1986-202 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 3 19 d'
I3- -071)
This is to certify that work requested to be done as shown by Permit No. 86-202
ha been completed.
This structure may be occupied as a One Family Dwelling
Location
a a/1 Cronin Road
Jean Seelye
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
TEMPORARY
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 14 19 86
86-202
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
Cronin Road
Location
Owner Jean Seelye
TEMPORARY CERTIFICATE OF OCCUPANCY FOR11 BY Town Board
30 DAYS
a
B in{ & Zoning Inspector
I,
BUILDING PERMIT
TOWN OF QUEENSBURY Na 86-202
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Jean Seelye
OWNER of property located at Cronin Road 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.
1. OWNER'S Address is
66 Cronin Road 10
w
Glens Falls, New York o
m
m
2. CONTRACTOR or BUILDERS Name
Phillip Tucker m
3. CONTRACTOR or BUILDERS Address
22 Lincoln St.
Hudson Falls, New York 12839
0
n
4. ARCHITECT'S Name �
N•
0
6. ARCHITECTS Address 4
6. TYPE of Construction—(Please indicate by X)
1 *Wood Frame 1 1 Masonry I Steel 1 1
]. PLANS and Specifications
m
36'x24' per plot plan, specifications and application
No. submitted including sewage system and one-car garage under bldg.
8. Proposed Use `<
One-Family Dwelling
m
Y`
$5.00 C/O Paid w
$ 68.00 PERMIT FEE PAID-THIS PERMIT EXPIRES December 1 1g 86
Ilf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Oueenabuly before the expiration date.)
Dated at the Town of Queensbury this 8th Day of//Q� May 19 86
SIGNED BY �N.tl a . Nis. for the Town of Queensbury
Building end Zoning Inspector �J
TO BB COMPLETED BY B UG. T.
c-� Application No. ��
EP
awn of Queenigury Permit Issued 19 -
BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF 0:1EE`N -`I"
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation u u k £ II \LL I
Dueensbury, New York 12801 Variance No.
Site Plan Review No. APR 3 0 1986
Approved- �n by: /� A,M. '"73 a-g. Fs'`i 2P�M.
APPLICATION FOR K "I`f O'11�hh. 71819w:142in213,41516
ii f ,I, in-
BUILDING AND ZONING PERMIT _ t_
* * * * * * * * * M * * M M * * * * * * * * * * * * * * • * * N * * * * * N '.:•
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:( ( Sea \ leev\jc 7 /// —
P.O. Address l cJilIl--i1 Rd. 6` it.Srei lb �-). Idiot Tel. 713�L 4
Property Location: �W CVOn; in e-I . Tax Map No.l7C / /1 AO
Street number orbuilding lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
%I1110 ?me Lc,letc )1lauJltn 5t. }IL><,lsan Fulls A)11 IJ 31 797-2976
N 11 Address Tel. No.
Name of builder y nt IIip P.O.7Jt. _jr Address Tel.
Name of plumber lkt‘(, 7,,4 I t< Address Tel.
Name of mason Ntoe 6Ox Mutt., Address ff fd(.4:(1 Tel. 79fl 4%(4
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction 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 INFOAMATION REQUIRED BELOW. �1
* Size of property ICI() ft X a(I 0 ft.
* Existing building(s Size ft X ft.
* Ai
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure 24 ft X , ft * /WA
Foundation-pier/slab/crawl/partial O,1 * Proposed buildingg,,distance from property line
(circle one) * Front yard ID 3 ft Rear yard I5 9 £t
No. of stories (habitable spat ) At
Height (grade to ridge) 1S ft. * Side yards Do ft and ft
* If on corner, setback from sidee street
street ft
If residential, no. of families OINe-
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No, of bedrooms It,Jv *
* PRIMARY BUILDING -
No. of bathrooms ('A� * V,One family dwelling
Primary heating system elec * _Two family dwelling
Type of fuel
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove he installed? * _Permanent occupancyTransient occupancy
Central Air conditioning? *
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Other
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 _Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * _Attached garage/one car/ two car/ 41,e car
* * * * * * * * * * * * * * * * * _Private storage building 1
ESTIMATED MARKET VALUE OF Other Gei(44c t/Afire 11t1.43,.
