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1987-672 k s + E,i TIFI�ATE OFOCCUPA.I` " 'Ir TOWN Of QUEENSBURY WARREN COUNTY, NEW YORK May 4 . 14 Late i 87-- 672 Il This is to certify that work requested to be done as shown by Permit No. i I i has been cotnPleted. 0ne-Family Dwelling This structure may, be occupied as a li Location. 37en�xi� & Leombruno owner By Order Town Board TOVNN OF QIJRENSBURY f f, SuiMing & Zoaint IMPOCwr i r BUILDING PERMIT 1-3 TOWN OF +QUEENSBURY No. 87_672 � z WARREN COUNTY, NEW YORK CD PERMISSION rs hereby g3rated to Dennis & Teresa Leombruno 0 I OWNER of property located at White Pine & Fin n�'ih„e Street, Road or Ave. 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 12 Sycamore Dr . cy glens Falls , N . Y . 12801 w m 2. CONTRACTOR or BUI LDERS Name R-• Adrian Blair 1-9 rD Pat rD W 3_ CONTRACTOR or BUILDER'S Address F° 61 Maple St . ID Hudson Falls , N , Y . 12839 a' n 4. ARCHITECT`S Name 0 S. ARCHITECT'S Address 0 �-t 6. TYPE of Construction — (Please indicate by X) *i ( 31 Wood Frame i Masonry I ) steel 1 F-6- n 7. PLANS and Specifications Cb *d No, 27 / 37 ' x 58 ' per plot plan , specifications and application including xj septic system and attached two car garage . S. Proposed Use One—Family Dwelling N v 0 $5 . 00 C / O ;b $ 185 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 1 , tg88 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the Co town of Queensbury before the expiration date.) It 13ttx October i9 87 Dated at the Town of Queensbury this Day of _ SIGNED BY for the Town of Queensbury `c Building and Zoning Inspector Ah<�V_ £ rD >1 F+ U4 TO BE COMPLETED BY BLDG . DEFT . �J / Application No . 19 'r ram' 4 `' � � _J?own Of Queelrt3 III Permit Issued ` LJ0 BUILDING and ZONING DEPARTMENT Permit Expires 19 U Bay and Haviland Road, R.Q. 1 Box 98 zoning Designation 1987 SEE *� 4owww Queensbury, New York 12801 Varian cawI Site an R view I_JPL1 ' ; :A _� 4 +,U'IDE r 5 App • y am 1;7.;� APPLICATION FOR P,UILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER. ALL. OF THE FOLLCWING . 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 ra / Tel P . O. Address J r' r� �� r r� �.w/.f /7 5��7 r' �,�,p s✓ �:..�cae -��='Tax Map Now Property Location : street number or Duilding lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Tel . No . Name P . O . Address Address g; ./r''.�A/r S'+� .� , _Tel . Name of builder Tel . leAn Address Name of plumber . ✓ Address Tel .y Name of mason i ZONING INFORMATION : NATURE OF PROPOSED WORK : Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED , Addition scale and attached hereto , to a building drawn reasonably to showing clearly and distinctly all buildings , Alteration to a building * whether existing or proposed and indicate all (no change to exterior dimensions) Other work (describe) set-back dimensions from property' lines . Give street and number or lot number and indicate whether interior or co * rner 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 ' ! ft X ft . Existing building ( s) Size * PROPOSED BUILDING AND USF Existing buildings ) Use Size of new structure ft XfL * distance from property line crawl/partial ul Proposed building . Foundation-pier/slab/ * ft Rear yard r s ft , (circle one ) * Front yard y ft No . of stories (habitable space) . * Side yards ft and � "5 Height (grade to ridge) � - ft . * If on corner , setback from side street & N if residential , no : of families / OCCUPANCY INFORMATION No . of rooms ( excluding baths )'IIIIIIII No . of bedrooms * PRIMARY BUILDING - No * of bathrooms ` — - Qne family dwelling Primary heating system jrr� r�u.r� � Two family dwelling Number of units Type of fuel * Multiple dwelling / No . of fireplaces to be installed_ J * _Permanent