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85-051 i IFI A►'I'E OF CJC+�LJI C- y +DERT TOWN OF QUEENSSURY WARREN COUNTY , NE'W YORK IJaoe A cY 1 S t 12 19 Sp q, This is to certify that work requested to be done as shown by Permit Trio. has been CAMMpleted. structre may be occuPied as a Location S �.ncia F' arve'yF owner By G]tder Town Boa rovvN OF QuRENSSURY ` Let— Building d Zoning iosP" tOr P/,LL9 M Y nisei 1l ��Tl3•i 8'A• .._. _ .. ... - .. ... C RCAYIVE "' NfT A'" •A/NTNG. 4L6N5 ._ _ . .. .._ _ .. .— .. ".. _ ... .. r = i CERTIFI TOWr4 OF QUEENSBURY WARREN CpUNM NEW YORK tyre 19 Late This is to certify that work requested to be done as shown by Permit Na. has been completed. This structure msy be occupied as a 1- tCrr40- 1 r' ,, ()vmcC OrderC�+�+ r" Order Town Board c c- ..T ' �' . �- n c - ` - TC7V4*TN OF QLJEENSSUfty . Building b Zoning lnsp�tt]r CAE,u,TfY= "INliT+l PFINTIMG. GLEMS FFLWS. TI Y IZ♦!Of {lf E1193-SflE ;- BUILDING PERMIT TOWN OF QUEENSBURY No. R 5- 5ti WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Linda Harvey Lot 3 9 Butternut Drive Street, Road or Ave. OWNER of property located at li fv One—F am i ly Dwelling in the Town of Queensbury, To Construct or place a at the above location in accordance to application together with plot plans and other information hereto filed and H approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. [3, CONTRACTOR ER'S Address is FAD # 1 Box 203 Glens FalISr New 'York TRACTOR or BUI L1]E R'S Name L� Same O Ct c..a �O or BUILDER'S Address t]D same. su r-t- (n n a_ ARCHITECT'S Name ;3 G tz) 5. ARCHITECT'S Address ' (D B. TYPE of Construction — (Please indicate by XI ix) wood Frame l 1 Masonry S I Steel ( } r7. LANS and Specifications 0 26xx64r per plot plan, specifications andNo. application sukxnitted including twf�-car attachedS em . roposed Use One-Family Dvelling ~+ �-c c7 $ 5 . 00 C/O Paid m 164 . 00 PERMIT FEE PAID --- THIS PERMIT EXPIRES October 1 ig $ 5 ~ (Y# a longer period is required an applicax ion 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 Day of Marc 198 5 SIGNED BY Rate,� for the Town of Queensbury Building and Zoning Inspects TOWN OF QUEENSBURY (.Space inside block to Ix- filled in b% WARREN COUNTY, NEW YORK Building; Insfx"(ir) Aispli( atitiu Application for V(' 1?I1S11Issue tl 19 BUILDING AND ZONING PERMIT i'[ I ,,, ii I'.spires 111 . THREE 13 ) Copies of a PLOT PLAN, Drawn to scale 1111II " ` s1 17. showingthe actual dimensions of the lot to be built ]t [ Ir1,11 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. TOWN OF QlUSENSBi-) " /V ;vz 00'AlK- V nnrF A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �,1/AR 1 4 � ANSWER ALL OF THE FOLLOWING. /1.�ile�f"/ ��' �^ The undersigned hereby applies for a permit to do the following work '7I8I9" 1112lairs 1IS16 which will be done in accordance with the description, plans and specifi- mow• ` cations, and such special conditions as may be indicated on the permit. The owner of this property is_ . 4J/.Z?lQ ./ . . . , . L4 . . . . . �7 • /. r . T - . . . . , . !� r!.! �/ f - C3 "� cr l7 /. E' .t/. 7► . t� / f�f. J ./r i'- INA 4E, IP O. ADDAESS1 The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C`a r71::� ' (NAME) {F' O AL7 C7R ES$I Name of Builder . . `? Jl,iAQ� . . . . . . . . . . . . . . Address - - . - . . . Name of Plumber `? a. r".IE;-7. . . . . . . . . . . . . . . - Address . - . . - Name of Mason . . . . . . .1'A.4. . . . . Address Lot Number . . . . . .] ./ Unit . . . . . . . . _ Estimated value of proposed work $ 1 PO./ Q o ,C) , , . . . Name of Village . . . . . . . . . . . . Name of Street . . " , , , . . ''1 G hr? Ir S� c? ti1 + � . . 1`�fZ . •. . . . . . - Side of street : north 0, east 0 , south © . west Nearest Cross Street . . . . V. �``� ~! > �` ` •� - Distance from this toss street Fs . Property is north ❑ , south , east k i west 0 from Cross Street If on Corner, which corner, northeast 0 , northwest ❑ , southeast L, . southwest (Designate by marking with an "X" in the correct space") NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building, Main Ruilding © Addition to a building. One-family dwelling Q Two family dwelling 0 Alteration to a building. 