7219 CEO Paid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK .
Date - 19
This is to certify that work requested to be done as shown by Permit No. 7 219
has been completed.
This structure may be occupied as a One—Family Dwelling
LocationLot 10 Applehouse Lane
•
David Trudel
Owner
By.Order Town Board
TOWN OF QUEENSBURY ••
Building & Zoning Inspector
CREATIVE ••INSTA': PRINTING• GLENS FALLS. N Y 12E01 15191793-S658
wsis
BUILDING PERMIT
TOWN OF QUEENSBURY 7219
No.
WARREN COUNTY, NEW YORK •
•
PERMISSION is hereby granted to David Trudel
C
OWNER of property located at Lot 10 'Applehouse Lane Street, Road or Ave. 1-;
in the Town of Queensbury,To Construct or place a One—Family Dwelling C
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. OWNER'S Address is 54 Walnut Street
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Raymond J. Storms - t�
0
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3. CONTRACTOR or BUILDER'S Address
14. McArthur Drive
Glens Falls, New York
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4. ARCHITECT'S Name ~
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) .
(x)Wood Frame ( I Masonry ( )Steel ( )
7. PLANS and Specifications -
29'x68 ' per plot plan, specifications and
No. application submitted including two-car attached garage O
and sewage system. &
Cl)
8. Proposed Use )
One-Family Dwelling
• N
$5. 00 C/O Paid t7
$ 108 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 1982
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the H
town of Queensbury before the expiration date.) ~
�-R
Dated at the Town of Queensbury this 17th Day of December 19 81
SIGNED BY - 5: ', for the Town of Queensbury
Building and Zoning mspecto
TOWN OF QUEENSBURY . (Space inside block to he tilled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for `pplicatitn, No.
Permit Issued 19. .
BUILDING AND ZONING PERMIT 1'vrmit Expires. `g... '
Z.++INii,;; 1)isirict
\i,l lit,,rl Work f
THREE 131 Copies of a PLOT PLAN, Drawn to scale 'Am...A."11 b
showing the actual dimensions of the lot to be built Ilt'(l,;t('N
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 OU- . ,;'n,. P,v
gEr_ f _ L-I , I hilt, / $ i pE6 -. �1v/ :iDATE
:J.
•
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK y {� ►"] ")C `i
ANSWER ALL OF THE FOLLOWING. A.M.1:111 P•iy9.
The undersigned hereby applies for a permit to do the following work - 71819)10111)12)112131,11510' f
which will be done in accordance with the description, plans and specifi-
cations, and such spacial conditions as may .be indicated on the _permit. L$ .3.)jaP
The owner of this T property`sj .
INtr.t IMo,rs.'. . c� ia-1 <5-4 Cl/alh ii7 s Gi r F4//r,-A/X. .
(NA•'E1 (P.O.ADDRESS)
The person responsible forsupervision of the work insofar as the.Buifclipg:Ccide and the Zoning Ordinance apply is:
,ail .. . . X.,c.{e. s. . . . .. . e. O- p:Or EssC Scar
(NAMEI •
Name of Builder. . . . . • �$//��.Vl • • • • • • • • .Address.
p��• f• ! IA Address
Name of Plumber. . . i�e4 1�.8
Name of Mason. . . . • •Sib f N0`S Address -
Lot Number. . . r0!
nit 1 Estimated value of proposed work S T5
47/0
Name of Village. 4a.s•ife*4 •bfAal'y''. . . ... . . . . . . . . . . . . . . ..
Name of Street . . . . . . • • • .4104 Sale of:street: north O. east• ,®,south ❑. west ❑
Nearest Cross Street . . S. . . I%'il . EM. . Distance from this ^ross street Ft.
Property is north Wsouth 0,east i4,west 0 from Cross Street•
If on Corner,which corner,northeast ❑, northwest 0, southeast C southwest
(Designate by marking with an"X"in the correct space.)
•
NATURE OF PROPOSED WORK OCCUPANCY -
Construction of a new building. Main Building
One family dwelling
❑ Addition to a building. Two-family dwelling ❑
ElAlteration to a building. . • . . . . .-family apartment house �
❑ Demolition of a building. Store building El
. ..a. . . .-car attached garage I]
Other:
Accessory Building
One-car detached garage ❑
❑ Other work. Describe. Two-car detached garage - ❑
Private chicken house ❑
Private storage building 0
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
huilding(s) in solid line.
