8142 CIO Paid
a
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREIN COUNTY, NEW YORK �.
Date November 29 19 8 3
This is to certify that work requeked to be done as shown shown by Permit No. 8142
has been completed.
This structure may be occupied as a One—Family Dwelling
Location 'Lot 11 Stephanie. Lane (St. No. 21)
Owner Thomas W. Stimpson
By Order Town Board
TOWN OF QUEENSBURY
i
� i
I
Building dY niter Inspector t ;
I
i
C,lsie;'ItMR �l7A !'A�'4�tM� Q4�KN� IAMA+� R�ti ki�Yr fi#�91,t'stl�
BUILDING PERMIT
TOWN OF QUEENSBURY No 8142
WARREN COUNTY, NEW YORK
H�
PERMISSION is hereby granted to Thomas W. Stmpson
�OWNER of property looted at Lot 11 Stephanie Lane (St #21) Street,Road or Ave. 9
in the Town of Queensbury,To Construct or place a One-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. 'd}
1. OWNERS Address is 37 Bonner Drive 0
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Rickard Construction Co. Inc. r,
0
r't
3. CONTRACTOR or BUILDERS Address N
122 Circular St.
Saratoga, New York to w
M
4. ARCHITECT'S Name to :
N
h'-
M
5. ARCHITECT'S Address r+
M
6. TYPE of Construction-•(Plesse indicate by X)
(x)Wood Frame 1 1 Masonry 1 )Steel 1 1
7. PLANS and Specifications 261x401 dwelling, 22rx22' two-car attached
No. garage per plot plan, specifications and application
submitted including sewage (system. 0
8. Proposed Use f j
One-Family Dwelling
N.
N
C/O Paid
$157. 00
PERMIT FEE PAID—THIS PERMIT EXPIRES V4aY 1 19 84
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the FJ
town of Queensbury before the expiration date.) F-J
N
W
Dated at the Town of Queensbury this 6th Day of October. 19 83
SIGNED BY �hiata. p x,%, &{� for the Town of Queensbury
Building and Zoning 1
k
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK , Building Inspector)
Application for Application No.
pp Permit Issued 19.
BUILDING AND ZONING PERMIT I',.r(„it Expires. .
Zoning District
• \ ;iltie n1 Work 1 7 Al A
THREE (31 Copies of a PLOT PLAN, Drawn to scale -\1'I't.1""•d by �A®� -s_
showing the actual dimensions of the lot to be built. Itcm;(r1GS'
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. •
/3 ln TOWN OF QUEENSBURY
DATE 0 E 1-1
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK '
ANSWER ALL OF THE FOLLOWING. OC 4 19/83 /�
The undersigned hereby applies for a permit to do the following work r
M,7 9 P.M.
which will be done in accordance with the description, plans and specifi- 18i91�10)11112�1l2)3' b'6
cations, and such special conditions as may be indicated on the permit. ' . 1 ' ' le '
_CC:)
_/Th wner of this property is;
.�7/h ' S-1 4 2I$Ori 27 j.t,,,e, A,. "le.>s Az/is .( "
(NA'4E) (P.O.ADDRESS)
The person respo sibie for supervision of the work' as the Building d Co and the Zo�ni Ordinance apply�is:
_ / lVe
t-64-elieis St..
51,
(NAME) _ c r (P.O ADDRESS)
Name of Builder.elk o C_r0,2-s- '-t- re.•'L, — .I-1ZC. Address /2o P`l--4--kA Si ,-.3ecli /
Name of Plumberien!{ L/', Address
U�j2 ! Ptc-K/" '� Address 722 Ci"G�-4--- S7t .-4-xs-14.<1
Name of Mason i- _
Lot Number. . . . /./. . . . . Unit Estimated value of proposed work S �� per'
Name of Village a.LL-R--` J `i''� `
Name of Street . . . $. . 4i4 t 15'`Q• Side of street: north 0, east 0, south/0. west Al
Nearest Cross Street Lcl e�`°`'�- ti • Distance from this cross street /6� Ft.
-
Property is north �,south ❑,east i i, west. ❑from Cross Street
If on Corner, whit corner, northeast ❑, northwest .❑, southeast 0, southwest
(Designate by marking with an "X" in the correct space.)
