1986-389 • •
CERTIFICATE OF OCCUPANCY .
• TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 14 19 86
This is to certify that work requested to be done as shown by Permit No. 36-398
has been completed.
This structure may be occupied as a Ono-Family Dwelling
Location 3.c Peg Ann Road
Owner David and Dianne Howard
By-Order Town Board
TOWN OF QUEENSBrURY
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/12-4-1:7;( /-•
Building & Zoning Inspector
•
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-398
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
David and Dianne Howard ,
OWNER of property located at Peggy Ann 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 H.
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
a.
1. OWNER'S Address is 155 Lower Dix Avenue
t7
Hudson Falls, New York 12839
CD
2. CONTRACTOR or BUILDER'S Name
Martin C. Mosher
a
3. CONTRACTOR or BUILDER'S Address
15 Greenway North
Glens Falls, New York
4. ARCHITECT'S Name • - b
rD
OQ
OQ
5. ARCHITECT'S Address
0
W
a
6. TYPE of Construction—(Please indicate by X)
( Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No.
69'x28' per plot plan, specifications and application submitted 00
including sewage system and two—car attached garage.
8. Proposed Use
One—Family Dwelling
S5.00 C/O Paid
$ 101.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 87
crg
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this llth Day of
July 19 86
SIGNED BY `/ .(/� -, 7Z L +' for the Town of Queensbury
Building and Zoning Inspector C
TO BE COMPLETED BY BLDG. DEPT.
Application No.
awn of Queeni1ur, Permit Issued -19
BUILDING and ZONING DEPARTMENT s OFI3IwE 4 �" U �
Permit Expires 19
Bay and Haviland Road, R.D. 1 Box Zoning Designation .I ! 0 E I �
Q.ueensbury, New York 12801 Variance No. 1 �
P)ililie—it`') 7y -y Site Plan Review No. Q kiii 'J o ;-)P /�� p�D�
•
f d r 1 1 ( —6 e Approved by: .M. P< ; /116 �G.G' P.M
. !.
3)41516
AP ICATIO FOR /a,/ -I - ( c P, ... , , t 4 a .ft F a
,W
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 tI;e 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: &��„I� ��� / �� � % ' / 177
P.O. Address /s�y Zt.. ,A, /f,,, 0/.u.c„ - L -Iti r r.„ ,7• /� Pg. 4 Tel. 7`f 7- ,, 3 7/
Property Location: ' a /, ( )i) - C`� �� Tax Map No. Id/ // / (o y
Streelnrumber or building lot number ia/ -/, — /
Subdivision name (if applicable) - -s--
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS. REGARDS BUILDING CODES IS:
Name P.O. Address • Tel. No.
Name of builder ,Zr-,,;/ e• zr(-4u,1_,Address &5,k,.,,,pi- ?UAL, Tel. 7 9a - / 2.s v
Name of plumber %y� /l�ivw "�"Te
' G°� `7�;�-m�„_Address ,�J�,,,,,� Te'1. /0„...-41,„, ,
Name of mason Ai)O,(,,� , 4, L &twi4/Address is-- `o< i.,0,u� k,Gc%�) at,u, Tel. 7 17 - Z 3 7/
NATURE OF PROPOSED MARK: * 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 *
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property /o 7 ft X " ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: `
* Existing building (s) 'Use
Size of new structure 0 ft X.:9G ft
Foundation-pier/slab/crawl/partial7b7ll * Proposed building, distance from property line
(circle one)
No. of stories (habitable space) * Front yard * * Q " ft Rear yard /d d ,... ft
Height (grade to ridge) ,/ 6 ft. * Side yards ja ft and , 7. ft
* If on corner, setback from side street ft
If residential, no. of families /
No. of rooms(excluding baths) `,-, * OCCUPANCY INFORMATION
No. of bedrooms 1 *
No. of bathrooms a * PRIMARY BUILDING -
Primary heating system C/cGfJ'i es_ ga,, ,,t,i/One family dwelling
Type of fuel * Two family dwelling
��� Multi le dwelling
No. of fireplaces to be installed * P / Number of units
Will a wood stove be,:..installed? �!' * Permanent occupancy
Central Air conditioning? �� * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE _ * Industrial
(Ranch) Contemporary Log cabin . •* Other '
Raised ranch _Mansion Duplex * If addition, what will use be?
•
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 ) * 4/!Attached garage/one car/ two ca / car
* * * * * * * * * * • * * * * * * * * .---Private storage building
ESTIMATED MARKET VALUE OF * Other •
CONSTRUCTION * _
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BP;1 ;/k1r m.I-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: .
