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1987-440 W � i l CERTIFICATE OF OCCUPANCY j TOWN OF +QUEENSBURY WARREN COUNTY, NEW Y©RK November 5 , 87 # } Cate 19 — id This is to certify that work requested to be done as shown by Permit N+�o. 8 "� -44� ' j has been completed. b Y'ti' ONE --FAMILY WELLING This structure may be occ pied as a �u�r Location Frank Lemery Owner By Order Town Board TOWN OF QUEENSBURY f•� f Building lSr Zoning Iryspeietor I - - BUILDING PERMIT . H TOWN OF QUEENSBURY � No. 87-440 WARREN COUNTY, NEW YORK z 0 PERMISSION is hereby granted to Frank Lemery . c OWNER of property located at Lot 120 Sugar Pine Street, Road or Ave. do 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. OWNER'S Address is Frank Lemery Twin Mtn . Rd . Glens Falls , N . Y . 2. CONTRACTOR or BUILDER'S Name D . Vallente 3. CONTRACTOR or BUILDERS Address �y 60 Sweet Rd . �roi Glens Falls , N . Y . 12801 `d 4. ARCHITECT'S Name S. ARCHITECT'S Address t Q rt tU O 6. TYPE of Construction — (Please indicate by XI Ln cl (X) Wood Frame I ) Masonry 1 1 Steel I k rt td 7. PLANS and Specifications ` ro No_ 351 x 521 one family dwelling per plot plan , application and specifications . Including septic system and two car attached garage . S. Proposed Use One--Family dwelling r ' ro i $5000 C /o a $ 143 . 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 Qu~sbury before the expiration date.) m F Dated at the Town of Queensbury this 13th Day of 1 tly 19 87 w �} ao SIGNED BY C!. rt"i' for the Town of Queensbury Building and Zoning I nspector 4c 'e_ TO BE COMPLETED BY BLDG . DEPT . c7 Application No . Down a/ Queen31ury Permit Issued 19 TOWN (:) QUEcjYevS' . BUILDING and ZONING DEPARTMENT Permit Expire$ 19 { f� Bay and Hawiland Road, R. D. 1 Box 98 Zoning Designation I�LIf'7i��+! 3� Queensbury, New York 12801 Variance No. JUL � Site Plan Review No . Approved b +C BUILgNG 8c CODS DEPT. �{ APPLICATION FOR Q BUILDING AND Z©NI 'NG 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 P . O. Address_ {c�a Tel . ',Iry� Y a Property Location : see G/I .� �' /�� < �' Tax Map No . / f reet number or building lot number Subdivision name ( if applicable) " THE PERSON RESPONSIBLE FOR. SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O . Address ,c, / Tel . No . Name Of builder 4 51�,tiae Y� VM�.L.&~r4G;"r' Address_ 40 � -��� `� /� � Tel . 'Jcj'.I::- � ��rl Name of plumber / ea4--t- �'Gum+S/ Address ,a3' C'.96war '1 oO-�e 6 Tel . G,�Q Name of mason Address_ cM1, A fcrrrtot+n7 NATURE OF PROPOSED WURK : 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 * of water supply ,and location and configuration LOCATION OF STRUCTURES AFFECTED . of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . * Size of property._ /� [� £t X�/ Existing buildings ) Size ft X ft . w PROPOSED BUILDING AND USE : Existing buildings ) Use Size of new structure a ft X Foundation-pier/slab/crawl/partial ul1 Proposed building , distance- from property line (circle one ) Front yard O ft Rear yard 7 ft No . of stories (habitable space) 2 Side yards ft and "'7 ft Height ( grade to ridge ) Z / ft . If on corner , setback from side street..-Z.-Oft If residential , no . of families Se! - No . of rooms ( excluding baths ) 7 OCCUPANCY iNFORMATIpV No . of bedrooms 3 � PRIMARY BUILDING - No . of bathrooms 7 * One family dwelling Primary heating system `* L /� Two family dwelling Type of fuel / Multiple dwelling / Number of units No . of fireplaces to be installed Permanent occupancy Will a wood stove be installed? y/ LS' Transient occupancy Central Air conditioning? o Business BUILDING STYLE,, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin If addition , what will use be? Raised ranch Mansion Duplex split level Old style Bungalow Ca e Cod Cottage other * ACCESSORY BUILDING-- olonial Row Town House " Detached garage/one car/ two c / car ( CIRCLE ONE PLEASE ) Attached garage/one car/ wo ca /� car _Private storage 'building ESTIMATED MARKET VALUE OF Other CONSTREJCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wiaod frame , fire safe , etc . Will any second-hand or ungraded lumber he used? If so , for what ? Foundation wall material ` " 0V ,[ C'Oy Vc t414 Thickness � ¢` Depth of foundation below grade (to bottom of footing ) ::;�p � Will there be a cellar? , H