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1985-069 �E i 1FICA 1 E OF C3 .V V 1 ANC .L TOWN OF QUEENSBURY i WARREN COUNTY, NEW YORK Date Jti l J 2 19 This is to certify that work requested to be done as shown by Permit No. ` -' i has been completed, �� This structure may be occupied as a r—F ar i 1 y e 13 i r cr i ocarion £•(-n t {` i Sycamore Drive P-orain r aulin {) kIV1 1- LE ) Owner By Order Town Board i I 70'V1rN OF QUEENSBURY 1 Building & Zoning Inspector i CIlCw TIVE "IM]iT+R" PAMv'ING G�EMa FALLS N v IZa61 ISf 4PTs 3-Sf9• J' CERTIFICATE OF OCCUPAN( Y TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date T i.l r e 27 19 This is to certify that work requested to be done as shown by Permit No. 04 boo been completed. This structure assay be occupied as a nrn i 1 y 17 xr e 7 1 i n cr L4acation I .Ot. nJ ` ycamore F7rl-ve { ` t . T?r 3 ) T c.rla 3. F1 rr ul ill Owner ,T, �. T,. � T.� - < T 1 rol �"T' �- {-' T� n..T ' Cq {�<.�'^�"'F.71 �". TI r" lr By Order Town Board TOWN OF QUEENSBURY Building & Zoni g Inspector CMCATIYE "INSTA" FRIMTIMG- QC> MS FALLS M T t2001 Ib Ip790]-5450 BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 69 WARREN COUNTY, NEW YORK Ia l) PERMISSION is hereby granted to Roma i n Paulin A OWNER of property located at T n t 991 SyC amor a Drive ( St . No * 3 street, Road or Ave. W ( The Pines of Queensbury Subdivision ) � 1—� in the Town of Queensbury, To Construct or place a One—Family Dwell zng ' 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. 1 . OWNER'S Address is RD # 1 Rte 67 Mechanicville , New York. 12118 0 0- 2- CONTRACTOR or SUI LDER'S Name ro Same � t7 3. CONTRACTOR or BUILDERS Address 0 sam a li m t� n 4. ARCHITECT'S Name I +- C S6 to S. ARCHITECT'S Address i 0 6. TYPE of Construction — (Please indicate by X) �^y I S0 Wood Frame 11 Masonry I Y Steel i ? 7. PLANS and Specifications 26tx741 per plat plan , speci.ficationS and No. application submitted including two car attached sewage s stem . S. Proposed Use 0 One-Family Dwelling m $ 5 . 00 C/o Paid $0764 • 00 PERMIT FEE PAID — THIS PERMIT EXPIRES October 1 19 85 � (If a longer period is requ Wed an application for an extension must be made to the Building and Zoning inspector of the town of Queenslwry before the expiration date_) 19 Dated at the Town of Queensbury this 2B h Day of March 19 8 5 ►-` r- �^ :7 SIGNED BY for the Town of Queensbury -- Buildingarnd Zoning Inspector TOWN OF +QUEENSBURY (,space inside block to be lillecl in b. WARREN COUNTY, NEW YORK Building Inspector) Application for ><<`p„t(lJ[%mled - Ig BUILDIN6 AND ZONIN6 PERMIT I' rl,xi, )-:spires IS) . Ire �IIIIt� ll i..Cri[ ! 1 :, 11 Ili , 1 \►`s trl. ,� `=''%/ �� THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scats showing the actual dimensions of the lot to be built ifelxx:Il'k5� - - upon, Tit* exact size. and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. � 1" 7- I&IC TOWN OFE QUEENSOi. RY rnxF � A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 1E0E9VE ANSWER ALL OF THE FOLLOWING. V The undersigned hereby applies for a permit to do the following work ��/ which will be done in accordance with the description. plans and ecifi- ' c•' p p 71 S 9 10�11]l t 2141516 cations, and such special conditions as may be indicated an the permit. t , . The owner of this property is= (67 f N P ' .EY The person responsible for supervision of the work insofar as the Building Corte and the Zoning Ordinance apply i , A E;t . . I . . . . . . . . . . . . . IIP C1 pDA55) . . . . . . . . . . . . - . Name of Builder . . . . . .SId.MW. , . . . . . . Address . . , . . . . . . . Name of Plumber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . , Name of Mason . . . kj&pA . � - - - Address . ��T - �T. . Jhvm* �' . . . . . . . Lot Number . . . , CA .