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1985-752 C/O Paid * � v CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date 19 - � • l�� c^' .1c 85-752 Thus is to certify that work requested to be done as shown by Permit No. has been completed. One-Family Dwelling (building moved and This structure may be occupied as a aaaltmon ma a lbr one, am y we ng l Luzerne Road Location .James A . Leo Owner By Order Town Board aroWN of QUEENSBVRY Building ds Zoning In pectar C RC wY�MC "IMyY,w" PRINT�n G. G4E*19 FA165 1'1 y' 11i4i Ipri1T93-5i5i BUILDING PERMIT TOWN OF QUEEN5BURY � No. 85- 752 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to JAMES A . LEO Luzerne Road Street, Road or Ave. OWNER of property located at ua Move building /place addition for one family dwg . in the Town of Queensbury, To Construct or place a at the above location in accordance to application together with plot plans and other information hereto filed and r m approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. o F2CON:TRACTO Addressis 29 Sriwood Circle Glens Falls , New York R or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address N same ro �t ro 4_ ARCHITECT'S Name 0 P� 5. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by XY ( N Wood Frame f 1 Masonry ( ) Steel ( 1 � O o G rf m 7. PLANS " Specifications move building size 21 ' x32 ' from Lake George and place addition w No. size 20 ' x24 ' for one-family dwelling including sewage system r; a a. Proposed Use r One-Family Dwelling S m 't3 � tv $5 . 00 C /O Paid $ 84 - CQ PERMIT FEE PAID - THIS PERMIT EXPIRES July 1 19 86aq (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.? rr it Dated at the Town of Queensbury this 31st pay of December 19 85 for the Town of Queensbury SIGNED BY dlrg Bull, arrd Zoning lnapecto TOWN OF +QUEENSBURY FBUILDING PERMff No . 85- 752 Issued To JAMES A , LEO For MOVE BUILDING AND PLACE at LUZERNE ROAD ADDITION FOR ONE FAMILY DWELLING location Of property Construction on these Premises in accordance with Specifications in Compliance with the N ,Y .S. Uniform Fire Prevention & Building Codes and Laws of the TOWN OF QUEENSBURY . INSPECTIONS BY BUILDING DEPARTMENT ARE REQUIRED. I . FOUNDATION FOOTINGS BEFORE POURING 2. FOUNDATION INSPECTION BEFORE BACK FILL. C.ONCRE•TE. 4 , ELECTRICAL INSPECTION REQUIRED BY NY .3. PLUMBING. IriEATING AND FRAMING IN- BOARD OF FIRE UNDERWRITERS. SPECTIONS BEFORE ANY CLOSING IN OF THE 6. FINAL INSPECTION BEFORE CERTIFICATE: OF FRAME WORK. OCCUPANCY is ISSUE¢. NO OCCUPANCY OF $, SEPTIC SYSTEM BEFORE COVERING. BUILDING WITHOUT APPROVAL OF THE BUILDiNC% DEPARTMENT, IMpURTANT--This Permit Expires JULY 1 19 86 POST THIS PERMIT in a Conspicuous Location . TEL. NO, VICTOR LEFEBVRE 12-31-85 792-5832 ISSUED BY DATE SZS4 TOWN OF QUEENSBURY L pace inside black to lxb lilted it1 b% Building Insprcl[tt'l WARREN COUNTY, fgEW YORK o. Application #or Is'Nu gi l '.ti:+lli'[l 19 BUILDING AND ZONING PERMIT " ','; lDi.1ri[ , .1 41�� i•tl taTHREE ( 3 ) Copies of a PLOT PLAN. Drawn to scalyKS' showingg the actual dimensions of the lot to be built upon, TFte exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. 