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1986-411 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date May 13 19 87, ,39 This is to certify that work requested to be done as shown by Permit No. 86-411 has been completed:- This structure may be occupied as a MOVE BUILDING ON NEW FOUNDATION FOR ONE FAMILY DWELLING 1 BIG BOOM ROAD Location MARGARET M. PHILIPS Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector TEMPORARY CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Marsh 10 19a2 This is to certify that work requested to be done as shown by Permit"No: S 6-41 1 has been completed. This structure may be occupied as a One—Family Dwelling Location Big Boom Road Owner Mart Phi 1 l inc TEMPORARY CERTIFICATE OF OCCUPANCY FOR 30 DAYS," By. Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector • i• BUILDING PERMIT TOWN OF QUEENSBURY No. 86-411 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Margaret M. Phillips OWNER of property located at Big Boom Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a MOve building on new foundation for one family dwg. 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. rt oa 1. OWNER'S Address is RD #4 0 Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Martin Celeste N• 3. CONTRACTOR or BUILDER'S Address Big Boom Road Glens Falls, New York 4. ARCHITECT'S Name 0 0 5. ARCHITECT'S Address 0 41 6. TYPE of Construction—(Please indicate by X) ( )Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications 0 CD No. move building 24'x40 on new foundation for a one family dwelling o' per plot plan, specifications and application submitted and 8. Proposed Use including sewage system. o N• ONe—Family Dwelling ° r oo CD I 0 rn p $5.00 C/O Paid r• CD $ 70.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Feb. 1 �g 87 �c (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the E 0 town of Queensbury before the expiration date.) 0 C I� A• I1 w Dated at the Town of Queensbury this 17th Day of July 19 86 C w 04 0 SIGNED BY //)aL for the Town of Queensbury Building and Zoning Inspector ��) TO BE COMPLETED BY BLDG. DEPT. -1 Application No. '• owi>t oi Queenil ury Permit Issued 19 TOWN WN OF QUwENJSIIs?Y J BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. 1 BoA Zoning Designation Queensbury, New York 12001 Variance Nog �pEc ,, ,, FIA, Site P(laa,,Review No. ': il . • 1986 APPrfi ed b AA.M. .Z 5 ® ?P`t - ��� APPLICATION FOR 7IMM141NP)M151,9 BUILDING AND ZONING PERMIT `�0 rt/cC ,• • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 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 ro ert r • P P Y is: /v,./,Wpk�`T PI. jii /( ipS P.O. Address ef'17 /3; ? ,'r^a A p �/.,= Io,S 7 y//C /e••� L�,- /2 S' % Tel.)f`�-pd• '/D Property Location: [ 16J ,,,,-yj,�, (rf �,� 11J, Tax Map No. `3X/ / l 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 Address Tel. Name of plumber Address Tel. Name of mason 0„i r i;,4) l' i� 4 . Address A / ci -1.,n o,l, 0,1 Tel. -j',d 9 6. S/D • 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)iP r,7 i,' r; ,a.l y * set-back dimensions from property lines. Give V Inn, i-e- 217/.i( 4e7 h,,cicl;'ncj ,+,' `41.74.0-6t/..i * street and number or lot number and indicate fao FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. WO of water supply and location and configuration * of septic disposal area. ,QG;„1 Pco �:2�% I Stiaopd k✓c,a.s�n. * 6 l0�j%�G •Pn--i m - cal �1 / g V� * COMPLETE INFORMATION REQUIRED BELOW. Size of property 9' (41' ft X /o D ft. * Existing building(s) Size2i7/7 ft X ft. PROPOSED BUILDING AND USE: * ',& s h 0 r * Existing building (s) 'Use 4 o e_ • Size of new structure 4/1 ft X "//p ft Foundation-pier/slab/crwl/partial/d * Proposed building, distance from property line p (circle one) Front and ft Rear No. of stories (habitable space) / * y �� yard ft Height (grade to ridge) % ft. * Side yards ft and 'A- ft If residential, no. of families(ig * If on corner, setback from side street ft No, of rooms(excluding baths) / * OCCUPANCY INFORMATION No. of bedrooms Jj, * No. of bathrooms / * PRIMARY BUILDING - Primary heating system E/� * , / One family dwelling Type of fuel /-/ . (6, * Two family dwelling No. of fireplaces to be installed * Multiple dwelling / Number of units �,'"�'�� * Permanent occupancy Will a wood stove be installed? j11,) Central Air conditioning? A/ * '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 ) * Attached garage/one car/ two'car/ car * * * * * * * * * * • * * * * * * * * '---Private storage building ESTIMATED MARKET VALUE OF * Other • CONSTRUCTION $ J G.. v INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPI\ 4/nr. m.3-v1 BUILDING PERMIT APPLICATION CONTINUED - • BUILDING SPECIFICATIONS: Type of construction, wood frame, .fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? n/- 0 Foundation wall material C?e t-N /ff,;i, -(- )3/6 618 Thickness /, j %7 • Depth of foundation below grade (to bottom of footing) Will there be a cellar? Ve ,Heated or unheated? Floor sq. footage S'D D sq ft Will there be a basements YT2,c Will any portion be used as living space? „t.