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1985-233 /n raac CERTIFICATE C]F �p+� Ul'.E�.NCY TOWN OF QUEENSBURY , WARREN COUNTY, NEW YORK n u Dory ►5 S(P Date ; a r,uit "r 15 jig C'. 33 This is to certify that work requested to be dace as shown by Permit No, YI has been completed. {7 . �AYYYIE1r .ti i �n�-T �m i lv Las�:el. � ins* This ss•, •-•,•rc mayoccupiedY11 Vav\R Location Y of 17 E ) e -hanie b ane ( - ter Dr�r�i e cu; c: ivi cr _ _ i"ti^l114 At p4ji ton anc3 L, i1. 1ic-` Tle",Tcrc Owner By order Town Board TOWN OF QUEENSSURY ,r r f !!► Zoning lttspector I r CR«T1 V' " NiT14" PPFINTN4. GL¢in5 IALl3. N V t1sol 154*1793.5058 .. sr .• CERTIFICATE OF OCCUP A.NC X TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK f 19 " Plate This is to certify that work requested to be done as shown by Permit No. i has been completed. This stricture may be occupied as a Location t owner By Order Town Board TOWN OF QUEENSl3[1RY Building & Zoning Inspector Palmer ! ERELTIYE "INfiT/A" PRINTING. G�ENs FALL-s M 'I I Sao 1 f'+ lei 7'S s-SISL _ . BUILDING PERMIT TOWN OF QUEENSBURY Na 85- 233 WARREN COUNTY, NEW Y+ORK PERMISSION is hereby granted to Milton nd Lillie Nevens OWNER of property located at Lot 17 Stephanie Lane V Ft • # 3 3 ) Street. Road or Ave. 0 One-Family 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. trq N- iJ 1 , OWNER'S Address is BoxF'• Glens Falls . New York o H ry {17 'S {Q 2. CONTRACTOR or BUILDER 'S Name tj Ga Same 3. CONTRACTOR or BUILDER'S Address Same N 0 4. ARCHITECT'S Name t r F' J m rt fi. ARCHITECT'S Address tp W "..f r* 6. TYPE of Construction — (Please indicate by X) [D I ] wood Frame I ) Masonry I I Steel JK ) ocr [D 7. PLANS and Specifio gnions No. 24rx481 per plot plan : specifications and application sukinitted including sewage systems S. Proposed Use � iD One-Family Dwelling „y I]s $ 5 . CID C/O Paid i_ F✓ $ $ 4 • [3d - PERMIT FEE PAI ❑ — THIS PERMIT EXPIRES Qec her 1 19 85 (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.) (D Dated at the Town of Queensbury this 24t-h Day of May 19 85 �rqq LO SIGNED BY � L� y `�. for the Town of Queensbury Building and Zoning Inspector v TOWN OF +QUEENSBURY (space inside block tr>n lx• filled 441 bs WARREN COUNTY, NEW YORK Building insIxctor) / �ppl o( atimi No. Application for 1'c 1,T, Et ls_ ttw l � � BUILDING AND ZONING PERMIT Pi --mil l~ xpires - 1q lI I d 0 l)i,,1rit , THREE ( 3 ) Copf*s of a PLOT PLAN, Drawn to scale \j g 1r•< ,E ,•d hV showingg the actual dim*nsions of the lot to be built ]ti rra, r upon, Tha exact six*, and location an the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. ,r DATE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the fallowing work 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 ,prroperty / �y �y ]� 4.L �vrr.y . �. . t .j / 1,�`C . '•+ ... . . fV. � ✓` .^fit . }f . a . . - rPa" tiUrS�ESSs rNA "EY The person responsible: for supervision of the work insofar as the Building Code and the Zoning Ordinance app(v iro: . . . . . . . . . . . . . . . . . . . . . . . . INhME) l.oC ✓'< rw �0 i4[Toii'f SSY Name of Builder - . . .n Z C _4/4 ;v.. . i°.eJ, awl S. . . .,r a .hlc. 'YtJF S Address Name of Plumber . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . - . . . . . . . . . . . . . . . . Nameof Mason . . . . . . . . . . . . . . . . . . . . . . . - Address . . . . . . . - - - - - - . . . . - . - - . . . . . . . . Lot Number . . . .