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1985-157 C/O Paid iY x CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN +COUNTY, NEW YORK Date 19 85- 157 This is to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a _.,. One-Family rrw 1 l ' cr Lot 98 Sycaanore Drive ( St . No _ 12 ) The Pines of Queensb y Location ,Owner Dennis and 'Teresa Leombruno By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CRE47IVE 'YN3TX FMINTTNG. GLE MS I/\LLS. IM V 11001 IS1V3V*3.Sb5M �- BUILDING PERMIT TOWN OF QUEENSBURY No. 85_157 WARREN COUNTY, NEW YORK t ) m PERMISSION is hereby granted to Dennis and Teresa Leombruno OWNER of property located at Lot 98 Sycamore Drive ( St r # 12 ) Street, Road or Ave. The Pines of Queensbury Subdivision r" in the Town of Queensbury, To Construct or place a One-Family Dwelling f��+ 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_ W 1 . OwN£R'S Address is 12A Manor Drive W Glens Falls , New York t_ 0 2. CONTRACTOR or BUILDER'S Name t'( Don Kruger O 3. CONTRACTOR or BUILDER 'S Addrass Stonegate Drive RD # 1 Glens Falls , New York N [n o 4. ARCHITECT'S Name 00 D r co 5. ARCHITECT'S Address iV C3 1-'S fD 6. TYPE of Construction — (Please indicate by X) C7 (x) Wood Frame ( } Masonry l } Steel i 1 SR? 7. PLANS and specif!cations 26lx57 t per plot plan , specifications and No application submitted including two-car attached garage and sewage system . 8. Proposed Use p One-Family Dwelling I w $ 5 . 00 C/O Paid 150 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES November 1 1985 FC (If a longer period is required an application for an extension must be made to the Building and Znning inspector of the C7 town of Queensbury before the expiration date.] fD W Dated at the Town of Queensbury this 3 0th Day of ._April 1985 t-r r- SIGNED BY . for the Town of Queensbury Building and Zoning Inspecto TOWN OF +QUEENSBURY sSpare inside block to bib filled in b% WARREN COUNTY. NEW YORK Btilding Insprctnt•I Aplili( alion Application for P(-I 11) 11I %_•ue l BUILDING AND ZONING PERMIT 1'1 -r Illis 1--,pirv% \ d11w 1 �1 \\'orl. THREE ( 3 ) Copies of a PLOT PLAN, Drawn to scale showing the actual dimensions of the lot to be built ]L,•,r,:1s JCt upon, The exec+ size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION, CS TOWN CSF OIJEEl+SSDI If3Y A PERMIT MUST BE OBTAINEDBEFORE BEGINNING WORK r1ATF HIE 0 a VLr ANSWER ALL OF THE FOLLOWING. i i 444 9 1985 The undersigned hereby applies for a perrni+ to do the following work which will be done in accordance with the description, plans and specifi- A Nl� t �r 11213141516 cations, and such special conditions as may be indicated on the permit. '�T �1 9 s• r ! T# owner of this property is/ + 67 • kA rtr .J} ! ,n +Ft r s — - •i`..- I . . . . . . - . . . . . . The Berson re"psibtc or supervision of the work insofar as the Huild-inf%� C'4ee aand�t�he honing Ordinance apply i .: KC! .icrL.[ /'� ! "• ►" +Lt.-. y Q ,,,— QT� tG,CI -�Y-!' - . +Y. .'G' S. •. INAME} Name of Builder , "�— - - Address . . . . . - . . . . Name of Plumber . .!`. *.l . . . . . , Address . . . . . . . . . . . Name of Mason . . . . . - - - - Address . . . - . . . L pa ot Number . . . �. Unit . . . . . . . . . Estimated value of proosed works . �. +�.�. - o. Name of Village . . . . . . . . . . . . . � _, �. _. , , . . . . . . . . . . . . . . . . Side of street: north ❑ . east © , south 0 . west 0 Nattte of Street . . . �'.ti. . ,�_. " Nearest Cross Street .. r°' • � - . . . . . Distance from this gross street . . . . . . . . . . . . . Ft . Property is north 1._, south ❑ . east L i , west ❑ from Cross Street If on Corner, which corner, northeast V . northwest ❑ , southeast O . southwest (Designate by marking with an "X" in the correct space-) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. -family dwelling Main Building Tw Addition to a building. Alteration to a building. Two-family dwelling 0 Demolition of a building, -family apartment hoax Store building a . - - - -car attached garage C } Other: . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessory Building L� One-car detached garage � 0 Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . - . - . - Two-car detached garage . . . . . . . . . . . . . . . . . . . . . . a . . . . . . . . . . . . . . . . . . . . Private chicken house Private storage building ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy. $ ,a _ Indicate on the plot plan street namesv 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 building(s) in dotted line sand existing huilding(s) in solid line. Size of property � '! �_ ft, x /: '.:. . . . ft. Size and use of existing buildings, if any . . . . . . • . . • • i dg "' Size of proposed building . . .* . + • ft• x � .7 ft. Height (from grade to ridge) � � , - . . . . . . . ft. t� ft. �l Front yard . . . . . . . . . . . Side yards . . . . . .-P`.?. . . . . . ft. and . . . . . . . . . . . . . . . ft. Rear yard . . , . . . . , . ' . . . . . . . . . . . . . . . . . . . . . ft, sous ►+ If on corner, setback from side street f` F� Note: All rdistancespart are it as measured from street side !arse to nearest ,part of betilding- try/ •� tKi'VER} f y 3 " M (cont'd. ) BUILDING SPECIFICATIC/NSa Kind of construction : Wood frame, fire safe, erc.? . . . , . .f"-� .. - `�. . . . . . . . . . . . . Will any second-hand lumber be used?/^^. . . . l . . $ , � If Sol for what? . . . . . . . . . . . . . . . . . . . . . . . . . . r , , , . . . . , , . , . Material of foundation walls . . . . . . . .L '9 rsc. . 1:, .rfi t . . . . . . . . . . . . . . . . . . . . . _ Thickness Depth of foundation walls below grade . . . . . . . 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . . . . . .Will there be a cellar? . . . . . . . ' . . If so, material of cellar floor . . . . . . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or flat? . . . . 57.r0714Z.. . . . . , . Material of roof . , . . .max �e..r. .6z,7 , . . . . . . . . . . . . . . . . . . . . Size, wood studs d . .C,e. . . . . . . . . . ,', spacing . _ . . . . . / , 4r. . . ,"o.c., length . . . . , , '. . . . . . ft. Size, floor beams, Ist floor . - . . , , . x , , !,4 - , , . . . . . . ", spactnp, . . . . . , E-4 . . . "a.c., span _ . . . . Size, floor beams, 2nd floor . . . . /E'- . d spacing . - . . . - . .!. IGe . - . "o_c., span . . . . . !.Y. . . . . . ft_ Size, ceiling beams . . . . . . . . . . . + ll, . . . . " x . . . . . So. . , ", spacing . . . . . . . . `7' . "o.c., span Size, roof rafters or beams _ . , . . . . . . . _ . . spacing - , . , "n.c., span . . . . . . . . . . . . . . ft. Exterior finish . . . .. . . . r. . 4,d r - - With what material? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Finish of interior walls . d . . . . . . . alls . . . . . . . . . . , , W. :' . . . . . . . . , . . . . . . . . . . . . . . I _ . . . . . . . . . . . . . . . . . If garag is, �t e attachvd, ofw at material is wall between garage and main building to be constructed? , / "— ELK r. . . . . . . . . . . . . . . . . . Is there to be an opening betwee ge and building? . . P 6&a + `} a. C—for Kind of heating system , , - - , , . . r. . . . . . . . . . . . . . Oil burner or coal? . . . . . . 1 . Will a flue-lined chimney be provided? . . . . . . . . . . . . . . . Depth of chimney foundation below grade . . . . . . . Height of chimney above roof . . , . . . . , Z .0. . . . . . . . . . . . . . . . . . . . . . . . . . - - - - - - . . . . . . . . . . . . . . ` Will there be a fireplace? . , . . �' .