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1985-066 C /c) CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY. NEW YORK� This is to certify that work requested to be done as shown by Per �mit No. has been. completed. � Fa 1ll� JvkrM k nr _ �r _ ly r)v-eI 1 inc This structure may be occupied as a I.C'"'C. (-� L.4Cat'i phCti '� i cam. Owner L-Tc,l:n z ro rc - �,ia E���r3' eeitt -e, By Order Town Board ToV4 N OF QUEENSBURY Building $► Zoning Inspector I CR[ATIVC "IwlTA ' PRIwTIH�. GL EMS FALL3. w Y x2441 Il �DIv4}.14l4 BUILDING PERMIT TOWN OF QUEENSBURY No 85- 66 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to John and Felsia VanLeeuwen Ca OWNER of property located at LOt 9 6 .S S7Camore Drive ( S # $ ) Street, Road or Ave. in the Town of Queensbury, To Construct or place a One-Family Dwell incf at the above location in accordance to application together with plot plans and other information hereto filed and fl, approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. rd t . pwNERSAddressis Clifton Park , New York �'. Ar C SL 2. CONTRACTOR or BUILDER 'S Name L" Valente Builders , Inc . E rn 3. CONTRACTOR or BUILDER'S Address Box 167 Lake Luzerne , N Y . 4. ARCHITECT'S Name d U3 r I rr CFS 5. ARCHITECT'S Address p Cn f] - W 91 O 5- TYPE of Construction — (Please indicate by X) (D (x) Wood Frame I ) Masonry I ) Steel I i tzi t� C 7. PLANS and Specifications ro 24 rx68 r per plot plan , specifications and applicat:io No- Submitted including two-car attached garage and sewage system . 8. Proposed Use � ro One-Family' Dwelling *TJ $ 5 . DQ C/O Paid $ 136 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES October 1 1985 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the � town of Qusensbury before the expiration date.) (gyp F-a Dated at the Town of Queensbury this 28th Day of March 19 85 SIGNED BY !lam C f tJC1 12 w ( y�I?�l for the Town of Queensbury Building and Zonirx,) Inspe TOWN OF CIUEENSBURY (space inside block ick be 1111vil it, b WARREN COUN"1"'9!'. NEW YORK Ruilding lnsptYlor'1 Application Application for1t s:,n iuotl - t'c�t'n; 14 BUILDING AND ZONING PERMIT l'+ pt mil F-shine'. 1 . ZK911 n^ 1)i%trit l �� 01440 �-- THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale \isl rs + +x e•[I Irti• c showingg the actual dimensions of the lot to be built upon, Tlue exact size, and location an the lot of the budding to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION* U <I — 8 ` � W T S r=e 9BURY �ATF -rOvnrra ot'' c�U Da �� A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWINEr. #{ t The undersigned 'hereby applies for a permit to do the following work /r p• which will be done in accordance with the dascriptran, plans and speclft- 8 �tr yc21SJ4 5 cations, and such special conditions as may be indicated on the permit. �"#- "'t ■ 1 ■ 1 ■ , ` The owner of this property is. 'z to kv )C Al :•�..Vt:k Ae4 :�. . l: r�Lf1a .l.["" . 'LC�:- . fP 0, ADORES51 (NA`AE1 The person responsihiew for /sfupervision of the work insofar as/the Building Code andd the Zoning Ordinance apply is t�■~v-r _....e�---. ,"G.. . - - rG'S ryl! ,'�' , i. . -�rf . ra IP +J ADDRESS) �/ Y - - Address / (a - . . Name of Builder . . . . . .�r rr _ . . . . . . . ,�---. 'b G L•:. . ["- . . . . . . . . . . . . . . - Address �*?�S P Name of Plumberr Name of Mason . . . . C??^' c '.4 Address . . . . . . . Estimated value of proposed work S - - . Lot 'Number . . . �.��i . . . . . Chit . . . . . . . , p l'o �� . 