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8137 COO Paid CERTIFICATE CIF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW 1RK Late June 18 1984 This is to certify that work requested to be done as shown by Permit No.- 8_ 1_ 3 7 has been completed. { This structure may be occupied as a One-Family Dwelling Location Lot 6 Laurel Lane (Clendon Ridge Subdivision) Owner David Miner - i { i By Order Town Board , TOWN OF QUEENSBURY 'i Building b Zoning inspector Y CREATIVE 1N97A tIRiNT/N6 Ii46Nf FALL0. NY 1;#01 IEI BUILDING PERMIT TOWN OF QUEENSBUftY 140 8137 1 - WARREN COUNTY, NEW YORK J PERMISSION is hereby granted to David R. Miner C Laurel Lane OWNER of property located at Lot 6 Clendon Ridge Subdivision Street,Road or Ave. in the Town of Queensbury,To Construct or place a One-Family Dwelling M 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. I. OVINER'S Address is R. D. #3 Laurel Lane Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Donald Harvey r 0 3. CONTRACTOR or BUILDER'S Addres; ft Bay Road n M Lake George, N. Y. a a 4. ARCHITECT'S Name O :3ro w� 5. ARCHITECT'S Address N M En '� 6. TYPE of Construction—(Please indicate by X) C W 1�4 Wood Frame 1 )Masonry 1 )Steel ( N. O 7. PLANS and Specifications 241x46 ' per plot plan, specifications and 0 No. application submitted including two-car garage (under) 0 and sewage system. M 8. Proposed Use One-Family Dwelling N- N $5. 00 C/O Paid d 14 87. 00$ PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 1984 N (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 4th —Day of October 19 _ SIGNED BY for the Town of Queensbury Building and Zoning Inspe • TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSA PERMIT APPLICATION 1. Owner' s Name \ ltak, fl Address 1t--11 a.-= LN., Lf Telephone No. •703 -S0)g I 2. Property location ,_ t" 3 . Name of person or firm responsible for installing system Telephone No. Address cad +;4 ttl '1..c -t.A 4. Number of bedrooms (residential buildings only) 5. Daily flow gallons/day 6. Septic tank. capacity ��-�h� gallons 7. Topography: flat, rolling, steep % of slope ` cU a 8 . Nature of soil and depth . •)Akt.,,.‘-k L- Nn.,s-'c1_, k Bo7-1,0s 9. . If ground water, bedrock or impervious material is apparent at what depth does it begin? J ft. 10. Percolation test: A / is required B. is not required C if required what is the rate . minutes/inch 11. Water supply: municipal, well, other \I fi, g_tv 12 . Type of system proposed: drywell, tile field, other , „01,104,,,, 14;11L Any contractor,, corporation, individual, etc. engaged in the construction of a sanitary sewage disposal system who cover. he same before inspection, does not have an approved permit, or varies om he, approved application will be subject to penalty of $250 as pro ided or ' Section 6.. 01-0 of the Queensbury Sanitary Sewage Ordinance. Date . 1 13 si a ure .of applicant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions, including distance from any structure, distance from property line and domestic water supply, etc. Include all dimensions of the system itself. /t/ /%' Form 3-82 & Cg ✓K jr , TOWN OF QUEENSBURY (Space inside block to lx filled in by WARREN COUNTY, NEW YORK • Building Inspector) Application for Application No. . pp Permit Issued _ 19. BUILDING AND ZONING PERMIT Permit Expires. Ig. Zoning District \ ❑liu; o1 Work.