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8882 j CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date PoverTher 1 1921 c: This is to certify that work requested to be done as shown by Permit No. 982 has been completed. Cre- Farrii Dwell This structure may be occupied as a Location west sicf4e IMper Pidce Peed scutl- of Pickle Pill Fond John ravin Owner By Order Town Board TOWN OF QUEENSBURY „ ..• Building & Zoning Inspector CREATIVE INSTA PRINTING GLENS FALLS N Y 12801 15181793 5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 8882 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to John Gavin OWNER of property located at west side Upper Ridge Road Street, Road or Ave. just south of Pickle Hill Road in the Town of Queensbury,To Construct or place a One Family nwel ling 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 18 Crown St. Hicksville, New York 11801 CD w rr 2. CONTRACTOR or BUILDER'S Name Northern Homes 3. CONTRACTOR or BUILDER'S Address tri 51 Glenwood Avenue Glens Falls, New York 4. ARCHITECT'S Name fD 0 5. ARCHITECT'S Address 0J' 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( ) Masonry ( )Steel ( ) r 7. PLANS and Specifications 48 'x26' per plot plan, specifications and application o No submitted including sewage system and two-car garage (under ) m 8. Proposed Use Iv One-Family Dwelling 1-' $5. 00 C/O Paid CD $ 150. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 85 H (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.) Dated at the Town of Queensbury this 16th Day of November 19 8 4 SIGNED BY ThL7 e.. ✓ a # J c.a for the Town of Queensbury Building and Zoning Inspector 4 ) TOWN OF QUEENSBURY (Space inside block to Ix filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. �� Permit Issued 19 BUILDING AND ZONING PERMIT 1', ,(,►it Expires lq Zoning District \ alue of Work$ THREE (31 Copies of a PLOT PLAN, Drawn to scale \i'I "'d h �ti•-( `' "- showingthe actual dimensions of the lot to be built 1zc'(»+((Kr upon, Te exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. I TOWN OF QUEENSBURY DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK NUV i 5 1984 ANSWER ALL OF THE FOLLOWING. 5:5 /.`e- Pc/ The undersigned hereby applies for a permit to do the following work 7)6)g)10)11)1)2)3)4)b)6 which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. 0_10 / n C.,.. The owner of this property is: ,oho Go..v N vi C,eo w.A. S} ;c.‘csv;\‘s. M y. wio% (NA':E) (P O ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: ttul \\s w CM(NA 1 Now: ,Vvs.. .�!c i. S.‘ . G ME) o oog sl NY+�. . .Cr. \C`W Name of Builder. . . C titAN• ‘r\VV` t Address 5't Gle.mwod4 RYC. (=Iwo C4,1%,,15•ti/ ' Name of Plumber Address •� Name of Mason. .'Wy\ \'"a`S I Address .V.Vekt:1`E-T0O,.C1 14.• C.)--e • N''• Lot Number Unit Estimated value of proposed work S .70 t 6 0 Cr Name of Village . . . .j9vC.tnn iNot lr / Name of Street \C►744-e• 4.‘a Side of street: north 0, east 0, south 0. west t Nearest Cross Street 7\c%$` %\'\ b R'C.A Distance from this cross street . . 36A ' Ft. Property is north 0,south fiZI,east El,west 0 from Cross Street If on Corner,which corner, northeast ❑, northwest 0, southeast Q. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Building ❑ Addition to a building. One-family dwelling ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ Store building ❑ . . a. . . -car attached garage ❑ Other: Accessory Building One-car detached garage [I ❑ Other work. Describe 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, site and setbacks of pro- NORTHposed buildings,and the location of all existing buildings. Show proposed building(s) in dotted line and existing Twk\. \\\\\ wRpa.d ltuilding(s) in solid line. Size of property ft. x ft. Size and use of existing buildings, if any itin in la W Size of proposed building '' ft.x .9 6. . . . ft. Height(from grade to ridge) ft. Front yard ft. Side yards ft. and ft. V\c\e/.. *imd we . i521_____ Rear yard 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.) \t0OCk VYQArA4 Will any second-hand lumber be used? 140 If so, for what) Material of foundation walls G . Ilkfi.c.. . Thickness 4 li Depth of foundation walls below grade 3" Continuous foundation? ytA Will there be a cellar? . .1/ksk If so, material of cellar floor . . .4 '. .� CARr., Type of roof: Sloped or flat? . . fib t.c�. . . . . . . Material of roof ��'�ak�-' Sk'�%r,�it Size,wood studs „� "x ik ", spacing . .)` "o.c., length. ..... .q . . . . . . ft.Size, floor beams, 1st floor . . .�. " x \C ", spacing \ ' "o.c., span \3' ft. Size, floor beams,2nd floor " x ", spacing "o.c., span ft. Size, ceiling beams "x ", spacing "o.c., span ft. Size, roof rafters or beams��� "'iv..1. "x . . .(.. ".t I.. .", spacing 2.4" "o.c., !pan 2 4 ft. Exterior finish . . .)4-X�'• `,C•'�.. \'o.et.��, With what material? •S • wV- Finish of interior walls II., r y Ns'' Ak\ If garage is to be attached, of what material is wall between garage and main building to be constructed? SA„ ' 1/4 e C..oa n. . . . %Vt.otvOCN. Is there to be an opening between garage and building? \ - 'O. . SNee.