CONSTRUCT I ON $y-'/� * JJ d
taz
INFORMATION ON-BUILDING SPECIFICATIONS, ON REVERSE SIDE OF TIIIS SHEET, TO BE COMPLETED:
--------ryrm BPA 4'/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: 1 r
Type of construction, wood frame, fire safe,etc. uuo(f rC4rte-
Will any second-hand or ungraded7 lumber be used? If so, for what??y Alb
/n
Foundation wall material `OJCQJ C0AlC4tk e, Thickness p It
Depth of foundation below grade (to bottom of footing)
Will there be a cellar?'lec Heated or unheated? %Ib'Floor sq. footage %(ay sq ft
Will there be a basement? Will any por ion be used as living space? /(/6
(If so, what portion? sq.ft. - 'Type of use?
Type of roof - sl ed/flat/shed/other Si gttJ Material of roof -SiAl (i bt }c i
Size, wood studs "X_j" spacing "o.c. length Q ft. ` t 7
Joists(floor beams 1st. floor a, "X In " spacing lip "o.c. span la ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing 34 "o.c. span 34 ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) pacing a4 ;"o.c. span 'city ft.
Exterior wall finish Vyn0 Siuiiwyy ✓ Of what material?
Interior wall finish Sheek saiit
If a garage is to
be attached, describe materials tp be used for FIRE SEPARATION:
Is there to be an opening bettwween FT e S�$garage and d ing? o If so will a Fire-rated
door, enclosure, and self-closing device be provided? 1,gf
Will a flue-lined chimney be installed? a62 Height above roof 2 ft.
Depth of chimney foundation below grade Smart.
Depth of fireplace hearth 9 ft. C in. �/y� `
Water supply - Municipal or private well I 'ION W (OaI
SEPTIC SYSTEM Distance from ANY private well(incluUing adjoining properties MOD 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
authorized by the owner. xiLi
SWORN TO BEFORE ME THIS Signature .1Lp//�
Owner, owner' a t,arcnrtect,contractor
day of Apf,l 19 .0
%
" °°6
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 ii ii36y
2 . Type of heat �IQLlt\(i
3 . Is the building mechanically cooled? AID
4. Percentage of area of windows and doors
/
A. Over 16% Only
1 . U 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
`� k 1 . If YES , what is the R value?
I` 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
0 Under 16% Only —
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls R- 11
3. R value of glazed area 11rrQ. Cg IV 4 . R value of doors `.S
5. R value of floors over unheated spaces R -)l
6. R value of slab edge insulation - unheated slab N14-
7. R value of slab insulation - heated slab ''f �n �91 0
8. R value of heated basement/cellar walls (above grade) 0-If
9. R value of heated basement/cellar///yww+ails (below grade) R-1(
10 . Type of insulation crier (4 4 Ss / mizeifornyi 9
//`ixdo
C. Controls / 7. 0
1. Thermostat maximum heat setting V
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 / J,
1 . Size of hot water or cooling carrying agent pipe 1 /I{
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum Iys-
G. For Swimming Pool Only
1. Maximum heating(( tl
Telephone No. 1'I ) d -1 Ib --62� !///q
(applic n(Y^ s signature)
awn of Queenstury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION �(]
Owner 's Name 3eq&r /Seel NQ. V G Tel. / IZSI b6(O
Address NAM Kc &cA1k3O nnA1-I I tOi �j � ��77��
Person/Firm installing system IKt+Anj tk w� t At'
Number of bedrooms (residential only) Tr-1,
Total daily flow: (compute @ 150 gal.per bedroom per day) 3O)4L
Topography: flat -AM steep - (circle one) Decree of slope _%
Nature of soils: sand-loam-clay, other- Depth02/1n&ft.- (Jocc" — .01
Ground water-- at what depth? ,2 2. ft.