��. Size of property 1�Oe. ft. x . .is', ft.-
O. k i ,0 Size and use of existing buildings, if any
II; San. I is'-W i
i \ / I' W Size of proposed building . . . . . . ft.x ft.
I" ! Height(from grade to ridge) . 16 ft.
Front yard asp ft.
- Side yards . . .�Sil" ft. and 1 `S• ft.
Rear yard 74 ft.
SOUT H If of corner,setback from side street ft.. ..
7 Note: All distances are nee, as measured from street side
line to nearest part of building.:
(OVER) -
7-73-N •
.
.-,
(contd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe,etc.?. . . . .1/90704! . . . . . . . . . . . . . .. . . . . . . . .. . . .. .
Will any second-hand lumber be used? _ 'NO Hp°, f whaP
Material of foundation walls /0" CAA"41^A LOLOCAlg Thickness
Depth of foundation walls below grade Er .
C ntinuous foundation?
Will there be a cellar? 1/410°' If so, material of cellar floor . .
Type of roof:liaa .1 or flat? • as.
Material of roof • 0...S.0. . . Ati•lol
"o.c.,length V • ft.
Size,wood studs a."„ 4. ",spacing 1,48,
Size, floor beams, 1st floor a..."x 10 1",sPacirti •,• t6 "0.c.,span . . . .Ag. .6.h. . ft.
Size, floor beams,2nd floor . /imairmr" ", spacing , "o.c.,span ft.
Size,ceiling beams 11,.. .....4., 1 ge 5,6. 6 ",spacing X eig "o.c.,span fr' ft.
Size, roof rafters or beams 41::r• 9 , •• ",spacing elk "o.c.,span ,i4, ft.
Exterior finish r 1 trakeelto-v- With what material?
Finish of interior walls _
If garage is to be attached, of what'Eat• ial ii wall between garage and main building to be constructed?
•
...tve.—. t • "i M.ir1.1 "Pavia _
Is there to be an openi g between . . ,:•II avid buiiiiVrir.0.41410
, 4
Kind of heating system . .. -
Oil burner or coal?
Will a flue-lined chimney be provided? p le°44". . Depth of chitfiney foundation below grade
Height of chimney above roof a..
Will there be a fireplace? 10•01) ' Depth of fireplace hearth
,
Will a toilet be installed)
Will a kitchen sink be installed and c nected to water supply? Ye'
Water supply(public water supply or pump) 111 ftA tic.
Distance of cesspool from any private well f SO'1 feet
Will drainage system be provided with required traps,cleanouts,and vents? . . . .are...
AFFIDAVIT
Town of Queensbury•
County of Warren \ .
State of New York
I swear that to tt /Wit)f my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.:Qlete statement of all proposed work to be done on the descri••• . •.L, and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertain . , . the proposed 4 . complied with,whether apecifi or not,
and that such work is authorized by the owner. 10"."""
•J
Sworn to before me this Signature
0 OWNER.OWNE J AGENT.ARCHITECT.CONTRACTOR A *etc
day of 19 U al&
NOTARY PUBLIC.WARREN COUNTY, N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
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 QlQ,C trite ' $ ' 1Ararb •
•
3 . Is the building mechanically cooled? 1
4. Percentage of area of windows and doors gin
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
2 . R value of exterior walls 0:243
3. R value of glazed area /• t(f • I
•
4 . . R' value of doors �•,��
•
5. R value of floors over heated* spaces
6. R value of slab edge insulation - unheated slab no,*
7 . R value of slab insulation - heated .slab 14 e
8. R value of heated basement/cell•ar walls (above grade) Rail'
9: R value of heated basement/cellar walls (below grade)
10. Type of insulation lreArs.
C. Controls •
1. Thermostat maximum heat setting p.S.
D. Duct Systems IA
1. Is duct system -installed in unheated spaces? YES NO
a. I,f YES , R value of duct installation
b. ' R value of duct in other areas •
E. Piping Insulation . I,
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation Mt®u
F. Service Water Heating
1. Performance efficiency
2. Temperature control setting maximum I2.e
G. For Swimming Pool Only
1 . Maximum heating
•
Telephone No. iligk rJV17 on
711-4-- qv (applicant ' s stpnature)
TOWN OF OUEENSBURY
BUILDING AND ZONING DEPARTMENT
BAY AND HAVILAND ROADS, R. D. #1
GLENS FALLS, NEW YORK 12801
APPLICATION FOR A PERMIT TO CONSTRUCT, ALTER OR ENLARGE
A SEWAGE DISPOSAL SYSTEM WITHIN THE TOWN OP OUEENSBURY
OCCUPANT' S NAME Daiul TruaLK ADDRESE4r9(ahaitai
TELEPHONEIV'003 OWNER'S NAME SamAA..
