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1987-055 +CERTIFI+CA.TE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 S02 (1 - 1 - 93 This is to ify that work requested to be done as shown by Permit No. 87-55 has been completed. This structure may be occupied as a _ _ -- _- -_ - One-Family Dwelling 1.�[lCatifJty Fort Amherst Road C7wner .Anthony Cirino By Order Town Board TOWN OF QUEENSBURX Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEE 'NSBURY No. _ 87-55 WARREN COUNTY, NEW YOIRK PERMISSION is hereby granted to Anthony Cirino Cr OWNER of property located at Ft . Amherst Road Street, Road or Ave_ 0 in the Town of Queensbury, To Construct or place a One—Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and n r• approved and in compliance with the Town of Queensbury Building and 'Zoning Ordinance. o t_ OWNER'S Address is 2. CONTRACTOR or BUI LDERS Name Howland Canst . � 3. CONTRACTOR or BUILDER'S Address Star Route Box 140 Glens Falls , New Yorkrp a 4. ARCHITECT'S Name m C3. 5. ARCHITECT'S Address 6. TYPE of Construction — IPtease indicate by X} [ xl Wood Frame S } Masonry l ) Steel [ i C7 D 7. PLANS and Specifications No. 70 ' x6O ' per plot plan , specifications and application submitted , p including two-car attached garage -- City of Glens Falls sewage syst m . 11 �c 8. Proposed Use p E One-Family Dwelling F; S . 00 C / O-- � $ 157000 PERMIT FEE PAIL! — THIS PERMIT EXPIRES Oct . 1 1g 87 Ilf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of ❑ ieensbury before the expiration dated Dated at the Town of Queensbury this 6th Day of March 19 87 SIGNED BY / �'i _ for the Town of Queensbury BuiIdIng and Zoning Inspectoorrf' e� -------ems-w. —�- TO BE COMPLETED BY BLDG . DEPT. 7otvn O/ QldeenjCr ftry Application No . Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Havifand Road, R. D. 1 Box 98 Zoning Designation Oueensbury, New York 12801 Variance No . Site. Plan Review No * E, F V d . d. - G -- Approved by : APPLICATION FOR PUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION , ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted , and such special conditions as may be indicated on the Permit . --.....-.....---------------------------------......................___-...................... 1 The owner of this property is . 'ef�f z�fiz 2 . P . O. Address Tel . Property Location : faf '-,. Tax Map No „ CK- 1 - 1 Street number or building lot number Subdivision name ( if applicable) T PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name ,+f n P . O . Address Tel . No . Name of builder /f '`r� L�F,✓� �.�%.uts � _Address 2,,,,- Tel . ; . Name of plumber Address Tel . Name of mason Address Tel . NATURE OF PROPOSED WORK : w ZONING INFORMATION : .2LConstructlon of a new building +r A PLOT PLAN MUST BE PREPARED AND SUBMITTED , _Addition to a building drawn reasonably to scale and attached hereto , _Alteration to a building showing clearly and distinctly all buildings , (no change to exterior dimensions) whether existing or proposed and indicate all Other work (describe) set-back dimensions from property lines . Give street and number or lot number and indicate FOR DEMOLITION PERMIT , STATE SIZE AND whether interior or corner lot . Show location LOCATION OF STRUCTURES AFFECTED . of water supply and location and configuration '" of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW * Size of property ft X ft . Existing building s ) Size ft X ft . PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new structure ft X 6. e) ft Foundation-pier/slab craw partial/full " Proposed building, distance from property line (circle one ) Front yard f5-L;) ft Rear yard Pt No . of stories (habitable space ) / * Side yards /T ft and ft If residential , no . of familiee Height ( grade to ridge ) , ft . * If on corner , setback from side street ft s No . of rooms ( excluding baths ) r' OCCUPANCY INFORMATION No * of bedrooms ? PRIMARY BUILDING - Pr of bathrooms Z ' z ,� one family dwelling Primary heating system /� Type of fuel Two family dwelling No * of fireplaces to be installed Multiple dwelling / Number of units Will a wood stove be installed? itJc Permanent occupancy ,� Central Air conditioning? -iL Transient occupancyBusiness BUILDING STYLE,, PRIMARY STRUCTURE Industrial Ranch� Contemporary Log cabin Other Raised ranch Mansion Duplex If addition , what will use be? Split level Old style Bungalow Cape Cod Cottage Other ACCESSORY BUILDING,- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car two cart car _Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION INFORMATION ON BUILDING, SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form SPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS . Type of construction , wood frame , fire safe , etc . 