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1987-101 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 _ This is to certify that work requested to be done as shown by Permit No. 87-101 has been completed. This structure may be occupied as aU n.Oe-Family Dwelling _ 1:7 7 ?S Marigold Drive ( St . No . <13 ) Location Clendon Midge Subdivision Owner John and Mary Sperry BY Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector i BUILDING PERMIT TOWN OF QUEENSBURY No. 87-101 WARREN COUNTY~ NEW YORK John and Mary Sperry PERMISSION is hereby granted to OWNER of property located at Lot 39 Marigold Drive ( St . No . 13 ) Street, Road or Ave. cn rn One—Family Dwelling rt in the Town of Queensbury. To Construct or place a rs 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. f. OwNEWS Address is 171 Dixon Road Glens Falls , New York r 0 2_ CONTRACTOR or BUILDER'S Name rt Wm . Herlihy* %10 � w 3. CONTRACTOR or BUILDER'S Address 1 Dartmiore Dr . Queensbury , New York 12801 0 CIA Pu w t� m Yt 4, ARCHITECT'S Name � ro CIA v' �. rt 5. A R CH ITECT"S Address O f7 W i V 6. TYPE of Construction — (Please indicate by X) Wood Frame I I Masonry ( 1 Steel i ] 7. PLANS and Specifications 58 ' x39 ' per plot plan , specifications and application including No_ sewage system and two-car attached ,garage . .!n sv B w 8. Proposed Use +- One-Family Dwelling tj Ir t� $5 . 00 C/O $ y qq _ PERMIT FEE PAID -- THIS PERMIT EXPIRES o 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 Queensbury before the expiration date.) 31st Da of March 19 87 Dated at the Town of Q.ueensbury this ''y , _ Y SIGNED BY I ey? �- � t�� For the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . TO W N CIF Q L!EE 1iStaisrtiY lIJ{i��nnulLL�l111 c� Application No . [ ► _ fowr� oueenIere�r Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 a Bay and Haviland Road, R.0- 1Box 98 Zoning Designation MAR 2 6 1987 0%jeensbury, New York 12801 variance No . Site Plan Review No , BUILDING CODE DEBT. /o2l - •/� S 3/ Approve by : I Cl L �v APPLICATION FOR -- /y /r' fJ '� L ! d ° -' BUILDING AND ZONING PERMIT — � �Mf `` d A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . i 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 : /�rr�",J `fin1rC Y �" .�- �� � Tel . ��.r� P . O . Address property Location : .Ce;r -4* ✓ 9 mil Asej6'6Lt: Tax Map No . Street number or building lot number Subdivision name ( if applicable) (2 L g 1::0 i'J +Pet THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : wi t) / r'1 ly -" jL1h' y / :;P< (;/ Z" Lr S Name P . O. Address Tel . No . Name of builder!WLLlh4" 4ioa aw Address1 J v T Tel . 772J3 Name of plu tuber Address Tel . Name of mason Address Tel . 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 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 £t X '2� 0 ft . * Existing building s ) Size ft X ft . * PROPOSED BUILDING AND USE : _ }} * Existing building ( s ) Use Size of new structure j�_ ft x / ft Foundation-pier/slab/crawl/parties ` ul * Proposed building , distance from property line (circle one ) * y ' � _ ft No . of stories (habitable space ) side add ft, andr yard * Side yards .3C� ft Height ( grade to ridge ) J`� * if on corner , setback from side street .,,ft If residential , no . of families / Noo of rooms ( excludi.ng b /ths ) * OCCUPANCY INFORMATION No. of bedroomsj" * PRIMARY BUILDING - No . of bathrooms / One family dwelling Primary heating system— T,fi�'.ti j uI/ r9"T_ 7'Z_ Two family dwelling Type of fuel Q/ L_ Multiple dwelling / Number of units No . of