1987-748 r �
CERTIFICATE OF CHCCUPAN`Nlr
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
f ` DateJune 9 148f3
t
This is to terrify that work requested to be done as shown by Permit No. 87-748
jhas been completed.
This structure may be occupied as a One Family Dwelling
Lal==&2fk:lSt . Nov 5 ) Briggs Ct . Queensbury Forest
Location
i
CKVT&er masullo Brothers Bullders
f
By Corder Town Board
TOWN OF QUEENSSURY
r
Bniiding & Zoning inspector
BUILDING PERMIT �
TOWN OF QUEENSBURY No. 57-748 z
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to s Masullo Brothers Builders Inc , n
l
OWNER of property located at Lot #20 ( St . No . 5 ) Briggs Ct . 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.
I- 4wNE R'S Address is 3049 Broadway
Schenectady , N . Y" . �
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2. CONTRACTOR or BUILDER'S Name t
Same
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address a
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5. TYPE of Construction — {Please indicate by X1
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I T Wood Frame ( 1 Masonry ( } Steel ( 1
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7. PLANS and Specifications
V
No. 34 ' x 48 ' per plot plan , specifications and application including ~ W
septic system and attached two car garage
S. Proposed Use
One family Dwelling
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$5 * 00 C /O
s 129 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 , 19 88 r
(If a longer period is required an application for an extension must he made to the Building and Zoning inspector of the `n
town of Queensbury before the expiration date.l
r-�
5th November 87
Dated at the Town of Queensbury this Day of 79
SIGNED BY for the Town of Queensbury r~
Building and Zoning Inspector p'
UG
R'r1 S= /d*'rIN.Nr. G L'7 ��'rl {_`7 J l.1 L-� t
�] / Application No. I�na"aMJ
✓roam a/ Q�e+sa'►r� "rjF Permit issued 19 OCT 2 8BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R,D> 1 Box 98 Zoning Designat3.0n VytliL ANG AN CODE UMPT.
Queensbury, New York 12801 " Variance No.
Site P iew N I_
" ed i
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APPLICATIODi FOR � 4 as
BUILD INC AND ZONING - PERMIT 1
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING .
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted . and such
special conditions as may be indicated on the Permit .
The owner of this ,property Los Xasullo Brothers builders Inc
P. O. Address '40A4 Rr KX - gChjn ft&rAA3EP HERTZ _yAT1r Tel • #i7n—1 asn ,
Property I ation s Lot # .9 A f a;' Almd S a.ft Tax Map No .
Street number or building to er
Subdivision name (if applicable) oupongbinjog ftricar
TIC f"EItSCai RESpO"SXSLB FOR. SUPERVISION Op WORK AS REGARDS BUILDING CODES IS =
MORUllo 'Brothgrs Iiu.ilders Inc . 3049 Broadway . Sehenecrady, Hem yank SIB-10-195$
Name P. O. Address Tel . No .
Name ^'of builder § Address Same as Abobe Tel . Sams
Nama of plumber Address 88 %wton §tree A1baRn N Y Tel -459-5811
Name- of =Ason _1n � sre7 Address.$= Tel . Same
MATURE OF PROPOSED VM K: ,. ZONING INFORMATION :
33EConstwuction of a neair building A PICOT 'PLAN MUST BE PREPARED AND SUBMITTED S
A4d4dit4gn to a building; ` * drawn reasonably to scale and attached hereto ,
]Illlreration 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
LTOft DEMOLITION PERMIT, STATE SIZIr 11ND 'whether interior or corner lot . Show location
FOR
OF STRUCTURES STATETSD. * of water supply and location and configuration
of septic disposal area .
*
* COMPLETE INFORMATION REQUIRED BELOW .
* Size of property ,�/ ? ft X. IaV7 ft .
* Existing building ( s) Size ft x ft .