Bedrock or impervious material--at what depth? ft.
Percolation Test - Not required / Requirecy-Rat g -)� min/inch.
Domestic Water Supply - unicipali- 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 /y7� gal. ,
Tile field- Leng�each trench ,
_cbft. Total field 2thft.
Size of stone # ,2[a. '3
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 provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
,Iyk^')^Q`�1yq`I'�c. I'd L. 4-�5/ 86
Signature b i Applicant Date
01/86 and/vl
Septic System Inspections:
A. All applications for septic system installation,
alteration or repair, as required by the Town of
Oueensbury Sanitary Sewage Ordinance, shall be
submitted to the Building Department at least
24 hours before start of construction and shall
,include a plot plan shoving:
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 installer and a
fine of up to $250. 00.
C. An approved copy of the plot plan shall he
available•on the construction site. Failure
to produce said plot plan at time of inspection
• may result in an immediate work stoppage.
D. Should unforeseen problems during construction
prevent proper installation, alteration or
repair of an approved system, a new proposal
must be submitted to the Oueensbury Building
Department before further construction.
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.lown of Queenatury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
oueensbury. New York 12801
BUILDING INSPECTOR'S REPORT
NAME ff�� ///�
LOCATION I`. 1✓iY
9J Permit No.2,=
4/1/
Date3+ + + + + + V ++_ APPROVED * + + +
YESNO
Footing/Pier Forms _
Foundation _
Waterproofing Backfill _
%Framing
Roofing _
Siding _
Masonry Veneer _
Rough Plumbing _
Relief Valves _
Ext. Porches _
Finished Floors _
Interior Trim _
Stairs b Railings
Cellar Drain Tile W�
Concrete Floors all
Plbg. Fixtures all
Gar. Fireproofing
Door Closers _
ANIS
Smoke Detectors _Chimney I ■
NSULATION:
Foundation _
Floors _
Walls _
ceiling
IEPINAL ELECTRICAL INSPECTION i�r+7a`
D$IVEWAY APPROVA
final Building Survey
Next scheduled inspection (call when readyC�
Remarks- 0-K-^C� V`�
Vrle /WAIL" UC
IN •—
Building Inspector
6/86 and-vl
C411 eel
c1 M IgS '?
/o : 30 "
gown of Quandary
BUILDING and ZONING DEPARTMENT
Bay and Haviland Roar, S.D. 1 Box 98
Queensbury, Neviark 12801L On—
ceiriOn Ilia- /)
Cie) InsP
BUILDING INSPECTOR`S REPORT
NAME can Secl —
LOCATION r' r n- -d
Date/ no Permit No. - .Tot I�
* * * * * * * * * * * * * * * * * * * * * * *
l/ %O APPROVED - YES NO
koot ng/Pier Fo
Foundation _
Waterproofing
Backfill
1 ramingW� �_.I _i .. . i. - andtagori
I nr7
Ltding
}}aasonry Veneer
Rough Plumbing 44911.1‘. A01
elief Valves Irgra
raty1xt. Porches
3'lifished Floors a
rior Trim
tai �
to firs 6 Railings tom
Cellar Drain Tile _
`Concrete Floors _nmi
-V-ibg. Fixtures
VV9ar. Fireproofing _
g✓ r Closers aurora
(,Smoke Detectors
Chimney
t sULATION:
Foundation
Lrfoors _
Walls fl
Ceiling
FINAL ELECTRICAL INSPECTION *" �. '
Final Building Survey
Next scheduled �pec ccaalnl wh a ready)
•'Remarks- - ;1.01 /l//1
t'te-krieglit4 7 //�1// /
W}tl Cati 9h1141. fr '
AN-vale twe-4,
Building Inspector
6/86 and-vl
0,4_64 , (24 f/f/&'
flown of Queens1ury '.
