8692 C/O Paid
CERTIFICATE OF OCCUPANCY
•
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
This is to certify that work requested to be done as shown by Permit No. 8 6 9 2
has been completed.
This structure may be occupied as a One—Family Dwelling
Location West Mountain Road
Owner Ralph Garofalo
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING. GLENS FALLS, N V 12801 15181793-5658
BUILDING. - PERMIT
TOWN OF QUEENSBURY No. 8692
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Ralph Garofalo
H
OWNER of property located at West Mountain Road Street, Road or Ave. 11:3
in the Town of Queensbury,To Construct or place a One—Family Dwelling --G]
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. r0-h
W
1. OWNER'S Address is RD #1 Box 1973
Lake George, New York
2. CONTRACTOR or BUILDER'S Name
Caruso Enterprises, Inc.
3. CONTRACTOR or BUILDER'S Address - �+
340 Dean Road O
CD
Hudson Falls, New York rl'
O
4. ARCHITECT'S Name - G
rt
pJ
Y.
5. ARCHITECT'S Address
0
6. TYPE of Construction—(Please indicate by X)
(°:I Wood Frame ( ) Masonry ( )Steel (X) T,Og
7. PLANS and Specifications
58 °x37 ' per plot plan, specifications and
No.
° application submitted including sewage system.
0
8. Proposed Use fD
One-Family Dwelling
F4-
I-1
$5. 00 C/O Paid 1-4
$ 112. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 85
ID
(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.) FJ
F-'.
•
15th August 84
Dated at the Town of Queensbury this Day of 19
SIGNED BY }�et-c Q. ,Q for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No. :
Permit Issued • 19. .
BUILDING AND ZONING PERMIT Permit Expires. ►g.
%cn>in District
. \ AIR. oI Work •$
THREE (3) Copies of a PLOT PLAN, Drawn to scale •\1'I>'-"‘t•cl by /-"--`Z e,--?-'�
showing the actual dimensions of the lot to be built Itcn,arKS'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
3 — 1 I, / • , ifI
DA ". . TOWN OF OUEENS13L1RY
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK NEGEgvE
ANSWER ALL OF THE FOLLOWING. D
The undersigned hereby applies for a permit to do the following work AUG i ��1984
which will be done in accordance with the description, plans and specifi- .A. ; 1 0.G C.p,
cations, and such special conditions as may be indicated on the permit. Ba)911�11 �112��f416i6-
�'a,y- aJ-
fi- " I.o
The owner of this property is; .
Pk—if/1 �/•/A-'/),./J L G le 12 47 X ( 573 /i k:- 6i<e A_ G'l//1/ l z ��
(NA'lE) IP.O.ADDRESS)
The person c
responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
F-,ee/ 'Rl'Y �xo A- � '�
, ,� ,���x•;yi r=,4ZL ) .4/y /2 f 3 c,
(NAME) (P.O ADDRESS)
Name of Builder. .<77 ?r,, '. .":?i7.%T1?a?g/S'TSe.421.4Address 3YG' JJ�4At A,, //-'1,2 /`-1//s,
Name Of Plumber 0/)./r/ac//zv /mil i 6 '''I_ Address '' 'er. /6 Co p. -4.2/-
NNan-le / 7>)//7� n Address . . Sa"v...> Ye
ame of Mason /. . . ,• • • • . . . . . • • • • •
Lot Number Unit Estimated value of proposed work S Y-
Name of Village . . . . .(??,. .s 1,J.,d .—
Name of Street A 's /"" S?e.),.,i Side of street: north 0, east (', south O. west• 0
Nearest Cross Street /47 I/i ,-`,2 I)-.rt,, •- Distance from this cross street . L1'./ C'�k'7 -- - Ft.
Property is north ❑,south ❑, east r i, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ,k, southwest •
(Designate by marking with an "X" in the correct space.)
. NATURE OF PROPOSED WORK OCCUPANCY
',__ 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 D.
• Store building ❑
-car attached garage ❑
Other:
Accessory Building
One-car detached garage Ei
1 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, size and setbacks of pro-
NORTH A' ' Q posed buildings, and the location of all existing buildings.
