roof: Sloped or flat? $.U P Ev Material of roof Q t P 4- S N \ rU G c E.$'
. . . . ' ", spacing "o.c., length •
Size,wood studs ' x ft.
Size, floor beams, 1st floor C " x ", spacing /� "o.c., span ft.
Size, floor beams, 2nd floor " x Q ", spacing l • "o.c., span / ft.
Size, ceiling beams " x ", spacing "o.c., span ft.
Size, roof rafters or beams " x . • ; ", spacing / "o.c., span /02 ft.
Exterior finish %!'L r Z.21 T_• . • • . • . . • • With what material?
Finish of interior walls. . .✓z [.G,r</L, -4_Y
If garage is to he attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system . . . .. 1 .4. . . . .Fri. o.l. _ .' 1.t2. Oil burner or coal? ;
Will a flue-lined chimney be provided? . . . .V. L..S . . . . . Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? NO Depth of fireplace hearth
Will a toilet be installed? - y c S .
Will a kitchen sink be installed and connected to water supply? k/ E S
Water supply (public water supply or pump) lU U P
•
Distance of cesspool from any private well I () 0 F I feet
Will drainage system be provided with required traps, cleanouts, and vents? L !v 5
AFFIDAVIT
Town of Queensbury
County of Warren ss.
State of New York
I swear that to the best of my knowledge and belief the statements contained in this application,together with the plans and apeei&sCations sub-
mitted, are a true and complete 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 omm 'ed with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature Z✓lr i,e./r/." 4-'7
0 NER.0 ER•S AGENT. CMtTECT.CONTRACTOR
day of 19 _ .
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
By
,: .,
USDA—FHA
Form FHA 424-2 DWELLING SPECIFICATIONS Date
(Rev. 9-21-64)
NAME COUNTY STATE
INSTRUCTIONS.—Describe all materials and equipment to be included in the proposed work. Where space is in-
sufficient, enter "See Misc." and describe under item 31, or attach additional sheets. All work not so described must
be shown on the related drawings.
GENERAL.—Each item of material and equipment shall equal or exceed that described or indicated. All work
shall be performed in a workmanlike manner an in accordance with the best practice.
1. EXCAVATION:
Bearing soil, type Minimum depth excavation below finished grade
2. FOUNDATIONS: iRe-
t `t
Footings: Concrete mix,' y(J d , Size_1_ _t 4�Dr�. Reinforcing: Type_ yl - ' Size
Foundation wall: Material_1W ' __Size___4 ` '' Mix Reinforcing: Type Size
Interior foundation wall: Material Piers: Material and size
Columns: Material _J.c o^ 1.- Size Sills: Material Size Anchors
Girders: Material and sizes Window areaways
Basement entrance areaway Footing drains _
Waterproofing Parging = -r- _E I. ! Pen_6 F
Termite protection L fa L V (B`l 1 f'!L reI
Basementless.space: Ground cover Insulation Foundation vents
Access doors Special foundations
3. CHIMNEYS: •
Material (3 L 6 c_i< Prefabricated (make and size)
Flue lining: Material .-tt 1.01
tV�=°f I0 L-e Heater flue size p Fireplace flue size
Vents (material and size): Gas or oil heater
4. FIREPLACES:
Type: ❑ Solid fuel; ❑ gas burning; ❑ circulator (make and size)
Fireplace: Facing ; lining ; hearth ; Mantel
Damper Ash dump Ashpit clean-out door
5. EXTERIOR WALLS: '
Wood frame: Grade and species X_" __Jt'lik1F_ ' ____ 0 Corner bracing. Building paper or felt J�J_L t_C.-I
Sheathing jr../s- i,4:1s_`•s thickness 6 " • ; width _'.X_.'__; K.solid; ❑ spaced " o. c.; ❑ diagonal
Siding f0 1.L_r" t__l<y; grade , type ���]����.t_sze - 0 ° exposure "_'!; fastening,A1A?' -
Wall shingles ; grade ; type ' ; size exposure ; fastening
Stucco ; thickness' ". Lath ; weight lb.
