1987-186 i
+CIF OCCUPANCYOCCUPANCYOCCUPANCYCERTIFICATE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
ALI 1Pq
87-1-86
This is to certify that work requested to be done sus shown by Permit No,
has been completed.
One—Famil Dwellin
This structure tt+ay be occupied as a dwelling moved from Route 9
�tlst 1 Oakwood Drive
Location
OwnerElaine Murphy
By Carder Town Board
TOWN of QUEENSBURY
Building & Zoning inspector
` BUILDING PERMIT
TOWN OF QUEENSBURY No. 8'-186
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Elaine Murphy
w
OWNER of property located at Lot 1 Oakwood Drive Street, Road or Ave. (D
V
on lot and add two car garagellin dwelling n
in the Town of Queensbury, To Construct or place a Move '^o
at the above location in accordance to application together with plot plans and other information hereto filed and ,=4
approved and in compliance with the Town of Queensbury Sul Iding and Zoning Ordinance.
1 . OWNER'S Address is Route 9
Lake George Road
Queensbury , New York r
C]
r-r
r3.
CONTRACTOR or BUI LDER'S Name
Robert Ruggles Construction l-
C7
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4
CONTRACTOR or BUILDER'S Address b
5 Wincrest Drive
Queensbury .. New York a
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e
m
4. ARCHITECT'S Name
5, ARCHITECT'S Address
5_ TYPE of Construction — {Please indicate by X)
( 10 Wood Frame ( ) Masonry S ) Steel l )
7. PLANS and Specifications
Move 1300 sq . ft . dwelling from Route 9 to Lot 1 Oakwood and
No. add two-car attached garage and sewage system per plot
specifications and application submitted .
m
S. Proposed Use
One-Family Dwelling rD r7 �
o ri
1 P
n cm
$5000 C /O 87
$ 96 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 lg ta'f Pot
(If a longer period is reciuired an application for an extension must be made to the Building and Zoning inspector of the rt El
town of Queensbury before the expiration date.) .�tp
n o
April 19 87 fD ct
Dated at the Town of Queensbury this 21st L]/a�Y of P o.. ro
� Gt I^+ ' w �a
SIGNED BY for the Town of Queensbury rat
Building and Zonirg Inspector
Oct
co
TO BE COMPLETED BY BLDG . DEPT .
Application No .
eaten v ' uenn5414ry Permit Issued 19 TOWN OF CUF.'ENSP64i.:RY
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bey and Hevilend Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No . f11}D '+ 11987
_ Site Pl -Review N !1f T+�
3 Appro d b : 1 BUILDING 8k CODE DEPT.
APPLICATION FOR
BUILDING AND ZONING PERMIT f
1,VC � U
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' LAI Lf ZE 0
P. O. Address 9 -___ _� C �`+�- -_� a d0��A2 _ 0- Tel
Property Locati ] �► Tax Map No ../ /
S reet n } 4 ��,-ry
er ar building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Name P . O. Address Tel . No .
Name of builder_ :ZCr`� S 1�AAA/ Address Tell
Name of plumber p{ 1g�y-�a (-- Address T+el .
Name of mason 7�� Address Tel .
/ '•� to
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
� > J2 � 4 44gr4dC -sC street and number or lot number and indicate
OR DEMOLITION PERMIT , STATE SIZE AND whether interior or, corner lot . Show location
FOR
DEMOTION OF STRUCTURES AFFECTED . of water supply and location and configuration
* of septic disposal area .
COMPLETE INFORMATION REQUIRED BELOW .
Size of property / '2 ft X ft _
Existing buildings Size ft X ft .
