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8888 CjO Paid • CERTIFICATE OF OCCUPANCY • TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 27 19 5 This is to certify that work requested to be done as shown by Permit No. 8 8 8 has been completed. This structure may be occupied as a On 1 v ft c,1 1 i nr-r Location Old West Mountain Road Mark and (wendolyn Brilling Owner . By Order Town Board TOWN OF QUEENSBURY • ( Building & Zoning Inspector CREATIVE "INSTA" PRINTING. GLENS FALLS. N V 12801 ISI8)793-5658 t _� T. IF ;,, P 0 F t, }, ,y CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date r.� tal lg%►�\ Xsic.,9 This is to certify that work requested to be done as shown by Permit No. W.i2 has been completed. \,.-,?,C\-1-i-."*a._rr Ak' This structure may be occuup�ied(,a�s®a4: 0 r`j�J1 l ` Location l_i1 T (I%(/Z-�� u9 01/ : '/17 / 4 1 ` Owner .f e : "-;j f1�(6.1 '. ifl l \ nal TFFFORARY CERTi:P TC T r OF OCCUPANCY �" FOR E 0 Days By Order Town Board TOWN OF QUEENSBURY //l�'"i�// (/1. i- / � i % • Building & Zoning Inspector , CREATIVE ••INSTA" PRINTING, GLENS FALLS. N V 12801 I518)799-5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 8888 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Mark and Gwendolyn Brillinq 0-1 OWNER of property located at Old West Mountain Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Family Dwelling 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. 1. OWNER'S Address is RD #2 Old West Mountain Road 1-1 Glens Falls, New York r. N 2. CONTRACTOR or BUILDER'S Name John Heath 3. CONTRACTOR or BUILDER'S Address RD #1 Whitehall, New York 4. ARCHITECT'S Name O H !Z • (D 5. ARCHITECT'S Address W rf • O 6. TYPE of Construction—(Please indicate by X) fi ( 7 Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 0 28 'x78 ' per plot plan, specifications and application p, No. submitted including sewage system and two car attached garage and Per Site Plan Rev. No. 10-84. 8. Proposed Use One—Family Dwelling $5. 00 C/O Paid 113. 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 town of Queensbury before the expiration date.) C7 Dated at the Town of Queensbury this 20th Day of November 19 8 4 -. - D ,per N. SIGNED BY /r6 GGG� a, iCJ for the Town of QueensburyLQ Building and Zoning Inspect° TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW. YORK Building Inspector) Application for Application No. l'crmit Issued 19. BUILDING AND ZONING PERMIT I'c.im„it Expires. I!;. %Ami„e. District . ,, THREE (3) Copies of a PLOT PLAN, Drawn to scale •\11 "'i•c1 by C.N. --�� showing the actual dimensions of the lot to be built. Rc�m;u•).c" , upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. C'433 1=�1�e�L?''Y �'� 'GOWN OF t DATE D 0 E E --q\ A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK NOV 919�,,� fi M ANSWER ALL OF THE FOLLOWING. 6° P hl,Th / which willsbened done®reby n accordanes for a ce with thermit descrip+ono the planslla dng spec f work $`gGt(������ t1121 a 1 161 ,.5-n 1- t' '' cations,' and such special conditions as may be indicated on the permit. t c /'� The owner of this property is: t ti, i-6 0 61e/r Ji 7OR/tI �vf,f I liG I?Oa di P iarsT Wry, F.9 to'Vs ?) /, N, j I • ( A.AE) IP.O.AJDRESS) The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: -).0 H N. . . . Lam- lZ fD ` \,./l i 11 Lt l A u.L . 1� (NAME) (P 0.ADDRESS) Name of Builder --• '0 v , \ ' 1 Y-1 Address 11 Name of Plumber Address Name of Mason `-`a -T h 0-,,`Ess - Address INN't Dot_E. 67fv,^‘it LL Lot Number Unit Estimated value of proposed work S -DC) 000 Name of Village . ."Tra--'`^ O t Q1 vePvt \ Vs 1 Name of Street Ol a, x)0%-( %1 7 • Side of street: north 0, east - , south ❑. west 0 Nearest Cross Street .VV esi 11.t - R.,o' Distance from this cross street Ft. Property is north ❑,south ❑,east 'i ,west'..