4e z .�) ZZQ, z= Will any second-hand or ungraded lumber be used? If so , for what ? ns H' Foundation wall material C, , Thickness Depth of foundation below grade (to bottom of footing ) .yr Will there be a cellar? ,rfG Heated or unheated? Floor sq . footage sq ft Will there be a basement? A2�,, Will any portion be used as living space? ( If so , what portign2_ sq . ft . - - Type of use? Type of roof - slope flat/shed/other Material of roof size , wood studs__, _- ' X'_6L- spacing_! "o . c . length ; ' ft . $ f Joi. sts ( floor beams ) lst . floor 2 " X f " " spacing.__"o . c . span /�ft . Joists ( floor beams) 2nd . floor "X " spacing "o . c . span ft . Overlays (ceiling beams ) "X if spacing "o . c . span ft . Roof rafters "X " spacing o . c . span ft . 0. Roof trusses (pre-engineered) spacing � . r "o . c . span r ft. 3� Exterior wall finish , fJ �x ��t C _ Of what material? Interior wall finish If a garage is to Yge attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling?�ih. If so will a Fire-rated door , enclosure , and self-closing device be provided? > Will a flue-lined chimney be installed? A.JG Height above roof ft . ,r Depth of chimney foundation below grade - -~ ft . Depth of fireplace hearth / ft . � in . water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ' ft . (A separate application is necessary for any repair or new installation of septic system) l Town of r7sseensbury p F r 1 T D A V T T STATE OF NEW YORK County of warren C'i C_ 1 I swear that to the best of my knowledge and belief the statements contained in this application , together with the plans and specifications submitted , are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner . ^ �7 f SWORN TO BEFORE ME THIS Signature �!_r � -___ ___-__-- bwner , owner ' s agent , arcnixect , contraoto-r day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : By"___ ________________________ 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 : 1 . Gross floor area 2 , Type of heat /' x ri 3 . Is the building mechanically cooled ' � oowoG� 4 , Percentage of area of windows and doors A . Over 16 % Only 1 . U value of gross area of walls , roof/ ceiling and floors o 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 ? 3e 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 Be Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. le 3 fr• � P 2 . R value of exterior walls LIC/ 3 . R value of glazed area 0C Z 4 . R value of doors ' ! 5 . 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 basement /cellar walls ( below grade ), 10 , Type of insulation C . Controls 10 Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO a . I £ YES , R value of duct installation be R value of duct in other areas E . Piping nsulati I on 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 Swimming Pool Only 1 . Maximum heating Telephone No . applicant ` s signature ) THE NEW YORK BOARD OF FIRE UNDERWRITERS O01744 BUREAU OF ELECTRICITY j f 41 STATE STREET, ALBANY. NEW YORK 12207 _ hate August 5 . 1987 Application .Va. on file 010782-87 THIS CERTIFIES THAT 0 665 only the electrical equipment as described &&law aaad introd"ced by the applicant named on the above appiicatiora neamber in the preenises arf Cirino ,r �F.t . Amherst Rd4 , Glens Falls , N-'Y �e in thefolhjawinlf location; I -r Basement ® ist F!. ❑ .tnd Fl. attic out 'de Section Block Lot E was examiraed ors 7 /14 /87 andtoured to be in compliance with the requirements of this Board, FIXTURE FIXTURES RANGES COOVANO DECKS OVENS f]ISH WAS►#RS EXHALtST FANS OUTLETS EPTACLES SWITCHES INCANDESCENT nUONSCEN'T AMT. K. W. AMT. K. W. MAT. 28 57 23 DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL EEC'" TIME CLOCKS UNIT HEATERS MULTI-OUTLET pIMMERs AMT. K. W. OIL H. P. GAS Ii, P_ AMT. NO. A. W. O. AMT. AM►. AA1►. AMPS. TRA/+IS. AMT. N. ►. *YSTEMS AMT. WATTS NO. OF PEE!' rang, 3 6 x hw 30 o SERVICE DISCONNECT No, or ry'e-S 1% R V 1 C E METIER AMT. AMP. T7rE 1 'w 2W 1 X 3W 9 �CONb. OP CC COMP. NO. OF MIr tEG OF"YN LEG N4. OP