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5683 r i CERTIFICATE TE +�]F +C7�C+�LJI'AN Y' TOWN OF QUEENSSURY � WARREN COUNTY, NEW YORK San > �". Clate 19 This is to certify that work requested to be done as shown by 'Permit Noo has been cornpietead. Dr it strucnnv may be d as a {" By Order Town Board I GOWN OF Qi EEMSSURY Building & Zoning Inspector - r MIN J ❑MKA.TIYK "4ftSTA-- PRIMTIMG. GLKME FAY S M T 1 =001 SI01793-SSSS • . , BUILDING PERMIT TOWN OF QUEENSBURY No. 5683 WARREN COUNTY; NEW YORK PERMISS#ON is hereby granted to LeRoy H . Reeves OWNER of property located at Upper Sherman Avenue Streetr Road or Ave. in the Town of Queensbury, To Constructor place a One—Family Dwelling � 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. fR t . OWNER"SAddressis R . I'} y # 3 [D Glens Falls , N * Y . ro un 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address Same ci 4. ARCHITECT'S Name PC! ro F1 'L ?3' 5. ARCHITECT'S Address (D F'f 6. TYPE of Construction — (Please indicate by X) ro ( l Wood Frame # ) Masonry ( ) Steel ( ! (D 7. PLANS and Specifications 62181'x261 per plat plan , specifications and application No. submitted including sewage system and two-car attached garage . S. Proposed Use One-Family Dwelling $ 50 00 ro $ 60 v OO PERMIT FEE PAID — THIS PERMIT EXPIRES October l 19 79 f (If a longer per nod is required an application for an exte risian must be made to the Building and Zoning inspector of the 131 town of f]ueensbury before the expiration date.) F-� Dated at the Town of Queensbury this 9th Day of March 19 79 � C1 SIGNED BY .��1 cam . - for the Town of Queensbury ►�� Building aAd Zoning Inspector or N- LO c { n , aFr TOWN OF QUEENSBURY (Space inxidc black to lrc• fisle•d in b7' WARREN COUNIry. NEW YORK Building lospectowl \pph( atilim No- Application fof I,c I mil I „11vd 19 BUILDING AND ZONING PERMIT I +1 '1 1161 1 .xpirca !�► n}m I )i.lriri THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale `tr 157 11 showing the actual dimensions of the lot to be built upon. The exact size. and location on the lot of the building to be ereeted or altered MUST BE SUB- MITTED WITH THIS APPLICATION, A74RCH { / 9 7 9 f, f _ /�, 3� . . TOWN QR QUEENSBURY r`4TE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK � S A-ZF` /`��''•?7 IMP ANSWER ALL OF THE FOLLOWING. 1V�1�1 �3I9 The undersigned hereby applies for a permit to do the following work pt,M_ .✓ which will be done in accordance with the description. {Duns ands eci ���yyyyyy cations, and such spacial conditions as may be indicated on the permit. ?RBIs ';' � ` 1 6 The own of this, rgl�,ty is: � �� � / T . { Z�a A . b �' . . /� , '. - J4 �+"ES. . - Ix'L? � ,. - t�� t E±�IS - r. J T +' fNP 'E} iP f3 AP+7+aE555 The rson respronsibic for supervision of the work insofar a t1e BuSict}e, C"ode and the Zoning Ordinance apply i �-�r� d . 7^t3 r . . . I , IP NAME} } . . s . - � IP O 11oL7RE'5S} d C v s. . . . . . . , - Address RD 3 G ('.E-.lf Name of of Builder . L. oy. . . . . . . t - - . . _ Address LC _'� Name of Plumber . . . . . . . . . . . . . . . . . . . t t � r.. - . . . . Addre4s (? `` . . . . - . . . Name of Mason . . . . . . . . . . . . . . . . . . . . . . . . . . . - oc s Lot Number . . . . . . . _ . . . . Unit . . . . , . . . . . . . Estimated value of proposed work S 36 . . . . . . . . . Name of �dziis3[ge . +. .1. . . . . . n Name of Street , .UePEDQ . Slt ? . r I . `I .. /?