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1985-045 c CERTIFICATE OF 0CCUPAN4C,.*1.YL or TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date_ ac- ' be r 1O 19 u7 Lon , lhis is to certify than work requested to be done as shown by Permit No, has been completed. 1 his structure may be o upied as a t Location _. Lot 3'7 Owner By Order Town Board TOWN of QUEENSBUR'Y f ] y . Building & Zoning Inspector CREATIVC "INSTA" YRINTt"" O"NS FALLS 4 BUILDING PERMIT TOWN OF QUEENSBURY No _ 4 WARREN COUNTY, NEW YOiRK PERMISSION is hereby granted to OWNER of property located at Tot 92 Syr•amorF� r i xri + ( St U O ) Street. Road or Ave. ra- in the Town of Queensbury, To Construct or place a On iR la am j 1 y nt2.1 ' rt at the above location in accordance to application together with plot plans and other information hereto filed and 0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance_ p� [2: OWNERSAddressis 348 Box Lake Luz erne , New York 12846 . CONTRACTOR or BUI'LDE R S Name same O rt C'I' 3. CONTRACTOR or BUILDER'S Address 0 J Q vx same 0 O � 4. ARCHITECT'S Name O t'S tZI (D �Y 5. ARCHITECT'S Address C fG 6. TYPE of Construction — (Please indicate by X) Wood Frame ; I Masonry ( } steel 1 1 C} 7. PLANS andSPecificatiorrs26 ' x68 ' per plat plan, specifications and N No application submitted including two-car attached. •r nJ garage and sewage system . r• B. Proposed Use lC One-Family Dwelling F $ 5 . 00 C/O Paid. r $ 1 8 ; 00 PERMIT FEE PAID — THIS PERMIT EXPIRES October l 198 5 Ec hf a longer period is required an application for an extansion must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 13 t l Day of — / March 19,85 Q SIGNED BY N for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY 15pace inside block to Ix, filled it' b% BuildingIn±r}^ft-ctnr) WARREN COUNTY. NEW YORK .` pplicatl@7, Nif. APPlicafion for ,.i,,,,,;, 1„twit I � BUILDIN6 AND ZQNIN6 PERMIT f' Exptrv% \ .1 hw rrl 4\"r 7+`I. it THREE 13 ) Copies of a PLOT PLAN. Drawn +o scats showing +he actual dimensions of +he lo+ to be built upon, Tye exact size, and location on the lo+ of the building +o be arected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, Tt:3LA+lw1 OF C?LJE6fd5BURY nnrF A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK3 ANSWER ALL OF THE FOLLOWING. � yam¢ r, The undersigned hereby applies for a permit to do +he following work RO 11r� ` Pj 6 which will be done in accordance with the description, plans and specifi- ,�{ S 2 � 5 6 cefians, and such spacial conditions as may be indicated on the permit. 9". The owner of this properU xty is: '`! . . - . . & " . .345 " 1. & INA'''F1 4P D A[3aRESS, The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply i\: N1liI'.L. . CrL,Rf2k� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . " iNAM£1 - - - - - - Ip O gpDRE 55} Name of Builder . � t f� . . , Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .�-�� . . � . . Name of Plumber . ! ! .i f . 1 AQ 1C. . . . " . . , Address Narine of Mason " . �. f.41%J . v A!-�:.r�i�� . . . . . . . . - - - - . . . . Address R , j i? 00 ca t, . . `p Lot Number . . . IF . . . . . . - Unit . . . . . . . . . - - . Estimated value of proposed work S �7 t Name of Village . '�z'> 'BkNSf'" . . . . . . . . . . . . . " . . . . . . . . . - . G r+no P 1 Side of street: north 0 . east © , south 0- west Name of Street .5 1 . f? . . f? Nearest Cross Street - e, f 1'— R . . , - . . Distance from this � ross street . . . u� r� . . - . . . . . . . . . l 1 Property is north O, south ❑ . east i i ,West (] from Cross Street If on Carner,_which corner, northeast 0 . northwest ❑ , southeast Lam . southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main Bµi#tling � XJ Construction of a new building. One-family dwelling 0 Addition