7649 C/O`Paid.
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK , .
Date March 2 Li 19
This is to certify that work requested to be done as shown by Permit No. `
has been completed 1
This structure may be occupied as a fln e -F am.i.?_v9 Dwe l rt n zr
Lot 49 St. Andrews Drive (St. No. 5) ,
Dames and Linda Pir
By Order Town Board
TOWN OF QUEENSBURY
. 1117 4--1 } "* i Q
f Building& iioning ISpector `
CWIATIVC "INSTA" PRINTING. GLENS FALLS. .N Y 12101 1310)793•S1Se
BUILDING PERMIT
TOWN OF QUEENSBURY No. 7649
WARREN COUNTY, NEW YORK
lu
PERMISSION is hereby granted to James and Linda Peiffer m'
(St. #5)
OWNER of property located at Lot 49 St. Andrews Drive. Street,Road or Ave.
(Old Orchard Subdivision) p;
in the Town of Queensbury,To Construct or place a One—Family Dwelling ti
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 b
Robert Gardens North Bldg. 150 Apt. 2 H.
Glens Falls, New York 12801 Ifi
rn
2. CONTRACTOR or BUILDER'S Name
Dan Valente
3. CONTRACTOR or BUILDER'S Address
Rt. 9N Box 167 ti
Lake Luzerne, New York
rt
4. ARCHITECT'S Name 'A
cn
rt
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5. ARCHITECT'S Address
U-1 '
I-'
6. TYPE of Construction—(Please indicate by X) Nt
(X)Wood Frame ( ) Masonry ( )Steel ( ) fi
D
7. PLANS and Specifications
44 'x66' per plot plan, specifications and
No. application submitted including two-car attached garage
and sewage system.
8. Proposed Use
°net-Family Dwelling o
$5. 00 C/O Paid
$1 92 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 83 N
(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.)
l7
Dated at the Town of Queensbury this 9th Day of November 19 82
f✓
SIGNED BY ,S for the Town of Queensbury
Buildin nd Zoning Inspector
TOWN OF QUEENSBI#RY (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building lnspeckw)
Application for ApplicationPP Permit Issued 19
BUILDING AND ZONING PERMIT l'i.rmi, Expires t
i.oi iue. District
3 .
\aloen1 Work i
THREE 131 Copies of a PLOT PLAN, Drawn to scale \1'1 "(11 t"
showing the actual dimensions of the lot to be built Rolla)Kf
upon, The exact size. and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
- -- 66 — Lit
` SILK
( - DA1F TOW N .
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK i i1=- u ..,
ANSWER ALL OF THE FOLLOWING. ra ,;. ; t:. �.. itth
.t,_
The undersigned hereby applies for a permit to do the following work pQ P.M.
which will be done in accordance with the description, plans and specifi- mi'/9
i
cations, and such special conditions as may be indicated on the permit. 71 8 i 9 po.._` 1 fi. ; 1 41516
a
The owner of this property is:� 1�- L_J /
C ..'f'Z_ Z_ W'G.(3 'L 1/
3 1R1'L3 c---I 100 , ........) i 1 ,4-.
(NA ) IP.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
�f 1,mac.-, h- (2 t- Qt'. 43 ;< I ( 7 Cr r�-L_�R._ C.�.t n-+�
(NAME) (p0 ADDRESS)
Name of Builder. A-f0
A--vy.. c:' Address N Q 4 I b 7 L[� � Lug _.
C- , .rn-s - Address '7 / L'4 . i J d,o.. ��rt�-!
Name of Plumber � `� `14
Name of Mason t -1-�"� _' Address . 4 SN 6 'a/.1 6. ). . C!kl.--¢" .( ?LR- •
Lot Number
Unit Estimated value of proposed work S O Zi Q c'
i. Name of Village Q1.�C-t:. ' 4 t `A rei
'
Name of Street qTr- a`-"'4 2' � Slide of.street: north 0, east 0, south 0. west ❑
Nearest Cross Street .fit
,✓17-flv-s'4 1)2' Distance from this -toss street /j a c C Pr'• }t•
Property is north g,south ❑,east i,,west ❑from Cross Street
If on Corner,which corner,northeast 0, northwest ❑, southeast 0 southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main Building �,
ZfConstruction a new building. One-family dwelling
Addition to a building.CD Alteration
dwelling 0 Alteration to a building. , . . -family apartment house 0
0 Demolition of a building. Store building 0
. . . 2.--. .-car attached garage VC
Other:
Accessory Building
One-car detached garage 0
0 Other work. Describe: Two-car detached garage 0
Private chicken house 0
Private storage building 0
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-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
'CI 1L�L►�`y!en tuilding(s) in solid line.
