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1985-282 f � rf +CERI TIM CA.TE C]�F OCCUPANCY' TOWN OF QUEENSBURY - WARREN COUNTY, NEW YORK Date C}ctc - c'r 10 �^y xg P 5 This is to certify that work requested to be done as shown by Permit No. P " 2 R ? has been completed. This structure may b�u 'ed as a One—raTn i 2 t F vrr- 17 a ncr Location Lc: t ° 'CycaTnnrc flr. ve) ( F trioet T?n . 7 ) Th.- y � user t- rS' Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector i CREATIVE "INSTA" PR4"TING. GLENS /'ALES N Y Il*UI If I60753-MOSS /C T 7' T ----------------------- CERTIFICATE OF OCCUPANCY l 1 CY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date .7 "I t 1 19 P This is to certify that work requested to be done as shown by Permit No. u 5 - < ' has been completed. This structure may be occupied as a ( n r—rm l �r Iin l l i ric Location 1'(nt r' c, C`Nrct r cre '�r 3. rC ( � t . t1C Owner rs:.`_' ;T C C Cf,FTT r *Tr ' v T; ;,.,, , r: i-��� ,�, By Order Town Board 127 TOWN OF QUEENSBURY Building & Zoning Inspector C Rf ITIVE "IMIY P" rIIINTY M(i, GI GNS FnLLS M Y 12i1A1 YS14�19]-545A r BUILDING PERMIT TOWN OF +QUEENSBURY No. 85_ 282 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Joe Roul ier O (D OWNER of property located at Lot 8 .0 SycaP_tnre Drive ( St . # 7 ) Street, Road or Ave. PC The Pines of Queensbury c in the Town of Queensbury, To Construct or place a One-Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and D approved and in compl lance with the Town of Queensbury Building and Zoning Ordinance. ri t . OWNER'S Address is Box 301 Cleverdale , N . Y . 2. CONTRACTOR or BUILDEWS Name Cn 1:74 Same rl- 0 rr 2 OD a CONTRACTOR or BW LDEF1 S Address 5 � Same 4. ARCHITECT'S Name O r5 CD l--'- 5- ARCHITECT'S Address g. TYPE of Construction — (Please indicate by X) ( 34 Wood Frame ( ) Masonry ( } Steel { } 7- PLANS and Specifications 55 ' x3l ' per plot plan , specifications and application No. sulimitted including two -car attached garage and sewage system . 8. Proposed Use one-Family Dwelling m I $ 5 . OO C/o EAid ~ ' r� $ 150 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 19 86 "G (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C=) town of Queensbury before the expiration date-} ic (U F—� Dated at the Town of Queensbury this 12 th Day of June 19 85 P. SIGNED BY r�• for the Town of Queensbury Building and Zoning Inspect! � TOWN OF QUEENSBURY ISpace ;node block to he filled in b% WARREN COUNTY. NEW YORK Building lnslw"orf Application for pplitutic,,, No. BUILDING AND IOMNIN6 PERMIT I'eq mil Expires . iq /4mii , Di%iriri 7111I1• , •I Work � THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale \i ,� ,r < ,� , •xl 1,� s " showingg the actual dimensions of the lot to be 6uil} It, In;Irkf" upon, The exact sixe. and location on the lot of the building to be erected or altered MUST BE SUB. MITTED WITH THIS APPLICATION. TOWN OF QOEEN,raBiJRY A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ,jtj Id 'i i 1985 ANSWER ALL OF THE FOLLOWING. A,M j S� ,j� 1' N. eni ned hereby applies for a permit to do the following work ?I8I9�11 2� $�4� �The und 9 Y PP P • . •_ -t s • a �. which will be done in accordance with the description, plans and specifi- cations, and such spacial conditions as may be indicated on the permit. The owner of this propert�y/,}S: / The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: C?. . . . . . . . . . . . . . ADDRESS) . . . . . . . . . . . . . . . . YNAME) I P 4 Nameof Builder - Address . - - . . Name of Plumber- , . . . . , . J . . . . . . Address Name of Mason . . . .�� .4 . . . . . . . . . . . . . . . . . . . . . . Address . . '._ ...✓ . . . . . - . . . - . . - %r• Lot Number . . . . 