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8804 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date'' •7.11n-rV This is to certify that work requested to be done as shown by Permit No. 80 has been completed. This structure ay be eqccupied as a Location Lot 10/ 17Ton V Follow oaC (Fect cr A Pea:i-O:`e Close) Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA'- PRINTING. GLENS FALLS. N V 12801 1518l793-5658 BUILDING PERMIT TOWN OF QUEENSBURY No. 8804 • WARREN COUNTY, NEW YORK PERMISSION is hereby granted to William L. Edwards OWNER of property located at Lot 102 Honey Hollow Road Street, Road or Ave. N- 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 5 ti 1. OWNE R'S Address is Regency Apts Glens Falls, New York ri 2. CONTRACTOR or BUILDER'S Name ¢' Hilton A. Tallman 3. CONTRACTOR or BUILDER'S Address 137 Ridge St. Glens Falls, New York 4. ARCHITECT'S Name - O rt 0 N 5. ARCHITECT'S Address 0 (D. 6. TYPE of Construction—(Please indicate by X) 0 1-' k)Wood Frame ( ) Masonry ( ) Steel ( ) 0 7. PLANS and Specifications 78 'x24' per plot plan, specifications and o No. application submitted including two-car attached garage and sewage system. ¢' 8. Proposed Use • One-Family Dwelling 0 $5. 00 C/O Paid $ 171. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1985 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 5 town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 10th Day of October 19 84 SIGNED BY a. for the Town of Queensbury Building and Zoning Inspector W TOWN OF QUEENSBURY (Space inside block to lx filled in by WARREN COUNTY, NEW YORK • Building Inspector) lication for Application No. : !'!' Permit Issued 19. BUILDING AND ZONING PERMIT Permit Expires. ►R. %1niin District \ alter of Work$ THREE (3) Copies of a PLOT PLAN, Drawn to scale •\i'I��-',cc•cl by �4 ' ��Q- lt� showing the actual dimensions of the lot to be built I.emar)CS upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. / TOWN OF QUEENSBURY / a6"_ s_ ld .v /GC //0/(Yf REGEFU DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK (li✓1 s 01984 ANSWER ALL OF THE FOLLOWING. C,o. )1=M... P.M. The undersigned hereby applies for a permit to do ,the following work 7 A.M. /76 91 11 1l2t$�4I5I6 which will be done in accordance with the description, plans and specifi- ° 1. i ° ° ` ' cations, and such special conditions as may be indicated on the permit. ' The owner of this.proppr is: l,Jt 11 (aIii-, G-,. Jckwcxv-cKS o-..— y er,/,,6- es./- (NA`,E) • (P.O.A6DRESS) The pers��e�spons hie f� •supervision of the work insofar as the Building Code nd the Zoning Ordinance apply is: 7 -� c /3 7 G . s /- 6 r- (N E) (P.0..ADDRE S) 4�.o✓t /, • j a<L I '74 c' Address / 7 /J9-,' 5� - r- Name of Builder ,, Name of Plumber. . . .\1 .4.l. L.:o VAr t%-3 Address or4 F �' Jed— S. —,r' Narne of Mason L.G-t.s( ye' c.` IT cr Address Lot Number / 0 Unit Estimated value of proposed work I aol o ) Name of Village Name of Street A -c "Inc �lOLk/ Side of street: north 1�,,east 0, south D. west CI Nearest Cross Street . . . Q ✓Vgl/' Distance from this cross street 20 J Ft. Property is north Ltd",south ❑,east [1, west.. ❑from Cross Street If on Corner, which corner, northeast 'Li, northwest ❑, southeast ❑, southwest (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 • ❑ Alteration to a building. Two-family dwelling -family apartment house ❑ 0 Demolition of a building. Store building ❑ • " -- -car attached garage ❑ Other: • - • Accessory Building One-car detached garage ❑ ❑ Other work. Describe Two-car •detached garage ❑ Private chicken house ❑ • 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 location and . size of the property, the location, size and setbacks of pro- . 'posed buildings,and the location of all existing buildings. NORTH Show proposed buildings) in dotted line and existing (../zv' (Let huilding(s) in solid line. Size of property ��� ft. x ' - ' `� ft. sJ ASize and use of existing buildings, if any a y " Size of proposed building 7� ft.x . . .