No
Size of property / 1 1 ft. x / 7 J ft.
Size and use of existing buildings, if any
40
s `—� �v m Size of proposed building . . . ."•y . . ft.x f ft.
J� '� Height(from grade to ridge) ft.
I I 0 f ft.
Front
r yard
Side� d ..`1 ft. and
j—cl yf .
a Rear yard l
ft.
SOUT H If oft corner,setback from side street ft.
Note: All distances are net, as measured from street side
1-
VI line to nearest part of building.
(OVER)
7-73—:M
(coned.)
BUILDING SPECIFICATIONS.
.. . . C:
/ ) 4
Kind of construction:Wood frame,fire safe,etc.. . . . .
Will any second-hand lumber be used? .1 If so, for hat? f
Material of foundation walls ?6 u I 9 Csa'0��; Thickness
Depth of foundation walls below grade �. Continuous foundation? . . 'CC:a r.
c� • If so,material of cellar floor �'''C1k
Will there be a cellar? :�- �% C 8 / �r -
Type of roof: Sloped or flat? �� Material of roof
wood studs "x C' ",spacing .. . ./ ' "o.c.,length ft.
Size, „ /
Size, floor beams, 1st floor "x % �' ,spacing , •�•�'• • • • • "o.c.,sPtD ft.
Size,floor beams,2nd floor +1'— "x ",spacing . . . ./.k3 . . .. .."o.c.,span i ft.
Size,ceiling beams 9^ "x 6 ", spacing . . ./4'. . • . ."o.c.,span P ft.
. spacing roof rafters or beams . . .;.,. . . .."x `a ",s�ci g /t' 41"o.c.,�span /E' ft.��� .
Exterior finish � 0 e d- gip,----) With what material? . . '
Finish of interior walls 'ice. . . c . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be-attached,of what matey al is wall pets n game and main building to be constructed?
Is there to be atf opening between garpge and bgilding? . . .y tcS, . . . • C` t C-C4- ', D c c•'L'
Kind of heating system . . .C' . . -• • Pik. • . • • • • . • • . • Oil burner or coal?
Will a flue-lined chimney be provided?',. .�/.(.� •�� Depth chithtteyr foundation below grade ,
Height of chimney above roof. . . . .a'�t• . . I 0C�
Will there be a fireplace? . . . . y.G1 Depth of fireplace hearth
Will a toilet be installed?. :. . . . . .ye.C.S. : . . . . . . . . . .'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . .
Will a kitchen sink be installed and connected to water supply?„
Water supply(public water supply or pump) P 440IA� ^° 'c
Distance of cesspool from any private well 'Tb.0<v L.0 (' `'E
t--,t=u-f) feet
Will drainage system be provided with required traps,cleanouts,and vents? . . . .y .
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to u: bta t of my knowledge and belief the statements contained in this application,together with tinting and specifications sub.
milted, area true and co.k. late statement of all proposed work to be done on described premises and that isions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to • whether specified or not,
and that such work is authorised by the owner. t.
Sworn to before me this SignatureOWNER. ER AGENT.ARCMITE T.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. Gro'ss floor area 26 O 0 SS .
2 . Type of heat 6—Atkc Pie 'IA-
3 . Is the building mechanically cooled? A) J
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 insulate 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
12. 3 a
2 . R value of exterior walls 2.Ig
3 . R value of glazed area 12 /, 7 7.
4 . R value of doors 2/1/, 3
5. R value of floors over heated spaces
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
8 . R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10 . Type of insulation f-/ p-4-121 6..sts .
C. Controls
1 . Thermostat maximum heat setting �f}
D. Duct Systems
1. Is duct system installed in unheated spaces? 0, 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 /95 0'
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. 6 fr‘—"Atl0 f 2♦
(app ican ' s signature)
TOWN OF QUFFNSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
1. Owner' s Name prVvu.3Y p (3: '�,12,
Address r-Q4.)`perC 11JO &c.4, .a[i, /d 4o
Telephone Nlo. 793 37 ;
2. Property location 404 1/5 Si /.99✓? 9 -O M,J 7) rz_.
3 . Name of person or firm responsible for installing system cD007,,J h161, `''y
Telephone No. b g-uv
Address ' 5,t) •# 6)4 / G 7 644.46Ja, ZI,.fG,t/G.
4. Number of bedrooms (residential buildings only) L (
5. Daily flow 6 co gallons/day
6. Septic tank capacity %d 06 gallons
7. Topography: , rolling, steep
% of slope
8 . Nature of soil and depth _u/0S
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? ft.
