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1987-660 61 {CER.TIFI+CATE OF OCCUPANCY TOWN OF +QUEENSBURY WARREN COUNTY, NEW YCORK April 12 , 14 �f 9 This is to certify that wort[ requested to be done as shown. by Permit No. 87-660 has been completed. This structure may be occupied as a Otte Family Dwelling Locsation _-- ( = . Honey Hollow Ltd . (Bedfprd Close ) own" Ted Faleski. $y Order Town Hoard TOWN aF QUEENSBURY Building & Zoning Iaspector"� — BUILDING PERMIT TOWN OF QUEENSSURY No. 87-660 � WARREN COUNTY, NEW YURK CD, PERMISSION is hereby granted to Ted Faleski vt ', I OWNER of property located at Lot 144 Honey hollow Rd . Street, Road or Ave. Bedford Close c in the Town of Queensbury, To Construct or place a One—Family Dwellfng _ 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 15 Triphammer Rd . m Queensbury , N . Y . 12801 w r 2. CONTRACTOR or Bul LbER"S Name on Yam• Watt Clark 3_ CONTRACTOR or BUILDER'S Address r P 10 Sycamore Dr . rr Glens Falls , N. Y . 12801 m � - 4. ARCHITECT'S Name o +-t x a. P nm Y C O S. ARCHITECT'S Address N p 0 0 E 6. TYPE of Construction — (Please indicate by XI kA Wood Frame i } Masonry { ) Steel ( } 7_ PLANS and Specifications C7 No. 44 ' x 59 ' per plot plan , specifications and application including m septic system and attached two car are e . m B. Proposed use One family dwelling • r-� ti $50no CIO n£a 227 . 00 April 1 , $ PERMIT FEE PAID — THIS PERMIT EXPIRES 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 Queensbury before the expiration date.) Dated at the Town of Queensbury this 29th Day of Sept . 79 87 SIGNED BY +G7-- = =- for the Town of Queensbury Building and Zoning Inspector ,C/ TO BE COMPLETED BY BLDG . DEPT . Application No . _ own 0/ Queenigury Permit Issued 19 f y �L1 _�� iIJ� b BUILDING and ZONING DEPARTMENT Permit Expires 19 ���Bay and Haviland Road. R. D. 1 Box 98 Zoning Designation !! SEP 247 . Queensbury. New York 12801 Variance No . L� Site Plan Review No . ■ Approve b APPLICATION FOR t� %� � t�G. r ,'Z 3" EL! I l..D I NG AND ZONING 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 : jF--by G is P P . O. Address I s 1 i2-1 &(A-rooA4F�- P (p Tel . R? e( ,3 Property Location : �`j I c{ o N =A- -1" 1 t, [. L�JL, !� Tax Map No ./ f f"'�/ /LrG Street number or building lot number Subdivision name ( if applicable) b "bgu THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : q c Name P . O. Address Tel . No . Name of builder ;,g q. c: t.6 4,c Address Tel . Name of plumber ti?(;--t.,k„ Address if p cr + Tel . -` , �! 2 - 3 �j � 7 Name of mason Dr:) L+ � Address_ Cv s S ? ' Tel NATURE OF PROPOSED WORK : ZONING INFORMATION : r/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 4nd 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 1-s- ft X 150 ft . Existing buildings ) Size ft X ft . PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new structure ft x 5 ( ft Foundation-pier/ slab/crawl/partial/full Proposed building , distance from property line (circle one ) * * Front yard 5 2-- ft Rear yard f 7 G ft No . of stories (habitable space ) --- Side yards ca ft and �� f ft Height ( grade to ridge ) � ' ft , If residential , no , of families If on corner , setback from side street ft Noo of rooms ( excluding baths ) OCCUPANCY INFORMATION No . of bedrooms 1f PRIMARY BUILDING - No . of bathrooms ✓ One family dwelling Primary heating system N6� P" ' _Two gamily dwelling Type of fuel F. Le�-L Multiple dwelling / Number of units Nom of fireplaces to be installed ; Will a wood stove be installed? N * Permanent occupancy Transient occupancy Central Air conditioning?�'Ao+ !� Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Other Ranch nirnporary Log cabin If addition , what will use be? Raised ranch mansion Duplex " split level Old style Bungalow Cape Cod Cottage Other ACCESSORY BUILDING- Colonial Row Town House Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * r..- Attached garage/one car/ 1do car car * * * * * r * * * * * * * * * * * _Private storage building ESTIMATED MARKET VALUE OF CONSTRUCTION $ - - - - - - - - - - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form SPA 4/85 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS Type of construction , od fra , fire safe , etco will any second-hand or ungraded lumber be used? If so , for what ? PJ Foundation wall material Thickness e Depth of foundation below grade (-to bottom of footing ) 7A. 10 ' Will there be a cellar? Heater unheated? Floor sq. footage 2c7c1 sq ft Will there be a basement? Will any portion be used as living space? -y'" -5' ( If so , what portion? PrL+ sq . ft _ - - Type of use? jc 0 S P L-Ity ?-�� Type of roof - s ope /flat/shed/other Material of roof A ,, p ;14 . Z F r69Aed --t�45S --- �,Aje-- Size , wood studs L "x " spacing t6 '"o . c . length -ft . r � Joists ( floor beams ) Ist . floor - � "X jL, spacing _"o . c . span T . .joists ( floor beams ) 2nd . floor � _ " x } U spacings"o . c . s 'an�ft5y- i;,- /I [overlays ( ceiling beams ) 2. "X__Ak." spacing "o . c . span ft�. Roof rafters 2 " X�17 _" spacing _LL­o . c , span ft . s Roof trusses (pre- engineered) spacing " o . c . span ft . Exterior wall finish of what material? 4 "tw. Interior wall finish P� C if a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is th re to be an opening between garage and dwelling? ,r-; 3 If so will a Fire-rated door , enclosure , and self-closing device be provided? }'&-S Will a flue-lined chimney be installed? Height above roof 2 ft . Depth of chimney foundation below grade 7 ' ft . Depth of fireplace hearth-,?, f t . 0 in . water supply - iunicipal] or private well 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 YORK 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 ._] --_----- - owner , owner ' s agent , arcnxrect , contractor day of 19 Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : $S'_____ _______--- ----------------____-- 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 : 11 Gross floor area 3Ca [f-5"' 2 , Type of heat FpR„c. err R. H p4cvro P4JMil 3 . Is the building mechanically cooled ?_�6-S 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 , Under 16 % Only 11 R value of roof and floors exposed to ambient conditions 2 , R value of exterior walls. R [ q , 3 3 . R value of glazed area 3 . '' 4 . R value of doors µ '� 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 ) 13 9 . R value of heated basement/ cellar walls ( below grade ) 10 , Type of insulation ( 66AAr&.e,r+ES_S ► AIAn C . Controls d 1 , Thermostat maximum heat setting_ _ _ 80o D . Duct Systems 19 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 3 2 . R value of pipe insulation 1�c► NJ' F . Service Water Heating +� 1 , Performance efficiency / •' 2 . Temperature control setting maximum IOct> G . For Swimming Pool Only 1 . Maximum heating Telephone No . ?`71? " 34Cd ILlz , ( applicant ' s signature ) ,,,on &wft oaetw&try APPLICATION FOR SEPTIC DISPOSAL, PERMIT RATE Z .-02- q / 7 LOCATION OF PROPERTY FOR INSTALLATION Owner's Name : TT ErL.L3J,< , Telephone: 7 `13 ? Cep Address: Installer's Name: fJ pjl, k (7« ftt-0 Telephone: 7 7 ,2 Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) c7 Topography. circle one: F1aT Rolling Steep Slope % of slope -- Soil Nature: circle one: Sande.. Loam Clay Other / Depth: _ feet Ground Water. At what depth? i� feet Bedrock or Impervious Material; At what depth? feet Percolation test: circle one not required required / rate min. inch. Domestic water supply. circle one: Municipal ? Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 ,gal,) TILE FIELD: Each Trench _ 'Z-> feet / Total system length feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # _ / Depth or Thickness T _ / feet IMPORTANT ...Please...]LIST NEW EQUIPMENT TO BE INSTALLER (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. 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 ail requirements of the Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person: , Date: q/6, If Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SE FTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD PLACE TO LIVE � ' �+r �.I'ouvn n� �sseer�lshttre� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 J. ,��r}, ,�r" " tSUI LD1 NG INSPECTOR ' S REPORT NAME LOCATroN � Date / Permit No . r ti ✓ = APPROVED - YES NO Faoting,�Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Venee Rough Plumbing Relief Valves Ext . Porches Finished Floors �, t Interior Trim Stairs s Railings Cellar Drain Til Concrete Floors Plbg . Fixtures Gar _ Fireproof- g Door Closers va Smoke Detector Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRIC L INSPECTION DRIVEWAY APPRO AL---- Final Building urvey Next scheduled inspection (call when ready ) Remarks- 0Az BU pector 6/86 and -vl BUILDING and ZONING DEPARTMENT Bay and Havitand Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME f a e ' LOCATION �.�C '�` � ALO. t.Cl 2t Date 1 IiWl C8, Permit No . 6Z7 ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding MasonryV e Rough Pg Relief Ext . Po Finishers Interio Stairs ings Cellar Til Concretrs Plbg . Fs Gar . Fi ing Door Closers Smoke Detec ors Ch-upney .�UI.ATTCS Foundati Floors fir Walls Ceiling FINAL E ECTiiCAL INS ECTIO BRIV£WA APPROVAL __ Final Building Survey Next scheduled inspection ( call when ready ) Remarks- ZL Building Inspector 6/86 and-vl 1 � _.J'aeun �+� �e,eeensbeere� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME r�L &gfe I L 0 C A T ION Datewry - permit No . l%� 4z ✓ APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing _ _ Backfill X Framing Roofing Siding Masonry neer Rough Pl ing� Ek Relief Val s Ext . Porches Finished Floo Interior Trim Stairs & Rail n Cellar Drain Til Concrete F1 ors Plbg . Fixt es Gar . Fire p oofing Door Clos rs Smoke De ctors Chimney INSUU ON : Foundat on Floors Walls Ceili FINAL ELECTRICAL INSPECTION DRIVE Y APPROVAL. Final uilding Survey N x�t sc-heduled inspection (call when ready ) Remarks- � r 4z X .._.�- Suildin nspec or ' 6/86 and-v1 _Joust a/ QWVV4" jA " ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTYM INSPECTION NAMc LOCAT I O4V DATE I f Z / PERMIT NO, / ' (,o & O SOIL TYPE Sand - Loam - Clay - Percolation Test Required? YES - NOI,- Percolatio rate - Min/Inch TYPE of SYS Absorption f i Id . total length Length of eac trench Depth of trenc S. Size of gravel_ SEEPAGE PITS{N r of) Size- ft. X _ ft . Gravel size PIPING : i ie Type Bldg . to tank 9/ _ Tank to di st . box Dist . box to field/ Openings sealed? YES NO Partial LOCATION/SEPARA ONS : Foundation to k t. Foundation to bsorption ft . Absorption t lot line: ft . Separation o pits t. LOCATION TEM ON PROPERTY ( ircle one) Front = - Left side - Right side - COMMENT } SYSTEM USE APPROVED Bull inga Inspector 01/86 rnd ul /awn a/ 'QueenJI dArY BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D. 1 Box 98 Queensbury, New York 12801 B (JI LDI NG INSPEyee � IS REPORT NAME LOCATION Date f /_ Permit Pao . ✓ = APPROVED - 'YE NC} noting/Pier Farms ge 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 APPRO AI. Final Building Survey Next scheduled Inspection ( call when ready ) Remarks- Building Ins c or 6/86 and-vl © . 