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1985-720 i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 11 This is to certify that work requested to be done as shown by Permit No. has been completed. LankI This structure may upried MW a �A I f L sb rCC r y kctrl on WMt- Location Owner ;.::. 17�j: L ; ; r :7 rt_. r By Order Town Board IrOWN OF QUEENSBURY Building & Zoning Inspector CRCw T�VC "INGTM" PMtNTING. Qi ENS FAL N V e2001 IA IA}T!]-RESS J +Y •' f 1 li . CERTIFICATE OF OCCUPA,.NC` TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK +� [ +� p Date 19 This is to certify that work requested to be done as shown by Permit No. has been completed. --^ ^ xj 1�1I This structure may be occupied as a Location � Owner r _. _ z E y Order Town Board 7oW N OF QUEENSBUIXY F f, r r Building & Zoning Inspector C IItEMTIYC 'INSTA." r1RIMTING. GLENS r✓•4L3. M Y I ago I 1!I•I 71W3-fit! BUILDING PERMIT TOWN OF QUEENSBURY No, s5-7zo WARREN COUNTY, NEW YORK w *t Cr PERMISSION is hereby granted to Barbara Barber m OWNER of property located at Bay Road Street, Road or Ave. at in the Town of Queensbury, To Construct or place a Sao-Family Dwelling H 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 Oueensbury Building and Zoning Ordinance. 1 . OWNER'S Address is RD #1 Glens Falls , New York u� w 2. CONTRACTOR or BUILDER'S Name Sherwood Acres Corp . w r.. 3_ CONTRACTOR or BUILDER 'S Address AD #1 Glens Falls , New York 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by X) [ wood Frame I 1 Masonry i[ ) Steel I } 7, PLANS and Specifications 2$ rx52t two-family dwelling with 24 ' x24 ' two-car attached No_ garage including septic system per plot plan , specifications ' and application submitted . o S. Proposed Use � Two-Family Dwelling $10 . 00 C/Os $ 220 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 19 86 µ (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 010 town of Queensbury before the expiration dates.) Dated at the Town of Oueensbury this —�,,�6th Day of December 19 85 )SIGNED BY eh — N for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY (. Spate inside block to he filled in bt WARREN COUNTY, NEW YORK Building in%pectnr) PPlicatlon for 'irl,li 1 1%is:,isl ;tio. 19 ,',�,,,, le�"I BUILDING AND ZONING PERMIT I .', ,„ il F , I,ires lq DiNirie , r ,ilia,• 4ht N%'gIrk One copy of ca PLOT PLAN, Drawn to scale 11 °i ,r40, 4•cl showing the actual dirnensions of the lot to be built It,•,,,,l1 Ks upon, The exact sixe. and location an the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. rt �' The undersigned hereby applies for a permit to do the following work A•1�• /� {fir y which will be done in accordance with the description, tans and specifi- '7I8Ig d"1A � 2ri i l .'� ll , cations, and such special conditions as may be i icat on the permit. L MANOR .2 � +` The owner o s pro y is: . . t7C (NA- "0 IF O FU RESS) The person sponsibie For perviston of the wor. 'nsofar as the Building Code and the Zoni p�Ordinance apply i%: {HAMEY IP O AbOAESS} • 1 f Name of Builder . . . . . . . . . . . , Address . . . .s. . . . . . . . . Name of Plumber . . . . . . ? . . . . . . . - - Address I - - - , . . . . . . . . . . . Name of Mason . . . . . . - , . . . 1. . Address f/ Lot Number . . - - . , . . . Unit . . . . . . . . Estimated value. of prnlx,sed work S , !�rrC6r, - Name of Village . . . . . . , Name of Street . . . . . . - �J r - - - Side of street : north © , east O , south © . west ❑ -- -r� . . . Distance frr,rn this --rosy street Ft , Nearest Gross Street ' ' Property is north outh 0 . east i► , wet CI from Cross Street If on Corner, which corner, northeast 0 , tt+nrthwest Q , so„i heart Cl . southwest (Designate by marking with an "X" in the correct cpace.) NATURE. OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Building w Addition to a building. -r family dwelling Vic Alteration to a building. Two-family dwelling Demolition of a building. Pfamily apartment house Store building . -car attached garage "Either: . . . . . . I Accessory Building One-car detached garage -� 0 Other work. Describe: . . . . . . . . . . . . . . . Two-car detached garage r� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private chicken house ' Private storage buildings, Other: . . . . . . d . . . . . . . . . . . . . . . . . . . . . . . . . . 