1986-200 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 12 1986
( L1 I `/ I 3' 86-200
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as One-Family Dwelling a a$
I Lady Slipper Drive
Location
Anthony and Cathy Shevlin
Owner
By Order Town Board
TOW`NfOF QUEE U Y
/ .
W - -
Budding Zoning Inspector
r
t
T E LI PORARY
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 5 19 86
86-100
This is to certify that work requested to be done as shown by Permit No.
has been completed.
One-Family Dwelling
This structure may be occupied as a
Location Lot 15 Lady Slipper Drive
Owner Anthony and Cathy She lin
TEMPORARY CERTIFICATE OF OCCUPANCY By Order Town Board
FOR 30 DAYS PE'tDING FINAL. ELECTRICAL.
TO OF QUEENSBI}RY1
n'
uM Bui inn b` Wing Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-200
•
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Anthony and Cathy Shevlin
OWNER of property located at Lot 15 Lady Slipper Drive (St.No. 28) Street,Road or Ave.
Peggy Ann Park
Dwelling
in the Town of Queensbury,To Construct or place a One-Family
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.
1. OWNER'S Address 157 Bay St.
Glens Falls, New York n
ri
n
2. CONTRACTOR or BUILDERS Name En
Cif one Construction Co.
F+
3. CONTRACTOR or BUILDERS Address
P. 0.Box 684
Glens Falls, New York
4. ARCHITECT'S Name
rn
n o
• rt
zU'
o 1.fl
5. ARCHITECTS Addressoi
ry
Don.
ro rn
f-
ao
6. TYPE of Constructcn—IPlweirdi®ta by X) •
ro
( it Wood Frame 1 I Masonry ( )Steel ( ) "
ro• ly
T. PLANS and Specifications n
28'x34' one-family dwelling, 22'x24' two-car attached garage sr
No. per plot plan, specifications and application submitted and
Is CI n.(1tng gonn3a Cyarom
8. Proposed Use
One—Family Dwelling
ro
0
6
$5.00 C/O Paid
$ 129.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 1986
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the E
town of Qreentny before the expiration date.)
Dated at the Town of Queensbury this 8th Day of May ig 86 ao
SIGNED BY /',-/44 a • Q for the Town of Queensbury
Bui ing and Zoning Inspector
3`A TOWN OF QUEENSBURY (Spare inside block to Ixw tilled in In
Building Inspector)
WARREN COUNTY, NEW YORK \I j11e ai `t1
Application for Pc.rmn Issued 19
BUILDING AND ZONING PERMIT P,.r ,h }more, Ig
/„i,n,l Ulori.I
UHF ,.i Work if
d
THREE 131 Copies of a PLOT PLAN, Drawn to scale k\],p,
m.rbr
the actual dimensions of the lot to be built
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB- - _ I
MITTED WITH THIS APPLICATION.
q 5 TOWN OF iIZEN —.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK 4 i
ANSWER ALL OF THE FOLLOWING. iy.),i Oy 5 1 P.M.
The undersigned hereby applies for a permit to do the following work A.M. )3 1
which will be done in accordance with the description, plans and specifi- 7j819j1,ry, I, , . I,
cations, and such special conditions as may be indicated on the permit CIO,234fCCLP
The owner of this property is: 157 Bay St . Teens Falls
4n th on;'. .&. C,at.h Y. .6 h.evlin:9 IP0.LOOPESSI
e
an
the
The person responsible for supervision of the work innsoffa,as the xBuilding Code and Falls,nng Ordinance Iv is
Cifone Construction Co . ie 0 ADDPESSI
INeMEI
Name of Builder. . r.i.fo.ne. .Constructi.on. Co.. . . . . .Address P...0.. .1.1 ox. fi n 4., . P.1ens. .P 0.11s .
Name of Plumber Cifone ConstructionA Address
Nerve of Mason Carac co .BBs on y Address Glens- _F al1s — . . .
4 Lot Number 15 Unit Estimated value of proposed work$ 69.,en
Name of Village Dr;✓Q
Name of Street . L.adY . S.l ip.pe.r La^e Side of street: north O, east D. south O. west O
Nearest Cross Street Pe.4 i g.Y. . Ono Road Distance from this 'toss street N.
Property is north ID,south O,east El west O from Cross Street
If on Corner, which comer, northeast ❑, northwest O, southeast Q. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main Building
0 Construction f a new building. One-family dwelling
❑ Additionai t a building. Two-family dwelling ❑
❑ Alteration tof building. . -family apartment house 0
❑ Demolition of a building. Store building ❑
. ..a.‘.-ear attached gauge ❑
Other.