\ ' 400JV Kind of heating system . . . t\' ,` - Oil burner or coal? Will a flue-lined chimney be provided? NO . Depth of chimney foundation below grade Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .p Will there be a fireplace? NO Depth of fireplace hearth Will a toilet be installed? - )1-405 Will a kitchen sink be installed and connected to water supply? . . . .)4+t3 Water supply(public water supply or pump) Nv`"N•Q Distance of cesspool from any private well \bp' `o v S feet Will drainage system be provided with required traps, cleanouts, and vents? y'1.4 Town of Queensbury AFFIDAVIT County of Warren . State of New York I swear that to te, jr of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and coa. 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. ' t t Sworn to before me this Signature ......... �1J1/1�.....` O NER,OWNS GENT,A C ITECT.C NTRA OR /Vat' day of NOVt 19.44. NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner ' s Name Address ,R bat LAM St. \k Cc.k a`ke.. �• /. ,\ 01 Telephone No.(SI(o1 91 -4 b21 2 . Property location.- �� 3 . Name of person or firm responsible for installing system , \. M.0;.Ac Telephone No. 1 - 004:31 \ Address D ‘1\0.mh0..)\., `Zr:ale `Tkem4 `�0.11 %• tZ.trD y 4. Number of bedrooms (residential buildings only) 3 5. Daily flow 4/5 (--) gallons/day 6. Septic tank capacity \DO© gallons 7. Topography: flat, rolling, steep % of slope /s-7o 8. Nature of soil and depth SA"Ay G YaYek 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, 4100 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. O Date // - /.r'O `y`/ Ciej 7b1.9,4w 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. 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 1. Gross floor area n 1-L. 4 Sq. 2 . Type of heat ,E�JCsMA► .�QVt� 2w C� 3 . Is the building mechanically cooled? \\‘() 4 . Percentage of area of windows and doors \-1 .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 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 2 . R value of exterior walls 0A 3 . R value of glazed area 1 2. 4 . R value of doors 1\ ,4 5 . R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab R S 7 . R value of slab insulation - heated slab ik 8. R value of heated basement/cellar walls (above grade) *R\ 9. R value of heated basement/cellar walls (below grade) ' \ 10 . Type of insulation 1 0h t aw6A i V . t, ``talsite., C. Controls D 1 . Thermostat maximum heat setting 1 S 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 \()d 7p 2 . Temperature control setting maximum G. For Swimming Pool Only 1 . Maximum heating Telephone No. Pl5k% "' 1p001 71O 4 ()_0,,,,,o )L-- (applicant ' s signature) .\\‘4b1: ►e TOWN OF QUEENSBURY Building Department hisPectors Report Date 1,I/31C)— Name CA- I i Location !R A ro CZ n.. permit No. g 2 Weather ,kJ A(- )JS ('t r-f o A Remarks ExcatYa tion 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 Building nspector REMARKS 11``4 Mito cove !d 4A-c 1Z°-tc i 86-. A,/` CMG . 4,v b-c. TOWN OF QUEENSBURY Building Department Inspectors Report Date .00/ Name C9,4!"/A/ Location i6 4 _41) Permit No. Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. \a Relief Valves Wall, Board Ext. Porches Finished Floor -N Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers _. Chimney Water Meter Inst. Septic Approval o V Floors Insulation Foundation Walls Ceiling Building nspector REMARKS c J D76-02/ 141/ (c-4-14,--t62 /g7 TOWN, OF QUEENSBURY Building Department Inspectors Report Date Name f6, I Localise UP, -/p, ,c Permit No. S Weather Remarks Excajation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer- (/ �� Rough P1bg. 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 ///S'/P7/ Name G 4V/,V' Location. / f n(g A= /Z L, Permit No. 2 Weather Remarks Excavation /� Footing Forms 6. f'!2c>57--C J.4-i 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 Foundation Insulation Walls Ceiling Building Inspector REMARKS TOWN OF QUEENSBURY Building__ Department Inspectors Report Date 46. 7/R'r Name Location ! • k.i> Permit No. 8$ x 2 Weather l /4/` .TA/VP 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 1,711, Stairs & Railings a Cellar Dr. Tile Concrete Floors Plbg. Fixtures e* Gar. Fireproofing/ Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation FOundation YJ Walls Ceiling Building Inspector REMARKS l JercAikt- i 64:2 .7, 0AP/AN J\T'9IffIffJJ$AI 51 Glenwood Avenue Glens Falls, New York 12801 (518) 798-6007 HOMESand The Sawhorse Division of Northern Homes iss- ----s ,.... oht a v..a c 32 O w'311/4 I/ 48 k _ / 2_____2_,.. . lNI _r___, ____. -7 K .•••°! NORTHERN 51 Glenwood Avenue Glens Falls, New York 12801 (518) 798-6007 HOMESand The Sawhorse Division of Northern Homes -1 \ \ s, 1\i\vk. Q.001 i IA S el k C.... i 4 YoV"' S�� I PP 14iN �� GQ. , e A 4„ P yc i► >ni Aa s vl i N S loitud, y4/ct 3 4' tvc I, 1' Nt/1y Clore. ygyc. 4 e. 4" Q0eAFh cat J ?N.( 0 p; 4.c. Mte st&T /6. Ft K4--c., o