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1986-404 r' CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date January 14 19 87 �� , -�- 3t_P f1 This is to certify that work requested to be done as shown by Permit No. 86 •U�'' has been completed. This structure may be occupied as a One-Family Dwelling I.Mation \ 1 ' Hunter Lane Owner John and Suzanne Kubricky By Order Town Board . TOWN OF QUEENSBURY fBuilding & Zoning Inspector • BUILDING PERMIT k. ~ TOWN OF QUEENSBURY No. 86-404 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to John and Suzanne Kubricky OWNER of property located at Hunter Lane Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Family Dwelling o 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. cn 1. OWNER'S Address is Ridge Road Glens Falls, New York 2. CONTRACTOR or BUI LDER'S Name o' rt AJS Enterprises 1-' 3. CONTRACTOR or BUILDER'S Address 4 Amy Lane Glens Falls, New York 4. ARCHITECT'S Name C 0 mrr 5. ARCHITECT'S Address w C 6. TYPE of Construction—(Please indicate by X) (g)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 54'x27' per plot plan, specifications and application submitted m including one—car attached garage and sewage system. Ft 8. Proposed Use See Var. 1020 and Site Plan 20-85 1-6 One—Family Dwelling $5.00 C/O Paid $ 122.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 19 87CrQ (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 14th Day of July 19 86 SIGNED BY �4� &. /v for the Town of Queensbury Building and Zoning Inspector e " Cc'']]- TO BE COMPLETED BY BLDG. DEPT. rJown ol Queen ituri, Application No.. Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires ' 19 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation OWN OF Q`I` NUF'Y Queensbury, New York 12801 Variance No. . /U a_a [,Thi.' E 0 :E ti V TI E r Site Plari Review No. r -5'rii ,,i ` Approved by: e p • a APPLICATION FOR /L.(A�3 Cwr" A.M.AM BUILDING AND ZONING PERMIT • � �g�����0,�.14�j��121314i �. �` * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * :.* 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. • .-----F The owner of this property is: ®/. ✓ * ) d I F,/✓ Al;1 /60e.e.Y/ P.O. Address // . Pia, . 4/,o +-f .9`46,r r "110 d>> el/e`c�Cf Tel. 1› 3 Property Location: M 6.1, f1- `.4,-,.//47 .. 04 4_f) 4,, ,p ,,py Tax Map No. / / Street number or building lot number Subdivision name (if applicable) • THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O. Address Tel. No. Name of builder fa?..s,;77!,rimiewr Address /_J t, / Z,C/t-..f1r.r r�.;- Tel. 7 ,?..7,$C`, / Name of plumber ?..„7 /s>�i ti 4,,e64ef 1- Address AJies'i2.., -..�,:t.r Tel. Name of mason .6,4. G,..,x v_4-.4.i Address 510 La j , _'-.?..,.,; /'Y r1..!•( Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: ' TU 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 bviildings, (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 FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. • * Size of property " y'pe' ft X G oD ft. * Existing building(s) Size ft X ft. * . . . PROPOSED BUILDING AND USE:sY * Existing building(s) Use Size of new structure ag_ft XZ(,Sft * • Foundation-pier/slab/crawl/partial_ llm * Proposed building, distance from property line (circle one) No. of stories (habitable space). / Z * Front yard/^�}�"} ft Rear yard C 7,3 ft Height (grade to ridge) /2 ft. * Side yards •�/ ft and �+' ;� ft * If on corner, 'setback from side street If residential, no. of families / ft No. of rooms(excluding baths) (p * OCCUPANCY INFORMATION No. of bedrooms 3 * No. of bathrooms 2%/T- * PRIMARY BUILDING - Primary heating system * V one family dwelling lCi�/� Two family of fuel * dwelling No. of fireplaces to be installed / * Multiple dwelling / Number of units Will a wood stove be installed? "1./0 * Permanent occupancy Central Air conditioning? /vjj * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE • * Industrial * Other Ranch Contemporary Log cabin * If addition, what will use be? Raised ranch Mansio 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 ) * veAttached garage/one car/ two car/ 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. , BOO , � Will any second-hand or ungraded lumber be used? If so, for what? Sn/® Foundation wall material 6)ti*G/'ifrf7_s'"` ?6,10c /4S/ Thickness Ar Depth of foundation below grade (to bottom of footing) Will there be' a cellar? '/±, c Heated or €'reheated? • Floor sq. footage /04.0 sq ft Will there be a basement!? _F" Will any .portion be used as living space? ,"t) (If so, what portion? sq.ft. - - Type of use? Type of roof - slope/flat/shed/other •Material. of roof Size, wood studs 9"X C.0 " spacing //A "o.c. length - ft. Joists(floor beams) 1st. floor "X /0 "• spacing , , "o.c. span /3 ft. Joists (floor beams) 2nd. floor "X 7' " spacing j , "o.c. span / Aft. Overlays(ceiling beams) '7 "X " spacing / "o.c. span ft. Roof rafters "X ,Q' " spacing p o.c. span ft. Roof trusses (pre-engineered) spacing, LI "o.c. span " , ft. er,4.1a Exterior wall finish / ;, A9. _,,,,/) Of what material? .-t'lJejc • Interior wall finish 145/. -,f, 4,1‘, If a garage is to be attached, describe materials to be used for FIRE SEPARATION: �f c',/x't .7, 'i r E)rJ tfr Is there to be an opening between garage and dwelling? 9, -c If so will a Fire-rated door, enclosure, and self-closing device be provided? - F lac • Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well % -/ ex- SEPTIC SYSTEM Distance from ANY private well{including adjoini4. ng properties -, t 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 er, owner's gent,architect,contractor if f day of ;:- _19 u4 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • • By /.01<3 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 6�,o4./j1G 3 . Is the building mechanically cooled? f - 4. Percentage of area of windows and doors ; 0210z %p 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 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 - t B. Under 16% Only 1. R vat e 9f roof and floors exposed to ambient conditions J ` / 77 30, 09 2 . R value . of ex,terio.r._..walls a d, _rce 1 3 . R value of glazed area 4 . R value of doors /. ; /5 5. R value of floors over unheated spaces 42 07.D/ 6. R value of slab edge insulation - unheated slab 9.6 7. - R value of slab insulation heated slab 8. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below/ grade) %.0(P 10. Type of insulation 67q.J d q� �tl� n�� -3 C. Controls i1 1. Thermostat maximum heat setting 0C30 • 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 1. Size of hot water or cooling carrying agent .pipe 2. R value of pipe insulation F. Service Water Heating �n 1. Performance efficiency G*240,713 . . 4S/171,'AE f ,,.,, 641,)-d 90 2. Temperature control setting maximum ltomg /Ys° G. For Swimming Pool Only 1. Maximum heating /7 Telephone No. 79 2 -�j$p ( pplicant ' s ignature) _own. of Queenilury • BUILDING end ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 dueensbury, New York 12801 SEPTIC -DISPOSAL PERMIT APPLICATION . .4-- Owner ' s Name -� tJ ' v- Fib' CrAz ,�,� ` eveilziG. Tel. �9��2 Address .°�/0 1 120 � 4-�'�1 ..a1 "7k 4. .5% 'V` / C�/ Person/Firm installing system 14.( ‘,/?4- A '1 Number of bedrooms (residential only) 2 • Total daily flow: (compute @ 150 aal.per bedroom per day) ,4 _ Topography: f a - rolling - steep - (circle one) Degree of slope % Nature of soils: a - 'o -clay- other- Depth ft. • Groundwater-- at what depth? Hp._ ft. Bedrock or impervious material--at what depth? N ft. •Percola tion Test - Not required f Required -Rate min/inch. Domestic Water Supply - Municipal Other 4:10° 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 aax domestic water - supply or shore-line of lake, stream, pondor• wetlands. Include all dimensions of the system itself. • Description of proposed system: • . Septic tank size/o1, gal. Tile .field- Length of each. trench ft. . Total field ? -ft. Size of stone . Seepage Pit (s) Num er • / Size ftX -ft. Size of stonet 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. • S gnature 6-f/y� Applicant Date • 01/86 and/vl • Jown o f Queensbur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME co lt/v u LOCATION 1 y Date j//5/ 7 Permit No. e6 - CA( * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 I 'N Gar. Fireproofing 1 \ Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling . FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Xinal Building Survey Next scheduled inspection (call when ready) Remarks- . Building Inspector ector 6/86 and-vl IQ/f /a / / 9, WAin awn of Queen