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1987-740 G CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK I n@@Umber 23 , iq 87Date 1, This is to certify that work requested to be done as shoam by Permit No. 87- 740 has been completed. This .fracture tray be occupied .n. a One Family Dwelling 1 LKrti- *8 Queens Lane Location Colonial Construction owner I By Order Town Board { OrOW N OF QUEENSBURY or Building lS► Zoning lmPector I 4 BUILDING PERMIT r i TOWN OF QUEENSBURY No. 87-740 z WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Colonial Construction ua 0 1 OWNER of property located at Lot 48 Queens Lane Street, Road or Ave. `c 1 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 P . O . BOX 242 Bolton Landing , N . Y . c3 O F—' O 2. CONTRACTOR or BUI LVEWS Name ' r n 4 r� 3. CONTRACTOR or BUILDER'S Address rt M C n r-r Y• G xy 4. ARCHITECT'S Name C Co 5. ARCHITECT'S Address ru 0 XD x ro 4 [e ro M Orl 6. TYPE of Construction — (Please indicate by X) M t� w w rt � ( x) Wood Frame ( I Masonry ( I Steel { ? rt ro CD vy 7. PLANS and Specifications No 28 ' x 52 ' per plot plan , specifications , and application including attached 2 car garage and driveway permit ...+ a 8. Proposed Use CD One-Family Dwelling "t w w $5600 CIO May ay 1 , 88 $ PERMIT FEE PAID — THIS PERMIT EXPIRES 19 (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Ousensbury before the expiration date.l 04 30th October 19 87 Dated at the Town of Queensbury this Day of SIGNED BY ,r C-� _ ' _' t for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT , Application No . -�' �] ( WN CIF .r QJt- . rVSci ; _Down a/ Queenlj+b/ "ry Permit Issued 191�4 �r BUILDING and ZONING DEPARTMENT Permit Expires 19 (] V `;y� Bay and Haviland Road, R.D. 1 Box 9$ Zoning Designation Variance �r Queensbury, New York 12801 variance No . 00T8 198f Site Plan Review No . 'OU /] �� ' Approved by : D!JILUi APPLICATION FOR �J d� PU I LD I N6 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 tion , plans and specifications submitted , and such be done in accordance with the descrip special conditions as may be indicated on the Permit . - .................. _____-- _ .......... -------------. The owner of this property is : r� J� � ` _______ _____...._ _ F . O. Address �. ,,�!�v1 : %- �-' ...?.:);Y. Tel . x Property Location " sfl f � A) Tax Map No . Street number or {{building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR ;SUPERVISION OF WORK AS REGARDS BUILDING CODES rr IS . Name P . O. Address Tel . No . Name of builder—_- ` Address Name of plumber - J] Address Tel ' Name of mason_ Jam ` Address Tel . NATURE OF PROPOSED WORK : * ZONING INFORMATION : t` 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 10 Q ft X 22 0 ft ' * Existing building ( s) Size _ ft X - t- * PROPOSED BUILDING AND USE : * Existing building ( s ) Use - - Size of new structure e ft x 7�ft - Foundation-pier/slab/crawl artial ull * Proposed building , distance from property line * r �1' £t ( circle one ) Front yard S[ ft Rear yard . _� �� No . of stories (habitable space) ,� Side yards _ � +� '' ft and 'L � ft Height ( grade to ridge ) 2, ft ' if on corner , setback from side street — ft If residential , no . of families_ No . of rooms ( excluding baths ) S0 * OCCUPANCY INFORMATION No , of bedrooms - - �� * PRIMARY BUILDING - No , of ]bathrooms �- _ 1"Y One family dwelling Primary heating system {` ! * Two family dwelling Type of fuel 091 c Multiple dwelling / Number of units Now of fireplaces to be installed / p .* Permanent occupancy Will a wood stove be installed? Transient occupancy * Central Air conditioning? Business * BUILDING STYLE, PRIMARY STRUCTURE Industrial other Ranch Contemporary Log cabin If addition , what will use be? Raised ranch Mansion Duplex '� Split level old style Bungalow Cape Cod Cottage Ether ACCESSORY BUILDING- _ 0 oni~' a�_• Row Town House * etached garage/one car/ two car/ car CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/� -..car * * * * * * * w * + * Private storage building ESTIMATED MARKET VALUE OF " Other CONSTRUCTION $ _ ^ 3j ' _ - _� INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , ivc[5od fram fire safe , etc . VjCT-0 j: f: "Oleo' Will any second-hand or ungraded lumber be used? If so , for what ? 4 �� Foundation wall material G ff,P. Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar? Y& _5 Heated or unheated? 