ated or unheated? yyi .max.' lour sq. footage �l �y--t) sq £t Will there be a basement' .3 " Will any portion be used as living space ? ( If so , what portion? sq , ft . - - Type of use? Type of roof - sloped flat/shed/other Material of roof Size , wood studs "X 6 " spacing" o . c . length e4 Fe ft . Joists ( floor beams ) lst . floor " X > i7 is spacing J6 "o . c , span_,r& _ft , Joists ( floor beams ) 2nd . floor L "X�" spacing_ �/ � "o . c , span - ft . Overlays ( ceiling beams ) - - "X�� " spacing } OF span / Z ft . Roof rafters -" X spacing__j46 o . c . span ' ft . Roof trusses (pre-engineered) /�pacing_ 7 " o . c . spanft . Exterior wall finish t/j6e44 9 , p_,,.- ; pf what material ? Interior wall finish If a garage is to be attached , a4scribe materi is to be used for FIRE SEPARATION : Is there `moo be an opening between garage and dwelling? _Xc�-S� , If so will a Eire-rated door , enclosure , and self-closing device be provided? Will a flue- lined chimney be installed? � Height abo roof ft . Depth of chimney foundation below grade Z_ ft . Depth of fireplace hearth_ '"►,,, ft , in . Water supply - Municipal or private well SEPTIC SYSTEM _ Dis ante from ,ANY private well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) Town of f Warren A I F I D A V I T STATE of NEW YORK County of Warren I swear that to the best of my knowledge and belief the statements contained in this application , together with the plans and specifications submitted , are a true and complete statement of all proposed work to be done ' on the described premises and that all provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature _ _ Air Owner , owner ' s agent , arcnirect , contractor day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : By----------------------- --- -__ -_ - TOWN OF QUEENSBURY WARREN COUNTYr 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 . Grass floor area 2 . Type of heat Q/ G I'Irle 3 . Is the building mechanically cooled ? 4 _ Percentage of area of windows and doors l4e; 622 A , Over 16 % Only 1 . Uo value of gross area of wails , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 1 . if YES , what is the R value ? ;;F,7 � , -% r 3 * slab on grade YES 1N0 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 B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions_ 2 . R value of exterior walls - toe 3 . R value of glazed area 4 . 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 a . R value of heated basement/ cellar walls ( above grad +e ),;�U, -1 9 . R value of heated basement / cellar walls (,below grade )►L i 10 . Type of insulation 1 1 r4- 6 C . Controls 1 . Thermostat maximum heat setting �5 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 E . Piping Insulation � M„r -1'r 1 , size of hot water or cooling carrying agent pipe 7 2 . R value of pipe insulation F . Service Water Heatin �f 1 . Performance efficiency qV Frt 2 . Temperature control setting maximum — Go For Swimming Pool Only 1 . Maximum heating Telephone No . ( applicant ' s signature ) %Zon df QCeAd4op APPLICAT ON FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR. INSTALLATION ,ZO76/ (;ap2 cJ 4A� .c•v f�j.cv— Z Qa f - � fi�L Owner's Name: ' '� �L( G'..r_-,�rf cQ� y Telephone: Address: ""ds+r Installer"s Name: i2`� �� �or- I� ( e µ Telephone: 3 1 a �— Number of bedrooms (residential only) _ 3 Total daily flow (compute @ 150 gal per bedroom) Topcggr-apl y: 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? � -� feat Percolation test% circle one: not required required / rate min. inch, Domestic water supply.& circle one: Municipal Well Other IF domestic water supply is a Weil: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank to oc> gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench dD feet / Total system length 20& feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used it _�__ / Depth or Thickness .. ._ feet IMPORTANT' ...Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and shall include a plot plan showing: 1 .) the proposed location of the system Z.) location and distance to lot lines 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, tile fields and/or drywells B. No system shall be covered before inspection and approval by the building Inspector. Failure to comply with this requirement may result in the uncovering of the system by the installer and a fine of up to $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above andd agree to abide by these and all requirements of the Town of Queensbu y Sanitary Sewage Disposal 0rxtina■+ce. Signature of responsible person: Date: 17 `9t -] Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 1Z801 (518) 792-583Z SETTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD PLACE TO LIVE Down o� �ueens � urt� BUILDING,, and ZONING DEPARTMENT Bay and Haviiand Road, R. D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPEC OR $ R POR NAME LOCATION f�.rperr r Date f /� / / .Permit No . / ✓ = - Footing/Pier Forms APPROVED YES 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 , Fireproofin Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY APP OVAL Final Building Survey Next scheduled inspection ( call when ready ) Remar 6fE36 and-vl e: Building In ctor 0pr7 +train o1 f4ce" st� urc� 1- 5 BUILDING and ,ZONING DEPARTMENT Bay and Havifand Road, R, D. I Box 98 Oueensbury, New York 12801 BU1 N f ►VG INS +PECTOR S REPORT NAME LOCA T 10 / � C7 bate ff f Permit No . Footing/pier Form APPROVED s YES NO Foundation Waterproofing Back£ill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Parches Finished. Fl©Ors Interior Trim Stairs & Railings Cellar brain Tile Concrete Floors Plbg - Fixtures Gar - Fireproof±ng Door Closers Smoke Detector Chimney INSULATION -. Foundation r/ Floors Walls_ Ceiling FINAL F.LE;CTRI AL INSPECTION j)RIVEWAY APPR AL,. na1 Building Survey Next scheduled inspection all when ready) Remarks- ,; ing Inspector 5/8f, and-v1 .Down a� �ueen.� hur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 9a Queensbury, New York 12801 BUILDING INSPECTOR P SS REPORT NAME L:. /m+�s'I'�-Ljf' I f/ 00 - LOCATION_; Date` & 9 Permit No . L T = y Footing/Pier Farms ✓ APPROVED NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry veneer r Rough Plumbing -a Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar brain Tile Concrete Floors Plbg . Fixtures Gar . Fireproof ' g Boor closers Smoke Detecto s Chimney INSULATION ; Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY APPROVAL Final Building Survey w Next scheduled inspection (call where ready Remarks— 6f136 and-vl Bull g Inspector �Jvwn o� �uee►Ilshurt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. C . 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION lf' eW- f'• '�f;7 DATE 7' . PERMIT NCI . j�f 1-4f qI/ SOIL TYPE Pes - Loam - Clay PercolationRequired? YESjog Percolation rate - Min/Inch TYPE of SYSTEM : Absorption field , total length ]op Length of each trench r - Depth of tr aches ........... Size of gra eT_ -- SEEPAGE PIT -(Number of) �^ Size- f X ft. Gravel size - PIPING : Size Type� Bldg . to tank Tank to list . x Dist . box to f / f.rr � Openings sealed ES NO Partial LOCATION/SEPA TI S : Foundation to tank -[ fto Foundation t abs or tion �p ft . Absorption t lot li a _ft . Separation f pits 4 ft , LOCATIO TEM ON ROPERTY (circle one ) Front e r Left s! e - Right side - COMMEN SYSTEM USE APPROVED YES NO 4 J Building Inspector 01/86 and V1 C G�dZ S vGe�ttcl���Prn�E�r"��-�' A�ra rr �..+�nurn �►� �tter'rxsfi�tre� BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S /REPORT NAME ls'4 , LOCATION 0 4C:Fz Date � permit No . ✓ APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing BackfilZ �,raming 5CRoofing Siding Masonry Vene Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railing _ Cellar Drain Ti Concrete Floor Plbg . Fixture Gar . Firepro ing Door Closers Smoke Detec rs Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION }DRIVEWAY APPROVAL_ Final Building Survey Next scheduled inspection ( call when ready ) Remarks- 7 Building Inspp ctor 6/86 and-vl __.Town of QueenJ Ury BUILDING and ZONING, DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION y Jhd Date �/ ,% Permit No . V4 APPROVED - S NO 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 I N SU T.AT I ON Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPR(WAI. Final Building Survey Next scheduled inspection (call when ready ) Remarks- j e11 C,J i Building Inspector 6/86 and-vl 1'yS LL i I I 144011 � I I ! 1► I r I I I ,r? — — — — - — tot ooj I I I I I I � i I I I i I I � IKI . I I i a i i . I I I _ + r i + I