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1987-099 CER 'TTFICATE OF OCCU D A NCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date Oct . 9 , 19 67 3b) ( 8 This is to certify that work requested to be done as shown by Permit No. 67_ 99 has been completed. ",ibis structure may be occupied as a ONE F'AMii,Y DWELLIIDJG t ocstiora LAL�4EERT L�12IirF { j Owner IRNAL�3 APJt7 I1AN[ r 1'C}LLTi�iCI By Order Town Board 7OW'N OF +QUEENSSURY .000 ! Building & Zoning luspector�J BUILDING PERMIT TOWN OF QUEENSBURY No_ 87-99 WARREN COUNTY$ NEW YORK w w a rs, PERMISSION is hereby granted to Donald and Nancy Polunci w OWNER of property located at _ Lot 8 Lambert Drive ( St . No . 23) Street, Road or Ave. Rc t-0 in the Town of Queensbury, To Construct or place a . One—Family Dwelling Q at the above location in accordance to application together with plot plans and other information hereto filed and 0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. n w- 1 . OWNER'S Address is 355 Ridge Road Glens Falls , New York r3. CONTRACTOR or BUILDERS Name L— AJS Enterprises , Inc . O P [n rt W rt � o0 o z In Co NTR RCTOR or BUI LOERS AddressIna 4 Amy Lane a Rt.. Queensbury , New York 12801 cn w fD c rt a � 4. ARCHITECTS Narne Ua m F-�- S. ARCHITECTS Address F7. PLANS of Construction - (Please indicate by X) iY` 1 Wood Frame i f Masonry ( ) Steel i i and Specifications 38txry2f8r' per plot plan , specifications and application submitte No• including sewage system and two-car attached garage . o ro 1r 'TJ B. Proposed Use !3 One—Family Dwelling id tv $5 . 00 CIO E 129 . 00 October 1 87 19 � ID - T" IS PERMIT EXPIRES F (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the tq town of (Queensbury before the expiration date.} 30th Da of March 19 87 Dated at the Town of Queensbury this ,r' /YC�► SIGNED BY / /f L� �^" for the Town of Queensbury Building and Zoning I nspecta TO BE COMPLETED BY BLDG . DEFT. urafr Oeea"►Irs�asry Application No. BUILDING end ZONING DEPARTN{ENT Permit Issued 19 Permit OWN OF QUEL.-NS&..ie.ri ,. Permit Expires 19 Bay and Hswiland Road, R.D. 1 Sox 8B zoning resignation Queensbury, New York 12801 variance No. / 3 x ! Site Plan Review lea . MAR 2 4 1987 Approved by s -�-*�- I -3 `�° °°- �u- 4 ', APPLICATION FOR I � y- BUILDING & CODE KEPT. EU I LD I NG AND ZONING PERMIT A PERMIT MUST BE OBTAINEI] eepCIRE 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 Perr►it . The owner of this property is ; ,,�r �y,•� r _ a��,y ,� 1 P. O. Tel . Property Locations / .+ - ems,. ' .,� - Tax ,leap No- j4a street number or building lot number Subdivision name (if applicable) �Ey,• ! THE PERSON RESPONSIBLE: FOR SUpgRVISION OF WORK AS REGARDS BUILDING CODES IS Z r� Name P. O. Address r Tel . No . Name of builder _09bPovoiar Address Tel lb Name of Plumber a _;Ji 27or e,4r,6V2 Address 61z&. a Tel Name of mason �^"'� ^°. --- ..�? ..� . Address. e.rws �! Tel ._ rra�* NATURE OF PROPOSED WORK : ZONING I NFOWNA T I CIV ✓Construction of anew 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 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 . * * CO1WLETE INFORMATION REQUIRED BELOW AP * Size of property ] C>C:r> ft X ZP-P3F ft . " Existing buildings) Size ft X ft . PROPOSED BUILDING AND USE : Existing buildings ) Use Sire of new structure jL";FL—ft eft Foundation-pier/slab/craw a a full * Proposed building, distance from property line (circle one • i No , of stories (habitable space) Z. Front yard. 6ln ft Rear yard� Ll�-.+.