1985-509 C f! T' a J O
r
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
F�ehrbl �
Date i � _ttr.: �[1199
}? r _ rrn0
"This is to certify that work requested to be done as shown by Permit No.
has been completed. (),y y F
� (
This structure may be ccupLed as i
nr, 15M T' am � 1y lT ?4 1 5 cr �'J1
Location 2'L' El'ar rliic P,ocie ( c% trcet ploo11 } Th r r' ].n c . , OF
Owner Pryyaln reyc�r-
By Order Town Board
FrO WN OF QUEENSBURY
l 1 Building & Zoning Inspector
CRE&TIVC -'INSTA PRINTING GLFiNS FAIL % N � Ilse+ 191s119}_9;Ss
t
e
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Dave 19
This is to certify that work requested to be done as shown by permit No. '
has been completed.
This structure may be occupied as a
UwAtion .
Owner
By C]rder Town Board
TOWN OF QUEENSDURY
Building & Zoning Inspector
COCM1TIYYC "IMdT I " rR1MT*M0, QJ C"S FALLS M Y i zoo i rS Y dk)13-SSSd
s
BUILDING PERMIT
TOWN OF QUEENSBURY No. 85- 509
WARREN COUNTY, NEW YOR K
PERMISSION is hereby granted to Bryan Beyer
OWNER of property located at Lot 115 Sugar Pine Racl [ j- # 1?] Street, Road or Ave. W
The Pines of Queensbury .<
in the Town of Queensbury, To Construct or place a One-Family DW ling Iv
at the above location in accordance to application together with plot plans and other information hereto filed and ::1
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Ord
i'D
*C
(D
t_ OWNER'S Address is
2. CONTRACTOR or BUILDERS Name
John P . Matthews
French Mountain Enterprisesr Inc . p
rt
3. CONTRACTOR or BUILDER'S Address
RD # 1 s~rn
Lake George , New York
4. ARCHITECT'S Name s3
SYl
fi
N•
5. ARCHITECT'S Address `J
(D
0
N
D.,
6_ TYPE of Construction — (please indicate by X)
(X) Wood Frame { ) Masonry { ) Steel { i
7. PLANS and Specifications
No. 26 ' x64 ' per plot plan , specifications and application
submitted including two-car attached garage and sewage 0
B. Proposed Use (I
I
One-Family Dwelling
r•
$ 5 . 00 C/O Paid
$164 o 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 1986 tz)
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oweensbury before the expiration dabs.) IJ
H
Dated at the Town of Queensbury this _ l lth Day of September 19 8 5 �
SIGNED BY //uaelelej for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY ( Space inside block 10 Ix• filled in b%
WARREN COUNTY, NEW YORK Buil(lint Lnsp( ('tr>r)
ppIication for \I 1 :,u„„ :.c<).
I'a�r l-11 Itt1l lssxte•tl 14
BUILDING AND ZONING PERMIT P1 .2-Init Expirv%
ZimoimL', 1 )i%trifi
\ ulna- 4 ,1 \V01- .
THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scales \ i �1 " r � a•il Itr
showin the actual dimensions of the lot to be built Itc
upon, Tire ex«ct size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
-1'CsWN OFQUEENSsuR�t
�: _
,, r'
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK SEP
ANSWER ALL OF THE FOLLOWING. Q
A. y
The undersigned hereby applies for a permit to do the following work 1 . i 8 0 + 11218141511
which will be done in accordance with the description, plans and specifi- M:
cations, and such special conditions as may be indicated on the permit. GrQ [ �,► G4�p
The owner of this roperxy
Leeraw . . . . cat . . . . . . . . . . . . . .
The person responsibiv for supervision of the work insofar s the Building, Code and the Zoning Ordinance apply i+:
�ox�•- . P. . . .t:-s ►1�.c -� ,rl�t �,, r t-1.,.�� . ., r. . . . . . . . r- . I�'�t :~ . ;,� Ay .
;NAME1 iP Q AbORf S}
Name of Builder . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . .
Name of Plumber . . , . - . . .t.t. . . - Address
Name of Mason . . . t! - - Address .
11 Lot Number . . . . . Unit . . . , . . . . . . Estimated value of proposed work S �C7i Gktt� r
i Name of Village 7X(Ae, . . �•:+0'�'-t . . .o . .4 -+ S CW'"�`I. .
