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1985-601 } a. (2ER.TIFICAT"E OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY , NEW Y+Dn 04\0 � rt Dalc 19 This is to Certify that work requested to be done as shown by Permit PSo" has been completed, i 4� r-� A: Z Z I?fY "Phis structure may be occupied_ as a r III The T � nc-. � r. - r 1e= gin sl tF` zt: inc` nttrtzct � TI••^ OwtYer By Order Town Board TOWN OF QUEENSBIU Y 1 Building & Zoning inspector r - •RI MT ING. GLENS I6 LLS M Y I too 1 IS 161703-%R'S6 CREATIVE PNST^ BUILDING PERMIT TOWN OF +QUEENSBURY No. Pi WARREN COUNTY, NEW YORK ti--" rr• Paulin construction company , Inc . n PERMISSION is hereby granted to d Lot 75 Whig Pine Road. ( St . # 9 ) Street, Road or Ave- a r OWNER of property located att in the Town of Queensbury. To Construct or pleas a Line—Family Dwelling n 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 R'D 1 , Rt. 167 Mechanicville , New York � c �c r3. ONTRACTOR or BUILDER'S Name f'3 same ONTRACTOR or BUILDER'S Address same p 4- ARCHITECT'S Name iyt V] r* I-+ 5, ARCHITECT'S Address y� {D 0 'd _ CLIP 6. TYPE of Construction — (Please indicate by X) �u 0 1 Woad Frame ( } Masonry ( } Steel ( } 7. PLANS and Specifications lication 581x26r per plot plan , specifications and apand sewage No. submitted including two-car attached garage +� a. Proposed Use One—Family Dwelling m I� $ 50 00 C/O Paid 79 86 ,� $ 143 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES ffa1' 1 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the E town of Queensbury before the expiration data.} (D 19 8 Dated at the Town of Queensbury this '1 8tYi _Day of October F^ SIGNED BY for the Town of Queensbury Building andanndd Zoning gIIrrspector TOWN OF QUEENSBURY (Space inside block to 1w filhgl in br W^IRREN COUNTY. NEW YORK building 111134na:t*►t•l Application 11 II ;rutirnl No. PT for 1'vr III ll lsw.rla•el I'y BUILDING AND ZONING PERMIT i", -rr oil }.shires 14f If copVs of PLOT PLA,. Drawn to scale �I .� ,r, F4F•el in Itt•nun s owing�g Ow actual dim at+lsigns o!tha lot to be built kf upon, The exact sits, and location o of of the . . . . . . . buildingto be erected I3est� B- 'VViTFI`-7'H1 APPLICAT10l+�,f TOWN OF Ql.1EENSBURY nwrE E 0 E A V E [5 A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK OC ,� ANSWER ALL OF THE FOLLOWING. � �1 The undersigned hereby applies for a permit to do the following work A.M. 1� 13 1516 which will be done in accordance with the description. plans and specifi- 1 Mdo `4 a 11 a I cations, and such special conditions as may be indicated on the permit. Y�LG�J The yowner \ of this property is. ��`--1 . . Q ti`-1i 3 . \. .`�--.- . 'l _. 'Q\. }loss. - - CNA ,1K1 CA U At7pRES51 The person responsible for supervision of the work insofar as the building Code and the Zoning Ordinance arply (NAM1E1 Name of Builder . . . . . . . . . . . . . . . , Address . . . . . . . . . . - . , . . . . . . . _ . _ , . . . . . . . . . . . Name of Plumber . . . . ..A . *. � . . . �� .k. S X � � a . . . . . . . . . . . . . . . . Address Native of Mason . . . `? . S . . . . a .� . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . _ . . . . . Lot Number . I. Unit . . . . . . . . . . . . Estimated value of proposed work f . . . . . . . . . . . . . . . . . . . . . Nance of Village - Z R% � , � `� 4 �x .4� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . _ . . Name of Street ;1• 1i , 't . . . ` c _r:-ly . . .. . . . Side of street: north [ 1, east D. south 0 . west ❑ Nearest Cress Street � .�=. . . . '�` . . . l]istance from this :gross street kt. Property is north (p , south 0 , east i i , west ❑ from Cross Street kt If on Corner, which corner& northeast 01 northwest ❑ , southeast Lam . %outhwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Maui Building � 0 Addition to a building. One-Family dwelling © Alteration to a building. d d - I family dwelling, ❑ -family apartment hove ❑ ❑ Demolition of a building. store building ❑ 076 . -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . Accessory Building; One-car detached garage ❑ Other work. Describe. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage J Private chicken house Cl. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . � � � 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 pose NORTH proposed buildings, and the location of all existing buildings. Show proposed building(&) in dotted line and existing S t uilding(s) in solid luxe. ' `? `7 l `7 Size of property y� ft. x . . - it. Size and use of existing 'buildings. if any . . . . . C. 