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1987-360 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK etc s� P � . � s 14 87 Thts is to certify that work requested to be done as shown by Permit No. 87-360 has been completed. This structure may be occup' as One-Famaly Dwelling 1..ocatFo-h L©t 24 Willow Road ( St . 53) The Pines of Qxceensixury Owner Norman Ouellette By Order Town Board rowty OF QUEENSBURY r Building & Zoning Inspector BUILDING PERMIT TOWN 4F QUEENSBURY - � Na. 87-360 WARREN COUNTY, NEW YQRK z ca va PERMISSION is hereby granted to Norman Oup 1 lette on I OWNER of property located at Lot 24 Willow Road ( St . No , 53) Street. Hoar! or Ave. in the Town of Queensbury. To Construct or place a One—Family Dwelling at the above location in accordance to application together with plat plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. [2. OWNER'S Address is 26 Elm St . Hudson Falls , New York 12839 CONTRACTOR or BUILDER 'S Name z 0 same Ej m 3. CONTRACTOR or BUILDER'S Address p G tt same w m rrt rt 4. ARCHITECT`S Name CD 5. ARCHITECT'S Address r H 0 =r ri ro N 6. TYPE of Construction — (Please indicate by X) [D 1_J- DD f Wood Frame ( ) Masonry ( } Steel f 1 P- �, a o rtx � 7. PLANS and Specifications A=p 9p va 26 ' x64 ' per plot plan , specifications and application ro W No. including sewage system and two-car attached garage �` va 8. Proposed Use rK One --Family Dwelling � o $5 . 00 C /O $ 164 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 1988 {if a longer period is required an application for an extension must be made to the Building and Zoning inspector-of town of Queensbury before the expiration date_} N 1 Dated at the Town of Queensbu ry this 17 t h Day of June 19 87 g N• r� SIGNED BY for the Town of Oueensbury Building and Zoning Inspector CD 1-- F-� r- riq TO BE COMPLETED BY BLDG . DEPT , Application No . _foct�n IQ Permit Issued 19 9'0VS N OF ICj0EEj%4S , BUILDING and ZONING DEPARTMENT Permit Expires 19 W L% G ' } } Bay and Haviland Road, R. D. 1 Box 98 zoning Designation L5 lJ I GYueensbury, New York 12801 Variance No. , L U� ,r Site Plan Review No . i I5 Approved by : BUILDING Bc {CQC7Ir DEp-I-. APPLICATION FOR I IC G r ( rlv q6[J PUILDING AND ZONING PERMIT 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 : �yTG P , O. Address (0 ,FZ_,r� 5T /7 ��SrJr /��¢�G� Ti '� /.� T� �"/r Tel . / !1J D$rl+o Property Location : 4407 77- 49 G4e p ... c7�yp �r � Tax Map Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : dz,2 A M 4^� C3 [/�G G c r T TE vR & je�7e'-/'? ST.�'� 7' �t� "�✓K'i� `.� Name P . O , Address Tel . No , - Name of builder 5}rM Address Tel . Name of plumber J/91/7' Address Tel Name of mason i7. U 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. f � ft X 4;,) 00 ft , Existing building ( s ) Size ft x ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure ft X -6 ,V ft Foundation-pier/slab/crawl/partial/ ull * Proposed building, distance from property line ( circle one ) _ No , of stories (habitable space ) Front yard j^y ft Rear yard / ,:;ZO ft * Side yards � d ft and �' S ft Height ( grade to ridge ) � ft • * If on corner , setback from side street ft If residential , no . of families / No . of rooms { excluding baths }_- Y OCCUPANCY INFORMATION No. of bedrooms 4 * MARY BUILDING - No . o£ bathrooms * One family dwelling Primary heating system A4L-.oe_C 7-09 c * Twofamily dwelling Type of fuel --- No . of fireplaces to be installed * Multiple dwelling j Number of units Will a wood stove be installed? * Permanent occupancy Central Air conditioning? } * Transient occupancy 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 Cod Cottage Other * ACCESSORY BUILDING- Coloni Row Town House * Detached garage/one car/ two / car ( CIRCLE ONE PLEASE } * Attached garage/one Car/ two ca / car * * * * * * * * * * * * * * * * * * _Private storage building ESTIMATED MARKET 'VALUE OF * Other CONSTRUCTION a r� �rea _ vp _ _ - - - - , .wINFORMATION 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 . 