-Q (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other / 2j Material.•of roof ' c h /r y,/c° c Size, wood studs 6l "X spacing jL o.c. length ( ft. Joists(floor beams) 1st. floor "X " spacing /4 "o.c. span Ji) ft. Joists (floor beams) 2nd. floor "X " spacing . "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X / " spacing / o.c. span /4 ft. Roof trusses(pre-engineered) spacing "o.c. span ft. • Exterior wall finish jsj � !� i��. Of what material? h i k' A 7 7W) Interior wall finish I) If ,a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? ,V Q Height above roof ft. Depth of chimney oundation below grade ft. Depth-of f-fireplace hearth ft. in. Water supply - Municipal or private well / / 2 r / SEPTIC SYSTEM ' Distance from ANY private well(including adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren 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 tatement 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 propose. work shall be complied with, whether specified or not, and that such work is authorized by he owner. SWORN TO BEFO• M, THIS Signature '1 / tt t- • c)e ��" .� � :� Owner, o{ W�iier s agent,arcnitect,contractor day of 19 • Notary •lic, Warren C•unty, N.Y. * * * * * * * * * * * * \* * * * *' * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • By awn ®f Queenstury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 DATE 1 LOCATION OF PROPERTY FOR INSTALLATION OWNER' S NAME )),, /c izgF- A- ADDRESS f Gr/' yyc g d / .5' . /?/y T EL-r7 %!9- Y `l`FD INSTALLER' S NAME TEL Number of bedrooms (residential only) '--- Total daily flow(compute @ 150 gal per bedroom) Topography: de - Rolling - Steep slope - (circle one) % of slope Soil nature: (Sand - Loam - Clay - Other Depth ft. Ground water -At what depth? 7 c/ ft. Bed-rock or impervious material - At what depth? /k° ft. Percolation test - Not required - Required - -Rate Ta ? q„/ min-inch. Domestic water supply - Municipa, - Well - Other Separation - Watersupply-("if' well) from Septic absorption ft. Proposed System: Septic tank , 0630) gal. ( Minimun size, 1000 gal. ) T' e trenc ft. Total system legnth " ft:----- Seepage pit (s) Number of . Size each ft X T-ft Size of stone to be used # Depth or thickness 2-----f t. 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 all requirements of The Town of Queensbury Sanitary Sewage DisposaZ Ordinance. • n� p Signature of responsible person Date ((t � 05/86 and/vl • • Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required 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 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 immediatee -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 Queensbury Building Department before further construction. • • • 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 7 0 d • 2 . Type - of heat ,� /� rig ; 3 . Is the building mechanically cooled? 4. Percentage of area of windows and doors _ 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 /'r.��., �G,ss • B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions_ 2 . R value of exterior walls 6. ( • 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces 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) 9. R value of heated basement/cellar walls (below grade) • 10. Type of insulation ,:7`( 1) IF, C. ' 'Controls 1. Thermostat maximum heat setting • 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 1 . Performance efficiency • 2 . Temperature control setting maximum G. For Swimming Pool Only • . 1 . Maximum heating - Telephone No. 772..- a (appli ant ' s signature) `_loam of Queniurf/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME A-ILL( PS LOCATION /3fr r! Qom P-0 /Y7_ Date 3/7/ 2 Permit No. ,V' (D L / f * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 DRIVEWAY APPROVAL / Final Building Survey Next scheduled inspection (call when ready) 01,1 Remarks- G� li�/��_ _re L., a-L-%AJ h MAC E IivyPGA-T c. r C-b/'1A-Figs 30 fJ/-F -M10, Gbo a (�_ Build/i'n`✓g VVIns ec or g P 6/86 and-vl Down o/ Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME P PS- LOCATION Dr (ca 00044 Date 3 /5 / Permit No. - I I I * * * * * * * * * * * * * * * * * * * * * * * V = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing A'Roofing +� )(Siding Masonry Veneer Rough Plumbing )( Relief Valves )(Ext. Porches )(Finished Floors lei )(Interior Trim 4� XStairs & Railings Cellar Drain Tile Concrete Floors (Plbg. s Gar. Fireproofing Door Closers ,V7R. )(Smoke Detectors Chimney INSULATION: )( Foundation Floors