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1985-086 CERTIFICATE +CIF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNM NEW YORK d,acbcx EC,,� 8 Date ( c t-n } £ r n 19 O This is to certify that work requested to be done as shown by Permit No., - has been. completed. Doe�Yr ' 1 � INXCW � " r�� t l 'F : l�`;l [�T�� �. _ �T �lL1sn'F' �. `t'T}C. This structure may b± ;,eta ads a �i ixvcation = Wit . [� ` 7 ' c�_.�f( 3c4�.1�_ ( Ft- . T'O, Z' P) - � r d Jane � ? air. �:� t I ��V Q� �t + owner By Order Town Board TOWrN OF QUEENSBURY . Building N Zoning Inspector C RCa4T1YE "'�M;T A'- •P�NTNG GLENS FALLS N Y fYIMUI [} Ie19939�9s BUILDING PERMIT TOWN OF QUEENSBURY No. 85_ 86 WARREN COUNTY, NEW YORK x and ,lane Shames 0 PERMlSSIOh! is hereby granted to Howard � OWNER of property located at Lot 567 Fox Follow Lane ( St . # 4 0 ) Street, Road or Ave. � in the Town of Queensbury, To Construct or place a one-Family Dwelling Q at the above location in accordance to application together with plot plans and other information hereto filed aru$ G approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Pi f'I1 t . OWNER'S Address is 145 - 6 seeks Road En Glens Falls , New York per, m urr 2. CONTRACTOR or BUI LDE R S !Name S c']-IITt e 3. CONTRACTOR or BUILDERS Address Same M 0 r'F s-t 4. ARCHITECT'S Name Ut. �' 41 5_ ARCHITECT'S Address O +� YC D F-� 6. TYPE of Construction — (Please indicate by X) ( 'XWood Frame { } Masonry [ I Steel f i (D 7. PLANS and Specifications No. 40 ' x72 ' per plot plan , specifications and application submitted including two-car attached garage and sewage B. Proposed Use One-Family Dwelling m } $ 5w00 C/O ai �u 164 . 04 $ PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 19 85 r (If a longer period is required an application for an extension must he made to the Building and Zoning inspector of the r town of Ciueensbury before the expiration date.} Dated at the Town of Queensbury th is 2 rid Day of April 19 85 ti w 7 % _ SIGNED BY � for the Town of Queensbury � Building and Zoning Inslp4fta . TOWN OF +QUEENSBURY IV7vww� h-4'0%'7�I 'ipace inside block ttr be filled in h% t Building lnspeclnrl Ld T l sit rJ WARREN COUNTY, NEW YORK Scwa cs, ry Application for r �` Mrrjfiifatiewn No. ��"' {'rrnul is.uetl Irl' S BUILDING AND DINING PERMIT 1 ,riu, ul 71`nrl. P -- THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale I{ ,,,.t I kS' showing the actual dimensions of the lot to be built upon, Tito exact six*. and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 7 . .6 i, /`r?$ rc;vMlsv o Q} 1 r 8i2r Y �/ f `"` r n bar, no U A PERMIT MIDST BE OBTAINED BEFORE BEGINNING WORK ,ANSWER ALL OF THE FOLLOWING, The undersigned hereby applies for a permit to do the following work which will be done in accordance with the description, plans and specifi- p.td•/ fu � 16) 2j3)4j45j6 cations, and such special conditions as may be indicated on the permit. 'l� s� , . The owner of this propert is: 5-(v n zr�H �K^SC ^�LLv1 . . .�kt?t4VL&1..S . j . . . . . . - 11 The person res tynsibic# for supervision of theyW}p�ryrk insofar as the Building Code and the Zoning Ordinance apply is: • . . . . . .. . . . . . .:TAOL - - . C�� (INANE) ' Name of Budder . . Ale . . as, . . gpvaf Address . . . . Name of Plumber . . . Address S&'4M�d . . �S � ' t �u.l,� Address ? 7 5t, , .)Kw+crl . . f. . `S...Li t-.. . Name of Mason , b ArtN IJ . . °t w`. . . . . . . . . . . . . . . . . . C3l�+J . . . . . . . . Lot Number . � 150 7 - . . Unit . . . . . . . . . . . . Estimated value of proposed work 5 � - - Name of Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street ! K • t� 4 p"!