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1985-617 C/o Paid CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 This is to certify that wor requested to be done as shown by Permit No. 8 5 r 617 has been completed. This structure may be occupied as a one—Family Dwelling f Fox Hollow Lane ( St . No _ 25 ) Section 15 of Location Westland Owner _ Dr . Robert Fi E? ;qnd Donna Fine By Order Town Board TOWN OF QUEENSBi3RY Building & Zoning inspector ❑MK^TIVE "1"STA PRINTING. GLENS FALLS N Y ILi01 Yl Ir1�Tf]-S iS I 1 t FIEMPORARY �1�� 4 s cE,R.T'IFI+CAk.TE OF O C+C�C]I'.A� L . �'Y 1 TOWN OF +QUEENSBURY j WARREN COUNTY, NEW YORK I i Date A ri.l 10 19 86 i This is to certify' that worts requested to be done as shown by Permit No. 85-617 i i has been completed. 4 One-Fiamily Dwelling This structure may be occupied as a Lot 601 Fox Hollow Lane ( St . No . 25) Location Owner Dr . Robert Fine and Donna Fine i TEMPORARY CERTIFICATE ATE OF OCCUPANCY FOR. By Order Town Board 60 DAYS , '.TO WN OF QUEENSOURY suilding & Zoning Inspector i f i i I BUILDING PERMIT TOWN OF +QUEENSBURY No. a WARREN CC3UNTY. NEW YORK +� Cr o PERMISSION is hereby granted to Dr . Robert Fine and Donna Fine OWNER of property located at Lot 601 FOX Hollow Lane ( St . # 2 5 ) Street, Road or Ave. W Westland Section 1 in the Town of Queensbury, To Construct or place a One-Family Dwelling t' � 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. 1 . OWNER'S Address is Canterbury Woods Glens Falls, New York 2. CONTRACTOR or BUILDER'& Name Ruggles Construction Co . :E� m o m rl- rr m .3. CONTRACTOR or fSUILDEWS Address � M 5 Wincrest Drive � o ~ Glens Falls, New York CL e.a M cn X 4. ARCHITECT'S Name 0 W rt O r- F� o F� t3 0 5, ARCHITECT'S Address F+ u, r w m B_ TYPE of Construction — (Please indicate by X) ( 2tWood Frame ( ) masonry ( ) Steel ( 1 7. PLANS and Specifications 721x281 per plot plan , specifications and application No. submitted including two-car attached garage and sewage system . 8. Proposed Use One-Family Dwelling $ aI 192 . flU PERMIT FEE PAID — THIS PERMIT EXPIRES M,a � l 19$�. (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the t314 � town of Queensbury before the expiration date.) ((D Y Dated at the Town of Queensbury this 2 3 rd (lay of OC tober 1985 ~ Lei SIGNED BY //rrL / V for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY (Space inside block to be lillvd in b WARREN COUNTY. NEW YORK Building lns<fx� u>rf all Application for a�{ Nr :11tt, st �� l'c•rllliq I��11ed 19 . BUILDING AND IONING PERMIT P,., n1il F %pirc'w /FIII I lli+lrirt 14 , ,DICK• IPI 1�'url f ( 11 Copps of PLOT P Drawn to scaly ti �I ,r, 0% i el 4n sh—owl the actual dimensions o the lot to be built ka'lll:srli5" upon, The exact size. and location on-thajot of the buildin to be erectedor,.A1tat^Ag:J;4UbT im APPLICATIONT 2 . TOWN OF Q(JEEN4,;B1JRY "�"i ► ' 5 RMIi' MUST BE OBTAINED BEFORE BEGINNING WORK I j L} � f ANSWER ALL OF THE FOLLOWINGo The undersigned hereby applies for a permit to do the following work •7 vu � A Y PP P A.M. � I which will be done in accordance with the dascription, plena and specifi- 7181911 � ) } Er cations. and such special conditions as may be indicated an the permit. The owner of this property is: I NA•' EI IP O AUDRESSI The person respansibic: for supervision of the work insofar as the Building Code and the Zoning Ordinance apply i%: f WO wpURES$V Name of Builder . . . . ti-ls -1 - . . .f ca..�t !� ��" ' - . . . . . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nome of Plumber . . . . C•k. C F S . . .c�'Z. .i�t-a'si�. ,�r Address . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . (- ;)A ?`Address . . . . . . . .�- Name of Mason . . . . '.7F){NJ/+t C.Q i.?N. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sr . . . { Lot Number . . Unit .LJ OTIS 64- . . Est i aced value of propowd work S .�.3 Fes_. C>. a .*a . . . . . . . . . . . . . . . . . sa 'S c a d?t . f 7 _ . . . . . . . . . . . . . . Name of Pillage . . . ss. . . . . . - r. . . . . . . . . . . . . . . . . . . . . . . . . . �t. Name of Street . . . �7,,C. . (-�'� L_fl 1?, . . . Side of street: north 0 . east Q , south ❑ , west J4 / Nearest Cross Street . . . . X. . ~J . . . . . . Distance from this e-ross street Ft. Property is north f%, south © . east i] , west ❑ from Cross Street If on Corner. which corner. northeast ❑ . northwest ❑ , southeast southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY qcq Construction of a new building. Main BuRding Addition to a building. Two-family dwelling ❑ Alteration to a building. Two-family dwelling ❑ ❑ D -family apartment hove ❑ Demolition of a building. Store building ❑ '?. . -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage <] Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . I • Two-car detached garage 0 . . . . . . . . . . . . . . . . . . . . . . . . Private chicken house . . . . . . . . . . . . . . . . . . . ❑ Private storage building . . . . . Other: . . . . . . . . . . . . . . . . . . . . . . . . . - - . . . . . . , . . . . . . . . ZONING SPECIFICATIONS. Fill in for new ilding. or addition to existing building. or a chasige of occupancy. Indicate on the plot plan street names. the location and size of the property, the location, size and setbacks of pro- posed buildings. and the location of all existing buildings. uan7n Show proposed building(sl in dotted line and existing ttuilding(s) in solid line. Size of property . . . .. it. it Size and use of existing buildings, if any . . . . . . . . . . . . . . r . . . . . . . . . . . . . . . . . . . . . . "' Size of proposed building ft, x 2 sSi- - . . ft. l,t Height (from grade to ridge) . , . . . .�. . . . . . . . . . . ft, Front yard ft. Side yards V. p . . . . . ft. and . . . ;7 1. . . . . . . . ft. Bear yard . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . ft, &OUTK If on corner, setback from side street . . . . . . . . - . • . • • • ft, Nose: A11 distances are wet, as measured from street side line so nearest ,wars of building. (OVER) icont'd.) BUILDING SPECIFICATIONS.. Kind of construction: Wood frame, fire safe, etc.? . . . . , , . ioo� z> . . . Q.It { -t fi, . . . . . . . . Will any second-hand lumber be used? . . . . . . .i[S171> . I , . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . " . . . 44;>,*t C61e iM -7.S S. . . . . . . . . . . . . . . . . " Thickness . � .S' " . . Depth of foundation walls below grade . . . . . . . . . . �y Continuous foundation? . p_s. . . . Will there be a cellar? . . . . , �S . . . . If so, materia of zaar floor 1 Type of roof: Sloped or flat? . . . /o Material of roof fir., Size, wood studs . . . . . . . . . . mZ . . . . . . . x . . . . . . . , . . . spacing . . . yl 114 " . . . ""a.c„ length , Size. floor beams. 1st floor . . . .''7� . . . . . x . . . .,/ t.. . . . , . . . ", spacing » . " , / y , . . . . "o.e., span . . . � ,� �� . . . Ft, Sire, floor beams, 2nd floor " , . , . " , . x . . . / ,t3. . , . . . _ . spacing . . . . .tv . . . . . . . . "o c., span . . . ,�.. . Size, ceiling beams ',T . . . . " x . . . . . � . . spacing Ft. . . . , , . . . , s K . . . . .