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85-356 c C/O Paid 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. 8 5-3 56 has been completed. This structure may be occupied as a One-Family Dwelling LocationRoute 9L/Lake George Owner A. Robert Stewart By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector • CREATIVE "INSTA• PRINTING, GLENS FALLS. N Y 12801 (518I793-5658 A BUILDING PERMIT TOWN OF QUEENSBURY No. 85-356 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to A. Robert Stewart Ge orge eor e OWNER of property located at Route9L/Lakeg Street,Road or Ave. tt in the Town of Queensbury,To Construct or place a One-Family Dwelling __ cn_ at the above location in accordance to application together with plot plans and other information hereto filed and -_ --- -- - (D approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.• hi 1. OWNER'S Address is Cleverdale, N. Y. `� 2. CONTRACTOR or BUILDER'S Name John A. Mason 3. CONTRACTOR or BUILDER'S Address 0 Cleverdale, N. Y. - P. O. Box 86 `1- 1/49 ti 4. ARCHITECT'S Name - I.0 (D 0 5. ARCHITECT'S Address (D O hi N 6. TYPE of Construction—(Please indicate by X) ( /Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications - 40'x60' per plot plan, specifications and application o No. submitted including sewage system.• m 8. Proposed Use One-Family Dwelling N CJ $5. 00 C/O Paid $ 140. 00 - PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 86 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the N- town of Queensbury before the expiration date.) Dated at the Town of Queensbury this llth Day of - July 19 8 5 SIGNED BY t21elv for the Town of Queensbury Building and Zoning Inspecto� TOWN N OF QUEENSBURY - (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. • Permit Issued • 19. . BUILDING AND ZONING PERMIT Permit Expires. lg. 7.oning. District — \ a l m: „1 work, ( '1 THREE (3) Copies of a PLOT PLAN, Drawn to scale ' PI' "ed lw c: ---7/ _..__ showing the actual dimensions of the lot to be built. kenim*S- . " upon, The exact size, end location on the lot:of the building to be erected or altered MUST' BE, SUB- MITTED WITH THIS APPLICATION. • / 6 — ( — 7 July. . 9., 1985 'OWN OF QUEENS URY DATE �p A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ;1'` O E I V ED ANSWER ALL OF THE FOLLOWING. n -I = - /7 The undersigned hereby applies for a permit. to do ,the following work �' ` 6 ' which will be done in'accordance with the description, plans and specifi- �ola'°r1/"9 e P.A. cations, and such special conditions as may be indicated on the permit. . TI I a � 11 , 1' . 1r - . r` � Ce The owner of this property is: - a- A. Robert Stewart Rte. 914 , C1ever.da,1e, N.Y. (NA`tE) (P.O.ADDRESS) The person responsible for supervision of the work insofar as the Building Code'and the Zoning Ordinance apply is: John A. Mason P.O.. .Box. 86 . • . .Cleverdale,• .N.Y.. . , , • .12.n 0:.• . . . . . . . . . . . . . . . . . . . . (NAME) IP 0.ADDRESS) . " , " " " Name of Builder John A. Mason Address P.O. Box 86 . Cleverdale NY II Name of Plumber - . . Address • Name of Mason Address n . Lot Number • Unit Estimated value of proposed work$ .8 0.,.00.0...0 0 ' Name of Village . . . 41,1ez-)Sbur.y . Name of Street Route 9L Side of street: north ER east 0, south 0. west 0 Nearest Cross Street Cleverdale Road Distance from this cross street 2000 Ft. Property is north 0;south ❑;east'.iX, 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 O. Addition to a building. - " One-family dwelling • CD -Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building: -family apartment house E. Store building - ❑ -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, size and setbacks of pro- NORTH . . posed buildings,and the location of all existing buildings. . Show proposed buildings) in otte and existing . building(s) in soli line.. Size of pro r y. . .c'. . . . t. x ft. .Size a ±Le�existin t din s, if an . g g y $ m Size of pro,,se ding'. . .9'1. . . . ft.x . 4 U ft. Hei t(...t •rade•to ridge) ft. Fr yarn ft. Si e y s ft. and ft. Rear yard ' 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. • r� (OVER) . . 