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1987-470 ti CERTIFICATE OF OCCUPAN'%rZ**f�' TOWN OF QUEENSSURY WARREN COUNTY. NEW YORK 'I ; r r; (, Date 19 This is to certify that work requested to be done as shown by Permit No. 8 7t G 7 D has been completed. � This structa becc Qocukpied as a i'a�3.ly Dll�.n �..— Location Lo ��60 e-4n Lane - Van Howe Estates C honer j jpt xoG GCJ By Order Town Board TOWN OF QUEENSSURY � � r tt ! f r 1 L Building & Zoal inspector i e BUILDING PERMIT TOWN OF +QUEENSBURY � No. 87-470 WARREN COUNTY, NEW YOR K 0 PERMISSION is hereby granted to Robert Rocco OWNER of property located at Lot # 60 Queen Lane - Van Howe Estates Street, Road or Ave. 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. 1. OWNE R'S Address is 8 Fountain Ave . o Albany , N . Y . � ry 2. CONTRACTOR or BUILDER 'S Name n DMM Ent:. . Inc . n 0 3. CONTRACTOR or BUILDERS Address I Lucille Dr . Hudson , N . Y . t- 0 rt 4, ARCHITECT'S Name C CD x ro 5. A R CFI ITECT"S Address M rp M 0 to to s-t w � r-r 4a m o B. TYPE of Construction — (Please indicate by XI m ra W ro TtA Wood Frame ; I Masonry ; ) Steel ; h a 7, PLANS and Specifications 1 ty No. 30 ' x 66 ' per plot plan , specifications and application , including septic system, attached one-car garage and driveway permit . S. Proposed Use �jse one-Family Dwelling r $5400 C/o I $ 103 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES February 1 , 19 88 w {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 dswj t7 E Dated at the Town of Queensbury this 22Vd Day of July 1987 � r SIGNED BY for the Town of Queensbury ° I Building and Zoning Inspector ,/c I TO BE COMPLETED BY BLDG . DEPT , Application No . TOWN OF v1.tErEN�c' � ' _Down L+ ieerl3burt Permit Issued 19 J 1M1 BUILDING and ZL7N11VG DEPARTMENT Permit Expires 19 u V Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation 9 1987 Queensbury, New York 12801 Variance No . 'JULV Site Plan Review No . BUILDING CODE DEPT. Approved y : 4 a ` APPLICATION FOR f / �� A'A-.� � ,r C�✓ 1 BUILDING AND ZONING PERMIT L er ire✓ 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 : ,/3t/E'7r oec a P . O. Address } FoL;. .x , v Sru /q;z 434a - Property Location : �o� �t �cs 'e cis �/3�C .�t6.z .dun r ,G r�3� cy} Tax Map No . / / Street number or building lot number Subdivision name (if applicable) ei;7ACZ1 .a�,fj . a ti / / '�` ''�✓ " ' THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Xcs,BE.eT Name P . O. Address Tel , No . Name of -builderl y . T .+ c , Addresse ff-e U< . flc � �+d. ��r�+ r Tel . Name of plumber Address Tel . Name of mason Address Tel _ NATURE OF PROPOSED WDRK : * ZONING INFORMATION : X 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 BELOW . * size of property J 7 ft X 9`: ft . * Existing buildings ) Size CJ ft X ft . * PROPOSED BUILDING AND USE : * Existing building ( s ) Use A/Z,,.yr Size of new structure'.:Te .* " ft X „ ft Foundation-pier/slab/crawl/partial ull * Proposed building , distance from property line (circle one ) ft No . of stories (habitable space) '5 ft and ft Rear yard, * Front yard ft Height ( grade to ridge ) xr ft . * Side yards � �- If residential , no . of families * If on corner , setback ack from side street ft Now of rooms ( excluding baths ) * OCCUPANCY INFORMATION No. of bedrooms t ,� PRIMARY BUILDING - Now of bathrooms + One family dwelling Primary heating system c �cr PiC ' _Two family dwelling Type of fuel Multiple dwelling / Number of units No . of fireplaces to be installed 0 Will a wood stove be installed? Alc> * Permanent occupancy Central Air conditioning? Transient occupancy Central 'O'er' Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition , what will use ]ace? Split level Old style Bungalow Cape Cod Cottage other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/o two car/ car ( CIRCLE ONE PLEASE ) * . Attached gara one=Czr/ two car/./ car Private Storag g 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 APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE 7. � / 97 LOCATION OF PROPERTY FOR INSTALLATION #�G7 - 9 vF4e* t✓ AI46 - 5,aroog. Owner's Name : Telephone: 4Z9,1`- r7 a,7 Address: .51 Installer's Name: (� _ Telephone: Number of bedrooms (residential only) _ . 3 Total daily flow (compute (9P 150 gal per bedroom) SrSGS Topography: circle one: Flat Rolling Steep Slope % of slope _ Soil Nature: circle one: Sand Loam Clay Other / Depth: _ feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle on not required r aired f rate min. inch. Domestic water supply: circle one Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply* from Septic absorption _ r feet PROPOSED SYSTEM: Septic Tank I 0 d gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length .2 D 6 feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # _ / Depth or Thickness /r feet IMPORTANT ...Please.._L.IST NEW EQUIPMENT TO BE INSTALLED (over) TOWN OF QU BURY BUILDING AN CO S .DEPARTMENT BAY & HAVILANE R ADS S7iJ'EEN�S'BURY. NEW ORK 1280� TELEPHONE (5I $J 792-5832 BUI L,DI INSPECTOR' S REPORT/ REQUEST FOR £NSP TION RECEIVER !A ll !' NAME �TIO ' DATE _ I/! PERMIT _ - /iL APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR F S FOUNDATION/DAMP-PR FING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-S INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST S STAIRS-CLEARANCE 6 ILS _. PLUMBING FIXTURES/ E £EF VALVE INTERIOR TRIM/PRI C DOORS FINISHED FLOORS GARAGE FTREPROOFI G DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL NSPEC ON FINAL APPROVAL O CONSTR CTION _ OK TO ISSUE C/O R C/C A .SIGNED CERTIF CATE OF CUPANCY MUST BE OBTAINED FROM HE BUILDIN DEPARTMENT .BEFORE THESE PREMISES ARE OCCUPI ±. REMARKS: ARRIVE R+DEPA L ` IN ECTOR THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY ` 41 STATE STREET, ALB ANY. NEW YORK 12207 _ Appfeaaatinrc N0. on file s . . a ; i � i :;. . + . Date . 3I _ 1 i 3 '.` '' "' I � i . . ` ,D THIS CERTIFIES THAT only the electrical ewlnipanont as described below and Lntre4wt eed by the applicant nonsed an the above application member in the premise! of I '. 3? iF `. ,' I--i � . ji in the followoinA hocatiarw; l,—I, Basement Q: lot Ff. LJ 2nd F1. - Section Black Lot te examined on + j " . :� ; andfou,nd to be in compliance with the regwwirements of this Hoard. as RX'ILME FIXTURES RANGlS CLING DECKS OVENS DISH WASHERS EXHAUST FANS QXTUMUrrS EPTACI.ES SWITCHES INCAMOESCENT FLUORESCENT OTHEri AMT. K. W. AMT. K. W. MAT. K.W. AMT. K. W. AMT. M. I. 1 i i, DRYERS FURNACE MOTORS R/TURE APMANCE PSMIIRS SPECIAL REC'PT TIME CLOCKS EEL, UIMT MAtERS �MULTt-OUTLET MMMERS SYSTRMS AMT WATTS AMT. K. W. OIL 'II. P. GAS X. I. AMT. NO. A. W. G. A AT. AMR. AMT. AMPS. TAANS- AMT. M. I. No. OF t"T SERV'LCE DISCONNECT No, OF S E R V I C E METER MO. OF CC. CONO. NO. OF NI-CFCs A' W G. MO. OF NEUTRALS SAL AMT. AMP. TY►E EdLEw. 