�.r. . . ft. 4, Height(from grade to ridge) . . . ..3o t ft. �' Front yard 7' . ft. • Side yards 3` ft. and ir4 7 ft. . Rear yard /0-c' ft. SOUTH If on corner,setback from side street ft.. Note: All distances are net, as measured from street side . line to nearest part of building. COVER) 7-73-M (cont'd.) BUILDING SPECIFICATIONS., n - - ,.,.� .� Kind of construction: Wood frame, fire safe, etc.?. . ... . t.J_.cro d. . . • • . . ... .. ...• • • • • . . . . . . . . .. . . . . . . . . • . . . . . . . . . . . . . . . Will any second-hand lumber be used? No If so, for what2 Material of foundation walls a 614.•C.V C,..`Ie Thickness • Depth of foundation walls below grade 6 ' Continuousnu foundation? y' ."9 Will there be a cellar? �. . . If so, material of cellar floor C-e-^ G � . Type of roof: Sloped or flat? . .. . . .�.°/?°��. . . Material of roof ' .'- A..., 1�E Sk ,7 C. _�/ Size,wood studs A ." x 6 ", spacing .%t . . . ."o.c., length '5 • ft. Size, floor beams, 1st floor "x ./0 ", spacing / 6. . . . ."o.c., span / .-- ft. Size, floor beams, 2nd floor '• .. x 0 ", spacing / & "o.c., span / -- ft. x ", spacing /‘ "o.c., span / .Z— Size, ceiling beams " ft. Size, roof rafters or beams cr 2 -"x K ", spacing / 4 "o.c., span ft. Exterior finish /'Z X'' C/J-e-6---(9 �`wi ith what material? Finish of interior walls • • e •.. • • • If garag is to be a ached, of what mate al is wall between garage and main buijding to be constructed? � C , .E �- Is there to be an opening between garage and bulling? Kind of heating system CL-°- Lea - k- e-e- s., e."'9.--: Oil burner or coal? f�(-e3. . . . . . . . Depth of chimney foundation below grade Will a flue-lined chimney be provided? . . . Height of chimney above roof �� • Will there be a fireplace? )/ "c93 Depth of fireplace hearth 2-- Will a toilet be installed? '' Will a kitchen sink be installed and connected to water supply? ,/ Water supply (public water supply or pump) Distance of cesspool from any private well . N4 y feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt, b a r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are.a true and coa.�lete statement of all proposed work to be done on the described premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining • .i e .reposed l Signature work shall be complied with,whether specified or not, and that such work is authorized by the owner. / ..1-21 �'—C/ ~` Sworn to before me this _ p OWNER.OWNER'S AGENT,ARCHITECT,CONTRACTOR IC' day of /t`� 19..O..y NOTARY PUBLIC, WARREN COUNTY, N.Y. SPECIAL CONDITIONS OF THE PERMIT: • • • By TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGF DISPOSAL PERMIT APPLICATION 1. Owner' s Name Wc ( <<as. L , (Sc., c,4s. Address rl9-,sue ?ad Telephone No. , — 3 2. Property location-- 4 #loz 7 aP9LZercg.�j��, 3 . Name of person or firm responsible for installing system /iL lam' za L t r:,� Telephone No. 7 Or---a Z /8 Address (3 7 G�- r S7� • 4. Number of bedrooms (residential buildings only) 3 5.. Daily flow C S gallons/day 6. Septic tank capacity // D 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 .. is not required C. If required what is the rate minutes/inch 11. Water supply: municipal, well, other 12. Type of system proposed: drywell, tile field, other ctby d . 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 Queensbury Sanitary Sewage Ordinance. Date i4„)/' ?`�/ / 7 lQv— signature of 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. Scri r 0 , Form 3-82 r 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 27 2 . Type of heat__®1 1� 3 . Is the building mechanically cooled? NT) 4 . Percentage of area of windows and doors 1'4'. S A. Over 16% Only 1 . 