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1985-660 C/o Paid CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSBURY WARREN COUNTY. NEW YORK Date 19 — ( - 13 This is to certify that work requested to be done as shown by Permit No. 8 5 - 6 6 0 has beers completed. This structure may be occupied as a Additional living area added to mobil home Location Burch Bond C)VMC , Stanley and Theresa Robinson By Order Town Board 'roW N OF Q'UEENISBURY Building & Zoning Inspector L RF4YIVE "IMSTA I'RIXTING GL E1V5 FH4L5. W Y' 12001 I1101>91-stye BUILDING PERMIT TOWN OF QUEENSBURY Na_ $ 9;_ 66Q WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Stanley and TlierasRnlhi n cr �n OWNER of property located at Burch Road Street, Road or Ave. F� �C in the Town of Queensbury, To Construct or place a e bome tv at the above location in accordance to application together with plot plans and other information hereto filed andPi approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. H 1 , OWNER'S Address is r{'[} '# 3 Glens Fallsr New York [a V1 N r2CON:TR:ACTOR or BUI LOE R'S NameSame �+fR O NTRACTOR or BUI LOER "S Address 4, ARCHITECT'S Name tz f"S 0 5. ARCHITECT'S Address 0 0 6. TYPE. of Construction — (Please indicate by X) Wood Frame ( ) Masonry f ) Steel ( ) 7. PLANS and Specifications No. 12tx24 ' per plot plan, sQecificat:ions and application sultnitt:ed , including sewage system . r• IJ rt 1..'- F4# 8. Proposed Use C O r- t3 One-Family Dwellings ( additional living area ) rl. 0 . 00 C O Pam 10000 June 1 19 86 m tr' $ PERMIT FEE PAID — THIS PERMIT 'EXPIRES f" (lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the M town of Queensbury before the expiration date.) . November 19 85 Dated at the Town of Queensbury this 1l3yt}..1� ,.,/� —Day of tU SIGNED BY ^ nspecto far the Town of Queensbury Building and Zoning Ir TOWN OF QUEENSBURY ISpace inside block to lvr filly in be WARREN COUNTY, NEW YORK Building Inspt«l•lot•l Application for 41 ,1,1icatit„t � t►- 19 1'rrnu� IsxuKl BUILDING AND ZONING PERMIT t A11C. 101 Wtwk loom I i l Cop11fs .of PLOT Pr Drawn to scale Ai 'I 1rq P• ed 1W showiny the actual 'dimenstons o the lot to be bail} itt•,,,:t, kS" upon, The exact sin�ee, and location on.1hitJot of the building to be ericte U APPLICATION �-- TOWN OF QUEENtvSf. RY . +C,:rldL! f � �' � �� '� A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK _ ANSWER ALL OF THE FOLLOWING. f_I1!` The undersigned hereby applies for a permit to do the following work p 14t: � " 112131415 ��1� which will 6e done in accordance wifIt the description, plans and specifi- '71 T 4 . . cations, and such special conditions a: may b+ indicated an the permit. t:5 The owner of this property is: r� �r r�-J? ": /!Y. Iq' . IC DI3J?r?3 U.?rJ . cn . ,3 ,f� upc N- �'�. !' . lrl;� .rt'S, ,'?4;t�s, r'V !' , i zjl01 _ . . �Ha..•7ISP IP O. ADDRESS$ The person responsible for supervision of the work insofar as the 8,,itding Code and the Zoning Ordinance apply i�: . . . . . . . - - (NAME} ` . . . . . . . . . . . . . . . . . . to D ADDRESS I Warne of Builder . . . S r q?c $ Address , 17113 / � vr2er{ . .. . .. Nomeof Plumber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Adciress Name of Mason . . . . . . . ::-..: . . . . . - , . . - . . . . . . . . . . . . . . . . . . . . . Address - . . . . . . . . . . , - . . . Lot Number . . . ." : . . - . . . Unit . . . . . . . . . , . . Estimated value of proposed work S , - U)•'! 'O'4"t'tr . . . . . ? t?. . . . . . . . . . . . Name of Village . . . . . :-} tzar. ~s. �GJ_. . . . . . . . . . . . . . . . . . . . . . . . . . . , . _ . . . . , . . . . . . . . . . . . . . . . . . . . . A, . Name of Street . . %1v txcr+. t`'n`•- . . Side of street: north ❑ . east ❑ , south ❑ , west ❑ Distance from this cross street . . . . . . . . �� Ft . Nearest Cross Street . . . . . . . . -s . Property is north M south ❑ , east Li , west ❑ from Cross Street If on +corner. which corner, northeast 0 . northwest ❑ , southeast !� . .outhwest (Designate by marking with an "X." in the correct space,) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Building +. ,�. Addition to a building. One-family dwelling � '51 c-4- t � 4- Two-family dwelling 0 Alteration to a building. . - , . . I -family apartment house © Demolition of a building. Store building � . . . - . . . . -car attached garage Other; . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessary Building Cl One-car detached garage 0 Other work. Describe: .. ! tl 'Two-car detached garage 0 Private chicken house 0 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 iacation and size of the property, the location, site and setbacks of pro- posed buildings, and the location of all existing buildings_ Show proposed buildings) in dotted line and existing huilding(s) in solid line. Size of property . . . . �r--.V .P . . . ft. x . . . . . . . . Ft- Size and use of existing bujilding2b if any � • � •+��`"(•�'• • r to . . - N � Size of proposed building . . x Height ( from grade to ridge) . . . • . . . 'r ft` l i l 3 Front yard . . . . . - ft. Side vards . . . . . . . . . . . ft. and . . . . . . . . .�. �. ft. 10EE CZ J� Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . . . . f.l. . . . it. ssi s+ If on corner, setback from side street . . • - • • • • • • ft, Note, All dxsrances are not, as measured from street side line io nearest ,part of building. JOVER) (cont'd,) BUILDINrG SPECIFICATIONS. Kind of construction : Wood frame, fire safe, etc.? . . . , ` ^ "' 0. D fgLt''iam, . Wil I any second-hand lumber be used? . . . . ."J . . . . . . . . . , . . . . It so, for what;, . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . _ . . . *^� ;. . , . . r? �. . . . . . . . . . . . . . . . . . . Thickness Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . .Will there be a cellar? :ryU. . - , , . . . . If so, material of cellar floor . Type of roof; Sloped or flat? . . . . . . . Material of roof � £ S; Re09P . . . . Size, wood studs . . . . . . . . . . . . . . . . .sr� . " x . . . , . . . . , , . . . spacing /� . . . . . . ,"o.c,, length . . . df . . . ft. Size. floor beams, ist floor . . . . . . . . . " x . . . . . . . . . ", spacing . _ . /.,gyp . . . . . . . "o.c., span . . . , .w . . . . . . ft. . " x , �. _ . . . . . . - . ", spacing . . . . . . . . . . "o.c,, span Size. ceiling beams . - - - . , . . . . . . . ..;*T . " a . .` . . . . . . . . . . . ", spacing . . . . . - • o.r., span . . , . ft. Size, roof rafters or beams . . . . . , . .� . " x . . (rj. . . •'. spacing . , , , 16 . . . . . . . "o.c., span . . , . .� . . _ . . . . ft. Exterior finish . . . . - - . .o!%owep. Ai . . . . . . . . . . . . . . . . . . With what material? _ . . . . . Finish of interior walls . . . . . . 1 4l e cam. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage ism be attached, of what material is wall between garage and main building to be constructed? . . Is there to be an ripening between garage and building, . . . . . . . . . . . . . . . . . . . . . Kind of heating system L r . . . . . . . . . . . . . . . . . . . . . Oil bunter or coal? Will a flue-lined chimney be provided? . . . . _ . . . . Depth of chimney foundation below grade . . . . . . . . . . . . . . Height chimney above Hoof . [H , . . . . . . . . . . . . . I . . . . . . . . . . . .ill there e be a fireplace? Depth of fireplace hearth Will a toilet be installed? . . . . . . . . . . . . . . . . . . . . . . . . `. . . . - - . , . . . . . . . - , . . . . . . . _ . . . . . . Will a kitchen sink be installed and connected to water supply? . .� '�/. l ^`. . . . . . . . . . . . . . . . . Water supply (public water supply or pump( . . . . . . . . . . .c,r, !+ti .X? -. . �,Cr L C- _ . . . . . . . Distance of cesspool from any private well , _ . . . . .f.Q, Q . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queensbury AFFIDAVIT County of Warren State of New York I awea�t itt~tl bpi of my kno+�ledgs and belief tha-statements contained in this application, together with the plans and epecirwatieos w6•.misted, are a true an to statatnent of .{rllC�iosed work to he done on the described premunee, and that atl of the RUILDo ING CODE, THE ZON1N N •II outer laws pertaining to the proposed work *haft be compllad Moa is her ap�iftad ,t,r not, and that such work Sworn to before me phis authorized by R v HISignature T T, �p�R . . .• - dayof-.. . . . . . . . .. .... . . . .. . . .. 19 . .. .. . ... NOTARY PUBLIC. WARREN COUNTY, SPECIAL CONDITIONS OF THE PERMIT: By .. . . . .. .. .. .... . . . ..... .. . .. . . . . . . .. . . . .. . . . . ... . ..... . . ... .. .. .. ..,.. . _ .... .... . . .... . .,- .,.. .. . TOWN OF QUEENSHURY 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 .r r1 2 . Type of heat L ., e r-rti c-. 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 ov heated spaces YES NO a . Are fours ion walls insulated YES NO 1 . If YES , t is the R ue ? 3 . Slab on grade YES a . If YES , what is R va Is of insulation around perimeter of ox7 ? 4 . Is basement ated ? YES NO a . R va of insulation 5 . Ty of insulation 8 . Un er 16 $ Only 1 . R value of roof and floors exposed to ambient conditlons� 2 . R value of exterior walls 1 " 3 . R value of glazed area / 4 . R value of doors nC k�1Q � lCt S - S . 