7035 C/O Paid
Nor az=orzsza,
CERTIFiCAI'E OF OCCUPANCY
TOWN OF QU€EI S URY
WARREN COUNTY, NEW YORK
Date 19
()3 f- y7
This is to certify that work requested to be done as shown by Permit No. 7 0 3 5
has been completed.
This structure may be occupied as a One— Family Dwelling — Additional
Living Area
location 68 Boulevard
Owner _ Gary and Shelley Palmer
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
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4- ISIZOLME10113131MELM
CREATIVE "INSTA PRINTING. GLENS FALLS. N Y 12801 1518)798-5658
BUILDING . PERMIT
• TOWN OF QUEENSBURY
- No. 7Q35
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to Gary- and Shef l Py Palmer
OWNER of property located at . 68. Boulevard Street,Road or Ave.,
sz
in the Town of Queensbury,To Construct or place a Add it inn to -d wP 1 ling g (livfn7 area)
, at the above location in accordance to application together with plot plans and other information hereto filed and m
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 68 Boulevard
Glens Falls, New York b
2. CONTRACTOR or BUILDER'S Name.:
••
same
3. CONTRACTOR or BUILDER'S Address
same .
OD
4. ARCHITECT'S Name
0
• C
5. ARCHITECT'S Address
IZ.
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6. TYPE of Construction—(Please indicate by X)
(})Wood Frame ' ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
12'x24' per plot plan, - specifications and
No application submitted.
N.
0
8. Proposed.Use rt
One-Family Dwelling (additional living area) • 0
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$5. 00 C/O -Paid o
10. 00
$ PERMIT FEE PAID—THIS PERMIT EXPIRES March 1 is 82 H.
LCI
(If a longer period.is required an.application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before.the expiration date.)
Dated at the Town of Queensbury this 7th Day of- August- ig 81
SIGNED BY for the Town of Queensbury
BB ild�Zoning I nspecto e
(D
TOWN OF QUEENSBURY t (Space inside block to ix filled in by
WARREN COUNTY, NEW YORK • Building Inspector)
Application for .\1)phcatitt0 No.
I ('rinit Issued 19.
BUILDING AND ZONING PERMIT Permit Expire'. Ig. '
/.(ini„ District
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_ .. \;dirt• ft work,
• • •.\i lt�tl h��
THREE (3) Copies of a PLOT PLAN, Drawn to scale • l\l ii�n.,)ks
showing the actual dimensions of the lot to be built
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. ,
//j-4- •- -i' -�1 )If ` �—I ' TOWN OF QUEENSBURY
DATE A PERMIT MUST BE OBTAINED�BEFORE BEGINNING WORK ��REG: I' VE
71g$1 �ANSWER ALL OF THE FOLLOWING. A M. AU �19 1i rP�7 .
The undersigned hereby applies for a permit to do the following wot'k : , 7Ig�9�1� 2�1�2z-- p .6
which will be done in accordance with the description, plans and:specifi- a ,
cations, and such special conditions as may be indicated on the permit. A • 5, '4t I vi•
e
The owner of this property is: ,.-.. d /1 AY, �r
f . . . . . . . IP.O.ADDRESS)
INA•:E) j-
The person responsible for Itt rvision of the work insofar as the B,uildipg;COde and the Zoning Ordinance apply is:
.1, L Fist/t
` (NAME) • (P.D ADDRESS) g.
, u�il/Name of Builder. . . .S 1. - .�.'Y'. 1)... ./```"".) :Address: . . • :• .v '- -' . .& g✓.'
Name of Plumber — � �1 Address
. . .�i 7?^ �'Address . . ,✓. . . `�-/k-�; 4-6�,j ;\
Nate of Mason. .� �'`"•�'�• �. �.f.� . . . '�o s .�
Lot Number Un�\t Estimated value of proposed work S 4. O
Name of VStreet `W Aic
-d-i .
Name of Street A Side af.•street: north 0, east 0, south 0. west 0
t.
p� c.. . . . Distance from this Cross street j Ft.
Nearest Cross Street . N=�-� • • • �'�'•�• • �-'"''
Property is north ❑,south ❑,east [, west ❑from Cross Street•
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0. southwest
(Designate by marking with an "X"in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main Building
El Construction of a new building. One-family dwelling
Addition to a building. Two-family dwelling CI
❑ Alteration to a building. . . . . . -family apartment house ❑
❑ Demolition of a building. Store building ❑
-car attached garage ❑
Other:
Accessory Building ❑
One-car,detached garage ❑
El Other work. Describe:. ./, .>' c'y� Two car detached garage
/ i v i r. 1 a. y Private chicken house ❑
Private storage building Wag-
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 building(s) in dotted line and existing
lauilding(s) in solid line.
N Size of property O ft. x 1 5 D ft.
Size and use of existing buildings, if any
ao'A V'0'
0 IAA w Size of proposed building /aZ,ft.x • p2.y ft.
I�eight'(from grade to ridge) ft.
•
`� J ft.
y\ Front yard oZ•S
(. co FT 1 Side yards I ff ft. and . • •2 Cr
t.
Do U 1- - u p i i ). Rear yard 5 ft.
SOUTH
If au corner,setback from side street ft.. ..
Note All distances are net, as measured from street side
line-to nearest part of building.'
(OVER)
7-73-M .