Accessory Building �-
One-car detached garage ❑
❑ Other work. Describe' Two-car detached garage •
El
• chicken house El
• 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-
posed buildings,and the location of an existing buildings.
NORTH Show proposed building(s) in dotted line and existing
huilding(s) in solid line.
Size of property
ft
100 200
x ft.
Size and use of existing buildings, if any
le 1 a Y1.Y. 9.4r.41.4-.
li
le
u M Size of proposed building 25 ft x 34 ft.
•
Height(from grade to ridge) 24 r ft.
Front yard 40 ft.
Side yards . . 2 2 ?.fly ft. and a 2.2_ft.(t
Rear yard 132
SOUTH If on corner,setback from side street
ft.
Note: All distances are net, as measured from street side
fine to nearest part of building.
(OVER)
7-73—M
(cont'd.)
BUILDING SPECIFICATIONS.
Kind of construction: Wood frame, fire safe, etc.' wood
Will any second-hand lumber be used? no for what?
U
Material of foundation walls . .conc.retej�L2re¢J Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? . .yes If so, material of cellar floor
Type of roof: Sloped or flat? Material of roof . $h i n P.1 e s
Size,wood studs 2 & 2 "x . . . &. •
Size, floor beams, 1st floor . . . .2. . "x _ , 1,7 .4 . . . .',spacing .16 o.c., length - ft.
spacing "o.c.,span ft.
Size, floor beams, 2nd floor 2 " x 7,0 ", spacing 16 "o.c.,span
Size, ceiling beams 2 " x 6 ", spacing . .(fp ' p ft
Site, roof rafters or beams 2 "x •• spacing �� .. 'n c., span ft.
v i n 1 "o.c., span ft.
Exterior finish a With what material?
sheetroch k" osu�
Finish of interior walls - ^.Y
If garage is to
b aattached, of what material is wall between garage and main building to be constructed?
o ee 3 /4 hour fire rating
Is there to be an opening between garage and building? door
Kind of heating system electric Oil burner or coal?
Will a flue-lined chimney be provided? Depth of chimney foundation below grade
Height of chimney above roof.
Will there be a fireplace? n° Depth of fireplace hearth
Will a toilet be installed' ' ye s
Will a kitchen sink be installed and connected to water supply?. . . .ye s
Water supply(public water supply or pump) W e ll
Distance of cesspool from any private well feet
Will drainage system be provided with required traps,cleanouts,and vents?
Town of Queenshury 1 AFFIDAVIT
County of Warren
State of New York
I swear that to te page(my know) lief the statements contained in ibis application,together with the plans and specifications sub-
mitted, ere a true d co.i.pplete etateme of all proposed work to be done on the described premises and that an Wens o1 the BUILD-
ING CODE,THE Z NG ORDIN CE,and all other laws pertaining to the reposed�haD be complied with.whether specified or mL
and that such work is au by owner.
Sworn to beforeme this Signature �� �/��[�
/a. N AGE T,eONTRACTOR
ARY PUBLIC, WARREN COO Y. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
•
By
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:
1. Gross floor area 1 -00
2 . Type of heat plpprrio
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
nnnf ..-4D Floor ”-lc
2 . R value of exterior walls P_lo
3 . R value of glazed area 7 .0
4 . R value of doors C15 . 15
5. R value of floors over unheated spaces 719
6. R value of slab edge insulation - unheated slab vnheeteed
7 . R value of slab insulation - heated slab
N. 'A
R . R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10 . Type of insulation Fiber
C. Controls
1 . Thermostat maximum heat setting go°
D. Duct Systems ni /A
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 Insulation
1. Size of hot water or cooling carrying agent pipe
2. R value of pipe insulation
F. Service Water Heating �y
1 . Performance efficiency S c !a
2. Temperature control setting maximum I
G. For Swimming Pool Only _
1 . Maximum heating
Telephone No. 7ao_n747
(applica is signature)
Jown of Queenl4ury
BUILDING and ZONING DEPARTMENT
Bay and Neviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION
Owner's Name 'athy $ Anthony Shevrin Tel.
Address 1$ _ 1'.av ut . , Clens Falls , ' Y 12P01
Person/Firm installing system Cifone Construction Co .
