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1987-016 CERTIFICATE OF C CIJPANCY TOWN OF +QUEENSBURY ' WARREN COUNTY, NEW YORK� Qate t9 71da is to certify that work tcgaested to be done as shown by Permit No. h" been c+omple ed. This structure may be occupied m a iA31llLW M ^n js Ckruer By order TomAm Board TOWN OF QUEENSOURY Building & Zoning Inspector tIK/ TWR '4RfT�-' hR,RT,n4. 4iLCNf /w4,.S. R T 2f0 XSYf >f Tf 4S6 BUILDING PERMIT TOWN OF QUEENSBURY No 87-16 WARREN COUNTY, NEW YORK ty ro PERMISSION is hereby granted to Dennis and Mary Albrecht r OWNER of property located at Lot 61 Willow Road ( St . No . 22 ) Street, Road or Ave. p, f?. 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 rs approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. M cr 1 . OWNER'SAddressis 9 Little St . Hudson Falls , New York n 2. CONTRACTOR or BUI LDER'S Name Jahn Heath 0 H o rp 3. CONTRACTOR or BUILDERS Address ro RD #1 b � Whitehall , New York M w ao � r✓ 4. ARCHITECT'S Name o� O .Cs 7cl C O ro fi. 5, ARCHITECT'S Address m or cry M4 act 0 6. TYPE of Construction — (Please indicate by X) = r.r rya { kWood Frame ( I Masonry { ) Steel 7. PLANS and Specifications rn No 24 ' x7O ' per plot plan , specifications and application submitted including sewage system and two-car attached garage . I—� •c a. Proposed Use t77 One--Family Dwelling s✓ N. $5000 C/O n w $ 143 . 00 PERMIT FEE PAID - THIIS PERMIT EXPIRES August 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 Clueensbury before the expiration date_) Dated at the Town of Queensbury this 27th Day of , January 1987 SIGNED BY 0 ! / for the Town of Queensbury Building and Zoning Inspect TO BE COMPLETED BY BLDG * DEPT , C�r ■.�^f�, I Application Na. _lOttin ¢ tlQQn9bur� Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19ErE11N Bay and Hawiland Road, R.D. 1 Box 98 Zoning Designation ark� �a Queensbury. New York 12801 Variance No. r ar"+ p q t Site Pl iew No -- � F CIO" �I�Yf � 6 Y D �•90 Us I Approv APPLICATION FOR (C 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 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 : G r P . O, Address I%rG 1� ,G 57 J GC Tel . 7 / `� Property Location : ��2'e9F G 7 -pie Tax Map No . Street number or building lot number `Jf ,� s /7� Gas'�'.Fz. Subdivision name (if applicable) /,�'/ P �/.+�'�'. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS EIUTLDING CODES IS : Name P . O. Address / Tel . No . Name of builder f [36 . / 11iIrI06Addresses / � a.42 �� ��✓`' Tel . c Address i f Tel A 3 -Z _ 3 Name of plumber ri ��.:�'r ??w --y L Name of mason ,/r,� u' `i.!-,� r. z...�--.., _ Address ,�i�.� ,r ,r7/.--'.G �` r .ti*-�.-� G ,� .: Tel . /:�y2 -_ /�/ ram- �. NATURE OF PROPOSED WORK : x ZONING INFORMATION : �Constructi.on 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^rack 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 of water supply and location and configuration LOCATION OF STRUCTURES AFFECTEDw of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW , Size of property C ft X k 7 40 ft . Existing buildings) Size ft X ft , PROPOSED BUILDING AND USE : '" Existing building ( s ) Use Size of new structured �_Z €t X ft Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line (circle one ) * ' No . of stories (habitable space ) �_ * Front yard 0 ft Rear yard Ir {� ft Height ( grade to ridge ) _ c� ft , Side yards i ' ft and ft s If residential , no . of families If on corner , setback from side street ft No , of rooms ( excluding baths ) * OCCUPANCY INFORMATION No. of bedrooms No . of bathrooms � � PRIMARY' BUILDING - No . family dwelling Primary heating system A-1oi .1i + Ids ; �+o 1 Type of fuel (� ,, _ r * Two family dwelling Multiple