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1986-497 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN. COUNTY, NEW YORK Date October 17 19 86 `LL �GJ - This is to certify that work requested to be done as shown by Permit No. 86m497 has been completed. This structure may be occupied as a One—Family Dwelling Location Lot 25 Candleberry Drive (St. No. 12) Owner Paulin Construction Co. , Inca By Order Town Board TOWN OF QUEENSBURY` Build Jng & Zoning Inspector 4 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-497 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Paulin Construction Co. , Inc. OWNER of property located at Lot 25 Candleberry Drive (St. No. 12) 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. N• 1. OWNER'S Address is 22 Sugar Pine Road Glens Falls, New York rt 2. CONTRACTOR or BUILDER'S Name rt same ~' 0 3. CONTRACTOR or BUILDER'S Address same 4. ARCHITECT'S Name rt 0 • rt 5. ARCHITECT'S Address Z~J ° In W a. 1 F- 6. TYPE of Construction-(Please indicate by X) (c � (X)Wood Frame ( ) Masonry ( 1 Steel ( ) 1:13i ro �t ti 7. PLANS and Specifications Q' I-i ri I-I. 64'x26' per plot plan, specifications and application submitted o No. including two-car attached garage and sewage system. - cn 8. Proposed Use One-Family Dwelling o cr' • Y. fp C I H• hJ m W Imo• 0 $5.00 C/O Paid °p H $ 87.00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 1 19 87 (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.) N F-' Dated at the Town of Queensbury this 18th Day of August 1986 GQ SIGNED BY /c R)k for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. %t // Application No. Awn of Queenibura Permit Issued 19 „'C'WN OF + C!EE ISBLJFtY BUILDING and ZONING DEPARTMENT Permit Expires 19 - I j1�� Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ,_ E E V L [ijQueensbury, New York 12801 Variance.No. � �. r Site P1 Revie No. AUG 1 � �; � Approy d b : pr,F , /ai . P.M. APPLICATION FOR I s, sal . D - i g i a a ��a e r e i a u c e o o BUILDING AND ZONING PERMIT 1 0.4 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 Z,property is: R � � 'v� / / P.O. Address c_ i. u ....(],1`, Q -uy RD Tel. r7C1'j - C.0632_ Property Location: Or" LO 1 ZS Tax Map No. /'f4/ / A./ a5 Street number or bu ding lot number. S• 4 p, Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: (�p� /S S .osL ,9 ) n_"1 Q -Co bJ `�-7 , Name P.O.P.O. Address s 1, No. k Name of builder Address Tel. Name of plumber S-} Address Tel. Name of mason g -c Pj o-t Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: JConstruction 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 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 1 5 0 ft X Z Ob ft. * Existing building(s) Size 147 ft X Z. ft. * PROPOSED BUILDING AND USE: (a y 0/C lI * Existing building(s) Use Size of new structure `1 Z ft XZ(:, ft * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * * Front yard ' L"0 ft Rear yard I3Zft No. of stories (habitable space) I Height (grade to ridge) tb — IS ft. * Side yards t_1 ft and u ft If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) 5' * • OCCUPANCY INFORMATION No. of bedrooms * * PRIMARY BUILDING - No, of bathrooms ` f Primary heating system L. �-Q-C � * One family dwelling Type of fuel * Two family dwelling No. of fireplaces to be installed Q * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy Central Air conditioning? * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial 12111310 Contemporary Log cabin * Other ' Raise. ranch Mansion Duplex *• I-f 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 ) * V Attached garage/one car/ two car/ 2 . 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. Will any second-hand or ungraded lumber be used? If so, for what? Ni Cyf'Q J Foundation wall material � yj c . t Thickness I ° Depth of foundation below grade (to bottom of footing) SI"- 9 Will there be a cellar?' S Heated or unhe,� ate Floor sq. footage1Z. sq ft Will there be a basement? . Will any portion, be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof slope./flat/shed/other Material of roof ill Size, wood studs "X kj " spacing Z�-( "o.c. length ft. Joists(floor beams) 1st. floor Z "X 14) " spacing Arb "o.c. spanIZ+I(pft. --C 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 ft. Roof trusses(pre-engineexed)p spacing Z� "o.c. span -Z,(0 ft. Exterior wall finish v i N3.f j r� Of what material? Interior wall finish S K q) If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwellings If so will a Fire-rated door, enclosure, and self-closing device be provided? ''eS Will a flue-lined chimney be installed? Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. 4 . Water supply - Municipal or private well SEPTIC SYSTEM Distance from ANY private well(including ad oining properties lrAglOrft. (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. p(� SWORN TO BEFORE ME THIS Signature ---irlr \ Owner, owner's agent arcnitect,contractor 3 day of 19$ 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 \O�Z L 2 . Type of heat 1 '��e , 9�R-CRa �r�. 3 . Is the building mechanically cooled? N v 4 . Percentage of area of windows and doors • . A. Over 16% Only 1. Uo value of • oss area of walls roof/ceiling and floors exposed to ambient conditions 2 . Floor over heated paces YES NO a. Are foundation ' ails ' sulated? YES NO 1. - If YES , what is e R value? . _3s. Slab on grade YES NO . a. If YES, what is the ^ value of insulation around perimeter' of • oor? 4. Is basement he. ted? YES NO a. R value o • insulation 5. Type of in-ulation • • B. Under 16% O, ly 1. R value of roof and floors exposed to ambient conditions_ ' . . 2 . R value of exterior walls ka'' I A,Q K l J 3 . R value of glazed area —2_ ' 6� J 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 c` C. Controls G • 1. Thermostat maximum heat setting J 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 `�.-� o� 1. Performance efficiency / 5 la • 2. Temperature control setting maximum 1 Y e G. For Swimming Pool Only 1. Maximum heating . - • Telephone No. 11gi . — (oo. 3z -9 (applicant ' s signature) . . . C awn Of Qaeenitury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 DATE / 2 LOCATION OF PROPERTY FOR 'INSTALLATION • OWNER'S NAME i-D.. ur.\ �rnl$�- CSC ADDRESS lcig --(o6�� INSTALLER' S NAME ( � • 1f TEL Number of bedrooms (residential only) Total daily flow(compute @ 150 gal per bedroom) b Topography - Rolling - Steep slope - (circle one) % of slope Soil nature: Sand - 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 - -Rate min-inch. Domestic water supply - Municipa - Well - Other Separation - Watersupply(if well) from Septic absorption' ft. Proposed System: Septic tank i YZX gal. ( Minimun size, 1000 gal. ) Tile Field Each trench 5 b ft. Total system legnth ZOO ft. Seepage pit(s) Number of . Size each ft X ft Size of stone to be used # Z Depth or thickness l 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.rInclude 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. ! i Signature of responsible person 05/86 and/vl • • Section II Septic System Inspections:• - A. All applicationg 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 drywalls 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 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 Build-m a ' Department before further construction . • • • • • • • • !„ Y w. THE -NEW YORK BOARD. OF FIRE ' UNDERWRITERS -i4rj I. �'nJ���s� BUREAU OF ELECTRICITY 1; I 41 STATE STREET.ALBANY.NEW YORK 12207 fi W. Date s aApplication No.on file (f✓ �j V A �c •� August 12 1987 A ! 13 tt, THIS CERTIFIES THAT o only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of i:' I Paulin Const. , Co. Candleberry Drive, Glens Falls, NY, Lot „"'• 20 = �: in the following location; El Basement ❑X 1st Fl. ❑ 2nd Fl. attic outside Section Block Lot was examined on • 7/29/87 and found to be in compliance with the requirements of this Board. -- :; FIXTURE ECEPTACLES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ji, OUTLETS MERCURY ��, INCANDESCENT.FLUORESCENT yARoR AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ,......: �1' 1' 28 48 26 24 2 ). S_ !C < DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS FiSYSTEMS r : AMT. K.W. OIL H.P. GAS H.P. MAT. NO. A.W.G. AMT. AMP. MAT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS it 1, I ranE-e :.'Si U 13 �'A. dryel iifio ii, -~ I; SERVICE DISCONNECT NO.OF _ S E R V I - C E F. AMT. AMP. TYPE EQUIP 1,B'2W 1 Jif 3W 3%3W 3 p 4W NO.OFF C CiCOND. OF CC.COND.. NO.OF HI-LEG OF HI-.LEG NO.OF NEUTRALS EUGRAL 1 200 cb 1 x 4/0 2/0 0 ,-;t; OTHER APPARATUS: ' ti '. J. IA' 2-g f ci i' 1-smoke detector - o - �i o • .F2.; ii'' 77!5?