1988-089 • ielon1,1*,i-' .'"!-V• r
•
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY •
WARREN COUNTY, NEW YORK
Date neePrn her 19 19 2.8
•
88-89
This is to certify that work reques o be done as shown by Permit No.
has been completed.
This structure may be occupied asa ONE FAMILY DWELLING
LOT 21 BRIGGS COURT (ST. NO. 7) QUEENSBURY FOREST
Location
MASULLO BROTHERS BUILDERS, INC.
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-89
WARREN COUNTY, NEW YORK • o
tv
PERMISSION is hereby granted to Masullo Brothers Builders Inc.
OWNER of property located at Lot 21 Briggs Court (St. NO. 7) Street, Road or Ave. N
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
3049 Broadway
Schenectady, N.Y. w
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2. CONTRACTOR or BUILDER'S Name O
td
Same
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3. CONTRACTOR or BUILDER'S Address
co
Same
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4. ARCHITECT'S Name m
ri
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) O
cn
(xfWood Frame ( ) Masonry ( ) Steel ( ) - .t
O td
7. PLANS and Specifications .
r•
No. 58'8" x 42' as per plot plan, specifications and application including
septic system and attached garage.
8. Proposed Use
One Family Dwelling rt
$5.00 C/O
150.00 X October 1, 88
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 23r$El Day of March 19 88
SIGNED BY `nGZ/._.jC - „(9.,-, for the Town of Queensbury H.
Building and Zoning Inspector ./-4e , ad
�J • Application No.
/own o f Queen3bur y . .permit. Issued. 19
BUILDING and ZONING DEPARTMENT Permit:Expires 19 . . -OWN OF QULZNS:-.; `.
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation L� ( V JEllji
Oueensbury. New York 12801 .. •Variance No.
Site Pl ew No 1��® 1988
Appr e s
4 APPLICATION FOR ! UILDING &CODE DEPT.
• BUILDING AND ZONING PERMIT d) " ,
•
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: Haiullo Brothers builders. Inc. .
P.O. Address 1(164 .Rrnadaray,rhpeorrady, WPW Ynrlr Te1.-176_105R
Property Location: Lot to /NWiS/i:n.13?.66.5 CV Tax Map No. _ / /
' . . Street number or building lot number
subdivision name (if applicable) Queensbury Forest .
THE PERSON RESPONSIBLE FOR. SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
.liasullo Brothets._BuilderIL,.•Jnc. ,3049,11rpa.dw,.y,k.henecdj, _Nev York' 518-370-1058
Name P.O. Address Tel. No.
same• pf builder Same-. Address Same as Abobe Tel. Sams
Name'of plumber piumbim Address 88 Nesiton Stree. Aibany.N.Y. Tel.459-5811
Name- of mason l o Bros. Builders Address Same ' Tel. Sp►ie
•
NATURE OF PROPOSED.WORK: * - . ZONING INFORMATION:
:Construction * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,.
Addition to a building. :.. * drawn reasonably to scale and attached hereto,
Alteraiion..to a building • . * showing clearly and• distinctly all buildings,
(no;changc;: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 SIZ f1ND * whether interior or corner lot. Show location
cOCATION OF STRUCTURES AFFECTED. •* of water supply and location .and configuration
• * of septic disposal area. .
. *
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property • 113 ft x /9 7 ft.
. • *Existing. building(s) Size ft X ft.
PROPOSED BUILDING AND USE: * •
6B-8 48, . * Existing building(s) Use
Size of new structure 34 ft X 48 ft *.
Foundation-pier/slab/crawl/partial 40 . * Proposed building, distance from property line
(circle one) ' * See Attadmd. '
No. of stories (habitable space) 2 * Front yard plan ft Rear yard ft
Height (grade to ridge) 23' ft. * Side yards ' ft and ft
tf residential, no. of families - .1 * If on corner, setback from side street ft
No. of rooms(excluding baths) ' • ' 9 . * ' OCCUPANCY INFORMATION
4o. of bedrooms ` 4 •
. o. of bathrooms * PRIMARY BUILDING -. • • .
?rims heatings stem / * Lone family dwelling
Primary: Y Elcr1rir Hear Rmp .
type of fuel Elertrir * Two family dwelling
:lo. of fireplaces to be installed' 1 . *- •Multiple dwelling / Number of units
. All a wood stove be installed? 1p, * Permanent occupancy .
:ventral Air conditioning? ' yes • * ' Transient occupancy
* Business
3UILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranc . Contemporary Log cabin . * Other'
Raised ranch Mansion . Duplex *_ If addition, what will use be?
t level Old style Bungalow • . *
cape Cod ' Cottage . Other * ACCESSORY BUILDING-
-. Rbw Town House * Detached garage/one car/ two car/ car '
( CIRCLE ONE PLEASE ) . * X Attached. garage/one car/ two car/__scar
.* * * * * f * * * * * •* * * * *
Private storage building
ESTIMATED MARKET VALUE OF. * Other
CONSTRUCTION *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Fors BPA 4/86 m3-v1
t7U1LU11J!,i I L:44111 0.....e..vim•......:a.... ....tea...a.-..
