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1987-685 r ti I CERFnFICATE OF C CUP AN CY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK May 1S . a Date 19 ' � 'Lq- k cr I -'`A This is to certify that work requested to be done as shown by Permit No, 8 7-685 has been completed. This structure may be upied as a orle-Family L�wellln{� 20 Location "tl5ltT$ Orchard DrIve (old Orchard) AI Boychuk Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector } BUILDING PERMIT � TOWN OF QUEENSBURY No 87-685 s � a WARREN COUNTY, NEW YORK m PERMISSION is hereby granted tot B©ychuk rr OWNER of property located at Lot #78 Orchard Drive 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. t . OWNER'S Address is 30 SweetBr3ar Lane Queensbury , N . Y . 12801 W 0 rr r7 2. CONTRACTOR or BUILDER'S Name rG D . Valente 3_ CONTRACTOR or BUILDER'S Address 60 Sweet Rd . Glens Falls , N . Y . 12801 r� r o p. rt 4. ARCHITECT'S Name Q V M oc n w H. 0 5. ARCHITECT'S Address tr, rat in fi.. t7 le rt 6_ TYPE of Construction — (Please indicate by X) W O ( A Wood Frame ( 1 Masonry ( } Steel I } 7. PLANS and Specifications No. 95 ' x 60 ' per plot plan , specifications and application including septic system and three car attached garage . ro 8. Proposed Use One Family dwelling w H' r _ •e d $5 . 00 C / o £ $ 246 . 00 PERMIT FEE PAID — THIS PERMIT 'EXPIRES May 1 , 19 $$ 0 ty (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.! M Dated at the Town of Queensbury this 13th Day of October 79 87 SIGNED BY / / •' for the Town of Queensbury Building and Zoning Inspector - TO BE COMPLETED BY BLDG . DEPT _ Application No , a win O/ Quee^► jlary Permit Issued 19 .;.A tJ. ; .: i�sia �. fir, y ;�•.: BUILDING and ZONING DEPARTMENT Permit Expires Z9 j Bay and Havifand Road, R. D. 1 Box 98 Zoning Designation 4!0 } Queensbury, New York 12801 Variance No . /l Site Plan Review No . L3 f1 ry'� $ 1%7 Approved bt ,D , ( 6_.V' APPLICATION FOR /J ✓ � �I BUILDING AND ZONING PERMIT Y'} 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 Permi/t . / The owner of thi. s�property is : ,,� _ G I ro �e'l- rye r� P . O. Address G� lee . f „ �-, o jic-f.Tj Tel . property Location : � e3-7't � �� ►� Uri Ta Map No . Street number or building lot number Subdivision name (if applicable) C l� C_q-ff ' Q r r✓� THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS/yam/REGARDS BUILDING CODES/ IS : C- Z 1-C Name P . O . Address Tel , No . Name of builder . l } I^41 G w ice- ' Address . v S'i �•a {z I� �^-.# . Tel _ '"7 .� - S� �� Name of plumber 122 C)r2.et�• A [) Srhf3r^ --•- r:��r� � Tel . c� J `F masonYJ ULL > Address �' W Tel . l/ � Name of 7 !NATURE OF PROPOSED WC)RK . * 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 ft X ft . Existing building ( s) size—S ft X (� L} ft * PROPOSED BUILDING AND USE : * Existing buildings ) Use Size of new structure 4FN ft X ft Foundation-pier/ slab/crawl/partial fuZ Proposed building , distance from property line (circle one ) * Front yard7 ft Rear yard � `/ ft No . of stories (habitable space) .--L. * Side yards �_ . �'.__ft and cjr_ ft Height ( grade to ridge ) �K ft - I£ on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths ) _ OCCUPANCY INFORMATION No . of bedrooms Act PRIMARY BUILDING - No . of bathrooms One family dwelling Primary heating system Cs +q5 I .= + Y�I rL 2; �o family dwelling Type of fuel +- 0r� Multiple dwelling / Number of units * Noo of fireplaces to be installed_ * permanent occupancy Will a wood stove be installed? i10 * Transient occupancy Central Air conditioning?