1986-020 C 1P 0 _' - r
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Kay 1.5 19 `
3o -
This is to certify that work requested to be done as shown by Permit No. 06-20
has been completed.
This structure may be occupied as a One—Family Duelling
Location Lou 33 Sycamore Drive (St. No. 9) The .Pirn.es o Ouee-o.shnnry
Sce P.c.,a]tev
Owner
By Order Town Board
TOWN OF QUEENSBURY
"
Building & Zoning Inspector
CREATIVE "INSTA"PRINTING. GLENS FALLS. N V 12801 15181793-S658
TEMPORARY
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
•
Date April 9 19 86
This is to certify that work requested to be done as shown by Permit No. 86-20
has been completed.
This structure may be occupied as a One—Fad j Dwelling
location Lot SS Sycamore Drive (St. Nos 9)
Owner Joe Rtioulier
TEMPORARY CERTIFICATE OF OCCUPANCY ( OR
30 DAYS By Order Town Board
TOWN OF QUEENSBURY
(' Building & Zoning Inspector
i 9
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-20
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Joe Roulier
OWNER of property located at Lot 88 Sycamore Drive (St. No.9) Street, Road or Ave.
co
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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is Box 301
Cleverdale, New York 12820
2. CONTRACTOR or BUILDER'S Name Same
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rt
3. CONTRACTOR or BUILDER'S Address rt omo
cn
Same z
o n
• Pa
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4. ARCHITECT'S NameII
rt
ty
N•
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( ) - -
7. PLANS and Specifications p
0
No. 64'x26' per plot plan, specifications and application submittedFt
including two—car attached garage and sewage system.
0
8. Proposed Use
One—Family Dwelling
m
$5.00 C/0 Paid
$ 157.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 1 19 86 °Q
(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.)
20th January 86
Dated at the Town of Queensbury this Day of 19
SIGNED BY >n a £ for the Town of Queensbury
Building and Zoning Inspector e
•
TOWN OF QUEENSBURY (Space inside block to lx filled in by
WARREN COUNTY,pP NEWa YORK • ' : Building Inspector)
lication for Application No. :
1 crmit Issnc•d 19. .
BUILDING AND ZONING PERMIT Expires. IJ.
7.ccnin!..1 District
•
THREE (3) Copies Of a PLOT PLAN, Drawn to scale APIlimcd bY nlk ti(P 41?
showing the actual dimensions of the lot to be built. Itcni;iiKS'
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 QUE' NS1 U1 Y
- EGE1VED
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Ott.: b 'Yib
ANSWER ALL OF THE FOLLOWING. . U�. 1-e „ .
alo The undersigned hereby applies for a permit.-to do ,the following work t 01 .1lic I l`�1 2141516
which will be done in.accordance with the :description, plans and specifi- .:� e c z
cations, and such special conditions as may be .indicated on the permit. ( .
The owner.of this property is: . /
� �/e'er.. ! 3O / �CCve.C�i��e� �. �� �20
(NA.1E) (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P.O.ADDRESS) .
044-11/
Name of Builder. . . .? ..!�.6 y 4 er. .Address . .i n ,-
Name of Plumber.e .�. . . i eve-'-'S . Address S41i4r77- • -s •""' s
Name of Mason. -✓ S't e et Address l"463 c C'r_•
1 Lot Number d '' Unit Estimated value of proposed work 3 Psi
��-r Name of Village
Name of Street -3, -,o,e ., e Side of street: north 0, east p, south 0. west 0
Nearest Cross Street Distance from this cross street Ft.
Property is north • 11,south ❑,east. Ill, west. ❑from Cross Street •
If on Corner, which corner, northeast •Ll, northwest ❑, southeast ❑, southwest
(Designate by marking with an "X" in the correct space.) '
. NATURE OF PROPOSED WORK . OCCUPANCY " •
M Construction of a new building. Main Building
El Addition to a building. ', . • . One-family dwelling
❑ Alteration to a building. Two-family dwelling ❑
• ❑ Demolition of a building. . -family apartment house ❑
Store building ❑
c -car attached garage ❑
' Other:
. • • Accessory Building
One-car detached garage -
❑ 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, sire and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show proposed buildings) in dotted line and existing
‘-tr- , huilding(s) in solid line. .
. Size of property /-3o . ft. x- /7o ft.
Siie and use of existing buildings, if any
tel ... W Size of proposed building GI' . ft.x -14. ft.
,<- Pi 0 N Height (from grade to ridge) ^..v04 ft.
s� t` C a ft.
Front yard •
• Side yards —3.3:.. . . . ft. and ""-3 3 . ft.
