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1986-008 C/O 21 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 11_ (-6 19 02,6151 -7 0 This is to certi that wo5requested to be done as shown by Permit No. 36-00 has been completed. Or_c•-}.‘ This structure may be occupied as a ma:Lly Location Lot 29 Rcna (St. Nc. 23) Cif 017.S COTICtrliCtIO'n Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE -INSTA- PRINTING. GLENS FALLS. N Y 12801 I 5111I793.5688 BUILDING PERMIT TOWN OF QUEENSBURY No 86-08 qL2 d IWARREN COUNTY, NEW YORK - f 57 PERMISSION is hereby granted to Cifone Construction so OWNER of property located at Lot 39 Willow Road (St. No. 23) Street, Road or Ave. c� The Pines of Queensbury in the Town of Queensbury,To Construct or place a One—Family Dwelling rt 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. rr H. 1. OWNER'S Address is. P. 0. Box684 Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name same t-1 0 rrt 3. CONTRACTOR or BUILDER'S Address y same 0 H. • H. N b � H. 0 4. ARCHITECT'S Name - 0 o Pi) ..ti 5. ARCHITECT'S Address m c• at C. . co O o 1r • rt 6. TYPE of Construction—(Please indicate by X) • N.) y � ( )Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications No. 30'x36' dwelling, .24'x26' two—car attached garage and includin2 sewa2e.ssystdem per plot plan, specifications and application su mi e . 8. Proposed Use W One—Family Dwelling r, $5.00 C/O Paid $ 171.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 1 19 86 H. (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Ott town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 9th Day of January, 1986 SIGNED BY 7I" "'" /n/� for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY • . (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for .. Application No. Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. 1 ►g . /,ccnin District . . \ ;tltR' (,I \\'c,rlc,1( THREE (3) Copies of a PLOT PLAN, Drawn to scale \I,I,rt,k tcl by i showing the actual dimensions of the lot to be built Rc•n,:trkc upon, The exact size, and location on the lot of the • building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 2'J— Y — 3 9 1/3/85 TOWN OF QU: M-ZSSi RY DATE -,+`.i L {- (y L a A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK II I ANSWER ALL OF THE FOLLOWING. ,ii:.),y fa 9j The undersigned hereby applies for a permit.:to do the following work A.D�."z/7lp''wG� �, which will be done in accordance with the description, plans and specifi- 71819110)412P.)23g4 6 cations, and such special conditions as may be indicated on the permit. ® , , o � d, J, , The owner of this property is: t•. t! Ci, to.ne. .C'o.ns.t.rtitti.on P .0... .Box. .634• • . • • . . . . . .Glens. •F al Ls i. •NY. . . (NA•.gc) IP.O.ADDRESS) The person responsible for 'supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) (P.0 ADDRESS) Name of Builder. .Cifo.r.e. .Const.r.uo.tinn Address P..O..• • B•ox. •684 Glens. Fails 11 11 Name of Plumber Address Name of Mason C i f o n e Construction oonstruction Address '1' Lot Number 39 Unit .1 L . l' n e]. 'esttii ted value of proposed work S 9.0 ,0.00 g• ' Name of Village Name of Street . . T'?i l.1 ow Road Side of street: north 0, east ❑, south ❑. west 0 Nearest Cross Street K i 1 ey Distance from this cross street Ft. Property is north a.,south ❑,east Ili, west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest 0, southeast D. southwest (Designate by marking with an "X" in the correct space.) - NATURE OF PROPOSED WORK OCCUPANCY El Construction of a new building. Main Building ❑ Addition to a building. . . . . One-family dwelling ❑ 0 Alteration 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, sire and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in'dotted line and existing huilding(s) in solid line.' Size of property ;1 70 ft. x 15 0 ft • Size and use of existing buildings, if any N U a W Size of proposed building h fl ft.x . . .3 0. . . . . ft. Height(from grade to ridge) 22 —0 ft. ' Front yard 70 ' ft: Side yards .40 ' ft. and .50 ft. • Rear yard 7 0 ' ft. SOUTH If on corner,setback from side street 4 0 ' 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: Wood frame, fire safe; etc.' w o o d. Will any second-hand lumber be used? If so, for what' Material of foundation walls poured concrete Thickness S" Depth of foundation walls below grade 6 ' Continuous foundation? . . . Y.e S. . . Will there be a cellar? If so, material of cellar floor Type of roof: Sloped or flat? . ...s 1 o. e.d . g. .F aterial of roof s h i.n g.1,e S.