7286 kr
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.
has been completed.
This structure may be occupied as a
Location
Owner
4
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA" PRINTING GLENS FALLS. N Y 12801 1518)793-5658
, BUILDING PERMIT
TOWN OF QUEENSBURY No. 7286
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to John and Faith Crosse
OWNER of property located at Lot 9 Stevens St. (St. No. 17) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling (Modular)
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.
N•
rt-
1. OWNER'S Address is
37 Bonner Drive n
1-1
Glens Falls, New York 0
In
cn
2. CONTRACTOR or BUILDER'S Name (D
B.V.B. Enterprises Inc.
3. CONTRACTOR or BUILDER'S Address
R. D. #2 Route 9
Gansevoort, N. Y. 12831 ti
4. ARCHITECT'S Name r
rh 0„r
Continental Homes o
11 2, to
CD • U/
rl
5. ARCHITECT'S Address N fD
Route 3 South rt. -0
Nashua, N. H. ,1
Iv
6. TYPE of Construction—(Please indicate by X) �-{-
I-• • '
( 1 Wood Frame ( ) Masonry ( )Steel ( ) (D
7. PLANS and Specifications
24 "x50 " per plot plan, specifications and
No. application submitted including sewage system.
8. Proposed Use
THE ATTACHMENT OF THE TWO PARTS MUST BE APPROVED BY 0
A LICENSED PROFESSIONAL ENGINEER.
One-Family Dwelling ® ,�
$5. 00 C/O Paid sz p)4. 00 PERMIT FEE PAID -THIS PERMIT EXPIRES November 1 19 82
(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 2 0 th Day of April 19 82 H
o � �
SIGNED BY > .ice , for the Town of Queensbury
uilding and Zoning Inspgtor
lq TOWN OF QUEENSBURY
Space inside block to he filled in bN-
( g' WARREN COUNTY. NEW YORK Building Inspector)
Application for Permit issued - _19
BUILDING AND ZONING PERMIT l'„n,)iit Expires lq
1.(4ii?)_ l)istri(t .
• \ Ail. I.1 Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i')!"',,c(i 1i`
showing the actual dimensions of the lot to be built lea i),iii Ks
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB- _ __,
MITTED WITH THIS APPLICATION.
TOW O QUEENSRURY
i:--: :', - _-- -- 'I; hr.‘.1. . 1.5.,.I....,8.1_
E 0 E y ,r,p‘
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK Arli 1 9 E0ap,
ANSWER ALL OF THE FOLLOWING. A.M. '9 c_ F e< Del ,1
The undersigned herebyapplies forapermit to do the followingwork 7 8 91 0j .I)12)1 i"I`
9 PP . �, �. 1, 1 .1 , � �� ;����I6
which will be done in accordance with the description, plans and specifi- i .
cations, and such special conditions as may be indicated on the permit. i a./0 , n.c..
The owner ofis opers is: .
..)0 h At.at 4--aE f-1 gr CA C S s e- .5 / ,r c refivC -i)/.., el f t%r%i'�' -t /C S /t/./._. / 2 c: .
(NA ..__
.�) / � (R.O.ADDRESS)
The person responsible 0
forge supervision
upervision of the work insofar as the Building (:ode and th�eZoning Ordinance apple is:
tg,r// r A. -. �s,Vi 6, /C 'j eL y pAise !% 0�7' /�4 ' /e 0'`3 l
(NAME) (P 0 Aonniss)
Name of Builder 4 , it g e-C,(`-".e.yort`s e 5 Address Oc-74• A-• f**" ( f4"671,160eleii-
Name of Plumber So' Address
Name of Mason A'h A c ien'A c/ Address l/ ''° 5.0^1'vtC.3 74 5/
Unit / Estimated value of ro osed worn S 'Z t.?QC2-. . . . . . . . _ . . .
Lot Number � P r " ' " . "
f. Name of Village gUet's.(5 h'/r2 Y AA7'4;ov 1--A9 //
1 Name of Street
. fA,9Mr`€-- X a"
(:e Side of street: north 0, east 0, south ®, west
�
Nearest Cross Street . Gptr^'� /e'' Distance fri;'n± this -r0ss street /00 Ft.
Property is north 0,south 0,east i i, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Building
❑ Addition to a building. '_)ne family dwelling i
❑ Alteration to a building. Two-family dwelling El
❑ Demolition of a building. . . . family apartment house ❑
Store building
-car attached garage ❑
Other
Accessory Building
One-car detached garage !-i
❑ 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, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH L Show proposed building(s) in dotted line and existing
huilding(s) in solid line.
