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7112 C/O Paid 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. 112 has been completed. This structure may be occupied as a One—Family Dwelling Locati_ Cleverdale Road Owner Jean C. Taylor By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA" PRINTING. GLENS PALLS. N• 12801 IS181793-S6Se BUILDING PERMIT TOWN OF QUEENSBURY No. 7112 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Jean C. Taylor OWNER of property located at Cleverdale Road Street,Road or Ave. 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. Iv 1. OWNER'S Address is 1542 Golden Avenue Hermosa Beach, CA 90254 n 2. CONTRACTOR or BUILDER'S Name Bruce Fraser 3. CONTRACTOR or BUILDER'S Address Star Route Glens Falls, N. Y. I—' 4. ARCHITECT'S Name C William G. Chirgotis II 5. ARCHITECT'S Address 37 Mountain Avenue Springfield, N. J. 07081 IZ 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( )Masonry ( )Steel ( ► 7. PLANS and Specifications 27 ' 6"x39' per plot plan, specifications and No. application submitted and Variance No. 727 granted 9-16-81. Septic System under Permit 6974 issued 7-6-81. 8. Proposed Use O One-Family Dwelling $5. 00 C/O Paid $105. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 1982 (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.) 0 N Dated at the Town of Queensbury this 18 th Day of September 19 81 SIGNED BY � G for the Town of Queensbury W Buildin and Zoning Inspector TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY. NEW YORK Building inspector) Application -for , .‘),1>l icatim] Permit Issued 19. BUILDING AND ZONING PERMIT n,ii Expires 1g %.A,,iiii_ District f� \;�Ilu. nl ►Ynrk1 i �� THREE (3) Copies of a PLOT PLAN, Drawn to scale '.\ppel A it l-b �// showin the actual dimensions of the lot to be built lz�m:il)Cf• 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 QUEENSBURY IA 7 4 111/4PAr J /4/— A _ `0 . . . ."7 SATE . . . . W it-E [ VE 0 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK `� ' ` 19�1 ANSWER ALL OF THE FOLLOWING. + d� d The undersigned hereby applies for a permit to do the following work A.M. 116 Fe-c- P.M. 13.� 235 which will be done in accordance with the description, plans and specifi ,7), I ,8911.h • `A►1 1 1,h 9 cations, and such special conditions as may be indicated on the permit. The gwner QL.Lhis property /lG 4,... ..4= .. .k > . 4y4k( /51/e. . .CoW&1 .live. . li ,o : ,0. = 4. 960.51/ (NA:E) (P.O.ADDRESS) The person rewnsibie for supervision of the work insofar as the Buildipg.Code and the Zoning Ordinance apply is: IggP4e. F 4 c5 14 Rdc1Ti 4d►e. , / 9t .5 4/y /2 fll9f (NAME) (P.O ADDRESS) Name of Builder 1300/40.- PA-04s.6X. Address .577#1 ArOUT,L t 4AFAS Gi4L15 AY Name of Plumber. Aly/f01V2-). . 113Er4,— Address 40441EY410e4444& / Name of Mason. . . WO: . . 6?i7201..6,EJ.'Z, Address dFi91L.S Ay Lot Number. . . . . . . . . Unit Estimated value of proposed work S$64 Name of Village. .4oA rill-4 , . Name of Street 4hig141r44 RD-. Ssde of.(treet: north ❑, east a,smith O. west 0 Nearest Cross Street Distance from this -ross street Ft. Property is north 0,south ❑,east 'Li,west 0 from Cross Street If on Corner,which corner,northeast 0, northwest 0, southeast IJ southwest (Designate by marking with an"X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main Budding A Construction of a new building. One family dwelling ❑ Addition to a building. ❑ Alteration to a building. Two-family dwelling 0 ❑ Demolition of a building. . . . . -family apartment house 0 Store building 0 . . . . .-car attached garage 0 Other: Qr.. .Vcw... .7, 7 jy--antecl 9/4.k/. . . Accessory Building One-car detached garage ❑ Other work. Describe: p Two-car detached garage 0 C? is c . ' .srem Uhler- ( e4-. 6 517 Private chicken house ❑ D' Private storage building ❑ .l S u`eJ ��'&j$ / 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 I ! ft. x /T7 1 ft Size and use of existing buildings, if any I.- JA/JtP) I- In VI i / m Size of proposed building ..�7 !�• . . ft.x . .v�Q' ft. (p Height(from grade td�e) f ft. Front yard ft. Side yards . Z5. '.X. .3.9.'. ft. and .la..-. . J. . ..q.' ft. Rear yard /7' X ' ' ft. lOUT H If aft corner,setback from side street ft.. Note: All distances are net, es measured from street side line to nearest part of building. (OVER) 7-73-M 1 (cont'd.) BUILDING SPECIFICATIONS., OOP Kind of construction: Wood frame, fire safe,etc ?