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1985-389 T -------------------------------- CERTIFICATE OF OCCUPANCY r TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Owe ymW $ Date T'To"ert: cr_ 1 7. Iq r This is to certify that work requested to be done as shown by Permit No. FF 5 - 3 8 9- has been completed. DM V6 i i 1• l 1 n ck This structure may be A as a One-T' aP i. l y Dv. c^ I l in cY Location T ,Gt I T ec7rry F?ca.c� - ct. i nr T F lzea giant T-'all- ? rc -Cra fit , Tt c . Pro o �[..�rcl -P ` Y\ , Owner C ,- ._- - By Order Town Board TOWN OF QUEENSBURY C Building N Zoning Inspector 4 CRRAFIMr " MSTI -' PRIMTINfs. GLCNS PALLS N Y ISO! 1lf S�lP3l RS• i I-1 T 7 Ta T n '117 . i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 3 19 This is to certify that work requested to be done as shown by Permit No. 5 3 8 has been completed. This structure may be occupied as a Location I:n t 17 }r erT cy y P n r r 2-h e-a ss a n t T%`a 11� Owner r ro-C rat , 7rc . f? T)T'*17 '�3 f nT ?F' IC 7 .TI Cr By Order Town Hoard 'LY_OWN OF QUEENSSURY Building & Zoning Inspector CMEA71VW '9MSTA'' PRINTINb. GLEMS rALLS M T 1 $e49 Ie+e i+a -aese , wm ..rrw' BUILDING PERMIT - �, TOWN OF QUEENSBURY No. $ 5 -38 9 , WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Pro—Craft Inc K Q f OWNER of property located at Lot 11 Pegcgy Ann Road Street, Road or Ave. Section I Pheasant Walk 1j in the Town of Queensbury, To Construct or place a One-Family Dwellinq 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. H fah 1 . OWNER'SAddressis Glens Falls , New York 2. CONTRACTOR or BUILDER'S Name Same W t ' M o 3. CONTRACTOR or BUILDERS Address n rt rti- H• I Same ~ ro H (D 4. ARCHITECT'S. Name LO 1p all S. ARCHITECT'S Address ts ry CO- Pal {3 6. TYPE of Construction — {Please indicate by X} +N I Wood Frame { ? Masonry { 1 Steel { } J. PLANS and Specifications No. 4 6 r x34 r per plot plan , specif icat±ons and application suhmitted including sewage system and two-car attached 4 S. Proposed Use M } One-Family Dwelling w H• $ 5 . 00 C/O Paid �c $ 122 ' OD PERMIT FEE PAID — THIS PERMIT EXPIRES Feb . 1 19 86 � {If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the CD town of Oueansbury before the expiration date.} I—' 1� r- Dated at the Town of Queensbury this 2 5th Day of _ JU ly 1985 SIGNED BY E_ _ C © for the Town of Queensbury Building and Zoning I nspector G ! a �• TOWN OF QUEENSIBURY 1Space inside block ub Ix, fillod itti b._ WARREN COUNTY. NEW YORK Building Inxixtitr>r} A Iication for XI1hI iratit,n No, I't-nxlit ls,uk4l 19 BUILDING AND ZONING PERMIT i!, �i ,i)t stric t 1 j I III- 11I '% f Irk THREE 131 Copies of a PLOT PLAN, Drawn to scale I 'I " "' `'`I I"' showing the actual dimensions of the lot to be built Il, �n.,rks upon, Tito exact sixe, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. TOWN OF QUEENSBU t-.Y 7 — 0-3 Of FOE ep E I V E A PERMIT M T BE OBTAINED BEFORE BEGINNING WORK JUL ;d 419% NSWER ALL OF THE FOLLOWING. , rR The undersigned reby applies for a permit to do the following work 71819 I�°�1 )' 1 1 213� fi 6 which will be don in accordance with the descrip+ion, plans and specifi- * ' • ' ' ' ' I ' ' • + cations, and such/special conditions as may be indicated on the permit. The ow this p pert is: The person respprisibie for. supervision of the work insofar as the B,uriId-iing Code and the Zoning Ordinance apply is: _ .,/� '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (NAME) WO ADDRESS) Name of Builder . . '4� - - . . . . , , . Address . . , G -. =. . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber . . ,. ^ram . . . . . . . . . . Address . . . . . . , Name of Mason - JZ1�oe 5; i d G', 4 . . .G�L .