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1987-410 i k CERTIFICATE C�►C,CL3PAN+C�Y TOWN OF QUEENSBURY 1, WARREN COUNTY, NEW YORK 4 Date November 25 t9 fi 7 k This is to certify that work requested to be done as shown by P�e�rmit,} No. 87-410 has been completed. �1 \J -� One--Fanitly Dwelling This stract •re may -be o`cc`umdL s � 43 Willow Road ���� Location e. I;u 0 Owner Lawrence Vosh i By Order Town Board � T'UVYN OF QLIFENSB[IRY Building dr Zoning Inspector I I i r BUILDING PERMIT H y TOWN OF +QUEENSBURY � No. 87--410 WARREN COUNTY, NEW YORK CD CD PERMISSION is hereby granted to Lawrence vosh r �a Lot 36 Willow Road o OWNER of property located at Street, Road or Ave. co 1 w in the Town of Queensbury, To Construct or place a One—Family Dwelling Q 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. 1 . OWNER'S Address is 2 Sylvan Ave , r Glens Falls , N . Y . ro 2. CONTRACTOR or BUILDER'S Name n n Steve Kelly o m 3- CONTRACTOR or BUILDER'S Address 15 Willow Road Queensbury , N . Y . 12801 4. ARCHITECT'S Name r a r+ 5. ARCHITECT'S Address rn r - r 0 E S. TYPE of Construction — (Please indicate by X) py O Po (K, ) wood Frame i ) Masonry l ) Steel ( } A. 7. PLANS and Specifications No- 69 ' x 34 ' One-family dwelling , with attached two car garage Including septic system . 8. Proposed Use One-Family dwelling ' a+ I w $ 5 , 00 r- $ 164 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES February 1 , 19 88 0f 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.) 1� F--r Dated at the Town of Queensbury this 2nd Day of July 19 87 ` SIGNED BY for the Town of Queensbury Building and Zoning I nspector �f TO BE COMPLETED BY BLDG . DEPT . Application No . - /oeuet oueend(s�tr Permit issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ((�' �� Lb Oueensbury, New York 12801 Variance No. ll V L1 u Site P1 iew # ppro ' (� ' APPLICATION FOR BUILDING & CODE: DEPT. BUILDING AND ZONING PERMIT r- 0 ( uGL 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 : P. O. Address Tel . Property Location : 1-4RT 736 As r''/a A ^ jef�'r oo o/ Tax Map Lao . "1 6, (a Street number or building lot number Subdivision name (if applicable) / `z :a e C THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name - - P . O . Address --- Tel . No . Name of builder a of'� Ar' y Address /S 4 0, /{e.x 't � Tel . '7 `� -> -- - -- Name of plumber A7 ti. Address Tel . Name of mason SA ,r,,, ,,, Address Tel . NATURE OF PROPOSED WORK : * ZONING INFORMATION : 't4 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 ,F LOCATION OF STRUCTURES AFFECTED . of water supply and location and configuration *' of septic disposal area . * * COMPLETE INFORMATION REQUIRED BELOW . Size of property_ / 3c) ft X 1 .26 ft . Existing building ( s) Size ft x ft . * PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new structure _eft Xft Foundation-pier/slab/crawl/partial ull * Proposed building , distance from property line ( circle one ) * Front yard (x3 ft Rear yard ? ft No . of stories (habitable space ) 2- Height ( grade to ridge) � � ft . * Side yards ,� ;-'. ft and t ft If residential , no . of families f * If on corner , setback from side street ft No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION No. of bedrooms y PRIMARY BUILDING No . of bathrooms ,.2 I/7- * - Primary heating system d PS .4 f ;F,' * ,,One family dwelling Type of fuel C ,gt - * Two family dwelling No . of fireplaces to be installed / * Multiple dwelling / Number of units Will a wood stove be installed? rjG * Permanent occupancy Central Air conditioning? * Transient occupancy 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- colonial Row Town House * Detached garage/©ne car/ two car/ car ( CIRCLE ONE PLEASE ) * >�O Attached garage/one car/ two car car * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF e Other CONSTRUCTION $ INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED ! Form BPA 4/86 and-vl TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING P CONSERVATION E " ITINCOMPLIANCE WITH THE NEW YORK STATE 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 ? smmmmmI ,, ,e-+ `'l 4 . Percentage of area of windows and doors_ am A . over 16 % Onl 1 , U value of gross area of walls , o roof / ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO YES NO a . Are foundation walls insulated ? 