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1985-548 r' / e Trtj. ( :. +3 `A CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Late f}`f 19 V This is to Certify that work requested to be done as shown by Permit No. has been completed. Dr* {'MYN. ` � This structure tt.ay be accuqpjed as a T cirri „1oc..}}- y*e13 ncr 3-1 t�o-` L N a d%)3 Lh { �:, t . ; C 7 1 T''r� St- lar I ' f'r^ i :'. cir. Location Owner ia .yic� �I_ 7 alr , By Order Town Board TOWN OF QUEENSBURY rf Y r J Building & Zoning Inspector CRE F T IV "I"SyA .'RI NTINC. GCE N3 rAl-' S N T IZODI IS I S I ro}.SGSS BUILDING PERMIT TOWN 4F QUEENSBURY No. 85- 548 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to David A . balm C OWNER of property located at Lot 573 Fox Hollow Lane ( St . # 3 7 ) Street, Road or Ave. F ' in the Town of Oueensbury, 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. p` 1 . OWNE R`S Address is 24 Meadow Road Hudson Falls , New York 12839 2. CONTRACTOR or BUILDER'S Name to Same O rt- ro an rat 3. CONTRACTOR or BUILDERS Address Same tj O � x 4. ARCHITECT'S Name �+ ro O O t" w o o ;c a 5. ARCHITECT'S Address � >y 0 •# ro 6. TYPE of Construction — (Please indicate by X) F' r.t. I A Wood Frame I I Masonry ( I Steel I I a 7. PLANS and Specifications + 34 ' x57 ' 4 " per plot plan , specifications and application No. submitted including two-car attached garage and sewage S stem $. Proposed Use one-Family Dwelling sn $ 5 . 00 C/O 'paid w $ 157 • 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 �98 6 fit a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queenshury before the expiration date_) f<r? fD Dated at the Town of Oueensbury this 27 th 'Day of Sept 198 5 � r- af- C�� SIGNED BY for the Town of O.ueensbury W Building and Zoning !n9pector 11 TOWN OF QUEENSBURY Ispace inside block to Ix* l0kA ill b% WARREN C OLIN`I"Y, NEW YORK Building lnspec•tnr) Apply ApI)lic'alsoki No. ication for h(•111111 Iti 41cHi 19 BUILDING AND IRONING PERMIT P1 .1011i1 /,ism b il++Tri( 1 A111. ill LI'< 1r1 THREE ( 3 ) Copirs of a PLOT PLAN, Drawn to scale Xj y1r, .. t-d I)ti showin iha actual dimensions of the lot to be built Ir t 111,11 kf upon, * exact size. and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, nnrF TOWN OF QUIEr=NSBURY A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK / ! e ANSWER ALL OF THE FOLLOWING, a M+� The undersigned hereby applies for a permit to do the following work p.hA; l' 4 M. which will be den* in accordance with the description, plans and specifi- 7� 819 60 1 0 6 i 6 a 516 cations, and such special conditions as may be indicated on the permit. • a The owner of this propiej ty is. - ✓i-fr A �t)LA 2 ►� }� s �.� - . .F,au t... .,�1 r 1,Np.'M1E) 1p G. Ab6AEds) The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: JPO aaoAEss> ' . . . . . . . . . . . . . . . . (NAME) Name of Builder . Address Name of plumber . �il!Ls , . . /, i n( G,,E �L° . . . . . . . Address . . . . - . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Mason . . . . ,ICJ . ! ! . . . . .j t-r.! �r G^!? ^a! Address Lot Number . . . 773 Unit . . . . . - . . . . . Estimated value of proposed work. $ . . . . r.PCI 'OV . . . . . . . . . . . . . . . Name of Village . . . . . . . . t t ,E�.c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . ��.xr7. . ii!�Q 4-co.40"r� je::`' " Side of street : north 0 . east Q , south ❑ . west Nearest Cross Street . . r'Tr .