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1987-493 y i F CERTIFICATE O OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK E Date Iles . 31 1987 This is to certify that work requested to be done as shown by Permit No. 87-493 has been c wnpieted. One—Famliy Dwelling This structure may be occupied as a Location ShS*Mfik Peggy Ann�Queensbury Forest 5ubdlvisior Ovrtter Ma ullo Brothers Bua.lders Inc , By Order Town 'Board TOWN OF QUEENSBURy i r Building & Zoning Inspector I i I BUILDING PERMIT TOWN OF +QUEENSBURY No 87-493 WARREN COUNTY NEW YORK PERMISSION is hereby granted to Masullo Brothers Builders Inc . OWNER of property located at Lot # 1 Peggy Ann Queensbury Forest Street, Road or Ave. u zan in the Town of Queensbury. To Construct or place a one-Fame 7 v lh./r+ 1 jig 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. 00 1 . O WN E R'S Address is 3049 Broadway ti Schenectady , N . Y . 0 H ra R 2, CONTRACTOR or BUI LDER'S Name � Same ray m 4C C 3. CONTRACTOR or BUILDER'S Address la, I]. tIs FI on H 4. ARCHITECT'S Name n - S. ARCHITECT'S Address .o t-r C a rD rr sv B- TYPE of Construction — {please indicate 6y X} � m r- cr {XY-Wood Frame ( l Masonry 1 Steel ( }x s4 M fro 7- PLANS and Specifications v rY No. 34 ' x 48 ' per plot plan , specifications and application , including, attached two-car garage , and septic system , r* cn $- Proposed Use a One-Family Dwelling Y• C ' qb r• $ 131 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES February 130 1988 (I t a to er d n9 period is required a he axparion for an extension must be made to the Building and Zoning inspector of the n)fawn of Queensbury before the expiration date.} d >v Dated at the Town of Oueensbury this 27th Day of July i9 87 N N ,� `C SIGNED BY u rr for the Town of Queensbury E Building and Zoning Inspector �/J rn F-+ 174 TO BE COMPLETED BY BLDG . DEFT . Application No . TPOWIN - � ueen3htcre�[ Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Il�7r }L1 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation �u Queensbury, New York 12801 Variance No . JUL 2 3 1%7 Site Pla view N Appro 3�y BUILDING & COAL DEPT d - APPLICATION FOR FUILDING 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 : Masullo Brothers builders Inc . P . O. Address 3049 Uxan Kay , R'c^henyrtad4Ey mr+w Ynrk Te1 . 37n_-j0Sa - Property Location : Lot # /" Peggy Ann Tax Map No . Street number or building lot number Subdivision name ( if applicable) QLLcenahuyy F,orear THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARD'S BUILDING CODES IS : Masullo Brothers Builders Inc . 3049 Broa33Way Schenecta", New York 518-370i-1058 Name P . O. Address Tel . No . Name of builder Same Address Same as Abobe Tel . Sans Name of plumberj%B plumbing Address 88 Newton Sti+ee Albany N.Y. Tel _Z59-5gll Name of masonptuRIlo ice. Builders Address Same Tel . Smy NATURE OF PROPOSED WORK : * ZONING INFORMATION : Xg 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 . w COMPLETE INFORMATION REQUIRED BELOW - - - -- - Size of property! jeep ft X _L2R ft . * Existing building ( s ) Size ft X ft . PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new structure 34 ft X qg ft Foundation-pier/slab/crawl/partial ull '" Proposed building, distance from property line ( circle one ) Sae Attaded No . of stories (habitable space ) 2 Front yard plan ft Rear yard ft Side yards ft and ft Height ( grade to ridge ) 23 ft .If residential , no , of families 1 * If on corner , setback from side street ft No . of rooms ( excluding baths ) 9 � OCCUPANCY INFORMATION No. of bedrooms 3 - - - PRIMARY BUILDING - No . of bathrooms 1 X8 One family dwelling Primary heating system �r7 � ,-ly ��- 1�_ Two family dwelling Type of fuel L1c�c- Multiple dwelling / Number of units No . of fireplacess t to be installed Will a wood stove be installed? - Permanent occupancy Central Air conditioning? Yes Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin Other Raised ranch Mansion Duplex x If addition , what will use be? Split level Old style Bungalow Ca e Cod Cottage Other ACCESSORY BUILDING- Colonia Row Town House Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE } $ Attached garage/one car/ two car/_- X car Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION $ INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE: SIDE OF THIS SHEET, TO BE COMPLETED : Farm BPA 4/86 and-vl TOWN OF QUEENSBURY WARRED 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 j7i _ Fr_ 2 . Type of heat. Electric Heart PmV 3 . Is the building mechanically cooled ? YES 4 . Percentage of area of windows and doors A . over 16 $ only 1 . Uo value of gross area of walls , roof /ceiling and floors exposed to ambient conditions_ _ �� attached 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES No 1 . If YES. , what is the R value ? R-13 3 . Slab on grade YES 's�' 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 Fiberglass B . Under_ 16 % Only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls .. j" - ?2 Z..- 3 . R value of glazed area 9 - " - Zs 4 . R value of doors - 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab Iv I 7 . R value of slab insulation - heated slab 8 . R value of heated basement/ cellar walls ( above grade )'-13 96 R value of heated basement /cellar walls ( below grade ) -.1 10 . Type of insulation aFibu^ G. 40155" C . Controls "- 1 . Thermostat maximum heat setting 900 T D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NC3 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 •' 4 3/4 Copper 2 . R valuj . of pii) e insulation F . Service Water Heating 1 . Performance efficiency- __- 2 . Temperature control setting maximum G . For Swimming Pool Only � Y . Maximum heating Telephone No . 370�1058 2 0* MEOW ( applicant ' s signature ) APPLICATION FOR. SEPTIC DISPOSAL PERMIT DATE / � 7 LOCATION OF PROPERTY FOR INSTALLATION + a Owner's Name: /�,� �� �,�"-' � w_ Telephone: _ -- la Sir Address: gov9 w _ _ .���. . - _�' _ '.r ��, .. Installer's Name: �. Telephone: Number of bedrooms (residential only") Total daily flow (compute @ 150 gal per bedroom) VIGO Topography: circle one. Flat Rolling Steep Slope % of slope _ Sail Nature: circle one: San Loam Clay Other / Depth. feet Ceround Water: At what depth? oV feet Bedrock or Impervious Material; At what depth? � '__..._�Cl� feet Percolation test: circle one: <of require required / rate min. inch. Domestic water supply: circle one. Mlunicipa Well Other _ IF domestic water supply is a Well. Separation: Watersupply from Septic absorption _ A119 feet PROPOSED SYSTEMS: Septic Tank jpao_ gal. (minimum size: 1 ,000 gal.) TILE FIELD. Each Trench Ll J? . feet / Total system length I 9j feet SEEPAGE PIT(S) : Number of / Size each Beet by feet Size of stone to be used # 'am"ww , / Depth or Thickness _ feet I M P 0 R T A N T ...Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) . _. I r4G' C'pJ�IJ1N6 • NEW YQRK STATE ENERGY C0NSERVATION CONSTRUCTION CODE PART - 6 WORKSHEET THERMAL RATING METHOD ONE- AND TWOmFAMILY BUILDINGS SUI LDI IdG ' .,,� GROSS FL0OR AREA 70TAL6 2 13S.S.F, ADDRESS --�� _P 6 Y A1VlIl NUMBER OF STORIES DEGREE DAYS U6 0 CO?DETRACTOR. ARCHITECT OR ENGINEER TELEPHONE � f she building does not meet the following -pre-qualifying conditions , Pert 6 of the Energy Code may not be used . YES 140 v1 Building is one- or two-family residential . Building is detached . Building is . less than 5, 000 gross square feet . Building is three stories or less in height , Entrance doors have a storm door or certified U value of . 40 or less . Glazing area/gross wall area is equal to or less than : 242 if 5. 000 degree days 232 if 6 . 000 degree days 202 if 7 . 000 degree days 182 if 8. 000 degree days 16% if 9, 000 degree days If all of the above conditions are not met. either PART 3 . PART 4 or PART 5 of the Energy Code must be used. DIRECTIONS: For each component of the proposed building design enter the design information requested such as Areas, "U" or "R" Values , Additional lines are provided for designs with more than one component construction type. Obtain thermal ratings for each item by consulting the appropriate Tables, A. ROOF/CEILING Obtain Thermal Ratings from Table 6-1 , 6-2. 6- I E or 6-2E depending upon degree days and heating type: Area: ) U- Value: , 033 qua-re Ft. Thermal Ra'ting Area: U-Value : Square Thermal Rating B. NET WALLS Obtain Thermal Ratings from Table 6-1 or 6-lE depending upon heating type . Area: 4 ' U-Value: quare rT. Thermal 'Rating Area: _ U-Value: fit- Thermal sting Note: ftt hail Area Gross Wall Area minus Basement/Cellar Walls. Gi�Lzing ' Areas and Door Areas , rk C. GLAZING Obtain Thermal Ratings from Table 6-3 or 6- 3E depending upon heating type . - WINDOWS Area of Glazing : /.53 U-Value ; Square Ft. Therms Rating Area of Glazing : U--Value: Rua re t. Thermal Rating SKYLIGHTS Area of Glazing : U-Value: qus` ua"re`Ft. Thermal at i ng D1 . FLOORS Obtain Thermal Ratings from Table 6-1 . 6-lE or 6- 4E depending upon degree days and heating type . S� rri Floor Area :, U-Value: �► �Y Sqa�te" Thermal Rating D2 . BASEMENT/CELLAR QALLS Obtain Thermal • Ratings • f rom Table 6-4 . 6- 5 . 6-6 or 6-5E depending upon degree clays and heating type. Wall Perimeter: Linear Feet . Exposure Above Grade: "'Feet U-Value of Wall : • 66 lepth of Wall U-Value Below Grade : 46 Inches Thermal Rating Vote : Use the above grade U-Value of the wall . The Thermal Rating Tables have been designed to take into account the insulating effect of the earth, 03 . SLAB INSULATION Obtain Thermal Ratings from Table 6-7 or 6-6E depending upon heating type . Slab Perimeter: Linear eet Insulation R-Value: +'�� Thermal Rating - r E . INFILTRATION CONTROL Obtain Thermal Ratings from Table 6-8 or 6-7E depending upon heating type . If the building does not meet the following conditions. enter NA (Not Applicable ) for Thermal Rating , YES NO All windows have an air leakage rate of 0 . 35 cfm or less per linearfoot of operable sash crack ; All net wall areas have an infiltration barrier ; and A heat recovery ventilator, which transfers heat between the outgoing airstream and the airstream entering from the outside, is installed . Conditioned Floor Area: A ( Shell not include Square Ft. T­6ermal Rating basement/cellar floor area ) F. SOUTH FACING GLAZING Obtain Thermal Ratings from Table 6-9 or 6-8E depending upon heating type . ` i - 1-f the 'building does not meet the following conditions. enter NA (Not Applicable) for Thermal Rating, YES No The building is no less than 1 . 