Number of bedrooms (residential only) 3
Total daily flow: (compute @ 150 gal.per bedroom per day)_ 450
Topography: flat - rolling - steep - (circle one) Degree of slope 8
Nature of soils: sand-loam-clay- other- Depth ft.
Ground water-- at what depth? ft.
Bedrock or impervious material--at what depth? ft.
Percolation Test - Not required / Required -Rate min/inch.
Domestic Water Supply - Municipal - Well - Other
IMPORTANT !
On a separate piece of paper , submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from eat domestic water
supply or shore-line of lake, stream, pond or wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size iQO9gal . Se f`� ?q`''kv`i•
Tile field- Length of each trench_ c ft. Total fieldinc ft.
Size of stone # .�
Seepage Pit (s) Number / Size ftX__ft. Size of stone# •
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 provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
5/24P6
S gnature of Applicant Date
01/86 and/vl
Septic System Inspections:
A. All applicationd for septic system installation,
alteration or repair, as required by the Town of
Oueensbury Sanitary Sewage Ordinance, shall be
submitted to the Building Department at least
24 hours before start of construction and shall
include a plot plan shoving:
1) the proposed location of the system
2) location and distance to lot lines
3) location and distance to structures
4) location and distance to any water supply
5) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspecticn and
approval by the Building Inspector. Failure to
comply with this requirement may result in the
uncovering of the system by the ,installer and a
fine of up to $250. 00.
C. An approved copy of the plot plan shall he
available•on the construction site. Failure
to produce said plot plan at time of inspection
may result in an immediate work stoppage.
D. Should unforeseen problems during construction
prevent proper installation, alteration or
repair of an approved system, a new proposal
must be submitted to the Oueensbury Building
Department before further construction .
C G / 14 Ilf 9)8' fl .
flown of QueeMiturry
BUILDING sift ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Dueensbury, New York 12801
Re &A tev {( 144 ' /`
BUILDING INSPECTOR'S REPORT d�sr,
NAME .Ai MI {7N oh4 J` EJ/Ih
I llhlU�
LOCATION j.,dr iS h* d' 5I1ppc. /=,a .
Date /// 3/ X4 Permit No. 86 ' a 4c)
+ * x + + + • * • ✓ * * *
*APPROVED *YES+JNO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs 6 Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls / /
Ceiling C 4 9
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
AI-etc,/ El a /c //‘t/I6.I7 Iifrtlu6
lrarL a(,
Building Inspector
6/86 and-vl
/�VV/1// Jown rt W(uea/�/g6
1 / BUILDING and ZONING DEPARTMENT
// Bay and Haviland Road.J.D. 1 Box 98
Dueensbury, New York 12801
ro
BUILDING INSPECTOR' S OR or.A 1._( / l �t
J
NAME 'GCe U-QAR.y6, —
D
LOCATION j#412i d/. 4) At—
(
Dateto / 2 3 Permit No. gy,'200
100/ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
lyofing n, k
' hSiding Q k
Masonry Veneer
Rgu gh Plumbing o,K
'4Fel ief Valves
xt. Porches n•C
t4j3nished Floors �]
Lt erior Trim r'L'K
',Stairs 6 Railings 6NN7
Cellar Drain Tile
Concrete Floors I
Fixtures / 0
ar. Fireproofing 4•�
r Closers 6
ke Detectors CI
Chimney
1S11LATION:
Foundation
Floors UyL (-4,- tun
Walls
ceiling P
INAL ELECTRICAL INSPECTION
k6 IVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
awn of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
oueensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME JheU fIN ecbuk -
LOCATION
Date/I4/ fG Permit No. VG -*Lod
* * * * * * * * * * * * * * * * * *,,/ * #
= APPROVED - YEq NO *
teRooting/Pier Forms WW1-
Foundation _
Waterproofing _
Backfill ■
Framing
Roofing _
Siding ■
Masonry Veneer
Rough Plumbing Relief Valves _
Ext. Porches _
Finished Floors Interior Trim Stairs 5 Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures _
Gar. Fireproofing =
Door Closers
Smoke Detectors rall111
Chimney
Ioundation: __■
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
C 'LLL. INAtL F` xA 1 A1s R6eT'Y OA�
Next scheduled Inspection(call when ready)
Remarks- -
pi u /Vtio poU+4:° W k ' t)
fri)V 4./0 knati0C- 0-0v56-
Building Inspector
6/86 and-vl
cc
rile7
,/own of Queendtury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR' S REPORT
•
NAME S IA Ct911.\ e (l•
I �zn41 f
LOCATION 5 k,.FW. . S���,w
Date f Permit No. >f - aO0
• x * * * * * * ✓*_ * * * *APPROVED«*YESi kNO• *
Footing/Pier Forms
Foundation
Waterproofing
Backfill
( -Framing bet'3Aire 141 dt ?
