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1987-452 i f I � CERTIFICATE OF 0CCTJF"A {C"vJL TOWN OF QUEENSBURY WARREN COUNTY$ NEW YORK i ` - g Date Dec . 8 , l - L This is to certify that work requested to be done as shown by Permit No. 87-452 Me ro rat j has been completed. This structure to pied a Orne-Family Dwel lug Forest Road - Court�House to es Location 1[ 1� Snr�, Atu-� E V"4 + f i aw'4,9 s & Linda Hudon Owner 3 By Order Town Board TOWN OF QUEENSSURY F Building & Zoning Inspector G i BUILDING PEP-MIT TOWN OF UEENc � ..,..,.. . � JBUR ■ 87-452 WARREN COUNTY, NEW YORK NO, PERMISSION is hereby granted to `tames S Linda Hudon OWNER of property located at Forest Rd , (Court House Estates) Street, Road or Ave. In the Town of Queensbury, To Construct or place a One-Family Dwelling .. at the above location in aocordanoe to application together with plot plans and other information hereto flied and approved and in compliance with the Town of Quaensbury Building and Zoning Ordinanoe, I. 0VMER^SAddrawIs 4 2. CClN"ACTOR or SUI LDER'S Name rt McCormack Industries r w 3. CONTRACTOR or BUILDERS Adrlrera P 7 Sarella St . Glens Falls , N . Y . 12801 p O 4. ARCtIITECT08 Named IV rs a frrvulTECTS Add4raw r6i +t m r7 m rt x �y G it S. TYPE of Corriructbn — {Pl.eee indiwrte by Xl ro � "wrwd Frame { Masonry { I steel { y m rr fe R 7. PLANS and S'peaificarione ro m MO. 52 ' x 57 ' per plot plan , specifications and applIcation, including sewage system and attached two-car garage , s' PropO' w Use Plans in drawer One-Family dwelling I hd - $5 . 00 C/O 178 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES February 1 , 19 88 `� {If a longer parked Is required an appifoetion for an extension must be rrrade to the 8uIIdIna and Zonkm Inspacror of the tourer at Chaserebrry before the expiration date.) r Y 3.e Dated at the Town of Quee abury this 16th Day of July 19 87 99 SIGNED By t 1' 2 sC.� Z, for the Town of Queansbury Buikiing end Zonina Inepactor�7_ i 1 1 I TO BE COMPLETED BY BLDG . DEPT . �] Application No . _. ../Cswo? O/ Qi!eenjiury Permit Issued 19 TorNjN BUILDING and ZONING DEPARTMENT Permit Expires 19� 1-73 Bay and Havitand Road, R.D. 1 Box 98 Zoning Designation Cr Oueensbury. New York 12801 Variance No * M JUL 15 t9 �3 Site Plan Review No . XZIA 87 c Approved Y : BUILDII G &CODE DEPT APPLICATION FOR .( /L+C� i +��. DUILDING AND ZONING PERMIT r ^ Z - * * * * * * * * * * * * * * * * * * * * * * * * * * 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 . The owner Of this property is : f I } f oN P . O. Address Tel . Property Location :_ o5 �z _ +� Tax Map No . St � Street number or building lot number Subdivision name ( if applicable) CQ S,=j L a`' THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O . Address Tel , No . Name of builder_ }k _� � � =`�1 �� C- ~� . — ddress Name of plumber _ a y c Py- L. 31 � Address � �� vJ _ Tel . 7 t j '1� _.........._ Name of mason Tel . Address 221C f f , , NATURE OF PROPOSED WORK : * ZONING INFORMATION : -'Construction of a new building * 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 * whether interior or corner lot . Shaw location FOR DEMOLITION PERMIT , STATE SIZE AND » of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED , of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . " Size of property— t ft X * Existing building ( s ) Size ft X ~~ ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure s%ft X�ft Foundation-pier/slab/crawl/partial ful Proposed building , distance from property line (circle one ) * Front yard �64 o ft Rear yard � (? ft No * of stories (habitable space ) Z * Side yards � � ft and ?