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1985-650 i +CERTIFI ATE OF OCCUPANCM�0401'" TOWN OF QU'EENSBURY I WARREN COUNTY, NEW YORK Date 4 19 ''7 gC!r. l 2. - 1 -�� . I `Ti his is to certify that work requsated to be done asshown lay Permit No, 'I has been completed. rn i Im This structure may be occupied as a Location 124F,i0 a � � � � �YIS -tiCIDY `i �'1� Owner D a n i c 1. T-` a r k eN r ►(�1 � 1 &j I By Order "Town Board TOWN OF QUEENSBURY Building & zoning inspector I I . CRCAT1YC "I"ST B Y Ipiel IS1J17*1_5456 y CERTIFIC.A�'T�E OF OCCL7I',A►►N C17 TOWN OF +QUEENSBURY WARREN COUNTY. NEW YORK Date 19 This is to certify that work requested to be done as shown by Permit No.r has been completed. This structure may be occupied as a ^ t'-c - r ptTr i 1 v�7-*r J')vTe 3 3 i n C .r r a r tzr e n t location Owner By Order Town Board rrov+V i OF QUEENSBURY Building, 6r Zoning Inspector C3REATIV9 "INSTA" rN+NTINC+ GLENS •ALES. N Y +2001 IS 101793�5656 . _ .. ... BUILDING PERMIT TOWN OF QUEENSBURY No- 85 - 650 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Daniel Barber Cl W OWNER of property located at Bay Road Street, Road or Ave. D in the Town of Queensbury, To Construct or place a Tsars Vain i l V 77wF+ 1 ng at the above location in accordance to application together with plot plans and other information hereto filed and approved and 1n compliance with the Town of Queensbury Building and Zoning Ordinance. [D rt 1 . dWNE WS Address is RD # 1 Glens Falls , New York 2_ CONTRACTOR or BUI LDER'S Name Sherwood Acres Corp . 3. CONTRACTOR or 13UILDER"S Address RD # 1 Glens Falls , New York pr 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by X) ( >Q Wood Frame ( ) Masonry ( ) Steel ( ) ' Q 1 7, PLANS and Specifications '4 28 ' x52 ' two - family dwelling per plot plan , No. spec ' ficatlons and application submitted N itted including sewage system - 24 ' x24 ' two-car attached garage �C B. Proposed Use � Two-Family Dwelling m 1—� 1-+ w- $ 10 . 00 2 C/Os 220 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 19 86 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queenshury before the expiration date.) 6th Da of November 19 85 Dated at the Town of Queensbury this � Y SIGNED BY _ I! ! r for the Town of Queensbury Building and Zoning I nstaeector TOWN OF QU EENSBU RY {Space inside block to he filh.44 in by WARREN C4uml"Y. NEW ,YORK Building Insprottrl Application for ., 1 ; lisn, xtr. �� 1 S'1-1k-Ill tt Itiy4il41 �-�..+���.� 19 BUILDING AND ZONING PERMIT 1'1 .ri„ iI F.xpireoo . _ l9 ?.r „ iii,� I )i+Zile I Imew u1u.• , �1 1t`� ,rk ( 1 ) CoPVS of PLOT PLA Drawn to scale shovrinq tlt• ec#ual dimensions o the lot to be built upon. JU exact size. and location onfikejot of the . . . . . . . . building to be erecte 11 APPLICATION U — . 6 4 r ' ,rz TC]W N OF ClLI N L] F Y Ll A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK � C-f 3 � 5 ANSWER ALL OF THE FOLLOWING. Q � The undersigned hereby applies for a permit to do the following work A y . t �tyl���s�� rat $i �� Fi $ which will be done in accordance with the descrip tion plans nd sp eciti. i !9 i:"l� *I •� r�jjl 57 cations, and such special conditions as one indicat n permit. � / A Y The owner of this property is. y . . . (NA-q F) IPa AQOAE$SI The person responsib` for supery i oFCthe ark insofar as a i3,x Code the Zoo rdinan 1V m . Aj. . . . . . . . . . . . I . .45 . . . . . - '. - . . INAMEfrP 0A£JOFlf5S1 Name of Builder . . - . . . . . . . . . . . . . . . . . . r -t r. t . - . . . . . . . Address . . . . - . . - . . . . . . . . . . . - . . . . . . . - . . . - Name of Plumber . . . . . . . . . . . . . . . . . . . . .� . r. . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . - Nsme of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address - . . . . . . eno Lot Number . . . . . . . . . . . . Unit . - . . . . . . . . Estimated value o€ proposed work S . . . . . . . . . . . . .