Name of Street . , - � �A x'C . . fft.N . . . . . . . . . . . . . Side of street : north 00 east south 0 . west
Nearest Cross Street_,. . . J�f; +."t.. . .+' . . . . . . . . . . . . . . . . . . . Distance from this ^Toss street . , , , . . . . . . . C . . . . . Ft.
Property is north 1301 south 0 . east i , west ❑ from Cross Street
If on Corner, which corner, northeast 0 , northwest ❑ . southeast qouthwes(
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Btustding
F1 Addition to a building. One-family dwelling Q
Ej Alteration to a building. Two-family dwelling
0 Demolition of a building. -family apartment hove �Store building L7
�� . - -car attached garage Q
Other: .
. . . . . . . . . . . . . . . Accessory Building
One-car detached garage r
0 Other work. Describe: . . . . . . . -Two-car detached garage
. . . . . . .
Private chicken house
. . . . . . . n
• � 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 location, site and setbacks of pro-
NORTH posed buildings, and the location of all existing buildings.
Show proposed buildings] in dotted line and existing
Ali (oaf f6't r lu 0ding(s) in solid line.
Size of property . . . . . . . I Q . . . . ft. x . . . . r.' a . , , ft.
t'1 Size and use of existing buildings, if any . . . .
tti
� rti rrl t "' Size of proposed building . . , . +�' ` . _ ft. x . . (' . . . . . ft.
Height { from grade to ridge) . . . . . . ft.
Front yard . . . . . . . Ca $. . . . . . . . . . . . ft.
Side yards . . . . - ?z) . . . . . . . ft. and . . , . J'f r. . • • • , ft.
Rear yard . . . 4 . . . . 4911;�. . . . . . . . . . . . . . . . . . . . . . . ft*
sou'r h If on corner, setback from side street ' . • • • ft• .
Note: All distances are net, as measured from street side
line to nearest part of buildhng,
toy eRt
lcont'd,)
BUILDING SPECIFICATIONS.,
Kind of construction : Wood frame, fire safe, etc.? . . . . . . . . . . . . . . . . . . . . . . . .
Willany second-hand lumber be used? . . . . . /fit? . , , . . . If so, for what? . . . . . . . -- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Material of foundation walls . . . . , . . , C. sS.r . . . 09-4x � . .. . . . . . . . . . . . . . . . . . -Thickness . . . /G. ... . . . .
Depth of foundation walls below grade
. . . . . . . . . . . . . . . . . . . . . Continuous foundation ?
Will there be a cellar? , . . . yy,AfeS. . . . . . . If so, material of cellar floor . , . . - ."s'p 4rv%"jo. j rr4 . . . . . . . . . . . . . . . . . . . .
Type of roof: Sloped or flat? . . . . . ol'E!l' . . . . , - Material of roof . . . . .
Size, wood studs . . . . . . . . . . L . , . " x . . .{ram. _ _ . . . . . . . _ ", spacing . . . ."o.c-, length . . . . . . ft.
Size, floor beams. Ist floor . . . . . . . . . " x . . - S . . . . . . . . . ", spacing . . . ?fc . . . . . . . . "o.c., span . . . . . ! .2- . - . . _ ft.
Size, floor beams, 2nd floor -02. . . . . . . " x - . . fG. . . . . . . . . spacing . "o.c., span
Size, ceiling beams . . . . . . . . . . . . . . . . . . " x . . . . . . . . . . . ". spacing . . . . . . . . . . . . "o.c„ span ft.
Size, roof rafters or beams . . . . .-. . . . . " x . . , .*{� . - ", spacing , , 07" r ajl . . . . "o"c., span . . . . . . . . . . . . . . ft.
Exterior finish . . . . . . [ C 4r�" . . . . . . . . . . With what material? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Finish of interior walls . - , , - . . . . . . .�9 + !! . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building? . . . . . . f! 'S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Find of heating system . . . - . , , . ." 01f4" . . . . . . . . . . . . . . , " Oil burner or coal ? . . . . ^^��.
Will a flue-lined chimney be provided? yK;S. . . - . . - . . Depth of chimney foundation below grade . . . .*r . . . . . . . . . . .
Height of chimney above roof . . , . . . f . . . . . . . . . . . . . . . . . . . . . . . . . . a . . . . , . . . , . . . . _ . . . . _
Will there be a fireplace? . . . . A/t:? . . . . . . . ,S'rr ti'.�. . . Depth of fireplace hearth . . . , , - ,,, ..0 , . . . _ . . . . 1 . , . . . , . . . . .