$ PLOT PLAN Drawn to scale •\1'I'i' "�•d by �,��� THREE (3) Copi®: of a P T 1/ � " d showing the actual dimensions of the lot to be built ILcillai•1Cf upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. i oZ. I — / 49---. `' TOWN (O�r QUEENS8UR'( DATE R v E, FH D A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �L l' 3 1983. ANSWER ALL OF THE FOLLOWING. o The undersigned hereby applies for a permit to do the following work A.M.; �P which will be done in accordance with the 'description, plans and specifi- r1I8)9l1.0� �1)1i.2MIOG cations, and such special conditions as may be indicated on the permit. ✓{ ��� The,owner of this property is: h C` 4 -. IS'." C--L LFVv ES �F--t..,S. -:-.uS V•t'>•N . . . (NA04E) (P.O.ADDRS) . The person responsil ie for •supervision-of the work'insofar as the Building Code and the Zoning Ordinance apply is: (NAME) ( (P.O.ADDRESS) \t L k-.L,(?•�li�L.. Address Name of Builder. . O.e, ; Name of Plumber l- ,\I I') t`'t k 1, Address Name of Mason �0%-) LX). . •1-\(`S.c-k{•V -* Address f Lot Number tn Unit Estimated value of proposed work I ,._ Name of Village .aCk'''\-'`S'P"Q'C"-',� Name of Street `---�v P_ ,. • ,�.,.i?�s ... Side of street: north 0, east 0, south 0. west Nearest Cross Street L_'_ -1ZAA - 7 t<C) Distance from this cross street "or? Ft. Property is north south ❑,east [1, west. 0 from Cross Street If on Corner, which corner, northeast L1, northwest ❑, southeast 0. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY M, Construction of a new building. Main Builttling t ❑ Addition to a building. One-family dwelling . . g. ❑ Alteration to a building. Two-family dwelling El El Demolition of a building. -family apartment house ❑ Store building ❑ • . . .2—r. .-car attached garage �L L ❑ Other: • Accessory Building . One-car detached garage El (] Other work. Describe Two-car •detached garage El - Private chicken house ❑ Private storage building El 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, site and setbacks of pro- posed buildings, and the location of all existing buildings. NORTH - Show proposed building(s) in dotted line and existing building(s) in solid line. 4 ' 21) Size of property: O'er ft. x . . �.' �. . . . ft. Size and use of existing buildings, if any "� s LJ m Size of proposed building . .'2 • • • • ft.x . . L• • • • ft. • 0 j Height(from grade to ridge) 19 ft. 2'1 J Front yard . . ... / P..X .4Q.Q ft. .3 Side yards .�.S 2-4 ft. and .`2 9 •�`2' • ft. L17,i-...1_7:., V•:.t Rear yard \O Y ?..S;0 ft. SOUTH If on corner,setback from side street ft.. Note: All distances are net, as measured from street side line to nearest part of building. (OVER) • 7-7 3-M .. . • (coned.) BUILDING SPECIFICATIONS., `A,� . �(�/:.J.!�. . . :�.1 1".:'r•-�'- Kind of construction: Wood frame, fire safe, �tc.?. • • • • • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber be used? Q If so, fortwhat' + Material of foundation walls Q`•I. • • • •�?ly'�-```��A� ' �'' }�'. 1' Ste' • . • . • • Thickness U ti Depth of foundation walls below grade 4 II �11�a, _ Continuous foundation? r Will there be a cellar? !"-S� If so, material of cellar floor E}NC� . .( ..C�i i_..., Type of roof: Sloped or flat? . . . fit!y p Material of roof ' 'L tcaf u�'' 9. �-�-� .. {,+ t:t.•... ;2.t.b ` Size,wood studs Z.. . " x • ", spacing 1 (G ."o.c., length (5 ft. Size, floor beams, 1st floor 2-. . "x ", spacing "o.c., span � . . . ft. Size, floor beams, 2nd floor " x ", spacing "o.c., span ft. '..>.�`t. . +.t-..•. . "x ", spacing "o.c., span ft. Size, ceiling beams . . SS1:f Size, roof rafters or beams . .72y`.. 4 C�... "x - — - ", spacing ]] (i"o.c., span ft. Ir . n. :i' (A . . k. '-41:Q.Q .s. . . . With what material? . . !�"lf�;NNo.+,. s . . . . . . . . . . . . . Exterior finish � ���'•{`a' -- �--- , Finish of interior walls. . . . . . .t.�.'L. . .`"F..st•s-. .e.4>.#74-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is tobe_a-ttached, of what material is all between garage and main building to be constructed? Is there to be an opening between garage and building? U 1A Kind of heating system . . .SI.