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1985-577 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 1 �L[ 7, Q Date19C� !-I `- �i 7 This is to certify that work requested to be done as shown by Permit No. has been completed. Y1y� l � � 1 j � � 1 �y1ti!� ' �^ � � 1 r)p r be This structure �f�4r-e mPl ptie a VD Locarion Ma cl UW Op" LI Owner I1 �C :r�,E T-r;n F F? T_ T' S ` F I T By Order Town Board TOWN OF QUEENSBURY -. 0I r.. Building & Zoning Inspector II CREATIVE -INST/1 •HINTING GLfNS PHI.LS N Y •2001 [] Is�T153456 t BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 577 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Michael and OWNER of property located at Pinewood Rnad Street. Road or Ave. w in the Town of Queensbury. To Construct or place a Am i 1 Mad-1.2 l 14 Xjg py 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. ri 1 . OWNERS Address is 7 5 Knight St . {Glens Falls , New York to r2CON:TIRIACTOR or BUl LDER S Name ip Assembly Developers & TectonicsNTRACTOR or SUIt_r S Address 20 Saratoga Avenue South Glens Falls , New York b 4. ARCHITECT'S Name aim fD C7 0 F5A:R:CE"ITECT'S Address O NTYP of Construction — (Please indicate by X) i wood Frame ( ) Masonry { Y steel ( I F7, PL:ANSnd Specifications24tx42 r per 'plot plan , specifications and application 0 No• sukxnitted including sewage syst2SCl .THE ATTACHMENT OF THE TWO PARTS MUST BE APPROVED Byoposed Lisa A ><,ICENSED PI'4);`ESSIONAZ One-Family Modular Dwelling �-C $ 5 . 00 C/O Paid 85 • 7 {} . O 0 May y 1 19 $ PERMIT FEE PAID - THIS PERMIT EXPIRES r (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the H town of Oueensbury before the expiration date.} t7 Dated at the Town of Queensbury this 8th day of October 19 S m for the Town of Queensbury SIGNED BY cce Bultdi" na and nI nGg Irnzpecto` ? TOWN OF QUEENSBURY 1 `+Isaee inside block ter lrr• lilivxirtr by WARREN COUNTY, NEW YORK Building inspxoctorl Application for pplic :}tioll Nf>. _� . Pc IPM1 ls,Iwd Iq BUILDING AND ZONING PERMIT I't .1-111il .!, eft iir;: 1)i+�l rirl k ;tltl,• , r1 ll�t srl. ,� ,�� THREE ( 31 Copies of a PLOT PLAN, Drawn to scale IrlJILc•cl bV showin the actual dimensions of the lot to be bull} Ilc iu,� i )ly upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, TOWN OF QUEE�I/'JVSBURY 0V FE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK _ ANSWER ALL OF THE FOLLOWING. g 3 19� The undersigned hereby applies for a permit to do the followin work 14.W;W which will be done in accordance with the description, plans and specifi- 71819 11218) 4I816 cations, and such special conditions as may be indicated on the permit. The owner of this property is: . . . . . . Mike. .Apir -3 .FRUssell , . .75 , ,Knight . St . .,. . GlensrP o a ls,f-} - NY . . . . . . . . . . . (NAThe person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is. . . . . . . .7ackk . Wals.h . .17 , ,Burgo.yne . Avg' ... , - F'Qr-t . Edw,ard . - .NY. . . . . . . . . . . . . . -INANI EI fP 0 Ab4RESS) Tecctttr� 7C S Name of Builder . . . Assembly - DeveIapear:s . .& . . . . . Acfclress . . -20- -Sarat.oga - Axve-, ; -So Glens - -Falls Name of Plumber , . Just in. .Charle s Address Natite of Mason . . . - . K.en. .Bci..ldw.±n . . . . . . . . - - Address - Hadlo.okc Pond. .Rd. .. . - ,Wt .. . Fort Ann Lot Number , 2 0. . 1..0, I . . . Unit - . . . . . - - . . . . Estimated value of proposed work S . - . - $.4 1.,. 00.0 . Name ofVillage . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Nance of Street . . . Fi.,newood. ,Road, , , , , , , , , , , , , , , , , , . . Side of street: north ❑. east 0 . south © , west Nearest Cross Street . . . Lu z esne . Road . . . . . . . . . . . . . . . . Distance from this cross street . . . . 