8939 C/O Paid
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY ,
WARREN COUNTY, NEW YORK
Date January 7 19 . 86
This is to certify that work requested to be done as shown by Permit No. 8939
has been completed.
This structure may be occupied as a One—Family Dwelling
Location Lot 16 Wincrest Dr1NTe.
Owner Fred and Mary Collins
By Order Town Board
TOWN OF QUEENSBURY
l Building & Zoning Inspector
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CREATIVE "INSTA" PRINTING. GLENS FALLS 'N V 12601 (316)793-5666
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8939
WARREN COUNTY, NEW YOR,K, -
PERMISSION is hereby granted to Fred and Mary Collins' r
OWNER of property located at Lot 16 Wincrest Drive Street,Road or Ave. rr�
n
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 p�
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
4 Heinrick St. P)
Glens Falls, New York
0
2. CONTRACTOR or BUI LDE R'S Name ~
OKO Custom Homes .
3. CONTRACTOR or BUILDER'S Address
9 John Clendon Road
Glens Falls, New York
tl
4. ARCHITECT'S Name 0
fi
N
al
5. ARCHITECT'S Address
):._
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6. TYPE of Construction—(Please indicate by X) et
C7
(x)Wood Frame ( ) Masonry ( ')Steel
C
(D
7. PLANS and Specifications
691x44 ' per plot plan, specifications and
NO' application submitted including two-car attached
garage
8. Proposed Use
O
One-Family Dwelling m
$5. 00 C/O Paid 5
Fj-
� 199. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 1985
(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.) C7
(D
Dated at the Town of Queensbury this 17th Day of December 19 84 Fj
G� D�' SIGNED BY a� for the Town of Queensbury �
Building and Zoning Inspector
TOWN OF QUEENSBURY
• (Space inside Klock to Ix- filled in bx-
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application
1,crmit Is,ued 19.
BUILDING AND ZONING PERMIT 19.
District
\ Am; (it Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale Ai'pri)\c'(l hr
showing the actual dimensions of the lot to be built kc•,ti;,,'►(f'
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 QUEENSRI'F'4y
narE
E0IQ `� � _..
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. BA
elEC' I t°' 198' C/
The undersigned hereby applies for a permit to do .the following work s i Of74 `'= Fee P
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. :
n
The owner of this property is:
. . . . . . � . . . ...
(NA'4E) (P-O.ADDRESS) . . • .
The person responsible for supervision of the work insofar as the Buildi Code and the Zoning Ordinance apply is:
•/Cl�. . . . .
. . . .
(NA (p.0/gDORESS{ . .
. . .
Name of Build . . . . . . . . . . . . . . .Address .(. .'Y.�t . ./�.
D 7aur CAS
Name of Plumber . . . . . . . . . . . .Address . . . . . . �r . . . . . . . . . . : . . . . . . . . . . . . . . .
... . . . . . . . . . . . . .`' . . . . . . 4
Name of Mason. . . . . 44 . .. . . . . . .G`. . . . . . . :.. L. . . . ... . . .Address . . . . . . . '.'. . . . . . . . . . . . . . . . . . .
Lot Number. . . 46 Unit . . . . . . . . . . . . Estimated value of proposed work 3 /.��Gyre lam,
a.o
Name of Village/.' U.�r ��. ilk . . . . . . . . . . ... I . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Name of Street !�!/.� ?�. �s�l.vE'. . ... . . . . . . . . . . . . Side of street: north east ❑, south ❑, west ❑
Nearest Cross Street 0///<'W e mil?. . . . . . . . . . . . . . . . . . . . . Distance from this cross street . .�`r�. . . . . . . . . . . . . Ft.
Property is north A00uth ❑,east c west. ❑from Cross Street
If on Corner,which corner, northeast ❑, northwest 11, southeast ❑, 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
ElAlteration 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 ❑
❑ 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-
NORTH posed buildings,and the location of all existing buildings.-
Show proposed building(s) -in'dotted line and existing
luilding(s) in solid line.
Size of property . . ./ .4-� . . . ft. x . .!Z'/ 4? . ft..
(y� Size and use of existing buildings, if any .
Na N . . . . . . . I . . . . . . . . . . I . . . . . . . . . . . .
w building ft.x
proposed d g . . . . . . . .�i��. . ft.
Size of
Height (from grade to ridge) . . . .a� . • . . . . • • . • . . ft.
yFront.yard . . . . 7.:r . . . . . . . . . . . . . . . . . . . . . . . . ft.
Side yards . . . . ..3. . . . . , ft. and . . . . •,�Z. . . . . . ft.
