6724 //c1
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date / 19'ZV
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure7be occupied as a 0riel-4
c (
Location 112e- 1/
e- - -
Owner je /7 79,- 1:- c_ebt-11-n;2(7c-
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning hispector
•
CREATIVE -INSTA•• PRINTING GLENS FALLS. N Y 121301 1518)793-5650
BUILDING PERMIT
TOWN OF QUEENSBURY No. 6724
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John Rutledge c-i
•
OWNER of property located at Lot 63 Revere Road (Bedford Close) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling fi
at the above location in accordance to application together with plot plans and other information hereto filed and
O
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ¢'
N
1. OWNER'S Address is
2. CONTRACTOR or BUILDER'S Name
Ken Collette
3. CONTRACTOR or BUILDER'S Address
R. D. 1 Box 250D rn
Hudson Falls, New York
4. ARCHITECT'S Name O
O
n
CD
5. ARCHITECT'S Address 0
6. TYPE of Construction—(Please indicate by X)
( )f Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
28 'x70' per plot plan, specifications and
N&pplication submitted including sewage system and two-car
attached garage. o
8. Proposed Use - (D
One-Family Dwelling"
5
N.
$5. 00 C/O Paid 'C
$ 185. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19 81 0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D
town of Queensbury before the expiration date.) ~'
F-�
Dated at the Town of Queensbury this 10th Day of December 19 80
SIGNED BY . for the Town of Queensbury
BuBding and Zoning Ins✓ p
C(b )/h01 ( " G "/
. TOWN OF QUEENSBURY (Space inside block to 1w filled in by
WARREN COUNTY. NEW YORK Building Inspector)
•
Application for ' ppliea11on `o.
pp Pe emit Issued 19. .
BUILDING AND ZONING PERMIT l'i•riuit Expires. 19. .
7.oiii";. 1)1'strirt
Atli.nI Work,$ .
THREE (3) Copies of a PLOT PLAN, Drawn to scale. . .girl""""'c1.h '
showingthe actual dimensions of the lot.to be built IteMarKf•' .
upon, Te exact.size, and location on the lot of the
• building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. . -
TOWN OF QUEENS' EUk,
f - DATE - - D. -
•
A PERMIT MUST BE•OBTAINED BEFORE. BEGINNING WORK DEC �19� .
ANSWER ALL OF THE FOLLOWING. _• _ -
The undersigned hereby applies for a permit to do the 'following wodc A.M. P.M.
which will be done in accordance with the description, plans and;specifi- -- 7I0M111112111.2I3I4)5I6.
cations, and suck special conditions:as may .be indicated on the .permit.-- -
The owner of this roperty is: Ler6-3
.K4. /v .•. :144. . 2.9a
e, ee. .� ( �e a •
INA'FI , � � ( ADDRESS) •The person responsible for •supervision of the work insofar as the.Buildipg:COde and the-Zoning Ordinance apply is:
. ./l'r✓ y i. . 4... Co.%// (:D gtx. . :11. : ,�.r� dAy. .�'P//,s . •Y.
(NA El �y. _ • (P.O AOORESS) '
•
: P
Name of Builder- .:i� . .Cep I/c J/.k Address, 5' k
Name of Plumber. S4'77 Cv.R 4. oils•e • Address .&AC. . : • . S? • •6/6.:Q,7• •,' //5
Name of Mason.KP.,2 • .Ca,lt e f Address .50,9re.
Lot NuMber. .(�•3. . . . . . Unit Estimated value of proposed work$ ') �O
Name of Village .C�)e.?;s.6 01 •.
Name of Street .2e.,1e2e•
Side of:•sireat: north .❑, east..131,south 0. west El
Nearest Cross Street .C2rzrd.r4• •, .% .- .Distance from this -ross street „IVO Ft.
• Property is north 3,south 0,east i i,west 0 from Cross Street,
If on Corner,which corner,northeast 0, northwest 0, southeast C southwest
(Designate by marking with an"X"in the correct space.)
•
•
NATURE OF PROPOSED WORK •OCCUPANCY
Main Building
L Construction of a new building. One-family dwelling 12
. ❑ Addition to a building. Two-family dwelling 0
El Alteration to a building. . , , , . . .-family apartment house ❑
El Demolition of a building. •Store building 0 •
. . a. - .-car attached garage . lE
Other:
• Accessory Building
. One-car.detached garage 0
❑ Other work: Describe Two-car detached garage
• 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,site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
P rrck- I I ltuilding(s).in solid line.
