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1986-709 3 Ili CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK m _ Date May 14 19 87 6b-709 This 3o\o certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a One-Family Dwelling Lot 42 Willow Road (St. No. 17) Location Owner Stephen Kelly By Order Town Board TOWN OF QUEENSBURY 7:44 A 11/ --/AJZ/L --v Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-709 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Stephen M. Kelly OWNER of property located at Lot 42 Willow Road (St. No. 17) Street, Road or Ave. The Pines of Queensbury in the Town of Queensbury,To Construct or place a One—Family Dwelling cn at the above location in accordance to application together with plot plans and other information hereto filed andro approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. m 1. OWNER'S Address is 15 Willow Road Glens Falls, New York m 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address same rt 4. ARCHITECT'S Name r• 0 5. ARCHITECT'S Address o a cn rt 6. TYPE of Construction— (Please indicate by X) z (x)Wood Frame ( I Masonry ( ) Steel ( ) o I� 7. PLANS and Specifications No. 26'x64' per plot plan, specifications and application submitted including sewage system and two—car attached garage. 8. Proposed Use One—Family Dwelling $5.00 C/0 H. 171.00 $ 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 co town of Queensbury before the expiration date.) H. Dated at the Town of Queensbury this 20th Day of October 19 86 00 SIGNED BY C a io for the Town of Queensbury Building and Zoning Inspector �) • • TU BE COMPLETED BY BLDG. DEPT. Application No. QIown o/ eirr Permit Issued 19 TOWN OFQUEEMBLIFee BUILDING and ZONING DEPARTMENT Permit Expires 19 (� Bay and Haviland Road, R.D. 1 Box .•; Zoning Designation I). EGiEliV .E Oueensbury, New York 12801 Variance No. jflj �j Site Plan i iew No. SEP 91 6 ! ° . Approve by. A. 4: � � PA. APPLICATION FOR ��/ 7181911,111)12)1)213141516 BUILDING AND ZONING PERMIT t/%/ . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * •* * * * * * * * *:;* 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: 5 fej°lj eM /7 , `°' P.O. Address `< Ljji'/1 o Ad 14/ Tel. 29:? G ci...--.. Z Property Location: ,10/ 7z- ,4 9 Z e /9 aw ,tee,/ Tax Map No. / / Street number or building lot number • • Subdivision name (if applicable) 714 ! L/1 ecf' THE PERSON RESPONSIBLE FOR SUPERVISION OF •WORK AS REGARDS BUILDING CODES ISs (.5-N 7I-E/CV. 1) ri? /16'e../i/ • Name ,�i' P.O. Address 7 Tel. No. Name of builder S ell Address ' ,Q -, Tel. ? A� o' - . -.- Name of plumber Address Tel. Name of mason . !2 Address Tel. NATURE OF PROPOSED WIRK: * ZONING INFORMATION: • VC 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 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 dot 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 /Se/ ft X_/7 d ft. * Existing building(s) Size -- ft X -- ft. * .. PROPOSED BUILDING AND USE: • * Existing building(s) 'Use .- Size of new structure 46 ft X to Yft Foundation-pier/slab/crawl/partial co * Proposed building, distance from property line (circle one) No, of stories (habitable space) Front yard ] ft Rear yard ]Z- ft Height (grade to ridge) ft. * Side yards ,,9,1 ft and ft If residential, no. of families / * If on corner, setback from side street ft No. of rooms(excluding baths) 7 . * OCCUPANCY. INFORMATION No. of bedrooms No. of bathrooms 2 *• PRIMARY BUILDING - Primary heating system e=/ec. J/em * One family dwelling Type of fuel 1. l GG4,/p/G * Two family dwelling No. of fireplaces to be installed / * Multiple dwelling / Number of. units Will a wood stove be installed?. A/0 * Permanent occupancy Central Air conditioning? 