% . . . . Unit . . . . . . . . . Estimated value of proposed work S � . . . . . . . . . . . . . . . . . . Name of V' r t t��'� . e9^ll�. . . . &WW> a!✓. . . . . . . . . . . . 5 Name of Street . . '. s�IG .W+�IEf'�IIa.� . . . . . . . . . . . . Side of street: north east © . south 0 . west ❑ Nearest Cross Street - VP01MI .Il1: - �" , • Distance frorn this cross street . . . . . . . . . . . . . . . . . . . . i t . Property is north south ❑ , east i i , west 0 from Cross Street If on Corner, which corner, northeast 0 , northwest © , southeast D . , uthwest (Designate by marking with an "X" in the correct space.) NATURE OF pROPOSED WORK OCCUPANCY �._. ✓' Main Byiltling �e �k-"f Construction of a new building. One-famiiw dwelling © Addition to a building. Two-family dwelling 0 Alteration to a building. family apartment house 0 Demolition of a building. Store building p %0wF . -car attached garage Other: . - - . Accessory Building One-car detached garage El0 Other work. Describe; . . . . . . . . . . . . . . Two-car detached garage Private chicken house . . . • . . . . . . . . . . . . . . . Private storage building I� 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, site and setbacks of pm- 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 . . . ISO . . . . . . ft. x Size and use of existing buildings. if any . . . 4jo , . . . . .c. . . . . . . . . . . . . . . . . . L Size of proposed building f f3eight (from grade to ridge) . . . . . . +. d' r # ft. Front yard . . . . . . 1�e' 7. . . . . . . . . . . . . . . . . . . . . . . ft. •- Side vards . . . .3C9' . . . . . . ft, and . . . . .3 . . . . . . ft' 'PanTea 1L*V Rear yard . . . . f 4r •" . . . . . . . . . . . . . : . . . . .. : ft. sourH If on corner, setback from side street . . . . . . . ft. Note: All distances are "et, as measu"d from ssreet side line to nearest ,part of building. toveR1 7 -73•-M (cont'd. ) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.? . . . dl .�X! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? . . . . . . . . ►A0. . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . .C=t�-�• .EM » . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . [ C.7►.r"'. . . . . Depth of foundation wails below grade . . . . _ . , , . , . ..4 `r . . . Continuous foundation? . , Will there be a cellar? . . . ,ytltj.,& . . . , . If so, material of cellar floor . . . +q.. . .';>a m0,�A- Type of roof: Sloped or flat. . . . . 'SiLaopldFib . . . . Material of roof Yzv' 4*tAlr. . Size, wood studs . . . . . . . . . . . ' . . . . . '" x . . . .& . . . . . . . . . ", spacing . . . . .� . . . . , o_c., length . . , . t 4`. ft. Size, floor beams, 1st floor . . . . .� . , . . . " x . . 1 .4m . . . . . . . . . ", spacing . , . . . ; Amp span . . . �4'. ." . . . . . ft. Size, floor beams, 2nd Floor . . . - - . . . "` x . . . .$- . . . . . . . . ", spacing . . . . . 1 . fjap, . , . . "o.c., span . . . . . . . . . . . . . ft. Size. ceiling beams . . . - . , . . , .�4. . . yr�. . " x . . . . # .C6►. . . . . . . ", spacing . - . . . .! .Cgs . . . "o,c., span . . _ 0 ..C�a + 2 ft. Siie, roof rafters or beams . . ii .. Is . . . . . . . ", spacing _ 33. '*. . - "O.c., span . .+r.aR,r .,. . ft. Exterior finish . . . . . . 11,Aap.. . . . . . . . . . , . i . . . . , _ . _ _ . . With what material? ejw^4k qu! . . , . . . . . . . . . . . . . Finish of interior walls . . . '/-trw. +oft . �", . .0 . . , x4swlr ,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what materfial is wall between garage and main building to be constructed? ,�.. . eo . . . . . . . . . . . . . . Is there to be an ripening betwee garage and building? - . 1r.yr1�w . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . .VU mew - . . , - . . . . , 114 . . 