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1985-511 C/o Paid CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK r^ �r Date 19 85 , 511 This is to certify+ that wo requested to be done as shown by Permit No. has been completed. This structure may be occupied as a One—Family Dwelling Location Lakeview Drive ( St Na . 13 ) Take Sunnyside _Estates Owner Glens Falls Kiwanis Club ( DOCES ) By Order Town Board ToVA N OF QUEENSBURY Building & Zoning Inspector CREATtWE -IMST4" •RIMTIMG. GLEN•J FAL1.3 M Y T2004 131 OIT��-sass BUILDING PERMIT TOWN OF QUEENSBURY s �- 511 No. WARREN COUNTY, NEW YORK � r� m PERMISSION is hereby granted to Glens Falls Kiwanis Club ( BOCES ) an OWNER of property located at Lot 17 Lakeview Drive ( St . # 13 ) Street, Road or Ave. in the Town of Queensbury, To Construct or place a One-Family Dwelling U' at the above location in accordance to application together with plot plans and other information hereto filed and x approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. O F-�- 1 . OWNER'S Address is Glens Falls , New York C] Cr 2. CONTRACTOR or BU1 LDER'S Name to BOCES n tXJ to 3. CONTRACTOR or BUILDERS Address Dix .Ave . Hudson Falls , New York cn ti 4. ARCHITECT'S Name ct 0 `Z 1� 0 �4 r 5. ARCHITECT'S Address W 0 I C r- t� M 6_ TYPE of Construction — (Please indicate by JU W 7C [D tvl ( X) Wood Frame ( ) Masonry ( } Steel ( 1 G C o N 7. 'PLANS and Specifications 261x641 per plot plan, specifications and � c No_ application submitted including two-car attached garage �. and sewage systema o' rn 8. Proposed Use t2J W One-Family Dwelling pia l rt tD $ 5oOO C/ O Paid r 164 . 00 Apri1 1 19 86 $ PERMIT FEE PAID — THIS PERMIT EXPIRES Y- (it a larger period is required an application for an extension must be made to the Building and Zoning inspector of the FC town of Oueensbury before the expiration data.) C1 Dated art the Town of Queensbury this 11th Day of September 1985 [emu SIGNED BY n for the Town of Queensbury tJQ Building and zoning InspecDvt�ti TOWN OF QUEENSBURY ( Space inside block tir, lxv filled in b% WARREN COUNTY* NEW YORK Building Inspectnr) 1pplicatio„ No. Application for l•c, , I,.e,eKI l9 BUILDING AND ZONING PERMIT I' , ,„ i, ,•:.hire. �- l 7, rrt,r Uisirir, ,_ - THREE ( 3 ) Copies of a PLOT PLAN. Drawn to scale \i 't " "` ccl by showin the actual dimensions of the lot to be built l2t li,.ri'1Cf upon, a exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. f ? ` �ti . ' l nATF TOWN OF QUE6I\1SE3l3fgY A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORT{ Fat r LE Q 1W F ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work % which will be done in accordance with the description, plans and specifi- ,,,��� ,, M. cations, and such special conditions as may be indicated on the permit. A N- Y1 g 41b1 19 The owner of this property is. . IMA .`Pl fP O. AS3Qra E'S51 The person responsibic for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: A03 ac s .l?� ,tcR . , , •�S!' a.s -.- ..�=.ec cs . . . . . �"AME) IyP O AQOE"S51 Name of Builder . . . . . .�G . '.$ . . . . . . . . . . . . . . . . . . . . . . . Address . . i"/ --V . R i.aC M- . �. cA !5%C*1' . . �7 . es. Address Name of Plumber , C�QC.G-.S . . . . . . . . . . . . . . . . . . Name of Mason . - .+9r??9f Far!«�ea . . . . . -s.'7"' . . . . . . - . . - - - Address S w. - .Ic;9 t CS #v y .� Unit . . . . . . . . Estimated value of proposed work S . 7 71 © � ' Lot Number . . . . . - . . . Name of Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . (P.L.1.60S . •OU^ 'y 4M. 60 . �?