PROPOSED BUILDING AND USE :
r0..) [-- " Existing building ( s ) Use
Size of new structure ZtL _ft X "7-2 ft
Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line
( circle one ) Front yard L� 7y-�ft Rear yard ' , ft
No . of stories (habitable space ) /
Side yards ! ft and ft
Height { grade to ridge } /1{ fto if on corner , setback from side eet3 r"ft
If residential , no , of families
No . of rooms ( excluding baths ) OCCUPANCY INFORMATION
No . of bedrooms '"
* PRIMARY BUILDING -
No . of bathrooms sI'o�ne family dwelling
Primary heating system * Two family dwelling
Type of fuel * Multiple dwelling / Number of units
No . of fireplaces to be installed Will a wood stove be installed? * permanent occupancy
y
Central Air conditioning? Transient occupancy
Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
inch Contemporary Log cabin Other
ranch Mansion Duplex if addition , what will use be?
Split level Old style Bungalow
Cape Cod Cottage Other ACCESSORY BU ING-
Colonial Row Town House * etached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * _'4..:tf attached garage/one car/ two car/...7J car
* * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $
azz T _�G _ _ _ _
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 . y T>
Will any second-hand or ungraded lumber be used? If so , for what?
MS
Foundation wall material [: L>Are - ]: ? (�� G,�dc Thickness
Depth of foundation 'below grade ( to bottom of footing )
Will there be a cellar? Heated or unheated? yy ¢Floor s . footage f f2, _ _sq ft
Will there be a baseme� Will any portion be used as living space ?�s2
( If so , what portion? J sq . ft . - - Type of use?
Type of roof - sloped, flat/shed/other material of roofyr� � �'
Size , wood Stu x4 spacing "o . c . length ft ,
Joists ( flcor beams ) Ist . loor NIXtospacing O . C ." span ft .
.joists ( floor beams ) 2nd . floor "X spacing "o . c . span ft .
Overlays ( ceiling beams ) "x It
spacing "o . c . span ft .
Roof rafters " X it spacing o . c1 span ft .
Roof trusses (pre-engineered) spacing-11EL "o . c . span�ft .
Exterior wall finish O„ 4� Ne- y of what material"? L4 -71-,7j Y7
Interior wall finish , 2 aS -s /,r
If a garage is to be attached , describe materials to be used far FIRE SEPARATION :
Is there to be an opening between garage and dwelling? If
If so will a Fire-rated
door , enclosure , and self-closing device be provided?
Will a flue-lined chimney be installed? Ae::L Height above r6of ft .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft . in .
Water supply - pa municil or private well
SEPTIC SYSTEM _ DESta from ANY private well ( including adjoining properties ft .
(A separate application is necessary for any repair or new installation of septic system)
Town of Queenshury
County of Warren m I D 11 V I T STATE of NEW YORx
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 'PHIS Signature __ 4. ownJr
____---_-__Own ' s agent , cec ...........
day of 19
Notary Public , Warren County, N . Y .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * IN * * * * * * * * * * * * It
SPECIAL CONDITIONS OF THE PERMIT :
By-...__- . .....
TOWN OF QUEENSBURY
WARREN COUNTYy 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
2 . Type of heat
3 , Is the building mechanically cooled ? r�7
4 , Percentage of area of windows and doors /o
A . Over 16 Only
1 , Uo value of gross area of wails , 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 exter ' or wall
3 , R value of glazed area �f
4 , R value of doors
5 , R value of floors over unheated spaces Olt
6 , R value of slab edge insulation - unheated slab "
79 R value of slab insulation - heated slab Of
$ , R value of heated basement/ cellar walls ( above grade ) -
9 , R value of heated basement/ cellar walls ( below grade )
10 , Type of insulation. :cf=in 4
C . Controls
1 . Thermostat maximum heat setting
D _ Duct Systems
1 , Is duct system installed in unheated spaces ? YES
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
G , For Swimming Pool Only
1 Maximum heating
7 i
Telephone No . e:�e yT1 `
TT-'�" Ca plicant I sig ure )
qtl� &UPft Of
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE Z 1
LOCATION OF PROPERTY FOR INSTALLATION LGS_ _1 eolod xtZ�AZX �_,J� �
Owner's Name: Az L.Aj ye;F Telephone: T 7 .� �
Address: fi;__- ` '�' '- —�,+�+171Ic'
Installer's Name : L Telephone: c '? p
Number of bedrooms (residential only)
Total dailyflow ( @(compute 150 gal per bedroom) �
Topography: circle one: Flat Rolling Steep Slope 9ii of slope _ 11..... -7/0 �+
Soil Nature: circle one:(! Loam Clay Other / Depth: '2p feet
Ground. Water: At what depth? i feet
Bedrock. or Impervious Material: At what depth? ~ ] €eet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one• Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank/ _ gal. (minimum size: 1,000 gal.)
