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1987-549 y M � CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November '10 , 19 ' 7 I .5 b This is to certify that work requested to be done as shown by Permit No. 87' 549 has been completed. This structure nay be occupied as a Une-Family Dwelling !.at #32 WJ llow Rd . ( St . No . 37 ) Location C3amer Joe! Roulier By Order Town Board TOWN OF QUEENSBURY or Building H Zoning Inspector . ." BUILDING PERMIT �y-+3 �C TOWN OF QUEENSBURY No. 87-549 4 � WARREN COUNTY, NEW YORK z a PERMISSION is hereby granted to `Toe Roulier � 0 I OWNER of property located at Lot #32 Wlllow Rd . ( St . No . 37 } °o p PB'rty Street, Road or Ave_ r.3 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 `- 0 Cleverdale , N . Y . 12820 m 4 C 2. CONTRACTOR or BUILDER'S Name r- m Same ' 1 3. CONTRACTOR or BUILDE R'S Address t" 0 rt w N 4. ARCHITECT'S Name N 0 5_ ARCHITECTS Address 6. TYPE of Construction — Miesse indicate by X) {x } ►Hood Frame f ! Masonry I ) steel y 0 7_ PLANS and Specifications M No. 60 ' x 26 ' per plot plan , specifications and application including septic system , attached two-car ,garage and driveway permit . a. Proposed Use II One-Family dwelling ro 1^+ w $5 , aO oq $ 178 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES March 1 , 1988 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of a -aensbury before the expiration date.) Dated at the Town of Queensbury this r ?1�9 th Day of August Augguss�t 19 87 /SIGNED BY ,/' - (,1d' r',c. for the Town of Queensbury Building and Zoning inspector 00 JoC' TO BE COMPLETED BY BL.DG . DEPT . �t // Application No . dr 7ou/n o/ Q"eenshury Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 � Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No . AUG I site P n view !fin (� App by . BUILDING8c /C�G�}E C]EPT " VV APPLICATION FOR / 3 E'UILDIN6 AND 7_ClNING 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 : _/r ' � , Cje r / P . O. Address a Q ,/ ( `J. Tel . I Property Location : , <a 7'-x:7� u i? .tea. Tax Map No Street number or buildingglpot ,number Subdivision name ( if applicable) r � �*y Z7 _a 's.• j��. ,/ THE PERSON RESPONSIBLE FOR SUPERVISION OF WOIQ AS REGARDS B61LDING CODES IS : Name P . O . Address Tel . No . Name of builder_ /� a rem Address Tel Name of plun6er,z�r'- Z: Address '_ -� Tel - �5�,7w J 5�3 Name of mason r .� icrL � Address Tel . �y � _� ZJ - NATU 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 * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . Size of 3Cs £t X Existing building ( s) Size ft X ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure fr.p ft Yv-�4/' ft Foundation-pier/slab/crawl/par-t ful * Proposed building , distance from property line ( circle one ) * Front yard O f ft Rear yard � / ft of stories (habitable space) -�� * Side, yards . ,,e 3 -ft and ^ � 3 £t Height { grade to ridge) ft • * If on corner , setback from side street .�. ft If residential , no . of famillliess / No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No . of bedrooms PRIMARY No , of bathrooms BUILDING - * One family dwelling Primary heating system /da s_ T Two family dwelling Type of fuel_ ,r/�s; s c �r �. Multiple dwelling / Number of units No . of fireplaces to be installed_ / Permanent occupancy Will a wood stove be installed? � Transient occupancy Central Air conditioning . � , _ Business * BUILDING STYLF, 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- r"coloni la Row Town House * Detached garage/one car/ two car/ car CIRCLE ONE PLEASE ? Attached garage/cane car two cayX 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 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc _ _ Zt Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material Thickness ,r o r Depth of foundation below grade (to bottom of foo ing ) Will there be a cellar? c5 Heated or unheated? �' �.