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1988-722 .. a ,. • (/\/��� CERTIFI VATE OF OCCUPANCY PANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 27 19 89 This is to certify that work requested to be done as shown by Permit No. 8 8-"7 2 2 has been completed. This structure may be occupied as a One Family Dwelling •' Location StoneQ'p+ rive �j ' qwner Roderick Severance By Order Town Board TOWN OF QUEENSBURY r • y Building & Zoning Inspector BUILDING PERMIT 1-3 TOWN OF QUEENSBURY No. 88-722 WARREN COUNTY, NEW YORK ., 0 PERMISSION is hereby granted to Roderick & Deborah Severance cn OWNER of property located at 18 Stonegate Drive Street, Road or Ave. co in the Town of Queensbury,To Construct or place a Repair of existing one family - fire damage 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 r� 1424 Front St. n, E. Meadow N.Y. 11554 :; C) 2. CONTRACTOR or BUILDER'S Name R, AAA Cont. Steve Herman 3. CONTRACTOR or BUILDER'S Address PoO Cn CD 7 Wilson Ave. S. Glens Falls, N.Y. AD 4. ARCHITECT'S Name n CD 5. ARCHITECT'S Address co Cl) O z CD 6. TYPE of Construction-(Please indicate by X) Sao CD -, rt ( )Wood Frame ( 1 Masonry ( 1 Steel ( ) i d 7. PLANS and Specifications No. Repair to existing one family dwelling damaged by fire as per application specifications and plot plan 8. Proposed Use rp One Family Dwelling $5.00 C/O CD $ 70.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 .88 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) O Dated at the Town of Queensbury this 3rd Day of October 19 88 SIGNED BY r'�� i� �� for the Town of Queensbury - " Building and Zoning Inspector C` .. I . _wwit of Quc-entibur j BUILDING and ZONING DEPARTMENT . Bay and Haviland Road, R.D. 1 Box 98 . Queensbury, New York 12801 • -• Approve b APPLICATIO7 N FOR m- �J �_ BUILDING AND ZONING PERMIT cac,- .• . .1 it iF . * # .i .• * .1 *:* *. •iE it * * * * '# * * .i * * * * * * it * * * * dh .it it 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: o.;25zlejG -4-1 2C-71 ✓L,�i41J(17 P.O. Address /4 5: • L, / './ j)e,Ctl—,L! :. //j S Tel./ Property Location:�0/If /P , Tax Map No./1 0/ g/ /d Street number or building lot number ,Subdivision name (if applicable) THE PERSON. RESPONSIBLE E FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: 7F0--3: 96ie 5grv£/1f. iymAt/ 7 /)Ti o.4J./ c' . ,C,,. . .r, c2- 0 s in e -34 z s Name P.O. Address Tel. No. . Name of builder4 4 cXJ7 ' Address 9 Locso v,4vr _5:4- /C). Tel. Ve--3'r76 ' Name of plumber Address Tel. Name of mason Address Tel. NATURE OF PROPOSED. WORK: * ZONING INFORMATION: Construction of. a new building •* TWO PLOT PLANS 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 X Other work (describe) pg _ * set-back dimensions from property lines. Give ),441/l.4l� NiM/-- * street and number or lot number and indicate FOR DEMOLITION PERMITT', STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of, water supply and location and configuration * of septic disposal area. • * . • . • *. COMPLETE INFORMATION REQUIRED BELOW. . * Size of property ft X ft. • * Existing building(s) Size ft X ft. PROPOSED BUILDING AND USE: Ek'/S 77A) — * Existing building (s) Use Size of new structure ft X ft * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line • (circle one) * No. of stories. (habitable space) * Front yard ft Rear yard ft Height (grade to ridge) ft. * Side yards ft and ft If residential, no: of families ,t If on corner, setback from side street ft No. of rooms(excluding baths)- _ ' * . - ' OCCUPANCY INFORMATION No. of bedrooms * * PRIMARY BUILDING - No. of bathrooms ' One familydwelling Primary heating. systcm * Two famil dwellin Type of fuel * y No. of fireplaces to be installed * Multiple dwelling •/ Number of units Permanent occupancy Will