jtur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 G/D / , BUILDING INSPECTOR ' S REPORT NAME -J OA h l� (A )0 I' LOCATION ! t! ,i_ Date f 2//a / 1G Permit No. - 7'c./f * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer C Rough Plumbing tr Relief Valves \ / xt. Porches -Finished, Floors /\ nterior Trim - -- / \, )(Stairs & Railings — / \ Cellar Drain Tile / -Concrete Floors / )CPlbg. Fixtures ' mar. Fireproofing 50oor,Closers i \ /1 XEmoke Detectors / Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- k.r/eC/1StEtZ f��/G/►1/4'6 111�� Cowl `- (nat. P. c/c Building Inspector 6/86 and-vl fLf O /0/.?c 0°N-4 _loom of° Queenibur/ BUILDING and ZONING DEPARTMENT r/Dr 1C �(V Bay and Haviland Road, R.D. 1 Box 98 PJ). °5) Queensbury, New York 12801 P° SEPTIC DISPOSAL SYSTEM INSPECTION NAME /U\AA LOCATION () ib PERMIT NO. i-6_ )L/ SOIL TYPE Sand - Loam - Clay - Percolation e tRequired? YES - NO Percolation rate - Min/Inch ( - 5 TYPE of SYSTEM: Absorption field, total length p 126, Length of each trench Depth of trenches Size of gravel SEEPAGE PITS{Number of) Size- -- ft. X- ft. Gravel size -- PIPING: Size Type Bldg. to tank Lc' L/(J Tank to dist. box ,J I Dist. box to field/pit t ( rt Openings sealed? LYE) NO Partial LOCATION/SEPARATIONS: Foundation to tank ( 1' ft. Foundation to absorption /b ' ft. Absorption to lot line I ft. Separation of pits K ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front -(g Left side - Right side - COMMENTS: 1�1 SYSTEM USE APPROVED YES) NO atd./VI Building Inspector ' 01/86 and vl / id / /$D -3 P71 �� awn o/ Queenilury cc BUILDING and ZONING DEPARTMENT �� (J Bay and Haviland Road, R.D. 1 Box 98 I ,� Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME hObi K(_/ LOCATION O c•T�� { (iL/'1 DATE /O/i ' PERMIT NO. Va - 04 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 PITS-(Number 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 NO 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 side - Right side - COMMENTS: ems. SYSTEM USE APPROVED YES NO Building Inspector 01/86 and vl C a 11- 6( II b'7o ) a / 6 / ' 5' ///-11 --i) Jown of Qut'eniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME —T d b h K b LOCATION 2,0 /fa/ A Date /d4L/1‘ Permit No. 3 6 --bfd * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding / Masonry Veneer \ are Rough Plumbing Relief Valves \ ,' Ext. Porches Finished Floors q' \ Interior Trim I \ Stairs & Railings 1 \ Cellar Drain Tile Concrete Floors I Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors • Chimney INSULATION: Foundation Floors �, yWalls af� )(Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- (4/11/e Building Inspector 6/86 and-vl awn o/ Queenit ur, BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Kalt:1-Ly LOCATION ./1 0l / ZII ,�1 Date��/��/ Permit No. — 1'f C * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation • Waterproofing Backfill • Roofing Siding Masonry Veneer £ o gh Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings . Cellar Drain Tile • Concrete Floors `e 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 wh n ready) Remarks- Building Inspector„ 6/86 and-vl Jouin o f Queeniurcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ak(!et re-f Cg LOCATION Date 2 Permit No. * * * * * * * * * * * * * * * * * * * * * * * APPROVED - Yr/ NO Footing Pier Forms 1-I.V(o S OJlIL3e .Wegiai 7 &c,K To 8 Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures \:/?\ 's Gar.. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey ►JA/0/f170,J d-WA-TC-leP o c1/1162 — Next scheduled Inspection(call when ready) Remarks- - ��C( 6 1tfOO T(A 'S 01/2&-g00 Buil ing Inspe for 6/86 and-vl Z,4A./o ,r o/c T,�,/E c1'T.9TE Of /I/E61) yo•2k, I2,3 " 4/EMGOCe Al - B/ ° - / 7 - E T2E•E Ar -w FEn/CE C°o,E'n/E.P -fO/•L TEJ" T A/O. .2 01, - 31, TOA f olz 30" - G3'" A,,WE ✓//il%4y.Lo,4M, JL/GyT. l A.)O TTL IAA ' JTA.eT� 63 " _ BG " L OOJE 6W,4P'e1--4Y.1', A4OA1 LO.4A I 1V V I j Q C0.2AE.e -/,— X-W x POS fIR T �0 9�' �9P05 �4 q — ,fo/[ TE T �BAC,E'.yoE EXC,4i4471oA/) O 'O ,aEQFO,eMED /9U6UJT Z/, /98.5. I� � � s � V O N � ,00•fT � Q � � o c l 0 ti O Q 0 CDn/O�ETE MO/✓//•u1En/T ---� ��� /.Qon/ P/vE sEr ,4 n/o .s OF x TNT .I T,d TE AC /✓e w Vo R/4:f 6v I' - 41 JO/L. 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