❑from Cross Street If on Corner, which corner, northeast L I, northwest ❑, southeast D. southwest (Designate by marking with an "X" in the correct space.) • NATURE OF PROPOSED WORK OCCUPANCY M. Construction of a new building. Main Building , . ❑ Addition to a building. , One-family dwelling K CIAlteration to a building. Two-family dwelling 0 Demolition of a building. -family apartment house ❑ Store building _ . . . .Z-. .-car attached garage '"- ❑ Other: • Accessory Building One-car detached garage ❑ ❑ Other work. Describe: •Two car detached garage ❑ a0,11) �� ,-t-A _ 0 04•--. / 0 — 3 Y Private chicken house ❑ `�'"" Private storage building ❑ . 3YanT—-ee doll/S1`74 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, sire and setbacks of pro- ' posed buildings,and the location of all existing buildings. NORTH 1 Show proposed building(s) in dotted line and existing -yB.i..0 Pm t_t)vi tE . building(s) in solid line. c� /� ``3- " `-* Size of property ft. x ft. per,,, Size and use of existing buildings, if any •�// 1 7 G y , / t) s /� N w Size of proposed building �� ft.x �-.- ft. �;/�i Height(from grade to ridge) ZZi ft. - '/ E Front yard ft. O J r Side yards ft. and ft. Rear yard ft. J ft.. SOUTH ?j If on corner,setback from side street . Note: All distances are net, as measured from street side . line to nearest part of building. (OVER) . 7-73-m (cont'd.) BUILDING SPECIFICATIONS., Kind of constructio : Wood fram fire safe, etc.?. . . . . . . . . • . • . . • . . . . . . . • . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . • • • • • • Will any second-hand umber Be used? . . Y"). . • • . • If so, for what7 ) Material of foundation walls f Q virwo• •GoY)C- Thickness Depth of foundation walls below grade . ln, Continuous foundation? Will there be a c r? . . . If so, material of cellar floor . . . .o 11C- - Type of roo : Slo or flat. Material of roof . . . . . ../QD?Q>. r:). . . Size, wood studs . "x 'cs ", spacing i. L' "o.c., length. . . • ft. Size, floor beams, 1st floor "x 1 ", spacing l t "o.c., span 1 ft. • Size, floor beams, 2nd floor "2-- " x • • • •1 . 0. . • • • • •", spacing t 10 "o.c., span l ft. Size, ceiling beams " x e, ", spacing "o.c., span . . . . . . .. . ft. Size, roof rafters or beams c. . "x • • • .0 ", spacing 1 . . ."o.c., span 1 k 1 61 ft. rji Exterior finish F-11 X 5 C c/ ith what material? • W ODY Finish of interior walls If_garageisbe to be`aatttacbed ff whatmatterial is wall between garage and main building to be constructed? -. es sCo ii Is there to be an opening between garage d building? P — Y?0 D ,. Kind of heating system 'S7JOq'D/01 L- 'F\aId A(zr Oil burner or coal? Will a flue-lined chimney be provided? 5 . Depth of chimney foundation below grade Height of chimney above roof t' Will there be a fireplace? • \-A-PS Depth of fireplace hearth 2ct Will a toilet be installed? �F 5 Will a kitchen sink be installed and connected to water supply? 1P-5 Water supply (public water supply or pump) Distance of cesspool from any private well 1.� feet Will drainage system be provided with required traps, cleanouts, and vents? NteS Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt, be,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.i.�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 the proposed work,shall be complied with,whether specified or not, and that such work is authorized by the owner. -I;( Sworn to before me this • Signature / ;/,t- OWNR,/OWN R. AGENT,ARCHITECT.CONTRACTOR day of 19 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: 1. Gross floor area \ 1 (VfS'1AlirzS n0y F)hrsrl -'FU71.),/-;). 