7410 •
T
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. 7 410
has been completed.
This structure may be occupied as a One—Family Dwelling
l.ocinn Ridge Road north of Sunnyside Road
Owner Dean Merrill
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INETA" PRINTING. GLENS FALLS. N V 121101 15101793.595!
•
BUILDING PERMIT
TOWN OF QUEENSBURY No. 7410
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Dean Merrill
OWNER of property located at Ridge Road north of Sunnyside Rttreet, 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.
I�
1. OWNER'S Address is
Star Route
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same p,
w
0
4. ARCHITECT'S Name
0
ly
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
X )Wood Frame ( 1 Masonry ( 1 Steel ( )
7. PLANS and Specifications
28 ')(36 ' per plot plan, specifications and
No. application submitted including sewage system.
8. Proposed Use
O
One-Family Dwelling
$5. 00 C/O Paid
$1 05. QO PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 R3 11 ,<
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the �(�a1 £
town of Queensbury before the expiration date.) �i�' r et
fD
Dated at the Town of Queensbury this 2 2 nd Day of Jun P 19 R 9
SIGNED BY Sires /�_ for the Town of Queensbury
Building and Zoning I nspecto0���
Y
TOWN OF QUEFNSBURY - BUILDING DFPARTNENT
R. D. *1 BAY P':D Y.PVILAND ROADS
GLFNS FAILS, NFV' YORK
•
Phone 792-5832
DATE: /C/0)/
TO:
e*L-Z-4Z-P.—„,eterzdj
Our records indicate that you were issued a building permit
number 7 Lit l O on Pt_41/4:6-2_,
for the construction of
Our files show that the required inspections are incomplete.
If still under construction please contact this office for an
extension of your building permit, or if completed please
contact as so we can take your card out of the active file.
Next d i i requrens inspection
P t-�.�C �r�v
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy.
Noncompliance may result in legal action.
To avoid further delay and possible legal action, contact this
office to make arrangements to update your file.
( UFENSRURY BUILDING DFFARTYENT
TOWN OF QUEENSBURY (Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for \1'1'11CJ11e"' No.
'
PPPernut Issued 19.
BUILDING AND ZONING PERMIT Expires 1q.
ia,Crirt_ District
\ Ale of Work t
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i'';,r°°<(•(1 by
showing the actual dimensions of the lot to be built R.111.1)Ki'
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 QU' ENS:BU `°
60°/At-
.-.E G E, il V E L)
Ja_ '_ 5 0, 3 . . . . . nATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK J) 'El ';
ANSWER ALL OF THE FOLLOWING. A.M. P.M.
� 8511112126!1
The undersigned hereby applies for a permit to do the following work ,, 1, ,� . .�nn I
which will be done in accordance with the description, plans and specifi- ?QC�/l G /N 4144
cations, and such special conditions as may be indicated on the permit.
enj
The owner of n"this property is: n
(NA 'F) (P 0 ADORES) •
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P 0 .AGDRESS)
(
Name of Builder. .a..,:: " << 1 1>';; Address . . ' . . -. '`'/ .;. . . . . _..
Name of Plumber Address
Name of Mason Address
le
Lot Number Unit Estimated value of proposed work S 9-9J '90j EX.C,. . .
Name of Village
Name of Street . .
Side of street. nn--th El, east ❑,,south ❑, west 0
Nearest Cross Street . . E�S7. . Sc!ri r'�:,"" • • L`•' . . . Distance frc,,i, this cross street IP" Ft.
Property is north 0,south ❑,east i 1,west 0 from Cross Street
If on Corner,which corner, northeast ❑, northwest ❑, southeast 0. autltwe= t
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
ag Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling At
Two-family dwelling El
❑ Alteration to a building.
❑ Demolition of a building. family apartment house 0
Store building ❑
-car attached garage 0
Other:
Accessory Building
One-car detached garage Li
❑ 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, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
huilding(s) in solid line.
Size of property ' ft. x ft.
Size and use of existing buildings, if any 35
I ,
i �'°� '' -, , m Size of proposed building . . . �� • • • ft.x ' ft.
?t ° ft.
Height (from grade to ridge) Ly
_ Y ft.
.- Front yard . ,/Y,�
Side yards . . 'yQ ft. and 2>
r ft.