► . Name of 'StreetI d Side of street: north Cr, east 0 . south d . west (_ Nearest Cross Street . . -+rt •s`✓ .Sftr�a� . . i ram . Distance from this �-rass street . . - �I. CIo . . . . . . . . . . . l;t . Property is north (N. south ❑ , east i i , west ❑ from Cross Street If on Corner, which corner, northeast [3 , northwest ❑ , southeast southwest (Designate by marking with an "X*' in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building, Main BWldtng Addition to a building. One-family dwelling Q Alteration to a building. Two-family dwelling ❑ 0 D -family apartment house 0 emolition of a building. Store building, � ai - - -car attached garage C! Other: . . . . . . , , , . . . . . . . . . . . . . . . . Accessory Building Cane-car detached garage ❑ Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house . . . . . . Private storage building Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. FillilitiCfor new building, or addition to existing building, or a change of occupancy. Indicate on the plot plan street names, the location and 6. size of the property, the location, siiee and setbacks of pro- posed buildings, and the location of all existing buildings. ORTlt LP Show proposed buildings) in dotted line and existing huildi:sg(s) in solid line. Size of property . . . . . It. •Y - - . . ft. x . . , , . . . ft_ Size and use of existing buildings, if any r . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . Size of proposed building . - . '"� �' . . ft. xf . . . ate`. If . . !t. Height ( From grade to ridge) . . . . . .� y. r • • • • . . ft. Front yard . . . . . . . . . . . . . . . . . . . . . . . . Y .l:� . . . . , . . ft. Side vards . . . , , , -A .01 . . . . ft. and . . . . . iaL. 7- . . . • , ft. rj c.ev► r1 S /7 6� Rear yard . . . . . . . . . , .01. eI . . . . . . . . . . . . . . . . . . . . ft. �7T SOUTM If on corner, setback from side street . . . . . . . . . . . . . . . ft. . Note : All distances are eet, as maesstred from street side line to nearest part of building. (OVER) 7 -73 —M (cont'd.) BUILDING SPECIFICATIONS., Kind of construction : Wood frame, fire safe, etc.'? . A' . . . . . . . . . . . . . . . . < < < . Will any second-hand lumber be used? t!1 .'. . ! . . - . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . . . . . . . . 1►s '�-+ fr. . . .t . . . . . . .. . . . . . . . . . . . . . . . . . Thickness . . . . -¢ . . - . . . . . . . . . . Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . . . . . . I - - , . . . . Continuous foundation? Y!9�-S. . . . . Will there he a cellar? . . . . If so, material of cellar floor . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or flat? . , ..S/v. ,t . . . . . . Material of roof . . . . . .4 eft tt. t—rm..- . . . . . . . . . . . . . . . . . . . . . . . . . . . Size, wood studs . . . . . . . . . . . . . . �. . " x spacing _ . . . . . ./.C . .* , . . o.c., iengtlt . . . . . . . . . . . ft. Size, floor beams, 1st floor . . . . . . . . .Q.Z . It x . . . . . . . . . . . . . . . ", spacing . . . . . . ./. � . . , . "o.c., span . . . . ,� .`�. . . . . . . ft_ Size, floor beams, 2nd floor . . . . . . - .� . " x . . . t+ ' . . . . . . . . . ", spacing - . . . . . E d . . '"o.c., span . . . . .f• �" . . . . . . ft. Size, ceiling beams - . . e1r� " x . .ti` � . . . . . . . . . . ". spacing . . . . . . . . . .ti "o.c., span . . . . . . . . e . - , . . ft_ Size, roof rafters or beams . . . . . . . . . eaF " x _ .�! _ . _ . . . _ . . . ", spacing . , . , , . 01 %f . . . . "o.c., span . . . . . . . . . . ft. Exterior finish . . . . with what material? . . . . . . . . . . . . - - . . . . . . . . . . . . , . . . Finish of interior walls . . . , S.*fXrA VV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attach d, of what iaterial is wall tween garage and main building to be constructed? u,/ GTr+ o: c. `. . , . . . . S,rl.'Sc , -F►�-fr . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . 9) Is there to be an opening between rage and building? . . . . qlq)eJe -4 . . . . , . , , , . Kind of heating system . . . . . . . . !4-. . _ . . . . . . . . . . . . . . . . Oil burner or coal? . . . . Will a flue-lifted chimney be provided? AF. . . . . . . . . . . . . Depth of chimney foundation below grade . . . . . . . . . . . Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . . . . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . . . . . . . , . , . . . _ . . . . . . . . . . . . . . Will a toilet be installed? . . . . _ , Will a kitchen sink be installed and connected to water supply? . 1t *74. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply ( public water supply or pump) _ _ . . . t:b�- +. . _ . _ . _ _ . , . . . , . . I _ _ . . . . . . . . . . Distance of cesspool from any private we11 . . . . . . . . . . -� S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . , y"c_3 . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of ANew York I swear that to tr sb+ra►oi my knowledge and belief the statements contained is this application, tayfether with the plans and atpoc_& ations sub- mitted, are a trne and co...plete statement of all proposed work to be done an the described promises and that In via of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied ` .with whctl:ets specified or rat, and that such work is authorized by the owner. f� Sworn to before me this Signature f 4 ..__ �a TT r� �}.. � fSWN R. OWNER" FW , ARCH1Ti:CT. CC3NTRACTC}R ;'�. . . . . . . . .. . . day of . . . . .cam-max„ as-:r .. . 19 . . NOTARY PuBLi C, WARREN COUNTY" N. Y. SPECIAL CONDITIONS OF THE PERMIT; ray .. . . . .. . . . ..... . ... . . .. . . . . . . . . . . . . . .. . . . . ... . . .. . .. . ... ...... .. .. .. 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 areas r 2 . 'Type of heat ] e 1 4::�- 3 . Is the building mechanically cooled ? On 4 . Percentage of area of windows and doors • A . over 16 % Only 1 . UQ 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 - he R value ? 3 . Slab on grade YES NO a . If YES , what is the R value of insul � tlon 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 exngsed to ambient conditions 2 . R value of exterior walls 77 � 3 . R value of glazed area � aG 4 . R value of doors ' 5 . R value of floors over unheated spaces _ 6 . R value of slab edge insulation - unheated slab Y► A 7 . R value of slab insulation me heated slabT � ► 1 8 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement/cellar walls ( below grade ) 14 . Type of insulation f ^hLw �-� C . Controls 1 . Thermostat maximum heat setting // f ' D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installatlon b . R value of duct in other areas E . Plpin2 insulation 1 . Size of hot water or cooling carrying agent ,pipe 2 . R value of pipe insulation F . Service Water Heating r '4r 1 . Performance efficiency L � 2 . Temperature control setting maximumIV f Q G . For Swimming Pool Only 1 . Maximum heating Telephone No . .//. JzEze ( applicant ' s signature TOWN OF C)UFE-NSBURY BUILDING i ZONING DEPARTMENT SETA'AGF DISPOSAL PERMIT APPLICATION - Ourn a r * s Name .S Address Je F S_y N Z-s'4 l Telephone No . 2 . Property location -44 ,�9 3 . Name off per/son or firm responsible for installing system z30rz5SA!J ,+'f'0W-S /�!s ' !7L, f1G�`✓1S Telephone No . 7/ Address d �' �� IAV, Y 4 . Number of bedrooms { residential buildings only} 5 . Daily flow 40�e57-z� cxallons/day 6 . Septic tank capacity � � � gallons 7 . Topography flat ,, rolling , steep slopeJ. .�� r Be Nature of soil and depth -� 9 . If ground water , bedrock or impervious material is .apparent at- what depth does it' begin? 6"4 / /4 �at re ft . 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 1[� �� 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 provided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . Date S' 4ap % 'fir signature of apelicgnt On separate sheet of paper submit a diagramof 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 . ;L � f Form • 3 - s2 r r �� ,/001 S x 9L111 L31NG and ZONING DEPARTMENT Bay and Haviland Road. R.D. i Box 98 pueensbury. New York 12801 i,}�JAA.eS � j)4" f✓ V"AA BUILDING INSPECTORt S REPORT NAME r LOCATION ' i"`z ✓J I/ 1 [.eJ i permit No Date * * * * * * * * * �* �* * * * YES NO APPROVED Footing/Pier Forms Foundation Waterproofing Backf ill Framing Roof ing ti '( siding Masonry Veneer Rough plumbing y.Relief Valves -- --� �- Si,Ext . Porches ..