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1987-103 r r r ts I i CERTIFICATE CIF OCCUPANCY TOWN Of QUEENSBURY WARREN COUNTY, NEW YORK Date August 23 19 37 This is to certify that work requested to be done as shown by Permit No. 87-103 has been compieted. This structure may be occupied as a Cane--Family Dwellin& Location LO: Lampert: Drive OaRkwoods Subdivislo.i Owner Frank and Katherine Mirieo By Order Town 'Board TOWN OF +QUEENSSURY Building & Zoning Inspector BUILDING PERMIT TOWN OF +QUEENSBURY No, 87-103 WARREN COUNTY, NEW YORK w PV P PERMISSION is hereby granted to Frank and Katherine Mineo a. OWNER of property located at Lot 13 Lambert Drive ( St . No . 28) Street, Road or Ave. e-r One—Family Dwelling in the Town of Queensbur y, To Construct or place a , S at the above location in accordance to application together with plot plans and other information hereto filed and r1 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. m N• 1 . OWNER'S Address is 105-16 Robert Gardens ro Queensbury , New York 12801 c' 2. CONTRACTOR or BUI LDE R'S Name O t� In 0 E rr AJS Enterprises o o w 3. CONTRACTOR or BUILDER 'S Address 4 Amy LaneCng Queensbury , New York Q CIA e s r• n C 4. ARCHITECT'S Name 0 Gd4 4 D fe r^. rn S. ARCHITECT'S Address ;* d N 6. TYPE of Construction — (Please indicate by XI 00 ( xi Wood Frame I S Masonry i 1 Steel S 1 7. PLANS and Specifications No. 32 ' x52 ' per plot plan , specifications and application submitted including sewage system and two-car attached garage . p rD 8. Proposed Use One—Family Dwelling rr �c $5 . 00 C /O $ 143 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES October 1 19 87 0f a longer period is required an application for an extension must be rnada to the Building and Zoning inspector of the ~ town of Queansbury before the expiration date.! 44 Dated at the Town of Queensbury this31st Day of March 19 87 SIGNED BY /+P 44 - -' for the Town of Queensbury Building and Zoning Inspector? 1� TO BE COMPLETED $Y BLMG . DEPT. . /tste�ilt o �strs�isr Application rid. k Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. I Box go Zoning Designation Queensbury. New York 1 a801 Variance No. BAR � 4 �9Q� Lei t Site Plan Review tic . I Gib u+� f r Approv by s BUILDING a CODE DEPT, i APPLICATION FOR (, /�. BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWINGa The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description, plans and spooifioationa submitted( and such special conditions as may be indicated on the Permita The owner of this property is : ,tV P. O. Address -- OCI Tel . 79.7'=ZdC Property Locations _1=d&MaM--'".►�►.�'J eZ / &Elit 4 :2 Tax Map Street number or building lot number Subdivision name ( if applicable) ev�&4me C. THE PERSON RESPONSIBLE FOR SUPERVISICS OF WORK AS RHMARDS BUXMING CODES ,IS x Z Name Y . O. Address Tel _ No . Name of builder �7�. i►` +}1'r` Address Tel . Name of plumbex��� r - Address ,r�,�?,r.x-� Tel H7 -�rs"7�.' Name al mason_ r+SS d" {1address ,a'+� e �f e31F Tel . 79 ]r NATURE OF PROPOSED WORK : ZONING INFORMATION : V Construction of a new building A PLOW PLAN MUST BE PREPA. ED AND SUBMITTEp , Addition to a building * drawn reasonably to scale and attached hereto , Alteration to a building * showing clearly and distinctly all buildings , (no change to exterior dimensions) * whether existing or proposed and indicate all ether work {describe) » set:-back dissensions from property lines . Give ' street and number or lot number and indicate FOR DEMOLITION PERMIT * STATE SIZE AND * whether interior or corner lot . Show location LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration * of septic disposal area . » » COMPLETE INFORMATION REQUIRED BELOW . » Sire of property /.