1�11100� Rear yard . . . . . . . .4J . . . . . . . . . . . . . . . . . . . . . . . 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 ood fram fire s e, tc.?. . . • • • • . . . . . . . . . . . . . . . . . . . . . . . . • • • •
. . . . . . . . . . . . . . . .
Willany second-hand lum r e use . . . . . . . If so, for what?. . . . . . . . . . . . . . . . . . . . . . . . .p. . . . . . . . . . . . . .
Material of foundation walls . . . . . /.�.LOC+/<• . . • . . . . . . . . . . . . . . . . . . . . . Thickness .l.Q . . . . . . . .
r
Depth of foundation walls low grade . . . • • • • • • • • • • • • • • Continuous foundation?�: -�. . . . .
Will there be a �ed
. . . • • • . . If so, material of cellar floor ��` —
Type of rook. tflat? . ... . . . . . . . . . . Material of roof1�!�' 4t� -!g3S. , • .
Sue,wood stu s . . . . . . . . . . . . . . ."x . . . . . . . . . . . .", spacing . . . . /. . . . . ."o.c., length. . •. �. . . ft.
x . l Q . . . . . . . .", spacing . l6 p . . l o� .�. . . ft.
Size, floor beams, 1st floor . . . . . . . .•."o.c., span . �
"Al . " ", spacing .
Size, floor beams,2nd floor . . . . x . . .�.O. . . . . . . . . . �.E?. . . . ."o.c., span .
Size, ceiling beams . . . . . . . .e2 . . . . . . . "x • • • .6 '. . . . . . . . . , spacing . . . .�E� . . . . ."o.c., span . . . . . ft.
Siie, roof rafters or beams . . . 2 . . . . . . . ..x . . . •.. • • • • • • •", spacing . . . . .A6. . . . ."o.c., span . . .
Exterior finish . . .CL/tJ°,4�P !a • •S-m•'v AF• • • • • With what material? .��'V. �, . . . . . . . . . . . . . . . . . . .
Finish of interior walls. . . . ./Z.•. . .�/�.�:w. .!9.'t-� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _
If garage is to be att hed, of what material is wallbetween garage and main buU4ing to be constructed?
. . . . . . . . . . . . . . . .6 j . • //�G— oD�.T' 1�/�VCGt1�9L-�' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .,. . . . . . . . . . . . . . . . .
Is there to be an opening between.7
tween garage/and building? . . .
m � . . . . . . . • • . • . . . : : • .
Kind of heating syste . . d� ". •,lT�.iQ• • • • • • . • • • • • • - 1. /9,S. ... . . . . . . . . .
�/
Will a flue-lined chimney be provided?''.!. .4`3. . . . . • • Depth of chimney foundation below grade . . . . . . . . . . . . . . .
Height of chimney above roof., . O2�t'. `. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .r/. . . . . . . . . . . . . . . . . .. . . . . -.
Will there be a fireplace? . . .Y4cj. . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a toilet be installed?. .. . .. . . . . . . . . . . . . . . . . . . . . . . . . .•. . . . . . . . . . . . . . . . . . . . . . . . . .Will a kitchen sink be installed and connected tow ter supply? . . C3 . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . .
-Water supply(public water supply or pump) . . ./U0L/. .� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Distance of cesspool from any private well . . . . . . . . ... . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet
Will drainage system be.provided with required traps, cleanottts, and vents? 4` . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Town of Queetisbury AFFIDAVIT
County of Warren
State of New York
I swear that to th• b r of my knowledge and belief the statements contained in this application,together with the plane and epeeifications sub-
mitted, are_a true and co.i.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the pro sed work sha 1 complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature %�O.. YNER.0 AGENT..nRCHITEC TRACTO
...................:..................day of..................................................
19...'..................... ..... .. .. . ..........................................
NOTARY PUBLIC, WARREN COUNTY, N. Y.
SPECIAL CONDITIONS OF-THE PERMIT:
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 followin//g:
1. Gross floor area o2
4�
2 . Type of heat Al - `69-T
XIJ 14-1
3.. Is the building mechanically cooled?
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 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 . I-s basement heated? YES_ NO
a. - R value of insulation
Type of insulation
B. der 16% Only
1. R value of roof and floors exposed to ambient conditions
-�� -ge-
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 slali
7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls . (above grade) s
,9 . R value of heated basement/cellar walls (below grade)
10 . Type of insulation/"44_:7 L4$'-
C. Controls
1 . Thermostat maximum heat setting-- 7_
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.
(applicant ' s signature)
TOWN OF QUEFNSBURY-
BUILDING & ZONING DEPARTMENT
SEA?AGF' DISPOSAL PERMIT APPLICATION
l. Owner ' s Name .,4 '0;fy
Address
Telephone No.