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 g , Under 16 % Only - to R value of roof and floors expor3ed mbient conditions 2 . R value of exterior walls 3 . R value of glazed area t � 2 4 . R value of doors ' � 7 5 R value of floors over unheated spa c e S. 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 ) g . R value of heated basement/cellar walls ( below grade ) Lp . Type of insulation Co Controls 1 . Thermostat maximum heat setting _ _ O . Duct Systems YES NO 1 . Is duct system installed in unheated spaces ? a . If YES , R value of duct installation b . R. value of duct in other areas E . Pip iYnsulation carrying agent pipe 1 . Size of hot water or cooling carry 2 . R value of pipe insulation F . Service Water Heatin ✓� c7 1 . Performance efficiency_ 2 _ Temperature control setting maximum - - G . For Swimming Pool Onl 1 . Maximum heating J � . Telephone No . ( appli nt , s signature ) APPIACA17ON FOR SEPTIC DISPOSAL, PERMIT HATE LOCATION OF PROPERTY FOR INSTALLATION Z67 A4 Owner's Name: , P /df'!"i' � c5 7 Telephone: _ i�` e%S? c) 5/Z e Address: _ >> �1 l '+ i yc f r� ✓ar IS Installer's Name: y� E' rz aC ` Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) (9 t Topography: circle one: Flat Rolling Steep Slope $'a of slope .�. Soil Nat+me: circle one. �,� Loam Clay Other / Depth: feet Ground Water: At what depth? — feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: not require required / rate min. inch. ]Domestic water supply: circle one: _Municipa�l� Well Other IF domestic water supply is a WeRe Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM : Septic Tank OCi�) _ gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness feet * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IMPORTANT ...Plea ...LIST NEW EQUIPMENT TO BE INSTALLEII (over) awn o/ Queenylur y BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION_ / � L�L �� Date /� Permit No * IL &POO APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Baclkfill Roof.in Siding Masonry Ven r Rough Plumbi Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Rail! s Cellar Drain Ile _ Concrete Flo rs - - Plb . Fi g xtu es Gar . Firep oofing Door Clos rs Smoke De ectors Chimney INSULAT CN : Founda " on Floors Walls Ceiling FINAL ELECTRICAL INSPECTION_ DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks-- Building Inspector 6/86 and-vl _Down IQ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEP/TIIC DISPOS L SYSTEM INSPECTION NAME / LOCATION LATE �I PERMIT NO. SOIL TYPE - Sand - Loam - Clay - Percolation Test R quired? YES - NO Percolation rate - n/Inch TYPE of SYSTEM: Absorption field , total length Length of each trench Depth of trenches r Size of gravel: _ SEEPAGE PITS{Nuimber of) Size- ft. X ft. Gravel size PIPING : Size Type Bldgw to tan Tank to dis _ box gist . box o fie, d/ Openings Baled? YE NO Pa7eone) LOCATIO /SEPARATIONS : Founda ion to tank f Found ion to absorption ft Absor tion to lot line ft . Separa ion of pits f to LOCATION OF SYSTEM ON PROPERTY (ci Front - Rear - Left side - Right side COMMENTS . SYSTEM USE APPROVED YES NO Bui ing Inspector 01/86 and vl �f(}✓ �/��� �../otun U eteerr .36etrr+�� .. 