•••b-.-4-. .--a-4(-....---7 : ERA Electric Co. ao-7 7 Birch Lane BRANCH MANAGER i4; Glens Fa1ls5NY 12801 . . -< :. Per . ix: This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. ii-4- ie-4;—.4i-AY%Af YAY i.-rie iA-C1AY 4i—.-ie,ie'iw-i%iiiiiYYiY7eY%ifYe-iii-ie-iAiYA?YAiYiY ias-i. M COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Ca // d cc/ o �/%� 1 , y5 per awn of Queeniturey BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 /0 .inspeaTiM BUILDING INSPECTOR ' S REPORT NAME CZu,(i1�1 C,on .s ' LOCATION Lir 4/, Date /d1/5// �� Permit No. /l�o _y y7 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill -, Framing '("Roofing 0 1(Vsiding Masonry Veneer Rough Plumbing 1/:li ief Valves +� Ext. Porches ished Floors ®.&` "Interior Trim lirs & Railings _ 0, iar Drain Tile Concrete Floors a iC P g. Fixtures Vt. Gar. Fireproofing flog- efgrOPLO712.. (pcor Closers > /. & JJ P8&7.1: 4y moke Detectors Q �Chmney LYNSULATION: Foundation Floors a n Walls f �r� - 11. s A2 Ceiling FINAL ELECTRICAL INSPECTIO DRIVEWAY APPROVAL Final Building Survey �\ Next scheduled inspection (ca]\1 when ready) Remarks- 4/eel • 1/Y/4(2Ds Building Inspector 6/86 and-vl co,if ,4 9/a c7O 1; 36 4-0-) // _login o Queensburcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 ' Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME Pa,o i E; c.63.11.5 7—' LOCATION L ur P i l_a u f e f,e )-k y a--- DATE Y jy/ (d PERMIT NO. (' — 9% 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 !Tr' Depth of trenches g Size of gravel _, SEEPAGE PITS*Number of) Size- ft. X _ ft. Gravel size PIPING: Size Type Bldg. to tank 4t<< ell6 Tank to dist. box _ Dist. box to field Openings sealed? NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption Oft., Absorption to lot line a D ft. rt Separation of pits r` ft. LOCATIO� ' YSTEM ON PROPERTY(circle one) Front Lef side - Right side - COMMEN \\ SYSTEM USE APPROVED YES NO 6/14-3AIR Building Inspector 01/86 and vl Cad-pc/ e. / : `f S ' 1 Jown of Queeniurcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME Petal ,1 CO 5-- LOCATION t Qs- COncileieyry• Date 41 / �(® Permit No. 163_6f 97 * * * * * * * * * * * * * * * * * * * * * * * 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 N,1 ) Cellar Drain Tile Concrete Floors s" Plbg. Fixtures *' Gar. Fireproofing " , Door Closers Smoke Detectors Chimney r' INSULATION: pit''Foundation f� ter f4- IN t P Floors Walls • Ceiling FINAL ELECTRICAL INSPECTION Final Building Sur • l�'� ,11, vey 'ATT .M - _cr.A-s Next scheduled Inspection(call when ready) Remarks- - ,' fl 0 ,fir✓o eeilc�s /1-r iir Poo tF' I.,US3 S-k/5 • i&A t, rr L • • Building Inspector 6/86 and-vl P /af/1 a : 3 d' fin Jown o� Queenibury BUILDING and ZONING DEPARTMENT Bay and Havilarid Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME rat 1I h LOCATION L 0 T / e y Cr�vFd�e Date V.2..9 /aG Permit No. et - * * * * * * * * * * * * * * * * * * * * * * * // = APPROVED - YES / NO Footing/Pier Forms )(Foundation Ot( 'Waterproofing Qj". �Backfill 0 r 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 / l Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - c r Buil ing Spector 6/86 and-vl Jown o/ Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME fete di h GLP31..7 can d l 2 b gDi- LOCATION 4,T „,13- Date � / ��G Permit No. g to _ y 7 ✓ = 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 j.. INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Pt-CAC,.P4�.-� /1/ Pzo- Next scheduled Inspection(call when ready) marks- - Mow 4 "- Buildi g Inspector 6/86 and-vl M �//4G4je4 47 `x' W �l.Inl.E.bERRy DRIVE -- 1 er ►.n � T- � (o - `f � 7 7Q �l i h C sT • Co. Lo-r as C-c i d le k a "y 0 14ea7"h et bryftk c SIA�. t fqzproS F— F-cir ftt.-,w I STOCKDRAFTWO FORM M 10143