Rear yard Pi/ 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.,
Kind of construction: Wood frame, fire safe, etc.' oe./1. A:T.-A'1 C
Will any second-hand lumber be used? If so, for what' ^'
Material of foundation walls e.o^'e'e, 'Se,eic Thickness .---o
r
Depth of foundation walls below grade '`' L Continuous foundation? ) 5
Will there be a cellar? .)des If so, material of cellar floor ea...c...e_
Type of roof: Sloped or flat? . ..s44ce( Material of roof -- .PZ-2.?� ��C Coss s1".2,!s
Size,wood studs q.Z. " x e ", spacing o.?? "o.c., length , ft.
Size, floor beams, 1st floor m1 "x ie ", spacing /G "o.c., span /-3 ft.
Size, floor beams, 2nd floor " x �o ", spacing /G "o.c., span . . . . . ./.3.t-. . . ft.
Size, ceiling beams c.4 " x . . . .y. . . . . . . ...", spacing -1 y "o.c., span -07 ft.
Size, roof rafters or beams -.2 " x• y ", spacing at V "o.c., span — ft.
Exterior finish C�Ae ',AOGcei s''5 With what material? ,
Finish of interior walls. . . ,s S cc1.2-r e.
If garage is to be attached, of what material is wall between garage and main bui<Iding to construct d?
y 4 s��si G " �L�./rloss . . , .s4«.;a✓r ..s,.%�; '4'. se. -s�. /(7A-mac
Is there to be an opening between garage and building? r s - .34 . �•• .
Kind of heating system . . o.4�,; 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? YC'f Depth of fireplace hearth .........2
Will a toilet be installed? y,5
Will a kitchen sink be installed and connected to water supply? �s
Water supply (public water supply or pump) . . . . •!41,--'-'•c70pC 4"'o'L'
Distance of cesspool from any private well — 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 tl; b, 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.a. 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. '�
Sworn to before me this Signature fir- OW ER OWNS 'S AGENT,ARCHIT T,CONTRACTOR
/1 day of � ` • 19 0
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
2 . Type of heat
3 . Is the building mechanically cooled? wa
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. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
39
2 . R value of exterior walls. ,, , /5-
3 . R value of glazed area /
4 . R value of doors /f /)/.
5. R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab �)
7 . R value of slab insulation - heated slab 60
8. R value of heated basement/cellar walls (above grade) 2
9. R value of heated basement/cellar walls (below grade)
10. Type of insulation U-.:4.,c,
C. Controls
1. Thermostat maximum heat setting 70 '
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a If YES, R. value of duct installation A//A
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 /ye •
G. For Swimming Pool Only
1 . Maximum heating ,
Telephone No. Xi,-G,'?-31'yj° —�
(applican ' s signature)
TOWN OF .QUEENSBURY
BUILDING & ZONING DEPARTMENT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner' s Name ,,' : Gc..
Address /goy .3di
71CVeeC0.43 lcJ v,-) Telephone. No. G s-e - 3 Yle y
2. Property locatione7d �S✓c,q�,o�c /J�,�� .� C�..e��,C..�r, �►,
3 . Name of person or firm responsible for installing system
ZL,12 •�/�.-.o / c , - Telephone No.
Address ,4 46 �GLs,
4. Number of bedrooms (residential buildings only) y
5. Daily flow Co-a- gallons/day
6. Septic tank capacity /�'��" gallons
7. Topography: (flat), rolling, steep
% of slope ,e27;,;;--- _
8 .. Nature of soil and depth
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, well, 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 $25,0 as provided for in Section 6 .010 of the
Queensbury Sanit y Sewage Ordinance.
Date /P
signature f 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.
tees , TA'
Form 3-82'
J 1 T'Ze , /fU)
.,,,t,,,,x,a i.?,L)tl Vic,",as,.,,e1;,,a,e)_ s),",xel,,st m.,","_" ,si","m}„kit.0 „ve), (.a „,si..\ „m,,,,,,,"„fit",.1.i...m„m.alu.1fi.t,,,,,„koi lte_•,.""..m?..Ai"..." 01 00,.".?
THE NEW YORK BOARD. OF FIRE UNDERWRITERS
t. BUREAU OF ELECTRICITY
lb 41 STATE STREET,ALBANY,NEW YORK 12207 :�
Application No.on file yv
Junea. 5, 1986 001882-86 A `1 }
Date �? �{� ':
THIS CERTIFIES THAT i U y ::§
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises a)
Joe Rou1.ier, Sycamor Driven Queansbury,9 New York
in the following location; A. Basement El 1st Fl. 0 2nd Fl. Attic Section �� Block c8 Lot •
was examined on and found to be in compliance with the requirements of this Board. '+
5/12/86
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES INCANDESCENT.FLUORESCENT My�rpjY AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ',ii
'•
- 'Tn F'9 .b F_ 11.2 0
DRYERS V FURNACE - FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET "'bIMMERSr' :::4
ii AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. MAT. AMP. MAT. AMPS. TRANS. AMT. H.P. SYSTEMS
OF FEET AMT. WATTS .�
'i
_ 1 Range 3#6 :;1.