� Floor sq. footage * y/a �.s— sq ft Will there be a basement? , xZ, Will any portion be used as living space ? ( If so , what portion? sq. ft . - Type of use? Type of roof - sloped/flat/shed/others , . Material of roof a, Size , wood studs_„X /yam._" spacing (,J "o . c . length r ft . Joists ( floor beams ) lst _ floor =„2 T_"X Zo to spacing "o . c . span/ `ft _ Joists ( floor beams) 2nd . floor .4 "X..,,�" spacing /G "o _ c _ span,/3 ft . Overlays ( ceiling beams ) "'X spacings "o . c . spark (4, ft . Roof rafters � _ " X spacing o . c . span ft . Roof trusses (pre-engineered) spacing"o _ c . span.. ft . � �- - . Exterior wall finish ✓�< Of what material? Gt�C7"� i v 5r. � Interior wall finish -t.; ac-,% t �_ If a garage is to be atta_c ed , de�slc .ibe m/a[/terials to he used for FIRE SEPARATION : +� ".t� / Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device b provided? Will a flue-lined chimney be installed? b Height above �_e roof. ft . Depth of chimney foundation below gradoj_, IMt Depth of fireplace hearth fZ . in . water supply - Municipal or private well r,,z .��� ,o 4 + SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury A F F I D A V I T County of Warren STATE OF NEW YORX 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 . � a SWORN TO BEFORE ME THIS Signature__ _ _-_ F __________________________ Owner , owner ' s -agent , arcnmrect , contractor ,1 day of _ 19 Notary Public , Warren County, N . Y . * SPECIAL CONDITIONS OF THE PERMIT : $y----^---------- ------.................. TOWN OF QUEENSSURY 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 .wzy`,a--ems--- / 2 . Type of heat. �� ZC Gt/-�rr -� 3 . is the building mechanically cooled ? ,. 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 2 . 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 ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation B . ilncler 1 6 * Only _ 7 f and floors exposed to ambient conditions— l7 2 . R value of exterior walls 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 S . R value of heated basement/ cellar walls ( above grade ) ,X 410 90 R value of heated basementt�/cellar walls C ,( below grade ) re 10 . Type of insulation _ ? ' j < <, a"- �� Q.45- t C . Controls 1 . Thermostat maximum heat setting ZE.0 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 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimm :LnSI Pool Only Y . Maximum heating Telephone No . oe lJ:Z -- .31-' fV '' ( applicant signatu APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION Owner's Nam. . t d �, � . Telephone: Address: / --3ae�/''�/ . Installer's Name: ��/'. Telephone: •�C / Number of bedrooms (residential only) Total daily flow (compute (,20 150 gal per bedroom) Topography: circle on Flat olling Steep Slope % of slope Soil Nature: circle on Float Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? _ I feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other es�2241 IF domestic water supply is a Welt: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM : Septic Tank /o-�. ,�-gal. (minimum size*. 1 ,000 gal.) TILE FIELD. Each Trench ,.3 6 feet f Total system length (6 D feet SEEPAGE PIT(S) t Number of ''a / Size each feet by feet Size of stone to be used # _.2 / Depth or Thickness Q.G" feet IMPORTANT ..Xleasse...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 2.) 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. Co 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 and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ckmdina ce. Signature of resppinsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD PLACE TO LIVE ! 1 . 30AIV aW" a/ �tteens � urr�r BUILDING and .ZONING DEPARTMENT Bay and Haviland Road, R. D. I Box 98 Queensbury, New York 128ol BUILDINGG INSP /�ECTOR ' S REPORT NAME j , a, /!