13 $' S a ( r • , A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. � r3.AsM1. `6 � The undersigned hereby applies for a permit to do the following work 'T 1 S � 1t111 ` a which will be done in accordance with the description, plans and specifi- cations, and such special conditions as may be indicated on the permit. �,rt The owner of th- property is: _ G 6?./. L p07aolts ;'�r . . . .,N t . . . . . . . . . . . . . . . The person responsibka for supervision of the work insofar as the Bolding Code and the Zoning Ordinance apply is . . P . . . . . . . . . . . . . .. . . . . . op 6 ,4 R.O6ES51 INX Name of Builder . . . . . . . . . . . . . . . . . . . . . Address . . - . . . . . . . Name of Plumber , ti . . . . . . . . . . . . . . . . d d I Address A ddress Nache of Mason - - Lot Number . . . . . . . . . . . Unit . . . . . . . . . . . _ Estimated value of proposed work S . . . . . . Name of Village . (Q.Q E c I'i e� Iv L) Name of Street LL ?:CjCWL� . . . 4 ID . . . Side of street : north O, easy sout O . west [] ) ftJ. f.. 6 V. i l -N . . R.D. . _ . , Distance from this cross street . � Nearest Cross Street . 1/{/.E�' 7�. . A'I Property is north O * south ❑ , east,,X, west ❑ from Cross Street If on Corner,.,which corner, northeast 13 , northwest 0 . southeast 0 . snuhwest (Designate by marking with an "X " in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Main Building O Construction of a new building. One family dwelling Addition to a building. Two-famiiy dwelling 0 Alteration to a building. -family apartment house 0 Demolition of a building- Store building . . . . . . . . -car attached garage other: . . . . . . . . . . . . . r . 4L G f{, mQ e, Accessory Building One-ter detached garage � El Other work. Describe: . 13. L 0. G . .k � ?716 Two-car detached garage Q / Private chicken house a .�� - O . . (` I � ' 45�� l ' . ' . private storage building . 7` 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, size and setbacks of pro- posed buildings, and the location of all existing buildings. NORTfd show proposed building(:) in dotted line and existing lauilding(s) in solid line. /' Size of property . .2 L <>/ -3 6[�. . ft, x ,Q, G. . . _ ft. G 5 . Q Size and use of existing buildings, if any . . _ . . � � - K . . . . . . . . . . . . .I�_ . . . - Size o[ proposed building . . . 2' . . . It. x . .44 - ft. y y Height (from grade to ridge) . ` Front yard . . . . . . . . . . . . . . . . . . . ,y . . . . . . . . . ft. 't. / Side yards . . . . . . . , . '. . T�? . ft. and . . ft. Rear yarn . . . . . . . . . . . . . . . . . . . . . .. . . . i�:._ . . . . . it. souT M If on corner, setback from side street. . . . . . . . . . . ft. - Note: All distances are not, as measured from street side 1 dine go nearest part of building. (OVER) 7_73_M (aont`d.) BUILDING SPECIFICATIONS„ Kind of construction : Wood frame, fire safe, etc.? . - V4Q1 -. . . rv-Aa4.e:r .. , . . . . . . . . . . . . . . Will any second-hand lumber be used? I.1 . . . . . . If so, for what'-, Material of foundation walls W . GA!? . . . . , Thickness /F . ' •. Depth of foundation walls below grade . . . . .�i2 : . , , . . . . . . Continuous foundation ? Will there be a cellar? . r-..%,e�. . . . . . . - If so, material of cellar floor . 4' ' , cG / c Type of roof: Sloped or .flit? . . C�'� . . , . Material of root' . e�iGa'. V'"�Q'.. . . - F/.$E�TZ4� 4.+t�:5 Size, wood studs . . . .gZA4 . . . . . . . " x '' . . . . . . . . . . . . ", spacing .) o.c., length . . . . . .• '� , , ft. Size, floor beams, 1st floor . , . . . . . . - " x J �Z . . . . . . . . . . . ", spacing „ p g . . . . . . . _ . . o.c., span . . �. �:c�"." . . - . ft, Size, floor beams, 2nd floor _ . . . . . . . . . . . . . . . ". spacing . . . . . . . . . . . . . . "o.c., span . . . . . . . . ft. Size, ceiling beams . . _ _ . . . . . . . . '� . . x . . . . . . . . , spacing . . . . . . _ . - . "o.c., span . . . . . . . ft. Sine, roof rafters or beams . . . . . . . #7S . . spacing cs.c., span . . , ��. .G-? '' . . ft. Exterior finish . .1AG46ae>F> . . I,':*t . . - . . ,1.ce12c..VI- - . With what material? Flt4eV, . . . . , . . . . _ . . . . - . . Finish of interior walls . - fZ '.