6272 (3) 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 PALLS. N Y 12801 1518)793-S6SO -
BUILDING PERMIT
TOWN OF QUEENSBURY No. 6272
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Jay R. and Linda A. Levy
OWNER of property located at Lots 4 3 and 44 Lyndon Road Street, Road or Ave.
- r
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. ti
(D
1. OWNER'S Address is 11 Moorwood Drive
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Ken Collette
3. CONTRACTOR or BUILDER'S Address ct-
0)
R. D. #1 Box 250D
Hudson Falls, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address
ii
b
•
6. TYPE of Construction— (Please indicate by X)
O
(X)Wood Frame ( ) Masonry ( )Steel ( ) •
7. PLANS and Specifications
38 'x56 ' per plot plan, specifications and
No. application submitted including sewage system and two
car attached garage 23 ' 5"x21 ' 5" .
8. Proposed Use
0-
One—Family Dwelling
•
$5. 00 C/O Paid
5
N.
$ 140. 00 . PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 19 80
(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.)
(D
Dated at the Town of Queensbury this 28th Day of March . 1980 I~—
e
SIGNED BY for the Town of Queensbury
Build mg and Zoning Inspecto
, .
, .
TOWN.. OF. QUEENS-BURY 1 •
. . (Space inside block to lw filled,in by
WARREN COUNTY. NEW YORK ' Building Inspector)
. No. ;
Application for pplication
peemit is,"ed ,I9 .
„
BUILDING AND ZONING PERMIT . - ii,.,.i„it Expires
- . I cl •.
Zoning. District ' •
. , X aloe Ot Work 1 • '
THREE (1) Copies of a PLOT PLAN, Drawn to seals. APP")“(11). Y . , •
showing the actual dimensions of the lot to be built itoilai•Kr
upon, The exact size, and location on the. lot of the
• building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. . ' , . . -
. . .
. 1 TOWN OF OUEENSM.Ur,
— It — ( . . . . . - • - • ,.) 114)
'ti . ' ' ' . - rECEEIVE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK - 1.1U
..:; ,
ANSWER ALL OF THE FOLLOWING. MAR 2 8.1980
45-°--='-. F. 'e ea°
The undersigned hereby applies for a permit to do the following: Wanki . :. • A.M; / - ' '
which will be done in accordance with the deicription, plans and specifi- . ,71#1M1A1PIM1W19
cations, and such special conditions as may be indicated on the permit.
The owner of this property s: if 10601(10 OOLTaigeo k.941240
(NA.4E) . (P.O.ADDRESS)
The person responsible for •supervision of the work insofar as the Biiiiding?Code and the Zoning'Ordinance apply is:
-ayR. i,424.y
(NAME) (P.O ADDRESS),
Name of Builder 1(‘2,0 Coliaked Addreaa.
' RIS* %' ree)c ZS°D kLAS.04 Felk./4.`e .
EaName of Plumber w1/4" tv'Cos 6,12‘.4" Address P'• 1 Tette a 6.4,,,4v..,+,, 11/3
Name of Mason V.41" Cellelle. Address .
lot Number. . la I.4. . . Unit Estiinated value of proposed work 5 10 000
Name of Village '&VW...Awl k • , -:: -., , T-i!,. -
1...3 eNac)-- -;;,•' .,, _
Name of Street pnier. , . Side (*.street: north 0, east.' 0, south- U. west 0
Nearest Cross Street Distance from this -toss street Ft.
Property is north 0,south 0,east 5,west 0 from Cross Street.. '
If on corner,'which corner, northeast El, northwest 0, southeast b. southwest
_ . _., ---- - (Designate by marking with an "N" in the•correct space.) _
. . .
NATURE OF PROPOSED WORK. OCCUPANCY
Construction of a new building. Main Building
El
ElAddition to a building. One-family dwelling [?5,
Two-family dwelling 0
0 Alteration to a building.
CI Demolition of a building. . . . . . .-family apartment house _ n
Store building D
. . . ... . .-car attached garage 0
Other:
• : Accessory Building
• One-car,detached garage Cl
'
0- Other work. Describe. 0
Two-car detached garage —
Private chicken house ' 0
.
