1985-107 c
i
CER.TIFICATE OF OCCUPANCY ,
TOWN OF QUEENSBURY }
WARREN COUNTY, NEW YORK ,
�-~y race .7urrre � 19
This is to certify that work requested to be dome as shown by Permit No.
has been completed. ,
This structure may be occupied as a G`I r _ r .,, _ v *6-w4r 1 { j r r v
a � UJrr e 1 �it
Location f" r lA j } 7 f-_ r= P i r C T ' (" ,ni
Owner
By Order Town Board
TOWN OF +QUEENSBURY
Building 6 Zoning Inspector
i
CRLATIVC "IRfTA" PRINTING, GLENS FALLS. n r 2fo, Iffewf,-sfe■
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8 5 - 107
WARREN COUNTY, NEW YORK.
p)
"il
PERMISSION is hereby granted to James Coccia @
to
OWNER of property located at T c.)f- #'id „yr7h i Pine Pond ( ,St . # 2 ) Street, Road or Ave. 0
The Pines of Queensbury Subd3.v3. s3.on o
in the Town of Queensbury, To Construct or place a One F am1 l y 15TATe ll ing
at the above location in accordance to application together with plot plans and other information hereto filed and Pi
approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance.
1. OWNER'S Address is 33 'Wintergreen Road
RD # 3
Glens Palls , New York
• s-r
2. CONTRACTOR or BUI LUER"S flame y rn
Pliney Tucker ;0
s
3. CONTRACTOR or BUILDER'S Address t I
RD # 4 Sox 425
Glens Falls , New York
Y•
N
� A. ARCHITECT'S Name
0
Pi
5. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by X) ,
C. } Wood Frame ( } Masonry ( ) Steel [ }
7. PLANS and Specifications
26 ' x50r per plot plan , specifications and �
No. application submitted including two-car attached
garage and sewage system . 1
S. Proposed Use
One-Family Dwelling �
rz)
$ 5 . 00 C/O Paid E
na
$ 143 . 00 PERMIT FEE PAIL) — THIS PERMIT EXPIRES No remher l 19 85 F '
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 5
town of Queensbury before the expiration dete.l
Dated at the Town of Queensbury this l lth pay of April 19 85
SIGNED BY 4'j, ._.s for the Town of Oueensbury
Building and Zoning Inspector
11
TOWN OF QUEENSBURY L
pace inside block to be IiHed in b%
f — WARREN) COLJFiTY. VIEW YORK
Building ltt±tpecttirl
�y rtxr, \it,.
24' Application far ssuedBUILDING AND I.GNING PERMIT :.1 �, lei .
l3�ti43 ! 1ti,� THREE ( 3 ) Copies of a PLOT PLAN. brawn to scaleS
T�
showing the actual dimensions of the lot to be built
upon. The exact size, and location on the lot of the
I ` -T cl�6 building to he erected or altered MUST BE SUB-
MIXTED WITH THIS APPLICATION, TOWN Or'
lUSSt4g6UW(
COYDATr
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK. APR 9 W5
ANSWER ALL OF THE FOLLOWING. I yJ�-
The undersigned hereby applies for a permit to do the following work Its .
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit.
The owner of this property is: / / Me 1y
t..i FI..: r.r 1r•fir:y'rt'+.�� Ik".~".i +�I st # . 4:d!'��'f= .r.Rx!lrS.•t`!
�! *'_' S . C. .C'�. K . i .i'9�•— . - IP O. AOORIES57
INA'-0F1
The person responsibit: for supervision of the work insofar as the Building Code and the Zoning Ordinance apply rs;
.� , '
. { , Y :5 /t~'•. l -yt` `r� fti'` { . ! r . a. +� ca. fr ,� si. 4//5 C3 r�' Sre+j
�F / ! . ? r . . f . . jo o isooRess)
{NAMt:I
t�
Name of Builder Address . . - . . . . -
. . . . . =- r :�? .!rT- c' K2 - ..�. .- . c) cr . c"
C" . . . Address . . . . . . - - . . . . . .