` . .& Art FejMp : . . . . . . . . . . . . . 1 . 141 If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to he an opening between .rage and building? . :-- .l C? . . . . . . . . . . . . . . . . . . . . . . . . Kind of heating system -[F. t . . . . . . . . . . . _ _ . Oil burner or coal? . . . _ . Will a flue-lined chimney be provided? . . . . . . . . . Depth of chimney foundation below grade . . . . . . . . . . . . . . . Height of chimney above roof . . . - . . . . . . . . . . . . . . . . . . . . . . . - . . . . Will there be a fireplace? . . . . . . . . Depth of fireplace hearth . . . . . . . . . . . . . . . . , . . . . . _ . . . . . . . . . Will a toilet be installed? . . Will a kitchen sink be installed and connected to water supply? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply ( public water supply or pump) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 wear that to to bet iof my k edge and belief the statements cOn"inad its this application, together with the platy and specifications Sub. mitted, a true and co.i, late a ant of all proposed work to be done on the daecribed pranuses and that an tarts of the IIIJILII- ING GORE, ZONING OR ANCE, and all other lawn pertaining to the posed work shall ba aora wttf wItethar specified B w• not and that such work is rued b the owner. Sworn to before rn thin Signature _. . . f G rL' � �. ��. OWNE.R"S AGENT. ECT, CdNTRACTOR /UB . . . . .. . .. . . .. . _ - . 19. . . . N b7ARY . WARRENS COUNrr'r, .. . ... .. . .. .... .: SPECIAL CONDITIONS OF THE PERMIT: Ely .. .. .. . . ..... .. ... . . ..... . .. .. .. .. . .. .. . ...... .. ..... ... .... . ... .. . ..... .. .. .-.. . ......._ . - ... TOWN of QUEFNSBURY BUILDING ZONING DEPARTMENT SEW-A+GF DISPOSA_. PERMIT APPLICATION . Ch%r ter r s Narne �i L Z'e t Address � /YJO(2z LI-J b 0 i Cloec L � ----- _r J.? ,f L Telephone Noe 2 . Property location 3 . Name of person or firm responsible for installing system Telephone No . � 3 Address '3 r) c..aorara t C4 - 4 . Number of bedrooms ( residential buildings only) •Z7 _ 5 , Daily flow* Cp gallons/day 6 . Septic tank capacity - I 1rNn Cl gallons 7 . Topography : flat , rolling , steep of slope 8 . Nature of soil and depth +f7 90 if ground water , bedrock or impervious material is apparent at what depth does it �begin? ft . 10 . Percolation test : A is required g Y is not required C if requ red what is the rate minutes/inch ll . Water supply : municipal , well , other 12 . Type of system proposed : drywell , sle field other idual , etc . engaged in the construction Any contractor ,. corporation , indiv 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 6o010 of the ,Queensbury Sanitary Sewage+-e-�OrdInance . Date / � �- ---'�-- ' _ gigriaturewof 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 , etc . Include all dimensions of the system itself . //' C) C) G Form 3- 8 2 J� �O . �- -n f rrt r,.1 4), i TOWN OF QUE- ENSSURY sulfa ux Derwrt newt Re pee't Name P No* 5- 7 ,�� Lathe: Remarks Excai>a t a on Footin Forms Foota & Piers Foundation Cement Coat , Water roofin Bacicfill Final Surve Frain,L Shea thi n Roof Felt ,Ftoofin Siding masonr Veneer Rou h PI Relief valves wall