. *
PROPOSED BUIiDINIG AND USE: * Existing buildings ) Use
Stye of new structure VVL�ft X &a
Foundation pier/slab/crawl/partial ull * Proposed building, distance from property line
(circle one) * See Aftacbed
Now of stories (habitable space) 2 . Front yard {o ' er ft Rear yard ft
Height (grade to ridge) 23' ft . : Side yards ft and ft
If residential, no. of families I » If on corner , setback from side street ft
No. of roams (excluding baths) 9 * OCCUPANCY INFORMATICN
No. Of bedrooms * PRIMARY BUILDING -
Now of bathrooms l!I * jM.One family dwelling
Primary heating system e:1C:,• 5= 1%wa
Type * 2tiao family dwelling
of fuels Multiple dwelling / Number of units
Now of fireplaces to be installed ' f
Will a wood stove be installed?„_ Permanent occupancy
Central Air conditioning? y * Transient occupancy
* Business
BUILDING STYLEp PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin + Other '
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow
CA" Cod
Cottage Other * ACCESSORY BUILDING-
tmi.a POW Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * X Attached garage/one car,/ two car/� X cat,
" • * * * * * • • • • * * * * * * * Private storage building
SSTXMATED MARKET VALUE OF * �Other
CONSTRUCTION
MWOAMATZ'OH ON BUILDING SPLCIrICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED !
Fora SPA 4/66 and-vl
9tlll.DING SPECIFICATIONS :
Type of construction, wood frame, fire safe, eta. ibod Frame
Will any second-hand or ungraded luruber be used? If so, for what? Np
Foundation wall. material &gInd Cbnor ea a --- - Thickness S'" b IM
Depth of foundation below grade - (to bottom of footing) Mir
Will there be a cell.aar? 1= Heated or unheated? Floor sq. footage 1.755 5 ft
ig13,11, there be a basement? Will any ,portion be used as living space?
(If sop what portion? sq. ft. -- - Type of use?
Type of . roof - sloped/flat/shed/other Material. of .roof Asphalt SMMles
gixop wood studs 2 "X 6 " spacingo-"o . c . length .Aft .
JoIsts ( floor beams) 2st. floor �-"X rIn " spacing^ TK "o. c . span 14 ft .
Joisis (flobr beams) 2nd . floor 2 "X 10 " spacing-"O . c . spans . ft .
Overlays (ceiiing beams) "X " spacing "o . co span ft .
Roof rafters "X ` spacing o. c . span ft .
Roof trusses (Pre-engineered) spacing.-"o . ca span ft .
Exterior wall. finish Alumina Of what material?
Interior wall. finish 4RV� PSairsted
if garage is to be attached, describe materials to be used for FIRE SEPARATION ;
Is there to be an opening between garage and dwelling?..ySIL. If so will a Fire-rated
door . enclosure., and self-closing device be provided? Yes
Will a flue-lined chimsxeymbet installed? jrgg Height above roof ft .
Depth of chimney foundation below grade000�ft.
Depth of fireplace hearth : fta 8 in.
Water supply - Municipal or private well
SEPTIC SYSTEM r.. 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 tq, the best of my knowledge and belief the statements contained
in this application, , , Other with the plans and specifications submitted, are a true and
complete xtatemant of all proposed work to be donelon the described premises and that all
prov;L*1ons, .of the BUILDING L'OQE. TUB ZONING ORDINANCE, and all other laws pertaining to
the propo*pd work shall. be ccsyplied with, whether specified or not, and that such.- work is
authorized- by the owraer:
SWORN : TO BEFORE HE THIS _ Signature
er, owner ' s agent , arcn3.rect. contractor
day of - 19
Notary Public. 'Warren County. N. Y.
SPECIAL CONDITIONS OF THE PER1II1's
, ,
MOWN or Quaft"S"Uny
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 : V � +�� �v
1 , Grass floor area / spar Pt_ � I� 13 s
2 . T y p e o f h e a t Electric Beat EtMW
3 * is the building mechanically cooled ? YES
4 . Percentage of area of windows and doors 1470
A . Over 16 % only
1 . Uo value of gross area of walls , roof /ceiling and floors
exposed to ambient conditions See Arrarhed
2 . Floor over heated spaces YES NO
a . Are foundation walls insulated ? YES NO
1 . If YES , what is the R value ? R-13
3 . Slab on grade YES tJQ
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 Fibergl4,g$
8 . under 16 % only
1 . R value of roof and floors exposed to ambient conditions
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
T . 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 9Qd
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 �" 6 314 Copper
2 . R value of pipe insulation
F . Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum
G . FDr Swimming Pool Only
1 . Maximum heating
c
Telephone No . 370-1058
( applicant ' s signature )
APPLICATKON FOR SEPTIC 13LSPOSAL PERMIT
BATE ./G;^
LOCATION OF PROPERTY FOR INSTALLATION � �o / . "'�'.S cT
Owner's Name: Z. �e..s_� -�- --� Telephone: pia -fa „y
Address: a 1f 5*g1t Q -�'' - - - ''� ,.T 1r'
Installer's Name: Telephone: "3 ?a /a .5;,
Number of bedrooms (residential only)
Total daily flow (compute @ ISO gal per bedroom) 6c a
Topography: circle one Flat Roiling Steep Slope % of slope
Soil Nature: circle one: San Loam Clay Other / Depth: feet
Ground Water At what depth? �+" 0/k feet
Bedrock or Impervious Material: At what depth? IVIA feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: aunici Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption feet
PROPOSED SYSTEM: Septic Tank o gal. (minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench 50 feet / Total system length � r s a feet
SEEPAGE PIT(S) : Number of f Size each feet by feet
Size of stone to be used # / Depth or Thickness feet
IMPORTANT
.._Please...LIST NEW EQUIPMENT TO BE 1NSTA7.1_ern
(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 Z4 hours before start
of construction and shall include a plot plan showing;
1 .) the proposed location of the system
20 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 $Z50.00,
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: /G+--_Z ''.� a
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 79Z-583Z
14 r- - tUTY . . . nr
�J'awn v/ +ueenbure
rrv� BUILDING and ZONING DEPARTMENT
Bay and Haviiand Road, R-D. 1 Sox 88
C]ueensbury. New York 128D1
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Datey / Permit No . dcl
APPROVED - YES NO
FootinGJl i�iex Forms
Foundation
waterproofing
Backfill
Framing
Roofing L/
Siding
Masonry Veneer
Flough 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
INSULATICN a
Foundation
Floors
Walls
Ceiling
F INAL 'ELECT CA INSPECTI013
DRIVEWAY APPROV
Final Building uruey
Next scheduled inspection (call hen ready }
Remarks- -r;-�F �°
i d g In
6,/86 and-vl
mmwmllllllll
THE yNEW YORK BOARD- OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
� ta 41 STATE STRE ET, ALB ANY, MEW YORK 12207
base June 16 , 1988 Application NO. on file 1 0 4 7 9 3 / 8 7 A 7 "{� � r 3 A
THIS CERTIFIES THAT
only the electrical equipment as described be"w and intraduced by the applicIsne named on she above application number in tha prensimm of
Masullo Brothers Buil.dern 5 13riags rt . QueenSbUryr New York one family
�y
O1�rutside 121wellincT
in the following location; PC Basement El Ise Fl. ❑ 2^d l'l. 'Section lock 3 I.ut
was examined an 6 pro r 8 P and found to he in compliance with the requirements of thie Baard.
FIXTURE EFTACLES SWITCt1R5 FIXTURES RANGES COOK"to DECKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCA►oeSCE►a I PLuoessoIWT AMT. I K. W. AMT. K. W_ AMT. K.W- AMT. C W. AMT. H. P-
16 46 21 2 q . 6 2 fr
DRYERS FURNACE MOTORS FUTURE APMANCE RIRIERS SPIRO MCPTI TAME CtMKS I Min UNIT H6kTg!Mj MULTWDUR.ET DUAMERS
AMT, K. W. OIL H. P. ass H. P. AMT. 1e0. A W. G. AMT. AMP. AMT. AMPS. TRANS. AMT, H- P. {pie FST AMT. WATTS -
ange
Ib
SERVICE DISCONNECT NO. or S E R V I C E
AMT- AAUP. TYPE x svr i x sW s x aW s x .LW "'a '1W c cco" GP `cc c o. wo. OF He•IEG a• 11V.AM Ho. Gr HEVTRAM1S os HWtuiriAL
1 2 ) 0 Cb I x
OTHER APPARATUS: 3 i f C:L
1 ^' S3Tl1oke detector
Guzzardi aectrtc
179 Bok*ood Drive
9chene,ata.dy r FAY 12303 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.
7 e�v f7own 0/ Q"eeinji"ry
L7 BUIL LING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
*SEPTIC DISPOSAL SYSTEM INSPECTION
NAME aAZ�t 0 �c���
LOCATION ,y' r
Z jr
DATE PERMIT NO . Ky'r
SOIL TYPE - Sand - Loam - Clay
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM.:
Absorption field , total length /
Length of ea h trench
Depth of tre hes
Size of grave '_
SEEPAGE PITS4 or of) _ --
Size- ft. ft.
Gravel size
PIPING * : iz 1 e
Bldg , to tank
Tank to dist . box I-
Dist. box to field it
Openings sealed? Y N Partial
LOCATION/SEPARATIONS : /"�
Foundation to tank ft.
Foundation to absorpt on ft .
Absorption to lot li e ft -
Separation of pits ft.
LOCATI S EM PROPER circle one)
Front - Rear - f side - R1 side -
COMMEN
SYSTEM USE APPROVED
Build ng Inspector
01/86 and v1
1�,., own n/ Quee" i "ry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. i Box 98
Clueensbury. New York 12801
BUILDING INSPECT�OR ' S REPORT
NAME . �P ,�"��/a'�f7/1 f`.F'rJ
LOCATION C/ � r�r
Date 'J�` '.+ /1� Permit No . - L
fog = 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 & Railings
Cellar Drain Tile
Concrete Floors
Plhg _ Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
fINSULATION :
oundation
Floors
walills
Ceing
FINAL ELE TRICAL INSPECTS
DRIVEWAY PPRDVAL . _
Final Bu ding Survey
Next scheduled inspection (call when ready )
Remarks-
]
E3ui ding Inspector
6/86 and-vl
✓�'�" ./'own a� �ueen36[trr�t
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INS/PEECTOR ' S REPORT
NAME
LOCATION , -/ 1
Date f ' Permit No . ,T'?
' / `
✓ = APPROVED - YES NO
Footing/Pler Form,
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Ven er
Rough Plumb ng
Relief Valy
Ext . Porches
Finished Flo s
Interior Trim
Stairs & Rail! g
Cellar Drain Ti e
Concrete Floor
Plbg . Fixture
Gar . Firepro ing
Door Closers
Smoke Deter ors
Chimney
XXNSULATION
Foundatio
Floors
Walls
Ceiling
FINAL E CTRTCAL INSPECTIQ
_ -
DRIVEWAY APPROVAL
Final Bu ding 5uryey.
Next scheduled inspection ( call when ready
Remarks-
Bu Inspector
6/86 and-yl
k) BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.0- 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME w�-?. r �0
LOCATION
Date / Permit No / C1
✓ APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Bac fill
�ing '
Roofing
Siding
Maso AVeeerLI gh PngRelief sExt . Po
Finished Flo s
Interior 'Prim
Stairs & Raili s
Cellar Drain e
Concrete F1 rs
Plbg . Fixt es
Gar . Fire roofing
Door CIO rs
Smoke De ectors
Chimney
IN:ULAT ON :
Founda ' on
Floors
Walls
Ceilin
FINAL EC`C"RICAL INSPECT N_...., _
DRIVEWAY APPROVAL
Final Building Survey _.._...�
Next scheduled inspection (call when ready )
Remarks-
Bu ldi Inspector
6/86 and-v1
Jc►wn n Queenst, ury
BUILDING and ZC7NJNG DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Clueensbury, New York 12801
BUILDING I NSPEC OR ' S EPORT
NAME fr
-Ala
LOCATION
�D zI t e 0 . � �f= '�7 '''i
Permit
✓ = APPROVED - YES NO
Footing/Pier Farms
, 'oundation
w ttery)..roofing
Rackfill
Framing
Roofing
Siding
Masonry Venn r
Rough Plumbin
Relief Valves
Fxt . Porches
Finisher3 Floors
Interior Trim
Stairs & Railings
Cellar Grain Tile
Concrete Floors
1'lbg _ Fixtures
Gar _ Fireproof " ng
Doerr Closers
Smoke Detect x's
r_himncy
rIv sus.A3 i oN
Foundation
Floors
Walls
Ceiling
FINAL EL - RICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready )
Remarks-
r
Bui i g Inspector
6/8fi rrmd -vl
fli .Jo1"" o/ ueen Shure
�• + BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BU L. DING INSPECT
OR ' S REPORT
NAME_... ' r,
LOCATION
Date Permzt No . `'"'I (3
� �-^��� ✓ = APPROVED - YES NO
{...�''r �`tingfPier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry eer
Rough PI
Relief Valve
Ext . Porches
Finished Floor
Tnteriar Trim
Stairs 6 Railin
Cellar Drain Til
Concrete Floors
Plbg , Fixtures
Gar . Fireproofi g
Door Closers
Smoke Detec rs
Chimney
IP 16AT
Foun da on
Floo
Wall
Ceil ng
F1NAI. LECTRICAL INSPECTION
DRIVEWAY APPROVA
Final Building Survey
iJext scheduled inspection (call when ready } �
Remarks- k 1-6 oqi.
es'
{ l ?
and-vl SuildIng Inspector -
5f85