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1987-012 CERTIFICATE OF %C. CCUPAN+CY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK i' i g Sr Dace 19 This is to certify that work requeated to be done as shown by Permit No. has been MmInplet�elL _ "This smactum may be aacupied as a 'TDrY, 4-cxstav►5 chmw ST 'Order Town Board 7MWN OF QUEENSBURY Building dR Zoning Impactor CR AFVY[ "'IN1T h" ■RfXTIMIy, pltlFS FhLli. IY Y IiiO'1 ] i�iu- S• r CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK may i9 Sri Date 19 ' - gq" la, This is to certify that work requested to be done as shown by Permit No. has been campleoed. Fw i at �''�r► III& s suvwmare may be occupied as a m C weer By Order Torn Eloard IrOWN OF QUEENSBURY Building & Zoning Inspector C"M^TgVC "IMSTA" ♦a11MTIM0. 0169"s /ILLS. n V Ilan 15101701-ail* + BUILDING PERMIT TOWN OF QUEENSBURY No. WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Tom Persons OWNER of property located at Sweet Road Street, Roar! or Ave. Two-Family Dwelling O in the Town of 4ueensbu ry, To Construct or place a Ij at the above location in accordance to application together with plot plans and other information hereto filed and "a ro approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. rn a n t. OWNER'S Address is 74 Helen Drive v' Glens Falls , New York 7. CONTRACTOR or BUILDER'S Name John Heath con 3_ CONTRACTOR or BUILDERS Address RI} l m ro Whitehall , NY ^ a ru 0._ ARCHITECT'S Name �- S. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by XI (x) Wood Frame { 1 Masonry { ) Steel { 1 7. PLANS and Specifications N7 32 ' x29 ' per plot plan , specifications and application submitted o No. including sewage system . r• a. Proposed Use Two—Family Dwelling d E tq t✓ $10 . 00 2 clos �- $ -126 * 00 PERMIT FEE PAID — THIS PERMIT EXPIRES August 1 19 $ 7 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Ousensbury before the expiration date.) Dated at the Town of Queensbury this 22nd Day -?of January 1987 SIGNED BY i _GA - ace for the Town of Oueensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . 7. O� uFeI13t7f! /'� Application No . Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 4 Bay and Haviland Road, R. D. 1 Box 98 zoning Designation - 5' Queensbury, New York 12801 variance No . `} Site Plan Review No . a -? CEI 'ED JAN ? 1 v Approved by : /- APPLICATION FOR �����%^�' _ � �{ FU I LD I NG AND ZONING PERM I T +Sg)_© . 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 . � ,rs� The owner of this property is : //'G y�7 � /y"' �"�+� P . O. Address 074r e & " Cam!"" f J✓ ` Te107 ✓A? Y Property Location : ,o,fje % Q Tax Map No . �/ / Street number or building lot number Subdivision name ( i£ applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING, CODES IS : Name P . O. Address r Tel . NMI Name of builder ,7©,ryff W4eow ; 4 Address f t /ice" �7 Tel . Irv,.* ?3; Name of plumber Ar / 4P Address J/ /+' '' +' Tel or J Name of mason Address 4e2t9'lrj� rr Tel . NATURE OF PROPOSED WORK : ZONING INFORMATION : 4EwConstructlon 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 whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . Size of property?_ .S. ► ft X/ 11-$ ft . Existing building ( s) Size ft X ft . PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new strut re / ft X �'- _ ft Foundation-pie sl /c1r�aw�l/partial/full Proposed building , distance from property line circle one ) / t Front yard C7 ft Rear yard ft No , of stories (habitable space) Side ards ft and 0' ft Height ( grade to ridge ) ,2 '� - ft . � y If residential , no . of families 2 , * If on corner , sett ck from side street ft No . of rooms ( excluding baths ) ,$ OCCUPANCY INFORMATION No, of bedrooms_ 44 Now of bathrooms 2L PRIMARY BUILDING - Primary heating system ASW44 'GZ,OEJ 4 * One family dwelling Type of fuel * xTwo family dwelling No . of fireplaces to be installed- /ypro/' * Multiple dwelling / Number of units Will a wood stove be installed? NIvr.,. � * Permanent occupancy Transient occupancy Central Air conditioning? 