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1987-369 CERTIFICATE C]F OCCUPANCY TOWN 4F +QUEENSSURY WARREN COUNTY, NEW YORK L7atc 19 This is to certify that work requested to be done as shown by Permit No. 89-86y has been completed. This structure may beeeccupled as a C7n e- F'am: i y Dw e i_L in g Location Lot : l�ronic Dr . est Mountain Park SubdIVIs10n Offer Ko�r--- rt Pa3mer By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector I INC BUILDING PERMIT TOWN OF QUEENSBURY No. 87-369 WARREN COUNTY, NEW YO�RK . � cz PERMISSION is hereby granted to Robert G . Palmer o'00 I N OWNER of property located at Lot 17 Bronk Drive I Street, Road or Ave. tU in the Town of Queensbury, To Construct or place a OTee—Family Dwe11 Ong 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. F2CONTRACTO R'S Address is RD #2 West Mt . Road Queensbury, 91 Q.t2 y, NY 12801 ro �c rr R or BUILDER'S Name same W t✓ 3. CONTRACTOR or BUILDER'S Address CDK same d. ARCHITECT'S Name r, ro � rt r+ 14 V 5. ARCHITECT'S Address r o rt 3 w PV r�- � t7 n 6. TYPE of Construction — (Please indicate by XI phi 44 ri 19 rs t *Wood Frame ( 1 Masonry ( ) Steel ( 1 7. PLANS and Specifications No. 28 ' x44 ' dwelling , 24 ' x24 ' attached garage ( 2 car) per plot. , C> specifications and application including sewage system . 1 8. Proposed Use m One-Family Dwelling �c a $5 . 00 C /o @ r $ 101 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 19 88 r [If a longer period is required an applicir ti for to extension must be made tothe Buikli arW Zonin(own of Queensbury before tha expiration date,) 'ng g inspector of the Dated at the Town of Queensbury this 19th Day off'1 June yg 87 SIGNED BY z" G Y for the Town of Queensbury BuiIdFng and Zonirig Inspector TO BE COMPLETED BY BLDG. DEFT . _Jow►a! o ' Qeteen i6itMe Application Nos . Permit Issued 19 IOWN OF .iL1ELi'v� BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designat " n W L ; Id Queensbury, New York 12801 variant o. �y r� �y f Site P an vie No ; AIPR + r 1Q7 ~ '� .. 1 Appr e I E§ DING 8c CODE DEPT.UIL APPLICATION FOR }'yr- PUILDING AND ZONING PERMIT d 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 : ROBERT G . PALMER P . o. Address RD#2 West Mt . Rd . GLENS FALLS , N . Y . ! Tel . 792-6080 * Property Location : Fronk Drive # 17 ' + S J �c{ ► ! Tax Map No , - -- - - Street number or building lot number 1956 Book 357 pg 585 Subdivision name ( if applicable) Map of West Mountain Park THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Robert g . Palmer RD#2 West mountain Rd . 792-6080 Name P . O. Address Tel . No . Name of builder R . Palmer Address RD#2 West Mt . Rd . Tel . 792-6080 Name of plumber same Address Tel . Name of mason PRO-CRAFT INC Address 11 Pheasant Wk Tel • ',Z9A~1 333 NATURE OF PROPOSED WORK : ZONING INFORMIATION : X 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 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 iO0 ft x 150 ft . Existing building ( s ) Size ft X ft . W PROPOSED BUILWONG AND USE : UT * Existing building ( s ) Use Gar . Size of new structure 2a t4x 44 ft Foundation-pied slab/crawl/partial/fixll * Proposed building , distance from property line ( circle one ) No . of stories (habitable space ) One Front yard 30 ft Rear yard- 92 ft- - Height (grade to ridge ) 18 ft . Side yards 16 ft and 16 - -ft If residential , no . of families OneIf on corner , setback from side street ft No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No. of bedrooms 3 PRIMARY BUILDING - No . of bathrooms 12 _ One family dwelling Primary heating system L 8 Type of fuel Two family dwelling No . of fireplaces to be installed one Multiple dwelling / Number of units Will a wood