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1985-423 C/ 0 Paid t CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date r,rt' c .} rQ, r "l�, 7� 19 5-3 This is to certify that work requested to be done as shown by Permit No. r 2 ' has been completed. f...np This structure may be occupied as a r)Id T"r T-t`" T I ,Y DLa,T_7- T: T P7C' vCA Alm itk LocationS T c'TTCP P rTrir p or, T) ern t. In ic `� . C>waer r;NLTT- TN () .. _ .[ TC?I? C Tl"v C . By Order Town Board TOWN OF QUEENSBURY a� Building & Zoning Inspector , CREATIVE '-INSTLL vNINTING. GLENS FnLLS. N x +2sU1 Ix ISI1f 3-54ER 4 BUILDING PERMIT TOWN OF QUEENSBURY No. 85_ 423 WARREN COUNTY, NEW YOR K PERMISSION is hereby granted to Pa i 1 i n con S _ruC1: ion QgMpany . Inc . OWNER of property located at Lot ill Sugar Pine toad ( St . # l9 ) Street, Road or Ave. N The. Pines of Queensbury r� in the Town of Queensbury. To Construct or place a one-]Family Dwel l incl 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_ �j to rt 1- OWNER'S Address is RD # 1 Rt . 67 � C Mechanicville , New York r- 0 2. CONTRACTOR or BUI LDER S Name t"] same 0 W 3. CONTRACTOR or BUILDER'S Address same F-1 C'Z 4. ARCHITECT'S Name 5. ARCHITECT'S Addrew . fi I� F-, rn 6. TYPE of Construction - (Please indicate by X) s't' U7 O IN wood Frame ( ) Masonry I 1 Steel W O K 7. PLANS and Specifications 56 ' $ " x37 ' per plot plant specifications and w t. No, application submitted including two- car attached garage and sewage system . 0 $. Proposed Use 0 IZ One—Family Dwelling $ 5 . 00 c/o Paid O 92 . 00 $ PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 19 86 1 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the *�J town of Queensbury before the expiration date.) r• Dated at the Town of Queensbury this 8 th day of .August 19 85 � SIGNED BY fr e f- ' � ' for the Town of Queensbury Building and Zoning Inspector „Y l-' -i - LL4 TOWN OF QUEENSBURY (.Space inside block to lies filled in bt' WARREN COUNTY* NEW YORK Building Insprctorl 1 A �I!(.�i �{;. %.%n mil,. Application for }�i�l'1ri!! ti�lNYl 14. BUILDING AND ZONING PERMIT I'(-rmi, l".tpires . /,4 F11 i!!:! D i N i ric! ulsu• oil 11`nrk THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale \ppi-Ijkt-d r sbawing the actual dimensions of the lot to be built ids sr,;rrKS' upon, The exact size, and location on the loft of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. OrOWN OF QUEENSOURY el R E Lt nATF A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 4 `5 ANSWER ALL OF THE FOLLOWING. XM. 11213146 The undersigned hereby applies for a permit to do the following work LO 86 0 . . • which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated an the permit. ; fs{} ; rw.i4 s7_ r. f4Z.4ctbd '1 Th owner of this property is- Nc . . . . . . . . . . . . . . � - .�fi. . � � . . . ►�1�� 4 t�v,, .1 f � . S'NA"El IP Q. ADOaE551 . The person responsibir for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is; -� S.: YNlK' . - - - - . - - . . . . . . . . , - . IPU A[}t7RE 551 . . . . . . . . . . . . . . . . . . . . . . . - {NAMES Name of Builder , , . . . �T (. ? ' �� : . - . . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber Addressa. . . -C, . . - Nam' of Mason . . � `. d \. - �. �. ' . . . . . . . . . . . . . . . . . Address 3b.��7 'f� . . . . . . . . . - - . . . . . . . . . . Lot Number . . M . . . . . . . Unit . . . . . . . . . - - - Estimated value of proposed work S . . . '�f� ., I . . . . . . . . Name of Village . . . . . . . . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c . '�p Name of Street . .mac'- �• . •! °. �.` Side of street: north Imo , east �. south 0 . west ❑ 1 l Nearest Cross Street . Ct!'sz • . �- . . - - . Distance from this ^rocs street . ... . . Ft . Property is north ❑ , south east i J , west Cl from Cross Street If on Corner, which corner, northeast (_1 , northwest © , southeast southwest (Designate by marking with an "X" in the correct Space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Btu#tltng AA One Two-family Addition to a building. -family dwelling {� Alteration to a building. Two family dwelling Demolition of a building. -family apartment house Store building � -car attached garage C Other: . . . . , . . . . Accessory Buildings, . . . . . . . . . . . . . . . i3ne-car detached garage --1 ❑ Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken !souse � • . . . . . . . . . . . . . . . . . p . . . . Private storage building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 size of the property, the locations, sire and setbacks of pro- NORTHposed buildings, and the location of all existing buildings. Show proposed building(s) in dotted line and existing Iluilding(s) in solid line. Size of property . . . .Vs .:). . . . . . ft, x . .1 . . . . . ft. Size and use of existing buildings, if any . . • . , - I • • • • . . z . . . . . . L Size of proposed building ���'? - ft. x • . .T7. • - ft, Height (from grade to ridge) , . . � • ft. ' Front yard . .. . . . . .!(. . . . . . . . . . . . . . . . . a. Id . . . ft. Side vards � �' .� • ' . . . . - it. and . . . �{' • • . . . ft. 'Rear yard • . . . . - . . ft, - - . . . , . . . �.� . . • . . . . SOUTH If on corner, setback from side street Nose: All distances are net, as measured from street side lisle to nearest part of building. to�t=_pi 7 " 73�M (cont'd.) BUILDING SPECIFICATIONS., {{ ., Kind of construction: Wood frame, fire safe, etc.? . . . . Sy .� { 7 3 . . . t�Y'Y . . . . . . . . . . . . . . Will any second-hand lumber be used? If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . �v.0 -, 'M . . . ` L S Thickness . .}0. . . . . . . . . . . . . . . Depth of foundation walls below grade . . . . . . . .`. . . . . e , . . . Continuous foundation? . . . . . Will there be. a cellar? . , ';7 �5 , . . . . , If so, material of cellar floor -.i'aS .�C G._. . . . Type of roof_ Sloped or flat? �� 1 ? a �� . - . • 4 Material of roof . .rS * .O ti - .i ;a .s , , S Y tr r ((!:�f�' . , , . . . . . , - . Size, wood studs _ . . . . . . . :, . . . . . . . . . " x .fir✓ . . . . . . . . ", spacing . . , ;v7IP- . u ""o.c., length . . . . 1. ?� . . ", spacing . . . �. �,� .` . . . . . . o.c., span Size, floor beams, Ist floor . . . x . . . . . t y. . . . .4�' . , ft. Size, floor beams, 2nd floor _ , _ . , _ " x . . . . ld. . . . . . . _ _ "', spacing . _ . . �," . . . . . "o.c., span . . .\"�, ' . .` . �Z� . - ft_ Size, ceilingbeams . . . . . . . . . . , . . . ".fit?. . �ti-1 �,- . . . . . " x spacing o.c., span _ , '� . . . . ft. Si3e, roof rafters or beams spacing , . _ . . "n c , span . . . . Exterior finish �. . .�� 0 + V I '� . _ . _ . . . With what material? - .c�L Cam . . . . . . . . . . . . . . . . . Finish of interior walls , . . �. [ ,yam. + s ] Z ` 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . if garage is to be attached, of what material is wall between garage and main buijding to be constructed? +e<c3 . . S. Vim. . , . . . . . . . . . Is there to be an opening between garage and building? . . 5 . . . . }, t , , ,- � , , , . . . , , Kind of heating system . . . . . . . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . , , . , , , , . - , . , , . 0 d. , 0 . , . . . Will a flue-lined chimney be provided? � �} Depth of chimney foundation below grade . . . . . . . . . . . . . Height of chimney above f ro . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth Will a toilet be installed? . . . . . . t? . , - - - - - , , - . , . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . �1? s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . , , . Water suPPiY (public water supply or pump) Vy-) , . �.� � � . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . d d . . . . . . . , . . . . . . I . . . . . _ . , . feet Will drainage system be provided with required traps, cleanouts, and vents? _ �` _ S . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York 1 swear that to tr, ,brs�@ of my knc wJ,edge and belief the statements contained in this application, together with the pests and specifications sub- mitted, area true and co.". slots statement of all pr+xpaesd work to be done on the domes bed. premises and that aB of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining ur the proposed work shall be oemplied �eter specified or not, and that such work is authorized by the owner. {` Sworn to before me this Signstum . . " \ R '� • +I *1h- �,�r- OWN R O NE AGENT, RRGTf1TECT, CONTRACTOR day of.. . .! .*� .. .. . . .. .. . . . 19 C]--? µoTARY PijSL}C, WARREN COUNTY, N, Y. SPECIAL CONDITIONS OF THE PERMIT: By ... . --- ,dd ... .. .... .. .... . . . . . . . . . ... . . .. .. . . . .. .. .. .... . .. . .... . .... . . ....... .. . . . ...... .. 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 �� 2 . Type of heat - - - 3 . is the building mechanically cooled ? 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 ,5 what is the R value ? 3 . Slab on . grade - _ YES NO a . if 2; ES�, what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES a . R value of insulation 5 . Type of insulations Be Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior wall ' 3 . R value of glazed area 4 . R value of doors - - - - 5 . R value of floors aver unheated spaces 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab / Be R value of heated basement/cellar walls ( above grade ) 9 . R value of heated basement/cellar walls ( below grade ) 10 . Type of insulation C . Controls 1 . Thermostat maximum heat setting . D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES QNO a . If YES , R value of duct installation b . R value of duct in other areas E . Piping insulation Y. Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heatin E. Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . � 1 C. W d ! JL { Q J X ( applicant '. signature ) TOWN OF QUFENSBURY BUILDING & ZONING DEPARTMENT SEF?'AGF DISPOSAL PERMIT APPLICATION '� � 1 . Owner s Name 5N.kti1 kN Address Telephone No . 2 . Property location 3 . Name of person or firm responsible for installina system T 2c . . t:,, Telephone No . Address 1� �1 �k s] �� C i I vol I 1? t sar 5 4 . Number of bedrooms ( residential buildings only) 5 . Daily flow (D Q C> gallons/day 6 . Septic tank capacity Q gallons 7 _ Topography : flat , rolling , steep of slope 8 . Nature of soil and depth .,,�� _ v } 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? L\A . PS ' ft . 10 . Percolation test : A is required \, B is not required C If required what is the rate minutes/inch ll _ Water supply : municipal , well , other W ed 129 Type of system proposed : drywell r k-t ,',� e__ 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 L� e�...__� ► 1 } ` _5 �_h>k' � a�*�. � si.gnatux o applicant; On separate sheet of paper submit a ddia* ram 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 4057381 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU of ELECTRICITY November 12 1 9 P STATE STREET, ALBANY. NEW 0 9 2 9I$ 1r�2 8 5 Date + Application No. on file C` �"} _ — THIS CERTIFIES THAT G7 fw only the electricals equipment as described below and introduced by the applicant na.ned ass the above application number in the premises of Pavl- iA Cnnst-.ruel.tion co ,p�I111 Sugar Song Pi.ne , GGIens Falls , lJew York in thefollowing location, n Basement LJ !st M. ® 2nd Fl. Outside Section Block Lot u+as examined on 1 0 / 1- e / P 5 and found to be in compliance with the requirements of this Board. ►MTURE VP!AGES SWITCHES FIXTURES RANGES COOKING BECKS t3VEN5 DISH WASHERS EXHAUST FANS t1UT1ET5 2C JINC^MCNESI FLAK MCSCEM r AMT, K. W. 24 4P 29 ? 