Private storage building 0
Other
- ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change.of occupancy.
- 61-.Q.. ckkia.0144,
- Indicate on the plot plan street names, the location and
• I . size of the property, the location, size and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show Proposed buildings) in dotted line and existing
building(s) in solid line.
/4 6
Size of property . . . .7. . .z..a. . . . . ft. x ..-- ft.
, Size and use of existing buildings, if any
. :r, . . . . , • . . . ... . . .cl.‘,,,q .. Q.., ......7
. . •. .•
w3is.1/y...Z. i.'.37!)
M , w Size-of proposed bui ding . . r. . . . ft.x6,60 ft.
, .
Height(from grade to ridge) 1--.43' ft. '
Front,yard . .S'0 • ft.
Side yards 2-e" ft. and 66) ft.
Rear, yard W ft.
SOUTH If o 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,.'• • .. •¶ • • • • • • • " • " • • " • " • " • • " . . . . . . . . . . . . . . . .. . •
Will any second-hand lumber be used? 11`"�OO If so, for what?
Material of foundation walls
r '2)locks Thickness ld�
Depth of foundation walls below grade 1011 b1.0P+e— Continuous foundation?
Will there be a cellar? 412-5 If so, material of cellar floor `•`t Pooi (mN ie*e
Material of roof . . .310r11 54IN5144
Type of roof: Sloped or flat? J��
' Size,wood studs 2x 4 "x ", spacing . . .1,10 pM.ct4:."o.c., length . •1 ft.
�/ "x ", spacing....:, "o.c., span 14' . ft.
Size, floor beams, 1st floor i
Size, floor beams, 2nd floor " x ", spacing "o.c., span , ft.
Size, ceiling beams lea . .� toy e u 'o.c., span ft.
os "x . . �Y..lo ", spacing
Site, roof rafters or beams 1.1 iI Sob . ." x `(ty ", spacing "o.c., span ft.
Exterior finish 3kik. WW1-SA.105 With what material?
Finish of interior walls ` IA ratite'
If garage'is to be attached, of what mate i l is wall tween garage and main building to be constructed?
1 (-A t s1 si et
Is there to be an opening between_garage and building? 13®
Kind of heating system ac`Crtc, Oil burner or coal?
Will a flue-lined chimney be provided? ' ' . Depth of chimney foundation below grade
Height of chimney above roof : --C$"
Will there be a fireplace? `(e-5 Depth of fireplace hearth )Y' H 1acoR-
Will a toilet be installed? • 'it.'
Will a kitchen sink be installed'and connected to water supply?
Water supply(public water supply or.pump) ?ONO
•
Distance of cesspool from any private well (QQ/ CoGQ feet
Will drainage system be provided with required traps, cleanouts, and vents? Vil 0
AFFIDAVIT'
Town of Queensbury .
County of Warren
State of New York
I swear that to tt na Iof my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.p lete statement of all proposed work to be done on •escribed pretmees .d that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the p . .•. w she I . mp'ed with,whether specified or not,
and that such work is authorized by the owner.
. Signature r.. fp t
Sworn to before me this OW a ER S GENT. • HITECT,CONTRACTOR
day of 19 '
_ __ _ NO PUBLIC.WARREN COUNTY, N. Y. _ _ _
SPECIAL CONDITIONS OF THE PERMIT:
•
By •
TOWN OF OUEENSBURY
BUILDING AND ZONING DEPARTMENT "tor}(, „erg ,
BAY AND 19AVILAND ROADS, R. D. 41
GLENS FALLS, NEW YORK 12801
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OF QUEENSBURY
OCC PANT°S NAME- 'Iv '�N LtAIN A,. �Q.Vy ADDRESS It 1400(woe4!Dr a ��
TELEPHONElQZ,- 6451 OWNER®S NAME Say _ 1,1:y
ADDRESS_ 14L
OJ-_ NUMBER OF BEDROOMS 4
GARBAGE GRINDER? \i6S (YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP, SLOPE,
-
GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, SANDY, LOAM GRAVEL, ROCKS, ETC.
