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1987-285 i w r . AN�1 CERTIFICATE 010 V �t TOWN OF QUEENSSURY ; I � WARREN COUNTY, NEW YORK [ j � Q October 2087 Date j 87-2t35 4 This is to certify that work requested to be done as shown by Permit Na. has been completed. j This s n{ t�}'"� may be occyyu��pied as a On+e-Family riwelling r L'Lctim��i�sSZon�T�� t 20 Stepl- aiile Lane ( 5: . No . 39 ) l..sxatian � �.- NOW,I }Iarr, Owner By order Town Board TOWN OF QUEENSDURY r r 'r Suildin�. 8 Zo+a.ing inspector . BUILDING PERMIT TOWN OF QUEENSBURY No. 87-285 WARREN COUNTYr NEW YOR K PERMISSION is hereby granted to Harry J . Tyler � OWNER of property located at Lot 20 Stephanie Lane (St . No * 39) Street, Road or Ave. e in the Town of Queensbury, To Construct or place a One—Family Dwelling ti 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. I- m n 1 . OWNER"( Address is 41 Stephanie Lane Apt . B Queensbury , New York 12801 2. CONTRACTOR or BUILDER'S Name A,JS Enterprises Inc . F- rt �i [3 3. CONTRACTOR or BUILDER'S Addrex 4 Amy Lane to cn Queensbury , New York 12801 ro cr �c+ cn r+- 4. ARCFIITE+CT'S Nance . a. r N. w c rD 0 Fj- S. ARCHITECT'S Address p n a 6" TYPE of Construction — (Please indicate by XI LAJ (X) Wood game { I Masonry S D steel ( I F7_ PLANS and Specifications 26 ' x40 ' per plot plan , specifications and application submitted No" including sewage system and one—car garage (under ) roposed Use Carte—Family Dwelling . t7 $5 . 00 CIO `p December 1 r $ 138 . 00 PERMIT FEE PAID — TEAS PERMIT EXPIRES 19 87 11f a longer period is required an application for an extension must be made to the Building and Zoning inspector of the aq town of 4ueensbury before the expiration date.l Dated at the Town of Queensbury this 27th Day of May 19 87 SIGNED 9Y Maicz � /��� for the Town of Queensbury Building and Zon Inspect , TO BE COMPLETED BY BLDG . DEFT . Application No . 47if/i! F1 steen3��tr� Permit Issued 19 TO'�Ir+N Cr BUILDING and ZONING DEPARTMENT Permit Expires 19 Say and Hawiland Read, R.D. I Box 98 ,Zoning Designation Queenshury, New York 12801 Variance No. ��y � � ���� Site Plan Review No . Approved 8U1L-4iNG & CODE CAEp" f r APPLICATION FOR. px- ('J'00 1q3 f, 0- EUILDING 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 fallowing 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 : itr�ti - P. O . Address _ yI �4� hhF�,r. ; � t I'.+`i +k tQi, i3 . tr"-, . �w, `��54 r4� , ' Tel Property Location : 5r-� , • s� �,Qa � , efC Tax Map Street number or building lot numb e Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS '-tom Name P. O. Address Tel . No . Name of builder Address Tel . Name of plumberj:>, ' gj� ' Tj � y yr � Address_ }SQr a Tel - :?t? 7 2 !5j rJ= Name of mason c' Address Tel . NATURE OF PROPOSED WORK : * ZONING INFORMATION : ✓Construction of a new building * A PLOT PLAN MUST BE PREPAx(ED 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 * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTEp . 5 * of septic disposal area . C014PLETE INFORMATION REQUIRED BELOW . " Size of property Iq ft X 1 (5d5 - ft . * ExtstIng building ( s) Size ft X ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure 'ft X t Foundation-pier/slab/crawl ar is /full " Proposed building , distance from property line (circle one )No , of stories (habitable space) "Z, * Front yard 5?�7 ft Rear yardJkL^ft Height ( grade to ridge ) � 'Z, � ft , * Side yards WA' and ae) _ . _ ft If residential , no. of families - 1 * If on corner , setback from side street ft Nov of rooms ( excluding baths ) (4> " OCCUPANCY INFORMATION No . of bedrooms '� No . of bathrooms I ;/ 2 r P'Rr�RY BUILDING - V One family dwelling Primary heating system ��1 * Two family dwelling Type of fuel -- * Multiple dwelling j Number of units Nov of fireplaces to be installed -- Permanent occupancy Will a wood stove be installed? * I' y Central Air conditioning? * Transient occupancy * Business BUILDING STYLE, P-[ KkrZY STR.UCTURC * Industrial Ranch Contemporary Log cabin * Other 2 �Pd� +^�uw�� Mansion Duplex * If additit,n , what will use be? 