Name of Plumber . - . . . .—�.�.i:ri c- ..:y'€• -�;.. , *4 . .�''.r e�, cf -r•� . .
Name of Mason . . . . . . . ../:*'> .r . . .St. s . . .ter. F . . Address - . - �.
I.ot Number . . . . { Unit . . . - . . . . . . . . Estproposedated value of proposed work S i` ce . . . .
Name of Village . . . . .
* �, Name of Street . . �t ' >�'".'. 4e.'� � '• t ` 's Side of street. north ❑ , east ® , south ❑ . west 0
r 't! . . .
Nearest Cross Street - j.C:�_. 1.4 <!� . Ae�.,se . . . .
Distance from this cross street . . . . . . . . . . . . l t
Property is north ❑ , south 0 , east Vd , west 0 from Cross Street
If on Corner, which corner, northeast L f , northwest C1 , southeast 0 . southwest
` (Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main $yilCling
Construction of a new building. One-family dwelling R1
Q Addition to a building. Two-family dwelling Il
C� Alteration to a building. . -family apartment house F-1
f] Demolition of a building. Store building 0 fl
. . -car attached garage
Other:
Accessary Building
f�
. . . . . . . . . . . . . . . . . . One-car detached garage
CJ 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, sine and setbacks of pro-
posed buildings, and the location of all existing buildings-
NORTH Show proposed building(s) in dotted line and existing
%oilding(s) in solid line.
Size of property . . . ! . :. . `h'S� . . . ft. x ft.
� -.,,• Size and use of existing buildings, if any .
. . . . . . . . . . . . . . . . . . . . . . .
iw Size of proposed building . . -�Z 4~ . . . ft. x . . ' . . . ft.
Height (from grade to ridge; . . . . . . . �!'. ~ . . . . . . . ft.
V Front yard . . . . . . . . r.==f�. ' . . . . . . . . - . . �. . . . . - . . ft.
V1 Side yards . . . . . . ft. and . . . " . . S . . . - . ft.
Rear yard fir. . . . . . . .V.. . . . . . . . . ft.
so U T tt if on corner, setback from side street . . , . '• • ft. . -
Note : All distances are net. as measured from street side
line to nearest part of building.
ry (OVERT
! ee7 3`M
BUILDING SPECIFICATIONS., r
Kind of construction: Wood frame, fire safe, etc.? "{')4
. . . . . . . . . . . . . . .
Will any second-hand lumber be used? if so, for what? . . . . . , . . _
Material of foundation walls . . . . IC? . Q ! 6+ . E e� . . . . . . Thickness . . . . .
Depth of foundation walls below grade . _ . " . . do n . . " . . . .
P $t' .'� . . �`• . '�- ��. . . . . " . . . . . . . . . . . Continuous foundation? . . , . . .
Will there be a cellar? . . . . I ,.. . . . if so, material of cellar floor . . .ir, . . <r [ ,
Type of roof; Sloped or flat? .for?, s'. . . . . Material of roof . , . ,�?
Size, wood studs ..� . . . . . . " x . " . , 11:::L . . . . . . . , spacing . +" ,� ' , " . . .
Size, floor beams, I st floor . , . . . . . " . . ' x . . . " . f" , t� spacingpg „'o•c_, sears . . . . . e..". . . . . . ft.
Size, floor beams, 2nd'floor . . . " �` "o,c., span . . . ! , . . . ft,
.� " . . . " x . . . . I. r:"r. . . . . " , spacing . " . . . .-! . G . . . . "o.c., span . _ . '` ::!`. . . . . . . " ft,
Size, ceiling beams . . r.. :' F r, 1" 5. .r s. „ x "
spacing "'o.c., span .
Site, roof rafters or beams . 7 �� ss <-, %. " x - - . " . . . . . . . . . ,7 .j= . . vZ .Cw.. . " . . . ft_
. . . spacing T. . . . . "o.c., span . � . ,.-2 C. . . . . . ft.
Exterior finish " " . " Lr 4,0% / . 1& / •qe".Fe "c ; e'.A aeoe c With what material? . . . . . . . , . . . u " " . . . .