►1. . . . . . . Unit . . . . . . . . . . . . Estimated value of proposed work $ . . . . . . . . Name of Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - Name of Street CCL --k7 . . . . . . . . . . Side of street: north ❑ , east ❑ . south Q • west r Nearest Cross Street U ,rX 4".0 xyL� . . Distance frnm this -rocs street ,{" Property is north ❑ , south east L 1 , west © from Cross Street If on Corner, which corner, northeast 0 . northwest ❑ . southeast ❑ . southwest (Designate by marking with an "X" in the correct space.) , NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Buittling � Addition to a building. One-family dwelling © Alteration to a building. Two-family dwelling Demolition of a building. -family apartment house Store building � . . . . . . . . -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage n Other work. Describe: , . . . . . . . . . . . . . . • • Two-car detached garage E] Private chicken house . . . . . . . . . . . . . . . . . . . I� 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, site and setbacks of pro- 3 posed buildings, and the location of all existing buildings. t+oRrrr Show proposed building(s) in dotted line and existing 7`21 'r a 7e ttuilding(s) in solid line. GC7 r /. �lfs . . . . . Size of property , . IF. . . . . _ , . . . . . it. ft.x Size and use of existing buildings, if any # -•z La Size of proposed building . . . . ft. x ft, v Height (from grade to ridge) . ft. Front yard . ft, Side vards ft. and . . . . i ~ . . . . . . ft. �'. -pe "c'c_ 'r r,• ' - Rear yard 1.© 0 . , , . . . . . . . ft. SOUTH if on corner, setback from side street . . • • • - ft. .Note: All distances are not, as rnedsured from street side line to nearest part of building. (OVER) (cont'd, ) BUILDING SPECIFICATIONS., Kind of construction; Wood frame, fire safe, etc. ? . , , .x- . . . . .M w �/� c-� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will any second-hand lumber used? . . f/f��`f ( . - . . . . If so. for what? . . . . . . . . . . . . . . . : . . . . . . . . . , . . . . . . I . . . . Material of foundation walls .&rP>7c?+W . 3AV4 .fit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . Thickness . . ! . . . . . Depth of foundation wails below grade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . Y .. 5'. . . . Will there be a cellar? _ . _ '!' e c . . . . . . . If so, material of cellar floor _ . C.0 ttc+ Yt t .;rri . . . . . . . . . . . . . . . Type of roof: Sloped or flat? . . . . .slop Material of roof . . . . i�Sf J.ru,l S+'i s :y?y Ile S. . . . . . . . . . . . . . . Size, wood studs . . . . . . . . . . . . . . . . . . . "' x . . . . . . . . . . . . . . . '', spacing . . . . . . . . . . . . . :"O.c., length . . . , . . . .• . . . . . ft. Size, floor beams, Ist floor . . . . . _ . . _ x .1. Q- , - - - . . . . , . . ' , spacing lr rf. . . . . ' p K "o.c., span . . . . J . . . . . . ft. Size, floor beams, 2nd floor . . . . " x - • - - - - - - - - - - - - - ", spacing . - . . . . . . . . . . . "o.c., span . . _ _ . . . . . . . . . . ft. Size, ceiling beams - • " x _ t . . . . . . _ _ . . . ". spacing . . . . . . - . - U "o.c.. span . . . ft. Site, roof rafters or beams .-`F7F[t}9k+o�+ . - " x !rl,riK. , ? r. SS . ", spacing . . . . . . .c T "o.c., span . . . .34A . . . . . . Exterior finish do4O y. A . . . . . . . . . . . . . . . . , . . . . With what material? - . . �0w4. . . . . A . . . . . . . . . . . . . . . Finish of interior walls 4t1f r! i4. far .! h . Y. . . ct 7a.E 1i. tom, . . . . . . . . . . . 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 . . 441'c.G fi. ! 4 . , . Ray..Aaa-*J . . . . . . . Oil burner or coal . Will a flue-lined chimney be provided? . 