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8157 C/O Paid CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 1 19 84 This is to certify that work requested to be done as shown by Permit No. 8157 has been completed. This structure may be occupied as a One-family Dwelling 66 Location West Mountain Road (Land O°Pines Subdivision Section 4) Owner Dennis Crenshaw By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE -'INSTA" PRINTING. GLENS FALLS. N Y 12801 1518)793-5650 a • TEMPORARY CERTIFICATE OF OCCUPANCY 3 n DAYS CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date May 25 19 8 4 This is to certify that work requested to be done as shown by Permit No. 15 7 . has been completed. • This structure may be occupied as a One--Fami1v Dwell i nc Location Lot G�3 West Mountain Road (Land O °Pines, Section 4) Dennis Crenshaw Owner By Order Town Board TOWN OF QUEENSBURY - — Building & Zoning-Inspector CREATIVE "INSTA" PRINTING, GLENS FALLS. N V 12801 (518)793-5658 q, t BUILDING PERMIT TOWN OF QUEENSBURY No. 8157 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Dennis Crenshaw (Land O'Pines) Lot 68 West Mountain Road d OWNER of property located at Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Family Dwelling cn 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. Fi N. 1. OWNER'S Address is N Iv 2.•CONTRACTOR or BUILDER'S Name Gary Baker Construction 3. CONTRACTOR or BUILDER'S Address 20 Alden Avenue o Warrensburg, New York to rh � rn 4. ARCHITECT'S Name - )Z CO Epic Designs/Edward J. Eppich o - m b cn f-� ct 5. ARCHITECT'S Address Box 996 Upper Bay Road w o Glens Falls, New York C rt tr 6. TYPE of Construction—(Please indicate by X) (11 ( Wood Frame ( ) Masonry ( 1 Steel ( ) to' O H O a 7. PLANS and Specifications 54 'x26 ' per plot plan, specifications and No. application submitted including one-car attached garage and sewage system. - c 8. Proposed Use F,. One-Family Dv.ling A. $5. 00 C/O Paid 5 $ 96. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 84 (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.) t Sv CD Dated at the Town of Queensbury this 13th • Day of October 19 83 N � � SIGNED BY /..a//C�,(k a• -'J- -y..0 for the Town of Queensbury `4 Building and Zoning Inspe ] l• TOWN OF QUEENSBURY - BUILDING DFPARTMENT R. D. *1 BAY AND Y.AVILAND ROADS GLENS FALLS, NEW YORK (� Phone 792-5832 DATE: �LSAI/ TO: 4 4n • A? Our records indicate that you were � issued. a building permit number g/S7 on �G'� ie-ce--►_Z zW 4ee for the construction d2-2.1_e., Z.--- e/,%7 Our files show that the required inspections are incomplete. If still under construction please contact this office for an extension of your building permit, or if completed please contact .is so we can take your card out of the active file. Next required inspection. „..Z7,a, For all new construction Town Law requires a Certificate of Occupancy to be issued by this Department before occupancy. Noncompliance may result in legal action. To avoid further delay and possible legal action, contact this office to make arrangements to update your file. OUF£NSRURY BUILDING DFT'ART?'ENT / 41-/C e&-e" TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW. YORK • Building Inspector) Application for Application No. : •Pcrmit Issued 19 BUILDING AND ZONING PERMIT Permit Expires. 19. %nning District \ ;due of Work"• THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1'1"•"`"l by C J showing the actual dimensions of the lot to be built Itc•n�;i(�KS' �1- (ice upon, The exact sire, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. i lf -a- _ _� ,�i TOWN OF (:.?LJF'�r'`�.r.t , •.:�. (J - VIE �c I a/- (/yn - J DATE PII�J� IE 1 (• 1 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK li 11-1 ^� fit/;:•,. l .' ANSWER ALL OF THE FOLLOWING. .)tl 1, t�/' The undersigned herebyapplies fora ermit:to do the followingwork A.M, P.Nt. g PPP 7 £3 9 I.G':�el' �z.12�3��.