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8167
C/O Paid CERTIFICATE OF OC .JPA CY x OWN OF ENSBURY �, x WARREN COUPtTY, NEW YORK i This is to certify that work req ,ested to be done as shown by Permit No. 8167 I i I has been completed. This structure may be occupied as a _- One—Family. Dwelling E Location Lot 3 Tina Lane Owner Daniel De hick ## 1 By Order Town Board TOWN OF QUR$NSBURY { i ildii� �► Zi�aiva T tar fi �Tvc ••Ns,7w �It+R71#ti Os.4/# /M.i.a N v +s{ro i #,#rss*1MM#a FLrt ; A; Y I BUILDING PERMIT TOWN OF QUEENSBURY No. 8167 WARREN COUNTY, NEW YORK ! PERMISSION is hereby granted to Daniel DeChck OWNER of property located at Lot 3 Tina Lane Street,Road or Ave, d w in the Town of Queensbury,To Construct or place a One—Family pwea .1 ing 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 Tow of Queensbury Building and Zoning Ordinance. Cy 1. OWNER'S Address is 22 Nor hway Lane �• Glens alls, New York x 2. CONTRACTOR or BUI LDER'S Name same 3. CONTRACTOR or BUILDER'S Address r't same w H 4. ARCHITECT'S Name ' wr 5. ARCHITECT'S Address M 6. TYPE of Construction—(Please indicate by X) IK)Wood Frarne ( )Masonry !I, ( )Steel ( 1 7. PLANS and Specifications 26'x30� per plat, plan, specifications and No. application submitted including sewage system. o 8. Proposed Use One-Family Dwelling $5. 00 C/O Paid $91. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 19 84 (If a longer period is required'an appiicaY n for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) W Dated at the Town of Queensbury this 14, Day /ooff October_ 19 83 SIGNED BY 4 tq' for the Town of Queensbury Suit ing and Zoning Inspector '' I - OWN OF QUEENSBURY - 1,:q (Space inside block to Ix. tilled in by WARREN COUNTY, NEW YORK Building lnnpeCtor) Application for Application No. I'i•rmit Issued _ 19. BUILDING AND ZONING PERMIT I',.rniit Expires" g. 'liming District.. \obit. „I Work THREE 131 Copies of a PLOT PLAN, Drawn to scale \1'1"."`"1 h`' showing the actual dimensions of the lot to be built lzt•nt:ll`Kf • upon,'The exact size, and location on the lot of the . building to be erected or altered MUST BE SUB- MITTED WITH. THIS. APPLICATION. - �. c 0 —1 G/" ©SS TOWN OF QUEENSBURY': V E B: A PERMIT: MUST BE OBTAINED BEFORE BEGINNING WORK 12u+ 5 ANSWER ALL OF THE FOLLOWING. CT 1 319: The undersigned hereby applies for a permit to do the following work ,; which will be done in accordance with the description, plans and specifi- A.M. / / . Rik-- - cations,cations, and such special conditions as may be indicated.on the permit. 7I8I9110I11 11 ,13141516 The owner of this property is: � � -Of3Nle l De Chic as Po a'ttx wqy LPki+)e_ G Ie+LlS FivIls (NA`'•AS) IP O.ADDRESS, The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: 13motel 'De Cl-►�tc.k . 22- New.'ti�wpvt,� Lwtuc al., c Its (NAME, " 1 IP O ADDRESS) Name of Builder.DRNte-t PeChlc.k . Address .2'4 WeaiLu,i9 LAWS (�t feu, (=J‘.I1S Name of Plumber 1)q Id'e( D e CA%tc-(G Address a 2. /13e' 0a+19 { Aw a CI e..34. rn Its Name of Mason. . .3.21. .)...0. . .'.1).e•4k•`05.. . . . . . . . . . . . .Address 22 10era.+4 Luit y L kse• diewt r+HHs Lot Number. . . . . . . . . Unit Estimated value of proposed work S 56 1/0 d Name of Village : .•.QueeN,36utz Name of Street . . : . t.s..!4 • . • •e-• • • .,.. . . . . . . . . . . . . . . . Side of street: north 0, east Al, south 0. west ❑ Nearest Cross Street 1be..Sk ri ..Ju Rel. Distance from this cross street Ft. Property is north 0,south 0,east X,west. 0 from Cross Street If on Corner,which corner, northeast 0, northwest '❑, southeast Q, southwest , _ - (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK _ OCCUPANCY . tg. Construction of a new building. Main Building ❑ Addition to a building. One family dwelling X ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ , c Store building ng ❑ -car attached garage ❑ Other: Accessory Building One-car detached garage ❑ L Other work. Describe: /1 . 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, site and setbacks of pro- posed buildings,and the location of all existing buildings. Show proposed building(s) in dotted line and existing We$T : h'1'F0 RoACt. . building(s) in solid line. Q' Size of property . . . Xet Q ft. x c ft. 5 u�• Size and use of existing buildings, if any A.)14. f (3= Size of proposed building .24, ft.x .