9 &5t . . , , . . , - Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof . . . . . . . . . . R . . . . . . . - . - . . . . . . . . Will there be a fireplace? . . . . . . . A e�AO . . . . . . . . . . , - . Depth Of fireplace hearth . . . . . . . . . Will a toilet be installed? . . . . . V * b:5 . . . . . . . . . . . . . . . Will a kitchen sink he installed and connected to water supply? . . Vqk$ . . _ . . . . . . . . . . . _ . . . - - - Water supply (public water supply or pump) . . - . x „!gip mo.. ae . tL? "r -T' A` 'e-. . Scrr4'f' . . . . . . . . . . . . . . . , , . . . . � . . _ . _ Distance of cesspool from any private well . . . . . . . NO. .4e! .e, / ( - . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . ' �'.+r - Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to tt jEv.-a i of my knaayledge and belief the statements oemtsined in this application" together with the plans and specifications anb- mitted, are a true and co'A' lete statement of all proposed work to be done an the described premises and that aIl prow tons of the BIIILD- ING CODE, THE ZONING ORDINANCE" and all other laws pertaining to the proposed work shall be complied +wk]6, whether specified or not, and that such work is authorised by the owner, Sworn to before me this Signature .. . . . ` + `.✓- ` t . . . '�� OWNER. OWNER'S AGENT. ARCHITECT. CONTRACTOR day of. . . .. . . . . . .. .. . . 19 . . .. . NOTARY Puot.IC. WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: i By .. . . . ... . . ..... . . . . . . . . . . .... . . . . . . .... .. . .. . . . . . ... . . ..... . . ... . . . . . .. . ...... ... 4 i TOWN OF OUEENSBURY BUILDING & ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION 1 . Owner ' s Name Address 1� t O.X Telephone No . �7 2 . Property location 3 . Name of person or firm responsible for installing system � ! 7,4 ,1 ��,� eh � � , G �J � a Telephone No . _ cr ?a e Address 4 . Number of bedrooms ( residential buildings only) 3 __ 5 . Daily flow_--- ~� gallons/day 6 . Septic tank capacity_ ,',._'�� 7 gallons 7 . Topography : flat , rolling , steep of slope a 4 8 . Nature of soil and depth ` ` . :` 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? f t . 10 . Percolation test : A is required B~ is not required C If required what is the rate minutes/inch 11 . Water supply : municipal , well , other '77 12 . Type of system proposed : drywell , file field , other �r. � � f� 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 $ 250 as provided for in Section 5 . 01d of the Queensbury Sanitary Sewage Ordinance , Date .� � c� 4� .,r� � '� r.l" f s ignat�� applicant cant 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 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 fallowing : 1 . Gross floor area d 2 . Type of heat 3 . Is the building mechanically cooled ? 4e 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 10 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 walls 3 . R value of glazed area ar 4 . R value of doors .� 5 . R value of floors over unheated spaces 60 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 ) lo . Type of insulation.