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1985-655 a CERTIFICATE C3F OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date ;r.u.' 19 �. 9E-, r This is to certify that work requested to be done as shorn bbry,� PcTmit No. � r has been completed. k rvA This structure may be `C"u��3\. upearion T,n ectinr -Fly Tnr Gamer By Order Town Berard TOWN OF QUEENiSBURY i Building & Zoning Inspector {RCATI4C "1XST 1•" r1�IXTING. GLCNS IiLLS X Y } f�Gl 1! flY99]•SE5■ y BUILDING PERMIT TOWN OF +QUEENSBURY NQ. $ 5_ 655 WARREN COUNTY, NEW YOrRK Pro-Craft , Inca PERMISSION is hereby granted to OWNER of property located at Lot 24 Grouse Circle ( St . No - $ ) Street, Road or Ave. td ti Sectaon = _ , P easan a 0 One-Family Dwelling in the Town of Queensbury, To Construct or place a I 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. t. OWNER'S Address is Peggy Ann Road +-+ Glens Falls : New York 0 2. CONTRACTOR or BUI LDER'S Name Same En t� m mo 3. CONTRACTOR or BUILDER'S Address t C Same o` z 4� 0 H l ( J. i 000 4. ARCHITECT'S Name ti 0 In "d fD CCD su r S_ ARCHITECT'S Address Su O t3 1—'. Or fD i P Ll.+ 6. =PLANS struction — (Please indicate by X) i-s }s' Wood Frame I f Masonry ( } Steel?. and Specifications 7 4 r ac38 r per plot plan, specifications and application o No_ submitted including two-car attached garage and sewage 0 m System _ B. Proposed Use One-Family Dwelling r �-C I:7 $ 5 . 00 C/O Paid m $ 150 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 7g $ 6 F I� (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the . town of Gtueensbury before the expiration date.) kQ Dated at the Town of Queensbury this 1 -At- b Day of ,FNnyrf +mri r t'9$5— SIGNED BY e" for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY Ispace inside Muck to Ixt tilie(l it) bl WARREW COUN"I NEW YORK Building; Inspc"nrl l� ,l�lituti<ttt :Viet. Q' Appi'tcation fo■r�►�r PERMIT I'vi'mit 1%.41itt �.� ���� W%J==T4 1p BUILDING AND 2QNtNC7 fR7"■IT f. , /,I 1t1tr� Dist ric � ! +: \its iev >� e•el ln• r �,. THREE 13 ) Copies of a PLOT PLAN, Drawn to scale k(•,t,.11 �y l - showing the actual dimensions of the lot to be built t 1 upon. The exact size. and location on the lot of the 1 •4 i- ; k I r . building to br erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. ATE A PERMIT MUST BE OBTAINED Sf:FORE BEGINNING WORK ��,� Oce 3 0 ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work A,,+,ri , �/� �� P '``' which will be done in accordance with the. description, plans and spacifi- +, F cations, and such special conditions as may be indicated on the permit. d The owner of is property is: /~- � . . . . . . . . . . . . . . . . tNP 'El IP O. A664 ' 'SS4 The person responsibie for r�. super-vision of the work insofar asthe Budding Code and the Zoning Ordinance apply is: INAME 4 AOGP ES51 Name of Builder d 1//) ". i',f. /`. / . . . - - Address . . _ .,i' ` . . . . . . . . . . . . . . . . . . . . 7'! �� - . sz~ t~. . . . . . . . . . Address /fir• G 1 sti .-. . . - - Name of Plumber . _ . . 4 �- Narne of Mason . . . /,'✓. . c? . r' ��-21`7 . . . . . . . . . . . . Address - /+ !i I.ot Number . . . Aa Unit . . . . . . . . . . . . Estimated value of proposed work S 'i °, o o {}- - - . . . . . . . . . . . . . . . . . . . Nameof Village . . . . 46V. do . . . . . . . . . . . . . . . . . . . . . �J p , �I 45 L G�f +PG. Side of street : north O. east ❑ , south R. west [� Name of Street . .� ' Nearest Gross Street -�l:a-�-�1�� AIII,1 Distance from this ^roes street . . . _ . .��`.�'�• - - Property is north ❑ , south O , east i A , west Nk from Gross Street If on Corner, which corner, northeast D . northwest ❑ , southeast Q . :Southwest (Designate by marking with an ,X" in the correct space.} NATURE OF PROPOSED WORK OCCUPANCY Main 9uiltling Construction of a new building, one-family dwelling L� Addition to a building. Two-family dwelling O fQ Alteration to a building. . . -family apartment house El Demolition of a building. Store building 0 . P . -car attached garage Other: . . . . . . . . . . . . . . . . Accessory Building One-car detached garage © Other work_ Describe: . . . . . • . • • . . . • • • • Two--car detached garage Private chicken house . . . . . . . . . . . . . . . . . . _ . . . . . . . . • . . Private storage building r7 Other: . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . I . 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- posed buildings, and the location of all existing buildings. Ho1aTH -f Show proposed building(s) in dotted line and existing g? er Gf ,5 � C' f',, IC � ttuilding(s) in solid line. ! r Size of property • - IAV• • II Z3r/- ft. x I a . -' ) A S ft. Size and use of existing buildings, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . r Size of proposed building . . . . . .� ft. x . . . . . . it. Height ( from grade to ridge) . . . . . R Front yard . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . ft. Side yards . . . . - . , . . .'�Q. . ft. and . . . . . . . . .,3+� . . ft. 'Rear yard . . . . . , . . . . . .`t � r . . . . . . . . . . . . . it. SOUTH if on corner, setback from side street . . . . . • . • . . . ft. ,Note All distances are nets as nseasured from street side y hyle to nearest part of building. lovir R7 r� f ' I73�M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction : Wood frame, fire safe, etc.? . . . . 4".P 4eop. . Will any second-hand lumber be used? Ae.'`grp. . _ . II so, for what . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . _ . . �` rrG� t!' r"�°. � - . . . . . . . , Thickness . Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . Will there be a cellar? . . . . �' -0= t . . - - , If so, material of cellar Floor Type of roof: Sloped or flat? . . . . A 4 Material of roof Size, wood studs x ,�' spacing . . . . . . . . . . ' o.c., length . _ . . . . . , , _ ft. . . . . . . . . . . . . . . . . . .�.2-„ . . . . . . . . . ', Size, floor beams, 1 st floor . . . . . . . . . 0 x. " /. . " spacing, . . , , . . . . . _ /6 „o_c-, span . . , /� Sft. Size, floor beams, 2nd floor . . . . . . . x . . _ ", spacing - . . . . . . "o.c., span . . . . . . . . _ . Size, ceiling beams . . . . . . . . . . 44 , spacing , . . - "o.c., span ft. Size, roof rafters or beams x , , - . . . . •"o,.c span.., spacing . . . . . - . - . . . � , Exterior finish . , . . , . -S-F . '% .! A. a p Ft. ,��yy ,,';. . . . . . . . . . . . . . . . . With what material. -�.r ,+. rR.Jy% L. . . . . . . . . . . . . . . - . . . Finish of interior walls . / ./ /. J! 7 :�a . . � ". .y ,� . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? .2'Js! , 4; - .�/ roe &F-. 4 /0:? .r.�+ -` S.7--, - _ . x Aej e,--2�-`T .de'.a g-. ,r< . - - -'tr-. 0G'7&�.. . . . . . . . . . . . I . . I . . . . . . - . . . . . . . . . . _ . . Is there to be an opening between garage and building? Yc° .. . . . . . . . . . . . . . , . . . . . . . . . . . . I . . . Kind of heating system . . . . . . . . . Lr Lt -. . . . . . . . . . . . . . . . . . Oil burner Or coal? . . .' . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney he provided? . . . .5. . . . . . . Depth of chimney foundation below grade . . fy! . , . . . . . . . . Height of chimney above roof . . . . . . ..�7-' . ! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - Will there be a fireplace? . . , . !y . 4!P_3; . . . . . . . . . . . . . . Depth of fireplace hearth . . . . _ r . . . . . . . . . . . . . . . . . , . . . . . . Will a toilet be installed? . "y. C .,s . . c . . , . . . . , . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? .�"�"�� '. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . Water supply ( public water supply or pump) . . . . G'1J- -G1 . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Feet Will drainage system be provided with required traps, cleanouts, and vents? . .�Y! G-' y.. . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York 1 swear that to cc aTof my knowledge and belief the statements contained in this application, together with the plans and specifications sub- mitted, are a true and o".a, lete statement of all proposed work to be done on the described prennses and that ail �nr ions of the BUILD- ING CODE, THE ZONING ORDINANCE, end all ether lawn pertaining m the proposed work shall be complied with whether npecWwd or not, and that such work is authorised h7 the owner. r� � Sworn to before me this S` stare .. . . . . . . . �WNFR, pW EH/SAC CHIT£ Y. r�LTR OR . . . . day of, . . ... . . A ' .. . . . . . 15�_ L— 6s 19. k- � G / t NOTARY PUML.14C. WARREN COUNTY, N- Y. SPECIAL CONDITIONS OF THE PERMIT: By . . . .. . . .. .. . . .. ... . . . . ... . . . .. . . . . - . . . . . . . -- . .-. . .. . .. ., d ... .. .. ... . .. . .,. . ... . . ....,.. 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 : le Gross floor area r 2 . Type of heat_ I 3 . Is the building mechanically cooled ?./ ems 4 . Percentage of area of windows and doors A . over 16 % Only 1 . U4 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 floov ? 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. r _ 2 . R value of exterior walls_'' 3 . R value of glazed area 4 . R value of doors I ij sm R value of floors over unheated spaces / 7 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation _ heated slab �r 8 . R value of heated basement/ cellar walls ( above grade ) .� 9 . R value of heated basement /cellar walls ( below grade ) lo . Type of insulation C . Controls 1 . Thermostat maximum heat setting De Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO am If YES , R value of duct installation be are R value of duct in other areas �7 E . Piping Insulation i . size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating i _ Performance efficiency 9:�e .5 X0 2 . Temperature control setting maximum G . For Swimming Pool Only , 1 . Maximum heating Telephone No . applicant ' s s��u TOWN OF OUEENSBURY BUILDING & ZONING DEPARTMENT SE141AGE DISPOSAL PERMIT APPLICATION 1 . Owner ' s Name /�- ' Y Telephone No . �� 2 . Property location 3 . Name �of perso/n� or firm responsible for installing system J fo " L ' /�} Telephone No . Address 4 . Humber of bedrooms ( residential buildings only) 5 . Daily flow gallons/day 6 . Septic tank capacity z'" elegy t 104 <�: gall+�ns 7 . Topography : flat rolling , steep % of slope 8 . Nature of soil and depth ,�,�+.' 7 t 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? ft . 10 . Percolation test . A is required B is not required C If required what is the rate 's minutes/inch 11 . Water supply : <2Eunieipal ell , other 12 . Type of system proposed : drywell�!t le fie ether 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 4ueensbury Sanitary Sewage Ordinance . Date On separate sheet of paper . submit a qjdcjramf the roposed 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 . J coo Form 3 - 82 C " 3 TOWN OF QUEENSBURY Building Department Nin""Mbws ptepert L1►a.cc�/ rr� c Remarks Excai>a tion Footing Forms Foot.in & Piers Foundation Cement Coat Water roofin Backfill Final Survey Fraw.zn sheathing Roaf Felt Roo3Pin d C_ siding Masons Veneer Rough PI Relief valves Waal Board Ext . Parches 0V y Finished Floor Interior Trim Stairs & Railin Cellar Dr . Tile Concrete Floors Pl . Fixtures C9lG. 1 Gar . Fire roofin G_ _.- Door Closers o / 2-r . Chimne Water Meter Inst . Septic ApproVal Floors Insulation Foanda tort Walls Ceili Bulldi g Inspector REMARKS TOWN OF QUEENSBURY Buildiugg Department Ind Report - - Dare Name iF F'+xanit Na .► 5'- ,� Weather /7,V4G AV:50 e,"r/oAr Remarks ExcatYa is on FootinSEForms Footing & Piers Foundation Cement Coat Aster roofin Bachfi 2l Final Survey Framin Shea thi n Roof Felt Roofin Si ding Masonry Veneer Rough P2b . Relief Valves Wall Board Ext . Porches Finished Floor Xnterior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors Plpg . Fixtures Gar . Fireproofing Door Closers chimney Water Meter Inst . Se tic Approval Fl ooz-s Insulation Foundation Walls _�._..._. ngr IL a� ,O�LL BuIld.fNigrvnspector REMARKS TOWN OF QUEENSBURY Building- Department /Cr Io"PecLo" D.ce Z �.