occupancy Will a wood stove be installed? Asa * Transient occupancy Central' Air conditioning'? Lc c Business Industrial BUILDING STYLE, PRIMARY STRUCTURE Other Ranch Contemporary Log cabin * If addition , what will use be? Raised ranch Mansion Duplex * Split level Old style Bungalow * * ACCESSORY BUILDING- Ca e Cod Cottage Other car * Detached garage/one car/ two car/ Colonial Row Town House car/ two car/ car * Attached garage/one ( CIRCLE ONE PLEASE ilding } - - * * * * * �private storage bu -�- Other ESTIMATED MARK VALUE O � CONSTRUCTION $ � / �00j . I - INFORMATION ON BUILD OPTS , ON REVERSE SIDE OF THIS SHEETr TO BE COMPLETED ! Form BPA 4/86 and-vl4 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material / Thickness Depth Of foundation below rade g (to bottom of footing) y Will there be a cellar?, Heated or unheated? r✓ v Floor sq. footage �i s, ft Will there be a basement? � W3. 1 any portion Be used as living space ? q( If so, what portion? sq . ft . - - Type of use? — Type of roof - sloped/flat/shed/others Material of roof E Size , wood studs as "X �, --�`4 ;'�1 '� spacing s "o . c . Length gt . Joists { fZoar beams } 1st . floor Joists ( floor beams ) 2nd . floor — "tk spacing r "'o . c . span, 7 , ft . a_ ,"x `" spacing .eG "o . c . spane,'7 ft . Overlays ( ceiling Reams } "� G spacing �G o . c . span / ft . Roof rafters to � spacing o . c . span ft . Roof trusses (pre-engineered) spacing." o _ cft span ft . Exterior wall finish C _ Of what material? Interior wall finish - 'r�' 'r If a garage is to be atta _ neat describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? Cz If so will a Fire-rated door , enclosure , and self-closing device be: provided? Will a flue-lined chimney be .installed? y�,s Height above roof Depth of chimney foundation below grade ft _ , ft . Depth of fireplace hearth , in . Water supply - Municipal or priva te well SEPTIC SYSTEM _ Distance from ANY private well di ' -- g adjoining properties i n o ft . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury T County of warren A F F I D A 'V I T STATE OF NEW YOB 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 an 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_ day of lg Owner , own gent , arcnicect , contractor - Notary Public , warren County , N . Y . * * * * * It * * * _ * It * * * * * * It * * * * * : It SPECIAL CONDITIONS OF THE PERMIT : 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 : 1 . Gross floor area 2 . Type of heat 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors A , Over 16 % Only i . U 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 S . Type of insulation Be Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions' 2 . R value of exterior wails 3 , R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces 60 R value of slab edge insulation - unheated slab ,�yca �✓� 7 . R value of slab insulation - heated slab 8 . R value of heated basement / cellar walls ( above grade ) 9 . R value of heated basement/ cellar walls ( below grade )_ 10 , Type of insulation t / C , Controls 1 . Thermostat maximum heat setting 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 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation Fe Service Water Heating 4T6 10 performance efficiency 2 . Temperature control setting maximum Dt' G , For Swimming Pool Only 1 . maximum heating Telephone No . ( appli ., notfils signature ) 441yown d ' ae4w6"V APPLICATION FOR SE:'Tlc DISPOSAL PERMIT DATE. � / e20/2v LOCATION OF PROPERTY FOR INSTALLATION ,,6e/ .0 _ l Owner's Name: jotTelehone:P Address: /z,? S a .•!",g mar r 7}rilr - .� Y/e. Z� c'G-.Q // /?'