/soh LOCATION I t- ,if? / Date `/ f S( ° Permit No . Z!Z-�.5 4V6 ✓ = - Footing/Pier Farms APPROVED YES NO Foundation Waterproofing BackfIII Framing Roofing Siding Masonry Ven er Rough Plumbi g Relief Valves Ext . Porches Finished Floor Interior Trim Stairs & Railing Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproo ing Door Closers Smoke Detec ors Chimney INSULATIO Foundati n Floors Walls Celli FINAL LECTRICAL INSPECTION DRIVEWAY APPROVAL. anal Building Survey Next scheduled inspection (cal wwhen ready ) Remarks- // r Building inspector 6/86 mc3-vl I ; L5" J` BUILDING and ZONING DEPARTMENT it cf Haviland Road, R. D. 1 Box 98 �Ueensbury, New York 12801 SEPTIC DISPOSAL SYSTE54 INSPECTION NAMEf ,,�// LOCATION BATE /� PERMIT NO. SOIL TYPE - - Loam - Cla - Percolati e t Required? ES - NO Percolation rat - Min/Inc TYPE of SYSTEM : Absorption field , ota length Length of each tre ch a Depth of trenches [ Size of gravel_ SEEPAGE PITS4Numbe f) Size- ft. X t . Gravel size PIPING : ize Type Bldg . to tank Tank to list. — Dist , box to f eldf t Openings seal ? YE O Partials LOCATION/SE RATIONS : Foundation o tank ft. Foundation to absorption t . Absorptio to lot line t . k Separatio of pits - Q- t. SYSTEM ON PROPERTY circle one) ro - R ar - Left side - Rig t side CCHMENTS SYSTEM USE APPROVED 'IYES1 NO Building Inspector 01/86 and vl ��� ����iGi 411I7 L7� �i(� [�@ 1►} ,1 � Ll I'C! +�} BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. Q. I Box 98 [ Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date /P.7 / /p� Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Venee �gh Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railing Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT ICAL INSPECTION NP DRIVEWAY APP OVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- B i ding ns ector 6/86 and-vl Itl 0 / JJfouvn v/ Qmven .36ury 'J' y1- BUILDING and ZONING DEPARTMENT ay and Haviland Road, R.D. 1 Box $8 /// Queensbury, New York 12801 I LD I IVG INSPECTOR ' S REPORT NAME LOCATION ', Date fG? /7 Permit No . J`2 ✓ APPROVED - YJMI NO C. e' ooting/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 ELECTRIC L INSPECTION DRIVEWAY APP'RO L Final Building Survey Text scheduled inspection ( call when ready ) Remarks- Building Inspector 6/86 and-vl ff31 I��'/� J'otun o/ Queens ury q'i BUILDING and ZONING DEPARTMENT B_3 Hand Road, R.D. 1 Box 98 OueenS ury, New York 12801 U I LD i NG I NS PECTOR ' S REPORT NAME_ C�-``Z�� _._. ._ -- LOCATION Late Per{-mit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Venee L $'atigh Plum bing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Mailings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproof! Door Closers Smoke Detectors Chimney INSULATION : Foundation Flours Walls Ceiling FINAL F.LL.CTRI AL INSPECTIC7N DRIVEWAY APPR VAL Final Buildin Survey Next scheduled inspection ( call when ready ) Remarks- .y Buil ing Inspa to 6/86 and-vl own of Queerjgury BUILDING and ZONING DEPARTMENT +I Bay and Haviland Road. R. D. 1 Box 98 1 Clueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ^r-- LOCATION f 7 A,41 Date f'a / I Permit No . 7 = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing L�ffackfi.l 1 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. INSULA�IaN : Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY APP OVAL Final Builds g Survey. Next scheduled Inspection { call when ready Remarks-- Bui ding Inspector 6/86 and-vl own n� 1�iueena �iurr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME .X () L k tl''~V, -- - LOCATION -32 W Date/ Permit Nor aF-y Li z/3' ✓ = APPROVED - Yam' IV0 )( Footing/Pier Forms Foundation T Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & RailingsW _ Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar. Fireproof-in Door Closers Smoke Detectors Chimney. INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL X: SPECTION DRIVEWAY APPROVAL_ Final Building Survey Next scheduled Inspection (call when ready) Rema�^�rks- V� �C,7i } iG Building Inspec 6/86 and-vl Qf / xa' 1300000 ` 46