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1985-075 t � f CERTIFICATE OF OCCUPAN+C JL' TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK APO4g (4 Date puc*u � t 12 19 r This is to certify that work requested to be done as shown by Permit No. has been completed. per'- C +"{ This structure may be occupied as a C1X'. E ^ Gi7i V liner location Zoert-I Reveire T' oac' Jo, l-'n and Y th5' 01 St arid Vim" M Owner By Order Town Board TOWN OF QUEENSBURY I Building & Zoning Wspector i CROFT IVY "fNST R" r}fINTfMG. GLENS '1 i1LL5 M v 1LSD1 451 a jig5 BUILDING PERMIT TOWN OF QUEENSBURY No. 85_75 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to John and Kathy Obst �J 0 OWNER of property located at Lot 64 Revere Road Street, Road or Ave- a 7C in the Town of Oueensbury, To Constructor place a dneE Family Dwell ling A' 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. 0 D t . ouwNER OS Address is 16 Cameron Ave . rNr Glens Falls , New York 2. CONTRACTOR or BUI LDER•S Name A & A Electric 3. CONTRACTOR or BUILDER °SAddress 4 Amy Lane Glens Falls , New York 0 cr 4. ARCHITECT'S Name 6i N C 5. ARCHITECT'S Address row N 7d . 0 LL 6. TYPE of Construction — (Please indicate by XI O tK y Wood Frame l 1 Masonry I 1 Steel 11 r 7. PLANS and Specifications 28 ' x42 ' dwelling and 24 ' x24 ' two-car attached garage o No. per plot plan , specifications and application submitted m including sewage system . I 8_ Proposed Use One-Family Dwelling �-c $ 5 . 00 C/O Paid. 1� $ 241 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES October 1 1g 85 r (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the l~ town of Queensbury before the expiration date.) Dated at the Town of Oueensbury this 28 th Day of March 19 85 SIGNED BY �' �'y ' for the Town of 4ueensbury Building and Zoning Inspector TOWN OF QUEENSBURY ISpace in%itie block In be fillet] in by WARREN COUNTY, NEW YORK atulding lnxptY t<n y Application for r" it rtic„i No.A PP i'rini, [ti.utKl I? - BUILDING AND ZONING PERMIT # ,,Inc• ,! 1\'tell: ,� ....... THREE ( 3 ) Copies of a PLOT PLAN. prawn to scale til'I ire ,. a tl lii showerg the mecum] dimensions of the lot to be built iLe niurWi upon. like exact size. and location on the W of the building to be erected or altered MUST ISE SUB- MITTED WITH THIS APPLICATION, OF OVEEN Blyny 1-OWN IV UST BE OBTAINED BEFORE BEGINNING WORK , d A PERMIT 1111 # ' ANSWER ALL OF THE FOLLOWIN6r. ' �►� a �J�''� ? The undersigned hereby applies for a perinit to do the foliowiy" work /1 ► ('' Q' which will be done in accordance with the •elllscripition. plans and splecifi- p.M �112iiJ2j214151 t cations, and such special conditions as "may br ina 1c0*41 : op the permit. The owner of this propert is: The per n r s/j nsibie for a/ perfvy}sion of the worts insofar as the Building /Coode and ` the Zoning Ordinance apply is. . ' 1"""A i� .0 /.T r . /"' ". C, G?'. » t ;r. + . . , "" +�?L. • .e :G,J, . .Lzo . . . . . . . . . . . . . . . . . �T 111Y111ArM�ES ' !' fl AVOR 5 Name of Builder . . . ✓f X7. . .+��/. 'ti' f �—� . , . ...;.x ,.;;.. .. J►ddr4; ., - . 5n __.c- .„ . . Name of Plumber . . . . . C ':�ij. . . f. m . . . . . . , , , ; . Address ' r . . . . . . . . . . . . . . . . . . . . . . Name of Mason . . . ( .1/1/ . . .�� r . . . . . . ' Address . . _ . . . . . . . . . : . . . . . . . . . . . . Lot Number . . . . . 4' JK . . Unit . . . Estimated value of proposed work # . . // ,' dU�. .► 71 . . . . . . . . . . . Name of Village . ;) ,pl t �a f' »s e✓:/k car . . 's Name of Street , . d� .'f, tl . [`. . . ` ./. f ! . 