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8877 L,u .vaiu CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date August 27 1985 20 I 3.01.•dio) 34, This is to certify that work requested to be done as shown by Permit No. 8877 has been completed. This structure may be occupied as a One-Family Dwelling Location Lc'c2 Peggy Ann Road i„ Owner Joseph R. Carusone By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE '•INSTA'• PRINTING. GLENS FALLS.: N Y 12801 I518)793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No 8877 • WARREN COUNTY, NEW YORK 0 = fD PERMISSION is hereby granted to Joseph Carusone Land O'Pines Sub. , Section 4 , OWNER of property located at Lot 152 Peggy Ann Road Street, Road or Ave. One—FamilyDwellingn in the Town of Queensbury,To Construct or place a A) 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. 0 1, OWNER'S Address is RD #2 Peggy Ann Road - m Glens Falls, New York • 2. CONTRACTOR or BUILDER'S Name Robert Weaver, Jr. - I:i 0 3. CONTRACTOR or BUILDER'S Address 1-1 Glens- Falls, New York ro 4. ARCHITECT'S Name 5. ARCHITECT'S Address • • • p3 6. TYPE of Construction—(Please indicate by X) • (x)Wood Frame ( ) Masonry ( ) Steel ( ) _ 7. PLANS and Specifications - - 72 'x28 ' per plot plan, specifications and No. - application submitted including one car o attached garage and sewage system. - m 8. Proposed Use 'zJ One—Family Dwelling N, $5. 00 C/O Paid o $ 103. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 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 H town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 15th Day of November 19 8 4 SIGNED BY (.�- a for the Town of Queensbury Building and Zoning Inspecto LO TO '"}'N OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Alication for Application No. pP Permit Issue& 19. . BUILDING AND ZONING PERMIT P,,•mit Expires 19. Zoning. District • \ a l nr nl Work 1 // �.� THREE 13) Copies of a PLOT PLAN, Drawn to scale \pinu�ecl hY t��Q X_ showing the actual dimensions of the lot to be built 1zc•inarKs 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 ( I�/ �� / � ATE RECHVED , A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 14A/ .I 4 1984 ANSWER ALL OF THE FOLLOWING. M. 1d$ �e g. l The undersigned hereby applies for a, permit,to do the following work � � 3�¢15I6 which will be done in accordance with the description, plans and specifi- a o a�1.0�1?�1r- e '2t a o cations, and such special conditions as may be indicated on the permit. ; t.a I r e, C_/b TQ. uson he owner of this property is: c Q _ `�4 El C/ Rb.I® P•ej/AD RES51 vi A.RD �P The rson res nsibie for •su rpit Qvision of the work insofar as the Building Code and the Zoning Ordinance apply is: IQso ( AMEI -Name of Builder. . R.®40 . .I.4.4•dt it. Al .0k. .Address . . a,. .�n s.Fo// . . y 1, r t' Name of Plumber. .+ II.�� .•�e `•e S Address I utiSon •0�` ds Name of Mason. . . 6 . t t�.O f it Address • 4.f Lot Number. . ./e$ • . . Unit �� Estimated value of proposed work$ ®®® Name of Village V'f Name of Street 5 4.� Side of street: north 0, east 0, south %. west CI Nearest Cross Street . . • Distance from this Bross street At6O Ft. Property is north' 0,southeast 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 ' Ne 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 . ❑ - . . . . I -car attached garage 'fIr Other: • Accessory Building . • One-car detached garage ❑ ❑ Other work. Describe. Two •car detached garage 0 • 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 / "® _ ft. x •1•d• • • ft. Size and use of existing buildings, if any F s m Size of proposed building . . 9. . ft.x . 8• • . ft. Height(from grade oridge) . . t ir ft. Front yard yq _ ft. Side yards . . . .t.T'0 . • . . ft. and . .P� ft. Rear yard •6'6 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., _ - A ,� LUeeel Kind of construction: Wood frame, fire safe, etc2 FT w,� � Will any second-hand lumber be used? . . . .n'Vq'�• . • IfIfp s , fo what Material of foundation walls . . . . , . , . . . c • .v Thickness /O i° ' Depth of foundation walls below grade EiD I. Continuo s foundation? Will there be a cellar? . . . ! If o, material of cellar floor . . . .y'A C�/P... Type of roof: Sloped or flat? . ...At. 6. . . . . Material of roof .WOOS....9. .ihm//.. )u t$ % Size,wood studs �'. ."x ",spacing . . . i/p, . . . . . . ."o.c., length �• ft. Size, floor beams, 1st floor . . . . . . ... . ."x . I ", spacing . ,16 "o.c., span ... . . :A i.v. . . . . . ft. Size, floor beams, 2nd floor " x r ", spacing "o.c., span ft. Size, ceiling beams „x . . G ", spacing . , . . 