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85-749 C/O Paid 1 M CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK r. Date June 11 19 86 This is to certify that work requested to be done as shown by Permit No. 85 749 has been completed. This structure may be occupied as a One-Family Dwelling Location Lot 11 Sugar Pine Road (St. No. 22) The Pines of Queensbury Owner Paulin Construction Coo , Inc. By Order Town Board TOWN ,OF QUEENSBURY ' Building-6JZoning Inspector _ CREATIVE "INSTA" PRINTING GLENS FALLS. N T 12801 15181793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 85-749 . WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Paulin Construction Co. , Inc. ro w OWNER of property located at Lot 11 Sugar Pine Road (St. No. 22) Street, Road or Ave. e Pines ot Queensbury in the Town of Queensbury,To Construct or place a One—Family Dwelling n 0 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. rt n G 1. OWNER'S Address is Hl #1 Rt. rt Mechanicville, New York o• 0 - o 2. CONTRACTOR or BUI LDER'S Name H same 3. CONTRACTOR or BUILDER'S Address r same 0 rt N 4. ARCHITECT'S Name Cn G w n 5. ARCHITECT'S Address p rD 0 w a. 6. TYPE of Construction—(Please indicate by X) to rt ( 0 Wood Frame ( ) Masonry ( )Steel ( ) Z 0 7. PLANS and Specifications 37'x56'8" per plot plan, specifications and application submitted N No. including two—car attached garage and sewage system. 8. Proposed Use 0 m I One—Family Dwelling p r• $ Paid 178.00 ty $ PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19 86 E (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N town of Queensbury before the expiration date.) N• OQ Dated at the Town of Queensbury this 27th Day of December 19 85 a SIGNED BY �{� for the Town of Queensbury Building and Zoning Inspector �� TOWN OF QUHNSBURY (Space-ins.ide block to Ix- filled in,bV . -WARREN COUNTY,NEW YORK Building 111MIX*wl Application for �;►,Ili<ati�►;, �,. BUILDING AND ZONING PERMIT. :: hf•ru,il t:r,iir�s,: l9, f a PLOT PLAN,`Drawn to soli showin the actual dimensions of the lot to b. built 1t�m:�l'Kf7 g upon, The exact size, and location on-the lot of the . . . . . . . . . . ... . . . building to .be' erected .or`-altered M_ UST BE SUB- MITTED WITH' THIS APPLICATION. '—' � ' OIN .. . A PERMIT MUST -BE OBTAINED.BEFORE BEGINNING. WORK,: ��� �. , 17 ����6 ANSWER ALL'QF THE FOLLOWING. The undersigned hereby applies for a permit to do the. following work ���� �?:�� :T5.18 . . which will be done in aeeordanee with the description, plans and sPecifi- a e . a 9 f 1 ,.�d .a,� a cations, and such special condifions as may'be indicated, on, the permit. The owner of this propeity is (NA'AE) 1P e.Aee4551 The person responsible for supervision of the work insofar as the Building.Code and theZoning.Ordinance apply is: �.` i ,12�,.: . . . . . . . . . . . . . . . INAMEI Ip O AOORESSJ�' e of Builder. ��U`��.��� �N . . • . . . . .Address. Nam . . . . �''( �1 _�. . . . . . . . ... . . . . . Name ofPlumber Name of Mason. .�C�,e N . , �. . . . . ... . . . . . . .Address . Lot Number. .':! . . . Unit . ... . . . Estimated value of proposed work SP'. . . . . . . . . . . . -. ��v� .C�®�. Name.of Village.. � -� e�N,S; -\\. . . ... . . . . ;, . . . . . .... . . . . ). 1 Name of Street . .vim• • . . . . . . . _-Side of street:-north Elt-eas . 0, south .0, west M Nearest Croas Street 4?.C: . . Distance.from this cross street . .< .— . . . Ft. Property is nortlla,south M east: L i,west 0 from Cross=Street :• ; -I1 on Corner,which corner, northeast i 0, mOrthwest 0,:southoast D, southwest (Deli te.b mair�iriglwiL�►.an "X`�`'tit?the cotlresace.) NATURE OF PROPOSED WORK OCCUPANCY Main Building . Construction of anew building. : :;.:.L . . ❑ Addition to a building. One-family dwelling ❑ Alterationto a building. ' Two-family dwelling 0 ❑ '.Demolition of a building. . • • • . •-family apartment house ❑ Store building ❑ -car attached garage Other:'-. . . . . . . . . . . . . . . . . . . .. : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. Accessory Building One-car detached garage 0 - Other'work. Describe:. : . . . . . . . . . . . . . . . . . . . Two-car detached garage ❑ Private chicken house ❑ . . . . . . . . . . . . . . . . . . . . . . . . . .. Private storage building ❑ . . . . . . . . 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- NORTN posed buildings,and the location of all existing buildings. Show proposed building(s) in dotted line and existing tiuilding(s).in solid line. Size of property . . . . . . . . . . .. . . . ft. tc .. . . . . . . . . . . it. 1 ^�� Size and.`use of existing buildings, if-any . fir 0 � Q . . .... . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . ... . W W• Size of proposed building.. . . . . . . . ft.x d it. Height(from grade to Front yard . . . . . . . . . . . . . . . ... . . . . . .... . ft. Side yards . . . . . . . �?.