Size of property ./'620 ft. x / 5-V ft
Size and use of existing buildings, if any
1- I- ____
v
s w Size of proposed building . . .Z l . • . ft.x 5 0 ft.
Height (from grade to ridge) l S'� ft.
5 6 ft.
Front yard
Side yards etsC ft. and / c ft.
/
Rear yard DS 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'.G1.A cf.!r�. L . . . . . . . . . . . . . . . . . . • • • • • • . . . . . . . . . . . . •
Will any second-hand lumber be used? "VC If so, for what2
Material of foundation walls C 'd s e 74-e- Thickness i.
Depth of foundation walls below grade 6 6 Continuous foundation? . . .ye.>. . .
Will there be a cellar? .(1'2 If so, material of cellar floor . . l rc.
Type of roof: Sloped or flat? .5///2�—Cf Material of roof . . ,
44FSize,wood studs ", spacing 14 rt "o.c., length ft.
Z° " x .f ", spacing /6 "o.c., span i Z
Size, floor beams, 1st floor ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span — _ ft.
Size, ceiling beams "�Ct, `5 " x ", spacing z:„reri "o.c., span ' ft.
Siie, roof rafters or beams "x ____ ", spacing - -' "o.c., span —"-- ft.
Exterior finish ��ac^j f , . . With what material? /11y5c.-t.c `71-r
Finish of interior walls. . /2.O.r..i. . . . ?-. . .-- --'N. f`t c,c. /-". . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage i to be attached, of what material is wall between garage and main buitlding to be constructed?
fc
___
Is there to be an opening J��c--weengarage and building? ._
Kind of heating system . `c_., Oil burner or coal? . .s:'/ic.:
Will a flue-lined chimney be provided? ./VC . Depth of chimney foundation below grade --
Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... __
Will there be a fireplace? , I� Depth of fireplace hearth
Will a toilet be installed?. . . 4?... . . . . . . . . . . . . . . . . .'
Will a kitchen s' installed and connected to ter supply? }�C'-
Water supply public wate.supply or pump) et.k, 'C.Distance of cesspool frorfi"any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? ye ' .
AFFIDAVIT
Town of Queensbury
County of Warren
State of New York
I swear that to tt MI-of my know,ledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.z. fete 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 pertaining to the pro sed work shall be complied with,whether specified or not,
and that such work is authorized by the owner. ,�,/
Sworn to before me this Signature /
p � � ,CONTRACTOR
day of... .�.� �L Ie
NOTARY PUBLIC,WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
tf TOWN OF QUEFNSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
1. Owner ' s Name �Q f2A./ �-- 7 r � 05'S ��
Address '37 /-mac At-n(e„, eft . ci ,y l Z.S a(
Telephone No.
7
2 . Property location / S � ` /(4,/E
3 . Name of person or firm responsible for installing system
vp JJ (,uP A. 5 Telephone No. 5y6' ?- C
Address . Y l / f' /&to n /0( / Z "
4. Number of bedrooms (residential buildings only)
5. Daily flow 2,c.)G gallons/day
6. Septic tank capacity / OO gallons
7 . Topography: flat, rolling, steep
of slope /0
8 . Nature of soil and depth m_5 f=• 5Ar�,c c/
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? - f t. ,: ^i e-r
10. Percolation test: A is required
B X 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 „Jo)
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.
L. /��Date
9
signat re 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
el , G ED R G E KU R D 9AKA J R. VonvEn
`► CONSULTING ENGINEER
MAY '( IQP2
A M. P.M.
SiVIMPUMMYTMoi
PHONE S1S 792-1522
Building Inspector re: Factory Manufactured Home
Town of flueensbury Installation Certification
(1..)(1)
Attention: Stephen Lynn 1
Dear sir,
This is to certify that I witnessed and supervised the unloading and the
installation of a "Factory Manufactured Home"' as defined by the New York
State Housing and Codes Bureau, as is applicable to your Local Building
Code; there appeared to be no apparent structural damage to the Unit, due
or attributable to the transportation or unloading/loading of the the Unit;
and as follows:
Date of Installation: /i4-ff /3, /f '2
Site Location: Stephanie Lane ,LaT-9
Community: Town of Queensbury
County: Warren
Manufacturer/Supplier: Continental Homes of New England
Address: Daniel Webster Highway, Nashua, N.H.