� _' - - . . I . . . . . . 'side of street nt t�th El , east q , south ❑ . west ❑ I� I. I �/ [ C urA.M- -1 6t1. � Distancc frc:='+ ! th .ross street . � tO- . 44? ( E + -- Nearest Cross Street . Property is north ❑ , south � , east Ei , west ❑ from Cross Street If on Corner, which corner, northeast [ a , northwest Imo , southeast C} rutT;wF.t � r cD+a rn ��lr71a ! /) V, ,.(Designate by marking with an "X" in the correct space_) .5atui V i JIn NATURE OF PROPOSED WORK OCCUPANCY Main Building r vel�Constructian of a new building. (_)ne-family dwelling F-1 Addition to a building. Two-lamiiv dwelling � 0 Alteration to a building. • . farnily apartment house D Demolition of a building. .store building CD P -car attached garage Other . Accessory Building (Inc-car detached garage © Other work. Describe; . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage :J ]Private chicken Crouse L71 • ' ' ' ' ' ' ' ' Private ctural;e 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 lacsttion, sire and setbacks of pew posed buildings, and the location of all existing buildings. NarsTH show proposers building(s) in dotted line and existing 4uiiding(s) in solid line. Size of property . , . . . . ,�`-', -_C� c� ft. x . . . . . . . . . . . . ft_ SS Size and use of existing buildings, if any '. AJ F - �83`—> w 1 / Ss� 'Y NEus f3LDG i w Size of proposed building . . . . . 2 . It. x . -l. f. - - . ft. It 5 - - - height (from grade to ridge) . . . , • ! . . . . . . . . , ft. + Front yard ft. . . � � . . . . . . . . . . . . . . . . Gk�` �.. S .- . . ft. and ft, Side vards 1 ' Rear yard . . . . . . . . . . . . . . . . . . . . . . . . ft. ttgUT N If onto corner, setback from sides street . • - - - Note: All distances are net, as nteosur'ed from street side line to nearest part of building. r� (OVERY I -73-M (cont"d.) BUILDING SPECIFICATIONS., Kind of construction: Wood frame, fire safe, etc.? . Will any second-hand lumber be used? . t4 0 . . . . . . . , . . If so, for what? . .. . . . . . . .� . . . . . . . . . . . . . Material of foundation walls . . . . 4y!`� C+4 ' - . . �? �,' . . . . . . . . , . . . . . Thickness 'Depth of foundation walls lowgrade . . . . :-? . . F�. . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . . . . . . . Will there be a cellar? . . .i .e.� . . . . . . . If so, material of cellar floor . . C. 43�C eT !-4 . . . . . . , . Type of roof: Sloped or flat? . . - . , - Material of roof Size, wood studs . , ,; . " x . . . . . . . . . . . . ", spacing . . . . . . . . . l ,Ga , . '"o.c., length . , . . . . ems. . . . . . ft. Size, floor beams, 1st floor . . . . . . . . .2 . IT ', spacing . . . . . . . . ./ h. . . "o.c., span . . . . C.f{. ft. Size, floor beams, 2nd floor . . . . , , . . , , . " x . . . . . . . . . . . . . . ", spacing . - , . . , . . _ . . _ . o.c., an sp ft, . Size, ceiling beams - . . . . . . . . . . . �4 . " x . . . . . . . . . . (? "', spacing . . . . . . . . . . - "o.c., span . . . . . . !R. t . . . . . ft. Site, roof rafters or beams - . - - - - . . .�. . " x . . . . , . . . . spacing . . . . . . . . �.(C . "o.c., span . . . . . . Exterior finish . . . . . . . . . . . I { i. "/�' (a.arz,T) . . . . . . . . . . . . . . With what material? , c t_. Of� . _ . . . . . . . . . . . . Finish of interior walls . /+." . . . . ! If garage is to be"attached, of what material is wall between ,garage and main building to be constructed? Is there to be an opening between ra a and building? r� . . { �. . �c�C h!c. Kind of heating system - (l]T � !