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1987-337 ER'TIFI+C T E OF +C��CLJI't"�N+C�' TOWN OF +QUEENSSURY y WARREN COUNTY, NEW YORK W Date October 66* 19 7 U 33q ; ��This is to certify that wor requested to be done as shown. by Permit No. 87- 337 1� has been completed. DYA � A\ ` a One-FamilylellIng This structure may be occupied� Location I � 3 Gorner Haviland acid�]N,artel Raln�r+d�s - Haviland Acres S;zb . Owner Scott b . Zlilli�ams i ,,_,. V l ] �J�J���L l..s.Y�,•J By Order Town Board TOWN OF QUEENSBURY Building & Zoning InaPector BUILDING PERMIT . y go TOWN OF QUEENSBURY 87- 337 � No. if WARREN COUNTY, NEW YORK b z 0 PERMISSION is hereby granted to Scott B . Williams r• i 6.n OWNER of property located at Corner Martel and Hayiland Roads Street, Road or Ave. Lot 3 Haviland Acres Subdivision in the Town of Queensbury, To Construct or place a One-Family Dwellin 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. f. OWNER'S Address is RD #3 Box 191A Apt . 3C Queens Plantation Queensbury , NY 12801 rt rot 2. CONTRACTOR or BUILDER'S Name same r• rr w 3. CONTRACTOR or SU( LDER S Address SA same 4. ARCHITECT'S Name 0 p r t. tj 5. ARCHITECT'S Address is ip r{ x C Rai 6. TYPE of Construction — (Please indicate by X) a. p (x ) Wood Frame { ) Masonry ( I Steel ( ) a 9 7. PLANS and Spocifications In 24 ' x36 ' per plot plan , specifications and application including No. Sewage system : and two-car attached ,garage , n�rn C ~" 8. Proposed Usecn v One-Family Dwelling a- W rn- $5 . 00 C/O $ 115 * 00 PERMIT FEE PAID — THIS PERMIT EXPIRES January 1 19 88 a (if a longer ,period is required an application for an extension must be made to the Building and Zoning inspector of the M town of Queensbury before the expiration date.) , $13 Dated at the Town of Queensbury this 10th Day of June 19, 87 r •C SIGNED BY for the Town of Queensbury rn Building and Zoning Inspecto 9j UQ IDIEg [� H11 .L TO BE COMPLETED BY BLDG. DEPT . LO MAY g ,Application No . 5own fJ Quive n3l/4wry Pdimit Iagued ] 9 BUILDING Be CODE DEPT. BUILDING and ZONING DEPARTMENT Permit Ex ires 19 t , ( Bay and Hawitand Road, R.D. 1 Box 98 zoning Designation Queensbury, New York 12801 � Variance No . � y // �r'� 42- ' Site Plan Review No . t j t 6 • q 3 Approved APPLICATION FOR w� :lee BU I LD I N6 AND ZONING PERM I T 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 . y� J The owner of-this property ,pis -!�, ��- __�..._-•---" rrr 1 � IIIGG_t#' q` ter, _...... ___.......... 4 P. O_ Address �t`3 ?C � " i { `'�F ` `� �vCY'Y( S_ .1 < �! StcTuriP� �. Tel . Property Location : C.s Tax Map No . Street number or building lot number Subdivision name Cif applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O. Address t tt }� �, Tel . No . _ Name of builder 3c.7k vA t 5 Address 4 14yt � + 1G ✓IC} KcY [A:Fr- Tel . �IC4 Name of plumber 0Jk5p Address Z.�.i�f'C C�gC 'T- iVI� 4 . Tel . Name of mason n leyk Address . 1i" ,CC. cC ��y'r`, ✓IS �__ it Tel . [� _S9 {a 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 BEIAW . " Size of property ��I . Y 3 ft X '�� _ft . * Existing buildings) Size ft X ft . * PROPOSED BUILDING AND USE : * Existing bullding ( s ) Use Size of new stru a �} ft X-3 ft Foundation-pier slab crawl/partial/full Proposed building , distance from property line circle one ) " No . of stories (habitable space) . * Front yard S Z. _-_ft Rear yard ` -* Side yards/ 2, , _ ft and 17 ft If residential , no . of families Height ( grade to ridge ) mities ft • If on corner , setback from side street ft ] * No . of rooms ( excluding baths ) _ * OCCUPANCY INFORMATION No* of bedrooms 2- No . of bathrooms * PRI�kARY BUILDING Primary heating system G � C » One Family dwelling Two family dwelling Type of fuel No . of fireplaces to be installed * Multiple dwelling / Number of units will a wood stove be installed ? * Permanent occupancy Transient occupancy Central Air conditioning? * �. Business BUILDING STYLE~ , PRIMARY STRUCTURE * Industrial Ranch Contemporary oq cabin Other L Raised ranch Mansion. Duplex * If addition , what will use be ? el Old style Bungalow Cape C Cottage Clt*her " ACCES Y B ILDING - ^ Colonial Row Town House " Detac d garage/cane car/ c ca ( CIRCLE ONE PLEASE ) * Attache arage/one car two car c r �G * * * * * * * * * * * * * * * * ll Private sto a buildi ESTIMATED MARKET VALUE OF Other CONSTRUCTION $ �- - - - - - - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF 'THIS SHEET, TO BE COMPLETED : Form EPA 4/86 md- vl BUILPDING PERMIT APPLICATION ["0NT .1NUED - BUILDING SPECIFICATIONS : t Type of construction , wood framc , fire safe , etc . AAC Will any second-hand or ungraded lumber be used? If so , for what? rr Foundation wall material i 00 r`e d (Zj0A V'*f Thickness '� p Depth of foundation below grade ( to bottom of footing) , Will there be a cellar? n p Heated or unheated? Floor sq. footage sq €t Will there be a basement? [3.p ___wi.11 any portion be used as living space? ( If so , what po i $arse sq . ft . - - 'Type of use? Type of roof slops flat/shed/other Material of roof Size , woad st "x ��y spacinq " o . c . lengthy -ft . ,Ioists ( floor beams ) 1st . floor "x spacing "o . c . span ft . Joists ( floor beams ) 2nd . floor '"x_ 1 _" spacing=Ito . c . span _ I. " ft . Overlays (celling beams ) "x " spacing goo C . span ft . Roof rafters _ "X—to " spaci.ng_1i(y�__o . c , sp- an,__ to Roof trusses (pre-engin�aered) spacing " o . co span ft . "j'Exterior wall finish �( ( Qr ' + � TW Of what material? } {c ? Cv c Interior wall finish 'Vf 14 WC, LnC)C2 � If a garage is to be attached , describe materials to be used for FIRE SEPARATIONt Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be .provided? Will a flue-lined chimney be installed? Height above roof ft . Depth of chimney foundation below grade ft , Depth of fireplace hearth ft . in . Water supply - Municipal or private nrLJCiuyf� SEPTIC SYSTEM _ Distance from ANY private wel ( including adjoining properties� ft . (A separate application is necessary forfor any repair or new installation of septic system) Town of f Warren A l I� I D A V I T STATE of NEW YORK County of 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 donelon 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 , owners agent , arcnitect, contractor day of 19 Notary Public , Warren County , N . Y . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PE'FUIIT : 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 followings 1 . G r o a a floor area�jy } � [ ■ 2 . Type of heat l C--- 1C 3 . Is the building mechanically cooled ? O 4 . Percentage of area of windows and doors C7 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 , wh the R value -3f insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation 1S i f6 1 B . Under 16 % only 1 . R value of roof and floors exposed to ambient conditions. 2 . R value of a terior walls 3 , R value of gla^xed area R. " 3t 44 R value of doors, 5 . R value of floors over unheated spaces r 6 . R value of slab edge insulation - unheated slab "" 9 . R value of slab insulation - heated slab B . R value of heated basement/cellar walls ( above grade ) }/I��L 9 . R value of heated basement/cellar walls ( below grade ) K- " l u 10 . Type of insulation ! t t't S414 ✓ o 7� O yti Ce Controls 0 1 .Thermostat maximum heat setting . -- - Do 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 for E . Piping insulation !