0 famfly apartment house EA Demolition of a building. Stare building 0 -rto0 -car attached garage Other: . . . . . . . . . . . . . . . Accessory Building One-car detached garage FI Other work" Describe: . Two-car detached garage Private chicken house L3 . . . . . . . . . . . . . . . . . . . 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 ne nes, the location and size of the property, the location, site and setbacks of pro- NOR7N posed buildings, and the locatiern of all existing buildings. Show proposed building(s) in dotted line and existing =. %3e' �erlahlpS� t> •c huilding(s) in solid line. - ----- , l l n z " . . . Z�. 2 I r . f t. Size of property ft• x Size and use of existing buildings, if any . . . . . . . y a � F + u 7 ti � ? W Size of proposed building . . . . . ' . . . (t. x . ` . . . . ft. ' ?7 Height ( from grade to ridge) 2 ft. � . . . .0 1 Front yard . . . . . . . . . . . . . . ft, Side v_ aids . . . . -;. . . ft. and . 1c . . . . . _ . . . ft, Rear yard 1 ? .#. . . . . . . . . . . . . . . . . " . it. so u T wt If on corner, setback from side street . . . . . . . . . . . . . . . ft. Note : All distances are nee, as measured from street side line to nearest part of building. (OVIER) 7 -73_AX (con t'd.) BUILDING SPECIFICA.TIONS., Kind of construction: Wood frame, fire safe, etc.? . . . . t' f Will any second-hand lumber be used? k � . . . If so. for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation wails P >�. . '`� . . , . . . . . . . . . Thickness Depth of foundation walls below grade . . . . . . �? �. • . • • . . • . • • • • . - Continuous foundation? . Will there be a cellar? . . . .` � . 1� - _ If so, material of cellar floor . . . <-:4 =?:i': (!� . . . . . . . . . . . . . . . . . �. Type of roof: Sloped or flat? Material of roof . . . . .'��.� b] Jet `�. . . . . . . . - . . . . . Size, wood studs . . . . . . . . . , . . . . . . . . " x . . . . f ", spacing . . . . . . . • . . . . . ft. Size, floor beams, Ist floor . . . - . . " x . . - - .l, CD. ", spacing . . , . . . "o.c., span . . . ,1 . . . . . . . ft. size, floor beams, 2nd floor . . . . . , . . . " x . . . , . ��' . . . . . . ", spacing . . � . �.� . . . "o.c., span . . . . . . . . . . . ft. Size, ceiling beams . . . . . . -T!Z+J.S`r! . it x spacing . . . . . . t5 . "o.c., span . . . 2_] . . . . . . fl. Size, roof rafters or beams x . . . . . . . ", spacing . . . . . . . 2. '-1 it . . . . . . . span u . . . . . ft. Exterior finish . . . . . . . . .0 ,� � i7 A v� 00 Y L , With what material? ' ` . . - 1/'f. Al KL. . . . . . . Finish of interior walls . . , . . . ��.►rF' ? ' ti :1'� - . . . . . . . _ __ . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of who material is wall between garage and main building to be constructed? Is there to be an opening between garage and building? . . ".1A1t5 . . . . . . . . . . . . . . . . . . . . _ . . _ . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . . . . . . . . . . . . . . . . . Oil burner or coal ? . . . . . . . . . . . . . . . . . . . - . , -y' _, c Will a flue-lined chimney be provided. .�� • - �y •� � - Depth of chimney foundation below grade Height of chimney above roof . u . . . . . . . . . . . . . . �} , . _ . . . . . , . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . - :<�> . . . . . . . . . . . . . Depth of fireplace hearth . . . . .. . . . . . . . . . . . . . . . . . . . Will a toilet be installed? . . . . . . .` V� . , , . . , - Will a kitchen sink be installed and connected to water supply? . .` k4S. . . . . . . . . . . . . . . . _ . . . . . . . . . . . . . . _ . . . . . . Water supply { public water supply or pump) N.4 Cs'� , . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . - . .1. ! P. `. .rv-:i % Y'+. : . . . . . . . . . . . . . . . . . . 0 . . . . . . . . . . . . , . . . . , , - feet Will drainage system be provided with required traps, cleanouts, and vents? . . .161 lsal:&. . . . . . . . . . . . . . . . . . . . . . . . . , . - . Town of Queensbury AFI'"IDAVIT County of Warren State of New York I swear that to tr. ,br. 'rof my knowjedge and belief the atlttements contained in this application: tosether with the plans and apecifioatkma sub- mitted, are a true and cu.a. lete statement of all proposed work to be done on the dem bed premraes and that an�r tra of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertains to the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. Sworn to before me this signature / �.' . . . .. . ARCMrTECT, CpNTRACTf7R daX1.14=. NOTAftY PUARREN COUNTY, H. Y. SPECIAL CONDITION6 OF THE PERrdIT: By .. . . . .. . . ._., _.... . . .,.. ... . .... . . . . .. .... .. . . . . . . . .. . . ..... . .... . . ... .. TOWN OF QUESNSBURY BUILDING CONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION ] . Owner ' s Name., _e CZ t" v -:e • Address R V - e .2 i�g x� rP 0 .3 6 y A/ +` 0.rJ'./ ad , & I�. rTrL3 f Telephone No . 2 . ' Property location , 07-7-EA? A Z L � 3 . Name of person or firm responsible for installing system Telephone No . Address 4 . Number of bedrooms ( residential buildings only ) 41 5 . Daily flow. 6r) n Ei aallons/day 6 . septic tank. capacity / Q Q Q gallons 7 . Topography : flat , roll !Dq , steep .w - % of slope 8 . Nature of soil and depth 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? ft . 10 . Percolation test : A is required B is not required 0 -S/Jar +1 & `�5 '�� C If required what is the rate minutes/ inch 11 . Water supply : municipal , well , other V 12 . Type of system proposed. : drywell , the field , other Any contractor , corporation , individual , etco 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 $ 2a0 as provided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . Date_. s tore o app scan 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 . GL � , � -- es c� x Form 3- 82 VT- �' x2 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 : � l 1 . Gross floor area v{ 1 2 . Type of heat 6_ .L6 3 . Is the building mechanically cooled ? 4 . 'Fercentage of area of windows and doors C.7 • y '� A . Over 16 % Only i . 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 ue of roof and floors exposed to ambient conditions TEy!--�-S 2 . R value of exterior walls 3 . R value of glazed area 4 . R value of doors 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 8 . R value of heated basement / cellar walls ( above grade ) 9 . R value of heated basement /cellar walls , ( below grade ) 12> 10 . Type of insulation C . Controls 1 . Thermostat maximum heat setting / lJ 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 777--- E . Piping Insulation 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heatin 0/ 1 . Performance efficiency J may 2 . Temperature control setting maximum C� G . For Swimming Pool Only 1 . Maximum heating Telephone No . �licant ' s -ature ) TOWN OF Qdft4SSU LR 8n0.1dia; DePsrts&ent coo o t� �-�-�r, r ■ ReMarkS Excas�a tiLon Footin Forms lrootin & Piers Foundation cement Coat 'rater roofin Baakfi.1-+2 pinal Sur' aTrarniTi Sheathin Roof Fe2 t y, Roofi.n Si.din masonr Veneer Itou h PI - Relief Valves Wall Board v ' Sxt , porches Finished Floor Interior Trim Stairs & Railin s Cellar Tar . Tile Concrete Floors Pl . Fixtures Gar , Fire roofin poor Closers Chimne nsto Water Meter Se. ,tic A royvalal Floors Fo i n - znsulation Walla CeCei�. --__ -�- it ing Inspector ,REMARKS TOWN 0j: QUEENSSURY Suolaing DoP*rtment -ol / I' "-r I.Spect"S ct r• k/ e Name x— ' `� e.