Will a toilet be installed? . . . . . . . . - - . - V�'OF,,5 , . . . . _ . _ . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected Lo water su ply? �f/�3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Water supply (public water supply or pump) . - - . . • . . : 7fZ ` �-
Distance of cesspool from any private well . . . . . . . . . . . . . .�.f. . . . _ . . _ . . . . . . . . , . . . . . . . . feet
Will drainage system be provided with required traps, cleanouts, and vents? . . - . . . - T . . . . . . . . . . . . . . . . . . . .
Town of Queenshury AFFIDAVIT
County of Warren
State of New -York
1 swear that to tr, ,bdy+uf my knovoedge and Belief the statements contained in this application, together with the pleas and specifications sub-
mitted, area true and cu.:. lets statement of all proposed work to 6e done on the described premises and that an of the SUII I]-
ING CODE, THE ZONING ORDINANCE, atxi Al other laws pertainingktoZop7ipp�aaedw k shall lie compliedwtt . whetl� specifsed or not,
and that such work is authorised by the owner. x/
Sworn W before me this Signature //
OWNER, OWNER" AG EN7, ARCFf17ECT. Ci]Nl-RAC7t7R -
dayof. . ... . . .. . .. ... . .. . . . . . . .. . .. . . . . .. . __. . . 19 . . .
. . . . . ... . . . . . .. . . . .. . . . . . . . .. . .
NOTARY Pue Ll C. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT.
By .. . .. .. . .. .. . . . . . ... . . . .- . . . .... . . . ... . . . .
WARREN COURTY , NEW YORK
Application fors BUILDING PRANIT IN COMPLIANCE WITH THE NEW YORK
STATE ZUKRGY - COUSERVAT ION CODE
A permit must be obtained before beginning work ,
hNSMlA ALL of the followings 17
1 , Gross floor arealC `
2 . "l+Ype of heat
3 . Is the building mechanically cooled ?
4 . Percentage of area of windows and doors � , �
A . over 16 % Only
1 . U0 value Of gross area of wall & , roof/ceiling and floors
exposed to ambient conditions
Z . Floor ever heated apaces YES No
a . Ara founilation walls insulated7 YCS 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
8 . under 16 % Only
1 . R valuer of roof and floors exposed. jto ambient conditions
2 . R value of exterior walls 1 �
3e R value of glazed area
4 . R value of door •
5 , R value of floors over heated spaces
6 . R value of slab edge insulation - unheated slab
7 . R value of slab 4nsulation - iseated slab
e . R value of heated ba * ement / cellar wnlla ( above grade ) ` -
5} , R value of heated baasment / cellar walls ( below grade )
low Typu of insulation
Co Controls
r
1 . Thermostat maximum heat lotting -
P . Duct Svstema
1 . Is duct * YstV = installed in unheat . d epaceo ? YFS t, c�
no If YES , R value ofAtduct installation
b . R value of duct in other area * AT
E . Piping Insulation
10 Size of hot watvr �or cooling carrying agent pipe
2 . R value of pipe i ,nlaulation
F . Service Water lfeating
1 . Performance efficiency
2 . Temperature control setting maxima 'ae�' � �
G . For Swimming pool only � • WVZ w
1 . Maximum heating *I*
T � l rphorsp No .
1 .r.,.., }.
• � � "" � ,i>plicant ' s ignature )
TOWN OF QUEFNSBURY
BUILDING & ZONING DEPARTMENT
sEF?AGE' DISPOSAL PERMIT APPLICATION
1 . Owner ' s Name
Address ',ice L 4J .n .rk_ C rP tip �y
Telephone No .
2 . Property location_ .Oki� , �igj4�•
3 . Name of person or firm responsible for installing system � 10$404. zTXL '��
Telephone No .
Address_ � _may;
4 . Number of bedrooms ( residential buildings only )
5 . Daily flow pp gallons/day
6 . Septic tank capacity to 0 ca 6*63.0r gallons
7 . Topography : fla rolling , steep
of slope
8 . Mature of soil and depth �} /Vi7
9 . If ground water , bedrock or impervious material is apparent at what
depth does it begin? ems'' f t . .
10 . Percolation test : A is required
B is not.. required
C If required what is the rate minutes/ inch
Ile Water supply : municipal well , other
i
12 . Type of system proposed : drywell ti.le field other ZTOO
Any contractor , corporation , individual , etc . engaged in the construction
of a sanitary sewage disposal system who covers the same before inspect. ion ,
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 .
