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87-471
CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Dec. 31, 8; Date 19 _ This is to certify that work requested to be done as shown by Permit No. 87-�.71 has been completed. This structure may be occupied as a One Family Dwelling Location Lot #33 Willow Road (St. iio. 35) Owner lyorman. Ouellette By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector i = BUILDING PERMIT �4 TOWN OF QUEENSBURY No 87-471 �-d WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to Norman Ouellette o I OWNER of property located at Lot �>`33 Willow Road (St. No. 35) 0. Street, Road or Ave. w 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 26 Elm Street Hudson Falls, N Y 12839 z 0 2. CONTRACTOR or BUILDER'S Name Same o t� r 3. CONTRACTOR or BUI LDER'S Address r H C-3 Same H r� 4. ARCHITECT'S Name r 0 _ H 5. ARCHITECT'S Address x � t� w ro w H � l� r 6. TYPE of Construction—(Please indicate by X) r' O (Wood Frame ( ) Masonry ( ) Steel ( ) 7J O9 t7 7. PLANS and Specifications No.30' x 44' per plot plan, specifications and application including septic system, two—car attached garage and driveway permit. 8. Proposed Use tt One—Family Dwelling z t� I $5-00 $ 199.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1, 1988 (If a longer period is required an application for an extension must be made to the Building and Zoning F-C 9 P 4 pp g g inspector of the town of Queensbury before the expiration date.) tz)� Lz7 r Dated at the Town of Queensbury this 23rd Day of July 19 87 H j%� ' ,ems s z SIGNED BY � G for the Town of Queensbury Building and Zoning Inspector �:9e TO BE COMPLETED BY BLDG. DEPT. jown Application No. o QueenJlury Permit Issued 19 _ BUILDING and ZONING DEPARTMENT Permit Expires 19 t OW ) e Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No. Site Plan Review No. JUL 16 i9�7 Approved 0�0G- r.1_)+'._^R!qG & COM DEPT. APPLICATION FOR (ny� 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. ---------------------------------------------------------------------------------------------- The owner of this property is: 12-012-4 ,, j+J 6'�'U6 Z-,(477-7� P.O. Address_ aG' �L� �$j`2�jJT TTv�SDr✓ ��L�S ��� Tel.Z����D Property Location: L 0 / �i ��c D�/ ���,0Tax Map No. Street number or building lot number _T4. ya. 35) Subdivision name (if applicable) 4A> THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: ep '!2 7— Name P.O. Address , Tel. No. Name of builder &&1elm.✓ ©v66 4 Address vZ 6 1-57 LGj? S, Tel. Name of plumber Address Tel. Name of mason // Address Tel. f / NATURE OF PROPOSED WRK: * 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 ft X -�0 * Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure 30 ft X !!Wft * . . . . . . '"-- Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) Z Front yard ft Rear yard 7� ft No. of stories (habitable space) Side yards (9 ft and IeKf1 ft Height (grade to ridge) ft. * If on corner, setback from side street ..e ft If residential, no. of families / No. of rooms(excluding batrhs) * OCCUPANCY INFORMATION No. of bedrooms * PRIMARY BUILDING - No. of bathrooms One family dwelling Primary heating system x _,c�C!'�s C * Two family dwelling Type of fuel * Multiple dwelling / Number of units No. of fireplaces to be installed permanent occupancy Will a wood stove be installed? 14,10 *. —�--�-- * Transient occupancy Central Air conditioning? e�/ Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch temporar Log cabin * If addition, what will use be. Raised ranch Mansion Duplex Split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- - I _. -I . 11o+ 1�q rraranG/nna ra-r/ f wn car car BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? 112 0 Foundation wall material (� C'O,✓C2�14 Thickness C/� Depth of foundation below qrade (to botto footing) Z Will.there be a cellar? YeAeated o unheated Floor sq. footage j y sq ft Will- there be a basement? c-- Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? '� Type of roof - spedlo lat/shed/other Material.-of roof , f;�.J Size, wood stu s�"X-6_" spacing"o.c. length _ f ft. Joists(floor beams) lst. floor Z "X /o" spacing /&, "o.c. span /6 ft. Joists (floor beams) 2nd. floor _ ,:? /p " spacing"o.c. span / /V ft. Overlays(ceiling beams) "X e--- " spacing —"o.c. span ft. Roof rafters "X spacing — o.c. span ft. Roof trusses(pre-engineered) spacing p �"o.c. span_,3Q ft. Exterior wall finish Of what material? Interior wall finish �'y�,��'% 0c K '— If a garage is to be attached, describe materials to be used for FIRE SEPARATION: �g l- �r�l�c4�� t57—7X0C e Is there to be an opening between garage and dwelling? ��Q If so will a Fire-rated door, enclosure, and self-closing device be provided? y Will a flue-lined chimney be installed? _ Height above roof ft. Depth of chimney foundation below grade___& ft. Depth of fireplac arth ft. in. Water supply Mun. ipal private well SEPTIC SYSTEM-'- YSTEM _ 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 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____ Owner, owner's agent,arcniLect,contractor day of 19 Notary Public, Warren County, N.Y. SPECIAL CONDITIONS OF THE PERMIT: 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 obtainedbefore beginning work. ANSWER ALL of the following: 1 . Gross floor area V�� 2 . Type of heat � C% �C 3 . Is the building mechanically cooled? 