fireplaces to be installed_ / T Permanent occupancy Will a wood stove be installed? �jQ * Transient occupancy Central Air conditioning'? JU 0 Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other * if addition , what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow Cape C Cottage Other * ACCESSORY BUILDING- olanial Row Town House * Detached. garage/one car/ two car/ cad { CIRCLE ONE PLEASE ) Attached garage/one car/ two car/ car * * * * * * x * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETEDI Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : o Type of construction , wood frame , fire safe , etc . fop 11 ��CJ Will any second-hand or ungraded lumber be used? If so , for what ? 0K/e:> Foundation wall material ,d��� Thickness ,/Q �r Depth of foundation below grade (to bottom of footing ) 7 o Will there be a cellar? Heated or unheated?(&J�Floor sq. footage Ali/ +'"' sq ft Will there be a basement? Will any portion be used as living space ? ��^j ( If so , what portion? sq , ft . - - Type of use ? Type of roof - s ope /flat/shed/other Material of roof �,�e -S Size , wood studs :I. lox -Al " spacing "o " c . length Joists ( floor beams ) lst . floor A;L. X./Jo " spacings "o . c . span r+ ft . joists { floor beams ) 2nd . floor "X " '• Spacings(„"o . c . span �ft . overlays ( ceiling beams ) X ram" spacing � "'o . cl span f. � ft . Roof rafters _ L to spaczng-/�o . c . span- ,�ft . Roof trusses (pre-engineered) spacing "o . c . span ft . Exterior wall finish �,/ L� �^4A , what mate ial r ? Interior wall finisli7Al�r,f� -�y �� ,�� �• tiw If garage is to be attached , describe materials to be used. for FIRE SEPARATION ; Is there to be an opening between garage and dwelling? s If so will a Fire-rated door , enclosure , and self-closing device be provided? -`? Will a flue-lined chimney be installed? �_ s" Height- above roof �� ft , �- Depth of chimney foundation below grade 7 `ft , Depth of fireplace hearth. ft ...jd5./ in , Water supply - Municipal or private well 17cf,1/ter r ,4jq r . SEPTIC SYSTEM Distance from ANY private well ( including adjoining properties r3= ft . (A separate application is necessary for any repair or new installation of septic system) Town of e A F F I D A V I T STATE OF NEW YORK n County off 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 . SWORN TO .BEFORE ME THIS Signature Own - owner ' s ag n , arch]. - ct, 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 a? Q 2 . Type of heat ir✓ .- �- 3 , Is the building mechanically cooled ? 1UQ 4 . Percentage of area of windows and doors /:fz L A . Over 16 % Only 10 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 14 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 3 . R value of glazed area /\ — 7c oo X 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 ) X=Z.0 9 . R value of heated basement/ cellar walls ( below grade ) Ie '"43 10 . Type of insulation /E��/ 4i&�64.t ;5x5 3� ' /Lr` •-#< Co Controls � c 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 . Pining Insulation kr� w 4eZ 1 . Size of hot water or cooling carr ing agent pipe / 0 2 . R value of pipe insulation F , Service Water Heating 1 . Performance efficiency Je 2 . Temperature control setting maximum /10yo G . For Swimming Pool. Only 1 . Maximum heating Telephone No , �� ( pIIcant sign ure ) TOT17N OF QUFFNSBURY BUILDING DEPARTMENT BUILDING PERMIT REQUIREMENTS CHECK LIST Where not applicable indicate by NA 1 . Type of permit requested A Construction of new building B Construction of addition or alteration