85-314 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 V 12801 IS18)793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY No. 85-314
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Peter J. Accardi
OWNER of property located at Jay Road, Glen Lake Street,Road or Ave. N
for dwg. n
in the Town of Queensbury,To Construct or place a Additions/alterations to storage bldg.
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.
O
1. OWNER'SAddressis 281 Warren St.
Glens Falls, New York ¢'
1-•
2. CONTRACTOR or BUILDER'S Name
same
3. CONTRACTOR or BUILDER'S Address
same
4. ARCHITECT'S Name 0
0
5. ARCHITECT'S Address H
(D
)1)
6. TYPE of Construction—(Please indicate by X) CD
(X)Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications Additions/alterations to storage building
No. converting to one—family dwelling per plot
plan, specifications and application submitted -r Enand Var. 929 grantP9 9-19—R4 O rt Q.
8. Proposed Use 0 ¢,
II 11 I-I-
One—Family Dwelling w L N
(D 0
$5. 00 C/O Paid day/86-- &I/4 g�
30. 00 January1 86 o 1-6 H a)
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 a) ¢ H
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the I-'• (D
town of Queensbury before the expiration date.) II
L4
rl
() N.
Dated at the Town of Queensbury this 25th Day of June 19 8 5 O O
C U!i
SIGNED BY ' � for the Town of Queensbury < (y
Building and Zoning Inspector rt 0
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TOWN OF QUEENSBURY ( ),Space inside block to ix filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for `1'pli`ation No. `
pP Permit Issued 19
BUILDING AND ZONING PERMIT =•rl„il Expires. 1q
Zoning District
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\11 "`•`l l'`
showing the actual dimensions of the lot to be built 1lci>>a1'ks
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
// — / - PATE OWN OF QUEENSBURY
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK IIECEIVE 0
ANSWER ALL OF THE FOLLOWING. Ai ti Z 4 i965
The undersigned hereby applies for a permit to do the following work ' 4-'
P.M-
which will be done in accordance with the description, plans and specifi- AAA; 1121314'516
cations, and such special conditions as may be indicated on the permit. + 6 r= P ', ! •1•
The owner of this property is: f
INA IE) IP O ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (1,0 ADDRESS)
Name of Builder Address
Name of Plumber Address
Name of Mason Address
Lot Number 1 V- Unit st ed/value of pro ed work S . . 1.5`v
Name of Village a7.i-e.t.S: . F L . i N, � /e.l . . 1-`4t rCe. 4 r t'C&- )
Name of Street 3—cc y 13 Oa q Side of street: north 0, east 0, south 0. west 0
Nearest Cross Street Distance from this ^rocs street Ft.
Property is north ❑,south ❑,east i i, west ❑from Cross Street
If on Corner,which corner, northeast V, northwest ❑, 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 NO
Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
Accessory Building
One-car detached garage 0
0 Other work. escribe •
Two-car detached garage
41 . 9 2 7 Private chicken house El
Private storage building El�,/ ��_� 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
huilding(s) in solid line.Size of property 07. . 1.1. 17
. . . . ft. x I°6. ft.
Size and use of ex/isting buildings, if any
F m .36- 1 K2c( ' „ ,`
s . Size of proposed building ..3 1! ` 5t.x d ft.
Height(from grade toyridge) /6 ft.
Front yard . . .3 f 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
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?.Lit.. 1-�A to
Will any second-hand lumber be used? I"V L If so, for what
Material of foundation walls . . . . )L. K /�y - Thickness
Depth of foundation walls below grade rZ`f (---?(LI $ Continuous foundation?
Will there be a cellar? A—)0 It so, material of cellar floor
Type of roof: Sloped or flat? . 5.1.E e 01, Material of roof . .A It? .-
Size,wood studs "x ", spacing i`� "o.c�h. . . . . . . . ft.
Size, floor beams, 1st floor .,- . "x i ", spacing I w. . ."o.c., span . .L. . 6 ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams . . . . . . . . • • • • . . . " x G ", spacing /6, "o.c., span ft.
Siie, roof rafters or beams "x ", spacing "o.c., span ft.
Exterior finish Wa=rz-' " • 4;11.4/6- With what material? (.,..A—)awn
Finish of interior walls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 Oil burner or coal?
Will a flue-lined chimney be provided? • Depth of chimney foundation below grade
Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . .p . . . . . . .p. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . .
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, ba of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.a.p lete statement of all proposed work to be done on the described premises and that of provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining .....e..e ro sed y6otk shall complied with,w Cher specified or not,
and that such work is authorized by the owner. 2 (_/
Swo to ore me this Signature
OWNER WNER'S AGENT,ARCHITECT,CONTRACTOR
c7 day of Tc,� Yl r 19 5
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 '7 - X , U
2 . Type of heat
3 . Is the building mechanically cooled? Q
4'
4. Percentage of area of windows and doors /6'7e
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 �YE�s NO
a. If YES , what'`- s the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES NO
a. R value of insulation t1 0 6 cA-.s -e t
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 p,_ j ('
3 . R value of glazed area Pc., L, L •
4 . R value of doors (_
5. R value of floors over unheated spaces a.- 1
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
C. Controls
1 . Thermostat maximum heat setting
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
2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. P'2 ) 75 / gZ; (72- a
(applicaAt s signature)
TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
1. Owner' s Name rreo Act4tet
Address p 62
,t y�. _ (4?4) L!K
Telephone No.
2. Property location Sr=untie,
3 . Name of person or firm responsible for installing system `
Telephone No.
Address
4. Number of bedrooms (residential buildings only) /
5. Daily flow % -S--(-' gallons/day
6. Septic tank capacity li c)- >-3 Tki gallons
7. Topography: flat, rolling, steep
07
% of slope J Q
8 . Nature of soil and depth vry"
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 CAcJ .,
12 . Type of system proposed: drywel tile field, other ✓J :-k
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 tit e --`{
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.
1/(- -\)---- c-4_C bj-t.:. ---v, r1, 4
-- , 43 k i l'i
0 g( :t/ 62-4-71.4-til
Form 3-82 „ (/�' l \' \
(°M=
poi' -
-. TOWN OF QUEENSBURY
Building Department •
Inspectors Report Date S/�/f 6
Name A-c Cam»,
Location 7h4 /Z'7/k43._
Permit Nn. gS-31, Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer O �
Rough Plbg. (/
Relief Valves r,7 J /,)
Wall Board B t' _WW
Ext. Porches •
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing ii
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
(7:Ceilin
, 4 ji, ,.6,(_ ___
uil ing Inspector
REMARKS
po 6 it, V6v-i-xar 6 Ayait-i)
flc' d )ZoaI'
TOWN OF QUEENSBURY
Building Department
Report Date //Z'�/��o
P-CC i i-az_O 4
Location ;'?q4 120,a, ('L i L.4iCb-
Permit No. <T 5-- 3 I f- Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing !? n- 115-COc(J
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings 1
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
/N/
Buil ing nspector
REMARKS
f4M(,4& lirn-n/i-t�- gs I
PO an eras bX P05 — OIL
' ' '- - CA-t1-I-011- PouGt4 PLuAir3 i c/G
/x/3 9le i cu-iJ
TOWN OF QUEENSBURY
Building Department/
Inspectors Report Date -)`? 7R.c -
Name pe-7?- C I
Location �j�9- LJ't e 4--1C
Permit No. ( ,5 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
Cellar Dr. Tile
Concrete Floors �•° �'_`_
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
/ /. /11
Building Inspector
REMARKS
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