BUILDING SPECIFICATIONS:
.Type of construction,..wood frame, fire safe,etc.• . WaxtFeme
Will any second-hand or ungraded lumber be used? If so,' for what? . No
Foundation wall .material Poured Concrete Thickness 8" & 10" .
Depth of foundation below grade (to bottom of footing) 70" •
Will there be a cellar? ffi Heated or unheated? Floor sq. footage 1,755 sq ft
Wi.11 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 Asphalt St:ingles
Size, wood studs 2 •"X 6 " spacing 24 "o.c. length g ft.
JoLsts(floor beams) 'lst. floor 2 "X In " spacing' 15 "o.c. span 14 ft.
•
Joists (floor beams) 2nd. floor 2 ' "X ' 10 " spicing . l€,_ o.c. span 14 ft.
Overlays(ceiling beams) "X " spacing "o.c. .span • ft.
Roof rafters "X " spacing b.c. span ft.
Roof trusses(pre-engineered) spacing 24 "o.c: span eft. .
Exterior wall finish Al nine . Of what material?
Interior wall finish 3" stuck-Minted
. If a garage is to be attached, describe materials to be 'used for FIRE SEPARATION:
•i" FireCode .
Is there to be an opening between garage and dwelling? Yes If so will a Fire-rated
door, enclosure, and self-closing device be provided? Yes
Will a flue-lined chimney:be installed? ye,/ • Height above roof 2 ft.
Depth of ,chimney foundation below grade Aye : ft.
Depth of. fireplace hear:___.ft. 8 in.- • .
Water supply - :Municipal or private well Iinicjpal
SEPTIC SYSTEH _ 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 • AFFIDAVIT STATE OF NEW YORK
County of Warren •
I swear that tq, 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 donefon 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 owners ; .• .
SWORN: TO BEFORE ME THIS • - • Signature J M r.
.Owner, owner's agent,arcnizect,contractor
day of - 19 .
1
•Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * it * * * * * * * * * e * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT: -
'1 1 .
I.
1. By
'1 U Yr►v
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 . 20O0 Sq. Ft.
2 . Type of heat Electric Beat Rmp •
3 . Is the building mechanically cooled? yES
4 . Percentage of area of windows and doors 1470
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions See Artarhed
• 2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If YES, what is the R value? R-13
3 . Slab on grade YES 411,
a. If YES, what is the R value of insulation around
perimeter of floor?
4 . Is basement heated? YES
a. R value of insulation
5. Type of insulation Fiberglass
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls
3 . R value of glazed area
4 . R value of doors ade'
5. R value of floors ileated spaces
6. R value of ge insulation - unheated slab
7. R value of s ab insulation - heated slab _
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar .walls (below grade)
10. Type of insulation
C. Controls
1. Thermostat maximum heat setting 900
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
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 j" & 3/4 Copper
2 . R value of pipe insulation
F. Service Water Heating
1. Performance efficiency
2. 'Temperature control setting maximum
G. Fpr Swimming Pool Only,
1. Maximum heating .
Telephone - No. 370-1058 /ii)jJr
(applicant ' s signature)
J o� vitattdepary
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE ! Val .i / gg
LOCATION OF PROPERTY FOR INSTALLATION 7 BOW
Owner's Name: f A61.1 0 _ &//Das tivc Telephone: _ 3 96 -/05 8
Address: 3O44 &?24o �� . (/ /I. cT��� 1220G
Installer's Name: NOLO &K. ,Qoz,aa.c Telephone:
Number of bedrooms (residential only) _ 4 _
Total daily flow (compute @ 150 gal per bedroom) — CO 0
•
Topography: circle one: Flat Rolling Steep Slope % of slope
Soil Nature: circle one: San Loam Clay . Other / Depth: _ feet
Ground Water: At what depth? WA feet
Bedrock or Impervious Material: At what depth? _ (Vf il feet
Percolation test: circle one: not req�uired)required / rate min. inch.
Domestic water supply: circle ones( Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption — feet
PROPOSED SYSTEM: Septic Tank /200 gal. (minimum size: 1,000 gal.)
TILE FIELD: Each Trench 50 feet / Total system length 26-0 feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # 2 / Depth or Thickness feet
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALLED
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
(over)
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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
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.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary 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
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS [j
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION �
-'NS RECEIVED �p
NAME -- - ! 2.490
LOCATION / / / /f/
DATE PERMIT#
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
VEILING 1
AL INSPECTION?\
CHIMNEY HEIGHT \ l
ROOFING I /'
SIDING
EXTERNAL PORCHES/STEPS �•
STAIRS-CLEARANCE &' RAILS
PLUMBING FIXTURES/RELIEF VALVE Ir
INTERIOR TRIM/PRIVACY 4DOORS
FINISHED FLOORS,
GARAGE FIREPROOFING
DOOR CLOSER(S) N
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION J `7(j sv-`„:
FINAL APPROVAL OF CONSTRUCTION`` • }
l ,�
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
_Jouin 01 Queeni‘ury .
