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86-589 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY • WARREN COUNTY, NEW YORK •Date June 10 19 87 - t-) 6 • /(0 —This is is to certify that work requested o be done as shown by Permit No. 86-589 has been completed. This structure may be occupied as a LIVING QUARTERS OVER GARAGE Q.33 • Locatio•n ANE CLEVERDALE RL• Owner rAS AND NANCY HAGAN By Order Town Board • TOWN OF QUEENSBURY "1..„ ../.7>4/..__ , Building & Zoning Inspector . . . • BUILDING PERMIT TOWN OF QUEENSBURY No. 86-589 WARREN COUNTY, NEW YORK ‘13- PERMISSION is hereby granted to James and Nancy Hagan cn OWNER of property located at Gunn Lane/Cleverdale Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alterations to garage (living quarters) 0 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. 00 . w 1. OWNER'S Address is Box 303 0 Cleverdale, New York 2. CONTRACTOR or BUILDER'S Name same 0 3. CONTRACTOR or BUILDER'S Address same 4. ARCHITECT'S Name CD n I CD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( 1 Steel ( ) a 7. PLANS and Specifications rt CD ri No. alterations to storage area over garage for living quarters rt per plot, applications and specifications submitted including o' 0 8. Proposed Use septic system. rt Garage/Living Quarters $5.00 C/0 00 14.00 • CD $ PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 19 87 (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.) H. Dated at the Town of Queensbury this 18th Day of September 19 86 CTQ SIGNED BY Otd ( 4—aa,z) for the Town of Queensbury Building and Zoning InspectoT CD rt 1-1 En i'TO BE COMPLETED BY BLDG. DEPT. Application No. own of Queenihur, Permit Issued 19 8N OF T`EE a`v.t``-:" BUILDING and ZONING DEPARTMENT Permit Expires 19 �� (� ,,1 1��-, Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ,r*_ I , Queens bury, New York 12801 Variance No. 3r s y 11=t Site Plan Review No. % "r s '�' v-- l )- — 3 3 Approved by: g� /9 P.M. APPLICATION FOR U . I.1 " °810111 17. 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. A. The owner of this` property is: r�A"'e- ki, et g4 ci 1VF4 ivet y ,�,. Wes}6'Af/ P.O. Address �,fJ O X<3(� /C i,�; l� e �/_4___W*_ ] Tel. 4S6'3 6 6 Property Location:jf p CIe,eR d a (p < _ vc, a �62,,,thv 41v Tax Map No. / / Street number or building lot number Subdivision name (if applicable) / /// THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: • NameP.O. Address Tel. No. Name of builder 01,11 4,1 Address - Tel. Name of plumber ,Q e,„&4,p Address Tel. Name of mason Address • 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, ' VAlteration 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 ,(iv;i��� // e-e,�Tdai_s. ellio,4 ace Ray-? * street and number or lot number and indicate *FOR DEM'OThtTION PERMIT, 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 Q 3 C) ft X J2)() ft. * Existing building(s) Size T ft X J5 2 ft. PROPOSED BUILDING AND USE: XI�.T--�G * Existing building(s) Use aeRe29.e Q ill - Size of new structure ,-. „1. ft X flj ft * '3179P q g. p 4P 02 e q• Foundation-pier slab% crawl/partial/ful.l * Proposed building, distance from property line (circle one) * "..-- * Front yard /' 49 G ft Rear yard 76 ft No. of stories (habitable sp ce) / ft Height (grade to ridge) ,,?` ft. * Side yards • a (' ft and jfj� If residential, no. of families • * If on corner, setback from side street ft No. of rooms(excluding baths) ,„.9 * OCCUPANCY INFORMATION No. of bedrooms * No. of bathrooms / • * PRIMARY BUILDING - Primary heating system * One family dwelling �v * Two family dwelling Type of fuel gip c7 i c * Multiple dwelling / Number of units No. of fireplaces to be installed (� Will a wood stove be installed? /1/0 * Permanent occupancy Central Air conditioning? /Va * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * ,...-Other " Raised ranch Mansion Duplex * If addition, what will use be? / Split level Old style Bungalow * (�"C•ep5 1 blikie'cle- �a rsr,S �Ini� 4 /;14 p,ofii' Cape Cod Cottage C=EfliE7 * 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 ESTIMATED MARKET VALUE OF * • Other • CONSTRUCTION * 1Ot.9 0C� INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl f . II BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: A. ' Type of construction, wood frame, fire safe,etc. cap rha Aid ..P — /-f--rl S jr d4 Will any second-hand or ungraded lumber be used? If so, for what? /14j Foundation wall material ;045•�1f,r Thickness Depth of foundation below grade (to bottom of footing) `A 7 Will there be a cellar? Heated or unheated? Floor sq. footage rj'l„r sq ft Will there be a basement? i) Will any portion be used as living space? (If so, what portion? 