C Sewage D Sign E Other 2 . Required documents submitted : Yes "" ' No if not check further documents. required n Plot plan is required '2._�B Building Plans Z7 C Sewage D otherSM 3 . Required Zoning Regulations : - Zone Classification_ A . Is use specifically allowed in zone : Yes �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 . B . is lot size adequate? Yes No 1 . Preexisting non-conforming lot Lot size meets required sq . ft . / 3 . Lot meets width and depth requirements Co Lot has required frontage an Public Road . Yes 1 . If not , explain . D . Adequate off - street parking . Yes No E . . Residence,. on is there the required minimum sq . ft _ 'Yes �-' No F . Are proper setbacks met . Yes No if not , explain . .w G . Required permeable area is "e ' C' Adeau to inadequate H . Building height Does Does not L'"�a eecx d the maximum . Form 8 - 82b tam O*rft df QC64420y APPEICA` 1ON FOR SEPTIC DISPOSAL PERMIT DATE A/, / LOCATION OF PROPERTY FOR INSTALLATION ) 0 G . Owner's Name: (1 #Ir / ,"pJKia / Telephone: Address: � / �L ak. ' �"� ' Lam£-fJS /Cwz, Installer's Name* 7 10- 7 HQW,q?!t!> �F�.- tV Telephone: 'Zj1 % -�23 ,,7, f _ Number of bedrooms (residential only) _ Total daily- flow (compute (AZO 150 gal per bedroom) Topography: circle one*.(,Fla Rolling Steep Slope % of slope _ Soil Nature: circle one*. Cgan Loam Clay Other / Depth: feet Gvound Water: At what depth? �/Al feet Bedrock or Impervious Material: At what depth? feet Percolation test: circle one: �rx'ot required required / rate min. inch. Domestic water supply: circle one:Q unicipal Well Other _ IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM , Septic Tank —/_ , 7C? gal. (minimum size: 1 ,000 gal.) TILE FIELD, Each Trench feet / Total system length feet SEEPAGE PIT(S) : Number of � / Size each O - feet by feet Size of stone to be used # / Depth or Thickness feet IMPORTANT ...Please...IAST NEW EQUIPMENT TO BE INSTALJ-JK D (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 Z.) 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. 1 have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. nsance,. Signature of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New 'York 12801 (518) 792-583Z SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . A GOOD. PLACE TO LIVE r�'�' THE NEW YORK BOARD OF FIRE UNDERWRITERS �_4109 ) BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 ��+ jay[ Dare ;.i':.�.rch ? � s , �.'.�titi k Appliratipa .Vo. on fire Ar 109 M V THIS CERTIFIES THAT unit the vfectriedd egrsipment as described below and introduced by the applicmnt named am the above epp4cation number in the premises qrf cste f:e;�.iLy — John 4 xary 'Sperry Corner of Mari;old Drive Laurel 3 aiLe 0rtLeerLsi3try , `<eTa York clove l3.ing s �-��y s In thefalloaaingEacatian; Basement Q !atFl. 1272nd Fl. ¢;a,ra e oi.LtS e.1e'. Section 1 ? black1 L t -: - was examined on 'i-- ], 3--i�i`1 ond'faeand to be in compliance Eeith the requirements of this Board. _ R%TURE FIXTURE OKING DECKS S RANGES CO OVENS H WASHERS EXH AUST FANS y_ OUTUITB ACIi°S 511YtTCHES INCANDESCENT FLUORESCENT AMT. K. W. AMT. K. w. AMT. K-w. MAT. K. W. ZW N. ► DRYERS fURNACE MOTORS PUTURII APPUANCE f6EDER9 %FWAI RECPT TIME CLIDCIt UNIT HEATERS MULMOUTLAT DIMMERS AJAT. K. w. OIL H. P. 6AS IL. P. AMT. NO. A. W. G. AMT, AMP. AMT. AMPS- TRANS. AMT. N. !. No.fYSTEMS AMx. wArrs Of MW SERVICE DISCONNECT NO. Of S E R V 1 C a as RR MTYPE EC 1 ir 2w T „t 7W 3 ,/ 9W 3 X 4W to. 0 cC- COND. A. W. G. N4- OF NI-LEG A W. fi". NO. Of NEUTRALS A. W. ¢, PEMar OF CC. COND. Of fx-LEG OF NEUTRAL 2 7sla? eb 1 OTHER A"ARATUS: � 2 --�Tsacake diE`te._Lrrr� _ L Dart-more Dri.Te Fall : NY 12801 BRANCH MANAGER Per "is certificate must not be altered in a manner return to the office of the Board if incorrect. In any spectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. JAO I 1 BUILDING and ZONING DEPARTMENT Bay and Ha►riiand Road, KID. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCAT 14 ON4zi l7 eV Date 7 Permit No . ✓ = APPROVED - YES NO Footing/Pier Farms Foundatl.on Waterproofing Back.f i ll Framing Roofing Siding AV Masonry Vent Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior /Ors Stairs & _ Cellar Dr Concrete Plbg . Fix Gar . Fire Doer Clos Smoke Det C imney SULATION : Foundation Floors Walls Ceiling FINAr ELECTRICAL I TI DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks-- r ` l� r u.ild ' ng Inspector 6/86 and-vl flvurn v/ Quee.Ps6ury BUILDING and ZONING DEPARTMENT qh Bay and Haailand Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME V c`f " Y✓ LOCATION DATE A _f -/ /C E IT NO , 1 r- " 1Q r♦ !! 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 gravel09 _ SEEPAGE P ITS4Numbe of) Size- ) ft. x ft. T Gravel size - PIPING : Si e TV1�e Bldg * to tank �c__ _. Tank to dirt . box 1 Dist. box to field/pit - L yam- openings sealed? YES NO Partial LOCATION/SEPARATIONS : { Foundation to tank f 'L ft. Foundation to absorption � £t . Absorption to lot line fur ft • Separation of pits WT EMN OF SYST MON PROPERTY (circle one) Rear - Left side - Right sideS : / o Xj� SYSTEM USE APPROVED YE N Building Inspector 01/86 MCI vl �./vttin a� �ueens � ure� BUILDING and ZONING DEPARTMENT 'Bay and Haviland Read, R.D. 1 Box 88 Queensbury, New York 12801 BUILDING INSPECTORrS REPORT NAMEt L O CA T I O Date , /_ 2 Permit No . 00P / - /O / * * * � k « '* * * k * * * * * * * * * ,► +r * sir APPROVED - YES NO Footing/pier Farms _ Foundation Waterproofing 1Backfill 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 . Fireproo ng Door Closers Smoke Detec rs Chi.mn ey INSULATIO Foundatio Floors Walls Ceiling FINAL EL CTRICAL INSPECTIOi3 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection {call wkxen ready Remarks- . f Building+*Spec tor 6/86 and-vl _Jrscun of Queeres ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Queensbury, New 'Mork 12801 BUILDING INSPECT © ` S REPORT NAME LOCATION Date/ Permit No . so' = APPROVED - YES NO Footing/Fier 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks ilding Inspector 6/86 and-vl .. 70"/" n j Q"een .l6urey BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Box 98 4ueensbury, New York 12801 BUILDING I NSPECTOR t S REPORT NAME �d � ►► � _F' � },_��'7� LOCATION j'.76 Date 17 Permit No . Z2 / © / ✓ = APPROVED - YES NO Footing/Pier Forms k,,,Foun da tion 1.O17aterproofingor "}[ Backfi l l I Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Blbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSUr.ATTON : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final 'Building Survey Next scheduled inspection (call when ready ) Remarks- - i Building Inspector 6/86 and-vl �..!©wn o� �ueerr ,3l�sesr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' 'S REPORT NAMED JI� �.vy ✓ LOCATION Date / Permit No . Ze;e 'Pu� / f ✓ = APPROVED - YE NO 'tingfPier Farms / 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 IN SUI AT I ON : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- '�4i' ",�,+' • V S !l to E{,_.. 'T �'{ 1S Building In pec r 6f86 and-vl E�7 cl- -,� eat, G r cre ��i