� �F ��� �r�' ' ¢' ''� Distance from this cross street - . . . ./f . . . • , - l t • Property is north south ❑ , east i i , west tQ from Cross Street If on Corner, which corner, northeast V , northwest C7 , southeast southwest (Designate by marking with an `X" in the correct space.l NATURE OF PROPOSED WORK OCCUPANCY 'yl Construction of a new building. Matra Butttlrng Cl Addition to a building. - ne-famiiv dweilin Two-fatuity dwelling Q 0 Alteration to a building. . . . I I -family apartment house 0 Demolition of a building. Store building - - x�2 . . , -car attached garage C� Other: . . . . . . . . Accessory Building One-car detached garage [] Other work. Describe: . . . . . . Two-car detached garage L Private chicken house 0 ' Private storage building a Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in far }tildint" or additlta}existing building, or a change of occupancy• k i T Indicate on the plot plan street names, the location and size of the property, the location, sire and setbacks of pro- posed buildings, and the location of all existing buildings. MORTH Show proposed building(s) in dotted line and existing huilding(s) in solid line. / IA Size of property f. . . . . ft. x . . . . .. .f. . . . ft. Size and use of existing buildings,, if any . . . . �r L . . . . . . . . + . . . . . . . . . . . . .Size of proposed building . . . 3 ft. x , . . ? ft. Height (from grade to ridge) %/ . K . • - �� - ft. Front and . . . . . . �Cl- . ?� . l . . . . . . . . . . . . . . . . . . . ft. Side yards . . . . . . 2 `s . . . - . ft. and �- ! ` ! ft. )tear yard . . . . . . . . . . - . . . . . . - . . it. SOUTH If on corner, setback from side street . . . • • • • • • • Note: All distances are Lees. as malisuured from street side f ` line to nearest part of building. (OVER) 7 �73�M (rnnt'd.) BUILDING SPECIFICATIONS., Kind of construction : 'Wood frame, fire safe, etc.? . - . . _ pUlaorD ./. . l A . , . .sf"I`. _ _ . . . . Will any second-hand lumber be used? . . . /1(c] . . . . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . /.{f ?`. . eO<? lv? C-/!t� . . . . . .thickness Depth of foundation walls below grade . . . . , . . �. , '!^'- . . Continuous foundation? - - - Will there be a cellar? . . . . ` . . . . . . . If so, material of cellar floor . Type of roof: Sloped or flat? . . , /f? ► c.►?�� . Material of roof . . . . c: t. •�'"r ! �� "�J`S . . �S'/r ��' � --� Size, wood studs . . . . . . . . . . . . . . . �e " x T'r , _ . . , . . "', spacing .. . . ./f-v. . . , , . "o.c., length . �'?,�.�'.�'f'� . ft. Size, floor beams, 1st floor , . . . . . . . . " x - !'" �_ . . . . . . , . . . ", spacing . . . , f.I'v "'o,c„ span . . . . /J� Size, floor beams, 2nd floor /_ ' . _ . . . . '4 . . " x . t f?. . . . . . . . . ". spacing - - ,!tea . . . _ . . "o.c„ span . . . . e%�'. . . . . . . ft Size, ceiling beams . - - - , . .� 2IrcaltIzx4 •• x --T_v U40S . spacing . . . .'..� -�; _ . "o.c_, span , . . :-O . . . . . . ft. oe Sire, roof rafters or beams . . . . . . . . . . " x _ . . _ _ ,', arcing , . . . "«- _ _ . . . o.c., span . . . . . . , ft. Exterior finish . . . . V VY4_. . . W/, t'�i !h?/ '.dd�. ith what material? . . . . . . . . . . . . . . . . . . . . . . , , . . . , , . Finish of interior walls . . . . _ . _ . . .t�a� }�f''�4!� r� , . . . ! -'��r✓�'!'$�"� . . 4 . . . . . . . . . . . . . . If garage is to be at-tta�ched, of what material is wall between garage and mqin buiJiding o be constructed? . . . . .� �y. . .J t,•-i, . . ,r'�Ss�'.,�=�s.��. . . ;7�' •• . 5'r�X',�'.