2J, . d`sr-t? . . . . . . . . . . . . . . . . . . . . . Name of Village . . . . . . . . . . . . . . . . . . . . 40L. • - . . . . . . . . . . . . . u . . . , . . . . . . . . . . . . Name of ��,' yam - ' : . . . . . . . Side of street : north d, east 0 . south 0 . west ,[ c Street . . . . Nearest Cross Street . , fl�o - -! . . . . . . . . . . . . , Distance from this gross street . . � e./q . . . - - Ft. Property is north , south © , east 'Li , west D from Cross Street If on Corner, •which corner, northeast f.=.l , northwest 0 , southeast L , southwest (Designate by marking with an "X" in the correct space.l NATURE OF PROPOSED WORK OCCUPANCY Main Bui#tifng Construction of a new building. One-family dwelling O Addition to a building. Two-family dwelling Ej Alteration to a building. _family apartment house 0 Demolition of a building. Store building , . - 7 - -car attached garage Other: . . . . . . . . Accessory Building (i One-car detached garage 0 0 Other work. Describe: . . . . . . . . . . . . Two�car detached garage � Private chicken house . . . . . . . . . . . . . . Private storage building Q 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 locations size and setbacks of pro- posed buildings, and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing huilding(s) in solid line. IE Size of property . • / ?. 10t . , . . . . ft. x Size and use of existing buildings, if anyUPS . . . . • • - LU £ r "' Size of proposed building . . . . 7 • . . ft. xr . S �" Height (from grade to ridgelr,. , . . . � � . . . . . . , . . . ft. G 3 . Front yard A . . . . . . . . . . ft. Side vards - .3 .� . . . . . . . _ . ft. and . . . -~ !� . . . . . . . , ft. ft. Rear yard . . . . . . . . . SOUTH If on corner, setback from side street . . . . . . . . . . . . . . . ft. Nate: All distances are nee, as maasured frorn street side fine to nearest part of building. tovern {cont'd. y BUILDING SPECIFICATIONS.. Kind of construction; Wood frame, fire safe, etc.? . . . . . . 4-,T/ Will any second-hand lumber be used? If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . �:< �? ' . :�. . : . . . . . . . . . . . . 'thickness . , . . . - Depth of foundation wails below grade . . . . . . . .` . . . . . . . . . Continuous foundation? . , Xtz.S Will there be a cellar? . . . . fie: u S. If so, material of cellar floor . . . . . . Type of roof: Sloped or flat. . . . . . r' �.-r . . . . . .Material of roof _ . . _ . Y. . - , : . ?L;, * " •?: ` "` t Size, wood studs . - . . . . . . . . . . . . . . . . . . . . . . . . length spacing . . . / . . . . , r o.c., gth . . . . _ ft. Size, floor beams, 1st floor . . . �L° .... . . . _ _ " X . . . r'. '� L . . . . . . . ", spacing . . . . !�. . _ - . . . . "o.c., span floor -• - • - , . ft. Size, floor beams, 2nd .tom_. . . . . . " x . . . r' .�-? . . , . " spacing . - . /. 6 < < . . . . "o.c., span . . . f z . < < . . . . ft. Size, ceiling beams , . . . . . . . . . . . . . . " x . . . _ . . . . . - . , , spacing, , - /. .96 . - "o.c., span ft. SiXe, roof rafters or be ms . , - . . . . . . " x - , - . to , ", spacing , . . �/ p g f. G. . . . . . . - ' ri.c., span . . .!. 5:'� . . . . , . . ft. Exterior finish - . . . .f ' . , . �y' ' r cc�` . . 04 . , P3 ` i Y what material? Finish of interior walls . . . . . . . , , , . .. 7�7" G", _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, f]f what material is wall between} game and sin ding to he constructed? ze Is there to be an opening etwieen ra a ar}d building? - - ^ , °. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . . . . . . . . .4 s r . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . . . . . . . . . . j . . . . . . . . . Will a flue-lined chimney be provided? , - L:T- % . „ - . - Depth of chimney foundation below grade . . . !4 . . . . . . . . . . Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . will there he a fireplace? Cs. `. . . . . . . . . . . . . Depth of fireplace hearth . . . _r' , . . . . . . . Will a toilet be installed? . . . . . . . . . . f. . `. . . . . . '. . . . . . . . . . . . . . . Will a kitchen sink he installed and cone ected to water supply? Water st,pply (public water supply or pump) , . . , . . , - . crt. . 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . .1. . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . _ . , 4 ;2% - Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr jb.rof my knowledge and belief the statements contained in this application, together with the plans and specifications sub- mitted, are a true and on.. pfete statement of all proptwed work w be done on described premt+es and that all �rv+i of the BIIILfy ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to posed wew /j 1 piled th whetl� specified or not, and that such work is authorized by the owner. I - .Sworn to before me this Signature . fJER. OWNER"S ACaEN7, ARCHITECT. CONTRACTOR . . . . dayof. . . . ... . . .. . .. .. . .. .. . . .. .. .. 19 . . .. . NOTARY PUBLIC. WARREN COUwry, N. Y. SPECIAL, CONDITIONS OF THE PERMIT; By .. . . . .... . . . ... .. .. .__. _,_. . . _. . . . . . . . .... . . . . .. . . . .... . . ... . .. . ...... TOWN OF QUEFNSBURY BUILDING & ZONING DEPARTMENT SEVTAGF DISPOSA/L PERMIT APPLICATION Owner " s Name Jv'1 T (2 Address-._ C4 , 4'�, CeTN4- _ �/V z Telephone. No . 2 . Property location s IW •'� 3 . Name of person or firm responsible for installina system _ Vy =�lti'sOJ !Lx ts Telephone No . Address L cb�c-M 2) r go 4 . Number of bedrooms ( residential buildings onXy) 5 . Daily flaw r Qallonsfday 6 . Septic tank capacity I gallons 7 . Topography : flat , rolling , steep % of slope SE!! g- 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 C - is required B is not required C If required what is the rate_ oy"-S minutes,/inch 11 . Water supply : municipal , well , other^ LrsL1 iC i ?rI 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 provid for in section 6 . 010 of the Queensbury 5anitary, Sewage Ordinance . �a Date � � � '� � / � "'f .- r �- '"C�•� - -- -� gnalturd 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 supplyr etc . Include all dimensions of the system itself . f/ 000 Form 3 - 82 II i� �a�'� •' r- TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application fore 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 / �� 0 2 . Type of heat_- c 3 . Is the building mechanically cooled ? 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 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 Be Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. 2 . R value of exterior wallsf 3 . R value of glazed arear/� , 4? 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 we heated slab J- 8 . R value of heated basement / cellar walls ( above grade ) g . R value of heated basement /cellar walls( ( below grade ) 100 Type of insulation . '�/Cfa i' u" q C . Controls 1 . Thermostat maximum heat setting 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 nsulation 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 . 