Masonry veneer Sills Lintels
Solid masonry: Material ; thickness ; facing Backup Bonding
Door sills Window sills Lintels
Interior surfaces: Dampproofing coats of ; furring
Exterior painting: Material No. Coats Caulking
' Gables wall construction: ❑ Same as main wall; ❑ other
6. FLOOR FRAMING: •.
Joist: Wood; grade and species �L- L _'4__it.'_''�l> r:j ' 1' ✓ i
p ��� Size =���"�; spacing _�k% o. c.; bridging__ __1.2_
Concrete slab: ❑ Basement floor; 0 first floor; 0 ground supported; ❑ self-supporting;
mix ; thickness "; reinforcing ; insulation ; membrane
Fill under slab: Material ; thickness If
7. SUBFLOORING: (Describe underflooring for special floors under item 15) ._
� s,
Material: Grade and species 4.
-__Ir_a_t ti�4JAIi�:'=., /1/�,I,+L'•1.` ; size _L Y, Sr ; type e-..TEi-�L I
Laid: 0 First floor; 0 second floor; El attic sq. ft.; ❑ diagonal; ❑ right angles
8. PARTITION FRAMING: -
Studs: Wood, y I �, l- _-_ p l� ". grade and species _�"�_���_!�_51l� 1��N�'_l�____ Size z�-�`�__ Spacing ___1_t- 0. c.
Masonry: Material ; thickness
9. CEILING FRAMING:
Joists: Wood, grade and species _c' 4L2.) ri.'n. __.al!`fJ i' __I Size __.v? X (a; spacing / "-o.c.
10. ROOF FRAMING:Rafters: Wood, grade and species QJ•f_[EC-___JF1' Size_ Spacing _I "_" o. c. Collar beam _16?___" o. c.
Roof trusses (see detail): Grade and species Spacing " o. c.
11. ROOFING: �/
Sheathing: Grade and species _ ____Fa—4__!..'_C;_CID__; size _.i_i_; type _G_regil,c solid; 0 spaced
Roofing/'S.Lp/}74Z-r ; grade ; weight or thickness UL_'1G__Gh2__; size 53 C�" ; fastesing ;,-(-`_•-'
Stain or paint Underlay
Built-up roofing ; number of piles ; surfacing material -
Flashing: Material ; gage or weight ; ❑ gravel stops; ❑ snow guards
12. GUTTERS AND DOWNSPOUTS:
Gutters: Material ; gage or weight ; size ;shape ; ❑ strainers
Downspouts: Material ; gage or weight ; size ; shape ; number _
Paint: Material and number of coats ; splash blocks
13. LATH AND PLASTER:
Lath ❑ walls, ❑ ceilings: Material ; weight or thickness Plaster: Coats ; finish
Dry wall 0 walls, ❑ ceilings: Material ; thickness ; finish ; Joint treatment
Other ❑ walls, ❑ ceilings: Material ; thickness ; finish ; joints
14. FINISH FLOORING: (Wood only. Describe other finish flooring under item 15.)
LOCATION ROOMS GRADE SPECIES THICKNESS WIDTH BLDG. PAPER FINISH
First floor___. _Li 7/71.=-t-,---- c I-. r;'r A ;:eYi.1 )/a '4
Second floor__ -
Attic floor___.. sq. ft.
15. SPECIAL FLOORS AND WAINSCOT:
LOCATION' MATERIAL, COLOR, BORDER,SIZES, GAGE, ETC. THRESHOLD BASE UNDERFLOOR
o !Kitchen____.
0
w Bath
MATERIAL, COLOR, BORDER, CAP, SIZES, GAGE, ETC. HEIGHT HEIGHT AT TUB HEIGHT AT SHOWER
I-.