3 1 3 rr DRYERS FURNACE AIOTORS FUTURE APPUANCE FEEDERS SPECIAL III TIME KS UNIT HEATERS M SYSTRMS T _ HERS 'AMT, K, W. OIl H, P. G" H. P, T. AMT. AMP. AMT. AMPS. TRANS. AMT. H, T. No. ST f�ET AMT, WATTS 1 ryerwr # lU SERVICE DWC1ONNBCT NO. OF S E R V I C E AMT. AMP- I TYPE SCAM. 110 7M/ 1 1' 3W 3.e' 3W 3 fI 4WI NO. C*Pf"V A-,CC"C. C# CC t&D. ND- OF HI-UG ,wl LEG NO. CIF NEUTKMS 4F NEU7�'itAl 1 200 CID 1 X 1 4 / 0 Z 2 / 0 OTHER APPARATUS; i"' GT'CZ - Smoke Detector Electric Heater : 16 - 1 . 0 kw :>A Plectric Co ' + 7 Birch T.anew � Glens Falls . New York 12 $ 01 BRANCH MANAGER Per COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. r TOWN OF QUEENSSURY Building- D ePa.�rtment u.pectme Report n Ic1 Namur .. �t1Sr r P ermdt No. wea►thsar .i,/•�� / Lr "' ` 7Z Remarks Excavation Footin Farms Footin & Piers Foundation Cement Coat Water raorin Backfill Final Survey Framin Sheathin Roof Felt Roofin S.I masonru Veneer Rou h PI Relief valves f34 Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railin s Cellar pr . Tile concrete Floors PI Fixtures Ptirt Gar . Fire roofin LK Door Closers � nhimne Water Meter Inst . • aI+[G Se tic A roval Floors Foundatlon Insulation Wallss _ -- ceilin �_.... B ildingr Inspector RSxS TOWN OF QUEENSSURY Building Department tom: /sRepowit Namr L.oea Pennk No, aatlaar Remy till Excapla t on Foot-in Forms Foot in Piers Foundation Cement Coat Water roofin Bacicfill Final survey Framing Shea thin Roof Felt Roofing Sid-I Masonry Veneer Rou h P3 Relief Valves hIall Board Ext . Porches Finished Floor Interior Trim iili sT.i.l eoorsresroofinrsr Inst . Se tic A roval FIoors r Foundation Insulation Walls Ceiliri 'Building Inspector REMARKS TC3V11''N OF QUrEENS'SU RY Building Department DameAz LAX:afim lit Pan�iR. No. Westl�er Remarks 71111 Excavation Footin Forms Foot-in & Piers Foundation Cement Coat waterproofing Backfill Final survey 1111111111111 Flliramin sheathin Roof Felt Roofin Sidi Masonru Veneer Rau h PI Relief Valves Wall Board Sxt , porches Finished Floor Interior Trim Stairs & Railin s Cellar Drill, Tile Concrete Floors PI . Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Tnst . Se tic A naval Floors Foundation .insulation Wall; �- Ceilinr�_ _ o. gui ing Inspector REMARKS yr fi�tl /10 Yx + sr 1' ► Aorta &PZ S` �7"/► t ►z { G7 TOWN OF QUEENSBURY Buildlap Department Date (30feo N� Psanit No. Weadaar j?xcaoa tion Footing Forms Footing & Piers airy 4z Foundation Cement Coat Water roofin Bacxfill Final Survey Frami ' sheathing Roof Felt Rooflngr Siding Masonry Veneer Rough Plbcyo Relief valves Wall Board Sxt . Porches Finished Floor Interior Trim Nk Stairs 6 Railings Cellar Dr . Tile Concrete Floors Plbg. Fixtures Gar . Fire ngr Door Closers Chimne Water Meter Inst . Se tic Approval Floors Insulation Foundation Walls Bu.r. lding Inspector REMARKS i A00b AIL TOWN OF QUEENSrBURY Building Depasrtinent la.p. or, ReEwoet lute- 2. a S.$d L04 L- _ r _ Pennoi�t Na. Wcwtlser I Remarks SxcaVY tian Foot LW Forsr+s Footing a Piers Foundation Cement Coat Waterproofing Backf f ll Final Susve Framing Sheathing Roof Felt Roofin Sidin j masonry Veneer Rough p2bgw Relief Valves Wall Board Ext . Porches Finfshed Floor .Interior Trim Stairs 6 Railings i Collar Dr . Tile Concrete Floors p-jbq, Fixtures Gar . Fire roofin Door Closers Chimney Water Meter Tnst . Septic Approval Floors Insulation Foundation Walls CelliLrIg Bu.xlding Inspector REMARKS �'R rJT p1'W�`Ll OILN! ' .. �/ TOWN OF CQUEENSBURY BuIL ilding Department l�sped{ase Report Date, $, i 3 13 Naum PAW Id Peeve Na. 415" ~_ q 2 3 weather Remarks Excavation Footing Forms t Footing & Piers ?, Foundation f Cement Coat ? Water roofin Bac]tfi l3Cal ' Final surge � Framin ' Sheathing i Roof Fel t Roofin aiding , Masonr veneer Roucrh PI Relief Valves Wall Board Ext . Porches Finished Floor Interior Tram Stairs & Railings Cellar Dr . Tile Concrete Floors Plbq . Fixtures r Gar . Fire roofin Door Closers ? Chimneaq r Water Meter Inst . septic A roval Floors FoundstioA Insulation Walls Ceiling u ding TrTspector REMARKS i { ? 3 ? { 5-0 �° vG` 3o r. � PIN6 1 r30 1 FRO PU c D l ! i O c Q V, { ( ! m ! I ! t t � t � ! t { 1 t 1W+ Q.