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1986-054
CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date = 'r, i tl:c 19 _t; -no 14 - 1 -- This is to certify that work requested to be done as shown by Permit No. 86 54 has been completed. This structure may be occupied as a Location LoC 30 Greh.orcl J..3:\—• (Sc. "No, 19) G'n-aid ;to te_l Owner By Order Town Board TOWN OF QUEENSBURY 214. % ✓/ Building & Zoning Inspector CREATIVE ••INSTA" PRINTING. GLENS FALLS. N Y 12801 IS18)793.5658 wr BUILDING PERMIT TOWN OF QUEENSBURY 86-54 No. WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Gerald Rothstein OWNER of property located at Lot 39 Orchard Drive (St. No. 19) Street, Road or Ave. 0 in the Town of Queensbury,To Construct or place a One-Family Dwelling n 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. 0 1. OWNER'S Address is rt Glens Falls, New York rt 2. CONTRACTOR or BUILDER'S Name G. W. R. Construction Co. , Inc. 3. CONTRACTOR or BUILDER'S Address o Saratoga Springs, New York rt o art 4. ARCHITECT'S Name rt n Cinquino Associates z 0 a. n 5. ARCHITECT'S Address �o N• 376 Broadway Saratoga Springs, New York fD 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( I Steel ( ) 7. PLANS and Specifications 64'x94' per plot plan, specifications and application submitted No. including sewage system and two-car attached garage. 8. Proposed Use N• One-Family Dwelling $5.00 C/O Paid $ 220.00 PERMIT FEE PAID -THIS PERMIT EXPIRES October 1 19 86 (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.) Dated at the Town of Queensbury this 5th Day of March 19 86 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TOWN OF .QUEENSBURY (Space inside block to be tilled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. • • Permit Issued 19. BUILDING AND ZONING PERMIT 1,,•rmit 1':•pires. • 19. %tilting District \tittle id 11', 0;If THREE (31 Copies of a PLOT PLAN, Drawn to scale .tiltr "edd by showingthe actual dimensions of the lot to be built 1tt•in:irKf s - upon, Te exact size, and location on the lot of the • building to be erected or altered MUST BE SUB • - MITTED WITH THIS APPLICATION. 66 co — a�, 7/0 TOWN OF QUEENGBVRYDATE R E 0 IE II 17 \ ) A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. JAR 4 1986�p oaQ The undersigned hereby applies for a permit•to do the following work F1.MAr .2s e� U P M which will be done in accordance with the desert tion, plans and �gj��fcg� g specifi- cations, and such special conditions as may be indicated on the ermit. ,�IpI• s a :Im13 flm The owner /�hi�s prop' 7 ,.7e/i(J - -- /,��yj/�_ /�/�//l� NAME) 6� �(/�AUDRE55) The per�sponsibie for scupee�rvision of the work insofar as the pB�uiill�d`iin,/g Code and the Zoning Ordinance apply is: 2y. . /.�4/',�✓✓.507 " 7 /'�L/L!/eA:9,e . . .5�e.97;',4. � f. c5266 / //� (NAME �y (P.O ADDRESS) Name of Builder. �?.- '."•<. .I!�4?$7 a ,��e_ • Address . . . . . . e 4.9 . 7: Name of Plumber ?/��7'� Address ---5. .es9T9/�- �'G - ' Name of Mason. . .a.41 c. .�'�.�sTL • Address . . . .6-z, ii/4✓//• • A ` ,. Lot Number. . • . Unit —y ✓Estimated value of proposed work$ 5.%ZAP . Name of Village . . . .9n:!6-4V,5C7lr.�.' 11 Name of Street . C `'�.4.76:9,e4• • �ief •.• • . Side of street:north ' ❑, east south 0. west 0 Nearest Cross Street Distance from this �•ross street � Ft. Property is north ❑,south `east [1,west 0 from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ►- Construction of a new building. Main Building ❑ Addition to a building. One-family dwelling ❑ Alteration to a building. Two-family dwelling 0 ❑ Demolition of a building. -family apartment house ❑ • Store building ❑ -car attached garage ❑ Other: • Accessory Building One-car detached garage ❑ 0 Other work. Describe: Two car detached garage ❑ Private chicken house ❑ Private storage building ❑ Other: ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy. Indicate on the plot plan street names, the location and size of the property, the location, size and setbacks of pro- . / posed buildings,and the location of all existing buildings. NORTH Show proposed buildings) in dotted line and existing �/ee ,Ire ,dg k,— V lluilding(s) in solid line. ram /6..7 Size of property / � ft. x . • • • • • • • ft. pii , 0, 47- Size and use of existing buildings, if any •a - pl Size of proposed building to If ft.x 9%• • • • . ft. Height (from grade to ridge) o 2" —F ft. e, Front yard 7 e' (. ft. Side yards , e)- ft. and . . it. Rear yard ,5-D ft. SOUTH If on corner,setback from side street ft.. Note: All distances are net, as measured from street side • line to nearest part of building. (OVER) 7-73-M (cont'd.) . BUILDING SPECIFICATIONS., S - Kind of construction: Wood frame, fire safe, etc. . A-100,1‘e/Q4/4 Will any second-hand lumber be umd) If so, for what? Material of foundation walls . . . .aGV.te -.04e, e Thickness Zic"k-'''' •. Depth of foundation walls below grade Continuous foundation? Will there be a cellar? . . . A-1 ,/ . . . . If so, material of cellar floor roof: 67e9;t< Type of Sloped or fr at? .,D/0/426.4 Material of roof .115/1/ Size,wood studs .2 "x 6 ", spacing 4 #' "o.c., length 15)`• ft. Size, floor beams, 1st floor ?-- "x /..4 P- ", spacing / ' ir "o.c., span ft. Size, floor beams, 2nd floor . .X.110,?....f.r x ", spacing . , "o.c.,span ft. Size, ceiling beams .7:73:54'.a. . . . . . . . . "x ", spacing "o.c., span ft. Site, roof rafters or beams "x ", spacing "o.c., span ft. Exterior finish C ,Q ..C/i ;!w-• With what material? Finish of interior walls /...e, // If garage is to be attached, of what aterial is wall between garage and main building to be constructed? Is there to be an opening bepren gara and building? Kind of heating system . .,V8/q7.7./. .4/t/ A - Oil burner or coal? — Will a flue-lined chimney be provided? /CiP Depth of chimney foundation below grade — Height of chimney above roof --4" Will there be a fireplace? . . . 44475 Depth of fireplace hearth /6'f' Will a toilet be installed? Will a kitchen sink be installed and connected to water supply?Water - Water supply(public water supply or pump) Distance of of cesspool from any private well --- /A0 ."5/44 feet Will drainage system be provided with required traps, cleanouts, and vents? y/i....5 AFFIDAVIT . . . Town of Queensbury ) County of Warren State of New York I swear that to it barof my know)edge and belief the statements contained i s 4lication,toge r th the plans and specifications sub- mitted, are a true and co.i.plete statement of all proposed work to be done o edescribed prern that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to t roposed work shM1 ji1mp1i4with,whether specified or not, and that such work is authorized by the owner. Sworn to before me Signature day of /YE/1'e/ 19.8Z OWNER OW R S AGENT,ARCHITECT,CONTRACTOR NOTARY PUBLIC. WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: . - . • , ' . . . • . - ) • • By . . ' 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: A6, •f6j,C,.- 1 . Gross floor area c29�d-� 2 . Type of heat Elec . 4, ,4N/ 3 . Is the building mechanically cooled? IV 15 4 . Percentage of area of windows and doors // G - 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 3 . R value of glazed area /7r! 4. R value of doors /L /.0/_! 5. R value of floors over unheated spaces a"-'E. 6. R value of slab edge insulation - unheated slab 1-t e 7 . R value of slab insulation - heated slab A}04.,e- 8. R value of heated basement/cellar walls (above grade),- 9. R value of heated basement/cellar walls (below grade),e--T4/° 10 . Type of insulation /`/ �.e,%SS — C. Controls . ©�d 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 // 1. Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation AA -- F. Service Water Heating 1. Performance efficiency 2. Temperature control setting maximum G. For Swimming Pool Only 1. Maximum heating Telephone No. cJ - e.22 (applic nt ' s signature) Jown o/ QQ?lturty BUILDING and ZONING DEPARTMENT- Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 EP'I'IC DISPOgAL PERMIT APPLICATION "TIC A�' /�Owner' s Name QV ff1 0• D:4:6 C� 2-Lc_ Tel. , - Address �/(39 • G (7fZ/9iPil 4,1rf _ • 061-GUS Zaef/ ,4 ��. � r Person/Firm installing system. �>US/ Co....._6uC'. Number of bedrooms (residential only) Total daily flow: (compute @ 150 gal.per bedroom per day)_ 947A/ Topograph rolling - steep. - (circle one) Degree of slope % Nature of soils an.'-401l other- Depth - -f ft..14. `1r �Jv • Ground water-- at what depth? 2 - ft. Bedrock or impervious material--at what depth? ir/ -�, ft. Percolation Test - Not required / Required -Rate min/inch. Domestic Water Supple - Municipal - Well - Other IMPORTANT! On a separate piece of paper , submit a diagram of the proposed septic system with all dimensions; including distance from ' any structure, distance from property lines and distances from any domestic water supply or shore-line of lake, stream, pond or' wetlands. Include all dimensions of the system itself. Description of proposed system: Septic tank sizeleje gal.. Tile field- Length of each trench lUft. Total field /ft,ft. Size of stone # . Seepage Pit (s) Number ' / Size ftX ft. Size of stone# Any contractor, corporation, individual ,Etc. , engaged in the construction of a Sanitary Sewage Disposal System, who covers the same before inspection, does not have an approved Permit, or varies from the approved application, will be subject to a Penalty of $250 as pre ' . ed'for in Section 6. 010 of the Town of Queensbury Sanitary Sew..ge_ •rdinance. I . / 4 'Ati:------ . Sig,- at o ' applicant Date 0. /8 . d/vl C4-///--? /a //5/YL' 77r)7 7oeun of Queen ib// ur/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 ee,/,,,L c-/o BUILDING INSPECTOR ' S REPORT NAME • eoTh5T l h LOCATION Lot-- 3 9 rfrGl aL01 Date /a-/I G /Ij, _ Permit No. b -sf * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- ,s2 .,C7 r fliAt WIW/3 Building Inspector 6/86 and-vl Gags - _ ' �v'9 3 own of Queenbur/ o BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 6 I d'L BUILDING INSPECTOR ' S REPORT NAME G2i u q R• th sT e i LOCATION 4. or 3 9 01-- d D� . in (141 L?t w- I 4- Date ( �. /N-G Permit No. 8 G- s� * * * * * * * * * * * * * * * * * * * * v ✓` = o APPROVED - YES / NO (Fong/Pierrms Foundation Waterproofing Backfill )raming Ro fing o,1c Le iding Ok Masonry Veneer Rgh Plumbing l/Relief Valves p,KF Porches l� r l—p fished Floors • r,K, (j, nterior Trim ( V`, //Stairs & Railings Cellar Drain Tile C ncrete Floors • Plbg. Fixtures I f` Fireproofing or Closers Sm ke Detectors himney (Orl\ Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks— EF4 Ok P.111A-'1 ‘,27,0rae,c__ 407).-e/L40J2 071 Building nspector 6/86 and-vi awn Of Queenilur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME 6e lj S'�r ST�i /7 LOCATION 67 3 J J eta. DATE 3 1 / , C, PERMIT NO. b'fr-5-2/ SOIL TYPE - Sand Loam -)Clay - Percolation Test Requ-ired? YES - NO Percolation rate - Min/Inch / TYPE of SYSTEM: ,�1 Absorption field, total length �0() Length of each trench/ 4l0--$ " Depth of trenches v( Size of gravel_ SEEPAGE PITS*Number' of) - Size- ft. X ft. Gravel size PIPING: Size Type , Bldg. to tank L • L, Tank to dist. box Dist. box to field/p L'". „ Openings sealed? ESj NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to .lot line _ ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: • ik N/4\t/\% r-- 1 SYSTEM USE APPROVED ES k o 1 ,/ Buis ing Ir pector 0 01/86 and vl awn of Queenihury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME LOCATION Date /L / c0 Permit No. N C -5 * * * * * * * * * * * * * * * * * * * * * * * i� = 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 i Gar. Fireproofing J" Door Closers Smoke Detectors Chimney L.4 SULATION: Foundation Floors 'Walls oer Ceiling 0/4. FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - Building Inspector 6/86 and-vl Lt Ham pLe "- fown o/ Quceniur, ` J L c BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME r-/45i LI r LOCATION jar3ct Orzal/kaio PgA, Date C /� 6, S Permit No. g6 T * * * * *///* * * * * * * * * * * * •* * * * * * V = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill /� SPI2 ��e..w4G4) 1 mot- /• Roofing l! Siding Masonry Veneer Rough Plumbing Q‘K Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings \ Cellar Drain Tile \ Concrete Floors \ f Plbg. Fixtures Gar. Fireproofing "�, Door Closers Smoke Detectors Chimney g \,1 INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey ' Next scheduled Inspection(call when ready) Remarks- - yy (9 V- y" Cr _. / t ern irein/e/ Building Inspector 6/86 and-vl awn of Queenat ur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME ,2(0 f I/3')G-/t LOCATION Lc 9 l 7 nrez(14 o Oat(.4r DATE i-4/ PERMIT NO. 80 — . 1{ SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench _ Depth of trenches Size of gravel_ _ SEEPAGE PITS4Number of) Size- ft. X _ ft. Gravel size PIPING: Size Type Bldg. to tank / Tank to dist. box _ / C Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: 4,P4 o /- (0 v-e f no 6rz.iwGr _I 3-LC IA& VP E L e ( ) 46 SYSTEM USE APPROVED S NO d_t c---/e Building Ip{specto, 01/86 and vl awn of Queeniur, • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC, DISPOSAL SYSTEM INSPECTION NAME6° to t2 LOCATION ( 4,,(2 DATE ii/ / Cr PERMIT NO. (9 - 574/ SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches / Size of gravel \ SEEPAGE PITS-fNumber of) \ % Size- ft. X ft. y Gravel size • / '\ PIPING: Size ype Bldg. to tank / N. Tank to dist. box _ / i Dist. box to field/pit / Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank • ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: 4-C/4/}ta 2,7(- 9 k W ,. 0 - r,ej c„4„,4,. 0_,,A--(4(v SYSTEM USE APPROVED YES D 1, L Building Ins ctor ' 01/86 and vl /ci? ip, ige Pm Jown Of Queenit ur/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME C_7 2.it Gt I J. A 0 ! /0 Q sre l n LOCATION Lot 3 9 0'ra ar d A . DATE , /q / (N. PERMIT NO. F G - Sy SOIL TYPE - Sand - Loam — Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS-Number of) Size- ft. X _ ft. Gravel size ' PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - CCMMENTS: ,,,4 ,/,„1- TF(---e---'e-- 0-77,9 iv.)? 1 pii,,,ae 67_,g ,,,,,,s2_ SYSTEM USE APPROVE YES NO /l J ` j �/ Building Inspector , 01/86 and vl TOWN OF QUEENSBURY Building Department Inspectors Report Date 1.[ggI(G Name �-� 5'i e,A I r Location /..f).� 3� 0 C,O O i f'4-ri p Permit No. rY -5'f Weather Remarks Excalra tion Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill k' ~l`1 Final Survey Framing Sheathing Roof Felt • Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim \ /Stairs & Railings j Cellar Dr. Tile \` Concrete Floors 3y \ Plbg. Fixtures 0 \ Gar. Fireproofing / \ Door Closers / Chimney / • Water Meter Inst. Septic Approval (L Floors • Insulation Foundation Walls ' • • Ceiling CVO_ Bui din . Inspector. REMARKS • TOWN OF QUEENSBURY Building Department .• Inspectors R Date 3,A.2 � Name Location 3 7 (9-4.<.Ln1 r % lam, • Permit No.• 24, - Weather Remarks Excavation Footing Forms (-�f K, Footing & Piersj/ n Foundation Cement Coat Waterproofing Backfill Final Survey • . Framing • Sheathing Roof Felt • Roofing Siding Masonry Veneer Rough Plbg. Relief Valves I Wall Board •\} ,/ Ext. Porches Finished Floor 7; Interior Trimy Stairs & Railings ,' 1 Cellar Dr. Tile Concrete Floors Plbg. Fixtures !y, Gar. Fireproofing Door Closers 9 Chimney Water Meter Inst. Septic Approval Floors • •Insulation Foundations_ • Walls Ceiling • Building Inspector . REMARKS N ,....;,:i_,.:' , .,. ,T.-: . ..: ,'-z),-41-.:V.---zj.:-_-i:„.4-7e,b-...._: t ;.-: ..:'••:,-,.,:',. -•,-:s. .'-:,i. •.•- .-: 'n :, ''..:,.-.--':::-:i:-..,. -•.. . • . :.:., •. .• :,••• ' _ . '. ..,• • . . -,, . . . -:.:-i '.-•,: . . :. . 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