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1985-683
CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK This is to Certify that work requested to be done as shown by Permit No. has been completed. This structure may be a Locaation r c- a- t Y: :7a7,xj7, ernic-% R C S M3N Tx r r7avid R . 70ine-r Owner By C?rder Town $card TOWN OF QUEENSBURY Building N!'Zoning Inspector CWM^TIVM '9M3TA rA INTING. CNS Pia L LS. M V t zoo I ISI ell#3-5i## BUILDING PERMIT TOWN OF +QUEENSBURY No, WARREN COUNTY, NEW YORK PERMISSION is hereby granted to David R . Miner OWNER of property located at north side Luzerne ROACI Street, Road or Ave_ in the Town of Oueensbury, To Construct or place a CSn P F'g 7 i l tr T) -+ Z 1 ; nrr tz$ 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 Zoning Ordinance. p, W a . OWNER'SAddressIs Rp # 3 Laurel Lane Glens Falls , New York :9 r- m n 2. CONTRACTOR or BUILDER'S Name Don Harvey 3. CONTRACTOR or BUILDER'S Address. 0 D f'f RD # 1 Bay Road Lake: George , New York un 4. ARCHITECTS Name ; tTr L—' G N 5. ARCHITECTS Address tj M pa 6. TYPE of Construction — (Please indicate by X) O Di 1J. ( XI 'Wood Frame { } Masonry { ) Steal { Y 7. PLANS and Specifications No_ 24 , x72 ' per plot plan , specifications and application submitted including two-car attached garage and sewage aystem r a. Proposed Use 'y One-Family Dwelling ' + C $ 5 . 00 C/O Paid r O4 16 , O $ PERMIT FEE PAID — THIS PERMIT EXPIRES l Cp (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queanabury before the expiration date.) � Dated at the Town of Clueensbury this Is th Day of Xn rpmbt+ r 19 R5� SIGNED BY / W a . to for the Town of Queensbury Building and Zoning I nspector iQ TOWN OF QUEENSBURY Itiparte inside Mork lr+ ltr• filk•al in br . WAiAtREN COUNTY, NEW YORK building Inafiaecattr! Application for BUILDING AND IONING PERMIT C7 hI1E' Cppaif �l,l ,r4 .. ,�1 ha• a PLOT PLAN. Drawn to scale Z00— skowin tthe actual dimonsions of the lot to be built upon, exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH TES APPLICATION.""~` '--i-��[ WN (OF Q1LJS1EtNS13U1: rrit.�"�-}"�� ..l f1,4TE A PERMIT MUST BE OBTAINED BEFORE BEGINNING Wti7ltli �f ANSWER ALL OF THE FOLLOWING* The undersigned hereby applies for a pormit to do the following work mot which will be done in accordance with fha description, plans and specifi- AwM*cations. and suck spocial con¢ltions rs may ba iodine#ad on the permit. 'j $�9 1 5 16 The owner of this rolay is: [ TMA'dEl IA O. ADOAESSt The Person resMrife , ic [or supe"isi of the woe insofar as t e Building Code d the Zuni Ordinance apply is: - Qrt�. k Via! `. .+r.L7 . '.. .. it t] �. . BSI . . Name of Builder - + . . . K1 , Address . » . . . .5•�! t e . . » . . . . » . . . . . . . Name of Plumber . �2J � , ]"1;7;.,1r� . . . . . . . . . . . . . . . . . Address "-�+A.k=�-'�-s• �4�.s 4�` . . �.? . i. . . - . . . . . . . . Name of Mason . $6A, C�f. . . . . . . . . . . . . . Address : , _, ■ .• �e 4 . . . . 50 1 .V• . - . - . . . . , I . . . . Lot Number . . ` . . . . . . . Unit . . ". . . Estimated value of proposed work i . . . . . . . . . . . . . . . . . . Nam of Village _ . 7 is rcl.7r" .fix.: . . . . . . . . . . . . . . . . . . . . Natrse of Street . . . . ss ko� 'aa:-- �� w , _-e `, !� . . . . . . . . . . . . . . . . . Side of street: north , e�rsR ❑ . mouth ❑. weal ❑ pa Nearest Cro Street . 3.s?!�? � _ . t . , . . . . . . . . . Distance from this -roes street . . . .*� C.2 . . . . . . . , . . VA. Property is north ❑, south Weast i t , west ❑ from Cross Street lfon Cortser, which corner, northeast 13. northwest ❑ , southeast ❑. sc+uthwest (,Designate by marking with an "X" in the corret-t space.) /� NATURE OF PROPOSED WORK OCCUPANCY M Construction of a new building. 'Main DuAding Addition to a building. [Joe-family dwelling © Alteration to a building. 'I'wo-family dwelling CJ © Demolition of a building. - -family apartment house L7 Store building . . cA . . . -car Attached garage [ Other: . » » , . . » » » » . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building One-car detached garage 0 Odoar work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Private storage building . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Other: - - . . . . . . . . . . , . » . » . . . . . . . . . . . . . . . . . . . . . . . . . ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building. or a changes of occupancy- Indicate on the plot plan strtsat naststles, the location and size of the property. the loattion, size and setbsltks of pro- NORTH posed buildings, and the locatiots of all existing buildings. Show proposed building(s) in doned line end existing twilding(s) in solid line. t Size of property . . 3 ? . . . . . . . ft. a . . -tr . - » » it. C? n$ �'+ y Size and use of existing buildings'. if an » `r~ # d +S T w Size of proposed build ittg , • . . . . ft. x . .� . . • • . it. a Height (from grade tatridgs( Front t Front yard fit. Side yards . . . . + . . . . . ft, and . . . . it, Rear yard . . . MIZ> t. . . . . . . . . . . . . . �. . . . . . . . . . . ft. soUT H If on corner, setback frosts side street . . . . . . . . . . . . . . . ft. . Note: Ai! d,':eaPores are net, as measured frown straar side fine to Aearexs part of building, foViwl 7-73-M (cont'd.) BUILDING SPECIFICATIONS a Kind of construction. Wood frame, fire safe, etc.? . . . . 44} �. . -�. . . . . . . Will any second-hand lumber be used? If so, for what? . . . . . . . . . . . . . . . . . . . . . Material of foundation wall . . �C7�yG.¢)I -t�- L yr. �- Thicitne= » , , . 4 wit• Depth of foundation walls low grade • •aB.`'� ;�. . . . . . . . . . . .f. . . . . . , . Continuous Fcnstu�aticirs? . .�,-�. . . . . Will there be a cellar? . . . . E.S . . » . , . If so, material of cellar floors ? -�!� Type of roof. Sloped or flat . . '�. . . . . . Material of roof . ,V44%M.I..?605VPl* , Sue. wood studs . . . . . . . . . . . . . . . . .z - " x . CIP. . . . . . . . . . . . go. spacing . . . . . . #Loa. . . » . .^a.c., length . . . .' 1116m. . . . . ft. Size, floor beams. 1st floor . . . . . . . . " x . . . . . . . . . . . % spacing . . . . . . 1 Ica . , . . ."o c.. aptsn . . . . . .� .-k . . . . . h. Size, floor beams. 2nd floor � . " a , .4 C� . . . , . . . . . . ". spacing . Size, ceiling beams . 7 x. :V. . . Mflr%� . . " x . . . . . . ". spacing . . '�� : . " .c o .. span . . . . f?, , . . . . . ft. Siste, roof rafters or dreams . . . N/�+ . , . . WIN spacing . . . . . h��. . . . ."n c., span . . , . ,R �f�. . . . . . E F1. aterior finish . . � .? . K � , �Et fl}. , . . 1�D�71fr+- - With what material. . . . . . . . ,r x Finish of interior walls . . . ". . . ' . . . If ar a is to be attached of what mater`al is,�all between garage and main buildln to be constructed? . . . *f. . y . . ,i✓Ua�c� , .� . 5/ - AI.t=F�.�s-5.C;00: . .�'r�rr-�-� Is there to be an opening between a aty� bull i ? » . . . .,+1,{' Q. . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system . . . l 4 iGr . ,�i '. . . I ' ll Oil burster or coal? . . . . . . . Will a flue lined chimney be provided?� . . 166. . . . . . . . Depth of chimney foundation below grade . . Height of chimney above roof. . �n . . . . . . . . . . . . . . . . . . . . . . . . . . . . - , . - . . . . . . . , . . . Will there be a fireplace? . . . . . +E.S . . . . . . . . . . . . . . . .Depth of fireplace hewnh . . _ . . . . . . . . . . _ . . . . . . . . . , » . . . . . . . Will a toilet be installed? - - - - - - . . 1 . . . . . . . . . . . . , . - . . . . . . . . . . . . . . . . . . . » . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to � ply? . . . . ��. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply (public water supply or pump) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . /r . . . . Will drainage system be feet g y provided with required traps, ela�nouts, and vents? . . . . .