�/ �^S .. . . -' L . . Name of Village . . . . . . . . . . . . .r'�' Name of Street . . . . . . , . . . . . F ' . : . . . . . . . . Side of street: north E3 . test © . south © . west 0 Nearest Cross Street - . . . Distance From this ^roes street . . . . . . . . . . . . . . . . . . . - Ft . Property is north P , south © . east i . +Nest © from iCrass Street If on Corner, which corner, northeast G i northwest d . southeast ❑ . southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY 54^ Construction of a new building. Main Building one Two-family Addition to a building. -family dwelling C} Alteration to a building. Two-family dwelling C7 Demolition of a building. -Family apartment house Stare building . -car attached garage Other: . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Acce�ry Building One-car detached garage n Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private storage building Other: . . . . . . P . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 n€ the property, the )cattiest, site and setbacks of pro NORTH posed buildings, and the location of all existing buildings. Show proposed building(s) ip dotted Itime and existing lkuilding(s) in solid line. s} Size of property . . . . . . . . . . . . . . . ft. x ft. Size and use of existing buildings, if any owls "I Site of proposed building . . . . . ft, '. ft. Height (from grade to ridge) . . . . . . . . �. . . . . . . . . ft. Front yard . . . . . . . . . . - - . .6:) . . . . . . . . . . . . . ft. Side vards . . . . . . . t. and . . . . . . ft. Rear yard . 6- 1 1 . . . . . . . . . . . . . . ft. SOUTH If on corner, setback from side street - . . - • . • • . • • . . . . ft. . - 1Vose,' Ail d+stanews are nee. As +rsrusurad from street side 1 line to nearest pare of building. tovan) 7- 73 -m (cont'd_J BUILDING SPECIFICA"TIONS., Kind of construction : Wood frame, fire safe, etc.? Will any second-hand lumber be used? Material of foundation wails . . . . . . . . . C.{? . . . . . . . . . . . . . . . . . �, { . . , , . , . . . . . . . . . . . . . . . . Thickness . _ _ .�6 . . . . . . . . . . . . . Depth of foundation walls bel e 4. , �� . �' . . . . . . . . . . . Continuous foundation? . Will thex ere be . . . _ . .� It so, material of cellar floor Type of roo : Sio 'or flat? Material of roof , . . . • . ft. Sire, wood studs . . . , . . _ . " . .. . . . . . . . . . . . x . . . `• �,•o,c., length . . . . . . Size, floor beams, 1st floor . . . . . . spacing . . . . . . . . . x . . . . . . . . . . . . . . . spacing ,/ .rc* . . n,t:., span . . , . Size. floor beams. 2nd floor . . . . . : p acin .g . . . . . +,fit "oc., span . . . . ft. so a / . . Size, ceiling beams . . . . . . . . . . .'�, . . . . " x - . . . . / - spacing r� o_c., span . . , _� nc'f . . . . . ft. Size, roof rafters or beams . . . .� x . . . . . . Cs?. . . . . ", spacing . . . . . . . ., . "o.c., Man . . r . . . Ft. Exterior finish . , . . . . { . I I d I I . . . . . - . With what material? . !me, Finish of interior walls . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what tie-r�..*i_al is ally a and main bu' din to be Constructed? �x _ Is there to be. an opening between ga nd building, Kind of heating system . . . . . . . . . , , Oil burner or coal? Will a flue-lined chimney be provided? . . . . . . , . ' . . . . 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? . : . . . 4 . . 6 . I . , , , ram, . •. . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . . . . . . . _ . . . . . . . . Water supply (public water supply or pump( . . . . . . . . . . . . . . . , , . ffv , , . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . _ p . ... . . . . . . . . . . . . . . . . . . . . . . . . . , . . _ . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . . . . . . "fawn of Queenshury AFFIDAVIT County of Warren State of New York I swear that to it b rs j of my kn owledee and belief the sratomen • ed in this apph tion, with mob. mittcd, are a true and cw .,, � ts le stutetn.ent of all propoeed work to be the prams and of the oneBIJ sub- ING CODE, THE ZONING ORDINANCE, and all outer laws pertaining posed wp,r p w �� or rtos. and &hat ;uch work is authorised by the owner. c� Sworn to before me this Signature! .. OWNER, OWN GENT, ARCH TECIr, day of . . . .... . ... . . 