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1987-078ALBANENE Cy 10 54SS K* ARCHITECTS' STANDARD FORM BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. =r FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. TEMP.# DATE CITY OR VILLAGE %' p' TOWNSHIP COUNTY rrP t.l STREET AND NO.OR ROAD AND POLE NO. `" a POLE NO. BETWEEN WHAT TWO CROSS STREETS IS p PREMISES LOCATED? SECTION ' BLOCK LOT r OCCUPANT'S BUILDING NAME OCCUPANCY OWNER'S NAME 4 AND ADDRESS TEL.# -, CURRENT — SUPPLIED rf FROM THEIR OFFICE BY 'i ,,r;�s � '-i.z. BU ILDING UILDING NEW -w OLD❑ Is NEW ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Lamp Fixtures ec ptacles MOTORS HEATERS BRANCH OFFICE USE p Receptacles CIRCUITS Loca- ONLY tion Side Attach't H.P. Watts A.W.G, Coiling Side Recep'ls Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side Sub base Base- ment 1st Fl. 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED l r COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE ' f 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 DATE OF APPLICANT .rs r i l APPLICATIONS r r STREETADDRESS `JF - ` f��'t 1+��'� TELEPHONE ' POST OFFICE ' ' "` '4 CODE f 'ff' ZWHEN APPLIICABLE ti ERTIFICA'TE OF CJCCL7I'.piNG .L'' TOWN OF QUEENSSURY t WARREN COUNTY, NEW YORK Bate Oc r e 15 19 This is to certify that work requested to be done as shown by Permit No.,_ 87- 78 has been completed. This structure may be occupied as a QNL' Pi;^1T Y DWELLING I A�3RE3:T S)I2IVE ( ST N{)l ' jl ) OA[CWt: ODS SUBDI -- VISION L¢)cation FI A,NK ANTOS A'.eI] ISIANA PARKS- . Owner By Order Town Board TOWN OF QUEEN'SBURY f 9'rr Building & Zaning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 87-78 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Frank Antos and Diana Parker OWNER of property located at bat 7 Lambert Drive (Ste No . 21) Street, Road or Ave. rt in the Town of Queensbury, To Construct or place a One—Family Dwelling � o +C at the above location in accordance to application together with plot plans and other information hereto filed and 1As approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1 . OWNE RrS Address is Cannon Point Lake George , New 'York r 2. CONTRACTOR or BUILDER'S Name AJS Enterprises , Inc , rr r w � cr 3. CONTRACTOR or BUILDER 'S Address 4 Amy Dane o rt Queensbury , New York m ty ry to W 4. ARCHITECT'S Name 1° N. r. G to r• o � FS. ARCHITECT'S AddressTYPE of Construction — (Please indicate by X) I Wood Frame ( l Masonry I ) Steel ( 1 FPLANSnd Specificetlons 447' x4g ' per plot plan , specifications and application submitted No. including sewage system and two-car attached garage .d Use t" One-Family Dwelling •c $5 . 00 C / O October l 1987 0$ 136a 0 PERMIT FEE PAID - THIS PERMIT EXPIRES r• {If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the W town of Queensbury before the expiration date.} Dated at the Town of Queensbury this 23rd Day of March 19 87 / / SIGNED By / &AC for the Town of Queensbury Building and Zoning I nspector TO BE COMPLETE€? BY ST, DEPT . ✓own o �eeeerishrtr� Application o. Permit Issued 19 TOWN ��' �U�c�vS ., . BUILDING and ZGINiNCa DEPARTMENT Pe]Critiit Expires 19 � % E Bayand Haviland Road, R.D. 1 Box 98 zoning Designation K 'A7 .2v +Queensbury, Now York 12801 variance No. Site Plan Review No . /4 LM MAR �t 9 19 �, 7 - ,j� BUILDING Approved by z � N .L G do CC7L3 APPLICATION FOR E I7EPT BUILDING LD I MG AND ZONING NG PERMIT �` � ll J A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted, and such special conditions as may be indicated on the 'Permit . The owner of thisprope=00r_, P. O. Address Tel . Property Location - Tax Map No . ✓Zff Street number or building lot number bu Subdivision name (if applicable) // lll� Il THE PERSON RESPONSIBLE FOR SUPERVISION OF WO AS BUILDING CODES ISz 04 . C./+ % �I Name P. o. dress Tel . No . Name of builder Address Tel . Name of plumberA Address Tel . !?