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1987-079_.__ _ - - 1 ___. .. ... .. _ _: _..... .. .. ...: .. . � r,.., ... :.. _ �.,,, _ _ - .. _ t,.�� .gam;+.:: �f��.. I a CERTIFICATE OF OC+�T�I'Al`� C'�' TOWN OF QUEENSSURY i WARREN COUNTY, NEW YO►RK DateuugList 17 , 19 =` This is to certify that work requested to be done as shown by Permit No. i I has been completed. This Structure may be occupied as a One-Family Dwelling l.ocatian C } Place (Dallek Subdivis1on) OwnerGerald Nudi I By Order Town Board I TOWN OF QUEENSBURY Building !V zoning Inspector i BUILDING PERMIT TOWN OF QUEENSBURY No. 57-79 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Gerald Nudi M tU OWNER of property located at Lot 8 Alice Drive / Susan Place Street, Road or Ave. Dallek Subdivision in the Town of Oueensbury, To Construct or place a One--Family Dwelling p 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. 1 . OWNER'S Address is Lamplighter Homes South Glens Falls , New York r� b 2_ CONTRACTOR or BUI LDE R'S dame r_r John. Heath. co 9 3. CONTRACTOR or BUILDER'S Address n RD #1 Box 92 � ti Whitehall , New York ro N- 7s C m 4. ARCHITECT'S Name C tin tY C C1, rn N• m C � H+• en re 5. ARCHITECT'S Address � n rc 6. TYPE of Construction — (Please indicate by X) Ixl Wood Frame i ) Masonry I ) Steel l 1 7. PLANS and Specifications 72 ' x3O ' per plot plan , specifications and application submitted No. including sewage system and two-car attached garage . Cr B. Proposed Use One-Family Dwelling I w B N• `C $S . 00 C /O a $ 136600 PERMIT" FEE PAID - THIS PERMIT EXPIRES October 1 1987 rEo (lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ram... town of Queensbury before the expiration date.) pa Dated at the Town of Oueensbury this 23,rd./ Day of March 1987 SIGNED BY IIIs^ t- for the Town of Oueensbury Suilding and Zonirg Inspect ry TOWN C C ! TO BE COMPLETED BY BLDG . DEPT . 'c� Application No , a"/" a/ Queenji"ry Permit Issued 19 LIU MAR 16 1987 BUILDING and ZONING DEPARTMENT Permit Expires 19 y 3` Bay and Haviland Road, R.D. 1 Box 98 Zoning DesignationWe ' — Queensbury, New York 12801 variance No . t Site Plan Review No , ? BUILDING, & CODE Drpr. y� _ — 7 G® � Approved, by :` _ e 7 J APPLICATION FOR rf..t'� Yet /� / )r0 . BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION , ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the following work which will be done in accordance with the description , plans and specifications submitted, and such special conditions as may be indicated on the Permit . / The owner of this property is : /� P . O. Address /�i'Y7/'r ��i�i ..2 .�p.'? '-S­ Tel Property Location : w Tax Map No . / f Street number or building lot number Subdivision name ( if applicable) . Da 11 e THE PERSON RESPONSIBLE FOR ..S--7UPERVISION OF WG+]�R,K AS REGARDS BUILD_I+NNGG CODES IS : Name P . O. Address / // Tel . No , Name of builde���j��j'' l� ? t�� Address d6 20 c ,+ rr Pt•4gy Tel . � Jr32. Name of plumber_ � / Address 1 . Tel Name of mason Address a;4; Tel NATURE OF PROPOSED? WORK : * ZONING INFORMATION : Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , _Addition to a building * drawn reasonably to scale and attached hereto , _Alteration to a building * showing clearly and distinctly all buildings , (no change to exterior dimensions) whether existing or proposed and indicate all _Other work (describe) set-back dimensions from property lines . Give street and number or lot number and indicate whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND t of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . * Size of property ft X�/,/�/. ;7� f r Existing buildings) Slzb ft X ft , PROPOSED BUILDING AND USE : p Existing buildings ) Use Size of new structure/zft X ft Foundation-pier/slab/crawl/partial/full Proposed building, distance from property line (circle one) 1X ft No . of stories (habitable space ) /� * Front yard !/, —£t Rear yard orZ1 . Height ( grade to ridge ) ;Z ft , * Side yards 7y S ft and ft * If on cornerr setback from side street aft If residential , no . of families No , of rooms ( excluding baths )" OCCUPANCY INFORMATION No* of bedrooms -3 * PRIMARY BUILDING - No , of bathrooms �L,p� /� * One family dwelling' Primary heating system * Two family dwelling Type of fuel No , of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy Transient occupancy Central Air conditioning? ,� Business BUILDING STYLE Y STRUCTURE * Industrial Ranch cc; =eemfrar g cabin * Other Raised ranch Mansion Duplex If addition , what will use be .7 Split level Old style Bungalow Cape Cod Cottage Other ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ ,,• d