ADDRESS NUMBER OF BEDROOMS
GARBAGE GRINDER?_no _YES OR NO) TOPOGRAPHY: FLAT, ROLLING, STEEP
SLOPE, GENTLE SLOPE, OTHER
NATURE OF SOIL: CLAY, SANDY LOAM, GRAVEL, ROCKS , ETC.
PERCOLATION TEST WATER SUPPLY: MUNICIPAL, WELL, OTHER
DIk( RAM OF PROPOSED SEPTIC SYSTEM
lOr
ST
OTHER PERTINENT INFORMATION
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PIANF ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL FE MADE IN ACCORDANCE
WITH DETAILS SHOWN.
1 /
DATE SIGNATURE SIGNATURE OF APPLICANT • 4
1
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. •
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR -
VILLAGE J• TOWNSHIPS" COUNTY 1 J•:, , . -m*
STREET AND NO.OR �y . t f
ROAD AND POLE NO. .-;Irk - 1. - POLE NO./-
BETWEEN WHAT TWO / •.d s i I -
CROSS STREETS IS • '
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S ..- t i- BUILDING _
NAME I. ;'' . '-i. i i i'';.,-'1•_• OCCUPANCY - - . , .
OWNER'S NAME
AND ADDRESS ' i t
CURRENT
SUPPLIED ! _ •
{:. FROM THEIR .?. OFFICE
BUILDING NEW El OLD❑ REMODELED ❑ IS
+NEW ❑ ADDITIONAL El REMOVED DEFECTS ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS LAMPS
Loca-
tion Side Attach't H.P. Watts A.W.G. WATTS
Ceiling Wall Recept'Is Switch. Pendent Bracket No. Type Each No. Each No. Gauge NO. EACH
Out- /� r - • -
side I _
Sub-
base
Base- s
ment -� f L. •
-
-- -
y 1st Fl. /-V j n -; pd /i°' '
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 Li r ELECTRIC SIGN TOTAL
MAINS FEEDERS f /; r`,r=_ LAMPS WATTS
CHARACTER ./EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
_
STARTED COMPLETED SIZE OF SIGN
SERVICE - • MAKER
ENTERS f _. - •
BUILDING /// } J{ f-"- 1 1_1 ! ( ) • OF SIGN
INSPECTION REQUI E1 �- 's` 1 l L"'
ON OR AS NEAR AS n
POSSIBLE NEW l l OLD 111
•
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF I— " i I •
DATE OF -�
APPLICANT - - -- APPLICATION 1 - — 1
STREET ADDRESS ,) i--1 ," •• • - 11 - '
POSTCITY OR
OFFICE - --. CODE s WHEN APPLIICABLE _
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
•
TOWN OF'QUEENSBURY •
Building Department
Inspectors-Report, Date K7 -21• J,c3i
Name
6�j7/1� d • J��!'
1
�r:11/1 XW Aoty4 I
. Permit No. 7 a /7 Weather
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. (("•e?z,z---e_,&-e.))
Septic Approval �� �fFloors
Insulation Foundation
Walls
Ceiling
• Building Inspector
•
.REMARKS
TOWN OF QUEENSBURY
Biilding. Department
Inspectors Report Date di
Name 7--/'e>b (FOiPAI S"
Locatioa -/ ,q
Permit No. 'J a j y Weeather
Remarks
Excatra ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey /
Framing di/ •
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
FowidaLion
Insulation
Walls ' ea1;
Ceiling , " ®/
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Dante /Z--2,8-4/
Name !�od
Location Le 4- 1 b iPI't cc -,i Y f
Pelt No. r1-.1 Weather
Remarks
Excafta ti on
Footing Forms
Footing & Piers
Foundation f
Cement Coat
Waterproofing
Backfill 7( -
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
Ceilin
//' ,$,_ 127X21,;2)
Buil ing Inspector
REMARKS
TOWN OF QUEENSBU Y
Building. Department
Inspectors Report Date/Z-/`/ f
Name 7/W:›6=-
Location f-P/L&-�,`€,J G r E
Permit No. •70. I Weather
Remarks
Excaira t on
Footing Forms �� c✓
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
��_-4'le,"
•
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