2 . . Type of heat OOP t 01L-- \/./1,qtri_il. 3 . Is the building mechanically cooled? O 4 . Percentage of area of windows and doors 12 A. Over 16% Only 1 . U . value of gross area of walls ; roof/ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces C S 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? YE . •`'� a. R value of insulation g 5. Type of insulation ('_01a-roal," B. Under 16% Only 1 . .R value of roof and floors exposed to ambient conditions . r--3O — ' 2 . R value of exterior walls .2— l`\ 3 . R value of glazed area ‘ ''( 4 . R value of doors • \� , 1 S 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab _ V) A 7 . R value of slab insulation - heated slab _ lir 8 . R value of heated basement/cellar walls (above grade)r 8 9 . R value of heated basement/cellar walls (below grade)' 0 10 . Type of insulation aQ ..9-j-ill.rnicr), C. Controls ^ O U 1 . Thermostat maximum heat setting 1 .( :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 C E) Piping Insulation 1 . Size of hot water or cooling carrying agent pipe A,/ 2 . R value of pipe insulation J� F. Service Water Heating cj-c°I 1. Performance efficiency b l�' • 2'. Temperature control setting maximum I Q° G. For Swimming Pool Only 1. ��// Maximum heating, Telephone No. 7r/ s �c _ i��` ';� r� ✓/ (applicant ' s `gnature) J TOWN OF QUEFNSBURY BUILDING & ZONING DEPARTMENT SEWAGE' DISPOSAL PERMIT APPLICATION ,,,, 1. Owner ' s Name / �a.r�. `i-nn `c_nc:v0 n 8r; I I Address P(0 a. 01(. i J s 1 1-n. 6-kis YailsJ /JP,ANOri< Telephone No. 7q-3'8937 2. Property location 0(cv OeST Pl000loin R� 3 . Name of person or firm responsible for installing system Ir / fY h/c/ � ev�t' 1 Tel e 1/2/j Sz sj 2. SO N /��_/9 , phone No. Address eft/ •k)/7/ fr' ,9// /4(1i , - -7 4. Number of bedrooms (residential buildings only) /76 /- 7 5. Daily flow "7/-fl7 gallons/day 6. Septic tank capacity /dde5 &A"4- F'rK7`) gallons 7. Topography: 111,' rolling, steep % of slope 8 . Nature of soil and depth 3 4 >v/ D • 9. If ground water, bedrock or impervious material is apparent at what depth does it begin?/0 /8 210 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: drywel l ' } 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. P Date Iitfie signature of applicant 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. / Inn2 4,62.-Z-r / Y Form 3-82 �- 18-7-x7 • • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR VILLAGE (-2` j y TOWNSHIP 6. I t�S/(/( COUNTY 64(-re STREET AND NO.OR Moor)j� /J ROAD AND POLE NO. (1/[) (,Je sf oo r)t )�} .fig POLE NO. BETWEEN WHAT TWO {Q CROSS STREETS IS / 1 -f Ol 4 4- �' PREMISES LOCATED?t:ll/Y:.L'y(r•�ie)('' ( I<i(t f+'j; ;-+ ,),�( �i- `if,'+,:�`7�;1%7); 1,�SECTION BLOCK LOT OCCUPANT'S i/1) BUILDING NAME I 11�� �. �(`} ' / t l/}C OCCUPANCY � i L;G/ OWNER'S NAME �//i� {- rr(f J - r J /� ) AND ADDRESS /rin'�t� 1-4,ri 111 <' _ f-7TIf/ frk'lii/ i�‘V'i�,. (7) f�i feY)f, i�� IL /U�' r R / CURRENTS }� f JJJ1 J f BYPPLIED�/I C 1 0(C` Y Y)R In6 l a1 j FROM THEIR ( t{�j l.s B�// OFFICE BUILDING 1 7�, WORK DEFECTS IS NEWIZII OLD❑ REMODELED ❑ IS NEW X ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS Lamp Receptacles CIRCUITS Loca- ' tion Ceiling Side Attach't Switch Pendent Bracket No. Type H.P. No. Watts No. A W.G. NO WATTS Wall Recept'Is EachEachGauge EACH 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. fl=� 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 /I_ r 7. g(/ COMPLETED//.1-2_cNSIZE OF SIGN SERVICE ENTERS MAKER • BUILDING OF SIGN INSPECTION REQUESTEDON OR AS (� POSSIBLE NEAR AS -J ^ e J f4/6 / -7// NEW I I OLD El AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICANT � �/'?1 3r= , APPLICATION /f /'n,/ STREET