//_ Installer's Name: Telephoner � • �� �? Number of bedrooms (residential only) �— Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: at Rolling Steep Slope °ra of slope Soil Nature: circle one: Sand Loam Clay* Other / Depth: feet C-k�ound Water: At what depth? — feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: required / rate min. inch. Domestic water supply: circle one: unic%r. a7y Well Other IF domestic water supply is a Weil: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench 3t? feet / 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...IAST 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, the fields and/or drywells Be 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. 1 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 Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE �r•tP .own o/ Queen36urr 7 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R,Q. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTORIS REPORT NAME LOCATION Date: _, - Permit ✓ = APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Sackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim stairs 6 Railings ^V Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing u . Door Closers � . Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICA INSPECTION DRIVEWAY APPROV Final Building urvey Next scheduled inspection ( cal wwhen ready) Remarks- 99:� Building Inspector 6/86 and-vl flown o/ Q"Cenwaurry ' JA BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ' LOCATION Date / / Permit No . !►'r = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs 6 Railing Cellar Drain Ti a �. Concrete Floor Plbg . Fixture Gar . Fireproo ing Door Closers Smoke D etec rs Chimney INSULATION • Foundation . Floors Walls Ceiling FINAL ELECTRICAL INSPECTION_ DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks-- WO Bvi ding InsE+ector 6186 and-vl A . 34 559- 7 THE NEW YORK BOARD OF FIRE UNDERWRITERS �+ �rs a,!-r f-1 40 BUREAU OF ELECTRICITY to 41 STATE STREET. ALBANY, NEW YORK 12207[lase April 13 . 1988 rlppliention No. onfile 031359/87 A 712525 THIS CERTIFIES THAT only the of erctrice4 equiparseF.t dw described betaw oral introdueed bby the opplicarst named on the oboue appliewtion nuFrtber in the premiaea of D . Leonbrund # 12 White Pine Queensbury . New York in thefollowing location; k) Basement FX) rat Ff. El Snd Ft. oUte d1e Section Block Lot urea examined on and found to be in compliance with the requirements of this Board- 7 NXTURE ACtES SWITCHES NXTURES RAND COCWMGt1ECK5 OVENS DISH WASHERS EXHAUST FANS OtJT1UETS INCANLIESCE HT FL56 SCENT HINT. K. W. AMT. K. W. AMT, K.W. AMT. K. W. AMT. H. P- 22 43 41 3 fr DRYERS FURNACE MOTORS tiUTURE AFlLIANCE FL�EOERS SPSOAI REC't'T TIME CLOCK Ept UNIT HEATERS MI ATI—OUTttT DIMMERS srSTtaKts AMT. WArn AMT . K. W. 4Fl M. P. OAS N. P. AMT. NO. A. W, 0 1 AMT. AMP. AMT. AMPS. TRANS. AMT. N. ►. PtO. OF t�T 1 hwt 1Q 1 SERVICE DISCONNECT NO. OP S R R Y # C E AM7, AMP. TYPE >atETL'R 1 ,e ?w 10 9Mr ? X SbV ]1 iW NO. OF CC. COND. A. W. G. NO, 4F HI-LEG A. W. G. NO. OF NEVr"LS A. W. G. EI�I.f1I�, PER a' OF CC. CONO, CIF H-IEG of NtLITRAI 1 2_00 eb 1 x 4/0 2 /0 OTHER AP►ARATUS: 3-gfal 1-smoke detector Bob Murths 239 � 91 Namule Rd . Glen* Falls , NY 12801 BRANCH MANAC.Eft � Per This c c t not be altered in any moaner; return to the office of the board if incorrect. Inspectors mmy be identified by their creeUentiats. ,� COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. _7ot"I n/ Queerns6ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 ©ueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT v ,,j C7 LOCATION/ „/�/.��,r- f� Date/'; /.