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1986-230 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK \/\ /1 Date November 2U 19 \_x\ r\ 1 86-230 I This is to certify that work requested to be done as shown by Permit No. has been completed. One-Family Dwelling it This structure may be occupied as a ed Location ` Martell Road - Haviland Acres Timothy Seelye Owner By Order Town Board (///�� �'`TOWN OF QUEENSBURY /Q / ' f1 III 2 (� �,�t�fYGl -j Building B Zoning Vopector • TEMPORARY CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 86 November 12 19 Date i This is to certify that work requested to be done as shown by Permit No. 86-230 has been completed. One-Family Dwelling This structure may be occupiedas a Martell Road - Raviland Acres Location Timothy Seely° Owner TEMPORARY CERTIFICATE OF OCCUPANCY FOR By Order Town Board 30 DAYS PENDING FINAL ELECTRICAL. r-TOWN OF U NSBURY lidding B Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No 86-230 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Timothy Seelye OWNER of property located at Martell Road - Raviland Acres 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. .a N• 1. OWNERS Address is 1 D Manor Drive o Glens Falls, NEw York 12801 ro ro 2. CONTRACTOR or BUILDER5 Name lb ro same 3. CONTRACTOR or BUILDERS Address same n 4. ARCHITECT'S Namerr ro F• Y O 5. ARCHITECTS Address w' 6. TYPE of Construction—(Please indicate by X) ( Ti Wood Frame ( )Masonry 1 )Steel 1 ) 7. PLANS and Specifications No. 70'x28' per plot plan, specifications and application submitted including two-car attached garage and sewage system. No re 8. Proposed Use One-Family Dwelling H. L4 $5.00 C/O Paid $ 94.00 PERMIT FEE PAID-THIS PERMIT EXPIRES December 1 1986H. f' (If a longer period is requiredbefore an applicationfor an extension must be made to the Building and Zoning inspector of the w town of QueanabuN before the expiration date.) Dated at the Town of Queensbury this }11.5,th Day of May 19 86 // SIGNED BY ifg Q g ' for the Town of Queensbury Building end/eM Zoning I N . TO BE COMPLETED BY BLDG. DEPT. I i // Application No. _ .9 own of Qiaeendburry Permit Issued 19 TOWN OF QUEENEF:J-" BUILDING and ZONING DEPARTMENT Permit Expires 19 _ (� I� ((1l j Iii. �� I'�, Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation__ 1(YIV1U1[ LS l�J L l':. ,Ui Oueensbury, New York 12801 Variance No. (`Qf.+1 i j ;Ft:: Site Plan Review No. AM. 9 9 a✓ I4 y "/ P.M. o Appr ed b 71819110�14{ 141I?I, I4I5I6 APPLICATION FOR �A a �-'('�^� ■ 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: [? ' y ""' �Pi_/ '-_- pG p P.O. Address f [�. eui7?1 'Pet' rJ Tel. 2/p -//7f yy Property Location: Tax Map No.Sy/?/�`�/>• Street number or building lot number H•(, Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: .,b114.rrt CZ-R-.P^1'!1� J to ` � Q-1. &tow( 7 9 F- 7'7'/'7 Nan_. site P.O. AddresX Tel. No. Name of builder /Z/�ddress(!/// Q 'y�`,'�'',',�, Tel. 991570y2 Name of plumber j. t �e/' /u Address%' L,/ior'ni / t.7 o „Nl//cTel. 9 ,1;7- ,2r/76 J Name of mason �JeM e ✓n.irr Address A 3 fle2en nerve Tel. 7 ?3- _3S .2 NATURE OF PROPOSED WORK: * ZONING INFORMATION: LConstruction 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 ,7 9,5 ' ft X ) d ft. * Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure 7e) ft X,'j`a fftt ±� * Foundation-pier/slab/crawl/partialLyrl- * Proposed building, distance from property line * (circle one) * Front yard /,CO ft Rear yard &D o ft No. of stories (habitable space) * Side yards 15 St and ys ft Height (grade to ridge) /4 ft. * If on corner, setback from side street ft If residential, no. of families I No. of rooms(excluding baths) 7 * OCCUPANCY INFORMATION No. of bedrooms Q * * PRIMARY BUILDING - No. of bathrooms I * _V One family dwelling Primary heating system 1=/r[ /y/ 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? yes— * —_ Transient occupancy Central Air conditioning? * * uu siness BUILDING STYLE, PRIMARY STRUCTURE Industrial Other nch Contemporary Log cabin If addition, what will use be? Raised ranch Mansion Duplex split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * __ tar_hed garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one cark two=arm a car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other --- CONSTRUCTION * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS: �� ��������/' �- Type of construction, wood frame, fire safe,etc. /i�ICI� - ,/'OM e ,frile/_� / Will any second-hand or ungraded lumber be used? If so, for what? n Foundation wall material i� Depth of foundation below �,�, Thickness yj - grade to bottom of footing) Y '-' Will there be a cellar?Will there be a cellar? 1/es Heated or unheated? �,/�q/PjFloor sq. footage //p' sq ft j/P$ Will any portion be used as living space? ,On (If so, what portion? sq.ft. - - Type of use? Type of roof ' ope••flat/shed/other Material of roof liff ' " "'- Size, wood stuss "X spacing Ib "b.c r� 7r4u^s V . length / t. /2 A COX Joists(floor beans) 1st. floor a "X /0 " spacing /h, "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) X i _ Roof rafters _ex -"' Roof trusses(pre-engine ed) n spacing ? "o.c. spy`r ft. Exterior wall finish 7/6 ' cfripAkire Of what material? Qnu6/p V V. / N' / Interior wall finish 6yy q,_,•., Ufp//hoard/ /j If a garage� is `/io be ttadh'/d) describe�'- materials to/bye used fer FIRE SEPARATION: Is there to an opening nrY Proo/- (.00,i( /10 Avg P 4 garage and dwelling? yes If so will a Fire-rated door, enclosure, and self-closing device be provided? yr5 Will a flue-lined chimney be installed? (/c de Height abo roof a ft. Depth of chimney foundation below grader ft. Depth of fireplace hearth ft. in. • Water supply - Municipal or private well /7,4,4 Weil - SEPTIC SYSTEM Distance from ANY private well(including adjoining properties me ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of warren AFFIDAVIT 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 authori.ed '. the o n-r S *RN • : OF2 ? Signature-- E, . er, owner's ent,arc t, retractor 19 Notary 'ublic/'•1( ount , N.Y. SPECIAL Cn DITION. 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 �n 1 . Gross floor area \\ZJ4 �'q, FA. 2. Type of heat " !' IC. 3. Is the building mechanically cooled? 4. Percentage of area of windows and doors \5.-.1H A. Over 1 . '. Only 1. Uo v- lue of gross area of walls , roof/ceiling and floors • expose , to ambient conditions 2. Floor over hated spa -s YES N• a. Are founda ion - lls insulated? Y . NO 1 . If YES, at is the R value? 3 . Slab on gra. - YES NO a. If YE- , what is t - R value •f insulation aroun' per ' eter of floor? 4. Is .asement heated? YE NO a R falue of insula 'on Walks Type of insulati. B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions 'R3€)2 . R value of exterior walls A. J 3. R value of glazed area \• 4. R value of doors \ 4. 1 15 . R value of floors over unheated spaces 1'\ 6. R value of slab edge insulation - unheated slab 7. R value of slab insulation - heated slab 6. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below grade) 10 . Type of insulation 71b0003\CCa C. Controls /jna 1 . Thermostat maximum heat setting 7!/ D. Duct Systems 1. Is duct system installed in unheated spaces? YES NNE 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 Pc 2 . R value of pipe insulation F. Service Water Heating 1 . Performance efficiency 2. Temperature control setting maximum /910 G. For Swimming Pool Only 1. Maximum heating ' 1-� ! Telephone No. / / O AG r� �/.