NEUTRALS OF M EUMAX x 20C! Cb x OTHER APPARATUS: RE Me 1-»8=oke detector Brian, R. Meu7Cs , Inc . � � /1, BE PO Box 3206 `� BRANCH MANAGER Glens Falls , NY 12801 � Per This certificate must not 12e altered in any manner; return to the office of the Board If incurred. Inspectors may be idanti#lad by choir credentials. >E COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Jown ca�' 'Qrueens �tcrt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECT R ' S REPORT SAME L t ,tizt .y c� LOCATION 14 1�r _P s r ram/ 1> Date / y Permit NO . '! ✓ = APPROVED - YES NO Footing/Pier Fo Foundation Waterproofing Backfill F rami.ng Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors _ Interior Trim Stairs & Railing Cellar Drain Concrete Floes Plbg . Fixtur s Gar . Firepr offing Door Close s Smoke Det tars Chimney INSULATIO Foundatio Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAIL .w XFinal Building Survey�T Next scheduled inspection ( call when ready ) Remarks- Building Inspector 6/86 rnd-vl /oex+rt O/ Quee" 3Aurtit BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION ` Date57 " �7 Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing BarCx6 l I gaming Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing� � Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Wall s Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- P Q �fj` Q ee �^-'"�+�.�'C.t.�,� Building Inspector 6/86 and-vl _Jvcvn 0/ Queenshury BUILDING and ZONING DEPARTMENT Bay and Wawiland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Yl Ir1 % LOCATION Date _._.-/! [ Pao rm�i t No , C! I V- •u� Me' = APPROVED - YES No Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer ,)Wough Plumbing Relief Valves Ext . Porches Finished Floors Interior Tram stairs & Railings_ Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Wa l I s Ceiling FINAL ELECTRICAL INSPEC."TION 0RIVF.WAY APPROVAL Final Building; Survey Next scheduled inspection (call when ready ) Remarks- Building Inspector 6/86 and-vl flow" 1I BUILDING and ZONING DEPARTMENT Bay and Naviland Road, R. D. 1 Box ga Queensbury, New York 12601 BUILDING INSPECTOR ' S REPORT NAMELJt ' b, �rxrc..a5 LOCATION Date- 'Permit No . 717 -s k 51�65 ✓ = APPROVED - YES NO Footing/Pier Forams Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors _ Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers - Smoke Detectors Chimney '— IN S U LAT I oN Foundation Floors Walls Ceiling FINAL ELECTRICA INSPECT N DRIVEWAY APPROV Final Building urvey Next scheduled inspection (call when ready Remarks- Building Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 48-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT, WHEN REOUIRED, TEMP. ! DATE CITY OR VILLAGE TOWNSHIP COUNTY STREET AND NO. OR ROAD AND POLE NO, "x �"'� r' POLE NO. BETWEEN WHAT TWO ,y CROSS STREETS ISMt�LLS �/ ..-.�.- ,jar PRECATED� /a /s�� SECTION f'" BLOCK � LOT •'"� r OCCUPANT'S r.. . BUILDING .� NAME 'r" - OCCUPANCY OIWNE WS NAME ? AND ADDRESS TE L_ # CURRENT SUPPLIED ,�r c� '^ 8Y .Jl �'r FROM THEIR IG .7 OFFICE B WUlLOiNG DEFECTS IS NEW OLO ❑ Is ORK NEWAKC ADDITIONAL ❑ REMOVED Q LIST BELOW ALL EOUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Nix of Fiirivra 8 CIRCCUUITTS, OFFICE USE Lthcr ax o FixituaOlas MOTORS HEATERS tjay ONLY CaRlny Will! Rttapago Switch Pandsnt Brooke[ No. Type H_P. Wrtss A.W.O. aeaP'h Eaclh NO- Eaoh me. Caine INSPECTION out- side Bob- base Brtr mans Iet Fl, 2nd Fe. Srd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the abo listed aqujpmant to be inspected but if at time Of inspection Them is Ia rbd additional equipment not abeva listed, Yeti are sutherized to make the inslsaction and adjust the fee to cover the additional equipment, seprovjdel by the applicant. SIZE OF MAINS ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE {NUMBER 1 (CAPACITY 1 STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OIN OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW � OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME D ADDRESS SIGNATURE NAME OF p i; I I �, . APPLICANT , f' r'...J f/r('i• = /r :^ /` . _ iF\ OF APPLICANT._.ap STREET ADDRESS t ✓ .4 +�` - •i TELEPHONE CITY OR _. 'M.ST 21P OFFICE y/ / %" .1 i� f LICENSE NO.. CODE .+"rWHEN APPLICABLE ' =PARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING r00 i i 139 -S i i R i ".,'G12Rxw i U i I � k 3y -e3 L2 • �j • �` al ca 6:LO 7-if .seW � r