Size of property ./.3 0 ft. a o70 CP ft.
• Size and use of existing buildings, if any
•
i z ',,, 40. "' m Size of proposed building . 22 ft.x I d ft.
P:` Height'(from grade to ridge) . . 2. 4 ft.
c Front yard 70 • ft.
Side yards .. .5- ft. and .60 ft.
• C 0 i2 0, k (4cP. . Rear yard /c•
ft.
SOUT H If aft corner,setback from side street '— ft.. ..
Note: All distances are net, as measured from street side
line to nearest part of building.: '
(OVERT
•-73-M • -
7 .
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction:Wood frame, fire safe,etc.?. .A.20.0.1
Will any second-hand lumber be used? . .sQ7 If so, for what?
Material of foundation walls .6...2m-Js,,gceP.. . . Thickness it,
Depth of foundation walls below grade ,5-/ Continuous foundation? .0.QS'. . . . .
Will there be a cellar? If so, material of cellar floor .C.--01!c:-/.Z.c.71)
Type of roof: Sloped or fiat? /c.p e49 Material of roof 4.-5/24^//'
Size,wood studs "x y • ",spadn I Iv "o.c.,length .F/ • ft.
Size,floor beams, 1st floor .a "x ",spacing , . "o.c.,span / y ft.
Size,floor beams,2nd floor "x . ID ",spacing 14 "o.c.,span . ./.y. . . . . . . ft.
Size, ceiling beams x 46' -, spacing /6 ' • "o.c.,span . /. . . . . . . ft.
Site, roof rafters or beams "x •$17-x_ ",sacin f 1 "o.c.,span it to-/g ft.
Exterior finish . . .C-fe-p-er-r—c0 With what material?-
Finish of interior walls. .
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 tA4,1_c.1bnilding?
Kind of heating system g Oil burner or coal?
Will a flue-lined chimney be provided?,/,kat? . Depth of chininey foundation below grade Y/ •
Height of chimney above roof .24/
Will there be a fireplace? . . . . . . . . E.. .,_Depth of fireplace hearth
Will a toilet be installed?
Will a kitchen sink be installed and connected to water supply?
Water supply(public water supply or pump)
Distance of cesspool from any private well DA-)A feet
Will drainage system be provided with required traps,cleanouts, and vents? S(4•7:---0
AFFIDAVIT . , , •
Town of Queensbury
County of Warren
State of New York
I swear that to tr, besTof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.a.plete statement of all proposed work to be done on the described premuies and that all with,
of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature
OWNER.OWNE AGENT.ARCHITECT.CONTRACTOR
day of 19
. .
•
NOTARY PUBLIC.WARREN COUNTY. N.Y.
SPECIAL CONDITIONS OF THE PERMIT;
• -7/V
•
• o 6
•
• - _•
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 d��63a .
2 . Type of heat
•
3 . Is the building mechanically cooled? trq
4 . Percentage of area of windows and doors I/•t 76
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 /(2 - /7
3 . R value of glazed area 1. 7 L
•
4 . R value of doors 3 5. R value of floors over heated spaces Q- I3
6. R value of slab edge insulation - unheated slab Q AJA
7. R value of slab insulation - heated slab IJ &)I1
8. R value of heated basement/cellar walls (above grade) DAM (4`I.
9. R value of heated basement/cellar walls (below grade) a .Q�S
10. Type of insulation I-i lea—45S oi.. Ur1LethaA
C. Controls
1. Thermostat maximum heat set.ting 73'
D. Duct Systems
1 : Is duct system installed in unheated spaces? GI) NO -
a. If YES , R value of duct installation 2-' g
•b. R value of duct in other areas
E . Piping Insulation L i,
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation f +•¢
F. Service Water Heating
1. Performance e-fficiency 2510
2 . Temperature control setting maximum %1/06
G. For Swimming Pool Only
•
1 . Maximum heating
' Telephone No. 7 97 -- `- 3.--) e-r. A � /�j� ee e4
(applicant ' s signature)
TOWN OF QUEENSBURY
BUILDING AND ZONING DEPARTMENT
BAY AND HAVILAND ROADS, R. D. # 7_
GLENS FALLS, NEW YORK 12801
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY eFCY/PCO Case
OCCUPANT'S NAME Cd�„� ,�4-443"" ADDRESs/d63 em e
TELEPHONE OWNER'S NAME
ADDRESS s,1m r NUMBER OF BEDROOMS 3
GARBAGE GRINDER? gorocoR NO) TOPOGRAPHY: CFLA ) ROJLLING, STEEP,
SLOPE, GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, @ND?, LOAM, GRAVEL, ROCKS, ETC.