6f2-QsO will any second-hand or ungraded lumber be used? If so , for what? able# Foundation wall material_/ a c L06 T E 'Thickness 9w Depth of foundation below grade (to batto footing ) r Will there be a cellar?Heated or unheate Floor sq= footage .2 � o c? .. sq ft Will there be a basement Will any portion be used as living space? ( if so , what portion? sq . ft , - - Type of use? Type of roof - sloped/flat/shed/other fLJPt-aMater!aI of roof Fie6!f 47Lid s $ r;✓GL 3 Size , wood studs spacing "o . c . length � ft = Joists ( floor beams ) 1st . floor 6,j- '"X0"" spacing, _"o . c . span / 2� ft _ .joists ( floor beams ) 2nd . floor �I. "X_.�& " spacing_. Z& "o . c . span Overlays (ceiling beams ) "x spacing " o . c . span ft = Roof rafters '"X "' spacing o _ c . span ft= Roof trusses (pre-engineered) spacing',L1Z_'"o . c . span ,2]- ft . Exterior wall finish s , d ; :✓� - r. p per_ Of what material ? - C L402 y,rZ6,92 Interior wall finish '�p 'c= If a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? !f If so will a Fire-rated door , enclosure , and se-if-closing device be provided? Will a flue-lined chimney be .installed? 'y _[, Height a ve roof. 3' ft . Depth of chimney foundation below grade�.6!.^ft . Depth of fireplac aa -hr�axth_ �ft .�in . Water supply - es un C1 a or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties (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 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 , owner ' s agent , archirect , 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 C7C7 2 . Type of 3 . is the building mechanically cooled ? ra 4 , Percentage of area of windows and doors ?� �]r A . Over 16 % Only 1 . 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 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. 12 - 3g� 2 . R value of exterior walls -e;n" 3 . R value of glazed area C'2 4 . R value of doors 5 , R value of floors over unheated spaces " c 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab '- B . R value of heated basement/ cellar walls ( above grade ) w� 9 . R value of heated basement /cellar walls ( below grade ) , -/o 10 . Type of insulation co Controls 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 . Pi in Insulation 1 . Size of hot water or cooling carrying agent pipc - 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 v Telephone No . ! 57e, � ' ' _ / i' C_..n• ( applicant ' s :.iicjjlaturl: ) o ��G APPLICATION FOR SEPTIC DISPOSAL PERMIT DAIM LOCATION OF PROPERTY FOR INSTALLATION �. Owner's Name: _ ��. !L f �: �,...� �' U,[= ! G4 �" '� Telephone: Address: G +� L sr:l ,.-y ., . . ' .^-`u .✓."�c7,,r .+�"',sx I { r Installer's Name: Telephone: Number of bedrooms (residential only) Total daily- flow {compute @ 150 gal per bedroom } ' Topography: circle ones Flat 1 Rolling Steep Slope of slope _ Soil Nature: circle onee Sand ) Loam Clay Other / Depth. feet Ground Water; At what depth? feet Bedrock or Impervious Material: At what depth? feet Percolation test: circle onE;!