4�? '�iIk{ Iv: . , :rule% street: north 0+ east Q . mouth 0 . west im Nearest Cross Street . . . L I'' too •' , - ' . . . . . . . . . . . . . . . . . Distance from this cross street . . . . . » . . . . . . . , . . . . . kt . Property is north Mo south © , east c i , west a from Cross Street If on Corner, which corner, northeast [i , northwest JR southeast O . southwest (Designate by marking with an "X" in the correct space.) f NATURE OF PROPOSED WORK rM OCCUPANCY Main Building Construction of a new building. Cane-family dwelling © Addition to a building. dwelling 0 0 Two-family0 Alteration to a building. , family apartment house 0 Demolition of a building. Store building 0 . al. . . . . .car attached garage Other; Accessory Building, C7 . . . . . . • • . . . , � One-car detached garage � Q Other work. Describe: . . . . . . . . . . . • . . . • . . . . . Two-car detached garage Private chicken house 0 • • • - . . . . ` ' ' ' ' ' ' ' Private storage building . . . . . . . . . . I . . . . . . . . . . . . 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 propertyt the tocetion, size and setbacks of pro- posed buildings, and the location of all existing buildings. NORTH Show proposed building(sl in dotted line and existing ttuilding(s) in solid litre. Size of property . . . . '? Id. CT . , it. !6 '".4, Lott, Size and use of existing buildings, if any . . . . . . " . . . . • . rd to- on Size of proposed building . - . • e7• . . It. x . Height (Ertel]] grade to ridge) . . . . . . l f k Front yard fl. . .!mac? Side vards . . . . . I 1 1 ��� . ft. and _ . . . . _ . . . . . . ft» Rear yard it. PI.e . . . . . . . _ . . . . . &OUT K If on corner, setback from aide street . . . . ?0 . . . . . . . it. Note; AIf dfseances are 'solo as irtaasured from street side line to nearest part ojbliifding. toy a lei 7-73-M BUILDING SPECIFICATIONS.. Kind of construction. Woad frame, fire safe, etc»? . . . . . wt: l (J. Will any second=hand lumber be used? . . . . . . o- - . . . . . If ao, for whit? . , . . . . . . , . Material of foundation walls . . . . . . . 6f*. o! .C a,4Z /P. . h7l s i r •'I`hickness - Depth of foundation wells below grade . . . . . . d .tvf;;; . . . . . . . . . . . . . . . Continuous foundation? , Will there be a cellar? z`�5. . . . . If so, material of cellar floorst. ' . Type of roof: Sloped or flat. IfZ/ � . . . . . . . . , . Material of roof /F9 ,J •/: Size, wood studs . . . . . . . . . . . . . . . v . . . " x �- . . . . . . . . . . . spacinIF . . - -f�'v. , . . . . . "o.c., length . . . � . . . . . . . ft. Size, floor beams, Ist floor . . . . , . J . . . " x . /. Gi. . , . . . . . . . , "o ac K . . , ,/, . . . , . ."o,c., span .r Y pa ft. Size, floor beams, 2nd floor . . . . . . . . . ^ x / -b . . . . . , . . . . . , spacing . . . ✓& . . . . . . . "o,c., span . . . . Y- ft. Size, ceiling beams . . . - . / ! v S. ic'�. . - ~ z . . . . . . . . . . . . . . . ". spacing . . . . e.A ; . . . . . . "o.c., span . . sw�?,d�. . . . , . . , ft. Site, roof rafters or beams , . . . . . . . . " x . . . . . . . . . . . . spacing . . . . . . . . . . . . . . ~n.c., span it. r Exterior finish . . . . . . ' !ct pet!'. . . C."/ Oai/ Q! , , . . . . . . . . . With what material? i x C. 2 r 0, ; �- » . . . . . . . . . . . . . . Finish of interior walls . . . - . , r. ... . .r!y~ . !31"r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of whatmaterial is wall between garage and main bui}dfng to be constructed? Si .CJ . 12.4,<7. . . . . . . . . . . . . . . . . . . . : : . . : . . . . Is there to be an opening betw and build'ng? . . . . e,e Kind of heating system . . ./. . 