PERCOLATION TEST WATER SUPPLY: CMUN3CIP WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
9-7r'
/ `7 r„/
/
3v'
OTHER PERTINENT INFORMATION /06 o j �, ,� LJ-c r
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL .FACILITIES ITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN
DATE /a -- -- F-v SIGNATURE OF APPLICANT 0 ��
LAKE GEORGE PARK COMMISSION APPROVAL
(signature)
• ate
1C:'i -
1
1.0 THE NEW. YORK BOARD. OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY y
�: Frb`r 41 STATE STREET,ALBANY,NEW YORK 12207
L Date ,i._ ' �•.°1•_ 2' t• " Application No.on file : .'- t�.:.'Ii— T!, /� P'y r "� `y ..
n. 14 THIS CERTIFIES THAT f f1 4y d iT
0pp' only the electrical equipment as described below and introduced by the applicant named on the above application nu a .�'7.:mber in the premises of 1 r
1 ;, R eIci11-,D 7
1„ 11.1.(::ir.-?(1^;;'�.,., -11c3 %'C ':.( .:.C. :?'�r_1..'.fly..::: P n..i.'')�a c..'. ,L;12.e:t-a ,. fr4 ..!s rU 1.4et2 zy?'. T =
.
,' I in the following location; 3 Basement �
1st Fl. .l 2nd Fl. 0,1;s ?''.G?,. Section Block Lot Y i=
>'z, i was examined on ` 12 I s;3 ii and found to be in compliance with the requirements of this Board. ,.
FIXTURE FIXTURES RANGES • COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;C
OUTLETS RECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MERCURY y
D71. +J'�r��l VAPOR AMT. K.W. AMT. K.W. AMT. K.W.- AMT. K.W. AMT. H.P. ',-
g2 2, .a L �:`3 -S.ril 1 .'� _ 2 .. _- .Y
z.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS 'r
SYSTEMS ),1_
;77,I '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 '
ill
2 -
i ; SERVICE DISCONNECT NO.OF _ i'r.:,L -'Z+
METER
-AMT. AMP. TYPE EQUIP. 2W 1�"3W 3,S'3W 3,6'4W NO,OF CC.COND. OF CC.COND. NO.OF HI-LEG OF HI-LEG 'NO.OF NEUTRALS OF NEUTRAL 'r
Apt '� ,_9 ice','l •
,,P' �. 41a .O I'_, �! �I p gip' r =-
pA OTHER APPARATUS: r
r
Yry ?I �'t "'� •-' mil ;�
_v -J •=F1 C.�9. o ff.:6 O Y
EA
T -
e_ ,r
•F: r��//ram
__ i7 LLL f•'I ''_ ill-.:.lc;�.41 f' I 0 / / l•Y Y_
%:S '-' 3 — a o t1 ,. BRANCH MANAGER •
,Y
T
r
Per ':
r
I-1 'fYYYYYYYYYYYYYYYYYYYYYYYYY•YYYY•`CY.YYYYYYYYYYYYYYYYYYSYYYYYYYYYY‘YYYYYYYYeYYYYYYYY4-YakYYYYYYYYYYYY YYY‘YYaiYYYY6YYYYYY'Cr YYYYY
ii
COPY FOR BUILDENO DEPARTMENT. TI-MS C•PY OF CERTEFICATE; MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF'QUEENSBURY
Building Department
Inspectors R ort Date —!G^e;'/
Name UM.E0s
Location L>eJa (_Z.s
Permit No. 61 L Weather,
Remarks
Excatation
Footing Forms
Footing & Piers
Foundation
Cement Coat'
Waterproofing
Backfill
Final Survey (6//)/1//
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim"
Stairs & Railings v \•,'•
Cellar Dr. Tile
-
Concrete Floors
Plbg. Fixtures - /
Gar. Fireproofing 4 '
Door Closers 1 p;
Chimney
Water Meter Inst. ,
Septic Approval •
Floors
Insulation Foundation
Walls
Ceiling
e
Building I' spector
REMARKS
/ v
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 3/3/cR/
Name �Tn h (r.ifi l P e.