4 . . . . . . Oil burner or coal? . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimneybe provided? r , . . . �� + ++� p . ..�ttES . . • Depth of chimney foundation below grade . . -. . �i- . Height of chimney above roof. . . . .' rLr'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ++ ar. . . . , . . . . . . . . Will there be a fireplace? . . , � S. . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . _ . . . . .1. a. . . . . . . . . . . . . . . Will a toilet be installed? . iwwS. - - - - - - - - - - - . . . . . . . . . . _ 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . ycs _ . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? - . ._7 - rj . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT • County of Warren State of New York I swear that to to b�e4r of my knovoodge and belief the statetnents contained in this application, together with the plane and apecificationa aab mitred, ore it true and ox..,. lete statement of all proposed work to be done on the d prermaes and that all provisions of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the ork 11 be complied with, whether %weified or ,:con, and that such work is authorised by the owner. r ;''�H Sworn to before me this Signature Ilk . .�/j . I OWN . ONF R�AK.iEN• 7, „ARCHITECT, CONTa ACYpp day of NOTARY PIJRLSC. WARREN COUNTY, N. Y, SPECIAL CONDITIONS OF THE PERMIT: Sy . . . . .. . ... . ...._ .. ..... . . . ... . . . . . . . ... . . .. .. . . . ....... . ... ... ..., . TOWN OF QUFFNSBURY BUILDING 6 ZONING DEPARTMENT SEWAGF DISPOSAL PERMIT APPLICATION 1 . Owner Is . Nam e Address k 4"Z Telephone No . 2 . Property location JS Cma+(��' ],^, ,� 4092h• e)N 3 . Name of person or firm responsible for installing system Telephone No . Address 4 . Number of bedrooms ( residential buildings only ) 5 . Daily flow gallons/day 6 . Septic tank capacity g:& gallons ? . Topography : fla rolling , steep % of slope 8 . Nature of soil 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 L;;� is not required C If required what is the rate minutes/inch llo water supply : municipal , well , other 12 . Type of system proposed : drywell , t ' %; ,:aN a l _ ther 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 's- wr 7? - WC slgnature 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 . Form 3 - 82 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 V7 50cz t 44 1` ype of heat 3 . Is the building mechanically caoled ? % d - 4 . Percentage of area of windows and doors 1M,4� NOW - A . Over 16 % Only 1 . U value of gross area of walls , roof/ ceiling and floors o 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. 2 . R value of exterior walls 3 . R value of glazed area 4 . R value of doors j' _ wqr J ^ � 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab JAM 7 . R value of slab insulation - heated slab *4 &;!. 8 . R value of heated basement / cellar walls ( above grade ) ,mAao. 9 . R value of heated basement /cellar walls ( below grade ) . 10 . Type of insulation ... C .� Co Controls .. ,o 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 Beating .. * 1 . Performance efficiency 2 . Temperature control setting maximum G , For Swimming Pool Only 1 . Maximum heating Telephone No . ( applicant ' s signature ) THE NEW YORK BOARD OF FIRE UNDERWRITERS 4057381 BUREAU OF ELECTRICITY F LELd 41 STATE STREET, ALBANY, NEW YORK 12207 ~ Dote July 220 1985 .Application Now on file 081451-85 � �' � � � �` THIS CERTIFIES THAT only elFe electrical equip Faent as described below and introduced by the appllc"^t MOMILed on the abope application number in she premises of Paul .tnk Coiistruction , Sycamore Street , Glens F'ai18 , IYetdT York in thefollowin.s location; ® Basement ® .1st Fl. ® 2nd Fl. garage/outsIde Section Block Lot 91 was examined on 7 f 8f 8.5 andfound to be in compliance with the requirements of this Board. OUTLETS ACLES SWITCHES FIXTURES RANGES COOKING O DECKS OVENS DISH HAUST FANS WASHERS EXUTLET+ INCANDESCENT FL{ ^IRESCEMT y AMT. K. W. AMT- K. W. AMT. K-W. AMT. K. W. AMT. K P- 29 = 59 35 28 1 1 3. . 