7aw74 /hit .hv,/ G{r .4�P+�(! burner or coals % ' r !E. c'• of G . . . . . . . Will aflue-lined chimney be provided? . . . . . . Depth' of elvirnney foundation below grads . . . ", . . . . Height of chimney above roaf. . . . . . �.t�.� . . » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - Will there be a fireplace? , . . . 4V.c7 G rx°. . %y ?4+41--ti' . . . . Depth of fireplace hearth . . . . . . . . Will a toilet be installed? . . . . " Will a kitchen sink be installed and connected to water su ply? . . . ,4,*'' . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . . ,,ram!'! . . fs' Distance of cesspool from any private we11 . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps. deanouts, and rents? . . . Y.ewrl!5 Town of Queensbury AFTIDAVIT County of Warren State of New York f swear that to tr, A.airof my knovo dee and belief the stas6nwnt4 rn tsinrc] in tftis oPsi e,rtWo, �r with the daps and apswafkattiaos suh, nutted, are a true and ar,." ere statement of all proposed wank to be done on the deerrlbad g a aes Amd that afl�uuov� of tlte�BL�ILD- LNG CODE, THE TONING ORDINANCE, and all outer laws portainiaa to tha *atth, of the nos and that such work is authorised by the owner. Sworn to hefgke me this g a .. . . . ... t /' . .. . .- .. .- . . . . . . day at- Nt'RACTO�R H4 ARY pU aL,YG, wq SPECIAL CONDITIONS OF THE PERMIT- 1rit" Y F F; Arid filata+v p Put, � � �-x° York my fi MMISSlOn t. . .: " . 19 - sy . . .. . . ...... ....... ....... . . . ... TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH T14E NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following : 1 . Gross floor area � 2 . Type of heat f1 ed� f PUyV%. V7 ( l�e5l 1c�-X+ GP. 3 . Is the building mechanically cooled ? 40 Pefcentage. of area of windows and doors _ 13, 3 A . Over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2e Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 1 . If YES , what is the R value ? 3e 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 B3 Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions_ je-- 3 8 Rac? -1c 2 _ R value of exterior walls `" 3 . R value of glazed area. 4 . R value of doors 5 . R value of floors over ' heated spaces,��/ _ 6 . R value of slab edge insulation - unheateo .slat? /Z/� 7 . R value of slab insulation - heated slab1 Ii AL s . IR value of heated basement/cellar walls ( above grade ) Oe $ i 9 _ R value of heated 3asement //cell4r walls ( below grade ) IC7!B 100 'Type of insulation _ j��-c ld_ + ' eq,,%A Ure !:Ack�!2 r" C . Controls , 1 . Thermostat maximum heat setting_y ' ~ 1 # a R 1 T) . Duct Systems w 1 . Is duct system jnstal ,led in unhe4 !6ed spaces ? YES O a . If YES , R value of 'duct instal'iation 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 s f 1 . Performance efficiency. 2 . Temperature control setting maximum G . For Swimming Pool Only �tf 1 . Maximum heating Telephone No . • ( ap licant " s signature ) W..,.,./� rs - -- . ddewp%&. a .. - 3/ 2G/ X! � TOWN OF QUEENSBURY BUILDING i ZONING DEPARTMENT SETWAG/F DISPOSAL PERMIT APPLICATION l . Owner ' s Name Address /6, Telephone No . 2 . Property location.,, 3 . Name of person or firm responsible for .installing system a'`"/iSS Le 'Lee Telephone No . 225Lo`j - rs',S-i5 Address 4 .' Number of b�drooms ( residential buildings only) 5 . Daily flow QQ gallons/day 6 . Septic tank capacity / Ge'JL5 gallons 7 . Topography * flat , rolling , steep of slope ��ar 8 . Nature of sail and depth 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? _ ft . 