- ',� Name of mason Address Tel . NATURE OF PROPOSED WORK : P ZONING INFORMATION : ww Construction of a new building * A PLOT PLAN MOIST BE PREPAtcED AND SUBMITTEDOP 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 Other work (describe) * set-back dimensions from property lines . Give street and num er or lot number and indicate FOR DEMOLITION PERMIT , STATE SIZE AND * whether interior or corner lot . Show location LOCATION OF STRICTURES AFFECTED. of water supply and location and configuration * of septic disposal area . s COMPLETE INFORMATION REQUIRED BELCM * dw Size of property !� ercq ft X�.�3 nft . * Existing building ( e) Size ft X ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure i ft Xjr ft " Foundation-pier/slab/craw par'C#�/fulI * Proposed building , distance from property line (circle one „ Front yard 3"p ft Rear yard /y'Q ft No . of stories (habitable space ) � Side arils Height (grade to ridge ) ?_ _ ft . * y ft and _ Zg ft If residential , no. of families �/ » If on corners setback from side street ft No . of rooms (excluding baths ) ,`+" " OCCUPANCY INFORMATION No . of bedrooms PRIMARY BUILDING - Now of bathrooms 2YZ Primary heating system * One family dwelling Type of fuel - `� — -" " s Two family dwelling No , of fireplaces to be installed f * Multiple dwelling / Number of units Will a wood stove be installed? Permanent occupancy .+� 47 * Transient occupancy Central Air conditioning? -- a,I1, a Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch oC"nteempcirar Log cabin + other Raised ranch Mansion duplex * If addition, what will use be? split level Old style Bungalow Cape Cod Cottage Other " ACCESSORY BUILDING-- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE. ONE PLEASE } * "Attached garage/one car//fw�o ea � ,Z car Private storage building ESTIMATED MARKET VALUE OF * 'Other CONSTRiICTION � / �,/r // � T INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, To BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , 6�lpod rf� fire safe, etc . Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material , rr�v p rr Depth of foundation below grade bo to Ming ) ness g (to bottom of footing } __ Will there be a cellar*> Heated orrTinhl ? Will there be a basement? -- Floor sq. footage qr + �r =Wi.11 anY P�rtian be used as living � ._— aq ft ( If so, what portion? sq , ft . _ ng space Type of roof - Type of use? — r ��IXL-cr s s spottier Material of roof Size , wood scud`s! St " S acin length �--'�ie� P 9.11,E o . a . g f t_ Joists floor beams ) 1st , floor _ > �k1$ZIN P g . / Joists ( floor beams) 2nd . floor �� $ acin /f�"o . c . span ft . +'f' " rJ1�=� y f2 '� Overlays ( ceiling beams ) "�{ �� x__ /O ' spacing //s '"o . c . span ft . f ri'=ax Roof rafters "X " g spacing •'o . c . span ft . Roof trusses ( re-en paoing�� o . c , spank f�ft. p gineered) spacings —"'o . c , span ft . .?�,r'=�"�e'�/ i* �., r r, Exterior wall Finish Of what material? Interior wall finish r N If a garage Is tob�Ie _-attached , describe materials to be used for FIRE SEPARATION : Is there to bepeni.ng between garage and dwelling? If so will a Fire-rated ��' door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? � Height aj.KAre of ft Depth of chimney foundation below grade -� Depth of fireplace hearth ft . in . .` Water supply - unici.pa or private well SEPTIC SYSTEM T is ance from ANY private well ( includin ad ` oinin es (A separate application is necessary for any . repair or new installation eof;septicsystem) Town of Queensbury County of Warren A F F I D A V I T STATE OF NEW PORK 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 specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature _ i,A T_- y Own r - -r-�t___ Yam+ day of 19 , owner " s gent , arcnztect, ontractc Notary Public , Warren County, N . Y . * * It * * It * * * * * * * * * * * * * * * * * * * * * « * * * fr * IN, SPECIAL CONDITIONS OF THE PERMIT : 19y TOMB of QUZZUSSURY WARREN COUNTY , REM 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 followings 1 . Gross floor area -_�7_3 _ 2 . Type of heat 3 . Is the building mechanically cooled ? ;.