�''.,��. . . . , . . "o.c., span . . . /'."�.. " " " " . . It. Site, roof rafters or beams . . . . . .2. . . . . " x . . . . . . . . . . . ", spacing; . . . . f. Z . . . . . . "o»c., span . . .,I'.1 i+ ft, Exterior finish W45 d XPo . . . .�.'rA t , .N! $.-+s'.: . . . . . . With what material ? . . . . . . . . . Finish of interior walls . . . . . . . .4ds', W �jr.r 04AO /, :!;z .r-r. . . . . . . . . . . . If garage is to be attached, of what material is all between garage and main building to be oonstructed? . . Gir. 1 . L.J . . ' '" . " . . . . . . . . . . . " " Is there to be an opening between garage and building? . . . . . . " . . . . . . . . . . . . . . . . . " , . . . . . . , , . . . . . . . . Kind of heating system , . . , . " , . . . . . . . . . . . . . , . . . . . " " . " . . . " !C;il burner orcoal? . . . . " . . . . . . . . . . . . . . . . . . . . . » „ Will a flue lined chimney be provided? . . . gCa . . . . . . Depth of chimney foundation below grade Height of Chimney above roof . , .. `! . . . . . , . . . . . . . . . _ I . . . . . . . . . . Will there be a fireplace? . . . . . . . . Depth of fireplace hearth . . . /rQ . . , . . " . . , . . . . , , . . . " . . . Will a toilet be installed? . ; . , Will a kitchen sink be installed and connected to water supply? . . Water supply (public water supply or pump) _ _ tJ -A%41 t . . . • , . . . , . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . , . . . . , . , . . . " . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . , L v aZ"- . . . . . . . . . . . . . . . . . . . . " " . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York 1 swear that to m b ;s j of my knowfedge and belief the sunaments contained in this application, together with the and spes3fio dons ittL- ntit"t are a true and au.a. alete statement of all proposed work to be dram oft the descrribed presumes and that of the RUILD3 ING CODE, THE TONING ORDINANCE, and all other Laws pertaining to the proposed Wo9k shall be , whedsor apecified or not, and that such work is authorised by the owner. Sworn to before me this Signature . . O ER. OW Ads AGENT, RCHI TRACTOR Z .Z. . ... day of.. .. .... . "'" ? . . .. . .. __. .. .. . . ... . 39. . i / NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: By .. . . . .. . ....... ..._ ...... .... . .. . . . . . ... .. . ... .. . . . ...., .,... . . ..... . . ....... . ........._.,. . . .. .,..... TOWN OF QUEENSSURY 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 Z 5 'Z5 �5.jc;m* 2 . Type of heat , /� , W G'.[LT P►lww - 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 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. 2 . R value of exterior wails 3 . R value of glazed area r Z 4 . R value of doors ._,, ,,, X 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 Be R value of heated basement / cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( belowgrade )� g 10 . Type of insulation ��,�_ , � i p� 7-r7Gt vr1 Co Controls - 7 1 . Thermostat maximum heat setting / �y D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES 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 tool Only 1 . Maximum heating Telephone No . ( applicant ' s signature ) TOWN OF QUEFNSSURY BUILDING i ZONING DEPARTMENT SE'Tr'AGF DISPOSAL PERMIT APPLICATION 1 . Owner ' s Name, Address____- A A170'w tl/'/ �,T �G[-� R � MawAO!2(4 r> Telephone No . :;2 2 . Property location . m ,L 3 . Name �of� person or firm responsible for installing system - _ C4 "____:!