4 r h Of * * Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Lo cabin * Other Raised ranch Mansion upiex * If addition , what will use be . Split level Old style Bunga ow Cape Cod. Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ /✓�"L�ar ( CIRCLE ONE PLEASE } * Attached garage/one car/ two car/ .scar * * * * r * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF �Dther CONSTRUCTION - .ryr� G► INFORMATTON 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 Will any second-hand or ungraded lumber be used? if so , for what ? �/�/�+7 ++. v4 Foundation wall material �'�+,.,,G %Gp 'Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar? /_Heated or unheated? Floor . q. footage 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 - sloped/flat/shed/other Material of roof + c7r Site , wood studs _- "'X ,-'" spacing j "o . c . length .01.ft . joists { floor beams ) 1st . floor 2X/v "X / " spacing a J&_ O . C . span t , joists ( floor beams ) 2nd , floor "X " spacings span ,/ ft . Overlays (ceiling beams ) "X " spacing '"o . c . span ft . Roof rafters "X " spacing O . C . span f t . a, Roof trusses (pre-engineered) spacing Z q "a . c . span.Z�ft . Exterior wall finish doe r Of what material ? Interior wall finish_.,, If a garage is to be attached , des ii�be ufaterials to be used for FIRE SEPARATION : ,Irteyo L , 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? biv Height above roof. ft . Depth of chimney foundation below grade ft . Depth of fire lar earth ft . in . Water supply -(4ic1pa or private well 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 County of A F i I D V I T STATE OF NEW YORK Warren C Warren Ilk 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 sp fied or no , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature _ _ Own + owner ' s - ent , archxr- T , contractor day o f 9 SUSAN L. JENKINS Notary Public. state of N.Y. Notary Public , ten County , N . Y . Warren County Rd865027�. %Ay Commission Expires 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 �/ ,? y- pr ��Oe 2 . Type of heat /.r-, "G Jr�L /' G.► 3 . is the building mechanically cooled ? p 4 . Percentage of area of windows and doors fL4tz�& 1W 1 .45� 2o. 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 exposed to ambient conditions to 2 . R value of exterior walls le 2 - �- 3 . R value of glazed area f _ Z _ CCO T ' 4 . R value of doors 5 . R value of floors over unheated spaces 5 . R value of slab edge .insulation - unheated slab 7 . R value of slab insulation - heated slab a R value of heated basement / cellar walls ( above grade ) 9 . R value of heated basement/cellar walls ( below grade ) +�/S 10 , Type of insulation l� =f C . Controls 4"7 1 . Thermostat maximum heat setting D . Duct _ Systems 1 . Is duct system installed in unheated spaces ? YES C.yi '' a . If YES , R value Of dint installation b . R value of duct in other areas E . Piping Insulation ? �/ 1 . Size of hat water or cooling carrying agent pipe ,7 2 . R value of pipe insulation F . Service Water Heating 1 _ Performance efficiency � �a 2 . Temperature control setting maximum_ / 1 '0+ G . For Swimming Pool Only 1 . Maximum heating Telephong No . ( app lcc ' s sign re ) .�.Reftif� APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE / J J r c / 44� LOCATION OF PROPERTY FOR INSTALLATION Owner's Name : �7j7p f' ,C''1�" �l,1�.[. _ Telephoner Address: 7, Z ;. Installer's Name: llr ly GL2P �' ���J'- Telephone: Eq 3 1 9 7 Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) (7 toy Topography: circle one: Fiat Rolling Steep Slope of slope Soil Natures circle one; San Loam Clay Other / Depth: _ feet Ground Water: At what depth? -�� feet Bwadr^ck or Impervious Material: At what depth? _ feet Percolation test: circle one no# required required / rate min. inch. r Domestic water supply¢ circle one: Murxicipa Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench n feet / Total system length, feet I GE PIT[S) : Number of aze eac ee y -feet- . .. Size of stone to be used # 2_ / Depth or Thickness '7 feet I M P O R T A N T ...Plea se...LIST NEW EQUIPMENT TO BE INSTAi LEM (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. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: 411�44 Date: 2 Z/si r�` i 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 R C ���•y TOIKN OF QUFFNSBURY BUILDING DEPAPTMFNT Y' BUIIDING PFRMIT RFQUIREMFNTS CHFCK LIST Where not applicable indicate by NA 1 . Type of permit requested Construction of new building B Construction of addition or alteration C Sewage D Sign E Other 2 . Required documents submitted : Yes No If not heck further documents required W /A Plat plan is required V" B u ± lding Plans �C-- Sewage b••"`" D Other 3 . Required Zoning Regulations : Zone Classification [f 12-• � A . IS use specifically allowed in zone : Yes Lam^ No 1 . Check applicable explanation a . Permitted Principal b . Requires Site Plan Review , Type I Type II c . Preexisting non-conforming use or expansion thereof . H . Is lot size adequate? Yes 400000 No 1 . Preexisting non-conforming lot: Lot size meets required sq . ft . L►" 3 . Lot meets width and depth requirement C . Lot has required frontage on Public Road , Yes No 1 . If not , explain . D . Adequate off - street parking . Yes o E . Residence ly - is there the required minimum sq . f t . Yes oor- No ,ram F . Are proper setbacks met . Yes No If not , explain . G . Required permeable area is "' Adequate Inadequare oo H . Building height Does Does not exceed the maximum . Form 8 - 82b THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY f 41 STATE STREET, ALBANY. NEW YORK 12207 o t.June 15s 1987 Applicution .vo. onfile 002585 -87 / � THIS CERTIFIES THAT t� only the etecCricel� egesfprrsatat ea dwacritisd be Saw end introduceld by the eUvptieant nensed en the abmw eppficetian number in the pransiaea of s Tom Persons , Sheet Rd . , Quttensbury , New York , in thefollowing location; ❑ Basement ❑ Eat Ft. ❑ 2nd Ft. .Section64 Block I Lott was examined on 6 Il 1 /18 7 end found to be in Compliance with the requirements of this Board. FIXOUTLETS EC�EIPTACLIPS SWITCHES RxT{URES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS iDIfCTILITS /� 6 1"cA DESC)tW FLUORESCENT y AMT, K- W. AMT, K. W. AMT. K.W- AMT, K- W. AMT, H. P. 14 � 13 Z6 'f � DRYERS FURNACE MOTORS FUTURE APRJANCE MURIRS SPECIAL REC'FT TIME CLOCKS BELL UNIT WATERS MULTI-OLI '"T Me AMT- K. W- OL H- P. GAS H, P. T. NO, AMT. Amp AMC. AMPS- TRANS. AMT. H. r. SYSTEMS N AMC. WATTS O. OF FEET 2 r ages 3 # 6 _ SERVLCE D SCONNECT No. or METER R V I C E AMT. ;00 P. TYFE EgLlet', 1 X 4YV 1 X 3W 3 X 3W 9 X Aw rxr. # CC. CONE. A. W. NO. OF MARG A. W. G- OF IVELfLRAL PER # OF CC. OF NI LEG NO. OF NEUTRALS A. W. 2 � 4 2 OTHER AMARATUS: 2—poht light 6 —gfci 2 �smoke detectors electric heater 2 2e5 kw T 2 3 . 5 kw 2 Ie5 kkw 2 1 * 0 kw � 2 . 5 kw s John Heath Ste f R D I Box 92 BRANCH MANAGER Whitehall , New York 12887 Per 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. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. - _- "J _Jo'" 0 ueen shurtf BUILDING and ZONING DEPARTMENT Bay and Hawfiand Road, R. D. I Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME --- !7 LOCATION Footing/Pier Forms APPROVED YES NO Foundation Waterproofing Backfill Framing `r-Roofing Lmnid Ing Masonry Veneer Rough Plumbing L-'relief Valves l.�xt . Porches L&�inished Floor.. 1 ~rnterior Trim L,.&tairs & Railings Cellar brain Tile - Concrete Floors "- ----- 1'151bg . Fixtures War , Fireproofing for Closers &Smoke Detectors L'C-himney INSUEATIQN : Vpcaundation Floors Walls Ceiling FIN ELECTRICAL INSPECTION 17 VFWAY APPROVAL y Inal Building Survey Next scheduled inspection (call wizen ready} Remarkss- f� /,low . os t s3u 60 /4 + (5 5"11714K Building lns eector F�/8Fi and-vl �vwn a� '�eeeend6ur�[ BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R.D. 1 Box 98 ❑ueensbury, New York 12801 BU 'ILDING INSPECTOR * 5 REPORT NAME " > LOCATION �~ Date Permit Permit No . A � - « ✓ =Footing/Pier Form APPROVEDs YES NO Foundation Waterproofing gackfill e4fT.raming Roofing '�• Siding +Masonry Veneer Rough Plumbing Relief Valves Ext . Parches Finished Floors Interior Trim y Stairs & Railings Cellar Drain Tile_ Concrete Floors ti Plbg . Fixtures Gar . Fireproofing Door Closers smoke Detectors Chimney INSULATIONe Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remark IL 6/$6 and-vl Building inspector _.lnecrrt o� �ueerr.36urt�F BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box g8 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE t PERMIT NO., ;? L= a SOIL TYPE - Sand - Loam - Clay Percolation Test Required'p YES Percolation rate - Min/Inch TYPE of SYSTEM: Absarpt!On field , total length � r Length of each trench $ Depth of trenches _ Size of gravel j4.� SEEPAGE PITS{Number of) -- Size- ft. X ft. Gravel size PIPING : Size ype Bldgw to tank - _ T '4 Tank to list . boxes 1y d bastm box to field/ — — Openings sealed? YE �O P rti� ' a7 r LOCATION/SEPARATIONS : Foundation to tank Foundation to absorption eft. Absorption to lot line ft* Separation of ft. pits ft. Front LOCATION ON PROPERTY (circle one) Front - ear - 'Left side - Right side - CORKENTSc SYSTEM USE APPROVED YE NO Building In 01/86 and vl Jc►tvn o/ ueeeraldeerr BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. 0. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION toe= J Date / Permit No . ✓ = APPROVED - YES Footing/Pier Forms NO Foundation waterproofing i3 fill raming Roofing S id.ing Masonry Veneer -ough Plumbing ~ � 4-Relief Valves Ext . Porches -� Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproofing Doerr Closers Smoke Detectors Chimney INSEJLATIOPI Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAI Final Building Survey Next scheduled inspection {call when ready Remarks- oe 6/86 and-vl Build ' g Inspector awn v/ Queernsiury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAMEi[ SC7 LOCATION i Tate 3 2 f� f 0 X Permit 110 . g 7 — / A f� " = APPROVED YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer 2iRough Plumbing soh 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 : J4Foundation L fS Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- _ Building pector 6/86 and-vl Pie 3� c7 �focan o/ ueerasiurd BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R. D. 1 'Box 98 .),�QueenSbury, New York 12801 BUILDING INSPECTOR * S REPORT NAME LOCATION Dat�ti �r / zi Permit No . -^ ✓ APPROVED - 'YE NO :i mooting/Fier Forms Foundation Waterproofing Backfill Framing Roof ngr Siding Masonry Veneer Rough Plumbing J 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 FINIAL ELECTRICAL INISPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- Building Inspector 6/86 and-vl SWEET 00 - tt-) Tel Q 3 20' E +1iui .o 1 00 ?aED 0 Dc1Pr -- — — CIO d- +4 ri ae aa YVV _ 2loU. toZ' D 1 } p SCALE DRAWN BV RE VISEDY. DATE APPROVED BY DRAWING NUMBER ALBANENE 90 5455 ARCHITECTS' STANDARD FORM MADE IN U.S