'J- L Size of proposed building . . . . . . ft. %^ height (from grade to ridge) . - . . . . • . . . . Front yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . ` 1Q, . . . ft, LSide yards . . . +: Q " . . . . ft. and . . 3�, 1 ` . , . ft. Rear yard . . . . . . . . . . . . . . . . . . . . . . . ; �. +. ` ,[r.10 . . . it. SOUTH If on corner, setback from side street . . . . . . ft. . Nate: All distances ere wet, as maaasur,rd from street side I line to nearest dart of building. COVER) (cont'd.) SCALDING SPECIFICATIONS.. Kind of construction: Wood frame, fire safe, etc.? . . L ? �? . . �� �. �:� Will any second-hand lumber be used? , . , .1� .t p .. . . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . C7 s^r c �N. a._�S"Y`.r � . - . . . . . . . . . . . . . . T'hickneas . . . . . . . . . . . . . . Depth of foundation walls below grade . . . . . r 4,. . . .. . .� ~ . 7. . . . . . . . .:. . . . . . Continuous foundation? . . . . . . . . Will there be a cellar? . . e s . . . . . . . . If so. material of cellar floor . . .� . . . . "Patti Type of roof: Sloped or flat? Material of rooff� 1o�t .z .M.S . . Size, wood studs . . . . . . . . . . . . . . . ..;2 . " x spacing .(s �'. - . . . ."o.c.. len . . Size, floor beams, Ist floor . . . . . . . .~"s '.` _ ^ x I.G1 � . . , Pa g � 1 n. . . . . , . . ft. . . . , spacing . . . 1. �v, - . . , . , . v.c., span . . . .� .� . . - . . , . - ft. Sue, floor beams, 2nd floor . . . . . . . „ x }�.' . . . . . . . . . . . ", spacing . . . . ( (ca rr . . . . . . "o.c., span . . . . Size, ceiling beams . . . . . . . . All`� " , spactng iK' l ' "o.c., span . . . .e_ 4 . . . . . . . ft. . . . . . . . . " Site, roof rafters or beams . . . . . . . . . . . . " x . . . . . . - ". spacing . . . . . . . . . . . . . . "o.c., span . . . , , . . , . . . . . . ft. Exterior finish �-x . d ; r.*,With what material? . .� . . . . G a.� . , . . . . , . . Finish of interior walls . , . . ."t . � ,Z,a..i a. l'1. , . . .'ins . . . . :4> . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main bui,jding to be constructed? . , , -�.• � . e . , i�'tgz. Cd' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - Is there to be an opening between garage and building? . . , Pel '. Kind of heating system . . . ' -:�d. :� h �ivc xa: . . . . . . . . . . . . . . . Oil burner or coal ? - . . . . . . , . , - - . . . . . . . . . . . . . Will a flue-lined chimneybe rovided? . . z . . . . . . P ; r Depth of chimney foundation below grade . . , , . . . , . . . height of chimney above roof. . . . . . -' Will there be a fireplace? Depth of fireplace hearth . . . . . . . . . . . . . . . . » , , . . , , , . . . . . Will a toilet be installed? . Py:qC..5 . . . . . . . . . . . . . . . . . . '. . . . . . . . . . . , . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? - . �r S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . - . . V!a . s.13C -.W .?t :C . . . . . . . . . . . . . . . . * , . . - . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �� - . . . . . . . . Feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . 'Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr. A r4 i of my knonoodge and belief the statementa contained in this application, doFatber with dw plam and s 021:00 mitred, are a true and eo,., ete atatement of all proposed work to be done on the described pKeasaws and that a0 of the BCIIL[I- ING CODE, THE ZONING ORDINANCE, and art other laws pertaining on the proposed work slated bewaoerel/lietl a� syf thesBUId or M4 and that such work is authorised by the owner, rye i"] / > Sworn to before me this. Signature f / t2C .E .--f." �}{ 3 . .c .� r - c OWNEPI. OWN"Ews AGENT. ^wcooTECT. copof"ACTon . .- . .. . . day of . . . . .. �--t�.�+'... .. . I4 �:- . . .. . . . . . . . .. . . . NOTARY PUBLIC, WARDEN COUNTY, N. 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 : Gross floor area 2 . Type of ha at 3 . Is the building mechanically cooled ? V � 4 . Percentage of area of windows and doors A , Over 16 % Only 1 . U value of gross area of walls , roof / ceiling and floors exposed to ambient conditions ' e� -T- aF � i 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? K YEI NO 1 . If YES , what is the R value ? 3 . Slab on grade C!�ti.k NO a . If YES , what is the value of insulation around perimeter of floor ? 40 is basement heated ? YESOj a . R value of insulation Ir 5 . Type of insulation 'Fc3mm IM14Kn=.ko rzf s . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. 2 . R value of exterior walls 3 , R value of glared area 4 . R value of doors 5 . R value of floors over unheated spaces VVVVV 6 . R value of slab edge insulation _ unheated slab ? . 