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1985-140 i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Atag14$t 2V 19 BS 30 Lq+ H This is to certify that work requested to be done as shown by Permit No. 83' 140 has been completed. This structure may be occupied as a On C-f O rni l yAP D�Mf r 1Cl l.olcation Owner far man 0 u e � -64 By Order Town Board &TOWN OF QUEENSBURY Building & Zoning Inspector GIf EATIVE "IM37 k" ►hIMTIMG OLEMS FALLS M ItlG1 {51•1793-5i54 } BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 140 WARREN COUNTY, NEW YORK r� gi PERMISSION is hereby granted to Norman Ouellette ?p OWNER of property located at _ Lot 5 Appleh.ouse Lane Street, Road or Ave. ro West Mountain Park Subdivision in the Town of Queensbury, To Construct or place a Cane-Famil Dwelling (D fD at the above location in accordance to application together with plot plans and other information hereto filed and rrr approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N t . OWNER'S Address is 28 Lake Ave . Glens Falls , New York 2. CONTRACTOR or BUILDER 'S Name L� Same rot Ln 3. CONTRACTOR or BUILDERS Address > Same ' (n 4. ARCHITECT'S Name 0 to (D lv 5. ARCHITECT'S Address O fD 6. TYPE of Construction — (Please indicate by X)'. I Wood Frame ( ) Masonry I I Steel 11 . O 7_ PLANS and Specifications 251x40 ' per plot plant , specifications and application (D No, submitted including sewage system and one-Car garage { unde S. Proposed Use ~ One-Family Dwelling I--� $ 5 . Ofl C/O Paid November 1 19 $ 5 $ 13 0 . {) fl PERMIT FEE PAID -- THIS PERMIT EXPIRES � (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Quaensbury before the expiration date.) Dated at the Town of Queensbury this 2 3rd y Day of April _-_198 5 SIGNED BY l C �[ 'r for the Town of Queensbury Building and Zoning Inspector TOWN OF C,UEENSBURY fSpaee inside block to 1w filled it, b% Building Inspe los"I WARREN COUNTY. NEW YCif;K \ppli( atioo ."rice. Applica#loo for Pc milt ISS11441 19 1 p' S i 6**%' 19 BUILDING AND ZONING PERMIT 1° 1 ,,, i1 1 Y1141"[ � . .'�S. '"'�''' �.-•ci ` %rl �l, ll,;: f)i.,trit l THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scaly It{ 1S1 11 � !lT showin the actual dimensions of the lot to be built 1' T e exec* size, and location on the lot of the up building to 6e erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. arO WN OF QUEENSIBURY A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APR Z 3 Obb ANSWER ALL OF THE FOLLOWING. &m. 1 3_5 . v�b C . o , ,NWy, The undersigned hereby applies for a permit to do the following work s7I $I9 7�12� 1�. 1516 which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may 6e indicated on the permit. The owner of this property is: Ave 07 ,4. r . . . . �v416: /' . . . . . . . . . . . . . . . , . . . . . . - - • ' jr+d`:F1 Ip O. ADDRESS$ The person responsible for supervision of the work insofar as the $wilding Code and the Zoning Ordinance apply is: ,1Y6? 'rrt !3..aJ . . . .�'�' a /r,� f j . . - .�. . ! ' . . !�4 =... . . . �"/ ,r1�r. . . �/// . A �y . !�''?/ d . (NAME) - IP DDRESSS Name of Builder . _ _ Address . . - Name of Plumber q1A _ . . . . . . Address - . . . . - - . Name of Mason . ). . . . . . . . . . . . . . Address Lot Number d 57 Unit . . . . Vj Estimated value of proposed work S Name of Village . . .<: 74, '.er,.hrxJ-aety . . . . . . . . . . . . . . . . . . . . . . Name of Street . . ,R�/�Jr+ �.yby(,pl : • , , ,C,.