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1985-220 1 i TOWN OF QUE'ENSBURY WARREN COUNTY, NEW YORK 19 Flo D�a1oc q • r f � i� This is to certify that work requested to be done as shown by Permit No. 1,.s been oon pteted. pCl�-RkMlkg ')NV* f re may be occuPtOd 'as a Thif itRlCtu �_b. Qom( m -C•ice:y r 1C3�" [ ` ""Yrcl 1 ' -L.�' Owrrwr By Order Town Board TCYWT3 OF QUEENSBURY Building & Zoning inspector CpC+tTIYC "�N'JTA rN4NTING 6LEN5 "MILS N Y li�Ul IS Ii}9i3-'SiSi . t - BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 220 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to RR..�chx Si Trovab 7 dc�g -- OWNER of property located at I,Qt 6 Fox Road ( off Upper Ridge Street, Road or Ave. Road in the Town of Queensbury, To Construct or place a one-Farnlly Dwelling r�S 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. F4 0 1 . OWNER'S Address is 75 Hudson - C7 lS South Glens Falls , New York ro 7. CONTRACTOR or BUILDER'S Name OKO Custom homes 3. CONTRACTOR or BUILDERS Address 9 John Clendon Road � 0 Glens Falls , New York rt rn 4. ARCHITECT'S Name 0 X 7�! O 5_ ARCHITECT'S Address yy 6. TYPE of Construction — {Please indicate by X1 (x) Wood Frame I ) Masonry ( ) Steel f ) 7. PLANS and Specifications 781x30 ' per plot plan , speci_ficatlans and No. application submitted including sewage system and two-car attached garage . ro B. Proposed Use � One-Family Dwelling V§ �G $ 5 _ 00 C/O Paid 85 $ 1850 00 PERMIT FEE PAID — THIS PERMIT EXPIRES December 1 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ( FJ town of Queensbury before the expiration date.) H_ Dated at the Town of Clueensbury this 2 1st Dayof }�. May 19 $ 5 cQ SIGNED BY _ t. , Na2c� for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY (Space i irt ,•4 inside block to he lined ill bt WARREN COUNTY, NEW YORK Building InxptA tor) lm4italsutt tilt.. �.Application for 1" , 1„ il 1 %mi �d 14 BUILDING AND ZONING PERMIT 1'l •rmil E.Xi'ives - 44 �lI1114 1 )i�tric t THREE 131 Copies of a PLOT PLAN. Drawn to scale ic, 1t;� � M.S" shov,,inq tits actual dimensions of tits lot to be built upon, a exact size, and location on +he lot of the bu7dinq to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. "TOWN OIF QUEENSSUR2Y A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK a E I V L iti ll ANSWER ALL OF THE FOLLOWING. R FillV Y 2 1 198 (� The undersigned hereby applies for a permit to do the following work p which will be done in accordance with tine description, plans and specifi- /4.M. fG7r cations, and such special conditions as may be indicated on the permit. ` ` ,st1J 2 31 4; i "7 8 9 The < nerof t i :iiroper s: ptrr+E"�,� ,C�C�- '�! GsR3 T `NA, �Ft 0P o. AUoRESS1 Thepr rson responsible for supervision of the work insofar as the Building C""a<i� and th Zoning Ordinance is � S ?� . . 14. 2- • V y`-L! a<ww=^-rr IC'"�, • ' {f 'd 4660ESS1 (NAM�1 ,,,.�y ,tea Name of Builder . CY 'l. p W,5 ?b.rc.t Address C � EsvGa. Name of Plumber . . , . . . . . . . . . . . - . Address Name of Mason . . . . . tg . . . . . . . . . . . . . . . . . . . . . . . Address Lot Number • . . . . Unit . . . . . . . . . . . . Estimated value of proposed work S -ee 7-0,4* ? �- . . . . . . . . . . . . . . . . . . . . . . . . Name of Village . . . . .4y4"` .K ? .. . . . . Side of street: north 0, east C3 , south 0 . west ❑ Name of Street r Nearest Cross Street . . • . 1pG't^' . . . . . . . . . . Distance from it is gross street . . . . . El Property is north 0 , south , 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 WORK OCCUPANCY Main 1300t9ing Construction of a new building. One-famiiv dwelling Addition to a building. Two famiiv dwelling © Alteration to a building. . . . . -family apartment house 1:1 Demolition of a building. Store. building 0 - I 40:;4. - . . -car attached garage Other: . . . . . . . . . . . . . - . Accessory Building One-car detached garage � D Other work. Describe; . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house . . . . . . . . . . . . . . . d . . , . . , . . , . . . . . . . . . . , . Private storage building 1� Other: . . . . . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy. Indicate on the plot plan street narnes, the location and size of the property, the location, size and setbacks of pro- posed buildings, and the location of all existing buildings. NORTH Show proposed buildings) in dotted line and existing k _ huilding(s) in solid line. F Q Sire of property . . . o� , ©- . . . . ft. x . . .3 t ?CS ft. ` Size and use of existing buildings. if any . . . . . . . . . . . . . Size of proposed building . . .� . . . it. x . . . ft. Height (from ,grade to ridge) • • • •r �� it. Front yard . . . . . . ft- Side vards . , - . . /. . . . ft. and . . . . . . . . . . ft. Rear yard _ [. `. . . . . . . . . . . . . . . . . . . . . ft. SOUTH If on corner, setback from side street - . . . . . . . . . . . . . . ft. . . Note: All distances are net, as riteasured from street side line to nearest part of building. (OVER) 7 -73-114 (cont'd.) BUILDING SPECIFICATIONS., Kind of construction(S ood raf to ire safe, a .? . . . . . . . . . . . . . . . . . . _ . . . . . . . Will any second-hand lumber be used/? .�� R:? . . . . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . , . . , S - !F'. . . . . ./F�� Thickness , ram' . . . . . . . Depth of foundation walls be grade , . . - . . . . ... . . . , . . . . _ 1� gT' � • - Continuous foundation? Will there be - . . . , . If so, material of cellar floor Type of roo Sic, ed flat? Material of rooft +r�MS. .�`�/S+/L size, wood stu s . . . . . . . . .4 r. . . . . . . - , . , . . . . , spacing , . . .!''�� . . . . . . . . . . . " X . . . . „ ;.b.C., length . . . . . Size, floor beams, 1st floor . , ramr;�. . . x . . . s!,'n- , t, spacing f Size, floor beams, 2nd floor x . . , ? . _ _ _ . . . ". spacing . . . . �� . . . . - . "o_c., span . . . . . . . ft Size, ceiling beams . . . . . . . . c, -. . . . . "' x - . . spacing . . "o.c., span . . . . /. . ��. . . . ft. Sire, roof rafters or beams . . . . .2. . . . " x . . ! . . . . . . - - "', spacing . . . . B �+a. . . . . . tvo.c., span . . . . le ft. Exterior finish . . . . . . . / With what material ? . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . . . . . . . . . r � 1�' LZJ. rGr . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..�,..r- ?. If garage is to be attached, of what material is wall between garage an main building to be constructed. . . . . . . . . . . . . . . . �/, f ' G' Gv . . . . . . Is there to be an ripening betty n garage a building? Ems. . . . . . . . . . . . . 4 . . . . . . . . . . . . . . . . . . � Kind of heatingsystem . . . ,. . T . . . . . ■ *:� ' - y d � c r . . yr coal ,�' �"vi Pe Will a flue-lined chimney be provided? . - . . . . . . . Depth of chimney foundation below grade . !ea. Height of chimney above roof. . . . , ,v2 . r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 07 Will there be a fireplace? . . . Depth of fireplace hearth . /. Gx . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . ' . - , . . . . . - . . . . . . . Will a kitchen sink be installed and connected to watery a ppl ? . . Water supply (public water supply or pump) . _ . . . . G.�'' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . �'G}�+, r. . .!