11/d * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE ,F Industrial Ranch Contemporary Log cabin * Other " * If addition, what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- olonial Row Town House * ' Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * y Attached garage/one car/ two car/ ,k car * * * * * * * * * * • * * * * * * * * ' Private storage building ESTIMATED MARKET VALUE OF * Other_ CONSTRUCTION s •A cr * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BFA •I/f . m.1-vl BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. . W a a d Will any Second-hand or ungraded lumber be used? If so, for what? A/d • • • Foundation wall material .4/acf Thickness /4 '' Depth of foundation below grade (to bottom of footing) 9 1" Will there be a cellar? y'S Heated or unheated? ff - Floor sq. footage,e/Oo sq ft Will there be a basement? ,eS Will any portion be used as living space? ti o (If so, what portion? sq.ft. - - Type of use? • Type of roof - sloped/flat/shed/other J^ Material. of roof iga/VA/rc, 44/07, /,e. Size, wood studs o. "X 4 " spacing /( "o.c. length & ft. Joists(floor beams) 1st. floor "X Io " spacing , "o.c. span / . ft. Joists (floor beams) 2nd. floor $0. "X ,/o " spacing /0 "o.c. span /dm. ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span / . ft. Roof trusses(pre-engineered) spacing jr "o.c. span,?‘ ft. Exterior wall finish ,Stet', it.x• Of what material? `//R Y0 Interior wall finish r3 r e vt. 1e p-c' If a garage is to be attached, describe materials to be used for FIRE SEPARATION: (fi s,e 8 e f-e2 f Fttie. A,2-iied Is there to be an opening between garage and dwelling? ye . If so will a Fire-rated door, enclosure, and self-closing device be provided? y.es Will a flue-lined chimney be installed? Yea Height above roof ft. e " Depth of chimney foundation below grade 9 ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well rf lih t c 1/-42 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 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 Signature4 - - -- Owner, owner's a nt rcfitect,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: p� 1. Gross floor area 2- 2' 41 �J 2 . Type of heat F 11' ° 3 . Is the building mechanically cooled? /V d 4 . Percentage of area of windows and doors 04 e&S 7 ' e A. Over 16% Only 1. Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions ;ad 2 . Floor over heated spaces , CO NO a. Are foundation walls insulated? YES NO 1 . If YES, what is the R value? 3 . Slab on grade YES 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 A9 ,mod 2 . R value of exterior walls 49 / 9 3 . R value of glazed area /i 7 2-- 4 . R value of doors .2. �o 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 r- 8. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below grade) 10. . Type of insulation f/ eR' G/ASs C. Controls 1 . Thermostat maximum heat setting 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 1. Performance efficiency 2 . Temperature control setting maximum 1 fro G. For Swimming Pool Only 1 . Maximum heating Telephone No. 719-g—Zd • 7 (app icant ' s s gn/ure) Cl Jown of aueenibury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 • Queensbury, New York 12801 DATE % / 9/,'6, LOCATION OF PROPERTY FOR 'INSTALLATION o t 02 hi, l/U.‘, //e -i e1 . • OWNER' S NAME S/e/D ePI lt ,/e1 . ADDRESS / 5— lv/ # 0,4.} %.a Aar/ TEL 79.E -,;d -2-z. INSTALLER' S NAME SA-49 -e 4s 742v e TEL Number of bedrooms (residential only) 7 Total daily flow(compute @ 150 gal per bedroom)- G' Q 0 Topography: - Flat - 6li6).- Steep slope - (circle one) % of slope Soil nature: nand - 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 - Municipal - Well - Other • j'yj rc h t c.i p,a J Separation - Watersupply(if well) from Septic absorption • ft. Proposed System: Septic tank A''— gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench ", Cy ft. Total system legnth '7C7 ft. Seepage pit(s) Number_o . Size e ft Size of stone to be used # Depth or thickness 2+ ftP * * * * * * * * * * . * * * * * * * * * * * * * * * * * * * * * * * * * * * 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 r the system, itself . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * .* * * * * * * I have .read the regulations on the reverse side of this 'sheet and agree to abide by these and all requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinan7/ ce. Signature of responsible person 4 . Date 05/86 and/vl • • 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 thetinstaller and a fine of up to $2 50.00. 