dwelling / Number of units No . of fireplaces to be installed j permanent occupancy Will a wood stove be installed? � Transient occupancy Central Air conditioning? Ma. Business BUILDING STYLE, PRIMARY STRUC7TFURE * Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex If addition , what will use be? Split level Old style Bungalow C Cod Cottage Other ACCESSORY BUILDING-- Coloriial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE: ttached garage/one car/ 41wo car scar * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF 'Other CONSTRUCTION $ - - j� - e"� - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATTON CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Will any second-hand or ungraded lumber be used? if so , for what? Foundation wall material -t- 2�r� {''�G' s i' r'� F�"" Thickness Depth of foundation below grade (to bottom of footing ) e _ Will there be a cellar? Heated or unheated? V., tlA4j loon sq. footage sq ft _ Will there be a basemen��` - Will any portion be used as living space? y� ( If so , what portion? sq. ft . - Type of use? Type of roof - sloped/flat/shed/other ter ./ Material of roof F f �- Size , wood studs _. "X� spacing f & "o . c . length ft . Jotsts ( floor beams) 1st . floor 7 "x jL:7 " spacing c . span ft . Joists ( floor beams ) 2nd . floor "x .4Z " spacings 6 "o . c . span ft . Overlays (ceiling beams ) "x " spacing "o . cl span ft. Roof rafters "X " spacing O . C . span ft. Roof trusses (pre-engineered) sp acing , KZ/,• " o . c . spank Exterior wall finish Of what material? - Interior wall finish If a garage is to be attachef3 , describe materials to be used for FIRE SEPARATION : Is there to be ann6pening between garage and dwelling? - If so will a Fire-rated door , enclosure , and self-closing device be provided? �' c Will a flue-lined chimney be installed*> ti, t5� s Height above roof � Depth of chimney foundation below grade f "eft . Depth of .fireplace hearth__Z� ft . 0 in . Water supply -�lunicipa or private wellL- SEPTIC SYSTEM _ Di nce from ANY private well ( inciudin adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren A F F I D A V I T 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 - JJ ' ____________ ot 'I day of C)wnerner ' s agent , architect , contractor — 19� ' Notary Public , Warren County, N . Y _ * * * � �t * * * yt sr alr it !r * * * •rr it Ye k ye * * * * * %r * a * ,k * !r � 9r Yr ie * !Ir * * * ,k 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 : 10 Gross f loor area f �- 2 . Type of heat 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 B . Under 16 % Only 1 . R value of roof and floors eo��sed to ambient conditions Z 2 . R value of exterior walls fK2 Z 2- 3 . R value of glazed area (Z L' - {o - _— 4 . R value of doors ! __ 5 . R value of floors over unheated spaces G� 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 ). 100 Type of insulation tC f r � � {' E• C . Controls 1 . Thermostat maximum heat setting D . Duct Systems I . 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 ..^!f7 G . For Swimming Pool only 1 . Maximum heating 4/ / Telephone No . l L 2 -` , 'i ( applicant ' s signature ) tuam &urft of Qejoftd6WV APPLICA"ON FOR SEPTIC DISPOSAL PERMIT DATE :` Cam-- 3 f CJ LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: �,hlr/ JS � 31- c`.li T� fir^-Telephones. 4, Address: !� .� /7 1.� I/Sda/'IG' / }4 l �`� Al Installer's Name: PA * dhdde .y/f)Z4ffZ '' Telephone: i g ] Q 7� Number of bedrooms (residential only) Total daily flaw (compute (9? 