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1987-431 f� I CERTIFICATE (DF OCCUPANCY TOWN OF QUEENSBURY I WARREN COUNTY, NEW YORK r i r DateOctober 16 , 19 S7 { This is to certify that work requested to be done as shown by Permit No. 87-431 j r has been completed. This structure may be occupied as a ONE-FAMILY DWELLING k Lx0cation . -- LOT #3_0 WILLOW RD. (ST . NU . 41 ) r � jOwner MAR.T2I MI MOSIIE=R. i JBy Order Town Board { TOWN OF QUEENSBURY Building H Zoning Inspector I I i i 4 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-431 WARREN COUNTY, NEW YORK ca PERMISSION is hereby granted to Martin Mosher ' �c 0 OWNER of property located at lot #30 Willow Rd . ( St , No . 41 ) Street, Road or Ave. co i in the Town of Queensbury, To Construct or place a One Family Dwelling 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. t. OWNERS Address is 26 Sugar Pane Rd . � Queensbury , N . Y . 03 rt W 2. CONTRACTOR or BUILDER'S Name n Same c+ us 3. CONTRACTOR or BUILDER'S Address y 4. ARCHITECT'S Name 0r ra ro rr S. ARCHITECT'S Address M I-+ O F-• M O 6. TYPE of Construction — (Please indicate by X1 C �7 [D � N K3 Wood Frame ( I Masonry ( ) Steel on a* C ri 7_ PLANS arx11 Specifications •..c No. 301 x 601 One-Family Dwelling , including two car attached garage and septic system as per plot plan , application and specifications . S. Proposed Use One—Family Dwelling $5e00 CIO ro I s 171 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES February 1 , 19 88 (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 10th Day of July 19 87 �__�y SIGNED BY � � / -!"--� -" far the Town of Queensbury aq Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . // Application No . (awn [)� ueere36uYt Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. Q. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No . JUL An Site Pl iew No aiill�. JDI Appro Sd Eby - BUILDING & C0DE DE'PT_ 0 0 F "APPLICATION FOR 7 lam / rF BUILDING 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 : '� �l, -- ---- P . O. Address � (Q c 77 Tel . 7 ,9..-' Property Location : oS &_ C;6 4�4 ?.�' x_.,, y ,o�'d 7�L r , .. F g _Tax Map No . Street number or building loot number �fjf, A&0 Subdivision name ( if applicable) THE PERSON RESPONSIELE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O . Addres Tel . No . Name of builder _ t _ Address Tel . Name of plumber ,C,.y„., 1 Address. Tel . Name of mason �,jA::2a6 A Address Tel . NATURE OF PROPOSED W RK : * 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 FOR DEMOLITION PERMIT , STATE SIZE AND * whether anterior 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 /3 0 ft X /74:1P ft . * Existing building ( s ) Size ft X ft . * PROPOSED BUILDING AND USE . * Existing building ( S ) Use Size of new structure'�70 ft X 1' e ft Foundation-pier/slab/crawl/partial full * Proposed building , distance from property line ( circle one ) * Front yard �� ft Rear yard ' S � ft No . of stories (habitable space } Height ( grade to ridge ) �Sl ft " * Side yards :tF5 ft and s _ ft if residential , no. of .families * If on corner , setback. from side street � ft No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No . of bedrooms No . of bathrooms � ,r PRIMARY BUILDING - * � One family dwelling Primary heatin system f,�x * Two family dwelling Type of fuel * Multiple dwelling / Number of units No . of fireplaces to be installed f . . Permanent occupancy will a wood stave be installed? `9r.r Transient occupancy Central Air conditioning? * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin » Other Raised ranch. Mansion Duplex If addition , what will use be? Split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE } * .:Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * 'Other CONSTRUCTION * w INFORMATION ON BUILDING SPECIFICATIONS . ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 md-vl 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 2 2 . Type of heat !�l f [s rhr62 _�. 3 , Is the building mechanically cooled ? 4 . Percentage of area of windows and doors _ A • Over 16 % Only 1 , U value Of gross area of walls , exposed tMtgMblent conditions roof/ ceiling and floors 2 . Floor Over heated sp es YES a . Are foundation wal insul ? 1 . If YES , what YES NO a value ? 3 . Slab on grade YES NO a . if YES , what ' the R value insulation around perimeter floor ? 4 . Is base t heated ? YES NO a . alue of insulation 51 Type of insulation H . Under 16 $ Onl 1 . R value of roof and floors exposed to �a-,mbient conditions 2 . R value of exterior walls_ 3 , R value of glazed area 41 R value of doors 5 . R value of floors over unheated spaces ` 6 , R value of slab edge insulation - unheated slab 7 - R value Of slab insulation - heated slab S , R value of heated basement/ cellar walls ( above grade ) 90 R value Of heated basement/cellar walls ( below grade ) 10 , Type of insulation C . Controls 1 , Thermostat maximum heat setting 0 � 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 F =- -- - - Piping Insulation 1 . Size of hot water or cooling carryingagent 2 , R value of pipe insulation gnt pipe F , Service Water Heat ! 