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6173
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. has been completed. This structure may be occupied as a Location OWT+er By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INETA" PRINTING. GLENS FALLS N V 12801 IS1S)797-SASS -✓�� BUILDING PERMIT TOWN OF QUEENSBURY No. 6173 • WARREN COUNTY, NEW YORK • t,, PERMISSION is hereby granted to Dr, Samuel Gottesman OWNER of property located at Lot 46 St. Andrews Drive (St. #S?t?eet, Road or Ave. CO • • S s✓ 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. G� • O- ri- 1. OWNER'S Address is 8 Crownwood Lane Glens Falls, New York sv 2. CONTRACTOR or BUILDER'S Name - Ruggles Construction • 3. CONTRACTOR or BUILDER'S Address 5 Wincrest Drive • Glens Falls, New York rI 4. ARCHITECT'S Name m • Cf 5. ARCHITECT'S Address . �R . II CD 6. TYPE of Construction—(Please indicate by X) - (X)Wood Frame (. ) Masonry ( )Steel ( ) I..,. 7. PLANS and Specifications N 32 'x109 ' per plot plan, specifications and No. application submitted including sewage system . and two-car attached garage. • 8. Proposed Use . One-Family Dwelling • $5. 00 C/O Paid $250. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 80 • (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 'C town of Queensbury before the expiration date.)• - - • • Dated at the Town of Queensbury this '7 tr Day of November 19 7 9 - SIGNED BY • j" �� 6)' 0` �ay..„ t„) for the Town of Queensbury Building and Zoning Inspector • .TOWN OF Q,UE.EN.SBURY t (Space inside Klock to ix filled in by WARREN. COUNTY. NEW YORK Building Inspector) . • Application for - Application • pp I'erctiit Issued 19. BUILDING AND ZONING PERMIT "lit Expires . • _ 'g. . /.o6in 'Di"strict ' "VAR:,,I Work%` 0' '" •�cc ht actual THREE (3'1 Copies of a PLOT PLAN, Drawn to scale.. . • .\1 cis " • showing'the aual dimensions of the lot to be built - 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�•� ////J bt TOWN OF QUEENS- • A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK NOV7 1979 a„ ANSWER ALL OF THE FOLLOWING. . The undersigned hereby applies for a permit. to do-,the followin wodri . . - rp / 9 A.M. ,� SS which.will be.done in accordance with-the-description, plans and specifi- q $ g 1011I12I1)2I3I41516 . .•, , ,, ,,, ,. p E '0 E ill V cations, and such special conditions as may .be indicated 'on the permit: ` _ d / h2- The owner of this property is: C ra W✓1 W U v " A t /)1 b.7.-loS Hod.c� ,?• ...„4 ,, . /'F,li 4 (P.O.ADDRESS) (NA'••E) The person responsible for •supervision of the work insofar as the Buildit)g,Code and the Zoning`Ordinance apply is: - b ��- l:� '7'. . . ' • lei 6 l S:� elite. f. . . .po_ a•F (NAME) (P.O A ORES 1, Name of Builder ?!U- 4 C.7 epA4 D Address Name Of Plumber ' 1 4 I)ti y/ 11 Uff.er---f -- Address . .14 t1Tk'i 1. f•JaD� • • • Name of Mason }�C•�� ate• .461• I ) 'Lila' Address . . . -,Q,/.�77 . -F>•. . . . . . .7 . . . ... . . . . . . Lot Number L7' 4 Unit Estimatedp value of proposed work$ . . . . . .1'2. . . - Name of Village O 'c/G4 i 2. . . .P4 k. . . : . ,, .,, +-,'.' . Name of Street . . .S1. . .At iI!.b,<2. • • . Side of:•street:,mirth 0, east.' 0, south- ❑. west Nearest Cross Street 1..�'•1-�'7d Distance from this ^ross street .00 Ft. • Property is north— ;"south- px,east 1.1,west 0 from Cross Street., If on Corner,which corner, northeast ❑, northwest 0, southeast Li. southwest (Designate.by marking with an "X" in the correct space.) . NATURE OF PROPOSED WORK OCCUPANCY Main Building Construction of a new building. One family.dwelling l�X . ❑ Addition to a building. Two-family dwelling ❑ ❑ Alteration to a building. • . , . . . .-family apartment house ❑ 0 Demolition of a building. Store building 0 • . . . r attached garage ❑ Other: Accessory Building One-car.detached garage . 