0
' Bath
z
3
Bathroom accessories:
16. DECORATING: (Paint, wallpaper, Etc.)
ROOMS WALL FINISH MATERIAL AND APPLICATION CEILING FINISH MATERIAL AND APPLICATION
Kitchen ' - .
Bath '
17. INTERIOR DOORS AND TRIM: , 1 3 �,
Doors: Type __r4L��L6r__=_.�=�4C_� Ai �6// ; material 1_?/ l�_E� thickness __�If____
Door trim: Type ; material _ JL1t1t' ; Base: Type ; material _P,i_,L.2)__; size a& I/
Finish: Doors ; Trim
18. WINDOWS:
Windows: Type ; make l _; material 4 ^ f t ` l ; sh thickness
yp --Gt,'_rTC' Q �-����dj�SG�I�_ 11��--11L���- ��_�_,
Glass: Grade j L Z1-/-) ; 0 sash weights; `balances, type_,S.Y 1 J_C`2J. -. ; head flashing .1(_111L`iL-
Special Windows: Type ; Make _ ;Material ;Glass
Trim: Type ;material PLEI Paint ; number of coats
Weatherstripping: Type __vr_LIV YL' ; material storm sash, number
Screens:• VA full, 0 half Type __ -4 1 2JiYt)47 number ; screen cloth material
Basement windows: Type ; material 0 screens, number ; 0 storm sash. number
19. ENTRANCE AND EXTERIOR DETAIL: „
Main entrance door: Material �[�EL ; width a Q_=_; thickness //3� Frames: Material L A!_�__; thickness j� _
Other entrance doors: Ma't/erial 2:67 4-;-width •-'-3 ; thickness 1_�__". Frames: Material .P1/1/6 ; thickness 4: #t
. Head flashing ___V x L Weatherstripping:: Type _ `vyz./AG/VG-_L; saddles/3612.,431 NILh'L
Screen doors: Thickness - ; number ; screen cloth material ; Storm doors: thickness ; number
Combination storm and screen doors: Thickness "; .number. ; screen cloth.material'
• Shutters: • p Hinged; ` fixed. Railings Louvers _ez _cao .
Exterior millwork: Grade and species _ 19,14,__ 1.IliL%R L`1af rains ; number coats .
20. CABINETS AND EQUIPMENT:
Kitchen cabinets,.wall units: Material ; lineal feet of shelves ; shelf width
Base units: Material _____ ; counter top ; edging -Back and end splash Finish of cabinets . number of coats
Kitchen equipment: Make.and Model
Medicine cabinets: Make - - ;• Model
Other cabinets and built-in furniture '
21. STAIRS:
% TREADS RISERS STRINGERS HANDRAIL BALUSTERS
STAIR
Material Thicknessh Material Thickness Material Size No. Materialp Size Material Size
Basement �7P -1 {��s_d- - yo - sig*!eE_alo. . _r�i �_. _f-iv_---••-- 4--,-+/JILT---
Main -G K - --5/i P E__..�1" -��(/�/ -aid. - -MA_- f ---- &IP J"
Attic - -- - -
Disappearing: Make and model number - - -
22. PLUMBING: -
FIXTURE NUMBER LOCATION MAKE- 'MANUFACTURER'S IDENTIFICATION NO. - SIZE COLOR
Sink 33 X S0 _ir. - n -
Lavatory 7r-._ c ,/
/y o `
Water closet �2 // _.
Bath tub X _.2 c 44_ C
Shower over tub_ ___
Stall shower____ _ ______. -
Laundry trays___
- House drain (inside):❑ Cast iron; 0 other __ ; Sill Cocks: Number
Water Supply: PC] Individual Public - 0 Community System
Water piping: 0 Galvanized ste copper tubing; ❑ other - - - -
Water heater: Type ____ rr
,_ • make and model _
Storage tank: Material __1_ �� �� v -- - capacity 0 gallons.