0 0. . . . . . . . . . . . k r . Property is north ® , south ❑ , east :i , west ❑ from Cross Street If on Corner, which corner, northeast 0 . northwest 1:1 , southeast D . southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Bu tiding l] Addition to a building. One-family dwelling 0 Alteration to a building. Two-family dwelling ED [� Demolition of a building. -Family apartment house Store building [] - - - . - . . - -car attached garage [� Other: . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage ] Other work. Describe; . . . . C 4► t .Q .r< , . . . - . . . . . Two-car detached garage Private chicken house Private storage building ED I . . . . . . . . . . . . . . I . . . . . . . . . . . . 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, size and setbacks of pro- NORTH posed buildings, and the location of all existing buildings. Show proposed building(s) in dotted litre and existing Luzerne Road o huilding(s) in solid line. aSize of property . . . . .1. 3 5. . . . . . . ft. x . . . 15.0 . ft. OSize and use of existing buildings, if any . . . . . . . to t O F �� 1e Size of proposed building . . 2.4 . . . . . ft. x . . . ti.?,,. , . . . ft. aheight (from grade to ridge) . . . . . . 241 . . . . . . . . . . . . ft, Front yard . , . . . . . . 4 G. . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards . , . ,36 . . . . . . . . . ft. and . . . . . 57 . . . , . . . ft. Corinth Road Rear yard . . . . . . . . . . . . . ft. so u T H if on corner, setback from side street . . . . . . . . . . . . . . . ft, . !Vote : Alf distances arc net, as measured from street side line go nearest part of building. (OVER) (eon t'd.) BUILDING SPECIFICATIONS., Kind of construction : Wood frame, fire safe, etc.? . - . , . 0.0d. . F:r_a te. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? , . . . . , . N;o . . . . . If so, for what? . . . . . . . . . . . . . . Material of foundation walls . . . Cortcretp . .Q1.0CX . - - 11 • • • • . . Thickness . . . 1L1 .. . . . . . Depth of foundation walls below grade . . . . . . . 6 .t. . . . • . . . Continuous foundation? . . . . .will there be. a cellar? If so, material of cellar floor . . , , , , . .COJ1C3Tet-e • . . . . . . . . . . Type of roof: Sloped or flat? . _ . . S.lopect . , - . Material of roof . . 3� " . Ply-wood.,. . 2.35 . 1 . ShIng.le Size, wood studs . . , . . . .2 . " x . . . . . . 4. ", spacing . . . . . . . . .16. . . "o.c.. length , . . . . -7 L2. . . . . ft. Size, floor beams. 1st floor . . . .2 . . . . . . . " x . . _ . . . . . . 8, . . , . ", spacing . . . . . . . . . 16- . . "o.c., span m 611A, ft. Size, floor beams, 2nd floor . . , . . - . . " x . . . . . - . . . - . ", spacing . . . . . . . . . . . . . "o-c., span _ . . . . . . . . - . . . . ft. Size, ceiling beams . . - . . . . . . .2 • q x 4 . . . . . ", spacing . . . . . . . 2 4 _ "o.c., span . . , . . . . 11. '-S , - R. Sije, roof rafters or beams . . . 2 • . . . . . . " x . . • 4 . „ spacing . _ . . . . . . .2 4 . . . "o.c., span . . . . . . . 14. . . . ft. Exterior finish , . , . - IsTD.IIVG I d With what material ? . . . . . ,VINYL, . . . . . . . . . . . . . . . . . t11 . .". . D.ry. .WG].l-painted , 4 . . . . . . . . , . . . Finish of interior walls , _ . , . . . . . . . . . . . . . . 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? . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . Kind of heating system . . . . . , E1Act.ri_q . . . . . . . . • . . Oil burner or coal? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? . - . . . • . NO . . . . - Depth of chimney foundation below grade . . . . . . . . . . . . . . Height of chimney above roof . . , . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . _ . . _ . , Will there be a fireplace? . . . . . . RO . . . . . . . . . . . . . . . . Depth of fireplace hearth . . - . . . . . . . . . . . . . , . . . . . . . . . . . . . . . Will a toilet be installed? . , . . , .XeS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . - Yjee . . . . . . . . • • • • . . P • . . . . . . Water supply ( public water supply or pump) - - . . . . -PU_b1 ? C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feel Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will drainage system be provided with required traps, cleanouts, and vents? , . . . . .Yes . . . . . . . . . . . . . . . . . . . . . . . . . . AFFIDAVIT Town of Queensbury County of Warren State of New York I swear that to tr. }1da iof my kno%%ledge and belief the statements contained ip this application, together with the ours and specifications awb- mitted, are a true and oa... [ete statement of all proposed work to be done on the described prenuses and that all �visnaru of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the pro sett work shall mpljitVI th, whether specified or not, and that such work is authorized by the owner. L1] 'Sworn to before me this Signature . . . . - LrJ KSWNE 6WHER'S AGENT. ARCHITECT. CQNTR4C7pR � .. ., I� NOTARY pUBL-IC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT; . _ ..... . . . .. . . . .... . TOWN OF QUERNSBURY WARREN COUNTY , NEW YORK w Application fort 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 1008 45•Q, F7 2 . Type of heat Electric 3 . Is the building mechanically cooled ? No A . Percentage of area of windows and doors 12 . 3 A . Over 16 % Only 1 . Uc value of gross area of walls , roof/ ceiling and floors 4pxposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO l . ` 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 B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls _ 19 3 . R value of glazed area 1 . 92 4 . R value of doors 10 5 . R value of floors over heated spaces 19 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement/cellar walls ( below grade ) low Type of insulation Fiberglass Co Controls 1 . Thermostat maximum heat setting 85 D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO 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 swimmin Pool only 1 . Maximum. heating � r� Telephone No . 798 - 3130 '✓ ( appl ant ' s signature ) TOWN OF OUFFNSBURY BUILDING i ZONING DEPARTMENT SEW-AGF DISPOSAL PERMIT APPLICATION 1 . Clwner ' s Name Mike & April Russell Address 75 Knight St . , Glens Falls Telephone No . 798 - 3130 2 . Property location Pinewood Road , Glens Falls 3 . Name of person or firm responsible for installing system Rick McGuire � Hicks Road , Glens Falls Telephone No . 793 - 7594 Address 4 . Number of bedrooms ( residential buildings only ) 3 5 . Daily flaw 450 gallons/day . 6 . Septic tank capacity 1000 gallons 7 . Topography : flat , rolling , steep % of slope Be Nature of soil and depth Sand - 15 ft . 9 . If ground water , bedrock or impervious material is apparent at- what depth does it- begin"? ft . 10 . Percolation test : A 4dW1= C is required B is not required C If�requzred what is the rate minutes/inch 11 . Water supply . municipal , well , other Municipal 12 . Type of system proposed : dry-well , the field , other Drywell 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 October 3 , 1985 15Lti3— s nature 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-$ 2 THE NEW YORK BOARD OF FIRE UNDERWRITERS 13UREAXI OF ELECTRICITY f� 83 JOHN STREET, NEW YORKw NEW YORK 10038 V cb Application No. on fife N 719579 Dace December 90 1985 f)9"/ `J14-85 THIS CERTIFIES THAT y only the electrical equipment as deseribed belowand introduced by she applicant nomad an the above application number in the promises of ..,: .- Mike Russell , 87 pinewood Road , Queensburys New York " in the fallowing location; BasementL_k 1st Ff. El 2nd Fl. Outside Section 12G Block Lot ?.(3 . l 171 . was examined on and found to be in compliance with the requirements of this Board. F 11114 /85 FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEf TACAES SWITCHES INCANDESCENT FLUORESCENT vr,PORr AMT. K. W. DRYERS FURNACE MOTORS FUTURE APPM1IANCE FEEDERS SPECIAL REC'PT TIME CWCKS BELL UNIT HEATERS MULTI CPIITLET DIMlAERS SYSTEMS A�xT Watts AMT. K. W- CNl N. P. GAS H_ P. AMT. NO. A. W- G. AMT. AMY. AMT. AMPS. TRANS. MINT. H. P. I,LO, OF FEET SERVICE DISCONNECT No, OF S E R V I C E METER NO. CC. COND. A. W- G. NO. II A. W_ G. No. OF NEUTRALS LryF NEVTGRAL AMT. AMP. n' EQUIP. 