0 0 Other work. Describe • Two car detached garage 0 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- posed buildings,and the location of all existing buildings. NORTH Show proposed buildings). in dotted line and existing . IA/ L ` lbuilding(s).in solid line. Size of property . . J1• 4 �I ft.t� 11..e. . �x . . . 4. . . . ft. Size and use of existing buildings, if any - Alb/li.Z i m /.Size of proposed building .5 ft.x .✓. . • • (t• Height'('from grade to ridge) i ' V-, ft. Front,yard lv.S�• Side yards O'er ft. and . . . .9.r. . . . . . . ft.ft. . Rear. yard 6 . ft. SOUTH If op 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.?. ,. • • • • .L4 ' whr A.H0 Will any second-hand lumber be used? A/ V v ,� Material.of foundation walls . . �?• . .Cam. .V. . . . ` Thickness Depth of foundation walls belo grade 7 • Continuous foundation? 91.0,.. • • . Will there be a cellar? . . . . .ti.J • . If so, material of cellar floor - Z•Ca A,IG , Type of roof: Sloped or flat? / S).©p.• • • • Material of roof �l 4•l Y, Size, . wood studs . • •"x • • +sP�cing ."o.c.,length ft. ) Size, floor beams, 1st floor -Z. "x . . . ,/ .b. . . . . . . .",spacing..,.t./r.. 4 "O.C., span . . . ./... . . . . ft. Size, floor beams, 2nd floor . . . . .` " x • • •/ •6 ", spacing . . . ./Z ` "o.c., spin . . . .AV: . .'. ft. � . . . Size, ceiling beams .2 „x . „. . . , spacing . . . .2. "o.c., span . . ./..)' . ft. Site, roof rafters or beams " x ", spacing )4 "o.c., span . .J1..11 . . .). CftSjrs Exterior finish 13• P..i. ii4: -' . . ISR.1.4%4 With what material? Finish of interior walls " Z t . 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 and building? � . • . Kind of heating system . . . . Will a flue-lined chimney be provided?_. . �.7 3. .'• • • • Depth of chimney foundation below grade . `- 7 Height of chimney above roof , 2 Will there be a fireplace? , Depth of fireplace hearth )Z !' Will a toilet be installed) - Li•O . Will a kitchen,sink be installed and connected to water supply? 0� Water supply (public water supply or pump) pti5 l l-. Distance of cesspool from any private well • . feet Will drainage system be provided with required traps,cleanouts, and vents? . . .1 AFFIDAVIT - Town of Queensbury- . County of Warren State of New York I swear that to it; Deb c of my knowledge and belief the statements contained in this application,for with the plans and specifications sub- - mitred, are a true and co.i.plete 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 I be compli 'th ther specified or not, and that such work is authorized by the owner. Signature �� Sworn to before me this i V OWNE :O.N 'S AGENT.ARCHITE .CON day of 19 NOTARY PUBLIC. WARREN COUNTY. N. Y. ' SPECIAL CONDITIONS OF THE PERMIT: • By V TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must b'e obtained before beginning work. ANSWER ALL of the following: 1. Gross 'floor area ,y{ , c 2 . Type of heat -4._, ' / 't i t - 4 e 3 . Is the building m anica y '�cooled? 4. Percentage of area of windows and doors /J I- 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 9_ , It _ 6 6 2. R value of exterior walls g — ) 9 `f- 3 . R value of glazed area j€— 4. R value of doors K.- -/ 1141 - 5. R value of floors over heated spaces I/44- 6. R value of slab edge insulation - unheated slab 1:461' 7. R value of slab insulation - heated slab 5437 •J'7 8. R value of heated basement/cellar walls (above grade) 12-5-7 9. R value of heated basement/cellar walls (below grade) l�` 10. - Type of insulation C. Controls 1 . Thermostat maximum heat setting 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. Maximum heating Telephone No. r411/1, /4: (applicant ' s sign re) TOWN OF 'QUEENSBURY BUILDING AND ZONING DEPARTMENT BAY AND 1IAVILAND ROADS, R. D. #1 GLENS FALLS, NEW YORK 12801 APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE A. SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OP QUEENSBURY OCCUPANT'S NAME S :. .4 b'T-T r_S_eAtit/ ____ADDRFS7. YL._. TA_�/_ , TrLEPIRONE OWNER ''S NAME ADDRtSS_p 'Pm - e .D_r/J.