^p f t X ft . " Existing buildings) Size ft X ft . PROPOSED BUILDING AND USE : 3a �. �� * I . Existing building ( s ) use Size of new structure %eft X�ft '� Foundation-pier/slab/crawl/partial/full " Proposed building, distance from property( line (circle one ) » NO * of stories (habitable space) �� » Front yard SGQ ft Rear yard � ft Height (grade to ridge ) -i^ ;�P -7 ft. » Side yards Z� ft and 92!� ft If residential , no , of families » If on corner , setback from side street ft No . of roams (excluding baths) OCCUPANCY INFORMATION No* of bedrooms "3 +► Noo of bathrooms fyT. » PRIMARY BUILDING - Primary heating system » -- '"'Orra family dwelling 'type of fuel � a �' --- -- Two family dwelling Noa of fireplaces to be installed » Multiple dwelling ,/ Number of units - Will a wood stove be installed? ,r✓1+.,,7 * Permanent occupancy Central Air conditioning?may » Transient occupancy » Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * other Raised ranch Mansion Duplex » If addition, what will use be? Split level Old style Bungalow Cape Cod Cottage Other ACCESSORY BUILDING- Coloraial Row Town House '" Detached garage/one car/ two car/ _car { CIRCLE. ONE PLEASE 3 * Attached garage/one car/----VQFo--cam+. -�_ car • • t • r rt r * ♦ * * A w • atr ! 1Y '�' Private storage bui ] r31.r1`v`..� ESTIMATED MARKET VALUE OF er CONSTRUCTION $ - ,l� �� lrl INFORMATION ON BUILDING SPECIpICATIONS, ON REVERSE SIDE OF THIS Sitk3ET, TO BE COMPLGTEDI Form SPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction, y frame tire safe, etc. Will any second-hand or ungraded lumber be used? if 060 for what ? Foundation wall material DeptFoundation beln Will 4 Srti11 there re be ow grade (to bottom of footing ) G, r cellar?�r Heated Will there be abasement? - Floor sq. footage +/ ?. ] sq ft ( If so , what portion? -_Will any portion be used as living space? .r.•Q Type of roof - Type of use? olat/shed/other 1�a►tarial• of roof Size * wood studs "xspacing. eft, _mcoc . length _Joists ( floor beams! lst . floor « Joists ( floor . beams) 2nd. floor �`^ x� spacing...4k "a . c , span_ .j:, ft . overlays (ceiling beams ) foxx- --� spacing..49,..:"o , c . span.Zd Hoof rafters NX spacing "o. c . span -ft. Roof trusses (pre-engineered) P&spaci o • c , span ft . Exterior wall finish Z ."o , ca s n ft• Interior wail finish _ l� y .r ��� what materials +,f;,,.y If a garage is to be attached , �doSort- srraterials to «r be uaed for FIRE SEPAR TIONs Is there to be an opening between Y garage and dwelling? door, e If so will a FLro-ratedenclosures and self-Closing device be Will a flue-lined chi mey be inatalled? provided? Depth of chimney foundation below % sleight abovr! s+oof Depth of fireplace hearth�`ft . &de ft. Water supply a� .or private well SEPTIC SYSTEM stance From ANY private well (including adjoins(A separate application is neCessa ry an fox nq Properties-�'�'� fto y - repair or new installation of septic system) Town of Queensbury County of warren A F F I D A V I T STATE OF NEW YORK I swear that to the best of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE : THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specifier rLot , ang that such work is autt�ori2ed by the owner . 4p"���y/��/ry' ?"/�' eo S woo! SWORN TO BEFORE ME THIS Signature 0.4 • day of m) lg owr►er"�r ' s agent , arcnarect, corirEractor Notary public , Warren county, N. X. • w * * * * + * . w w * w �► * * se w ■r * • w * • * r r w w e w t w r a * w k � w w r r * a ,r SPECIAL CONDITIONS OF THE PERMIT ; By TOWN or Qius$MSsunY y . i WARREN COUNTY , NEW YORK Application fore BUILDING PERMIT IN COMPLIANC$ WITH THE NEW YoRx STATE ENERGY COMSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following : 1 . Gross floor area 2 . Type of heat 3 . Is the building mechanically cooled"??-111 4 . Peresntage of area of windows and doors A . Over 16 % only --- 1 . U value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 * rloor 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 YRS , what is the A value of insulation around Perimeter of flooa ? 