TILE .FIELD: Each Trench +�` p feet / Total system length L7y €eet
SEEPAGE PIT(S) : Number of / Size each feet by feet
Size of stone to be used # / Depth or Thickness feet
IMPORTANT
...Please...LIST NEW EQUIPMENT TO BE INSTALL.EI3
4
(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
2.) location and distance to lot lines
3 .) location and distance to structures
4.) location and distance to any water supply
54) size and dimensions of all tanks, distribution
boxes, the 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 $250e00.
C. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved system , a new proposal must be submitted
to the Queensbury Building Department before further construction.
1 have read the regulations above and agree to abide by these and ail requirements
of the 'Town of Queensbury Sanitary Serves veal Clydinance.
Signature of responsible person:
Date:
Town of Queensbury
Building and Code Department
Bay at liaviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE
-/au�n o� �ueP►� .shurt�
BUILDING and ZONING DEPARTMENT
Baje and Haviland Road, R. D. 1 Box 98
Queensbury, New York 128+01
Bl11LDING INSPECTORS REPORT
NAME
LOCATION
Date ] ! f Permit No .
= -
Footing/pier FOYmS APPROVED YES NO
Foundation
waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Til
Concrete Floors
Plbg . Fixture
Gar . Firepro i g
Door Closer
Smoke Dete ors
Chimney
INST rI.ATI N
Foundat n
Floor$
Walls
Ceiling
FINAL ELEC3'RICAL INSPECTION
RIVEWAY APPROVAL
Final Buildinlg, Survey
Next scheduled inspection ( call when ready )
Remarks
and-vl
��+/Lf/�'f"�,, L-✓"G'r` /r r [�r',�`!y �"' J 5'7'��/1� ` - ,jdv.�r �~'vfr''
Building Inspector
�/B6
_70""n o f uven3 �urs�
BUILDING and ZONING DEPARTMENT
Bay and Havdand Road, R. D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCAT I G,1;71
DATE ! 7 PERMIT Nf] . ` - I RCa
l„
SOIL TYPE - Sand - Loam - Clay
Percolation Test Required ? YES - O
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field , total le Ix
Length of each trench
,Depth of trench s '
Size of gravel:
SEEPAGE PITS{NtUmb
Size- ft. X t ,
Gravel size ' -
PIPING : Size Type
Bldg , to tank
Tank to list .
Dist_ box to f Idfpit .......
fill.A
Openings seal ? S NO artial
LOCATION/SEP RATIONS :
Foundation tank ft.
Foundation absorption t .
Absorption o lot line f
Separation f pits f
LOCATION of SYSTEM ON PROP ci c ne?
Front - Rear - Left side fight sid
COMMENTS
SYSTEM USE APPROVEkYESjN0
Building Inspector
01/86 and vl '
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D, i Box 98
+Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAMED-�
LOCATION �)M ?:2Z��
Date r� � r] Permit No .
-
Footing/Pier Forms APPROVED YES NO
oundation .
waterproofing
KBackfill
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 APPROV
Final Building Survey
Next scheduled inspection Ccall when ready
Remarks-�~�. p
C~� tom- is V3 AC T - CO AA&
6/86 and-vl Buildi Inspector
._.J'ouvn o/ Q19 're#14"r y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. I Sox 98
Queensbury. New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATIO
Dat��/ ermit No.
