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1987-391 I CERTIFICATE OF OCCUPANCY TOWN Of QUEENSBURY WARREN COUNTY, NEW YORK 2[ } Date: Sept . 16 , l9 87 This is to certify that work requested to be done as shown by Permit No. 841-391 has been completed. This structure may be occupied as a One Family Dwelling .icartian Lot #25 Willow Rd . ( St . No . 51 ) Joe Rouller Owner By Order Town Board TOWN OF QUEENSDURY Building b Zonin= Inspector T E M P 0 R A R Y CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Sept . 11a 19 $Z This is to certify that work requested to be done as shown by Permit No. 89 *a91 has been completed. This structure may be occupied as a One Family DwellIng Location Lot # 25 Willow Rd . ( St . Noe 51 ) Owner Joe Rou.l ier .EMPORARY C/O ISSUED FOR 30 DAYS PENMING FINAL ELECTRICAL INSPECTION By Order Town Board TOWN OFs/Q'UEENSBURY Building & Zoning Inspector BUILDING PERMIT y v sc TOWN OF iQUEENSBURY No. 87-391 WARREN COUNTY, NEW YOR K o PERMISSION is hereby granted to Joe Roullex I co N OWNER of property located at Lot #25 Willow Road ( Street #51 ) Street, Road or Ave. 's 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. 1 . OWNER'S Address is Box 301 Cleaverdale , N . Y . 12820 0 2. CONTRACTOR or BUILC}ER5 0 Name G Same m rt 3. CONTRACTOR or BUl LDER 'S Address 4. ARCHITECT'S Name t� 0 r7 N C,n 5. ARCHITECT'S Address I N 0 E 0 6_ TYPE of Construction — (Please Indicate by X) aW 45. {X} wood Frame t ? Masonry l Y Steel I I 7. PLANS and Specifications No 66 ' x 28 ' One family dwelling per plat plan * specifications and application „ including septic system and 2 car attached garage . S. Proposed Use : to One family dwelling r• $5 . 00 C/o �c 171 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES January 1 . 19 88 (If a longer period is required an application for an extension must be made to the 8uilding and Zoning inspector of the ~ t� Lawn of Clueansbury before the expiration data) N. a4 Dated at the Town of Queensbury this 23rd Clay of June 19 87 SIGNED BY for the Town of Queensbury 1 Su ildiKg and Zoning Inspector ,r1:.,. . TO BE COMPLETED BY BLDG . DEPT . �] / Application No . ,JOtun t7uBBn3hur Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 rO)NN ( } : u " `�ya� +• Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury. New York 12801 Variance No . [A N T /74 Site Plan Review No . �UN 1 Q 1987 /� •C/f Approve Ysy : J ll 1 '"l 0 APPLICATION FOR � BUILDING 8c +CC)DE DEPT. PUILDING AND 7_QNING 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 drone 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 : a c W eoCow }- P . O . Address 3e ,' .. ,a .ry /. �. r4L s Tel . �i d !� ' Property Location : + r e!. .+E/: Tax Map No . Street number or buildi g 1 t n er 4rs/ +` �/ Subdivision name ( if applicable) vw%s6 za.r* ew >44 THE PERSON RESPONSIBLE FOR SUPERVISIONOF ©RK AS REGARDS BUILDING CODES IS : Name T -T P_ Address Tel . No . Name of bulldqry _ r Addres e A/j!.!�_ _ Tel *a, r 49CJZ-.S8:!:yr Name of plumber r n. Address ,.. 2 �/ ,�----Tel . Name of mason Address Tel . NAT)JRE 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 W * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . Size of ,property f-,,2 ft X Ae 'rya ft . Existing building ( s) Size�ft K ft . PROPOSED BUILDING AND USE : � Existing building ( s ) Use Size of new structure __- W -ft x '7 ft Foundation-pier/slab/crawl/partial Proposed building , distance from property line ( circle one ) �. Front yard d,.40 £t Rear yard �.�, ft No . of stories (habitable space) Height ( grade to ridge) r1•y £t . >f Side yards W7e ft and me< ft If on corner , setback from side street -- ft If residential , no . of families�I - No . of rooms ( excluding baths ) o OCCUPANCY INFORMATION No * of bedrooms PRIMARY BUILDING - No . of bathrooms „j X * ,r^ Primary heating system �1.�:"~..a' t s 'Dne family dwelling Type of fuel -- Two family dwelling / Multiple dwelling / Number of units No . of fireplaces to be installed Permanent occupancy Will a wood stove be installed?.WA *� Transient occupancy Central Air conditioning? >t �. Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Logcabin Other Raised ranch Mansion y Duplex If addition , what will use be? Split level Old style Bungalow Cap Cottage Other ACCESSORY BUILDING- _ olonia Row Town House '� etached garage/one ca two car/_ car ( CIRCLE ONE PLEASE } Attached garage/one car/ two car/. car * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF 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 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 vie 2 . Type of heat. 3 , Is the building mechanically cooled ? 4 . Percentage of area of windows and doors �r,,, /C.. + ./r A . Over 16 % Only 1 , Uo value of gross area of walls , roof /ceiling and floors exposed to ambient conditions 20 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 ? �-. Is basement heated ? YES NO a . R value of insulation 5 , Type of insulation B . Under 16 % Only 1 . R value of roof mrnd floors exposed to ambient conditions . 2 , R value of exterior walls_ � Ir� 3 . R value of glazed area /J 4 , R value of doors 'o /�. J � 5 . R value of floors over unheated spaces� �l '� 60 R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8 , R value of heated basement/ cellar walls ( above grade ),!::*WjV 9 _ R value of heated basement ///cellarw' al/ ls ( below grade ) 10 , Type of insulation /!.e'. C +0a ,mr C . Controls 1 . Thermostat maximum heat setting �d r D , Duct Systems 1 , Is duct system installed in unheated spaces ? YES a . If YES , R value of duct installation b . R value of duct in other areas E , Piping Insulation 1 . Size of hot water or cooling carrying agent pipe X1 2 , R value of pipe insulations F , Service Water Heatingf� 1 . Performance efficiency. ;20'0� � 2 . Temperature control setting maximum ./'$—d�- G _ For Swimming Pool Only 1 , Maximum heating 'ram Telephone No . . 4r fooe �- ( appl ' ant ' s signature ) tzarft of APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION c2e , J1 Owner's Name: e 4Z rr Telephone: Address: rJ �xr a I r/� ..sr ,^.CMC R/. T- Installer's Name: �, _ . _ ,�i�� ";r Telephone: .v --- � Number of bedrooms (residential only) +C _ Total daily flow (compute @ 150 gal per bedroom) Topograaphy: circle on - la Rolling Steep Slope % of slope Soil Nature: circle on 0 an oam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle Municipal Well Other IF domestic water supply is a Well: Separation: Watersuppiy from Septic absorption feet PROPOSED SYSTEM : Septic Tank gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench ,y' �o feet / Total system lengthc� 3 feet SEEPAGE PIT(S) : Number of _ / Size each feet by feet Size of stone to be used # cp� / Depth or Thickness — feet I M P O R T A N T ...Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) 40-57 'ri1 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY nl g, 41 STATE STREET, ALBANY, NEW YORK 12207 Data , _ Application Na. on fife f { f. October 1 5 , I. 9 :: 3 ?'i 1 �� 4 ;] C, � � U A -,i L}J{ THIS CERTIFIES THAT v only the electrical equipment as described below and introduced by the applicant nansed on the above application number in [Ira prenaiess d7l Rou tier Coast Co . Lot 51 wljLlov- , C: lena3 Fells , New York in the following location; -1 Basement !st FI. `� and FT. O u t a 2 d e Section Block lot uns examined on q �/ w 4 3 7 and found to be in compliance with the requirements of this Board. Moo TURE FIXTURES CKJTIRTi S SVIfITrCHlS EC RANGES COOKINGoKS OVENS DI FANS WASHERS EXHAUST FA OU ACLE 1NcANoeSc1 Nr7 I FlUCOESCEMT AMT. K. W. AMT- K. W. AMT. K.W. AMT- K. W. AMT. M. F. 24 FIB _ _ DRYERS FURNACE MOTORS FUTURE AIMANCE FEEDERS SPECIAL REC'PT TIME CLOCKS EEIL UNIT HEATERS mmTwNaurr ~0IMd1AERS AMT- K. W. CM; N. ►. GAS 14. P. AMT. No. A. W. O. AMT- AMP-. AMT. AMP$- TRANS- rip. OF MET AMT. WAm MWT — OM L .J SERVICE DISCONNECT NO. of S E R V I C E AMT. AMP-. TYP-E iaAOR. 1 X sw i .& 3W a X 3W 31' 4W r+U. F Acowo, os cc c&Do Mo, Or W41G C• W. r+o.of raEurtA►s osNEUTPAL 1 ' Cb I x I 7 7 OTHER APPARATUS: _ t ) ectrIc Room Iiea , er $p 2 - 3mrrko. Detector = 1 . 5 VW _ 1 l f 73F 1) ispassT. 4 - 1 . t3 IOW ERA P ]. e c t T' i s C [a . 