to a building. Two-family dwelling D 0 Alteration to a building. . . - . _family apartment house El 0 Demolition of a building. Store building -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . Accessory Building 01 One-car detached garage [7] . - ` ` Two-car detached garage � C3ther work. Describe: . . . . . . , , . . . � � • 0 Private chicken house Q . . . . . . . . . . . . . . . . . . . . . . . . . Private storage building ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy• Indicate on the plot plan stet names. the location and re size of the property, the location. size and setbacks of pro- posed buildings, and the location of all existing buildings. RkQRTM Show proposed building(O in dotted line and existing huilding(s) in solid line. ft. x . . �'. . . . , Size of property . . . � _? �. . �. . . ft. of Size and use of existing buildings. if anydo . . . . . . . w J W 6. 9 " . . it. x . . . ? .S . . . , ft. Size of proposed building . ' 70 Height (from grade to ridge) • - . . . . I a ft. 4 u Q Front yard �'. �. . . . . . . . . . . . . . . . . µ . . _ . . . . . . ft. " Side yards '- . . . . . . . ft, and . . . . ft. �2p Rear yard . . " . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. SOUTH If on corner, setback from side street . ft, Noce : All distances are wee, as measured fro*n street side lime in nearest parr of building. tovew 17' 73�M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction : Wood frame, fire safe, etc.? , . . w a ot? Will any second-hand lumber be used? . . . . . . . . If so, for what? . . , -: . . . . . . . . . . . . . . Material of foundation walls . . . . . . . ,- . . . Thickness . `. . . - . .. . _ . . . . . . . , ,8: Depth of foundation walls below grade . . . - . . , . . , . , . . _ _ . . . . Continuous foundation ? . . . Will there be a cellar? , . .7 L $ . _ . . . . . . If so, material of cellar floor . , .4 - ,G �! C ;7"_ Type of roof: Sloped or flat? - - , . ? . !? . , , . , . . , . . Material of roof .0 rfm frY' . 6V lv6•-LI�J 2] v , , . Size wood studs . . . - . . . . . . . . . . . . . � L�',� ��•x . . 6- . . . . . . . . . ". s spacing 1.6• . . .pa g , . . . . . . . . . . . '"o_c., length . . . . .$ . . . . . , . ft. Size, floor beams, Ist floor . . . . . . 2 . - . . ^ x - I- o . . - . . , . . . . . ", spacing . . . . 1.i� . . . . . . . . o.c., span Size, floor beams, 2nd floor . - . . . 2—. . . . "" . c pa f • • . . . . . . . ft. x . . . . ", spacing - . .l. . . . . . , , . "o.c., span . . . . I ! . . . . . _ ft. fir+e Isme, ze, ceiling beams . . . . . . . . . "r--, . " x . . . . . . . . . , . , spacing -.�{ - "o.c., span . . . is . . . . . . . ft. roof rafters or beams "7 " x - . . . spacing 3 �(. . . . o.c., span S . . . . . . . . . ft. Exterior finish . . . , C .LJ). With what material? Finish of interior walls . . . . S Hit; . - �!G. . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between gars a and main building to be constructed? . , 'T(bE_ . . QF .htOuSF Is there to be an opening between garage and building? . . . . . . . ` ' Ft�'' ,`t <! SD" }4c,c P Kind of heating system �frP t. AS - a. . . burner i� ,hl -Q. . . . . . . . . . . Oil burner or coaI? . . . :`---- . . . . . . . . . . . � . . . . . . Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade , ," , , . , , • . , . - Height of chimney above roof . . . . . . . . . . - - , , . . . . . . . . , . . . Will there be a fireplace? . . N� . . . . . . . . . . . . . . . . Depth of fireplace hearth . .--: . . . . . . . . . . . . . . . Will a toilet be installed? . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . '� 5 . . . . . . . . . . . . . . . . . _ . . . . . . . , , . . . . . Water supply (public water supply or pump) . . . .P `- Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . r . . , . . - . . . . , . . . . . . . , . . . . _ . . . . . , , . . feet Will drainage system he provided with required traps, cleanouts, and vents? . . _ . IY s . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury [ AFFIDAVIT County of Warren State of New York I swear that to tr. a t of my know �edge and be1w the statements contained in this application, together with the pfmna mid apecifMcad no sub. milted, are a true and co... fete statement of all proposed work to be done on the dset:ibed premts" and that all art inns of the $iJII,I3- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or ,not, and that such work is authorized by the owner. Sworn to before me [his Signature .. . . . . . . . . . . OWNER. OWNER's AGENT. ARC"CrECT• CONTRACTOR dayof . . . . . . . ... . ... . . . .. . . .... . . . . . . . . . . 19 . .. . . . .. . . .. . . . . . . .. . . . NOTARY PUOt.1C, 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 : 11 Gross floor area Z t 2 , Type of heat 6. L ' ' � � 3 , Is the building mechanically cooled ? Ne' 4 . Percentage of area of windows and doors f 0 A , Over 16 % Only 1 , U value of gross area o £ walls , roof / ceiling and floors o exposed to ambient Condit %„oTis Floor over heated s ces YES NO a , Are foundatio walls insulated ? YES NO I , if YES , hat is the R value ? 3 . Slab on grad YES NO a , If YES , what is the R value of insulation around perimeter of floor ? 4 . Is bas m�e' nt heated ? YES NO a . value of insulation S , Ty45e of insulation H . Under 16 % Only, 1 . R value of roof and floors exposed to ambient conditions. 3S 2 , R value of exterior walls 6 3 . R value of glazed area . 4 , R value of door $ FN� 5 . R value of floors over unheated 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 ) 13 91 R value of heated basement / cellar walls ( below grade ) 10 , Type of insulation C . Controls I . Thermostat maximum heat setting D . Duct Systems 1 , Is duct system installed in unheated spaces ? YES 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 jyFP ,4 2 . R value of pipe insulation , 13 F . Service Water Heating 1 , Performance efficiency 5 2 . Temperature control setting maximum t ( ra - G , For Swimming '.Fool only 16 Maximum heating - Telephone No . 46g6 -� 2-e/ o 7 ( appllcant ' s signature ) TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION • Owner ' s Nam Gi.iF? Address L41EL l 74-Ac4f NY 1 Telephone No . 4 6 - 2-&fa 7 2 . Property location f, o-r Y? �`3'c •A�v+o DR1� - 3 . Name of person or firm responsible for installing system el RU,jte,J'T-?:, $ 0 m-PIP,:S i N c. Telephone No . Address P-i 9 N 4 . Number of bedrooms ( residential buildings only) 3 5 . Daily flow '}moo gallons/day 6 . Septic tank capacity 000 i_ 9allons 7 _ Topography : laty' rolling , steep % of slope 8 . Nature of soil and depth N 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? f t . 10 _ Percolation test : A is required +gas ,, fir , p-In/t B is not required s �6p��asior C If required what is the rate minutes/inch 11n water supply : unicipal well , other 12 . Type of system proposed : drywell , Cle fie , , : other Any contractor ,. corporation , individual , etca 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 ( ,i xzs�a - sIgnalEure 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 _ 5T rT I CL o - 6C Form 3 - 82 - � ` TCiVM H A OF C UEENSSURY Building DOPa:tmeut mopectors Rat Date Name , .� Loeatie�at �IiHcather p,M"Flaw-St No. Remarks ExcatYa tiara tin Forms Footin & Piers Foundation cement Coat Water roofin Backfill Final Survey Frami n ,sXieathin Room Felt Roofin si.din mason r veneer Rou h Fl Relief valves Wall Board Ext . Porches Finished Floor Interior Trim Stai.r.s & Railin s cellar VI Tile Concrete Floors N pl , Fixtures _ Gar * Fire roofi.n tiCi poor Closers ` Chi nine Water Meter Inst • Se tic A roval Floors Insulation Walls - Ceilin Building Inspector RrmARKS aK.