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 c / two car/ car * * * * "` * * * * * * * • * '� Private storage Uiil ing ESTIMATED MARKET VALUE OF "' Other CONSTRUCTION INFORMAVrION ON BUILDING SPECIFICATIO►VS , ON F g.;VERSE SIDE OF 'PHIS SHEET, TO BE COMPLETER : Form SPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction, woo framale fire safe etc , Will any second-hand or =97ai'Ted lumber be used? If so , for what ? Foundation wall material � ,�G Thickness Depth of foundation below grade to bottom of footing) a cc Will there be a cellar? ,` C> Heated or unheated? Floor sq. footage y_ Will there be a basement? Wyll an _ sq ft Cif so, what y portion be used as living space? portion? sq . ft . - - Type of use? Type of roof - 0, e: /flat/shed/other Material of rooff_�� - Sixe , wacd studs" " spacings "a . c . length vi €t . .7aists ( floor beams ) 1st . floor "X •' s acin �' ` .joists ( floor beams ) 2nd . floor ,li ".+ p g �- - Q ' c . span ��ft . f3 ft.verlays (ceiling beams ) �* spacing "o . c . spank �� �* Roof rafters Ilex ., spacing o . c . span ft. spacing o . c . span ft . Roof trusses {pre-engineered) spacing ✓' _ "o . c . span ft , wti Exterior wall finish L�! . ( Of what material? Interior wall finish _\. /%, " If a garage Ill is to be attached , describs materials to be used for FIRE SEPARATIONt �. �lf�4I.tCS e { �[�C Is there to be an Opening between gara and dwelling? �.> If so will a ] `ire-rated door , enclosure , and self-closing device; be provided? - tijt,. q% Will a flue-lined chimney be installed? Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth water supply Municip 1�'~ , private well SEPTIC SYSTEM is ance from ANY private weliiincluding adjoining properties � � f7 ft . (A separate application is necessary for any repair or new installation of septic system) Town of Warren eensbury County off Warren A F F I D A V I T STATE OF NEW YORK 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 ORDINANCE „ and all other laws pertaining to the proposed work sihall be complied with,, whether specified or not, and tha such r k is authorized by the owner . , SWORN TO BEFORE ME THIS Signature _ {� �- - - �=- r , owner ' agent , rct.icec ntras day of 19 . , co Notary public , Warren County , N . Y . • • ,k w w * * * * w * : ,i. * * s yr * • * w r► x * * * s. w � * * • • w • tit * * * w * * ♦ * * • SPECIAL CONDITIONS OF THE PERMIT : By TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK G PE• Application for : BUILDIN STATE ENERGYMNCE CONSERVATIOIT I3A WITH THE NEW PORK CODE A permit must be obtained before beginning work . ANSWER ALL of the following : 11 1 . Gross floor area L � 2 . 'Type of heat 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors _„ �`Ccf A . over 16 Only 1 , vo value of grass area of wails , 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 value ? 3 . Slab on grade YES NO a , If YES , what is the R value o € insulation around perimeter of ,floor ? 4o is basement heated ? YES NO a . R value of insulation 5 . Type of insulation g . Under 16 % Only 1 . R value of roof and floors exposed to ambient nditions co 2 . R value of exterior walls _ >_ f` 3 . R value of glazed area Q . ` 29 U fIllp 4 . R value of doors a lip 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab� . N k' 70 R value of slab insulation - heated slab 1'-f s . R value of heated basement/ cellar walls ( above grade ) 96 R value of heated basement/cellar walls ( below grade ) ,t � V /��.�l�f y� 4k '���+c•'¢ . t.1 10 . Type of insulation 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 Insulation a ent pipe ' s 10 Size of hot water or cooling cax �ying 9 2 . R value of pipe insulation _ P g , Service Water Heating 1 . Performance efficiency I 2 . Temperature control setting maximum © nr ^ C . For Swimming Po © 1 Only- t'-' / r 1 . Maximum heating �f r Telephone spp :L carrti' signature ) ti APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION <:� i-r (2A n. lir [AM&104:— i �r Owner's Name: r�C.zz , ..T�r � �lZ_ Telephone: Address: StT1? P�F1 r^a . ry Li� =�- l r � \1 ` L Installer's Name: V 5 Fes.t�.Q - yzpr�-;+n,. _ Telephone: 'Y- Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Top npsaphy: circle one: OiQ Roiling Steep Slope '36 of slope Sail Nature: circle one: Loam Clay Other / Depth: feet Ground Water; At what depth? PJ feet Bedrock or Impervious Material: At what depth? feet Percolation test: circle one: cit re uy required / rate min. inch. Domestic water supply: circle one: unxci Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM.: Septic Tank E C� ea C-�o gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench tA �l feet / Total system length " feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # G . / Depth or Thickness ` feet IMPORTANT ...Please*..LIST NEW EQUIPMENT TO BE INSTALI EI] (ewer) 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 tot lines 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, the fields and/or drywells B. No system shalt 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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury 'Sanitary Sewage I}t,sposal Ckxiinance. n Signature of responsible person: Date: } '7 Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New 'York 12801 (518) 792-583Z SE r r ,._ ta 1763 . . . U11,1E OF HATURAL La ` At r . . A GOOD, PL . `: F. TC LIVE _._.town o� �uceen.� 6ure�r BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D. 1 Box 98 Gueensbury, New York 12801 all BUILDING INSPECTOR ' S REPORT NAME LOCATION DateA ` 1 Permit No ✓ = APPROV - YES NO Footing/Pier ForMS Foundation Waterproofing Backfill Framing l}toof ing ng N , Masonry Veneaw 4 Rough P1unibin lief valves t . Porches !zeP,� }}ni.shed Floors d . "'Interior Trim. 1S'Eairs & Railing d Cellar Drain Til Concrete Floors \&AP1 ag . Fixtures �C fir . Fireproof ngrp tw6� r Closers LB%oke Detectm Cr Chiney INSULATION : Foundation Floors Walls C��e.-- iling L041:1 AL ELEC RICAL 100PECTIONJ DRIVEWAY A ROVAL L y � Final Building Survey Next scheduled inspection (call when ready ) emarks-- A���• Building Inspector 6/86 and-vl 4001534 THE NEW YORK► BOARD OF FIRE UNDERWRITERS g BUREAU OF ELECTRICITY October 2o , 19sli 'STATE STREET. ALBANY. NEW YORK 12207 Date Application .'Va. on file Q ] it FS 7 a THIS CERTIFIES THAT A © Q �$ anty the electricot e4+•ipment rs deacribert before grid introduced by the Hsppticsust +sa+ssed on the abope MSp�p�ic+*tiesrs nu+Esbe Harry J . Tyler , Step'heuie- Lane , Queensbury . New York r in theprsnsi.eer of in the fofloving t.or} Basement 1st Ff, Outside 12 6 3 2 k (f l ',� �' Pnd F1. Section stock was examined on I.raC andfound to be in compliance with the requirements of this Board, _ R%TUBE PTACLES SWITCHES f�XTURES RANGES OUTLETS NCANDMENt nj_jaI SCENT COCKING DECKS OVENS DISH WASHERS EXHAUST FANS 21 AAST. x_ W. AML C W. AM . K,W. AMT. K. W. AAM. H. r. 53 23 2 �1 1 T r DRYERS FURNACE MOTORS FUTURE N NE s AMT. K. W. qyI N. F_ GAS H P. Af4�L1ACE FEEDERS SPECIAL RECOPT TU CLOCKS SELL UNIT HEATERS MULTI.OUTLET p IIMMM A. +4xT. AMo. AA�T. wwu�s. TRANS. ST'STEMS a R W,r 1 A1AT. k- ►. No. OF FEET Aur, WATT - 1 drys 1Fr SER'I KX DISCONNECT AMT. AA�w. n.� METER s E R Y I C E�. EQUIF, 1 .*' 2W # X 9W 9 X 9W 4.M 4W �iC7. RC�CGnO. A, W, G. C. b �, OF CC. C4N6. NO- Gr "I-LEG OF•H- NO, OF MEMA4S A- 120 f � JIM OTHER A►FARATUS; 2 '• GPC 1 a 1 - Smoke Detector x t E1' ectr1C Room Beater ' s : - 3 - 2 . €3 KW 2 - 1 * 5 KW - 1 - 1 , d Kw 2 . 75 KW AJS Enterprises , INC . 4 Amp Larne ' Clens . Falls , New York 12801 d 11 BRANCH MANAGER This ceWificate must not be altered in any manners return to the offic* Of the Board if incorrect, Ins Per = pectors may Fie identified Dy their credemick. a -- - COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MU 57 N07 BE ALTERED IN ANY MANNER, �./treu►z o� '�ueen36eert�l BUILDING and ZONING DEPARTMENT Bay and Havikand Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT "Woos NAME LOCATIONJJ'"� •''-;• fir- Date Permit Noe r s APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Tramiit raining Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproofin Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- Sui ing Inspector tor and-vl rio fBUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Datez6ge.'