�•rJ . . . . » . . . . . . . . . . . . . . . . . . . . . . Town of Queenshury AFFIDAVIT County of Warren State of New York t swear that sa tr. bt♦'iuf any knov0sclso sad belLof the sertestrata eon appliwtian. tame whla the% sod spamiflert3anr aaittad, are s trur and ou.a aw etatetaant oat all progosad wok m 6r ara d"deri vials wed tbai an or &he suitt ING CODE, THE ZON1NO OR► INANCE, mad atl otlsrr Lowe ipartawdoa sirs WO maid that such work is authorized by sir owner. Swans to botors Mo titi.t Sionsuste .__ . . .. .. t 40 . . . ... . .. ... ... OMJNEIY. MYN t:R"S AftENT, ARCNjvriI' CaNrR%YC"fCNI --' _ _ _- . . . .. day of . . . . .... .... .. . . . ... . . ... . . 14. . .- . NOTARY 1MuaL.1C, WAPMEN COYNTy. N. y. SPECIAL CON DITIONS OF THE PERMIT+ } by . .. . . ... .. .... ... ... ...... . . .. .. . . . . _.... ... . ........... ...... .. ........ ........I. . :.I . ......... TOWN OF QUEENSOURY WARREN COUNTY , NEW YORK Application for : BUILIDINq PERMIT IN COMPLIANCE WITH THE NEW YORK. STATE ENERGY CONSERVATION CODE A permit must be obtained before beginnings work . ANSWER ALL of the following : 1 . Gross floor area 2 . Type of heat 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors 0 A . Over 16 % Only 1 . Uo value of gross area of malls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES No 1 . If YES , what is the R value7 3 . Slab on grade YES NO a . If YES , what is the R value of insulation around perimeter of floor ? 4 . Is 'basement heated ? YES NO as R value of insulation 5 . Type of insulation a _ Under _ 1_6 % Only 1 . R va a of roof and floors exposed to ambient conditions , r...w. -T77 `.� -- 2 . R value of exterior walls 3 . R valuer of glazed area '1C7/1/ 1V 4 . R value of doors 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated Blab 7 . R value of slab insulation - heated slab Ss R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /collar walls ( below grade ) low Type of Insulation }'1a �► C . Controls is Thermostat maximum heat setting' D w 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 oe 1 . Size of hot water or cooling carrying agent ,pipe 2 . R value of pipe insulation F . Service Wate-rNeating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum lseating Telephone Now Y .+��' ( applicant ' s 8 gnature ) TOWN OF QUEENSBURY BUILDING ZONING DEPARTMENT S GE DISP EF4�IIT APPLICATION 7 1 . Owner ' a Nams. Address [ Telephone No . 2 . Property location l7Z' �# •+ � '�-9 3 . Name of person or firm responsible for installing system Telephone No . Address [ � 4 . Number of bedrooms ( residential buildings only ) 5 . Daily flow llons/day 5 . Septic tank capacity. 0CC f 4allrans 7 . Topography : flat , rolling , steep of slopei 8 . Nature of soil and depth 4C$ , , o 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? l0 . Percolation test : A is required B is not required C If requ red what is the rate minutes/inch 11 . Water supply : municipal , well , other 12 . Type of system proposed : drywell , tile field , other Any contractor , corporation , individual , etco engaged in ' thg construction of a sanitary sewage disposal system who covers - the samebefore inspection , does - not have an approved permit , or varies from the approved application will be subject to a penalty of $ 250 as p vi ed for in Section 6 * 010 of the Queensburly Sanitary Sewage Ordinance . Date zgnature of applicant On separate sheet of paper submit a d___i�aauc _r�am of the proposed septic system with all dimensions , Including distancrom any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . - Form 3 -82 own f Q"een3tury BUILDING and Zor4p4G pEPAR BOX 98 ENT Bay and Haviland R YorkD, I B O QUeensbury. BUILDING INSpECTop , S REPORT NAME t� LOCATION Date AFPRCIV ED - YES i30 Fc3atin9/pier Forms Foundation waterproofing Backfill F rauang Roofing Siding Masonry veneer Hugh Plumbing Relief Valves Ext . Porches Finished Floors Interior 'Trim Stairs & mailings cellar Drain Tile Concrete Floors P1bg - Fixture S Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FTNAL ELECTRICAL INgpECTION DRIVEWAY APPROV Survey �- yFinal Building Next scheduled insp action {call when ready Remarks- / C guildin I 6/86 md-vl TOWN OF QUEENSSURY suilaaag Department �� NI.Spectwe Repo A�r Pcrsuilt ReWarks Excavatoon F•ootin r Forms Footin 6e Piers Foundation cement Coat _ water roof-in _ Ba ill - Final survey Framin sheath-in Roof Felt _ Roof-in Siding Masonr veneer Rou h P) Relief Valves wall Board _ Ext . Porches LL _ Finished Floor _ r,nteriar Trim Stairs & Ra.ilin s Cellar Dr . Tile Concrete Floors _ P1 Fixtures _ Gar . Fire roofin Door Closers Chimne - water Meter Tnst . _ Septic A royal Floors Foundation insulation Wells -� Ce!li i Bull ng nspector REMARKS li,4 v 41 i Ut vt w TOWN OF CUEENSB, URY Bnij&nU- DePi;tmcrnt 1.0pectors Report Dute l�"�+ LOCI .� u Peewit No- g5 ' --- ReMarkS III INN,111111 1111101 Excavation Footin Forms Footin & Piers 111111111 Foundation " ill cement coat Water ofin Backifill Final survey P 0 . Ae - Framin CY`* ,V shea thiin Roof Felt .r- Roofin Siding Masonr veneer Rou h PI Relief Valves Jill I Wall Board Jill Jill Jill rxt - Porches Finished Floor .Interior Trim Stairs & Rallis S Cellar Dr - Cancrete Floors PI Fixtures Gar . Fire roofin Door Closers Chimne Water Meter Inst . Se tic A roval F Zoors --.----�"-- F undation Insulation ells ell In Buildin Inspector REMARKS YLc3Lill r6tr �w I!C-.,e.n r "Jill a 6 mac. tit-�vz-s rZ> r3 X�t ,o Toll 0 a r� 040 -roWm OF C IE-8tSBURY suitaim:- nep&rtz2*=t Locafieft rt • Parmh NO& Re�r+arxs Fool > a on F,a,oti peers IFounda tion cement coat > - water rill BaGgfI I Phial Surve - Fra - ShOlAthin Rcpf Felt Roofi Sid ri _ Masonr Veneer Ron h ,PI _ Relief valves - wwall poard - gxt . Porches Finished Floor - Interior Trial - g,ta2rs & Railin s - cel.lar Dr . Tile T Corxcrete Floors Pl . Fixtures Gar . Fare roofin noor Closers Ch'i Inst . Water Meter IS tic A royal Floors Fo� waIIS ,InsulationJ - Suildin Cellift rnspector REMARKS �i rc� . 1 C Q �e'r��tlCv � r IIsG ` All All TOWN T+aVIf N OF QU Building. Department "liZ::,A�?Al Jill JO MINIMUM repast riwsars e" oo Na- Rer,�rks E'xcatYat an F�Dat2 Farms Footin & Piers Lroundation cement coat water roafin Hacltfii l Final gurve Fra�- Sheathin ,Floor Felt Roolfi 11 Sid in 11 S,asonr veneer Rau h Pl 0 Rellef Valves "ll Board Ext . Parches p.itished Floor Xnterior Trim Stairs & Railin s Cellar Dr . Tile concrete Floors Pl . Fixtures Gar . Fire rQafin Door C-Lasexs Chimne rust . Water Meter septic A royal Floors .�.� you a t.J �....... xnsulatlon Iva1� l� sr_- - Bulld #ng nspe,ctor l! 6- of CO if t t- RrMARKS 2� T� r(D , L t cry n t- crf n Pfr�' r�lzoA4 was & � � TOWN OF C EENSSURY Building DePartment Inw. camv Rqpmt.. MaeName QZLOAC ,AIOArG� Perowk Noy. ,Remarks ExcaQyat on Fovti FvrmS Foot i & Piers Foundation Cement coat water rorsfan 8aolcfill Final &carve Frantin Sheathing Roof Fel t Roofin n masonry Veneer Roca h Fl ReIie3L Valves (wall Board Ext , Porches Fi lshed Floor Interior R'rim Stairs & Railin s Cellar Dr . Tile Concrete Floors Pl Fixtures Gar . Fire rvofin Dooz Closers Chimneif Water Meter Inst . Se tic A roval Floors Founda t10n Insulation walls Buil ing Inspector REMARKS TOWN OF QUEEMBURY Building Department N R aP,=w ...:tamPonak No,. rizf .�, 7 Remarks Exca0a t on PootIng Forms Footing & Piers Foundation Cement Coat Water z+oofin Hackflll Final Survey PramIng Sheathing Roof Pei t Roofln Siding Masonr Veneer Rough plbq Rellee Valves Wall Board Ext , ,Porches Fi n.i shed P1 oor Snterlor Trine Stairs & Railin s Cellar Dr . Tile Concrete Floors Pjbg . Fixtures Gar _ Fireproofing Door Closers Chimney Water Meter Tnst . Se tic Approval Floors Insulation FOUnda tior7 Walls 1-in C- aul2afingr Inspector �i � J� REMARKS a ity � z � m l � ��i`i,l '� '"3,•v.�(y1 � ' �C11['kI � �t9 � hd � �a G O 1 R�L f/lti MEN C� i