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8831 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 ONF_FPMILY D ^'F LI,Ir?C' Location 7 '7 'OFIP7LD ROAD, C'LFN LAKE. Owner PPP"' 7'11E, ,TP. P''"7' ?�Fr�rnr.T T rRT'' By Order Town Board - TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA" PRINTING GLENS FALLS N Y 12801 1518)793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No 8831 WARREN COUNTY, NEW YORK a) 0, PERMISSION is herebHerbert Kane, Jr. and Margaret Kane W 1, granted to �J N Fitzgerald Road (D O II OWNER of property located at g Street,Road or Ave. t'p O- rr 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 0 (D (D approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is N 1 Meadow Lane Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Sherwood Acres Corp. 3. CONTRACTOR or BUILDER'S Address RD #1 ~' rt Glens Falls, New York w m K 4. ARCHITECT'S Name Ib I� 0 5. ARCHITECT'S Address 0+ 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( )Steel ( ) _ 7. PLANS and Specifications 2289 sq. ft. dwelling per plot plan, No. specifications and application submitted including sewage system. Per Var. 867 0 8. Proposed Use One—Family Dwelling $5. 00 C/O Paid 161. 00 $ PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 85 (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.) F, Dated at the Town of Queensbury this 23rd Day of October 1984 -YiSIGNED BY ufei a. for the Town of Queensbury Building and Zoning Inspector e TOWN OF QUEENSBURY (Space inside block to lx filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. ' l'(rntit Issued 19- BUILDING AND ZONING PERMIT 1',vnuit Expires 19 a)iii,,, District \ ;i l uc• „t \V rk i THREE 131 Copies of a PLOT PLAN, Drawn to scale \I,I n-uc(•cl 1)v showing the actual dimensions of the lot to be built Itc•marKr 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 QUEENSBURY 128 8(01 i1I, 1 - 13 10�234V �' �n M � � DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Lib; 4• 2 3 19 ANSWER ALL OF THE FOLLOWING. A.m. - '/lv�P. ref, P• �� 6 The undersigned hereby applies for a permit to do the following work ,�`81+d��Q�111�2i3,'4'l;`I which will be done in accordance with the description, plans and specifi- • ' 1 "l "'�/^�J�"`" �D cations, and such special conditions as may be indicated on the permit. The ow�per of this property is: Eee . JR . w- m ffer-t.�ec-7- X-4,� 17 - /�EM)(,eL k,at.,� 616Ns 't- #? LL S 1 n// /?.mil (NA 4E) IP o.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) SIP O ADDRESS) Name of Builder S K'"roc` I�, t2E.-5 l c�k!'• Address K=1-' \` , f `' Y9 S fi y ( ( Name of Plumber Address 1 Fe / t N Name of Mason Address _ 6CN Lot Number. . . . . I. .. . . . . Unit Estimated value of proposed work$ 20,.�-),0 cTh , Name of Village _ Name of Street —Fi �� "�,,4Z.a ''(`-1= Side of street: north 0, east 0, south 0. west ❑ Nearest Cross Street N _�t—' Distance from this -ross street Ft. Property is north,south ❑,east i ,, west 0 from Cross Street If on Corner, which corner, northeast 0, northwest ❑, southeast Q. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY 2) Construction of a new building. Main Building ❑ Addition to a building. One-family dwelling Q ❑ Alteration to a building. Two-family dwelling ❑ Demolition of a building. -family apartment house ❑ Store building ❑ -car attached garage El Other: Accessory Building One-car detached garage Li O Other work. Describe c _ Ca Y d _eT cl,��-ol ,) a--c r)-- Private chicken house ❑ Private storage building ❑ b-v , if a n aI e--„ )'-e I- , y6- L-3 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- posed buildings,and the location of all existing buildings. NORTH Show proposed buildings) in dotted line and existing t;uilding(s) in solid line. Size of property ft. x ft. Size and use of existing buildings, if any H I- i W Size of proposed building ft.x ft. Height(from grade to ridge) ft. Front yard ft. Side yards ft. and ft. 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 (coned.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.?. . . • • • •p.r'� •v•t(. tr ee✓. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used?_ 0 '' If so, for what? Material of foundation walls ��R Q t ' '�lC'" 1`'" Thickness P ,1 Depth of foundation walls below grade Continuous foundation? . .\/.t ,=. . . Will there be a cellar? yi`- - If so, material of cellar floor -o "')C` r 7`c Type of roof: Sloped or flat? 5 L-' Pc—D Material of roof S 14-' t 4 Lc 5 Size,wood studs - " x ", spacing "o.c., length <57 ft. 2_ "x 1 c0 ", spacing .v "o.c., span Size, floor beams, 1st floor1 ! ---L. `.i ft. Size, floor beams, 2nd floor .9' " x > 4-c ", spacing 1 ) "o.c., span . . . .