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7577 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 Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA" PRINTING GLENS FALLS N Y 12801 13,81793.5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 7577 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Daniel Matiaszek Ci OWNER of property located at Upper Ridge Road Street,Road or Ave. 11) H in the Town of Queensbury,To Construct or place a Al terat-ions to dwelling at the above location in accordance to application together with plot plans and other information hereto filed and rt approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N 1. OWNER'S Address is N Star Route Box 154 Glens Falls, N. Y. 2. CONTRACTOR or BUILDER'S Name Bill Taylor 3. CONTRACTOR or BUILDER'S Address 74 Platt St. Glens Falls, N. Y. Pri 4. ARCHITECT'S Name �p Fi 5. ARCHITECT'S Address 0 a 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications complete tearing off of old roof — raise 30" No. and replace entire roof structure per plot plan, specifications and application submitted. 8. Proposed Use Two-Family Dwelling K $5. 00 C/O Paid c1' N• $ 12. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 83 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ry. town of Queensbury before the expiration date.) 0 0.1 Dated at the Town of Queensbury this 5th Day of October 1982 for the Town of Queensbury SIGNED BY .�' ii BuiT di g and Zoning Inspector TOWN OF QUEENSBURY (Space inside block to he filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. ' PP Permit Issued - 19 BUILDING AND ZONING PERMIT I',•rinii Expires. ICJ. /„niiic District . \ a l uc "1 \1'orl. ,% THREE (3) Copies of a PLOT PLAN, Drawn to scale \l'l O t d b showin the actual dimensions of the lot to be built ' lt�'uu:u1KS upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. ��� � Li d` 2 — 02, _ ()ATEfi. ! A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK -_,../ ANSWER ALL OF THE FOLLOWING. " ) The undersigned hereby applies for a permit to do the following work ° ©� 41 '. ; R.I~�; which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. °{ `` 't, I '+`�` . I. The owner pills prapert is: �- • _ _� C< — /b �11 �' / / (NA`tE) IP.O.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: �(NAMME) IP 0 ADDRESS) Name of Builder A��`(Nf' Address 7 �, � f" Name of Plumber Address Name of Mason Address Lot Number Unit Estimated value of proposed work S C'67 0. P r, Name of Village . . .02. • • Name of Street . . . . . . g'' Side of street: north 0, east 0, south ,p. west ❑ Nearest Cross Street . . —Pe77 Distance from this -ross street . . .: ...4h a. . r4. Ft. Property is north gl,south ❑,east [i, west 0 from Cross Street If on Corner,which corner, northeast ❑, northwest ❑, southeast ❑. 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 ❑ g Alteration to a building. Two-family dwelling D `�,d,)ra -family. apartment house ❑ Demolition of a building. Store building 0 -car attached garage ❑ Other: Accessory Building ��;; One car detached garage O Other work. Describe:. .&PI ' Two car detached garage fie- `a` Private chicken house ❑ 'I' Private storage building ❑ .,�.St e. .�..� . ....Q4 !. . . . .,adit Other: ZONING SPECIFICVIONS. Fill in for new building, or addition to existin g 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- 1 — --7posed buildings,and the location of all existing buildings. oRTH] 471 t:y Show proposed building(s) in dotted line and existing — �'���' huilding(s) in solid line. \ Size of property ft. x ft. is Size and use of existing buildings, if any H i i a r m Size of proposed building ft.x ft. 41 Height(from grade to ridge) .(W�r • 1 ft. � Front yard . . . air, `� ft. Side yards ft. and ft. Rear yard . . . .a -r L ' ft. SOUTH If on corner,setbac( fr m side street ft. Note: All distances are net, as measured from street side line to nearest part of building. (OVER) 7-73—M (coned.) BUILDING SPECIFICATIONS., f Kind of construction: Wood frame, fire safe, etc2 "•`• . • • • • . • • • • • • • . . . . . . . . . . . . . • • • • • • • • • • • • • • • • • Will any second-hand lumber be used? . . . .