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1985-624 i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK N�irs 3 Date .7 v . 19 This is to certify that work requested to be done as shown by Permit No. ^ has been completed. �� ,.L]�'v�,11�V'( Lmcdttt") ,r"�.p E" _-T'�' ?"" l � tr ';`7[•'P � 1 =L I'1 ( rn r�c' i� lar . This structure may occupied as a 33 `.:phanie. Lr� Location S r 1 E t F 1 la r i c I, i i c t ^' n . '• 3 ! Owner .•c"�.TTi �}2C'1 1`!f'E`� �C By Order Town Board /J "Tt`]WN OF QUEENS13VRY Y ' Building & Zoning Inspector CMKATIVM -INSTw" VNIMTIM6, aLCMS iwLLL. M r IY.Ox 13 xplvs 3-as5. - ti TEMPORARY CERTIFICATE f]F C]C(,�...LJPA.N CY TOWN OF +QUEENSBURY WARREN {COUNTY, NEW YORK Date Sept . 24 19 86 This is to certify that work requested to be done as shown by Permit No. 85-624 has been completed. One—Family Modular Dwelling This structure may be occupied as a Lot 16 Stephanie Lane (St . No . 31 ) Location Owner Lamplf gh t er Homer 'TEIVOIiA.RY CERTIFICATE OF OCCUPANCY FOR 30 DAYS * By Order Town Board TOWN OF QUEENSBURY Building & Zoning fizsctor BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 624 WARREN COUNTY• NEW YORK l� Y PERMISSION is hereby granted to Lamplighter Homes OWNER of property located at Lot 16 Stephanie Lane ( St . # 31 ) Street, Road or Ave. in the Town of Queensbury, To Constructor place a ONE FAMILY DWELLING (MODULAR) � 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. M 1 . OWNER'S Address is RD # 2 Fort Edward , New York 12828 2_ CONTRACTOR or BUILDER'S Name Same t+ 3. CONTRACTOR or BUIL.DER•S Address En rt- rt Same +- a z 0 En 4. ARCHITECT'S Name H' (D w F'C7 F-� 5. ARCHITECT'S Address (D (D L0i iL N 6. TYPE of Construction — IPlease indicate by X) I M.Wood Frame I ) Masonry i ) Steel C ) 7. PLANS and Specifications 26rx651 per plot plan , specifications and application Ea No. submitted S.ncluding lk car attached garage and sewage (MD S. Proposed Use THE ATTACHMENT OF THE TWO FARTS MUST BE APPROVED BYJA � LICENSED PROFESSIONAL ENGINEER . One—Family Dwelling $ 5000 C/O Paid o 86 $ 94 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 1 19 C l-r (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the pl town of Oueensbury before the expiration date.) C7 24th October 19 85 Dated at the Town of Queensbury this Day of (D I—' STONED BY , ],,�►�s . for the Town of Queensbury Building and Zoning Irtspeetor TOWN OF QUEENSBURY (space inside block to 1x• filled it, b% WARREN COUNTY. NEW YORK Building Innipmloor) ApplApplication for P(.1-11il I Isollsued •;s,. S'c•rniil S�.ucKl 19 BUILDING AND ZONING PERMIT I'vi mil Fxpires lq Wstrit l THREE ( 3 ) Copies of a PLOT PLAN. brawn to scale 214i"! the actual dimensions of the lot to be builte exact sere. and location on the lot of the p t iy. � to SZ to 6e erected or altered MUST BE SUB- MITTED WITH THIS /1PPLlCATIOI+l. ' � l-r." — � _"� Ir6 ��. �. . !f/' -s�"" yJ "�G► 'I',i �({d��yF �QU[�jE:E[�t1tN�] SBR..I in RY[R IE 10" IE 0V E A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK OCT 17 1986 ANSWER ALL OF THE FOLLOWING, L The undersigned hereby applies for a permit to do the following work . w 4 5 6 which will 6e done in accordance with the description, plans and spec - , , w , , cations. and such special conditions as may be indicated on the permit. (J A r E fr The owner of this property is: / ,,tea' n. f?. A .4 . + ` . T�? � . . .�"`f . _� . . . " 12 .U_ . . 2n - fNA'•:I 1 IF Q. ADDRESS) The person responsible for supervision of the work insofar as the BmIding Code and the Zoning Ordinance apply is. A £ . . .. La .e ,L` S t A r-. A- f ''� Ip O AQORE SSI SNAMEI & q� l . Address rZt. " ..d Name of Builder . ZA -ear i. /. . G . #,!.Tr - . . . rt', . . . . . Name of Plumber . L.4x+•t .#? if. �+ MT.c.� . - . . ,ylv .'y7 r-s . . , . . . . . Address . Q _fit.. - 2� Name of Mason Z t>.L . /r. .Vvic) 6 -e :�7 1 . . . . Address ..�'�'J Lot Number . . • � b. . Unit . . . . . . . - . . . . Estimated value of proposed work 3 . . CFj• ' • • . . " " Nameof Village . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street7"7 �. "� '. t° . e.'gn .F Side of street: north ❑ . east 0 . south 0 . west ❑ jr Nearest Cross Street F'• • 1� ^ • .mil . Distance from this ^ross street . S F� Property is north . south ❑ , east a, , west ❑ from Crass Street If on Corner, which corner, northeast V . northwest ❑ , southeast 0 , southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main Building Construction a# anew building. L7ne-family dwelling 0 Addition to a building. Twcrfamiiy dwelling 0 Alteration to a building. - - . r -Family apartment house © Demolition of a building. Store building - - 0 le;05-z' - Acar attached garage Other: Accessory Building One-car detached garage f y Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house • • • - • . . ' ' Private storage 'building CD {Other, , , . . . 7t�-agn►rri� r` . . . 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. sine and setbacks of pro- posed buildings, and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing it e tkuilding(s) in solid line. f Y Size of property . . . t. x . . 19.!. . ft. � Av� a Size and use of existing buil ings, if any , . . . 1 .� . . . . . . . . . . u . . . . . . � y w wi w Size of proposed building . . . ' . . . ftYx ft. fi height (from grade to ridge) `-'• . . . . . . . . . . . . ft. Front yard . . . . . . . . _ . . _.ems=3 . . . . . . . . . . . . . . . . . . ft. Y Side vards - f �x . . . . . . ft. and . r. . r! . - . . r . ft. . 'r tn. jf a Rear yard . . . . . . . .r. !. :'�. . . . . . . . . . . . . . . . . . . . . . ft. SOUTHIf on corner, setback from side street . . . . . . . . . . . . . . , ft. Note : All diseances are net, as measured from street side line to nearest fart of building. (OVER, 7 -73—M r (cont'd.) BUILDING SPECIFICA"TIONS., Kind of construction : Wood frame, fire safe, etc.? . Will any second-hand lumber be used? . , .pj J .c7 , . . - . . . . If so, for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . - L a ..>! C ,/? .E . + E' , . . . . , . . . . , . . . . . . . . . . . . . . Thickness < < . . . jP.' . Depth of foundation walls below gr de . . . . . !ry . �. . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . . . _. . . Will there be a cellar? - f,� *' If so, material of cellar floor . . .G .. t .K .),P. . . Type p . , . . - . . . 4I , . . .1`3 S .P.1�+4 I.7 . . c�`l�r !�. G ,/ 4:1 J 'T of roof: Sloped or flat. . . 5.��. � . .�? � . - - . . - Material of roof . � �,,:: . Size. wood studs . . . . . . . . . . . . . . . . . . " x . . . . 4 . . . . . . . . - " spacing . . . ! fs'r . . . . , . . .'"a.c_, length . . . . . . . . ft- Size, floor beams, Ist floor . . . . 2. , . . . . " x . - , . . / c? . . - . , . ", spacing . . . , rr . . . . _ . . "o.c., span . . . . . 1. 3 . . . , , ft_ Size, floor beams, 2nd floor - , . . . . . . . , " x . . . . . . . . . . . . . ", spacing . . . . . . . . _ . . . , , "o_c., span . . . . . . . . . ft. Size, ceiling beams . . . . . . . .. 1' . . , . . , . " x , , . . . . `�'` . . . . . . . ", spacing . . . . r?-.5e". . . . "o.c_, span . . . . . I . :a . . . . . ft. Site, roof rafters or beams . . . . . 'Z . . . . . " x spacing . . - .Y'. . . . . . ..o.c., span . . . . ,lJK-. Ft_ Exterior finish . . .v4I r* . 1./. . . .. J.406Ww 6. . . . L:rg.J& . . . . . . . - - . With what material ? _4Ih. . . . . . . . . . . . . . . . Finish of interior walls , _ , _ . . . . .'S t-lz. -e. I . !r is & . . . . .. . . . . . . . . . if garage is to be attached, of what material is wall between garage and main building to be constructed? - - - - I . . . . , , . .,;:2X .dp. . . &4 . . F +? v-% W"P -re II . I %5� k. e. eTr2vC__� /c.. . . . . Is there to be an opening between garage and building? . . . . . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . - . � le .� . �Y+Y4 i— . . . . . . . . . . . . . . . . Oil burner or coal? . _ . . _ . . . . . . . . . , . . . . , , . . . . . . .W . Will a flue-lined chimney be provided? . . . - . . - - . _ . - Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof . . . . . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . Will there be a fireplace? . . . . . . . rv. .r?. . . . . . . . . . . . . Depth of fireplace hearth , . . . , . . . . . . . . . . . . . . , . . . . . . . . . . . . Will a toilet be installed? . . . . . . . Wj . VW ,-? . . . . , . . . . . . '. . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supply? . . . , . . .y . C�_ 3, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . RtW, .,6 ( I .(7 .. . . . . . Distance of cesspool from any private well . . . .r)� P4 dA-7." r. . . . . . .fO1# jl /, . Ap.%f. , - . feet Will drainage system be provided with required traps, cleanouts, and vents? . . . . � . 4�, . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury � AFFIDAVIT County of Warren State of New York I swear that to tr. jWa+of my know,tedge and belief the statements contained in this application, together with thepLam and apecificatious soh- mitted, are a true and no.:. late statement of all proposed work to be done on the described premises and that all of the BUILD,ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the pro work shall be complied whether specified or not, and that such work is authorized by e owner. th Swam to before me this Signature :ENT, w: mod DWNER. OW R'SAGENT, AaCIiITECT, C� TRAW C�O dayof. . . . .. .. . ... . . .. . . . .. . . .... .. . . . . ... . . .... . ... 19. . .. . . /Z' i ,r ✓ NOTARY PUBLIC. WARREN COUNTY, 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 2 . Type of heat f 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 N O 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 1-14 � a . R value of insulation 4 5 . Type of insulation .B . Under Only 1 . R value ue of roof and .'Floors exposed to ambient conditions 2 . R value of exterior walls 3 . R value of glazed area 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 - heated slab 8 . R value of heated basement / cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) 10 . 'type of insulation C . Controls r 1 . Thermostat maximum heat setting ' s , p . Duct Systems 7) 1 . Is duct system installed in unheated spaces ? YES NO,f a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation r 1 . Size of hot water or cooling carrying agent. pipe A 2 . R value of pipe insulation F . Service Water Heatingy� 1 . Performance efficiency 2 . Temperature control setting maximum t � L) G . For Swimming Pool Only 1 . Maximum heating Telephone N o . ( applicant ' s sign ture )f- TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SEF?AGF DISPOSAL PERMIT APPLICATION 1 . Owner ' s Name Address '? 5:5 L Telephone No . .w 3 ( 2 . Property location 4 T� 1"I A ,. ? G� A {•� u r . I r -'= Y 3 . Name of person or firm responsible for installing system Telephone into . "7 9' Address 4 . Number of bedrooms ( residential buildings only ) 5 . Daily flow. + 570 _ <Tallons/day 6 . Septic tank capacity / +9r-i) gallons 7 . Topography : flat , rolling , steep % of slope 8 . Nature of soil and depth �" , J 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? AIX ,4l'i:�;P*q r?ep IT ft . l0 . Percolation test : A is required B is not required PJO� �F Qur12e �7 C If required what is the rate minutes/inch ll . Water supply : municipal,, well , other 12 . Type of system proposed : /drywell ' the 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 l ri - i 4�� signature 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 supply , etc . Include all dimensions of the system itself . Form 3 - 82 ✓Pwrt P �!lP12lt � �Llrf� SUILDiNG and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date / jig permi 2 t No . $� " �e APPROVED - YES NO Faoting/Pier Forms Foundation waterproofing Backf it l Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors plbg . Fixtures y( Gar . Fireproofing Door Closers Smoke 'Detectors Chimney INSULATION: Foundation Floors wa l l Ceiling F INAI, 'ELECTRICAL II3 SPECTI(7N - -�- DRIVEWAY APPROV Final Building Survey Next scheduled inspection (,all when ready ) Remark s- ` o Buil ing Inspector 6/s6 and-vl 00000 . /k� q 3- . 