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5914 CERTIFICATE OF 0CC V P AN%f."*.1. i TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK -� W ; [ j Date19 Thu is W gift dfwP� requested to be done as shown bey Permit No. Mt COJIY\ -n I This strumum may be occupied as a SS � A 0WOM By Carder Town Guard. TOWN OF QUEENSSURY Building & Zoning Iaspeclor Was- BUILDING PERMIT TOWN OF QUEENSBURY No 5914 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Richard A . Missita OWNER of property located at West Mountain Road Street, Road or Ave. in the Town of Queensbury, To Construct or place a Orie-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. �y 1 . OYVNER'SAddressls 23 Poplar St . Hudson Falls , New York m w- rr 2. CONTRACTOR or BUILDER'S Name Same 3_ CONTRACTOR or BUILDERS Address Same (D ti 4. ARCHITECT'S Name ft M 0 5, ARCHITECT'S Address F+• *�I O 6. TYPE of Construction — (Please indicate by XI ! ]{ I Wood Frame { ) Masonry { I Steel [ } 7. PLANS and Specifications No. 26 ' x50 ' per plot plan , specifications and application submitted including sewage system a. Proposed Use One-Family Dwelling I ps $ 5 . 00 C/O Paid $ rnd ftQ PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 19 SO �C (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Cluaensbury before the expiration date.) (D ly 25th `Tune 19 79 F ' Dated at the Town of Queensbu this Day of r- SIGNED BY .E� Ai) for the Town of Queensbury � Building and Zoning I `rape— star -T �_------ TOWN OF QUEENSBURY i I pate inside block trk be hilvd in bv.4 WARREN GC>11.1NYYe NEW YORK Building htspectrwr) i ,ra Application for ismi l , ., ,„ it 1 '-slsirraw BUILDING AND ZONING PERMIT I THREE ( 3 ) Copies of a PLOT PLAN, Drawn to seals chewing the actual dimensions of the lot to be built It .• i,,:i , ys open, The exact size, and location, on the lot of the bu;id;ny to be erected or altered MUST BE SUB- MIITTEED WITH THIS APPLICATION. C TOW -Lq 01" p� sE�fi1'QSl4tJR1(° PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �� � .4 I� 1 � iVl lam■ ANSWER ALL OF THE FOLLOWING. POW The undersigned hereby applies for a permit to do the following work �` ' B� ,k` j IQ which will be done in accordance with the description, plans and specifi- IB`5 ; a' cations, and such special conditions as may be indicated on the permit. Thger of this property is: ¢ + _ I t.G t t h ex>. . --?� � i,SS . . �H . . . . - . . . . - . . . rw�3 , o fA�G Jam . .'. , . +`1 �'�.+4►. 7/� '. � . �NR -" 4PO A03R SSi rson responsible for supervision of the work insr,far ,�3 the f3tj . 4rrg C;nr3e and the Zoning Ordinance apply i+: tNAM� • . . 6 a Name of Builder . iG as Z?. .- Y Y l i. s S'- ! 7 -rq . Address . . . - . . Name of Plumber 'c {► +?t �—. - {� , . sf i Ss* 5�r xa . Address Narne of Mason . . . . t -ti+ +�. . �1�' . �1! ' - ` A . Adcircte - Lot Number . SSG' Unit . . . . . . . . Estimated value of proposed work . . ' . . . . - f Name of Vittage Name of Street . .� � ? . . Side of street : r,n- south ❑ , west 0 th 0 . east ,_ Nearest Cross Street . � , � . . ' . . . . . Distanc, fs c::; ! th i , .rocs street 'CP Property is north W, south © , east i i , west I] from Cross Street If on Corner, which corner, northeast 0 , northwest © " southeast auti...e st (Designate by marking with an "X" in thto coraert space. ) NATURE OF PROPOSED WORK OCCUPANCY Main Building Construction of a new building. ) r nc family duelling C� Addition to a building_ -pn,,,o_iamilu dwelling OP 0 Alteration to a building. fa easily apartment house ] Demolition of a building. Store btilding (� -car attached garage C}thcr Accessory Building Cane-rar detached garage r'l Other work. Describe: . . . . . . . . . . . . . . . . . . . - . . . Z w.c,_r ar 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 posers buildings, and the location of all existing buildings. NottsH Shaw proposed building(s) in dotted line and existing