stove be installed? Permanent occupancy Central Air conditioning? orle prig Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other ranch Mansion Duplex rt If addition , what will use be? Split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car,/ car { CIRCLE ONE PLEASE ) x Attached garage/one car/ two car,/24X.24 car * * x * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF 'Other CONSTRUCTION $ � 80t000 INFORMATION ON BUILDING SPECIFICATIONSr ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED ! fr Form BPA 4/86 and-vl //' BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Wood Will any second-hand or ungraded lumber be used? If so , for what ? TTra Foundation wall material Pour Thicknessn Depth of foundation below grade (to bottom of footing ) Eft - - will there be a cellar?_.XeMHeated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? No ( If so , what portion? sq . ft . - - Type of use? Type of roof - sloped/flat/shed/other 5 / 1.2 Material of roof 5112 Tr as Asphalt Sh Size , wood studs " X 6 spacing....16'o . c . length 8 ft. Joists ( floor beams ) ist . floor 2 `Fix------- " spacinq "o . c . spany1A ft . . Joists ( floov beams ) 2nd . floor "x it spacing "o . c . span ft . Overlays ( ceiling beams ) —"X_L�"' spacing_J ,�"o . c . span__28ft . Roof rafters 2n "X..fi." spacing_ ]`6.o . c . spank^ft . Roof trusses (pre-engineered) spacing_ _J_6_.-"o . c . span__ZE� ft . Exterior wall finish CoZQ*r Lak Of what material? Ma_Ron i fin Interior wall finish Sheet rock Painted If a garage is to be attached , describe materials to be used for FIRE SEPARATIONe 5 /8 Else rack t,g.T)e is there to be an opening between garage and dwelling? gd If so will a Fire-rated door , enclosure , and self-closing device be provided? Yes Will a flue-lined chimney be installed? _ Ko Height above roof to Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . in . Water supply - Municipal or private well Queensbury SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties No to (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury A I I7 R V I T County of Warren STATE OF NEW YORK 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 Owner , ownexis owner ' s agent , arcnitect, 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 worts . A permit must be obtained before beginning ANSWER ALL of the following * 1 . Gross floor area 2 . Type of heat 3 * Is the building mechanically cooled ? +►tea 4 . Percentage of area Of windows and doors ` lu +3 ma `s` A . over 16 % Only roof /ceding and fly oors'k 1 . U value of gross area of walls , exposed to ambient conditions 2 . Floor over heated spaces Y E S 29x- � fl a . Are foundation walls insulated ? ESQ NO III - If YES „ what is the R value ? } Slab on g 3 . grade YES NO " D--� a . If YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO am R value of insulation NOW 5 . Type of insulation B . Under 16 % Only _.-- R value of roof and j floors exposed to ambient conditions 2 . R value of exterior walls 3 . R value of glared area 4 . R value of doors r unheated spaces g , R value of floors ova 6 . R value of slab edge insulation - untreated slab, heated slab 7 . R value of slab Insulation S . R value of heated basement / cellar walls ( above gra ) , jar walls (below grade ) 9 . R value of heated basement/ce - 10 . Type of insulation C . Controls 1 . Thermostat maximum heat setting D . Duct Systems YES .