_ ti■ i:�: , Business * BUILDING STYLES PRIMARY STRUCTURE * Industrial * Other Ran h Log og cabin if addition , what will use be? ed ranch Mansion Duplex * Split level Old style Bungalow * ACCESSORY BUILDING- Cape Cod Cottage Other car Colonial Row Town House Detached garage/one cart two car/ ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/_ _ ___ 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 4/66 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc , 4.0 Will any second-hand or ungraded lumber be used? if so , for what? u Foundation wall material r60 Thickness or ) a Depth of foundation below grade (to bottom of footing ) Will there be a cellar ? go _Heated or unheated? "OVN� cr Floor sq. footage 2 sq ft Will there be a basement? )/!,_Will any portion be used as living space? M ( If so , what portion ?�_ sq . ft . - - Type of use? Type of roof - sloped3 flat/shed/other Material of roof �lC3 y C e4rr /9 y%;Size , wood wood studs "'X fa '" spacing / Ea " o . c . length F ft . Joists ( floor beams ) Ist . floor "X / o spacing�I `' "o . c . span_/yS',ft . Joists ( floor beams ) 2nd . floor "X — '" spacing — "o . c . span — ft . Overlays ( ceiling beams ) "X �" spacing /4.� "o . c . span lel ft . Roof rafters "X f,' _ " spacing__Z6 �a . c . span. ) r ft . Roof trusses (pre-engineered) spacing — "'o . c . span — ft . Exterior wall finish OZ Y),i=1"r-2 1�' 9-4-vw,' Of what material? Interior wall finish =C; -r- � cLr- . If a garage is to be attached describe materials to be used for FIRE SEPARATION . Is there a e an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be ,provided? Will a flue-lined chimney be installed? Vc-;, _ Height above roof i [a " ft . Depth of chimney foundation below grade._ ,a ft , Depth of fireplace hearth -ft . in . Water supply - Municipal or private well i e k2 tk�c 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 1 V� County of Warren A F F I D A I T 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 _--�� = =, A Owner , owner ' s agent , arcnxrect , contractor day of 19 Notary Public , Warren County, N . Y . 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 r:52 & 2 . Type of heat `4` 36 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 , Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. 2 , R value of exterior walls �� 2 3 , R value of glazed area �= 4 4 , R value of doors � u 5 . R value of floors over unheated spaces 60 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 ) 9 . R value of heated basement / cellar walls ( below grade ) + � 10 , Type of insulation C . Controls 1 . Thermostat maximum heat setting Dv Duct Systems 1 . Is duct system installed in unheated spaces ? YES C NO �j 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 Swimming pool Only 1 _ Maximum heating Telephone No . r ( applicant ' s signature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: ep t" C,r C FC . Telephone. Address: Installer's Name: �. Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) __ * Topography: circle one F� Rolling Steep Slope % of slope _ Soil Naturee. circle one: Sand Loam Clay Other / Depth: _ feet Ground Water: At what depth? J� feet Bedrock or Impervious Material: At what depth? _ { ) feet Percolation test: circle one: not required required / rate min. inch. 130mestic water supply: circle one Municipal Well Other IF domestic water supply is a Well: Separationx Watersuppiy from Septic absorption — i feet PROPOSED SYSTEM: Septic Tank ,Zy gal. (minimum size. 1 ,000 gal.) 4b feet TILE FIELD: Each Trench '}J feet f Total system length 0, � 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 ...PIease...L.IST 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 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 chide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal Ot% inance. 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 740 01442 THE NEW YORK BOARD CIF FIRE UNDERWRITERS BUREAU OF ELECTRICITY � dL 41 STATE STREET, ALBANY, NEW YORK 12207 Date May 260 1988 Application No. on file 0 012 5 2 f P 8 A 7 1. 