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1986-468 r • • CERTIFICATE OF OCCUPANCY - TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 3 19 86 R°1 . This is to certify that work equested to be done as shown by Permit No. 86-468 has been completed This structure may be occupied as a One-Family Dwelling Lot 70 Willow Road (St. No. 40) The Pines of Queensbury Location Owner James W. Teagle By Order Town Board TOWN OF QUEENSBURY /. • -,4); -"- & Zoning Inspector BUILDING PERMIT TOWN. OF QUEENSBURY No. 86-468 WARREN COUNTY, NEW YORK 110\ (7 Al) —1\ PERMISSION is hereby granted t James W. Teagle OWNER of property located at Lot 70 Willow Road (St. No. 40) Street, Road or Ave. The Pines of Queensbury 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 fD En approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 19 Crownwood Lane H Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Martin C. Mosher 0 . 3. CONTRACTOR or BUILDER'S Address rt 26 Sugar Pine Road Glens Falls, New York r• 4. ARCHITECT'S Name 0 0 a 5. ARCHITECT'S Address rt c, 6. TYPE of Construction—(Please indicate by X) • (X)Wood Frame ( ) Masonry ( 1 Steel ( ) o 7. PLANS and Specifications No. 56'x60' per plot plan, specifications and application submitted o including sewage system and two-car attached garage. xj 8. Proposed Use 0 One-Family Dwelling F t7 $5.00 C/0 Paid 178.00 March 1 87 $ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 04 town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 7th Day of August 19 86 SIGNED BY O ,(9� for the Town of Queensbury Building and Zoning Inspector 6&1 • TO BE COMPLETED BY BLDG. DEPT. cc�� // Application No. !�3 Jocun ol Queenib.ur� Permit Issued 19 TOWN • OF QLJEENS8URY BUILDING and ZONING DEPARTMENT Permit Expires 19RIn) Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation L l� L� ,I) Queensbury, New York 12801 Variance No. } -7 Q Site P1 eview No. JUL 1 41986 • 96 v . 44 - .Appro, by;: A.M.; 41 8.3! F /I PA. APPLICATION FOR e a 708g��� �� ) z1 �3� � 0� .- e er e e a e a s cweyyc. BUILDING AND ZONING PERMIT * * * * * *.•* * * ** * * * * * * .* * * it. * * *• # # * if. * * * it- * * * * * * * . A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER-ALL. OF THE FOLLOWING. The undersigned-shereby 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: 20_41a�.d/ Jr /-e-al q�,: . P.O. Address / f GL.[/IY›J.�. - -,(.- X0,, .,�-- d Gc, Tel. Property Location: - 7,9 ,0VLti(„66_-r,r,_- ,f 7. i%/4 Tax Map No. / / : ' Street number or building lot number • Subdivision. name (if applicable) %)t., per,,,,,, (f. Lc�c��„ ,;,A 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 „". Address Tel. • NATURE OF PROPOSED WORK: * ZONING INFORMATION: Construction of a new building * V 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 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 - /H O ft X / 7 7 ft. ' * Existing building(s) 'Size ft X ft. * . . . . . . . . . . . . . . . . . . . PROPOSED BUILDING AND USE S 6-:) * Existing.building(s) Use Size of new structure 3j7 ft Xe D ft * Foundation-pier/slab/crawl/par'tial ull * Proposed building, distance from property line (circle one) *• Front yard 271.5 ft Rear yard 2'4. ft No. of stories - (habitable space). '- Height (grade to ridge) a ft. * Side yards `/D ft and 4--/ ft If residential, no. of families / * If on corner, setback from side street . ft . No. of rooms(excluding baths) 67 * OCCUPANCY INFORMATION • No. of bedrooms • 3. * No. of bathrooms * PRIMARY BUILDING - Primary heating system Ati * I/ One family -dwelling i', AL * Two family dwelling Type of fuel `�/Z, ih�t/ �y * Multiple dwelling / Number of units No. of fireplaces to be installed / .. Will a -wood stove be installed? 21, * )/Permanent occupancy Central Air conditioning? ?��� * Transient occupancy d * 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 * Ca e 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/ c2- car * * * * * * * * * * * * * * * * * *` ' Private storage building ESTIMATED MARKET VALUE OF * ' Other ` CONSTRUCTION * $. // 0, (7--0-_- . <c_o1 . 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. '-a-A-�L- .✓ -i v4tc� Will any. .second-hand or ungraded lumber be used? If so, for what? 7' -c- Foundation wall material /D " 4- (AL--r,L, Thickness Depth of foundation below p grade (to bottom of footing) 4 p Will there be a cellar? 