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1985-059 CERTIFICATE 'V OCCUPANCY 4 TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK June 3. 19Dove r _ 'This is to certify that work requested to be done as shown by Permit No. Pi has been completed. This structure may be occupied as a ( ne-F am z 1 y *_��.*t 1 1 i nnr Z.rtlCilClo[L '�Si• 'atlx' E.' l r �c''4n ( ' �9YtLea' By Order Town Board TOWN OF QUEENSBURY I Building N Zoning Inspector CRC+�TIVC "INST A'" rMYMi1NG. 6LCN5 rALLS N Y 1Ei04 151�1�'Y 3-Sd34 . . BUILDING PERMIT TOWN OF +QUEENSBURY No. s 5 - 59 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Daniel Drellos 0 At OWNER of property located at Lots 28r 29 Laurel Larne Street, Road or Ave. ((p' in the Town of Queensbury, To Construct or place a t)ne Family Dwell ncr � 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 .ironing ordinance. I—' 0 Un 1. OWNE R'S Addressis English Village South Glens Falls , New York 2. CONTRACTOR or BUI LDE R'S Name Paul G . Sokol t-r 0 3. CONTRACTOR or BUILDER'S Address d" 111 121 Aviation Road Glens Falls , New York 00 co 4. ARCHITECT'S Flame N N i✓ 5_ ARCHITECTM Address `M N rPLAN Construction — {Please indicate by X} fb Wood Prams ( } Masonry i 1 Steel { I nd Specifications 28rx64t per plot plan , specifications and application o. SUbmitted including two- car attached garage and a.ge 0 Usene-Family Dwelling M 1 $ 5 . 00 C/o Paid ~ $ 143 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES October (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the d town of Queensbury before the expiration date.) N I� Dated at the Town of Queensbury this 27 f- h Day of Mar h 19 2-5— SIGNED BY for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY (Space inside block Ick he filled in b% WARREN COUNTY, NEW YORK Building Inspomtor) Application for , lalsrituIs.Nu No. ! l'r�r,,, iF 1:..�uotl BUILDING AND ZONING PERMIT lr,.t ,t, it Fspires ! � THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scats showing tha actual dimensions of +he lot to be built upon, The exact six*, and location on the lot of +he building to be erected or altered MUST BE SUB. MITTED WITH THIS APPLICATIONo l ry ' - 3 , } �� �lz 2A 6 .. TOWN OFQUSEfVSBLJRY [2FmV1EI VC A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK �� ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work A.M. �'��' t which will be dons in accordance with the description, plans and specifi- '�'I $191�. 1 :�1I6 cations, and such special conditions as may be indicated an the permit. G The owner of this property is. + �� �,tti , - . , C � .� � e . �. . . I� rl'S �, . . iJr .ftu . . rt.C., . l . . •. . . . . . . . . . . . . . . . . . . . . . tv O. ADDRESS) The person responsibitt for supervision of the work insofar as the Building Code and the Zoning Ordinance apply i ; . . . . . . . . . . . . . C, .t; L . . . . . . . . . . . . . c . l_ C�. . . ,y^- }h . S "� t - . . 4PO amiss} (NAME) Name of Builder . . . . . . ,C. . , I I P . .11� . . . . . . . . . . . . Address c.i. lt.u.ty..S� . . . Address t { - i-i1LS. S .s4� t=r .. . .� Name of Plumber - . .� t=�ri"� . . .�+.= r - . .'� . Nance of Mason . . . . , . 4 �-� Jr t K a_1 . . . . . . . . . . . . . . . . . . Address . . . - . . iT.�. i . . . . . . . . . . . . . . Lot Number . ' . t. �PL -1. . . Unit . . , .I- Estimated value of ,proposed work f - . ,. Gc s ta. . . . . . . . . . . . . . . . Name of Village . , . . e ex..s h-.Lr. _ . . . . . . . . _ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... Name of Street . . "� �+ '� � - - . Side of s#tier : north (A. east 0 , south 0 . west Q Nearest Cross Street . . .Z'? j et.� S . C w4C L "f^ Distance frr,m this rocs street . . .0 f?