19 . . . . . .. . . . . . . .. ... . . 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 2 . Type of heat r 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors A . Over 16 % Only I . 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 , --�, - � B . Under 16 % Only 1 . R value oof and floors exotmed to amb.fant conditions. 2 . R value of exterior walls 3 . R value of glazed area �Yir �r^ 4 . R value of doors 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab_Azic =4 lz�L 7 . R value of slab insulation - heated slab 8 . R value of heated basement/cellar walls ( above grade ) l 9 . R value of heated basement/cellar lls ( below grade ) C Jr 10 . Type of insulation c . Controlsp 1 . Thermostat maximum heat setting 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 . PI Ring Insulation 1 . size of hot water or cooling carry .i�g agent pipe 2 . R value of pipe insulation F . Service .AWater Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only J} 1 . Maximum heating 1� Q) ' �J :m Telephone No . - ( applicant gnature ) TOWN OF OUFFNSBURY BUILDING & ZONING DEPARTMENT SEF?AGF DISPOSA,1, PERM AP L TION P x Owner0s Name L Address 72! Telephone No 2 . Property location 3 . Name of person or f res for installing system Telephone No . Address 4 . Number of bedrooms ( residential buildings only) 5 . Daily flow gallons/day 5 . Septic tank capacity gallons 7 . Topography : flat rolling steep $ of slope 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 d' - B is not required C if required what is the rate.: "��M"� minutes/ inch ll . Water supply : municipal wal other 12 . Type of system proposed : drywall , -tile 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 app ' cation will be subject to a penalty of $ 250 as provided for Sectio 0 of the Queensbur�y Sanit y Sewag Ordinance . Date signature o aht 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 . �%%� 4 Form 3 - 8 2 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY [—err STATE STREET, ALBANY, NEW YORK 12207 Iilate July 230 1986 rlPPlicatiorr .Y©. on file 1046 15--85 A, 664803 _ THIS CERTIFIES THAT below wad introduced by the apWicant named an the above application number lotthe preatim" of only the electrical equipment as described Barbara Bader , Bay i2oad , QueenoburY , New York - �[ outside in the following location: El Basement L lot Ff. El and Ft. Section Smock Lot — and found to be in compliance with the requirements of this woo examined an T /g6 Board. PIXTURE RXTUEES RAN GES COpItING DELMS +C IS OVENS DISH WASHERS EXHAUST TANS 111 CNJTLE E Us SWITCH NCANDE5"W41 Fi�r,..e.-tom NAY. K. W- AMT. K. W. 28 48 24 1 1 1f5 fr DRYERS FURNACE INOTORS FUTURE AFMUANM FEEDERS SFKIlIt REC'FT TIME CteDCNS �µ UNIT HlATERS SYSTlµf DINIIfMIfE AMT. K. W. OIL H. r GAS k. P. ND. , a, AMT. AMP. AMT. AMPS• TRANS. AMT. H. R NO. aF 1°EET AMT. WATTS 2 2 er 31 1# 10 =_ SERVICE DISCi�HNECT No. OF S E it VG. AMT. AMP. �4Pt R, 1 X ZW 1 X 9w S ,Ir 3w 9 f' 4w NO. Of GG. COND. A. W. C+. NO. OF HI.LEG A. W. 4. NO Or NEUTRALS A.W. T* - PEt s' OP CC.CONb, of rK-LEG ar h1[uTRAs 2 200 C+ 2 x - OTHER A JUTATIAz, 4 2 - 2 .0 Elec . Room Heaters 2 — S>llike Detector 4 — 1 . 75 " TT 2 - 40 clre 200 Rating Panels . 2 1 - 4 cond . 40 AWrw lot: floor to lot Lloor _ 5 - 1 . 