�il�r _ S - . - :0400� 7-�T tc Lot Number . . . .,'f/. . . !'�T. r'0464stimated value of proposed work S Name of Village I d d . . . . . . . . - . . . . . . . . . . . . . . . . . . . . . - . . - Name of Street . . . _{ ' 4�.!., G'. . . , . . . . Side of street: north © , east ❑ , south W. west 0 Nearest Cross Street . . .� f . . . /, - .► . Aj• • . . . . . . . . . . Distance from this gross street . . . . . . . . . . . . . . . . . . Ft. Property is north 11 , south 0 , east L'J , west ❑ from Cross Street If on Corner, which corner, northeast 0 . northwest 0 . southeast :southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY LN Construction of a new building. Matra Btultdxng -family dwelling 53- Ej 0 Addition to a building. Two-family Alteration to a building. Two family dwelling 0 0 Demolition of a building. -family apartment house Store building, 0 ..• -car attached garage Other: . , . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . - . . . r „ . . . , , . . . Accessory Building One-car detached garage ❑ Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house Private storage building Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZONI PECIFICATIONS. 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 lat:mstion, size and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing ttuilding(s) in solid line. Size of property . . . . . . . . ft. x . . . . . t v L? ft. Size and use of existing buildings, if any �- F !l s — "' Size of proposed building . . . . . : ' ft. x it. Height (from grade to ridge) ;:t -. .-� . . . . . ft' Front yard Kt �"? . . . . . . . . it. Side vards . . . . . . . . . . 1. ` . ft. and . . . r�3 - . . . . ft_ Rear yard . . . . . . . . . . . . . . . . . . . t + . . . . . . . . ft. SOUTH If on corner, setback from side street . . Note: All distances are Reg, as m0asured fra"m street side line to nearest ,part of btilding. COVER) (cont'd. ) BUILDING 5PECIFICATI0NS. T-- Kind of construction; Wood frame, fire safe, etc.? . . . . . . . . Will any second-hand lumber be used? If so, for what? . . . . . . . . . . . . . . 1 . 1 + . . ;e' ' + - I . - I I * - . . Material of foundation walls . . . . . . ,,?'� 'G:' G . . `�� !`ti' . . Thickness . . . . . . . . . . . . . . . . Depth of foundation walls below, grade . . . . . . . . . . . . . . . . . . . . . . . tt. . . . Continuous foundation? Will there be a cellar? . . . _ . . . . ' 'L . . If so, material of cellar floor Type of roof; Sloped or flat. . . . . �� 4 .o .,�'�- Material of roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �y Size, wood studs . . . . 2__ x . . . . . . . - . - _ . //G,r� spacing . . . . . . . . . .���}�"o.c., length . . . . . . . .• . , c3. ft. size, floor beams. 1st floor . . . . . . . . . ' x . . . . . . �s . ", spacing . , . . . . . . . 1 . . %vc., span . . . . . . . . : :�{r.e� Size, floor beams. 2nd Floor . , . - . . . . s� ft x . . . . . . . . .jg"- ", spacing . . . . . . . . . ,1 a . "o.c., span . , . , , , . Size, ceiling beams . . - - . . . . . . { / spacing "a.c., span . . . . . . . . . 2 _: A, sine, roof rafters or beams . . . L . ! .( . . . . , . - " spacing . . . . . . . . o,c., span - . . . . . . . ... .. . .. ft- ,s . . . , Exterior finish . . . . . . . .z- • � c + . . . . . . - - . . With what material? - - .! . . . . . . . . . . . . . . . Finish of interior walls . . . . . 