Type of construction, wood frame, .fire safe,etc. c,vood ' rix,v- c
Will any second-hand or ungraded lumber be used? If so, for what? l yI-"
Foundation wall material ( Thickness 'TS. I1
Depth of foundation below grade _ (to bottom of footing:) '7p //
Will there be a cellar? Heated or heated Floor sq. footage /3 3 3 sq ft
Will there be a basement V44..-Will any port on be used as living space? f'(X --
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other p,/,� Material. of roof �b 1, a ix- ,S /u ,L ,,,
Size, wood studs ' . "X b " spacing 1 "o.c. length q ft.
Joists(floor beams) 1st. floor oZ "X /p " spacing /4, "o.c. span /� ft. .
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X____!' spaying y "o.c. span 2 ff ft. P„e _ �V,,�,47
Roof rafters "X " spacing a�°1o.c. span a,9-. ft. -fi-c, a`-�
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish /1 Gv. ,P � (ti LY Of what material?
Interior wall finish '/a. S b,4:Tat—r�/y
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
/,'-s (`J e c-L-j -5(tip.< ,L2 7,4,,,4 K —
Is there to be an opening between garage and dwetlling? 1y iS If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof .2 / ft.
Depth of chimney foundation below grade Di/ ft.
Depth of fireplace hearth ,'" - . /4, in.
Water supply - Municipal or private well 7-yue,,,,.,,� ,,p ai
SEPTIC SYSTEM _ Distance from ANY private well(includ✓ing adjoining properties 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._— . - -- --- __ =--
SWORN TO BEFORE ME THIS Signature_ /`/ Z -,4 5,e--"C
l Owner, owner's agent,arcnitect,contractor
/ L day of n v,iJ) 19 P-2,
U
•
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
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By
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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 l , ?:3t3 Zig ,./-71-• . . •
2 . Type of heat_ , 6t'�2f?�A _� .
3 . Is the building .mechanically cooled? f\k .
•
4 . Percentage of area of windows and doors
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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 . NO
1. If YES, what is the R value?
3 . Slab on grade YES CIP -
a. If YES , what is the R value of insulation around
perimeter of floor? -
4 . Is basement heated? YES CliD
a. R value of insulation
5. Type of insulation
B. Under 16% Only
• 1. R value of roof and floors exposed to ambient conditions
A3g _
2 . R value of exterior walls #\ 2 I
,3 R value of glazed are 2 , t i a
4 . R .3 . ..
value of doors Z ) • .
_ _____ . __________
5. R value of floors over unheated spaces 1j
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab •
8. R value of heated basement/cellar walls (above grade) r .
9. R value of heated basement/cellar walls (below grade) 0 •
10 . Type of insulation F411-4-1„,:.?„."4",e „
C. Controls
• 1 . Thermostat maximum heat setting 7`,�
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 /^ ,, I(
, Y
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
G. For Swimming .Pool Only
1 . Maximum heating
Telephone No. J 6 -) Z 4
(applicant' s signature)
awn °f Queenitury APPLICATION. FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
•
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 DATE / /c3
LOCATION OF PROPERTY FOR INSTALLATION _._
OWNER'S NAME. %I LL)1 d ct l�r c�-.i - -- , II"2 ri '
ADDRESS 4.j--,�o(ft f-"T dgc.� A/c dcrdy- T�/1cC ,/aX C3, TEL- a'7%�a 37/
INSTALLER' S NAME /_ Tr/ Li 474-Co�� � TEL (57? -7 47 /
Number of bedrooms (residential only)
Total daily flow(compute @ 150 gal per bedroom)
Topography: Rolling - Steep slope - (circle one) % of slope
Soil nature: - Loam - Clay - Other Depth ft.
Ground water -At what depth? ft.
Bed-rock or impervious material - At what depth? ft.
Percolation test - Not required - Required - -Rateo.,kcon,c4,1 min-inch.
Domestic water supply -municipal - Well - Other
Separation - Watersupply(if well) from Septic absorption ft.
Proposed System: Septic tank , 9 egal. ( ,Minimun size, 1000 gal. )
Tile Field - Each trench ft. Total system legnth ft.
Seepage pit(s) Number of 09 . Size each � ft X R. ft
Size of stone to be used # . Depth or thickness ' ;/,, ft.
IMPORTANT! !
On a separate piece of paper, submit a diagram of the proposed system
with all dimensions shown; including distance from any structure,
distance from property lines and from ANY DOMESTIC WATER SUPPLY or
.shore-line of lake,stream,pond or wet-lands. Include all dimensions of
the system, itself .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * .* * * *
I .have read the regulations on . the reverse side of this sheet and agree
to abide by these and aZZ requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance.
2 --a../a1/2
Signature of responsible person //;r/27 //'/
Date lj-/3��G
05/86 and/vl
•
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Section II Septic System Inspections:
A. All applicationd for septic system installation,
alteration or repair, as required by the Town of
Oueensbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina 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
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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 be
. 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 besubmitted to the Oueensbury Building
•
Department before further construction.
