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1987-074 r + ERTIFI+CATE OF OCCUPANCY TOWN OF QUEENS,BURY WARREN COUNTY, NEW YORK I •` This is to certify that work requested to be done as shown by Permit No. 8 7— 7 4 has been completed.. This structure may be occupied as a OnL- Fasmiiv Dwelllni L.ocatiotx ( S t . NOV 7 Oakwood 5u�d3. a ;. ion Owner John anal Lori Flo-viard BY Order Town Board TOWN OF QUEENSBURY Building & Zoning lnspoctor i - BUILDING PERMIT TOWN OF QUEENSBUR`1P , No. 87-74 WARREN COUNTY, NEW YORK 0 O PERMISSION is hereby granted to John and Lori Howard tl OWNE R of property located at Lot 5 Lambert Drive ( St . No . } Street, Road or Ave_ A r in the Town of Queensbury, To Construct or place a One-Family Dwelling N• at the above location in accordance to application together with plot plans and other information hereto filed and x approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ° sl w 1 . O WNE WS Address is 1257 Mass . Ave . Cal Arlington , MA 02174 2. CONTRACTOR or BUILDERS Name AJS Enterprises , Inc , C o x r* w un 3_ CONTRACTOR or BUILDER 'S Address o 4 Amy Lane im. A) Queensbury , New York 12801 CA 9 cn fo >= �t cY n 4. ARCHITECT'S Name PA r- a C �-t H- IM m C w• iw 4 5_ ARCHITECT'S Address r~ rte't ".4 a 6. TYPE of Construction — (Please indicate by X) (x ) wood Frame I I Masonry ( I Steel ( Y V 7, PLANS and Specifications CD 26 ' x50t per plot plan , specifications and application submitted , @ No. including sewage system and two—car attached garage . Mj w S. Proposed Use W F- '-C One—Family Dwellings m $5 . 00 C/O $ 125 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES October 1 19 87 00 (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-) Dated at the Town of Queensbury this -2}0�,th _ _ //r� Day of March 19 87 SIGNED BY r / + 4&e a. fL yc+ for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED By BLDG . DEPT. , Jn�trrt OeP�� yAju�. Application No. Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 ,., )W N i{(✓� e ' a ti Bay and Haviland Road, R. D. 1 Box 99 zoning Designation V 1r Lu 4ueensbury, New York 12807 �' 4 Variance No. mmmm Site Plan Review Now u p p y �7 1 U Approved b : ii`AR 1 I APPLICATION FOR r BUILDING & CODE . BUILDING AND ZONING PERMIT _�. � do A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING , The undersigned hereby be done in accordance wit applies for a i Building Permit to do the following work which will h the description, plans and specifications s special`conditions-as'may�beIndicated on the Permit . ubmittead, and such The owner of this - r property is : S' P . D. Address S mela,..Z 7 - 44 -✓7'b Property Location : zeaL A Tax Map Mo . Street number or building lot number Subdivision name (if applicable) 3 1 ° THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES ISO _..- ---- st. 7-ame P. . Address + Tel _ No . Name of builder t�s, s"p�dress Name of plumber ' _Address Tel . Name of mason Address tea" Tel .. ,.'�YT- �';�'?" icy .,+y.� .!�.rri.. '�s /"✓,_f'. Tel 3 - 7 wwww NATURE OF PROPOSED WORK : * ZONING INFORMATION : � ✓Constructlon of a new building * A PLOT.' PLAN MUST BE PREPAv(ED 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 . * COMPLETE INFORMATION REQUIRED BELOW . * Size of property �,+p•a ft XL ft . " Existing build,ing ( a) Size ft 1c ft . PROPOSED BUILDING AND USE : j 0 Size Of new structure j ft }��t * Existing building ( s ) Use: Foundation-pier/slab/crawl/partial * Proposed building , distance from (circle one ) Property line Now of stories (habitable space) . Front yard.., wwwwwwft Rear yard_ it Height ( grade to ridge) ^ ? ",�_ ft . * Side yards _ T ft and -__ - Z .fi ft If residential , no . of families ,+ * If on cornere setback from side street ft No . of roams ( excluding baths ) _ NO . of bedrooms * OCCUPANCY INFORMATION - ,. No . Of bathrooms PRIMARY BUILDING - Primary heating system . .rr ✓One family dwelling 'type of fuel "`- * Two family dwelling No . of fireplaces to be installed Multiple dwelling / Number of units ,.