1f I!J - . . . S",l � �. xc► C" fiC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what in erial is wall between a and main building to be constructed? Is there to be an opening between garage a_nd building? � � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . . . - - - - - _ . . Oil burner or coal ? . . v . . Will a flue-lined chimney be provided? . . . • . . Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof . . . . . . , . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . . . . . . . . . Depth of Fireplace hearth . --~ . . . . . . . . . I . . . . . . . . - . . . . . . Will a toilet be installed? , . . . G . .`5F . . . . . . . , . . . . . . . . . . . . . . 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 I swear that to tr, bed fof my koowiedge and belief the statements contained in this application, together with ills plane and specifications ■ub- mitted, are a true and tx,... lete statement of all proposed work to be done on the described premises and that ns io of the BUILD- ING. CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shelf be Iplied ' wheilter WI or not, and that such work is authorized by the owner. '00 Sworn to before me this Signature -- _ .. . ti OWNER. t7WNER'S, AGE . ARCIi[TECT. GON� OR . . . . . . . . .7 day of. . . . . . .. . . . . .� . 19. �7 3 ffJ�JJ/jJ///f/�JJ µpTARY P1.1@L1 C. WARREN C41.[IhlTY. M. 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_ fI!;;7 2 . Type of heat LS�rC/� +�= C:7 ,r 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors Z ,+ 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_ r'J 2 . R value of exterior walls 3 . R value of glazed area fr 4 . R value of doors f 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 / r3Ci ' 'Gf S /3 09 C . Controls 4 1 . Thermostat maximum heat setting D . Duct Systems. 10 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 .-� €s e 1 . Performance efficiency 2 . Temperature control setting maximum XI � r2 G . For Swimming Pool Only J 1 . Maximum heating Telephone No . . , ( applica ' s sigma u� . -"4r TOWN OF QUFFNSBURX BUILDING & ZONING DEPARTMENT SE TAGF DISPOSAL PERMIT APPLICATION 1 . Owner ' s Name Address • '�� i � 1�,/ / c ` r Telephone No . 2 . Property location `' �r`fry ,r ,r�. ',� f ,, f�• 3 . Name of person or firm responsible for installing system / _ f` / ,r .• .• Telephone No . Address 4 . Number of bedrooms ( residential buildings only) 5 . Daily flow gallons/day 6 . Septic tank capacity. ,r' 41 C71 �5 gallons 7 . Topography : flat rolling , steep of slope Be 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 is not required C If required what is the rate minutes/inch 11 . Water supply : municipal , ell , 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 Sa itar Sewage Ordinance . Date) i s � tune _ a, �plsc t On separate sheet of paper submit a diagr `of thaPosed 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 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY EIS JOHN STREET, NEW YORK, NEW YORK 10038 .� 1� Datidanu ry 13 , 1986j, Application No. on file (�0, 91332/95 Ni7 � � ? 7 THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named an the above application number in the premises of Prat-�art It'3cor* x:)r tfe(1t Leyt n Peer4y Ann Road , f_?x7+E3E risii lvr , *.Yc: q Y(,.)rR ' in thefollowing location; Basement Ise Fl. ❑ 2nd +F'l. Outside Sectio"121 Block` Lot I I was examined on -29--85 and found to be in compliance with the requirements of this Board. FIXTURE ECEPTACLESSYiftTCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS - OUTLETS INCANDEESCE NT FLUORESCENT v�1Pb4 AMT. IC W_ AMT AMT,W. AMT, K.W_ pMT. K_ W. AMT. DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL RECePTj TIME CLOCKS I gELIL UNIT HEATERS MULTI-OUTLET DIMMERS TRANS. SYSTEMS PJAT. K. W. qll H. P. GAS H. P. T. NO. {, G. AMT. AMP. AMT. AMPS. AMT, H, P. NO. pF FEET AMT. WATTS SERVICE DISCONNECT NO. OF S E R V 1 C E AMT. I AM TYPE METER P. 1 .