�. ` �� . .�'6)5 .�'�?l ?I]. , . . . . . Oil burner or coal? '"� '• . . . . , , . . . . . Will a flue-lined chimney be provided? . . . . . . . . . . Depth of chimney foundation below grade . . S. .F . . . . . . . Height of chimney above roof . . . z. - ,�T . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . 1 . 1 , . . . , . , . . . . . . . Will there be a fireplace? - - . Depth of fireplace hearth . , . . . . . . . . . Will a toilet be installed? . . . . +. E . . . . . . . . . . . . . . . . . . . . . . . . . _ . . . . . . . . . . . _ . . . . . , , , . . , . . . . . . Will a kitchen sink be installed and connected to water supply? . _ lI . , . . . Water supply (public water supply or pump) . . . . . I I - - - - . - . , . . . . . . . . . . . . . . . . . . . . , . . , . . . . . . Distance of cesspool from any private well . . . r. . f? f:7 , . . _ . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of New York I swear that to tt i'v,a jof my knowledge and belief the statements contained in this applicaltiwtl, uVether with the plans and speciClicodons sub• mitted, are a true and co.k plete statement of all proposed. work w be done an the described premises and that all . ' s of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws peruinn to �c proposed w shall he complied with,whetther specified or not, and that such work is authorised by the owner. / 1[J] Sworn to before me this Signature C4. WN ER. OW NER'5 AGENT. ARCf11TECT. CONTRACTOR of. . .. . . .. -s �. ... .. ... . .. . . . .. . . 14. . 7 & . . . .. . . . . . .. . NOTARY 3auBL1Cop ARREN +COUNT'Y, N. Y. 3 r file AL CCENDIT1ONS O THE PE MI By .... ...... .. .... . .. . ... . . ...... . . APPLICATION' FOR A PF.Ft , 3_ ? TO 1LlIS iT," ' 'T , ALTER OR ENLARGE A SEVIAGE DISPOSAL SYSTEM WITHIN TPE TOVIN OF QUEENSEIJ Y CCCCUP.4". T " S NFk ,E L e Mo z .� ADDRESS ()ppFjq6, L3 !ievY4+41 i TELEPHONE +2-"`SS 3! .,�CrihIN ER T S NAM ADDR LS S ,�� NU M ER OF B EDROOr`�1S� w. GARBAGE GRINDER? NO ( YES OR NO) TOPOGRAPHY: FLA? , OLLING , STEEPo SLOPE , GENTLE SLOPE , OTHER NATURE OF SOIL : CLAY , SAN€3Y LOAM , GRAVEL , ROCK, ETC: ., PERCOLATION TESTpQm '. . xer. 'WATER SUPPLY : PsJNICIPAL , WELL , OTHER ' DRIVEN "J'ELX. ario"E 'Tb f motto/ o Po NT DIAGRAM OF PROPOSED SEPTIC SYSTEM doddr 5EPTLC- TAB V" pRY�EL�- � Y� r9W� �—L p u� EPi+ c Tfl � G 40 Q FT Lo t a E x �C 4 r=r- DEEP CoAfSreuc� Hc?WGE (13Et._o. + njuET L,AY b Hrsti [ 2aixTr c �j co Lt 1 r• c +4uslr� S"7C s}n) Gcf +r' Scpm , 100 F�L; l3cyTTL yr .. AW1 � ��D YS'ulE+-c ���► I✓ y IQ OTHER PERTINENT INF G'D eQ IT IS HERESY AGREED THAT IF THIS APPLICATION AND PLANS ARE APPROVED , INSTALLATION OF SEWAGE DISPOSAL FACILITIES WILL BE (MADE IN ACCCRDANCE WITH DETAILS SHOMo hl4," jg71? ),d DATEAW 4w. SIGNATURE OF APPLICANT & Fy U404i�� G-OaGE PARK Ca i"l? SSI ON APPROVAL t5ignature ate TOWN OP OURRUSBUR.Y WA „vggp COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSBRVATIO" CODE A pevmLt must be obtained before beginning work* •' *> WEA AS&L or the following : 1 _ Gross floor area . r : . w • • • r . '�. ♦ + + f 4 w r « r r r • • w • . .. l a . r • r : r • a r ♦ • + r . r • • • .. r r . 