1986-537 CERTIFICATE. OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 14, • 19 87
11 SC\
This is to certify that work requested to be done as shown by Permit No. 86-537
has been completed.
This structure may be occupied as a One-Family Dwelling
Location Lid 26 Laurel Lane (St o. 27) Clendon Ridge
Owner Paul G. Sokol
f4
By Order Town Board
TOWN OF QUEENSBURY—
,
( Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-537
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Paul G. Sokol •
OWNER of property located at Lot 26 Laurel Lane (St. No. 27) Street, Road or Ave.
G
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. a U,
0
1. OWNER'S Address is 210 5th St.
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
same
0
C rt"
3. CONTRACTOR or BUILDER'S Address
CD N
same o
a w
G
n
4. ARCHITECT'S Name H. CDa. I
00
(D t
CD
5. ARCHITECT'S Address
cn
rt
0
6. TYPE of Construction—(Please indicate by X)
( j Wood Frame ( ) Masonry ( )Steel ( 1
0
0
7. PLANS and Specifications N
No. 64'8"x48' per plot plan, specifications and application
submitted including sewage system and two—car attached garage. H. 1
8. Proposed Use
C
One—Family Dwelling co.
I-
I✓
$5.00 C/O °Q
115.00 87
PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 4th Day of September 19 86
SIGNED BY a_ for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY (Space inside block to Ix filled in by
WARREN COUNTY, NEW YORK • . Building Inspector)
lication for Application No.
pP Permit Issued 19. .
BUILDING AND ZONING PERMIT Permit Expires. lg.
%mniin2. District
i / .. 1e ? • \ ;due "t Work$
THREE (3) Copies of a PLOT PLAN, Drawn to scale '\1'13" `t'd 1w
showing the actual dimensions of the lot to be built Ile marks"
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION. .e ,�,�
°�C) N-1 OF f SPE)m.i�;,,;� �a,
°-/te• ' -• ' -1 1-7-' 1-1 wi T4 r:::\
7 / TE
ID Li)
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 11 ,~ '-' 'L,t' 1
ANSWER ALL OF THE FOLLOWING. ,t',.i~,. 1 -6 cfL) f—` . ./ C
�i�; ;1i�1.a�E�_ssc� z�e'�i''sa�.`�RE
The undersigned hereby applies for a permit to do the following work i.6....� G',�'r.i0) 2 1, 9'eI 1, 1 a
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:.
(NAME) , (P.O.ADDRESS) •
The person responsible for •supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
(NAME) (P O.ADDRESS)
Name of Builder. . . PCL ,.\ (T1...3 c)k-c 1 Address . . . 2- l U 5`'" S-k • 6;4, ,
f, Name of Plumber. . . .3C-t . .Lk-�.,. C.Q:c.l.C�L5t Address • IPC) \-1--c1 P.c., S. ,
5 Name of Mason �c``-`-1 6' St 'I Address 2.l U ,�k�` 5t - (71 ,r ,
1 Lot Number. . 2.(, Unit / Estimated value of proposed work 3 8c3,.60 c)
Name of Village �,-A_c:e.-K-:,L5• +•4�
Name of Street . . . . ....G.L..t.Y. ` C.L Lam-' Side of street: north 0, east [ /south O. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north ❑,south 0,east CI, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast D. southwest
(Designate by marking with an "X" in the correct space.)
.
NATURE OF PROPOSED WORK OCCUPANCY
IC5 Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling
❑ Alteration to a building. Two-family dwelling ❑
0 Demolition of a building. -family apartment house ❑
Store building P
• a-- -car attached garage 0
Other:
' • Accessory Building
One-car detached garage LI
❑ Other work. Describe Two-car detached garage ❑
Private chicken house ❑
� Private storage building ❑
J• Other:
ZO •>\l�G 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-
c4:), posed buildings,and the location of all existing buildings.
NORTH
l Show proposed buildings) in dotted line and existing
1 /._. C.c-'r 1 kC.-"^`(_- huilding(s) in solid line. •
7 Size of property / cc-) ft. x . . . .C.Q . . ft.
Size and use of existing_buildings, if any
w il H
i . m Size of proposed building .4 f c• . ft.x . . .!l .r ,C'.,ft.
Height(from grade to ridge) I�- ft.
• Front yard �/0 o ft.
Side yards . . . i.�c1 ' ft. and S ft.
I L�V\Zt,�.t t\'E'�Gt Rear yard 3
� ft.
)t SOUTH If on corner,setback from side street _ J ft..
Note: All distances are net, as measured from street side
. line to nearest part of building.
(OVER)
7-73-M
•
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . •wQ9. ). . • • •Es c`-w,-....
Will any second-hand lumber be used? N. 0 If so, for what7
Material of foundation walls C n It c ( e.1 c_ Li CC,t, Thickness . . 1 C) t f
Depth of foundation walls below grade —7 2, „ Continuous foundation? . .z'.�5. . .