�- 7. , xs duct system installed in unheated spaces ? a , if YES . R value of duct installation b . R value of duct in other areas F . Piping Insulation carrying agent pipe .. l`� 1 . Size of hot water or cooling 2 . R value of pipe insulation P . Service Water Heatin "$" "�` 16 performance efficiency ximum 'D 2 . Temperature control setting ma G . For Swimming Pool Only rQ 1 . Maximum treatsng Telephone No . "tom— ( applicant ' s signature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE / LOCATION OF PROPERTY FOR INSTALLATION Bronk Drive Owner's Name; Robert Palmer Telephone. _ 792-6080 Address: _ RD,7`#2 West Mt . Rd * Glens Falls Installer's Name: PRO-CRAFT INC . Telephone: & 798-1 333 Number of bedrooms (residential only) 'j Total daily flow (compute @ 150 gal per bedroom) 450 Topography- circle one: Flat Rolling Steep Slope % of slope Flat Soil Nature: circle one: Sand Loam Clay Other / Depth: 8 feet Ground. Water: At what depth? a0 feet Bedrock or Impervious Material: At what depth? 20 feet 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 1 000_ gal. (minimum size: 1,000 gal.) Cement TILE FIELD: Each Trench 50 feet / Total system length 200 feet SEEPAGE PIT(S) : Number of / Size each 2 feet by feet Size of stone to be used # 2 / Depth or Thickness feet IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED (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 5.) 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 $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. DV 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. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person* tQyi+ 1 Date* Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD- PLACE TO LIVE _._.lowrr o� '�ueenshure�t BUILDING and ZONING DEPARTMENT Bay and Haviland Road+ R. D. 4 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION 3 I G. rw2 4 11,E ]late /I'S Permit No . ! ' =Footing/Pier P"orms APPROVEr) YES NO Foun da ti.on Waterproofing Sackfill Framing Roof ing Siding Masonry Venee Rough Plumbin Relief Valves Ext . .Porches Finished Floor Interior Trim Stairs & Railing Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproof ' ng Door Clasers Smoke Detec rs Chimney INSULATIO Foun dal ti Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- 'G f �C 6/vI z A 0 8 ilding I ect r �� 6/86 ma-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R- D, 4 E3ox 98 Queensbury, Now York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date JC / Permit No . - f Footinq/pier Forms = APPROVED - YES No Foundation Waterproofing Baokfill Framing 1400fing t efding Masonry Veneer 5�20ugh plumbing elief Valves (�Ext . Porches finished Floors ' interior Trim "gtairs 6 Railings Cellar Drain Tile Concrete Floors J,Vlbg . Fixtures L'lff'ar , Fireproofing Dior Closers A �rneke Detectors Chimney INSULATION : FOUndation ^�r'loors Walls Ceiling LFINAL ELECT CAL INSPECTION DRIVEWAY APP C1VtiI," ,w'inal Building Survey — — Next scheduled inspection (call when ready ) Remarks- Build! g Inspe+ctor 6/86 and-vi .s � ..Jaurn a� �uee,rr .��iurr� Vfij BUILDING and ZONING DEPARTMENT Say and Haviland Road, R.D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION ;4� Date^ '7/ Z^,7rr permit No . Ole ✓ = Footing/Pier Forms APPROVE � YES NO Foundation waterproofin Aackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railing Cellar Drain Ti Concrete Floor Plhg , Fixture Gar . Firepro ing Door Closer Smoke Dete ors Chimney X INSULATI Foundat ' n Floors X walls k " )( Ceiling _ FINAL ELECTRICAL, INSPECTION T DRIVEWAY APPROVA Final Building Survey Next scheduled inspection (call when ready Remarks- Bull g Inspector 6/B6 and-vl r c� / let � Jneun o Queen, "40my BUILDING and ZONING DEPARTMENT fy Bay and Waviland Road, R.D. 1 Box 98 Jr`f Gf Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME` ILO Permit No Footing/Pier Forms APPROVED� � YES NO Foundation waterproofing Rackfill 4� Vraming Roofing Siding Masonry Veneer Hugh Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar brain Til Concrete Floors plbg . Fixtures Gar . Fireproof g Door Closers Smoke Detectors Chimney C- T3 SULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call wher ready�) Remarks- and-vl Buildin In-Spec r 6/B� _../'own a� �ueens6ur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAIVE LOCATION ac) e- � I}ate_�4�/ Permit No . Foa'ting/Pier Forms APPROVED - S NO Foundation' waterproofing Backfi.11 Framing Roofing Siding masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors pltg . Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL, ELECTRICAL, INSPECTION DRIVEWAY APPROV Final Building Survey Next scheduled inspection (call when ready Remarks- 4 Sui1d Inspector 6/86 and-vi ueen 3 ureic BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D_ 1 Box 98 dueensbury, New York 12801 SUILDI INSPECTOR ' REPORT NAME LOCATION Date Perm-it No . �3 4 ✓ = APPROVED Footing/pi Forms YES NO Fourx d a tion Waterproofing Backfill //'Framing / Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Draln Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSCJLATION z Foundation Floors Walls Ceiling FINAL ELECTRICAL TNISPECTTON DRIVEWAY APPROV Final Building Survey Next scheduled inspection (call when ready Remarks- fill) q c 0 �a T124/ 5S7 c� r S T /-a►`,+Al ( C- re5' ,lq 7 c'� c- r A.4 W. 4 .� md,vl Building Tnsp t 6/8fi �oeu,rr v� �+uee+►1 shtrrt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 0meensbury. New York 12801 SEPTfIC DISPOSAL YSTEM INSPECTION NAME I f� . l'.• LOCATION DATE LP fJ fPERMIT SOIL TYPE - Sand - Loaln - 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 gravel_ - SEEPAGE PITS#NLanber of) --- Size- ft. X ft_ Gravel size - PIPING : Size T _ Bldg , to tank Tank to dirt. box Distw box to field/ ' Openings sealed?. YES NO Partial LOCATION/SEPARATIONS : Foundation to tank ft. Foundation to absorption ft . Absorption to lot line t. Separation of pits LOCATION OF SYSTEM ON PROP TY (c . cle one) Front - Rear - Left side - Right e CC>t'I<MENTS Zzo A� a 1 SYSTEM USE APPROVED YES NO Building nspector 01/86 and vl UWAmmomms BUILDING Snd ZONING DEPARTMENT Say and HaViland Road. R. D. 1 Box 98 Queensbury. New York 12801 SEPTIC DISPOSAL SY T INSPECTION IVKVME - X LOCATION rL fr ►'� DATE / / PERMIT NO. SOIL TYPE San - Loam PercoZatian Clay rcl.ation rate Required ? YES Z e o - Min/Inch TYPE of SYSTEM: s Absorption field , total. length ( cam+ Length of each trench Depth of trenches 4t o �,,.�,� Size of gravel SEEPAGE PITS#Nuiaber of} Size- ft. X —� Gravel size - ft . -PIPING : Side Bldg . to tank e Tank to list. boxc, 1y� Dist_ box to field/ Openings sealed? ES NO Partial LOCATION/SEPARATICNS : Foundation to tank j Foundation to absorption eft. Absorption to lot Imne _[eft Separation of pats � ft. LOCATION STEM ON PROPERTY Front - (ci cle one) ar Left side - Ri CCIMMENT • ght ide - SYSTEM USE APPP40V ,U YES BuildingInsps� �� BUILDING and ZONING DEPARTMENT" Bay and Hawiiand Road, R-Ll. 1 Sox 98 Oueensbury, New York 12801 BUILDING INSPECTOROS REPORT NAME ep%p } O C A T I Cl N � �.`. � 7 -` � at ,r � Permit Na . �/ ✓ = APPROVED - YES NO Footing/Pier Farms fI Foundation Waterproofing Backf.ill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plhg . Fixtures Gar . Fireproofing Door Closers j Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTIf]N DRIVEWAY APPROVAL Final Building Survey W ' Next scheduled Inspection {call when ready Remarks- i[! building Inspector 6/86 and-vl _ --- — 1 1 4 • Y: a ,- , "- ,: }: .,, .11 ,. t ,. a., :., _ . .fit. .... ,.. .. :1 ;. pp. �j - r r. » g 0 h •: 4: .. r 'v F .l.. . '3 .. V 1 �' a .-. ,- ,.. 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