8333 C/C3 P a
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date j'"'r 17 19 _L
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 CjV Dwel i r(- (1 )
Ur:t-,cr Fav RoaC
Location •
Felen c raua I
Owner
By Order Town Board
TOWN OF QUEENSBURY
A>,
Building & Zoning Inspector
CREATIVE INSTA PRINTING GLENS FALLS N Y 12801 1518)793 5858
BUILDING PERMIT
TOWN OF QUEENSBURY No. 8333
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Helen and Paul Hogan
OWNER of property located at Upper Bay 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
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
.
1. OWNER'S Address is 13 Dahlem Blvd
Schenectady, New York 12309
0
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDERS Address
same
4. ARCHITECT'S Name
Ft
New England Log Homes
•-C
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
•
( )Wood Frame ( ) Masonry ( )Steel (X) __ Log
7. PLANS and Specifications
26'x32' per plot plan, specifications and application
No. submitted including sewage system.
8. Proposed Use Per - Variance No. 883 0
One—Family Dwelling
5
$5. 00 C/O Paid H,;
$ 98 . 00 PERMIT FEE PAID—THIS PERMIT EXPIRES September 1 1984
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C7 —
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 23rd Day of February 1984
SIGNED BY u/�• for the Town of Queensbury
Building and Zoning I nspe
# TOWN OF QUEENSBURY (Space inside block to lx filled in b,
WARREN COUNTY, NEW YORK Building inspector)
Alication for A''`''"a'`"" No..
PP 1'c•rmit 1s.ue(I 19
BUILDING AND ZONING PERMIT Pt•ni l Expires . 11
'liming District
\ ;du(. „1 \Work %
THREE (3) Copies of a PLOT PLAN, Drawn to scale A1)1"""c•(I by
showing the actual dimensions of the lot to be built 1:(•111;IlKf
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB i .
-
MITTED WITH THIS APPLICATION. I
2„ t - / - /2.. e� TOWN OF QUEENSBURI
�A1E RECEEIVED
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. FEB 2 3 1984
The undersigned hereby applies for a permit to do the following work ci --e e � .
which will be done in accordance with the description, plans and specifi- A.M. /0 3 ( r iVl•
cations, and such special conditions as may be indicated on the permit. 71819110111112)11213141516
The owner of this property is: 0 i h G
T �(/
. . . H .e'en. .and. Paul . Hogan. . . . . . . . ► .. . ., Atixerm 4i) Oet�fP,vAFn Y , �y 1a30
(NA"E) IP O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code hand thet-i Zoning Ordinance apply is:
is:
•Si •_--✓A{.z a H-t`�e rt>�: 2}y. ......AT. P. /S�/ /t'ql .A!' e,. .0 S-. -0,- X)Y
• • • (1 Y(NAMMEcy�q 1 •
ADDRESS)
Hose Name of Builder C'3d .Eng.L Q .Let Hom,c 3 Address ..Box . .. 27. . kc. �.��.,. .I�t...Y.. .
Ig p Phi- f-ke Address e'---- .F.a: : -Y..S/iIi.
Name of Plumber. ;-�,•.
Name of Mason. . . e. ! giu0f . �'H114- /lien4) Address .1 c�srv-x-ram-,-r�•�
Lot Number Unit Estimated value of proposed work S . . . $55.,0.00
Name of Village . .Qu.e ens bur.y.,. .N.,Y.
Name of Street . Bay -Road Side of street: north 0, east 0, south 0. west
Nearest Cross Street Fickle. Hill. Rd.. Distance from this -ross street sS ay fed. Et.
Property is north ("south ❑,east )‹., west 0 from Cross Street
If on Corner, which corner, northeast ❑. northwest ❑, southeast E. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
11 Construction of a new building. Main Building
0 Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling [l
❑ Demolition of a building. -family apartment house ❑
Store building ti
-car attached garage H
Other: . . . .
Accessory Building
❑ Other work. Describe• One-car detached garage Per. �Q�. Two-car detached garage •
_,
._Private chicken house
El
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, site and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
huilding(s) in solid line.
Size of property 150 ft. x . . . . 1.255. . . . ft.
Size and use of existing buildings, if any
IF 1jr •
a
114V
,�
N W Size of proposed building . . 26. . . . . ft. x . .32 ft.
Height (from grade to ridge) . .20 ft.
3®' Front yard 30 ft.
Side yards 25 ft. and 2 5 ft.
�� ' Rear yard 25. ft.
SOUTH If on corner, setback from side street . .30 ft.
Pfly* d Note: All distances are net, as measured from street side
n line to nearest part of building.