5 3 xr . DRYERS FURNACE MOTO" FUTURE ALMUANCE NEEbERS SPECIAL RECpT TIME CLOCKS µ:LL UNIT HEATERS MULTI-OUTLET DIMMERS -AMT. K. W, OIL H. P. GAS H, P, AMSYSTEMS T- NO. A. w. o. AMT. AMP. AMT. AMPS. TRANS. AMT. H, P. NO. OF FLLET .AMT.- WATTS 1 dryer 13#10 2 Fr . 1 range 13#6 1 1 _. San% DISCONNECT NO.OF S E R Y I C E AMT. AMP. TYPE L[GNNF'. 1'!' 4VY A X 7W 3 X 3W 3 X xW PER CC. OF CC CO►10. NO. OF HI.LEG C: IH'& CK' NEUTRALS 4f NW G. = 1 Aj- 2a10 CB 1 x 4fa 1 2/0 OTHER APPARATUS: '�- Smoke Detector 1- 4 . 5 k . w. -- Water Beater dp'7? - E R A I:lectri.c/krarsk Dingman) 239 7 Birch Lane IIRANCH MANAGER w Clen s Falls , New York 12801 ., --.. . . f r WOMEN COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QLfEENSBURY t Da �� 1f��rT" s►1 S P° h'°'- weather -�... ExcaQa t1on Foot-in Forms - Footin & Piers Foundation _ ,. Cement Coat Water rooFin Baclk.Fil2 Final SU.I Framin _ Shea thin Roof Fel t RM1C+o.t'.i n Masanr ;/en�+er - Rnu h Pi Relief Values ~ Wall Board Finished Floor Interior Trim ,�- Stairs & Railin s - Cellar Dr . Tile Concrete Floors PI Fixtures Gar. Fire roofi.n Door Closers - C1t.imne Water Meter Inst . Se tic A ravel Floors Insulation Faurr�d 2�,at n walls - --- . Cez--- B Sul ildingq Inspectp= RE'MA14K5 Lam' l/V To"VN OF QtIEEIVSBURY Building tsepa:tmemt Name CI Exca�ya Lion Remarks Footin Fa=ms Footin & Piers Foundation Cement Coa t Wa te.r x oofin BaC*fill Final fuurve Framin Shea thin Roof Fel t Roofin Sidin Masonr veneer Rou h PI Relief va.1v[•+s Wall Board Ext. Porches Finished Floor �Tnterior Trim 3talrs & Railin s Cellar .Dr . Tile Concrete Floors Pl Fixtures Gar . Fire roofin D00r Cl users Ch.i,mne water Mmeter Inst , 8e tic A royal F rs r' Xnsulatlon Pou~ t][}� a ptipGi rl ,,G� /' C .�✓ Building Tnsgector REMARKS sor TOWN OF UEENSguRY Bnildins Departm,"t N� Rc+ts .t Data S� Loa14ao weather Remarks Exca0atYon f0o t.in Forte tin & Piers Founda ti.on Cement Coat �ater nCT Backfill Final Survey F"- n Shea thi In R'ooe Felt Roofin S1 dirty Masonr Veneer Rotr h Pl Relief Yal ves wall Board E'yt . Porches F,ini shed Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors pi - Fixtures Gar . Ffre+ room Door Closers -� Ch imrte Wa ter Meter Inst . -- Se' tic � royal Floors Insulation Founda tio: ally Ceilir] _ Serz ding ,*nspector REMARKS TOWN OF QliEENS13URY famPeftorm Report '�`�iidixat U,apa�rlmerzt IIialfter r// Dace Pew No, dI W►a�t�F, 2 Exca Remarks tYa ti on r0o tin Forms Poo t i n & P-I Foundation Cement coat Water roofin SackfiII Final Surve Framin .Shea thin Roof Fezt Ro©I Si ding Masanr geneer Rou h RelieF salves Wall Board Ext , Perches Finished Floor Xnterior Trim Stairs & Rodin s Cellar Ur . Tile Concrete Floors Pi . Fzxtures Gar. Fire root`'i n .Dorm Cl osers chimne fvater Meter Inst . ` $e tic A royal Floors =nsu"lat-I Fort Walls Ceilln ��xilding Inspector REMARics TOWN 00 'UEENSBURY Bail ding Department hu"Oebwa Report p`e.nit No. we.t?.er �zema rlcs Excaiya t on Footin Forms Footin & Piers Foundation Cement Coat Water roofin Bac7cfi l l Final Suxve Frarrmin Shea thin Roof Felt ncr Siding Mason. veneer Rough Pl Reliof valves Wall Board Ext . Porches Finished F1ogr Xnterio.r Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors P.1. . Fixtures Gar . Fire roofin Door Closers Ch.iame Wa ter Meter Inst . Se tic A roval Floors Xnsulation Foundation Walls Ceilin r 13ui Id tnq 1 nspector REMARKS