� ft Height ( grade to ridge ) Z.� ft , if on corner , setback from side street 'c If residential , no . of families { No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION No . of bedrooms frr � ,� PRIMARY BUILDING - No . of bathrooms �e family dwelling Primary heating system_ � { -fJ* Type of fuel 'EL-.C, t 1C_• * Two family dwelling N * Multiple dwelling / Number of units o , of fireplaces to be installed Will a wood stove be installed? �t_y * Permanent occupancy * Transient occupancy Ce:,tral Air ditlonrng?� C Business * BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * other * be? Raised ranch Mansion Duplex if addition , what will use Split level Old style Bungalow Cane Cod cottage Other * ACCESSORY BUILDING- Detached Row Town House * �� garage/one car/ two car/ car ( CIRCLE ONE PLEASE } * ✓ attached 3aragefone car two car r.--'"" r�car * * * * * * * * * * * * * * * * * _Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION r $ j- - , r �� _ - - - - - fi � INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED ! Form BPA 4/86 and-vl TOWN OF QUF. ENSBURY 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 3 . Is the building mechanically cooled ?. ` ��''� 4 . Percentage of area of windows and doors 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. :�5 t 2 , Fi value of exterior walls 3 . R value of glazed area 7 4 . R value of doors l 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 8 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) 10 . Type of insulation_ r1 ( , a co, Controls Q 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES a . if YES , R value of duct installation � b . R value of duct in other areas , ., Piping Insulation 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 -eating Telephone No ( a plicant ' s ignat ) McWRMACK flaINDUSreetTRIES auras o eteen 3balry (LENS FALLS,eNEW tYORK 128oZ $UfLDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Glueensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION Owner Is Name_��`.y-,(:r t I EE Dr) 'Pk 1xjrA Tel . Address Person/Firm installing system Number of b+edrooms ( residential only ) Total daily flow : ( compute {@ 150 aal . per bedroom per day) _ /c) C) a Topography : flat - rolling - steep - ( circle one ) Degree of slope Nature of soils : seas loam-clay- other- Depth ft . Ground water-- at what depth? ft . Bedrock or impervious material- -at what depth? t[L/ ft . Percolation Test Not required Required -Rate min/inch . Domestic Water Supply Muni is pal - Well - Other IMPORTANT ! On a separate piece of paper , submit a diagram of the proposed septic system with all dimensions ; including distance from any structure , distance from property lines and distances from any domestic water supply or shore - line of lake , stream , pond oar wetlands . Include all dimensions of the system itself . Description of proposed system : Septic tank size jLz)�gal . Tile field- Lenqth cif each trench ft . Total field_ ft . Size of stone # Seepage Pits ) Number / Size_' ftX- ft , Size of stone#k Any contractor , corporation , individual , Etc . , engaged in the construction of a Sanitary Sewage Disposal System , who covers the same before ins ection # 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 Town of Queensbury Sanitary Sewage Ordinance _ C ignature of pplica t Date 1 /4 6 and /vl r r f� ,��/fOL/�!a/ T,E?gMrL'lJ.fGf� .J �'. JvAn/ l"l T.G�AMG'GClGt`� 41 wW4^ 'VOe 46•itJ i der ✓G►Ff.wt iE - 140 •aZmove • 'N �� � P��� � �1 � -tip u1 3a . MsCe It He A+c1CS T• LA"`(Ts1►lfS � "�� � ��* � $.p _ � r i j CGWC• �f/CST',igALG ,3 -rtAas Ptwy'.fleirA ..ter "'�— `�� r r,� � � �D .✓'^\,. 1 s ! couR`C4y.c.u6E. 'EM�VA7CES ' ► uc. .may eoem1. r W . ac U lCTmInA K` . � r It 0 �y r ,,rl,�,►� d6C 4s4N©s 7-V g45-- co.v }-d!5-z> 1A/ ?: •fAop¢ . 1614 N' rE . J'vIr C oRtlAck co uL r 4E cf- ['a.e 11.4 ck JAME' S �' . ,,�..a L I.�/Z7q !nr': ,F'-f UZ:7 ca /V ,�tr�.✓.s E�a .C.A,�"n s-cr�e v�Y" ,es ZEAL ' drW L L ,,1 w Yoe 7•-exdM d.s' GD'G►E� AI.XrHtl�ew" - �/.9�e.e�c' c•�a . - n1'- Y I aVA00FE ♦T f 4?e 7 RIEL MEN 413Q1572 THE NEW YQRK BOARD OF FIRE UNDERWRITERS . X - 13UREAU OF ELECTRICITY s 41 STATE STR E ET. AL19 ANY, NEW YORK 12207 Date J ari r1 a r y 1 3 s 19 8 S Application ,yo. on file 0 19 9 2 0 / 8 7 p � � 4229 5 THIS CERTIFIES THAT only the electrical equipr.sent as deecribed below and isstreauced by the ant maned as the above applicasion number in the premieee of James & Linda Hudout Forest Road , qUeensbury . New York in thefollowing location; [2F Basement ID )at Ft. LJ 2nd Fl. Section B1aek Lot WOO examined on 1 2 / 2 2 I S 7 arwi found to be in compliance with the requirements of this Board. 14XTUM FIXTURES No" c0cmil o DECIES QV'ENS DISH WASHERS EXHAUST H FANS oTLETS ErTACLES SWITCHES HJCANDE5CLNT FLUORESCENT y AMT- K- W. AMT- K. W. AMT- K.W. ANY. K. W. am.+►pp. 31 47 21 DRYERS FURNACE MOTORS F'IJTURE AlrL1AtICE FEEDERS SKCIAL REC'rT TIME CLOCKS REIL LUM"T HEATERS MULTI�CILITLET pIRI1ML'RS � TRANS. ANY. H- ►. SYSTEMS ArAT WATTS AMT. K- W. oVL AlH. F. GAS M. F. AMT. Na. A. W. G. AMT. AMT- AMPS. NO. OF MEET $ 1 HWT 010 SERVICE DISCONNECT No. of Y W S E R Y 1 C E A.W.G. METER 1 .� 4W 1 .I ]W 3 / ]'W SF 4W Na. OF Cc, COND. A. W. G. FK}. OF WLEG QF-NI TG. MO. OF NEUTRALS OF NEUTRAL T. AMP. rot ETiLN P. FER a' OF CC- CCiND- 1 2130 cb 1 4 / 0 210 OTMER A"ARATUS: . @ C t T'.�- C R O,Ci 1S1 I,i @ a t@ r s -- 3 — 2l. 0 K W 4 — 1 . 5 KW 2 - 1 * 0 KW 27r � GrF . ru • I . 2 - Smoke De_taCtor;s McCormack Industries ciT J 1 7 5 a r ca 1 [d Street O . F • BRANCH MANAGER 4 Hopewell UunctioTx , New York 12801 j Per This certificate must not be altered in any monnar; return to the office of the Board if incorrect. Inspectors may be identified by their cr""6rIl iah. DOPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. „ - _low►t of Qteeern31ury BU4LDING and ZpNING DEPARTaox 98 Bay and Haviland Road. R.O. C;lueensbury, New York 12801 6Ul LDING INSPECTORt S REPORT NAME tu0 LOCATION ."� "� r 20 I]ate�I? Permii * * x * x * x APPROVED - YES NO booting/Pier Forms Foundation Waterproofing Backfill ;'naming Roofing Siding --..