-._.T cam'_ _ Permit ✓ = APPROVED - YES NO Footing/Pier 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 x Plh-g . Fixtures Gar , Fireproofing Door Closers Smoke Detectozs Chimney ,>('INSULATION : Foundation w Floors j Walls Ceiling_ — � FINAL EIEC RICAL INSPECTION J I�SIVEWAY A .PROVAL ----------------- Final Building Survey Next scheduled inspection ( call when ready ) Remarks- Bui ding Inspe or 6/86 and-vl �G ow:,a o/ QueenjAury BUILDING and ZONING DEPARTMENT ay nd Haviland Road, R. Q. 1 Box 98 yy �r ueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ',,�( �`_'+as"e' Ole Date // Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing F3ack£i 11 RoofinA Siding Masonrneer �gh bing Relieflves Ext . Pes Finishloors Interirim Stairsailings Cellarin Tile Concreloors Plbg . ures Gar . Froofing Door Crs Smoke ctorChimneINSULA` :Founda Floors Walls Ceiling FINAL EI. CTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey. I � --1 n _ Next scheduled inspection { call when ready ) Remarks-- Building Ins a or 6/SG and-vl r� ^�-/� $�11iL ING and ZONING DEPARTMENT Bay and Hawiland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION . . res�cc' �G/1 p [late-A,,. /� Permit No . !j ✓ = - * E Footing/Pier Forms APPROVED YES NO Foundation Waterproofing B�Ockfill U 1 naming Roofing *� Siding Masonry Veneer Rough Plumbing Relief Valves l:xt . Porches Finished Floors F Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproo ng Door Closers Smoke Detec ,ors Chimney INSULATIO Foundatio Floors Wall $ Ceiling_ FINAL EI ECTRICAL INSPECTION DRIVEWAY APPROVAL u� Final Building Survey i ' ready )_�. Next scheduled Inspection � hen Remarks- Hui ing Inspec or /S� and.vl rti :Jow►i 0/ ueens6ure� BUILDING and ZONING DEPARTMENT Bay and IHaviland Read, R. D. 1 Box 98 ( �11 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME '= cJ.tJ LOCATION q k f R. DATE !`/ I PERMIT NO. " / / SOIL TYPE - Sand - Loam - cla - Fercolat on Test Required? ES - NO Percplatl n rate - Min/Inc TYPE of Sy EM: Absorption eld , Iota length � ~Y Length of ea trench ' Depth of tren es Size of gravel SEEPAGE PITS4N or ) Size-- ft. X ft. Gravel size PIPING ; ci7 I Bldg . to tank _ �" Tank to dirt_ box Dist. box to field/ Openings se ed? Y S NO artial LOCATION/S PARATIONS : Foundatio to tank ( ft. Foundatio to absorption ft. Absorpti n to lot line Separat ' n of ,pits OF SYSTEM ON PROPERTY ( ' rcle one) ront Rear - Left side - Right ide ENT SYSTEM USE APPROVED YES O BuxIdin Inspector 0I/86 and vl flown o/ Queen 11 ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date/ Permit No . - ✓ = APPRDVED - YES NO Footing/Pier Forms �'F6undatlon %Waterprc�of ing lZ 'framing Roofing Siding Masonry Veneer Rough Plumbing F Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofs. g Door Closers Smoke 'Detect rs dhimney INSULATI f Foundati. Floors Walls Ceilin FINAL LECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- Building Inspector +6/86 and-vl flow n o/ Queensl�+.tre�t C BUILDING and ZONING DEPARTMENT and Haviland Road, R.D. 1 Box 9a ueensbury, New York 12801 ILDING INS.PECTOR ' S REPORT NAME 22 LOCATION ,r Q0)4 /C�vC- Date /Gzf/ / �7_ Permit No .OL � AP. - S ' ng/Pier Forms 4VED YE NOg.�� 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 APPROVAL, Final Building Survey Next scheduled inspection (call when ready) X - Remarks- 9 U G� Building Inspector +5J$6 and-vl 1 � /f _Down o/ Queer: s6ure BUItDI 4G and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 { e ©ueenlsLfbury, New York 12801 BUILDIN INSPECTOR ' S REPORT NAME LOCATION 12ropyc —� Date E?Y/JE7. Permit tvcr . ✓ = - �ootingjPier Forms APPROVED 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 INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready) Remarks- ♦♦♦ Suilding Inspector 6/86 and-vl W11ITE P1QL i OLD N7L°-4t.P'W lzs. �a• L= 3q.27' W 4�t t1,.. o2��Ewpy C � • PRO (P D UJ o ' M s 0 t .. C .C3, U J00Dusuk t� ,y 1CALf IKY`3t10Ni fY pATt OATS M1 asos�. 7 E,5i7t`a� � cxo trr�,e ao. nor PLjwu -L*,4mmeLxao REsio. I of r