1 ,e 3w 1 X sw 5 ,!I Tw 5 / xw reR s' OF CC. CONO. aF HIhwEG OTHRA APPARATUS! DRANCH MANAGER Per This certificate must not be o"red in any manner, return to the office of the Board if incorrect. Inspectors may be idanfified by their credentiraIs. COPY FOR BUILDING DIrPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.. TOWN OF QUEENSBUR'Y x BUILDING AND CODES DE P TMENT BAY 6 HAVILAND ROADS QuEENS.BURY. NEW PORK 280i- TELEPHONE (518) 792- 832 BUILDING I PECTOR' S REPO REQUEST FOR INS CTI N RECEIVED NAME LOCO SON �` DATE PERMIT # 7- APPROVED YES NO FOOTING PIERS MONOLITHIC POUR F S FOUNDATION/DAMP-P FING BACKFxLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL. ROUGFI- N INSULATION: FOUNDATION FLOORS WALLS CEILING xFXNAL INSPECTION : CHIMNEY HEIGHT - - ROOFING SIDING EXTERNAL PORCHES TEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURE RELIEF VALVE INTERIOR TRIM/P ACY DOORS FINISHED FLOORS GARAGE FIREPR FI G DOOR CLOSER (S) SMOKE DETECT O S - FINAL, ELECTRICA IN ECTION�_, _FINAL APPROVAL OF CO STRUCTION " OK TO ISSUE C/ OR C A SIGNED CERT FICATE F OCCUPANCY MUST BE OBTAINED FRO THE BUS ING DEPARTMENT BEFORE THESE PREMI,S S ARE OCC, PIED" REMARKS: rUG W Cbo 5 ARRzvEy__._ T3EI}ART NSPECTOR _._.J'ourn 0/ tieeen3urtaf BUILDING and ZONING DEPARTNIENT � Say and Haviiand Road, R. D. 1 Box 98 Queensbury, New York 12801 I SEPTIC DISPOSAL SYSTEM INSPECTION NPME LOCATION Lt�C7ty DATE C`a f `r _-. ERM I T NO SOIL TYPE - Sand - Loam - Cl Y red? ES - 13O ! Percolation Test Requ ' percolation rate$ - Min/Inc TYPE of SYSTEM : '( th Absorption field total Length of each ench Depth of trenche Size of gravel SEEPAGE PITS4N er Size., fto x Gravel size Siz T PIPING : s Bldg . to tank Tank to dxst. bo Dist. box to fie / E NOa.rtial +Openings sealed? LOCAT-ION/SE'PARATI St �ft. Foundation to tan f t . Foundation to alas, rption 'f t. Absorption to lo ' line ft. Separation Of pi� ROPER one) LOCATION OF SYS Front - Rear - sid - Right side C( NDWENTS : -• 3 )x I SYSTEM USE APPROVED S NO Bu 1 ing Inspector 01/86 and vl To OF QUBE QU�`�' sBflR y A'OADS TF'LE'PIYpyE Nam' '('S' ) 79 -12490k 11 REFUEST N F' CTIOIVT .EC l51 Yc a. 4 ar{ �VG3 NAME LOCATION �-- DATE %; PERMIT # APPROVED YES NO FOOTING/PISits MpNOLITNIC POUR FORMS FOUNDATION/DAMP-PROOFING BACICFILL APPROVAL ROUGH PLUMBING FRAMING LECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLA CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE S aSTA.TRS- CLEARANCE & ILS PLUMBING FIXTURES/ LIEF VALVE INTERIOR T'RINIPRIV Y DOORS FINISHED FLOORS GARAGE FIREPROOFIN DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL I PECTION FINAL APPROVAL OF OONSTRUCTION OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: r_ ARRIVE_ DEPART INSPECTOR /S I Qw JJ J�[" lG BUILDING and ZONING DEPARTMENT J�4/0 Say and Havifand Road, R- D. 1 Box 98 /• Oueensbury, New York 12801 IU ILDING INSPECTOR ' S REPORT TNAME LOCATION Data �z r/ 46cz- Permit No . - 4V fit? ✓ = APPROVED - YES NO Footing/Pier Forms f Foundation Waterproofing 6ackfill �"raminq Roofing Siding Masonry Veneer � L.�ough Plumbing Relief valves Ext . Porches _ Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg « Fixtures Gar . .Fireproof in Door Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL E T CA INSPECTION DRIV'E'WAY A I, Final Building Survey Next scheduled inspection (call when ready ) Remarks- Building Inspec 6/86 and-vl IQ BUILDING and ZONING DEPARTMENT Bay and f-laviland Road, R.D. 1 Box 98 qlo Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT rdAME �f2�` /1 .C'GGc7 LOCATION, e: 0 4vt� � Date `s I / Perma. t No . ✓ = - Footing/Pier Forms APPROVED YES NO Foundation Waterproofing ` B�a�ckfill L�'rami ng + Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches _.__... Finished Floors Interior 'Prim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INS[ILATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROV Final Bufldin$ Survey Next scheduled inspect on (call whets ready* Remarks- -a r� 40e - Building Inspector --- -'� 6/86 and-vl r-- o 3 and ZONING DEPARTMENT od Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING IN ECTOR ' S REPORT NAME LOCATION C,7 Date/ Permit No . ._.. Y7 ✓ = APPR ED - YES NO fotingfPier Farms undation terproofing ckfill aming Roofing Siding Masonry veneer Rough Plumbing Relief valves Ext . Porches Finished Floors_ ""— Interior Trim —� Stairs & Railing — - Cellar Drain Ti Concrete Floors Plbg . Fixtures ` Gar . Fireproof ng Door Closers Smoke Detecto Chimney INSULATION : Foundation Floors Walls. Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready Remarks- Building Inspector 6f86 and-vl MENOMMENNUM I fl 1 a/VUPLDING and ZONING DEPARTMENT ff ay and Haviland Road. R. O. i Box 98 } r� Queensbury, New York 12801 BUILDING INSPEC `fOR ' S REPORT AM 1<44 L ` AT ION Date' �� Permit No , j ✓ - /,,.F'ooting/pier Forms APPROVED E NO 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 ELEC'TRICA INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready Remarks- 6/86 and-vl Building I Pector _,J'own v� �ueen .s6,etrt� BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R.D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /r "I LOCATION Date or Permit No . `L ` ✓ = APPROVED - YES NO F ing/Pier Forms aundation waterproofing $ackfill F ranei ng Roofing Siding Masonry Venee Rough Plumbing - Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railing Cellar Drain Ti Concrete Floor Plbg . Fixtur Gar . Firep fing - Door Close Smoke Det tors Chimney INSULATI N : Foundat n Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA Final Building, Survey Next scheduled inspection {call when ready Remarks- Cf Building Inspector 6/86 and-vl /own o/ 1 tEeerrs etry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-0. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION PAJ .Ar Date.� Permit No . '/�[ ey COY ! I& _ ✓ = APPROVED - YES NO Footing/Pier Forms AJ 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 AP'P'ROV Final Building Survey Next scheduled inspection (call when ready Remarks- 6jer, and-vl B ilding nspector L BUILDING DEPT. COPY OF APPLICATION FORM 464ELr NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED, J / TE&W • DATE CITY OR VILLAGE is! haie TOYYNSHIP i.�r COUNTY r r� to r^. ROAD AND POLE NO, . 4 � ' r-. C r i i+t t'1 � ►D + •- r r LE NO. BETWEEN WHAT TMIO CROSS'STR EFTS IS F, -,/ !F PREMISE LOCATED? SECTION BLOCK LOT OCCUPANTS SUILOING ' NAME v �,. �. q p . +kjP- T OCCUPANCY WOO S r +�, ^ T f OWNERS NAME AND ADDRESS in .- f C4 + .^i l,�- Aloir TEL, BSYIPPLIED ` r £.. A FROM THEIR / •1 Fr OFFICE BDEFECTS s ILDING NE OLD 0 IS NEW ADDITIONAL ❑ REMOVED LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED ANCH NUMBER OF OUTLETSLamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE Ltla� ONLY nof Calling ww pe ap:a 'Switolh FMndaM Bracket Nc. TyPa E� No. Eac No. Gnaw INSPECTION out- skim Sub• base Bar ment iat Ft, 2W Fl. Srd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to covar the ah o a-littad egaipment to be inspected bus if at time of impaction then is found additional oquipment not above listed, you are wthorised to make the inspection and edjust the loe to cover the additional aquiprnent, as provided by Rho ePPI"nt. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED - GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE INUMSERI ICAPACITYP STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN ILDING INSPECTION REQUESTED ❑ F43SSSIOLE NEAR A5 NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPUCATI M°� '� PRINT NAME:E OFAMD �`D�OR SS SIG APPLICANT I 7 xS*� �1 �I'� k777 /'d e, `� �OFF/]NATURE IPPLICANT r STREET ADDRESS ..._.: „ C f jf A - • r'^t - .�" TELEPHON # CITY OR ZIP LIC SE NO, POST OFFICE •re /'fi/e a CODE ... WHEN APPLICABLE 46 EI... (REV. 1/86) A SEPARATE APPLICAT ON MUST BE FILED FOR EACH SEPARATE BUILDING