-c- THE NEW Y© RK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY. NEW YORK 12207 Date September 25 , 1985 Application No. on file 076350-65 A 6 4 8 0 4 2 THIS CERTIFIES THAT only the electrical equipment as described belosm and introduced by the appllcamt nansed an the above application nuLssbar in thepremises of 'Aact Clark. , Sycamore Drive , Queersbury , Ne2wYark in the following Locations; ® BwsenxenL � 1st Fl. Dt2nd Ft. s3tltSide Section Block Lot was examined an 9 f 5,/ 85 and found to be in compliance with the regmirernerats of this Board. px ACIE$ SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUMST FANS OUTLETS INCAMNSCENT FLUORS&COM v AMT. K. W. AMT. K. W. AMY. K.W. . AMT. K. W. AMT. 23 4$ 28 21 2 3 Fr DRYERS. FURNACE MOTORS RlTILRE AFVUANCE M=9*S ISPMIA& EEC'PT TIME CLOCKS "LL UNIT HEATERS MUCT14WTLET DIMMERS AMT. K. W. CRL H. P. GAS H. P. AMT. NO. A. W. G. AMT. AM►. AMT. AMPS. TEAKS. AMT. H. P. $YSTEM'S AMT. W'kns 1 T' � ,t7 /� PIO. OF FEET SERVICE DISCDNNECT No.OF S E R V I C E AMT. AMP. TYPE EOUI�. 1 A' 3'1N 1 0 7W 7 X 3W 130 4W "C CER d � OF a COIVO. NO. OF HI-LEG I SEG L+IO. OF NEUTRALS OF n Eu G. 1 204 GB 1 X 1 4/0 1 2/0 OTHER APPARATM - Electric Room Heaters : 6- 1 . 0 k.w. 4- . 75 k.w. 1- Smoke Detector -�14i.7.C��,�x� 2- >S k .w. Electric Water Heater : 1- 4 . 5 k.w. ' ' PAID *Matt Clark 000004 Box 348 239 4 Lace Luz , York 12846 DRAWN MANAGER Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY el SusldSne Depiartmexrt ImWeebom Report Date '.'lS� Naane Ucati,on v n pew Ne. weeti,a, Remarks Isxcaoa tion -- Footina Forms Footing & Piers Foundation Cement Coat Water roofin Backfi.l l Final survey Framing Shea thin Roof Pelt Roofin Siding Masonry Veneer Rough Plbgo Relief valves Fall Board Ext . Parches Finished Floor Interior Trim Stairs & Rai1in s NO" -r-O2 LL Cellar Dr , Ti a gy- j� •! Concrete Floors Pl . Fixtures 90 Gar . F-frep-roofjnqrj Door Closers Graf ! Chimney Water Meter Inst . Se tic Approval Floors Insulation Foundation ia811 s .Ceiling Building Inspector REMARKS N`G- TOWN OF QUEENSBURY Building Department te.vocbxm Repast Aw&Aim Permit Ma.— Remarks Sxcaoatzon Footin Forms pootin & piers Foundatlon Cement Coat Water roofin BacJtfi 2 glna3 Surve' Framin Sheathi.n Roof Felt Roofin 5i din masonr Veneer Rou h P3 Relief Valves Wall Board Sxt . Porches Finished Floor Interior Trim Stairs & Rallin s Cellar Dr . Tile Concrete Floors f P3 Fixtures Gar . Fire raofin poor'closers Chimne Water Meter Inst . Se tic A roval Floors _ poandation Insulation Wa22& Cel2in ---- +' H~` u oldingr inspector REMARK'S TO N OF QUEENSBURY Building Department fimpectm* R Nwt ma. Name LaeaUM 107` gV Parnit mow — We tlaeer �7i Y H o4ca ,q. xit, p Remarks Excavation Footing Forms Footing & Hers Foundation Cement Coat Waterproofing sa cx€i l l Final Surve Framing n Shea thi n Rego€ Felt Roofln Si din masonry Veneer Rou h Fl Relief Valves Wall. Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Fr . Tile Concrete Floors FI Fixtures Gar . Fireproofing Boor Closers Ghimne Water Meter Inst . Se tic Approval F3Cox`$ _ Insulation Foundation Walls Ceiling .ram Building Inspector REMARKS `� TOWN OF QUEENSBURY Building DepurtmMent Resort Dates 3 • s Naxow coca m s c P+ No. _ $ S— YS"- dFWcathar Rema rks ExcatYa t3 on Footing Forms Footing_ & Piers Foundation Cement Coat Waterproofing BackElll Final survey Framing- Sheathing Roof Felt Roofin 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 Chimne Water Meter Inst . Septic Approval Floors yI Xnsulation Foundation Walls Cellingr Building Inspector REMARKS C1, ARK 5 cA ma Ftr .ST. 4 68 I _ 1, 10 �/3t 4 03