huildinWs) in solid line. Size of property C?c? . . . . . . . . ft, a . . ,°' rd . . . . ft. Size and use of existing buildings, if any N t Size of proposed building - - - ft. x . s + . . - ft- Height ( from grade, tt ridge) . . . . . . . . . . . . . . . . ft. Front yard . . . . '7w' . . . . . . . - . ft, Side yards . . . . . ft. and . . . !; . . . . . ft. Rear yard . . . - %dI . . . . . . . . . . . . . . . . . . . . . . . . . . , ft' sourH H on corner, setback from side street . , - . . . . • . . . . . . . ft. Nate: distancesare nett as tneatstrtd {ro+>• ssrrrs side nearest line to sr ea r resttpart of 6t<ildirtg. (aven} 7 73 -M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction; Wood frame, fire safe, etc_? . . . ? ?. . ' ' ti '? Will any second-hand lumber be used? - . 400 . - - • . . . . . . If so. for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . `oC,Fc� . . . . . . . . . . . . . . . . . . . . . . . Thickness . . . . _ . . . . . . . . - Depth of foundation walls below grade . - . . �` , , Y . Ciantinuous foundation? , ArP `r06 Will there be a cellar?,V, If so, material of cellar floor . ,G'.Je .??E ,�. . ' . . . . . . . . . . . . . . . . . Type of roof: Sloped lat?f � � f ' . . . . . . . . Material of roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Size, woad studs . . . . . . . . . . . . . . . . . . . . " x . 'S!. . . . . . . . . . length . d r", spacing . . . . . . f z! . . . _ . "o.c., . , . . . . , , , , ft. Size, floor beams, 1st floor . . ,:m�? , - . . - . " x , /.c7. . . . . . . . . . . ", spacing . . . . . :! lr- . , . . . "a.c., span . , , . . ! . . . . . . ft, Size, floor beams, 2nd floor . . . . . . . . . . . .. x I . . . . . . . . . . . . . . spacing . . . . . AW . . , . . "a.c., span . . . . . . . . . . . - . . ft, Size, ceiling beams . . . - . - . . 5;p- . . . - , . - " x , 464 , . . , . - . - , - . ", spacing . . . - -✓'40. - . . . . . "o.c., span . . . . . / ei! . , . . . . ft. Site, roof rafters or beams . . . . . . . . '" x , SAP . . . . . . . "", spacing . . . . !�4a. - . - . , . .*o.c-, span . . . . ��r . . . , . . . ft. r Exterior finish &d:) . . . . . . . . : . . . . . : . . With what material? . . . . . . . , , , . . . . . . - - , . . . . . . . . . . Finish of interior walls . . . 5 + 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d . . . . . . . . . . . . . . . . . . . . . . . . . . .If garage is to be attached, of what material is wall between garage and main building to be constructed? , , , . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . „ _ _ . . . , . - Is there to be an opening bet+Keen rage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . _ . , . . . . . . Kind of heating system . - . ., 9!r.A + C� . . . . . . . . . . . . . . . . . . . . Oil burner or coal? . . , , . Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade . - . . . . _ . Height of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . . . . . . . . . . . < < - - . . . . . Depth of fireplace hearth . . . . . . . . .. . , . . . . . , , , . . . . . . . P . , . Will a toilet be installed? 15. . . . . . . . - - - - . . . . . . . , . . . . . . . . . . . , . . - . . - . . , . . . , . . . . . . , . . 1 . 1 . . . . . . I . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? - rY4*vtd . . . . . . . . . . . . . . . . . . . . . . , , . . , . . Water supply (public water supply or pump) , --PA4fT7_ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . , .. . . . . . . . . . . . . . . . . . . . . . - - - . . . . . feet Will drainage system be provided with required traps, cleanotsts, and vents? � . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVITS County of Warren State of New York 1 swear that to tlh sre'i;of my know,ledae and belief the statements contained in this application, together with the plaru and specifications sub- mitted, are a true and co.,. lete statement of all proposed work to be done on the described prwnuses and that au rov wita of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertains proposed work shall be complied +kit, whether specified or not, and that such worst is authorized by the owner. p sa C Sworn to before me this Signature -. . . . c OWNER, OWNER'S AGENT, aRRCH GT, CONTRACTOR 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 'TILE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following : i . Gross floor area _ .� i7_'�r-c . . . . . . . . . • . . . . . . « . . . . . . . . . . . . . . . . . « . . _ . . . . . a 2 . Type of heat . . E� _ �u'.'P : . . . . . . . « . . . . . . r . . . � . . . • « . . . . « « . « r . . . . . . . . . . « 3 . Is the building mechanically coaled ? . ��r':L:Fr. • . . . . w . . . . . . • . . . . . « « « . . 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 condition * . . . I :{. . . . '. . . . . . . r . . . . . . . « . . . . . . 2 . Floor over heated spaces YES No _ a . Ave foundation walls insulated ? YES � } 10 if YES , what in the R value ? . . . • . . . . . . . . . . . + . « . . . . 3 . Slab on grade YES 19:> a . If Yts , what is the R value of insulation around perimeter of floor ? . . . . _ . « . « . . « . . . . . . . . . . . . . . . . . . . . . . • • . . . . . . • . . . 4 . Is basement heated ? AC.E.Sa-- ' No Am R value of insulation . . . . . . . �. � . . . . . . . . . . . . . . . . . . . . . . . . i 5 . Type of insulation . .�- : .'-sc: <: . . . . '. . . . . . . . . ,,( . . . . . . . . . • . . . B . Under 16s Only 1 . U value f roof and fl00 s ex ose t ambient onditions . . . . 2 . U value of exterior walls _ . . . ..•«._. . . . :3 d2. eA 3 . U value of g-lazed area . . . a « •r' wo� . : . « . + on0 000a0 m'06a . �'41'!r'':G�COp' 4 . U value of doors « . . :'4�i im's:t. . �'•% .'" _ . . _ « . . . . . , . . . « . _ . . . 5 . U value of floors over heated spaces . . . . . , . • . . . . . . . . . . 6 . R value of slab edge insulation -- unheated slab • . . . ma` . 7 . R value of slab. insulation - heated slab . . « . . . . . . . C B _ U value of heated basement/ cellar walls ( above grade ) . .,ytr/tom 9 . R value of heated baseme t/ cellar walls ( below grade ) . . *� � K 100 Type of insulation . . . i's� -a 0 X. 4?4- .a� ��:°. . . . . . . . . C . Control * % �o 1 . Thermostat maximum heat setting . . . . . . _ . . . . . « . . . . . . . . . « . D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES �* y a . If YES , R value of 4uct installation . . . . . . , . _ _ y� 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 . Performance efficiency . . , . . _ . . . , . . . . . « . . r�� . . . . . « « . . . . . . . 2 . Temperature control setting maximum . • . . ,f . ,,,T. rr.'_ - + + + - - - - • - - - G . For Swimming Pool Only I • Maximum heating . . . . • . . . . . . « . . . . . . . . « . . . . . . . . . . . . . . . T(YTN tr r�tTGETTSTitnLY BUTUMIM AND ZnNITM 'r�FA"Pp?"T?fFMT BAY MTn I TAiITLANn R nADS , R . D . #.-1 r.LENS FA2.LS , Nm T YC)mr 12801 APPLICATION FOR A PERMIT TO CONSTRUCT , ALTER OR T+:NLAR x ` A SMMACM i)Tq'PCISAL SY'STMI 'r7TTHTN THE TC1tJ,t.4-yf�-1F +' I EEELZSBIMY OCCUPANT ' S NAME�r✓�r�u� ,"r'��45�e.+�' AFllnRESs 0.�p j .�F�' 3'i ?'y`�� J g TELFPN+ MF Z:jo ADDRESS �3 J / —' NU3 [SER OF BEDRf)[1MS���� C%ARRAr';E C3RTNT1FRTi (YES OR. NO) T0PO(1. R,ArlTV : FLAT , ROLLTN(v ,, STEEP* SLOPE , [yENTLE SLOPE , OTHER .rM 5/ NATTTRE Or SOIL : CLAY , SA MY , LOA*t , C:RAVEL , ROCKS, ETC * PETt.COIATION TEST [TATER SUPPLY : MUNTCIPAL , TIML , OTHZR DIAC RA'lof 017 PROPOSED SEPTIC SYSTL"f i W L ()T"rl.v PFRTINENT TNPORV ATTnN IT IS HEREBY ArREED THAT TV TTIIS APPLICATION ANT'► PLATS ARE APPROVED , TNSTAII ATION OF SE*•TArvE DISPOSAL FACTLITTES �TTLL BE MADE Itd ACCORDANCE r.IIT�T DFTAILS ;STIMIN . DATE�!5e40# -5 irNATuRE [IF AP r'LI CANT l - 6 LAXF. "W)R'Rnr rARK P;cV'DtTSS 'CnN APPR(WAL : s P;nature �` to TOWN 4F Q►UEENSBURY Building Department -r mpec-"taus Resort Name Date i.ocation [.G7oc. Remarks Excat'*a tl on Footing Forms Footing & Piers Foundation Cement Coat Water roofin Ba okfi 11 Final Surve Framin Sheathing Roof Felt Roofin Siding Masonry Veneer Rough Pl.b . Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors PI . Fi xt tires Gar . Fire roofi Door Closers Chimne Water Meter Inst . Se tic Approval Floors Insulation Foundation Walls Ceaz 1 in �` — Bull ing Snspector REMARKS M THE NEW YORK BOARD OF FIRE UNDERWRITERS �- BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 Date - •3 ;; ;{ ,- +� '} " ;+ ,'r Application No, on fete r •y ,., 1 A .... ..:r r• _^�. :-�, THIS CERTIFIES THAT only the electrical equipment as described below and introduced by the applicant named on the abose appi"tion numbor in the promisea of '! 1< I".z-� rJ yx•, 1.Ss s..'t a <<_ > e.: f'. "ai:� -.,,3i'7."r...!.�! s.R :..~ri-ae f a� �E..C' �:.'� .3 �'�:3 aL l.. ;h ., in thefoliowing location; ® Basement Q tat FY. ❑ 2nd FT. x Section Black Lot was exarnined on s + t / v' n andfound to be in compliance with the requirements of thin Board, FIXTURE FIXTURES RANGES 1COOMNGDRCKS I OVENS DISH WASHERS EXHAUST FANS OIJTLETS EtTACLES SWITCHES INCAMMISCENT PLOORIMCEW AMT. K. W. AMT. K, W. AMT. K.W. AMT, K. W, AMT. H. P. ,i. Y 3z •, DRYERS FURNACE MOTORS FUTURE APPLIANCE FINDERS SFIFCIAL RRC'PT TIME CLOCKS �Iy UNIT HEATERS Mul -OUTUT DUNMERS AMT, K. W. OIL H. P. GAS H. P, AMI 140. A, W. G. AMT. AMP. AMT- AMPS. TRANS. AMT. H. P, ST MS MAT. WATTS L "} SERVICE MSCAONNECT INO. 001x S E R V 1 C E AMT. AMP, TTPE L � 1 ,1r 7w 1 1 3W S Ar 9AV 3 X 4W ' �F CC- COMO-" AV OP OC COMb. HO. OP HI-lEG OF M15 G No. OP 46_T M.s c+A, E IG_ MAL OTHER APPARATUS; \ / . . ' , OM 40001 Y `. '. BRANCH .MANAGER TOWN OF QUEENSBURY Building Department Inspect ra Report Date ',Z' rrName o e t.oGStJon Permit No. 591t4 Weather Per Cant Complete 1Romarlts Excavation dd Footin Forms Footing & Piers Foundation Cement Coat Waterproofing Sackful Final Survey Framing. Sheathing Roof Felt .Roofing Siding :lfasonry Veneer Hough Mg. Hough Ht . Relief Valves Wall Board Ext. Porches Finished FIoor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plh . Fixtures Gar. Fireproofing n Door CIosers Chimney Water Motor Inst. Septic Approval Building Inapeckor �+ REMARKS ,r o •ry ,- TC,'!'WN OF +QUEENSBURY Building Department Inspect ortt Report Nated�- Location 4 ,7A. Y9VJ� , Z77Y _— Pern"t No. _ _ .5"q f `f Weather Per Cent tComplate Itso�r>ks Ezcavation Footing Forms Footing & Pies Foundation Cement Coat Vraterproorm BackEill Final Sureey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Pl Rough Him Relief Valves Wall Board Ext, Porches Finished Floor Interior Trim Stairs & RallinAIS Cellar Dr. file Concrete Floors Pthiz. Fixtures Gar. Fire roofin Door Closers Chiron Water Meter Inst. Septic Appeoval ]3ttfldina lsnapoctor REMARKS TOWN OF QUEEN.BURY Building Department Inspectors Report` Date- -+!5: — ,Zr � n Name LA)Pcation Permit No. -- �je� !2 f t � Weather Per Cent cavuplete Renrrrlta Excavation Footin Forms Footing & Piers Foundation Cement Coat Water roofin Backfill Final Surve Framin Sheathing Hoof Felt Roofin Sidin Masonry Veneer Rou h Plb . Hough Ht . Relief Valves Wall Board Ext_ Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors MR. Fixtures Gar. Fire rooftn Door Closers Chinon Water Meter Iast. ,Septic A Val Building Inspecter REMARKS r . . -a TOWN OF +QUEENSBURY Building- Department Inspector* Report Dai Name Location Permit CaeoI let* Rae>,nrlu Excavation Floating Forms Footing & Piers Foundation Cement Coat Water fin Bacltfill _Final Su F Sheathing Roof Felt Roofing Sidinit Masonry Veneer Rough Mg. Rough Ht Relief Valves Wail Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plblk Fixtures Gar. EjESproofinz Door Closers Chimney Water Meter Inst. Seiptia Aymoval suildi00' lvt octcw REMARKS 1 Zu '1 `.t r ;r �t rl L7 I '+ Q r