4Ir►" �J,FF % Floor sq_ footage sq ft Will there be a basement? Will any portion be used as living space? Ale.?u ( If so , what portio;y? sq. ft . - - Type of se? Type of roof sloped Jflat/shed/other Material of roof '71P (,r $ { Sine , wood studs_� •'X�„ spacing- „ram . c . length ft . Joists ( floor beams) Ist . floor _ �� "X .L +1 IF spacing j span t .EZ- Joists ( floor beams ) 2nd . floor J.. "X �► -"' spacing_ 'o . cm span_,e Overlays ( ceiling beams ) "X spacing '"o . c . span ft ..R �r� btS r Roof rafters " X 10 spacing ---.o . c . span.._._ ft . Roof trusses (pre-engineered) spacing "'o . c . span 7 ft . Exterior wall finish Of what material ? Interior wall finish � ,{ � — 0 if a garage »two be attached , d Abe mate ' als to be used for FIRE SEPARATION : Vp Y c7 e' - Is there t be an opening tween garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? ey.*f Will a flue-lined chimney be installed? 1. ,5 Height above roo - , ft . �- Depth of chimney foundation below grade -- --- ft . Depth of fireplace hearth .----- ft . Water supply - Municipal or private well 4f t C•.-� SEPTIC SYSTEM _ Distance from ANY private well ( including adjolhing properties ' ft , (A separate application is necessary for any repair or new , installation of septic system ) Town of Queensbury T T� Lr County of Warren A F I C 1 D A V T STATE OF NET 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 O and all othedand pertaining to the proposed work shall be complied with, ether spe ified or not , hat s h work is authorized by the owner . SWORN TO .BEFORE ME THIS Signature -t ---_-_- er , owner ' agen arcnitect, contractor day of Notary Public , Warren County , N . Y . IF * * * * * * * * . * * IF * * * * * OF * * * * * * * * * * * * * * * * * * * * * IF 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 L7 2 . Type of heat, A �A A-Ire J" e � 3 * is the building mechanically cooled ? 4 /� 4 . Percentage of area of windows and doors 1 A . Over 16 % Only T . Uo value of gross area of walls , roof /ceiling and floors exposed the ambient conditions lrr,. 2 . Floor over heated spaces YES N¢ '' a . Are foundation 'wwalls insulate YES NO 1 . If YES , what'`:Ls the R v ue ? 3 . Slab on grade YES a . If YESO, what is the vbrkue of insulation around perimeter of flop 4 . Is basement heate YES NO a . R value of nsulation 5 . Type of in lation B . Under 16 % Only 1 . R valu of roof and floors xpos � to ambient bient conditions_ 2 . R value of exterior walls Q 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces /C - 40 f, . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab le ! 84 R value of heated basement / cellar walls ( alcove grade ) 040- IV 9 . R value of heated basement /cellar walls ( below g/rjade ) 10 . Type of insulation "•' C . Controls f� f/� ' Of � � e � 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 � 4 2 , R value of pipe insulation f� F . Service Water Heating /^t 1 . Performance efficiency (r 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating - Telephone No , pplicant Is sign tune ) ,."")A APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE /A[! / LOCATION OF PROPERTY FOR INSTALL TION K Z(,o t C' ¢ Q Owner's Name: ej !t /* Telephone. j t' Address. /, 0. .7 f) .G�' Z11 r . Installer's Name. Telephone: " Number of bedrooms (residential only) T / p�Total daily flow (compute @ /'150 gal per bedroom) (�+ V ( � t4/]D Topography: circle on Flat Rolling Steep Slope % of slope ` - Soil Nature: circle one• and Loam Clay Other / Depth: feet Ground Water: At what depth? Q +�/�'- feet Bedrock or Impervious Material: At what depth? ��,� .. 1 e feet Percolation test: circle on�ot required required / rate in in. inch. Domestic water supply: circle one one unlcipal ell Other IF domestic water supply is a Well. Separation: Watersuppiy from Septic absorption PROPOSED SYSTEM. Septic Tank 16 60 gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench 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 IMPORTANT ,,,Pleaseo.oLIST NEW EQU PMENT TO BE INSTALLED * * * * * * * * s * sss * * * * * sss * * * * * * * * * * * * * * * * * * ss (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. 1 have read the regulaticros above and agree t e by these and all requirements of the Town of Queensbl<ay Samitarg Sew C7rxli>Aan e. 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 at"I v/ Queen Gray BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 44 BUILDING/ INSPE�aCTOR ' S REPORT N ME (` D / OY1..-t�G • -f C�tz pS �". �3, S LOCATION r Q Y'"e" J C.G{� Date � 2-- / * T Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill F rami n g Roofing Siding Masonry 'Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete Floors Plbg , Fixtures Gar . Fireproo ing Door Closers Smoke Detec rs Chimney INSULATION Foundatio Floors Walls Ceiling FINAL IECTRICAL INSPECTION -- DRIVEW Y APPROVAL .PFinal uilding Survey 1 Next scheduled inspection ( call when ready ) Remarks- C do 7i r Huilding Inspector 6/86 and-vl 0 ,RPE4 CAD 124--*0 to" --+'e' W" o/ 'Qu ee►l 3 b u ry BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION ( e--6- q DATE/ PERMIT NO,, / 71 SOIL TYPE - Sand - Loam - Clay - Percolatai.o Test Required? YES - NO Peroolatio ate - Min/Inch TYPE of SYS EM; Absorption f ' eld , to 1 length 2 ,c(-o Length of ea h tren ,Depth of tren hes - Size of gravel SEEPAGE PITS4N of) Size- ft . ft. Gravel size PIPING : Size T Bldg . to tankr Tank to list . x Disto box to f eld Openings seal ? ES O Partial LOCATION/SE RATIONS Foundation tank ,ft. Foundation o absorpti n ft . Absorption o lot line ft . Separation of pits ft. LOCATION YSTEM Chi P OPERTY (circle one ) Front - e r Left side% - Right side - CC MMEN SYSTEM USE APPROVAd ' ng S NO Inspector 01/86 and vl nwrr o uQens6Ury BUILDING and .ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 000vk gov /'"�„ _ LOCATION1 Date 11 Permit No . APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill LAF'fami ng Roofing y Siding Masonry Ve eer 'ugh P1 ing -_•_, ' Relief Val es Ext . Porche _ - Finished Fl rs Interior Tri Stairs & Rail n Cellar Drain T e Concrete Floo s Plbg . Fixtur s Gar . Firepr ring _•••_ � . ""' �_` Door Closer Smoke Dete tors Chimney INSULATI Foundat ' n Floors Walls Ceilin FINAL E CTRICAL INSPECTION DRIVEWAY APPROVAL, Final .Building Survey Next scheduled inspection (call when ready ) Remarks- yr r d I Building Inspector 6f86 and-vl ..Dawn 01 Queenjg"ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Late / Permit No . F''1 WC,) ✓ = APPROVED - YES NO Footing/Piet Forms Foundation Waterproofing Backfill ^- Warning Roofing Siding ml,rbonYy Veneer ugh Plumbing Relief Valves Exit , 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 APPROWil. Final Building Survey Next scheduled inspection ( call when ready ) Remarks- 0 Building Inspector 6J86 and-vl _lour" ouv�" f6ur� BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R- D_ 1 Box 98 C?ueensbury, New York 12801 SEPTIC � PO L SYSTEMINSPECTI NAME LOCATION Gl r°'ra' ,fr P DATE / PERMIT NO, SOIL TYPE - Sand - Loam - clay - Percolation Test Required? YES - NO Percolation rate Min/Inch TYPE of SYSTEM: Absorption field , total ength Length of each trench Depth of trenches ' Size of gravel_ SEEPAGE PITS4Number of) Size- ft. X ft , Gravel size - PIPING : Size pg Bldg . to tank Y Tank to dirt . box Dist. box to fiel z Openings sealed? Y NO P rtial LOCATION/SEPARATI S : Foundation to t f ft. Foundation to orption ft . Absorption t line ft_ Separatio o its ft. L.00ATI TEN ON PROPERTY (circl one) Front R Left side - Right si - ' / ,r/ P KJ SYSTEM USE APPROZPE YES N Bui3 ng Inspec o 01/86 and vl �� BUILDING and ZONING DEPARTMENT Bay and H nd Road, R. D. 1 Box 98 ee bur New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date 4Yf'7 Permit No . 7 - f G' � ��...�� ✓ = - NC3 �'F'ooti APPROVED Yng/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 Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA Final Building Survey Next scheduled inspection ( call when ready ) Remarks- K Vo 04� Building Inspector 6/86 and-vl L7 V 1 BUILDING and ZONING DEPARTMENT v Bay and Haailand Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 6 06 LOCATION Date A//457 /S5 7` Permit No . ✓ = - Footing/pier Forms APPROVED YES NO Foundation Watyerproofing ckfill Framing Roofing Siding j Masonry Veneer Rough Plumbing Relief Values Ext . Porches Finished Floors_ Interior Trim Stairs & Railings Cellar brain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL, ELECTRI AL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- fix 4 it/4 l I f I f Building Inspector 6/86 and-Vl ./own n/ Qieeensbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 0 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME � �.P� LOCATION Date/ / 3 f Permit No . ✓ = APPROVED - a"Rg NO oting/Pier Fortes Foundation Waterproofing Backfill Framing Roofing Siding Masonry Vene _ Rough Plumbin - Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors plbg . Fixtures Ga.r . Fireproofing Doer Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY AP ROVAI. Final Build ng Survey Next scheduled inspection ( call when ready ) Remar s- C (Jl --Cri C rz i't� rz, �r Building Inspe for 6/86 and-vl ,as coot , cmr pool