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1986-528 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date NovFMP ER 26 1986 c29 This is to certify that work requested to be done as shown by Permit No. 86-528 has been completed. Ono-Family Dwelling This structure may be occupied as a; Lot 63 Willow Road (St. No. 26) Location Stephen O'Connor Owner.,. . .. . By Order Town Board TOWN OF QUEENSBURY. r`r ( Building & Zoning Inspector II i TEMPOR / RY fi CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 21 19 86 This is to certify that work requested to be done as shown by Permit No. 86-528 has been completed. This structure may be occupied as a One—Family Dwelling LocationLot 63 Willow Road (St. Noo 26) Owner Stephen 0°Connor 30 DAV TEMPORATY CERTIFICATE OF OCCUPANCY PENDING FINAL ELECTRICAL. By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY cn No. 86-528 rt WARREN COUNTY, NEW PORK 0 0 PERMISSION is hereby granted to Stephen O'Connor 0 0 • OWNER of property located at Lot 63 Willow Road (St. No. 26) Street, Road or Ave. o F•t in the Town of Queensbury,To Construct or place a One—Family Dwelling 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 Hunter St. Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Stephen Kelly H L• 0' O fD rt 3. CONTRACTOR or BUILDER'S Address b H. 13 Willow Road Glens Falls, New York cn• H. o H. 4. ARCHITECTS Name H' E 0 • 7y !D O sv O P4 5. ARCHITECT'S Address S a' ^� t✓ en rt rt LC • .O 6. TYPE of Construction—(Please indicate by X) • rn (X)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 27'x70' per plot plan, specifications and application submitted No. including two—car attached garage and sewage system. _ I 8. Proposed Use One Family Dwelling t7 $5.00 C/O Paid ro $ 178.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 87 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Cr? town of Queensbury before the expiration date.) 28th August 86 Dated at the Town of Queensbury this Day of 19 SIGNED BY �C` - for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. y�� Application No. atV11 of Queenil,ur y Permit Issued 19 __ BUILDING and ZONING DEPARTMENT Permit Expires 1917, ��Gr�I ' ' a'= e'e�c r Bay and Haviland Road, R.D. 1 Bo) i zoning Designation ' ' rr� - �;i , Queensbury, New York 12801 Variance No. f I!�} ��' !� 3 `f 7d s i_ 63Site Plan Review No. � •1 _ L Approved ,_._.,,,„ by: � �,:_,.JL, f J I`4 , APPLICATION FOR M '� 1.3) i 1�2 v l d'-1 •5 R 6 • BUILDING AND ZONING PERM 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: Ste• e,P 4 e JU C2 'G c , a • P.O. Address . . _ . Tel.7 7 2 - 3 a a 7 Property Location: o(.074 (02 -. /,„...i/fO w /v,'Ac,,/ , S1 . IC Tax Map No. ' /... / Street number or building lot number Subdivision name (if applicable) /A9///-eS' d Cf. 6 -fle y THE PERSON 'RESPONSIBLE FOR .SUPERVISION OF WORK AS REGARDS .BUILDING CODES IS: Name P.O. Address Tel. No. Name of builder Ste/" e it itlIWY Address / Y,,'//' - "geM-./ Tel. 2 7,3-3 d Name of plumber "' f i Address Tel. Name of mason �l ._"( 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, 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 FOR DEMOLITION PERMIT, STATE SIZE AND ' . rt 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 /3/ ft X 17e) ft. * Existing building(s) Size ft X ft. PROPOSED BUILDING AND USE: ' * Existing building(s) 'Use Size of new structure .27 ft X 70 ft Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) No. of stories (habitable space) 2- * Front yard ft Rear yard ft Height (grade to ridge) ft. * Side yards ft and. . ft If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms 271- * No. of bathrooms -2 1/y * PRIMARY BUILDING - Primary heating system Gig _ /y• , • * b( One family dwelling Type of fuel (Ai s * Two family dwelling No. of fireplages to be installed / * Multiple dwelling / Number of units Will a wood stove be installed? he. * Permanent occupancy Central Air conditioning? * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other ' If addition, what will use be? Raised ranch Mansion Duplex * Split level Old style _. Bungalow . * ' _Cape Cod Cottage is, Other * ACCESSORY BUILDING- _ BUILDING- L on Row '--Town House *' ' Detached -garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * \ ap• Attached garage/one car/ w c / car 4 * * * * * * * * * • * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BFA .I/It . ma-vl BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. . Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material /5 //e c Thickness 1 o 1/ Depth of foundation below grade (to bottom of footing Will there be a cellar? Heated or eat ? Floor sq f t� 1 66s ft Will there be a basement - Will an ion be used as living space? / q '(If so, what por '_on? sg.ft. - - Type of use? 'type of roof - sl ed/ at/shed/other Material. of roof AKPActijr 64 "- 5 Size, wood stu "X " spacing pee "o.c. length ft. Joists(floor beams) 1st. oor ), "X /1) " spacing "o.c. span / ft. Joists (floor beams) 2nd. floor, "X / spacing 0 "o.c. span / ft. Overlays(ceiling beams) "X " spacing "o.cL• span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses.(pre-engineered) spacing ay/ "o.c. span ;r4-ft. Exterior wall finish C1Q4'R SIQ,w.(� Of what material? .DkQ. Interior wall finish ,(toy,' If a garage is to be attached, describe materi s to be used for FIRE SEPARATION: 6-P4 TY Pa-. platIs there to floe an opening between garage and dwelling? 'LS If so will a Fire-rated door, enclosure, and self-closing device be provided? yl � Will a flue-lined chimney be installed? gel Height above roof ' ft. {,ylrrI Depth of chimney foundation below grade(9-q-- ft. Depth of firepla • h ft.Zin. Water supply - run icipal .r private well • SEPTIC SYSTEM • ' . ce from ANY private well(including adjoining properties ` ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queenbury AFFIDAVIT STATE OF NEW YORK County off 'Warr'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. • .r) )/41 // SWORN TO BEFORE ME THIS Signature- _ -I , . - -- '// Owner, • ner's agent,a chi ect,contractor day of 19 X((„ • Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * *, * * * * •* * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • • • eifr#3 By-- .�1�'�j* 1. 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 -22 2 . Type of heat 62j9S 3 . Is the building mechanically cooled? 0 yy 4 . Percentage of area of windows and doors ( SS ;?ex S /0 A. Over 16% Only 1. Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions a' 2 . Floor over heated spaces NO a. Are foundation walls insulated? YES NO 1 . If YES, what is the R value? 3 . Slab on grade YES 0 a. If YES , what is the R value of insulation around perimeter of floor? 4 . Is basement heated? YES 6;1) a. R value of insulation 5. Type of insulation cj, n/2 6:1, _5 B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions al _ 2 . R value• of exterior walls iP/( 3 . R value of glazed area /� 9 4. R value of doors 6 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) 'r 9 . R value of heated basement/cellar walls (below grade) 10. Type of insulation , eAv y//c J1 C. Controls 1 . Thermostat maximum heat setting S D. Duct Systems 1. Is duct system installed in unheated spaces? YES NO 51 a. If 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 34i • 2 . R value of ,pipe insulation F . Service Water Heating 1 . Performance efficiency 0 `.5- /° 2. Temperature control setting maximum G. For Swimming Pool Only 1._. -"`Maximum heating Telephone No. .3 a -272-- (a• •licant ' s s ' iature) • _Jown of Queere.itury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Havi!and Road, R.D. 1 Box 98 Queensbury, New York 12801 DATE , / 0 LOCATION OF PROPERTY FOR INSTALLATIONAat �rG� /fi,M4' OWNER' S NAME s t P� e aJ � C o w iv a ,r2 ADDRESS /-Ath 't S7 TEL 79,2 — 7 2-27 INSTALLER' S NAME f� L� e / TEL • Number of bedrooms (residential only) 441 Total daily f low(compute @ 150 gal per bedroom) 6 6(� Topography: Flat - Rolling .- Steep slope - (circle one) % of slope Soil nature: Sand Loam - Clay - Other Depth ft. Ground' water -At what depth? ft. Bed-rock or impervious material - At what depth? - ft. Percolation test - Not required - Required - -Rate NG07- el 0, min-inch. Domestic water supply —Municipal Well - Other Separation - Watersupply(if well) from Septic absorption ft. Proposed System: Septic tank lacv gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench—`) ft. Total system legnth ,2 SV ft. Seepage pit(s) Number of °— . Size each ft X ft Size of stone to be used # ;� Depth or thickness ,i ft. IMPORTANT! ! 