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8177
C/O Paid l CERTIFICATE OF OCCUPANCY q N OF,QUEENSBURY WARREN COUNTY, NEW YORK Dui October 19 19 84 This is to certify that work mluested to be done as shown by Permit No. 8177 has been completed. This structure may be occupied as a One—Family Dwelling Location Lot 38 John St. St. No. 3 Owner Ron Stevens By Order Town Board TOWN OF QUEENSBURY Building 6 Zoning Inspector CR[ATIV[ "INSTA' rwt�IT!!iG ¢I.[M3 r�:441i, + R�41 if t�.ras•ass:! ...m.>...... ,,.,_.,....,.:> ,.t usaavxa`�'^'s�"�Li"'a'til.`+x .u. ..o..b'.:. BU LDING PERMIT TO N OF C, UEENSBURY No. 8177 ARREN COUNTY, NEW YORK PERMISSION is hereby granted to Ron Stevens OWNER of property located at t 38 John St. (St. No. 3) Street,Road or Ave. 7d in the Town of Queensbury,To Construct or place a One—Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and to H approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t�! 1. OWNER'S Address is Z En 2. CONTRACTOR or BUILDERS Name Tim Chase 3. CONTRACTOR or BUILDERS Address N O P. 0. Box 62 & Glens F lls, New York rrt co 4. ARCHITECT'S Name • ZO O f • w En rr 6. ARCHITECT'S Address 3 6. TYPE of Construction—(Please indicate b V X) ()0 Wood Frame ( )Masonry 1 )Steel ( ) O 7. PLANS and Specifications 24 rx4 t per plat plan, specifications and � No. applicatio . submitted including sewage system, 8. Proposed Use One-Family Dwelling 0 E M N $5. 00 C/O Paid F' $ 70. 00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 84 W (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 9th Day of October 19 83 SIGNED BY —Mad a• t for the Town of Queensbury Bt and Zoning I.nspecto TOWN OF QUEENSBURY (Space inside block to be filled in br WARREN COUNTY, NEW YORK Building; Inspector) Appikation for Application No. 1'cl-mil Issued 19" BUILDING AND ZONING PERMIT I,ernlit Expires. Iq. %o nine District \ Am; (�I Work. THREE (3) Copies of a PLOT PLAN, Drawn to scale ANWMcd by showing the actual dimensions of the lot to be built kcillarys- upon, The exact size, and location on the lot of the wilding to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. QUERNSBUI DATF A PERMIT MUST BE OBTAINED I .O INED BEFORE BEGINNING WORK ..�70,.©afb 19$3 ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit, to do the following work irtt�: U 1�L 1 6 �l 5� I J which will be done in accordance with the 'description, plans and specifi- _�� ,p� `+ +6 d M 4 cations, and such special conditions as may be indicated on the permit. (:'t� !"•1 6-,0,0 C The ow r of this property .04 S`in C ! 5. / . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �. . . . . . . q/ (NA`'.E) (P.O.ADDRESS) The per ,n respo i lie for supervision of the work insofar as the Build•ng Code and the Zonin- OrJi7�ce a lv is: j� (ME). . . . . . . . . . . . . . . . .�:. �. � �d . - . . r� .� . . .� (P 0.ADDR SS) 1 Name of Builder. . . . : . ? . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . .Address . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Plumber. . . . . . . . . . : . . . . . . . . . . . . . . . . . '. . . . . . . . . . .Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (.l Name of Mason. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . .Address . . . . . . . . . . . . . . . . . . . . . . Lot Number. . . 3 - , .3 . . Unit . . . . . . . . . . . . Estimated value of proposed work I U U Name of Village . . �. �. . Yv. . . . . . ! !L�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street . . . , west ❑ (a . . . . . . . . • • - • • • • • • • • • . . . . . . . Side of street: north ❑, east ❑, south Nearest Cross Street . . . . .r.'t. I. .�.C�. . . . . . . . . . . Distance from this cross street . . . . .. . . . . . . . . Ft. Property is north ❑,south Aeast i i, west" ❑from Cross Street -fL If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑, southwest �f (Designate by marking with an 'X in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main B.uMing ❑ Addition to a building. One-family dwelling ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. •-family apartment house Store building ❑ .-car attached garage ❑ Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage ❑ Other work. Describe:. : . . . . . . . . . . . . .. . . . . . . . . . . . . • Two-car detached garage ❑ ... . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private chicken house ❑ Private storage 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 location, site and setbacks of pro- NORTH posed buildings,and the location of all existing"buildings. Show proposed building(s) in 'dotted line and existing huilding(s) in solid line. � Size of property . . . ./. . . . . . . . . it. x . . .