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1987-552 'CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date �;! �9f11 l2 �'ti f 19 •' This is to certify that work requested to be dune as shown by Permit No. 87-552 has been completed. This structure may be occupied as a One--Family Dwwe-]l.lir�ri�g Lot 1D Northwest Vil.l.a� e Locari0n _ J Owner Dr . D . Petroski By Order Town Board TOWN OF QUEENSBURY je�.z ilding & Zoning Inspector BUILDING PERMIT � TOWN OF +QUEENSBURY No 87-552 WARREN COUNTY, NEW YORK, z 0 Dr . D . Petroski PERMISSION is hereby granted to OWNER of property located at Lot 10 Northwest Village Street, Road or Ave. w in the Town of Queensbury, To Construct or place a Addition to one family a 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_ 1 . OWNE R"S Address is Woodridge ltd . Glens Falls , N . Y . v 2. CONTRACTOR or BUI LIDE RIS Name G . Armando Consulting & Management m rt *i 0 m 3. CONTRACTOR or SUI LDE R'S Address F�• 0 4 a. ARCHITECT'S Name rY Cs z a �t S. ARCHITECT'S AddressCD CD W rr rr 6. TYPE of Construction — (Please indicate by X) H (X ) Wood Frame I ) Masonry I I Steel I Y m 7. PLANS and Specifications No, 6 " X 241 Entrance Foyer per plot plan , specifications and application rt S. Proposed Use po One—Family Dwelling ' o 0 $5 . 04 Cf4 m 1 3p , Op March 1 , � PERMIT FEE PAID — T1-115 PERMIT EXPIRES 19 88 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 1 town of Queensbury before the expiration date? � Dated at the Town of Queensbury this 19th Day of Au ust 19 87 SIGNED BY ze /� �.�' for the Town of Queensbury Building and Zoning Inspector `s TO BE COMPLETED BY BLDG . DEPT, Application No . CiLIf/t [ ■ Fplt3 �urfd Permit Issued 19 BUILDING a+ -70NING DEPARTMENT Permit Expires 19 Bay and Havitand Road, A. D. 1 Box 98 Zoning Designation I D ` Clueensbury, New York 12801 Variance I u r [ Site Pla Revie No . A U G I b IJUI r J I Appro e -by APPLICATION FOR CUDE: DEP-r. { BUILDING AND ZONING PERMIT 0 t "ce. 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 : '1]1z 12 �c-ZgQ5 j6eI P. O. Address L42920 VR 112CC �2 C"r (eCA45* PAGCXs fo!V Tel . Z - 771Z Property Location :_ _ __ L o'T /C3 Tax Map No . Street number or building lot number SubdIvi.sion name (if applicable) l s:�t THE PERSON RESPONAIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : rlfJ aT Name P. O. Address Tel - No . Name of builder Address Tel . Name of plumber AJO&Jr Address Tel . Name of mason 96'w! 7%ACd9+e[ A*2 •-- Address CO &57' T /4Gt4F_ __...__ Tel . 's ' ei#egf'r o 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 . Show location FOR DEMOLITION PERMIT , STATE SIZE AND 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 try n4wC Sine of new structure jz ft Xlfq ft Foundation-pie slab rawl/partial/full Proposed building , distance from property line C3-rcle one) No . of stories (habitable space) * Front yard ft Rear yard ft * Side yards ft and ft Height ( grade to ridge ) 21 ft •If residential , no. of families * If on corner , setback .from side street ft No . of rooms ( excluding baths ) " OCCUPANCY INFORMATION No* of bedrooms * PRIMARY BUILDING - No. of bathrooms One family dwelling Primary heating system � % TWO family dwelling Type of fuel a ,p No , of fireplaces to be installed -^ * Multiple dwelling / Number of units Will a wood stove be installed?