a wood stove -be installed? * * Transient occupancy Central Air conditioning? * Business BUILDING STYLE, PRIMARY STRUCTURE *' Industrial * ' Other Ranch ;Contemporary Log cabin If addition, -what will use be? Raised ranch `Mansion Duplex * it 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/ car * * * * * * * * '* * * * * *. * * * * Private storage building . ES`1'IMATED MARKET VALUE OF * Other . CONSTRUCTION * 1 INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 -md-vl . BUILDING PERMIT APPLICATION COt•NTINUED • • BUILDING SPECIFICATIONS: • • Type of construction, wood frame, fire safe,etc. o[.i!2oi> 41 E Will •any second-hand or ungraded lumber be •used? If .so, for what? Ai 0 Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? ' Type of roof —sloped/flat/shed/other Material. of roof Size, wood studs "X " spacing "o.c. length ft. ' Joists(floor beams) 1st. floor "X " spacing "o.c. span ft. ' Joists (floor beams) 2nd. floor "X- 'spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. ; Roof trusses(pre-engineered) spacing `� "o.c. span o2 Lft: Exterior wall finish Of what material? Interior wall finish • If a garage is.,to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, and self-closing device be-'provided? Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade ft. - Depth of fireplace 'hearth ft. in. • • Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY• private well(including adjoining properties ft. • (A separate application is necessary for any repair or new installation of septic system) . Town of Queensbury A F F :I D A V I T County of Warren 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 donelon the described premises and that all . provisions .of the _BUILDING CODE, THE ZONING ORDINANCE, and all other .laws pertaining to ' the proposed work shall be complied with, whether specified or no , and that such work is authorized :by the owner. . SWORN TO BEFORE'ME THIS Signature_ _ _ _ Ownr; o ner's agent,arcnitect contractor day of 19 Notary Public, Warren County, N.Y. * * * *. * * * * It * * * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • • By TOWN OF QUEENSBURY .WARREN COUNTY , NEW YORK Application' for: . BUILDING PERMIT IN COMPLIANC1 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 01300 • S'T 7. 2 . Type of heat zl-gae-` je- 3 . 'Is the building mechanically cooled? %� 0 4 . Percentage of area of windows and doors 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 1. 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 floors exposed to .ambient conditions �_3 2 .. R value of exterior walls R---/ 3 .. R value of glazed area • - 4.: R value ,of doors 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 8 ` R value of heated basement/cellar walls (above grade) 9 :' R value of heated basement/cellar walls (below grade) �•_7 10 :`, Type of insulation • C.,: Controls I .:, Thermostat. maximum heat setting . D. Duct Systems ' 1...., Is duct system installed in unheated spaces? YES • a. I•f •YES , R value of `duct installation b. . R value of duct in other areas • E . Piping Insulation ' : . . • 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. �� ,- ,- 9g _ , . . . ,. . (app cant ' signature) St.1- I UUJII ItDD ruICIvIJ tou7J ogo-ozus --- V. APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES "� 11`,* MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 'APPLICANT COMPLETES THIS SECTION Dater-07/- City, Town or Township QU£5--i<JS Ui .iC County U- F-4 State 14'•� Location/Address Flo ,STa'�£G7�'7--z. t>_ (If Located in Rural Area - Please Attach Directions) Pole # Owner 2 27J 2 ' 6/E s-EVE-oe 2A)CF Permit # - 7�•' Occupied As "ES/D.'fiCF kl Building: New❑ Old Occupant Work Area in Building (Floor #,etc.): App. for: Wiring❑ Service❑ or: 27)£ -ezil,,zL Ready for Inspection: Fee Remitted-$ Cash n Check n M.O. n Make Payable To: M.D.I.A. 500 750 1000 1250 1500 1750 2000 2250 2500'2750 3000 Number of Rough Wiring Outlets Elect. Heat Switches Lighting Amp. Service Surface Unit Dishwasher Range Receptacles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner ' Amp. Receptacles Fractional H.P. Vent Fans .Other Equipment: MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size Applicant's I �,� Signature • , License # Permit # T/A Utility: Applicant's Address: 7 'i C Salt') /9dS _ (NAME) (OFFICE LOCATION). (City)' ��S �j¢GCS (State) /L•" - (Zip) /z�0-.?"Service Re nest # Phone#79/' e'376 �9R --.3‘ e_� Electrician: l7 gil- ' /C :_'.,MPIA USE ONLY DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above) I or: Red Notice Label n Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle Amp. Service Conductors 1 Pump Vent Fans MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100 Mark Number of Each Size 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Elect. Heat CORRECT.CERTIFICATIONS USE FOR INITIAL VISIT ONLY ; NOTIFIED DATE FEE FEE PAID ❑ RW Progress: Inc.❑ LKD❑ Contractor ❑ CFT Violation: Work Comp.❑ Inc. ❑ n L/A Owner CASH ❑ 1-1 L/A Fee CH K # Due n IPA Municipal MO # • INV # Date: Other Side Utility Applicant ❑ Owner Cut in Card n Temp # Date �-, s. INCPF.,-rnRC CI(:AIATI IRF • INTERIM BUILDING PERMIT err, 7 z z- PERMIT APPLICANT ,, 4. «- iiiivfv-i) CONSTRUCTION LOCATION f4 /r rh2-4,eq/yi /e-/- EFFECTIVE DATE iter APPROVED BY `%f'% SPECIAL CONDITIONS : Sr''e tv /el'-e-4e/ • This will certify that all submittals for a Building Permit have been received and fee has been paid . During the processing of the Permit , the above named may begin construction per plans submitted. It is the responsibility of the applicant to obtain the Permit from the Building Department, following proces ing . POST THIS INTERIM PERMIT IN A CONSPICU CATION ! ! r Building & Codes Department TOWN OF QUEENSBURY + 'c1�VtotitVJMVtl�VJg6°V VJ +Vtol VJt°V J V V V 'you' VJMV G�jVclyVc1�V MIDDLE DEPARTMEN ,,INSPECT,ION AGENCY, INC. 00 - /Xo� a 90o Haddon Avenue C 10tlgawotx! N.J 08108 -c, 4%- ----�`�s ''�,.. crA 4.1 C �s�a a." T9 �+, 1.�:; . oat.= March 9, 1989 r C, �lCertif ir5 that th electrical equipment listed has been examined avid#is approved as being in accord `' with the National Electrica(Cod'�e,,,applicable governmental, utility and.Agency�rules. C z \ . rG'f � # .- ix. t ,; s- 2 ' i Dweili>Tg 3 C Rod Severance° i P Occu ar7a , C CR Owner: � r ,t ,k,.,r P \ '", 4S Same P r I T:, 4i�M`1 J 'k t �" ' `� t q , Occupant: ,ix 'o.• i ; Stone ate Dr re CQueens'bur {Warren_,Ca,),~NYE. >+ y This ceryhcate covers lhelectrtcal equipment and installation inspected this C a Location: t ; L.K. � date. If additional equip7nent�shoul0 be introduced or alterations made to ' a.' existing system lhirs certificate shaft be null and void, and application for C inspection should be submitted Drori�ptly to this Agency. C 25 \ Equipment: 65 Outlets; °35 Receptacles; ,1-5 Eix,tp.res,;,„,y 5Holderofthisce ificateshotild;presentsametohispropertyinsurancecarrier " °n� `}" z q g'"�' 'a ent or company)as evidencebf certification of electrical equipment approved . ' 200 Amp Servic,�; 6 Appliances r g , ,k1/4.,,..;, ...„..........7 SiV icy E Kelly Electri't'IN 22 jAa _, r=°/` 2 15 Willow Road , r'�, — ��'> N0. 15-025703 Applicant: y 2Glens Falls, NY 12801 Z "" C 1n�®.04,.t -,...,lnn 1an1 �+r1 1anktLoriktur+ 1ln1 o loch/ '+�e eci o®a n !