Will there be a cellar? . . . .1 . z .c-.) . . . . If so, material of cellar floor . . . .C.cyn c re-.{-�
Type of roof: Sloped or flat?V. ... . .S t...k-D r.c-/I . . . Material of roof Gl 5 {'D ,tT S Irk; r? t
Size, wood studs x y , spacing / ( "o.c., length d . . . . ft.
Size, floor beams, 1st floor . . . . " x ( CD ", spacing I (. "o.c., span 1 9 ft.
,t5ize, floor beams, 2nd floor . . ...�,.�, " x . . . . . . .n.(.(?.-. . . .", spacing "o.c., span ft.
/�� Size, ceiling beams x .G.„ ", spacing 1 Cam, "o.c., span / '( ft.
Size, roof rafters or beams x c...) ", spacing I C "o.c., span i 1 ft.
Exterior finish t1(:sz• S, C(;V\ t With what material? . . . . I) .L '- ,l-\-k.__.
Finish of interior walls �a-
�'�� t c o lc_
garage is to be attach 0, of what taterl is wall between garage and main budding to be constructed?
Vc6 -'s c- . <C` -e
Is there to be an opening between garage and building? 0.0 ,
Kind of heating system eft e LF-E ` •- Oil burner or coal? '
Will a flue-lined chimney-be provided? . . .. L,.-n.3 `�
. • • • • Depth of chimney foundation below grade 7 1-
Height of chimney above roof
Will there be a fireplace? U c, Depth of fireplace hearth 0-4 `,
Will a toilet be installed? �1 5
Will a kitchen sink be installed an connected to water supply? tyt `3
Water supply(public water supply or pump) Q ry i��V:L V
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? (r2 3
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tt bard my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, area true and co.,. lete statement of all proposed work to be done on the described premises and that aD provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the'p oposed work sha)l be compl ed Tith,whther specified or not,
and that such work is authorized by the owner. J,. s (/ /J
Sworn to before me this Signature -` / -�
1 1 OWNER.OWNER'S AGENT,A CHITECT.CON ACTOR
5 day ofFi T 19..`� C
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 I 5-b c' ce
2 . Type of heat iC d
3 . Is the building mechanically cooled? �ft�
4 . Percentage of area of windows and doors d ���
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
" n
2 . R value of exterior walls p - 2_0
3 . R value of glazed area `� e
4 . R value of doors P - 1 '(
5. R value of floors over unheated spaces R. _ , 9
6. R value of slab edge insulation - unheated slab 1\/ /'l
7 . R value of slab insulation - heated slab N
8. R value of heated basement/cellar walls (above grade) p1i)
9 . R value of heated basement/cellar walls (below grade) ma
10 . Type of insulation 1bzsc,1 t�
C. Controls
1. Thermostat maximum heat setting -7 F-
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 ✓/� f1
2 . R value of pipe insulation 3 , '?
�
F. Service Water Heating
1 . Performance efficiency
2. Temperature control setting maxim l -o t-
G. For Swimming Pool Only
1. Maximum heating .
Telephone No. qJ " Uy` //(appl114
nt ' s signature)
TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENT
SEWAGE DISPOSAL PERMIT APPLICATION
1. Owner' s Name ---)6 A.A 6, 3 d a 1
Address 2 1() 5i'''l }- ,
(1, , V, 1 , �, Telephone No. 7 q 3- 15 kp
2. Property location LCA_k..-Lx r_,( Lane O C,e nG-0 n .1 d,, C e_i
3 . Name of person or firm responsible for installing system
50 1- A-a ('q P We,_1(-7 j'tkr‘r( C t , Telephone No. 7G2_.- 72_57
Address L--Gt 7-._u r nc,P-,A . 61 , P.
4. Number of bedrooms (residential buildings only) 4-h C C- C J
5. Daily flow 4/1S 0 gallons/day
6. Septic tank ca acity i bn (_, gallons
7. Topography: flag rollin steep
� , g,
% of slope 0 7
i
8. Nature of soil and depth S nN17) •
9. If ground water, bedrock or impervious material is apparent at what
depth does it begin? ft.
10. Percolation test: A is required
B K is not required
C If required what is the rate minutes/inch
11. Water supply: municipal, well, other W C
12. Type of system proposed• drywell, tile field, other
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.
7r
Date 6�(..�� . I � / axd 4 4-1---r
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.
be)9 D 7 2 4441-ee"-- .44
'tier)," .
�9QiG
Form 3-82 ��}/�3 �
2 x to X S O✓'-� "`7 .i b�/f
.
14.st_s•!1R11?iJ,l1950,!I 1�4_?!,a.•i..�91-9,•_CA.)_.9..".11,4 1tG)ti-.,••i.,�•i."...1%".. 9; �P{.11ti.aft..s.149-1,n.1,4499_l)..lad(.".".a�(.a•9(.?•!-1•!-t?."-j.i..19 ti 1•?.1_9_i n��_ jl'i �i!.-�! .