Walls I(15 i/Nry Ceiling 5 isT'Af( FINAL ELECTRICAL INSPECTION )(Final Building Survey Next scheduled Inspection(call when ready) Remarks- - Lr l;Lls•-c--• Building Inspector 6/86 and-vl atidQaa r/ 'O acc77 wn o/ QueenJtury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 OP BUILDING INSPECTOR ' S REPORT NAME — re (--j 1 !1 i ! '-f 5 LOCATION R Ic 13 Ric Date 02,/c27 /X17 Permit No. // * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill ,s- Framing / -�ttovsZ(i(3s+5wl.L,c.,r 1� Roofing Siding Masonry Veneer Rough Plumbing 5'16.6"` 61_0ct1 17- 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 / i L-CJOJC. dk5 A-1LA' Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- f p�� L rr�or C6M�L�Grr u��� 3 u .71 ex,/ go Building I sp ctor 6/86 and-vl awn of Q .iur/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Pitt-cc-I PS LOCATION Date ZM/ Permit No. X(,_ i ' * * * * * * * * * * * * * * * * * * * * * * * = 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 0101- C6,44 Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL )(Final Building Survey 0/51()&:r kW' )00 A/67.-- /-7)1V- UP Next scheduled inspection (car when ready) Remarks-MrS A- (0V- / f�pC7LL SA L 120c WA-e(Sta ILWA/Cc 12/8--L( r i— #A,VD re Al L.S- Pwa7/ S POo/ / AriAll ( A•M T / Ll/ O gam Buildin `Inspect r 6/86 and-vl C, q,t -'4 9/rcc7 77�) G 3: 30 Pm Jor,;n 'of• Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 0311/UPS SEPTIC DISPOSAL SYSTER INSPECTION is NAME AWAWA LOCATION 0 j 5 Acid hi DATE ,//k/ PERMIT NO. 36 - 1-7'7/ SOIL TYPE - Sand - Loam = Clay - Percolation est Required? YES - Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total len h- Length of each tren Depth of tre s Size of avel_ SEEPAGE PITS{Number of) • o . Size- CI ft. X 5 ft. Gravel size - _lb:3 Lf PIPING: Sizeal Type Bldg. to tank k eel 1 0 Tank to dist. box y' ifrL__ - Dist.--box to -field/•it - 1./ '` t9P-L_ - Openings sealed? 110 NO Partial LOCATION/SEPARATIONS: Foundation to tank /0 f t.-E- Foundation to absorption 20ft.-j-- Absorption to lot line 10 ft.t-- Separation of pits 2.0 ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front -I Left side - Right side - COMMENTS: C611-I Ain 1 C oak-a c.Tb Ot5•t- oo 1C SYSTEM USE APPROVED YE� NO Building Inspe or 01/86 and vl • Jown of Queeniturcy • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTPI4LLLS OR' S REPORT NAME LOCATION j( 600,41, Date 7 ry Permit No. 15.4 1 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Foot' ier Forms Fundation e`r.roofin ✓ • Fr Roofing Siding Masonry Veneer Rough Plumbing • Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings pf. Cellar Drain Tile t I Concrete Floors °. Plbg. Fixtures - �` \ Gar. Fireproofing Door Closers Smoke Detectors Chimney a • INSULATION: Foundation Floors Walls Ceiling • FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - C O /;:)11/149/1'17011) ta Bui ding Inspector 6/86 and-vl • Jown of Queeniturcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LLl PS LOCATION SIG 1OOJ �(- Date )/�/_ Permit No. BG — Liu* * lllJJJ* * * * * * * * * ✓ = APPROVED - YES'! NO (footingier Forms e/ a 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 V7 Door Closers / Smoke Detectors �,,/ Chimney /�, INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - /(o VO LL1-1 l�!L 5L A-S3 3- fr.G-,e I-oo+100-S 24:/ Building Ins ector 6/86 and-vl _awn o/ Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Pl'Alc,Lt Ps LOCATION 13 ao 0OCLIl R0, Date ?/26 / gt Permit No. gG -4'\ * * * * * *. * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough P1 bing Relief Val es Ext. Porches Finished Floor Interior Trim Stairs. & Railings \ Cellar Drain Tile N., / 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- - 'D 0 K QUic Mim- Atoll 2-7,1 " szii r ' Building Inspector 6/86 and-vl 7own o � ueer i tfr • y�;(g` QUEENSBURY TOWN OFFICE BUILDING Y2s' BAY AT HAVILAND ROAD QUEENSBURY, NEW YORK, 12801 TELEPHONE: (518) 792-5832 July 17, 1986 MEMO: Re: Margaret M. Phillips, Big Boom Road Building Permit # 86-411 This Permit is for relocating an existing building on a new foundation. It is not possible to view the construction of the building before it is placed in the new location. It will be necessary to make inspections as to structural stability following it's placement and during construction. The Building Department requests that you call for inspection on the day that the structure is placed on the new foundation. Thank you for your co-operation. If we can be of assistance, do nohesitate call. i(d"r-1* Victor M. Lefebvre Code Enforcement Officer Copy to be delivered with Building Permit SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE �v X 4 I� I � i I 1 I f i � � JI J• i j} E I i i jE I i 1 ---------------------- ---_. _---------_-__..--__-.- =------_� ___ c/N