Finish of interior walls . . . ,L�?4 ^ �r! A.�.? eMIR7 . ..! . . , , . . . . .
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? . . . . . A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Kind of heating system . . .J� . G .7.-'Y =. cT . . . . . . . . , " , , , Oil burner or coal? . . . . . . . . . . . . .
Will a flue-lined chimney be provided? �c'. . , . " . Depth of chimney foundation below grade , .t'c .✓�. ! . . , _ ,
Height of chimney above roof . . . ..x .r P . . . . . " . . , . " . " " . , . . , . . "
Will there be a fireplace? . . . . . , c . .,:�i . " . . . . . . . . . . Depth of fireplace hearth . . t'" f- '!`r " . . . . . . . . . . . . . . . . . . . . .
Will a toilet be installed? . . . . . . . .Y . 4<. .� . " . , . . . . M. . . .
Will a kitchen sink be installed and connected to water sugly? . . . ' � " . . . . . . " . , . . . . . . . . . . . . . . . . . . . . . . . . . . .
Water supply (ptablic water supply or pumpy . . . . . . . . . ! sr .k�. '... . . . . . . . . .
, . . . . . " . . - .
Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet
Will drainage system be provided with required traps, cleanouts, and vents? " . . . . . r,t/'. .� . . . .
Town of Queensbury } AFFIDAVIT
County of Warren
State of New York
I swear that to tr. A► 4 iof my knowledge and belief the statements contained in this spphrotion% together with the Plana sad specifications sub-
mitted, are a true and co.,. lete statement of all proposed wont to be done on the deecribed prenuses and that all r
ttl� of the BUILD-
ING CODE, THE ZONING ORDINANCE, and all other lawn pertaining to the proposed work shall be oompliedw rwhetj err specified of not,
and that ouch work is authorized by the owner. �.
Sworn to before me this r Signature J -..� �. . �r�- r _...
+J OWr��NER. W"ER'S RGENT, ARCH17Ec T, 66NTRA6T0R
+?�... .. .. . .. . . I4. s— 5
NOTARY PUBL}C. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By .. ". . . ."". ". . .". . . .. . .. ."." ."". . . .". . . . . . . . ..". . . . .". . . . .... . .... . . . . .. . . . . ......". ". ." ."". .. .".. . . .,". . . . ...
TOWN OF QuEENSBURY
WARREN COUNTY , NEW YORK
RK
Application fort STATEI PERMIT COMPLIANCE WITH THE NEW Yo
ENERGY CONSERVATION +CODEr
A permit must be obtained before beginning workk .
ANSWER ALL of the following :
r -
1 . Gross floor area
2 . Type of heat
3 , -Is the building mechanically cooled ?
4 * percentage of area of windows and doors l
A . Over 16 % Only_
1 . Uo value of gross area of walls , roof / ce � 3ing and oars
exposed to ambient conditions
2 , Floor over heated spaces
YES NO
a . Are Foundation walls insulated ?
YES NO
16 If YES , what is the R value ?
3 . Slab on grade YES NL'
a . If YES , what is the R value of insulation around
perimeter of floom3
4 . Is basement heated ? YES NO
ae R value of insulation
50 Type of insulation
B . Under 16 % Only
1 . R value of roof and floors exposed�Yto ambient oondit ons
•r-r
2 , R value of exterior walls -
30 R value of glazed area
4 _ R value of doors
5 . R value of floors over unheated spaces
fa , R value of slab edge insulation - unheated slab itIV
—
7 . R value of slab insulation - heated slab_
8 . R value of heated basement/ cellar walls ( above grade )
90 R value of heated basement / cellar walls ( below grade ) 's
100 Type of insulation
C . Controls I �'-o
1 . Thermostat maximum heat setting r
D . Duct S stems aces ? YES NO
1 , Is duct system installed in unheated spaces ? ,
a . If YES . R value of duct .installation - ----
b . R value of duct in other areas
E . Piping Insulation agent pipe
1 . Size of hot water or cooling carrying g
2 . R value of pipe insulation
F . Service Water Heating � c7 �i W,
1 . performance efficiency
2 . Temperature control setting maximum
G . For swimming Pool Onl
1 . Maximum heating
Telephone No . ( pelican ' s signature )
1 _
TOWN OF OUFENSBURY
BUILDING & ZONING DEPARTMENT
SEI+TAGE DISPOSAL PERMIT APPLICATION
1 . Owner " s Name id / y- 6::+ 114 %•
Address_�� , . � : , ,• .� �. .� � �[� ice. ' 3 _ rc , ,
. _ Telephone No , ] `,�3- dam' 7 sue'" _
2 . Property location ,k i j!�. tj 7� tom , =t� Az7*C4d jar n: c !T24 -,e fY
3 . Name of person or firm responsible for installing system
Telephone No .