-7:1 g, If so, for w at? Material of foundation walls Thickness Depth of foundation walls below grade Continuous foundation? — Will there be a cellar? . . .`�-' . . . If so, material of cellar floor Type of roof: Sloped or flat? . .2 Material of roof . . ' . . i Size,wood studs . J. "x '� ", spacing . /4, "o.c., len 7 ' ft. Size, floor beams, 1st floor "x ", spacing "o.c., span ft. Size, floor beams, 2nd floor ' — " x ", spacing "o.c., span ft. Size, ceiling beams "x ", spacing / "o.c., span . . /.� . . ft. Site, roof rafters or beams . . . . . . . . ." 6. ", spacing . . ./ "o.c., span G�S� ft. Exterior finish . .W. •��� . "~ ` . ' . . With w t material? Finish of interior walls � :1ay. . If garage is to be attached, of what material is ll between garage and main buialding to be constructed? Is there to be an opening between garage and building? Kind of heating system Oil burner or coal? ---- Will a flue-lined chimney be provided? `—^ Depth of chimney foundation below grade Height of chimney above roof. . . . ..--• , Will there be a fireplace? Depth of fireplace hearth Will a toilet be installed? Will a kitchen sink be installed and connected to water supply? Water supply(public water supply or pump) Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? - Town of Queensbury / AFFIDAVIT County of Warren State of New York I swear that to tr, big of my knowledge end 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 ail visions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be complied ' ,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature OWNER.OWNER'S GENT,A ITECT,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. Gross floor area 3 7/,, 2 . Type of heat Ze-C/,/ . • 3 . Is the building mechanically cooled? /"p 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 valuer'of insulation 5. Type of insulation r Under 16% Only 1 . R value of roof and floors exposed to ambient conditions_ p-'14A Z FA I Rip, i J5 L 2 . R value of exterior walls L r.,,rC� /ems di 3 . R value of glazed area ,„;. l `-�z KJ� l,. 9a I� 4 . R value of doors <�' 5. R value of floors over heated spaces - ----•-Ai/4 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 grade) //1 9. R value of heated basement/cellar walls (below grade) /r 10 . Type of insulations g,rr.o, ,-,0 C. Controls 1 D 1 . Thermostat maximum heat setting Xlr 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 A44 2 . R value of pipe insuIat .on F. Service Water Heating 1 . Performance efficiency /0 2 . Temperature control setting maximum G. For Swimming Pool Only /� 1 . Maximum heating �/ Telephone No. i l .1-7,L L,./i?i (applca ' s signature) TOWN OF QUEENSBURY Building Department Inspectors Report Date 1# / 1/ ' Name .,¢5'Legi< Location /Q/ n c{r eq eC.D Permit No. 7577 Weather g1,j g 2 ,'1/2 Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing E!71', ? 1>1-06GG, Backfill Final Survey "VP e-e* z Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches /1i�s9 Finished Floor f/D Interior Trim Stairs & Railings/p� ' ( Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing ,47g Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS TOWN OF QU•EENSBURY Building Department Inspectors ReRod Date /O wig,.- 2- Name t7GYe►tl e k G �j e lc Location '4 S ( tar Permit No. '7 5 7 Weather Remarks ExcalYa ti on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey 1(19 Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves1)(\\\\ Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers —_ Chimne Water Meter Inst. Se tic A roval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS I 01 1 ci 1-(7)c.I .Alc 0111 —ALe---- elk' 3 /rice I '1\ 1 1 I 1 i 1 I-0 iw+s el 51 0, tvo/A7V P3 i4c7(I 11\ i 0 a. . _ _I I LII V ' I deo 0 0 . 1 I., ‘,. 0 i 1 b *, , ofr -A 4 . , • a ' a a =J.37 a t ,*ci ' c'9 0 imPPtl 30 °1 s 3'p}.)M c X 14 01 8f — -A O O c, k fi f . 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