(OVER)
7-73-M
lc 7T/�L/Dn .A- /2 1
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. .I'•0.
Will any second-hand lumber be used? . . . no If so, for what' ��
Material of foundation walls . . poured . concrete Thickness .4. .l'Q
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? . .yeS If so, material of cellar floor . . . .poured. •concrete
Type of roof: Sloped or flat? .sloped Material of roof fiberglass• •sh•in1ge•.
Size, wood studs 2 " x 4 ", spacing . . . .16 "o.c., length. . . .18 • ft.
Size, floor beams, Ist floor 2 " x 10 ", spacing . . . .16 "o.c., span 16 ft.
Size, floor beams, 2nd floor .10 " x 1,0 ". spacing . . . .24 "o.c., span 16 ft.
Size, ceiling beams 10 " x . . . . .10. . . • spacing . . . .24 "o.c., span 16 ft.
Siie, roof rafters or beams . .10 " x 10 ", spacing 30 "o.c., span 10 ft. '.
Exterior finish Handpeeled •L•og With what material?
Finish of interior walls log-and• pine . .lumber
If garage is to he attached, of what material is wall between garage and main building to be constructed?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N./.A
Is there to be an opening between garage and building? . .N/A
Kind of heating system . . electric. .and. woodhe at • • . Oil burner or coal?
Will a flue-lined chimney be provided? . . .yes . Depth of chimney foundation below grade
Height of chimney above roof. . . .2• .f e.et
Will there be a fireplace? yes Depth of fireplace hearth
Will a toilet be installed' . yes
Will a kitchen sink be installed and connected to water supply? . . .yes
Water supply (public water supply or pump) well
Distance of cesspool from any private well 100 feet feet
Will drainage system be provided with required traps, cleanouts, and vents? if necessary
Town of Queensbury ) AFFIDAVIT
County of Warren .
State of New York
I swear that to tr. 0 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.,.p 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 pro sadd�woork shall
be comp' with,whether specified or not,
and that such work is authorized by the owner. /��.�'.�NER. f� � _Sworn to before me this Signature t c
t. O N . ER'S • RCNI ECT;CONTRA TOR
day of ` --�'i 9
NOTARY PUBLIC. WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
TOWN OF OUFFNSBURY
BUILDING & ZONING DFPARTMFNT
SEWAGF DISPOSAL PERMIT APPLICATION
1. Owner ' s Name ' ,4eN V /-' i /---ic","`
Address /3D/,4Lem I. yr
Sche /5( 'c 7 d ` ;/ Telephone No. 8-69- /
2. Property location r,Q)/ / 01.4.,edie,e7
3. Name of person or firm responsible for installing system
7 //J -.C.rri Telephone No. -; /6
Address/ ,� /�J �`v� ' J '7J' /;/1-..5
4. Number of bedrooms (residential buildings only)
5. Daily flow /7,9`CJ gallons/day Pete $r=t•Z . c
6. Septic tank capacity / --t, gallons
7. Topography: flat, 6ollin) steep
% of slope
8. Nature of soil and depth Art--Zerf i Ac /
9. If groundwater, 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 6_ . f, fr
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 /.4/4,17/ /a4L`��'
'�
signature of ap licant
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.
Form 3-82
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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 1410
2 . Type of heat electric/wood
3 . Is the building mechanically cooled? no um
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 valu'e of roof and floors exposed to ambient conditions_
Roof = R 27. 89
2 . R value of exterior walls 13
3 . R value of glazed area 2.78
4 . R value of doors 2- 35
5 . R value of floors over unheated spaces 1. 815
6. R value of slab edge insulation - unheated slab Iti/r •
7 . R value of slab insulation - heated slab N/A
8 . R value of heated basement/cellar walls (above grade) N/A
9 . R value of heated basement/cellar walls (below grade) N/A
10 . Type of insulation Log for walls ; ridgid insulation for roof
C. Controls
1 . Thermostat maximum heat setting 720E
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 it!
1 . Size of hot water or cooling carrying agent pipe 2 �•
2 . R value of pipe insulation 2. 1 -
F. Service Water Heating
meets or exceeds energy efficiency
1 . Performance efficiencyr@quired by ASHRA_E std, 90, meets BO td. s
2 . Temperature control setting maximum -000F
G. For Swimming Pool Only
1 . Maximum heating N/A
Telephone No. (-,r6 �6 q-71Q 7� e4 fi/ •(applicant ' s si lature )
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BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR
f
VILLAGE TOWNSHIP I ' COUNTY.,/f r�-%F.�,
STREET AND NO.OR
ROAD AND POLE NO. ; / -k / POLE NO.