9. - Unit . . . . . . . . Estimated value of proposed work $ . . .,, 40' -y . . . . . . . . . . . J Name of Village , ❑ - . - Name of Street . . . . . !p'`s°"" et . /. . • ''� Side of street : north �, east Or. south © . west Nearest Crass Street/ %t ' • Distance from this moss street Property is north 0, south [3 . east i i , west 0 from Cross Street If on Corner, which corner, northeast [3 , northwest C1 , southeast ❑ , southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Bluihling C� Addition to a building- One-family dwelling [7 Alteration to a building. Two-family dwelling C� Demolition of a building. -family apartment !rouse � Store building F-1 -car attached garage Other; . . . . . . . . . . . . . Accessory Building One-car detached ,garage C] © Other work. Describe: . . . . . . . . . Two-car detached garage Private chicken house Private storage building 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 1 size of the property, the ioattiaat, sire and setbacks of Ara I NORTH posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing huilding(s) in solid line. Size of property . . . . . -Al-r!r ''. . . . ft. x ft. existing Size and use of exi s, if an \y B buildings. y � . . . - . . . . . . w w / �,�.�'' J/ft. x . �. . . . ft. ■ a of Size of proposed building . .s.:7- . . Height (from grade to ridge) . . . "' �� . . . . . . . . ft. Front yard . . . . . . - v `? . : . . . . ft. Side yards . . . .-! /f .� . . . ft. and . . ✓� . , , . . . ft. Rear yard . . . z . l? . . . . . . . . . . . . . . . . . . . . ft. sour �` If on corner, setback from side street . . . . • • • . . • • - - - - ft- Note : All distances are net, as measured from street side line la nearest part of building. {OVERT 7 -73—M (extnt'd. BUILDING SPECIFICATIONS., Rind of construction: Wood frame, fire safe, etc.? . . . Will any second-'hand lumber be used? . . . . e?-!P - , . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . �+^? . . . ! �.' . . . . . . . . . . . . . . . Thickness _ . . . /. O . . . Depth of foundation walls bylow grade , . . G. f r`ro. . . .7< . " , . , !'=�'',, , , , , , , , , , , , Continuous foundation? .��✓qtls� . . Will there be-a-ue r? � __ . . , If so, material of cellar floor . . . , ,G.4-+jG,r41��ed:; . . . . . . . . . . . . Type of ro lv ed r at? . . , . . . . . . Material of roof . . . . .!dsr9.S ? ac . . ir ,9Cc . , , _ . . . . . Sine, wood stu s . . . . - - . . . . . . . . . . . "` x . . . .4"!, . . . . . . . . . ", spacing . .... . � �1' $!�. . . . '"o,c„ length . . . . ft. Size, floor beams, ist floor . . . . . . de_ . . " x . . . / . . . _ _ . , . ", spacing . . , . .� ' �'� - . . . . "o.c_, span Size, floor beams. 2nd floor , , . - . a,C° . . . . . . . . . ... spacing - . . , . �r . . . . . "o.c., span. . . . . ft_ Size, ceiling beams va . . . . ' x . . . 7' d . . . . . . . . . ", spacing, _ �y . _ . . . "o.c., span . . . . � �. . . . . ft. Size, roof rafters or beams . . . . . . . , , , . . " x . . . . . . . ", spacing . . . . . . . . . . . . . . "o.c., span . , , . . . , . ft, Exterior finish d / !!q'! . . . . . . . With what material? Finish of interior Walls . 53cr +' �.t cat re. . - + �, r. . . . . . . . . . . . . . f ,' If garage is to be attached of what material is all between ga#ge and main _b 4(Lingy" to be constructed? s// f,. - . ../-? . Is s s'�:,..�.:. .: . ../,rv+�r4'/'r� . .F ,,Y.' •ot, Is there to be an opening between garage and buf3ding? . . r2t[a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . .t rde/a ;%r . . . . . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . , . , , . . . . . . , , . . . . . . I . , . . . . . . . Will a flue-lined chimney be provided? Depth of chimney foundation below grade Height of chimney above roof .. . . '? .�X� / ra.. r . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . / . . . _ . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . ./, t� . . . . . . . . . . . . . . Will a kitchen sink he installed and connected to water supply? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) ,/�vd , ako"' "• •' Distance of cesspool from any private well . . . . e�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . _ . . . . _ _ . , feet Will drainage system be provided with required traps, cleanouts, and vents? . . - .,7 . �S . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt A rr of my know,ledae and belief the statements contained in Ode application, together with the data and apecifx�tions pub mitted, are a true and co'k. lete statement of all proposed work to be done on the deaoribed premua e and that a ions of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether speeified or not, and that such work is authorized by the owner. Signature Sworn to before me this t?WNE R. S. ON AGENT, AiiCHITECT. CON7itACTOR // . . . . . . .. day of . . . .. . . . . . . 119 NOTARY PUSLIC, 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 �a 7 2 . Type of heat. 3 . Is the building mechanically cooled ? .c..JB 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 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 XO 3 . R value of glazed area 4 . R value of doors z .ff 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar /walls ( below grade ) 10 . Type of insulation . G:- Sz/r WIr C . Controls a 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 2 . Temperature control setting maximum G . For Swimming Pool On1 1 . Maximum heating Telephone No . Z�0 { applicant ' s signature TOWN OF OUEF'NSBURY BUILDING & ZONING DEPARTMENT SEG?AGF DISPOSAL PERMIT /APPLICATION 1 . Owner's Name ' Address - c '� dam„ .✓ Telephone No . 2 . Property location l v► j 3 . Name of person or firm responsible for installing system Telephone No Address_ �zt::�r 4 . Number of bedrooms ( residential buildings only) 5 . Daily flow. b C? 'c%) gallons/day 6 . Septic tank capacity gallons 7 . Topography : flat , rolling , steep of slope 8 . Nature of soil and depth 9 . If ground water , bedrock or imempervious 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 llo water supply : municipal , well , other. _/ , yam' 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 . Date 6 .- 5' . t gnatur of applscant 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 pF CNUf-"4SSURY . �1r,roca►w� W cgtl+es * Pew wo Remarks ;e:::- "L -l' - Fxcatyatxon Footin Forms Foot.in & Piers Foundation Cement coat Water roofin c)cfill Fjna1 Surve Framin Shea thin ,Roof Felt K- goofin Slain l�asonz' Veneer �tou h Pl K Relief Valves Wall Berra =— V 1 Rxt . Porches Finished Floor K Interior 'rim ISStairs & ,Railin Cellar Tyr . Tile Concrete Floors . K Pl to Fixtures y.. Gar , Fire roofin Door Closers Chymne eter xnst . Water 1S roval Semitic �21`�- Floors --�- Fox�ndatien Xnsulation CeiIiri AA Awl $lu ding xnsp'ector REMA1gK5 ToWt4 OF C jUEENSSUfLy Bursa lls- �* 1it°Q'art pill Locadmimi g �J1laatbe< Permit 1` al - Rema.xks Rica zon Footin Forms Vol & Piers Facinda ti.on Cent Coat Water rc+afixY RaakfzlSurve Final PratnI n Shes.thin Roof Felt iwofj-n Sidin Masonr veneer Ron h PI 04 Relief valves Wall- Board ' !? Rxt . Porches Finished Floor ©. Interior Trim Y Stan rs & Raylin s Cellar Dr . Tile Cancrete Floors PI Fixtures ` Gar . Fire roofin Door closers Chizone Inst . Water Meter sre tic A roval �- Floors --�- �� Foundation ----�~� Ins3ulation Fit Cellin u j.l cl in9 Inspec for REMARKS ���� f01A&r TOWN OF: QUE:ENSBURY Ruildlins D*P&Ttmeut Awipectaim Report Date 'I L.ocMOM Pen=it Naw Remarks ' ,ExcatYatxOn ~ pootin Forms Footin & Piers Foundation Cement coat Water roofin Backf- l Final. Surve Framin Sheathin - - Roof Fe.Z t Roofi-n sidi-n ` lKasonz Veneer Rou h Pl Relief Valves _ Wall Board Ext . Parches Finished Floor interior Trim stairs & Ra-, $ Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar . Fire roofin �rcx�,r closers �_._..�_... chimne Water Meter Tnst . se tic A rova] Floors �----------- FOundaticn Insulation Walls ceilin $u • rig Inspector REMARKS TOWN OF QUEENSSURY Building Department blo9Pect rs Resort Date Name L.a,calaon a c Weather - Perns�t No. rr ;:z [ Remarks ' Exca�at.ion ,Footin Forms Footin & .Piers Foundation meat Coat Water roofin ' ,Backfill ` Final Survey Framin Stxea thin Roof Felt Roofin - Siding Masonry Veneer Rou h PI Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railin s Cellar Pr . Tile Concrete Floors Pl Fixtures Gar . Fire roofin Door Closers Chimne _ Water Meter Inst . Se tic AP roval Floors Foundation insulation Walls Wale - Ce.ilin ' pe` c t� p Bua.l ding 1Tn RRmARKS OE D OUP IER Home Improvements and Maintenance BOX 301 GLEVERDALE, N .Y. 12820 (518) 656-3544 k 4 r �� /a oe grvL �c,1/�� y. low rei f