�:h'�`.F"�t1�eG. C.lrl� . . r'!'��-'G , ,..!'4�.�?��`'r? . . . . . . . . . Is there to be an opening between rage and building? Kind of heating system . . . �.2 . . ?-� . . . `+ %_ . . �� , l. _ Oil burner or coal? Will a flue-lined chimney be provided. cif : . f . . . . , . 't]eAh of chimney foundation below grade . . .Ire, . . . . . . . . Height of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . Will there be a fireplace? . . , W� t? r? �'r+'� �'�� . . . . Depth of fireplace hearth . , ems? . .GTelY . ,�C A LS r . . . . . . . , . . Will a toilet be installed? . . . . _ . . . ,7- c, f- . . . . . . . . . . . '. . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? - , . . . . .ytCr-f,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , . Water supply (public water supply or pump) . . . . . . .c /�F - I . . . . . - . . . . . . . . . Distance of cesspool from any private well . . . , . . .-. . . . 1r+`t? . . .f1!/i c'j . . -' ^� . , . ArC -'*� feet Will drainage system be provided with required traps, cleanouts, and vents? , . . . . . + ,� . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New fork I swear that to tt A,-a p?f my know}edge and belief the statements cotitained in this application. together with the plans and specifications eob- mitted, are a true and oa... lete statement of all proposed work to be done on the described prenuees and that an ' ions of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be oomptied pitfi. whether wed or not, and that such work is authorimed by the owner. Sworn to before me this Signature �� = rz =f404 . . . I ' �+ rye Z 6 WNER. OWNER'S AGENT. ARC fTECT, CONTRACTOR m{. . r!` .. . . day of. ... . __ . . .. I9 NOTARY Purn.YC. WARREN COUNTY, N. or, 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 : r 1 . Gross floor area 4; © '�'d' F 2 . Type of heat. ti r) 6M q S "moo 'C c.E'v 3 . Is the building mechanically cooled ? 4 1(0 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 Be Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. /Z -e 2 . R value of exterior walls 3 . R value of glazed area r4 r�--- r 4 . R value of doors _ X7 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 / / C3 Be R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) 14 . Type of insulation C . Controls 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? (� ' 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 I * Performance efficiency. ;y/�t� i� . 75tS, ` 2 . Temperature control setting maximum G . For Swimming Pool Only 11 Maximum heating Telephone No . ( applicant ' s signature ) TOWN OF QUFFNSBURY y BUILDING & ZONING DEPARTMENT SEF'AGF DISPOSAL PERMIT APPLICATION J �t 1 . Owner ` s Name AV t 17 A Address �'¢ y�E/A © asAJ ? Z3 N os© e4*4 L. Telephone No . 2 . Property location -A*GeT 0S 73 X V Al. 3 . Name of person or firm responsible for installing system t G IG C2K Ga4 +� .5i i ^�rfr- Telephone No . Address 4 . Number of bedrooms ( residential buildings only) � 1 c1 ►eDeD *4-+ems 5 . Daily flaw ' Q c) oallons/day 6 . Septic tank capacity 06CC, gallons 7 . Topography : flat , rolling , steep % of slope 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 reouired �, � ,5r,2kkv 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 , the field other Any contractor}, corporation , individual , etc4 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 Queensbvey Sanitary Sewage Ordinance . / r] signature of applicant _ 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 