\\' _/own of Queeniturj
II BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
old 16ee-4 -t
BUILDING INSPECTOR ' S REPORT
NAME D co)1 q lTlSwq.✓`J
LOCATION PC)II A11)1 6o64
Date ////3 /d 6 Permit No. 8 -- 3 y
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
xt. Porches
Xc
Finished Floors
Interior Trim
�fairs & Railings 04
Cellar Drain Tile /
Concrete Floors ../
(-"grbg. Fixtures d,6�
Gar. Fireproofing
for Closers 0,1<,
Smoke Detectors
yaimney 5 i/LL /b7-j jf rc.r
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
El. OR _TE
(14/6
uilding Inspector
Ins e for
6/86 and-vl
AAA,6-1-1 /lOSflbn 3V6
Jouin of Queenihur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Qi4-!/(L flD fl/41s K2---
LOCATION rs 1&Ai PaAY3
Date 1dh9 / 3 G Permit No. SG
* * * * * * * * * * * * * * * * * * * * * * *
$0/ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
)( Framing t O_e iti CAT
Roofing
Siding
Masonry Veneer
C Rough Plumbing amen.
Relief Valves •
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTIeN
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
Building n ector
6/86 and-vl
LaWee
�16/a .3/ (
_town of Queenihur1
BUILDING and ZONING DEPARTMENT
•
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
'BUILDING INSPECTOR ' S REPORT
NAME o&va/4
LOCATION Pej ) /1-1 l//
Date /a /(5' Permit No. ?‘- 3 %O
�✓ = APPROVED - YES / NO
Footing/Pier Fo
Foundation
Waterproofing
Backfill
Framing
l400fing aK
LSliding
Masonry Veneer
Rough Plumbing
(/�elief Valves Odc.
t. Porches �, ,
''finished Floors v t
'V1 terior Trim Ok
LStairs & Railings i12, rw 11-67 )
Cellar Drain Tile
CAncrete Floors
Plbg. Fixtures N (AATi;2
Fireproofing J k
vfio r Closers piee%) ,,e>>-t5 1)�IG-
i-Smoke Detectors �J
Chimney No -7ti L (fit 5
LzNSULATION:
F9undation
VF'loors 0
Walls
Ceiling •
ANAL ELECTRICAL IN ECTION
DRIVEWAY APPROVAL
Final Building Survey
Nee c lFc' ry�•��t 1,t)6,Icy- 4
Next scheduled inspection (call when ready)
Remarks-
E / O7
dPfii-u4e/te-vwk 04-bT 44,-04
"4"
. ,
4411P2714 � �
ti/n4(3
Building Inspector
6/86 and-vl
Ga // 4 q/)-0 I .`is m
awn of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME DaUL ci )4b wah- r
LOCATION Pe/y )y 14 h /�
n 6 oeI
Date 7 /_7/ e-G Permit No. VD 91
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
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
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- - C7, f` % 2 C
1VU1/6
Building Inspector
6/86 and-vl
czaf 11// 9l'C 11:3 d
Jocun o� Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Da li i d /T 6lJa c�
LOCATION Pe 7 5 h AV
DATE Kia y/g(, PERMIT NO. Y 6 -13 J4
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 A (p
Depth of trenches ' `74
Size of gravel
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size •
PIPING: Size Type
Bldg. to tank 409_`e0
Tank to dist. box � 7lge.,
Dist. box to field/
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS: I
Foundation to tank
Foundation to absorption 6, ft.
Absorption to lot line
Separation of pits ft.
OC T7N OF SYSTEM ON PROPERTY(circle one)
front Rear - Left side - Right side -
6MMENTS:
24A-7./ L1130 LILL_
•
F 1
SYSTEM USE APPROVED YES) NO
..‹‘/://
.61144
Building InspectorfJ
01/86 and vl
•
TOWN OF QUEENSBURY
Building Department
•
inspectors Date ( t)/%
Name l
Location \',r�.�_ , 4 �=�t
Permit No. r� / r Weather
fl -316 Remarks
Exca(}a ti on
Footing Forms ( --1_
Footing & 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 & Railings /1
Cellar Dr. Tile ,+' \
Concrete Floors ,9 \'\,
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
• Floors
Insulation Foundation
Walls
'Ceiling
Building Inspector
•
REMARKS
FRTr ' Z 3 ;60
1/ (0 fr Jouin o QueenAury
^(� / BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME 6/6c4)CI14
LOCATION p.� �
0))
Date (7--/ Permit No. Vn - 398
V = APP VED - YES / NO
Footing/Pier Forms , V7,0-
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 j
Plbg. Fixtures
Gar. Fireproofing ,/ 1
Door Closers %
Smoke Detectors //
Chimney L
INSULATION: 1
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
PAII I--OO /6
&111 ig-44/ka .
Building In pe or
6/86 and-vl
flt I 1 Li- I --I- I- be- 1-4-1,ilmgVhFA ' I- -
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I d • _
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