�l �, NUMBER OF RFDROOMS_4 GAI'BAGEGRINDER? �� (YES OR MO) TOPOGPAPHY: FLAT, ROLLING, STEEP, SLOPE _ .—gym ENTLE SLOPE OTHER NATURE OF SOIL: CLAY, SANDY, LOAM, GRAVEL, ROCKS, FTC. IERCOLATTON TEST 10AT.ER SUPPLY: MUNICIPAL, ;'ELL, OTHER fii DIAGRAM OF PROPOSED SEPTIC r,Y.STEM Z6 o f (, .. -1 1, 0 1. • . N - . zl aA X /6 4 r--- `tom //.///. 12Yo00 Iv G s D 6 44 t . CoAt- TAev/. 17-47 (0- , , me ® OTHER PERTINENT INFORMTION_....._... _L�4d�' ✓ ----Y-__ IT IS HEREPY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED, INSTALLATION OF SEWAGE. DISPOSAL FACILITIES TraLL PE MADE 1N ACCORDANCE WITH DETAILS SEOr'7N DATE_ f i/ 7/7 s'�_ , _SIGNATURE OP .APPLICANT_ _ _ _ — ._._ _..._ /// LAx.',. GEO:RG7' PARK COMM'SS(ON APPROVAL: (signature (date) j _ \t\f5 THE NEW YORK BOARD. OF FIRE .UNDERWRITERS x\ BUREAU OF ELECTRICITY' • 41 STATE STREET,ALBANY,NEW YORK 12207 Date l+,C, •Ie t 1, Application No.on file f'. ,_-' A i�.a �E Pf' !�r'0,0 THIS CERTIFIES THAT a e1 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of to! - .L:U Ln 1J cd,t,l 1,U o- u w• s_9. - s. _/ 1;, F _ 1_',',_;:' J %_ . :.J� -. - in the following location; 'j ,, ® Basement 1st Fl. 2nd Fl. Section Block Lot y ' -( was examined on w' .�` ,y i I r' "r and found to be in compliance with the requirements of this Board. ;r rr FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;: OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT MEECURr VAPOR AMT. K.W. AMT. K.W. i AMT. K.W.. AMT. K.W. AMT. H.P. 1 ;l • f' rr - DRYERS FURNACE MOTORS • FUTURE APPLIANCE FEEDERS SPECIAL REC'PT: TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ,.y 'AMT. K.W. OIL . H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS_ TRANS. AMT. H.P. SYSTEMS - AMT. WATTS `T -, NO.OF FEET y -L i., ,,I SERVICE DISCONNECT MET OF ER S E R V I . C E .< AMT. AMP. TYPE EQUIP. 1,B'2W 1,9'SW 3 Jil 3W 3,0.4W NO.OPERCaCOND. OF CC COND. NO.OF HI•LEG OF.HI:LEG NO.OF NEUTRALS OF EN UTRAL OTHER APPARATUS: fz _ o- a -o -( a T 'r ;r r r - i �Y 5.1,E LIl Q.� ( ! ..7 ,_57 . � ._.ia("+.��.i. .�: ; l /;y:r f'i"j 2,r, ; " Y '?' `.1 BRANCH MANAGER `a I z‹' Per w ii-cYgi'Vri YYiiY`/4YYiii-YiYYiYi-16-4-Ci iiii-Y4i-ivriiYYiCYiYYii-YiC ilii-i4rr YYe'YeYeYYiYYaY YlY 4"C're'reYe Yi-YYiYYeY7(YYiY9AY YiY Yii-ie-4YYiiY YikY YiiYYiiYYiYYiYYiYYiii-iii-Y`gYYi .. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY Building Department Inspectors Report Date Name ��'TT 4e„ Location S'f' Permit No. (O l'13 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 . 'r Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Build Inspector REMARKS ->oC TOWN OF QUEENSBURY Building Department Inspectors Report Date // J/ ,? Name L7i' Location Vge Lpr di 5 n r/r elwwc Permit No. (/'J 3 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 Bui ding Inspector REMARKS TOWN OF QUEENSBURY Building Department lnspector+��r�wort Date /.1—//.`±3 Name T,�1L rc S Location Permit No. s �v cup ,�, I 1Weather Remarks Excafta 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 Chimney Water Meter Inst. Septic Approval st - a/L.-- Floors Insulation Foundation Walls Ceiling 5 Building nspector hh REMARKS 75 V gel Ste,4C TOWN OF QUEENSBURY Building Department In+pectors/ �u Date r2.i a-79 Name Location /� ! C� 47. 6.1A et)" Permit No. (p / 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 Finished Floor Interior Trim Stairs &Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval !.J Floors Insulation Foundation Walls Ceiling Building Inspector is/4- / REMA741 dad 801. 5Yp + b TOWN OF QUEENSBURY Building Department Inspectors Report Date /'' — • " Name /4�/i /,�.5- �ro7�P.�h i�7 Location `�" sl ej�i,IT Permit No. 677 3 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 Ceilin Building In pector REMARKS .. ..... .,, ,,e :r' m• :• r �s i t 1 ,•f.I\ %%--eta^ _ • • S S. -. al •w i S^ ys t F i Y t •