L- _ _1 Rear yard /02 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.,
r
Kind of construction: Wood frame, fire safe,etc.' ='- 1 ram. '-
Will any second-hand lumber be used? . . ,'i2 If so, for what) 3`
Material of foundation walls C.•:" :� '• F'r= t Thickness . .Y%
Depth of foundation walls below grade 0 -.6' Continuous foundation?
Will there be a cellar? Y e S If so, material of cellar floor C c,7 .'e
.
Type of roof: Sloped or flat? . . . .6.1 0�'P(%I Material of roof WCed
Size,wood studs ? x i1 / 1 AC
"x ", spacing 6 "o.c., length • ft.
/C spacing ie. " "o.c., span 1't' ft.
Size, floor beams, 1st floor . . . Z�c "x ', p gp
Size, floor beams, 2nd floofr, . . it 10 "x spacing C "o.c., span "t ft.
"f Size, ceiling beams A•F, "x ", spacing if ' "o.c., span ft.
Siie, roof rafters or beams( "x ", spacing "o.c., span ft.
Exterior finish (1/0•0 d 5'CI''''' With what material?
Finish of interior walls l./c'( 4 �$1 i)! t t.c, 1'
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system . . . . 1 . .a 'r Oil burner or coal? O.' I v
Will a flue-lined chimney be provided? . .'i'y. . • • • • • . • . Depth of chimney foundation below grade /0
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed?. . YP. . . . . . . . . . . . . . . . . . . .'. . . . .
Will a kitchen sink be installed and connected to water,supply? fe$
Water supply(public water supply or pump) FL, '
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? 1/
Town of Queensbury ) AFFIDAVIT
County of Warren
State of New York
I swear that to th is 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.,.�lete statement of all proposed work to be done on the described premises and that allprovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaini the proposed work shall be complied with,whether specified or not,
and that such work is authorized by the owner. j
Sworn to before me this Signature '" '-ha)1 �i il/4:,``,‘Z
OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR
day of 19
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
1UWLV Ut yL rINht5Ut'U
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
1. Owner' s Name a„ 0 f
Address ` ;
Telephone No. r `,
2. Property location
3 . Name of person or firm responsible for installing system
Telephone No.
Address
4 . Number of bedrooms (residential buildings only)
5. Daily flow gallons/day
6. Septic tank capacity I (r! gallons
7 . Topography: flat, 'rollingg steep
% of slope
8 . Nature of soil and depth .): 0
9. If ground water, bedrock or im ervious material is apparent at what
depth does it begin? ,-4 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 $250 as provided for in Section 6 . 010 of the
Queensbury Sanitary Sewage Ordinance.
(,!)
7
Date r ( 4/-: : ��%
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 .
!' - �,i�� � '
/ c
Form 3-82
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 .) =; ,r, ,_ ./ .
2 . Type of heat (-3. , // y
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors 1/ / ,
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 k 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_
.14 42
2 . R value of exterior walls ' f
3 . R value of glazed area :--v 1, 0_
. -
4 . R value of doors _ ,/
5. R value of floors over heated spaces A/�
6. R value of slab edge insulation - unheated slab 4/
7 . R value of slab insulation - heated slab `
8. R value of heated basement/cellar walls (above AP
8.
9 . R value of heated basement/cellar walls (below grade),--
10 . Type of insulation
C. Controls 17,
1 . Thermostat maximum heat setting /--
D. Duct Systems 7 1
1 . Is duct system installed in unheated spaces? YES ( 19)
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 /'7O '
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. l i? / /
(applicant ' s signature)
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date S-r//f3'/
Name
Location A7bI IZD ,T SGNNir5/DE
Permit No. '7 416 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 ing Inspector
REMAR
� 90 � �
TOWN OF QUEENSBURY
Building Department
NiW
Date -- erz
Location r . FZ,
Permit No. v tvt/v Weather
Remarks
Excavation
Footing Forms / CD
Footing & Piers f,', $77.;
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
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date y— o®-- 63
Name /V9RRit&
Location J1l f6- Rt �ivc. of Sf��rAJ#si& c
Permit No. � 1 ep Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing X
Backfill
Final Survey 0�
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 i
11(ladge/D-eas
Building Inspector
REMARKS
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