1986-142 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. 86-142
has been completed.
This structure may be occupied as a Family room addition to one family dwellin
Location Lot 36 Lady Slipper Drive
Owner Yury Yefimenko
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY 86-142
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Yury Yefimenko
OWNER of property lasted at Lot 36 Lady Slipper Drive
Street,Road or Ave.
in the Town of Queensbury,To Construct or places Addition to dwelling (family room)
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. "''
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1. OWNERS Address is RD #2
N•
Glens Falls, New York m
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2. CONTRACTOR or BUILDERS Name
same
3. CONTRACTOR or BUILDER'S Address
same
4. ARCHITECTS Name t"
rf
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6. ARCHITECT'S Address
4
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6. TYPE of Construction—(Please indicate by XI roN
m
1 xl Wood Frame ( 1 Masonry 1 16ta1 1 1
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7. PLANS end SpecIfimtions
No. 161x201 per plot plan, specifications and application submitted
8. Proposed Use
One-Family Dwelling (family room added) a
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H.
$5.00 C/O Paid Hi °a
S 14.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 1 ig 86 ro
1/44
a.
(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 Oueensbury before the expiration date.) 0 0
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Dated at the Town of Queensbury this 22nd Day of April Tg 86 .. p
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SIGNED BY 6 ,) for the Town of Queensbury
Building and Zoning Inspector '�
TOWN OF QUEENSBURY
(Spare inside block to Iw lit led in by
WARREN COUNTY, NEW YORK Building Inspector/
Application for \iilo:mo No. •
forum hailed 19
BUILDING AND ZONING PERMIT P, nnit F spire.. In
toning bi.Iri.I
s; dor id Work I wT� /
One copy of a PLOT PLAN, Drawn to scale spl,rm !Ales,sl by Ales AMt '
showing the actual dimensions of the lot to be built Ihnrn Kf
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION,
SOWNr. p : :_rsts--.. . ..
DATE '
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK nQp '
APR 1 4 .':a dI go°
ANSWER ALL OF THE FOLLOWING. AM. l c• 4. VP G 1c
.M
The undersigned hereby applies for a permit to do the following work 718191 t I I ^11 21 31 41 5 1d
which will be done in accordance with the description, plans and specifi•
cations, and suck special conditions as may be indicated on the permit.
The owner of this pro ray is: Y e F I hR"e h IC C' R d -k
yJikv . 4cFf/ueN,C9 I A.Jj4 Sl--iPee g JD0I VC
wa,4F.i
lRo ADDRESS'
The person responsible for supervision of the work insofar as the Building Code
and the Zoning Ordinance apply i.:
Yu.R?. . .YEFim5NKO
IMAME) IP0 ADDRESS'
Name of Builder 5h616 Address {-ADr. . .St Peed ?2(UR
Name of Plumber NA- Address
Name of Mason 5 Is9F Address
Lot Number 3�' Unit Estimated value of proposed work S 70 r,O
Name of Village CC V G ti' •C 2-+''tiA y
Name of Street t-�7 Y suet'P�/Z Nearest Cross Street rL (s�� ik� Side of street: north 0, nit 0, south 0. west 0
. Distance from this rross street - Ft.
Property is north ❑,south 0,east i a, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest 0, southeast Q. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ 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 ❑
-car attached gange 0
Other:
Accessory Building
One-car detached garage ❑
❑ Other work. Describe Two-car detached garage • a-
Private chicken house ❑
Private storage building 0
Other:
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of oaupancy.
Indicate on the plot plan street names, the location and
size of the property, the location, site and setbacks of pro-
MOATS posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
'Mu Iwilding(s) in solid line.
Size of progeny . . . .a. .bta ft. a f 'ft ft.
--ISize and use of existing buildings, if any . . A 2 Co
`} .v......v..... <
e r " Size of proposed building ( �' ft a Z "
W j ft.
�. Height(from grade to ridge) ft.
`.) Front yard (rot ft.
Side yards GG ft. end 9 L ft.
Rear yard 2 .1 ft.
SOUTH if on corner,setback from side street . . . .6.4 ft.
Note: All distances are net, es measured from street side
line to nearest pars of building.
(OVER)
7-73—M
Irnm'd.)
BUILDING SPECIFICATIONS.
Kind of construction: Wood frame, fire safe,etc.?. . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? N-1) If so, for what'f-G r
Material of foundation walls
k)L.E 1. C 0t-V C(C c- thickness
Depth of foundation walls below grade S- ' ela 't RAw: 50410- Continuous foundation?
Will there be a cellar? lx1 o LI so,material of cellar floor
Type of roof: Sloped or flat? 5' %I '-a Material of roof Ft 8 -CA-4 SS
Size,wood studs 2. ri 4 " a l.6 " spacing al" "o.c., length. . . . .c4 :. . . ft.
Size,floor beams, 1st Boor . 2?L..(Z . ."x I " spacing f8 it "o.c.,span /5,f ft.
Size, floor beams, nd floor — " x " spacing "a c , span ft.
Size,ceiling beams "x ", spacing "o c , span ft.
Site, roof rafters or beams "I " spacing "o.c., span ft.
Exterior finish 5 1Al V& 1' VVJ4-'J n C i Y/4/C- With what material?
Finish of interior walls. . . . . . . . . . . . . . . . . . .
If garage is to be attached,of what material is wall between garage and main budding to be constructed?
Is there to be an opening between Sara a and building? Ni/t
Kind of heating system c- L C%7�%t(-' Oil burner or coal?
Will a flue-lined chimney be provided? ,N ' Depth of chimney foundation below grade Nr
Height of chimney above roof rf
Will there be a fireplace? kQ Depth of fireplace hearth . . . . id/4
Will a toilet be installed' ' IRO
Will a kitchen a I k be installed and connected to water supply? 09.6
Water suppl ater supply or pump)
Distance of cest ? tom any private well NIA feet
Will drainage system be provided with required traps, cleanouts, and vents? !y'1 Lk
AFFIDAVIT
Town of Queerlsbury
County of Warren
State of New York '
I swear that to is bead my knowledge and belief the statements contained in this application,together with the plan and spedficatiom sub-
mitted, lire a true and co...pieta statement of all proposed work u be done on the described presumes and that all provision'of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the prypomd k shall he complied wit,whether specified or not,
and that such work is authorized by the owner. !! ffllll� o. 1
Sworn to before me this Signature `�o NEWS AGENT.ARCHITECT.
OWN aARCHITECT.CONTRACTOR
19 _. _. day of h PR A- _ . 19 SG
NOTARY PUBLIC. WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
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