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 `x m% , r �4 ref co, Controls 1 . Thermostat maximum heat setting e `7 DW Duct Systems __ Im is duct system installed in unheated spaces ? YESG7-- 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 2 . R value ot. i-pe insulation F . Service Water Heating �p 1 . Performance efficiency /o 2 . Temperature control setting maximum G . For Swimming Pools y I . Maximum heating Telephone NOV SrI2 _ Z%A I 2►tt ` �� '� k � S r. ( applicant ' signature ) TOWN OF OUFFNSDURY BUILDING i ZONING DEPARTMENT �}SrWAG£ DISPOSA .. PERMIT APPLICATION Owner ' s Name Address y1 ) ) e lk). e. L �r}ta I � U Telephone No . Spe-f 2 . Property location 1„ �[' ► 'r` .�� � 4Z1� t �. � 917 3 . Name of person or firm responsible for installing system Telephone No . Address 4 . Number of bedrooms ( residential buildings only) 5 . Daily flow' gal.l.ons/day b . Septic tank capacity � "� gallons 7 . Topography : flat , rolling , steep $ of slope 4 8 . Nature of soil and depth -.' 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? If to lO . Percolation test : A is required B is not required C If required what is the rate minutes/inch 110 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 approver] application will be subject to a penalty of $ 250 as provided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . DateC�JC�h signature4cM applicant _ On separate sheet of paper submit a diaram 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 1 TOWN OF CUEEN5BURY Building Department N Rat a ►+1 Date PernmA No. Remarks Excat}a.tion Fppti Forms Foot-in . & Piers Foundation - Cement Coat y Water roofin Hachfill - i Final Survey Framin Shea thin Roof Fel t Roofing Sidingr ,Masonr veneer Rou h P-1 K Relief Valves Wall Hoard" � ' Ext . Porches (9 Finished Floor Interior Trim Stairs & Railin s Cellar .ar . Tile Concxete Floors 3 c7 P . Fixtures Gar . Fire roof in • • + - T�oor Closers Chimne Water Meter Inst . Septic A roval Floors _ pounds Insulation Wells Ceilin — Buil ing rnspector REMARKS qT-k+ FL©ca wti S TOWN OF - QUEENSBURY Snilcrseg Department iu rec bwe Reportar, Date 1 /• aka o2 + 1?5 -- Pero t Na. 95- do ! Weatbmr Remarks Excatpa tion Footing Forms Footing 6 Piers Foundation Cement Coat water roofin Backfill Final Survey Framin i7L YT Itr�fr E +e +G 0+�- ✓ SheathingrN r 9 �► /H9P! ,Roof Fel t RooArIng SjdjnqF Masonry Veneer Rough Pl Relief Valves wall Board Srt . parches Finished Floor Interior Trim Stairs & Railin s Cellar Pro Tile Concrete Floors Pl2qw Fixtures Gar . Fire roofin Door Closers Ch.i.mne Water Meter Inst . 5e tic Approval Floors Insulation Foundatl n_ Wall s -------- Building Inspector REMARKS TOWN OF QUEENSBU RY � Building Department R'e1p=rt Date Ile ` f 5' N ... Location dyZ�����V Permit No.JQC)I Weatherer Remy rats Exca0a ti on Footin Forms Footing & Piers Foundation Cement Coat Water roofin Ba ckeill Final Starve Frami.n Sheathin Roof Fel t Roofin Sid.in Masonry Veneer Rough Plbge Relief Valves Wall Board Ext . Porches Finished Floor xnter.i.or Trim Stairs & Railings Cellar Dr . Tile Concrete Floors P2bg. Fixtures Gar . Fire roofin Door Closers Chimney Water Meter Inst . Se ti.c Approval (9a Floors Y .maul a tion Founda t ici2 Walls Celll.n Building .inspector REMARKS r +� Aalde, r H LSG C7 { K . LW710 TOWN OF QU EENSBU R,Y Building Department ec6ae� Repwrt -- Date G'� ' € $�• Name L I u Lecuount n - Per ak Na. rs - fa „ i Weather Remarks Sxcat}a t.x on Footing Forms Footing & Piers Foundation ok KC f Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rou h Pl Relief valves wall 'Board Ext . Porches Finished Floor Interior Trim Stairs B Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fire roofin Door Cl osers Chfmne water Meter Inst . Se tic Approval Floors Insulation PoundatiDn walls Ceiling w wM 0�etcatr! Building Inspector REMARKS TOWN OF QUEENSSURY sU01ains. Departanexas Ae Perms N ll Weather r - jr 4 r Remarks Exca0a tzon Footing Forcers Footing & Piers Foundation Cement Coat Water rooEIn Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry 'Veneer Rough Plbqrw Relief Valves wall Board Ext , Porches Finished Floor Interior Trim Stairs & Railings Cellar 17r . Tile Concrete Floors Pl Fixtures Gar * Fire roofl n Door Closers Chimney water Meter Inst . Se tic Approval Floors Insulation F°oundation� RPaIl s Cell-in { Building .inspector REMARKS F! -71 Af-'1A1 J TE !r"� E`) ap DvF-ENS-bupaq LoT7� SCALE F-,VISIED AWN By IqP ,37 t_ �j�,`�-/�%� ,t") I"- Lpo' �1 - WI Ak. JE s o !✓t S ATE A"ROVED By DRAWING NUMBER ALBANENE ® 10 5455 K*E ARCHITECTS' STANDARD FORM