���� which will be done in accordance with the description, plans and specifi- p_q�_5_,,� Ce.a_e_a d : 1 cations, and such special conditions as may be indicated on the permit. '' (I e,dio 4 The owner of this property is: . DEN11/I S •c9FNs Aci-u . (NA+1E) (P.O.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: 04RY 13411),sn. . . .c.o.ev sT (NAME) (P 0.ADDRESS) Name of Builder. .Q34-A [v. . .L 41i' R c o ttic / Address . Q. :, L b�,�✓ /} (�Lt �fJ.�e[1 E f S�Q/ AJ' Name of Plumber Address • • Cr re Name of Mason Address . Lot Number. . . . . .6i.E' . . Unit . . . .t. . . . . . . Estimated value of proposed work$ ... 3. UU0.40. : . . . . . . . . . . . . . . . . . Name of Village Ci)C,' /US RuA ir Name of Street . .W. S. f. . . /13..tl i/(U•.•.}i.iV. . . RO4 L) Side of street: north 0, east 0, south 0. west 0 Nearest Cross Street Distance from this cross street Ft. Property is north 0,south .east. 1.1, west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast Q. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK • OCCUPANCY ig 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 50 • Other: • Accessory Building One-car hed garage ❑ 0 Other work. Describe- Two-car detache gar e ❑ 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 building(s) in solid line. S't=E.- 4-77.E-C f�E!J Size of property . . . . .`r . . . . . • • it. x g. ` ft. • • p L 4-11 S Size and use of existing buildings, if any ij" e w Size of proposed building . . . .3. (• . ft.x . . .oZ . . . ft. Height (from grade to ridge) ft. Front yard S Q± ft. T T Side yards 3.7 ft. and . . . .3.0.1' • • • . . ft. Rear yard 6 f- 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-TMt . . (cont'd.) BUILDING SPECIFICATIONS., Kind of construction: Wood framerfiic— .;-ch..?. . . . . . . . . . . • • . • . . . . . . . . . . . . . • • • • • • . • • . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . . . 1\ .Q. . . . . . . If so, for what Material of foundation walls . .C4 /1 E.A/`.- 13 L®C.9 Thickness rr Depth of foundation walls below grade g Continuous foundation? Yeg Will there be a cellar? YES If so, material of cellar floor . . 3.Qd.CD.1-1.1 . . .C'041 C. R L 7 b" Type of roof: Sloped er et? Material of roof F7 13.4 8 G .J}S. bt LN 6 L S Size, wood studs a . "x . . . . ", spacing I6 "o.c., length ft. Size, floor beams, 1st floor . "x c' 6", spacing 1 "o.c., span / ft. Size, floor beams, 2nd floor a " x ,SS' ", spacing j 4-, "o.c., span I Q ft. Size, ceiling beams +a "x r ", spacing I ( "o.c., span I' 'A ft. , Size, roof rafters or beams . "x . . ).A. ", spacing I fri "o.c., span I if- ft. Exterior finish " t`= 1e / it #— S 1 AcI At With what material? . .TEX i. `I 1 Finish of interior walls P1 J.N_ If garage is to be attached, of what material,is wall between garage and main building to be constructed? no.p. . .w . :i.YP .`.' . .S'ifCam. jq04, Is there to be an opening between garage and building? YF S Kind of heating system '-L e C:T1 )3 Oil burn,.r-eceial? Dep h of hiznney-foundatien-below-grade Height of chimney above roof 3 . , Will there be a fireplace? 4-=' 41•U _Dept.h of fi - lace hea-th Will a toilet be installed Y E. S Will a kitchen sink be installed and connected to water supply? V e- Water supply (public water supply-ems) Distance of cesspool from any private well 2 o 0 feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . 1 Y6-s, Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to th be,r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, area true and co.i.pp lete 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 nth oposed work s all be complied with,whether specified or not, and that such work is authorized by the owner. -- Sworn to before me this Signature f 19 d S c� OW ,OWNER'S AGENT,ARCHITECT,CONTRACTOR /2 n day of ��%l NOTARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • By . TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGF DISPOSAL PERMIT APPLICATION 1. Owner ' s Name p E/V // S Cv? evil E, '/4- Lu Address LE -r lv)OC IV'7rA )A/ fo. .ii . Telephone No. 2. Property location I. /27 — d5g' 3 . Name of person or firm responsible for installing system OAR V' R4-)Y CONS %, Telephone No. Cva 3-5' 6 Address rS 9 l�L. L�^f1/ /�(/ E n fe s 8 0/9 6 4. Number of bedrooms (residential buildings only) t 5. Daily flow 3 p gallons/day 6. Septic tank capacity /0 06 gallons 7. . Topography: flat, -e11 ng-, st.ccp %.-614 s loge 8 . Nature of soil and depth S/h/i) 9. If ground water, bedrock or impervious material is apparent at what depth -does it begin? ' ft. 10. Percolation test: A i3 rcauir-ed• B is not required C If required-wYrat i-s-thewte mist-esfrrch 11. Water supply: municipal, well, otlicr 12. Type of system proposed: drywcll-, tile field, vLAni 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. //2 Date signatu of applicant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions, including distance from anystructure, distance from property line and domestic water supply, etc. Include all dimensions of the system itself. //6001-624,4 ) Form 3 8 2 (44fr/I-62-fr 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 Ia9.9- S I 7-, 2 . Type of heat EL EC: TR iC 3 . Is the building mechanically cooled? ' 4/ 0 . 4 . Percentage of area of windows and doors a )90 � �.cs �4T O14. Over 16% Only U� �� 3 1 . Uo value of gross area of walls , roof/ceiling • and loors 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 - iq 3 . R value of glazed area R- 0,. 6. . 4 . R value of doors R - Q' 5 . R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab A - )0. 41- 7 . R value of slab insulation - heated slab ii - f0, '. 8 . R value of heated basement/cellar walls (above grade) /1 - I0. 41- 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation I- ( 7,0 6�4g C. Controls 1 . . Thermostat maximum heat setting • D. Duct Systems 1 . Is duct system installed in unheated spaces? YES 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 1 . Performance efficiency ' 2. Temperature control setting maximum G. For Swimming Pool Only 1 . Maximum heating - Telephone No. 6 a 3 - �p (applic s �signature) . F U %5% cliamifcm75% REWNWSWILIWWWWWinAIRMI.Yipmrs%Tip AVmmm Jill J_� Z 1r 4001297 THE NEW YORK BOARD. OF FIRE UNDERWRITERS y ; BUREAU OF ELECTRICITY ' 'r` — ae 41 STATE STREET,ALBANY,NEW YORK 12207 ,w Date L°%av t) Pli84 Application No.on file '+ 444-33A 620900 y. .. THIS CERTIFIES THAT ,r _ -- only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of r • ,r pp�� y}� ��}} s� F t� York r Dennis Ci.ers LSw�, t.7Lys t 1'dt o nand,d, LVu�nnsbury, New �r CAI in the following location; ❑ Basement ® lst Fl. 51 2nd Fl. 1uts �r Section Block Lot 6 8_ Y r •1-.4 was examined on and found to be in compliance with the requirements of this Board. T 5f4 1p�, , .r FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS - �' OUTLETS ECEPTACLES SWITCHES ' MERCURY r �� INCANDESCENT FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P: {'' 27 S 9 0 2 f 2 �'�..." it - t' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,r W SYSTEMS 'Y '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 