� * Permanent occupancy Central. Air conditioning? r---- * Transient occupancy BUILDING STYLEy PRIMARY STRUCTURE ^"Industrial Ranch Contemporar Log cabin * Other ' Raised ranch Mansion Duplex * If addition , what will use be? �a`r 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 car/ car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION „ w, c� a - - - - - INFORMATION ON SUILDIMG SPECIFICATIONS , ON REVERSE SIDE OF T13IS SIJE;ET , TO BE COMPLETED I 4W BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc , WOO Will any second-hand or ungraded lumber be used? if so , for what ? D Foundation wall material COAIJC'. 13toehe.Sw Thickness 9y " Depth of foundation below grade (to bottom of footing) 464 Will there be a cellar? Awtv Heated or unheated? Floor sq. footage 1 :14;, sq ft Will there be a basement? p Will any portion be used as living space? ( If so , what portion? sq. ft . - - Type of use? Type of roof slope flat/shed/other Material . of roof �p, l,AlJ.I' ,+ ,1C1s5 Sizer wood studs "X , ^" spac ing o . c . length f Z fit . Joists ( floor beams ) 1st . floor -- "3f- spacing "o . c . span ft . Joists (floor beams) 2nd . floor - "X " spacing '"o . c . span ft . Overlays (ceiling beams ) ---so} to spacing "o . c . span ft . Roof rafters 2 so I spacing o . c . span J.Z,,--ft . Roof trusses (pre-engineered) spa , c . span ft , Exterior wall finish flAC71CAC 510j(WC of what material? G#Jdd Interior wall finish /z '" .TL44r PrMacK If a garage is to be attached, describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure, and self-closing device be provided? Will a flue-lindd chimney be installed? M o Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth C: 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) Town of A F F I D A V I T STATE OF NEW YORK eensbury Warren County off Warren - a 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 . SWORN TO BEFORE ME THIS Signature _ _ .�y----------------- - Owner , owner ' s agent , arcnirect , contractor day of 19 Notary Public , Warren County , N . Y . * * * * * * It * Ar tt it at * « * * * * * * * * * to Ar Yt at "t SPECIAL CONDITIONS OF THE PERMIT : By----- __________________ ___--_-_-- 3 .r 'TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Apl?lication for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION COZE A permit must be obtained before beginning work . ANSWER ALL of the following ; 1 . Gross floor area I (w so IF. 2 . Type of heat d> Re aezm& 3 . Is the building mechanically cooled ? 414> 4 . Percentage of area of windows and doors (�/,tl�'i�j� 14 A . Over 16 % Only 10 Uo value of gross area of walls , roof/ceiling and floors pxposad to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 10 % 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 84 under 16 % only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls ' Z SW 3 . R value of glazed areal 4 . R value of doors , , / 5 . R value of floors over heated spaces 6 . R value of slab edge insulation - unheated slab 7 . R value of slabJlnsulation - heated slab-- am R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement/cellar walls ( below grade ) 10m Type of insulation Ftac C►` teA rr Co Controls 1 . Thermostat maximum heat setting _ _ � 8 0 D . Duct Systems . 