1986-236 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Iva
n ary 29 19 87
a
37)1 6- I 1,0 Permit No. 86-236
This is to certify thatt work equated to be done as shown by
been completed.
leted.P
One-Family Dwelling
Thu structure may be occupied as a
Lot 15 Michael's Drive 41' �
Location
Darren and Teri Ross
Owner
By Order Town Board
TOWN OF QUEENSBURY
C '
Building & Zoning Inspector
._..w BUILDING PERMIT
TOWN OF QUEENSBURY No 86-236 •
WARREN COUNTY, NEW YORK
Darren and Teri Ross
PERMISSION is hereby granted to
OWNER of property located at Lot 15 Michael's Drive Street,Road or Ave.
in the Town of Queensbury,To Construct or place a
One-Family Dwelling w
at the above location in accordance to application together with plot plans and other information hereto filed and m
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
I. OWNER'S Address is Coolidge Hill Road p'
Diamond Point, New York 12824 H
µ
2. CONTRACTOR or BUILDERS Name m
N
same
3. CONTRACTOR or BUILDERS Address
saute
r
0
4. ARCHITECT'S Name
to
n
5. ARCHITECTS Address 'ro
w
C
M
6. TYPE of Construction—(Please indicate by XI
le
1 tg Wood Frame 1 1 Masonry ( 1 Steel ( 1
7. PLANS and Specifications
401x62' per plot plan, specifications and application submitted
Na. including two—car attached garage and sewage system.
0
8. Proposed Use m
One-Family Dwelling
$5.00 C/0 Paid Eq
$ 108.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 ig 86 n
It
(If a longer period is required an application tor an extension must be made to the Building and Zoning inspector of the
w
town of pueensbury before the expiration date.) w
Dated at the Town of Queensbury this 16thDay
of Naa/y1/,��� ' 19 86
SIGNED BY ///1^"'^� —" / for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY (Space inside block Ito lie Idled in be
WARREN COUNTY, NEW YORK Building Inspttuw)
.\ppl(laliuu NO. '
Application tag Pcnnn I.\tied 19. .
BUILDING AND ZONING PERMIT 1', rmii pire. In
/until" I P.tritt
0 \ alno „I \\'nr4
T Illtt 13)) Copies of a PLOT PLAN, Drawn to scab kitpruteil by C/471,
showing the actual dimensions of the lot to be built Kemal Kf �/�
upon, The exact sin, and location on the lot of the . . . .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS
APPLICATION.
/a/ _ 7- Ih rJ7/(I4e nnrR TOWN OF QUEENSG1-11"
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK jsyl( E v i U V ` Li
ANSWER ANSWER ALL QF THE FOLLOWING. uu Mal.' 1 219 6 p n
The undersigned hereby applies for • permit to do the following work 4 //3 OO /P M.
which will be done in accordance with the description. plans and specifi- A.M. ;„.,it I
cations, and such spacial conditions as may be indicated on the permit. 7ISI9PW'I7 1) hg141IjF O
The ow r of this propertyJ. is: � /� 'J// \ it, N l Z-�
A RREA? .4.TER-1. '.`4S5 cooL(DGE f{icc �D. (J,AhIOMD
INS 4E1 Ie n AOORESSI
The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
3A rvic
INAMEI II O ADORESSI
Name of Builder SA M C Address
Name of Plumber QSAME Address
,�ay��; Name of Mason. . . .SA t�.0 Address 1 00
J' Lot Number. . IS „Unit Estimated value of proposed work$ IP 4.OQO
,k Name of Village E,.� WUC'EA)SBURy
`-\ Nano of Street . M tRk ME,E.S .7bR IU Cr Side of street: north Grout�0, south f]. west 0
Nearest Cross Street . +f. . .f\P?.'/. LANE Distance from this cross street . . .R-i-I.O Ft
Property is north 0riouth 0,east i1, west ❑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
1=i Construction of a new building. Main Building J
❑ Additiona • bbu One-family dwelling L"Jdinn. 0
❑ Alteration
on to a building. Two-family dwelling
❑ Demolition of a building. -family apartment house ❑
Store building ❑
�Y. .-car attached garage ❑
Other:
Accessory Building ElOne-car detached garage ❑
❑ Other work. Describe' Two-car detached garage ❑
Private chicken house
Private storage building 0
Other:
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of occupancy.