2. I Property locationxo--- Zig�
3 . , Name of person or firm responsible-, for .installing system
S70 k-► AAwt 6ES Telephone No. 7Z - -2-,0 3 Q
^�
Address
4. Number of bedrooms (residential buildings only)
5. Daily flow 77 c# gallons/day
6. Septic tank capacity_��dB gallons
7. Topography: lat rolling,- steep
of slope
8 . Nature of soil and
9. If ground water, bedrock or "impervious material is apparent at what
depth does it begin? F ft.
10. Percolation test: A is required
B LI-1 is not required
C If required what is the. rate minutes/inch
11. Water supply: municipal- well, other
12 . Type of system proposed: drywell, the field other ZOO
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 ovided for in Section 6 . 010 of the
Queensbury Sanitary Sewage Ordinance.
Date =
si na ure of appli apit
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.
Form 3-82
01�06DJ ;. . - MI-1 �6_s
TOWN OF QUEENSBURY
Building- Department
s Report Date
Name
_ocat L i i,v 2L--� �JsZi VL- -
Permit No. Weather
r-7V 4 / O yL C/d d �� Remarks
Exca0a ti on
Footing Forms ! 11 F`N
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framingv 'Lip
Sheathing
Roof Felt
V" Roofing
Siding
Masonr.V Veneer
Rough Plbg,.
Relief Valves
Wall Board
Ext. Porches
Y Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Pl . Fixtures
Gar. Fire roofin
r/" Door Closers
Chimney
Water Meter Inst.
Septic Ap
proval 'L3
Floors
Insulation Foundatio n� Walls
ceiling
Building Inspector
REMARKS,
'SMo iet- -Gzry rz i/
TOWN OF QUEENSBU Y
Building- Deptrtmeint
hoPeetoss Remit Date
Name �2v,Ile, v �j� ,-- '
Permit No. _ �'9 3q Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing _
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofin
Siding
Masonr2 Veneer
Rough Plb .
Relief Valves
Wall, Board
Ext. Porches �\
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg& Fixtures '
Gar. Fire roofi
Door Closers �
Chimney
Water Meter Inst.
Septic Approval r�
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
�-C-- y
._ Ivy's — CDs
TOWN OF QUEENSBU Y
Building Department
Inspectors Rem ®ate a/a S_
Name P;�e aJ C'°n (J tj) ,
Locetian
Permit No._�� 9 Weather
Remarks
ExcatYati on
Footing Forms
Footing & Piers
Foundation
Cement Coat
waterproofing,
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plb .
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
PI . Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Se tic A royal
Floors l�
Insulation FoUndatio
Walls
Ceiling
Building Inspector
REMARKS
9
TOWN OF QUEENSBURY
Building- Department
Inspectaes Report Date z
Name-- �evJ Ol/i v -
Location J l I itlC� a-4—I �c
_ . Permit No. Weather
3 Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbqr.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
PI . Fixtures
Gar. Fire roofin
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building- ;Depar' tmeni
hnPeOcn Report- Date t G.
Name d e-a Co l/ivif s
Location L D i ll is /rat c T`
Permit Weather
Remarks
Exca0at on
Footin Forms
Footing & Piers
Foundation i
Cement Coat
..J
Water roofin
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
Concrete Floors
P1bg. Fixtures
Gar. Fire roofin
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
Building Inspector
REMARKS
4156065 ,.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
1 ian 85 JOHN STREET, NEW YORK, NEW YORK 10038 1
Date February 5, 1986 Application No.on fife 071 76/84 N 7238416
THIS CERTIFIES THAT
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
Fred Collins, Winctest Drive, Glenr, Falls, Elew York
in the following location; ou
Basement El 1st Fl. ® 2nd Fl. � �� Section Block Lot
was examined on and found to be in compliance with the requirements of this Board.
FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCEN? Mypppp AMT. K.W. AMT. K.W. AMT. I K.W. AMT. K.W. AMT. H.P.
31 46 1 23 28 3t 2.
R
DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
AMT. K.W. OIL H.P. GAS H.P. AMT. JO. �. Al�,WrG: SYSTEMS* AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
1 HUR
SORVICE DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE METER I�,2W ,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.0' OF CC.COND. OF HI-LEG OF NEUTRAL
1 20C CB 1 4/0 1 2/0
OTHER APPARATUS:
2m GFC1'S
I- Smoky Detector
OKO Custom Homes
9 John C1andon Road
Glens Falls, New York 12801 GENERAL MANAGER
Per
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
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