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 the system, itself . * * * * * * * * * * * * ' * * * * * * * * * * * * * * * * * * * * * * * * * I have read the regulations on the reverse side of this sheet and agree to abide by these and aZZ requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance. ' Signature of responsible person Date 05/86 m /v • Section II Septic System Inspections: A. All application for septic system installation, alteration or repair, as required by the Town of • • Oueensbury 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 . 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 he available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should . un£oreseen problems during construction prevent proper installation,- alteration or • repair of an approved system, a new proposal must be submitted to the Oueensbury Building Department before further construction. • • • • • • • • .F Jown of Queeniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 0 CO,UV OK_ LOCATION ;- caccou1 Date /I // Permit No. e(, - s-Q * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 f/ Concrete Floors Plbg. Fixtures Gar. Fireproofing \ / Door Closers Smoke Detectors Chimney / INSULATION: / Foundation Floors J Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 0 g it" t C% Building Inspe tor 6/86 and-vl Jown of Queenitury BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING IINSPECTOR ' S REPORT NAME /�j _ 0 ' C (., - oi- LOCATIONlt.. o ) -Date ///?.! / 0 Permit No. y6 —,6 o) l7 ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Y Framing ✓Roofing 1 // ding � Y Masonry Veneer Rough Plumbing atelief Valves . Porches !P;,;nished Floors J erior Trim Of(_ 35 jo ()Ai \ Z (/ irs & Railings _ C ^• Cellar Drain Tile 4Cocrete Floors C, V/ g. FixturesOk/3a1P11 ' O . Fireproofing ClosersIP moke Detectors ti. __A d Chimney INSULATION: Foundation . ......Q •kl k -- . Floors Walls Ceiling FINAL ELECTRICAL INSPECTION V DRIVEWAY APPROVAL Lal Building Survey t °2&-c Ns e L-0--►cAi► A. 'k— Next scheduled inspection (call when ready) l Remarks- AJ" LS Al 6'055 ���,,,t�,rr-r I.0� v tom-T� O 1 ,fit- -G - ill i ( 7 1944 — /aJ PrzOtGSS 3=3DJ2M, 1/1-; kg/ /(LA Building Insp ctor 6/86 and-vl Jown o/ Queeniturf, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME cm-- €h u `L' O h na-- LOCATION L0 r-- 6 3 GO 114 jyi e^( Date f d I (p / XL. Permit No. (o -SN7 * * * * * * * * * * * * * * * * * * * * * * * = 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 f Smoke Detectors Chimney l )( INSULATION: Foundation Floors (%Walls L/egiling DUB FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - Building Inspector 6/86 and-vl ( 1/-e,1 1156k36, ai A hi • Jown of Queenitur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME iieplb €)1 /� 4 ph LOCATION L67 6 3 zo!7/01,Li nil`-/ Date $ *a /i (.0 Permit No. 86" - _3 a 0 k' = APPROVED - YES / NO Footing/Pier Forms i Foundation Waterproofing Backfill Framing - /6 oQ ; l Roofing Siding Masonry Veneer 1C Rough Plumbing • (91` Relief Valves • Ext. Porches . Finished Floors Interior Trim Stairs & Railings i Cellar Drain Tile 4 Concrete Floors ",i7 Plbg. Fixtures "/\; Gar. Fireproofing Door Closers .// Smoke Detectors ✓ Chimney . INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - da.4. (maizarL 3`� r ieef J �.�/ �. Bui ding Inspector 6/86 and-vl awn o f Queeniburty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME S/Fig-Ke/ LOCATION G 07 3 Li/ -L u Dater $ / 4 Permit No. 8 L F * * * * * * * * * * * * * * * * * -* * * * * ✓ = APPROVED - YE / NO ooting/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 INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - U/)116 Building Inspector 6/86 and-vl Jown o/ Queeniburcy BUILDING and ZONING DEPARTMENT Bay and Havilarid Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /�/r'f, �i / V ?la l I� D 6/ LOCATION / "� li(7/ �-.) lt41Z1,v Date CZ / 0Permit No. gt .a-C•28 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YE / NO (/-toting/Pier Forms 1 Orc 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 x:/// Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - X/Z Buil ing nsctor 6/86 and-vl kr:1,1- v lZog. yy r-o yd, 140-11 • rot 0404 w..,y , Serf /Doc' ��t€K. 1 //�� 6 W1LLOu) R