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1985-317
C/O pa ie CERTIFICATE OF OCCUPANCY I TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Qr Dave s r_ Y 19 a9D .5 .,r7 L. S 31 This is to certify that work requested to be done as shown by Permit No.Pr 7 has been completed. bm �1�r This structure may be occupied as a O z E -F TM i I_v L)'c-�'v `l l i-nla Location Focl� wc- 1l r�cac? � w Owner ? 1rert arcs T. 'at } y Pn ] 8nc' By Order Town Board 7OW N OF QUEENSBURY Building = Inspector C RC1TfYC "fNSYh PRINTING. 0L6"* PAL .S. N T filUf 5416 i5f qltf 3. BUILDING PERMIT TOWN OF QUEENISBURY No RS - 317 WARREN COUNTY, NEW YORK m PERMISSION is hereby granted to AlLert and Katy Poland � OWNER of property located at Rockwell Road Stre et, Road or Ave. in the Town of Queensbury, To Construct or place a Alterations to dwelling � at the shave location in accordance to application together with plot plans and other information hereto filed and r.l. approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t_ OWNER'S Address is Cloverdale . N . Ye 12820 0 w sz 2. CONTRACTOR or BUILDER 'S Name Edward P . Carr , Jr . a CONTRACTOR or BUILDER 'S Address RR # 1 Box 1374 Lake George , Now York r� 4. ARCHITECT'S Name (D 5_ ARCHITECT'S Address 0 ly 'Jrl+ 6. TYPE of Construction — (Please indicate by X) ( X Wood Frame ( S Masonry { ) Steel { l 7. PLANS and Specifications alterations to one- family dwelling per plot plan No. specifications and application submitted including new sewage system . I� S. Proposed Use ` r' One Family Dwellings - alterations W- $ 5 . 00 C/O Paid $ 30 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Jan . 1 19 86 to (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O town of Queensbury before the expiration date_l N Dated at the Town of Queensbury this 7 Sth Day of Tit nf� 19 Re; ~' F� N. SIGNED BY for the Town of C2ueensbury cf�,1 Building and Zoning Inspector TOWN OF QUEE'NSBURY ; spac-e inside block t[r bts rillc.cl in U, WARREN COUNTY, NEW YORK Building Itti cpcY trsrf Application fog •,�,y` " J` ic", �" 1+r•rnur luueel I4 BUILDING AND ZONING PERMIT lrr .= +,ei, Expires i'.r 1+ 1 1 + +� Ili%trit t \ ;, lur + +I '11'wk j THREE ( 3 ) Copies of a PLOT iPLAN, Drawn to scale t i " "-", t•al l'` ' /�' -� showing the actual dimensions of the lot to be built upon, The exact size. and location on the lot of the building to be erected or ol+erad MUST BE SUB- MITTED WITH THIS APPLICATION, June 19 , 1985 TOWN OF QUEEN5E3'r'_ R A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK J I j ` ' ANSWER ALL OF THE FOLLOWING. A M: (5`�ti p.M, The undersigned hereby applies for a permit to do the -fdllowing wank 718I��.44I 2 1 3 ) a 1 i? 1 0 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 property is: Albert W . and Kathy- G ., ,Poland Cleverdale , New York 128ZO INA '@1 rP 0. At]')RESSI The person responsibie for supervision of the work insofar as the Bi)i10, iiig { .k and the Zoning Ordinance apply is: Ed%va,rd . P .. , Carr,, . Jr . , - . . . . . . . RR II ., - .Box 1 374 Lake- George, New York 1 Z845 {NAME} SP O ADDRESS) . Name of Builder . .F�dwia rd, P. Carr., .Jr . - . Address . . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber Address Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . Addre%% . Lot Number . . . . . . . . . . . . Unit . , , . . . . . . . . . Estimated value of proposed work 4 A97 "d s7 . . . . . . . . . . . . . . 