7 sq.ft. - - Type of use? 6'rce 5 Qc,c.a o o/e,�©a Type of roof - sloped f°a_,'..'r_*'. ....er Material of roof cwe y41,s S S4i4f /p.5 Size, wood studs t "X /{ " spacing /4 "o.c. length 7 '�z-ft. Joists(floor beams) 1st. floor oZ "X " spacing /(D "o.c. span /,Z ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X V " spacing /6 o.c. span .� ft. Roof trusses(pre-en i e red) spacing/6 "o.c. spanA T ft. Exterior wall' finish ' PR. 7/PA/ Of what material? /Jo V Interior wall finish Np/lr r+ 67 tc Si'�,, 1 R 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? �r1� If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? A/I, Height above roof ft. Depth of chimney foundation below grade N ft. Depth of fireplace hearth .-- ft. in. Water supply - Municipal or private well Q A P 0) Q „re,"?.._ SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft. (A separate application is necessary for any repair or new installation of se /tic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of 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 ORDINANCE, 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. SWORN TO BEFORE ME THIS Signature .=22 2-_ ,-()' � / ^�, owner's agent,ar itect,contractor ;� day of\J ��jL,y�c7Ll9�b ��, kil -_ F. MAX" TOWI�I NotatY Public,Stnto of t3ew York Notary Public, Warren County, N.Y. �aTatoga comity �'; * * * * * * * * * * * * * * * * * * ou Ez uea 80 2k91: ' SPECIAL CONDITIONS OF THE PERMIT: By �ou'n of Queen3tury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay end Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 DATE 9 / 02 LOCATION OF PROPERTY FOR INSTALLATION • OWNER' S NAME N t�4 /'�-iV NJ S IP' ADDRESS `faDX O`?.) C'IeV6.eh? ceL l e Ai d, . I01 rot() • TEL 66-4 ,36 c INSTALLER' S NAME ? it_ ,Si- A-RTEL 79,2 -.c'`I`Oq r Number of bedrooms (residential only) Total daily flow(compute @ 150 gal per bedroom) • 360 Topography: Flat - Rolling - Steep slope - (circle one) % of slope Soil nature: Sand ' - Loam - Cla)- Other Depth ft: Ground water -At what depth? ft. . Bed-rock or impervious material - At what-depth? - ft. r'' Percolation test - Not required = equired' - -Rate min-inch. _Domestic water supply - Municipal - Well - Other ,(41,6E Separation - Watersupply(if well) from Septic absorption / yD ft. Proposed System: Septic tank /6 0 0 gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench Sp-Oft. Total system legnthio -3c0 ft. Seepage pit(s) Number of .\ Size each ft X -ft . Size of stone to be used # Depth or thickness ft'. IMP* * *ORTA*NT* ! !* * * * *. * * * * * * * * * * * * * * * * * * * *. * * * * * * * On a separate piece of paper, submit a diagram of the proposed system with all dimensions shown; including distance from any structure , .distance from property lines and from ANY DOMESTIC WATER SUPPLY or shore-line of lake, stream,pond or wet-lands.' Include all dimensions of r the system, itself . * `* * * * * * * * * * * * * * * * * * * * * * * * * -* * * * * *. * * * * * I have read the regulations on the reverse s-ide of this sheet and agree to abide by these and aZZ requirements of The Town of Queonsbury Sanitary Sewage Disposal Ordinance. Signature of responsible persor, ,9 '--' 4 ,i4_ 9 ,;tr,44 ' 05/86 m ../vl Section .II Septic System Inspections: A. All applicationd for septid 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 pf 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 boxes, tile fields and/or drywells B. 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. 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. 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 74,. 2 . Type of heat A4lezr / 7 C, , /t y 3 . Is the building mechanically cooled? 4#'d 4 . Percentage of area of windows and doors /3, 6 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 O a. Are foundation walls insplated? YES NO 1. If YES, what is- the R value? 