2 • Ty Pe o r he a t . r • r w • • r�� r r . . r • a r # • r r r w r r r w a • r r a ♦ / t a r • / • ♦ . • . . a t r r r r 3 _ is the buildinq nochAU1cali7 cooled? . . . r r r `w "r � r► • a ry/ rr r 4�.�.. • . . • - « . tip 40 Percentage of area of windows and dater: . • « ♦�r.� a/r F • f» wt+ r r � r . + . r A . Orise !' 16 # Only 1 • U O of giros area of Walls , roof/ceiling and floors exposed to ambient canditlove . . . ► + . . . . + • ! - + • r + r # r • « r • . • rr + • . w 4 # ♦ / • r • # « r • r « a « 8 ► f r • r M f r f • f + r . a • ! Y • r r u ♦ f Y 4 • r r . • w w . ! + + . • 4 • a # 2v ploor over heated spaces YES No ar Are foundation walls insulated? YES NO 1 • Ir YES , what is the R r�ralue ? • • . aar . . rr • . . • rrwrr • . . rr 3 • slab on grade YES no ar .If YES , what is the R value of insulation around perimeter of � OO �' i _ s 4 • r4 • r • • rr rrrr . Orarw ► rw . rr « wrrrw 4 . is baseaneat heated? YES NO A * R value or inaulat�.On r • . 4 • « • . .. _ . • • • + w • _ .. « r . S • Type of n !S u l a t i oar r « r • • r r r • . r r . : • a . . • # ♦ r « • • • r + + « . • + • r . • • r • a r B4 Under 1614 Only 1. U value ofq ropf a rl floors, exposed to ambient conditions . _ 4 . y • : . +. . ( Yrc GA�/••',L• . a r F r r�.�r �r r . r r • a . . + .. 4 + « r • r r r • w . r r . r ► . r « 2 _ U value or exterior wallow _ • r . . fa� :r �.� • • _ . • , • • . • • n • 4 - r r _ • • • 3 _ [I value of glazed area * • . « . . • . �r7 4w U value or door �600V s • • r • • + .Y. ♦ • fr: �rt�/: r�. r . . l:/* 0 /� r « • • . w . a • SO u value or doors over heated spaceas r r r ♦ . ./.[ .'yGr r,/./ . . 4 . . • - 66 R value or slab ed9ft insulation Onunheated slab . . !'�// a 1�: . . _ 7 • R value of slab insulation -- heated stlab . , . r . . . • 1Jl ere r • • . - s3 . U value far heated bfteement / oallar walls ( above guard . ��:`�-•1 g . R value o 'er Ysa► ted bass ment / celIaa walls ibelow arade3 ►-ar`fr�J 10 • Type or insulatto l ? � .+ "'� r w . . . / L . ._r r C.L"=l CO Controls � '��j�-�,�'�.+/� ° Q 1 + Thermostat maxl=um heat se t tiaaq . r . . . Vr . a • �• � 66.r a • . . _ • a • D • Burt Systems Z _ Ze duct system installed in unheated spaces ? YES MO a ♦ If YES , R value of Mutt installation ♦ r . r • ♦ . + . . . r . + • • _ r . 0 b + R value or duct in Other arear . • e . : . • r r • . r • . r •. • • + . . .. • .« • E • Piping Insulation //�' r,j/� 10 Sias or hot water tsar cooling carrying agent pipe • r r' ,i �f _% . . - . 24 R value or pipe hsulatt � O✓17 + a ► • . • + • * . a « fr • wr _ r . ar • • . + a + + . + F • serrvic" water H eatinq-1 . Performance e � 1E �l.+K."� Et.f] 4`}►' + « f . , r Y Sf • « r m i 4 . Y w a � ► 1 { • O l � + . m a l u L n 2 .. To Tap a Vat vrO V�Osn +tXa71 Setting Ma xiM Urn _ . . _ _ 0 . . , • . a ,. . THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORIf.AAaO7 Date Application No. on file THIS CERTIFIES THAT only the electrical equipment as described below and introdueed by the applicant manned on the above application number in the prensisaw of aw�ti..'. E n _ ii t' `C .:?"`,!=.• _::', i.t ,[�16'l ;`. :'L:�. y '.,/.. 34.: ,:t b,71.