4.7. . . ."o.c., span . . .7V . . . ft. , ►� ,� Sire, roof rafters or beams I IIS • • T d•sy*• •",.spacing . . . .al.,. , . ."o.c.,span . . .I . . . . . ft. Exterior finish . .'/l b. ke? • • • •LQl I.X 4-With what material? .R .si. .�►y1. .a. . .�C�1?1ft4, . . Finish of interior walls V. • 1 Dr• • •CA li •14,04440. If garage is to be'attache ,of what a erial is wall between ara a and twin building to be constructed? 414. •14 wl1g. i .ww4l. .gi. . 4:des Is there to be an opening betrdo ty a and Tuildin ? Kind of heating system . . . .`'I . . M i C ' 1. u. ; " Oil burner or coal? Will a•flue-lined'chimney-be provided? . Depth of chimney foundation below grade Height of chimney above roof Will there be a fireplace? • . ,' Depth of fireplace hearth Will a toilet be installed? . . Will a kitchen. sink be installed a connected to wat r sppply? . . . . . Water supply(public water supply or pump) . . . . .�I..Q./.l.C... Distance of cesspool from any private well 1,A/14 14 V%O W.? feet Will drainage system be,provided with required traps, cleanouts, and vents? . .es...) • Town of Queensbury AFFIDAVIT County of Warren State of New York - I swear that to tee k4 i of my knowledge and belief the statements contained in this application,together with the plane and specifications sub- mitted, area true and coa.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 pertain: to the propo ork shall be complied with,whether specified or not, and that such work is authorized by the owner. t 9 Sworn to before me this Signature ... `.:. ., i 0 N R.OWNER'S AGENT,ARCHITECT,CONTRACTOR ' day of 19 NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS CIF 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 J.3 0 2. . , Type of heat . / cThrc (Ja se b - k 1J 3._ • Is the building mechanically cooled? )1, Q 4.7 Percentag.e of area of windows and doors /3 d/ A. ' ' Over 16% Only 1 . U.o 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 R- / 7 3 . R value of glazed area . . 4 . R value of doors I 5. R value of floors over 'heated spaces Y) (a )1 e, 6. R value of slab edge insulation - un1 eatel slab n ae> 7 . R value of slab insulation - heated slab h. 8 . R value of heated basement/cellar walls (above grade) V6 1 9 . R value of heated basement/cellar/ , walls (below grade) )1OVE /• ` 10. Type of insulation v✓�jlacs N' v ) -(0 /c/') )G(. e_, C. Controls _ 0 • • 1. Thermostat maximum heat 'setting •. �j • D. Duct Systems• • . � t e� 1. Is duct system installed in unhea-ped spaces? YETI 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 ��`,� /�� � ,,gg 1 . Performance efficiency /�_l O GQ( F(ec., ( c L,� 10- Eam�, 2. Temperature control setting maximum /0L0 0 - G. For Swimming Pool Only- 1. Maximum heating • Telephone No. f(- 6 o l '+ : as icant' s signature) TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner's NametaS1110)\ (204444004:4 Address ?Ala a 101101 a D 6640 Fu /V) Telephone No. ? g1 _ 0.Q00 2. Property location- hj' is.i9Y 01 ' 4 I) Ij RI) 3. Name of person or firm respo sible for insta ling system -RO 44WetkANCI , Telephone No. Address C.' Path 4.. Number of bedrooms (residential buildings only) 3 5. Daily flow 'KO gallons/day 6. Septic tank capacity MVO gallons 7. Topography: rolling, steep ' % Iof slope 8 Nature of soil and depth SOw►S 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, ell, 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 :::: 7r;; ns tar Sewage Ordinance./idyll e il 1 , 03114414.0Ca - It.nature of applicant 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 BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. - FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. TEMP.