'Name of Village . Queen. . . L ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . . . . . . . - Name of Street Rockwell Road Side of street : riot th ❑, east 159 south © . west ❑ Nearest Cross Street . Sunn side Road . . . . . . . . . . . Y Disiancr frc :,. !hi>; cuss street tt . Property is north ❑ , south , east L i , west ❑ from Cross Street If on Corner, which corner, northeast Lj , northwest 0 , southeast C autlawt ;t (Designate by marking with an "X " in the correct space.} NATURE OF PROPOSED WORK OCCUPANCY rCl Construction of a new building. Main Building Tw LJ Addition to a building. -family d lling ® Alteration to a building, o-iatnily dwelling Demolition of a building. faenilY apartment house Store building n -rar attached garage u Accessory Building One-rar detached ,garage L 0 Other work. Describe: . . . . . . . . . . . . . . . . . . . i'wo-car detached garage c Private chicken house Private storage building t 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 t he property, the location, site and setbacks of pro- posed buildings, and the location of all existing buildings. Nanrrr Show proposed building(,) in dotted line and existing huiiding( s) in solid line. Size of property . . . . . . . . . . . . . . . ft. st ft. Size and use of existing buildings, if any . . . . - - - - St o rage. barn and. garage - . . . . r "' ft. x Size of proposed building . . . . . . . . . , . ft• LT' Height (from grade to ridge) . . . . . . . . . . . . . . . . . . . . ft. Front yard - - - . , ft. Side vards . . . . and ft. hear yard - . . . . . . . . . . . . . . . . . . . . ft_ \JJ urr� if on corner, setback from side street . . . - ft- Noce: All distances ore net, as eseasurcd from street side line to nearest parr of building. (aVEts) ,7 — f 3 �m f cont"d.y BUILDING SPECIFICATIONS., Rind of construction: Wood frame, fire safe, etc.? . . .W. .ood. . . . fra. . . me. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be Qused? . , No . . . . . . . . . If so, for what? • • . • . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls , , . 13,11 , bj-QQ1c. . . . . . . . . . . . . . . . . Thickness . . . . . . Depth of foundation walls below grade . - e4 r . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . Yes Will there be a cellar? . . . Ye S . . . . , . . . If so, material of cellar floor . . G one rete . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or flat? S1apE d . . . . . . . , . Material of roof .rrflmposition e, shingl . , . . . . . . . . . . . . . . . . . . Size, wood studs . . . . , , . .Z . , , , . . . . . . . " x . , . . . . 6. . . . , . spacing . - . 1 b. _ . . . , . , ."o.c., length . _ . . 7. . . . . . . ft. Size, floor beams, 1st Moor . . . . . �` . . , . . . "' x $- - . . . . . . . ", spacing . , . . E? . . . . . . . . "o.c., span . . . . . . . . . . . . . . ft. Size, floor beams, 2nd floor . . . . . . . . . . " x . . . . . . . . . . . . . . . ", spacing . . . . . 4 . . . . , . . "o.c_, span . . . . . . . . . . . . . . ft_ Size, ceiling beams " x . . . . . . . . . . . . . . . ", spacing . . . . . . . . . . . . . "o.c., span r . . . . . . . . ft- SUe, roof rafters or beams . . I . . . . . . I . , " x . . . . . . , . . . . . . . , spacing . . . . . . . . . . . . . . "o.c., span . . . . . . . . . , . . . . ft, Exterior finish . . . , Vinyl. siding. , , , , , , , , , , , , , , , , With what material? . . . . . Finish of interior walls . - . l ' .' . Sheetrock . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , If garage is to be attached, of what material is wall between ,garage and main building to be constructed? N. A. Is there to be an opening between garage and building? . _ - N. A. . . . . . . . . . . . . . . . . . . . . . . . . . . . .1 . . . . . . . . . . . . . . . . . Rind of heating system Ele.ctric . baseb•oar.d . . . . . . . . . . Oil burner or coal? . . . . . . . . Will a flue-lined chimney be provided? . . . . . .r. . . . . . . . . Depth of chimney foundation below grade . . . . . . . . Height of chimney above roof . - - - +W.. '. .-s . . . . . . . . . . . . . . . . . . . . . . . . . . , _ , . . . , Will there be a fireplace? . . . . . . . . . . . . . . . .1 . . . . . . . - . Depth of fireplace hearth . . . . . . . . . . . Will a toilet be installed? . . . ye,$, . . . . . . Will a kitchen sink be installed and connected to water supply? - . Yes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . Drilled *roeli Distance of cesspool from any private well . . . l ,Q 0 _' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system he provided with required traps, cleanouts, and vents? . . - .YAS . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to tr, ilea fof my knowledge and belief the statement eo iVn this application, toVether with the plans and specir"tions s,ub- mitted, area true and e6,a.p lete statement of all proposed work to be do o the deecri mtsea that w�f of the BUILEf- ING CODE, THE ZONING ORDINANCE, and all other laws pertain' roposed TSAG plied wi w specified or not, and that such work is authorised by the owner. Sworn to before me this Signature dd .. ... . . 0W NE R. 0WNE ENT. ARCHITECT. .. .tom.... . . . ._ . day of-. . . . . :. . _-. _ .. . . _ .. . . . . . I9 NOTARY PUBLIC, wARRIKH COUNTY, hl. 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 1932 - 2 . Type of heat Baseboard electric 3 , Is the building mechanically cooled ?, Wo 4 . Percentage of area of windows and doors 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_ 30 2 . R value of exterior walls 24 3 , R value of glazed area 40 R value of doors 5 . R value of floors over heated spaces N. A . 6 . R value of slab edge insulation - unheated slab d`1 A 7 . R value of slab insulation - heated slab N. A . 8 , R value of heated basement/ cellar walls ( above grade ) g 9 . R value of heated basement/ cellar walls ( below grade ) 10 . Type of insulation Fiber lass baths and hi h R sheathing Co Controls 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 Only 1 , Maximum heating $W . Telephone No . / � C k ( applicant ' s signature ) TOWN OF OUFFNSBURY BUILDING & ZONING DEPARTMENT SFWAGF DISPOSAL PERMIT APPLICA71ON I . Owner ' s Name Albert W - and Kathy G. Poland Address Cleverdale , New York 12820 Telephone No . 656 _ 9609 2 . Property location Rockwell Road 3 . Name of person or firm responsible for installing system Edward P . Carr , Jr . Telephone No . 793 - 0941 Address RR# 1 , Box 1374 , Lake George , New York 12845 4 . Number of bedrooms ( residential buildings only ) I:wo 5 . Daily flow gallons/day 6 . Septic tank. capacity. 1000 gal concrete gallons 7 . Topography : flat , rolling , steep % of slope rninimi&I 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 is not required C if required what is the rate minutes/inch 11 . Water supply : municipal , well , other 12 . Type of system proposed : drywell , tile 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 o ided fDfapZpl. Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . Date "ignatu icant 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 TOfi 531 BAYE UR 2804 Y ROAD QUEENSBURY , NEW YOR4514447 TELEPHONE BUILDING INSPECTOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME LOCATION mcal 1 1, DACE PERMIT# TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) `F OTING FOUNDATIONNAL EL OUGH PLUMBINGECTRICAL %/"SEPTIC � NSULATION �WOODSTOVE/ FIREPLACE REMARKS APPROVAL NIA kYES NO CHIMNEY HEIGHT/ LOCATIOyN B VENT/LOCATION PLUMBING VENT yL ROOFING rt SIDING DECK/PORCH/ STEPS /RAILI GS RELIEF VALVES FURNACE/HOT WA ER OPERA NG BASEMENT INSULATION/llUC7 —� INTERIOR TRIM/ PRIVACY DOO FINISH FLOORS : BATH/ KITCHEN WATERTIG OTHER FLOORS SWEEPAB E OTHER FLOORS CARPET D STAIR CLEARANCE/RAI NGS HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHO EHOUSE ANS ALL PLUMBING FIX RES OPERATIN GARAGE FIRE PRO ING DOOR CLOSERS > .c OTHER FIRE SEPIA A ION FIRE/DEMISE WALLS rr- DUMPSTER _ SITE PLAN/VA I NC E RE NzS FINOK AL I CO ELECTRICAL C � COMMEN S : ARRIVE ,?Q116 — PART �4 N TOWN OF CUEENSBURY Building Depa►rtmant Date �NameC � l ' ._ _ .c. . Pert No. Weythar ----- Remarks Exca#a ts.an Footing Farms Food & Piers Foundation Cement Coat Water roofin Backfill Fi.na1 Surve pramin Sheathin Roof Felt poofin Sidi MAksonr veneer Rau h PS FtelieIM,t valves �1111 Wall Board Ext . porches Finished Floor Interior Trim Stairs S Raili.n s Cellar Tar . Tile Concrete Floors P1 _ Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst . Septic A roval Floors Foundation Insulation Wails ceilin Building nsPector REMARKS 3 7565 THE NEW YORK BOARD OF FIRE UNDERWRITERS 40 �. BUREAU OF ELECTRICITY �� 41 STATE STREET, ALBANY, NEW YORK 12207 Date November 6 , I.985 Application No. on file 087423-85 A 6516570 THIS CERTIFIES THAT =' u onjy the eteTctrieal equipnsent an described belace and introchaced by the spplicont named on the above Application number in the premises of Albert & Kathy Poland , Rockwell Road y QueQnsbury , New York �-7�in t1Te following location},; f.2� �aae+ncnt I�J ]at Ff. ❑ and Fl- outu±de Section Block Lot _ was esonsiru�nion `J t3 :) andfound to be in compliance with the requirements of this Board. FIXTUREFIXTLNIES RANGES COOR)IN3pECILS OVENS DISH WASHERS EXHAUST FANS OUTLETS EPtACLES SWITCHES emcANoescEwl PLLK,WESCEW I "M511 AMT. S. W. AMT. K, w. AMT, K.W. AMT. K. W. AMT. H. P. _ DRYERS FURNACE MOTORS FUTURE Atri�JANCE MWERS SPECIAL ROCOPT TIME ey S WU UNIT HEATERS �LIWOU n`T ElIMMERS '- MOT. YSTWAS OIL H. P. GAS H. P. AMT, PLO. A, w. G- AMT. AMP. AALT. AMPS. TRANS_ AMT, H. P. NO OF Mir AMT.' WATT$ SERVICE DiSCONNE" No. OP S E R V 1 C E PMER AMT. AMP. TYPE 11", 1 A '2W 1 X 3W 3 0 3W 3 f' 4W NG. NER A,n.OPit+. GF rc_ CGGMG. PIG. OFHI-4EG pF' IaEC, PTO. OF HEL1TRAlS GF EL R.ML l 2C3fl C I x 4 /O l 2 /i OTHER APPARATUS: A Edward V . Carr Jr * �? 3 RaR * #1 t Box 1374 Lake George , New Yo'rrk 1.2845 MAN H MANAGER k Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF C' UEENSSURY Building DopartmMent L. aktim A20 e.Kz M&!c 2 4 Mi ,vim Per ink No* Weather Remarks Excaoation Footing Forms Footing & Piers Foundation Cement Coat waterproofing Sac-kfi l l Final. Survey Framing Sheathing Roof Felt Roof-in Siding Masonry Veneer Rou h PI Relief Valves Wall Hoard Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar . Fixe roo in - Door Closers chimney Water Meter Inst . Se tic A rova3 _ . Floors Foundation Insulation WaIIs Ceiling Building Inspector REMRR do 4 / �/,".� JJ , ! ��^' L olel