�: . h. and... . . .3. . . . . tt. Rear yard . .. . . . - souYN If on-corner,setback from side street . . . . . . . . . . . . . : . ft.. . - Note:.All distance's are net, as oneasured from street side line to nearest part of building. (OVER) 7-73-M (contd.) BUILDING SPECIFICATIONS., Kind of construction: Oo Game, fi�safe . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . .. ... . . . . . . . . . .. . . . . .. .. Will any second-hand lutn r use . . q. If so, for what?. . . . . . . . . Material of foundation walls . . .4'�5�1�'cQ . . �4�'S. . . . . . . . . . . . . 1`hickness . .�Qti, , �0 � 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? . . ..I ,la. . . .. . . . . . . . Material of root . .1 . . . . '4��. 1 N Size wood studs .. : . . . . . . . . . . . . "x . . . . . . . . . ." : �.D. . , spacing . . . . . . �f?. ."o.c.,length. Size.floor beams, 1st floor . . . . . . . . Z .,•x NO. . . . . . . . . . .",spacing . . . . . . . . .1-P. ."o.c.,span .. . .`�. . . ft. Size, floor beams,2nd floor . . . . . . . ."x .\G'). . . . . . ... . . .", spacing . . . . . . . :2� ."o.c.,span .. .. . , . Size,ceiling beams . . . . . . . . . . . . . . 4. "x . . .�. . . . . . . . . ." spacing . . . , . . "o.c.,span . . . . . �tp. . . . ft. Site roof rafters or beams . . . . : . . . . . . ."x . . . . . . . . . . . . . ." ,spacing . . . . . . . . . . . "o.c,span . . ft. Exterior finish . . . . I fU". . . . . . . . . . . With what material? Finish of interior walls. . . O`C .\.�l 2.\\. . . . . . . . . . ... . . . . . . . . . . . . . . . . . v. . . . . If garage is to be attached,of what material is wall between garage and main buUding to be constructed? Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . .. . .. . ... . . . . . .. ... . . .. .. Kind of heating system . . . . . . . . . . Oil burner or coal? . .. . . . .. . . Will a floe-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof. . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . .. .. . . . . . . . . .. . . . . . Will there be a fireplace? . . . . I . . . . . . . . . . . . ... . . . . . . Depth of wreplace 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 to bgj jof my knowladae and belief the statements contained in this application,toiether with the plants and specifications sub, initted. are a true and ou.,. lete statement of all proposed work to be done on die described premises and that an apro�vtrwns of the BU1f.D- ING-CODE,THE ZONTO ORDINANCE,and all other Iowa pertaining to the proposed work shstl be oo wh6,whedwr specified or tom, and that such work is authorised by the owner. e� ' w4 , Sworn to be(ome this Signature .... ` ?5.1 ........ .... • qqI� OWNER.O N R'S�Ni .ARCHITECT,CONTRACTOR .............. ....................day of............. ....................................19...D. .......................... NOTARY PUBLIC.WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: By .......................................•.................................................. s TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 1 Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK 1 STATE ENERGY CONSERVATION CODE `` A permit must be obtained before beginning work. ANSWER ALL of the following: 1 �d 3 S ��'- � 1 . Gross floor area I 2 . Type of . heat i i 3 . I.s the building mechanically cooled?__ U f 4 . Percentage of area of windows and doors A. Over 16% Only 1. U value of gross area of walls , roof/ceiling and floors . Ii exposed to - ambient conditions I 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 value of insulation 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 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. �J 7 . R value of slab insulation - heated slab r—f 8. Revalue of heated basement/cellar walls (above grade)A_':!��_ 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 N 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 3/V lee 2 . R value of pipe insulation F. Service Water Heating 1 . Performance efficiency 2. Temperature control setting maximum /hb ° G. For Swimming Pool Only 1. Maximum heating 4 j Telephone No. 'I-1 \ l 1 (applicant s ignature) TOWN OF QUEFNSBURY . BUILDING i ZONING DEPARTMENT SEKAGF DISPOSAL PERMIT APPLICATION 1. Owner's Name 9_j&::S" Address Q'%. )b �' . QL Telephone No. . 2. Property location /Z_co� 1f Ctcr e4r 3. Name of person. or firm responsible for installing system S ' N _ r - Telephone No. 1l Address 4. Number of bedrooms (residential buildings only) . 5. Daily flow gallons/day 6. Septic tank capacity �� gallons 7. Topography: rolling, steep � of slope 8. . Nature of soil and depth 1� 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? 4(///L ft. 10. Percolation test: A is required B is not required C If -required what is the rate minutes/inch 11. Water: supply: municipa well, other - 12.- Type of system proposed: drywel ; the field, ther . Any contractor,. corporation, individual, etc. engaged in' th4.