�.¢. ft. ' Height (from grade to ridge) c2a., ft. Front yard 39 x .S"O . ft. Side yards . . . . JO •ft. and ,JD ft. '. 7 : Rear yard /t O x ft. seeerst' If on corner,setback"from side street - 'ft.i:- , . ; ; : ' ,.,._ Note: All distances are net, as measured from street side line to nearest part of building. (OVER) • - 7-73—M 1 , • • (cont'd.) BUILDING SPECIFICATIONS., C.2/0 e e Kind of construction: Wood frame, fire safe, etc. , Will any second-hand lumber be used? 0 If so, for what Material of foundation walls Cert1CAi`ee Thickness 35 /1 � Depth of foundation walls below grade 7 Continuous . . .cellar Type of roof: Sloped or flat? (.5Y6Pr-c't Material of roof cc'/7 en1to Ats Size, wood studs va "x 6 ", spacing /4 "o.c., length J • ft. Size, floor beams, 1st floor r . .•2 " x /..J ", spacing i 6 "o.c., span /G ft. Size, floor beams, 2nd floor 1 " x a ", spacing ' /4. "o.c., span /e ft. Size, ceiling beams c' " x ro ", spacing /C, "o.c., span /‘ ft. Site, roof rafters or beams . . . . . "x 6 ", spacing 16 "o.c., span .,: . . . e . . . . . ft. Exterior finish ,e / tb ,4, 'J With what material? le)),;1)e Finish of interior walls crA se.//Code, If garage is to be attached, of what'material is wall between garage and main building to be constructed? . . . . . r . . . . . . . . . . . . . . . .I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ,,,�,/ Is there to be an opening betwew garage and building? Kind of heating system C/tC to r C Oil burner or coal? ...,/.} Will a flue-lined chimney be provided? . . N. ./0t • Depth of chimney foundation below grade .el-A Height of chimney above roof l /�"P' .. Will there be a fireplace? N! f Depth of fireplace hearth . NAP- Will a toilet be installed? yes Will a kitchen sink be installed and connected to water sup 1}'? . . ye.5 Water supply (public water supply or pump) I1.)eft At i"ip Distance of cesspool from any private well 17.9 feet Will drainage system be provided with required traps, cleanouts, and vents? )/es Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt ba r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.i.p lete statement of all proposed work to be done on the dese ' premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertail�l to the proposed w rk shall be co plied with,whether specified or not, and that such work is authorized by the owner. \\ : V Sworn to before me this Signature .... ..:. .4 Q,.. 4 N R.OWNER'S AGENT.A CHITECT.CONTRACTOR J day of CD.z e)`�-.--..t— 19.'.3 JACQUELINE A. ROBERTS . Notary Public In the State of New Yore Warren County u , OTAR PUBLIC. WARREN COUNTY. N. Y. My Commission Expires March 30, 19' ...le SPECIAL CONDITIONS OF THE PERMIT: • • By TOWN OF QUEENSBURY • BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL. PERMIT APPLICATION 1. Owner ' s Name r&AKIi'e„) PUEteilaA1._ Address a& Mok.111 tAlick.y 1.44we Gl'etUS P4 I ts Telephone No. 2. Property location • TjjJA Liktue, 3. Name of person or firm responsible for installing system rDeci ck Telephone No. i ei a Address IQ170c, .L5.3 Mk L. oe 4. Number of bedrooms (residential buildings only) -5V_ .,;j 5. Daily flow gallons/day 6. Septic tank capacity IC 0 gallons 7 . Topography: flat, rolling, steep % of slope 8 . Nature of soil and depth SAN yeneW 3.01 9. If ground water, bedrock or impervious material is apparent at what depth does it begin? ft. 10. Percolation test: A is required B >4. is not required C If required what is the rate minutes/inch 11. Water supply: municipal, -other 0.ieft 12 . Type of system proposed: drywell, tile field, other siepi:e elot. 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 ibiK13 NIL1. signature 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. Form 3-82 • - 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 , Z4,0 2. Type of heat , L. 'tZ1 3 . Is the building mechanically cooled? 4 . Percentage of area of windows and doors 1 5 A. Over 16% Only 1. U 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 462) 3 . " R value of glazed area l (o 4 . R value of doors < ' 5. R value of floors over unheated spaces is 6. R value of slab edge insulation - unheated slab Y1)A 7. R value of slab insulation - heated slab vl� 8. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls. (below grade) 10 . Type of insulation GELL.rp ?V4W' O 1Rf. C. Controls 1. Thermostat maximum heat setting Q D. Duct Systems _ 1. Is duct system installed in unheated spaces? YES NO a. If YES , R value of duct installation tllf,� b. R value of duct in other areas r 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 5 C G1u 2. Temperature control setting maximum Ct 0 v G. For Swimming Pool Only 1. Maximum heating 3 Telephone No. q ir'37 (a 4 [jOJTwL41 (applicant ' s signature) • i9- !i cc",-vj G etc D e-A-sr Arth c..ufi=. rifer-m !a•lG/0 aS .�aC nc S-er ors S;, t'-'-r i't?-.,M Irk BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR - f VILLAGE TOWNSHIP. 9-kk -2: rv.5 )u.R. ;t1 COUNTY ti(,�p y/ .g e i STREET AND NO.OR ROAD AND POLE (NO. .)c_s. {r VI i KJ l'�e, c I i , _ v POLE NO. ;Z. BETWEEN WHAT TWO CROSS STREETS IS f f �!1 J PREMISES LOCATED? }�.t R` J'¢at� ! ?*vPr"� +`•CI SECTION BLOCK LOT OCCUPANT'S -iTh 1 BUILDING NAME Vii Ali e.\ —De a iC...t . OCCUPANCY ' il_)i e s 1...)e CA 1 C L. OWNER'S NAME 1 (}l� 4..��( 1 AND ADDRESS Ur•i Pp..)(y . , r'7 1 i C,L. i Ji.1 v1 t-p'1 rl.l C_. CURRENT ! 7 ( y SUPPLIED !� )igig6�r<.'.�- t e 'kit-tik. FROM THEIR 6�(,;. ,G,. [-fa Seems• OFFICE BUILDING ) WORK DEFECTS IS NEW❑ OLD❑ REMODELED El IS IS NEW , ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures NUMBER OF OUTLETS e 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—! e,.; 0 side Sub- base Base- ment z • ('� 1st FI. a3� tel 6 B 3 ( 0 2nd Fl. i - 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 0( * yyq p FEEDERS LAMPS - WATTS - • CHARACTER EXeQ$ED GAS TUBE SIGN OF WORK f w fr, f.r- A j iC f';-� CONCEALED' TRANSFORMERS OF — VA WORK TO BE ` (NUMBER) - (CAPACITY) STARTED ��•/`.5-- "j COMPLETED 1 j2) SIZE OF SIGN '� SERVICE pp /f�'� +"""TTSI MAKER BUILDING /Cam!' T X+�'-�' OF SIGN . INSPECTION REQUESTED J ON OR AS NEAR AS 1_cH I/ Ca4 POSSIBLE /a/ '1 1-1 NEW OLD . I AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NAME OF �{i.)1e I `o t I Lk APPLICATION DATE OF /6/'�/(3,•-a APPLICANT STREET ADDRESS ///''' /CITY OR -2 „J�y d4 IA w ti L `u e ` -. POST OFFICE x+� '-�r,.tea � � CODE f�C . WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING A. - z TOWN OF•QUEENSBURY Building Department Inspectors (�V Date ' 7 Name tireta"4.-7 — Location 7-14 1- 01,1' Permit No. uh 7 Weather F//4 x i cio, Remarks Excav'ation Footing Forms Footing & Piers Foundation Cement Coat • Waterproofing Backfill • Final Survey Framing • Sheathing • Roof Felt Roofing :/::>/// Siding Masonry Veneer Rough Plbg. Relief Valves J wall Board Ext. Porches ((/ Finished Floor Interior Trim tv Stairs & Railings Cellar Dr. Tile Concrete Floors • Plbg. Fixtures 01t Gar. Fireproofing � Door Closers V /1//. Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling l _e/ Building In pector REMARKS 5 )4dk 6 ,p-iT73ik.(s) — 10) TOWN OF'QUEENSBURY Building Department /Z - - .5 Name R, G�d% �/ �r - Date • Location `T Y/A 1-41/V� . Permit No. / 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. �,°�J Relief Valves / Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers ,1 Chimney Water Meter Ins it f Septic Approval V 0 t� Floors Insulation Foundation Walls • Ceiling at • j Bu lding In�psctor REMARKS 841/4_ 12.4..4(1 • [ 4 1 C/Jl • � �� ( r 17t:6 Feel • TOWN OF QUEENSBURY Building Department Inspectors Report Date 1 Z`C -1 Name !&_Q L.ocatioa T'1 /1- ti-,u✓� Permit No. 1/ `7 Weather Remarks Excai7a ton Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey / ,p K FramingL/Sheathing Roof Felt Roofing Siding Masonry Veneer (1/4 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 Flocs• FoundatiOn Insulation Wall - 'Ceiling • Cc-Clex.11 • Building Ins/ ns ector REMARKS Dk -h "--)6+-e s (/ooe' pL) TOWN OF QUEENSBURY Building Department Inspectors R.,.. . • Date /f— 2/- Name /f- Locm - WI- . Permit No. fl I lv 7 Weather • Remarks Excaija ti on Footing Forms Footing & Piers Foundation OK_ Cement Coat Waterproofing r ( . 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 • Foundatio 014 Insulation Walls Ceiling 1411 Building I spector REMARKS