4 . Is basement heated? YES No AV R value of insulation S . Type of insulation 8 . Under 16 % Only 1 . R value of roof and floor exposed to ambient conditions 3t3 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_ _ leoo�lz!9.� 7 . R value of slab insulation - heated slab /✓ /` 8 . R value of heated bafement/cellar walls ( above grade ) 00%r"C7C' 9 . R value of heated basemient/cellar wails ( below /g'rrade ) Ge 10 . Type of insulation Co, Controls 6 1 . Thermostat maximum heat setting ce D . 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 Be Piping Insulation ., 1 . Size of hot water or cooling carrying agent pipe �F 2 . R value of pipe insulation F . Service Water Heattrig 1 . Performance efficiency 2 . Temperature control setting maximum__ - / G . For Swimming Pool Only 1 . Maximum heating Telephone Noe ( a icaent a signat ) APPLICATION FOR 5EPT I C DISPOSAL PERM I T BUILDING and ZONING DEPARTMENT Bey end Havilsnd Road, R.D. 1 Box RQ OUeenebury. New York 12801 DATE ? 'y LOCATION OF PROPERTY IRQR INSTALLATION ��"" + ^ �/� OWNER ' S NAME rr ADDRESS INSTALLER ' S NAME ,ram V /C f/ 1 r► ! I�i . lFrt""� iy T E L Number of bedrooms ( residential only) Total daily flow ( compute 150 gal per bedroom) Topography t l._.. la - Rolling - Steep slope - ( circle *no) % of slope Soil natures an Loam - Clay - Other Depth ft . Groundwater -At what depth? ft . Bed-rock or impervious material - At what depth? f to Percolation test - 0`8" t re - Required - -Rate min- inch . Domestic water supply - un^ ici) a - Well - Other Separation - watersupply ( if well ) from Septic absorption ft . Proposed System : Septic tank , ZIOW! _gal . ( Minimun size . 1000 gal . ) Tile Field Each trench Sb fte Total system legnth t . Seepage pit ( s ) Number of Size each ft X ft Size of stone to be used 4 ;.. Depth or thickness ft . IMPORTANT ! ! On a separate piece of paper * 1submit a diagram of the proposed system with all dimensions showni including distance from any structure , distance from property ldnes aisd from ANY DOIRSSTIC HATER SUPPLY or share - line of lake , stream . pond or w,et- lands . Include all dimensions of the system , itself . I have read the regulations on the reveres side of this sheet and agree to abide by these and a Z Z requirements of The Town of Queenabury Sanitary Sewage Diepoeal Ordinance . Signature of responsible person Date 0or 05/ 86 and/vl IA �! c� '� �r f� _.,louvre n� u.een �Ilaeery I of BUILDINGS and ZONING DEPARTMENT J�II Bay and Havifand Road, R.D. i Box 98 0 Queensbury, New York 12801 � i I7I7 U�I LD I NG INSPECTOR ' S REPORT NAME h LOCATION Date , ' / / Permit No . P4 /G'.� ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Sackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches IL z Finished Floors Interior Trim Stairs & Railings Cellar Drain Tire Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRIC INSPECTION DRIVEWAY APPROV e ]XXinal Building urvey Next scheduled inspection (call when ready Remarks- r r zoo BullcTIEK4 Inspector 6/86 and-vl I ourn o/ Queenjimpy jq BUILDING and ZONING DEPARTMENT Bay and Haviland Road, I . D. 1 Box 98 r4 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAMEr�C2.'Yz- LOCATION p DATE �IO2 PERMIT NO . SOIL TYPE - Sand = Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , t tal length Length of each tren h Depth of trenches Size of gravel_ SEEPAGE PITS{Number of L Size- ft. X _ ft. Gravel size PIPING : Sizelf Type Bldga to tank Tank to list. box U " Dist. box to field/ ' t �/� Openings sealed? Y NO Partial LOCATION/SEPARATIONS Foundation to tank eft. Foundation to abso tion Z $ ft. Absorption to lot ine -t^ £t . Separation of pit ft. LOC'ATI( t SYST OfT PF�OPERTY (circle one) Front - Rear - ft