5 Ejec . Roam Beaters Yc 2 * 5 INA Barbara Barler ' � fD i7 1 BRANCH MANAGER Glen& Falls , NOW York 12801 {f Per L. ; This C"ficate roust not be altered in any mannara return to the office of the Board if incorrect. Inspectors may be identified by (heir credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. owo of viErEM+SBU Y ga�il di��' �psYtvmdat �� J3 Navas Penn Had �. ,. Remarks Exaar7atYan �~ Footin Forms r Foot-DO, & Piers Foundation Geurent coat 'Water roofxn Backf ill Final Surve Framin Sheg It in Roof Felt Roof in Sid in veneer 14asonr Rou h Pl Relief valyes Wa11.1 Board Ext - Porches Finishes Floor interior Trim ili Stairs & Ran IS Tile Cellar Concrete Floors Fixtures Gar - Fire roofin noor Closers Chi,mne rnst . WaterSe Meter tic A row �--~-~ Floors r-- Foundation Insulation Celli Building Inspector TOWN OF QUEENSSURY Building Department MOPOCL= s Repart ��� / N+rme Parenit W er►ther Remarks Exca0ation Footin Forms Foot in & Piers Foundation Cement Coat #later roof in Backfil3 Final Surve pram-in Sheathin ,Roof Felt Roof.in Siding Masonr Veneer Rou rh PI Relief Valves W4 1 Board Sxt0 Porches Finished Floor Interior Trim Stairs & RaOlin s Cellar Dr . Tile concrete Floors P1 . Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst . Se tic A royal Fl ors _� Fc unda tion Insulation cells Ceili f Bny�a'; ng Inspector REMARKS .r AWN Of ,UEENSIBURY Bssiidia� Depok-rtV►C1At Date, 2 p1O�` R° t LACS Pew=w gems x ks xaiats-on Can Forms F Footin & Piers Founda t i°n Cement Coat Water roofin Backf Final Survey amin r - -- Fx,,,thin Roof Felt goo,fin Sid.in eneer Masonr Rost h P l Relief Valves al l Bear W d art • porches XP hea Floor Finis r Trim xntex-1 Stairs & Bailin s trr - Tile Cellar Floors Concrete � -- - -- Fix es pl tux fart ���-- - --�� Fir roof Gar - I�r Closers - Chimne ,�etex rn5t o Water See tic�r�—al Floors '-- - --�� Foundation Insulation - cea 2;CZ-tO r lardy gBMpgTCS ,TOWM or, , EEKSBURY B..ildiya� �p*,rttiaent III MEMO Pesm+t Ko. � Remarks gxcaS7at on Focrtin Forms Footin & Piers jon co ntund tC[at IIIII POP Water � n11 gacicfill Final Surve FY min Shea'thin Roof Felt IN PENN Roofi Suing Veneer Masonr ROU h valves wall Board sxt . Porches Finished Floor Interior Trim stairs & Railin s Gel.lar Dr . Tile C['>ncrete Floors PI FIxt, es Gar - Fire roofin Door Closers ChiruneMater Inst - Watez royal - - Se tic Flo ~` Foundation - Insulation Celil - 6 Hull xnaPeCtor 51 REMARKS BUILDING DEPT. COPY FILE THIS COPY WITH UlLDING DEPT. WHEN REQUI RED.IRE LII3DERWRITERS. TEMP. N D CITY OR TOWNSHIP �y-y.._ COUNTY VILLAGE STREET AND NO. OR POLE NO. ROAD AND POLE NO. {{ BETWEEN WHAT TWO ` by Al' .X BLOCK LOT CROSS STREETS IS ) PREMISES STREETS BV 1NG ] y OCCUPANT'S �� y OCCUPANICY L.+ t +I—��✓ NAME TE L. # OWNER'S NAME lcl::i„�Y AND ADDRESS JJ G^ OFFICE CV R T �. FROM THEIR SUPPLIED DEFECTS 8Y WORK REMOVED BU{LDING OLO {$ NEW ADDITIONAL ❑ IS NEW L15T BELGIW AL QUIPNIEN7 WHICH Yf]U INSTALLED BRANCH QFFICE USE Now of fisturp '$� MOTOR'S HEATERS GRCUITS ONLY NUMBER OF OVTLETS Lr+ryt Reeeptrder Locs- Wetxa. A.w.a. IhISPECTIQN tion Sidr Aatrch't Switch perWanrt 6rackat No. TYPe E� Nu, Erch Nr"' Gaups piflne Wd{ Betels Is Ou4 ekde Sub- base Planar meet 1st FL and f{. 3rd f{. OO NOT USE THIS SPACE, REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH A66VE: to be insproteal but it at time of ilulYBCf inn theirs is found additional equipment not above listed. Thm application ns intended to cower the abowa lislad equipmentse rovided by the apPlicant. you are au ad xp make the inspection and adjust the fee to sower the addition alE SIGN TOTAL ECTRIC E O FEED LAMPS WATTS IN GAS TUBE SIGN CTER CONCEALED TRANSFORMERS OF VA OF '�-�"" r""' INUMBERY (CAPACITY) WO BE COMPLETED SIZE OF SIGN S ED SERVICE OVER D OERGR MAKER ENTERS OF SIGN BUILDIN w (� 10NSP YI HFt E r. f NEW Q OLD El PO Y BE■lRETURNED. AVOID DELAY BY `I VTR" P$MI- D,A�"G�[ ATE RMA�(TIO ALL 5A S MUST BE FILLET] IN OR A1"'PLI5 � f T PRINT NAME J i0.'bDRE£S [ \ d. 1� DATE OF "1'I "i NAME Of �f Yrl 1 APPLICATION APPLICANT H L I # STREET ADDS YIP J\ LICENSE NO. CITY OR _ CODE _—.,—BEN APPLICABLE POST OFFICE RATE APPLA 1 Q4:MU��E FILED FOR EACH SEPARATE BUILDING 4e E� {REV. 1It5) A SEPA .._ Me pte TG7o 4=7gaTE-4. D L 20'ZLZ LO! "i BUUILDERS & DEVELOPERS R. D, 1 , GLENS FALLS, N. Y. 12801 DANIEL R. BARBER. Pres. Tel. (518) 798-4252 1 r l