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87-762 ,,.,. , . , CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY. NEW YORK Date March 10, 19 This is to certify that work requested to it-c done as ah*wn by "'emit No. 87-762 0 has It,.rn wmpleted. On a :Family Dwelling 'Me arructwe may be occupied as a Lot #3 Big Boom Road Location Owner John Heath Iy Order Town t oard TOWN OF QUEENSBURY -"er VS 44.'1 7/7 Building & Zoning Inspector ti BUILDING PERMIT TOWN OF QUEENSBURY No. 87-762 WARREN COUNTY, NEW YORK • o PERMISSION is hereby granted to John Heath OWNER of property located at Lot #3 Big Boom Rd. Street, Road or Ave. 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 RD 1 Box 1219 (Eric & Laren Frazier Whitehall, N.Y. 11 Platoz Dr. Apt. F Uncasville, Conn. 06382) 2. CONTRACTOR or BUILDER'S Name fD John Heath rt 3. CONTRACTOR or BUILDER'S Address same 4. ARCHITECT'S Name 0 rt 5. ARCHITECT'S Address tpd N• OQ 0 0 6. TYPE of Construction—(Please indicate by X) 0 1 I Wood Frame ( ) Masonry ( 1 Steel ( ) 7. PLANS and Specifications No.24' x 38' as per plot plan, specifications and application including septic system, and driveway permit 8. Proposed Use 'm One Family Dwelling N• $5.00 C/O 70.00 d $ PERMIT FEE PAID —THIS PERMIT EXPIRES June 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.) 0 OQ Dated at the Town of Queensbury this 10th Day of November 19 87 SIGNED BY / /C_ 1: ee//�� for the Town of Queensbury Building and Zoning Inspector r'// TO BE COMP-Lk- D BY BLDG. DEPT. / / Application No. \� _O[Un of Queeniur, Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF }: €.Fd w? '7a;'7/ Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation -N L gg 1 \V l;� III ) Queensbury, New York 12801 Variance No. • L r Site Plan Review No. n per � ,. 1` D' 6 e V Approved by: NOV 1987 J.APPLICATION FOR L-3 s : GIN f k 3EP'= Li P ILDING 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. The owner of this property is: f ` C I /9,, -, .x✓ � -Z---/ P.O. Address ll I 7 Z )fr /` F VA/ th// ee,y4/ ‘96 3 2 Tel. Property Location: /0 7- 2) e! Ale2-0, ) G,' «>15 Tax Map No. / / Street number or bui ding lot number ///A Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: < ./2f-,i /6 A/ i P/ x /-./9 f,,/hi /,,,, Z-j '--/ L U2' Cam;%--_S Z3 Name P.O. Address Tel. No. Name of builder �f >G</ "7 C-�c>n ) _ 2 � ���., �'�-/ 6Address � � 7 i� D cf. �� cl —-='� Name of plumber , _ (/�>„ ) Address t t t ti r( C i Tel. Name of mason % Ls:,..,,-7,y;S- Address ill1D t> d- , ,e62�,, G .1_-� Tel. .(71" ?-e" /VG l 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 * whether interior or corner lot. Show location FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property / u Q ft X c ft. * Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: * 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) * Front yard C7-1 ft Rear yard J--? c~ ft No. of stories (habitable space) * Side yards ma0 ft and / 3 (-' ft Height (grade to ridge) 7 , ft. * If on corner, setback from side street ft If residential, no. of families No. of rooms(excluding baths) Lam, * OCCUPANCY INFORMATION No. of bedrooms .. * * PRIMARY BUILDING - No. of bathrooms ! * One family dwelling Primary heating system 1 ;( �`7,2i C., * Two family dwelling Type of fuel * Multiple dwelling / Number of units No. of fireplaces to be installed ,,,/l/z- Permanent occupancy Will a wood stove be installed? ,�/r} * Transient occupancy Central Air conditioning? ,,,i/ --- * * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Other C__Ranchq Contemporary Log cabin If addition, what will use be? Raised ranch Mansion Duplex 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 car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other 72--/'/ /9---- v CONSTRUCTION $ - c,,c, * , �%. c,o.= INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. t 2 t'--> Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material ��, Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? 7 Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? ,' % (If so, what porto.f sq.ft. - - Type of use? Type of roof -(sloped/flat/shed/other Material.