#�S a f .C_, . - F1 . Property is north 1%, south ❑ , east i i , west © from Cross Street if on Corner,"which corner, northeast 0 , northwest © , southeast 0 . southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY :Main Building {Construction of a new building. One-family dwelling 0 Addition to a building. Two-family dwelling I� Alteration to a building. - family apartment house d Demolition of a building. Store building w - -car attached garage Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage E71 0 Other work. Describe. . . . . . . . . . . . Two-car detached garage � Private chicken house • � � � � Private storage building . . Other: . . . . . . . . . . . . . . . . . . . . . ZONING OVACIFiCATIONS. Fill in for new building, or addition to existing building, or a change of occupancy. .1 Indicate on the plot plan street names, the location and y size of the property„ the location, size and setbacks of pro- posed buildings, and the location of all existing buildings. reortTr+ Show proposed building(s) in dotted line and existing huilding(s) in solid line. +�y ex r'� Size of grope c)4 0. r }- - . . . ft. x . a ,,50 . - . . . ft. J Size and use of existing buildings, if any w 3 W ry, _..1.. �.. t i "' Size of ,proposed building . +71. � - ft. x .L�.'`� . . ft. Height (from grade to ridge) . . . . . 14 . . . . . . . . . , . . ft. .d Front yard . . . . . . .l-&, . . . . . . . . . . . . . . . . . . . . . . . . ft. Side yards - . . . so. . . . . . . ft. and . . . . SRO.> . . . . ft. Rear yard . . . . . . . t 0.L'a . . . . . . . . . . . . . . . . . . . . . it. SOUTH If on corner, setback from side street . . . . . . . . . . . . . . . ft. . . Nose : All distances are net, as Measured from street side line to nearest part of building. r� SOYER} I 733 M {cont'd. ) BUILDING SPECIFICATIONS., Kind of construction; Wood frame, fire safe, etc.? . � t ?besd - :���!-rrt�, . . , . . . . . . Will any second-hand lumber be used? . . . .di-�-4 C ;i. . . . . . . If so, for what? . . . . -- �--' . . . . . . . . . . . . . . . . Material of foundation walls . . . . ICE.`• . . C emCrx:Ac . . J) )ock .. . . . . . . . . . . . . . . thickness !� � � . . . . . . . . , . . . Depth of foundation walls below grade . . . . .a':"} ". . , . . . , . . . 0 . I . . . . . . . . . . . . . Continuous foundation? . 4T ,e 55 , Will there be a cellar? 4 , 10 . _ .4 . . If so, material of cellar floor Type of roof: Sloped or flat? . _ . ,A!�. IGerG4( . . . . , . Material of roof . . . . .0.�►s�7�s , � {-- Size, wood studs . . . . . . . . . . . . . . . . . " x . . . . , '?l . . . . . . . . ". spacing - _ - , , , ."o.c., length . . . . _ .. . . . . . ft. Size. floor beams. Ist floor . . . . . tL�. . . . " x . . . . . t .tom. . . . . . . ", spacing . , . . F L . . . . . . . "o.c., span . . . . . .{.Aq. . . . . . ft. Size, floor beams, 2nd floor . . . . . . . . . " x . . . . . . I. Q . . . . . . spacing . _ . . . "o.c., , , span . . . . . _t _� f . Size, ceilingbeams . . . . , . . x spacing . o.c., span _ , , . . � .2. . . . ft. Site, roof rafters or beams a .- x . . , . . , am " spacing . . . . - . . . . . . n.c., span . . . . . t � . . . . ft. Exterior finish . . . . I. K, f�, . . . C.l inn ) . . , f.L1 `> +{%-.C�_ . . . . . With what material ? - - - < Cd<:i r- , , , , . . . . . • • . . , , , , Finish of interior walls . . . . .I/L4, . . . . . S �1 t .0 c C.� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main buiJding to be constructed? / rd r . . . CC. . . . . h� r:f ar�c_1L� . . . . . . . . . . . . . . . . . . . . . _ _ . . . . . . . . , . . . . . . . . . . . Is there to he an opening between garage and building? . . . Lo C S. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . 4 . . . . . . , - . Bind of heating system . . , . . . . . . . . . . . . . . . . . . Oil burner or coal? . . . . . . . . . . . , . . . . . . . . . . . . . . Will a flue-lined chimney be provided? . . . . . . Depth of chimney foundation below grade I-Ieight of chimney above roof . . . . . .t . . . . . . . . . . . . . . . . . . . . . . . . Will there be a fireplace? . . . . C `i. , . . . , , , , . - - Ile th of fireplace hearth . , . ' Will a toilet be installed? . . . . . `, Will a kitchen sink be installed and connected to water supply? . . . .c, � � . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . , , . ►'^ .�?. . . . . - - i. . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . . . . . . . . . . 44 Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts. and vents? . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr my know,ledae and belief the statements contained in this application, together with the pins and specifications sub- mitted, are a true and co... lets statement of all proposed work to be done on the described prannsea and that aA of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the pro shall be complied whather specified or not, and that such work is authorised by the owner. Sworn to before me this sianature .. . . . . . . f I p �.�..��.'] .CYW7EqA0WW:N:1k�(WSAGENT. ARCMITE .. . .. -. . . . . ... . . . �c .T,a . .. . . . day of. ... . . .. .f"I-11.u'�",L'.L'-.� GQNTRA . . R. . .. I9 . .'� � 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 ills 7 • 2 . Type of heat i- c..-stt - -s �. .. � •-,. � 11 '' ,x� 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors1 ' /4 A . over 16 % Only 1 . Uo aloe of gross area of walls , roof /ceiling and floors expo d to ambient conditions 2 . Floor ove . heated spaces ymt NO a . Are foundation walls sulated ? YES NO 1 . If Y " , what isj he R value ? 3 . Slab on grade YF NO a . If YES , wh IN� the R value of insulation around perimete of flodya 4 . Is baste nt heated ? YES NO a , value of insulation 5a ype of insulation B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. . .r 2 . R value of exterior walls 3 . R value of glazed area. 4 . R value of doors OPa % -- 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab _^AJ4 _ 7 . R value of slab insulation - heated slab_ B , R value of heated basement/ cellar walls ( above grade ) `` �� �� 9 . R value of heated basement/ cellar walls ( below grade ) . .... 10 . Type of insulation';= INEE4LALe�. U C . Controls #> 1 . Thermostat maximum heat setting ' D . Duct Systems_ 14 Is duct system installed in unheated spaces ? YES C.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 carryin agent pipe y _ 2 . R value of pipe insulation �s • 1� F . service Water Beating 1 . Performance efficiency 2 . Temperature control setting maximum_ } _-- G . For Swimming Pool Only L ! 1 . maximum heating Telephone No . pn"l A 's::, 1= ( applicant ' s signature ) TOWN OF OUEENSHURY BUILDING ZONING DEPARTMENT SEWAGE DISPOSAL PERMIT APPLICATION ] . Owner ' s Name t-,_o4! Address Lc, C- LOti wt- � Telephone No . 2 . Propert ; location • V` (a E_ C-- TA S °a 3 . Name of person or firm responsible for installing system ti _e r4 i2 __. 3 '?1 c_ `- Telephone No . Address �x f Ct7 r 3 �� ra C� t'cs u V: 41; S iz G.siz. Isj 4 . Number of bedrooms ( residential buildings onXy) 'F h r- < 1 _ 5 _ Daily flow /�'"d G�" D/� iE' -- opo f qallons/day 6 _ Septic tank capacity gallons 7 . Topography : flat rolling , steep % of slope 80 Nature of soil and depth 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? f t - 10 . Percolation test : A ± s required g k. is not required C if required what is the rate minutes/inch ll , 'Water supply : municipal , ell other 12 . Type of system proposed : drywell , itile f ld , 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. ¢ueensbury Sanitary Sewage ordinance . �7 Date 3 /� / I / _ �- or signature or 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 , etca include all dimensions of the system itself . Form 3 - 82 TOWN OF QUEENSBURY Buildint Department Inspector* RePart_. N. 1..eaatiea �- Pern2 k. No0 Weather Remarks I . s xcaiya to on Footin Forms Footin & Piers Foundation Cement Coat Water roofin kk Backfill Final Surve Framin sheathin Roof it Roo an Sidi Masonru veneer Rou h PI Relief valves Wall