150 gal per bedroom} 4> Topography_ circle on Flat Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: feet Ground Water. At what depth? feet Bedrock. or Impervious Material. At what depth? feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption ` feet PROPOSED SYSTEM: Septic Tank lAopd2G? gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench 50 feet / Total system length Caro feet S ee Size of stone to be used # '.. / Depth or T c ss Z� -- feet IMPORTANT ...Please.._IAST NEW EQUIPMENT TO BE INSTALLED (over) 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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction& l have read the regulations above and agree to abide by these and all requirements of the Town of Q■ueerisbur^y Sanitary Sewag-ey Disposal Ckilinance. Signature of responsible person: Y►t C tiCns�� ` Date: l �`) I 2 Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD- PLACE To LIVE Jown o� �ueens�ure�r BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R, D. 1 Box 98 Queensbury, New York 12801 5UILDING INSPECTOR ' S REPORT NAME LOCAT I ON Date Permit No ✓ =F' -aoting/Pier Forms APPROVED YES NO Foundation Waterproofing Backfiil Framing Roofing Siding Masonry veneer Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL,. inal Building Survey Next scheduled inspection {call when ready Remarks- s00. Build! I spector 6/86 and-vl a 4001121 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY if 41 .STATE STREET, ALBANY, NEW YORK 12207 liwete June 17 , 1987 `lpplicatiun .1vo. on file A THIS CERTII=IE;$ THAT 002580 -- ,A 87 687493 only the electrical e4rtiprnent as deacr3bad 6 onv and lntrnadttced 6y the applicant ne feed on the above+ applice o,t masher An the prenRleee of Dennis Albllesecsht , Willow street*' (ueensburY , New York in the fol!©w:ng location,� , II r »sent !,t FY. Pnal Fl. Seet+on �� BloclK $ • _ tare erarrained on Lot Ei 1 ES and found to be in cotnpliance roith the rerluirements of this Board. OVTlEYS x TL FTACLET, SWITCHES RXTURES :NCANDES"Nt EN FLUORESCENT RANGES COOKING DECKS OVS DISH WASHERS EXHAUST RAM1S 28 V AMT. K. W. AMT. K W AMT. A-W- AMT. K. W. AMT- ". P, DRYER F1lRNACE MOTORS FUTURE APFUANCE pKtDERS K. W. Ord GA5 H. P_ AMT SPECIAL 1 1 . 5 3 fr AMT. REC'PT TIME CLOCKS BOLL UNIT HEATERS MULTI-OUTLET No FRS . . A. W, G, AMT. AMP. AMT. AAhr$- TRANS_ AMR. H- P. SYSTEMS rPt an a No. of FEET Al WATTS I d lye 30 0 SERVICE DISCONMSCT No. OP w s R ,�AMR. AMP. T *Quiff T ,VMETER sry T Jr aW 9 AVaW 30 4W Nv. O cc- cores. A. W- G. 1 � E � PER �r 4F CC- COND. NO. OF NI LEC: OF H-� NQ OF NEUTRALS � u A. W +µ 1 200 cb 1 x I r♦ / O OTHER APPARATUS: 2 / 0 a` 2 -Sfci 1 - smoke detector electric heater 3 2 . 5 kw 2 2 . Q kw 3 1 . 5 kw � w 11 1 - R kw 2 . 75 kw John Meath Jr . RD I Box 92 Whitehall , New York 12887 BRANCH MANAGER E This certificate must not be altered in any mvperl nnert return to the office of the Board if incarrsct. Inspectors may be identified by }►pair tnedanrtals. I i COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. � BUILDING and ZONING l7EPA14'TMrEEWT Bay and Hawifand 80ad, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC C17SPOSAL SYSTEM INSPECTION NAME c. yr -S 6t L t3 r'.G C FF T'" LOCATION (tt. ttJ PERMIT No. ¢07 Percolation Test Loam - Clay _ Percolation gn YES Np rate - Miln/Inc/Inch TYPE of SYSTEM; Absorption field , total le��h��-C?C Length of each trench ---�- . SI)epth of trenches Size of gravel] za.., SEEPAGE PITS-EMumber of) Size- ft. Gravel size PIPING :. Bldg. to tank sz±e 1'Ype Tank to diet. box - qr " qL Dist* box to field/ _ 'Openings sealed? YES e 1 No Pattie.]. L0CATTCIN/SEPARATIONS . Foundation to tank Foundation to abso - Absorption to lot rptionft , Separation of line ftc' SY .. LOCATION Fits - k ft. STEM ON PROPERTY (circ3.e one) Front - ear S - Left side - Right side COMMENT / 00 o 14-L C � r) SYSTIE24 USE APPROVE ES NO _ 'IBuildingr I �" P for 41/86 and vl ri✓ J140 fxI .