-of roof Size, wood studs °'7 "X L., " spacing /` �,� "o.c. length ft. Joists(floor beams) 1st. floor '_ "X -L% " spacing l &,i"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. l �_ Roof trusses(pre-engineered) spacing c. sand�-/ft. y" p t/�a 1 - - o. Exterior wall finish %,L- G� L- 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?/ G4 Ieight above roof ft. Depth of chimney foundation below grade ✓1%4 > Depth of fireplace hearth 1 1 . --- 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 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 doneron 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__ O er, owner's agent,arcnitect,contraJ-- day of 19 .__ Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • By �rurx of atalfatiry APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE //ir / LOCATION OF PROPERTY FOR INSTALLATION tz5V/ 3j /jz, j R 9 Owner's Name: i'v(c rz--,//%Z7,-- Telephone: Address: //fib w or I /J jC 00,93I4// ('ijV/V c‘i Z Installer's Name: N A/ C.. 4„efH 0G F'�'' Telephone: g% 3 2,/ 9/ Number of bedrooms (residential only) 3 Total daily flow (compute @ 150 gal per bedroom) 6, Topography: circle one: Rolling Steep Slope % of slope Soil Nature: circle one: San Loam Clay Other / Depth: feet Ground Water: At what depth? a feet ((1—Bedrock or Impervious Material: At what depth? b4 feet Percolation test: circle one: of require required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ fir, feet PROPOSED SYSTEM: Septic Tank /®z D gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench 6 feet / Total system length 2 42 d feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # - / Depth or Thickness 2 feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * (over) 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 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD.PLACE TO LIVE C.7 • ...mown, L./ueen u , N ` �� UE ENS BURY TOWN OFFICE BUILDING • �r , ';: r '� -� " • i6AY ANO HAV4LAND !WADS. K. D. GLEN. PALLS, NEW 'MAK. 12a0 _Hignwp,Y • YCLEPP/ON[: 1* 1 01 701.603; U.° x:c:atXacazKXXXXXXXWA s 1141411PiA3f DEPT. 704.77, • DRIVEWAY PERMIT • APPLICANT: tM-tviE Ft- i ( Fk' iK ADDRESS 1-es r1 5/6 , Uo 170 0�,Ei/7/ 13 4,�`7 (to be inspected) NAILING ADDRESS !1 (G e52 D I , /° 1______. ItierYgilfir ‘1.7/ g _ The Superintendent of Highways,s Town of'� nsbu has P 9 Y • �+e+� z°Y• reviewed the application of the above named resident to connect a driveway to the Town road. The following action has been taken: ( ) Preliminary Approval (to be followed by "Final Approval") . ( ) Final Approval Granted ( ). Rejected: t Size pipe to be used (if necessary) ( ) 6" ( ) 8" (. ) 10" ( ) 12" ( ) 24" ( ) 36" • DATE: Paul H. Naylor Superintendent of Highways Town of Queenshury 3- q✓` gown of 'Queens uru f� BUILDING and ZONING DEPARTMENT /�Bay and Haviland Road, R.D. 1 Box 98 J°� Queensbury, New York 12801 -•UILDING INSPECTOR' S REPORT Ni / sl1d -eL;6- ' LOCATION Date 3 / 88- Permit No. * * * * * * * * * * * * * * * * * * * * * * * kr = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding • 1 Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings /\ Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproof in. Door Closers Smoke Detectors Chimney • INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL nal Building Survey Next scheduled inspection (cal1_ when ready) Remarks- (:7' Build g Inspector 6/86 and-vl 4 6 down o/ Queeni urty l 6)` $UILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 fOsEPTIc DISPOSAL SYSTEM INSPECTION NAME ,Z s „ LOCAT ION t/"' 7C _ 3 r `F' O -z'% s DATE / (PERMIT O. 6P11- r/4 SOIL TY - Sand:) Loam - Clay - Percolation Test Required? YES - +.�- Percolation rate - Min/Inch TYPE of SYSTf : 6 Absorption f eld, total le •th 2),79 Length of eac. trench ,,y' Depth of trencles ° Size of gravel -0 SEEPAGE PITS-EN per or) Size- ft. X _ %t. Gravel size PIPING: Size Type Bldg. to tank Pa(- Tank to dist. box tf C° Dist. box to fied/pit , Openings sealed? YES NO Partial LOCATION/SEPIA TIONS: Foundation to ank /-' ft.- Foundation to absorption /5 t. Absorption to lot line - --`ft. Separation of pits ft. LOCATION OF YSTEM ON PROPERTY..(circl\e one) Front Rea - Left side c Right sid COMMENTS: / - SYSTEM USE APPROVE YEA No t-'''r}--( i'll Bu i 13 i'nJ Inspector 01/86 and vl awn o/ ?ueen3lury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME WO 11 I,A.° . L O C A T I ON / , 1- 3 (3 i c- j3�u vn-,., �;'l t�,� Date .2 I / Permit• No. 8�` * * * * * * * * * * * * * * * * * * * * * * * - 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 ,NSULATION: Foundation Floors N Walls g.=icl f i i4 i It P/ )(Ceiling ,e—.3'., FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- ? eorytkliill___ c)6 1,-4, rrec 1- i eiki. Lk hipsS --, (in „, , : , .,,, f.,,,,.....___ Building Inspector , 6/86 and-vl 0,r()/7 gown Jown of Queeniury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME C ity, /e,, LOCAT I O ,--9-, .., g ,,, xy eei- 2,-;? Date / Permit No. �- 7� i7 = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Bkfill L.4raming P Roofing Siding M m a y Venee .` ough Plumbing V Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til: Concrete Floors Plbg. Fixtures Gar. Fireproofing _ Door Closers Smoke Detec ors Chimney INSULATION Foundatio Floors Walls Ceiling i' FINAL E ECTRICAL INSPECTION DRIVEWAY PPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- e� Buil g- spector 6/86 and-vl ,_ ,/ / / rive ---° /own of Queeniurry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 qb130 ILDING INSPECTOR ' S REPORT NAME AL LOCATION to)19„2 . Date/- 'r /6Yr Permit No. 27. la * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO fFting/Pier Forms oundation Waterproof in _ 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 DRIVEWAY APPROVA Final Building S rvey Next scheduled inspection (call when ready) Remarks- Cif/ 4/4 I Building Inspector C /OG ....7 ..l sown of Queeniurcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION IC Bec., 2 K,), to ,-- Date / Permit No. F`-7 6 * fe" = APPROVED - E / 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. Fireproof ng Door Closers Smoke Dete ors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building In pector r /oG .INZORMATION FOR_BUILDING DEPARTMENT WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION FILED WITH OUR DISTRICT OFFICE. THE NEW PORK BOARD OF FIRE UNDERWRITERS APPLICATI ON NO.1 'L"G L�t�fl'IO I 4 ! nATF. I SPECTOR .4.?r,;,...4,04„1",,,OP/jy)..,11,2„kilis",",),1/)„1,94),IPA,Alki,",,Ori,"„Mi."..",),•!„.M„‘"?."„OPi,"!.,,110,!,","„1,,L,)",!„19,!,"...)",1, .4.",)...1„,.../."."„ ),,,I,•!,),•/„Mx,"„tlki,",",,,Iti„k1V,A9/„Vg.11.9.1„1...1"„19/ 4 46)in: THE NEW YORK BOARD. OF FIRE UNDERWRITERS ..., _., :-, .., BUREAU OF ELECTRICITY ef 41 STATE STREET,ALBANY,NEW YORK 12207 --c Date ' ' 1-, 18, 198E Application No.on file , , ' A 110699 .., ..< ..t. THIS CERTIFIES THAT 1: only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of . in the following location; 111 Basement E 1st Fl. El 2nd Fl. - Section ' Block , Lot' --( :-. was examined on - and found to be in compliance with the requirements of this Board. ::- ) _ FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS_,', • RECEPTACLES SWITCHES --c OUTLETS INCANDESCENT FLUORESCENT INC AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. 2 --, -, _ --(. DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS-1, SYSTEMS :cV AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AAAT. AMP. MAT. AMPS. TRANS. AmT. H.P. HOOF FEET AMT. WATTS -c -.< . -c SERVICE DISCONNECT NO.OF S E R V I C E.-‘ AMT. AMP. TYPE rig i 0 2w 1 03‘./ =1111:1111.1111.11. w NO.OFF,E5CiCOND. ktIV,..2... NO.OF HI-LEG d"HFW•L?a, NO.OF NEUTRALS A.W.G. OF(..c...writ). OFANtu 1 KAL .c 4 OTHER APPARATUS: ( 2-gfei -.f --( 1-smoke detector --, Elec. Room Heatedr: 3/2.0, 1/1.5, 2/1.0, -, ,.. -.< -, --, • n ? '!.5..1........-...-J..P..-- , oho Heath Jr 7 RD . 1 Box 1219 Whitehall, NY 12837 ncs Per BRANCH MANAGER [ This certificate must not be altered in any manner;- to the office of the Board if incorrect. Inspectors may be identified by their credentials. 1 lanift mimit mit WU IIIC Ilitlili%Al t Mil Illtillit Sat Illitlat 1St 111/11411V1141.11/V1111/\Mt NIEt 1St lart MAW 111111fiteanginlif IN(Mr 1St WU Illinffilff"2"*"1"1"*"M"lat'Mt IgrillinWilif 111/1IP COPY FOR EIRLDNO DEPARTMENT. TMS COPY OF CERTOFIICATE MUST MOT BE ALTERFn IF Amy MAFFTA