-f.i,b e.r i a s s Size,wood studs " x 4 T n ", spacing 1.6" "o.c., length 8 ' . ft. Size, floor beams, 1st floor 2 "x 10 ", spacing 6" "o.c., span . . . .1 S ' ft. Size, floor beams, 2nd floor 2 " x 8 ", spacing 16" "o.c., span 15 ' ft. Size, ceiling beams 2 Ifx 6 ", spacing 1 61, "o.c., span 1 5 ' ft. Size, roof rafters or beams 2 "x . .6.,.8.,.10 ", spacing .16" "o.c., span . . . .15" ft. Exterior finish . .S hakes With what material? Finish of interior walls s h e e.t r.a c k 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? .no Kind of heating system s.1 e.c t.r.i c Oil burner or coal? Will a flue-lined chimney be provided? no . Depth of chimney foundation below grade Height of chimney above roof Will there be a fireplace? . . . .no Depth of fireplace hearth Will a toilet be installed? yes Will a kitchen sink be installed and connected to water supply? ye.s Water supply (public water supply or pump) public Distance of cesspool from any private well n/a feet Will drainage system be provided with required traps, cleanouts, and vents? y e s Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr, bra of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.i."lete 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 . th:(. .posed all be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature I.... ... ........ . .. -1^��-- OWNER.OWNER' AGENT.ARCHITECT.CONTRACTOR day of 19 NOTARY PUBLIC, 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: 1. Gross floor area 2256 sq . ft . 2 . Type of heat electric 3 . Is the building mechanically cooled? no 4 . Percentage of area of windows and doors 10% A. Over 16% Only 1. U 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 . 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_ R-30 2 . R value of exterior walls R-19 3 . R value of glazed area R-2 .00 4 . R value of doors R-15 . 15 5 . R value of floors over unheated spaces R-19 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab none 8. R value of heated basement/cellar walls (above grade) N/A 9 . R value of heated basement/cellar walls (below grade) N/A 10 . Type of insulation fiberglass 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 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 . 792-9242 ; '�,� applicant ' s ignature) TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGF DISPOSAL PERMIT APPLICATION 1. Owner' s Name L7/447-Q/ �7 6QAJ Y Address Telephone No. 2. Property location �� O7�, -� KeLte144)° 41 3 . Name of person or firm responsible for installing system J , Telephone No. Address 4. Number of bedrooms (residential buildings only) 5. Daily flow 660 qallons/day 6. Septic tank capacity gallons 7 . Topography: 41110P rolling, steep % of slope 8 . Nature of soil and depth 5 6 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? �Q,f/e- ,,4T'/� ft. 10. Percolation test: A is recuired B is not required C If required what is the rate - 6 minutes/inch 11. Water supply: municipal, well, other 12 . Type of system proposed: drywell, tile field, other 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 provided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance. Date signature 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 . 1 1-e 1 1 Form 3-82 Lev% A 04141bTHE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO. 41 STATE STREET, ALBANY, N. Y. 12207 YOU ARE HEREBY REQUESTED TO INSPECT AND-ISSUE i v U CERTIFICATES FOR THE FOLLOWING ELECTRICAL BUILDING PERMIT NO. \ EQUIPMENT TO BE INSTALLED. • TEMP.#_• DATE CITY OR VILLAGE TOWNSHIP QUeei1Sburj* COUNTY Warren STREET AND NO.OR ROAD AND POLE NO. 39 Willow Road POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? Kiley Lande—White Pine Rd SECTION BLOCK LOT OCCUPANT'S BUILDING NAME C1fone Construction OCCUPANCY OWNER'S NAME AND ADD fEVO. Box 684 Glens Falls TEL.# 792 9 24? CURRENT SUBYPPLIED Niagara Mohawk FROM THEIR Glens Pal l OFFICE BUILDING WORK DEFECTS IS NEW 13i OLD❑ IS NEW © ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& BRANCH Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE Lace- ONLY tion Ceiling Side Attech't Switch Pendant Bracket No. Type H.P. No. Watu No. A•W.G. INSPECTION Well Recep'Is Eaeh EachGauge Out- side Sub- base Base- ment 1st Fl. 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the'above.listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS 2,00 AAa b FEEDERS LAMPS WATTS CHARACTER .t EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA ' WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN BUILDING • INSPECTION REQUESTED '. bal t ON OR AS NEAR AS POSSIBLE ra 1 f,,a' J NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAMEOF?+1.QraP_ CQnst:r'Ut't1Ort APPLICANNT APPLICATION • STREET ADDRESS 11-15 Katherine St . TELEPHONE # ZIP LICENSE NO, POCITYST OF OR FICE E-' 3 �''�1 1-+ NYr j , CODE 1 7:;'O WHEN APPLICABLE 46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING i, 4 . 1 .!{.A4.; toi.,?"l,)0t 19.).• , 9?-19l."e any�•i4.9,-1,0-if...jt..1*&••�,�fr„ •Avi.. .41{.".-••,�,.h.±••••i.ayr".•i.1._1,4•Ana"{.a94.),•tiati.1.9 9r.:1",!.. ..?•i,,.",,• •i.•,,r,J0?,••,. t.19-•10,.;_0r_,1,_0r._•.1_9?.1•,, ,i O3'77t THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY v �, 41 STATE STREET.ALBANY,NEW YK 12207 •� July 1, 1926 O� i.41- ,b i' Date Application No.on file A a <: THIS CERTIFIES THAT 6 i `� � r'it, only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of -:.)-1 . Citune Construction 39 Willow Rd o Q Queensbury, New York outside 90 8 39 •' in the following location; ❑ Basement ❑ 1st Fl. ❑ 2nd Fl. Section Block Lot •.� 1 was examined on 6/6/86 and found to be in compliance with the requirements of this Board. 'i0, 7 �: FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS : 3 -4 OUTLETS SWITCHES INCANDESCENT FLUORESCENT M U �, vAroe °i AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 3 MIMI • • k 3_ 22 2 3 :L.� lk: DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT TIME CLOCKS FELL UNIT HEATERS MULTI-OUTLET DIMMERS :,� AMT. K.W. OIL H.P. GAS H.P. MAT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS.Ell H.P. No.OF FEET AMT. WATTS •SYSTEMS ,) . :I. - 1; SERVICE DISCONNECT NO.OF S E R V I C E '�. Pl.,: AMP. TYPE METER, 1,2W 1 A'3W 3$3W 3,B'4W NO.OFF CC COND. OF CC.CGOiJD.. NO.OF HI•lEG OF H1 HI-LEG NO.OF NEUTRALS p� EUGNAL ,! ip • .i E. iz,; OTHER APPARATUS: �, Cq Ci Electric Heaters: 3- 2.0 k w : smoke detector4- l o/!") .T 2m 1 �. WaterHeater:e 1- a 5 };z 3-- mr 1 c^.v 1, 2- 10 0 lz-r • : 2- .75 kivJ ' -G i.. s(, - 1. ` Ci one Construction 77 -{; 11-15 Katharine St. D 9 '-mac' Glens Falls c ..\ -.2339 BRANCH MANAGER :� "z: ic' Per 4. - r �: 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. : i.-Ards ye-ii(-ierirrra.4,--t C•4Y-(4Y•iieii iio--,0-4,-74YY4Y7i'cw-ieeitcre'iiYYa(7.,•ii yt 4,--,..,•,,,"4,ieeiii rai-;.,-i1(,,,",.\--iiY74i-w",. n w-7.-ciseq,Y`i,,rN(4,"4,,.,4- r..';. ' COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF'QUEENSBURY Building. Department Inspectors Report Date (v2 o ff Name y,,.L_ ��� ► 1 11 `` Location "��i C�✓ iL 1 .P j Permit No. 9— b U. Weather J Remarks Exca tia ti on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt � / Roofing V, l7r K_ Siding tiO,j , O Masonry Veneer rt Rough Plbg. Relief Valves IJ/ �'i, Wall Board (/r a! \vidriC Ext. Porches �/� .rr ,6d` Finished Floor t �i�r�� Interior Trim ("/ -zi+r // Stairs & Railings 00 f=. Cellar Dr. Tile Concrete Floors Plbg. Fixtures C9 Gar. Fireproofing• r O r Door Closers l/ t, j1-- 7,HC1-4t-L(,,r'•9 Chimney Water Meter Inst. Septic Approval Floors • 0'11 Insulation Foundation Walls 'Ceiliri • WY16,4.("Y ) Building Inspector REMARKS ¢� ��1� �` CO 41- . TOWN OF QUEENSBURY Building Department •A Inspectors Report Date ,S'f 2_ 62 Name Ci (-0.0&- - . • Location (11 i c.a uJ '- K.(14 s( r j ij Permit No. g a- 0 K 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 , • Floats Insulation Foundation. • Walls • • Ceiling • el/m/3 Building Inspector . REMARKS /67,4-4e • r . • TOWN OF QUEENSBURY Building Department • Inspectors Report Date 5/2T�� Naive Gi iD v& Location cc t iA cc ou_i Permit No. 6— D Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey • Framing Jam' O r 7�rn � M r-i 131.E Sheathing 15T 11,1t- ej 1 l.! 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 T ,i4 . Building Inspector REMARKS pou►c /4 /14oAr- 1//3 TOWN OF QUEENSBURY Building Department Inspectors Report Date /(20/r6 Name C` }oi✓I-- Location_L.9 T:3 7 ,2.it C( o U)2 Permit No. Ce -p')8 Weather Remarks Excat7a tion Footing Forms I./— 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 /r 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 Bui in Ins lector g sec or REMARKS I ?J *L /1vb Qo O mileett A97.-rao y o.c . • TOWN OF'QUEENSBURY Building Department Inspectors Report Date % /4 11t Name <7/Fnr+/r_ (),9k/5 7; Location 3 fa.�l L L D,,,) R-b. . Permit No. 6 o k ' Weather • Remarks Excavation - Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill 8 r Final Survey Framing • Sheathing • Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves . Wall Board Ext. Porches f Finished Floor !/ Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures 1 Gar. Fireproofing - Door Closers Chimney Water .Meter Inst.. Septic Approval Floors ' Insulation Foundation ' -Walls Ceiling • • 4.1 1ding Inspector REMARKS.