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 ?ueeniLur , BUILDING and ZONING DEPARTMENToo Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REf. RT NAME 5---4As,/, 7{ • LOCAT I ON 17 // . /��v Date : r£`/ /_ Permit No. 0 6- i 0 7 * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. PorchesXf Finished Floors Interior Trim Stairs & Railings ' Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing X Door Closers Smoke Detectors Chimney y INSULATION: Foundation t Floors - � Walls ; Ceiling FINAL ELECTRICAL INSPECTION (:\\ DRIVEWAY APPROVAL Final Building Survey ( , Next scheduled inspection (call when ready) Remarks- - 12e,/ /wf CC:7 /id/ 1:1 401(r 7:d . �ss me-_ 0- , /I- ...- Building Insp ctor 6/86 and-vl ` Jown of Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME X /77 LOCATION /7 (,,,v, 7/.,6,/ Date 5� it/ Si Permit No. fft,, - 7°7 ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves 2( Ext. Porches iN v' Finished Floors Interior Trim X Stairs & Railings )( Cellar Drain Tile Concrete Floors Plbg. Fixtures X Gar. Fireproofing 7( Door Closers X Smoke Detectors x Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL x::\ Final Building Survey / \ ! Next scheduled inspection (call when ready) Remarks- / 7� afe 0� I // c1 Pii/ f � ld' pie ��l/r✓ dt rd/1-i �J vl /lrc r A-avl • N vLk' A,,,,,/ ' � � ��� .> Build ng Inspector 6/86 and-vl l r c_7 I/ Jown of Queenibur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION /7 Date _6/2-41/ (97 Permit No. g — 67 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves 1 / X Ext. Porches \ / X Finished Floors X Interior Trim Stairs & Railings / \ DC Cellar Drain Tile / 1, Concrete Floors i Plbg. Fixtures Gar. Fireproofing X Door Closers )( Smoke Detectors X Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL )(Final Building Survey Next scheduled inspection (call when ready) Remarks— Building Inspector 6/86 and-vl Cc L 9€P /o/:2 1-- (cF /72 awn of Queenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 3 re rin o LOCATION l-�T Lc-Z (2);r JLcc J facc/ Date /6/,Z3/ R, Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 INSULATION: Foundation Floors Y Walls 096- '�Ceiling (t��r FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl 10/1 7/8 (9 11 A-141 _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 STee h ems, I(-t iI y LOCATION I___o t V-. , W i I/O u) Al 86 ,4707 DATE loins /6, PERMIT NO. ip ,,i SOIL TYPE - . - Loam - _Clay - Percolation est Required? YES Percolation rate - Min/Inch - 0- TYPE of SYSTEM: r Absorption field, total length a g--Z7 ' Length of each trench 57(5 Depth of trenches ' �k Size of gravel (2.__ SEEPAGE PITS-Number of) • Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank f!l( Ai 'Tank to dist. box Dist. box to field/ ' Openings sealed? ES NO Partial LOCATION/SEPARATIONS: Foundation to tank lQ ft. Foundation to absorption �0ft. Absorption to lot line ft. . Separation of pits ft. LOCATION O_ SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENT . 7 p '\ SYSTEM USE APPROVED NO • ' LOO Building Inspector • 01/86 and vl adt11 7 I PI d & 1 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 3 ep �► eh ke. I LOCATION I - �.y willow 21. Date /a / J / 8 (, Permit No. * * * * * * * * * * * * * * * * * * * * * * * V = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill '(Framing r! Roofing Siding Masonry Veneer X Rough Plumbing 5 4. I L b fit) �O 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: ; Y Foundation Floors ,/ Walls Ceiling FINAL ELECTRICAL I SPECTION DRIVEWAY APPROVAL Final Building Survey �LvM IUU-4-e— Next scheduled inspection (call when ready) Remarks- KOSIP �+b WAS i 11-C� Po_Alitr- rafr-iver 1/A'vtfl - Jrook 6-21-71 Buildin Inspector 6/86 and-vl Ca//-°t 97�cc /a (/a'� �: 3 )� Jown of Quecniur� cy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME . / P /f y LOCATION LUr z/c), 0J; //Q (.4/ /lr( Date / f a7 /16 Permit No. y ‘ ..'7 c 9 * * * * * *. * * * * * * * * * * * * * * * * 4,' = APPROVED - YES / NO ` _ Footing/Pier Forms �j' cIv Cij �, Foundation cJ I 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 INSULATION: Foundation Floors / , Walls ./ Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - 19 f `r Building nspe tor 1' 6/86 and-vl C.ot Visl `(. 7, /5- 41 . own of Queenibur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME S:et /( 11 y LOCATION 4_13 r LrC /N//k /2d, Date 7 //C /d'� Permit No ,, O ? . . = APPROVED - YES,N )(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 INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - ��An Building Insp ctor 6/86 and-vl i% /lW T 4/3a1 14VP steps 9 /1r/y �eY � Y r