�nU � . . f.. Size and use of existing buildings, if a // . . . . . . �- W Size of proposed building . .2. . L(. . . ft.x . . d. . . ft. Height from grade to ridge).. Front yard . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . ft. Side vards . . . .". .�. . ft. and . . .�� .d. . . . . . . . ft. 111I �• (} l t lt7 S Rear yard . . . . . . . . . . . . 4?. . . . . . . . . . . . . . . . . . . ft. ' SOUTH If on corner,setback from side street . . . . . ft.. . Note; All distances are net, as measured f om street side Sline to nearest part of building. (OVER) 7-73—M (cont'd.) BUILDING SPECIFICATIONS., 40. . . . . . . . . . . . . . . . . . . . . . Kind of construction: Wood frame, fire safe, et Will any second-hand lumber be used-0 NU5' •. . . . ... If so, for what?. . . . . . . . . . . . . . . Material of foundation walls . . . . . k. . . . . . . . . . . . . . . . . . . . . . . . . . . . .fhicknes*s grade . . . . . .4 / u Depth of foundation walls below g . . . . . . . . . . . . I . . . . . . . . . . . . . . . Continuous foundation? Will there be a cellar? If so, material of cellar floor . . . .Ux). . . . . . . . . . . . e (f';/J. Material of roof 197�x Type of roof: Sloped or flit? - - Y 6t . . . . . . . . . . . . . . . .. Size, wood studs . . . . . . . . * . . . ... x spacing . . . . . � . . . . ...O.C. length. . . . . . . . . . . . . ft. spacing . . . . . 6. "O.C. span . . . /.?-:. . . . . . ft. Size, floor beams, 1st floor . . . . x Size, floor beams, 2nd floor . . . . . . . . . . . .. x . . . . . . spacing . . . . . . . . . . . . . ...o.c., span . . . . . . . . . . . . . . ft. Size, ceiling beams . . . . . . . . . . . . . x . . . . . . . . . . . .... spacing . . . . . . ."o.c., span . . . . R. . . . . Size, roof rafters or Aea . ... . . X . . . . . .. . . . . . ..... spacing . . . . . . .f. .41. "o.c., span . . . . ft. /.�&V.q�K) Exterior finish . . .H . .l. • • • • •_. . •YJ�I". . . . . . . . . . . . . With what material? . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls. . . . . . . . pp P�1� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material I between garage and main buUding to be constructed? . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Is there to be an opening betpwr garage and building? . . . ./j 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . �cE 10 R1 1.(�, • - . . . . Oil burner or . . . .... . . . . . . . . . . . . . . . . . . . Kind of heating system . . or coCO,��' Will a-flue-lined chimney be provided? IJ. . . . . . . . . . . Depth of chimney foundation below grade . . . . . . . . . . . . . . . . Height of chimney above roof. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . Will there be a fireplace? . . . . ... . _r_e_heai*h . . . . . . . . . . . . . . . . . . . . . . .......... _A) . . .. . . . . . . . . . . . . Depth of firepla 41 1 Will a toilet be installed? . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be install and connected to water subI.1 C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ly? . . . .�. '!!�-_�;>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . W'ater supply (public water supply or Pump) V .f Distance of cesspool from any private well . ... . . . .YOO . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents. . . . . . . -e_,5 . . . .. . . . . . . . . . . . . . . . . . . . . . AFFIDAVIT Town of iQueensbury County of Warren State of New York I swear that to th, barof my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and coa.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to,the p work shall be plied with,whether specified or not, and that such work is authorized by the owner. Signature ............ pro z'_ ...... Sworn to before me this ..... ... . . .. ...... OWNER'S AGENT.ARCHITECT,CONfAA:&6A...... ......... ......................day of.............19 1.9. .......................... . ............... .................................... . 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 c 2 . Type of heat ��° 4 3 . Is the building mechanically cooled? 4 . Percentage of area of windows and doors Lb A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors e osed to ambient conditions 2 . Floor �foun eated spaces YES NO a. Ar tion walls insulated? YES NO 1 . If YES , at is the R value? 3 . Slab' on grade YES NO :a. If YES , what is the R alue of insulation around perimeter of floor? 