E. 11 1�._...____ 0Jta n ..
SERVICE DISCONNECT NO.OF -- Qn S Al,, E- R V I - C E ':
AMT. AMP. TYPE EMQUiF I A 2W 1 Jr 3W"3 a 3W 3,EYSIW NO.4 F C E,COND. OF CC..GWJD.. NO.OF Hi-LEG OF HI-LEG NO.OF NEUTRALS NEUTRALOf
:fr.'
,i
S 'Intl ..T.. S 1 A do - ti .e p-., 'i
OTHER APPARATUS: ry LL y v • b G6 v
'i
i
r. 2— G.F.C.I. INSPECTilgi P
1-- Smoke Detector
Electric Room Heaters: 3— 200kw
4— 1.5k.-,
6— 1025k.
i
3— 10 0ke7
Jeot�l3er �J
7
, 3
Boat 301 /
Clovercai e, New York 12820 BRANCH MANAGER -
tt Per 1.f I77
This certificate must not be altered in any manner;return to the office of the.Board if incorrect. Inspectors may be identified/4y their credentials.
ft !I MI riliffir II 51121 MEMO M •
v.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date L I C (R--(0
Name -`-)0 Lit--
Location �C O ✓ ,,)--
Permit No. - O Weather
, I2&- 1u5 Q,Le r(0 j Remarks
Excataton
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding ✓f ce3AA�L LL
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches i/5'L C fre. e /
Finished Floor
Interior Trim
Stairs & Railings v
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures •66; g:1,cou1
Gar. Fireproofing i'
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundatio
Walls
Ceiling
Bui di g Inspector
REMARKS
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TOWN OF QUEENSBURY
Building Department
Inspectors Report Date %jAy -(v
Name ,�c�u L i f-jz
Location ' 'Ss S y CA 440 Q,E
Permit No. .F to -Z a Weather
/it/3 fiGcr fad Remarks
Excat>ation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing O k.- ' \17\
Siding (A/Co M ALL—t
Masonry Veneer
Rough Plbg.
Relief Valves a,JC -.
Wall Board
Ext. Porches IA! Com ,p4_4-1-6--
Finished Floor t CIC.
Interior Trim p I�
Stairs & Railings /Uo SAfG
Cellar Dr. Tile
Concrete Floors i/}61,-
Plbg. Fixtures jVCoM P44-re
Gar. Fireproofing /ujc:v.si p
Door Closers U C,
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Fes--
�
-1puil'din Inspector
REMARKS
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TOWN OF QUEENSBURY
• Building Department
Inspectors Report Date 'l 3
Name j D 2Ct L/ 2
Locati
on n s Y/4iYte72-
Perrjt No. & - 2 o weather
Remarks
Excatja tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
. Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding •
Masonry Veneer
• Rough Plbg. V69.(�
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile t
Concrete Floors '�.� ,/
Plbg. Fixtures is
Gar. Fireproofing !/ \
Door Closers /
Chimney •
Water Meter Inst. \
Septic Approval N
Floors
Insulation Foundation
Walls
Ceiling
11' llkiA,U)1 Pit)i V;)) ..... .
v Building Inspector
•
REMARKS
•
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date )-k j
Name 3-6 ao y L (Cr2
Location_ L.0-— ''5.( op/,-
Permit No. 56 - o..m Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey 1
Framing 7/ 0 4S-e,-tr-als o0
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches /
Finished Floor /Interior Trim /
Stairs & Railings .r°.N,
Cellar Dr. Tile At' '\
Concrete Floors / N
Plbg. Fixtures / N\
Gar. Fireproofing f
Door Closers r
Chimney f
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Buildi g Inspector
REMARKS
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86 Ak414�i-o w Imo Wto(AA,_
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•
TOWN OF QUEENSBURY
Building Department
•
Inspectors Report Date if
Name Q?o
Location r -
Permit No. y(Q - ca o Weather
Remarks
Excat7a tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding •
Masonry Veneer
Rough Plbg. •
f
Relief Valves /
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors /1
Plbg. Fixtures (,
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst. •
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
1 9
Building Inspector
REMARKS d
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•
•
. TOWN OF•QUEENSBURY
Building Department • •
•
Inspectors Report Date /V75 a A.:I.--
Name
Location L `6 NYC a 1r er
Permit No. G - a G weather .
- • Remarks
Excavation
Footing Forms i/ �� (;-,f � (Gr 1 r2,
Footing & Piers •
Foundation
Cement Coat •
Waterproofing
Backfil3 t� - f) ,As - L, r Aster:. .1,AL[
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 '
Wa11s
Ceiling
Building Inspector
•
REMARKS
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