& 11N 1 0 3W 3 0 3W 3 % AW NO. OF CC. COND. A. W. G. NO. OF HI.iEG A• W. G. NO. of NEUTRAIS A- W- G- EpUIP. PER B OF CC. yC&D. 9F HhIEG OF NEUTRAL OTHER APPARATUS: 1- GFCx Gy . LCrYT. �+�,,,�� 1 s n :i.w. i>.ra-cri L-t 'TPf!"r7Y'pC1ratied klec �411i noad I1..-'C..r/ .Glens Fallsr New York 1W03. G�I'eRAL MANAi'iER 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 BUILDIINC_s_DEPAR I ENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF Q►UEENSSURY Building' Department Lmapacbma ptapmt Dewte J' r Name R o - , PceraiR Nat .rE 5 - 5a S Wead"ar Remarks Excava t on Footing Farms pootingr & Piers Foundation Cement coat Water fin Bac"Ill Final Survey Frami Sheathing Roof Felt Roofi Nagqrwy Veneer Rougrh PPl Relief Valves Wall Board Ext . .Porches F%ni shed Floor -. Interior Trim Stairs & Railin s a xs Cellar Err . Tile Concrete Floors PI . Fixtures O. Gar . Fire roofin Door Closers _QJ67ALIAD 'U�M AMU Chimne water Meter Xns t . se tic Approval Flours Xnsulation Foundation Walls Ceiliri wilding inspector REMARKS � - d4 = - r TOWN OF QUEENSBURY Bnildia;- Dopartmout Ioepaemas =�o DateNomaC. !4xtI Lo� ` 1 I dr G Pern9 k. No. lyr- .3 d? I VI►e*mher Remarks 7sxca+r}a t.xan Footing Farms Footing & Piers Foundation Cement Coat Water roofin Baclkfill Final. ,Surve Framing ,Sheathin Roof Fel t Rooffing SIdInq MaSoj2r.q Veneer Rough Pl Relief Valves Wall Board Ext. Porches Finished Floor znterior Trim Stairs 6 Railinqrs Cellar Dr , Tile Concrete Floors p,zbg , Fixtures Gar. ,Fire roofin ,Door Closers Chimne Water Meter Xnst . Se tic Approval Floats Insulation Foundation -- Walls calling Bull-alng Inspector REMARKS `] 1/4fS P'6eTl 0L1 p f s4pr-s 6 r.**Ij. pe 4 Cc> vL r2+ J . 01C /36r E9a-54-4ed- la-k-t fs % .FE TOWN OF QUEENSBUR.Y BusUcHnt Department LM*MCUWS Report Date axe �'i S; r Name + T Location 0 PermikNo, Remarks SxcatYa is on Footln2 Forms Footing & Piers Foundation Cement Coat waterproofing Baclkff ll Final Surve Framing 55 4 - ACK- STW . Sheathing . G Roof Felt Roofing 5 u siding Masonry Veneer 0 g� Rough Pl o a d3 Relief Valves a Wall Board Hxt . Porches Finf shed Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar , Fire roafln Door Closers chimney Water Meter Xns t . Septic Approval _ Floors _ Xnsulatfon Foundation Walls CeI112.fL- IM — � 2) M�C BF111ding ,inspector REMARKS TOWN OF QUEENSBURY Building Department Inspacbms Report Name v ^ P C f? -r— a r roc No. weadher Remarks Excat}a tzon Foo ti n2 Forms Footin & ' Piers Foundation Cement Coat waterproofing Hackfill Final survey Frai in sheathing Roof Felt Roof-in S.id.in NasonrIj veneer Rough _?Jbq Relief valves mail board zxt . Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr , Tile Concrete Floors P1 . Fixtures Gar , Fireproofing Door Closers Chimne Water Meter Inst . Se tic Approval -. Floors _ Pounda tl6n Insulation Walls . n Bail ing Inspector REMARKS TOWN OF QUEENSBURY Building Department � Report DateN l Pit Na. b' i 3 r 1N ealtla+er Remarks 8xca�Ya txon Foot-in Forms pootinia 6 Piers Foundation Cement Coat Water ,roofirt Backfill Final Survey Fraadn Sheathing Roof Felt Roofi Siding Masonry veneer Rough Pl Relief valves Wall Board Ext . Porches Finished Floor Interior Trim stairs & Railings Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar . Fire rooEin Door Closers chimney Water Meter Inst . Se tic AEProval Floors Insttlatian Foundation Wails Cei l ire 1 Bu di g Inspector / REMARKS J rV/V� r- r w V +r V i r r mr, n J f _ 41107, M