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL S ST INSPECTION
NAME 1/ G IV
LOCATION Y/���
C /'
DATE /lAt Ze
T N0. ':)"-- J=- - f I
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch .
TYPE of SYSTEM:
Absorption field, total length t
Length of each trench 6 L ( `
Depth of trenches '
Size of gravel ice_ '
SEEPAGE P ITS4Nuinber of) '
Size- ft. X ft.
Gravel size . j'
PIPING: Si ' T pe
Bldg. to tank li i Ve..!-,
Tank to dist. box .,', L-�// j !Dist. box to field/ ' lr�L�
!
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS: '
Foundation to tank / ft.
Foundation to absorption 77 5-ft.
Absorption to ldt line .(', ft.
Separation`of its r=--ft.
LOCATION`OF,S4STEM ON PROPERTY(circl.e.,one)
Front / Rear/T Left side - Right side -
COMMENtS: y'
__/
7. ,),---/ le-T.,
1
,______.,
...._
. .
, y.
SYSTEM USE APPROVED ./YES 10
Buildi Inspector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FORK INSPECTION�l_,d RECEIVED 7 7-�6,
7'/
NAME / 4,, �/
LOCATION 7
'
DATE 7o PERMIT # f4% 9
% APPROVED
YES NO
FOOTINq/PIERS
MONOLITHIC POUR FORMS
FOUNDATIO'1l/DAMP-PROOFING /
BACKFILL AFNROVAL
ROU H PLUMBING j
SING
ELECTRICAL ROUGH-IN
INSULATION: \
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT /
ROOFING
SIDING
EXTERNAL PORC ES/STEPS
STAIRS-CLEA'. NCE & RAILS
PLUMBING FI TURES/RELIEF VALV
INTERIOR TR M/PRIVACY DOORS \
FINISHED F •ORS
GARAGE FIR PROOFING �\
DOOR CLOSEr(S)
SMOKE DETER TORS
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:
I ft
/ f' ._
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIONRECEIVED /Q
/ �
NAME —— I7C(,/�' i�C,
LOCATION 7 /0;ZK
DATE /9 ,...57/ PERMIT # Fc---- --7
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS y'
FOUNDATION/DAMP—PROOFING gs''
BACKFIL APPROVAL I
ROUGH PL BING WY
•.
FRAMING
RICAL OUCH—IN 7
4.),T
• SULATION: 3'
FOUNDATION I)
FLOORS /
WALLS \ ANY ---4
CEILING X I -3fl L/
FINAL INSPECTION: if
CHIMNEY HEIGHT f.<
ROOFING 1
SIDING i
EXTERNAL PORCHES/STA 'S
STAIRS—CLEARANCE & LS
PLUMBING FIXTURES//EL •EF VALVE
INTERIOR TRIM/PRIhVACY ••OORS
FINISHED FLOORS I
GARAGE FIREPROO 2NG 1 .
DOOR CLOSER(S)
SMOKE DETECTOR=
FINAL ELECTRICA INSPECTION I
FINAL APPROVAL 'F CONSTRUCTION
A SIGNED CERTI ICATE OF OCCUPNCY MUST BE
OBTAINED FROM HE BUILDING DEP4R%TMENT BEFORE
THESE PREMISES ARE OCCUPIED!-
REMARKS:
\\
•
INSPE OR
awn of Queenihur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME t1/j�
LOCATION �� . /ge
Date =/9/ Permit No. W-pi
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Vene;r
Gough Plumbi 4 Az /,,,,,,z
Relief Valves
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railing.
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTIO
DRIVEWAY APPROVA
Final Building S rvey
A
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
awn W Queenihury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Ra.SIT./
>
LOCATION '2 ,6p,�,s
Date � �C7 / c Permit No. d- ��
* * * * * * * * * * * * * * * * * * * * * * *
ir = APPROVED - YES / NO
Footing/Pier Forms
Foundation
aterproofing 1/
OBackfill
Framing
Roofing
Siding
Masonry Veneer /
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floo s
Interior Trim
Stairs & Raili es
Cellar Drain TiLe
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTIO'
DRIVEWAY APP' IVAL
Final Buildi g Survey
Next scheduled inspection (call when ready)
Remarks-
i ing Inspector
6/86 and-vl
eilLiiiii'612 C7
tt- A40 ,louin o/ Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT,
NAME `� �� �®/ // X...
LOCATION 1 Air � d
Date q-S /ye_ Permit No. Qr-fq
* * * * * * * * * * * * * * * * * * * * * * *
� ���� ✓ = APPROVED - YES// NO
(.rooting/Pier Forms V
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. Firepro. ing
Door Closer-
Smoke Detc.tors
Chimney
INSULATIO.) :
Foundatioh
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Al/
IVldinl.7 n�✓:e.'or
6/86 and-vl
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