❑ gas piping: 0 cooking, 0 water heating, ❑ house heating '
-23. HEATING. AND VENTILATING: - --
❑ Hot water. ❑ steam. 0 Vapor. ❑ One-pipe system.- ❑ Two-pipe system. ?;; -
❑-Radiators. (=,.Convectors. ❑ Baseboard radiation. Make and model
Boiler: Make and model - output Btu; net rating . Btu.
Warm air: 0 Gravity. orced.Ty e of system ,
Duct material: ei� ✓ Z) 4`- ) Insulatio ickness ❑.Outside air.intake
/ / '- output Gw
Furnace material: Make and model �/0�2�_�__z '-"�' , - � Btu.
El Space heater; 0 Floor furnace; ❑ Wall heater. Number of units ; output Btu.
Make and model .
Controls: Make and types ' ' - - _.
Fuel: ❑ Coal; ❑.oil;, 0 gas; ❑ liq. pet,-gas; 0 electric; 0 other ___;_storage'capacity
Firing equipment furnished separately;. 0 Gas_ burner, conversion type. Stoker: ❑ Hopper feed;,.❑.bin feed
• Oil, burner: ❑ Pressure atomizing; -❑ Vaporizing •
Make, model' Control
Electric: ❑.Ceiling ❑ Wall 0 Baseboard - Number of Units••
Make and model ; Input • Watts @ Volts Output Btu.
Ventilating equipment: Attic fan, make and model ' - Capacity. _c. f. m:
Kitchen exhaust fan, make and model. Capacity_ - _• c. f. in.
•
Bathroom exhaust fan: Number Make and model Capacity c. f. m.
Position, 6 - -FHA 424-2 (Rev. 9-21-64).
24. 'ELECTRIC WIRING:
Service:r Overhead 0 Underground
Distribution Panel: ❑ Fuse box,Al circuit-break; Number of branch circuits Size of Wire
Interior: 0 Conduit, ❑ armored cable, ❑ nonmetallic cable, ❑ knob and tube, ❑ other
Special purpose outlets: ❑ Range, 0 water heater, 0 furnace, 0 dryer, El other
•
25. LIGHTING FIXTURES:
Total number of fixtures Total allowance for fixtures, typical installation, $
•
26. INSULATION:
LOCATION THICKNESS MATERIAL, TYPE AND METHOD OF INSTALLATION VAPOR BARRIER
Roof
Ceiling - k " Elbe, R 6_L 7 sa__PP P RBia :K - S71:2P Es 134 P •
Wall - 3 " FIPER- .zAss FWIctiB AZ_EAT" P.Q1_uc7-/`I'46 `67
Floor
27. FINISH HARDWARE (Make, material, and finish):
LLI EISE/ 773 (f Sr qj_E.
Cash allowances $
28. PORCHES:
Foundation construction (describe)
Floor Construction (describe) Finish
Columns (describe) Ceiling and finish
Roof construction (describe) Roofing
Other
29. GARAGE OR CARPORT:
30. SEWAGE DISPOSAL:
❑ Public Individual ❑ Community
Septic tanks: Type - ri./K-44X-AL6 ; material ; Liquid capacity IU U gals
Distance from: Well /U C7 ft., Foundation ft., Nearest lot line; ❑ front ❑ side 0 rear ft.
Tile system: Material ; size ; length __; number laterals
Distance between lines trench size Gravel or Stone; "under tile, " "over tile
Seepage Pit: Lining material ; O. Dia. ft., Depth ft.
Distance from: Well ft., Foundation ft., Nearest lot line; ❑ front ❑ side 0 rear ft.
31. LANDSCAPING, PLANTING, WALKS, DRIVES, AND .FINISH GRADING:
MISCELLANEOUS:
(Describe any materials, equipment or other items not shown elsewhere):
Submitted by:
Applicant
Prepared by: Approved by:
County Supervisor
•
*GPO 822-770
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