Insignia Serial No. : 2 3
Plan Approval No. : 'F F-S— 80-49
Manufacturer's Model/Cc ponent No. : YPYLE
Manufacturer' s Serial No. : Z5 770
Date of Manufacture: A-p// j ,. /Qc2
I have also examined the approved Flans and Specifications for the above-
mentioned Home Unit, and to the best of my knowledge and belief, this Unit
has been installed in accordance with these approved Plans and Specifications,
and all other applicable laws, ordinances, standards and/or regulations.
0,IUMeANi Respectfully submitted,
/4j T",1 Axiev '1161.
- Georg Kurosaka Jr: , P.B.
NYS PE Lic. No. 35869
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 29-
Name Cc.7, =
Location. . f i wrc '- - , 4
Permit No. 7-Xnet, Weather
1 Remarks
_ Excata tzon
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing /4j(7 '" -
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board j/
--.41(''.
Ext. Porches y
Finished Floor
Interior Trim Ci
Stairs & Railings a. fr-tc /,„(//07-- ci
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors ':-.-----'//i'D/it
Foundation
Walls
Ceiling
///1:::;)
ae-- '''' 'e/ X-/f-- -4C--e4
Building Inspector
REMARKS
cl
1. ! „'T -G
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date
Name (`r'
Permit No. ..��
rq Weather
Remarks
Excafia tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
\\4\/x/::\\\
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 0
Floors
Insulation Foundation
Walls
Ceilin
C71
Tezeto/1'424
Building Inspector
REMARKS
17/1-1?-/
/f
TOWN OF QUEENSBURY
l\^ �"r°SSA
Building Department
Inspectors Report Date ` -75"--
Name1, ,'_ 7'i /
Location y- --' --
Permit No. 7 6, Weather
Remarks
Exca ya ti on
Footing Forms I<
6141
Fo
oting & 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 j ')C/\::
Cellar Dr. Tile
Concrete Floors
/////
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
-Ceilin
)4;;;)
"/. ..1
Building Inspector
REMARKS
:• +Ot-- THE NEW YORK BOARD OF FIRE UNDERWRITERS :r
#
�, BUREAU OF ELECTRICITY ;
�' c F 41 STATE STREET,ALBANY,NEW YORK 12207
r
Date tilt *A I O4') Application No.on file ifu 1�1 i.1 e"vL r•
�
A
r�
4 THIS CERTIFIES THAT '11
only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of y
ii
John Crosse, 9 S tep anie Lan,, ueensbuxp,New x k
ap in the following location; ❑ Basement El 1st Fl. ❑ 2nd Fl. ftit n id a Section Block Lot
}
�; was examined on and found to be in compliance with the requirements of this Board. ;�
6/16 o1
�; FIXTURE RECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT FLUORESCENT MERCURY% APOR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. rC-
i0 rY
4
l.k4 DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS ra
1'
SYSTEMS 4
AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS '
,rr
i<1 y
W; SERVICE DISCONNECT NO.OF S E R V I C E ;�.
24 METER
AMT. AMP. TYPE EQUIP. 1 Ar 2W 1,B 3W 3 B 3W 30 4W NO.OPEC COND. OF CC.COND. NO.OF HI-LEG OF HI-.LEG NO.OF NEUTRALS OF NEUTRAL
- r,
1 rY
OTHER APPARATUS: y
-0 Y
rY
e l rP
`G rY
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BVB Enterprises Oran-Mar)
' RD# 4 Route 9
BRANCH MANAGER
1, G$nsevoort,New York: IR11
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CAPY FAIT? RIIIIDINP EMPARTMFNT_ THIS CAPY AP rFoTIFIrATF MIICT MAT RF AITFDFn IM AMY MANNER_
Top Chord : 2x4 #2 Southern Pine **1/2" dia thru bolt on overlapping chords may
Bot Chord: 2x4 #2 Southern Pine be substituted for the HP-27 connector plate
Webs : 2x4 #3 Southern Pine or #2 Eastern Spruce
* Provide connection for 725#
1/2" dia thru bolt
30"
,.,.„ 3-----
ALTERNATE DETAIL
1-7/8"
- -1..\ 2x3 #3 So. Pine field
applied by others .
2 . 5x4 HP-27 **
12 ,
30" 4 . 5 _�-�
12'�
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5-0-12
11-10-2
VB 8/11/80
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