. NATURE OF PROPOSED WORK OCCUPANCY '
XConstruction of a new building. Main Building
❑ Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building ' ❑
L- -car attached garage
Other:
• Accessory Building
• . One-car detached garage ❑
Other work. Describe Two-car •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, sire and setbacks of pro-
. ' posed buildings,and the location of all existing buildings.
NORTH
Show proposed buildings) in dotted line and existing
i„,c,6';''"lam -� l uilding(s) in solid line. ,
t /���C
Size of property /` ' ft. x ft.
4, ' -•-0 Size and use of existing buildings, if any
friy Jcts 22•k•2 • `1 f
i a, `V
W Size of proposed building . . .... . . . ft.x i'd ft.
ei
h =„ Height(from grade to ridge) /7 ft.
_ Front and Gv� ft.
y r.� ft. and 2-S ft.
Side yards e
. Cavirv)1-I1- g ( - Rear yard ,,57. a 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) .
7-73—M .
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . ....`•:`‘?. • • • 4�•1-
Will any second-hand lumber be used? PLO y If so, for wwhat7 4
Material of foundation walls . . . . . . . . .0 v'10E'•. . 3tit Thickness
Depth of foundation walls below grade y,ysr Contir uous foundation? . .'--(:??'• .f
Will there be a cellar? . . . . .. . .` . . . Itso, material of cellar floor 'S`r -O`«e' 00 -`". . - ;/ A`Y-
Type of roof: Sloped or flat? . . .5.(4P '''t - Material of roof
„ x 5/ " /tG "o.c., length 8 length .
Size,wood studs yt , spacing i, ft.
Size, floor beams, 1st floor 2 " x /G ", spacing /6 "o.c., span /3 ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams
it-- 5 e--3, ", spacing ,, "o.c., span ft.
Size, roof rafters or ams . {J. . 2- "x ", spacing �� "o.c., span . 6 ft.
Exterior finishG cc L �Z With what material? `fit . -
Finish of interior walls. . . . ./IL. . ............. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage i to be attached, of what material is wall b ween garggep�nd main building to be constructed?
5/g I,,/p-z• 'c 'E A.��-a ic'e nd4-( .
Is there to be an opening betweept gara a and building? '
Kind of heating system e-/-'G !-"(_• . Oil burner or coal?
Will a flue-lined chimney be provided? 4,6 . Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? P-O Depth of fireplace hearth
Will a toilet be installed? c1•e5 -
Will a kitchen sink be installed and connected to water supply?, g •
Water supply (public water supply or pump) f LL6/4-5--
Distance of cesspool from any private well , . • feet
Will drainage system be provided with required traps, cleanouts, and vents? LieS
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tr k4 a of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are.a true and co.e.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertai ' e proposed work all be coin •ied with,whether specified or not,
and that such work is authorized by the owner. /�A '
Sworn to before me this Signature <
OWNER.OWNER'S AGENT,ARCHITECT.CONTRACTOR
7.3
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 ;Z %/e0..dt 2_ /-e�.�`5 •
2 . Type of heat E te...'c-'i/^a c •• 4J4.S-Lloocvid
3 .. Is the building mechanically . cooled? 1ZD
4 . Percentage ,of area ofwindows and doors .
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 •
. _
e .33 ,, 5'8 '
2 . R value of exterior walls / 6 C ..
• . 3 . R value of glazed' area /, •V .
4 . R value of doors ?
5. R value of floors over unheated . spaces /'bo42, • .
6. R value of slab edge insulation - unheated slab ''-Q`ti Q,
7. R value of slab insulation - heated slab 1/1.01/L
.8. R 'value of heated basement/cellar walls (above grade) ; /6-1 C(c,.
9 . R value of heated basement/cellar walls (below grade) /`S• 6�
• 10 . Type of insulation 1.6.eH 2` c-S i 4-5-
. C. Controls o .
1. Thermostat maximum heat setting 80
- D. Duct Systems- .
1. Is duct system 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 or cooling carrying agent pipe
2 . R value of pipe insulation .
• F. Service Water Heating •
1. Performance efficiency
2. Temperature control setting maximum /5-1.)"
G. For Swimming Pool Only ' •
1 . Maximum heating `�
Telephone No. • o��—YZ e,,,fr
j (applicant ' s •signature)
I
TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
1. Owner' s Name /0/n/q 5 5 i7a CeD iy'
Address 37 / j,,,-
G/E1ff /CIA'. . ,/ /0 Telephone No. ;79.,L -0 -
2. Property .location 77,4I14/Y& lvz' // - G/ � 4. ///
3 . Name of person or firm responsible for installing system •�/,vZ � GUA/
Telephone No. 6 7,57,?,,q
Address // /�ZiC e 5—/ A76 = '4, i t;14 '/0/. %2/'i�
6
4. Number of bedrooms (residential buildings only) . f 406
5. Daily flow 50 gallons/day
6. Septic tank capacity / two gallons
7. Topography: 400 rolling, steep
% of slope •
8 . Nature of soil and depth . ,G579j✓./ ' '` ,I, .�r •f � � -- ,/�,-,p.
9. If ground water, bedrock or impervious material is apparent/ at what
depth does it begin? : ���. ft.
10. Percolation test: A is required
B 1/- ' is not required
C If required what is the rate minutes/inch
11. Water supply: municipal well, other
12. Type of system proposed: drywell., tile field ~ other ,20C) / 02;70,
Any contractor, corporation, individual, etc., engaged in the construction
of a sanitary sewage disposal system who covers the same before inspection,
does not have an approved permit, or varies from the approved application
will be subject to a penalty of $250 as provided for in Section '6 . 010 of. the
Queensbury Sanitary Sewage Ordinance.
Date (9,_ r )_73 /9Q_ //.0+
- ' / signature appl cant
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.
Form 3-82 "
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR
VILAE TOWNSHIP r•' COUNTY /r^•
STREET AND NO.OR (f
ROAD AND POLE NO. , ::, ,• �� Y; ,;`' �'�:r? ; • POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS /•/� •.-i •- / 3
PREMISES LOCATED? , .-t.:, "/ � ._.. .- r: r.C- .C:-J• SECTION BLOCK LOT
OCCUPANT'S / BUILDING
NAME f i) � �; .J !, � l7 OCCUPANCY Pi
OWNER'S NAME
CURRENT /
SUPPLIED yt ;.� , J.),4 / d/
��-i_r .(�' FROM THEIR j . _-> /:.; OFFICE
BUILDINGDEFECTS
WNEW®� OLD❑ REMODELED ❑ IS NEW
NEW [4-- ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No,of c fL MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
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-
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
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE jf/I.;l C_• .-// f NEW I I OLD ri
•
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF :✓ _- ,./. ,r/,.. �/ .- DATE OF • -'•� - •`-
APPLICANT `�- "• •-' � r�• _ APPLICATION - -• l 1 �' 5
STREET ADDRESS "�' "� �'��'`r -f�� •
CITY OR ZIP. LICENSE NO.
POST OFFICE '� F_S.'•rr�':r"" '�• 1/ CODE WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
f
------------------
THE NEW YORK BOARD OF FIRE UNDERWRITERS
�4002733 BUREAU OF ELECTRICITY
x�d 41 STATE STREET,ALBANY,NEW YORK 12207
Date December 12. 1984 Application No.on file 038164-8i A 631713
THIS CERTIFIES THAT
only the electrical equipment ea described below and introduced by the applicant paned on the above application number in the premises of
Thomas W. Stispson, Stephanie Lane, Glens Falls, Now York
in the following location; ® Basement ® 1st Fl. ❑ Snd Fl. garage/outside Section Block Lot 11
was examined on 11/8/84 and found to be in compliance with the requirements of this Board.
FIXTURE ACLEf fW1TCNE8 RXTUM RANGES COOKINO DECKS oven DISH W EXHAUST FANS
OUTLETS RICE" NCMNDESCEM FLUORESCENT AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. M.P. r
p�,
•0 24 43 . 18 23 1 3 Fro
•
! DRYERS FURNACE MOTORS Rfft=AMANO FEEDERS SPICIAL R[CFT TYPE!gACI(S NU UWf MEATaS M���S
DI�M�ERS
AMT. K.W. OIL M.P. OAS M.P. AMT. NO. A.W.O. AMT. AM►. AMT. AMPS. TRANS. AMT. M.P. No.OF FEET AMT.' WATTS
1 ryev 10
1 ange #6
S RyKX DISCONNECT NO.OF S E R V I C E
AMT. AMP. TYPE II A'2W 10 3W 3 X 3W 3.r 4W NO,OPEC e'0'D- OF CC.CGO&ND. NO.OF HIAW W•W NO.OF NEUTRALSOF NEUTRAL
1 200 CB 1 : 1 4/0 1 2/0
OTHO APPARATUS:
Electric Heaters= 1- 2.0 kw
1- 4.5k.w.-Water Seater 3- 1.5 k.w.