ADDRESS - /?r j11 li7F0/ 4vt CITY OR C ) t ZIP LICENSE NO. G. f r Y?POST OFFICE ��� .l f"�//7 �� CODE I� 0/ WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING i TOWN OF QUEEN BU Y Building- Department Inspectmm Report Date 7 Name 13 R //_6./ Location , 9Z D 0,:t.,> / 77V R Permit No. Weather Remarks Excavation Footing Forms Footing & Piers Foundationmt 6A- 0Cement Coat Waterproofing r Backfill Final Survey Framing Sheathing (�� � �� Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall, Board Ext. Porches !l �j \,v/ Finished Floor / //\ Interior Trim Stairs & Railing (C„,' / Cellar Dr. Tile Concrete Floors Plbg. Fixtures (/r 6 2n77,4 -OA Gar. FireProofingb,"/ Door Closers Chimney L✓ C_._ ' Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceilin _ -P/la,'411) Building Inspector REMARKS DZ2N., - — v 7� /Al( / 6, Y✓LC / 15 Pa `� 6k TOWN OF QUEENSBURY Building Department • Inspectors Report Date 3 ✓ / Name ,. J� 1s / Location e''2 l> 1,41 5-\,, ,Write Permit No. 8"&Fig3 Weather �j / � d ' P Remarks Excatsation f`!� Footing Forms Footing & Piers Foundation Cement Coat (01‹. Waterproofing (( Backfill Final Survey Framing • Sheathing 60 7 .Roof Felt Roofing /► Siding Masonry Veneer Rough Plbg. l Relief Valves Wall. Board Ext. Porches Finished Floor //4.•- Interior Trim //�{ Stairs & Railings /t\. Cellar Dr. Tile Concrete Floors Plbg._Fixtures -_ _�� Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date_ 6 765- Name e Location « 6L!4`�5 7 - 7 4$ . Permit No. Weather _ Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing t''' Sheathing Roof Felt Roofing Siding • Masonry Veneer '.nn Rough Plbg. (. Relief Valves Wall. Board Ext. Porches Finished Floor Interior Trim / Stairs & Railings J/ Cellar Dr. Tile Concrete Floors /` Plbg. Fixtures / Gar. Fireproofing \ Door Closers / Chimney Water Meter Inst. Septic Approval Floors 6 Insulation Walls ' r Walls ` Q< • Ceilin F'CD,. ---4:-//(_, Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date i y/a/? Name yl, a-ec_-I L £32‘L b.tJ Location (TV ,t) Pe rmit No. Weather Remarks Excavation Footing Forms i/ 4r"� - Footing & Piers Foundation —' °//l Cement Coat �� /V 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 Founda ion Walls Ceiling A1A.4 Building Inspector REMARKS TOWN 00 QUEE SBURY Building Dnpartment Inspectors Repast Date Name i'1'7 752 r L L,� I°e•atoa (. L Y < ( 09% /L a Permit Ne. $a Weather Remarks ExcalM tion Footing Forms e Footing & Piers 1i-- 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. _ Se tic A roval • Floors Insulation Foundation Walls Ceiling Building nspector REMARKS .. . - a , ___,- ---- . ....---- ----------- I, .------------------ ,1 .---------------.- . kY. -- ------------ ---- „.....--- _,------- N I . , _---------- 0-,,,,.,..• , .„.„,..... 0•r, 11/12.i.lc and Gwe rido.1n fir 1 ill riv • s-0 730=00:W 342.14' ••• • . . A a• , Ci tv •,-1 • 'tt H (4 (1) • 1---1 •H I ' Itill . 3.0 ACRES * • ,ii shed r.q • - ii • . o i . L-', • ,--. • \\.,; ... .....• 6 7 _ A 0., , -- _doe t 0- —,— - • 183.0' (0 ;•--, LI) b C•:t. 1%P 0 V. 0,-.• i ' • W• W ti: b ,---i 0 0 . L.: . .-, -,.., Deed Reference : -1 0) V ,--,.. ' / Robinson; in L. Robinson i 1 o coal 0 i..,0 • U) 7 Mr-_-_LH. S . ?,: Gyre lid oil iii P. BP,I LLI NC t, • \\ Li.bei- ( .:---, p:-..: i "- :'.1 ., 0 m •, . , CM . . / \\ . I M • Z 11.34' N-13f1.3..5. " Ni /36,59 • .,-,1<,,,,, rkl pr, •....._..._ -----.._ MARK S. .--.-i-a, CWENDOLYN P. BR1LLINC c,-! Q ,r (., )r--• . , -Warren CoIn : . , N. Y. • S,- i--_-1,-_. :. t *1 . , t Au -u;-.. :- 7 , 1 S'. . •, . :' P.: Ma.., 1-i-;,, Li .: LI .,.. c. -.. 1_,.. ). S,....0\ c:..,or . ':,! e: ;:. 1, .11:: .'''.. Ink: e ..' 0.. - : , i\l, . v„ - ,1 • • ..- ;