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1987-540 i t 7 CERTIFICATE OF OCCUPANCY f TOWN Of +QUEENSSURY i WARREN COUNTY, NEW YORK t Date � i !9 'go This is to certify that work requested to be done as shown by Permit No. 87-540 a has been completed. This structure S be oceupied as a U regFamily Dwelling Location C"-r='^x"`a Braeslde Circle f Braeside Ltd . Ownev By Order Town Board i TOWN OF QUEENSBURY I i i 4 Bufldi4 & Zoning 'inspector f i 1 � - --- BUILDING PERMIT �-3 TOWN OF +QUEENSBURY � No. 87-540 WARREN COUNTY, NEW YORK , 0 PERMISSION is hereby granted to Braesid+e Ltd . w N W OWNER of property located at Lot #2 Braeside Circle Street, Road or Ave. � co 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. [2. =OWNER'Sddress is RD #2 Fuller Rd , w� Glens Falls , N . Y . 12801 w N• CL ro CONTRACTOR or BUILDER 'S Name t Michael Vasiliou 3. CONTRACTOR or BUILDER 'S Address 32 Willow Rd . Queensbury , N . Y . 12801 0 r+ 4. ARCHITECT"S Name N t= M lQ W 6. ARCHITECT'S Address rL ro n a� ti n fi. TYPE of Construction — (Please irWicate by X) ro (X) Wood Frame { I Masonry I ? Steel ( } 7. PLANS and Specifications No 28 ' x 581 per plot plan , specifications and appl3.cat ±on , including septic system and two-car attached garage . w 8. Proposed use One-Family Dwelling tv $5 . 00 $ i92 . Or3 PERMIT FEE PAID - THIS PERMIT EXPIRES March 1 , 19 88 Of a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Gueensbury before the expiration date.) Dated at the Town of Queensburyy this -, i8th Day of August 19 87 SIGNED BY ,T r /p ,L4_ /0 Ar. �� for the Town of Queensbury Building and Zoning Inspector , TO BE COMPLETED BY BLDG . DEPT . c� / Application No . _Jvtvn ouet�n36urt� Permit Issued 19 BR1aLAJtJG and ZONING DEPARTMENT Permit Expires 19 �J���LLLIdd AUG Bay and Haviland Road, R- D, 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No . BUILDIN l �7 Site Plan Review No . 9 & CODE 1 E:PT' Approve by ✓✓APPLICATION FOR FUILDING AND ZONING PERMIT ��" 1` 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 : ^ �A --- P. O. Address sue- f- s1S �—�h.,l�r �'' 1:::�W Iel . T7' f?2C E"ry Property Location : L-o ,T $tr o2 C, [� Tax Map No . Street number or building lot number Subdivision name ( if applicable) = THE PERSON RESPONSIBLE FO, SUPERVISION OF WORK, AS REGARDS BUILDING CODES IS t{// /" t- c L ouJ" 4D► Name P . O. Address Tel No . Name of builder � ��� %ddress i7 Tel . r Name of plumber y/ Address rt / Tel _ ,� CjZ -- C 5` " Name of mason Address ry Tel . Z �NrATURE OF PROPOSED WORK : ZONING INFORMATION : A 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 FOR DEMOLITION PERMIT , STATE SIZE AND whether interior or corner lot . Show location LOCATION OF STRUCTURES AFFECTED , of water supply and location and configuration '� of septic disposal area . x COMPLETE INFORMATION REQUIRED BELOW . Size of property ft X �ft . Existing buildings Size t X ft _ PROPOSER BUILDING AND USE : " Existing buildings ) Use Size of new structure ft X f Foundation-pier/slab/crawl/partial full * Proposed building , distance from property line ( circle one ) Front yard rj ft Rear yard �j� _ _ ft N4 . Of stories (habitable space ) Z * Side yards ,Q�p ft and �.y� ft If residential , no . of familil Height ( grade to ridge ) ft , If on corner , setback from side street—fir)---ft es No . of roams ( excluding baths ) OCCUPANCY INFORMATION No. of bedrooms _ PRIMARY BUILDING - No . of bathrooms sr'�Z _X One family dwelling Primary heating y+ stem &Ertl-- .Q Two family dwelling Type of fuel ff C 7 /Zl �J Multiple dwelling / Number of units No . of fireplaces to be installed Z 2.-_ Permanent occupancy Will a wood stove be installed? X&> * Transient occupancy Central Air conditioning? E? Business BUILDING STYLE, PRIMARY STRUC URE _Industrial Ranch Contemporary Log cabin Other Raised ranch Mansion Duplex * If addition , what will use be? Split level Old style Bungalow Cape Cottage Other ACCESSORY BUILDING- cilonial Row Town -House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE } Attached garage/one car/ two car/. car, * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION - - /.WA G'06 -4*o _ $ _ r INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEETr TO BE COMPLE7, Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc ,�_ 5 will any second-hand or ungraded lumber be used? If so , for what ? p* Ra Foundation wall material ["jCJI�`Ef� { 7� 4"I�C�C 'Thickness Depth of foundation below grade (to footing ) Will there be a cellar?Heated o unheate Floor sr q. footage sq ft Will there be a basement . A= Will any portion be used as living space? ,OLIO ( if so , what portion? -- Ts'q.. ft , - - Type of use? Type of roof slopeflatfshcdfather Material of roof Size , wood stu A 19X.�x�." spacing " o . c , length ft. .joists ( floor beams ) lst , floor � _" _1�" spacing / "o . c . span _ f ft . Joists ( floor beams ) 2nd . floor �2 " b " spacing '"o - c - spans/ ft _ overlays (ceiling beams ) "X it spacing "o . c . span ft _ Roof rafters x " spacing O . C . span ft . Roof truss pre-engineered) spacing" o . c . span !'_ ft . Exterior wall -�1A,1 Of what material? Interior wall �C- If a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? f so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue--lined chimney be installed? Height above roof - ft , Depth of chimney foundation below grade <V ft , el Depth of fireplace ,thft . in . Water supply un i c i pa private well SLPTFIC�SYSTED4 from ANY private well ( including adjoining: properties -- ft . {P sepal-ate application is necessary for any repair or new insta3lration of septic system) Town of Queensbury A F 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 - �'G� _ _-- ---__-; -Owner , oer ' s agent , arcni ct , contractor day of 19 Notary Public , Warren County, N - Y , SPECIAL CONDITIONS OF THE PERMITi By----".................. _...........---- 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 : i . Gross floor area 2 . Type of heat. 4r�� /�� G r'� oG' r✓ yr .ter �� 3 . Is the building mechanically cooled ? r 4 . Percentage of area of windows and doors A . Over 16 % Onlyf� 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 . Under 16 % Only 1 . R value of roof and floors exinosed to ambient conditions 2 . R value of exterior walls r 2 Z- 3 . R value of glazed area 4 . R value of doors 4c / j i 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_ __ _ 8 . R value of heated basement / cellar walls ( above grade ) Z / 41.2 90 R value of heated basement / cellar walls ( below grade ) 10 , Type of insulation C . Controls p 1 . Thermostat maximum heat setting D . Duct Systems 10 is duct system installed in unheated spaces ? YE NO a . If YES , R value of duct installation b . R value of duct in other areas l� E . Piping Insulation 1 . Size of hot water or cooling carryinq agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency �.� �G r:',rr ,v/ 1 �,,r• fysp, y/4�,/�' 2 . Temperature control setting maximum /fr/Q G . For Swimming Pool Only 1 . Maximum heating . i57V Telephone No . Fez 368ag- ( applican ' s signatur ) APPLICATION FOR. SEPTIC DISPOSAL PERMIT DATE / LOCATION OF PROPERTY FOR INSTALLATIONr, Owner's Name: LiL�> Telephone: Address: u Installer's Name: i J> Z4V �. Telephone: Number of bedrooms (residential only) - Total daily flow (compute @ 150 gal per bedroom) ] Q� Topogrwaphy: circle on Flat Rolling Steep Slope % of slope Soil Nature: circle ondC San Loam Clay Other / Depthe. feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? Za feet Percolation test: circle one: not required equired / rate c7- � min, inch. Domestic water supply: circle on unicipa Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ �- feet PROPOSED SYSTEM: Septic 'Tank�_�r)/ '`7 gal. (minimum size: 1,000 gal.) -� C'e TILE FIELD: Each Trench et / Total system length_ feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used ## / Depth or Thickness _ feet I M P O R T A N T ...Please...LIST NEW EQUIPMENT TO BE ]NSTALLEI] (over) Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the flown 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, the fields and/or drywelis S. 