250 square feet in conditioned floor area: At least 45 percent of al-1 glazing faces within 30 degrees of true south; All glazed areas in buildings are no more than U(glazing ) 0 . 580 South facing glazed areas are free of any site . obstructionsduring the heating season : and An area of four-inch thick concrete or masonry is exposed to direct sunlight from south facing glazing. The area of this concrete or masonry shall be no less than three times the area of south facing glazing . Conditioned South Glass/Total Glass: 2 Floor Area : [.x !_ Square Ft. Glass Area/Gross Wall Area : ( See Above) Thermal Rating • r. r yr SUMIMARY OF TOTAL THERMAL RATING If the* Total Thermal . Rating is -zero (0) or greater;}'.the proposed design for the building envelope complies with the Energy Code . THER14AL TABLE AREA - U—VALUE RATING USED A. ROOF/CEILING Type 1 001 Type 2 B. NET WALLS Type. l I °1 ,04 3" Type 2 Ce GLAZING Window Type l Window Type 2 Skylights , ' Dl . FLOORS D2.• BASEMENT/CELLAR 'WALLS Wall Perimeter 130 Feet &xposure Above Grade Feet - VA01 U Value f1 of Wall U—Value el _ J slow Grade Inches D3 . S1.4 MULATION Slab Perimeter Feet! Insulation R—Value E. INFILTRATION CONTROL Conditioned Floor Area Sq. Ft. - - F . SOUTH FACING GLAZING South Glass/Total Glass Percent Gl . Area/Gross Wall Area Percent Conditioned Floor 'Area Sq. Ft. TOTAL THERMAL RATING QUeen .JA"rdy BUILDING and ZONING DEPARTMENT 11� ay and Haviland Road, A. D. 1 Box 98 I Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME D� "� LOCATION Date /r- /f/l / U f` Permit IVo . - Footing/Pier Forms APPROVED YES NO Foundation waterproofing I3ackfi 11 IPraming Roofing Siding Masonry Veneer Rough Plumhing Relief Valves Ext . Porches Finished F1 ors Interior Tri Stairs & Rail i gs Cellar Drain Ti e Concrete Floors I'lbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL EI.EC'TRT AL INSPECTION DRIVEWAY APP OVAL Final Build ng Survey Next schecYAled .inspection ( call when ready ) Remarks- (:�_/o D AJ 12C-C,&I P 7- --Ia Building Insp for 6t86 and-vl 4Q01057 THE NEW YORK BOARD. OF FIRE UNDERWRITERS 7 A o Y 4 BUREAU OP ELECTRICITY 41 STATE STREET. ALBANY. NEW YORK 12277 Dote December 2I0 1987 Appheariaa .Vo. onfile 020632 /�87 THIS CERTIFIES THAT A I U 2 5 1 3 only the electrical egs&4P"sent as described bolos and introdrsmed by the OfflVdirawt ns.ned ors the above MaSullo Brothers Bullders . Inc . , # 1 Pe applitsN Inthepre of Peggy Ann , Queensburysc`llti011s New York in the following location, ® Basement ® Est Fl. 2nd Fl. Ou t e ld a Section Black Lot699 was examined on 1 }' / $ 7 andfound to be in carnplionce with the requirements of this Board. NUTL ES PTACUES SWITCHES R00"sct'S RANGES COOKING DECKS OVENS DI#N WA#HER# EXNAVST TANS OUTLETS IwcAwnExePrr PturlKEscrwT v AMT. K. W_ AMT. K. W. AM7. K.W. AMT. 18 43 23 I7 1 1 DRYER# FURNACE ,MOTORS FUTURE APPUANCE FUMES SPECIAL REC'FT TIME CLOCKS UNIr tlEATlRS tAU4T1-OYiLET AMT, K. W, dL H. P_ GAS H. R, AMT, wD. A. W, G. AMT AMP. AMT. AMr$. TRANS. AMT H P SYSTEMS DI E a n g IVO, OF FEET AMT, wAnS 1•. 1114T I0 I SERVICE DISCONNECT No. of r y e r S E R V METER l C AMT. AMP. TYPE EOLIRP. 1 X 2W 1 X aW ] X tbv 3 X AWPElctCr,[:GND. w_ W, G. wG. oP HI•LEG A. w. G_ E oP cc. Town. of HI-LtG wo, OF wtLntwLs �+W. 1 200 ch 1 1 4 / 0 OTHER APPARATUS: 2J0 Electric Room Heaters - 3 - 2 . 0 KW 4 - 1 . 5 Kid 2 - 1 . 0 KW G . F . C . I . - 3 1 - Smoke Detector AnthonyGod ard3 17 Box 9 Boxwood Drive � Schenectady , NOW York 12301 BRA" AIAgAGER/,' Frr - This Certi#mote must not be ahered in any manner return to the office of the Boord if incorrect. Inspectors may be identified by their credenlialt. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �_ own o/ �eeeen ] hL�rt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. L), 1 Box 98 (Dueensbury, New York 12801 k SEPTIC DISPOSAL SYSTEM INSPECTION LOCATION DATE ,r` PERMIT ND.. SOIL TYPE - Sand _ Percolation Test Recluzred?Ol YES - NO"� Percolation r to - Min/Inch - TYPE Of SYSTEM : Absorption field total leng Length of each nch Depth of trenches �---� -� Size of gravel SEEPAGE PITS4Nuinbe of Size- Et. X f Gravel size - PIPING : Bldg . to tank Size Type Tank to d.ist . bo 1 ZQA/� Dist, box to fi ld/ i - Openings seals ? E NO Partial LOCATION/SEP TIONS Foundation tank Foundation ft. O absorption Absorption to lot line ft . Separatio of ft . pits ft. LOCATION SYSTEM ON PROP T (circle one) Front - ear Left side - Rigat side - CCHMENTS SYSTEM USE APPRovE NW-sc B g 01/86 and vl 1�y' t BUILDING and ZONING DEPARTMENT 0 Bay and Havlland Road, R. D. 1 Box 98 q Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date /G' / / k Permit No —� . ✓ _ Footing/Pier Forms APPROVED '- YES NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief values Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney L.�SD LA`1'I 4N Foundation R 173 13L43 Floors walls --1 - ! to) Ceiling -- FINAL ELECTRIC L INSPECTION DRIVEWAY AP^PRO Final. Building urvey NexC scneduled inspection (call when ready ) Remarks- I c o ,► ( A40 Jam,► Buildin I pec r 6/86 rnd-vl `Jacurt v� �ue�rrsl�e;,r�, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 C]aeensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME j LOCATION zt- Date* f Permit No . — +t (l�? j m ✓ = APPROVED Footing/Pier Fors - YES N9'r s I�ounc3ation Waterproofing Backfill r Framing Roofing Siding Masonry Veneer /NRough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile concrete Floors Plbq . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION . Foundation Floors Walls Ceiling FINAL EI.ECTRICA INSPECTION DRIVEWAY APPROVA r Final Building Survey I Next scheduled inspection (call when ready ) Remarks- Building in,,, ,, or 6/8f, mcI-vl pj/ f � IBUILDING and ZONING DEPARTMENT Bay and Havifand Road, R. D. 1 Box 98 Queensbury, New York 12801 i BUILDING INSPECTOR ' S REPORT NAME LOCATION 47 j Date- i = ��,,c— PermIt No . Footin APPROVED - YES NO { g/Pier Farms Foundation Waterproofing Backfill +c,-�aming 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 INSULATIUN Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection {call when ready Remarks- : __�Jfe'' � / `•_/ Building In spector 6/86 mc3-vl .fawn o� �ueens6ur�t ,�` .3s� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME or LOCATION �^' Y • � Date Permit o , q 13 ✓ = APPROVED - YES NO fting/'pLer Forms oundation Waterproofing Sackf ill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim_ _ Stairs & Railings Cellar brain Tile Concrete Floors Plbg . Fixtures Gar . Fireproo ng Door Closers Smoke laetect rs Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPR17VAI, Final Building survey Next scheduled inspection (call when ready Remarks- Building Inspector 6/86 and-vl cc 7� f /�r _ (own ©/ Queenslury / ! BUILDING and ZONING DEPARTMENT f ! ay and Haviland Road, R.D. 1 Box 98 +l"1. ueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �, LOCATION ©Xf � Date fp / Permit No . � !`P' �� ✓ = APPROVED - Y NO �ootingfPier Forms Foundation Waterproofing Backfili 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 ( Gall when ready ) Remarks- : xo� Building Inspector 6/86 and-vl i i