✓[� * Permanent occupancy Will a wood stove be installed? Central Air conditioning? wAll ,Q » Transient occupancy BUILDING STYLE, PRIMARY STRUCTURE " --- -Business Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition , what will use be? split level Old style Bungalow Ca Cod Cottage Other * ACCESSORY BUILDING- Row Town House Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * '""" Attached garage/one car/ wo c / e., car Private storage building ESTIMATED MARKET VALUE OF * '0' thcr CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSB SIDE OF THIS SHEET, TO BE COMPLETEl7I Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , woo� , fire safe , etcu Will any second-hand or ungraded lti er be used? if so, for what? QI/L7 Foundation wall material ry Thickness Depth of foundation below grade (to bottom of footing ) f� _ Will there be a cellar? t 'Heated o ? Floor sq. footage /w5"! _ sq ft Will there be a basement? sc, Will a rtion be used as }giving space? � 4::) ( If so, what portion_? sq . ft . - - Type of use? Type of roof - pe ' flat/shed/other Material of roofer Size , wood studs�`"x�" spacing , "o . c . length ,gEL_ft . Joists ( floor beams ) 1st . floor '+. 'X_Z'" spacings _'Oo , c . span.Z4!L _ft . .foists ( floor beams) 2nd . floor _"X_ r� r spacings_"a . c . span fto Overlays ( ceiling beams ) "X " spacing "o . c . span --!Et * Roof rafters "X "' spacing o.. c . span ft . Roof trusses (pre-engineered) spacing,"o . c , spanzsr ft , Exterior wall finish_ Of what material? ,�,&er-c7 Interior wall finish If a garage is to be attached, describe materials to be used for FIRE SEPARATION : /'"~ rr ^ Is there to be an opening between garage and if so will a Firs--rated door , enclosure , and salf-closing device be provided? � A Will a flue-lined chimney be installed? ,r✓p Height above roof ft . Depth of chimney foundation below grade ft. Depth of fireplace hearth ft . in . Water supply - anCcf or private well SEPTIC SYSTEM _ Istance from ANY private well {including adjoining prope:rti.es ,/sa ft . (A separate application is necessary for any . repatr or new installation of septic system) Town of A F F I D A V I T STATE OF NEW YORK eensbury Warren 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 TONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified or not, and hat such work is authorized by the owner , 1Z "�J'r) /Ag5 SWORN TO BEFORE ME THIS Signature �C ,� l__�_ el g_- Owner , oy er ' s agent , arcnicect, ractor day of Ile19✓ Notary Public , Warren County, N , Y . * * r * "t t * * • � r • w w ,► sr : �t • !r w : w tr • t * +t ,� w w • ,► w wt * tk ak it w it * rt yr SPECIAL CONDITIONS OF THE PERMIT : .......... TOWN OP QUEENSBURY WARREN COUNTY , NEW YORK Application fors BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the followings 1 . Grow floor area 2 . Type of heat 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors A . Over 16 %_ Only 1 . UO value of gross area of walls , roof/Gelling 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 floov ? 4 . Is basement heated ? YES NO no R value of insulation 5 . Type of insulation B . Linder 16 % Only 1 . R value of roof an Boors exposed to ambient conditions. 36 2 . R value of exterior walls 3 . R value of glazed area lore ` Z 4 . R value of door * 4 5 . R value Of floors over unheated spaces 2LZ 3 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab e . R value of heated basement/cellar walls ( above grade ) 9 . R value of heated basement/cellar walls ( below grade ) 10 . Type Of insulation ! �✓ �" r'is'S` co Controls [[�� 1 . Thermostat maximum heat setting rTL? 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 . Plpinq Insulation lee Y. Site 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 ,/ G . For Swimming Pool Only 1 . Maximum heating Telephone No . /-ti / 1 +t�-z� `�` G ,,C� orlj" A '. .- 4. rr / ( ap cant ' * Ignature ) APPLICATION FOR §EPT I C DISPOSAL PERM I T 13UILDING and ZONING DEPARTMENT Day and Havikand Road. R.Q. 1 Box 98 Oueensbury, New York 12801 DATE f LOCATION OF PROPERTY 11OR INSTALLATION � r d G77 OWNER ' S NAME ,/� ,, y ADDRESS�/ � I /�r/!/JN� . �x �� /� ,r7"f TE � /' ' r _^ /'�✓rC INSTALLER ' S NAIVE Number of bedrooms ( residential only ) Total daily flow ( compute @ 150 gal per bedroom)! Topography : - Rolling - Steep slope - ( circle one) % of slope Soil nature . an Loam - Clay - Other Depth f t . Ground water -At what depth? ft . Bed-rock or impervious material - At what depth? ft . Percolation test - of . .