10 . Percolation test : A is required B x is not required C It what is the rate minutes/inch ll . Water supply : municipal , well , other 12 . Type of system proposed : drywell , 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 . /,7 Date r� s nature or applicant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions , including distance from any structure , distance from pr'opertyy line and domestic water supply , etc . Include all dimensions of the system itself . r Form 3- 82 s 4001330 THE NEW YORK BOARD OF FIRE UNDERWRITERS _- BUREAU OF ELECTRICITY { 41 STATE STREET, ALE;ANY, NEW YORK 122CY7 /� Date s en tE'Ti be r 11 ,r 1985 5 Application No. on file 0 7 8 4 9 3 w 8 5 A 647125 TW FS CERTIFIES THAT application, number in the premises of ._ only this electrical equ*ment as describedbbelow and introduced by the applicant rrameji on the abuse applaca m John Obst_ r Revere Rbado oueensbury , �Iew York 0 )At FY. El grad Fl. Section �. ? dock 5 Lot n 4 r in the following location; $ww~nt and found to be in compliance with the requirements of this Board, jams examined on 8 , 18 H%� RXTIJRES RANGES COCMIINf#OEC%5 OVENS DISH WA51iFRt5 EXHAUST FANS OUTMS RTACLES SWITCHES tWANDESCEHT FLUORESCENT MAT. K. W. AM7. K.W. ANT. K.W. ANT. K- w. AAjT. H. ►. 3 Vr 29 64 26 29 FiJRNACE MOTORS FUTUEE AFTUANCE FEEDERS SPECIAL EECTT TIME CLOCKS FELL UNIT HEATM AAMT40UTtET WINNERS INNERS SYSTEMS AMT.� WATTS ANT. IC. W. OIL H. P, GAS H. P. ANT. NO. A..LW. G. ANT. NAP, MAI. MVS. IMAMS. MAj. H. F, lye. pll FEET 2LY10E 3 tT 6 E SERVICE NSCOMMECT No, OF I HWT 1610 E R w I C. No. GF NEUTRAIs A. w. G. METER HG,of cc. rnND. A w. G rarr of HI-LEG A HI G' of NEUTRAL pM ,g OF CC. COND. OF N1.1Efs AMT. AMP, tYPE �1, 1 .e' 4M/ T X SW 9 X aW S X +aM ++� F 1 200 CB X , 4 / 0 1 � i OTHER APPARATUS+ ` 2 ^ GrCl 1 - Smoke ueteotor _ c"'I.T7+R ... : 1 - 20 Circuit — 100 29.MP 3 — . .5 kw Stephen M Xelly C /o Kelly T: lectric 239 14 Sweetbl:' far Lane 0"NCHi MANAGER Glens Falls , New York 12801 Per It COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST f110T BE ALTEREi! 1111 ANY MAN MER. TOWN OF QUEENSBURY Building Department Name LAMMdon pa ,car G- Pernmit Now - Weat6asr ReMrkS ��Sxaa$a t on i�'�"""► Fcaatin Forms Footin & Piers FoVIM " Lion Cement Coat rater rocafin BaCWr.xll Final Surve Frami.n 5heathin Roof Felt Roofin 110M njpjlr veneer ROu h PI Relief valves Wall Hoard Sxt . Porches V pinishea Floor Interior Trim Stairs & Rallin s 27 Cellar t7r . !Pile Concrete Floors P1 . Fixtures Gar . Fire roofin goer Closers Chimne Water Meter Xnst . Se tic A royal FlO© Xnsul.ati.on Walls Ceilin ctor ��, Bui2a3ngr xnspe REMARKS f�+�j �V" c 1ialr p /t'� v u CrGfr TOWN OF QUEENSSURY Building Department La Kadin Permit Nw 5: - 7 cr' Weather kema rks Footing Forms y Footing & Piers _ Foundation Cement Coat Water roofin - Backfill Final Survey Framin - Shea thi n Roof Felt noofin Siding Masonry Veneer Rough PIbgI Rel i.ef Valves Wall Board Ext . Porches µ Finished Floor Interior Trim stairs & Rail ' s µ Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar . Fire roofin Door Closers Chimney Water Meter Inst . Septic Approval Floors Insulation Foundation Walls Ceiling Bus ddingr�rnspector REMARKS TOWN OF QUEENSBURY Buildies Department ,� / N� �t Date J ww/ B :.p .tum Perask No. Weather Remarks Exca La ti on Footing Forms Footing & Piers Foundation Cement Coat wa ter roofin Ba ckfi 33 Final _Survey Framing Sheathing Roof Felt Roof-in Siding Masonrg Veneer. Rough Pl Relief Valves Wall Board Rxt . Porches Finished Floor Interior Trim Stairs & Railin s Cellar DKr Tile Concrete Floors Pl . Fixtures Gar . FizeProofingr Door Closers Chimney Water Meter Inst . Septic Approval Floors r' Found,& Lion � Insulation •^^' Wa33s Ceilin Beri3ding ?nspector ^.._ REMARKS