3t Slab on grade YE NO • • a. If YES , what is the R value of insulation around • perimeter of floor? / 4 . Is basement heated? . YES N , a. R value of insulation 5. Type of insulation / 4pc 45 c — B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions orog 2 . R value of exterior walls C7? -/ 1 'f 3 . R value of glazed area 42/, q2 4 . R value of doors 'c;i7_ /,.Q 5 . R value of floors over unheated spaces - sZ 6. R value of slab edge insulation - unheated slab 7. R value of slab insulation —heated slab 41 , 8. R value of heated basement/cellar walls (above grade) /Y/4 9. R value of heated basement/cellar walls (below grade) ,{f//1- • 10. Type of insulation \_4.a:44? 5 , 4.�/ C. Controls 1. Thermostat maximum heat setting 7— Yi D. Duct Systems 1. Is duct system installed in unheated spaces? YES NO .-/L a. If YES , R value of duct installation b. R value of duct in other areas /11,�{-- E . Piping Insulation 1/? � 1. Size of hot water or cooling carrying agent pipe J 2 . R value of pipe insulation /3AJP F. Service Water Heating 1. Performance efficiency 0,�. , , d ,4/ /4- 5's477 2. Temperature control .setting maximum_ /t/(.) G. For Swimming Pool Only 1 . Maximum heating -• Telephone No. vim/ -6s-6 pplicant ' s signat e) • • • • - I�1 _ wn of Queenillury 1 . BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME lah, c5 +434 LOCATION !eu f P` • GrYI Date 1p! a /J'?_ Permit No. 86 - 5.87 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation ':waterproofing Backfill Framing Roofing }� Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors K Interior Trim �( Stairs & Railings Cellar Drain Tile Concrete Floors • Plbg. Fixtures j{ Gar. Fireproofing Door Closers f1// Smoke Detectors Chimney IounLatIon: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- ' ioy/ _ r ce,e i/ Building Inspector 6/86 and-vl awn of Queenibury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME (9ai/ LOCATION 6 2 "GcCR�A' DATE//%b/0 PERMIT NO. aG- g7 SOIL TYPE - Sand - oam Clay - Percolation es Required? YES Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Z/O . F Length of each trench 1-0 .-30 -sue Depth of trenches y �� Size of gravel {{ _ SEEPAGE PITS{Num�er of)j Size- ft. X f_t� Gravel size `..__. PIPING: Size Type Bldg. to tank '7/ Tank to dist. box Dist. box to field/pit /,/ ,. ©Qo CRU5/y Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank /oft. Foundation to absorption Af2ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(ci_rcle one) Front - Rear - Left s' Right si e - COMMENTS: 4.0 SYSTEM USE APPROVED NO Bu. ding Inspector 01/86 and vl _Down of Queen ihur/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date*/ (e e Permit No. g(t) _sr! * * * * * * * * * * * * * * * * * * * * * * * V = APPROVED - YES / NO Footing/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 Smoke Detectors Chimney jji'NSULATION: Foundation Floors Vgalls fling Oak. FINAL ELECTRICAL INSPECTION Final Building Survey : Next scheduled inspection(call when ready) Remarks- - 606 Building Inspector 6/86 and-vl (610 6779i _own o/ Queenit urty BUILDING and ZONING DEPARTMENT a 39 Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME • LOCATION Date * * / f Permit No. g�q-5�87 * * * * * * * * * * * * * * * * * * * * * f� = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill gaming � ^ � K �q ,� Roofing Siding • Masonry Veneer Hugh Plumbing ©,K Relief Valves Ext. Porches Finished Floors • Interior Trim • Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney- 4NSULATION: Foundation Floors Walls • (.Ceiling Q..K FINAL ELECTRICAL INSPECTION Final Building Survey ' • Next scheduled Inspection(call when ready) Remarks- - • /4/116 • Building Inspector 6/86 and-vl l rni_ /si-le e Pie/ Cu1,1,/.1 b.yo awn o/ Queeniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME fr/ctry‘.., LOCATION / Cleve' -e' Date / /f/ / q(e, Permit No. 36 - S.37 * * * * * * * * * * * * * * * * * * * * * * * it = APPROVED - YES / NO Footing/Pier Forms 1 Foundation Waterproofing Backfill i/Framing 6-61L, CE"Yecb-e,. 674( Roofing Siding Masonry Veneer Rough Plumbing • Relief Valves Ext. Porches Finished Floors Interior Trim / Stairs & Railings Cellar Drain Tile f Concrete Floors \ / Plbg. Fixtures /\ Gar. Fireproofing Door Closers / Smoke Detectors N . 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