'la/Heated or unheated?a„,a,,vau Floor sq. footage /a,Z p sq ft Will there be a basement. Will any portion be used as living space? `f_ (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped flat/shed/other Material of roof GiA4A ea ,. S 11,A, �1,(, Size, wood studs a "X JI " spacing /6 "o.c. length a' ft. - Joists(floor beams) 1st. floor "X /D " spacing /6 "o.c. span /?' ft. Joists (floor beams) 2nd. floor oZ "X /p " spacing /4 "o.c. span)-jy ft. Overlays(ceiling beams) "X " spacing /6 "o.c. span id.. ft. Roof rafters "X " spacing / 6 o.c. span / 2 ft. Roof trusses (pre-engineered) spacing a L-( "o.c. span a f ft. Exterior wall finish g.il C/ mi,.t_. / d- Of what material? Phti.c) Interior wall finish '/a „ 5 J1-/eYi a/J �` ux ;G Li-c 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? hA If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? / Height above roof - ft. Depth of chimney foundation below grade t5- ft. Depth of fireplace hearth ft./6 in. Water supply - Municipal or private well )-i\ i,?„, r,<.(o 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 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 H-1/1-4-- -, • 4--a G1c.,c.- Owner, owner's agent,arcnitect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By Jown of Queeniburf/ . BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • SEPTIC DISPOSAL PERMIT APPLICATION Owner 's Name 9 ./t, ,.2c� �� �(-c,R, q.-f r- Tel. �- v Address / 9 - ).u,c,emu—:„C_ X q„ . /....( A.1- Person/Firm installing system. CA/ al&Z„,_:, C ` /14i0,—,7_4_4_,c_. Number of bedrooms (residential only) Total daily flow: (compute @ 150 aal.per bedroom per day)_ i/s-0 Topography: flat rolling - steep - (circle one) Degree of slope % Nature of soils: sand,Lloam-clay- other- Depth ft. Ground water-- at what depth? ft. Bedrock or impervious material--at what depth? ft. - Percolation Test .- Not required / Required -Rate min/inch. Domestic Water Supply - Municipal - Well Other WA... �n��r, �/a�, / 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, pondoa' wetlands. Include. al.l dimensions of the system itself. Description of proposed system: Septic tank size tI t--v-o gal. . Tile field- Length of each. trench'; a ft. Total fielage ft. Size of stone # a Seepage Pit(s) Number ' / Size ftX_ ' ft. Size of stone# Any contractor, corporation, individual,Etc. , engaged in the . construction of a .S,anitary 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. �1/1 (2)2.- --1-..; C- ' L-A'VQ-v�.�.t„ • 7/L/ / ,P6 Signature of Applicant Date 01/86 and/vl . Septic System Inspections: = • A. All applicationd for septid 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 $250.00.C. An approved copy of the plot plan shall he . available.on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction . • 'lUnu va `(UL.t t. WARREN COUNTY , NEW YORK Application torsi BUILDING PERMIT IN COMPLIANCE WITH THE NEW. YORK . STATE ' ENERGY .COM$ERVATION CODE • A permit must be43bt1ined before beginning work . . ANSWER ALL of , the followings 1 ..:. Gross floo.. .. .. r area ��_ ' y,pe . of heat .. - �_���__•�1—v i''T �V p • 3. .. Ia the buil:ding mechanically cooled? , - 'i 4 . Percentage:'of area of windows and doors `Tit • A: . Over 16.t' Only 1... U. 'value of cornea area of walls , roof/ceiling and floors exposed to ambient conditions t 2. . Flo.or .over heated spaces . YES NO a-.*:. Are foundation walls insulated? YES NO -1 ' if YES, what is the R, velue? 3 . Slab on grade YES NO • a. '..' If YES, what it the R value of. insulation around :: perimeter of floor? 4. Is basement heated? YES .,NO a . : R value of insula,�ion, -: . 5. 'Type of insulation S. Under 1'6% ':Only 1 . R:value of roof and floors exp`fed to .ambient conditions_ • 2 . ' R value of exterior. wills C— • 3 . R .vz lue -of glazed area = 2: o • 4 . : R value of door, - 0,3 . 1 • • ---- - - - 5. - -R—v-i-lu: of- floor-0 over^heated apace* -- -- -- - — - . ' ' 6. R value of slab - edge insulation - unheated slab 11 P • 7 . R value of slab insulation - heated slab b n 8. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below grade)' ' 10. Typu of .'insulationC0-0/4-trL\---, _ C. Controls. • ,' • Co o . 1 . Thermostat. maximum heat n:i'tt1?j Q • U. Duct ,::Systems - l-.','-`Is duct systbm installed in unF�eat3d spacem? YFS .� ;:.R,, � ',, 'a. I1.;•YES i •R value •of� duct instillation , - �;.b. •R value of duct . in other areas • E. • ' P.iping Insulation .s. 1 . S.ize d.f hot water o v r cooling carrying agent pipe 2. R value of pipe insulation F. Service Water Heating 1 . Performance efficiency Sclz, 2. Temperature control setting maximum _ yU� • G. For Swimming Pool Onlyii•' , '«, ' 1 . Maximum heating •.r • . ••"? • • ,4.4 e p ho n fa.. No. 7 9.2 /� 5 v •1 �. • /�� 7��,i v 2n—ri�f,-c� 1. (vplicant ' s signature) CCiil l4 /3v/Y� awn.own of Queeni1ar, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME `� G ..,^ Q-5 -rea lc. LOCATION L O r 7C' 4f) ; / Date (6A / d .0 Permit No. S G -'god * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing L Roofing X Siding Masonry Veneer Rough Plumbing (f-Relief Valves )(Ext. Porches ..Finished Floors i�/ )ZInterior Trim ✓ )(_Stairs & Railings Cellar Drain Tile Concrete Floors ')LPlbg. Fixtures (LGar. Fireproofing Door Closers trz V_Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPEC I DRIVEWAY APPROVAL Final Building Survey Next scheduled inspec ion (call when ready) Remarks- t U/S a< -46 /J 0, 0 Building Inspector 6/86 and-vl _low of Queenibury -* BUILDING and ZONING DEPARTMENT ,4 Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 ' SEPTIC DISPOSAL SYSTEM INSPECTION NAME WA-- 1'Q U cJ1.e— LOCATION DATE `, l 2 PERMIT NO. 2 6,- Wp 2 SOIL TYPE a - Loam - Clay - Percolation est Required? YES - Percolation rate - Min/Inch _ 0-4-- TYPE of SYSTEM: Absorption field, total length C1T) Length of each trench L p ,5 D ? s v Depth of trenches p Size of gravel ''2_ SEEPAGE PITS{Number of) Size- ft. X - C. - Gravel size PIPING: \Si Type Bldg. to tank ] Tank to dist. box Dist. box to field/ Openings sealed? Y S NO Partial LOCATION/SEPARATI S: Foundation to tank .Q ft. Foundation to absorption ,:oft.- Absorption to lot line ft.f Separation of pits —ft. LOCATION S,- •YSTEM ON PROPERTY(circle one) Front - Left side - Right side - COMMENT . SYSTEM USE APPROVED . NO 6(1)16 Building Inspector 01/86 and vl • Jouin of Queenibur y • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME AwQ cr„, le k LOCATION LO,--• 7� iz 7&2 Date 9/`� 86 Permit No. g ( - L (q I * * * * * * * * * * * * * * * * * * * * * * * t� = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Ba kfill aming ) Roofing Siding • Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors \. Interior Trim \\ / • Stairs & Railings X 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- - 14 (YLjAr—a • 2 'i�,� . 66r)11(3)/t.e;e4 Building Inspector 6/86 and-vl Jown of Queeniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME AS a g LOCATION to -c- o A/(c-L() AP V� Date-/ ¶ Permit No. ? A 01e6 to' = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill �f Framing Roofing Siding Masonry Veneer Rough Plumbing t Relief Valves ,/ Ext. Porches , d' Finished Floors Interior Trim r�! 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- - n / uilding Inspecto 6/86 and-vl C 12&-c`►� '2:i/--. ► c�7] Jown of Queensbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME //:-- - G L. ;�. -/A0 fi: .1'l LOCATION Date )V2-9 / Permit No. SI G Cl/ GS * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / N Footin Pier Forms (jwA (B L 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 N Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey • Next scheduled Inspection(call when ready) Remarks- - AI -po (.(6 piher c 4 1...& 0 Ve7t- LO c_Gz 6,05, w/K i---5 Building Inspector 6/86 and-vl /I 4NT V/103 0 72 CacA7 Jown o/ Queeni‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1.Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date 7/? /_ Permit No. ,�tpoleGe * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES NO Footin•/Pier Forms Foundation Waterproofing RA ZTIA —OK f/ naming 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- - Awl_ 5 A-c' 1DCf i(kr& GU/z t. ak 5 Cfi19' v -k.L&7 s X /t -KO 'v ��v�0 aA!' Building Inspec r 6/86 and-vl TOWN OF QUEENSBURY Building Department Inspectors Report Date "y/,j/8P Name Location i-,-�" 9-0 (..&),...e e,-'-c) pee Permit No. 2(s - ti 6 Weather Remarks Excavation Footing Forms A../...-49,1f Footing & Piers Q, Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Fel t Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation FoUndation. , Walls Ceiling WV Building Inspector REMARKS • MARTIN C. MOSHER '16 GREENW Y, NORM GLENS FALLS NY 7280? • ------------- • • • \ , , INS. 4 f } • y - . ,* 7 D / -7� 4e .