PERCOLATION TEST WATER SUPPLY: MCTNICYPAL, WELY, OTHER
- cT114L'LT F�onn
-`:: Ep T\c Tixos4 14.
. --?5t1,'vr-L
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OvT - Li..,ES--+- 49
1N\.'ERTOF INLET
T'D BE .. .Above IN\ a r REArio.VABLE
or OUT _c TS CovEtz
IOVTI.-ETA'
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36,E 1-` J ' .
-5 13 V",- O h9 -' ".) i Ai.'k 12,.
- ''_ eeav4.'".. re t'eTAtL t=O,k 5S-rn_',+r.era . .a--6"
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`fitI:
�y.�LD,,,c..tT pa„,...1i. �1iGC�I r.L
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'l} iPER Fp 1Z AT4.1) t'�' iFs f --
OTHER PEP 2 s _ . : - r ,I
S1--i71 a% W..�..Toye6 /Ft-r CLEAW Q$AVEL`". I '
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i dR CV-iswE0 STol.c It),
LGNIC,1'C-Ub11ygL ��
_ S GT ION r
:IT is HE I I LE PtELD1-- ti A 1 L 5
INSTALLATION OF SEWAGE DISPOSAL FACILITi ve'.aj� .02_, i--- ...... - - - '
WITH DETAILS SHOWN.
;ATE b' -1/(611 _ SIGNATURE OF APPLICANT a
'LAKE GEORGE PARK COMMISSION A?PROVAL u
(signature
(date) .
P
r 00
10 LaCrosse Street. Hudson Falls..New York 12839
Phone: (518) 747-4128
ENERGY FACT SHEET
for the building package supplied by
NORTHERN HOMES, INC.
PROJECT NAME : JAY gc LINDA Lv'r
DRAWING NUMBER: 27G0
BUILDING .TYPE: �7 r� F.4w►�c.Y 6IO
LOCATION. :_ of t F.nJ.51;c),2Y
Compliance Procedure: " Design By Acceptable
Practice (Part 5)
County: WA Ra:E
Degree Days: 9oo0
Allowable Glazing Percentage (of total wall area) ) G 7 -
Total Wall Area: I S 0 7. 7AF
Glazing Area: 25 q. 6
Actual Glazing Percentage (of total wall area): ) 3, 'a 7
Thermal Transmittance Values
Code Values Design Values
Roofs and floors exposed to ambient '
conditions Ur = . .051 Ur =.028
Exterior Walls ' ' - - UW = . 08 - U = •049
W .... •
Glazing U = . 69 ' U = .555.
Entrance Doors Ug . 40 Ug =071
Floors Over, or above grade basement walls d -'
enclosing unheated spaces U f = . 08 Uf = ,063
Slab Edge Insulation Unheated Slab Ri =-5. 5 • Ri = &IR
Slab Edge Insulation Heated Slab Ri = Ri ; .= NA
Heated Basement/Cellar Walls (above grade) Uw = . 08 U`ty = NA
Heated Basement/Cellar Walls (below grade) Ri = 5. 5 R. =-► A
1
1. . At 9000 degree days Ur = . 04
Notes:
A. Roofs and floors are calculated'based on (0 percent
. continued
framing and 670 percent insulation.
•
B. Exterior wall s are calculated based on I 5 percent
framing and 85 percent insulation.
C. Glazing includes all fixed glass, operable windows, sliding
glass doors, glass panels in entrance doors, etc.
D. Slab edge insulation extends 1,1,0, inches below the top of
• slab and/or from the top of slab to bottom of slab and horizontally
, inches under the slab.