�� ft Height (grade to ridge ) _ Z Z fto * 'Side yards -tsI ft and ft If residential, no. of families * If on corner , setback from side street ft Now of rooms ( excluding baths ) * OCCUPANCY INFORMATION No * of bedrooms 3 No * of bathrooms * PRIMARY BUILDING - Primary heating system _ �,�-rt, * One family dwelling Type of fuel �� * Two family dwelling No * of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? NQ * Permanent occupancy Central Air conditioning' Q.] Q * Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE » Industrial Ranch Z5t-empc,r y Log cabin * other Raised ranch Mansion f)upiex * If addition , what will use be? Split level Old style Bungalow ' Cape Coca Cottage Other * ACCESSORY SUILDImG- Colonial Row Town House Detached garage/one car/ two car/ car ( CIRCLE CNE PLEASE ) * _Attached garage/one car/ wa c oar Y ,► * * • * * * * ,r ' * * : ' * * Private storage building USTIMATED MARKET VALUE OF -Other CONSTRUCTION INFORMATION (.)N BCIILDIHG3 SPECIFICATIONS , ON REVERSE SIDE OF T!I iS SHEET, TO BE COMPLETED I Farm BPA 4/86 and-vl NUXI.DING PERMIT APPLICATION CON TIN(JEIf - BUILDING SPECIFICATIONS : Type of construction * <966drAfte fire safe , ato . Will any second-hand or ungraded lumbar be used? If so, for what? w Foundation wall material �.. ^+ ee ... � _ DePtta of #4un$a►tion -�-�"�' ""3 � .-Thickness ka:ldw grads to bottom of looting) ;. Will there be a cellar? '"�S � q foots _s9- Et Wily, there be a baseme Heated or unheated?tsi ? Will any Floors _ . ( If so, what portion? portion be used as living space? sq. ft. - - Type of use? Type of roof - ope flat/shed/other 11a1►terial_ of roof size , wood studs "x_ ( , spacing "a . c . length ft. Joists ( floor beams) lst . floor "�N �. .joists ( floor beams) 2ndo floor' span n4 o . c . span re Overlays (ceiling beams ) _"g " " pacin" pact ��"o . c . span r!sd ft . Roof raftersspacing $ g_�"o * c . Span 150-e"ft. " " me c . span f t. Roof trusses (pre-engineered) cing "o. c . spy ft Exterior wall finish_ i f y f � , f what anate.rial? � f Interior wall finish If a garage is to be attached descrio matsr 1s tc bs used for FINE SEPARATIQNr Is there to be an opening Breen garage and dwelling?rri if so will a door, enclosure, and self-closing device be ided? • Will a flue-lined chimney be ills -rl� Firs-rated Height aroof Depth of chimney foundation below grede ft. ft ' Depth of fireplac � �h fto In.Water euPFlY - 0: or private well SEPTIC SYSTEM 1 tance 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 CountY of Warren A F F I D A V I T STATE OF NEW YOpjC 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 pecified or not , and th such work is authorized by the owner . /� SWORN TO BEFORE HE THIS Signature day of c� ;y� Own* , owner s agent , arcnicect, contractor - Notary Public , WWaar"reen jaunty, N. Yo * : * * * * * x * r w �. ,� * * w r s w w w w * * r it it ,r w * * w * sr w : a ft w ,► : * se r • SPECIAL CONDITIONS OF THE PE1RMITn TOWN of QUEENSSURY WARREN COUNTY , NEW YORx Application for , BUI &DZNG PBRMIT IN CompLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following : le Gross floor area /yry e� 2 . Type of h•at 4EF e' C' r�s� G 3 . Is the building mechanically cooled ? d "- 4 . Percentage of area of windows and doors XW4 S" A . Over 16 % only -- _- 1 . Uo value of gross area of walls , roof/,*ailing 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 flooyv? 4 . Ys basement heated ? YES NO a . R value of insulation 5 . Type of insulation 8 . _under 16 % Only 1 . R value of root' and flo rs exposed to ambient conditions - 1 2 . R values of exterior walls_ - ,.'' � . . 3 . R value of glased area 4 . R value of doors 5 . R value of floors over unheated spaces ? / 3 �_.. 6 . R value of slab edge insulation - unheated slab / 70 R value of slab insulation - heated slab BeMemo R value of heated basement/cellar walls ( above grade ) . 9 . R value of heated basement/cellar galls ( below grade ) 100 Type of insulation y- ,r 4r QS"S Co Controls 1 . Thermostat maximum heat setting <P0 d 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 LL0�e 2 . R value of Pipe insulation F . Service_ water Heating y � 1 . Pc rformancs efficient 2 . Temperature control setting maximum_„ dlfieo G . For Swimming Pool Only 1 , !Maximum heating Telephone Nap . __ r' �J � / -� 4�'C �' .�`f ^C�s ��.�•r ', ( applicant ' s ature ) - - APPLICATION FOR §EPTIC DISPOSAL SUiLDING ind 20NING DEPARTMENT PERMIT Say tnd Haxiland Road, WD. 1 Box 8R Oueensbury, NOW York 12001 / DATE LOCATION OF PROPERTY MR INSTALLATION AI#07ypA4W� OWNER ' S NAME wa � ��:�2 � �_.