¢.0 h. . . . . . . . . . . . . Side of street: north '®I , east 0 . South ❑ . We ❑ Nearest Grass Street �c rr �r . . . . .ry? 7. . , Distance from this gross street . . . . . . Property is north ❑ , south © , east > . west ❑ from Cross Street If on Corder, which corner, northeast 0 , northwest ❑ , southeast - utl,wes! (Designate by marking with an "X" in the correct space_) NATURE OF PROPOSED WORK OCCUPANCY Main Buittiing X1 Construction of a new building. One-famiiv dwelling F1 Addition to a building. Two-family dwelling 0 Alteration to a building. -family apartment house 0 © Demolition of a building. Store building C7 . . . . . /. - -car attached garage Other: . . . . . . . Accessory Building One-car detached garage Q Other work. IDescribe: . . . . . . . . . . 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 ptvs- posed buildings, and the location of all existing buildings. IeonrH Show proposed building(,) in dotted line' and existing ttuilding(s) in solid line. Size of property . . . . . R' 4W V • . . . . ft. x Size and use of existing buildings, if any . . • • • . . . . * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . .n im Size of proposed building . . . . X'57 - ft. x ft. Height (from grade to ridge) . . . . . . . . . . . . . ft. r Front yard . . . . . . . . . . . . . . . . . . . . . . it. . . . . . . . . . . Side yards 4- . . . . ft. and . . . -OwV . . , . . - . . ft- Rear yard . . . . . . . !dK Q• - . H If on corner, setback from side street . . . . . . . . . . . . . . . ft. Note : All distances are net, as measured from street side S UL 1e`xe fo nearest pare of building. [avlzR, 7�73—.X (cont'd.) BUILDING SPECIFICATIONS., Kind of construction ood frarnfire safe, etc.? . , . . . . . . . , . . . . . , . . . _ , , . , . . . . . Will any second-han used? . . . . . . IV V . , . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls , , . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . Thickness Depth of foundation walls below grade . - . . . . . :�'r . . . . . . . . . . . . . . . . - . . . . _ . . Continuous foundation? Will there be a cellar? . . - 6/0 . . . . . . . . If so, material of cellar floor 5, Y'` ..'SLah" . . . ..a ?e.'. Type of roof: Sloped or flat? . . . . _ .%z1'G A10tw,d� . . . Material of roof . . . . .fiL5r?r Size, wood studs . . . . . . . . . . . . . - , , . " x . . . .!'r . . . . . . . . . ", spacing . . . . .�P 4K . . . . . o,c,, length . . . . . r . . . . . ft. Size, floor beams, 1st floor . . . . . . . Gz-- " x . . . /#? . . . . . . . . . ", spacing . . , _ . Z&O.. . . , . . . "o.c., span . . . . . ! . . , , . . ft. Size, floor beams. 2nd floor . . . . . . . . . . . " xe L I d d e A - - . . . ". spacing . "o.c_, span . . . . . . . . . . . . . ft_ Size, ceiling beams . . . . . . . . . . . . , �^ f . . . . . . ", spacing . . . . . - - . _ . ""o.c., span . . . . . . . . - . . . . . ft. Size, roof rafters or beams . . . . . . ! ""Sc , . . . . . ", spacing . - - - "'o.c., span . . . . . . . . . . . . . . ft. Exterior finish - - . -Rg� V*,Ole . . . . . . . . . With what material? r-2>1V. 4,Y4WAJ Finish 4f interior walls �/A l . . . '' cA, . . , -f%#.A;;o. *0. . /(AtI%ttA.E . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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? . . . .� Al %15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . , . . . . .E (tEe ti?t C. . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . . . . . . . . . , . . . . . . . . . . . . Will a flue-lined chimney be provided? . . . . Kfo.. . . . . . . . Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof. . . . . . . . _ Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth , . . . , , . _ . . . . . . . . . . . . . . . . . . . . . . . Will a toilet he installed? . . . . . q S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . "- 5 . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . Water supply ublic water supply or um ] dWM .c. . _ . . PPY ( P PPY pump) . . . . . - . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to tit-, A1ca`r of my knowAadge and belief the statements contained in this application, together with the jAmns and specificatiaaa aub- mitted, are a true and co., ,plete statement of all proposed work to be done on the described ING CODE, THE ZONING ORDINANCE, and all other laws premtres and that a whether of the d or not, and that such work is authorized by the owner. pertaining the proposed wok shall p�iad with, wltetfter spacitied or nai, Sworn to before me this Signature . . . . . . . . . . . . . OWNER, WNEWS AGENT, AgCHIYEGT. Ci7NTRAcT4R ��' �"`-°( . . . . day of. .. .. . . L.+C.ua[t..-,...4. . . .. . . . . . . .. . . .. . . . Is. rs'S� 1 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 13a2. 2 . Type of heat � ( 3 ,, is the building mechanically cooled ? 4 , 'Percentage of area of windows and doors A . Over 16 % Only 19 Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over treated 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. A- 2 . R value of exterior walls 3 . R value of glazed area 2 'k--7cs 4 , R value of doors iG'i 1S" 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 ,D'3; 8 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement/ cellar walls ( below grade ) -"+ - 1O , Type of insulation -H)l 8 Co Controls 1 . Thermostat maximum heat setting cic), 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 1 `4v G . For Swimming Pool Onl 1 . Maximum heating Telephone No . 0S10 ( applicant ' s signature ) TOWN OF OUFFNSBURY BUILDING & ZONING DFPPRTMFNT SFVTAGF DISPOSAL PERMIT APPLICATION 10 Owner ' s Name _ ?�Gs�.rPpf�J ©c.) CE Lt C {-tom Address 2cC; n,01F Telephone No . "7cfg - o "1 2 , Property location 3 . Name of person or firm responsible for installing system ki --nHea;. u) Telephone No . AddressL . , r WWI( eLJ &=M erl f [ eri)4 t q.!4 4 . Number of bedrooms ( residential buildings only ) 3 5 . Daily flow 4x:�a gallons/day 6 . Septic tank capacity Loco gallons 7 . Topography : flat rolling , steep of slope so Nature of soil and depth '4,a 0 90 if ground water , bedrock or impervious material is apparent at what depth doers it begin? ft . 10 . Percolation test : A is required B is not required C If required what is the rate minutes/inch 11 . Water supply : municipal , well , other. Moo 12 . Type of system proposed : drywel the 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 5.Lb- � &x - ^Y^- signatur of applicant Can 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 OF TR GRT� UNDERWRITERS THE NEW YORK BOARD S 4(>00384 BUREAU of ELI 41 STATE STREET. ALBANY, NEW YQ O$4��1?$5 F lad 1985 Applivatian No. on file Date Sept elRbtr7[ � THIS C:ERT'IFIES THAT �� a�sd introduced by the rpp"can t named on Lhe rl>'ote applicstio�s ■somber iLt Lhe premises of only the electrical equlpment as described � } New York N . ouelette s A,,pplehaus" ILttit}�out I.A11� • gLseengbury . out aide Section Block Lot Srsd Fl, in the following Iocat'r/2 SyA!fI"ement 1 aL FI. and found to be in compliance with the requirements of this Board. was examined on OVENS Ews" WASHERS EXHAUST FANS FIXTURES RAN[iE5 C(lOKINO DECKS AMY. H. P: FIXTURE AC.i.ES SWITCHMS "T FLUICNAM" FT MAF. K. W. T. K. W. AMT. K.W. MAT- K' W' OUTLETS 17 42 29 lb 1 UN17 HEATERS lyWl71.OU7LEF DUiIUiRERS FEEDERS S►EC1AL REC'PT SI,N{R CLOCKS RELL SYS7ElAi .�T.- wwTTs DRYERS FURNACE IYIOTORS FUTURE MTUAWCE APAPs_ TRANS. wrAr. H. P. NO. OF FEET MAT. K, W. OIL H. P. GAS N. P. AM No. MAT. Al TgYLgB 3i1`tfa V C E S E R w W. 0. ..- NO.d A. w• �3. N4. OF HELfTKa*LS OF NELfTRAL $EoRVI . �T M4, 4F CC. NO. OF HI-L£G DF HI-xEG 3 r TYPE 1 ,0 2W 1 X SW 3 0 SW 3 R' •W PER i0' 4F AMT, I,AV- 4 /0 r � CB OTHiR APPARATUS: Water tlesaterectr� e Heaters : 3-- 2 .t7 k .w . - 2- 1 . 5 1-4 . 5 3- 1 .0 r< 1- Smoke Detector. 1- . 