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1985-067 C/O Paid T CERTIFICATE OF OCCUPANCY TOWN OF QUEEN5BURY WARREN COUNTY, NEW YORK Elate lq This is to certify that work requested to he done as shown by Permit No. 8 5- 67 has been completed. This structure may be occupied as a Addition to mobile home ( living area ) I.ocarion Pinello road Owner Arthur and Colleen Johnson By Order Town Board OrOWNF OF QUEENSSURY Building & Zoning Inspector CREATIVE "INSTA PRIMTtNa, GLENS FALLS n T 12601 If iS1tS S.Si Se 4V BUILDING PERMIT TOWN OF QUEE14SBURY No. 8 5- 67 WARREN COUNTY, NEW YORK n PERMISSION is hereby granted to Arthur and Colleen Johnson n OWNER of property located at P inello Road Street, Road or Ave. � C] in the Town of Queensbury, To Construct or place a _ Addition to mobile home ( 1 i�r itla area ) O at the above location in accordance to application together with plot plans and other information hereto filed and F . approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. (p F2, CONTRACTOR NER'S Address is RD 4 r 'Box 365 �4 Glens Falls , New York tr o ul O or aUI LDE R'S Name Robert L±nendoll 3. CONTRACTOR or BUILDER'S Address Box 371 RD # 4 Glens Falls , New York b N rn 4. ARCHITECT'S Name W N C7 O fv [5.:AR CH ITE CT'S Address_ TYPE of Construction — (Please indicate by XI I �{ Wood Frame 1 ) Masonry C ) steel 1 1 7. PLANS and Specifications lO ' xl2 ' per application submitted. . F'- 8. Proposed Use r r- O One-Family Dwelling (Mobile 'Home ) Lo o tr �s �- $ 5 . 00 C/O Paid $ 100 OQ PERMIT FEE PAID — THIS PERMIT EXPIRES Oct . 1 19$ 5 0" m (it a longer period is required an application for an extension must be made to the Building and Toning inspector of trie U D town of Queensbury before the expiration date.) iD Dated at the Town of Queensbury this 28 th Day of March 1985 for the Town of Queensbury SIGNED BY Building and Zoning inspector TOWN OF (QUEENSBURY (Space inside block to be lilted in b% WARREN COUNTY. NEW YORK Building Ins "tors PPlitaticm No.APplication for I't•s-,,, st 1S.Nued 19 BUILDING AND ZONING PERMIT I'l -,-mi, YxI0ire+ 19 . THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale I 1 showingfire actual dimensions of the lotto be built Itf lk,;ll 1CS _ upon, Te exact size. and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. -raWN OF ClL3EENSIBIURY d d d d -0/' Ao :�35/i6 ?a F= 0 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Q 1985 ` ANSWER ALL OF THE FOLLOWING. A.M. „ � ' P / ry� ` 6 Thin undersigned hereby applies for a permit to do the following work '7 J 8Is , 1 # a II ' 4 y 6 ` which will be done in accordance with the description, plans and specifi- cations, and such spacial conditions as may be indicated an the permif. j �, The owner of this property is: ✓^�` Nu T 0 / �v oh s 10� /�', go• 4-1 I3 .� 36s". , �'; l� G ca ,+� d, . . .� F} . . . . , . . . . . . .0 . . . - . .�. . . . INA- •:�! CPO AI7DR ESSI The person responsible (or supervision of the work insofar as the Building Code and the Zoning Ordinance Japply is: . . . . . . . . . . . . . . . . . . . QC])C -3.")A. .p� (NAME) IF 4 AbD' PESSi Name of Builder 1rb Address � 0 X . 3 •7 l - RAP P%OA.L" . . 4,0 . (� Name of Plumber . . . . . . . . . . . . . . . . . . . . . - Address - . . . . . . . - , - . . , . . . . . . . . - . - . . Name of Mason - 4e1"' - "n t "3 f�1. �� . -j. . . . . . . Address . Lot Number , , - . . . . . . Unit . , , . . . . . - . . . Estimated value of proposed work S !0_ O . . . . . . . . . . . . . . . . . . . . . . Name of Village Q►.awQ- C, rn S\MNA - : . . . . . , - . . - . . . Name of Street - ..c+.� L. L,�� , •. Side of street : north ©. east 0 . south 0 . west Distance from this cross street . . I s�.4�?. . . Ft . Nearest Cross Street�,� t^s..