1 !1 BUILDING and ZONING DEPARTMENT ' Bay and Haviland Road, R. D. 1 Sox 98 f7 0 Ueensbury, New York 12801 ;rj&1'3 UILDING INSPECTOR ' S REPORT NAME ,, ,�� L/ Gt LOCAL" I ON w ./U? G f/'/ale Date �� �a ^/ Permit No . Z- �P1P ✓ - APPROVED - YES �/�N0 Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior 'Prim stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproo ng Door Closers Smoke Detect rs Chimney IN SUI.ATI CN Foundation Floors Walls Ceiling FINAL EL TRSCAL INSPECTION _ DRIVEWAY . PPROVAL final Building Survey r Next scheduled inspection ( call when ready ) Re arks- CX, ziet7 V/, drf lie Building I vector 6/86 and-vl _ 70W" v/ Queen -3 Upy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME W?5A/ LOCAT I ON/� G- G7 r DATE.��/. d /_ PERMIT NO. � / _ `710 SOIL TYPE S nd Loam - Clay - Percolation Required? YE Percy tion rate - Min/Inch TYPE o SYSTEM: Absorpt n field , total ngth o� Length o each trench b Depth of ranches Size of gr vel' SEEPAGE PIT 4NimrLb of) _ Size- ft X ft . Gravel size PIPING : Size Type "Bldg . to tarn L/m _.._ go Tank to dis bo fit'! P ✓ Di st. box o fiel pit Ila openings Baled? YES NO artial LOCATI ISEPARATION S Found ion to tank f t. Found tion to absorpt on ft_ Absor tion to lot lin _J ft_0 Separ Lion of pits ft. -OF SYSTEM oN ROPERTY (c ircle one ) Front Rear - Left si - Right side - ENTSc SYSTEM USE APPROVED YES 'p Building Inspector 01/86 and vl 1' M1131DLEAMM RTMENT iNSPECTiOrN AQENCY,;IN& - — National Headquarters gp0'Haddbri Ave., Col I ingswood, N.J. 08108 1'. Date:?—�yr ot� City, 'Town or Township +� P ++' County 4 y Dr �' ZoN' State /'�' Location/Address. f Located in Rural Area - Please Attach Directions) Pole # Owner. r>t k ✓ -E• o S Pgzmlt # {Occupied .As. % 'no C- Sdildin NewM Old O Occupant Work Area in Building Floor *e etc.): for: Wiri Service or: Ready for Inspection . n ec'tion. Fee Remitted.- $ Gash Check El M.O. Make-Pa able .7b: M.D.I.A. Number of %h Wiring Outlets Elect. Heat - GO& 750 1GOa 1 ssa0 zs0 200a 2250 2500 0a 2a50 30 Sw itches Amp. Service Surface Unit Dishwasher Range Light Receptacles Water Heater Air Conditioner Dryer Pump Numtgrofnnuiros Oven Gsrbage Disposal Wiring and Controls for Burnet Ar4ip Receptacles Fractional H.P. Vent Fans Other Equipment: lk MOTORS H.P. 1/2 1/12 1/10 1/e 2/6 1/4 1/3 1/2 3/4 1 1+ft 2 .. .S 5 74x 10 15 20 25 30 . 40 - 50. . 75 100 Mark {"Dumber - . of Each Si - - Applicant's Signature �Litaense # Permit # T/A r Utility ,1p {NAM FFICE LOCATION) L (City) c.c (State) k (Zip- U Service Request Phone # Electrician: DATE RECEIVED: DATE INSPECTEp: Correct Location : Same as Above El or: Red Notice Label © Q 42' Rough Wiring Outlets Surface Unit Oven . Switches Range 1 . Garbage Disposal F -Flemptacles X Water Heater Dishwasher Fixtures Air Conditioner Dryer Am l ment Burry rsi' s !or Amp. Service Conductors Pump Vent Fans MOTORS H.P. 1/20 1/12 1/20 I/a 116 1/4 1/3 1/2 3/4 1 1�& 2 3 5 17112110 1151 20 25 30 40 150 175 1 Mark Number of Each Sian 900 750 1000 1250 1500 11so 200a "00 Elect. 'F'fia8t . t .., IRW Progress: Inc. El LIED E3. : Contractor LJ CFT Violation : Work Comp. © Inc._ �] L/A " Owner CASH 0. /A L Fee CH K # Due Mil I PA Mµnici pal. k. I V ?Nrc �l ` Date: Other-Side (AI Iity I•3 Owner Cut in Card Q Temp) # Date - . < . r - fWPECT0RS S t2D NATU R E, Final # Datef APPLICATION FORM NO. 250 EL 1'Y/e _ lcau.n o oueen t� ur�t r .� 24o� BUILDING and zONING DEPARTMENT Bay and Ha 1[). 1 Box 96 bury. New York BUILDING INSPECTOR ' S REPORT NAME 01501' ✓ c LOCATION t31— 3 t� . Date, _._/�v Permit NC) . APPROVED - YES NO Footing/Pier Forms Foundation waterproofing 13ac'kfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete Floors 111bg . Fixtures Gar . Fireproof ng Door Closers Smoke Detect s Chimney VNSUI.ATION Ftaundat ion F oors e ili 1. s ng FT11AL EI TRICAL INSPECTION DRIV'F.WAY PPROVAz Final Building Survey* eduled inspection (call when ready ) Next sch Remarks- �it ['c.Q(E'✓ ye Building Inspector 6/86 and-vl i mown o wens u*� BUILDING and ZONING DEPARTMEN14: Bay and Naviland Road, R. U. 1 Box 98 Queensbury, New York 12601 BUILDING _fINSPEC /TORtS REPORT