1 .w 2W 1 ,fir 3W 3 �a' 3W 3 A' aW PER W OF CC. CONO, OF NI-LEG OTHER APPARATUS: jd M1ke Russell `s 75 Knight Street GENERAL MANAGER Glens falls , New York. 12801 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 BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEE14SBUR.Y BuIlding Department R-"Mwt N. �. Pewmmit No. �^ , r Weaflbw AIA Rexmrks ExcatYa t,�on Foot-in Forms Footing Piers Foundation Cement Coat Water fin BackrIll Final Surve Frami Shea thin Roof Fel. t Rooffing Masonry veneer Rough PI Relief valves Wall ward Ext _ Porches Firxished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors . Plbgo Fixtures vf Gar . Fire roofln Door Closers Chimne Water Meter Inst . Se tic A roval FI rs Inss u 2 a t.i ran rttlda t 3 Cn wa2lo _ Celli Bu3ld-ing rnspector REMARKS TOWN OF QUEENSSURY Building, Department In pedera Rework Date ! I NAME t wA.+ re-S Locs�1s4n '� P �4:t l rta Pernik N1°°` Remarks ExcaOa tl on Footin Forms Footi 6 Piers Foundation ,Cement Coat Water fin BacJcfi2.� Final Survey Framin Shea thin Roof Felt Roofi SIdIng Masonry Veneer Ron h Pl Relief valves Wa.12 Board Ext . Porches Finished Floor liiiiiiiiii1pil,Interior Trim Stairs & Railings Ce3lar pr . Tile Concrete Floors P1 . Fixtures Gar . Fireproofing Door closers chimne'Ll Water Meter Inst . Septic A rova.l Floor's FoUnda t.ion -.- Ynsulation walls Cei23 +, Building inspector REMARKS TOWN OF +QUEENSBU RY Building- Department iftspNrebwo R, epwt Leca�tiaati Pest No. Weather 5'77 Remarks ,�xcatYa t on O ^. Foot in F0XIMs Footin 5 Piers Foundation Current Coat Water roofin Baclrfi.I l Final serve Fraa+i.n Sheathin Roof Felt Roofin sidin k masonry.. Veneer Rou h PI Relief Valves Wall Board B"xt . Porches Finished F,Ioor Interior Trim Stairs & Raili.n s Cellar Dr . Tile Concrete Floors P ro Fixtures Gar_ Fireproof Door Closers Ch ionie Wa ter N ter 2nst . septic A royal Floors Foundation Insulation Walla _ Ceilln Bull ing Inspector REMARKS GEORGE KUROSAKA JR.. P.E. ` BUILDING WfSTEMS CONSUL-CANT P+ 47T of ICE Box NO. 8eo GLEtas F=• • S. NEW PORK 1260t i5 1 01 792-1 522 13 AR13LITUS 'DRIVE _ ,J� =NSBl.7FtY, N. Y. 12801 L ,frf'/ QN . 5L6 792 �1 �s22 BU3.T.DING TTSSPECTOR re : Factory Manufactured Home Town of Queensbury TrLstallation CertSfication, Town 'Hall Queensbury , New York. 1260-1 C 7 Attention.: Mack Dean ` 7 Dear sir , This to certify that I have observed and inspected the installation of a by the New York State Uniform Fire $,Factory Manufactured Horne,, ; as defined prevention and Building cede , Chapter D - MANUFACTURED HOUSING , Article 2 FACTORY MANUFACTURED HOMES9 as applicable to your local buildir-g regulations ; there appeared to be no apparent structural damage to the units , due to or attributable to the transportation or loading/unloading of the units , herein- after described as follows : Date of TxLstallation : Site Lrocation : A,01$�teX oW •��lA.er� .�X�'.ra�� �` Cormnunity : Town of Queensbury County : warren M anuf ac turer/SuPPI ier : Address : TnS ignia Serial Now 4F—f S ,-.e n•--^ Plan Approval No. X ,4e'4r,;tps7zp Manuf aeturer t s Model/Component No . : Date of Manufacture : Vic' installer/Supplier : CMG s �-If3 I have also examined the approved Plans & Specifications for the abnvemel7tic'ned ,,Factory Manufactured Home" , and to the bast of my knowledge and belief , this r.H£me" has been installed in accordance with these approved ?� 1 , ~^ & Specifications , s &/or regulations . and all other' applicable laws codes , ordinances standard DF N4e Res s tfull S '`.'nit ed5 FOr GEORGE KUROSAKA JR . , P . E . NYS PE Lic _ No . 25869 cc : sseo wr R£7 SLyy�� + . _.�.. 4 � � Y `u��. ,•... `\ Vj� �,.✓�� �+.� F � t� d...,��' �sJ � _�_-_.-...�YiiM16 "`� S } j j++ t