- Naxw Permit Non 5 - Wratlaer Remarks Exca0aLion Poo tin Forms Footing & Piers Foundation Cement Coat Waterproofing Bachfil3 Final survey Framing sheathing Roof Felt Roofin Siding Masonry Veneer Rough Pl h . Relief Valves Wall Board oz Ext , Porches adoor Finished Floor Ne Interior Trim adoorx Stairs & Ra.ilin s Cellar Dr . Tile Concrete Floors of PI . Fixtures Gar . Fireproofing Door Closers Chimney Water Meter Inst . septic A roval FI DClrs .Insulation FoUndation Cal ling ]guild g -r ctor REMARKS '� f 7 - Ao ci r-T o .c.►A-ic� 40 aA-c f.c/& /dap (l6-in TOWN OF QUEENSBURY Building- Department , Inspeeb" Rep girt Date Nanin V Po Cater- Penuk No. Wewtlaer Remarks ExcatYa Lion Footing Farms Footing & Piers Foundation Cement Coat Water tgo+,afin Backfill Final Serve Framing Sheathing Roaf Felt Roaflng Sidin Masonry Veneer Rough PI Re'llef Valves Wall .board Ext. Porches Finished Floor Interior Trim stairs & Railin s Cellar Dr . Tile Concrete Floors _ PZ . Fixtures Gar . Fire roofln Door Closers Chimne water Meter Insto se tic Approval Floors Insulation Foum3aticsn walls Ceilj t. Bu.fld_fjPg rnspector REMARKS TOWN CIF QUEENSBURY Building Department Raporc Date rr9A5' Naao. +C' l,.ocatiwia -t S'� G bZ t t� Permit No* 5- W'ewther Remarks Is"xcatYa Iran Footing Pones Foots 6 Piers Foundation cement Coat water fin Backfi Il Final Survey Framin Shea thin Roof Felt Roofin Siding Masp 'DEM veneer Rough PI * Relief valves wall Board Ext . Porches Finished Floor Interior Trim Stairs & Bailin s Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fire -roofing Poor Closers Chirnne Water Meter Inst . se tic ApRroyal Floors Insulation Foundation Walls C .j.Z.jnCj Buildi g Inspector REMARKS TOWN OF C iEENSBU RY Building, Department la actnea R.�art carte !l• AI Names Weather. Remarks Exca0aLion -� -Footlnq ForaLs Poo-IN Piers Foundation Cement Coat waterproofing ,Backfill Final Surve Framin Sheathin Roof Fel It Roofin sidin Masonry veneer Rou h PI Relief Valves well Board Ext . Porches Fi.ni wh�e Floor Interior Trim stairs & Railin s Cellar Dr . Tile Concrete Floors PZ Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Xnst . Septic Ap mprOval Floors _ FbLtnda t�[b1� Xnsulation walls r Ceiling 'a1 Budding nspector REMARKS BUILDING DE PT_ COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. F1LE THIS COPY WITH BUILDING DEPT. WHEN RE DUI RED. TEMP. : DATE CITY OR VILLAGE TOWNSHIP COUNTY STREET AND OR l; ,..� POLE NO. ROAD AND POLE NO, BETWEEN WHAT TWO CROSS STREETS IS PREMISE OCATED7 SECTION BLOCK LOT OCCUPANT'S BUILDING NAME OCCUPANCY iz OWNERS NAME �,..� TEL. # AND ADDRESS ZUA`K� SUPPLIED FROM THEIR z OFFICE BY IOOV19 DEFECTS I 1 BUILDING NEW OLD Q IYVORK NEW '� ADDITIONAL ❑ REMOVED L.J LIST BELOW ALL ECIUIPMENT WHICH YOU INSTALLED No. at Fiatsues & BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS GI RCUITS ONLY tlon Side Atlaefl`t .P. Na Watts Na A'W.G. INSPECTION Deilktq Wall RePI Switldt Zhint Bracket Na,N Type Each Eedh Gerpe Out- aide Sub- Baae- merlt 1st FI_ tad FI. 9rd Fill REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to corer the ahore-listed equipment to be inspected but it at circa of inspection theta is found additional equipment not abova listed, you are authorized to make the inspection and adjust the fee to wear the additional equipment, ss provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS EDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVK:E OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN ILDING INSPECTION REQUESTED PON OSE AS NEAR AS NEYY OLD IE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS OATEOF NAME OF _.�,+,^,+r,�.__�',/.7 J"I IS APPLICANT i` , 1CC !7 - ,yyey�+� ��j APP ICATION � STREET ADDRESS 4t::] / 's d' TELEPHONE CITY OR ./����'"'`'�/ "'�ye /�_.�++ y / j �/f L}/ zip f LICENSE II POST OFFICE rep � /4 /lam�.Yoe ',d2e L � t� j GORE f�,�±�.�LIEN APPLfCA BLE ,6 CL (REV. 1/05) A SEPARATE. APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING Wrl�t,,®R t z G, lx�A lQn - ! i ke j Al i �k "T r,6. re 11 1 r k r F kkk F r I NU ly r V4 17 Ar