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.O10 - of the Queensbury Sanitary Sewage- Ordinance. --T�— - signature o a scant 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 49_/3O X Form. 3-82 07 yp ' L `��57381 THE NEW YORK BOARD. OF FIRE - UNDERWRITERS BUREAU OF ELECTRICITY CLi 41 STATE STREET,ALBANY,NEW YORK 12207 Date JZfly 1® 1 J✓16 Application No.on file 006272-06 a THIS CERTIFIES THAT A C3636. only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of Fatah construction Coy , ,surw Pim. L:ne, Glens r,.-dls, new R.�or in the following location; a Basement [9 1st Fl. ® 2nd Ft. ©Ut-'-,7 Section Block Lot was examined on/�/�� and found to be in compliance with the requirements of this Board. FIXTURE RECEPTACLES SWITCHES FIXTURES MEACUer RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT VA. AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 23 61 27 21 2 3 fr DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. �,OF FEET AMT. WATTS kange 3K 1 dryW'31,10 SERVICE DISCONNECT NO.OF S E R V I C E AMT AMP TYPE METER I�,2W I A'3W 3 0 3W 3 0 IW NO.OF CC.COND. A.W.G. NO.OF HIAEG A•W.G. NO.OF NEUTRALS A.W.G. EQUIP. PER Ar OF CC.COND. OF HI-LEG OF NEUTRAL 1 200 eb 1 X 1 4/0 a 2/0 OTHER APPARATUS: 1® gf-ci I1baterso 3- 2.0 kw 1- smIn doctor 4- 1.5 hw 5-- 10 0 IOW a 2- .75 lea , �7 -E-11A E1C-0 XiC CO, 7 Birdh 1o2? CJ ( BRANCH MANAGER (31e,-le, 3'alls, INTY 12801 Per This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by thleir credentials. Wmm o ® =MWM ® o ® ® o ® oo ® ® ® ooe mmum WvzWW eeee COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY Building- Department Inspectors Report Date Name Ll Afr Location o I d 5v G 46Z- ,14 Permit No. 8' S---74 `I Weather '��- r��® �Ql� •� ark Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framin Sheathing Roof Felt Roofing Siding eo, Masonrg Veneer Rough P1b . % Relief Valves ^©, Wall Board 0. r\ Ext. Porches L/. r Finished Floor 0,f' Interior Trim V IA749, Stairs & Railings✓ (9 i Cellar Dr. Tile Concrete Floors Plbg. Fixtures d/ Gar. Fire roofin Door Closers / dl r, Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling ' Building Inspector REMARKS TOWN OF QUEENSBURY Building Department Date Name Location yam,, Permit No. S- 'I Tq J Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plh . 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 - f Floors Insulation Foundation Wa11s Ceilin GS�j Building Inspector REMARKS _/oiur: oI Queefljbur y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAMr.._ _I L r LOCAT I ON 1 tS r- 11 S✓&4 YZ P .t/DATE 3 G� / _ PERMIT NO. P� - 9 yp _ SOIL TYPE - Sand - Loam - .Clay -_ Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each tren h Depth of trenches Size of gravel _ SEEPAGE PITS4Number �f) Size- ft. X Gravel size PIPING: ije Type Bldg. to tank 'Tank to dist. box Dist. box to field/p t Openings sealed? ES O Partial LOCATION/SEPARATI S: Foundation to tank ft. Foundation to absorption ft. .Absorption to lot line ft. Separation of pits . ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: Pnt ut,o us �4 0 Wv, 6 , _ -- - __ SYSTEM USE APPROVED YES NO lli6l! Building Inspe for 01/86 and vl _loin o f QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME /l - LOCATION DATE / PERMIT NO. SOIL TYPE - and Loam - Clay - Percolation Required? YES Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length_ a '� Length of each trenches Depth of trenches - ;Q Size of gravel_ w- t�� SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to fielder-i-� Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank 10 ft. Foundation to absorption �ft. Absorption to lot line aft. Separation of pits . -ft. LOCATION YSTEM ON PROPERTY(circle one) Front 4ear Left side - Right side - COMMEN . M1 ,. t- SYSTEM USE APPROVED E 0 Building Inspector . 01/86 and vl TOWN-OF QUEENSBURY Building Department Inspectors Report Date_ 7� •31 ' Name aL,,.,, [ocatim /r , . Permit NamU Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Mason Veneer Rou h Plbg,. V (91 Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors PI . Fixtures Gar. Fireproofing Door Closers Chimne Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS �t ( i CA ep T I�iZ TOWN OFQUEENSBURY Building .Department Inspect ap Report Date Name Location P/ Permit No. S ' L/ Weather Remarks ExcatYa tion Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill p Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough P1b . 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. j Septic Approval Floors • Insulation Foundation ' Walls Ceilin Building Inspector REMARKS TOWN OF QUEENSBURY Building Department hupectm Report Date_ /Id J Name—_A9l.I .location—i, Permit No.. — y Weather Remarks ExcatYa tion Footing Forms Footing & Piers—IL GL(Efl) F,Q1ZL.TNSI Foundation Cement Coat Waterproofing Backfill Final -Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer . Rough P1b . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile J Concrete Floors Plbg. Fixtures .. \ Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation FOUndation ' Wa11s Ceilin Building inspector REMARKS