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 of roof and floors exposed to ambient conditions O t9 2_. R value of exterior walls Vi 3 . R value of glazed area "R 4 . R value of doors 5. R value of floors over 'heated spaces "Vi 6. R value of slab edge insulation - unheated slab S 7 . R value of slab insulation - heated slab 8 . R value of heated basement/cellar walls (above grade) 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation "ci`QllG�,a �e► N- ' t{;, AA . C. Controls J 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 . Piping Insulation 1. Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F. Service Water Heating 1 1. Performance efficiency I. In 2. Temperature control setting maximum G. For Swimming Pool Only 1 . Maximum heating Telephone No. 7 9 o Z- I g Ake-6n F-1 / c�- (applicant ' s signature) BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. • FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. TEMP.# DATE CITY OR VILLAGE l v 1 c ! C /7 :/(e r ` TOWNSHIP vl ( t) it✓ COUNTY C d STREET AND NO.OR ROAD AND POLE NO. /`!�--L:.;,} is— `_O t / 0} POLE NO. BETWEEN WHAT TWO CROSS STREETS IS (_ PREMISES LOCATED? t— - ��- ri� SECTION /02 5 BLOCK ' LOT/ G� OCCUPANT'S BUILDING NAME l., is l f t/i ter L OCCUPANCY Ir i ' OWNER'S NAME AND ADDRESS F. 1 TEL.# .,l l ,� CURRENT SUPPLIED ,i FROM THEIR OFFICE \�rr n • ISUILDING WNEW LX( OLD❑ SORK NEW NJ/ADDITIONAL ADDITIONAL El REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures fs BRANCH NUMBER OF OUTLETS MOTORS HEATERS OFFICE USE Lamp Receptacles CIRCUITS Loce- ONLY tion CeilingSide Attach't Switch Pendant Bracket No. Type H.P. No. Watts No. A.W.G. INSPECTION Well Recep'Is y Eeeh Eaeh Gauge Out- side Sub • - base • • Base- ment • 1st Fl. 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW pi OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF DATE OF APPLICANT �-''— ri ,—_.'%•i ✓/:s_� ? ^�- APPLICATION • • J ff STREET ADDRESS '-' I' '•i' ) ' •,1 TELEPHONE# CITY OR ZIP LICENSE NO. POST OFFICE (c. [ Vi r?u v ' CODE WHEN APPLICABLE • 46 EL(REV.1/84) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 6;A tvse_ � TOWN OF QU•EENSBURY Building Department Inspectors Report Date 2/7L ?5 Name O&tJ'z.® 5 Location c low /ieec14}r / 6/6„) Permit No. 8 of Whither Remarks Excaf7a t on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing _ Backfill Final Survey / Framing Sheathing / Roof Felt Roofing �s- Siding Masonry Veneer Rough Plbg. I Relief Valves Wall Board ✓ CP'� Ext. Porches yVo \ Finished Floor • Interior Trim ✓ /d` Stairs & Railings ,,✓ �4- Cellar Dr. Tile Concrete Floors Plbg. Fixtures "'tS-- Gar. Fireproofing V' NO 401, __TA-r.:41k Door Closers ./` Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling 1 Building Inspector REMARKS c- -- d/{ / /(J' E c-Tc c i o 624_ TOWN OF QUEENSBURY Building Department Inspectors Report Date i 1/ 3 L'/9 �J Name ,079tt-'4. v»s Location 1447-ks, Permit No. ?F' G Y Wither Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval -' (�L-- Floors Insulation Foundation Walls Ceiling Building Inspector REMARKS C -- � TOWN OF QUEE SBU Y Building Department • Inspectors Report Date f/Ole,/ Nan se !°ii l_M444/ {/ 6'41ritfllYLv,_5_ Location ./v24 to<Ai P( ' Permit No. WO'j// Weather Remarks Exca tia ti on Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing A- k/- • Sheathing Roof Felt Roofing Siding Masonry Veneer Ebg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile ,2))(:\ Concrete Floors Plbg. Fixtures • Gar. Fireproofing Door Closers 1 Chimne Water Meter Inst. Se tic A roval Floors Insulation Fot2ndatiOn Walls Ceiling Building Inspector REMARKS TOWN OF•QUEENSBURY Building Department Inspectors Report. - Date /o//d /g Name • i 4-1— dl 4.49 rr_,0 Location /-{l,;Lie �+�1/��it] Z/Pet ic.D' . Permit No. 07J'/ Weath Remarks Excatra tion Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing - Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim • Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling . Building Inspector REMARKS c' 2_ , 3 68, 2z C\O � 117 cfr 0 c761(3 F/ I � 3a 61.