1- Smoke Detector 4- 1.0 k.w.
1- 15 sap- G.F.I. 3- .73 k.w.
2- .5 k.w.
T & J Electrical Corp.
328 Boght Road
Cohoes, Now York 12047 BRA MA GER
s
COPY FOR BUILDING DEPARTMENT.THIS.COPY OF CERTIFICATE MUST NOT SE ALTERED IN ANY MANNER. 41
TOWN OF'QUEENSBURY
Building Department
Inspectors Report • Date / a
Name l%%7W7S'c,!,✓�
Location , �// J 0:3/2:4!rlf 4.4
Permit No. Ai-5/2 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer V
Rough Plbg. I\N.
Relief Valves
Wall Board f I(
Ext. Porches k/ c/ 1\
Finished Floor
Interior Trim 11
Stairs & Railings!/ Ci' -
Cellar Dr. Tile
Concrete Floors /
Plbg. Fixtures l 11
Gar. Fireproofing• // V
2 Door Closers \// t-
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation
FOUndatiOn
Walls
Ceiling
• )ullaing nspector
REMARKS •
s/14d<<c F7F-C-7-d%S OK
TOWN OF QUEENSBURY
Building Department
Inspectors
.Report Date
Name / t'r "/1 YZ.-f� -5%% /Pt fr S a?
Location -& f/' '5 2 L P)/-4/1 2 i 4,
Permit No. ,Y/ y-i— Weather
Remarks
Excat'a tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.Relief ValvesWall BoardExt. PorchesFinished Floor \\\(://:::
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures '
Gar. Fireproofing
Door Closers
Chimney
Water Meter
Septic Approval
Floors
Insulation Foundation '
Walls
Ceiling "
r
Building i spector
REMARKS
pa- .71244114-
)-dO -1.
•
TOWN OF QUEENSBURY
Building Department
Inspect ra Report • Date i(.) // /,8
Name D 1,4 k
Location OOut a / L-
Permit No. r Fj .2 Weather
Remarks
Excatiation •
- Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing •
Sheathing
Roof Felt •
Roofing
Siding
Masonry Veneer 4
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
Cat 1
•
TOWN OF CCU"EENSBURY
Building Department
Inspectors Report Date /
Name pi.c'-/s
Location ,i','T7( �' =/?-,( ,/'r/
Permit No. 8/ 54 Z Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
G
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer Rough Plbg. ,PA-lz '7A-/_— -""(01/1
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 "
cAL
Building Inspector
RE KS
t
-cam ( .a-e � �
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date ? �/ R-S
Name f/,G', 4t i 2
Location X e 7-'// 57 P/iMr)J -74,
. Permit No. j'a'"A ' '- Weather
8/ Remarks
Excavation r�
- Footing Forms /�le, �'p_k
Footing & Piers G
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
i
Q7/ui ing Inspector
REMARKS
4
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( ' • MAP REAERR-nice•
• - .' .UAP Of datp/ivive ., of,t/U40J OF
(7 WA,CTE.t ,D04/6ECK ,.
J DArEO: 5/24/498o
4l.AAE 8 Y CGGUT&t Or
- P/LEO: *Iv. 7, /98a
aL4X SURVEY. 8 MAP BY
OP LANDOGoiiina D .r
WAL TER DOM13I K COULTER & McCORMACK
,gyp . LICENSED LAND SURVEYORS
THOA4A S W 1I. ..J T/"1 P O, Y 92 BAY STREET,GLENS FALLS,N.Y. 12801
Tel.:518-742-5145
TOWN: 4UEE/Jf8URY COUNTY: WARREN' , N.Y.
SCALE: 1 . 30" 1TAX MAP SECTION BLOCK PARCEL I DATE: JUL Y" Z/, /983
J A
Fr 679