a- _S : -k S Z nL J'rj'tl 'r - ii‹.' SERVICE DISCONNECT NO.OF 3. F I,'TT S ir`i CE R V I . C E ,- METER AMP. TYPE EQUIP. l.B'2W 1�'3W 3,0"3W 3,B'4W NO,OFER.COND. OF CC.COND. NO.OF HI-LEG OF HI-LEG NO.OF NEUTRALS OF NEUTRAL '� Y 1 , 2 0 C "l, r,'i? 2/0r , D, OTHER APPARATUS: E1e.c v C P,00m ale 1tc, n . ]- 3 4 jz i, d 2, y Y -- Smoke DoLea:i..c , ... r r r — Y '111�))' TP.O. _�.,v & D Electric p �/)77 ;; •r-+ .1 G O 9 Boy. 447 �Y i F 1 I 1�.e Line n e / / J `� iY .1,--Z W' l_eE4"'S�LC3F:e;rJ n, New ��C3r 2e3 7_ ,_, -<' BRANCH MANAGER ( Per _- - a . - f"• f'YiYYA tiii-F yeryerreiwY gi-iii YYY�-4-1-i i. '� ® ® ® ® ® ® ® ,: ,YY Y'i YY r9 YY YY Y;Y'i Y'i r'i r1- ' COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. - • TOWN OF QUEENSBURY Building Department Inspectors Report Date /L 13 Y - Name e_fliN1 C-/Ze •. i4A) Location 2-or 6 3 iWWW r- /7 r- .9 . Permit No. ?d 5-7 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 L— a� . Finished Floor Interior Trim Stairs & Railings , Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers �/ L.-- Chimney Chimney Water Meter Inst. Septic Approval . Floors Insulation Foundation . Walls ' Ceiling ' • e.., Building Inspector r' REMARKS • `j` !fir TOWN OF QUEENSBURY Building- Department Inspectors Report Date �/fj�//7'! Name ✓.fit_nivi s C.feel i S / motion No.I4.0_6 S r rz a !?�6/,_J� I1-4i4Jfrz- etatier '- l' ai___(Remarks Excatia 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 V Cellar Dr. Tile Concrete Floors Plbg. Fixtures / O Gar. Fireproofing V Door Closers 1 d Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling 41C Building Inspector REMARKS cb l)((e_. t f,-recto fecrfe_dc_ O i` r { TOWN OF'QUEENS-BURY Building Department Inspectors Report Date /✓"=%ff 4 Name C1 ` J5/(-.: e-e) C//UNi 5 Location z:e a> 51 4 1 V . Permit No. t 7 Weather ///AA1 j/ /J //yamAi P 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 d Ext. Porches C/` /-e72 T5JJ,),d 5 x Finished Floor C Interior Trim „AD ‹. Stairs & Railing 1.-'' Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing CC, Door Closers Chimney Water Meter Inst. Septic Approval Floors ' Insulation Foundation Walls Ceiling " • Building Inspector REMARKS • Aft • TOWN OF•QUE€NS•BURY Building. Department Impactors Report Date /1 f-r c Name Location L,JV'D © ` ,",NE3• Permit No. $151 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 \\ f Ext. Porches Finished Floor Interior Trim Stairs & Railings / \ Cellar Dr. Tile Concrete Floors / Plbg. Fixtures • / Gar. Fireproofing / Door Closers 1 Chimney Water Meter Inst. ,� M Septic Approval j/ O Floors Insulation Foundation • Wa11s • Ce'lin • • uilding Ins ector REMARKS . i & i . TOWN OFCUEENSBURY . Building Department Inspectors Report Date /U// 77- Name r.A..P/Itisiuy,.-- Location 7�.�.n,€ (, i6 j, G' Y . Permit No. 51...V.7 Weather Remarks Excatva tion f - Footing Forms ✓ O k Footing & Piers Foundation Cement Coat Waterproofing ' Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Vene / Rough Plbg. / Relief Valves Wall Board \,,,/ Ext. Porches N Finished Floor / Interior Trim / Stairs & Railings / Cellar Dr. Tile / Concrete Floors Plbg. Fixtures Gar. Fireproofi ' • Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls ' 'Ceiling 4 I- .) j t Q- iu ng Insplctor REMARKS ��� � }�fl'1,�F- i►PPRoY�i� t4 MI#Ti, ..._�__-__ ....�..�,....�.. ...__..,........�.�.......... `A3'b^i°iZ• 10 � r .. _ SED.Ttc ¢ ps _ 301 s.s. i�ci�•°» a r�►t pe r► n : s C1r cV► s lam t•z:K0 Lat- & s We IT' writ- f Rv�c �..A.� Q*Pnes 3ee.�f APPP OV E D DATED -c!Z7-- tar�E:; BU .DING & ZONING INSPECTOR TOWN OF QUEENSBURY cst°RB Boys ` �_... 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