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 lacation, site and setbacks of pro- ported buildings, and the location of all existing buildings. NORTr" Show proposed buildings) in doped 1' a and existing 4uilding(s) in solid line. I J l Size of property . . . . . . . . . . . . • `.7• ft. x It. Size and use of existing buildings. if any V rcrlk-- �—' h N . fe. . . . : s Size of proposed building ft. Height ( from grade to ridge . . . . . , / 4 . • • f�' Front yard , . . . . . . Q . 4:5. . 'f . . , Ft_ Side vards . . . . c . . . • . . • . it. and d <'D . - • ft. Rear yard f. 9:7. 4> . !r . . . . . . . . . 1 ft. SOUTH If on corner. setback from side street • . • • . . • • • - • it. Nate : All distances are ass, as rrreasured from street side 1 line to nearest fart of building. �7 �} (OVER) BUILDING SPECIFICATIONS., Kind of construction : Wood frame, fire safe, etc. ? L'" . . . . . . .. . . .`' .�� Will any second-hand lumber be used? . . . � so, for w . . . . . . . . . . . . . Material of foundation walls � ~��` � � . ' ' _ Thickness . . . �.�� . . . . . . . . Depth of foundation walls below grade g . . Conti elation? Will ( here be a ? If so, material of cellar floor . . . . . .Type here r flat? Maier 1 of roof . . . . . . Size, wood studs . . . . . . . . . . . . . . . " x . . . . . . . . Cam-. . . '" spacing O.C.,. , length . . . . . . ft. Size, floor beams, 1st floor . . . . cam. . . . ' x . - - _ . . . . y/ _ . ", spacing . _ . . . . "o.c., span , . . . �40ft. Size, 17 " x . . . . . . ', spacing . . . . . . . . . . . . . . "o,c., span . . Size, ceiling beams . . . . . . . . . c�.�a " x . . . . . . . . . i . . ", spacing - - - . , "o.e., span {t_ Size, roof rafters or beams f� - . . Y . . . . . g "n.c., span . - .�. . . . . . . ft_ Exterior finish ► x- - * , . -.. aierial ? Finish of interior walls . 1 . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , If ,garage is to be attached, of what material is wall between garage and main bbui,l ing tied. . . . . . . . . . Is there to be an opening between gars and building? . . . . _ 49 '. - . . Kind of heating system if . . . . . 1 . . . . . . . Oil burner or coal ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? G7. Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof , . . . . . . . . .G? . . . . . . . . . . . . . . . . . . . . . . . . . . . - . , . . . . . , . . . . . . - . . . . . . . . . . . . Will there be a fireplace? - . . & . . . . . . . . .qz�5 . . . - . . Depth of fireplace hearth . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . I . _ . . . . . . 1-�c� - . • . . . . . . . . . te . , . . Will a kitchen sink be installed and con d to water supply ? . . . , . . . - . . . . . . . Water supply (public water supply or pump) - - - 4 . . . . . . . I ' . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . f- . ^� . +. . . , feet Will drainage system be provided with. required traps, cleanouts, and vents? . . . . . _ . . , ,� Town of Queenshury AFFIDAVIT County cif Warren State of New fork f swear that to it. c r„juf my knowledge and belief the statements contained in this a cation, together with the clans a d a bona sstb rnitted, are a true and co.t. lete statement of all proposed work to be done on prern�ws and that a is a o BflII.I]- 1NG CODE, THE ZD3VIIY� DRI]CNANCE, and all ether laws pertaining to th p w k shall be enrntflietl wi tlter s sed or t and that such work is authorized by the owner. {��+ C^ Sworn to before rrte this Signature . O NEW N R' A ENT. ARCNI:IIE C-0N TRA.CC dayof . .. . . . . . . .. .. . . .. . . . . . . 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 followings 1 . Gross floor area [. _J 2 . Type of heat 52 1 3o is the building mechanically cooled ? 'Lj ep 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 floor ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation S . Under 16 % Only 1 .- R value of roof an_d floor_s�r xposed to ambient conditions rzp 2 . R value of exterior walls . 