NAME LOCATION Date J-` ermit Now APPROVED* -*YES i No r Footing/Pier Forms Foundation Waterpro ing Back£ill Framing Roofing Siding Masonry Ven+efll ugh Plumbin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Firepraofing Door closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls ceiling FINAL ELECTR CAL INSPECTION DRIVEWAY APP OVAL Final Building Survey 13e3ct scheduled Ins p ectivn (call when ready) Remarks- � Jet � 4z-% Building Inspector 6/86 and-vl 0 it 4lown Cl �u�er+ sbulr BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 ( Y1✓ Oueensbury, New York 12$4I � 1 BUILDING INSPECTOR r S REPORT NAME LOCATION lP7- c� ' /4 "G Date/ Permit No * APPROVED YES *NO Footing/Pier Forms Foundation ' Waterproofi.ng Ba�y+kf i 11 4*i'rami ng Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg _ F fixture s Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELEC CAL INSPECTION DRIVEWAY A ROYAL Final Building Survey Next scheduled inspection (call When ready Remarks- Sui.lding inspector 6/86 and-vl xf WI! of Qu ��'Yt3� Lt!'i� 6 BUILDING and ZONING DEPARTMENT ay and Haviland Road, R.D. 1 Box 98 aueensbury, New York 12801 J � ING INSPECTOR ' S REPORT i4'©6 12 LOCATION l fpGLJ /LG Date / / Permit Now //* PROVED* -* E ie NO ,,/Footing/Pier Forms G Foundation waterproofing Backfill Framing Roofing Siding Masonry Vene Rough Plumbin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors PIbg , Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAt ._ - Final Building Survey_,_ Next. scheduled inspection (call when ready) I{emarka- Building Inspector 6/86 and-vl r 1G flownf Queen ., "ry {}� BUILDING and ZONING DEPARTMENT 1 Bay and Haviland Road, R.O. 1 Brix 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATiC►N �(j Date+� �/ 1�7_ +� 1 Permit * c* *NO APPROVED )(Footing/Pier Forms - Foundation Waterproofing Backfill Framing Roofing Siding Masonry Ven er Rough plumbx Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Brain Tile Concrete Floors Plbg . Fixtures Gar , Fireproofing Doer closers Smoke Detectors Chimney INSULATION : ' Foundation F 100 3C Walls ceiling FINAL ELECTRICAL INSPECTION — _ DRIVEWAY APPROVAL�.�_ Final Building Survey, ---- Next scheduled inspection (call when ready Remarks- f . T Bnil ng Inspector 6/86 and-vl � ,�,� ..Jaturr o� �eeQQns� urr� r � BUILDING and ZONING DEPARTMENT 1 Bay and Haviland Road. R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT i ! NAME ' /./ r LOCATION ,, c Li.t-t •r` '/.:� Date e /il Permit No * APPROVED - YES NO Footing/Pier Forms ,�r.undation r..�4a terproa f i �" Backfill Framing Roofing siding Masonry Venee Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim stairs & Railings Cellar Drain 'rile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECTRIC L INSPECTION DRIVEWAY "PRO Final Building Survey Next scheduled ictspection (call when ready Remarks- Building Inspector 6/86 and-vl 4.I'crwn v� �ueensHure�l BUILDING and ZONING DEPARTMENT Bay and Waviland Road, R. D. 1 Box 98 Queensbury, New York 12aol BUILDING INSPECTOR ' S REPORT NAME LOCATION Date Permit No . T ` ✓ = APPROVED - YE NO Ling/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Ven r Rough Plumbi Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofin Door Closers Smoke De tec to r Chimney INSULATI(]N Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROV Final Building Survey Next scheduled inspection ( call when ready ) Remarks-- Building Inspector 6/86 and-vl awn 0/ Q" eenji"ry BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R.D. 1 Box $8 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME e LOCATION Date' ' Permit No . e7 �44;0z;> � / ✓ = "PROVED - YES ,N V�lsoting/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 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- 1 in spector 6/86 and-vl -TRUSSES L RDOL t. .5TL49 WELL C,'gs j lj i� 1 A i -Alt 17 DRAWING NUMBER