7 G 7 S THIS CERTIFIES THAT owdy the oUctrical eguipmen.t as described begase and introdrsced by the applicant named on the aboae application number in theprensises of 'V`elente Builders Orchard offf WIncrest Que+ensbury , New York in thefeltowing location; 1:9 Basement gat Ft. ❑ Snd Ft. outside Section Block Let was examined on 5— 1 8 � 8 8 and found to he in compliance with the rege4irements of this Board. FIXTURE RECE "XTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS FTACLES SWITCH!: 1"cANOESCEW FLUORESCENT r IT. K. W. . w. A T. H. r. 36 57 23 1 006 4 fr DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL 616COPTI TUNE CLOCKS ems, UNIT HEATERS IMMT14WTLET O1MMERS ANT. K. W. Oi H. A. GAS H_ P. r. NO. . G. ^mT. ASP. AMT. AMPS. TRANS. AMT. H. P. 'SYSTEMS AMT. WATTS NO. OF FORTer 1 3a 3 600 SERVICE DISCONNECT NO. or S E R V I C E MET@ I ,. 2W 1 X 3W a I' 3w 3,e 4w NG. aF CS. CoNo. ,t w. G. NO. OF H4u�G A, w. G. *yO. OF MUTKA+s A W. G. EQUIP. Pte ■ of cc. _&4D. of HattG or Ntu"Ju 1 100 cb 1 x 350 250 OTHER APPARATUS: 3—g f c i 3- Bmoke detectors Edward LaCoy ? 'Proust Lake Rd . Dolton Landing , NY 12 P 14 239 BRANCH MANAGER Per This certificate must not be altered in any manner, return to the office of The Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Oil Q6+ee4" 3bury eUiLD1NG and ZONIt1G [DEPARTMENT 1 �g and Haviland Road, R.D. 1 Box 98 aueensbury, New York 12801 4 (mot DING INSPECTOR ' S REPORT IJ ! A ME { A LOCATION 3{A6Z- rJ Date s~� * permit Na . APPROVED NO Footing/Pier Forms Foundation Waterproof ' T, gack.f i l l Framing Roofing Siding Masonry Veneer Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors pl}yg , Fixture s Gar . Fireproof ' 9 Door Closers Smoke Detecto s Chimney INSULAT:EON a Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTI423_ DRIVEWAY APPROVAL `Final Building Next scheduled ,,.-inspection-(call fwhen/ ready ) Remarks.. eoiA y,,r -Fe "Y�•Y [ �6 �[� u ns ctor 6/86 and-VI ow" D/ Q"Ce,T 31"r y BOILDING and ZONING DEPARTMENT Bay and Havikand Road, R. D. 1 Box 98 Queensbury. New "fork 12801 SEPTIC DISPOSAL sYS7EM INSPECTION NAMEr 4C �- LOCAT I ON PERMIT NO.,.A SOIL TYPE - Sand - Loam - Clay - r-- Percolation Test Required? YES - No Percolation rate - Min/Inch _ e/)] TYPE of SY STEM: a" Absorption field , total len th Length of each trench Depth of trenc s Size of gravel SEEPAGE PITS4N er of! Size- fto X Gravel size 1z Ty � PIPING : �-- gldg . to tank Tank to list _ box Dist. box to field/ N artial openings sealed? YE LOCATION/SEPARATION = t. Foundation to tank ft . Foundation to abso ptionr ft . Absorption to lot line f t. Separation of pi s OF, SYS ON PROPS Y (circle one) 6rr4bnt 70eRear - eft side - ht side - TS : SYSTEM. USE APPROVEbJ DYES Build n Inspector ol/86 and v1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME Jr LOCATION � }/ fipi Date Permit No . lrv* 0 - * * * * * * * * �✓'* * APPROVED YES NO Footing,/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer 1,�bugh Plumbing Relief Valves Ext . Porches Finished Floors interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors P1bg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors chimney - INSUI.ATION Foundation Floors Walls f � Ce111ng FINAL ELECTRIC L INSPECTION DRIVEWAY APPR AL^ _ Final Bxiildin Survey Next schedule ins��ti o�� �( call w en ready ) Remarks /�! " E3uilding Inspec or U/86 mci-vl _.J'own o/ QueenJl urV BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. I Box 96 Queensbury, New York 12801 BUILDING INSPECT P t S REPORT NAME LOCATION//�2, J/ C1 ,y Date_ �c' L Permit Now I /i * * * * * * * * * ✓* ; * * * * * * * * * It APPROVED - 'YES No Footing/Pier Forms Foundatio Waterpr Ping - Backfill - Framing Roofing Siding Masonry Ven er Rough Plumbi g Relief Valves Ext . Parches Finished Floors Interior Trim Stairs & Railings Cellar Brain Tile Concrete Floors Plbg _ Fixtures Gar _ Fireproofi g Door Closers Smoke Detecto s )drphimney INSULATION : Foundation Floors Walls Ceiling FINAL ELEC R=CAL INSPECTION DRIVEWAY A ROYAL - Final Building Survey I3ext scheduled 3.nspection { call wften ready ) Remarks- . ZrS �1 liar r Sri , Building insp ctor 6/86 and-vl v uQerr bur .�.lwn ✓� � BUILDING and ZONING DEPARTMENT ( ✓ gay and Haviland Road, R.D . 1 Box 98 '! Queensbury, New York 12801 BUILDING INSPECTOR ' S, REPORT NAME C:s, �'" LOCATION Date /- �,o � / ermit No . / LS APPROVED* -* YES* NO Foot in Pi Forms, Form Foundati n Waterproo ' ng Backfill �ami ng Roof ing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Flours interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproof! g Door Closers Smote Detector Chimney INSULATION Foundation Floors walls Ceiling FINRI. ELECTRI L INSPECTION DRIVEWAY APPROV L -"- Final Building S rvey Next scheduled inspectl©n '(call whe/1n� ready ) Remarks. � �'",�-N'+C.x� �. Z. f Building Inspector 6/86 and-vl ,BUILDING DEPT. COPY OF APPLICATION FORM 46-EL. NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEFT, WHEN REQUIRED. TEMP. if DATE CITY OR ,f/ VILLAGE f; . !f ' + i r" i ` TOWNSHIP { f L f r - r IZ4 . .. COUNTY STREET AND NO. OR .. - ROAD AND POLE NO_ �f 1A., POLE NO BETWEEN WHAT TWO _ CROSSSTREETSfS 1 �•r.i PREMISES LOCATED? 'l. r I 'r t �J M1L� I LJ[„ SECTION BLOCK LOT DCCLIPANT'S fir ! _ / j BUILDING NAME + / C, r r ' ,h s yr+[, OCCUPANCY DWNER"S NAME TEL. # AND ADDRESS r CU SUPPLIED ,r/ BY / f CJ,/o.J' e` - ` FROM THEIR OFFICE BUILDING !'—I WORK DEFECTS NEW OLD t_I IS NEW A?] ADDITIONAL ❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Fists 6 I BRANCH Loop Rota PUNAM MOTORS HEATERS CIRCUITS OFFICE USE Lour ONLY Yeti Side At/eo- rt H.P. riam A.W.G. OsNfrl� WWsE Reoopla Switdt P06I t Bracket No- TV" Each No. Each No. Gotge INSPECTION Ouf- skle SWAP base Brsr- +ttenl 1st Ff. 2nd PI 2rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE— This appJicatim is intended to covet the above-listed equipment to be inspected but it at time of i rvslsecrion there is found additionyl atryipment not Wow listed, you are anetfleeizod to tttake the inspootion and edit"+ the far go corer the additional equipment, as provided bV the applicant. SIZE Of ELECTRIC SIGN TOTAL MAINS .,:; S.1 +�. FEEDERS LAMPS WATTS CHARACTER EXPOSED OAS TUBE SIGN OF WORK ,/� ,.� [,� _,} CONCEALED TRANSFORMERS OF VA WORK TO STARTED BE C IF COMPLETED SIZE OF SIGN flCAPACITYI SERVICE OVERHEAD I UNDERGROUND MAKER ENTERS I OI OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE d k;,/ ,fr / NEW OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPUCATI PRINT NAME AND Add7ESS NAME OF - }} .r1 -r' �(► SIGNATURE - APPLICANT '�i^` ..'� ! '�- "- . t J r-T- � '" -' /� OF APPI.ICANT STREET AMON ESS € _ CJ L..t.t� [i�^ !Y TELEPHONE CITY OR h 3 ,. f ZIP .r LICENSE No, �r (- ' -7. CODErt } ,r/f WHEN APPLICABLE POST OFFICE ♦a EL (R"- ,fee) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING CUSTOM HOMES LAND DEVELOPMEY'1 -- _ 60 SWEET ROAD • GLENS FALLS, NY 12801 (518) 798-5200 P7a 0 GJ Li e �'C Joe 4 v r r TA,r 3 O r 1 .� 90 9 iu x/we 4E7.w se� GO 7-T 7Z A A,D 73 s� AefA 77 PT. .83( .60, 6 9.3� .9 i7S 1"3.94, V s -AK4z /, hPa DRI V)65 AV t 0 .2 Jb, 0 • 8�^/ 71, /7 A1115 --4)e' /477- 419/9-,3 0 / 7�( 77 ( I Q CE 121--711Y73 t -57.91-9 7-,7 I .03 CA44,eD (.Yelaolpl� Cj 721-THPU 78 (7,c 36 S.F. 1240 770�7 "r,90e"93 '�/ //J / 74 fl,AfJ1 2 E3 0 1 60 -9 , 710 T D z 4LOYO F. -7041-Is O/c F ez- 7- J O/C' JYLVIq r. 4' 01 D rA4&-r kCj BDIVI-cylo COU�rl'81KEWA -D JU )kit S/7 / 1A 37, TO WA/'OF WA,1,QE1l1COUA/r7--Y, ffF-W YOR-