1 , Performance efficiency 2 . Temperature control setting maximum c G . For Swimming Pool Only 1 . Maximum heating ^� Telephone No , 79 1 ( applicant ' s signature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE + r t f_ Co +� 1�72 L_ AP LOCATION OF PROPERTY FOR INSTALLATION s f &0 Owner's Name: /�� �, +x t ,- Telephone: 7 y° . - / ;Z SEO Address: Installer's Name: t�a� Telephone: ,r1-�,..... Number of bedrooms (residential only) _`-Y _ Total daily flow (compute @ 150 gal per bedroom) Cv Q d Topography: circle one: Fla Rolling Steep Slope of slope Soil Nature: circle one: (SanJ Loam Clay Other / Depth: feet Gvound Water_ At what depth? feet Bedrock or Impervious Material: At what depth? i feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: 6Municipal ell 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 . feet / Total system length :� S d feet SFEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness feet IMPORTANT ...Please...LIST NRW EQUIPMENT TO BE INSTAET (over) c� I Y/own of Queens6edry 13UYLL71NCa and ZONING DEPARTMENT Bay and Hawiland Road, R.L], 1 Sox 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date ff.) f _. Permit No . f;7-- ff4 APPROVED YES *Nq Footing/Pier Forms Foundation Waterproofing Backfill Framing L^Roof ing LO�„ Ldriding Masonry Vene Rough Plumbin L4!Telief Valves L� e.Ext . Porches Finished Floors Interior Trim &S'tai rs & Railings Cellar Drain Tile Concrete Floors i. plbg . Fixtures fQar . Fireproofing `"Door Closers y,Emoke Detectors Chimney INSULATION Foundation 40�moors Walls Ceiling LECT CA {,.8*'INAL EL INSPECTION DRIVEWAY AP ROVAL�„_ Final Buil ing Survey __.-- - Next schadu . ed inspection (call whe ready/)y Remarks- 7V , Building Inspector 6/86 and-vl C 1 awre o/ ueerr3 � ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEMI INSPECTION NAME L.00AT I ON DATE PERMITPERMIT NO . {{� SOIL TYPE - an - Loam - Cl - -7 Percolation st Required? ES - NO Percolation r to - Min/Inc - TYPE of SYSTEM: Absorption fiel total length Length of each nch rC:l Depth of trenches C Size of gravel --- SEEPAGE PITS#NWumber f) Size- ft• X Gravel size PIPING : S e Type Bldg * to tank f� -- Tank to dirt _ x rr r ytz Dist. box to f eld/ Openings seal d? YES N Partial LOCATION/SEP RATIONS : Foundation o tank ft- Foundation 0 absorption '"' C>ft - el Absorption to lot line Separatio of Pits ft. . TION SYSTEM. ON PROPERTY (circle one) Front - R - Left side - Right side -- CCH MIEN SYSTEM USE APPROVED YES NO Building Inspector 01/86 and vl I�/jj �.I'own o� �eseere .sbur+r� 413UIILDING and ZONING DEPARTMENT 1 . tQ 1 Say and Haviland Road. R,D. 1 Sax 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT es_ NAME '�/J'/1 /�.1 LOCATION permit No . / " 7 . APPROVED* -*YES* NO Footing/Pier Forms Foundation Waterproofing Backfill teotframi ng Roofing Siding Masonry Veneer ugh Plumbing Relief Valves Ext , Porches Finished Floo Interior 'trim Stairs & Railin Cellar Drain Ti.l Concrete Floors Plbg . Fixtures Gar . Fireproofln Door Closers Smoke Detector Chimney IN SUTAATION : Foundation Floors walls Ceiling FINAL EL TRICAL INSPECTION DRIVEWAY APPROVAL . - Final Building Survey Next scheduled inspect on (call when ready ) Remarks- C Building Inspector 6/86 and-vl flown n of Q"een sfaurey BUILDING and ZONING DEPARTMENT Say and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION .3e)' r14elel Date // Permit No . ��' T- '') ✓ — APPROVED NO Foting/Pier Forms 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 . Fixtures Gar . Fireproof ng 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- . G Bull ng Inspector 6/86 and-vl Jo urn of Queen3t urq /10 /a( 'BUILDING and ZONING DEPARTMENT f Bay and Haviland Road, R.D_ 1 Box 98 Queensbury. New York 12801 r 5VILDING ��INSPECTORrS REPORT NAME LOCATION Date Permit Na . */ - APPROVED - YES N ' O L- Ooting/'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 P1'bg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION^ _...,. DRxyLWAY APPROVAL Final 'Building Survey Next scheduled inspect/ Cca 1 en ready Remarks-- Building Inspector 6/86 and-vl Jocurl cr/ ueeres �ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME � � LOCATION L� r :?'e;) WAY., Date,SII F', /- Pc rmit No . y6c ✓ = APPROVED - Y S NO voting/Pier Forms Foundation waterproofing Backfill Framing Roof ing 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 ELECTRI L INSPECTION _,,, DRIVEWAY APPR At . __ -- _, Final Building Survey Next scheduled inspection (call when ready) Remarks- 8 Buil ing Inspector 6/86 and-vl s� rA a n I.a I d T�,