Locati n Lo r '7 3 Rem e, *- rt.cl
�
Permit No. 1 � C Weather
Remarks
Excafia 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
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures _
Gar. Fireproofing
Door Closers 4'
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
117
• Building Inspector
REMARKS
a-4?/ 7 It
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 2 —8/
Name &n/1�7
Location /e•ever- 1V' Rrr ���,,,
Permit No. 6? Weather
Remarks
Excavation
Footing Forms
Footing &Piers
Foundation
Cement Coat
Waterproofing •
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg. L/
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 Fot2ndatio
Walls / A/—
Ceiling �
Building Inspector
•
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report • Date
Location .
. Permit No. (+'1 71 Lf- 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
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation '
Walls
Ceiling
7-7
Buil ing Ihspector
•
REMARKS
d1' J Crkt l /
/Y :i''c.a/1 v`7/(4
/ J
4/ 5pAi •
TOWN OF QUEENSBURy
Building Department
Inspectors Rerjrt Date/2.--/g'-- 55
Name Ai/AkP"Location )7g64to'd%/5„
. Permit No. 6 2 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat'
Waterproofing ✓ %�
Backfill r/
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding'
Masonry Veneer
Rough Plbg. •
Relief Valves
Wall Board i
Ext. Porches /
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors /
Plbg. Fixtures 1
Gar.' Fireproofing.
Door Closers
Chimney •
Water Meter Inst. •
Septic Approval
Floors ' •
Foundation
Insulation WaZZs
'Ceiling•
Bu lding nspector
•
REMARKS •
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /
Name //
Location /2� 1„ey„,/,/ ,'"
��
Permit No. 47c71� Weather
Per Cent
Complete Remarks
Excavation ,
Footing Forms Z� �%
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Rough Htg.
Relief Valves
Wall Board
Ext.Porches
Finished Floor
Interior Trim
Stairs&Railings \.
Cellar Dr.Tile
Concrete Floors
Plbg.Fixtures r�
Gar.Fireproofing _ /� \
Door Closers /
Chimney
Water Meter Inst.
Septic Approval
•
Building Inspector
REMARKS
43y Di5.5S �F. �
uOH" RuT DC� E' nP! a
/ ci
UT WRITTEN PERMISSION FROM NORTHERN HOMES INC. IS PROHIBITED.
THE USE OF THESE PLANS FOR CONSTRUCTION OR ANY OTHER PURPOSE WITH ONLY THE DIMENSIONS SHOWN.
DO NOT SCALE THESE DRAWINGS. THEY MAY NOT BE TO EXACT SCALE. USE 0.0 INSURE THAT PLANS AND DETAILS CONFORM TO ALL REQUIREMENTS. THEY SHALL VERIFY ALL DIMENSIONS BEFORE PROCEEDING WITH
OWNER AND CONTRACTORS SHALL: CONSULT APPLICABLE BUILDING CODES TARTMENT OF ANY DISCREPANCIES BEFORE WORK IS PERFORMED.
CONSTRUCTION WORK AND SHALL NOTIFY NORTHERN HOMES DRAFTING DEP,SR STRUCTURAL PROBLEMS RESULTING FROM THE FAILURE TO FOLLOW THESE PLANS AND THE DETAILS AS OUTLINED IN THE
NORTHERN HOMES SHALL NOT BE RESPONSIBLE FOR ANY ADDITIONAL COST
NORTHERN HOMES CONSTRUCTION GUIDE.
NORTHERNH-MMES
CONSTRUCTION GUIDE HUDSON FAttS, N. Y. - CHAMBERSBURG, PA.
REFERENCE DETAIL NUMBERS
CUSTOM DESIGNED FOR:
, OHN IRvTLE-D GAS• T=LL_i�,\
REVISED 'PRFLIM BY:,yp. cZqdZ FRAMINIG OWG'S. BY:
'DATE:. l cJ SO DATE:
DRAWING NO. ORDER 1►10,