�.�, - Required - -Efate min- inch . Domestic water supply - unfci -- Well - Other Separation - Watersupply ( if well ) from Septic absorption ft . Proposed System : Septic tankgal . ( Minimum Size , 1000 gal . ) Tile Field Each trench ft . Total system legnth,. ', ft . . Seepage pit ( s ) Number of Size each ft x ft Size of stone to be used # " ! Depth or thickness ft . IMPORTANT ! ! On a separate piece of paper , isUbmit a diagram of the proposed system with all dimensions shown ; including distance from any structure , distance from property 11nes and from ANY DOMESTIC WATER SUPPLY or share - line of lake . stream . ppond or wet = lands . Includs all dimensions of r the system , itself _ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * T have read the regulations on the reverse side of this sheet and agree to abide by these and all requirements of The Torn of Queensbury Sanitary Sewage Disposal Ordinance . Signature of responsible person LZ Date o5/ 86 and/vl ff i ' © _70"In of upF/Z3f7�tI'f [[[ BUILDING and ZONING DEPARTMENT � JBay and Haviland Road, R. D. 1 Box 98 J � 4 oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LO'CAA TMN 6 �' Permit Na . d APPROVED YES NO Footing/Pier Forms Foundation waterproofing Backfi. 11 Fram-ing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext ' Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproofin Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECTR AL INSPECTION DRIVEWAY APPROV 1&1# iftnal Building Survey Next scheduled inspection (call when ready Remarks- Li3utor 6/$6 and-vl _lucvn cr� '�ccPen ,sburr� BUILDIiVG and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 C 10 BUILDING INSPE C TOR ' S REPORT NAME 4 LOCATION 0 Date ! .• Perm-it Na . * * * r x * * * * *r * * APPROVED* -* YES NO Footing/Pier Forms _ Foundation waterproofing Sackfill Framing Roofing Siding Masonry Venee Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors l lbq . Fixtures Gar . Fireproof ' g Door Closers Smoke Detec rs Chimney INSUI ATIO Foundati Floors walls Celli q FINA ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building, SurVey '�iext scheduled inspection (call when ready ) Remarks- Building Inspector 6/s6 and-vl 001534 THE NEW YORK BOARD OF FIRE UNDERWRITERS 4 BUREAU OF ELECTRICITY +j f 41 STATE STREET, ALBANY. NEW YORK 12207 mate August 19 , 1987 Application No. on fife 006843-87 691771 THIS CERTIFIES THAT only the slectrical equipmirnt as described below and introchtcad by the applicant normod on the aboae *14slication number in the pretniaes of John G Lori Howard , Lambert Drive , Glens Falls , NY , Section 121 , Block 10 Lot 13 . in thefollowinR location: :_rA ,Tnt dutold] t/ ;f I � let FY. � Snd F!. section $lack Lot was examined an ancife"nd to be in compliance with the requfrementm of this Board. FIXTURE FIXTURES RAMGES IC0040HO DECKS I OMENS I DISH WASHERS EXHAUST FANS OIJTIIIT$ ECEFTACIES SWITCMES RICANDESCeN1 FluOlatSCENr AAtr. c. W- AMr. :r. w. ,wx. K.w. ANT. r. w. urx. wi. F. _ 34 48 23 1 1 . 8 3 fr DRYERS FUEF RNACE MOTORS FUTURE AFMAANCE FEEDERS SP IAL REC'NT TUNE CLOCKS am UNIT HEATERS M11RTI-CWLET �YMMEES SYSTEMS AMx. ac. w. OR ti. a:. ffAs H- v, r. AAF AMT. A . AM1, ,urns. TRANS. AMt. N. F. NO. OF FiIET AMT. WATTS der JW10 SERVII DT5`icomaCT NO, OF S E R V 1 C a AMT. AnA,_ rvFE �U F. t a 7W t A 9W a I aw a A •w NO, "0#CONO. Cr rc Cato. No. OF HtI OF HI-u G MD. Or PILITRALS Ort IIiMNAL 1 200 cb 1 1 4/0 1 1210 OTHER A"ARATVI 2-gfcl 2-smoke detectors electric beater 2 2 . 0 kw 4 le5 kw _ 3 1 , 0 k-w i . 75 kw 2 . 