�►.,.. . . . . . . . . . . . . . . . . . Depth of fireplace hearth . . . . - :�-.o . . . . � . . , . . . . . . . . , , . . . . Will a toilet be installed? . . . . . . . . . 00-s .- . . . . , Will a kitchen sink be installed and connected to water supply? . , y. "'4"+^ . ` . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply ( ublp water supply or pump) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . �4 a . F . . . . . . - . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanouts, and vents? . , . . tt*'- C-? '. . . . Town of Queenshury AFFIDAVIT County of Warren State of New York. 1 aweer that in tt jbeA jof my knawJedge sad belie! the atatamlents oantain in application, r with the and specifications aub- mined, are a true and co.,. fete statement of all proposed work to be done deaar'bed pre and provisiona of the BUILD- ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to p work sha ed with, whether specified or not, and that such work is authorized by the owner. Sworn to before me this Signature . . . . . . . . . . EA. Ow" NER'S ' AGENT, a 641 CT. C RAC ~~. dayof. . .. .. . . . . . .... . . . . ... . .... O N.. . . . ... . .... . . .. 19. .. -. . ROTARY 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 r 2 . Type of heat 3 , I•s the building mechanically cooled ? 4 , Percentage of area of windows and doors A . Over 16 % only 1 . U value of gross area of walls , roof / ceilingand floors exposed to ambient conditions r 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 ? SJ I 5 — 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 f2 3 . R value of glazed area l �- 4 . R value of doors 1 5 . R value of floors over unheated spaces -- ' 6 , R value of slab edge insulation - unheated slab -- a 7 . R value of slab insulation - heated slab '�;' . s , R value of heated basement/ cellar walls ( above grade ) -- 90 R value of heated basement /cellar walls ( below grade ) low Type of insulation C , Controls 0 1 . Thermostat maximum heat setting or D , Duct Systems 10 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 , Pijsing 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 maxi m G , For Swimming Pool onlyr 19 Maximum heating f Telephone No . �� 17 ( pplicant ' s signatu e ) TOWN OF QUEENSBURY BUILDING & ZONING DEPARTMENT SfE' TA7AGF DISPOSAL/ PERMIT APPLICATION 1 . Owner ' s Name_ J0-' cT.,-t < Address Telephone No . 2 . Property location. 3 . Name of person or firm responsible for installing system iL-< .X.oz.y.,- - T e 1 ephon e No . Address 4 . Number of bedrooms ( residential buildings only ) y.. 5 . Daily flow /. - gallons/day +6 . Septic tank capacity / Q6J e gallons ? . Topography : flat , rolling , steep of slope / 8 . Nature of soil and depth 54-i.r e66 . G 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? ~ t ft . 10 . Percolation test ; A is required 8 i.. s not required C if required what is the rate minutes/inch ll . Water supply : mnicigal , well , rather � 12 . Type of system proposed : drywell , -tile field._, other Any contractor , corporation , individua &Ver gaged in the construction of a sanitary sewage disposal system wthe same before inspection , does not have an approved permit , or vthe approved a placation will be subject to a penalty of $ 250 a for Se tion 6 . 010 of the Queensbury,/Sanitary Sewage Ordinance . Da t e �a' — e "ir S`— c signature o ap lira On separate sheet of paper submit a diagram of the proposed septic system with all dimensions , including distance from any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . Form 3 - 82 TOWN OF QUEENSSUR.Y Building Dep:rtment Date �f.