7 BUILDING and ZONING DEPARTMENT Bay and Havifand Road, I .D. i Box 98 ,r +Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION L Q �' 4z •��'� m �• Date l ,^/ ?G• Permit No , APPROVED YES *NO Footing/Pler Porn's Foundation Waterproofing gackfill 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 V.Door Closers Smoke Detectors chimney INSULATION : Foundation Floors Walls ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAT.� Final Building Survey Next scheduled inspection (call when ready ) Remarks- fn o . Building Inspector 6/86 and-VI ;� r _.I'ouvre v� '�ueerrshur� BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R.D. 1 Box 98 Queensbury, New York 12801 WILDING INSPECTOR ' S REPORT NAME LOCATION iI'= Lo Date ' /-� Permit No . r�q ✓ = APPROVED - YES NO Foot! ,/Pier rms Foundation Waterproofing Backfill �'rami ng Roof ing &fiding Masonry Veneer Rpugh Plumbing Relief Valves t . Porches nished Floors t air!or Trim G'Stairs & Railings Cellar Drain Tile C�Qncrete Floors llag _ Fixtures r . Firepsro frog r Closers moke Detec ors Chimney INSULATION : Foundation Floors Walls Ceiling FIINAL ELECTRICAL INSPECTIOIN ana Building Survey v Next scheduled Inspection ( call when ready) Remarks- - Building Inspector 6/86 and-vl t c, Lea G CAYS ( Al T+C.]►WN OF QUEENSBURY Building Department lnp+ctors Report Date �6 Name Jae i C Est — L ca#ian T - .q .Lr+ L .si•v Penner No. c a Weather Remarks RxcaAm ti.on Footing Forms Footing Piers Foundation Cement Coat waterproofing Backfi22 Final Survey Framin Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fire roofln .boor Closers Chimney Water Meter Inst . Septic Approval Floors Insulation Foundation Walls Ce!11n Building Inspector REMARKS X V 47 4001534 THE NEW YORK BOARD OF FIRE UNDERWRITERS �-�pya BUREAU OF ELECTRICITY - B5 JOHN .STREET, NEW YORK, NEW YORK 10038 Date DEtcomber 27 , 1935 Application No. onfife 101463 -- 15 THIS CERTIFIES THAT only the electrical equi meat as described heluw and introduced by the applicantre named o the above application number in the premises of Lamp LIghter MObil 110m:2 Sale , 31 Stephanie Lane , Queensbury , New 5L'"orl• in the following location; ® Basement ❑ Ist Fl. ❑ 2nd Fl. Section Bloch Lot was examined on •,� 5 and found to he in compliance with the requirements of this Board. 14XTURE 1 RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS �. OUTLETS Et:EPTAClES SWITCHES INCANDESCENT FLUGRFSrE"- YAPpR AMT. K. W, AMT. K- W. AMT. K.W. AMT, K- W. AMT. H. P. 4 1 T 4 _ - DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS JsPECIAt REC'P'T TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS AMT. K. W. CNL N, P- GAS H. P. AMT, NO. A- W- G. AMT. AMP. AMi. AMP$- TRANS. AM1hT. H, P. SYSTEMS N pMr WAITS O. OF FEET SERVICE DISCONNECT NO. OF S E R V I C E METER Nv. GF cc ConD. A. W. o. A. W. 5 A. w. G. AMT. AMP- TYPE EQUIP. 1 ,B' 7W Ile 34Y 3 ,e' 8W 3,HI' 4W PER B' OF CC. COND. ' 4F HI-LEG OF HI•kIEG - OF NEUTRALS OF NELTMAL 1 2O0 Cii l x 1 / 7_ 2 / 0 OTHER APPARATUS: 4 ALmy Lane , Box 184 73 ':� Glens Falls , -New ark 12801 GENERAL MANAGER Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials, COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF Q►LfEEMBURY Building Depertament Location rCk�,O i'' eOt-t fr-JZ y RemarIcs ExcaVa t.zon . Footing Forays Poot:.Inq 6 Piers Foundation Cement Coat Wi8 ter roafi.n Bac8fill Final. Surve Franain Sheat:h-xngr Roof Fel t Roofi Siding masorLru veneer 4ROUgrh Pl Relief valves Wall Board Ext . Parches Finished Floor inter-for Trim ' Stairs B Railings Cellar Dr . Tile Concrete Floors pl . Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst . Septic Approval Floors Insulation poundaLion Walls Ceiling ldzng .inspector ff }} REMARKS Al i COO I � /oe ` oaf• - 3 - 1 