/ 1 . Size of hot water or cooling carrying agent pipe 2 , R value of pipe insulation 1 . Performance efficiency.Alip 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephon4h No . ( applicant ' s signature ) �""•" "� Q"'"'�"'�'� '"y '� � APPLICATION FOR EPT I C DISPOSAL PFRM I T . BUILDING and 20NING .,PARTq ,.T ,Sr f,�'�r Bay and Havltand Road, A.D. 1 Box 98 L1�1I Pef Oueensbury, New York 12801 DAT E ' t 7 LOCATION OF PROPERTY FOR INSTALLATION OWNER f S NAME ADDRESS Pj�3K l�"tt +! A4jr3C - JterlS )(6Yl �t �z0r"\ TELL 'j2) r`(X (P ergs INSTALLER ' S NAME � r �s _ TEL I Z 40 �1 �F Number of bedrooms ( residential only) Total daily flow ( compute @ 150 gal per bedroom) ,j" Topograpb Flat - Rolling - Steep slope - ( circle one) % of slope - Soil mature : Sand -- Loam - Clay - Other 1 depth f to Ground - water -At what depth? Cp ft . Bed-rock or impervious material an, At. what depth? ft " Percolation test - Not required Require- -Rate min-inch . Domestic water supply - Municipal - W 11 - +Other Separation - Wat,ersupply ( if well ) from Septic absorption ISO ft . Proposed Systems Septic tank 1E + gal' . ( Minimun size , 1000 gal . ) Tile Field - Each trench ft . Total system legnth --` } ft . . Seepage pit ( s ) Nuirber of Size each ft X ft Size of stone to be used Depth or thickness ft . IMPORTANT ' ' On a separate piece of paper , submit a diagram of the proposed system with all dimensions shown ; including distance from any structure , distance from property lines and from ANY DOMESTIC WATER SUPPLY or shore - line of lake , stream , pond or wet -- lands . Include all dimensions of the system , itself . ? have read the reculations on the reverse side of this sheet and agree to abide by these and all requirements of The Town of Q'ueensbury Sanitary Sewage Disposal Ordinance . Signature of responsible person 05/ 86 and/vl _../own o�' '�CuQF'n .l6urr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. Q. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date Permit No . Footing/Pier Farms ✓ APPROVED YES NO Foun da t ion Waterproofing Backfill Framing Roofing Siding Masonry veneer Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs 6 Railings Cellar Drain Tile Concrete Floors Plbg - Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSUI- ATION : Foundation Floors Wails Ceiling FINA ELECTRICAL INSPECTION I) VEWAY APPROVAL i "al B"Ilding Survey Next scheduled inspection (call when ready) Remarks- �,��6(L° F�:lilding Inspector 6/86 and-vl q1 {1 BUILDINGS and ZONING DEPARTMENT -3 ,f Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 ,P Gla DING INSPECTOR ' S REPORT M1 LCtCATION� ,C� Date / Permit No . , fir' �/ c ✓ =s. APPROVED - YES No footing/Pier Form Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer - -- Rough Plumbing �... Relief Valves Ives Porches "`- Finished Floors Interior Trim Stairs & Railings - - Cellar Drain 'Pile Concrete Floors Plbg . Fixtures Gar . Fireproofin Door Closers Smoke Detector Chimney. INSCILATION Foundation ; Floors walls Ceiling FINAL ELEC R=CA�L INSPECTION DRTVEWAY APPROVAL inal Building Survey Next scheduled inspection (call when ready ) Remarks-- �/ j�f,�'1''d 9� ,J� C11/ / c% � S C►/lt� Building pector 6/86 and-vl 1 � �J"ocun of Queer7s6ury t / BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 + Oueensbury, New York 12801 SEP{�T?IC DISPOSAL S Y STEM INSPECTION NAME 1 'c7 L�C 's //f.r4l �y2` LOCAT I ON CAIoe . DATE / PERMIT NO , O SOIL TYPE - Sand - Loam - Clay Percolation Test Required? YES - Percolation rate - Min/Inch TYPE of SYSTEM : �.al Absorption field , otal jet Length of each tre h 5 Depth of trenches Size of gravel: SEEPAGE PITS4Number f) Size- ft. X Gravel size - PIPING : a.xe „ Type Bldg . to tank Tank. to dirt . box 'Dist , box to field/ Openings sealed? S NO Partial LOCATION/SEPARAT Sa Foundation to t k Z" fto Foundation to sorption ft . Absorption to t line f t. Separation of its ft , LOCATION OF S TEM ON PROPERT (circle one) Front - Rear Left side 3.g i.de COMMENTS / G%�L.�f� � Y'Gtr�.•� oe SYSTEM USE APPROVED ES NO Bui g inspector 01/86 and vl 10 / .Jaws 01 Queens eery fBUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME� i���T,.. L O C A T I O Date /� Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill gaming Roofing Siding Masonry Veneer 4 . �ugh Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tilt Concrete Floors - P1bg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICA INSPECTION ........................ . DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready) Remarks- Building Inspect 5/86 and-vl aw►r v/ Queerjg"ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 BUI ,LD,. ING INSPECTOR ' S REPORT NAME LOCATION 0e �— Permit NO , ✓ APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves IL Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Aoncrete 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 (call when ready Remarks- f 40 DAL Building Inspector 6/86 and-vl 0 VCt . rG� 'qq- 1 Z. A10a w Ate► r// -rxs P�v rs: ._. """ 0/ �ieeen36urrt�c PM ��� BUILDING and ZONING DEPARTMENT 1 Bay and Haviland Road, R.D. 1 Box 98 ©ueensbury. New York 12801 1111J BUILDING INSPECTOR ' S REPORT NAME -ff j cc) A + ,r , , LOCATION Yha,i en 4-- /Ar v i /91�1 Date � Permit No . ✓ = APPROVED - XES NO �( Footing/Pier Forms car q Foundation Waterproofing Eackfill Framing .Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trite Stairs & Rail gs Cellar Drain Tz Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors t Walls Ceiling FINAL ELECTRICAL YNSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- .104 ,� A. 5/86 and-vl Huildin Inspector °�" Jo urrr cr� �ic t7e n s Er is rt�lt BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. Q. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ' iYaicc9 LOCATION Date— / Permit No . U - ✓ - APPROVED - YES NO Loefm Doting/Pier Fors Y5 U-5 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 INSUZ.ATTON : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Euilding Inspector 6/8+6 and-vi :70wn /� I�t aJVV QUEENSBUKY TOWN OFFICE BUILDING ray BAY AT HAVILANd ROAD QUEENSBURY, NEW YORK, 12801 TELEPHONE : (518 ) 792-5832 June 15 , 1987 Cynthia and Scott Williams RD #3 Box 191A Queensbury , New York Re : Lot 3 Haviland Acres , Martel Road Dear Mr . and Mrs . Williams : In response to your request please be advised that Lot 3 on Martel Road was nonconforming in size ( sq . ft . ) under the Town of Queensbury Zoning Ordinance requirement of 30 , 000 sq . ft . By adding a strip of land ( from adjacent parcel also owned by you) along the northerly boundary line , Lot 3 is now in conformance with all current zoning requirements . Should you have any further questions regarding your property at Martel Road , please contact this office . Yours truly.,,, Mack A. Dean Zoning and Building Codes Administrator MAD : eb SETTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD PLACE TO LIVE HSTATE OF NEW YORK DEPARTMENT CST HEALTH District Office 21 Bay Street Glens Falis, New York 12081 David Axe+rod. h9.0 (518) 793-3893 Cornrrriss+nroer OFFICE OF PUBLIC HEALTH Ia]3 T . Loudon , M . D . D ` p . H ' Linda A. nandoipn, nn ❑., rn P N. Drrecrnr .8egiana2,. Health Director Bran` 5 Fear. P.E. hl'banY .Region Destric, Director May 23 , 1987 Mr . Mack Dean Queensbury Town Offices Say Road Glens Falls , New York 12801 RE : Scott & Cindy Williams Residence Martell. Road (T) Queensbury (Co , ) Warren Dear Mack , This letter is to confirm that I have inspected the fill on Williams ' lot on Martell Road . Currently there is an estimated 30 inches of fill in the area of the septic system . I have discussed our requirements with Mr . Williams and he felt that with his planned final grade there would be over 4 feet of fill . I don ' t have any objection to the issuance of a building permit at this time . 1iy copy of this letter I have requested that Mr . Williams contact me when the site is brought up to final grade in order that I can give a final approval , if you should have any questions , please call me at 793-3893 . Very truly yours , DSM/am Dan S . Machell , P . E . Sr , Sanitary Engineer cc : Mr . Williams 07 V 1 /75 //0p I � QZ i I ri i J"( F � i W ; Q0.696 ACRES± c. (vl PLOT PLAN MADE FOR SCO T T WILLIAMS TOWN OF QUEENSBURY WARREN COUNTY NEW YORK SCALE : I" = 40' DATE : APRIL 24 1987 �_.. f lq VILgNO _ --- ° LAND SURVEYORS,GLENS FALLS,NEW YORK ----. N.Y.STATE LIC.NO.3567