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
See(�Z
SEPTIC DISPOSAL SYSTEM INS FjECT NN
J\
NAME_ 6
LOCATION 4 Q d i _actin SS
1A>'IU
DATE _K// PERMIT NO.
SOIL TYPE - Sand - .am - 0 --
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length ZC)(7
Length of each trench Z�
Depth of trenches
Size of graver_
SEEPAGE PITS{Number of)
Size- ft. X ft. _�.--
Gravel size
PIPING: Sizes TYPe
Al1 i""_ ±�
Bldg. to tank — Pc�
Tank to dist. box
Dist. box to field/pit NO Partial
Openings sealed?
LOCATION/SEPARATIONS: /O ft.
Foundation to tank
Foundation to absorption 24,ft.
Absorption lot line !O ft.4""
p
IpCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
CCIMIENTS:
Poo GA-L:ThdAe--
fiLST Go sL
24 - So' r
SYSTEM USE APPROVED YES NO
Building Ins ctor
01/86 and vl
or-
1 V, 50 c7
1 \1\$�' Down Of Queenibury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D.
Box 98
p eensburY• New York12801
BUILDING INSPECTOR' S REPORT
NAME
LOCAT ION
Date O L /_yl. Permit No. a��
* * * * * *, * * * * * * * * * * * * * * * * *
k/ = APPROVED - YES NO
Footing/Pier Forms _
Foundation
Waterproofing
NFraming
Roofing MINSiding _w
Masonry Veneer 11�i
�lRee Plumbing
-Per?
Relief Valves IMO
Ext. Porches _
Finished Floors
Interior Trim
Stairs & Railings _
Cellar Drain Tile _
Concrete Floors _
Plbg. Fixtures
Gar.. Fireproofing _
Door Closers an
Smoke Detectors111511111111
Chimney 4111■
INSULATION:
Foundation
Floors
Walls _
Ceiling _
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
Building Inspector
6/B6 and-vl
Jown of Qeenuhury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Dueensbury, New York 12801
BUILDING INSPECTOR' S 5—‘66REPORT
l_
NAME P411L o vll0l�'
LOCATION 4
27
Date // /2& Permit Nog.
* * * * * * * * * * * * * * * * * *
* * * * = APPROVED - YES NO
Footing/Pier Forms _
Foundation
rGlaterproofing
/4ackfill _
phtraming _
Roofing
Siding
Masonry Veneer _
Rough Plumbing An
_
Relief Valves _
Fin. 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 _
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - /� ,r WAii+'K IS
Foor(AJGV cn-ws —/ydt1/IS1au,- polo"
—AD»Solsrl�r 411`12Sou/rct- Paurr62nS
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Building I spector
6/86 and-v1
TOWN OF QUEENSBURY
Building- Depart e
Impedes Report Date 2D
Name 7VU
Location (anewAw ga
Permit No. 531. -2 07 Weather •
Remarks
Excapation
Footing Forms LCS
Footin in Piers
Foundation
Cement Coat
Water roofin
Backfill
Final Surve
Framin
Sheathin
Roof Felt
Roofin
Sidin
Mason Veneer
Rou h Plb .
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar Dr. Tile
Concrete Floors
Pl . Fixtures
Car. Fire roofin
Door Closers
Chimne
Water Meter Inst.
Se tic A roval
Floors
Foundation
Insulation Walls
Ceiling
Bu lding Inspector
REMARKS
rtc. Cousr.
TOWN OF QUEENSBURY
Building Departmen5146'f6-
has .d /
v m■a Report Date 6 ! 0-6
Name Pi41L fliCtc at-
Location ('Sm Jill Pon-
Permit Na �2'l:2.os Weather
Remarks
Excapation / (�
Footing Forms y S¢2
Footing 6 Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Praming
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
REMARKS
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