/of� _ _ Telephone No - Address 4 . Number of bedrooms ( residential buildings only) J 5o daily flog' 2�� gallons/day E . Septic tank capacity gallons 7 . Topography : flat , rolling steep . of slope 8 . Nature of soil and depth !ii;� , Mil 44: 4 1 9 . If ground water , bedrock or impervious material is apparent at what depth does it `begin? 10 . Percolation test : A is required S _is not required Cam.' 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 , 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 Z. as pzgliaiture for in Secti 6 . 010 of the Clueensbury Sanitary Sewage Ordinance . Date % t'� c.L ' o apg is Jr On separate sheet of paper submit a dig4rarn 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 i i i THE NEW YORK BOARD OF FIRE UNDERWRITERS - _ YC{ BUREAU OF ELECTRICITY � ' � 41 STATE STREET, ALBANY. NEW YORK 1220 i7ate APril Application -No. on fife 102499/85 I THIS CERT11=1025 THAT y t►y�gpy �r 657764 agaY the elect ip me t w dsacrri# �A �bt4D.L.�tJW .tnoa t* q�p�t3S 8�St3C L3 ► sc7I7 ' r Ci3E'1Y.�1 5 rePP a ;Mber in the prenslaea ,of in thefoltowin,g l+x�ti 8 Basement lot Fl. L1 2nd FT. 010tt lde .Section Block ���was exa+ni:rierton andfound to be in cornptionce with the requirements of this Board. NXTUEE EFTACLES SWITCHES FIXTURES RANGES COOKING DECKS OPENS DISH WASHERS EXHAUST FANS OU7LET5 INCANDESCENT PIUailinCENT 21 V AMT, K- W. AMT. K_ W. AMT. K W. AMT. K. AMT. w P_52 26 19 2 W. DRYERS IitRNACE MOTORS FUTURE AFFIANCE FEEDERS 5RECIAL Ill TIME CLOCKS EEIL UNIT HEATERS MULTIAUTLET AWT K. W. CPL K R GAS K P. 4AT. SYSTEMS '. 6. AMT. AMP. AMT. AMPS. TRANS. AMT. M. P, NO, OF FEET AMi. WATTS #10 SERVICE DISCONNECT NO. OF AMEN S E R V I AMT. AMA, rm Al 11' 7W 1 ,a' 3W 3 X 3W 3 X IW NO. ill CC- COIVD. w.. w, G, � E PER I Oi CC. CpND. IPIa. or MI•ACG pP IM 1EG Na. i7f NEUTRALS Of A.W. 1 200 f 3 1 x 1 4/ 0 1 2/0 ` OTHER AFFARATU51 (so= Sill Dill Fa.ecrtrlc Heater r S . 3- 2 . 0 K.i+7. = 3- 2 . 5 KLw. c 2� 100 xww. ` 4- . 75 K.TIm Etca F,lectric ar 7 Birch. Taney Glens Falls , New York 12801 / I BRANCH MANAGER t P This certificate must not be oBered in any manner, return to the office of the Board if incorrect. Ins Per Inspectors may Lae identified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Vw (a C. t.&S TOWN OF QUEENSBURY 8uildime Dovartmeet b"POcbmsr1 .'Report row- Z,/ � G Pew No.ig--�! � es c.c] W+�sclier Remar$s FxcatYa is on Footin Forms Foot-in & PierB Founda tion Cement Coat Wa ter roof3:n Baclk.fill Final Surve 1�ramin Shea thin '� . Roof Fel t RoolFin �' .Ct.� Sidin Masonr veneer Rou h P1 Relief TRalves Wall Board 1sxt . Porches Finished Floor Interior Trim Stairs & Rallin s Cellar Dr . Tile Concrete Floors IIII P1 . Fixtures C.ar . Fire roo.Eiz7 Door Closers Chi rune Water Meter Inst . .fie tic A royal F' oors Ins ul a ti on rnda tion b.a/-CXLi� — -1 vux-LaTin-�— g Inspac {`y q RE'M"KS eo TCi1IV'N OF QUEENSBURY Suildlog- Dopartueent D&I z� g �.� NONNI ltiao Pannit Na. Wcsk]aer 16 / Remarks Excarr 3 tivn Footin rorrms Foatin & Piers Founds turn Cement Coat Water roo.fin Backel2l Final surve F.razaincr Shea thin Roof Pei t Rooeln Si din Masonr veneer Roar h P1 Relief valves MA11 Board sxt . Porches Finished Floor. Interior Trim stairs & Railln s Cellar Dr . Tile Concrete Floors P-Zba . Fixtures Gar, Fire roofin Door Closers Chi.mne Water Meter Inst . Se tic A royal Floors XJ2sul anon foundation Wails e n - U.i. ding Inspector REMARFCS _ k t { j. — � Aj 'A a f 'i i � I � t ° j \• I f i f .f y i I I I