1986-156 CERTIFICATE OF OCCUPANCY •
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
^ ^ ^ I I D ' I — I Date December 31 19 °V '
��/ ql, I 86-156
This is to certify that work requested to be done as shown by Permit No.
has been completed.
One-Family Dwelling
This structure may be occupied as a
Location Lot 22 Sheraton Lane - Rolling Ridge
Roland D. Rich
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
• BUILDING PERMIT
TOWN OF QUEENSBURY 86-156
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Roland D. Rich
OWNER of property located at Lot 22 Sheraton Lane - Rolling Ridge 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
w
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
16 Wilmo[$[.
Glens Falls, New York
n
2. CONTRACTOR or BUILDERS Name
Brian Hazelton
3. CONTRACTOR or BUILDERS Address
Clelsea, Vt.
m r
O rt
N et
4. ARCHITECT'S Name r
0
• N
00
En
d S
K N
P. M
5. ARCHITECTS Address 0o m
n 0
0
w
6. TYPE of Construction—(Please indicate by XI m
(x)Wood Frame ( I Masonry ( )Steel 1 1 ,.
7. PLANS and Specifications
65'x53' per plot plan, specifications and application submitted
No. including two-car attached garage and sewage system - also
swimming pool, (steel/vinyl) 40'x20' y�
n
8. Proposed Use
One-Family Dwelling/Swimming Pool g
4
$5.00 C/O Paid
$ 207.00 PERMIT FEE PAID-THIS PERMIT EXPIRES November 1 1g86 1D-.,
Ilf a longer period is required an the
application for en extension must be made to the Building and Zoning inspector of the
town of O W Me ueena ry before expiration date.) as
Dated at the Town of Queensbury this 23rd /Day of April 1g86
SIGNED BY 4104. V_ DO for the Town of Queensbury
Building and Zoning Inspector? `
TOWN OF QUEENSBURY (Space inside block to Ix• Idled in b,
WARREN COUNTY, NEW YORK Building hupecior)
A lication for \pplit Aim; No. 19
DD Purim' IsnmHl
BUILDING AND ZONING PERMIT P, ,Ili, I.spires Irl
/lining DislritI
One copy of a PLOT PLAN, Drawn to scale APl" '.I I"'
showily the actual dimensions of the lot to be built It,.m:ukc
upon, The exact size. end location on the lot of the -
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN Crr Vc y ,.,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK klu 'PR 221 �'I
ANSWER ALL OF THE FOLLOWING. A.U. 1/Z c42
The undersigned hereby applies for a permit to do the following work 7f8lonrylfl(rlll'241 IM.
which will be done in accordance with the description, plans and specifi- . •rTT`7 6 6
cations, and such special conditions as may be indicated on The permit. PoczL -- „ate 4,4
The owner of this property is: f�
go44,i./.d . . .a . . . .fie— Ft - /! /v<' ln 7- 5a 7- _ LL-A.r ii AC . , Pei/
(q p Ixn - ,r0 ADbRESH
The'p- rsbn tgon51 for ells¢�Mon of the work insofar as the Building Code and the Zon'ng Ordi ante - ply is:
. ..(+.. ,.: . .... . . . . ./..sot 1nnv.r 57 -G'te-vr �A-/6.,tiy. . / . /
inAMEI / Ir as aboa€ssi �`
Name of Builder. fig, ✓. . . HA.. . ii. /. r/!+v Address C, CI ft h / r
Name of Plumber „ 77 Address
Name of Mason Mlesel l•I I f e. . . . . . . . .Address /�.
Lot Number d- D- Unit / Estimated value of proposed work Sg /U�U�"
Name of Village . . .a1 .`-t. p2 iY.3 . . ,� .tre
Name of street . . . .5h.e r tern 4- �" Side of street. north 0, east B. south 0. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north B,south ❑,east ili,west O from Cross Street
If on Corner,which corner, northeast 0, northwest ❑, southeast ®. southwest
(Designate by marking with an-"X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main BuildingLiZI
❑ Addition to a building. One-family dwelling 0
❑ Dliti to building. Two-family dwelling-family apartment house 0
❑ Demolition off• building. Store building 0
-car attached garage 0
Other:
Accessory Building 0
One-car detached garage ❑
❑ Other work. Describe' •
Two-car detached garage
Private chicken house 0
Private storage building 0
Otter:
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 pm-
posed buildings,and the location of all existing buildings.