pcs 5c) , 7-�/ Z,& I ,r� . r h THE NEW YORK BOARD OF FIRE UNDERWRITERS -- Ian BUREAU OF ELECTRICITY March1 , I9$6 41 STATE STREET, ALBANY, NEW Y=t77y �W J2 LAste Application No. an file - " ��� THfS CERTIFIES THAT A ( 6 5 6 6 5 8 waly the slectr"' equiprnewt ee described below Ond intre`dtsced by the applicant noised on the abode application nuunbootiin the premmsao" of _ David A. Palm , Fox pH�o� llow Lane , Queensbury , New York , Lot #573 i in thefollowing locgt�'vlaj I-1 Basement l�l Ist Fl. ❑ 2nd F,.Outelde 77 1 3f Dl lei .Section BlocJ Loot � • zk was examined on andfound to be in compliance with the requirements of this "rd. -" FIXTURE FIXTURES RANGES COtfLCINGDOCKS OVENS DISH W ; EXHAUST FANS OUTLETS ACLES SWITCHES hK:.ANDEs[EhfT rltlGleeSCENr AMT--F K. W. J AMT. K. W_ MST. K.W. MAT. K. WX AMT, 23 38 23 36 2 z3 PR Eft FURNACE MOTORS FUTURE APPLIANCE FEEDER, SPECIAL REC'PT TIME CLOCKS fLLhL UNIT HEATERS (MULTI-ou Di111h1tERS AM7, K. W. all H. P. GAS H. P. AMT. Np. A. W. G. AMT. P. AMT, AMNS. TRANS. AMT. H. ►. N FEET AM7. WA}'IS 2 FR 1 Fryer Claim SERVKZ DISCONNECT NO. OF S E R V I C E '2 AMT. AMP. rnE MUNK $QUIP. ,E 2W r .E 3w 3 AV 3W 3.E 4w No COMM pr cc cGo'rra. No. or HIAEG A.OF H.0 Wo. +i; uT�yy OF 1 200 CB 1 x 1 k/D H2N/0 OTHER APPARATUS: 1- Smoke Detector �.NSPECTION .�`EE P4 David A. Palen 24 Meadow Road 239 Hudson Falls , New York 12839 (BRANCH MANAGER PC - 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 BUILDING DEPARTMENT_ THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBU RY Buildup- Department Nlmwectwo �►tc, � ' ',��s �, GLe?ZI J w. ,r_"� Weather 1,(/5 I76,cT10,1 Remarks ExcasYa tion FOot.incr Forms Footin & Piers Foundation Cement Coat Water roofin 8'acXfi 11 Final Survey* Framin .Shea thin Roof Pei t Roofin Sidin Ma-I Veneer Rouqrh P1 Relief Valves Wall Board Ext . Porches Finished Floor Ynter.ior Trim Stairs & Rail.in s Cellar Dr . Tile Concrete Floors IS P- . Fixtures 000000 Gar . Fireproofing Door Closers Ch.imne Water Meter Tnst . Se tic Approval Floors Insulation Foundation halls lCell-in —` r Bull ingr nsppector REMARK'S Al oiIv4.e.. TOWN OF QUEENSSURY Building Department ! upectors Report Ds►tc f %� Location Ycr �c�jo Pcrrest No. Weather Remarks Sxcaoa is on Footina Forms Footing & Piers Foundation Cement Coat Water rvofin BacJkfill Final Surve Framin - f� T[taA/" Sheathin r S Roof Fel. t Roofin Siding Masonry Veneer Rou h Plbg Relief Valves Wail ,Board Ext . Porches Finished Floor Sntexio,r Trim Stairs & Rail.in s Cellar Dr . Tile Concrete Floors P,Zbg . Fixtures i Gar . Fire roofin Door Closers Chimne Water Meter Inst , Se tiC Approval Floors Xnsulatlon Foundation walls Ceilin Build-Ing '- REMARKS TOWN OF QUEENSBURY Building- Department Inspector* Report, Name P Nc� y� c zJ Weather Rema z-ks ExcarJ'a is on Footing Forms Footina & Piers Foundation Cement Coat Water roofin Bac3c,fill Final Survey Framin .Sheathing Roof Fel t Roofin Siding Masonry veneer Rough P1 Relief Halves Wall Board Hirt , Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar. Fire roof.in Door Closers ------------------------- Chimne Water Meter Inst . Se tic Approval Floors Insulatian Foundation Wa22s Celli Building Inspector ^i REMARKS A TOWN OF QUEENSSURY Bn:laiai. Dop•rtmelmt L'OOCUSS act J . 6Z� V e&UMW .