5 kw A:.3S Enterprises +�1 4 Amy Lane j �(}JJ BRANCH MANAGER Palls . NY 12801 f Per s This certificate must rat be oNered in any manner, return to the office of The Board if incorrect. Inspectors may he identified by their credentials. COPY FOR 'BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, BUILDING and ZONING DEPARTMENT Bay and Havritand Road, R. D. 1 Box 98 I Queensbury, New York 12801 i SEPTIC DISPOSAL SYSTEM INSPECTION NAMES LOCATION ? PERMIT NO. - '7 T SOIL TYPE - Sand - IA>am - Clay - Percolation Teat Required? YES - NO Percolation rate - Min/Inch - TYPE of SYSTEM: Absorption field , total length 3 4V Length of each trench t Depth of trenches.. Size of gravel SEEPAGE PITS#Number of) Size- ft. X _ ft. Gravel size -PIPING :. Size Type Bldga to tank '--� b' Tank to disc . box Dist. box to field/pa. Openings sealed? �._ / NO Partial LOCATION/SEPARATIONS :: / Foundation to tank Ito ft. Foundation to absorption " , 1ft . Absorption to .lot line LL ft . Separation of pits ft. L":!ATIONSTEM ON PROPERTY (circle one ) Front - ear Left side - Right side - CCMMENT SYSTEM USE APPROVED ES) NO Building inspector 01/86 and vl �?O"ln o �txpens6tsre� BUILDING and ZONING DEPARTMENT Say and Haviland Road. R.D. 1 Box 98 oueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date S / Permit No . 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 Iiemarks- Buildi g Inspector 6/86 and-vl y�. � l L .J`ourn ©� �steen36etredf BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D_ 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ]~6 h 146 tcs ✓ = APPROVED - YES NSY Footing/Pier Forms .i -.e�. Id/ Foundation or waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain 'file Concrete Floors r 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— Building Inspector 6/86 and-vl .- Oeun o/ �ee¢en ��urt�t BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.O. 1 Box 98 OUeensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 10, LOCATION Datewl -/-il ermit Nc3a 8P7. 71;pc� ��-- ✓ = APPROVED - YE NO 4oO opting/Pier Forms Foundation Waterproofing Backfill F rasing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim t 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- _ Bui ding Inspe tar Er/$� and-vl ,. ..+rawn o� '�tteendbar►�r BUILDING and ZONING DEPARTMENT Bay and Haviland Road, RA). 1 Box 9B Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME TO �' y� ow a .- df LOCATION I7at Y a /, 7 Tf Permit No . rl -r ✓ = APPROVED� NO C Footing/Pier Forms �/' Foundation -- waterproofing Backfill Framing Roofing Siding Masonry 'Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar brain 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 (tail when ready ) R,ema r its-,�y 6/86 and-vl Sui ding Tnspec or mobw BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP d'' DATE 17 CITY OR ._-- ,f VILLAGE / STREET ear TOWNSHIP COUNTY rf{ ,, yif„r•;lir ROAD AND POLE NE. BETWEEN WHAT TWO POLE ND. CRESS STREETS IS - /. _ PREMISES LOCATED? i � ' r`+'`�" .' �'- SECTION LOT OCCUPANT'S .,-00/ BLOCK NAME ...,/r .,.N. ,/ / �+ BUILDING f,.,.. OWNER'S NAME •. / .. ../ OCCUPANCY ARD ADQRESS /ArwifC ..J +L ? �' }r/r � f, .! .l, �, f. . TEL. BYPPLIED BUILDING FROM THEIR f... , OFFICE IS NEW,54 OLD WORK DEFECTS IS NEW ADDITIONAL © REMOVED Q LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Pixturea & Loco- Lang Receptacles MOTORS HEATERSBRANCH tics CIRCUITS OFFICE USE Sido Attach't ONLY Ceiling Wait Racap.18 Switch Pendent Brm*ot No. Type Ea.. No. p� No. A'WG. Gauge INSPECTION aide aide Bob- Isave Baer mart Tat Fl. 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: 60 NOT USE THIS SPACE, This application is intended to cover the above-listed equipment efee ttoc to be additionp"well but ii at time 4f inspection there is found additional equipment not a1WYe listed, You era authorised to make the inspection and adjust the fee to toyer the atld+tianal nquiPment, as providod 6y the applicant. SIZE OF MAINS ii ELECTRIC SIGN FEEDERS LAhfpS TOTAL CHARACTER � _ WATTS OF WORK EXPOSED GAS TUBE SIGN WORK TO BE ` C06=ElI `'iED TRANSFORMERS OF VA f (NUM8EM ' STARTED COMPLETED SIZE OF SIGN (CAPACITY) SERVICE OVERH AD UNDERGROUND ENTERS UN MAKER BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS 1 �r'� POSSIBLEJ° / 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 r"`� �`r .+ r/ / f,.if/ /,[ram! C'r DATE OF y J .•** �' APPLICATION — STREET ADDRESS -} CITY On TELEPHONE # _ r"'r_ I /f_(r42 PEST OFFICEZIP LICENSE NO. CODE WHEN APPLICABLE 46 EL (REV. 1/55) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING s- I MAIJt 11\ ALEIANENE 'P_ 10 5455 ARCHITECTS' STANDARD FORM