(3..u'C.R-1L Oil burner or coal? Will a flue-lined'chimney be provided?1'. . .k . . . . . . • Depth of chimney foundation below grade . . . :L 8 ci Height of chimney above roof 7'Ya 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? . . '.�`'. 1, Water supply (public water supply or pump) t t YzAkiN.TV,1_, \1,..\FJ.1 ., Distance of cesspool from any private well . . . . . . t4. . . .l n.t ` feet Will drainage system be provided with required traps, cleanouts, and vents? k C:-a AFFIDAVIT Town of Queensbury County of Warren State of New York I swear that to tt: A, r of my knowledge and belief the statements contai ed in ' application, .: ther with the plans and specifications sub- mitted, are.a true and co.i.•lete statement of all proposed work to be do e on descn. . and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining the p posed s -:l oom.I with,whether specified or not, and that such work is authorized by the owner.Sworn to before me this Signature OWNER,OWNER'S A.. .... . .•.... A. E .ARCHITECT,CONTRACTOR day of 19 NOTARY PUBLIC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • By 1 . ,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 « l r . . -2.A- V L . 2 . Type of heat a �4` "� -�t _ 3 . Is the building mechanically cooled? ��,.\r 4. Percentage of area of windows and doors VL--« c)4© 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 +€") - -�-: • 3 . R value of glazed area " �_ � 1� ' ,- irkei r-'it-3l,a ='-,`t- (-1..a , ' 4 . R value of doors ,_\w,s,,t_v �'..4) -21•`<<>c k , �`• c),�C' `� 5 . R value of floors over unheated- 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) ) =7 �` 9 . R value of heated basement/cellar: walls (below `grade)(, r.t ,r(''g`f,C ' 10 . Type of insulation \4t!A:(vJL-i . 3 - • C. ' Controls c�� 0 1. Thermostat maximum heat setting D. Duct Systems 1 . Is duct syst\m installed in unheated spaces?' -YES NO . a. . If YES , R value of duct installation b. R value of duct in other areas E. Piping Insulation 1 . Size of hot water r cooling' carrying agent pip e 2 . R value of pipe ins .lation F. Service Water Heating . 1. Performance efficiency 2. Temperature control setting maximum G. For Swimming Pool Only 1 . Maximum heating \,„ . .r' . • Telephone No. 73—see'7' (app icant ' s si.gnature) BUILDING DEPT.COPY OF APPLICATION FORM 46-EL. NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR /r+) VILLAGE TOWNSHIP (f J ff i f--... F 7 , J;fiJr f- OUNTY ( ) /';J :i_„, STREET AND NO.OR ..- ROAD AND POLE NO. i? ;' f.!;' POLE NO. BETWEEN WHAT TWO CROSS STREETS IS _ -.'� PREMISES LOCATED?'(/ .r 1. .-'( 1( ' '..''.- 2'�/`J7)/%iJ .t`�SECTION BLOCK LOT -- G' •OCCUPANT'S BUILDING G _ NAME ';!-) _ II-) f:') / _.'/; OCCUPANCY i f'• _ ..._........-• .. ••^old_ i rf'`> OWNER'S NAME AND ADDRESS i (�: 'K d /t- (: ' /� t%! �•:�:: _f`- . ._`/� CURRENT SUPPLIED /'/ BY .f/ /./�J;'y/_�:`'7 t i/_, r ,._..f.�j. FROM THEIR /,{ f..., .' /`:'t�c�",�, OFFICE ,, BUILDING r WORK DEFECTS IS NEW� OLD❑ REMODELED ❑ IS NEW I "' ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS Loca- Lamp Receptacles CIRCUITS tion Ceiling Side Attach't Switch Pendent Bracket No. Type H.P. No. Watts No. A.W.G. NO. WATTS Wall Recept'Is EachEachGaugeEACH ; Out- side Sub- base - • -Base- ment 1st Fl. 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 ELECTRIC SIGN TOTAL MAINS FEEDERS • 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 OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS n POSSIBLE NEW OLD I I e AVOID DELAY BY GIVING FULL AND ACCURATE tNFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF DATE OF ''' APPLICANT l.