� i. . . . . . . . . . . . . . . . . . . . Side of street: north I� , east , , south . west ❑ Qf MO f 4 . . . . . . Distance from this ^rocs street • . . • lea - l t Nearest Cross Street , - � + p Property is north 0 , south Cl , east Xl , west a from Cross Street If on Cotner, which corner, northeast �1 , northwest [3 , southeast southwest {Designate by marking, with an "X" in the correct space-1 NATURE OF PROPOSED WORK OCCUPANCY �e, 06 e Construction of a new building. C)n -fancily dwelling Main Building E3 Addition to a building. Two-family dwelling 0 L7 Alteration to a building. . -family apartment house Demolition of a building. Store building TWJ- - . -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, siate and setbacks of pro- posed buildings, and the location of all existing buildings. pro- NORTH Show proposed building(s) in dotted line and existing huilding(s) in solid litre. Size of property . . . . . . . - . . . ft. x . . . •"' J . . . ft_ u � Ion Size and use of existing buildings. if any - . . . . opt W W sed b d3 . . F . . . . . . . it. # Size of pro Height (from ra�o ridge) ft.f1 g g ft. Front yard . . . . . . Side vards . . . . . . . . . . . . . . a ft. Rear yard . . . . . ft. S4t1T M If on corner, setback from side street . . . . . . . . . . . . . . . ft' IVvte : All distances are nee, as measured from street side line to nearest dart of building- (OVER} BUILDING SPECIFICATIONS.. Kind of construction_ Wood frame, fire safe, etc.? . d . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . If so, for what? . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . .� . . . (. � # _ . Thickness Depth of foundation walls below grade ' ' . f . . . . . . . . . . . . . . . . . . . . . . . Continuous founda4tion?mCm Will there be a cellar? If so, material of cellar floor '1�}�'aF C .� ✓ Type of roof: Sloped or flat? . . . . �� ?'"? ' !� . . . Material of roof .i`CW 54m:l~. :)./ot [P.j. Xit " t�(�ltt e+p � .� ko4el (eq_ Size, wood studs x . . . . . . . . : . . . . . . ,f ", spacing . . . . .!� _ . . o.c., length . . . : ft. Size, floor beams, 1st floor . - . _ " x . . . . . . . . . , . . ", spacing . . . . . ! k? _ . . . . . "o_c_, s i� af, pan . . L 7. . , ft. Size, floor beams, 2nd floor . . .� 11_4 f . . . . " x . . . . . !z/'!s� . . , . . ". spacing . _ . . , /crj'/s? . . . . "o_c., span . . . _!t /?- . . . . ft, Size, ceiling beams . . . . . . . . . . . . . . . . . . '' x . . , _ . , . . . . . . . , , spacing . . . . . rr "o.c., span . ; ; ;f '� . . . . . ft. (� Sile, roof rafters or beams . , . x . . . .spacing "o.c., span . , ft. Exterior finish 5P:gf)b C*,A ". SYaL( rl_ With what material ? Finish of interior walls , � . . ' k' � * t�A r A'5Ti +� /a k�l . . . . . . _ . . . . . i> If garage i . 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? . . . . . . . . . . . . . . . . . . . . . Kind of heating system A46- . . . ..!� �`�' f'.� . . . . . . . . . . . . Oil burner or coal? Will a flue-lined chimney be provided? . . . . . . . . _ _ . Depth of chimney foundation below grade . . ! . _ . , . . . . Height of chimney above roof Will there be a fireplace? . . . . . 4 . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . Will a toilet 6e installed? . . . . . . . . . . . . . . '. . , . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . _�'=S Water supply ( public water supply or pump) . . . . . . . . . . . . Distance of cesspool from any private well . . :�f . . . d'x:r! . . . !