Car. * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * 'Other CONSTRUCTION $ INFORMATION ON BUILDING SPECIFICATIONSr ON REVERSE SIDE OF THIS SKEET, To BE COMPLETED : Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : / Type of construction , wood frame , fire safe , etc _ L-✓ �� '/� `'�'' i�"� '' �� Will any second-hand or ungraded lumber be used? If so , for what? �yeo Foundation wall material �A, �� >n C/� � -e Thickness r r Depth of foundation below grade (to bottom of footing ) w.. Will there be a cellar? e^5' Heated or unheated? Ti'3 'rem Floor sq. footage f :2 4j�v q ft Will there be a basemen yw' Will any portion be used as living space? ,ar'c� ( If so , what portion? sq . ft . - - Type/ of use? Type of roof - sloped/flat/shed/other ,�.Zo/'i'; Material A�of roof6x Size , wood studs___'? _"Xg% ? spacing {' G�'o . c . length µ-ft . ° I Joists ( floor beams ) 1st . floor _ � "'X spacing r '"o . c . spans ftv Joists ( floor beams ) 2nd . floor " X to spacing "o . ca span ft . Overlays ( cei.ling beams ) "X to spacing "o . cl span ft . Roof rafters '"X " spacing o . c . span ft . Roof trusses (pre-engineered) spacing "' o . cft span.HC ft,,2y Exterior wall finish �Jf.a� ,n , ,� Of what material? Interior wall finish � �& If a garage is to be attached describe 4temj�.a-ls to e used for FIRE SEPARATION : 2 is there to he an opening between ga age and dwelling? I so will a Fire-rated door , enclosure , and self-closing device be DrOVIded , Will a flue-lined chimney be installed? VP 5 Height a ve roof�1(C7 €t . _ Depth of chimney foundation below gradelrart . - Depth of fireplace hearth ft . in . Water supply - Municipal or private w� �� � . •r SEPTIC SYSTEM _ Distance from ANY private well ( includi g adjoining properties ! - 7 ft . (A separate application is necessary for any repair or new installation of septic system) Town of A F F I D A V I T STATE OF NEW YORK ry Warren County off Warren I swear that to the best of my knowledge and belief the statements contained in this application , together with the plans and specifications submitted , are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the BUILDING CODE , THE ZONING ORDTNANCE , and all other laws pertaining to the proposed work shall be complied with , whether specified or not , and that such work is authorized by the owner . c? SWORN TO BEFORE ME THIS Signature ___ lam...0_ .�............... ___ _ r , owner ' s agent , arcnicect, contractor day of 19 16/ Notary Public , Warren County , N . Y . * IF * * * * * * * * IF * * * * IF * IF IF * * * * * * * * OF * * OF * * * * It * * * * * IF * * * * SPECIAL CONDITIONS OF THE PERMIT : 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 2 . Type of heat 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors Z . G A . Over 16 % Only 1 . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO I . If YES , what is the R value ? 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 a . R value of insulation 5 . Type of insulation B . Under 16 % Only 1 . R value of roof and flqorsexposed to ambient conditions. 2 . R value of exterior walls e<z 4a 3 . R value of glazed area r {© 4 . R value of doors / 3 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab / S . R value of heated basement/ cellar walls ( above grade ) c 9 . R value of heated basement /cellar walls ( below grade ) 1w :�), , 10 . Type of 1 n s u I a t 1 o n C . Controls 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulati._on 1 . size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency. 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . ( applicant ' s ignature ) Itilyowft a�' Q &Wj4 APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION �r� � Owner's Namme : +�4} yD / Telephone: /�/ �w�1I t /~'' 9 Address. G / hJ '�/C►� f '' '� !7`P ;xnLy �siz Installer's Name: f] �',Cf� ,1� f ,G�,E `^ Telephone. Number of bedrooms (residential only) _ Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: lat Rolling Steep Slope % of slope Soil Nature: circle one Sand Loam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Materials At what depth? _ feet Percolation test: circle one: not required required / rate min. inch. Domestic water supplys circle one: Municipal Wel Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ /"yje:f�) feet PROPOSED SYSTEM: Septic Tank . gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench � feet / Total system length �575�c:�n) feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness feet IMPORTANT ..Xtease...LIST NEW EQUIPMENT TO BE INSTALLED (aver) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of the system 2.) location and distance to lot lines 3 .) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution bo.kes, tile fields and/or drywells Be No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. Do Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitar/yA Sewage Disposal OrdinanCe. Signature of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . A GOOD. PLACE TO LWE �� r _Jouvn c+ uFerr � �ur IOU BUILDING and ZONING DEPARTAAENT Bay and Waviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date_ / Per it NO . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation tMIZ C' oe d Waterproofing Backfill Framing Roofing Siding Masonry veneer Rough Plumbing Relief Valve Ext . porches Finished Floors Interior Trim. Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofinc r Doer Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL PL Final Building Survey Next scheduled inspection (call when ready ) Remarks- it E'/e�cxlvr/z . Buil g 'inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Clueensbury, New York 12801 SEPTICC DISP©SAL SYSTEM NSPECTION NAME LOCATION ^ DATE k/ " PERMIT NO. Y"Z SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - No Percolation rate - Min/Inch TYPE of SYSTEM : Absorption filild , total lenqXh Length of eac tench Depth of trenc% s Size of gravel_ -� SEEPAGE PITS{Numb of) Size- ft. X ft Gravel size - PIPING : Size Bldg . to tank Tank to dirt_ box Dist . box to fiel Openings sealed? YES O Partial L.00ATION/SEPA IONS : Foundation to ank ft. %1�oundation to absorption t. Absorption t lot line t Separation pits LACATI SY EM ON PROPERTY (circle one) Front Re r - ft side - Right side CCMMEN SYSTEM USE APP CYES Building Inspector 01/86 and vl .Jvwn o ' Q"een36urry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING,, INSPECTORrS REPORT NAME�LGG�.. LOCATION Date /_S? Perra! t No . Footing/Pier Forms ✓ = ,APPROVED - YES f -- I NO Foundation Waterproofing Sa ki arcngg Roofing Siding Masonry Veneer tJCough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim _ Stairs & Railings ""— Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar _ Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICA INSPECTION DRIVEWAY APPROV Final Building rvey Next scheduled inspection (call when ready Remarks. &44 Building Inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Naviland Road, R.C). 1 Box 98 Uueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Uate� ermit No . " 7 ` X Footing/Pier Farms ~ T APPROVED - yE NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATIGRd c Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROV Final Building Survey Next scheduled inspection (call when ready Remarks- Suildi Rector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-ELF NEW YORK &DARE) OF FIRE UNDERWRITERS. FILE THIS COPY W$TH BUILDING DEPT. WHEN REQUIRED. TEMP i DATE eirY OR VILLAGE f STREET AND NO, OR }�}} TiSMyNSF11P ez f A �} + 3 L1+��7 COUNTY ROAD AND POLE NO. ,/' i� �j _L7F BETWEEN WHAT TWO POLE NO, PREMISE REOCATED? 'I' !C'' -� - . SECTION BLOCK LOT -OCCUPANT'S NAME BUILDING OWNER'S NAME� OCCUPANCY / AND ADDRESS fT !' I� /�L l�{ SG rEL pqpq By J�y��gr , /r� �.,,y FROM THEIR . f / — BUILDING 7 Lam"" / I/�R"7 ' v /7 'S q ! / OFFICE IS NEW IfrS-- OLD ❑ WORK DEFECTS IS NEW Pol"iI ADDITIONAL ❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Flasures & BRANCH Lace- LAMP Reeepteefes MOTORS HEATERS CIRCUITS OFFICE USE floe ONLY Ceilitsy Side Attach'iReew'M Switch Pendent Breaket No. TYPe Each No. Each No. A W.Q. wall ReeeP'h C.egge INSPECTION Out- side base Bset meal Set Fl. 2nd FF. Srd FI, REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE= DO NOT USE THfS SPACE. This aPPlicati on is intended to cover the above.I istad ul m todYou are authori;tld to make ee P eril to be addition bur it at time s rwWed inspectionthere c found addetional ui men the InsPSCtion erM adjust the fee to cover the additional eq P t "at shove listed, equipment, se prodded by the applicant. SIZE OF .-a MAINS "{ e-;;F6 r +jd� J"�' FEEDERS ELECTRIC SIGN TOTAL LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERSOF VA STARTED T RK TO BE INUMBERI (CAPACITY) SEAR ICE COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND ENTERS V MAKER BUIL RYG +'A OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW p OLD A ID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATIONy MAY BE RETURNED. Pill NAME AND ADDRESS r AN CE OF ANT •Y f> /'E' pT / DATE OF 7t �/ � �r j�' �j �'"� J yr APPLICATION— -:J/ Ie / r.+ J STREET ADDRESS RCITY OR7 �S,y 1 / 1�7 4 +S j✓ � TELEPHONE # _ [� / POSY OFFICE / ? /:." ( �� ZIP LICENSE NIiD, CODE { •7 �L/' WHEN APPLICABLE AS e� (RW ile5Y A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING