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1986-706 - CERTIFICATE OF- OCCUPANCY TOWN OF QUEENSBURY • WARREN :COUNTY, NEW YORK Date February 16 19 88 --. . _ .- 3� ob This s to certi at ork requested to be done as shown by Permit: No. E6m 7 has been completed. This structure may be occupied as a One—Family Dwelling Lot 138 Brookshire Trace (St: Noe 7) Bedford Close Location Owner Ken and Carol Pulver By Order Town Board - TOWN OF QUEENSBURY �. Building & Zoning Inspector ✓ fV . • BUILDING PERMIT TOWN. OF QUEENSBURY No. 86-706 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Ken and Carol Pulver OWNER of property located at Lot 138 Brookshire Trace (St. No. 7) Street, Road or Ave. in the Town of Queensbury,To Construct or place a One—Family Dwellingto 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. 0 - a 1. OWNER'S Address is 68 John St. n Glens Falls, New York w O ro 2. CONTRACTOR or BUILDER'S Name F-' Vaughn Vernold Pope Hill Road Hartford, NY 12809 3. CONTRACTOR or BUILDER'S Address ed 0 4. ARCHITECT'S Name m rn• I� O cnw n rr Co a. • td cD z 5. ARCHITECT'S Address N O o O • O • x CD VH. Ul rt 6. TYPE of Construction—(Please indicate by X) y ti ( Wood Frame ( ) Masonry ( ) Steel ( rp ) 7. PLANS and Specifications 84'x32' per plot plan, specifications and application submitted No. including sewage system and two—car attached garage. 8. Proposed Use One—Family Dwelling 0 0 m $5.00 C/O F.1 $ 213.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1987 (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.) C7 Dated at the Town of Queensbury this 17th Day of October 19 86 H. SIGNED BY / , I - N. w for the Town of Queensbury CrQ Building and Zoning Inspector) •d TO BE COMPLETED BY BLDG. DEPT. Ai,i,7 i cn l i on Ni,. i .��77 otun of Queenihurry Permit Issued -__ 19 p lw�s e�}fit: BUILDING and ZONING DEPARTMENT Permit Expires 19 �*A'� p �� ' Bay and Havlland Road, R.D. 1 Box 98 Zoning Den-i.gnaLi.on I i x ,, VE [70, , a Y I Queensbury, York 12801 Variance No. I :� _ ,, Site Plan Review No. OCT. 11386 , a.S - S , ) V Approve By:- /�/!n t�l�or L Ps.: APPLICATION FOR %�C' l v _ _ I____ Er e F I . %. � �(cs 1hA t ' • BUILDING 'AND ZONING PERMIT --* - - � .*. * ,.1. * * * * *. * *. * * * * *. * * *. _*_** .* * * * #_*, * * * * * * * * * * .. 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: p,„-) c—0 S RI/V ei P.O. Address 6,6 40li0 S '. 64. pas' /"a-/A J , 1 /•>,80/ Tel. 793-2.97� Property Location: L 13% r rook,c i• z �a,ce bent te;e ' Cln.: Tax Map No., / / Street number or building lot number i �,Subdivision name (if applicable) jre, ,S, THE• PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: a0-4-0/ Pak/6 r (o 0 Tot. ( G-l&,.z 5' Cal /l) % 9 z97V Name P.O. Address 1 Tel. No. Name of !builder L, 1,,a, er,01 i., Address fo ,W,)1el. GL. w.-1, ij.7,i240` 'el- (a - 313c> a Name of plumber c:.f AI �;1,0 5 Address fi.; e, ;,-7-, (-/Q,4.;AA. /j,sv Tel. --7 9 Z - L/6 Name of mason )< ,). eoite,ff-Z Address 0/ &)/e L . -)//,,(,1yns, r�;41 AN ' Tel. .i;27-- q/6-/ 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 changedimensions)to exterior * whether existing or proposed and indicate all _Other work (describe) * set-back dimensions from property lines. Give 1 * 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 2-O7.,l3 ft X /525 ft. * Existing building(s) ,Size ft X ft. PROPOSED BUILDING AND USE: Existing building(s) Use Size of new structure {(ij ft X 3 Z-ft Foundation-pier/slab/crawl/partial * Proposed building, distance 'from property line * (circle one) * Front yard 6,0 ft Rear yard 9-3 ft No. of stories (habitable space) Z. Height (grade to ridge) z,0 ft. • Side yards p ft and 3;j'3 ft * If on corner, setback from side street 52> ft If residential, no. of families S i'v, 1 e No. of rooms(excluding baths) ea / * OCCUPANCY INFORMATION No, of bedrooms :a * * PRIMARY BUILDING - No. of bathrooms "3 Primary heating system/ ,1 One family dwelling fir'""`n * Two family dwelling Type of fuel �/ I * Multiple dwelling / Number of units No. of fireplacess to to be installed Will a wood stove be installed? �- • Permanent occupancy Central Air conditioning? LJ� • Transient occupancy g' `- x- 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 * rCa e Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car CIRCLE ONE PLEASE ) * XAttached garage/one car/etwo cari' car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE Ok * Other . CONSTRUCTIOI�i $�2 7M�. //U� 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. fNaoc Will any second-hand or ungraded lumber be used? If so, for what? NO Foundation wall material Corse, e12, jjw.4 Thickness _ /0 " Depth of foundation below grade (to bottom of footing) 62 ' Will there be a cellar? eate or unheated? Floor sq. footage Z45!o y' sq ft • Will there be a basement? y.e., Will any portion be used as living space? j/d (If so, what 'portion? sq.ft. - - Type of use? Type,of roof - s opecl/f sat/shed/other Material of roof r 1 z;eda,ss• 5 ,q/e S Size,; wood studs Z "X 9 " spacing /,, "o.c. length g ft. / Joists(floor beams) 1st. floor 'Z "X j•Z " spacing /(a "o.c. span /6 ft. Joists (floor beams) 2nd. floor 2. "X j2 " spacing /& "o.c. span /(p ft. Overlays(ceiling beams) Z "X 15 " spacing /e "o.c. span /'% ft. • Roof rafters Z "X /. " spacing /, o.c. span /(o ft. Roof trusses (pre-engineered) spacing "o.c. span ft. Exterior wall finish C%ap�acx.«(Of what material? 5'f,4�,,)c Interior wall finish j z < iGL( If a garage is to be attached,/describe materials to be used for FIRE SEPARATION: r,« cafe *ro.k 00-/4 d cam,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? Ye Will a flue-lined chimney be ,installed? ye 5 Height above roof '3 ft. Depth 'of chimney foundation below grade (, ft. Depth of fireplace hearth 'y ft. d' in. Water supply - 6Municipa]I or private well SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties /co+ 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 :MI 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 her laws pertaining to the proposed work .Shall be complied with, whether specified or t, and that such work is authorized by the owner. ggnature SWORN TO BEFORE ME THIS Owner, owner's agent,arcnitect,contractor 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 '0 0 (2 2 . Type. of heat - • 3. Is the building mechanically,:cooled? 4 . Percentage • of area of windows- and doors //; 64 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• 2 . R value of exterior walls ' R.- /Y. - 3 .- R value of glazed area je ,3,'Z 4. R -value of doors ie_,/y,"y • 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) ff 9 R value of heated basement/cellar walls (below grade) ��1/ 10. Type ,of insulation j--,H„/©,/a- S 4- A. • C. Controls `` 1 . Thermostat maximum heat setting' G0°. , D. Duct Systems 1. Is duct system installed in unheated spaces? YES 1205 a. If YES , R value of duct installation b,- R .value of duct in other areas . rag zneu1ation' �i- . 1 . Size of hot water or cooling carrying_ agent pipe 2 . R value Of pipe insulation N�tiT F. Service Water -Heating - 1. - Performance efficiency - : "0 49 . 2 . Temperature control setting maximum /'/ov G. For Swimming Pool Only . l. . Maximum heating" • • .elephQnef NQ.. / --47y - (appl-icaht,' s signature) Juan Q"C"i'Sildrif APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 . • Oueeisbury. New York 12801 DATE /D-j/ ?(.2 • LOCA1 ION OF PROPERTY FOR INSTALLATION i /gyp OWNER'S 'NAME ed� d- ea�cal P • • � ADDRESS jai �. gzv15 %o-/I /l�•Sr% / 8v/ TEL Z97 / INSTALLER'S NAME 1,� �o-�J� t� aCce..Jca. TEL TEL 7`/7"-2.- 7/ I . Number of bedrooms(residential only) Total dail flow (com ute @ 150 alp Y P 9 per bedroom) 1715-0 Topography: - Rolling - Steep slope -(circle one) % of slope Soil nature: 1Sand - Loam - Clay - Other Depth /'Z ft. Ground water -At what depth? go ft. Bed-rock or impervious material - At what depth? 0 ft. Percolation test -}Not reguiredl- Required - -Rate min-inch. Domestic water supply -fMunicipalI- Well - Other Separation - W'atersupply(if well) from Septic absorption . ft. Proposed System: Septic tank Jpp Q gala( Minimun size, 1000 gal. ) T i?e Field Each trench 5© ft. Total system legnth 5450 ft. • Seepage pit (s) Number of . Size each ft X ft Size of stone to be used . * Z Depth or .thickness Mo" 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'.' Include all dimensions of the system, itself * * * * * * * * * * * * * * * * * * * * * * • * * * • * * * * * * * * * kav,-- rcc.- Z ;:i 2 F i ., _')ice o7: Z ;• rJ i.6TEE c-:di of t'hi s-hcc a):.: agree • to abide- Z 1. us, and a72 recuir.enents of The Tov f Queerohury . Sanitary Se:.