•( Show proposed buildings) in dotted line and existing
c y V /7 r O� 2,6 a\° building(s) in solid line.
S (, 'Size of property � g-c A , Et. x ft.
•
Size and use of existing buildings, if any itle<-7 Y• •=
1`
N 0
w
itA 6 7' 1 S W Size of proposed building - s' ft.x ? ft.
.�.e. .2 s /" c`""' L Height (from grade to ridge) /6 ft.
tFront yard 32 3 ft.
Side yards 2-i) ft. and ft.
Rear yard . 3 S� ft.
SOUTH If on corner,setback from side street ?2 ? ft..
Note: All distances are net, as measured from street side
- line to nearest part of building.
(OVER)
7-r�73-M •
(cont'd.)
BUILDING SPECIFICATIONS., .
AC,, .
Kind of construction: Wood frame, fire safe, etc.?. . . . . . ./.(. q..". . . `v� '. .�' t-.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? /i/e- If so, for what7
�C„-, c,-e 16" Thickness f'
Material of foundation walls � ,
Depth of foundation walls below grade Continuous foundation? . . yY!s; .
Will there be a cellar? : . .ye -3 If so, material of cellar floor '''07-7 1-c' ,-><-r -
Type of roof: Sloped or flat? 5" -e-4"- Material of roof la,lx�% S`l' 2 lam• _
Size, wood studs . . . . . . Lc.i. . i`„ �x ", spacing "o.c., lengt ft.
Size, floor beams, 1st floor / vvij"?'yy ", spacing "o.c., span ft.
Size, floor beams, 2nd floor . . .2L0.''.=' x ", spacing "o.c., span ft.
Size, ceiling beams .-A'.4, " x ", spacing "o.c., span ft.
Size, roof rafters or beams I fr Je " x-?X. ' ", spacing "o.c., span ft.
Exterior finish A G,)• With what material?
Finish of interior walls /i
If garage is to be attached, of what tYi aterial is wall between garage and main building to be constructed?
Is there to be an opening betweezn garage and building? .
Kind of heating system . . .. ./.P4Y. f�� /-"--,_ Oil burn re r coal?
Will a flue-lined chimney be provided? . .,V?... Depth of chimney foundation below grade S'
Height of chimney above roof. . . ,. 1 /
Will there be a fireplace? " Depth of fireplace hearth
Will a toilet be installed? 1/r'.-5.
Will a kitchen sink be ins&alled a d connected to water supply? j-.". •
Water supply (public water supply or pump) . . . . t7.6..4/ .: •
Distance of cesspool from any private well 4",�-/__ feet
Will drainage system be provided with required traps, cleanouts, and vents? . . ./e--.5 ,
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tr ba r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.pIete 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 comph with,w th r specified or not,
and that such work is authorized by the owner. 0
Signature ^' •(.. .1�
Sworn to before me this OWNER.OWNER'S ENT,ARC IT CT,CON ACTOR
. �j,G 4// day of 19 FY
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF 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:
I 1. Gross Gross floor area < J 42 5 f/
2 . Type 'of heat (3)/ /-l� "/ •I 4 T
3 . Is the building . mechanically cooled? /Vd ,
•
4. Percentage of area of windows and doors
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. Under16% 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 - i J �
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation - heated slab
8. R value of heated barsement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10. Type of insulationir�� s' �' •
C. Controls
1. Thermostat maximum heat setting V6 —Ye
D. Duct Systems
1. Is duct system installed in unheated spaces? YES 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
1. Performance efficiency
• 2. Temperature control setting maximum
G. For Swimming Pool Only
1. Maximufn heating
Telephor_,e No. � 7.70.5 11
(applicant s signatur )
TOWN OF QUFRNSBURY
BUILDING & Z.ONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner ' s Name f? n L PJ/ CAR A 4z e
Address /?/ '/ l7uy /1
'AKE 6 e)ReL ,i/.j /2to5 Telephone No. t/'F- '20 S-
2. Property location (2O fl//h L T.57 mT 1/41 ,7 74-- ///c a,/ 4 A/,
3 . Name of person or firm responsible for installing system
647, ',,gff No/ /A/G'- Telephone No. (dJ- 2 3 0 1--
Address 1 /3 o / 5' 7_ G,U'o(6-' //�j.��- /z
4. Number of bedrooms (residential buildings only) itt./e)
5. Daily flow gallons/day
6. Septic tank capacity // do r gallons
7. Topography: fla , rolling, steep
% of slope
8 . Nature of soil and depth S'/Pis/D 'p� 65,i61f/,e To G /
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? /Y0/1/4- ft.