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of .' Uct installation b . R value of duct in other areas E , Piping Insulation i . Size Of hot water or cooling carrying agent e 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting and um G . For Swimming pool only 1 , Maximum heating Telephone No . � � - 'f�,rG7 � 7,_ applicant ' s signature ) THE NEW YORK BOARD OF FIRE UNDERWRITERS k BUREAU OF ELECTRICITY 1 41 STATE .STREET, ALBANY, NEW YORK 12207 !'late . 3 '� . � 'lire ° Applicati"n No. on fife THIS CERTIFIES THAT only the electrical equipment as described below and lsatroduced b'y the applicant named on the above application number in the premiesa of in thefalt~ing location: ❑ Basement lot Fl. ❑ 2nd FT. Section I " SBlock Lot was erasnined on $ ` Ir 7 I and found to be in compliance with the requirements of this Board. FIXTURE EMPTACLES SWITCHES FIXTURES RANGES COOKING nRctrs OVENS DISH WASHERS EILHALlST FANS CKJTLETS INCANDESCENT FLUORTSCEW OTHEn AMT. K. W, AMT. K- W. AMT. K.W. AMT. K- W- AMT. N. P. DRYERS FURNACE MOTORS FUTURE AMNJANCE FEELERS SPRCIAL RECOPTI TIME CLMKS I EEU I UNIT HEATERS MULT14M"ImET DIIAMERS AMT. K. W. QIl H. P- OAS N. P. AMT. NO. A- W- 6- AMT. AMP. AMT. AMPS, TRANS. AMT. H. P. SYSTEMS AMT. WATTS NO. OF FEET SERVICE DISCOIMNECT NO. OP S E R V 1 C E AMT. AMP. TYPE Ml7ER 1 ,/ 7W 1 , 3W ] X 3W 8 �' iW N8. # It CpND_ A. W. G NO. OF HhLEO A' W 6G No. OF Ne1JTEALy A. W. G. EQUIP. PEE .e' at: CC. COND. OF HI-LEG OF NEUTRAL } I „ I I,. # I I OTHER AP►ARATU&: C3 ( ' '' This certificate must not be altered in any monnar, return to The office of the Sc 'edentials_ COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERO R. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT err, BAY & HAVILAND ROADS �E( � TELEPHONE NEW PORK 832CJ+I TELEPHONE (SIS) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR �TNSPECTION RECEIVED ,Q NAME _ �fS/c pC�" //�• '"y—e9�Cs1C*' J LOCATION DATE —1 PERMIT # ; APPROVED I YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: x FOUNDATION ` FLOORS WALLS NFILING AL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEP STAIRS—CLEARANCE & ILS PLUMBING FIXTURES/R LIEF LVE i INTERIOR TRIM/PRIVCY DOO " FINISHED FLOORS GARAGE FIREPROOF G DOOR CLOSERISJ SMOKE DETECTORS FINAL ELECTRICAL INSPECTION_ FINAL APPROVAL CONSTRUCTION A SIGNED CERTIP`ICATE OF OCCUPANCY MIT BE OBTAINED FROM THE BUILDING DEPARTMENT• BEFORE THESE PREMISES ARE OCCUPIED: REMARKS: C� ,I� T I��7c2 + �G�C"C ., INSPECTOR BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. G. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ...... LOCATION ��' ✓� !` r^' Date__ Permit No . ✓ = APPROVED - YES Aii3 Footing/Pier er Forms Foundation Waterproofing Backfill /Wraming Roofing Siding Masonry Vene Rough Plumhin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbq . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney. IN SUI ATION : Foundation Floors Walls Ceiling IP ' FINAL: rNAL EAL INSPECTION DRIVEWAYAL Final Bu Survey. Next scheduled inspection (call when ready ) Remarks- Al Building ct6 r 6/86 and-vl ��/�j � r own t,►� QaeQen3� urt� BUILDING and ,ZONING DEPARTMENT J Bay and Haviland Road, R.D. 1 Sox 98 Queensbury, New York 12$01 /VAM MUILDING INSPECTOR ' S REPORT 4y LOCATION,,, ,; 7 Date 9��/_ Permit Now �✓ APPROVED - YES NO.. Footing/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 . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INS ECTION DRIVEWAY APPROVA Final Building 5urve Next scheduled inspection (call when. ready ) Remarks- Building nspector 6/86 and-vl +4 ��� �/J ! ��seen3 � esre� A ! L! 13U#LDING and ZONING DEPARTMENT Bay and Havifand Road, R. Q. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION00e 'Ie Date/ Perm.1t No . r = - FootingfPier Forms APPROVED YES NO Foundation Waterproofing ,e, ackfiII Framing Roof In Siding Masonry Veneer Rough Plumb.i.n 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 Walls Ceiling FINAL ELECT AL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- *A Building Ins tax 6J$6 and-vl Id �+`©wre a u�'pr+ s uryc BUILDING and ZONING DEPARTMENT Bay and Wawiland Road, R. p, 1 Box g8 Queensbury. New York 1280 t e ILDING INSPECTOR ' S RE/!PORT/� / ,. Date- - —/ Perm-it No . t+" = APPROVED - Y NO Doting/Pier Farms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Parches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar , Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA Final Building Survey Next scheduled inspeCtion (call when ready ) Remarks- 6/86 and-vl Building Inspector BUILDING DEPT. COPY OF APPLICATION FORM 46-E FILE THIS COPY WITH BUILDIN L. NEW YORK BOARD OF FIRE UNDERriRITER3_ G OPPT. WHEN "Eq.pjREO. ,` DA F f CITY VILLAGE . - s... TOWNSHIP COVNTYX (STREET AND NO- an ROAD AND POLE NO, BETWEEN WHAT Trio / POLE ND CROSS STREETS IS PREMISES LOATED7 OCCUPANTS SECTION BLOCK �'_`{ LOT /C7 NAMEV' PC BUILDING /O S OCCUPANCY OWNER'S NAME AND ADDRESS S A►JI TEL_ u 4• I I SUPPLIED ` - Af BUILDING ( FROM THEIR [.GiCI-f ..�NEW OFFICE IS ❑ OLD ❑ WORK DEFECTS IS NEW Q ADOI TAONAL REMOVED ❑ LIST BELOW ALL EOUIPMENT WHICH YOU INSTALLED NUMBER OF OUTtunimp III LETS Lamp Rallo. o4 eepfaclas MOTORS BRANCH HEATERS tion CIRCUITS OFFICE USE Side Attacll'x ONLY Cwilinp Wall Rroap'h Switch Pendant Bracket Na. TYW Efth Na. Eaacti No. j°i W.G. Gauge INSPECTION Out- B� skis 13 ment tat Ft. 2nd FL 9rd Ft. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE; 00 NOT USE THIS SPACE. This apPlicatiPn is intended to Corer the above listed epuiPment to be Inspected but if at time of Inspection You are authorized to make the insPection and adjust the fee to cover the additional a ui bthere is found additientl equipment not abawl listed, q Pment, as provided by the apPliwnf. SIZE OF MAINS FEEDERS 'ELECTRIC SIGN TOTAL CHARACTER LAMPS WATTS OF WORK EXPOSED GAS TUBE SIGN CONCEALED TRANSFORMERS OF WORK TO BE VA STARTED '�` S COIIAPL ETEO (X� ^� INUMBERI fCAPpCITYI SERVICE OVERHEAD SIZE OF SIGN ENTERS UNDERGROUND MAILER BUILDING OF SIGN IIIISPECTIaN REQU ESTEO ON OR AS NEAR AS ,Oie POSSIBLE C.+i+' NEW Q OLD ❑ AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED, PRINT NAME �y'�AND ADDRESSNAME OF / APPL ANT b'r a O.Sf DATE OF ■ G ! y ,fir y APPLICATION 'yq- 7 O E f/ STREET ADDRESS IWo i�(!,/�,��'L+E (,y� 7!'LfJbrf� I�ulg TELEPHONE '_. I ■ 77+ CITY OR /'^' �� i r / --. POST OFFICE 4 RI 4I[,� /t,/ F —` ZIP Z S1� J LICENSE NO. � ---.r—IG� t -, CODE J WHEN APPLICABLE ae EL (REV, i/BSI A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING APPLICANT WILL REMOVE THESE COPIES AND RETAIN FOR HIS USE, AND BUILDING DEPT. USE, WHERE REQUIRED. TO REMOVE PULL FROM BOTTOM WITH ONE HAND AND HOLD STUB WITH OTHER HAND, jS7 4f4 i t` I m , o/ t —ARSA 4� 4�6 .00 i n � -Zola s.F.. RPM& TuRelvRou�ya._. P � /o � LAAWS _oF AyWGG rAl. A-7Rost-1 \ { 0 lb / M _DR_4(,W er.Z). -7-RoSA-1. Eat'c- AVDiT,..... _ 3 Y3g,00 _ �r�cE'J�'2o' --.8-4- _SI� �