` 7..' i. Vol" 4s" = in thefoliowing location; f7l Basement ❑ bat Fl. ❑ 'Ind FT. Section Black Lot was examined on f F; ,`rT andfound to be in compliance with the requirements of this Board. FIXTURE Arras 5YMITCHES FIXTURES RANGES COOKING DECKS OVENS Ns" WASHERS EXHAUST FANS QUTIATSr 1'NCANOE54M MICRESCEM MAT. K. W. AMT. K. W. AMT_ K.W. AMT, K. W. AMT. Z. DRYERS FURNACE MOTORS FIXTURE MWUA .2 FEEDERS ISFOCIAL ROCtPTj TNWE CLOCKS I EEL& I UNIT HEATERS MULTi-OUTULeT DUYIINERS AMT. K, W. OIL H. P. GAS H. P. T. '. 'v-" a '�7FSW' G. AMT, AMP. AMT. AMp"- TRANS. AMT. H. ►. No OF� AMT_ WATTS SERVICE DISCONNECT NO. OF S E R V 1 C E AMt. AAW. TFFE 1 f' 4W 1 X SW ] X 3M/ 9 X elrl r"b' RCtrCOND. OF CC COMA. NCI. OF HI-LEG 'N IEG NO. # NEUTRALS OF NEUTRAL OTHEROTHER APPARATUS-. - . l- iL.''�: , � T •" e w • 1 . :. • . "r! : � ;v ._ _ . '. (.; s' w•"- � �t :_- L,.: ? ..! . 1 i Y ,: BRANCH MANAGER Per COPY FOFt BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, TOWN OF QUIEENSBURY Building- Department Inspectors Bate p4y Name Location Permit No. Weather Remarks Excavation Fo%oting Forms Footing_ & Piers Foundation Cement Coat Water roof-in Bacxfill r Final Survey Framing Sheathing Roof Fe1 t _ Roofin Siding Masonry Veneer Rough Plb . Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors PI: , Fixtures Gar . Fireproofing Boor Closers Chimne Water Meter Ins, . Se tic Approval Floors ' Insulation Foundation Walls Ceiling ag&uild.zng lector REMARKS 0 TOWN OF QUEENSSURY Building Department Inspectews Dstc Name Localsses --c'' ,�,�y Peet Nsa. ,T,(o $3 Wexathcr R�emarlcs Excat}a Lion FootancT Forms Footing & Piers Foundation cement Coat Waterproofing Backfill Final Surve-Y Framing Sheathing Roo. Felt Roof ina 1�iasonr veneer Rough Relief Valves Wall Board Ext , Porches Finished Floor Interior Trim Stairs & Railin s Cellar Dr . Tile Concrete Floors plbq , Fixtures Gar . Fire roo_fiin Door Closers Chimneu Water Pieter xnst . Se tic A rovai F :ors FCLtn::atzCn Insulation Walls ceiling,.�.�'' � rc Buildings Tn ctor REMARKS TOWN CIF QUEENSBU RY Building DePftrtment Inspectors Report Date e::� Natane Permit No. �l� $'`3 VNeathar Per Caart Cs,s.pla+t. ' Excavation Footing Farms Footi & Piers Foundation Cernent Coat Wat fin Backfil) .Final Surve Framing Sheathin Roof Felt Roofin Sidkn Masonry veneer Ro2jth Pib . Rouffh Ht Relief Valves Wall Board Ext. Porches Finished floor Interior Trim Stairs & Railin Cellar Dr. Tile Concrete Floors Plb Fixtures Gar. Fire roofin Door Closers Chime Water Meter Inat. Septic A 1 fsuild3+� lrsri+ctor REMARKS TOWN OF QUEENSBURY - Buil+ding Department Inspectors R Date n! Name ,e Ales- Location r Per coal �pasarka C.unptete Excavation Footin Forms Foutln dt Piers Foundation Cement Goat wa I' Back3'll _Final Snry F Sheathin Roof Felt Rol Sidin Alasonry Veneer Ro Plb Ro h Itt Relief Valves wait Board Ext. Parches Finished Floor Interior Trim Stairs & Rail'" Cellar Dr. Tiie Concrete Floors Ptl� Fiztura Gar. Fire uoofin Door Closers +Chimes I'll III water Meter Inst. Septic A al Buildai►g Iuus"eter REMARKS %ko p r 4 J a 'c TOWN OF QUEENSBURY Bnildins- Department tuspectara eport Date _ c3 Name LAM&tioa -�- Permit No. _5-(,, S 3 'Wettthar Per CeMt Resttaatca Caotleta Excavation Footin Forms Footing $ Piers Fotmdstiou Cement Goat Wa f' Bocicm Fitial Surr F Sheathing Roof Felt Roolin Sidin Masom Veneer Rough Pl Roush Ht Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Rallings Cellar Dr. Tile Cotterete Floors Plby, Fixtures Gar, Fireproofing Door Closers Chimney Water Meter Inst. Se is Approval r Buildiww Inspector REMARKS