75 Trii,ll-larl C . Carpenter 'I' 00 . Dox '014 BRANCH MANAGER cl�zz Falls , .feu, "York 128a1ILI Pcr COPY FOR BUILDINGDEPARTMENT. THIS COPY OF CERTIFICATE ryAUST NOT BE ALTERED IN ANY MANI+ti EENSDURY Bnildla� Delmrtmcnt LACUU � wn_ ` � W eather Par"Mit Noo ON Remarks roof� _ �- gxcat7at on Footin Forms Foot-In8 PierS Foundation cement Coat Water rofin Bill Final Surve Frame Ti sheathin Roof Felt lg00fin sidin - M ' 6 Veneer you h PI Re l of Valvees Wall Boara2 Sxt . Porches pin3s mi hed Floor Interior Trim Stairs Railin s Cellar nr • Tile Concrete Floors Pl . Fixtures Gar . Fire roofin poor Closers Chime rust . Water Meter Se tic A rova l Flo��� Found --n — Insulation au di inspector REMAI4KS � �e :rpwt4 OF C EEMSSURY ' Bxjildias- Dep'a.rtmeot i,sPe eJa°a'u R'°porR 17ate Name pit No. S - I `�` ° W eatl><�s Remarks Excat7a taon Footi Forms Footin & piers Foundation Cement Coat Water r00f1n Sac)cfilZ Final Surve Fran" Sh.athin Roof Felt 1111111 Roofin T Siding Masonr Veneer Rou h Pl - Relief Valves Wall Soard Nr ifs Ext . porches, . Finished Floor intexior Trim XIS + Stairs & gailin s Cellar Dr . Tile Concrete Floors . PZ Fixtures Gar . Fire roofin Door ,Closers Chimne Water inst Meter . Se tic A royal Floors �~~ gotandatio Val l a insulation W0 lin ' .� Build , inspector REMARKS TOWN OF QU1EE14SBURY Saildinr DePartmOnt rl.�p• PI P , y ExCai>a tiara F ootin &orms Pliers Footi Foundation Cement coat fnlater r pofin ti Backfil2 gina2 gurve FraAei ,athin hoof Felt Raofi Sidi Masanr veneer R:Ou h Piz - Re2ief valves ,l Wa22 poarid gxt . Porches oil Jill Finished Floor NII interior Tr m Stairs & Ra32in s Ce22ar Dr , Tile ConCrete Fill P2 Fixtures Gar . Fire roof-in ,poor Closers � Chimne' Water Meter Znst . t Se tic A rova? Floors � Foundation � Insulation Walls cel old '" g- ' nspector ,g REMARKS } 1 i �� ��EE'NSa�R TC';a►�'1IV'1'+� D, tit. ¢a►te L L K.x West a r F� N gemarxs �Excat7ation tin orms Foo F& Piers -- Footin Foundation Cement Coat Water roofin B&,Gxfill Final Surve dd Framin Sheathin Roof Felt R fin slain --�~ -�-^—'N Veneer asonr you h Valves Re31 ef�� :Lve NM.IJ. Sward Sxt - Porches Fxnish� Flaar interior Trim Stairs & Railin ellar s pr . Tile ---•�'""�'_�..-__.... C Co Crete Floors loo w � -- Pl Fixtures Gar . Fire roofin r -Lasers Chixe Weser rest - water�- royal is A Floors __-- I 2 ition Lion Wall xnsula Ceilin Building rn5 ectar p REMARKS 6 OA -f' 'roo of QU ant BuildiI►t �psrtm fir,, Dow 1s. ' Rates ' 01 jr PWL Excaoatxon gcota.rl piers �-- �-- 1700tin poundtion t �r awl fin q�a,ter gackfil� e sury pi on ✓ �--- �� �--- rr $heathin t goof pel goorin ~'�-- ----� �'Sidivicil Veneer gdu h pl . Belief halves r gC,ard all porches Floor � pinish Trim Xnterior Bailin s Stairs re Tile Cellar F1 pars -~'pp CiXtures �-- P roofin �- ~Ga�x Cl osers �--- c imne xnst . WateretervVal Se tic A Flo_ unda an io P*o t Walls Insulation CC ilin Building inspector i Of Cof gzildi'p'� ��,Yt�aa c � 'Date J K cavation gar Footir) piers �- gootin I n ✓ ��---�� undatxo --��� pv merit Coat CB roof in Water pOC)cf i 11 -final gurve prain ram" r f pelt moo f in ��r.--- Si+din9 *Jerleer �- gou h fr.- gelie r� �- prall PI a p Fluor Phil . xrisn �- - xnterior gai 3l n s -- Stair r ,r - xiie Cella Floors Conrre 12ctures dd e o fin Gar � dose s -- Chi meter Inst - W7at er 4 roval� -- oors Se rolundati _� -- on yea 11� s� Insulation Ceiliri Buildin� InSpeCtor ''� gF�gtCS l WrOWN or,, cVuES1j4SBUFLV SIX10dint Damii p moo . Fiema�ks xaatyat a .. Forms Footin piers .•'' FOOtin & on FaunasLi Cat cenkqritwate roof irl Ckfx Surve Final F ra�,i n Felt 210o fin Sidi Veneer ---��~ 1aso I. you valves pelief Wall, pprche-5 �~�~ f� Fx�t 0 � OIa p Floorinighe -- f interior Trimxn Stairs & Ra Tile Cella Floor a des Fixtures Pl Fire roof G�•r Closers - CYiie ,eter pq at tic ro - al Floors Se Fo�,tnaation insulation C�ir, /I�� - Bua.ldintJ znspeotaz g]EMA't'tKS Ioa 4 S0 Lop