-n � J 1 Loci pit No. Weather Remarks ' Eaxcatyat1on - Footin Forms Fill & Piers - Foundation Cement Coat Water roofin __- Backfi ll Final survey _ Framin Shea thi n _ Roof Felt Roofin Siding Masonr veneer Rau h PI Relief Valves Wall Board ✓ Ext . Parches $ ! Finished Floor 1l Interior TrI-M Stairs & Rai. lin S _ Cellar nr . Tile - concrete Floors PI, Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst . Se ti.0 A roval Floors Folunda bran - ---- Insulation Walls - --~-- Cei l i" P, C Sui3 ng Inspector, REMARKS ''off' � �L THE NEW BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY AS STATE. 'STREET. ALSANY. NEW YQRK 12207 air 2 T 1985 Application No. on file 076345- 95 July Date Introduced by the epplicaat narPRed on the above appl�tio'"` P�PPzber in the premises Of THIS CERTIFIES THAT only the electrical equipment as described below orb NII York wry Barvey Butternut Hi11 Dri.�e � Glens Fa1�8 , Log; �1 Section Block Basement lat Fl. 2nd Fi. CyutB�de in thefollowing and found to be in carnplience 'Lcith the regTa Location; irements of this Board. B ,was examined on RANGES DECKS OVENS DISH WA5HER8 EXHAUST VANS 6 'FIXTURES ACLES SWITOIES AMT. K. W. AMT. K- W. AMT. K.W. AMT. K.W. QT,ITtETS pt.SCEW FLia..:.E5C N7 V 29 37 27 UNIT HEATERS MULTI b7TOM -OU►L!'f DWINIERS MIURE APPUANCE PEEDERS SPE'V R[+C'IT TOMCLOCK5 RAN NO 01�FEE5"t .'uAT. WATTS DRYERS PURN►LCE MOTORS AMT. AMPS TRANS. AMT, H. P. GAS H. P. AMT. NI?. A.W. C., AMT. AMP. wMT. K. W. CRL 1 P,+ E T V .. $ 1 E R A.W. G. N0. [7F NEVnML.4 OP NN1TRAl SERVICE DISCONNECT ND.OP r+0, CfF cc. coNM A.W. G. No. OF H1-1Tc pF >ai-LEG X 2W 1 X 3W 3 0 3W 3 X 4W PERM OF CC- AMT. AMP. TM Emir. 4 •0 1 ; y LVV OTHER APPARATUS: Electric RcK= Beaters : 1- 2 ['J k .w6 5- 1 . 25 k.w. 2- 1 . 6 k.w. ? Smoke DeteCtOrs 3- . 75 k.wr. TION FEE a Gary Rabe -t Harvey BRANCH MANAGER _ Ive ID02 Box 203 i3r i�c 3 2801 +dens FAi10 P N&W Y pdONE DEPARTMENT, THIS COPY OF CERTIFICATE MUST COPY FOR BUILDING NOT BE ALTERED IN ANY MANNER. _ TOWf4 OF CkuEemSBURy Daft ha weather PemarkS ExcaSYa tYon Fraotin Forms + Footin 6 piers Foundation Cement Coat Water roofin gackf.ill Final Surve Fxamin Sheathin Roof Felt Roofin Siding veneer Masonr Rou h Pl Relief valves Wall shard gxt . Porches iished Tri°r Fn Interior S.t,airs & Railan s Cellar Dr . Tile Concrete Floors Fixtures P 2 Fire roofin �oox Closers C]2.i mne Meter Inst Water l Se tic royal Floors Insulation ATs21S Ceilin Bulding Inspector REMARKS TOWM Or' QUE'E"SBURY suildins Departmcut LIS ems. I W �� Forst 1W�• Remarks ExcacYa t ion Footin Forms n & Piers Foot% Foundation Cement Coat Water roofin ' gackfiii Final Surve Fra,uarl Jill Eheathin Roof Felt Roofin Siding Masonx veneer ROu h P1 Relief valves Wail. Board Fxt , Porches will Jill Jill , Finished Floor Interior Trim ,stairs & Pall s Cellar pr . Tile Cncrete Fillo Fixtures Gar . Fire x,7ofin for Closers Jill Chimne Water Mete roval . Se tic ► Floors �--� - Foundation Way� �r rnsu=anon Ceili ing Inr Euil REMARKS TOWN OF QUEENSSURY Building Department Date 7 NameLAWMfiM Permit No. `" Remarks Excava tlon Foot.I Forms Footin & Piers Founda t.i on Cement Coat Water roo.fin Backfi l l Final Surve IME Frarr+i-n Shea thin Roof Felt Roofing siding masonr veneer Rou h Pl Relief valves Wall Board Ext . Porches Finished Floor Interior Trim s Stairs & Rallin s Cellar TJr - Tile Concrete Floors PI r . Fixtures Gar . Fire roofin .. poor Closers Chimne Water ,Deter Inst . Se tic A roval Floors Foundation ..... Insulation Wal1�----� �.— ------' ceilin _ ----�-� Baildingr Sn spec Ce r REMARIC�� , � encoc;p ape" TOWN OF QUEENSBURY Building Department Lmapacbw a Repcw t, Date canna Na. _S Srl •—. wredr,tl�er Remarks ExcaoPa is on Footing Forms Footing & Piers Foundation Cement Coat Wa ter roof.i n Backfi 21 Final Surve Framing Sheathing Roof Felt Roo.fingr Siding Nasonr Veneer Rough P3 Relief ValRallings Wall Boar Ext . Porc Finished Interior Stairs & Cellar JDrConcrete P1 . Fix Gar . Fireproofing Door Closers Chimney Water Meter Inst . Septic A royal Floors Insulation Foundation _....__ Walls Ceili.n Building Tnspector REMARKS 9 �01