• • • • • • • •• • • ' • • • • • • • • •• • • • • • • • • • • • • • • • • • • • Will any second-hand lumber be u d? . . . . Q. • • • • • If so, for what? Material of foundation walls . . . . ��j r�IP Thickness e„ Depth of foundation walls below grade (9 " g Continuous foundation? E S Will there be a cellar? . . /4E.5 If so, material of cellar floor . . ?�'ti 4E') 4we. eT Type of roof: Sloped or flat? . .w.,vpr7. . • Material of roof / h414 Size,wood studs Z. • • • x . • • elP n ",spacing . . . .i4 . . . ."o.c.,length 8."x � ft. Size, floor beams, 1st floor Z /) ",spacing .. , . . /. ."o.c.,span /, ft. • • Size, floor beams, 2nd floor Z.,. . ."x / ", spacing / "o.c.,span g t ft. Size,ceiling beams Z. . • • "x / 0 ",spacing L) "o.c.,span (2-- ft. Site, roof rafters or ams .Z.. . ." x . . . . spacing "o.c., span jL. ft. Exterior finish . . 4•/ . 6. • 841 1E.4/. With what material? .deriZ l' .NofT.ai .p/dj/E Finish of interior walls. . .77.1 E?- .A.A., - 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 . . 1...E4TN•/.4--- Oil burner or coal? Will a flue-lined chimney be provided? . Depth of chithney foundation below grade Height of chimney above roof. . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . `;/N Will there be a fireplace? . . . . ye Depth of fireplace hearth / 64" Will a toilet be installed' yg5 Will a kitchen sink be installed and connected to water stg1 ? Water supply(public water supply or pump) Pi it . . .�� ,. ... E. .4.41 44.. Distance of cesspool from any private well feet Will drainage system be provided with required traps,cleanouts,and vents? AFFIDAVITTown of Queenshury County of Warren State of New York I swear that to it yea r of my knowledge and 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 all of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertain' to the proposed work plied specified or not, and that such work is authorized by the owner. Sworn to before me this ? f / Signature OWNER.OWN R' ARCHITECT.CONTRACTOR 12..E day of .1•7 •�-4y 19.8.. w NOTARY PUBLIC.WARREN COUNTY. N.Y. SPECIAL CONDITIONS OF THE PERMIT: tilla 144t(liA tligt/kt ety.zeri.e.e.4 ArA 91/(, 41"411/1-4 ----- ill'19: c ill/U aiivArti......ceQ ...--. 611 7///S 1 hvp;-/- , , ., 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 / CJ ��c 2 . Type of heat 3 . Is the building mechanically cooled? / ') 4 . Percentage of area of windows and doors A. Over 16% Only 1 . U value of gross area of walls , roof/ceiling and floors exposed to ambient conditions /76 1 2 . Floor over heated spaces EYES NO a. Are foundation walls insu ated? ES � NO 1 . If YES, what is the R value? 3. Slab on grade YES NO a. If YES, what is the value of insulation around perimeter of floor? 4 . Is basement heated? lYE_SL_„9 NO a. R value of insulation 6/ 5. Type of insulation s%A6Zn Q� B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls / 3 . R value of glazed area • 4 . R value of doors 5. R value of floors over heated spaces 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 Insulticla 1 . Size o hot water/or cooling carrying agent pipe /2- 2 . R valu - insulation F . Service Water Heating 1 . Performance efficiency 2. Temperature control setting maximum JZ G. For Swimming Pool Only 1 . Maximum heating Telephone No. bti� A 7 7514, g ((applicant ' s signature ) TOWN OF QUEENSBURY Building Department hmapeName toes Rem _ Date -/8-BZ Location- y�iYu�Cr�ca�a�� Permit No. '7 // L- Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer 07(.*" Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile. Concrete Floor d 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 t� -"I-R.4 Name_ ,_ Permit No. C11�-�1 a. 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 Ceiling 4474 I 1 4 Building Inspector REMARKS pec),--egro,f4 -fruotoot- //0,240,/,*.ek e4A4p *2 , TOWN OF QUEENSBURY Building Department inepectoes Report Date It/ Z Name *ea Pi C, 7 2 y / - Location c;et)o�a ci1r Permit No. 7 iL - Weather C c'L. 0 Remarks Excavation Footing Forms Footing & Piers Foundation ✓r^-21' Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. \.;41/:\ 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 ';'/P17/ -/2-e -4Se:--(').et.1, Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date// 4-(9/ Name A7�' 1or-- Location J' mil. wG/�z Permit No. 7//2- Weather Remarks Excatra ti on Footing Forms (O/ 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 Inspector REMARKS