KWITH Show proposed buildings) in dotted line and existing
huilding(s) in solid line.
Size of property . . . ./.y .8. . . . . . ft. x . . .YO. ft.
Size and use of existing buildings, if any
w w e
• M Size of proposed building L s ft a . s .. . It.
Height (from grade to ridge) . . .?. {U ft.
Front yard 94,• ft.
•
Side yards 2 3 ' ft.and ft.
Rear yard . . . . GS_
It.
I SOUTH If on corner,setback from side street 7 a -
-1 It.
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73-M .
' (cont'd.)
BUILDING SPECIFICATIONS, •
Kind of construction: Wood frame,fire safe,etc.' (.!/J .,d /r cA L
Will any second-hand lumber be used? /V° II so, for what'
Material of foundation walls . !(f.?y.K��L_-cl C'i r.�r'1k. . 34?4' Thickness . . .
Depth of foundation walls below ade Y Continuous foundation? QcT
Will there be a cellar? yC If so, material of cellar floor �wct;d C,,,,ti. �,�_
Type of roof: Sloped or flat?.. .4✓+e cI M}serial of roof T(Z1// '12�N.F. c&i ,F'
Size,wood studs . . ,2- X fI I "x 3 7 Y',G��'4 spacing 6 "o.c., length�X Q ."x . .� nlh. . . . . .�." ft.
Size, floor beams, 1st floor . . . ( . . . . . . L6.Q.C,.. spacing >%3 ''
�C o.c..span . ���.c/. . . . . ft.
Size, floor beams,?and floor . .2-.)( (ps.'." x ", spacing . . . / "oc., span . /.) :. 7. rt.`.'. ft.
Size, ceiling beams ry .g . "x spacing /� "o.c..span /2 r. L X-.f C. f1.
Site, roof rafter;or beams '3 . . "x try . Y. /0. . . . .', spacing . . . ./ C. . . . . . ."o.C., span I-.iif'ri .a a-
Exterior finish II 6. .r4-('.CcrdJJ ave., what material? . .0 arC{y2
Finish of interior walls S3 t' .t-trr.!'-ou/C.
if garage is to be attachad,of what material is wall between garage and main buijrlingto be constructed?
a.X.t(. . (v A- I S j (. .�A.e: .44-,-.L'd . . .5-. Yam./. Feb c-.1C
Is there to be an opening between forage and building? cf[i
Kind of heating system c
. t,c 141- .. Oil burner or coal?
Will a flue-lined chimney be provided? . . . Depth of chimney foundation below grade .4-eV 4--h
Height of chimney above roof. . . .tS. .:. .z4fo.E/E -ci.((E „
Will there be a fireplace? f.err Depth of fireplace hearth . . . . c; 4'
Will a toilet be installed' (-/,r Cj'
Will a kitchen sink be installed and ctnnected to water supplyy?. . y ES
Water supply (public water supply or pump) WE'/f f .7w o—L i"'
Distance of cesspool from any private well /al? . feet
Will drainage system be provided with required traps,cleanouts,and vents? yt'-5'
Town of Queensbury ) AFFIDAVIT
County of Warren
State of New York
I swear that to it herof my knowledge and belief the statements contained in this application,together with the plan and specifications sub.
milted, area true and co.,. ?ere statement of all proposed work to be done on the described premises and that a0 of the BUILD-
INGndCODE THE ZONING yORDINANCE,and all other laws pee4iniry b the pit workcomplied wi specified or not.
Ind that h work authorised byI E. /(lei
Sworn m beforeme this Sianamr!
�/ r OWNS . N S AGENT.A NRECT.CONTRACTOR
� 2-./K' day of ab
19
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:
1. Gross floor area � 3— 7S
2. Type of heat CLC—e-- /ri
3. Is the building mechanically cooled? ,1/p
4. Percentage of area of windows and doors /9. sZ c2o
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 NOS
1. If YES, what is the R value?
3 . Slab on grade YES N
a. If YES, what is the value of insulation around
perimeter of floor?