�+ feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt: 4bc-s jof my knowledge and belief the statements contained in this application, together with the plans and speciricationa sub- mitted, are a true and CO.L. lets statement of all proposed work to be done on the described premises and that an r of the gIfII,jJ�- ING CODE, THE ZONING OfIDINANCE, and all other laws pertaining m the proposed work eitail be complied w3t5 heth s specified at not, BUILD- and that such work is authorised by the owner. + } _ Sworn to before me this Signature R.r . ft ....�"'� �ra'e +' �!'�. . . . OWNE R"5 AGENT, AgCHI CT ONT TOR dayof _. . . _. . . _. . _ . . . . -. . . .. . ... . . . .. . 39 . . . . s-- P40TARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT-. By .. .. . .. . . ....... . ..... . . . ...... . .. .. . . . . . . ...... . ..... . . . ... . . .__.. . .. . . . .. . . __. ..... . .. _.. . .. .. .. . V E E N S B U RY / 7 WARREN COUNTY . NEW YORK Application fors 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 c�2 /,/yyT � .,..,, 2 . Type of heat 3 . -Is the building mechanically cooled ?_� E� - 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 'ICES 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 floom ? 4e Is basement heated ? YES NO a . R value of insulation 50 Type of insulation 330 Under al Only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls / 3 . R value of glazed area./ 9 Z 4 . R value of doors 5 , R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slabepo am R value of heated basement/ collar walls ( above grade ) ef..� 9 . R value of heated basement/ cellar walls ( below grade ) sg,� 14 , Type of insulation ! Q�E'E Co Controls le Thermostat maximum heat setting D . Duct Systems_ 1 . Is duct system installed in unheated spaces ? YES NfJ ae If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulations 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service water Heating l . Performance efficiency 2 . Temperature control setting maximum / G . For Swimming Pool Only 1 . Maximum heating r Telephone N o . / �/ L' -,� Ca ?' mmmmm ( ap cant ' a sig ature ) T T TOWN OF QUEFNSBURY BUILDING & ZONING DEPARTMENT SEVAGF DISPOSAL PERMIT APPLICATION l . Owner ' s Name ' f�Sr�✓c D / �'C" �' u f /�' +� Address .J� ifJZ�5Gs lbf7 Telephone No .�71 3 2 . Property location " c 3 . Name of person or firm responsible for installing system Telephone No . Address " /2-Ft1/ 4 _ Number of bedrooms ( residential buildings only ) 44z- 5 . Daily f 10w 4o ;J01P gallons/day 6 . Septic tank capacity ,�' !� © G> gallons 7 _ Topography : flat rolling , steep of slope 8 . Nature of soil and depth_ '.L >*4 ^ 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 : municipal , we11 other 12 . Type of system proposed : drywell , ile 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 . / � _ d Date signature o appl '.cant 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/ /J/i� �tsel// ff}} f .�� �/y/]+ Form 3 - 82 YYY /f THE NEW PORK BOARD OF FIRE UNDERWRITERS IL1 KG� 6 BUREAU OF ELEGTRIGITY Q Qy Q �{� 41 S rATE STREET. ALBAfiY, MEW i ysCrS� - 615 V �Fa-d Application No. on file le - DwteC ct ob e r 9 s µ tion number in the premises of . THIS GEFRTIFIES THAT the applicant Pwlsraed an the abaue opplici only tlae electrical equipsne+ m described be&sw suad introduced Iryi F3W p L^ i p7C tic3 c'�.C't r ,LL F'E'Y3..