BETWEEN WHAT TWO f � /, 7/,.
CROSS STREETS IS /
PREMISESLOCAT DT .,, t ? / / SECTION BLOCK LOT
OCCUPANT'S ,,1 j BUILDING
NAME f w "_/ A 1I /(. OCCUPANCY I 1;L tfr L
OWNER'S NAME
AND ADDRESS
CURRENT _
BYPPLIED /f fj 6;/ - C,/',; (_k FROM THEIR f /2.I..—itij f'"4/f C"6 OFFICE
BUILDING NEW OLD❑ REMODELED ❑ ISORK NEW jI ADDITIONAL El `7 REMOVED DEFECTS ❑
IS 9�c�
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Loca-
tion
Lamp Receptacles CIRCUITS
Side Attach't H.P. Watts A.W.G. - WATTS
CORM W pt'Wall RacaIs Switch Pendent Bracket No. Type Each No. Each No. Gauge NO. EACH
Out-
side
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd PI.
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 MAKER
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS POSSIBLENEAR AS / , l C 4/ /— NEW El OLD ❑
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
r
NAME OF JJ, t_ t�� jJJ// DATE OF
APPLICANT '. `-"--• / .1 ``-' - /I�/ APPLICATION l' `1
STREET ADDRESS 1 1 2 / s 1
CITY OR f ZIP LICENSE NO.
POST OFFICE 7/ -/ CODE ' ' . WHEN APPLICABLE
Cam--•l L.- �.x-j t ,,/A SEPARATE ALICATLUN MUST BE FILED FOR EACH SEPARATE BUILDING
4027077 THE NEW YORK BOARD. OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
'. Iad 41 STATE STREET,ALBANY,NEW YORK 12207
February 25, 1985 054179-84
' Date Application No.on file A 6 3 6 71 3
THIS CERTIFIES THAT 0 3
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of ,11
Paul Hogan, Bay Road, Queenabury, New York if
in the following locat' ; 'u Basement 1st Fl. 20 2nd Fl. outside Section Block Lot •
•�; was examined on ' ""5/$$ and found to be in compliance with the requirements of this Board. •
►' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS RECEPTACLES SWITCHES
i' - INCANDESCENT FLUORESCENT / C AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. i 21 46 18 ± 3 Fr,
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
�' 'AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. MAT. H.P. No.
of Feu AMT.' WATTS •' r
4' 1 dryer # 0 - 4 _.
1 range #6 '
SERVICE DISCONNECT NO S E R V I C E :
O.
METER
AMT. AMP. TYPE wisp. 10 2W 1 p 3W 3 N 3W 3 A 4W NO,OF CC.COND. A.W.G.
OF CC.COND. OF HI-LEG HI-LEG A•W G. NO. NEUTRALS A.W.G.
PER d -LEG OF NEUTRAL •'
1 200 CB 1 x 1 4/0 1 2/0
is
C OTHER APPARATUS: :
1- 4.5 k.w.- Water Heater Electric Heaters: 2- 2.0 k.w.
2- Smoke Detectors 3- 1.5 k.w.
1- 15 amp- G.F.T. i2- 1.0 k.w.
.5 k.w. - t
r
• p
Tim Boucher ' � '
Bast Street
Hartford, New York 1283$ 239
�' BRANCH MANAGER 4
Per •
.c '.!'y<',.(,e,'" •'.e'--y('e''-r.f'i.YY4C,a'",e?'i.(.,e,",4C'i4Ci4f74C 7.(',4,-i4l.fa,", f74?7.f're,-i4Y'r4(Y4C,e,",e?,e,",e 'r.i-i4< 4;-i4<'r4,-,a,-,a,",a, .i-i.,7a, 'e,"'w • • • • • • • • c.it
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN c-QtEENSBURY
Building Department
Inspectors Report Date / 6/
Name /4/0
Location a� ,E'
Permit No. �?y Weather
I
�,
f /ol e V.> � ;- , 5 marks
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 r
Ext. Porches v;
Finished Floor
Interior Trim ✓2
Stairs & Railings v.-el--
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
r%1` //j/ C_..
(~l j /
p,c KIC 6/41
TOWN OF QUEENSBURY
Building Department
Impeders Report Date 7//3/r Y
L
Name I°4) 14oG19N {{
Location t O e 4�-V x I
Permit No. 13- 3 I weather
Remarks
Excavia ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing 1/fri\( •
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 ✓� Q.-i r!}mot
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
I
0 3.3
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 0/8
Name 67,4-
Location ,5,4-r 1e
Permit No. S3 3- Weather
Remarks
Exca0,aton
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
P1bg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
Building Inspector
REMARKS