��� - �+�.r ""�� n� & .fLmi ADDRESS a _ INSTALLER ' S NAME TEL Number of bedrooms ( residential only ) _ -- - - - - Total daily flow ( compute @ 150 941 per berdroom) - Topograp)Sys - Rolling - Steep slope - ( circle one) % of slope Soil nature :L�a►-ln' Loam - Clay - Other. Depth ft . Ground water -At what depth? fte Bed-rock or impervious material - At what depth? ft . Percolation test - X47W - Required - -Rate min- inch . Domestic water supply un .ci - Well - Other - Separation - Watersupply ( if well ) from - Septic absorption fto Proposed System : Septic tank Paw gal . { Minimun size , 1000 gal . ) ' Tile Field -- Each trench ---b' 6 fte Total system legnth / ft . . _ ewSeepage Pit ( G ) Number of Size each ft X ft Size of stone to be used :Depth or thickness ft . IMPORTANT ! ! On a separate piece of paper , • stsbmit a diagram of the proposed system with all dimensions shownt including distance from any structure , distance from property ldnes mist! from ANY DOMESTIC WATER SUPPLY or shore - line of lake , stream , pond or vet - lands . Include all dimensions of the systems , itself * w . * sr w • R r +r • R • w R w # • R * R si e3 r, w r * ,r f w • a � • R tt • • R .1 have read the regulations On the reverses side of this sheet and agree to abide by these and all requtremente of The Town of Queenebury Sanitary ,Sewage Disposal ordinance . Signature of responsible person + Date 05/ 86 and/vl ale fpvwn oueen� hurt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 1ILDIN G INStECTOR 5 REPORT NAME LOCATI ON "yPZ Date . 2! l �8 ,f Permit No . eF ✓ = - Footing/Pier Forms APPROVED YES NO Foundation Waterproofing Backfill F aming ©Ming !ding Masonry Ven r Rough Piumbi L.Relief Valves 4�rxt . Porches L.Finished Floors Al�nterlor Trim �talrs & Railings 15 Cellar Drain Tile Concrete Floors 4 "Plbg . Fixtures Fireproof! g ar Closers C066ke Detecto s p Chimney `INSULATION : Foundation Walls Ceiling LF'INAL EL CTRICAL INSPECTION DRIVEWAY APPROVAL Final Bu ding Survey Next scheduled inspection (call when ready ) Remarks- Bui ding Inspector 6/86 and-vl yt a !53q THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY I yT 41 STATE STREET, ALBANY, NEW YORK 12207 17ate October 20 , $ Application No. on file ,�r� ^y r�(y +� } THIS CERTIFIES THAT B B V 9 7 V 5 0 only the electricwl equipment aw described below srsd intr%m& w:ed by the eppltcent nangloo an the above rpplieatian number in the pren"aes of Donald J & Nancy FOluncl , Lambert Drive Lot 8T Glenn Falls , New York in the following location, Baaernent ` lt I et FT. 2nd Fl. O u C S l d e Section. 12 plock i Lot 8 was esarnined on / d ound to be in cwm licence with the 1 � I 1 I $ 7 anf P requirer+eents of this Board. � FIXTURE p% 00TLETS SWITCHES TUBES RAMCIES CAORING oECRs OVENS WSH WASHERS EXHAUST FANS OU EPTACLES INCAMMSCENT FLUORESCENT AMT. K. W. AMT. K. 'W- AMT_ K.w_ ANT. K. W. A1Yt7. H. P. DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS ISIONCIALROCOPT TIME CLOCKS SL UNIT HEATERS MULT4K%JTLAT p _ AMT. K. W. Ok H_ P. GAS H. P. ANT. Nd. A. W. G. ANT, AMP. AMT. AMPS, TRANS. AMT, H. P. NO. OP FEET ANT. WATTS rx SERVICE DISCONNECT No of S E R V I C M E AMT. AP. TYPE ROLmaign t X aw t X 9W 3 X 3W a X .Iw NO. C]F cC Callo. A, w, G. NO, Or Ht-LEG A. w, G, PER �' OF CC. CONO. OF HI-LEG NO. OF NEUTRALS A W. 1 200 CB 1 x 14 /0 2 /0 OTHER APPARATUS, 1 AJS rprlse , lNe . � //7 r•+ — / 4 Amy Lace Glens Falls , New York 12801 BRANCH MANAGER w a Per This certificate must not be altered in any manner.- return to the office of the 8aard if incorrect. Inspectors may be identified by their credentials. � COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. I k r1 0 .Jtaus+n of Q'ueenshury BUILDING and ZONING DEPARTMENT ✓ Bay and Haviland Road, R. D. 1 Box 98 oueensbury, New York 12801 BUILDING I N!�PECTOR ' S REPORT NAME � '.GG . L LOCATION e -1/ Pe{rr;fmit No . 