-ace bisposc7 Ordinance. • Siar,ctz.rc o r pr,onr e ' rer,c): 05/86 and/v1 Section=<>II Septic System Inspections: A. All' applicationa for septid system installation, alteration or repair, as required by the Town of . 4ueensbury 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 inspecticn 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. awn of Queen ihur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ` S REPORT NAME pAk" LOCATION Dated/Od / ' Permit No. /o- 10 r * * * f* * * * * * * * * * * * * * * * * * * C.Or 6� APPROVED - YES / NO Footing/Pi r JForms ,y r, Foundation Waterproofing Backfill Framing OKOofing Q,EL LKfding O.Ri Masonry Venee Rough Plumbing 1 iief Valves Ext. Porches 4-Finished Floors t L.-Interior Trim 9(967a C _e LS-tairs & Railing. p,C, Cellar Drain Tile Concrete Floors LP•lbg. Fixtures 0°K, Lear. Fireproofing (9.. or Closers I), ) / i ?�'ad./ Smoke Detectors (( < Lhimney I INSULATION: 41 Foundation Q, r Ioo r s Walls Ceiling FINAL E 'CTRICAL INSPECTION p-dg./� DRIVEWA. APPROVAL Final uilding Survey Next scieduled ,�inspection (call when ready) Remarks- J UtI�Cy l>`I2� L��v << 4'1'1 (4io Building Inspector 6/86 and-vl Jown of Queeni1ur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME PL)2_ V4-7& LOCATION r2OOj •f-tj24 -C- Date //7 /V Permit No. - ] 0o * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill y Framing " Roofing Roofing Siding Masonry Veneer /� Rough Plumbing - V 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) . O Remarks- , ire a-p 1 J6ci j 1�izr hZO i t7/a/'.-�'/ �- C�,�►�i,vl� Li4/6-3 ,141 . B ilding Inspect r 6/86 and-vl Ca /fd la- isc9/�� '/ /111 Down of Queenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME ICQ Pu /v�`- LOCATION Lo7- / 3 > ,�✓{-o�is- 3Li i r DATE al y / �` PERMIT NO. 3 G 6 G 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 Depth of trenches Size of gravel SEEPAGE PITS4Number of) Size- ft. X _ ft. (:2 �� ,- r Gravel size L(/ PIPING: Size Type f Bldg. to tank 5 o yi P('tt_ =4 sat ue) Tank to dist. box _ 1: (rye-- Dist. box to field/pit 44 7 C Openings sealed? ES NO Partial LOCATION/SEPARATIONS: Foundation to tank _ ft. Foundation to absorption ft. Absorption to lot line ft Separation of pits LOCATION OF SYSTEM ON PROPERTY circle one) Front - Rear - Left side - R. h side - COMMENTS:p Dave !tow Qv-d C©h7 -az l 0 00 j-/vIL 41x� SYSTEM USE APPROVED ES NO B ilding n pector 01/86 and vl vlay /Cif awn 0/ QueerijIurt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME pa f U e—l� LOCATION J Date / Permit No. d 6—70 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / Of )( Footing/Pier Forms C,c{Ira C Foundation J 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 ,,Nv//r Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors / Walls Ceiling FINAL ELECTRICAL INSPEC ION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 6 t • rdi Building Inspector 6/86 and-vl 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 LOCATIONR.G.S4-6c." /34-vz.,-4/Walle Date/y'& / W Permit No. 86 - * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms l/f/ou�ndation e,aterproofing 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 L/ Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 0 6 A_c__A(41-Aig0004-1-Vitr Building nspecto 6/86 and-vl • Ow/It of Q ee n j urty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION — 6eG/%1-01Y-C, (7 0,5€_ Date/O//D / � Permit No. S - 7 0(0 * * * * * * * * * * * * * * * * * * * * * * * � d/ = APPROVED - YI}S / NO k-eooting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing \x/: Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures I 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) Remarks- /{�0�3 Building Inspector 6/86 and-vl _. ._. __ • . . _ ( __7 0°) 4-i I f IV -7 1--eo-3 s . , . . I - • • - 1 ... . . V0,5,,,....a..4...,s.„2 • .., _ - I t-.:.) . . -i-D,od 0,3c) ij 0-,eziril <--a t.an ,5.5 izb 04 00E-,"7h - 4747 3 ,e2. Aw 2 i f C........ - 4....1--' il. 1-4-1 I-----"-- -i €. (% qP ti• ? T .- -3—k a;cf' -.' —c-.) i ' II e • .:3.- ' ,- N. cr. I-1' 1_1 14Z . • )1 , . , 3 sis. -Q. 'L—r4 ,3I 4 i --... tA —.. 490 1 W Ci IC 3/11011..4 i ON '•../ 11 SQ 4Q.1 fP V ,....58 t iv) „og-,."/7--c,'P 5 . . . .9 1-a-1;-(-)-'---ul I-57 J._ ' t.,,r--oo r----- •-Oki 0 5/ --P-)--7 . . . ..)cabird l 0)-(2D 4, . . . ' . .. . N.