•yy�- 4 . Percentage of area of windows and doors. A . Over 16 . Only �i 1 . Uo value of gross area of walls , roof/ceiling and ficors exposed to ambient conditions 2 . Floor over heated spaces YES RO a . Are foundation walls insulated ? YES NO 1 . If YES , ghat is the R value ? 3 . Slab on grade YES No a . If YES , what is the R value of insulation around perimeter of fioov ? 4 . Is basement heated ? YES no a . R value of insulation 5 . Type of insulation ' 8 . Under 16 % Only 1 . R value of roof and !;:2 exposed to ambient conditions 2 . R value of exterior walls 3 . R value of glassed area Jo 'Z 4 . R value of doors oe 5 . R value of floors over unheated spaces_ _ 60 R value of slab edge insulation - unheated slab 7 . R value of slab insulations - heated slabON_ / S . R value of heated basement/cellar walls ( above grade ) 9 . R value of heated basement/cellar walls ( below grade ) 1C1 • 'type of insulation c . Controls 1 . Thermostat maximum heat setting_._... . D . Duct Systems i . Is duct system installed in unheated spaces ? YES a . If YES , R value of duct installation b . R value of duct in other areas Be PiaAms lnsulatiori 1 . size of hot water or cooling carrying agent piped7l& 2 . R value of pipe insulation F . Service water Hea�tivia 1 . Performance efficiency 2 . Temperature control setting maximun � , �s G . For Swimming pool Only 1 . maximum heating Telephone Na , r +L3L ! appl cant a , signature ) jown OlQueenj QUEENSB U RY TO WN�++I�If F10E SUIL01MG ...��.._.� f� N^VILAWro WOAaS. GLChI � FALL# . wcw YCOM, fntao � !fi[ lrwny TR4V1CP14 " jt ; IBIS) ' 0808022 3m3GmAstiracm a"xxxxx31PmP0W4m3qmm i� lsMwAar Ef � � T. 'f �Rs .7i� T � DRIV WA%Y PEN91T APPLICANTS K ?7T�iE Ito be specbed) MAI LI NG ADDRESS AM W .rW jkt+yrr The Superintendent of 8ighways , Town of 2umensbury , has reviewed the appl. icstiOn of the above named realdent to connect a driveway to the Town road . The following .. - .:: y • � r. �'�i 1 � Cta E' � L. v � FI r Size FiPe tro ` he used1 ( SLf necessary ) DATE ao K* hay car Superintendent of H3rhr.4a4.PS Town of Oueenshury w SETT1i0 HOW OF NATURAL. UAMrV . II Erf7ClD PLACE TO >.lVE APPLICATION FOR DISPOSAL EPTIC BUILDING and ZONING'„ DEPAMTMENT � S ©SAL PERMIT Bay and HOVirsnd Roam, R.D. 1 Box BQ 4?ueensbury, New York 1I801 — DATE LOCATION OF PROPERTY FOR INSTALLATION OWNER ' S NAME ` ADDRESS - - INSTALLER ' S NAMEMille . ��r.. __ /����,fr" //',�.�, ppy Number of bedrooms ( residential Only) _- 3 -. - Total daily flow ( aompute 0 150 gal per bedroom) Topography -- Rolling - Steep slope -(Circle orae) ♦ of slope Soil nature : anNftmmow� Loam - Clay - Other Depth- ft . Ground water -At what depth?— ft . Bed-rock or impervious material - At what depth? fte Percolation teat - o . . Regnlred - -Rat* min- inch . Domestic water supply es unrciPa"1 - well - Other Separation - Watersupply ( if well ) from Septic absorption ft , Proposed System : Septic tank �ys►l . ( Hinimun sizes 1000 gal . ) Tile Field Each tree hQ ft . Total system leg nth �ft . . Seepage Pit ( s ) Number of Size each ft X ft Size of stone to be used Z Depth or thickness ft . IMPQi2TANT1 On a separate piece of paper , submit a diagras► of tho proponod system with all dimensions showni including distance gram any structure , distance from property idnes and from XXT DOMBSTIC WATVIK SUPPLY or share- line of lake , streaaaepand ar wet - lands . Includo all dimensions of the systeme itself. " * * * * * * * * * * * * * • . * * * * * * • . # * * * * * • * • . • I have read the regulations on the reveres side of this street and agree to abide by these and all requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance , Signature of responsible person Date ,`�j, 05/ 86 and/vl EMOWAIMak -lour+►x v� �ueen�� BUILOING and ZONING DEPARTMENT Bay and Hav+land Road, R,D. 1 Box 98 QueensburY. New York 12807 BUILDING INSPECTOR ' S REPORT NAME � don LOCATION Date ,rOn ,1� PerinIt No . 