7078 a
C/O Paid
CERnFICATE OF OCCUPANCY
TOWN N , WR
WARREN COMY, NEW 'YORK
Dd.oe 19 _
*M «pork c Owned to be dmw a ihown
by Pennic No.- 7028
hay been ,
716h my be w a One-Family Dwellinq
Stewart Road
Peter M. Merlow
8q Onkr Town Boom
TOWN OF QUEMMURY
Bundiod tint lwprctw
C"A71V[ AR{NTiN6, GLtN{ FALLS. N r 12661 is�nflafaasfa
i
BUILDING PERMIT
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK NO'7078
PERMISSIO
N is hereby granted to p Rt er M _r 7 ow
OWNER of property located at Stewart Road b
Street,Road or Ave. M
In the Town of Queensbury,To Construct or piece a One-Family Dwe"1 inct
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. OVVNER'S Address is R. D. #3
4 Glens Falls, New York E
I
2. CONTRACTOR or BUILDERS Name
Ernest Alden
3. CONTRACTOR or BUILDERS Address
Luzerne Road
Glens Falls, N. Y. �*
m
a
15.
. ARCHITECT me'S Na �
rt
O
ARCHITECTS Address p,
i
6. TYPE of Construction—(Plane indicate by Xi
Od Wood Frame ( l Masonry ( 1 Steel ( l
O
7. PLAM and Specifications :3
261 x48t per plot plan, specifications and
No. application submitted including sewage. system. '=J
N
B. Proposed Use N
One-Family Dwelling E
M
$5. 00 C/O Paid
$ 9l. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 1 1982
(If a longer period is required an awlic at on 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 31 s t Day of August 19 81
SIGNED BY i--'
for the Town of Queensbury
Building and oning 1
I
TOWN OF QUEENSBURY '. '
i (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
' S ApplicationRio.
Application for �'crmit Is,ued 19.
BUILDING AND ZONING PERMIT 14.1•.ni( Expires. Ili- . '
%i,ilnut District _
\0I u(•ol Work,S, ,�
THREE (3) Copies of a PLOT PLAN,brawn to scale lt(�ti' Kf' . •, .. `
showing the actual dimensioni-of the lot to be built
upon, The exact size. and location on the lot of the _ 2, ,
building to be erected or altered MUST BE.SUB-
MITTED WITH THIS APPLICATION, ,
TOWN OF QUEENSBURY
9i D — 140
7 DATE 1 ,_ r:-.Q .E
0. E 11 v
E
A PERMIT MUST BE.OBTAINED BEFORE BEGINNING, WORK AUG ,l '9•�.•. .1-3
ANSWER ALL OF THE FOLLOWING. AA eao -,• pea-teu
The undersigned hereby applies for a permit to do the following work A.M.f�
which will be done in accordance with the description, plans and specifi- 7I gI9110)1Y)12) 13'4I 5I6
cations, and such special conditions as may be- indicated on the permit.- .k
The o ner of this property(is:
%. . . fe `r )1 .. 1 i
INA•'EI. IRO.ADDRESS). I
The person responsible for supervision of the work insofar as the Building:C(ide and the Zoning'Ordinance apply is:
, `m c.. s n (-7,)'e._= . . . . . . . . . . . . L --a ke . G IA 1
).5 FM I k%
•
(NAME) (P.O• . ADDRESS)
> e�- ,
Name of Builder.,.•.,-� 4'7./"';"r<-".' r Address... �'-'"•` '
Name of Plumber Address 1 J ,
Name of Mason 1 Address .90 ) 000.
.
O o
Lot Number Unit Estimated value of proposed work S . - �/- �--
Name of Village.2/,' 7 `r 5.4.to s'i1 •,. •`
Name of Street s '�ltA.'C`f' R Side of:etreet: north Vff, east• ❑;.south ❑:i..��• Rwest 0
Nearest Cross Street Distance from this ^ross street' S 0 Ft.
• • • •�
Property is north i,south ❑,east i,,west 0 from Cross Street,
If on Corner,which corner,northeast 13, northwest ❑, southeast C southwest
(Designate by marking with an"X" in the correct space.)
-- NATURE OF PROPOSED WORK OCCUPANCY - _
Main BuildingConstruction of a new building. One:family dwelling X.
CIAddition to a building. Two-family dwelling 0
❑ Alteration to a building. -: , . . . .-family apartment house GIEl Demolition of a building. Store building ❑
-car attached garage 0
Other:
Accessory Building
One-car detached garage 0
Q 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
liuilding(s) in solid line.
v a/
_ 4/
4 /,. i . Size of property . .�. . .s.t 1.7. . ft. xV � it.
ti ea
ca. J ' Size and use of existing buildings. if any
\:o.. f pi-,C t—
ut
•
a _ 1� W Size of proposed building . . . . •. • ft.x • ft.
k i` < Height(from grade to ridge) . I� , ft.
�e,, Front yard ft.
' r� . ,'• — Side yards ) 0 ft. and I e ft.
1 �-_ ft.
5 tc� P�Jr g D. . -- - -- . Rear yard 1
SOUTH - If alp corner,setback from side street ft..
7_,,,, `� Note: All distances are net, as measured from street side
y line to nearest part of building.;
(OVERT
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction:Wood frame,fire safe,etc.?• • • •bN �• • J-% ' ' ' ' ' '
Will any second-hand lumber be used?'. . .t '� If so, for what?