Lpd&t APPROVED Farms NO
Foundation
Waterproofing
Backfili
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
INSUI,AW10N
Foundation
Floors
waa l l s
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAv APPRO
Final Building Survey
Next scheduled inspection [call when ready
Remarks-
Bui cling Inspector
6/86 and-vl
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date:/ Permit No . Z77 _ I F(o
� �'oot��'� ing;/Pier Forms ✓ = PROVED - YE NO
LF
Foundation
Waterproofing
Backfill
Framing
Roofing
S 3.d ing
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-
Building Inspector
6/86 and-vl
_/'own to Queenshure�
{'� �16 BUILDING and ZONING DEPARTMENT
y R Bay and Haviland Road, R.D. 1 Box 98
QI . Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME �C �1 Q � �[ 'P�f
L O C AT I O N + ZeL
Date `� I < / �_ Permit, No , 87' RCa
✓ - APPROVED - YE
NO
�lFooting/Pier Forms
C 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
Plug . Fixtures
Gar . Fireproofing
Door Closers
Smoke . Detectors
Chimney
INSULATION :;;
Foundation
Floors
walls
Ceiling
FINAL k:LECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
r
Next scheduled inspection (call when ready )
Remarks-
Buildi g Inspector /
Eij f36 and=vl
BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS_
FILE THIS COPY WITH BUILDING DEPT, WHEN REQUIRED.
TEMP. # DATE
CITY OR
VILLAGE TOWNSHIP J1 atl4 j _),iaory COUNTY ,*'."
F
STREET ANO NO, OR -ter. },s _ ,/F ,q
ROAD AND POLE NO r Q A .a.} ��� �`�( t'J LK[1 �"7j y'� {F }`"`} ! +'+.f71" t' .^,r �.1� POLE NO
BETWEEN WHAT TWO
CROSS STIR E ETS IS
PREMISES LOCATE D> SECTION BLOCK ✓" LOT f
OCCUPANT'S BUILDING .
NAME } it F OCCUPANCY f .•: r �, .. +
OWNER'S NAME TEL. #
AND ADDRESS �/ �1 :2 Zoo z z-
S�FLIED FROM THEIR OFFICE
BY
BUILDING NEW ❑ OLD IIhSIORK
DEFECTS
B NEW ADDITIONAL ❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS LampfReceptacles MOTORS HEATERS CIRCUITS OFFICE USE
Lacs ONLY
tlon Side A##ach't H.P. Watts A.W.G.
Cyilirg well IReeep"ia Switch Pendant Bracket No. Type Each No. Each Na. Grupe INSPECTION
Out-
side
Sub
base
save,
Mont
tat Ff.
2nd Fl.
7vd FL
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE. DO NOT USE TH IS SPACE.
This appl ical i on is intended to cover the above-listed equipm ant to be inspected but if at time of inspeetion thane is found odd i tional egu i pment not above listed.
you are authorized to make tha irup ion and adiust the fee to cover the additional equipment. as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS • FEEDERS LAMPS WATTS
CHARACTER E7CP GAS TUBE SIGN
OF WORK CEALED TRANSFORMERS OF VA
WORK TO BE
MUMBERI {CAPACITYI
STARTED COMPLETED 512E OF SIGN
SERVICE OVER AD UNDERGRO D MAKER
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR A5
POSSIBLE NEW ❑ OLD
AVOID DELAY BY ING FULL ApqACCURATE INFDRMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AN91400 tESS d1
NAME OF I'T APPLICATION `T
APPLICANT A
STR E ET ADOR ESS �' •'f''�""�t - }' —s TELEPHONE
CITY OR I .£,.,+} YIP LICENSE NO.
POST OFFICE r� �J » CQOy}*, WHEN APPLICABLE
as EL (REV. 1/05) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING d ,