10. Percolation test: A is required
B is not required
C If required what is the rate minutes/inch
11. Water supply: municipal well, other
12. Type of system proposed: ,y 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 /i„/)L L� ( /7F
/ signatur of applican .
On separate sheet of paper submit a diagram 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.
-eN74-42-2
/ GOOD fa,
D<:%, ba-yuJ,2_ L L
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
CITY OR ,. . " '
TOWNSHIP r': .-). COUNTY
STREET AND NO.OR I •
ROAD AND POLE NO. POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? • SECTION •1 BLOCK LOT
OCCUPANT'S .' / Y/ BUILDING .
NAME f r, , _. i-i / 7,3
- r, / OCCUPANCY
OWNER'S NAME/.._
!�,- �� i /
AND ADDRESS 1 / r':. / ' �/ ..
CURRENT
SUPPLIED •
FROM THEIR OFFICE
BY �I�
CI IS ElISUILDING WORK NEW L A OLDNEW ADDITIONAL❑ DEFECTS ❑REMOVED
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures MOTORS HEATERS CIRCUITS OFFICE USE
NUMBER OF OUTLETS Lamp Receptacless ONLY
Loca-
tion Side Attach'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.
This application is intended to cover the above-listed equipment to be inspected but if at time of 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,as provided by the applicant.
SIZE OF ELECTRIC SIGN 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 1-1
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF i(. ,c''.`: i' - //? l_.` /{. r.. C''1 DATE OF r - / ' .7 7
APPLICANT /— - ' ' '- APPLICATION
) i��%
STREET ADDRESS J' , v- ,'; _ '' 1 i /`. TELEPHONE# / >" t' , /' <.-
CITY OR r r, f ZIP ' 'iLICENSE NO.
POST OFFICE /_ G�--'�- .°�� -- .-' � CODE �'` 'WHEN APPLICABLE
f _
46 EL(REV.1/B4) A SEPARATE APPLICATION MUST BE FILED FOR EACH'SEPARATE BUILDING
1
•
TOWN OF QUEENSBURY
Building impartment
Inspectors Report Date `:f (;'/
Name /z'_ i•f.4-c�' d?j�`1f� //__ 'd
Location /Y) ; �
Permit No. 2- Vlea er
Remarks
Excatta t on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing ;Z v
Sheathing
Roof Felt
Roofing
Siding fG /
Masonry Veneer
Rough Plbg.
Relief Valves
Wall, Board _
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings \ i
Cellar Dr. Tile
Concrete Floors • — _
Plbg. Fixtures • >
Gar. Fireproofing _ \
Door Closers
Chimne
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
1/ 0\SO
l 3
TOWN OF QU•EENSBuRY
Building Department
Inspectors eport Date .J // / -S
Name 4k••e4-1P'2 c t
Location /,r f- ''' 4t7A1 !: D :4Y 44 m/via
Permit No. ,G q a Weather
Remarks
Exca'ation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing Z/
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall. Board
Ext. Porches
Finished Floor
Interior Trim
/I
Stairs & Railings
Cellar Dr. Tile /
Concrete Floors
Plbg. Fixtures /\
Gar. Fireproofing / \
Door Closers N
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
TOWN OF•QUEENSBURY
Building Department
Inspectors Report Date g/t .41:.2/.
Name
Locati / ifir<A- V 7172
.i/.,L i'�/.
Permit No. ^,� = ,6 Weather
8.6 - Remarks
Excat)ation
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
Ceil i!g
t-4 /(-(11( 4(
• Building Inspector
REMARKS
C/ _
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