7 T. irch Lane C l e n s Falls , ;y e w York 121301 IIRANCH MANAGER pry,. This certificate must not be okered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentiok. � COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ,7 ._/own o/ Queendhury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, Now York 12801 BUILDINGG INS ,PECCTOR * S REPORT NAIVE LOCATION Da te%—f--'�-� Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation r Waterproofing Backfill Framing RoofinlFloo3rs Siding Masonrr Rough g Relief Ext . P Finishrs -� Interi Stairsings Cellaril Concrers Plbg . Fixtures Gar . Fireproo ng Door Closers Smoke Detect s Chimney INSULATION Foundation Floors Walls ceiling FINAL ELECTRICAL INSPECTION RIVEWAY APPROVAL final Building Survey Next scheduled inspection (call when ready Remarks- Building Inspe for 6/86 and-vl II 70tun 0/ QG[Be" 3z "ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D_ 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME .d / /;or LOCAT I hIr DATE / Coo PERMIT NO , / SOIL TYPE - and - Loam Clay - Percolation est Requly dP YES - NO Percolation to - Mi Inch TYPE of SYST r� Absorption fie tal length y ` .Length of each ch Depth of trenche „„ Size of grave]:_ SEEPAGE PITS{N a of) Size- ft. ft. Gravel size PIPING : Size Type Bldg , to to Tank to dis box Dist. box field/ ' Openings s aled? ES O Partial LOCATION/ PARATIONS : Foundati to tank t. Foundati to absorption t. Absorption to lot line t , Sgrraimti.on of pits -�-nfto Q1Aront 7CATI OF SYSTEM ON PROPERTY (circle one ) - ear - Left side - Right side - OMMEN SYSTEM USE APPROVED YES N Bui ng Inspector QI/B6 rod vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT 4 NAME _ s LOCATION Date-� f � Permit No . ✓ � APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfil l gaming J Roofing siding Masonry Veneer Rough Plumbing Relief Valves IL Ext . Porches Finished FlooAlng-s Interior Trim Stairs & Rail Cellar Efrain Concrete Floo Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Arm . Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVar. Final Building Survey. Next scheduled inspection call when ready Remarks-- Hu � ing Inspector 6/86 and-vl ...lowrr o� �,rtr+enrshttrt� BUILDING and ZONING DEPARTMENT Bay and Havirand Road. R.D. 1 Box 96 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCA ION Date/ p 7 Permit No . f'j-s 5TI see APPROVED - S NO t40t5o� ting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding M my Veneer /,4 ' ugh Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Rallin a Cellar Drain T * l Concrete Floors Plbg . Fixtures _ -- Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling Ir FINAL ELECTRICAL INSPECTION. DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- + Building Inspector 6/S6 and-vl �GILflIt CI� �/,RpE'i?3 ��Eil'R� BUiLD1NG and ZONING DEPARTMENT Bay and Hawitand Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION ] v Date/ Permit No . . Cl r 000` — APPROVED - YES NQ )Pooting/Pier Forms_ Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer ttWugh Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke DetectorsjE Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELEC RICAL INSPECTION DRIVEWAY A PRQVAL Final Bull Ing Survey Next scheduled inspection (call when ready Remar s- dr C U-A Buildl Inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Sox 98 Queensbury. New York 12801 BUILDING SPEr,� T(]R ' S REPORT NAME /// LOCATION ' 5 =e� Date J0^eO7 Permit No . y10 ql �' APPROVED - YE NO Footing/Pier Forms Foundation Waterproofing NF acicfi11 rami ng oofing . Siding Masonry Veneer Rough Plumbing Relief Valves _.. Ext . Porchsa ' � Finishes}/Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproof g Door Closers Smoke Detect s Chimney INSULATION : Foundation Floors walls Oiling FINAL ELECTRICAL INSPECTION�M DRIVEWAY APPROVAL_,,, Final Building Survey Next scheduled inspection (call ,when ready ) Remarks- BuiUoinq Inspector 6/86 and-vl `}} 4 'W" 01 Queen .shetrt�k . 1tL pkNG and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 �j BUILDING INSPECTOR ' S REPORT NAME . LOCAT I Date2/ /-Y Permit No . ✓ — APPROVED - YES NO Footing/Pier Forms undation tterproofing ackfiII +� 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 APPROV Final Building Survey Next scheduled inspection (call when ready ) Remarks- Building Inspector 6/86 and-vl OE D d U LI E R, INC. i5183 856-3544 BOX 301, CLE'VERDALE, N.Y. 12820 Ao Z40 owe 8 1 1 f /3a'