side - Right side - CCr3MENT SYSTEM USE APPROVED YES NO Build g Inspector 01/86 and vl dawn a/ Q"eenjiury BUILDING and ZONING DEPARTMENT Say and Hayiland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING IN}SPEC-�T-OR ' S REPORT NAME ,;4Z LOCATION 13 Date.4//,efrf Permit No : `] -� f d -3 ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill C,4Krami ng 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 pr Smoke Detectors imney INSGLATIONi : Foundation �1.00rs Walls moiling FINAL ELECTRICAL INSPECTIONT DRIVEWAY APPROV Final Building Survey Next scheduled inspection (call when ready Remarks- "` Builglsylig Inspector 6/86 and-vl Ke advn o/ 'Queen3hury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION 0� _a 4e) _. Date f�y/r9 / �_ Permit No . c$ ✓ = APPROVED - YES NO Footing/Pier Forms 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 DRIVEWAY APPROVAL Final. Building. Survey Next scheduled inspection (call when ready Remarks- � cQpo�/ ,r+` Aoy Building Inspe r 6/86 and-vl 6A ,u4 C{�`�Cc-'f ry7 ff ' ' _30tvfN 01 Queerrshury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Fv "a v% K yl7 % f n rz o LOCATION LaT 13 Le, "g 2r`t Pr"' = ate__W;30 I_jq Permit No . / 0 3 APPROVED - YES NO VFooting/Pier Forms OLV- e_ 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 WalI. s Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- Building Inspector 6/B6 and-vl awn a/ Queer# 36ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, Now York 12801 BUILDING INSPECTOR ' S REPORT NAME - LOCATION r / Date- � Permit No . � 1 - 1 0 3 ✓ APPROVED - YES NO Ling/Pier Forms Foundation Waterproofing Backfill F rami.ng Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings e Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remar s- g } fr rAaz� rµ ro #*zM610 J67" tj s-,-.rice Building I pe r 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. s TEMP It, DATE CITY OR VILLAGE � �.=";Ge- TOWNSHIP COUNTY L.�"�r'✓.. .�r'. .,sv�'' STREET AND NO. OR ROAD AND POLE NO, % :%r / / POLE NM BETWEEN WHAT TWO CROSS BTR EFTS IS ,+ PREMISES LOCATED? ••'+'-hi r" i ,'!- �/ ` iN SECTION / I BLOCK LOT OCCUPANT'$.. BUILDING Y NAME OCCUPANCY OWNER'S NAME . . _ AND ADDRESS ?j - _ . CURRENT ,�. } {y}r TEL. - J /� SUPPLIED I BY ' .•-%� pper-- ! FROM THEIR .�r: ,� r ;• OFFICE ff--77 is BUILDING DEFECTS NEW l� bL6 © IWSORK NEW ADDITIONAL ❑ REMOVED 4J LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS 4MnpfReceptacles rm MOTORS HEATERS BRANCH .OFFICE USE Loea- ONLY tim Side Athgh't H,P, Wane A.W.G, Coiling Well Recap•4 Switch pendant Bracket Na. Type Each No. Each No. Gauge INSPECTION Olut- Sub- base Best ment Iat El. a 2n%l FI. Srd Fl. 14 , REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FQRTH ABOVE: d0 NOT USE THIS SPACE. Th-rs application is intended to Cove+ the above-lisrad equipment to be inspected but if at lime of inspection there is found additional equipment not *have listed. yor. are au ihorixed to make the inspection and adjust the fee to cover the additional equipment, as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS 'r,/r FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED "I .' COMPLETED SIZE OF SIGN SERVICE dVEflHEAd U!7AGROUND MAKER ENTERS J BUILDING V` OF SIGN INSPECTION REQUESTED ON OR AS POSS BLE NEAR AS ..%,- f.• -�,r / NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION- ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED, PRINT NAME AND ADDRESS NAME OF GsDATE OF APPLICANT %r/ �y +� APPLICATION f`` STREET ADDRESS _ . . '' a� 1!y t, " ''` TELEPHONE # /3 _ / 3zz CITY OR ZI l P LICENSE NO, 4- T✓y� f` r � .� CODE ./ WFIEN APPLICABLE POST OFFICE 4E Er- (REv- 1/65) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING A N I e o CC ACE ORA WN 5Y RE ViEED Ll DATE APRROVED BY tiffs - "I ADE IN Al-.AININF , 1) 5455 ARCHITECTS' Sl ANUARO FORM