4. Is basement heated? YES NO
a. R value of insulation / / ,, / 7
5. Type of insulation Tr/ 6c7x 6-L&15
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
K - 3Y
2 . R value of exterior walls R -� G
3 . R value of glazed area /( - ,, • I
4. R value of doors f-
5. R value of floors over unheated spaces A - y
6. R value of slab edge insulation - unheated slab r- r '
7. R value of slab insulation - heated slab / /�
8. R value of heated basement/cellar walls (above grade) /\' -2 4
9. R value of heated basement/cellar walls (below grade)grade)
10. Type of insulation 34 £n 7q NL
C. Controls �j ✓
1 . Thermostat maximum heat setting OZf
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
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum /y1-
0
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. S ( 8-" 7P 3 -4- 75 7
( pplicant ' s signet re)
Jown o/ Queenlbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION
/
Owner' s Name �u t/},�/C I 5ci,I Ate✓ i /� Tel.}�,✓^ 7 f�-�5-7
Address / kJ, /, ,� J I'� U"-i e�l/S vim//ir ter r
Person/Firm installing system a�. /1/ ,._ �//f(c
Number of bedrooms(residential only)
Total daily flow: (compute @ 150 aal.per bedroom per day) y
Topography(lflat - rolling - steep - (circle one) Degree of slope 3 8
Nature of soils: and-loam clay- other- Depth `7 ft.
Ground water-- at what depth? 6 f" ft.
Bedrock Qr impervious material--at what depth? ft.
Percolation Test Not required f Required -Rate (, - 8 min/inch.
Domestic Water Supply - 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 ally_ 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 size/GMJ gal.
Tile field- Length of each trench fa) ft. Total field jo O ft.
Size of stone # 3
S,...paye Pits) 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 provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance. 71
/
S ' nature Applicant -Dat ea,x/, 6
01/86 and/vl
Jown o/ Queen-duty
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, P.D. 1 Box 98
Oueensbury. New York 12801
SWIMMING POOL PERMIT APPLICATION
(� �/ FEE PAID
/\Owner 's Name IA,n.N icyJA4 AC/
Tel. 37Y" 793 -rig- 2Location /C Cv. /m r �T L7""1e2..1
Type of Pool- - / in-ground above-ground
Size: Length ft. -Widthg y ft. -Diameter_�f't. -Dep th 3— }eft.
Approximate water capacity gallons.
Materials used in construction: (circle one)
tee l/vin -Fibreglass--Guni to--Poured Concrete--Other
Contractor/Installer Tel
Address-
IMPORTANT INSTRUCTIONS:
On a separate piece of paper, submit a diagram; drawn to show;
PROPERTY LINES - EXISTING STRUCTURES - LOCATION OF PROPOSED
SWIMMING POOL - Show all distances from lot lines to both the
pool and the structures, as well as separations between .
Application for Electrical Inspection is necessary. The New
York Board of Fire Underwriters will make this inspection. A
copy of the application is to be filed with this office .
This office is to be notified upon completion of construction;
including installation of fencing . A FINAL INSPECTION WILL BE
MADE BEFORE USE OF THE POOL IS AUT ORIZED.
��
Signature of Applicant ( /� '/q Date i
02/86 and-vl
TOWN OF QUEENSBURY
SWIMMING POOL REGULATIONS - ARTICLE 7 , SECTION 7. 074
ACCESSORY STRUCTURES 4)
$15. 00 Fee for Pool Permit
4) Private Swimming Pools. Private swimming pools,
permanent and portable, which shall be accessory
to a principal, non-commercial dwelling use shall
be regulated as follows: except that these
regulations shall not apply to portable swimming
pools which shall be not more than three (3) feet
in height nor more than fifteen (15) feet in length.
a) May be erected only on the same lot as the
principal structure.
b) May be erected only in the rear yard of such
structure and shall be of a distance not less
than twenty (20) feet from the rear lot lines
nor less than ten (10) feet from any side lot
line, principal structure or attached or detached
accessory structure.
c) Shall be landscaped.
d) Such use shall not adversely affect the
character of the neighborhood.
e) All private swimming pools shall be enclosed
by a permanent fence of durable material at
least four (47 feet in height.
�f) In the case where a lot fronts on two (2) or
more public rights-of-way, a private swimming
pool shall be erected only on that portion of
the said lot that is directly adjacent to that
side of the principal building which is directly
opposite the architectural main entrance of said
building and the neighboring side lot line. In
no case shall the pool be any nearer to the lot
lines abutting any public right-of-way than the
required front setback for the principal building
of the zoning district in which it is located.