•
�413 597 THE NEW YORK BOARD. OF FIRE UNDERWRITERS
1 BUREAU OF ELECTRICITY
1
�, 41 STATE STREET,ALBANY,NEW YORK 12207
i' Date Ju gr Y(� 1 c�s'J Application No.on file 0 0 3 7 2 0—S 7 6 8A
'L' J , A F9 Ya6'!
�+ THIS CERTIFIES THAT
4,
.�' only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
Paul Sokol , Lot 26 , L . rel T. .ne , Glens Falls , ids" -
!, � aLt-c outside
a. in the following location; Q Basement L�'1 1st Fl. Li; 2nd Fl. -3 r d El .e Section Block Lot oF.
= --4, was examined on G/1 5/°7 and found to be in compliance with the requirements of this Board.
y FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS
a Wit. OUTLETS ECEPTACLES SWITCHES MERCURY
INCANDESCENT:FLUORESCENT VAPOR AMT. K.W. AMT. K.W. AMT. K.W..'''AMT. K.W. AMT. H.P.
36 ' 51 21 32 4 3 fa _
1 ,
✓ �' DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
s AMT. K.W. OIL H.P. GAS H.P. VT. NO. A.W GA a AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
1 hwh 31110
i .e SERVICE DISCONNECT NO.OF `a "S y E R V !I C E
�. AMT. AMP. TYPE EMQEU�F 1.0 2W 1,B'3W 3,9 3W 3,e'IW NO.OFF C gCOND. OF CC.CO.ND.. NO.OF HI-LEG OF HI-L G NO.OF NEUTRALS OF NEUTRAL
u7
1 200 eh . 1 _. 4/0 2/0 _
a ,,, OTHER APPARATUS: '
�a 2—gf ci . ® _
1.
2-siaoke detectors
electric- .,... heater - 2.0 kw
-c, 5 1 .5 kw
-1' 2 1 . 0 kw
2 e75 kw
3 kw -
Bob . Murtha
'A. M.aanis Rd. - BRANCH MANAGER =
Glens Falls , NY 12801 =
j • Per =
This certificate must not be altered in any mcnner;return to the office of the Board if incorrect. Inspectors may be identified their credentials.
ii-i•-YAi`4i'.4 ® ® 0 ® ll ® tl ® ® _ 0 0 0 0 ® ® 0 0 —
b
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
Down of QueenJbur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME e9 D k.
LOCATION t L
Date*- / e a Permit No. - 6 37
* * * * * * * * *. * . * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill n
aming�p� �JeX�nt)
Roofing
Siding
Masonry Veneer
.ough Plumbing �t `
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing •
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- nce� Q � -
1
1,24r1/.4(1(
•
1/1/66
Building Inspector
6/86 and-vl
Jown o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Gg k0
LOCATION C6A.4.14
DATE (�I/ / / el/ PERMIT NO. d h_ j 3 ,
SOIL TYPE( - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption. field, tgi lengt
Length of ea rench
Depth o renches
Siz of gravel_ _
SEEPAGE PITS-ENumber of) 2
Size- ft. X q ft.
Gravel size '
PIPING: Sized Type
Bldg. to tank 3 sc4 z{p
Tank to dist. box 14 p(ic_
Dist. box to field/wit, / P v-c
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank if/ft:4-
Foundation to absorption Z5ft.1—
Absorption to lot line /r� ft.Y—
Separation of pits 35 ft. --
LOCATION OF SYSTEM ON PROPERTY(circle one)
r nt Rear - Left side - Right side -
COMMENTS:
US
�1rTt+lZ 'ry
Jv � �; SC.i4-. L(O
g(ht- t Al-c(.4
/-c J1vaJf-rco.,JTo TA.AJ(c ..
SYSTEM USE APPROVED ES ' NO
Building Ins ector
01/86 and vl
LutteA - p
Joawn of Queen.iur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME 19 gn-t41-6-4
LOCATION /a / �
1 . ri
8°6- 531
Date ei/ / ( Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
i/ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
S'Backfill r/
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
\:/x(f\
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - k
t
BuilLit)
ng\ Inspecto
6/86 and-vl
Jown of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME pa t/ O Aoi
LOCATION hot '1, Ye
CX �6� 7
Date $/�a {, /1L Permit No. '�
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YgyS / NO
,,Footing/Pier Forms 0 1\
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar.. Fireproofing
Door Closers
Smoke Detectors "\ f
Chimney
INSULATION:
Foundation
Floors 7
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building4/Survey
Next scheduled Inspection(call when ready)
Remarks- -
(4/771(3/(402J
Building Inspector
6/86 and-vl
1 . . , .
-100
I .
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