`..' b'�2'C`V r coutside � Section Black Lot t. } d Bent '[_] Ist Ft. U 2nd Fl- race with the requirements of this Beard. in the fellowing !peat and found to be in complies ' QVEhIS DISH WASHERS EXHhiJST FANS was examined on RAfYI[iiES COOKING DRCKSAMT- TURNH. r: pl]CTllRES MAT. K.W. AMT. K. W. AMT. K-W. AMT. K. W. pX /��S SWITCME5 AWaesCHNr PWoafscEm 1 w 4 e2 pUTUE1S L;c At RarrT TIAN CLOCKS IMy UNIT IIRATERS µ SYSTTWASRT I �Rs piRNACE MOTORS FUTURE AV"V'UANCtE FRS SFRCI AAeT. AMPS, TRANS. AMr. +i• P. NO. tTF MST . ERS r• rao M MAIL MAP. DRY . -AMr. K.W. OIL M- ►. GAS H. P- 3.TS E ryJ0'.f6 E C S E R V I A.W. c. IJO. OP weUMALS OF jyWeAAL NO. OF D NO, OF CC. eOPeu. ►,.W.c. HO. aF HI.7.EG OF rn•LEG -: SERYIG'E I'.P.R-' �� aW of� �. �,N i P' sx 9 .rs sW 4 .R Ptlt a M. cn AMT. AAW. 1 200 oTiieR AtrrARATus: at .% �T v i Y1 : endon :i c �4 BRANCH lylAlIAGER `-','.. i;r Per COPY Fi7R BLIILDiNG pEpARTMENT. TIi1S COPY OF CERTIFICATE MUST NOT BE ALTEREQ IN ANY MAFfNER. — ' TCiWirl OF QEEN58URY 1 $uildimit DOPI rtmeut lnsperaw: Rapmt r�E Nazmh! IIIIIIIIIIIi..ocatinn �' pit No. W . W,ee,th,rx Remarks ExcatYa ti on Footin Forms Footin & Piers Foundation Cement coat Water roofin Backfill Final Surve Frauein Sheathin Roof Felt ,Roofin Siding Mason r Veneer Rou h PI - r Relief Values Wall Board Ext . Porches Finished Floor .interior Trim Stairs & Railan Cellar Dr , Tile Concrete Floors p. , Fixtures Gar . Fire roofin -^ for Closers Chimne Water Meter Inst . Se tic A raval Flcors Foundation �.. Snsulation walls ----�-�- Ceil�in4 r u, ' ding inspector REMARKS 6 1 ` r" G . T= TOWN OF QUEENSSURY Building Department b"Psebwe Repm Date' Nan Pit Nob Rema rkS 8xcaOatlon rooting FOzww Footi & Piers Foundation Cement Coat Water roofin sack�F313 Final Survey FIr Sheathin Roof Felt Roofln siding Masonry Veneer Rou 7h Plbgw Relief valves Wall Board Ext . Porches Finished Floor Tnterior Trim Stairs & Ral2i s Cellar DrII, Tile Concrete Floors Pj Fixtures Gar . Fire roofin Actor Closers Chimne Water Meter Inst . Se tic A rOval Floors Foundation Insulation Walls _.. Ceili Building Inspector // REMARKS TOWN OF QIJEENS13URY Building Department Name s Rom. Dnra�� ' Pern,st o w.*a.,thir Rema rks Excai}a t ' on Food Fonds cI rooting & Piers ' Foundation - Cement Coat Water roofin Ba c+kf3 3I _ Final Surve Framing _ Sheathing Roof Felt Roofin Sidin Na5onxy veneer Rou h Plbq. Relief valves Wall Board Ext . Porches Finished Floo =sk Interior Trim Stairs & Baili Cellar Dr . Tile I„' Concrete Floors P3 . Fixtures Gar . Fire roof-in Poor Closers Chimney Water Meter Septic Approval Floos's Insulation Foundation Walls Ceilin _' .Build rnspectox- REMARKS TOV'Ir►N OF QU EENSBL Building Department N ,J t Dm ! .�,�glc5' Name Z--z— Patrnit No. n a Wewtlss Cyr "I Remarks SxcatYa ti on .-.-- FOOt-ifiq Forms Footing & Piers Foundation Cement Coat Water rooPin Backf.i l l Final surve Framin Shear thin Roof Fel t Roofin Siding Masonry Veneer Rough PIbgI Relief Valves Wall, Board Hirt . Porches Finished Floor Snterior Trim Stairs & Railings Cellar nr . Tile Concrete Floors PI . Fixtures Gar . Fire roofin Dooz closers Chimne Water Meter Inst . se tic A royal Floors Insulation �' oundation - J ra Walls Ceiling Building Snspectr�r REMARKS .sF /� ,d TOWN OF QUEENSBURY Building Departmcat Ind Rgsrxt Date •• // xa� Pewit rya. '-- -�—•�- a c� r,,2._, - ..,._ +eau.nt Remarks Exca�}a t2 on Pootingr Forams Footing & Piers Foundation Cement Coat Water roofin Ba cJrfill Final Surve Framin Shea thin Roof Fel t Roofin Sidirr Masonry Veneer Rou9ph Pl Relief Valves Wall, Board sxt . Porches Finished Floor .interior T'xim Stairs & Railings Cellar Dr , Tile Concrete Floors P-Zbg. Fixtures Car . Fireproofing Door Closers W Chimne Water Meter Inst , Septic Approval Floors _ . Insulation Foundation Walls Ceilir) 400 Building Inspector REMARKS Fp 7-1, il is 4 ♦ v , A LFit ec IS. t o k ti a 7Z 16,e SCALAK Worm XO Al ft uta"It io i� -1 1- 71!1 y. 70t!