Address 2L /
4 . Number of bedrooms ( residential buildings onXy) ?�
5 . Daily flow `�� + -7 gallons/day
6 . Septic tank capacity_ _ / 4__ 4:�`=_ ,G, gallons
7 . Topography : flat , rolling , steep
% of slope
8 . Nature of soil and depth Ftia
9 . If ground water , bedrock or impervious material is apparent at what
depth does it begin? ft .
14 . Percolation test : A is required
B is not required
C If required what is the rate 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 yD
Aignature o� appilcant
On separate sheet of paper submit a dial 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 .
Ia- >, Cg'AL--( S� r-,
Form 3 - 82
THE NEW Y4RK 'BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
{r 41 STATE STREET. ALBANY. NEW YORK 12207
J sty Csx ! atnl` +r .�{� x E1$5 Application No. on III 078487� 85
THIS CERTIFIES THAT ed by the applicant named on the above ap1+'Ucati� number in the premises of
nvo
only the electrical equipment as describer) below grad snt
.93' . & ��s • �L{TIe ovi-t
s cock i.a r vaii t e Plains cd t QL�'ns�Y ► Now XO]Ck 6 4
Besement
��-y sICe .Section 9fl Block Lot ..
olLorsirL� lacationi ® lot Fl. r + brad Fi,
and found to be in compliance with the requirements of this Board.
in the f
was esam.ined on 4ri!< .'f] $ GppICINKi pECkS QVENS DISH WASHERS lxNAUST FANS
RANG
F1xTUREs ES
FI%TURE �TACLKS SWITCHEs INCANpe "i PLUGttxT�+T v AMT. X.W MAT. K. W. AMT. rc.w. T. al . 1 N'
oUTLETs
3 � � 1 29 3
1
FIiTURE AFFIlAMCE FEEM'ERS STECIAL EEC'F7 TIME CIACkS EEIL OMIT MEATEES MUM-�D1J�LET WNIIMERS
SYSTEMS wMT - „wA�
DRYERS FURNACE MOTORS TRAMS. AMr. N• P, MD. QF FEET
AMT, K. w. OIL
M. P. GAS H. P. AMT. NO, A-W. G. AMT. AMP. AMT. AMPS•
1 ;F1D C E
S E R V i A.w.G
SERVICE DISCONNECT NO. OF A.W. 6. No. of NI-LEG A.W. G. NO. Of NEUTRALS pP NEUTEA{
AMT. AMP. TV" NOW, T .s' 7W 1 j 3 X 3w 3,s' aW Nd. O PER W 4NU. 8F CC..COF1D.
CrP NI-{EG
1 200 C53
orHE+I AFFARllTU6:
Electric Ftexxt f3eat-.s'..x'S : 3-- 2 .fl k .w .
4- 1 . 5 k .w.
- 1- 1oYre Detector3- 1 .0 k .*A
2- . 5 k www
�{
" . & Mrs . an1P..£i CJ " GT a
V BRANCH MANAGER
33 149i .tex'green T ed.