Material of foundation walls 10 ' Thickness( 1 G e
Depth of foundation walls below grade Continuous foundation?
7 If so, material of cellar floor C9'3 cx7. '"-
Will there be a cellar? � `�° d
Type of roof:Sloped or flat? .$
®p C.t� Material of roof 4� .'{ l` ,• u,. ••... . .. .. . . . . . . . . .
w "x �-/ ,,,spacing ,� 6`� "o c,length 5 ft.
Size,wood studs � � „ I
. : ,... . ."x ,spacing . • "o.c.,span . . . . . . I.J. . . ft.
Size, floor beams, 1st floor . . . . . ' '
Size,floor beams,2nd floor spacing . , o.c.,span ft.
Size, ceiling beams "x ", spacing "o.c.,span - ft.
Site, roof rafters or beams "x -•", spacing "o.c.,span ft. •
s. , ;-� ! ,- • ' 1-- . OJ °A' With what material?
Exterior finish F
. .S.I71... 5.. .1. . . . .1.. - c: .'
Finish of interior walls. �, `�,• • '. • ' ' ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. .•If garage is to be attached, of what material is wall between garage and main building to be constructed?
_ . JNI. . .d :^....-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .-. . . . . . . . . . .
Is there to be an opening between garage and building? —Oil blamer or coal?_
Kind of heating system . - 1 `.,c-4
Will a flue-lined chimney be provided? . Depth of chithney foundation below grade
Height of chimney above roof
Will there be a fireplace? �� - Depth of fireplace hearth
Will a toilet be installed)
•
Will a kitchen sink be installed and connected to water supply? :I<„.?,-.
Water supply(public water supply or pump) . .P.u.Si./. ar ,.. * ^ r
Distance of cesspool from any private well feet
Will drainage system be provided with required traps,cleanouts,and vents). tit.
AFFIDAVIT
Town of Queensbury -
• County of Warren
State of New York
I swear that to tc bea r of my knowledge and belief the statements contained in this application,.together with the plans-and specifications sub-
milted, are a true and co.,. lete statement of all proposed work to be done on the described premises and that all wovisions of the BUILD-
ING 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 OWNER.OWNERS AGENT.ARCHITECT.CONTRACTOR
day of 19 •
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 /,q V SO Ae
U
2 . Type of heat e_ > ,
3 . Is the building mechanically cooled? Ale
4 . Percentage of area of windows and doors p�
A. Over 16% Only
1 . U value of gross area of walls roof/ceiling and floors
exposed to ambient conditions , (-6
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? Y S NO
a. R value of insulation 1®
5.. Type of insulation ,, ;' may,- C/.4.5,5
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions_
2 . R value of exterior walls ,t ( _ . _
3 . R Value- of glazed area 1 �.
•
4 . R value o.f doors IA)
5. R value of floors over heated spaces , t ,
6. R value of slab edge insulation unheated slab i1 -
7 . R value of slab insulation - heated slab ,/ltr)�'
8. R value of heated basement/cellar walls (above grade)}i (
9 . R value of heated-2basement/cellar walls (below grade$` f !
10 . Type of insulation 1 , (),' e GI ?. )
C. Controls �s o
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
E. Piping Insulation M H
1 . Size of hot water or cooling carrying agent pipe . 2
2 . R value of pipe insulation !.-
F. Service Water Heating
1 . Performance efficiency
•
2. Temperature control setting maximum /y0 D
G. For Swimming Pool Only •
1 . Maximum heating
C' , ,;,�! y'�
Telephone No. ��J / �' .�' � b. �f. � �i ��
(applicant ' s signature)
TOWN OF OUEENSBURY
BUILDING AND ZONING DEPARTMENT
BAY AND HAVIL_AND 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 OF OUEENSBURY
' OCCUPANT'S NAMEet:L. A., ADDRESS
TELEPHONE 7 73 I .g o OWNER'S NAME tj g-sc,„
��
ADDRESS Sic.4, ;k• r b, NUMBER OF BEDROOMS ,
GARBAGE GRINDER? i\✓ .5 YES OR NO) TOPOGRAPHY: F T, ROLLING, STEEP,
SLOPE, GENTLE SLOPES OTHER
NATURE OF SOIL: CLAY, SANDY, LOAM, G VEL, ROCKS, ETC.
PERCOLATION TEST WATER SUPPLY: MUNICIPAL, WELL, OTHER
DIAGRAM OF PROPOSED SEPTIC SYSTEM
It
0
OTHER PERTINENT INFORMATION
IT IS HEREBY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED,
INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE MADE IN ACCORDANCE
WITH DETAILS SHOWN. •
DATE SIGNATURE OF APPLICANT -� : e�fr• f � S `�""""`��
LAKE GEORGE PARK COMMISSION APPROVAL
•
�a�e
TOWN OF QUEENSBURY
Building Department
� �
Inspectors Repaet ®ate � ` � ,
Name 14.4e.
Location -P i��t R1,:(1
Permit No. .7 0 7 8 Weather
Remarks
ExcatYation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing (9/1\--
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 _W
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation 1
Walls
Ceiling
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspector Report Date —Zi--62'/
Name `erg
Location cv r-j---
Permit No. 7n 7 g Weather
Remarks
Excat>a ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding i1
Masonry Veneer /X
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
;ffirt47 :::; -
Bui ding Inspector
•
REMARKS
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