� �s 3 Name oe�r Repast • —�'�`''C Permit No., Remarks ExcatYa tx on Footin Farms Footin & piers Foundation cement Coat Water roofin Backfill Final Surve Framin sheathing . Roof Fez. t Roofi.n Sidin Masonr veneer Rou h PI Relief valves Wall ,Board sxt . porches Finished Floor Interior Trim Stairs & Railin S Cellar Dr . Tile Concrete Floors Pl Fixtures Car , Fire roofin Door Closers Chi.mne Water Meter Inst . ,septic A roval Floors FoundationInsulation Walls eili Bull in ,,Dec or REMARKS yb ) 000 TC]'M11'N OF QUEENSSURY Building Dvepartmeat In"pecnw/o,,.�,e�� .�t Naateie_ LPL_t J w1 (�. . Pervnit Na. +4 5`1 - WeatiaW ,r.� Remar3cs ~i EXCa*Pat].Ol] F'ootin rFarms ,Footin & Piers Foun,da ti an Cement Coat Water roofin i3a ckEi l l Final. Surve Framin Sheathin _ Rovf Felt Raofi.n Siding Masonr Veneer ROUCTh Pl b . Relief Valves WaI] Board Sxt . Pozches Finished Floor Interior Trim Stairs & Railin s CeJ. lar Ur . Tile Concrete Floors P TrV Fixtures Gar . Fire raofin - ---- Door Closers Chimne Water Meter Inst . Se tic A naval Floors Foundation XnsUlati.on Malls Ceilin Buil ing Inspector REMARKS TOWN OF QUEENSBURY Building Department Date Naa Per nit No._ i' 5" IJ� 'Weather R ema r-k S ~_ 8xcatYation Footin Forms Footin & Piers Foundation Cement Coat Water roofin Sackfill Final Serve Franc Shea thin Roof Felt Roofin ding Masonry Veneer Rou h Plb Relief Valves Wall Hoard ext . Porches Finished Floor Interior Trim ` Stairs & Railin s Cellar Dr . Tile Concrete Floors pl Fixtures Gar . Fire roofin ---- ' Door Closers Chimne Water Meter Tnst . Se tic A nova l ---�-- -� Floors - Foundation Insulation Walls Ceilirx i B,Ildl,, inspector REMARKS TOWN OF CUEENSSURY m Building DepartmentRep _ Date Name me �J 2jLO j&Ae.4�P�. .5��' "'r Pannit. Na J'~ Weather Remarks 4 Isxcajra txon Footing Farms Footing 6 Piers OOA _ Foundation - Cement Coat - Water roofin Backfi l l Final serve - r Fram?n T sheathing - Pool Felt Roofin .SIdin Masonry veneer - } Rough Pl - Relief valves Wall Board rxt . Porches Finished Floor - interior 'rim - Stairs S. Railings Cellar Dr _ Tile Concrete Floors PI , Fixtures - .. Gar . Fire rapfin _ Door Closers Chimney- . Water Meter Insto septic Approval Inseslation Foundation Wails ceiling Building Inspector REMARKS TOWN OF QUEENSSURY $uildine Department Inqmwtws Report, _ Bate d' Name . L-Aeln rs2-JN' C l.ocwiion L v 7 - 22 ,!Zy_c tea,crc- c r)* L Pernat No. nJ-y 'W ezwtkaer / Remarks Exca0a ti.on Footlni Forms -' Footing & Piers Foundation Cement Coa t waterproofing Backf.ill Final Surve Framin sheathing Roof Felt Roofin siding masonry veneer Rough Plkg Relief Valves Wall Board Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr . Tile Concrete Floors Plbg . Fixtures Gar , Fire roof.in poor Closers Chimney Water Meter Snst . Septic Approyal Floors Insulation Foundation Walls _.._..._......... ceiling sh'spec, tovr REMARKS STATE OF NEW YORK DEPARTMENT OF HEALTH OFFICE OF PUBLIC HEALTH DISTRICT OFFICE f 21 13AY STREET i GLENS 'FALLS, N .Y. 12901 • TEL. (518) 793-3893 DA VID A7CELRq p. M-D. Ian T . Laudon , M . D . ; D , P . H , . cwnmtssio„e. Regional Health Director Albany Region Brian S . Fear , P . E . District Director 1 August 8, POSIN OF'{�QUEE1'�ISeURY IE0IF9 VE Building Inspector Queensbury Town Hall A.M. Bay and Haviland Roads 718191�011" IL1213141 16 Glens Falls , New York 12801 Dear Sir : RE : The Pines , Lot 198 ( T) Queensbury ( Co ) warren With regard to the subsurface disposal system for Lot 98 in the above noted subdivision , the substitution of a seepage pit system for a the field appears acceptable . Very truly yours , r Brian S . Fear , P . E . District 'Health director BSF : ns cc : Mrs . Leombruno