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_ 2 . R value of exterior walls O` 3 . R value of glazed area r 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) 10. Type of insulation // ��� /� lr 1:i155 C. Controls a 1 . Thermostat maximum heat setting 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 l/. 1. Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation'. " F . . Service Water Heating 0 1 . Performance efficiency 2 . Temperature control setting maximum �p " �JI�7L 0 �ZQP.�IQ�Kl3� APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE 7 LOCATION OF PROPERTY FOR INSTALLATION 61-0c ✓y� Owner's Name: clC—GC,6—r; Telephone: Address: 26S7-• c Sam✓ �FG�S fU, �, r��''�� Installer's Name: Gr/��/n fi✓_ ©U�LG�/T/�Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) �d Topography: circle one- Fla Rolling Steep Slope % of slope —� Soil Nature: circle one-(SD Loam Clay Other / Depth: _ feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: of required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank ODD gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench �g-j 0 feet / Total system length o25-0 feet SEEPAGE PIT(S): Number of / Size each — feet by — feet Size of stone to be used # _ / Depth or Thickness _ 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 Z.) 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 preyent 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: J Date: W " 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 Jown of Queen-bury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING /NS?CTORIS REPORT NAME LOCATION 3 AV Date/7 I / Permit No. 2- * * * * * * * * * * * * * * * * * * * * * * * APPROVED - YES NO Footing/Pier Forms Foundation Waterproo 'ng Backfill Framing Roofing Siding Masonry Venee Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railing Cellar Drain Til Concrete Floors Plbg. Fixtures Gar. Fireproo ing Door Closers Smoke Detec ors- Chimney INSULATI0 Foundatio Floors Walls Ceiling FINAL E ECTRICAL INSPECTIO DRIVEWAY APPROVAL Final Bui g Survey Next scheduled inspection (call when ready) Remarks- �f ec/ Bu' di g Inspector _Jown o/ Quee'nilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Q y L —fiT LOCATION W f Q-0 UJ Date /Z .3 /S7 Permit No. 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 Til Concrete Floors Plbg. Fixtures Gar. Fireproof'ng Door Closers Smoke Detecto s Chimney X INSULATION: Foundation Floors Walls W W0)2 -/� ' Ceiling — FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspec r F./Rr� -q- rl Jown of QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION L Wrc�®rt1 Date-(� � Permit No. q !' * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill ,Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Val % Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofi g Door Closers Smoke Detector Chimney INSULATION: Foundation \` Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- uilding Inspector 6/86 and-vl _J01V11 oI QueenJLrty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION /,c>7- `jam 7rCrJ DATE Y1,97 PERMIT NO.If SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYST Absorption fi .d, total len h �-�? Length of each trench Depth of trench s Size of gravel_ SEEPAGE PITS{Numb r of) _ Size- ft. X _ ft Gravel size " PIPING: Size Type Bldg. to tank/ Tank to dist. box Dist. box to field Openings sealed? ES NO Partial LOCATION/SEPARAT ONS: Foundation to t k p ft. Foundation to sorption t. Absorption to of line ft. Separation of its ft. s LO N OF STEM ON PROPERT cle , ne) F ont - Rea - Left side Rig h - ide ,. NTS: SYSTEM USE APPROVE YES 0 v Buil ing Inspector 01/86 and vl _Jocun o/ QueenJlury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME / LOCATION ✓ � _j Av � A Date 7 Permit No. * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - NO �ooting/Pier Formson&ekl Q Fo 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building nspector 6/86 and-vl ' 1 _Down of QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date Permit No. i ✓ = APPROVED - YES, NO Footing/Pier Forms Joundation aterproofing ' ackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railin s Cellar Drain T le Concrete Floo s Plbg. Fixtur s Gar. Firepr ofing Door Close s Smoke Det tors Chimney INSULATI . Foundati n Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks-,,,—, e obviZA0 Bui ding Insj"e'ctor/f 6/86 and-vl ,� Jown of QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date G /_ Permit No. ✓ = APPROVED - Y NO noting/Pier Forms �_Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Nk 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 APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- C Building Inspector 6/86 and-vl r 'Do I b b.,