r x1s Fa1.1 s r : evT York 12801
Fir _
Nd
E MUST NOT BE ALTERED IN ANY MANNER.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICAT
TOWN OF QUEENSSURY
Building Department
m"mcbwo Report Date��
Name r> Cc
- Le�caetioo �
Parn2k No. X 5"— /r 7 �7 Weather _
J 7 Rema r.k s
rxcatra t on
Footznq Forms
Footing & Piers
Foundation
Cement Coat
Watex roofin
BackfiIl _
Final Suxve _
Framin
Sheathin _
Roof Felt _
Roo fin f/ _
Ssdin
Masonry Veneer N
Rou
Relief Valves
wall Board
gxt . Porches
Finished Floor ✓ '
Interior Trim
Stairs & Railin s
Cellar Dr . Tile
Cpncxete Floors
Gar . Fire roofin
Door Closers -•'�^ ----�" "~" "�
Chimne
Water Meter Inst . --
Se tic A royal .._._...,..��---
Floors -
Foundation
Insulation walls
Ceilin �01
-- ui .Idingr Insge+ctor
REMARKS
C) �T 6 r/>
t
arOWN OF QJEENSSURY
Suildims D,ePartment
i?ste 4 /3 s
' Namme
' Localion W c�aUser
Permit No.
Remarks
Excasyat ..on
Footin Forms
Footin & Piers
Foundation -
Cement Coat
Water roofin
BaCKfill
Final Surve
Fx'amin _
Sheathin -
Roof Felt
Roofin
Siding
Masonr veneer
Rou h Plb -
Relief Valves _
Wall Board
i gxt . Porches
Finished Floor
interior Trim
stairs & RaTile s
Cellar Dr .
Concrete Floors
Fiby Fixtures _ ...
Gar . Fire roofin
mooIT closers
Chicane
inst �
Water Meter
Se tic A roval
Found-Ybn
Xnsulati.on Walls ----�
Cei .I%
gilding Inspector
REMARKS
TOWN OF QUEENS13URY
Building Department
Inopectors Report Date /'1r L2
Name
�-
Locat lm CJ
P+arrerit No. ' W eatlaer
Remo rlcs
Excat�a ti on
Footin Forms
FootI Piers
Foundation
Cement Coat
Water roofin
Back€ill
Final Survey
Framin
Shea thi n
Roof Fel t
Roo€in
Siding
Masonr Veneer
Rough Plb
Relief Valves
Wall Board
Ext . Porches
Finished Floor
Snterior Trim
' Stairs & Railin s
Cellar Dr . Tile
Concrete Floors
P.JbICT , Fixtures
,Car . Fire roofin
Door Closers
Chlone
Water Meter Inst .
Se tic A roval
Floors -----
Foundation
Xnsu.lation Walls
Ceilin
8uild�ng Ins
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectme Report Data �01
Name f % !rJ , y
PermitNo. Gv A a Weather
d Remarks
)+ Xca.P>a ti on
Foot in Foams
FootzncT & Piers
Foundation
Cement Coat
waterproofing
" Backfill
Final Survey
Fram-I
SYtea thin
Roof Felt
Roofi n
Siding
Masonry Veneer
Rough Pl b .
Relief Valves
Wall Board
Ext . Porches
Yd
Finished Floor ` t
Tnterrlox Trim
Stairs & Raili.n s
Cellar Dr . Tile
Concrete Floors
pl - Fixtures
Gar . Fire roofin
Door Closers
Chimney
Water Meter Inst
Se tic A roval
Floors
Foundation
Insulation Walls
13uilding inspector
,REMARKS
TOWN OF +CCU EENSBU RY
Building- Department
e0 61
� Nit Date II �
Name
Loeaataeo
Pearmk No. Bather _
Remarks
ExcaiYa tlon �*+
II �FootinIiU Forms
Footin & Piers
Foundation
Cement Coat
Water roofing
" Backfill
Final Survey
Fraininigr
Sheathin
Roof Felt
Roo fi"n
Sidinc.„*
Masonr Veneer
Rou h P1 b
Relief Valves
Wall Board
Ext , Porches
Finished Floor
Interior Trim
stairs & Railin Is
Cellar Dr . Tile
Concrete Floors
Pl Fixtures
Gar . Fire roofin
Door Closers
Chimney
Water Meter Inst .
Se tic A royal
Floors
Foundation
Insulation Walls
Ceilin
Building Snspector
REMARKS
a�
ti
� .� 6 L�
l �! '2
a
( � l � I AP
c