�`". . . . !`fit Fr1, t�' t?. r'r'Y+.-. . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . .V Oep . Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to tr, b�jr Fof my know)edge and belief the statements contained in thin application, together with the pyAaana and specifications sub mitted, are a true and cu.a.plete statement of ail proposed work to be done on the de&66hed premises and that all provusom of she BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining two the pro sha[I be compHed with, whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature .. . 7�W NER, OWNER'S AGENT, ARCt1lTECT, CONTRACTOR dayof. . .. .. . . .. . . .... . . . . .. . . ... . . . . . . . ... . .... . . .. 19. . . . NOTARY F41HL1C. 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 ]] � I7 ` 2 . Type of Feat �--rrFl- - L + Yt 30 is the building mechanically cooled ? J. + 4 . Percentage of area of windows and. doors 'Umw b$/a A . Over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heated spacer 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. 2 . R value of exterior walls 3 . R value of glazed areaTezmap 'eik4ae-o `* 4 . R value of doors 'pur 5 . R value of floors over unheated spaces {L7 r6%Suja*;4b% 6 . R value of slab edge insulation - unheated slab ? . R value of slab insulation - heated slab S . R value of heated basement / cellar walls ( above grade ) 9 . R value of heated basement / cella�rl walls ( below grade ) 10 . Type of insulation r;l e TI��S � � T► t� ��a 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 `r"1. A`{TDILA 430 (WAI 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating 4 L{ [�likwtiv+ �1t �cC Telephone No . 7�i � (p� V IZ ,�'�_ ( app icant ' s signature ) TOWN OF QlUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1 . Owner ' s Name y 4( £' + r 1 � 1�I Q4s.ta" _ + a ,Address / 0-Is-w-6 IE ejc, .�D , 61eel C Lf's /te). ew ' Telephone No . 2 . Property location_ 64D fGoX Akyl 60 L.A'KQ ; 3 . Name of person or firm responsible for installing system � wow �,c� • T lPQ 111 e' 'Telephone No . Address R b, �4 cc C rh/9 �Crr Y + /` .ix ✓ �( J_ !� � 2 4 . Number of bedrooms ( residential buildings only ) _ 5 . Daily flow crallons/day 5 . Septic tank capacity Z:: gallons 7 . Topography : flat , rolling , steep % of slope F1 8 . Nature of soil and depth „yam +,� ts 0 owl - [ 9 . If ground water , bedrock or impervious material is apparent at what depth does 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 : well , other 12 . Type of system proposedk'' drywel 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 �;Waze4 se �Id's ssg ature 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 , eta . include all dimensions of the system itself . Form 3 - 82 WE OEM INK THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY AS STATE STREET, ALBANY, NEW YORK 12207 i .+7 .Application No. on file 0772 7� 87 r, r 1985 THIS CF.RT ST1't t named an the abode application numb" in the prerralses of only the electrical eyseipM4Vnt as described belong and intradrsced by the applicant a�e3 J .�� , � Feaas tea] +y Rom , Gloms Falls ., New York Section in thefallowing location; ❑ Basement ❑ let F 2nd Fl•l. ❑ and found to be in compliance with the requirernents of this Board. was examined on FIXTURES RANGES GCk]KINODECrc pVE DISH WAS EXHAUST FANS M FIXTURE ACUIS SWITCHES IASCENT Fl11GNESCWVW0 AMT- K. w. NCNDE "1 'A URMT HEATERS MULT1411TLET DIMMER'$ DRYERS FURNACE MOTORS FUTUM APPUANCE FEEOEICC SPECIAL REC'PT TIME COCKS REr1 SYSTEMS AMT wArTs AMT. t. W. CHL H. P- GAS H. P. AMT. NC}. A. W. G. AMT. AMP. AMT. AMPS. TRANS. AMT. H. P• ti0. OF TAT ] ic�E3 13iry S E R V 1 C E SERVWE �T No. or A. W. G. H4. # NEUTRALS A. W. G. METER GOND. A, W. G. NG- OF HV-sE0 CIF HI-LEG OF NE. 0. AMT. AMP. TM EQUIP. '� 1 JP TM S JI' 9W 3 JM Iw NO, PER �r GF CC- COND. OTHER APPARATUS: leerr-.G R"!DG"!ti �9c�r3 : — 3 . Q k.W. 4- x- smoke Detector 3- 1 . 