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THE NEW YORK BOARD OF FIRE UNDERWRITERS :T
..,, BUREAU OF ELECTRICITY 'r
' 41 STATE STREET,ALBANY,NEW YORK 12207 ,
-o' Date Application No.on file A ' 1V 4..1 1 1 i ':
THIS CERTIFIES THAT } J '
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of 1
in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. U Section Block Lot !�
r
was examined on �' ' and found to be in compliance with the requirements of this Board. 'r
FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;:
OUTLETS RECEPTACLES SWITCHES MERCURY
INCANDESCENT FLUORESCENT
VAPOR AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.P.
11
! i
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS r
: 'AMT. K.W. OIL H.P. GAS H.P. .AMT. N_O. . A.W.G. AMT. AMP. MAT. AMPS. TRANS. AMT. H.P. NO.OF FEET . T.SYSTEMS - WATTS '
SERVICE DISCONNECT NO.OF S E R V I C E 'Tr:
! AMT. AMP. TYPE METER 1 0 2W 1,0.3W 3,0'3W 3,0'4W NO,OF CC COND. A W G NO.OF HI-LEG A.W G. NO.OF NEUTRALS A.W G. ,
EQUIP. PER B" OF CC.COND. OF HI-LEG OF NEUTRAL ',
OTHER APPARATUS: ,Y
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BRANCH MANAGER !`
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rr! Per .,
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''fYYYYYYY YY YY YY YYYYYY YY YYiYY4Y9 YY4°CYY'(YY YY YY YY YY YYYY YY YY YilsYY YYYY YY YY fY YY YY4YY YY\(Y'YYYY YY`YY&YY'CY`_Y YY fY YY YY YY YY YY YY YY YY Y3'
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF'QUEENSBURY
Building Department
Inspectors Report Date 7—/o -g e/
Name,, • I -e t/ •
Location mil/� t l •
. Permit No, c1„9 i Weather
Remarks •
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coate
Waterproofing /-G
Backfill /i
Final Survey ;' � f;
Framing /1
Sheathing
Rooff Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor /'
Interior Trim
Stairs & Railings J •
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers //
Chimney •
Water Meter Inst.
Septic Approval
• Floors '
Insulation Foundation
. Walls
Ceiling
Building I1S-spector
REMARKS
l oK 7/0a-
TOWN OF QUEEN5BURY.
Buiidim$ irepar tment
Inspectors Report__ Date _ /1-5d
Name�r,,/te•� J Le ��
Location Zyjvacr, Lots `f a 4-4,1 6Y
Permit No. / 7 a Weather
• Remarks
Excafiation
Footing Forms
Footing & Piers
Foundation
Cement Coat ____J
Waterproofing
Backfill
Final Survey
Framing
Sheathing T�
Roof Felt _ L
Roofing
•
Siding j _—
Masonry Veneer L� _
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches j
Finished Floor
Interior Trim- I
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
1FlOors
Found tic,n
Insulation •
�rells J
CeiJ. n,
Building I. :_:`or
•
REMA KS
/ oô / .Ss30)G
6
)0d '���
TO 11T E# Y .
: uildirig Departa,..ent
Inspectors Report Date 6 073/P
Name ,-/-(2
Location c T S 3 II-
Permit No. ($A. `7a Weather
Remarks
Excat%a ti on
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 E
Concrete Floors /
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter• Inst.
Septic Approval
Floors '
Insulation Foundation '
Walls
Ceiling ' '
wilding Inspector
REMARKS
�.,� coIteyr6 , Co/47r,-c{�7`�i�
TOWN OF QUEENSBURY •
Building Department
Inspectors Report Date
Name a //ice (1-ev.i)
Location � 7tie-.47
Permit No. / (t� A '/J. Weather
Remarks
Excaation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing 1/67771
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
Coiling
(":5/
Building-'5nspector
• REMARKS
•
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date ,- /"--�,?- c)
Name ,�e i,
Location �, ,
Permit No. 6 a ' Weather •
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill •
Final Survey
Framing
Sheathing
Roof Felt /1
Roofing
Siding \ ;�
Masonry Veneer
•
Rough Plbg. X
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 '
_5-*: /be
• Building Inspector
•
REMARKS