4 . Is basement heated? YES NO a. R value of insulation 5. Type of insulation B. Under 16% Only 1. R value of roof. and floors exp(�sed to ambient conditions_ /�-3 6 2 . R value of exterior walls - �l 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 A(liq 7 . R value of slab insulation - heated slab UV 8. R value of heated basement/cellar walls (above grade) 9 . R value of heated basement/cellar walls (below - grade) 1.0. Type of insulation T-J)�( ��,'`��5 C. Controls G 1 .' Thermostat maximum heat setting / D. Duct Systems 1. Is duct system installed in unheated spaces? YES NO a. If YES , R value of duct installation b. R value of duct in other areas E. Piping Insulation 1. Size of hot water or cooling carrying agent pipe 2 . - R value of pipe insulation 71 F. Service Water Heating 1 . Performance efficiency 2. Temperature control setting maximum G. For Swimming Pool Only 1 . Maximum heating r/ Telephone No. 3- �0 (app icant signature) ~ T.OWN' OF -QUEBNSBURY BUILDING & ZONING DEPARTMENT 'SEU?AGF DISPOSAL. PERMIT APPLICATION 1. Owner' s Name 86A) Address Telep one No.. .-7q:? 2. Property location 3. Name of person :or -firm responsible for installing. system ! Si Telephone No. Address A. Number of bedrooms- (residential buildings only) .' 2. -5. Daily flow 7 d gallons/day 6. Septic. tank capacity_) gallons 7 . Topography: flat, rolling, steep of slopeEZ 8. Nature of soil and depth S11A) 9. If ground water, bedrock or. impervious material. is apparent at .what depth does ,it begin? ft. 10. Percolation test: A. is' required B is- not required C If req fired .what is the .rate minutes/inch 11. , Water' supply: municipal, well, other �. l�C°� I 12. Type of system proposed: drywell, tile field., other 'Any' contractor;. corporation, individual, etc. engaged i,n".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 p o ided for , in -Section 6'. 010_ of. 'the Queensbury Sanitary Sewage Ordinance. bate r signature of applicant . On separate sheet of, :paper submit a`"'diagram of. the ' proposed. sept c. :.system - 'with all d'imensions; including distance from any structure, distance from : property line and domestic water; supply,` etc.' Include all dimens"ions 'of the system itself. - Form 3'' 82 = i Cl� I LL 101 -� I I I l I y i I I I I TOWN OF QUEENSBURY Building Department Iaepect°rt Deport Date P i Name �[ n l LAXabolM Permit o, Y� ✓� Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough P1b . Relief Valves Wall Board L_ — Ext. Porches +-- Finished Floor Interior Trim tr Stairs & Railings u Cellar Dr. Tile Concrete Floors Plbg. Fixtures i, ` Gar. Fireproofing , Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls ceiling .building Inspector REMARKS (� , �S l Q TOWN OFOUEENSBURY Building- Department Inspecton Report Date Permit lY®. Weather Remarks Excavation Footinq Forms Footing & Piers Foundation Cement Coat Water roofin Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plb . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation FoundationWalls Ceiling Bu lding Insp ctor REMARKS /�00 TOWN OF QUEENSBURY Building- Department Inspe*m Report Date Z 3` q,3 Name —4 _— Location_ zra-yA✓ S T� Permit No. X 1 -7-7 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing sheathing Roof Felt Roofing Siding Masonry Veneer Rough P1b . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Se tic Approval Floors Insulation Foundation Walls Ceiling riding Ins ector REMARKS TOWN OF QUEENSBURY Building Department knux2 a Report Date Name S Locati� s , permit No. Weather Remarks Excatia t.ion Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough P1b . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceilin C B ilding Ins ector REMARKS BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OFFIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR VILLAGE TOWNSHIP C ' i COUNTY STREET AND NO.OR ROAD AND POLE NO. ,- I POLE NO. BETWEEN.WHATTWO n CROSS STREETS IS PREMISES LOCATED? I+ SECTION BLOCK LOT OCCUPANT'S 5 BUILDING NAME S; OCCUPANCY OWNER'S NAME AND ADDRESS i CURRENT - SUPPLIED BY FROM THEIR OFFICE Is BUILDING DEFECTS NENf10 OLD❑ REMODELED ❑ WORK NEW �'❑` ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS Loca- Lamp Receptacles CIRCUITS tion Side Attach't H.P. Watts A W.G. WATTS Ceiling Wall Recept'Is Switch Pendent Bracket No. Type Each No` Each No- Gauge NO. EACH Out- side Sub- base Base- ment V 1 y.., 1st FI. r`. t . 2nd FI. 3rd FI. 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 / ' /'.. j' / ,- ELECTRIC SIGN TOTAL , MAINS ,,F ,'7 !; FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK } CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED J -' - •', , COMPLETED SIZE OF SIGN SERVICE ENTERS MAKER BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. r _ i J NAME OF i -,5 DATE OF APPLICANT - ; r'% "f APPLICATION. STREET ADDRESS' CITY OR !_..� ZIP LICENSE NO. POST OFFICE 'I' t J`:, - !r CODE,.. _ ; WHEN APPLICABLE ,r A SEPARATE APPLICATION MUST BE FILED'FOR EACH SEPARATE BUILDING