. . .
(cont'd.)
BUILDING SPECIFICATIONS., .
/...-- ,..,
Kind of constniction: Wood frame, fire safe, etc.?. . . . . . . . . (JO .0.Q./.9. . . r. .
Will any second-hand lumber be used? . . .4-)-0D—.. If so, for what?. ./ P.6.1. . . . .dt.-PS TS
Material of foundation walls C ernE ti.t- 6 I-0 c k 'thickness
Depth of foundation walls below grade . . ..-4Z2‘... . --,44.... Continuo9s foundation?
Will there be a cellar? . . . .4-24..... . . .A roof If so, material of cellar floor . .0/II r. c.,....z....k ...- ,..e .......:1(1,..- 2(1
Type of roof: Sloped or flat? . . S. t.o.t!.66 Material of •.23.5:-. 6": 7/-0*
. . . Ap)J -±-. .
Size,wood studs a. 19 x 8„/ ", spacing / 6" "o.c.,length 2• ft.
Size, floor beams, 1st floor a "x e ", spacing . , .c?yi' "o.c., span . . ./. ca..... . . . . . . ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams a.. "x V ,,, spacing . . . 2 Y'.1 "o.c., span / - ft.
Site, roof rafters or beams 01, "x if ", spacing 61, 4/I' "o.c., span .2 gf ft.
, .
Exterior finish 7: i-/1 , .0..„..k.... ' With what material?
Finish of interior walls Ya'' S.
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 between garage and building? .
Kind of heating system 6-4-S fu ildrit isie,0 Oil Inirner 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
Will a toilet be installe&
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 feet
Will drainage system be prOVided.with required traps, cleanouts, and vents?
AFFIDAVIT'
Town Town of Queensbury
County of Warren
State of New York
I swear that to tt'barof my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.l.plete statement of all proposed work to he. done on the described premises and that skl provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the propoee4.work shall be complied with,whether specified or not,
and that such work is authorized by the owner. ij).
Sworn to before me this . Signature j d'-' ,1' "--j C.A---Vrel-,.....A
- OW ER.OWNE 'S AGENT.ARCHITECT.CONTRACTOR
day of 19X..1.
NOTARY PUBLIC. WARREN COUNTY. N. Y. .
SPECIAL CONDITIONS OF THE PERMIT:
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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" -"'
3 . Is the building mechanically ;;cooled?
4 . Percentage of area of windows and doors / 2
A. Over 16% Only
1 TT values -of gross a-rca;-'of--wa11� , roeffce 1 g-.-: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
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5. Type. of insulation .
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions_•
2 . __R_value__of=exterior walls --= ?:.:._ --
3. R value of glazed area / . - /_f a
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 slab insulation — heated slab
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade) —d
10. Type of insulation o*,/Giq%,r ‘ . f ,4.0 ezh, „ae_c_
C. Controls
1 . Thermostat maximum heat setting j •
D. Duct Systems
1. Is duct system _instal,led-:in. unheated_- spaces?- ":-.YES jU
-. :
- - - a: IfJ 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. Performance efficiency f ;
2.- Temperature control setting maxi ' 111
G. For Swimming Pool Only
1. Maximum heating /41
Telephone No.
(applicants signature)
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TOWN OF QUEENSBURY - BUILDING DEPARTMENT
R. D. * 1 BAY A`:D EAVILAND ROADS
GLFNS FALLS, NEW YORK
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Phone 792-5832
DATE: /Oh /P`74
TO: `L Z�ir ,*-t__.--
-- �� 4
7
Our records indicate that you were issued a building permit
number 703.6— on 6 gS 0rc 6-_-,,--ctA.J
for the construction of aree.ge 4, , • %
(„A:-A.I.H./ Ce4,J2-et--)
Our files show that the required inspections are incomplete.
If still under construction please contact this office for an
extension of your building permit, or if completed please
contact -.Is so we can take your card out of the active file.
Next required inspection AK-_,,, 4r--���c �,,J
0
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy.
Noncompliance may result in legal action.
To avoid further delay and possible legal action, contact this
office to make arrangements to update your file.
OUEFNSBURY BUILDING DFPART? ENT
yA�t�/^�
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 8 67427'
Name C.
Location (z 8 c'L 1lq-ice r�
Permit No. lG' 35— Weather
Remarks
Excalia ti on
Footing Forms r/
'
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
InteriorTrim
Trim
Stairs & Railings
Cellar Dr. Tile
"Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers _.
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Walls
Ceiling
*ei/4v4:10 -e2.10
Building In 1ctor
REMARKS
TOWN OF QUEEMSBURY
B iildammg Department
Inspectors
Name - :7j,1,/fir`
L ocatr� &
Permit No. '7 C -5 6 Weather -
R9rarks
Excatia tion
Footing Forms
Footing & Piers � p
Foundation G •
Cement Coa
Waterproofs �R/l}'t(� sC •(-QyiL2s
Backfill
Final Survey ,�` 4F-Tcy?-e.t...„9
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
•
Relief Valves i y��_�_^��+u�•M,�
Wall Board
Ext. Porches
Finished FloorInterior Trim —
Stairs & Railings s _
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation I r ^
eil Ceiling
(ee.-e-itfa;;Z2e.ez„t„_)
Building Inspector
REMARKS
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