- C . Controls 7 1 . Thermostat maximum heat setting�� Do Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO a , If YES , R value of duct installation be R value of duct in other areas E . piping insulation le Size of hat 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 . ( applicant ' s signature ) TOWN OF +QUEENSBURY Buildiug Derartmeut Name LAWAkfion _ W Ba ther p crsuit No, A S /� i . GYIt"CRemarks Excat'rAa/txon Footin Forms Fcotin & Piers Foundation Cement Coat Water roofin Sgckfi.l l Final Surve Frandn Sheathin Roof Felt R©ofln Siding MasonLr veneer Rou h P3 Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors Pl Fixtures Car, . Fire roof in ,poor Closers Chicane Water Meter Tnst . Se tic A Xoval Floors Foundation on insulation Walls Ceilin u 3ding lrnspector REMARKS w TOWN OF QUEENSSURY an;id us D1ePmstaaent Remarks Exca0atxon Foot Forms Footin & Plers Foundation Cement Coat Water zuofin Sacacfi.23 _ Final curve Frami Sheathin Roof Felt Roof! siding masonr Veneer Rau h P3 - Relief Valves ` W+ ujl Board Ext . Parches ` Finished Floor Interior. Trig+ ' stairs & Rallin s Cellar Dr , Tile Concrete Floors y Pl , Fixtures Gar . Fire roof,in Door Closers C,h nme _ Water Meter Inst * Se tic A royal Floors �-�— Faundation �-- Insulation Walls Cei lid_ r Building Inspector RRMARKS TOWN OF QUEENSSURY Building' pnpartment inspocbws Rgpmt Date D Name oca►#son►,_„ W Bather Permat No.r. Remarks ExcatYa tian Footin r Forms Footin & Piers Foundation Cement coat water roofin Backflll Final curve Fra>rrin Sheathin hoof Felt Roof in Sidin masonru Veneer Rou h PI Relief valves Wali Eoard Ext , Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr , Tile Concrete Floors 1 PI l Fixtures Gar . Fire roofin ,Door Closers chimne Water Meter Xnst . Se tic A royal Floors_ p•oundation �... Insulation Walls Celli �. .� Building T,nspector 1r+rr �N . �Q s� '�'rZ-� ,fir, � ,�►'. Rt*N' REMARKS 1 R J WW1 PILo P i [Z Jo4 cc o"N-ji r4A r+E 1'� 1ri 5rR. M"4014Y DP N #6 $+ xicljeJ f as u pL Ff 1 oDJ� Grn{ xca IIIk,� R `� ► f�F-- 1� It It TOWN OF Q►UEENSBURY Building Department Inape ebwo Report Name 'rhT.G LAacatim T Weather Remarks EXCI0014%It on 11 Foot.inIII Forms Footin r Piers Foundation Cement Coat Water roofing Bc7 ckf].�I Final Survey Framin Sheathin Roof Fel It Roofiri Siding lmasonr Veneer Rough Plb . Relief valves Wall. Board Ext . porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors P,l F .It Fixtures -- Gar . Fire roofin Door Closers Chimne Water Meter Ins t . Se tic A royal Flooxs _ FOi2ndaticYn __.... �. Insulation Walls Ceiling Bu..x ding Inspector I REMARKS / f S "8 O i } 46. S' ! e7 rls f -a ! I I i TOWN OF QUEENSBURY Building Department ld ipect " Repeat Date j . ` Name__ �h , ZTc]y ,•ra ,5dor Loea Lima w Pcorraiot No.._„7 5" -` ~t.�' _ weather Rema rlrs _ SxCatYation ,_ Footing Forms Footing & Piers Foundation R Cement Coat waterproofing Ba ckfi l l _ _ Final Survey Framing Sheathing _ Roof Felt Roofing - Si ding Masonry Veneer Rough Pl Relief valves ti Wall Board Ext . Porches + Finished Floor Tnterior Trim , stairs & Railings Cellar Dx w Tile Concrete Floors Plbg , Fireproofing Fixtures Gar . Fire roofin —^ Door Closers Chimney Water Meter Inst . Se tic Approval - Floors Insulretion Foundation r Walls Ceilingy ?BuiI ing I Yrsbc LqT or R,EMARK.S T TC7Vk1''N OF QUEENSBURY Building- Department Inspectcom Report Date J Location 3" f Parnsit No. __ s - 3. 3 -3 Weather Remarks _ Excat�a tl on Footing Fmooting Forms Footing & Piers Foundation w Cement Coat i_ Waterproofing BacAEill Final Survey Framinfj Shea thin .Roof Fel t Roof-in Siding - Masonry Veneer - Rough Plb . Relief Valves Wall Board Ext , Porches Finished Floor Interior Trim _ Stairs & Railings _ Ce2lar Dr . Tile Concrete Floors PP . Fixtures - Gar. Fireproofing Door Closers Chimney Water Meter Inst . Septic Approval F166rs — Insulation Foundation Walls Ceiling ,Building Inspector REMARKS