�/t+run o� �tsee+rs.i6urr�t BUILDING and ZQNiNG DEPARTMENT Bay and liaviland Road, R.D. 1 Box 98 Q(Jeensbury. New York 12801 BUILDING INSPECTORKS REPORT NAME .71' LOCATION 1 k9 A� �� Date permit ✓ = APPROVED * * " Foot1ng/'Pier Forms a ED YES NO Foundation Waterproofing 13ackfi l]. Framing Roofing Siding Masonry Veneer Y Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile Concrete Floors Pl.bg. Fixtures ar . Fireproofing Door Closers Smoke Detectors Chimney INSLTL.ATION ; Foundation Floors walls Ce i.l.ing FINAL RLECTRICAL INSPECTIo1V Final Building Survey —"- Next scheduled Inspect±on { call when ready) Rsmarks- 8uilda 6/86 and-vl nsl�ector .-J/Gi[f/tl 0� ��FBI7.3 Liu I`ft BUILDING and ZONING DEPARTMENT Say and Haviland Road. R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME L OCA T IN ,1 Da Permit No , Footing/pier Forms APPROVED - YES Foundation `{ ""` ' +- NO Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar 1)rain Tile Concrete Floors Plbg. Fixtures Gar . Fireproofing Door closers Smoke Detectors Chimney IWSUI AT.T(D" Foundation Floors Walls Ceiling FINAL ELECTRICAL, INSPE ION Final Building Survey - --� Next scheduled Inspection ( call wh en ready) Remarks- / 91- �/86 and-vl Building Inspector �v+urn n� '�ueen .fhur,r� BUILDING and ZONING DEPARTMENT I3ay and Haviland Road. R. E7. I Box 98 Queensbury, New York 128ol BUILDING INSPECTOR ' S REPORT NAME LOCATION f '� Date No . Footin = APPROVED - YES g/Pier Forms NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior 'Prim Stairs & Railings Cellar Drain Tile Concrete Floors P1bg , Fixtures Gar . Fireproofing Doc3r Closers Smoke Detectors Chimney INSULATTON : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA Final Building Survey Next scheduled inspection ( cal, l when ready ) Remarks- nuilding Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS, FILE THIS COPY WITH BUILDING DEPT, WHEN REQUIRED. TE NIP. ,v DATE CITY OR VILLAGE TOWNSHIP COUNTY STREET AND NO. OR ROAD AND PDLE No. I � y ] POLE NO ne l eaec 0 WHAT TWO �r - }' CROSS STREETS IS / -}� r — / } ,r J� SECTfON J BLOCK LOT 1� PREMISES LOCATED? -IJ �J J l r^ .fr "••/ /— !^S E, /% /mil OCCUPANTS NAME BUILDING ✓ iy OWNERS NAME AND ADORE$$CURREN f _ '} f TEL. #' _*2 r SUPPLIED BY FROM THEIR f BUILDING IYL3 OFFICE ICI _.. IS NEW �"'� ❑ Is DEFECTS OLD S NEW � ADOITIONAL ❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Na e1 Flsturar & BRANCH Loaa- Lamp Repeptaclee MOTORS HEATERS CIRCUITS OFFICE USE tion ONLY C}eiliny Slde Attaah't � A W.G,NOR Recap Na Type Each Na � aaye INSPECTION Base- out- awe Sub- basic r " wOsl mant 'Fee PL 2nd Fl- 3td FI. 174 REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: 00 NOT USE THIS SPACE. This application is intended to ewer the abwe•Iisrod you are authorized to make the i ae is to i to Ira inspected but if at time l Inspection b there is }Dural add:ti*nel Inspection and equipment net ebowe listed, adjust the lee to ewwer the additional equipment, al prnyidad by the applicant. S12E OF ELECTRIC SIGN MAINS � TOTAL FEEDER$l LAMP5 WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE STARTED !NUMBER! (CAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND ENTERS X MANGER BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW OLD El AVOID DELAY BY OIWNG FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. DATE OF APPLICATION PRINT NAME AND ADDRESS NAME 'OF y SIGNATURE APPLICANT �+' �+� /ff ..t'S_OF APPLICANT vkf` STREET ADDRESS �I /:/ TELEPHONE CITY OR POST OFFICE �/'/ ^sue /" /�,+'3r1y COPE zip _ LICENSE NO. y CO '?_} WHEN APPLICABLE 46 EL (REV, 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING ARCHITECTS' STANDARD P017M