Roofing
Siding
1J� onry Veneer (� '.�
ou5l1 Y
gh Plumbing . Jaw^a+s ola
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(calLLl__when ready)?
Remarks- - Q Gitt.„ •
a Q (,A�� ( o-.eQ It.1 a e "C
Building Inspector
6/86 and-vl
1713 �p��own of Queenalury
CU& NHavG and ZONINGandRoad.DER.DPARTMENT1. Box 98
ueensbury, New York 12801
I" u+-
i
BUILDINGG INSPECTOR' Sp R(CO �\
rfrerm
NAME YL µy J- ca-47 TA e If)rl
LOCATION
h(^1-Or/ /Y5. Lad, .Sth/oe) #9'
Date 7 /2y/8(0 Permit No. _ od
* * * « * * * * * *✓*_* APPROVED*-*YES; eNO
Footing/Pier Forms Foundation
Waterproofing e�
I/Backfill Ant
Framing _
Roofing _
Siding _
Masonry Veneer Rough Plumbing _
Relief Valves _
Ext. Porches _
Finished Floors _
Interior Trim Stairs & Railings _
Cellar Drain Tile Concrete Floors Plbg. Fixtures _
Gar. Fireproofing __
Door Closers Smoke Detectors Chimney
INSULATION: --■
Foundation A
Floors -_
Walls _Ceiling ■
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
Building Ins ector
6/86 and-vl
Jown of Queen3Lary
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR'S,,, REPORT
NAME Fit."- Z �tj2
LOCATION �/ �-�/y 1
G%{"
Date 7- / Permit No. IL- .2ao
APPROVx D*- YES y NO
*ooting/Pier Forms p 6 lc
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors .
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors .
Chimney
INSULATION: #
Foundation
Floors •
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspectionkall when ready)
Remarks- -
Building Insp ctor
6/86 and-vl
AiLe
LAT e
Jown of Queendbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC _DII7SPOSAL SYSTEM INSPECTION
NAME A ti t f.1,°1"y / - kQw I 1 nI
LOCATIONLor /5 1 Nfp`P ✓u (Wiz-
DATE %) Al PERMIT NO. 8 (0- 2.o0
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch -
TYPE of SYSTEM: q
Absorption field, total length .�L 60
Length of each trench S 0
Depth of trenches 297
Size of gravel_ #3
SEEPAGE ITS{Number ft
Size- X _ft.
Gravel size _
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank (0 ft7
Foundation to absorption to ft.}
Absorption to lot line /r)ftq--,
Separation of pits ft.
LOCATION pr..SYSTEM ON PROPERTY(circle one)
Front - ear - Left side - Right side -
CCMMENTS:
SYSTEM USE APPROVED at a. NO
Ste
Building Inspec.or'
M 01/86 and vl ,,Ld-GP (L
it
; 10 'Ai I
TOWN OF QUEENSBURY
Building apartment
laapaeaea Rat Date lila
Name i4 &-v Lsil
Location L.t n� �,LA,pLt
Permit No. ills - `doo Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill ✓ Sct Ra.2++ )
Final Survey
Framing •
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves \\\\
Wall Board
Ext. Porches
Finished Floor ,c
Interior Trim /
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Walls
Ceiling
Building Inspector
REMARKS 1 ..7;
3 ur+414J O-€Iitrd c.,oZ P
TOWN OF QUEENSBURY
Building Department
Inspectors Date Yl//o/0 C
Name CI b- - SA "no
Location L SuYOG1L
Permit No. le - nn Weather
Remarks
Excatation ✓ Q•!rL •
Footing Forms
Footing 6 Piers
Foundation
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 /f
Stairs 6 Railings
Cellar Dr. Tile
Concrete Floors
plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Walls
/ Ceiling
If
Boi ?ding Inspector
REMARKS
AO/et-
/ .lo I/O- ,,C
foc
4
0 �
n
4 PIP6
351
•
0 Gait
1000 GAL
22=0 CAR HOUSE , 1i o
f°0X24:0 2$=0X34:0
i
0
I Lor nig
! I I 100