7—!3—M (cont'd.) BUILDING SPECIFICATIONS., - Kind of construction: Wood frame, fire safe etc.?. . . . .Wood. .frat e• . . . . • . . . Will any second-hand lumber be used? o If so, for what? Material of foundation walls concrete blocks Thickness 8 Depth of foundation walls below grade 4 ' 0" or ledge Continuous foundation? Yes Will there be a cellar? No If so, material of cellar floor Type of roof: Sloped or flat? sloped Material of roof asphalt shingles Size, wood studs . "x ", spacing "o.c., length • ft. p i Size, floor beams, 1st floor ^ "o ��n ft. .5Size, floor beams, 2nd floor ' �• • • • • a i o.c., .. ft. Size, ceiling beams " x ", spacing "o.c., Si'." ft. Size, roof rafters or beams „x ,_spacing "o.c., span ft. Exterior finish With what material? Finish of interior walls $ ee.tro.ck If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an opening between garage and building? . Kind of heating system . . . Dot. .Water Oil burner or coal? Qil Will a flue-lined chimney be provided? . . . .ye.s . Depth of chimney foundation below grade 4 ' 0" Height of chimney above roof 4 ' 0" Will there be a fireplace? NO. Depth of fireplace hearth Will a toilet be installed Yes Will a kitchen sink be installed and connected to water supply? . . . .Yes , Water supply(public water supply or pump) well — private Distance of cesspool from any private well .. 10.0 ' feet Will drainage system be provided with required traps, cleanouts, and vents? Yes Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tt: via a of my know,edge and belief the statements contained in this application,together with the lane and specifications sub- mitted, are a true and co.liplete 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 proposed work shall complied with,whether specified or not, and,that such work is authorized by the owner. Sworn to beforeme this Signature .. ....... Ci OrM-I .. OWNER.OWNER'S AGENT,ARCHITECT,CONTRACT-CR day of l 19..:.... - NOTARY'PUBLIC, WARREN•COUNTY,'N. Y. 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" ,''.`:':''I',,-.-:7,..-:7,--:(!',--':-:,IT'.:;; '1, --_.:A,',.. -'-':--•-:-,'",':'':':- -' ,-,:-.i.,:':::'' '7I--,-/Z",',T7 :-"P_f ---''';:':'''- ''S';:tr-- '':•;.,' ,'- :',:---:' ,.'"i':''-' '': -Z"::'iI''' ''- i- ''.--I.-:';t,,tc,'•. '-_:•:.:_i•i:f: ,:-- •••-•,".• -i5j,,,,,:•:-.•'-`-'" ' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK :. Application for: BUILDING PERMIT . IN • COMPLIANCE WITH THE NEW -YORK STATE STATE ENERGY CONSERVATION CODE A permit must be obtained before "beginning'. work . ANSWER ALL of the following: 1. Gross floor area 2004 s . f. 2 . Type of heat hot water ' - fuel oil 3 . Is the building mechanically cooled? No 4 . Percentage of area of windows 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_ R=30 2. R value of exterior 'walls' ' R=1'9''' 3 . R value 'of. glazed area U = . 58 4 . R value of doors R -_ 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 R = 10 8 . R value of heated basement/cellar walls (above: grade) 9 . R value of heated basement/cellar walls (below :grade) - 10. Type of insulation ' Fiberglass C. Controls 1 . Thermostat maximum heat setting 80° D. Duct Systems 1. Is duct system installed in unheated spaces? YES 411) 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 , . . G. For Swimming Pool Only 1 . Maximum heating Telephone No. 656-9956 '. \ . ...: •.Pllcants signature) -: TOWN OF .QUEENSBURY Building Department • Inspectors Report Date /d 3A Name '`G—cri!/�rc-ice ; Location ?1 C Y4-e-,F-r C Lv.6 Permit No. E 5- ..c6 Weather Remarks Excavation • Footing Forms Footing & Piers Foundation Cement Coat Waterproofing • Backfill • Final Survey • Framing ,t/ tr. • Sheathing Roof Felt Roofing Siding Masonry Veneer • Rough Plbg. 07" ,' Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile \i;/:\ Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors ' Insulation Foundation 'Walls ' Ceiling • Building Inspector RE KS Gwei_ ��� Cam' L"''�i2 ��'��"� TOWN OF•QUEENSBURY Building Department Inspectors Report Date •t3/9'N.5- Name ''7�Gc'4-' "r Location ,Z .,/l/tarz L5' 13e4r . . Permit No. Yc -'S,(p Weather • Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill ? Final Survey Framing Sheathing Roof Felt Roofing // Siding \\//01 Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches i////A \ Finished Floor @� Interior Trim Stairs & Railings Cellar Dr. Tile • Concrete Floors Plbg. Fixtures Gar. Fireproofing I Door Closers Chimney Water Meter Inst. „ _ Septic Approval ({� /' /�(Z i L- Floors Insulation Foundation Walls Ceiling //(7),, ,6-e,,,, Building Inspector REMARKS . 1(17,;71,,...-)- ig le-0'k) il %6 ¢ -- ��i.4. � -IVY,- TOWN OF QUEENSBURY Building Department inspectors Date (9' Name II. d h,e k_ ,5—et-tia ' Location / T 9 G . Permit No. .5--3 �(00 Weather h r►45Qh 6dai,:a.crUi" Remarks Excavation Footing Forms Footing & Piers Foundation // Oic 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 r, Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures / Gar. Fireproofing / Door Closers Chimney Water Meter Inst. ' Septic Approval Floors Insulation Foundation Walls Ceilin Building Inspector REMARKS