�7 9 / / / /�� , 'CO (applic s sign-9 re) • Jown of Queenjtury BUILDING and ZONING DEPARTMENT Bey and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DD�ISPOSAL PERMIT APPLICATION G�,ry Owner's Name �s,T o- -1� Tel. / / b ' / '7 Address _ / p_ /// tgatf-;19' // Person/Firm installing system (P i,74. ,,,,i Number of bedrooms(residential only)y ? �/�f Total daily flow: (compute @ 150 gal.per bedroom per day) t/SU Topography: , - rolling - steep - (circle one) Degree of slope c'R Nature of soils: sand-loam-,el other- Depth ft. Ground water-- at what depth? 3�- ft. Bedrock or impervious material--at what depth? 60 ft. Percolation Test - Not required / Required -Rate .2 0 min/inch. Domestic Water ;:rply — Municipal 41:0 — Other IMPORTANT! On a separate piece of paper, submit a diagram of the proposed septic system with all dimensions; including distance fvom any structure, distance from property lines and distances from any domestic water supply or shore-: ine of lake, stream, pond orwetlands. Include all dimensions of the system itself. Description of proposed system: / 'j [L 5g5rL" Septic tank size /000gal. 6 0 370 Tile field- Length of each trenchCft. Total field 011)ft. Size of stone k Seepage Pit (s) Numb / 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 App is t1icate 01/86 and/vl Septic System Inspections: A. All applications for septic system installation, alteration or repair, as reouired 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 2) 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 ,installnr and a fine of up to $250. 00. C. An approved copy of the plot plan shall he available•on the construction site. Failure to produce said plot plan at time of i::cpection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent ?roper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Buii.;ing Department before further construction. Co ti '24 /o /-27/2C C7 �j ; S6 fir r _/own Of Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Queensbury, New York 12801 C/o R e i nst dar, 7 BUILDING INSPECTOR' S REPORT NAME T / Yr SQe.IQ�/q LOCATION Qrre / /I Date b 3 /YG Permit No. 26-, 36 f * * * * * * * * *= * * * * * * * * * * * APPROVED - YES NO Footing/Pier Forms _ Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer _ Rough Plumbing _ Relief Valves Ext. Porches ==* Finishedti Floors , Interior Trim Stairs & Railings =� Cellar Drain Tile =_- Concrete Floors Par.. Fixtures Gar. Fireproofing Door Closers Smoke Detectors _ Chimney I ■ NSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROV. _ Final Building Survey Next scheduled inspection (call when ready) Remarks- 0I� I ism C _ 0 Neel L Building Inspec r 6/86 and-vl own of Queenitury BUILDING and ZONING DEPARTMENT Bay and HavAand Road. R.D. 1 Box 98 Oueensbury, New York 12801 , D y Y7� C' BUILDING INSPECTOR' S REPORT NAME -1-1 w. See/ey LOCATION fin.. aETc I( Date tj /S(r Permit No.I_Co -�3� * * * * * * * * * *= * * * * * * * * * APPROVED - YES NO Footing/Pier Forms _ Foundation _ Waterproofing Backfill _ Framing ✓�Rpofing ran t Masonr 03 *_-�Masonry Veneer gh Plumbing S. j1 ieP Valves =_�a ✓Edra Porches �Ma nished Floors I J✓��J��I aerior Trim 11 'Stairs & Railings s Cellar Drain Tile _ _ Cpncrete Floors m ✓S . Fixtures `s� Fireproofing EEIi IA 'r Kb No4 f$ I;��py_sor Closers hSmoke Detectors Chimney 1.6-8ULATION: Foundation (.ergallssION Weils w Ceiling ��r�� '. �jErINAL ELECTRICAL INSPECTION 4.'�r�f' DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- /I 4N - ,„_-ff n WM Building Inspector 6/86 md-vl 2,,GebCE:330 r/23-- 0T0cICktt c-� / A7N�4PC2- 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 `h/l/� 1✓ `�F LOCATION Mp-/TT(YLL ky Date—f-= 52'�2C/ Se- Permit No.a r/ = APPROVED *YES NO Footing/Pier Forms Foundation Waterproofing Bapkf ill _ Framing Roofing _ • Siding NasORr Veneer __ .