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 and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance& Signature of responsible person: Date: Town of Queensbury Building and Code Department Say at Haviiand Road Queensbury, New York 1Z801 (518) 792-583Z SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS Z219}?e4i Q QUEENSBURY, NEW YORK 1280 TELEPHONE (518) 792~5832 BUILDING INSPECTOR' S REPORT REQUE FOR INSPECTION RECEIVED NAME ZCAI LOCATION DATE PERM IT # � C 41>PROVED YES NO FOOTING/PIERS MONOLITHIC POUR FOF21S FOUNDATION/DAMP-PROOFING BACKFILL .APPROVAL � ROUGH PLUMBING FRAMING ELECTRICAL ROUGH~XN INSULATION: i FOUNDATION FLOORS WALLS CEILING " I FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE+S/STE ,S STAIRS-CLEARANCE & R�ILS PLUMBING FIXTURES/RJyLIEF VA + INTERIOR TRIM/PRIVACY DOORS r FINISHED FLOORS -- GARAGE FIREPROOFIN DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL IN PECTION _^ FINAL APPROVAL OF C NSTRVCTION_ OK TO ISSUE C/O OR /C A SIGNED CERTIFICA E OF OCCUPANCY MUST BE OBTAINED FROM THE UILDING DEPARTMENT BEFORE THESE PREMISES AR OCCUPIED!' REMARKS: lV/Z 4074 ARRIVE DEPAR' SPECTOR �,/`_ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET. ALBANY, NEW YORK 12207 Date ; ` " ' Apdplicutianjlydodl. 46n ile THIS CERTIFIES THAT orsgy the elecsrvrog egaspmens as eJrescril+ad below grad latsnaduced s named oat the above rpplgcetion nurnber in the premises q{ 1 . : , I ' t � i I . i . F. { ' . iiii'.I '�yyi in the fWtawding location, " 8asernent El. 1st Ft. El" 2nd Ft. Section Bgarch Lode eaas examined oat d ; and found to be in cum. liance with the ..� P requirements of this Boaerd. FIXTURE ESTAa.ES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESC*NT FLLKMSCENT OTHER MAT- K. W. AMT. K, W- AMT. K.W_ AMT. K. W, AMT. H. P- T DRYERS FURNACE (MOTORS FUTURE AFFLIANCE FEEDons SPEa/►L REOPTJ TIME CLOCK$ I UNIT HEATERS I MULTI-OUTLET Dom, AMT. K. W. OIL H. P. GAS H. P. AMT. HO- A. w. G- AMT. AMP_ AMr. AMPS. TRANS- AMT. H- P, SYSTILMS N OF PELT AMT. WATTS ' S ---------------------- SEIRVICE OISCUNNECT No, OF S E R V I C E AMT- AMP. TYPE METER NO. OF CC- CONa. A. W, G, A. W- G- GPA'PAL E17tRkr. X 7W 1 ,e' 3w 3 1' 3w 3 A' LW PER x OF CC. Cd40. No. OF HI-LEG OF HIAEG . OF I4tUTRALS F i r OTHER A"ARATUS: . € i F' F: ' F. BRANCH MANAGER This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be iceFTtified by their credentials. COPY FOR BUILDWG DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BUILDING and ZONING DEPARTMENT Bay and Maviland Road, R. D. 1 Box 98 Queensbury, New York 128UI to BUILDING INSPECTOR. ' S REPORT NAME LOCATIONe9'3 �Y( � r} G .L�f°..e�t, eZG [ G-� �,•�//,,--,, Date�- /� Permit No . �� ~'': ✓ = APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill Framing Roofing ! Siding r ' Masonry Veneer Rough. Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar , Fireproofin r Door Closers Smoke Detector Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELEC RICAL INSPECTION ✓ DI£1VEWA�Y PROVAL Final Bull ng Survey Next scheduled inspection ( call when ready ) Remarks-- ' f' LT If ! 