Board Ext . Porches Finished Floor interior Trim stairs & Railin s Cellar pr . Tile Concrete Floors Pl Fixtures Gar . Fire roofin Door Closers Chi.mne Water Meter r�na�t . _. Se tic a► Floors Fottn� Insulation Walls ----� � — Ce i l i�n Building inspector RE;M"KS 'C+pWN OF QUEENSBURY 13,j1dini D�epa,rtment Date 1.0pectma Report Name � G a LOCKICather PamoQt No. Remarks ,Excat}^a Lion Footin Forms Footin & Piers Foundation Garment Goat water roofin gacicfill Final. survey Frami In Sheathin Roof Felt goofi.n SidinSr Masonr veneer Rou h PI Relief valves Wall Board ext . porches Finished Floor Interior Trim Stairs & Ra lin s Gellar pr . Tile Concrete Floor's PI Fixtures Gar . Fire roofin poor Closers Chi.mne Inst . Water Meter Se tic A roval Floors Foundation �.�------ Snsulati.on Wa114 �--- -~ celllyl �� � Build.x g nspector REMARKS TOVVW OF QU'EE SBURY Bu7jkj&=4r Department Date Repmt - Na►ane L - �h weather persukt Na. Remarks Excgoat ' on Footi.n Forests Footi.n pi'er'r . Foundation Cement coat Water roofin gac)cfiI l Final Serve Framin Sheathin Roof Felt Roofi.n sidin mason r veneer Rou h pl Relief valves Wall Board Ext . porches Finished Floor Interior Trim Stairs 6 Railin s { Cellar Dr . Tile Concrete Floors pl, Fixture Gar . Fire roo in Door Closers Chiame Water ,Meter .rnst . _ Se tic A roval Floors Foundation__ insulation walls Ceilln �pr�.t musT N/r� � REMARKS )aorz T AW C Y Gv BUILDING DEFT. OPFIGE THIS COPY iTH 8U LDING DEPT. WHEN REQUIRED IRE UNCIERW RITE RS. TEMP. # DATE CITY OR TOWNSHIP COUNTY VILLAGE STREET ANO NO. OR POLE NO. RDAd ANQ PDLE NO. / L--� BETWEEN WHAT TWO r� ,n BLOCK CROSS STREETS IS sn,A ��r�( SECTIdN PREMISES LOCATED ��J ''�-� rt t� BUILDING OCCUPANT'S � } l?CGVPANCY #TAME 7EL. # OWNER'S NAME � � �. OFFICE CU R N FROM THEIRSir SUPPLIED DEFECTS BY s WORK REMOVED BUILDING ❑ y/' OLD tS NEW ❑ ADQI TlONAL IS NFW �C! LIST BELOW ALL EpIIypME1VT WHICHYOU INSTALLED BRANCH OFFICE USE No. of FiaturaS m MOTORS PHEATERS CIRCUITS ONLY NUMBER OF OUTLETS` Lamp Re'cep"01011 Luca- H.P. ee a No. G*ug INSPECTION ta tion Skin Atch't Swltoh pendant Bracket No- Type Each Coiling Wall Rocep'b cut- side Sub- ban Bwr- ment let PI. 2nd FL 3rd Ft. QO NOT USE THIS SPACE. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE; �catian is intended to caves the abovalisted equipment to ore i++sPawtad buI if at time of inap'ectian th are is found addixiarsal equipment not above tilted, This aptxt' he a licant. vov are authorized In make the inspection and adjust the fee to caner the addixionalELEC TRIC SIGN provided t Pp TOTAL SIZE OF FEEDERS LAMPS WATTS MAINS E,xtPOSED GAS TUBE SIGN VA CHARACTER CONCEALED TRANSFORMERS OF OF WORK (NUMBERI (CAPACITY$ WORK TO BE CO/1"11 O Size OF SIGN STARTED SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN BUILDING INSPECTION REOUESTED NEtlt! OLD ON OR AS NEAR AS POSS ISLE DELAY BY GIV ING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILL'EO IN OR APPLICATION MAY BE RETURNED- AVOID PRINT NAME AND ADDRESSNM OF • 07 g % ._ l• . y APPLICATION r" gPPLECANT .$ �'�� i ' 7F - .,.. - i ,,� '. I ., r r ' TELEPHONE # � STREET ADDRESS zip LICENSE NO- CITY OR - i i i 1 'r � `• GODE f VyHEN APPLICABLE POST OFFICE as EY (RE,,, 1105) A SEPARATE APPLICATIOIN MUST BE FILED FOR EACH SEPARATE BUILDING Mark North Poirot too p 4 r i k , I 1 .ear Yard LT, I I . . . . . . ft. Ag Sideyard ft. PhD+G"10 t►!'� r Sideyard it, 1 Set F3ack � . Frontage It STREET Feet To Nearest Street Feet To Nearest Street j Ll �L Zr/=WM &S A/'.'O