10. Percolation test: A jis required
B ,r/ 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 $250 as provided for in Section 6. 010 of the
Queensbury Sanitary Sewage Ordinance.
Date //- 5—8'?i Aak,,,,,,,,,
Y 4
4
signatur of applicant
On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
the system itself.
S P(...4)%`*-- cC
Form 3-82
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name 1/, y_c AfA7E' _
Location 517 .l" DRC'LA1$ �� ,
Permit No. 16 4-1 Weather
Remarks
Excat)a tion
Footing Forms
Footing & Piers
Foundation Fi1L,4L- l gsJ5/s'
Cement Coat
Waterproofing C/'c
Backfill
Final Survey
Framing
Sheathing l
Roof Felt // —
Roofing \
Siding
Masonry Veneer
Rough Plbg.
Relief Valves //.\
WallBoard V f)f
Exxt.. Porches - r C.
Finished Floor r✓
Interior Trim +" 4'
Stairs & Railings ✓ (y
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures 1
Gar. Fireproofing
Door Closers ✓ •.
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Walls
Ceiling
Building Pe
ns ctor
REMARKS
i4iterIL
fMAZ. �C- - k
TOWN OF QUEENSBURY
Building Department
Inspectors R Date / 33f
Name f e
Location Z,/ I- -,
Permit o. '7 G, 5 Weather
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 w.
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation
Walls
Ceilin
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date / /2 r83
Name PElFrzErk.
Location 57-r iljbjP.E ) 64,
Permit No. ''Pr,'.e Weather
Remarks
ExcatYa 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 \\'.;%' '''/4/::\
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures 641.
Gar. Fireproofing Ftt z# ..
Door Closers �r� .
Chimney (4 V ____ •Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls '
Ceiling
— uilding nspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Avert Date,':Z L -e92,
Name 1'. t FF&R__ •
Location A/7ie 5 J s
Permit Na 17 Weather
Remarks
ExcaOa ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framin v (19
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
Plby. Fixtures
Gar. Fireproofing `Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Wa11s
Ceiling
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date i aI a/e
Name Jam eS P -C.i-.
Location Lo r 4'9 sr��'-t,�1 c Dr.
Permit No. 7 9 Weather
Remarks
Excatation
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 d G
Floors
Insulation Foundation
Walls
Ceilin
Building Inspector
pe
REMARKS
)uv1J Hoc
:',04-Jkadh fa, S17 iC
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date , -f7--,Q
Name /b.1 (A'FF
Location .57- .Q�1/b. Etac1� 1
Permit No. 47 9 Weather
Remarks
Excavation
Footing Forms j (26-\
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
F oors
oundation
Insulation alls
Ceiling
19 .3.1uildit42ng Inspector
REMARKS
Valente Construction
•7 rt zm,I ayn
Route 9N Pride and Workmanship is
Lake Luzerne, N.Y. 12846 the Foundation of Our Homes Phone (518) 696-2689
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THE NEW YORK BOARD. OF FIRE UNDERWRITERS
�' BUREAU OF ELECTRICITY
[IC 41 STATE STREET,ALBANY,NEW YORK 12207
March 29 1993 018738-82
Date 11 Application No.on file
'; THIS CERTIFIES THAT •
. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
• Valente Construction, Lot 49 St. Andrews Drive, Queensbury, NY
:' in the following location; n Basement n 1st Fl. El 2nd FlGarage/Attic/flute 3�CTton Block Lot
►', was examined on 3/18/83 and found to be in compliance with the requirements of this Board. 4 .M
►' FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS '•
• OUTLETS ECEPTACLES SWITCHES INCANDESCENT FLUORESCENT Tar
a AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P. .
38 62 45 38 1 6.3 3 Fr •
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET . ERS - r
BELL „.0
�' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. No. FEET -AMT.- SYSTEMS - WATTS ' ,'..
1 Range#6 .'
1 Dryer#10 2 600
••', SERVICE DISCONNECT NO.OF S E R V I C E • Z1
- METER AO
• AMT. AMP. TYPE EOUIP. 1,8'2W 1 A 3W 3.B'3W 3,6'4W HO OF C CCOND. OF CC.COND. No.OF HI-LEG OF.:A NO.OF NEUTRALS A.W.G.
AL I:
MO
1 200 CB 1 x 1 4/0 1 2/0
' OTHER APPARATUS: 4
1- GFCI
2- Smoke Detector • •
INSPECTION FEE PAID _
,
Valente Construction 1‘2 - • ''''
Lake Avenue 239
Lake Luzerne, New York 12846 `BRAN MANAGER •
4 •
j
�, Per w
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.