- �.. ) Finished Floors x Interior im '.stairs & R ings a Cellar Drain le Concrete Floor )Kplbg . Fixtures F1 Gar . Fireproofin. :or Closers Smoke Detector LchimneY pINSULATION `XFoundatio Floors Walls Ceiling ON ).FINAL EL E TRICAL IN SPEC DRIVEWAY PPROV Anal Bu ding Suruey�-- ecC3on (call when ready ) t3exk scheduled insp _ 7` � Building Inspector 6/86 and-vl _burn o/ Queenshurr BUILDING and ZONING t)EPARTmENT Bay and Haviland Road. R .D . 1 Box 98 oueensbury, New York 12801 e. G4 c+, !� SEP-V I C DISPOSAL SYSTEM INSPECTION - ` c `' et,^y' 3 LOCAT I ON J: DATE ��� PERMIT NO .� c2- SCI TYPE - Sand - Loam - Clay L fired? YES INC) Percrnlation Test Requ � Xnch Percolation rate Min/ TYPE of SYSTEM: Absorption field . total ler►9 th Length of each trench Depth of trenches Size of grave SEEPAGE PITS�4NUmber f ) - — —�� Size- ft. x _ �...� Gravel size Size Type PIPING = gldg . to tank -�-- Tank to dist . box �_�-- Dist. box to field/pit NO artial Openings sealed? YES LOCAT iON/SEPARATIONS : f t. Foundation to tank Lion ft. Foundation to absorp £t . Absorption to lot line ft. Separation Of pits pgOPERTY (circle one) LDCATIOAI Op SYSTEM aide - Right side Front - Rear Lel CCMMENTS : SYSTEM USE APPROVED Y S NO suildin Inspe for 01/86 and vl _ /Own SUILD1NG and ZONING DEPARTMENT Bay and Haviland Road. R.D.12601BOX 98 Queensbury, NeWSEPTIC DISPOSAL SYSTEM INSPECTION NAME �--- i LOCATION �_ 1 DATE PERMIT No ._ Sand - Loam - Clay �--� - Sum TYPE YES —vo percolation Test Required? percolation rate - Min/inch _ TYPE of Sy'STEMs total length Absorption field , T,ength Of each trench Depth of trenches Size of gravel SEEPAGE PITS Elaumla� r o ` --�- ft. X ft.Gravel size Siz Type plpING Bldg . to tank Tank to list. box Dist. box to field/pi I3t7 partial enings sealed? Y lLd� ,�,oCATrc /SEPARA'PI ft. JU ( 9 ' Foundation to tank sorption ff Foundation to absarp ft . ,Absorption to lot line ft. Separation of pits CH 'PROPERTY (circle one) LOCATI013 OF SYSTF�+It side - Right side - Front . Rear CCbU41 lTS e'j'0'* T-0 .�'Ct� r �� f ,MM +� fJ� C3 ill©`� �`" SYSTEM USE pipp D NO Building =napec r 4 01/86 and vl i TOWN OF QUEENSSURY Building Depu*Rment Rat ate �► Name Laoca�e�a W eolhew Perrtazt No. 1s5 S"► r ' pema rks Bxc"a tion Footi.n Farms Footin & Piers Foundation ,cement Coat Water roofin Backf 11 Final Survey Franlan Sheathin Roof Felt Roo An Siding Masonr veneer Rou h P1 Relief 17alves Wa11 Board rxt . porches Finished Floor Interior Trim Stairs & Raili.n s Cellar Dr . Tile Concrete Floors PI �^iXtures Gar . Fire roofin Door Closers chime Water Meter Insto septic. A roval Floors ��------ Fou d tiynInsulation Walls - Ceilin Building rnspectpr REMARKS TOWN OF +C UEENSBU Y Building Department lagreeLcrrs RetsrJa t Dalte .26 Na:ers L d o LAWCASM Pe rmait Na Mceiment ation root Forms - n & Piers _.._ Foundation - Coat — r waterproofing Ba c.kfi l l -. Final ----_-- Sheathing - - - �-- Roof Felt _ -- Roofingsiding ._..._ Masonry Veneer Rou h Pl I --- Relief ValVes - Ext . Porches Finished Floor Interior Trim Stairs & Railin s -- - Cellar Dr . Tile -•�- ---� --~ - Concrete F.Ioors �--^ ---"" Pl. Fixtures _ mµ Gar . Fire roofing — J BPpr Closers Chimne Water Meter Inst . —•---�- - Septic Approval Floors _ -- Foundation Insulation Walls Ceilin ,13r�ilr3.zng Inspector REMARKS w TOWN OF QUEENSBURY Building- Department Date e0de otp N.�ne Laoc.�t�oa Permk No. waftdaer Remarks Excatra t on Footing Forms Footing & Piers Foundation Cemant Coat water .rnofIn Beckf ii I Final Survey Framing Shea thin Roof Felt Roofin SIdInqr Masonry Veneer Rough P1 bg Relief Valves wall Board Ext , Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors Pl . Fixtures Gar. Fire rooEln Door Closers Chimne water Meter Tnst . Septic APPXOval Floors Insulation Foundation walls _......... — Ceili Building Xns,ectar REMARKS dd Jill- 44 0 Jill, di Jill C� ti 17 - Jill Will f oC 100 Jill •, , Jill r ,l Asa ,h Hy < Jill r / rd x � fil Y x fY � I Jill f �r J, /'J