'r Mt � "' ✓ = APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill tr Fframing Roofing Siding Masonry veneer [. ugh Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg _ Fixtures Gar . Fireproofin Door Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA Final Building Survey Next scheduled inspection (call when ready ) Rema -xsr .Tr��• 2�'� Y ► 4 Building Inspector 6/a6 and-vl 0/11 _70w►7 0 Quee" ihur , P0*7 BUILDING and ZONING DEPARTMENT a I Bay and Haviland Road, R-D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAMEi�'e� LOCAT I Qtp l� Gr /.�cTii� Y� IYyI DATE ?� t /,110�/ PERMIT NO, / SOIL TYPE - Sand - Loam. - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , total length 0 { Length of each trench 4 Depth of trenches Size of gravel_ ��-� SEEPAGE PITS{Number of} '- Size- ft. ft . Gravel size - PIPING : Size Type Bldg . to tank Ll� ,, f G, Tank to list. Disto box to fie ____ Openings sealed? S O Partial- LOCATION/SEPARATION 1# 2� Foundation to tank ft, Foundation to absor n Z ft , Absorption to lot ne ft . Separation of pit ft , LOCATION/PF YS ON P PERTY (circle one) Front -St/`Rcear - eft side - Right side - CCIMMENT r <- 4 r � SYSTEM USE APPROVE YE NO Buildirfg inspector 01/86 and vl _fa urn n/ Qt4een.sgury BUILDING and ZONING DEPARTMENT Bay and Waviland Road, R_0, 1 Box 98 Oueensbury, New-York 12801 Ir BUILD] NG INSPECTOR ''SS' REPORT NAME 0/ 4 LOCATION Oatl= Permit No . hr► �I= 1 ✓ APPROVED - YES NO �ootangfFier Farms Foundation Waterproofing Backfall Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished .Floors Interior Tram Stairs & Railings Cellar Drain Tale Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Flails Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL. Final Building Survey Next scheduled inspection (call when ready Remarks- 6/85 and-vl wilding Inspector ✓overt n ' eteensfs"re" BUILDING and ZONING DEPART&4ENT Bay and Haviland Road, R. U. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATIOZe>) ' N "T 8, ������ AP: Permit N _ rooting/pier APPROVEm Forms NO 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 INSCILATION o Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPRbV Final Building Survey Next scheduled inspection (call when ready Remarks- Building 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- 41 r �e CITY OR VILLAGE r, l ,. TOWNSHIP CO STREET AND NO. 4R UNTY ROAD AND POLE ND. BETWEEN WHAT TWO POLE NO. CROSS STREETS IS r PREMISES LOCATED? -i '„f /-/ OCCUPANTS _ SECTION ,/r ,a r BLOCK J' LOT NAME f �' . Y� BUILDING OWNER'S NAME '. .� OCCUPANCY Idis AND AODRESS !CURREN TEL. — SUPPLIED BY i c -"' -'. /—' ;-•,.', FROM THEIR B OFFICE BUILDING IS NEW OLD ❑ WORK ' DEFECTS f^�IS NEW ADDITIONAL ❑ REMOVED U LIST BELOW ALL EQUIPMENT WHICH YOU IN TALLER NUMBER OF OUTLETS No. of Fixtur $ Lace- es Lame Ree.Receptacle* BR+4N CH rr MOTORS HEATERS CIRCUITS OFFICE USE tion ONLY Coding W" Recepls Switch Pendant Bracket No. Type E No. Lem No. A WG. Gouge INSPECTION Out- skis been Boar moot let FI. 21[d PI" 3td FL REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to cover the ab"QAistod equipment to tae irlapacted but if at time of inspection [hare is found additional 1 r�sff agoipment not about lie[ed, You are aufhorixed to make the in spectian end ad"ust the fee 7a caYrr fhe additianaf equipment, a prorirled by the apWicaM. SIZE OF MAINS ;I rJ FEEDERS ELECTRIC SIGN TOTAL LAMP^ WATTS OF WOR YER EXPOSED GAS TUBE SIGN WORK TO CONCEALED TRANSFORMERS OF WORT( TO BE VA STARTED ,,Y COMPLETED (NUMBER) (CAPACITY} SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND ENTERS 4�„' MAKER ILDIN OF SIGN INSPECTION REQUESTED OPOSS BLN OR AS E NEAR AS NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF - ..- APPLICANT 'f 1 ..�'' '-'.�" /L.r /•' / !� / '� DATE OF APPLICATION STREET ADDRESS � -' ! .�;' ' / ._.. i"": '"M ._. TELEPHONE #1 / CITY OR ZIP POST OFFICE - .,` '_. ,/ ,/ �..`r ` r CODE LICENSE NO" GO r ., ,-• rWHEN APPLICABLE 46 EL SREV. 1/8%) A SEPARATE APPLICATION MUST BE FILED FOR EACH} SEPARATE BUILDING