%" 1 L• ` f 1 ' l ! , ; / l- APPLICATION %� ��z '� STREET ADDRESS Y t! ) i-/ ,. f f / / . CITY OR !, / / / ` ,� ZIP C LICENSE NO. •POST OFFICE - - .i / ` Y CODE - / WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING _ THE NEW YORK BOARD. OF FIRE UNDERWRITERS ` BUREAU OF ELECTRICITY Fv-f 41 STATE STREET,ALBANY,NEW YORK 12207 Hate June 6, 1984 Application No.onfile 043849-83 A �2�.� 0 THIS CERTIFIES THAT _. only the electrical equipment as described below and introduced by the applicant named on the above application number in the prem&es of .. David Miner, Lasitv4.Lane, Glens Falls, ,New York in the following location; EJBasement Ei lat n. W tnd n. Gar. Outside Section Block Lob was examined on 6/1/84 and found to be in compliance with the requirements of this Board. OUTIt AQ1S ""CM AXTU� RAWOK 0"fa�1a omm DISH WASHERS M FLUOiK BM AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. I AMT. N.P. e 24 46 18 21 1 2 1 FR � DRYERS RIRNACE MOTORS MTUIEi APPLIANCE NOMIRS VECM MKm TU M CUXXS mU 1 WT HEATS li ATWUMT DIMAMM OIL H.P. GAS M.P. AMT. NO. A.W.G. AMT. AMP: AMT. AMPS. TRAIL.: AMT. 'N.P. TAMT. WAM 1 rye #10 SUVKE DISOOICT NO.OFE— : H $ E R G V I C E AMT. AMP, TYPE 1.a'4W 1+1'3W S/3W 3,e 4W �:PJ Vow. OF CC COND. NO.OF HIAEG O NO.OF I�UTRALS pf PEUTI6�l ` 1 200 CB 1 x 9 1 4/0 1 2/0 OTHER APPARATUS: I-GFCI INSpE NON FEET PAW 1 Smoke Detector . Elec. Heaters: 2-1.0kwl 2-1.5kw1 2-.20kwy 1-.75kw 2 { David Miner RD#3 Laurey Lane Glens Falls, New York 12801 BRA MANAGER ` Per `7 COPY FOR BUILDING DEPARTM 8 COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER: TOWN OF QUEENSBURY Building Department Inspectors Report Date /%`�/ ?Y Name kT V1J&/?G2 / f Location L"12e._ LAttie_. . Permit No. VI 3 -7 Weather F t 1..644-_ 6,1) 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 �„„ 1� Ext. Porches ✓�'V+/ Finished Floork /-_-- Interior Trim Stairs & Railings v' Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproo�inq Door Closers / ( Chimney Water Meter Inst. Septic Approval Floors' Insulation Foundation ' Walls Ceiling Building Inspector REMARKS • • TOWN OF QUEENSBURY Building Department Inspectors Report Date -0 6/df Location Permit No. S/ 7 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer 1-7 Rough Plbg. t7 C 'J/- Relief Valves Wall Board r 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 r 1 • Building -inspector REMARKS • TOWN OF QUEENSBURY Building Department Inspectors Report Date VO1/ Name , '/At c Location G 4.E'ACJ b)r N i� . Permit No. 8/ 37 Weather Remarks • Excavation Footing Forms Footing & Piers' Foundation Cement Coat Waterproofing Ba ckfi ll • 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 REMAR S / CdaeL ,� • 7 � • • • • TOWN OF �EENSBURY Building Department. was _ /Date ' r- Name 77:-rte",41-771-- I Location (-OIL (. Z- . ' / 111 . Permit No. g L3 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 \\\/\\/\::1), . 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 Ped.ty • Building Ins ector REMARKS TOWN OF QUEENSBURY Building Department • Inspeetars Report Date 12 - Name N//i'/ i . Location [-d r C ..w,ee_- Permnit No. F /3 7 Weather Remarks Excavation Footing Forms Footing & Piers / �� Foundation ,ii/ Cement Coat Ge . I(Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt \\1:\/></:::: 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 ta./(, • ti�P v uilding In pector REMARKS p � 17? * 3— 317 /o a v 10 GIL 2 hd 7) 7 ' J �! JP d ' s. 7 n } t t� , r ' f 1 a , 0 ^ a N r , r . , � a c. , ' '. .. may. '... � _• ,. .>, 4 ,- I ' t1 - � Z Y ,vyC y ... a -. . cyan. : V ! , .., •.,_ .. + ri t r� :' .. 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