# DATE VILLAGE I t Xt t'v,� 19 TOWNSHIP COUNTY STREET AND NO.OR �^} y ROAD AND POLE NO. ,/ ] -. -`]G pey7f C "fC) POLE NO. BETWEEN WHAT TWO �7 /��j ttt li _ CROSS STREETS IS PREMISES LOCATED? Fix : I_1 T R i 1 $.d> f 1 y%(I SECTION •4 BLOCK LOT A-),,f14... OCCUPANTS i/ BUILDING NAME �} f j �$ OCCUPANCY r/y yj �yy r-�yew p AND ADDRESS E �'^ ,ip/ 1 al , LJ 5 O 4 , l _2 (I 0.0: ✓ TEL. CURRENT SUPPLIED BY FROM THEIR %t"} OFFICE BUILDING WORK t✓P ( DEFECTS IS NEW OLD Ell IS NEW [j ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS BRANCH CIRCUITS OFFICE USE Loce- ONLY tion Side Attaoh't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No• Each No• Gauge INSPECTION 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. .,,,, w ' . , cc", vV ek, 1 Q 4 This application is intended to cover the above-listed equipment to be inspected but if at time f 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.: provided by the applicant. SIZE OF ELECTRIC IGN 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 OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW rI OLD El AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS fff � NAME OF ,v h 9` DATE OF f } l APPLICANT 9' APPLICATION ° _ y� STREET ADDRESS jj " c F'J•'+;._ k k TELEPHONEl # •- CITY OR G 'j/ FQ 1/ f ZIP 0 LICENSE NO. POST OFFICE lJ�"'f C !!! 'FJ CODE !!! C� 3 WHEN APPLICABLE 46 EL(REV.1/84) A SEPARATE APPLICATION MUST B�FILED FOR EACH SEPARATE BUILDING r r TOWN OF:QUEENSBURY • Building Department Inspectors Report Date /' Name Location e 7''3 t i-' . Permit No. k47 Weather 5 Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt c\\/ \\,,.\ Roofing t/` (-NI< Siding ,� a.F`, Masonry Veneer Rough Plbg. Relief Valves �/' (2A . . I Wall Board f/ o t Ext. Porches O. Finished Floor D.K. Interior Trim <7,Ki Stairs & Railings,' ©, r( . Cellar Dr. Tile Concrete Floors Plbg. Fixtures / '9 Gar. Fireproofinglr(r� /N10/ p $fir w14,14 Door Closers / ai: Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls ' 'Ceiling • 0.,&&,g 11141 Bui ding Inspector REMARKS • /(410-ke., 4,1W-- r-- • • 0 1< TOWN OF QUEENSBURy Building Department Inspectors Report Date Vas -s /P Location 2-- Permit No. "7 7 Weather ' Remarks Excavation 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 P1bg. 'Fixtures Gar. Fireproofing ' Door Closers Chimney Water Meter Inst. Septic Approval ' oors Insulation Foundations Walls • • Ceiling • • v 1diI Spector REMARKS r/ cow e 7CO TOWN OF QUEENSBURY Building Department Inspectors Report Date a/a lD /3'S Name J'—oSe(h cap--csen -2 Location /5 a P Permit No. X 7 7 eather Remarks Excatia tion Footing Forms Footing & Piers Foundation • Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing ✓fQ,4(..- Siding Masonry Veneer Rough Plbg. Relief Valves Wall, Board _. Ext. Porches Finished Floor Interior Trim Stairs & Railings 7 Cellar Dr. Tile / Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney • Water Meter Inst. Septic Approval FlOors Insulation FoundatiOn✓ r�i� Walls ✓ �j1/L Ceiling 16114 Building Inspector REMARKS i'/Zak- d2O fU- lU TOWN OF QUEENSBURY Building Department 1v Inspectors Report Date Name ', A/ �/ Location I ' y -.4/41W i 2 . 4_0; .S- r 2- Permit No. Weather Remarks Exca>ation • Footing Forms Footing & Piers fl, 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 :/;\14(ll Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors • Insulation Foundation ' Walls Ceiling •J Building Inspector REMARKS y , 6 t' 40 Ln C ��Ic, TP.I•t� j SE•G71c>►�! 4 ' 'a'2 120- 0' 125.02' AW 20' I THE USE OF THESE PLANS FOR CONSTRUCTION 0`I ANY OTHER PURPOSE WITHOUT WRITTEN PERMISSION FROM NORTHERN HOMES INC. IS PROHIBITED. DO NOT SCALE THESE DRAWINGS. THEY MAY NO T BE TO EXACT SCALE. USE ONLY THE DIMENSIONS SHOWN. OWNER AND CONTRACTOR! WALL: CONSULT APPLICABLE BUILDING CODES TO INSURE THAT PLANS AND DETAILS CONFORM TO ALL REQUIREMENTS. THEY SHALL VERIFY ALL DIMENSIONS BEFORE PROCEEDING WITH HERN HOMES DRAFTING DEPARTMENT OF ANY DISCREPANCIES BEFORE WORK IS PERFORMED. CONSTRUCTION WORK AND SHALL NOTIFY NORIFORANY ADDITIONAL COST OR STRUCTURAL PROBLEMS RESULTING FROM THE FAILURE TO FOLLOW THESE PUNS AND THE DETAILS AS OUTLINED IN THE NORTHERN HOMES SHALL NOT BE RESPONSIBLE NORTHERN HOMES CONSTRUCTION GUIDE. F] • CONSTRUCTION GUIDE I REFERENCE DETAIL NUMBERS NORTHERNn o[v Es GLENS FALLS, N. Y. CUSTOM DESIGNED FOR: C 4JZLJe N = JE LPL REVISED I PRELIM BY: DATE: Ip • if>,64 DRAWING NO.,9jOJ FRAMING DWGS. BY: DATE: ORDER NO.