Hoard' Ext . Porches Finished Floor Interior TxiM Stairs & Railin s Cellar vr . Tile Concrete Floors PZ . Fixtures v^ Gar . Fire roofin =ioor Closers Chimne Water Meter Inst • Se tic A roval Floors Foundati6n Insulation Walls 'Ceilin Building Inspector REMARKS 4000532 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY �md 41 STATE STREET, ALBANY, NEW YORK 12207 .r� Date June 190 1985 Application No. on file D777$5—B V S A /I J 0 2 2 THIS CERTIFIES THAT �1 dL G only the electricel egoipment as described below and in.trocluced by the applicant named on the above application number in the premises ,of Daniel Drellos , Laurel Lane , Glens Falls , New York in thefalloa:ing location; Basement lar Ft. figij $nd Fl. Outside Section Block Loa was examined on andfound to be in corn liance with the 6/10/85 P regoirements of this Board. FIXTURE Ap,ES SWITCHRS FIXTURES RANGES COOKING nKS OVENS DiSN WASHERS EXHAUST FANS OUTLETS INCANClESCENT FWCaESCt,iT y AMT. K. W. AMT. K. W, AT. K.W. AMT" K. W. AMT. W P. 23 43 26 22 3 Fr DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS JSPi RECPT TIME CLOCKS MU UNIT NEATERS MUiTId76IfLEr DIMMERS `. '"T. K. W. 04L H. P. GAS H. P. AMT. NG. A. W, G. AMT, ^J Al AMPS. TRANS. AMT. N. P, SYSTEMS AMT, WATTS No. OF PERr 1 Range 3136 r�%nCZ DISC)01NNL r ND, OF S E R V I C E AMT. Al TYPE P 1 ,w 2W 1 X 3W 3 AP 3W '� X AW PER A,CdVO of CGGND. Nb. 4F HI-LEG OF-H4� NO. OF NEVTRALS OF NEUTRAL 200 CB I. x 1 4/0 1 2/0 OTHER APPARATUrm �..� Smoke Detector Sam W 4oYtYCIi. se 11 Potter Road 239 BRANCH MAFEAGER Gansevoort , Now York 12831 I - COFT FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BuildiUg Department [mprr R� Datc �T"— Name pewffwa �'�" W eather Remarks ExcatFa ti on Footin Forms Footin & Piers Foundation Cement Coat Waterproofing Backfill - Final survey - Framin Sheathin - Roof Felt Roofin - siding Masonr veneer Rou h PI Resmef '[calves Wall Board Ext . Porches Finished Floor Interior Trim - Stairs & Railin Is Cellar Dr . 'File Concrete Floors pI . Fixtures car . Fire roofin - Door Closers Chimne - Water Meter rust . Se tic A roval FI 0r.>xs ------- F durnda �t lon Insulation Walls Ceilin ,grxilding Insrector REMARKS tr ems' X. z / (9 TOWN OF QUEENSBURY Building Department Yn"mocto r Report Date_ •� �� Name 11 acabao Pew Na._'� - s' S weather Remarks Excai'ra ti on Footing Forms Footin & Piers Foundation Cement Coat Water roofin BaclkfiJI Final Survey Framan Sheathin Roof Fel t ,Roofin Siding Masonr Veneer Pl to Rough Relief valves Wall Board Ext , Porches Finished Floor lWater erior Trim irs & Rai.lin s ar Dr . Tilencrete Floors Fixturesr . Fire roofin Closersimne Meter Inst . re Sri C A travel Floors Foundation _...,. Insulation Walls _... Cei. lin Buil sng Inspector REMARKS TOWN OF QEENSBURY Suitdlus Department inspectors Report Date e = NwMe Remarks ExcatYa Lion Footing Forms FoOting & Piers Foundation Cement Coat Water roofin Backfill Final Surve Framing sheathing Roof Fel t Roaring Siding Masonry Vender Rough P2bgl Relief Values Wall Board Fs xt . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr , Tile Concrete Floors PI . Fixtures Gar . Fire roofin -- Door Closers Chi,mne Water Meter Inst . septic Approval Floors Foundation Insulation wails "--' Ceilin Buz sng n ctor REMARKS TOWN of C EENSBURY Building Department �+�rs Re�sart i3ate7�w� Name �'-- Faaret No. •• a Arw& Weather Remarks Excal>a tion Foot-in-Forms Footing & Piers Foundation Cement Coat rater roorin Ba cicril I Final survey Framing Shea thing Roar Felt Roo.fin siding masonry Veneer Rough Plb . Relief Valves Wall Board Ext . Porches Finished Floor Interior Tzi.m Stairs & Railin s Cellar Dr . Tile Concrete Floors Plpg , Fixtures Gar . Fireproofing Door Closers Chimney Water Meter Inst , se tic Approval Floors Insulation Foundation ` Walls Ceiling Duildang rnspector REMARKS i ---REUL- 3$ 1 - _ PL P +0_ -4-cr►�. SmD� -+�_ des, box 10 ,o �a roux