Indicate on the plot plan street name, the fixation and
sire of the property, the location,sine and setbacks of pro-
posed buildings,and the location of all existing buildings.
3 r 1 "R"�7,t"n n Show proposed building(s) in dotted line and existing
t' I� I\�,0v \� . \A.,1\- • Building(s) in solid line.
An ¢��n tN Size of property )DO ft. a 2O a ft
L4N¢ b, o�� v�
Size and use of existing buildings, if any
o O
�j
ai
4 M Size of proposed building
Z Lv X I{. x x (o Z It.
Height(from grade to ridge)){ ft.
1 _ Front yard 100* ft.
"' . O % Side yards 20 ft. and i ft.
a s
'i /� ( \/V\ 4 Rear yard Ion It.
�� \ � � If B.
SOUTH I o corner,di tan ces from side street
Note: All distances are net, as murmured from +Ines side
/� line so nearest part of building.
Ovanl
7-73—M .
Iconfd.)
BUILDING SPECIFICATIONS, WOO
Kind of construction: Wood frame, fire safe, etc.' Woo 0
Will any second-hand lumber be used?n�s Al O If so, for what'
Material of foundation walls l-EM.C..N.I. .B.LoG K Thickness IOi1
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? 'le S If so, material of cellar floor CEMENT.. .allgatce,
Type of roof: Sloped or flat? . . .SLOPc ) roof . dam. .il.4 QQD. . .ASPHAc.r.. ,S{CN$Lt. ,
Material of
Size,wood studs 2- "x y ", spacing . . . .(6'. .. . . . ."o.c., length 3 . ft.
Size, floor beams, 1st floor Z. "x . . .so . . a ", spacing . . . . I.(0. "at.,span . . . . 13 ft.
Size, floor beams,2nd Boor " a " spacing — "o.c., span — ft
Size,ceiling beams Z "x I{ a( ", spacing 2-'j "c c,span ft�
Sift, roof rafters or beams . . . "x ,7 " spacing ZV- "n c,span ft. TR455
Exterior finish MA €TC. .Si ArNG With what material?
Finish of interior walls. . .51-4E.ET-P.o CK
If garage is o be attached,of what mates is w betwee rage and main building to be constructed?
S8' . .TI?F . .3/4XR. .�iIt R6. a F�€ErWoeK.
Is there to be an opening between garage and building? NO
Kind of heating system Oil burner or coal?
Will a flue-lined chimney be provided? . .YES Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? '- O Depth of fireplace hearth
Will a toilet be installed?. . .1' S
Will a kitchen sink be installed and connected to water supply? YE 5
Water supply(public water supply or pump) TOV+.N. u1..gma
Distance of cesspool from any private well — feet
Will drainage system be provided with required traps,cleanouts, and vents? . .i .5
Town of Queensbury ) AFFIDAVIT
County of Warren
State of New York
I sweer that to it b a'ful my knowledge and belief the statements can ' in this eppltuton,together with the plans and specifications RIB
mitted, are s woe and co.i,,fete statement of all pmpcaed work to be on the dmvibed genuses and that all}rovMons of the BUILD.
and CODE,THE ZONINGORDINANCE.and all other laws pertain to proposed y'ork ad wlt6,whether specified or nob
and C such work is uthorised by
Sworn to before me this Signature
.OWN RS ENT.ARCHITECT.CONTRACTOR
day of ___ .. __. __ __ . 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: c
1 . Gross floor area )404 ,y,Q FT
2 . Type of heat ELEC-FaiC
3. Is the building mechanically cooled? N O
4 . Percentage of area of windows and doors .4 PPR_AX
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? �� 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? 4110 NO