3 . R value of glazed area 4 . R value of doors _u { 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 4 7 . R value of slab Insulation - heated slab C `i' 8 . R value of heated basement/cellar walls ( above grade ) f^ ali 9 . R value of heated basement /collar walla ( below grade ) 10 . Type of insulation -" co Controls h 1 . Thermostat maximum heat settingM D . duct Systems 10 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 I 1 . Size of hot water or cooling carrying, agent pipe 2 . R value of pipe insulation F . Service Water Beating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 , Maximum heating Telephone No . L ' ( applicant ' s signature ) TOWN OF QUEENSBVRY BUILDING a ZONING DEPARTMENT SEWAGF DISPOSAL PER14IT APPLICATION Owner I S Name Address c Telephone No . �-'. 2 . Property location. 3 . Name of person or firm responsible for installing system Telephone No . y` Address 4 . Number of bedrooms ( residential buildings only) sy S . Daily flow g2e11c>rss/a 6 . Septic tank capacity I gallons ? . Topography : flato,410111s 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? 10 . Percolation test : A is required B is not required C If required what is the rate. minutes/inch Ile Water supply . municipal , ell other 12 . Type of system proposed : rywel the field , other Any contractor , corporation , individual , etc . engaged in ' thg construction of a sanitary sewage disposal system who covers 6the same before inspection , does - not have an approved permit , or varies from the approved appl ! tion will be subject to a penalty of $ 250 as pro for in Section 6 1 the Queensbury Sanjtary Sewage Ordinance . ' Date L /` .. signature o app scant 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 -82 TOWN OF QUEENSBURY Budding- Department ingw cuwo Report ��— Name LACSSOM Pefflnit No. 3' S "7 o Wcs#hzs Remarks F,xcavation Footin Forms Footin & Piers Foundation Cement Coat Water roofin Bacicf'ilI Final. Surve Framing sheathin Roof Felt Roofin Siding Masonry Veneer RoUcrh Plba Relief Valves Wall Board Ext . Porches Finished Floor interior Trim Stairs & Rallin s Cellar Dr . Tile Concrete Floors pl Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst . Se It A roval _Floors Foundation Insulation Walls Cei l i,ri Building InsPector REMARKS TOWN OF QUEENSBUR.Y Buildlux DePartincut PON Weather Remarks ExcaiYa ti on Footin Farms Footin & Piers Foundation Cement Coat Water rvo€in Backfil l Final Survey Framin Sheathin Rop,f Fel t ,Rovfin Siding Masonr veneer Rou h PI Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors P1 Fixtures Gar . Fire roofin Door Closers Chfmne Water Meter Inst . se tic A royal Floors �_----� Foundation �....._^ ,Insulation walls - Ceilin BL,., rding Inspector REMARKS BUILDING DEPT. COPY OF APPLICATION FORM 46•EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. # DATE ..) C COUNTY STR E ET AND NO_ R ROAD AND POLE NO. BETWEEN WHAT TWO CROSS STIR E ETS IS {�[} r�-Y ..,..--.. TION BLOCK LOT PREMISES L ATED7 OCCUPANT'S • DING NAME OWNER'S NAME r �i. � / TEL. i# AND ADDRESS 1 .,✓*-'•",�- r CRRENT SUPPLIED FROM THEIR OFFICE BY RK DEFECTS BUILDING WO IS NEW OLD ❑ IS NEW ADDITIONAL �❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of Fixtures & BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS ONLY Lecr tion Side Atlaalt't H.P. Watts A.W.G. INSPECTION coiling Wall Reps is Swiuh Pendent Bracket Na_ Type Each me. Eacfi N°' Gauge Our side Sase b Baer meat ist FI. 2ml Fl. 3rd FL REMARKS: LIST 0TJ116{t ELECTR$CAL ICE^ NOT FOprM ABCs E: - {iO NOT US£ I Esq ' PACE. This appl i"t ion Is iotanded to cover the above-I isted equipment to be inspec fed but if at time of inspection there is fists nd additional equipment not above Iisted, you are authorized to make the inapeetion and adjust the fast to cove* the additional equipmem, as provided by the aPPGcant. SIZE OF ELECTRIC SIGN TOTAL WATTS MAINS F£EDER LAMPS CHARACTER GAS TUBE SIGN OF WORK C D TRANSFORMERS OF VA RK TO BE D O NUMBER) iCAPACITYI STARTED O COMPLETE IZE OF SIGN SERVICE UNDERGROUND MAKER ENTERS~` OF SIGN BUI DING INSPECTION REGUESTED ON OR AS NEAR AS � J• NEW ❑ OLD POSSIBLE a AVOID DELAY BY GI'VINfa L AND ACCURATE iNF M TION. SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. r� �.. PRINT NAME A DDRE k APPLE AOAOF ��—`} f }{ '� � APPLICADATE TION j 1 TELEPHONE # STREET ADDRESS CITY OR ^'-w� ki 21P U--,.0 , ' t,�,+ LICENSE ND, POST OFFICE ��' CODE WHEN APPLICABLE!, 66 EL (REV. 1/05) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING ,�3l2,E4.[�LTD+pc� �e�.E�. �G7 t�,o'ttz.�i012 BUILDERS & DEVELOPERS R. D. I , GLENS FALLS, N. Y- 12801 DANIEL R. BARBER, Pres. Tel. (5I8) 798-4252 +� r ►. � ` '� i 'lam r