� I LC.1 ` •4'l`tib gfoe�z� 467X4, 4 Remarks Exca0pa t on PootIng Forms Footin & Piers Pic"M 'ation Cement Coat water .rsoofin Bac"ill Final .Serve Framing sheaths Roar Fel t -900.flngr S.idin Mas0nrg Veneer Rau h Pl Relief va ves W&12 Board Ext . Porches Fi ni shed Floor Interior Trjm Stairs & Rallin s Cellar Dr . Tile Concrete Floors P2!kv. Fixtures Gar . Fire roo.fi n Door Closers Chimne Water Meter Inst * se tic Apxroval Floors Insulation Foe tion Walls Celli . . Buildl Xnapecfor REMARKS Y � rG�' � T� E � L_ r rD QvAl"( ec r7 oXtS _ 5 .q,4.. . IzO UA/O SIP& rAIT-C> TWAll. TOWN OF QUEENSBURY BuIldinc D1°part.,,t r Nae D m ato Z Id 9 ,_ v ep Weather gait No. Remarks Exca�Ya tson FootIncr Forms PootIncr & Piers Founda t,i on Cement Coat Nate roofi n Bac,7cPill F1nal survey Framin Shea thin Roof Pelt poorinty Si d1 Masonry Veneer Rou h Pl Relief valves Wa1I Board Ext . Porches PIrished Floor Interior Trim Stairs & Ra1 n s cellar Fr. le Concrete FI rs Plbg. Fixt as Gar. Fare roofin Door Closers Chimney Water Meter rnst . septic A royal Floors Y rnsulatlon Fa�Und4ft tI On walls - Ceil.in Build! rnspectox REMARKS {#-2ou.u40 0//& _ ° - TOWN OF QUEENSBURY Building Department Iuapretaea Rapmt Date I L• /3 Nan.e oca on K Perrast Naw Remarks ExcalYation Footing Forms Footing & Piers Foundation Cement Coat waterproofing Bacltfi 11 Final survey Framing +- Sheathin Roof Felt Roofing Siding Masonry Veneer Rough Pl k, . Relief Valves Wall Board Ext , Porches Finished Flaor Interior Trim Stairs & Railiri s Cellar Dr , Tile Concrete Floors pjbg , Fixtures kk Gar . Fire roofin Door Closers Chimney Water Meter Inst . Septic AEEroval Floors _ Insulation Foundation Walls _ 'Ceilin _ Building Inspector REMARKS TOWN OF QUEENSBURY Bail diag Department Inpeceaiea Report uarx ,,rp = � y '�" Fermat NC6 �` - . c- -a,e Weather Remarks ExCatYat ' on Footing FDrmS Footing & Piers Foundation Cement Coat od Water roofin Backfi l3240, Or Final Surve Framin .Shea thi Roof Felt Roofin Si din Masonry Veneer Rou h P3 Relief Valves wall Board Ext . Porches Finished Floor Snterior Trim Stairs & Rallinqrs Cellar Dr . Tile Concrete Floors P3 . Fixtures Gar , Fare roofin97 vk>or Closers Chimne Water Meter Inst . Se tic Approval FIOOrs Insulation Foundation walls Ceilin Bux dsng Inspector REPL"xs TOWN OF QUEENSBURy Building D*Partmeut huPectsu Rftmwt Gate Nam r' Permit N,o� fi' v weather Remarks 8'xca,�a t.xon Footing Forms IIIK- Footina & Piers Foundation Cent Coat Water raofin Bac*Z111 Final Surve P.ramlrw Sheath-in Roof Felt Rooffincy Siding Masonr Veneer Rou h Plbqv Relief Valves Wall Board Sxt . Porches Finished Floor Interior Trim Stairs & Railin s 02. Cellar Dr . Tile Concrete Floors PI . Fixtures Gas . are roofin Door Closers Chimney Ma ter Meter Inst . Septic ApEroval Floors Insulation Foundation Walls Ceiling Bullaing Inspee^tor REMARKS -`,rVRCM -.MOM 'iP: .r . r yTT 7 ,,-is. „ _ ,S:r._,.,..,,- ,._. s 66 r 1 . A. . f. ' .. Y ' . , - • 'r . '�. ', k Or .. 0 . { zJVw\ rr jjj JftP Re r fe re riare e , "Map of Se-otion 14 of CIA made by C*inter & McCor k ..' q dtd s fi/ 18 : . - sq:. 1.-1- .� o f 311 e d : 3 �d/19l PAftM. Lot numbe rye aeh*wA he rye can re fd Or) ly: erx ,r Orato above sub-divislon map . a I r r pp0001 { Id Or d LAW l ..' I I I I . 1 f*PP uarye . W404L rr Deed Rel'ererice s Or r - Lucille 13 Ift ave Or to David J$ Annette P6 ]'�rllrt 669-508 dtd :r 1/23/19195 Of sr I hereby certigy� tog . . 1. % - Op. Glens Fall e` i�atfto nal Bank . r,' ', "�' . � '`s y9.ny David A . do Aseette P . Pam . 'rr -- that dId pe� `crx ' an act 1. 11Mir �# i: r. 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