a. R value of insulation
5. Type of insulation CLASS
410 Under 16% Only
1. R value of roof and floors exposed to ambient conditions
noF R Zc7. /n7 I
2 . R value of exterior walls 1*19
3. R value of glazed area N. 5
4 . R value of doors R 7ir s
5. R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab A/r4
7 . R value of slab insulation - heated slab Ar/j4
8. R value of heated basement/cellar walls (above grade) ,€/,j
9. R value of heated basement/cellar walls (below grade)R- 0.
10 . Type of insulation /74 Fa 7 it $OMot/TF $Lock Aortic
C. Controls v
1 . Thermostat maximum heat setting 7J
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R value of duct in other areas
E. Piping Insulation �L a
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation ie A-
F. Service Water Heating
1. Performance efficiency
2. Temperature control setting maximum /t/,/
G. For Swimming Pool Only /�
1 . Maximum heating 7
Telephone No. 601-50(6 /' A c. 92
`{applicant ' s signature)
Jown of Queenlbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
C� SEPTIC DISPOSALL PERMIT APPLICATION
Owner' s Name � 'f}-"",4 (� Ai fY�,5.S/'l� Tel. iti l er
Address m .cvy. t s �Q; I.-vQ�1 �YKy'.1U5 rfl'GLS IV Y
Person/Firm installing system / ,a241. /•2Rw; It
Number of bedrooms(residential only) 3 R
Total daily flow: (compute @ 150 gal.per bedroom per day) 4}-S-17
Topography • - rolling - steep - (circle one) Degree of slope 'ft%
Nature of soils: sand-loam-clay- other- Depth /5Y- ft.
Ground water-- at what depth? A/CM/ ft.
Bedrock or impervious material--at what depth? AftW ft.
Percolation Test - Not r-• -d l Required -Rate /) --5 min/inch.
Domestic Water Supply �- Well - Other
IMPORTANT !
On a separate piece of paper , submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from any domestic water
supply or shore-line of lake, stream, pond or wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size/C60 gal.Tile field- Length of each trench,.t ft. Total field_ /g/ft. M/W
Size of stone # Z
•
9* pages P-it($ umber / Size ftXft. 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.
.. _Signature of Applicant Via)
ate
01/86 and/vl
a —/3
cc'77
Joron of Queen dlury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME Dew l td
LOCAT ION
01464 /; (y D /
Date l/17 / -Permit No. O - ”Co
+_ + + + + + + _ E _ E + + +
✓ = APPROVED - YES J NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
, Framing
ofing C.
tatting 0%
Masonry Veneer
�Rough Plumbing
4HeRo�lief Valves o.L
Left. Porches fa•
C4inished Floors O.
.terior Trim p
Stairs & Railings 01
Cellar Drain Tile
LC9ncrete Floors
Fixtures
''Gar. Fireproofing
/tr Closers .
Xmoke Detectors b
I.efiimney N
INSULATION:
Foundation
Floors
Walls I b
Ceiling P e l-
�'i It
NAL ELECTRICAL INSPECTION I
DRIVEWAY APPROVAL `I�/
Final Building Survey J 6
Next scheduled inspection (call when ready)
Remark-/ _ q 3v
(�/.{ /mom l m llax/d7
1(41N
Building Inspector
6/86 and-vl
Jown of Queendbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME jy�A0
LOCATION j f ,f .
Date /%y /g / Permit No. ��n- a.3G,
* * * * * * * * * * *
* * * * * * *
= APPROVED - YES J NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill 'n
&Framing j dig , * Fisk
Roofing _ O
Siding
M/Masonry Veneer ,Q
1/ecough Plumbing ti/ia 44 3' to£P Q.tt
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 (call when ready)
Remarks-
Buifio
lding Inspector
6/86 and-vl
Tim Jw¢eTCarl� Qla�6u
� y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
hcci - 11: 3o*h pity q6
SEPTTIC DISPOSAL SYSTEM INSPECTION
NAME /' o SA/ P4YY.en
LOCATION Ler /5" Ini dae/ 's pi .
DATE p//.I.9/ IC PERMIT NO. O C - .23G
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
Dist. box to field/pit
Openings sealed? YES .0 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 Right side -
CCMMENTS:
SYSTEM USE APPROVED YES NO
L�
Building Inspector
01/86 and vl
TOWN OF QUEENSBURY
,Rap�Building Department
Mopectors
Name ..� .Par, Date-�
Location 'Met \\2..
Permit No. A - ABir Weather
Remarks
Excaia tion
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
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
�A
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Date ..y�7/9j
' LocationName tS��;
Permit No.�F76/ 23�/�'.ffWeatherS DR
Remarks
Excabation �/00N /
Footing Forms v J L 6 ru51,17,17
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
Ceiling
Building Inspector
REMARKKSS
Q i
A \
I I
116 r)"°
IO U O
• O
LTD
60;
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3G �3�
D a_enr `Ross
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