,�2
Date si natu a oppl.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 3awS2
40?11700 THE NEW YORK BOARD OF FIRE UNDERWRITERS
� BUREAU OF ELECTRICITY �rGr
Iran 41 STATE STREET, ALBANY. NEW YO 12207 t' i 1%
"'
Date February 26 , 1986 Application .No. on file 095444- 85 A 654949
THIS CERTIFIES THAT
bed belowand introduced the applicant named on the abotHs ap'plicwtawF number in the pren�siaea of
only the electrical egssi wont as descri
John Matthews , Sugar Pine , Queensbury , New York
in the follawiasg location; U Basement � lot FY. � 2nd Ff.
O*0bide Sections Block Lot
1i5
was examined an 2/5/86 and found to he in compliance with the requirements of this Board.
FIXTURE R%TURFS RANGiES COOKING DECKS OVENS DISH WASHERS EXHAIKT FANS
OUTLETS ACUIS SWITCHES NcAmmsctwT rtuCAt8CEw AMT. K. W. AMT. K- W- T.
_ 23 48 18 22 2 2 FR
s DRYERS MENACE MOTORS FUTURE AFMAAHCE iRROERS SPECIAL NOV" TIME CLOCKS �y UNiT /1EATERS M1111r1 CUTLET 4lMWYERS
SYSTEMS AiAr. wArrs
AMT. c. W. Olt N. P_ cAs H. P. AMT. h10. IL W. G- AMT_ AMP. AMT. AMrS TRANS. uKr. N. r. !q, OF FEET
I terA
SERVICE DISCONNECT No. or S E R V 1 C E
Crr H�•ltC.Pro. oP c. eaaa. A. w. A. w. G. rso, ar r�turiew+s
METER A.wLn
AMT. AMP. TYPE E9UM. T .tr rW A x rrw 3 x aw a x sW of NN1. or HI-ltG OP Ht
200 CB x I 4/0 I 2/0
OTHIM APPARATUS:
I- Smoke Detector
Electric Heaters : 3- 2 . 0 kw
2- 1 . 5 kw
3- 1 . 0 kw
1- . 75 kw
aT Joan P . Matthews 239
RD 1 BRANCH MANAGER
Lake George , New York 12845 '
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 B1.IILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TCa OF& QUEEMSSUR.Y
801141105 twMartment
Name
permit xoo
Remarks
Sxcar)a t�.on ,
root!n Forms
Foot in & Viers
Fcrunc7$Lion
Cenraent Coat
vat er r'afin
Ba il.l
rival Surve
Frame
sheath-in
Roof Felt
Ooo,£i.n
SIdIng veneer
l�asonr'
Rou h PI -
Relief valves oT �ra � F
,all soard L
Sxt - Porches
Finished Floor
Interior Trim
gtairs & Ra.ili
Cellar Dr - Tile
Concrete Floors rp [
PI - Fixtures -
Gar . Fire roofin
Door Closers
Chine Inst -
water Meter
Se tic A royal
Floors
Z,onux d tion -- --~`�
insulation ivalils
Celli
Sulila,spec'tor
REMA��S
# ! Su" " ''� � �
C.4 YID y ,F �1
�;�`�E�E�SS�RY
TC�'1 "
U45CIA109. p��►
Dat
Permt �
it Remax�_ r.- .
wcx Mraati a t . on
t
C M1N in
Footi.n 6 piers
Foundation
Ce It coat
water roofin
a& fixx
Final sure'
sheathin '
Roof Felt
fin
�-1 sr, idsri
Masonr Veneer
Rou
Relief Valves
Wall A
Rxt - Parches �,
hed
gloor
Firiis or brim
rnteri
s & Ra=xin
tairs
Dr . Tile
Cexxa glovrs
Concrete � Lo +..7 f
Px Fixtures
Fire roofin vAe
far Closers --
Uoor
Chimne
Water Meter Znst •
$e tic roval ----�-��
Floors
Foundation
Lion
Tnsula malls
Ce
lli
Spector
gEMpg.K5
q pt r!(3 S+ Of
C. i R C r'_ R� r L1 5 aR�v.+R f2 W�y
LA FR + .► ryauSf
{E Yfi f N+ H,C. T
+vlrN rolO ?E
tQi�1aTE
TOWN OF QUEE"SSURY
suildius- Department
N rawe /l�+r
Remarks
EXCS'Va' tit?n
Footin Forms
Footin & Piers
Foundation
cement Coat
Jill
fin
Water ZO .
g,ack,fill
Final Surve
Fr n
Sheathin
Roof Felt
JIM
Rovfin
sidi
Mesanr veneer
Rau h P1
Belief valves
Wall Board 1 11 Jill Jill Jill
Ext . Parches
Finished Floor
interior Trim
Sairs & Ral n s
t
Cellar Dr , Tile
Concrete
p1 Fixtures
Gar . F1re rovfin
DoOr Closers
Wa.ter
Cte.- Meter Xnst .
,r,�
Se tic A Val
Floors
Foundation
.Insulation Walls '
Cellin
---
Uild� ng InsPectar
ggM,ARKS
Z h z4 5F 4 E'AvF our
rj 4el'4r ATIll'i 7 4 H f$.S
TOWN OF QUEENSBURY
suildine 'DePartmeut
Date
Person No. Wcr►tla�
Remarks
ExcatYa t cn
Footin Forms
Footin & Piers
Foundation
Cement Goat
Water .I W
Backfill.
Final SurveyK r 3r
Framin
Sheathin
poof Felt
Roofin
Sidi
Masonr veneer
Rau h Pl
Relief Valves
Wall Board
Ext . Porches
Finished Flc+uur
interior Trius
Stairs 6 Railln s
Cellar Dr , Tile
Concrete Floors
p,7 Jr . Fixtures
Gar . Fire roofin
DoOr• Closers
ch.inne
Water Meter lnst . T
Se tic A r0val
Floors .�—w----
Founda t ivn �._..
Insulation Walls
Geilin
Bui ing Znspectar
REMARKS
rk(ZA
L . ui f ,
Tta►V11'"N OF QUEENSSURY
Bu i>ia;=g lovartment
Repast Date 10
L i
Pernik N� Weather
Remarks
Excavation
Foot in Forte
Footin & Piers
Foundation
Cement Coat
Water roofin
Jgackfill
Final 512rVe
pxaman
Sheathin
Roof Pal It
Roofin
3idin
MasonrI'll, III& veneer
Rou h Pl
Relief valves
Wall Board
Ext , Porches
Finished Floor
Interior Trim
stairs & Raili.n
Cellar Fr . Ti
Concrete Floors
pl Fixtures
Carr . Fire roofin
Moor Closers
Chins2e
Water Meter Ins t . 04F K. P pP►2 cE 5
septic A royal D C. +rce
Floors _Foundation
Insulation Walls _..
Cei llY2
.Building Inspector
REMARKS
TOWN OF QUEENSSURY
Building DOPILIrtment
Gate
Pat No.r '_.'�' b �{ W this
Remarks
SxcatYa is on
Footinr Forms
Footing & piers
Foundation C; `
Cement Coat
water roof-In
Backfill
Final survey
Framin
Sheathin
Roof Fel t
Roof'in
Slain
Mason yEne Er
Rau h Plb
Relief valves
Wall ,board
gxt . porches
Finished Floor
Interior Trim
Stairs & Rallin s
Cellar Dr . Tile
Concrete Floors
Plbcirft Fixtures
Gar . Fireproof-in
Door Closers
,Chimne
Water Meter Inst •
Se tic A raval
Floors
Foundation Insulat-ion Walls _------
Cei I i � �.....� —.
REMARKS
TOWN Of QU EENSBU RY
BuIldilas Doparta.ent
# . Rape ---_
Tiama Date ..
pit NOW p
Rema r,ks
Iaxca�Ya is on
Footincy Forms
Footing & Piers
a Foundation
Cement Coat
water xoofzn
i $a Clrfill r
Final sux�t -
FramIncy
Shea ncf
Roof Felt
Roofin
Siding
.MASOnry Veneer
Rou h PI
Relief Valves
Wall Board
Exit . Porches
Finished Floor
Interior Trim
Stairs & Rail-ings
Cellar Dr . Tile
Concrete Floors
PI . Fixtures
Gar . Fire roofin
Door Closers
Ghimne
Water Meter Inst .
Se tic A royal
Floors _
Insulation P6Undation
Walls --
Geili.n
DualcUng Xnspector
REMARKS
10, 0
77
L
z�
lsl!� sea
CALF I
I �. 25 cl
I APPIOM IV
DRAWN IV
I
k f t