�nnot required , required / rate min. inch. Domestic water supply: circle on Municipal Well Other IF domestic water supply is a Wells Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM : Septic Tank �' '_�'_ ' gal. (minimum size: 1 ,00€1 gal.) TILE FIELD : Each Trench G! feet J Total system length feet SEEPAGE P'IT(S): Number of " - / Size each feet by feet Size of stone to be used iP / 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. Ce 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. I have read the regulations above a.nd agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Chxlinancee Signature of rest `onsAle person: "' r Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED TLED 1763 . . . HOME OF NATURAL BEAUTY . . . A f,00D. PLACE TO LIVE down o� Q+�eens6etre� ( - BUILDING and ZONING DEPARTMENT Bay and Haviland Road-, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 0r) L LOCATIONT Date erm. No _ . * * * * * * * * * *6+' * APPROVED*-* YES* NO Footing/Pier Forms Foundation Waterproofing Backf ill Framing Roof ing Siding Masonry Venee Rough Plumbin Relief valves Ext . Porches Finished Floors interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Car . Fireproofi Door Closers smoke Detector Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECT GAL II3 SPECTI[713 DRIVEWAY APPROVA7 - ,,Final Building Survey, Next scheduled inspection (cal 3 when ready) Remarks- 15 Building inspector 6/86 and-vl _.J'own d� �uee►� sbart� EBLFILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. i Bar 96 Queensbury, New York 12601 BUILDING INSPECTOR ' S REPORT NAME LOCATI ON: '7 5� Il .� �o� •, fJ � ` Date/`CT Permit No . APPROVED - YES NO Footing/Fier Form-s Foundation Waterproofing Backfill �aming Roofing Siding Ma onry Veneer L. Ugh 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 ELECTRI AL INSPECTION DRIVEWAY APPROVAL Final Building, Survey Next scheduled inspection (call when ready ) Remarks- 41s3lding Inspector 6/86 and-vl _Jo urn o� �ueen s � urc�r BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 ©ueensbury, New York 12801 SEPTIC. DI,rSPOS�A.L SYSTEM INSPECTION NAME. �r ~ LOCAT I ON 4 a 7 ' DATE ; � �i� PERMIT NO. 8 T ` 3`CG►G�_ SOIL TYPE - Sand -- Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch - TYPE of SYSTEM: Absorption fiel total length Length of each ench f -- Depth of trenche Size of gravel _ SEEPAGE PITsfN r of ) Size- ft, X ft . Gravel size - PIPING : S ' e T e Bldg . to tank Tank to dirt , box Dist. box to field/ Openings sealed? E O Partial LOCATION/SEPARAT ONS a ,.- Foundation to nk Zft_ Foundation to bsorption ft . Absorption t lot line ft , Separation pits ft. Iq O SYSTEM ON PROP TY (circle one) Front R r - Left side - Right side - C TS i SYSTEM USE APPROV YES ' NO Sui d ng Inspector 01/86 and vl rr own v� '�uNen .s6urtf BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUIL- DING INSPECTOR ' REPORT !NAME. � ! I L-OCAT I ON Date permit No * I_=3 (Oa �* #� APPROVED O ooti.ng/pier Forms q Foundation Waterproofing Sackfi.11 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- 0/61 Building Inspector 6/86 and-vl -. w,2 v/ Queen ilary BUILDING and ZONING DEPARTMENT Bay and Maviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING I NISPECTOM S REPORT NAME� LOCAT ION /s Date(0 Permit No . 85ye% ►+' APPROVED - YES NO Footing/Pier Forms CF'0 uiidation waterproofing L.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,ATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- .4i a Inspector 6/86 and-vl Ja "l in O/ Q441ee flj l " y BUILDING.and ZONING DEPARTMENT Bay and Haviland Road, R.O. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTORS REPORT NAME f �Le�-4?�_ ?0 LOCATION ! Date..! L4 *41 07 permit No . g7.- 4 APPROVED - NO D�Footing/Pier 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 Plhg . Fixtures Gar . Fireproofing Door Closers smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVa _ - Final Building Survey Next scheduled inspection (call wt►en ready Remarks- �'1� '9 azf Building Inspector 6/86 md-vl I it I I � ! 4" ©G�/"7' /�'y✓ C:? L.1� L G..� r�r'.�-'yam•.-` ". .C.f� !? . G.�7,�C,,�' I 1 I � ' I I I I SjS i ' I © ; � f 7�0 le I � 1 lovo Crete " I 3 � C f S7 it i I , I i If I ! C4T rs 130