9�'e�7 tie les� - Building Inspector 6/86 and-v1 _70ev i n/ Queenig" rey BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12601 SEPTIC DISPOSAL SYSTEM INSPEC ION NAME / F LOCATION DATE IZI;7/ PERMIT NO . SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , total length Length o ach trench Depth of tr ches Size of grav SEEPAGE ITS of) Size- ft. X ft & Gravel size PIPING : Sit T pe Bldg . to tank j"L Tank to disc. box Lost. box to field Openings sealed? 5493 LOCATION/SEPARATIONS • Foundation to tank —j ^ t. Foundation to absor do .� 7 €t . Absorption to lot i.ne er ft. separation of pit t. TION OF SYS C7N PROP TY (circle one) Fron --'Rear - L ft side - ight side - TS : SYSTEM USE APPROVED ES Building Inspector 01/66 and vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME / , s� LOCATION Date /� Permit No . ✓ — APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill Sarni ng Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Parches Finished Floors Interior Trim Stairs Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney Ili SU LAT I ON : Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION. ... DRIVEWAY APPR VAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- i 1231din spector 6/86 and-vl �.lown o� �e�eens6urtf BUILDING and ZONING DEPARTMENT Say and Havikand Read, R. D. 1 Box 9a Queensbury, New York 12801 BUILDING I NSPECT, OR ' S /R-E- PPOO-RT/� NAME� i 13Z2«GGYf� L.�r.f e►'L/ LOCATION n Date /4 Permit No . APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing B�ckfill t raming Roofing Siding M�sDnry Venee l.t U9h Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fi.reproofin Door Closers Smoke Detectors Chimney INSSULATION : Foundation Floors Walls Ceiling FINAL EL TRICAL INSPECTION DRIVEWAY APPROVAL. Final B lding Survey _ Next scheduled inspection (call when ready ) Remarks- 'f]�y ,�� L � Building Inspector 6/86 and-vl Q _Jocvn a/ Queen3lr"Ay ( 1 ' BUILDING and ZONING DEPARTMENT + Bay and Haviland Road. R. D. 1 Box 98 Q" Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTI" fr NAMEEGl. 5 �1 LOCATION DATE 911e ! J PERMIT NO. -&40 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYST Absorption f ` ld , total ength Length of qac trench Depth of tr es " Size of grave SEEPAGE P ITS{N er } `� Size- ,. ft. t . ' Gravel size PIPING : Size , Type Bldg .o to tankTank -� � Dist. t box 1torfio d/p G openings sealed YE C] Partial LOCATION/SEPA TIOkS : Foundation to hnk ft. Foundation to absorption €t. Absorption to lot line ft. Separation of sits t. C GETSN OF S ^a �7 PE (circle one) F Rear Leftsid - Right side: a SYSTEMUSE APPROVED YES NO Building Insopector 01/S6 and vl awn a/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION '- Date/ y� Permit No * ✓ = APPROVED - YE$ NO �o-ting/Pier Forms f Foundation waterproofing 8ackfill 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 Four elation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks-- Build ng Inspector 6/86 and-VI !+ �, �`� � .Jauv►at n� �eeeenshttr� UILDING and ZONING DEPARTMENT L r Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S RETORT , NAME ly � f - C .t.�C► LOCATION 0 W / r C Clr�+}'� !✓j"/rY /� Date / '�f'i' Permit I3+ca . - 'f I Pe APP.ROVED - NO ooting/`Pier Forms goundatton N. Waterproofing Sackfill 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 APPROIVAT Final Building Survey Next scheduled inspection (call when ready Rama kss 5 / Bu!IA!ftq Inspector 6/86 and-vl _./'nwn o� �ueera .sfiure� BUILDING and ZONING DEPARTMENT Bay and Hauiland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME—p LOCATION C Y +`•J l7 y r/. Date - � Permit No . ¢ r e X ✓ = APPROVED - NO Forms Foundation Waterproofing Rackfill 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 . Fireproof g Door Closers Smoke Detect 9ks Chimney if INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Ruildinc2 2nspector 6/86 md-vl ;1y9*f^, / VP014D T fp a .. JS 90 '- K} Dxrw (y 4s 93 OL Z9' ` r r � r r ~ oe OF X 'V t i f Agove 4 lar�rr+y tit / 4' C t ' , p y to a = �� .