401 QueenikurV BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D . l Box 98 C}ueensbu y New York 28Q BUILDING I I lJt CYOR S REPORT NAME LOCATION Date �7/ Q_L� Permit No . _` I; C• 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 & Railings Cellar Drain 'file Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney IN SU LAT I ON Foundation Floors Walls Ceiling F INAL EILECTF I INSPECTION DRIVEWAY APPROVAL —- Final Building Survey Next scheduled. inspection (call when ready ) Remarks- I Building nspector 6/86 and-vl ���j ,}own �� '�teeensdurt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. i Box 98 Queensbury, New York 12801 D BUILDING INSPECTOR ' S SPORT NAMEOk LOCATION 4k194Y s )e �- t & [fo Date , / Permit NO . / APPROVER - NO L.P' ting/Pier Forms Foundation Waterproofing AF Backf i l l Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves East . Porches E4EEE . . Finished FlooW Interior Trim stairs & Rail Cellar Drain Concrete FlooPlbg . FixtureGar . Fireproo Door Closers Smoke Detect 5 Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECINUCAL INSPECTION DRIVEWAY APPROVAL Final Building Survey^ , Next scheduled inspection (cal l when ready Remarks- Building inspector 6/86 and-vl E&U54"F_Sb- FORM -jfi0g) 846-u4;!03 _ APPLIr+ATION� FGR ,ELECTR ICAL I NSPECTION PLEASIA' BEAR DOWN YOU ARE MAKING (4) COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, MIC. National Headquarters 900`Ha4don Ave., Collingswood, N.J. 0$1108 Date: 7124 g City, Town or Township Q-2 � � �-Y County � '�"� state f Location/Address Lg> etJ o'L404AJ io AA A J� �1-C SjE (if Located in Rural Area - Please Attach Directions) Pole # owner TF.AD EP L 5 ,k 1 Permit # Occupied As Building: NeWEX Old O Occupant Work Area in Building Floor #, etc.) : for: Wiring EJ Service [:3 or: Ready for Inspection Fee Remitted - $ Cash Q Check F M.O. Make Payable To: NI.D. I.A. Number of Rough Wiring outlets Elect. Heat ab0 7a0 1000 12a0 1 lane I 17IM I 2000 22eo 2aao 1 27150 1 3000 Switches Lighting Amp. Service Surface Unit Dishwasher flange Receptacles Water Heater Air Conditioner Dryer ----Pump Nurnber of Fix ores Chen : Garbage Disposal Wiring and Controls for' Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1/2 1f12 1/10 1/8 116 114 1f8 1/2 3/4 1 71/2 10 15 20 25 34 40 50 75 100 Mark Number of Each Size Applicant's Signature % License # Permit # T/A Utility ; N I c? # + S F .. Applicant's Address: O 1e NAM (OFFICE LOCATION (CityI & r,.T.t (state) {zip) Service Request # ry 7Ph •# "' ' '�" Electrici n: RECEIVED: DATE INSPECTED: ct Location : Same as Above 0 or: otice LabelRough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer: Service Equipment Burner, Wiring s'`fcir Amp. Rec ' a eAm . Service Conductors Pump Vent Fans RS H.f'. 1/20 1/12 1}l0 1}81/6 lf4 1}3 1/2 3/41 1�/s 2 3 S 7s/x 10 15 20 25 30 d0 • 5 75100arNumber of Each Size Elect. Heat aDO 750 1000 1250 1000 1 750 2000 Rsa zaoo 2760 3000 I RW Progress: Inc. F1 LKD 0 Contractor CFT Violation : Work Comp. Q Inc. (� [] L/A owner 7M-0K* Fee L/A -DueIPA Mµnicipal L . IN Date: other~ Side O Utility OwnApper F1 - Cut in Card Temp # Date d Final Date { PGTORS SIGNATURE # APPLICATION F6 RM NO. 25b' EL 11/its r I t I 30 r-. CA 4 A r -* i 00 PLOT PI AN I_ O T 14 4 HONEY HOLLOW R D F' EdF'oHo CLOSE OWNERS - TEG t NANCY FALESkt SCALE