619 �l+ _ a" ` ' ( applicant ' s signature ) _ THE NEW 'YORK BOARD. OF FIRE UNDERWRITERS �002102 BUREAU OF ELECTRICITY , lad 41 STATE STREET, ALBANY, NEW YORK 12207 B00e August 280 1985 Application No. on file 07726 5-85 AV "4{� f�{ 3 1 THIS CERTIFIES THAT _. only the electrical equipmant ae described below and introduced by this applicant naanod on the above application number in the premises of . Mr . John VanLeuren , Sycamore Avenge , Queensburv . New Yo rk in thefollowing location, F1 Basement 0 Ist FT. ❑ 2nd Ff. Section Stock Lot 96 � was examined on 7 /26 / 85 an.dfound to be en compliance with the reylta"ments of this Board. 19XTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS �TACLES SWITCHlS j1W—ANDE$MWj PLLOMIUMNT v AMT. K. W. AMT. K. w, AMT. K.W. A1MT. K. W, AMT. H. P. 28 50 26 28 1 1 . 5 3 Fr . DRYERS FURNACE MOTORS PYTURE AMSANCE FEEDERS SPVC1ALR*VPVj U ME CLOCKS I UNIT HEATERS 1MULT1-OUMT 00AMERS 'AMT. K. W. OIL H, P. GAS H. P. AMT. NO A. W. G. AMT. AMP, AMT. AMPS. TRANS. AMT, H, p. No. OT TEST SYSTEMS .AMT. WATTS ryer JFXV 1 range 3# 6 SERVICE DISCONNECT NO. OP S E R V I C E AMT. AMP. TYPE MSQ 11 ,0 2W T N 3W 9 ,e' 9W 3 X 4W ER I.10� Clc CC. COND. A. W. O. NO. OP HI-LEG A.W- G• NO. OF NELRRAIS A. W.TR PER A' OF CC. , G. Of W. G,. Of NE�L. G. 1 200 CP 1 )C f;! 0 1 2 ! 0 OTHER A"ARArtM 1-- 4 . 5k.w . - Water Heater ElactrIc Beaters : 1- 2 . 5 k . w. I - C . F . C . T . 3- 2 . 0 k . w. 1- Smoke Detector 2- 1 . 5 k. w. 2- 1 . 0 k..w 3-- . 5 k .Trr. w Ray Perryr old State Road �� r 239 Lake Luzernel . New York. 12846 BRANCH .MANAGER Per, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED ITV ANY MANNER. r TOWN OF QUEENSBURY Suildinir Department Report Date 6 r i 7 Name.J41je 4U permit No. Z5'- Ga C� �+ Weather Remarks ExcalYa t on Footing Forms Fcx>tinz & Piers Foundation Cement Coat Waterproofing Sacicfi ll Final Survey Prandnq sheathing Roof Felt Roofin Siding Masonry Veneer Rough Pl Relief Valves Wall Board Ext _ Porches Finished Floor Interior Trim Stairs & Rall.in s Cellar Dr . Tile Concrete Floors PI . Fixtures Car . Fire rogfin Door Closers Chinrne Water Meter Inst , se tic Approval Floors Insulation Founda t.ion Walls calling Building Inspector REMARKS c. TOWN OF QUEENSBURY Building Department Name u�R /c° ✓ri a x2. . Z oog- , r X, /I"�J Uwation a Pernik Noy Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Water roofin Bachfill Final Survey Frajn.Ln Sheathing Roof Felt Roofin Siding WLLC�fo Masonry Veneer poucth Pl Relief Valves Wall. Board Ext . Porches Finished Floor Interior Trim j Stairs & Railin S Cellar Dr . fiile Concrete Floors PI . Fixtures Gar . Fireproofing Door Closers Chimne Water Meter Inst . Septic Approval Floors Insulation Foundation Walls Ceili Bu.il g Snspe for REMARKS TOWN OF QUEENSBURY Building Department hmpacboq Repot Dateill N.sr.e A %i.ocailiroer ALI Peea�t. Neb. Weather Y .�_ 6p , Remarks Excao&a ti on Footing Forms yam ^ Footing & Piers Foundation Cement Coat Water .roofin Backfill Final Survey Framing Sheathing Roof Felt Roofl n Siding Masonry Veneer Rough PlbgI Relief Valves Wall. Board rxt . Porches r Finished Floor Interior Trim f Stairs & Railings Cellar Dr . Tile Concrete Floors PI , Fixtures _ Gar . Fire roofin 270or Closers Chimne Water Meter ` Inst . Septic A roval Floors ~ Ti7sulat.i.on Foundation Walls Ceiling Buildin nspector REMARKS Valente Builders , Inc , _ 1 Route 9N Pride and Workmanship is Lake Luzerne , N. Y . 12846 the Foundation of Our Homes Phone ( 518) 696_ 2689 f 2 ,ter r f� PQ p [� 1 r �� 1 •7it 4 I GL T VA