-?...4-,-- ft. Size, ceiling beams " x ', spacing "o.c., span ft. ", spacing Siie, roof rafters or beams "x "o.c., span ft. Exterior finish With what material? Finish of interior walls '` 4 C=t -i V'_e.£"K' 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 utOP( 5'1O "4- b L8'c" Oil burner or coal? Asi n Will a flue-lined chimney be provided? l -e_s•• • . Depth of chimney foundation below grade 4 rT, Height of chimney above roof. . . . .... . . . . . . . . . . . . . . . . . . . . . . . . .P. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . Will there be a fireplace? ' Depth of fireplace hearth Will a toilet be installed? • y-e 5 Will a kitchen sink be installed and connected to water supply? YF= Water supply(public water supply or pump) N c% Distance of cesspool from any private well .rc� L btx`J feet Will drainage system be provided with required traps, cleanouts, and vents? \{y Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to It. M 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 a provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the roposed work shall be mpbed with,whether specified or not, and that such work is authorized by the owner. �r G Sworn to before me this Signature OWNER.9IER•S A ENT.AR TECT,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 1. Gross floor area A'i (4' ` ,`� !," ' L 2 . Type of heat >-.LE CT'C.., < -1 ,,,ocn`h _ ----0\3`L, 3 . Is the building mechanically cooled? No 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 1. If YES, what is the R value? 3 . Slab on grade YES a. If YES, what is the 1. value of insulation around ' perimeter of floor? V 4 . Is basement heated? `\NO a. R value of insulation 5. Type of insulation \. aUnder 16% Only 1. R value of roof and flo rs1exposed to ambient conditions . RAF H--3(7 9'I Pl e5 Fc ,& 2 . R value of exterior walls 6,-') P1-- . 6-1 3 . R value of glazed area 4 . R value of doors 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab (JI14 7 . R value of slab insulation - heated slab tl 4 8 . R value of heated basement/cellar walls (above grade) Aire 9 . R value of heated basement/cellar walls (below grade) _ !,A 10. Type of insulation C. Controls 1 . Thermostat maximum heat setting 75 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 kVA E. Piping Insulation 1. Size of hot water or cooling carrying agent p4tp,/ `1i ' /2 . R value of pipe insulation J F . Service Water Heating 1 . Performance efficiency /�� 2. Temperature control setting maximum /'yam G. For Swimming Pool Only 1. Maximum heating /4 <a/; r r -./ Telephone No. ,� y3 ,-) � y '<-t�-4-t �'� � (applicant( signature) TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1. Owner' s Name Al/ .egn,� t JR- `V l4 Q. P R. 1 k'r?t i Address ,/ //7 =, : %3,ror Telephone No. 7`< _ `: ' �1 2. Property location 7 171., '6Tc'l'/,w, 4,r U,Er -/Ng' ,e 3. Name of person or firm responsible for installing system . et' Telephone No. 2- Address /,4-;I= !- 2/!. Ajilf , 4. Number of bedrooms (residential buildings only) 5. Daily flow gallons/day 6. Septic tank capacity ,�' u v gallons 7. Topography: flat, rolling, steep % of slope 8 . Nature of soil and depth 6-,P441 2 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 well other 12. Type of system proposed: t'dryw 1, tle 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 64.. 3, 1ik signatur,ero 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. • a-e/ geP e Form 3-82 TOWN OF QUEENSBURY Building Department Inspeetoirs Report Date ///20/ 1'T' Name /tA r Location Pi T2 \ci u it a) Permit No. 5"' 3/ 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 4 Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproof in Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling 61, Bui ing Inspector REMARKS 6 � TOWN OF QUEENSBURY Building Department Inspectors Report Date /,1�,�—AZ Name Location ,-7 T2 =EX,4' ? Permit No. 3J 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 �r Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling -1-4. a Building Inspector REMARKS / " /1 /' ULtd V . or Jown of Queenitury II/WADI BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 C.G r-/ BUILDING INSPECTOR' S REPORT NAME / a/"A, LOCATION r% r-z` / p Date ld / & ' Permit No. 0 ir 3/ * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing L.Siding Masonry Veneer Rough Plumbing Relief Valves q� //Ext. Porches Hid/� 1Finished Floors � ' Interior Trim VVV/ Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures y� Gar. Fireproofing F' Door Closers �%' Smoke Detectors fr Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey a S 1i,, Next scheduled inspection (call when ready) Remarks- III C. 0.1-14 AAA Ahvi s P 64A(Al_ a4 c4c s t JP✓L A(4&-of/I T- acts-tnu.,(4 avxy �s�� Sltc�rbaa nitt.dtio Building Inspector 6/86 and-vl