000� Foot-ing/'Pier Forms APPROVED Foundation No Waterproofing Backfill Framing Roofing Siding Masonry veneer Rough Plumbing Relief valves Ext . Porches Finzshed Floors Interior Trim Stairs & Railings .. Cellar Drain Tile Concrete Floors Plbg , Fixtures Xsar. Fireproof ' g '� P4ZOCDr Closers E Smoke Detect , s Chimney XNSULATJON Foundation Floors Walls Ceiling PINAL ELECTRICAL IU7SPECTION DRIV'EWAx APPROVAL Final Building Survey Next scheduled inspection Remarks i_ (call when ready ) ,own Buildin I � 6/86 and-vl g nsPector �Fr� n O/ Qeeeerta(rurt� 10 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Glueensbury. New York 12801 lJI ,DTNCv INSPECToRw S REPORT NAME i' ra LOCATION bate /ca f ;7 p,e rznz t No . Footing/Pier F r APPROVE - YES NO Foundation Waterproofing Backfill gaming 4'Roofing "'91ding Masonry Veneer Rough Plumbing Relief Valves Wit • Porches Af;inished Floors 4'Tn�terior Trim L7 stairs & Railing Cellar brain T ' - Concrete Floor e 2 prbg . Fixture L. r . Firepro fing Q r Closer �Smolte bete tars Chimney I'TNSULATI Foundati ny L'�.oars Walls Ceiling L.-PXNAL E ECTR2CAL INSP.EiCTION DRIVEWAY APPROVAL Final Building Survey Next scheduled Inspect.... (call when ready Remarks- 6/85 and-vl Building Inspector ✓rswn v� `q''u+�'��r�ls BUILDING and ZONING DEPARTM NT Bay and Haviland Road. R.p. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date���f x * * * Permit No , Footing/pier .Forms � �* APPROVED � YES NO Foundation 1Waterproofing $ackfill t4plr'am.ing Roofing Siding Masonry Veneer Rough Plcunbincg Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors P1bg- Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSOLhTION : Foundation ploors Walls Ceiling FINAL ELECTRICAL INSPECTIDN DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call When r eady Remarks- ��y�f � 74-C f / 6/86 +d.vl 13 i In ctor BUILDiNG and Z0 NING DEPARTMENT ury� Bay and Haviland (Road R. D. +Queensbury. New York 12801 x 98 BUILDING INSPECTOR ' S REPORT NAME )5',fsi ,Ar Pi 4'' 9s- .t t„C LOCATION ° 11 rl sal c Footing/.Pier Forms APPROVED - YES NO 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 APPROV Final Building Survey - ~_ Next scheduled in Remarks spection (cell when ready -, � }f 0 4,111 6/Sfi Building Inspector and-vl BUILDING and Z UP ZONING DEPARTMENT Bay and Halvifand Road, n.C). i Box 98 OueensburY, New York 12801 SEPTIC DISPOSAL. SYSTEM INSPECTION N"E ��� C� ✓1 EOCAT I ON ,L.�r— 111d lidY DATE - PERMIT NO. -------__ SOIL TYPE - Sand $ ~� Percolation - Loam - Clay Required ? - Per'colation rate NO'�`---- - Min/Inch TYPE of SYSTEM ; - Absorption field , total length Length of each trench Q Wo �. Depth of trenches dd Size of gravel I " SEEPAGE PITS,(IQ of) Size- f t. Number PIPING : _.._. •"- Bli to tank Size 'Type Tank to dist. did '=� Sci,- r{ _y_ Dist . boxbox to field ------ DPenings sealed? fc -- IVO Partial�--- LOCATION/SEPARATIONS x Foundation to tank Foundation to absorption - L•ft. ti Absorpon to lot line �c7ft ' Separation of pits ft "�i ON SYS ft. � Front LOCAT - SYSTEM ON PROPERTY {circle cane) CCMMEN'T ear Left side - Ri S * - c3ht side - SYSTEM r]SE App � ROi7Ety 'YES ` NO BulZding Inspec or OI/i and vl ,tro c��i�-•pro �f fo : 3o q�/ 1� _/owse ea/ ueen bur T�V 130ILDfNG and ZONING DEPARTMENT Bay and Haviland Road, R. D. I Box 98 Queensbury, New York 12$07 BUILDING INSPECTOR ' S REPORT NAME LOCATION ,'Date . _�ermit No . cy� tin APPROVED - YES g/Fier Forms /'�, ,., _ NO 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 Sinai Building Survey Next scheduled inspection (tail when ready) Remarks- �/ © 747 5/85 and-ul Building Inspector �.^,� .,../trru►r o� �+uee►'+d6ure�r [J ' BUILDING and ZONING DEPARTMENT ► Pc % %6L Bay and Maviland Road, R_ D. 1 Sox 98 .45r7 Queensbury, New York 12801 i BUILDING INSPECTOR ' S REPORT NAME LOCATION I 1-. f Ao"6 ot7i - Date" �/' `�` Permit No . '7- ✓ = APPROVED - yE {Footing/Pier FormsN4 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 INSP ION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks— red- Building Insp ct r 6/86 and-vl