--- masonry Ven er _--- -- Rough Plumb' 9�_»----- Relief Valves , Ext . Porches Finished Floors %, - ._-. Interior Trim stairs & Railings'_ Cellar Drain 'Tile Concrete Floors P1b,g . Fixtures ----- -� �� Gar . FireProofinq Door Closers Smoke Detectors Chimney IN S u LAT I ON Foundation Floors Walls Ceiling_ -- FINAL EI.ECTRI AL INSPECTION��„ 17R-jvEWAY APPR $urVey k Final Euiiding ed insp ection Next schedul (call when ready ) Remarks- -� f ____-- Su' ldina I vector 6/86 and-vl �0 , oI Qtteenjbury BUDDING and ZONING CfEPARTME 9$ aay and Haviland Few York 12901 R.D . pueensbury. Mew SYST INSPECTION SEPTIC DISPOSAL NAME LOCATION i ) +(v) �" ' 1 �"] PERMIT DATE Loam - Clay TYPE - a n YES SCII, St Required? Percolationr to - Min/Inch --�~~ -- Percolation TYPE of SYST ngth Lion f ie d r total AbForp each trench Length of Depths of trench s __ size of gravel SEEPAGE pT.TS#Numb x Size _ft. X Gravel Size Size TyPe e�" PIPING = to tank Bldg Tanx to listo 330 id/pi Dist . box to f ' Np Partial Openings seal I,OCp,TION/SEPA TIONS ; t/ ft. tanx Dt - r' goundat3an tt absorpti.on ft-L4 Ponndation '� Absorption lot line ft. 5E Separationt f pits (circle one) OF SYS'TEK PRO E ront Re r ft side " ght side - Ei3TS SYSTEM USE APPROVE YES O Build ng Inspector 01/86 ind v1 CC''�� �� eeny �tarc� BUILDING and ZOWNG DEPARTMENT 98 Bay and IHaviland Road, R.D. I Box Queensburyv Ne'w Work 12801 BUILDING INSPECTOR ' S REPORT CC CV 1IA14E LOCATION 2 1� Permit Ncr . �1-�-- ` Date L7 7.-/•�_ * * * * * * APPROVED YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry veneer �- XRough 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 INSUI ATION Foundait ion Floors Walls Ceiling IN SpECTI FINAL ELEC'T`IU C DRIVEWAY AppROV —�--~- Final Building Survey Next scheduled inspection (calms when e - u. Re rn saf t Building Inspector 6/86 and-vl Own of �ueen � �ur+�F BUILDING and zoNING DEPARTMENT Bay and Haviland Road. R-D. i Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME i ) LOCATIONFAJD '^ L- Permit No . � Date Jl� / « APPROVED - S NO Footijng/pier Forms Foundation Waterproofing Sackf ill k F raining Roofing siding Masonry veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Ora3n Tile concrete Floors P bg . Fixtures Gar . Fireproof ' g Door Closers Smoke Detecto s Chimney INSULATION Foundation Floors kTa lls Ceiling FINAL ELECTRICAL SPECTION �- DRIVEWAY APPROVaT Final Building Survey —^ Next scheduled inspet 11 tinn (call when ready) Remarks- Builds. g Inspec r G/86 and-vl Y Ktpel 7.1f//T 01 QuP4'Y13tLiI'y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury• New York 12801 BUlLDiNG INSPECTOR ' S REPORT --3 NAME . • C ( (/ H G+ I7 Ot+ LOCATION Late Cz permit. Na . APPROVED* -* YES* NO Footing/Pier Forms Foundation to rprao f i.ng ackfili Framing Roofing Siding Masonry Veneer Rough Plumlaing Relief Valves Ext . Porches Finished Floors interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg _ Fixtures Gar . Fireproof ' g Door Closers Smoke DetectO s Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL TNSPECTION����������� DRIVEWAY APPROVAL Final 'Building Survey Next scheduled inspection (call when ready) Remarks- Piu din Inspector E,/86 and-vl awn o/ �ueen �6urt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOOR ' S REPORT NAIVE U © Ae LOCATION Date - Permit ✓ "PROVED - YES NO P4tooting/Pier Forms 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 . Fireproofi Door Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection {call when ready Remarks- BuilcL&ng Inspector 6/136 and-vl