*� �C`k"+. -�. • . . . . . . , . . . . . . . . ' ' ' Property is north er, souuth ❑ , east i i , west © from Cross Street If on Corner, which corner, northeast 0 , northwest © . southeast Lam . southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORT{ OCCUPANCY D Construction of a new building. Main BuRding One- Twoo Addition to a building. Family dwelling C� Alteration to a building. Two family dwelling C7 Demolition of a building. -family apartment Rowe Store building 0 , . . . . . . . -car attached garage [ } Other: . . . . . . . . I Accessory Building One-car detached garage © Other work_ Describe: . . . . . . . . . . . . . . . . . . . . . . . . , . . . . Two-car detached garage Private chicken house Private storage building L7 . . . 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 4` size of the property, the location, site and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. ._J Show proposed Wilding(s) in dotted line and existing �j ape .y r r/-/ lie r1t , tptilding(s) in solid line. Size of property . "� . . . . . . , it. x G . . . . . ft. qt Size and use of existing buildings, if any . -I i --- y '" Size of proposed building$, , : . . . Ft, x ft. 'j 11y I4eight (from ,grade to ridge) . . . . . . . . . . . . . ft. Front yard . . . . . . . . . . . ft. Side yards . . . . . . . . . . . . . . . ft. and . . . . . , . . . . . . . . . ft. Rearyard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ft, SOUTH 'tea If on corner, setback from side street . . . . . . . . • ft. Note : All distances are net, as nstasured front street side line to nearest part of building. e + tovERS to ?-?3-M ^� a, � f {cont'd. y BUILDING SPECIFICATIONS., !� rI Kind of construction.' 'Wood frame, fire safe, etc.? . . . , , .� X�{, . . . . . +*"T- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? �L /' � If o for what' . _ . . . Thickness . . . . . . Material of foundation walls . . . . aw . . . J ^ '- ? � . . . . - ? . �' Depth of foundation wails below grade . . . . . . . . . . • • • • • • • • • • • • - • • - Continuous Foundation? _ . . . . . . _ . . Willthere be a cellar? . If so, material of cellar floor . . . . . - . . . ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or flat? . . . *, to fo,4 ct . . . . . . Material of roof . . . . . ./ '�Stl!r' . !�. ` . . . . . . . _ . I . . . . . . . Size, wood studs . . . . . . . . . . . . . . x .`r" . . • . . • . • . spacing . . . /1 . . . . . . . . "o.c., length . . . . . /� - - - Size, floor beams, 1st floor . . . . . . . . cp?,. . " x .!o . . . . . . . . , , . , . , spacing . . . , . i . . _ _ . . "o.c.. span . . . . . . . . . . . . . . ft. Size, floor beams, 2nd floor . . . . . . . . " . " x .k . . . . . . . . . . . . "' spacing - . . . .5. . . . . . . . , "o.c., span . . . . . . . . . . . . . . ft. Size, ceiling beams . . . . . . . . . . . . . . . . . . "" x . . _ . _ . . . . . _ . . . ". spacing _ . . . . . . . . . . . . . "o.c., span . . . . . . , . . . . . . , ft. Site, roof rafters or beams . . , . 4 . . . . . ;1. x & . . . . . . . . . . . . It spacing . . . . . . . . . . . . . "o.c., span . _ . . . . . . . . . . . . ft. Exterior finish _ . . . . - , . . , . . ! /f . . . . . . . . . . With what material? . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material i wail between garage and maim building to be constructed? . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . , , . _ _ . . . _ I . _ . . . I . . . . . . , . . . . . . . . . . . . . . . . . . . - - . r . . . . . . Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . . _ . I . . 1 . . . . . . _ . . . . . . . . . _ Will a flue-lined chimney be provided? . . . . . . . . . . . . . . Depth of chimney foundation below grade - . . _ u . Height of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . , , Will there he a fireplace? . . . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . . Willa toilet be installed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York 1 swear that to tt: brap�, of my knowledge and. belief the statements contained in this application, together with the plans and apecificarioria as COL?E, HE are a true ZONINGlORDINANCE,f all and all other lawpertaining to t work shell be om �'ed all t , whether sp the BUILD- ING that such work is authorized by the owner. proposed p 1 a i" w`whether apacilie[i or not. Sworn to before me this signature . . .. r OWNER. OWNER'S Ni.GE AatziCT. CONTRACTOR day of. .. . . . . ...'' .... . .��' .G. . . .. . . .... . . .. I9�c$ NOTARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: 13y .... .. . ... .. . ....... . . .. .... . ... . . . .. .. .. . . ..... . . . .... . ....... . ... . _ . . .... . . . . . . ..... . . . .,. ..... . ..-... r TOWN OF QUEENSBUR.Y 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 : t 1 . Gross floor area 2 . Type of heat. pf 3 . Is the building mechanically cooled ? 0 4 . Percentage of area of windows and doors A . Over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors 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 + t^ 5 . Type of insulation .// 1( B , Under 16 % Only �` -- -� 1 . R value of roof and floors exposed to ambient conditions. -! 2 . R value of exterior walls LZ 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces l� 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab / IiZV� 8 . R value of heated basement/ cellar walls ( above grade ) OV&Al ' 9 . R value of heated basement / cellar walls ( below grade ) A,rv41 -A- 10 . Type of insulation Co Controls 1 . ermostat maximum heat setting D . Duct Sv ems 1 . Is du t system nstalled in unheated spaces ? YES NO a . If ES , R va a of duc installation b . R va a of duct in other real E . ijping Insulati. n size of hot ter or co ling carr ' ng agent pipe 2 . R value of pip insulatio'F . Ser ce Water !-tenting_ 1 . P formance efficie y 2 . Te erature control s to ng maxi m G . For Swimm� Pool Only 1 . Maximum eati. ng `] Telephone No . '�''. ' �� "' Co. 0 ( applicant ' s signature ) t ` THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY F'cI 85 JOHN STREET, NEW YORK, NEW YORK 10030 _ Date December 19 , 1985 Application No. on file 092284-w85 N 720386 THIS CERTIFIES THAT "- only theeTleetrical equipment as described belaw and introduced by the applicant named an the above application number in the premises of r„ Arthur M . JohnSOn , PiT;.ello toad , 'Jena Falls . New York in thefollawing location; ❑ Basement ❑ Ist Ft. ❑ 2nd Fl. Section Block Loot was examined on 10 /7i/8 55 and found to he in compliance with the requirements of this Board. FIXTURE ECEPTACLES swITCNEs FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUCIRESCENT vA a AMT. K. W. AMT. K. W. AMT. K.W. AMT. K. W. AMU H. P. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'FT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. OIL H. P. GAS H. P. AMT. No. A_ W. G. AMT. AMP. AMT. AMP$. TRANS- AMT. H. P. N SO. OF FEET S OF FEET AMT. WATTS SERVICE DISCONNECT No. OF S E R V 1 C E AMT. AMP, TYPE METER 1 �, 2W 1 % 3W , 3M� S A. ;W ND. OF CC. CDND. A. W. G- NO. OF HI-LEG F HL G- NUJ. OF NEUTRALS A- W. G. EQUIP. PER .e' OF CC. CON P. OF HI-AEG OF NEUTRAL 1 200 cb 1 x 1 �+1 1 2 /tl OTHER APPARATUS- INSPE Artliur. �M . Johnson PInello Road Glenn Falls , New 'York 12801 GifNXiAL MANAGM Per This certificate must not be altered in any manner; return to the office of the Board if incorrect, Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.