2.5 k.W. oo �.- ,3arc �39 145-6 Weeks mad BRANCH MANAGER Now YOrk 12801 , COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MAN PA4 y TOWN OF QU'EENSSUR.Y .--- Building ©+et&rtment qzl( Date I nopectom R'� Name rC4.l 10 ssf pit Nw S, Westlicr y.•��,�� ���, �,�--+c-T`� C1 eV Remarks .. Bxca�at nn Footin Forms Footin 6 piers Foundation cement coat Water roofin Backfill Final Surve Framoi n Sraea thin Roof Felt Roofin Sidin Masonry Veneer Izou h pI Relief Valves Wall Board Ext . porches Finished Floor Interior Tram Stairs S Rai.lxn s Cellar Pr . Tile concrete Floors ,pl , Fixtures Gar . Fire roofin (,r AJ T Poor Closers chi mne Water Meter Inst , Se tic A roval Floors p•oundation Insu.latlon Walls ' ilia Bull `nt3 Tnspectox REMARKS TOWN 4F +QUEENSBURY Building Department ite pact Dute �— p, & A S rr Loea►tf"M x_ F rLcS1 Pit NGM_�,�. " Weather Remarks _ ExcatYa t.i.on Footin Forms - Footin & Piers Foundation Cement Coat waterproofing BackfJ 1.I Final Surve Framing Sheathin Roof Felt Roofin siding Mason-ru veneer - Rou h PI Relief valves - Nall ,Board Ext - Porches Finlshed Floor anterior Trim - Stairs & Naajin s - Cellar Dr . Tiie - Concrete Floors - ,pi Fixtures Gar . Fire roof-" _ -- Door Closers Chi or water Meter anst - — ------- Se tic A roval Floors Foundation Insulation yvalls Ce.f Bu ding anspec REMAIMS ' 4913 TOWN OF QUEENSBURN Building Department Mapacbors Report Date Name x Loeaboa Pot No* 7'3 S- ` Srs est er Remarks ExcatYa tx on pootiz?_g Forms Footing & Piers Foundation Cement Coat Water rpofin - Bacxfill - Final curve FramingSheathing - Roof Fel t Roofl n Siding Masonrkj Veneer Rou h PI Relief Valves Wall Board Ext . Porches - Finished Floor Interior Trim - Stairs & Railings Cellar Pr . Tile _ Concrete Floors Pl Fixtures Gar . Fire roofin poor Closers Chimney Water Meter Inst . Se tic ApErOval Floors _ .. Foundation '- Insulatian alIS coiling Building Inspector REMA4RKS 1P7 eir TOWN OF QUEENSBURY Sualding I?epartment P*"Kwt bate -, Name S l 'r a. w e, s 44M ...jc. , I ! I octgrn ,!_o T— �sC I+ n f 1 :1 QJ frige[ Perraut No* 51 5 �f cv Weather Remarks Excavation Footon Forms Footin & Piers Foundation Cement coat Watei roofin Hacicfill jVFinal surve Fram.in Sheathin Roof Felt REi Roofin Siding Masonr Veneer Rou h P3 Relief Valves Wall, .board Ext . Porches Finished Floor .Interior Tr2m Stairs & Raili.n s aMINI ill� ,0 Dr . Tile te FloorsFixtures ire roof2nClosers --- - — Ch- Water Meter Snst . Se tic A roval - F1 rsors Foundet2on Insulation Walls Ceilin Building Spector REMARKS u TOWN OF QUEE14SBURY Building Department _� Rpsort Date C] rlama Persma No. --', Weather Remarks Excat>a tson rooting Forms IL Footing & Piers Foundation Cement Coat waterproofing Bachfill Final Surve Fram.in Sheathing Roof Felt Roofing Siding masonry veneer Rough PlLzo Relief valves Wall Board Ext . Porches Finished Floor H' Interior Trim Stairs & Rai.lin s Cellar Dr . Tile Concrete Floors Pjbqw Fixtures Gar . Fire roofl n Door Closers Chimne water Meter lnst . Se tic A roval Floors Insulation FoundatiOn Walls Ceiling - Building Inspector ,REMARKS 3Nb -I XQJ e2 C+S' o I OGM�° 1 o