+� Ancc aturl 1�7.a r+o tsliga.k olex .loco rb `L/ w w w w w' e TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- /51/27 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 3"f- 629 NAME ,C/ -41&( �fUn��l . LOCATION /e , _%G/�i DATE - C PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING i. ELECTRICAL ROUGH-I' INSULATION: FOUNDATION FLOORS WALLS CEILING LE1161 INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS V STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING �,, DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONS,,,TRUCTION A SIGNED CERTIFICATEpOF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE • THESE PREMISES ARE OCCUPIED! REMARKS: 6,14 r Ito&E-. 1-a\Cktd`' 141At V ) 1)`1C0.4% INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUESTZ,R INSPECTION RECEIVED /f�� j NAME d®CGG- L'a. '_a�' LOCATION f 5--7-5X-CC(' , � �'� �7 DATE PERMIT # O'er - <2 Z-- APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS • FOUNDATION/DAMP-PROOFIN BACKFILL APPROVAL f/V UGH PLUMBING M FRAMING I ' ® 6 ELECTRICAL ROUGH-IN 1 N INSULATION: t FOUNDATION 1 FLOORS WALLS CEILING ` / FINAL INSPECTION: ' f CHIMNEY HEIGHT \\( / . / ROOFING SIDING / EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS / PLUMBING FIXTURES/RELIEF' VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS / 1 GARAGE FIREPROOFING / DOOR CLOSER(S) ,/ SMOKE DETECTORS / FINAL ELECTRICAL INSPECTION \, FINAL APPROVAL OF CONSTRUCTION // • A SIGNED CERTIFI/Q/'ATE OF OCCUPANCY MUST BE OBTAINED FROM T E BUILDING DEPARTMENT BEFORE THESE PREMISES RE OCCUPIED! REMARKS: / r .;-�, tSPEcTH TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME ,.d6AryLe74%C L_ LOCATION / 3 fjQ _, DATE //' PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BAC)- ILL APPROVAL �OUGH PLUMBING\ FRAMING ELECTRICAL ROUG -IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE•S STAIRS-CLEARANCE & 'AILS PLUMBING FIXTURES RELIEF VA VE INTERIOR TRIM/P: VACY DOORS FINISHED F •O' GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: /�� 5fcCoe- c ,4 e 4L Cod e Co cr b l INSPECT R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS �/� QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 _------ BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /D -,77,5- NAME _Zeir-2/.../.,LL-4k2Tr-A--��e,e_-- LOCATION /g a la - DATE D DATE / - On0' RMIT # 62 --U - �� APPROVED / YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING 1 / FRAMING \ '1 �TRICAL ROUGH-IN SULATION: / FOUNDATION FLOORS \\ / WALLS PA 1 { -`5 li • CEILING Aid �i / C-38 V FINAL INSPECTION: / CHIMNEY HEIGHT ROOFING / SIDING / EXTERNAL PORCHES/STE S STAIRS-CLEARANCE & RA LS PLUMBING FIXTURES/REL EF VALVE INTERIOR TRIM/PRIV1CY \ORS FINISHED FLOORS GARAGE FIREPROOFI G DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL I SPECTION FINAL APPROVAL OF CONSTRUCTIO\ A SIGNED CERTIF CATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDING DEPART ENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: (4,, ,,,,, ,,,,,„do l INSRECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT /1/77 BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 0 .////// BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED / - �// -cP NAME RI4Z`�_ /`/ G � 16.6_,`C'J.ajy7 C!-< LOCATION `cr �� DATE /0 ` R ' �J c,7 � RMIT # ��'� Jv� f APPROVED MS NO OTING/PIERS ( MONOLITHIC POUR FORMS °' FOUNDATION/TMP-PROOFING BACKFILL APPRC AL • ,r`% RO GH PLUMBING `� fe RAMING ELECTRICAL ROUGH-IX ' / ' INSULATION: ffir FOUNDATION \ ,° FLOORS WALLS \f^,. • CEILING r` FINAL INSPECTION: l' CHIMNEY HEIGHT / ROOFING I. \ SIDING I � EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE ( RAILS O PLUMBING FIXTURE RELIEF VALVE �''�e INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS` GARAGE FIREPRO/FING DOOR CLOSER(SI SMOKE DETECTjRS FINAL ELECTRICAL INSPECTION • FINAL APPROVIL OF CONSTRUCTION A SIGNED C TIFICATE OF OCCUPANCY MUST BE OBTAINED F OM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!• REMARKS: ;VI.• (/f ! -tf INSPECTOR