Furthermore, the pool shall be screened fron the
view of the public right-of-way and the neighbor-
ing property by means of landscaping. (See defini-
tion of "Landscaping")
NOTE: ALL POOL PERMIT APPLICATIONS MUST STATE MATERIAL TO
BE USED. SUCH AS:
STEEL VINYL
FIBERGLASS
POURED CONCRETE
GUNITE
ABOVE GROUND
(Ailed / 2n06 3 . 34 y",
awn of Queensbury
BUILDING and ZONING DEPARTMENT
Bay and sbu nd Read, R.D. 1 Box 98
Clueeflensbry, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
LOCATION LDT a S/� ¢r-nrdh-rue
DATE 1I/L/j(a-- PERMIT N0. u
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch _ /�'—
TYPEof SYSTEM: 1 u
Absorption field, total length
Length of each trench f!n r
Depth of trenches
Size of gravel_ 1 r3 l
SEEPAGE PITS{Number of)
Size- ft. X __ft.
Gravel size
PIPING: Size nTYPe
Bldg. to tank
Tank to dist. box
Dist. box to field/.
Openings sealed?
NO Partial
LOCATION/SEPARATIONS:
Foundation to tank 1,,��f
Foundation to absorption j pt.
t
Absorption to lot line _ .�'
ft.
Separation of pits
LOCATI• TEM ON PROPERTY(circle one)
Front Left side - Right side -
CCMMEN
it! NO
SYSTEM USE APPROVED
Building Inspector
01/86 and vl
Jown of Queenibury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME /f _r.
LOCAT IONC O_ .67 rein
Dat e//,C ///_g^0� Permit No. 84, — pa.
# * * * * * * * * */* * * * * * * * * * * * *
=
I APPROVED - YES NO
Footing/Pier Forms
Foundation
waterproofing
Backfill
LArtaining VI94 AL (rn.n RIO)
Roofing
Siding
Masonry Veneer
Lfreugh Plumbing plgt/t. (coufiuO'
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs 6 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 (can when ready)
Remarks- (l /) / '�j -n
tA) 4 O(/0.i / fp�o '/Ljq GL�,
,
�
aZtOgi
Building Inspector
6/86 and-vl
KoILIAJ6'� (2f0(rcr
e��e/1 Town of QueensLury
C A'r/
�z�"' BUILDING and ZONING DEPARTMENT
0l/pi68ayQ ee sbury. New York d Haviland Road, R.D.
98
12801
BUILDING INSPECTOR' S REPORT
NAME �J / �fj/' /1
LOCATION S/T 2���k' LS
Date1 Permit No. Rg —7.6-Cirr
*
* *= APPROVED`-* * *
YESNO
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
Garrepoof 111110141111
Gar.
Fireproofing IIIIKA
Door Closers
Smoke Detectors =;:
Chimney
INSULATION:
Foundation -_
Floors --
Walls
Ceiling
fff nnnFINAL ELECTRICAL IN SPr' ION
yrinal Building Survey
„Next scheduled Inspection(call when ready)
Remarks- - p piontexu<,
74--
Gen -it
Building Inspector
6/86 and-vl
TOWN OF QUEENSBURY
Building Department
Impeders Newt Date s/2-9/ito
Loathes
tZ co( —
l.eratihn p t Li t i Its P l 0 n r
Permit No. 8L - /50 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat r'
waterproofing ✓/ .
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Car. Fireproofing
Door Closers
Chimney
water Meter Inst.
Septic Approval
Floors
Foundation
Insulation walls
Ming
Build , g Inspector
REMARKS
gvit Tyr 6ft114/
TOWN OF QUEENSBURY
Building Department
tarpoetrra Report Date 5/
Name 4.4) ( 4
Location Keg U.L 12106A.
Pemit No. cY to — /.S Weather
Remarks
Excavation
Footing Forms
Footing & Piers _
Foundation ✓
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Nall Board
Frt. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Car. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval _ .
Floors
Insulation Foundation
Walls
Ceilin
2a
Bui din Inspector
REMARKS
Po vKeo YacwVtlYri&/—
a unite twwtnt 9ew62e11/(s fs
CO M ram, r-o 3 `
Inns Ptcrcov
2t2L.t-67- IA/ tout-tip /ZpI[
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 5//5/F6
Name /L4cj4
Location £ot.Luz4 2iflf. .
Permit No. ,4(- Sb Weather
Remarks
Excat'ation OIL
Forms
Footing 6 Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs 6 Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls _
Ceilin
ui ding Inspector
n I REMARKS
/ �lON d)wt&tc PWYL
Z, StOw47 SLrsSVICKc!—
i