•.741}Tmoran3f;tr Relief Va ves _ ' Ext. Porches _ Finished Floors . _ Interior Trim _ ' Stairs 6 Railings 1.1.2.11_ Cellar Drain Tile Concrete Floors __ rreproos Gar. . Fireproofing AMOR Door Closers _ Smoke Detectors _ Chimney I ■ NSULATION: Foundation _ Floors _ Walls _ Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - • Building Inspector 6/86 and-vl callto, cc778I' th`, Jown o f Queens1 ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR'S REPORT NAME -Ti „ark See eve LOCATION Ar-r cit /Lu Date/1 _ permit No. - 3 0 * * * * * * * * * *= * * * * * * * * * * * APPROVED - YES NO Footing/Pier Forms _ Foundation Waterproofing _ Framinll *� r117 ✓Framing= Roofing Siding Masonry Veneer Rough Plumbing _ Relief Valves Ext. Porches Finished Floors _ Interior Trim _ Stairs 6 Railings Cellar Drain Tile _ Concrete Floors _ plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors AIIII AIMSChimney INSULATION: Foundation -= Floors Walls Ceiling FINAL ELECTRICAL INSPECT ON Final Building Survey Next scheduled Inspectiona erl v� ready) rCi Remarks- - De Building Inspector 6/86 and-vl Jown of (2ueenstury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION i NAME LOCATION., n/- DATE X/G3/SKK PERMIT NO.a_ b SOIL TYPE _ Clay - Percolatio -Red' YES ilip Percolation rate - Min/Inch TYPE of SYSTEM: ( .f- Absorption field, total length ?OD Length of each trench t Depth of trenches— Size of gravel_ u ( -- SEEPAGE PITS{Number of) _ __________ Size- ft. X ____ft. Gravel size Size PIPING: Type b Bldg. to tank I Tank to dist. box Open. box to field/ NO Partial Openings sealed?? LOCATION/SEPARATIONS: ft. Foundation to tank ft. Foundation to absorption ��ft F Absorption to lot line ft. Separation of pits e ON OF SYSTEM ON PROPERTY(circle one) O. Rear - Left side - Right side - TS: V i / SYSTEM USE APPROVED NO Building Inspector 01/86 and vl ✓own of Queensbur1. BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 C)ueensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME nA - Lb✓/ LOCATION A .-iti Date 3o/jrt, Permit No. A( _ o + + + + + + + + + ✓+_ APPROVED - + * YES NO (,Footing/Pier Forms ' !EdFoundation Waterproofing _ Backfill Framing Roofing Siding Masonry Veneer _ Rough Plumbing _ Relief Valves _ Ext. Porches _ Finished Floors _ Interior Trim -=- Stairs 6 Railings Cellar Drain Tile Concrete Floors 111111 Plbg. Fixtures WIN Gar. Fireproofing I Door Closers Smoke Detectors =: Chimney INSULATION: Foundation Floors Walls _ Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - Fftan-A tnYC,4A140 Gib S,A i(45 I\TA Building Inspec or. 6/86 and-vl Own of Queensburw BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Ctueensbury, New York 12801 BUILDING INSPECTOR'S REPORT NAME LOCATIONL - ,(I a) . Date �F(�0 / % Permit No. k _ _ 3a_ * • * {Y-* * * * * *_* * * • * * * * * * e. APPROVED - YES NO Footing/Pier Forms i ������' Foundation , _ a - a�� Waterproofing Sackfill v- OK Framing Roofing Siding Masonry Veneer Rough Plumbing Relief. Valves __■ Ext. Porches Finished Floors „ Interior Trim Cellar & Railings 11111.111111 Cellar Drain Tile IMO Concrete Floors 115/1 Plbg. Fixtures a__ Gar. Fireproofing Anil s -= Door Closers Smoke Detectors _ Chimney ■ INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - ai. ( w� ) Al9 le- tarAlgi 02«31 ,4 xi Building Inspector 6/86 and-vl TOWN OF QUEENSBURY Building Department Impales Repert Date ` ' g9/e� Name Location AS 41- Permit No. R o . 2 30 Weather Remarks Excavation Footin• Forms onium Footin• & Piers in, Foundation ALCM, -MU 1 . Cement Coat - cV Water•roofin Backfill Final Survey Frami • • Sheathin• Roof Felt Roof in. Siding Mason Veneer :- Roush P1.• . Relief Valves �. Wall Board �= Ext. Porches = Finished Floor Interior Trim Stairs & Railin• :_ Cellar Dr. Tile Concrete Floors Pl.. . Fixtures Gar. Fire•roofin• Door Closers Chime Water Meter Inst. Se•tic A••roval Floors Foundation Insulation Walls Ceiling Building Inspector REMARKS tneases lro , 00 edwerii SePi c - -Mak a,u/ well, T //V f ,et M lea 8tow Je 2o ' y 4+ i _ MS=^ v •• n�K• I, CI ;s+ • aex �V w h Martcil teed. ♦. Tay SCL-ViC