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 basF._ ment /cellar walls ( below grade ) r 10 . Type of insulation. �„c �,i ce Controls Zb 1 . Thermostat maximum heat setting JY Do Duct Systems 10 is duct system installed in unheated spaces YES NO a . If YES , R value of duct installation be 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 .Vat ,er Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . ( applicant ' s signature ) F A TOWN OF QUFFNSBURX BUILDING & ZONING DEPARTMENT SEVk?AGF DISPOSAL PERMIT APPLICATION 1 . Owner ' s Name Address Telephone No . � 9 -- C> f 2w property location 3 . Name of person or firm responsible for installing system Telephone No . Address 4 . Number of bedrooms ( residential buildings only) 5 . Daily flow ��- ) gallons/day 6 . Septic tank capacity. l06 Q gallons 7 . 'Topography . flat , rolling , steep % of slope j "` 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 required B >e� is not required C If required what is the rate minutes/inch 11 . Water supply : municipal , well , other^ GL . 12 . 'Type of system proposed : drywell , tile field , other �- Any contractor , corporation , individual , etc . engaged in ' thd 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 r C7 / / �S _`" " " r • � �' ' 7 S .Lgnatz4re o•: 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 . C) Ca } Form 3- 82 PtS `C TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVX AND ROADS " QUEENSBURY, NEW YORK 1280+4 TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED I'�Ii NAME LOCATION DATE /� -. / /� PERMIT # G W r APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING `,.rXNAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESISTEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS. INSPECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS Flan BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 a Date February 26 , 1986 Application NO. on file 102345-85 THIS CERTIFIES THAT A 654902 only the e&rctrical 0914iOrK0.1t " efescriissd below and iastrladxacsd by the applicant named on the mboee appiieatson rs"nsber In the prww&lm s of Stanley Robingon Sr . , Burch Road , Glens Falls , H*w York in thefollowing locaxion; ❑ $asement iiJ lat FY. ❑ 2nd FT. Outside Section Block Lot 2 waa examined on 2/12/86 and found onnd to be in com plionce with the reylt<iremenxa of this Board. wxTURt wGLEs SWITCHES RXTLIRES RANGES CQ{ ING backs OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDRSCEW FLUORESCENT AMT. K_ W. AMT. K. W. M47, K.w, AMT, K. W. AALT. 3 9 3 DRYERS FURNACE MOTORS PUTUM APPLIANCE PNt"WS SPROAL EECPT TIME CLOCKS EELL U MT t1EwTERs M SYSTEUTLET DIMIIILE� AMT- K. W. OIL H. P. GAS w p_ AMT. NO. A. w, G. AMT, AMP. AMT, AMPS_ 7RAN5. /1MT. MS H. P. SYSTE NO. # FEET AMT. WATTS SER'wA DISCONNECT No. # AMT. Anne, Try METER S E R Y I C i EQUIP. 1 X rW 1 .e 3w 3 .e 3W 3/& 4W NO. t* Cc. COND. A. W, G. PER I► OF CC- COND_ NO. OF M-LEG Of PH-LEG a, NO. OF NEUTRALS A. W. AI G, OF NEUrR OTHER APPAEATUBI Panels : 1 - 12 Circuits- 60 Amps �70 HOW P ALD Stanley Robiuson Sr . y RD 3 Burch Road qp Glens Falls , New York 12801 BRAT CM MANAGER r. This certificate must not be altered in any monnerr return to the office of the Board if incorrect. Ins pectors may per be identified by' their credentials. — COPY FOR BUILDING DEPARTMENT. Tfil5 COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, TOWN C7F QUEEMS13URy Building Qepartmex t In epmtz Nate !3 t t C�c��/' L.arr.+Nt6 Pert No. o+ W Remarks ExcatYa t on Foot Forms Footing & Piers Foundation Cement Coat i'V`a ter x+oofin B�scicfi 11 Final survey Pramina Sheathin Roof Felt Roor.inq Siding MaSSREIL Veneer Rots h PI . Relief Valves WCsrZ I Boax-d Sxt . Poaches Fins shed F1ooa Interior Trim stairs & Ra11i s Cellax Dr . Tile Concrete Floors Plbqv Fixtures Gar . Fire roofin Spoor closers Chimne Water Meter rnst . Septic A royal Floors Insulation Foundation Walls Cei 1 i ui ing Xnspector REMARKS TOWN OF CO EENSBURY 8�I����. D� rt�ent penuk Na Remarks excava t.ion Footin Forms Footi.n & Piers Foundation Cement coat Water roofin BacXfi.I3 Final Surve F.ram-incr Shea thi Roof Felt Roofin Sidin Masonry Veneer Rousrh PI Relief valves Wall Board Ext . porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors PI * Fixtures Gar. Fire .Im Door Closers chi,mne Water Meter .rust , a^e tic A royal Floors Insulation POundation Walls ce-I - ` Building Inspector RE'MARICS !'1 Pao rosNC0f PVP a©, T1 Cj.A rt � x 741 r. w io 2pa i v rz Cr-4 �] �r V } pp ! { f �¢5 �c,r5 i i f � r s ' tom, hA TT S J r `. 07 ib k