/r= Permit No . Z ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer 4AGugh Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors P1bg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney. INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRIC IAIBPECTION DRIVEWAY Final Building Survey Next scheduled inspection (call when ready ) Remarks IV Building Inspector 6/86 and-vl co A)Wv O11c. BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT ION DATE 2 ql_ S7 PERMIT NO. SOIL TYPE - and - Loam - Clay - Percolation Test RIENP1 ed? YES Percolation rate - n/Inch TYPE of SYSTEM : I Absorption field , total le10*7Zt7C7 Length of each trench -I- — Depth of 'trenches o Size of gravel_ SEEPAGE PITS4Number of) Size- PIPING : izcr Type Bldg .; to tank mac{ L4 o P 11 L._ Tank to dist . box y V �- Dist* box to field/ c^ Openings sealed? Y S NO Partial LOCATION/SEPARATIONS : Foundation to tank ft. Foundation to absorption ft . Absorption to lot line fto 1 Separation of pits f LOCATION OF SYSTEM ON PROPERTY (cIrcle one ) Front - Rear - Left side - Right side - CCMMENTS : SYSTEM USE APPROVED YES 0 Buil ing Inspect 01/86 and vl J'own a/ Queensurdy BUILDING and ZONING DEPARTMENT Bay and Havilan+d Road, RA). 1 Box 98 Queensbury, New York 12801 i BUILDING INSPECTOR ' S REPORT NAME -� f ,�r L.O C A T i t+l.�/� �' 3 Date / Permit IvO , �'/'` ccS ✓ - APPROVED - YES NO Footing/Pier Forms y'Foundation /Waterproofing Sackfill Framing Roofing Siding Masonry Veneer /X Rough Plumhi.ngOwe Relief Values Ext , Porches Finished Floors NIL if Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plhg - Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION llRIVEWAY APPROVAL k Final Building Survey Next scheduled inspection (call when ready ) Remarks- . B lding Ins c or 6/86 and-vl �I 1 "loran oeteerr36str [ [I BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueen/sbruury, New Yor�k/12801 BUILDIZ INSPECTOR ' S REPORT NAME 11.::��, 1 LOCATION �}r�r Dated ,W Permit No .. 15 I ✓ APPROVED - YW No Ming/Pier Forms 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 AFX Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL--- Final Building Survey Next scheduled inspection ( call when ready ) Remarks. Building Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-ELe NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. III DATE CITY VILLAGE [ r_ „ TOWNSHIP � j , -.aj, I, COUNTY } I STREET AND NO. OR A'} ROAD AND POLE NO Cl S`i SS. POLE NO BETWEEN WHAT TWO CROSS STREETS IS } 7 ,ram. PREMISES LDCATEP; A � �"} 11 � y ♦ 1 .; � r 4a gL'- I x' � ��ECT ION f ./ � BLOCK � LOT -�Y y�Y� OCCUPANT'S --+�' BUILDING NAME _ # OCCUPANCY r OWNER'S NAME . . - ...i . AND ADDRESS .. r_1 1 1 �. s I -- • 1 } ,— TEL. CURRENT IVPPLIED FROM THEIR . r OFFICE BUILDING WO pEFEC RK I TS IS NEW OLD © iS NEW L7Q ADDITIONAL ❑ REMOVED El LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Fixtures & BRANCH Lamp ReoWtac}es MOTORS HEATERS CIRCUITS OFFICE USE Loea ONLY tlan Side Attaeh't M.P. Watts A.W.G. Calling Side Recap'Is Switch Pendent Bracket No. Type Each No. Eat No. Gauge INSPECTION Out- side Sub base Basr mom let Ft. .2nd Fl. and FI. Y REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE-, PO NOT USE THIS SPACE. This application is intended to cover the above-listed equipment to be inspected bnl if as time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the foe to cover the additional equipment, as provided by the applicant. 112E IF ELECTwIC SIGN TOTAL MAINS �- FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE _ [NUMBER) ICAPACITYJ STARTED 't .� COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDEAGROU D MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE •-J NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF -r" - ..- DATE OF APPLICANT 1 '7 APPLICATION STREET ADDRESS -Let ill vin '4 1 CITY O // TELEPHONE # - �/ � _� "' 7�1e f POST OFFICE _ /] LL_ -1 +r GAPE +2-'-' +^ "�• 1 WHEN APzip LICEN P4CASLE AB EL (REV. ,fee) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING