1987-865 CERTIFICATE OF OCCUPANCY
TOWN OF +QUEENSSURY
WARREN COUNTY, NEW YORK
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 8 7 -8 G S
has been completed.
One Fanniiy Dwelling
This structure >}nay be occupied as a
Location Mot 1-T Lambert Drive
Clwner Aa J . S . Enterprises
By Order Town Board
017OWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT �
TOWN OF QUEENSBURY No, 87-865
WARREN COUNTY, NEW YORK ca
PERMISSION is hereby granted to A• J • S • (Anthony LoCascio) n
Y
1
OWNER of property located at Lot 11 Lambert Dr . 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 4 Amy Lane
Glens Falls , N . Y . 12801
2. CONTRACTOR or BUi LDE R'S Name 9
A. J . S . Enterprises Inc . 4
cn
3. CONTRACTOR or BUILDER'S Address
Same r*
0
4. ARCHITECT'S Name
C"
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f7
5. ARCHITECT'S Address o
v
6. TYPE of Construction — (Please indicate by X)
Ix ) Wood Frame I ) Masonry i 1 Steel [ ) r
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7. PLANS and Specifications f°
H
rt
N XXX 50 ' x 26 ' as per plot plan , specifications and application
NFiicluding septic system and attached two car garage . n
$. Proposed use
One Family dwelling
$5000 C /a
$ 115 . 00 PERMIT FEE PAID — THIS PERMIT EXP# RES .July 1 , 1988
N
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the °C
town of Queensbury before the expiration date.) C
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ro
Dated at the Town of Queensbury this 15th Day of December 19 87
� yy� oa
SIGNED BY o a406 for the Town of Queensbury
Building and Zoning inspector ,
TO BE COMPLETED BY BLDG . DEPT.
. Josys� cr �seenr 36ter� Application No.
Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 .Jr.
Hay and Havi(and Read, R. D. I Box 98 Zoning Designation iT �; i'
Oueensbury, New York 12801 Variance No.
Site Plan Review No . -~ ! ? O
` . L Approved Is
APPLICATION FOR ' r P ,
Ell I LD I NG AND ZONING PEPM I T
N *
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTIONS 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 a 1` 7 j -} p p,,_3-
P. O. Address L � 14 ✓L'` "I .V ' � ��I-�,� Zr � ' �`76d
Property Locat ion : y s 0 I:! 'V '� rI ✓`tom ! w��[ T^X Map No .
Street number or building lot nu or
Subdivision name ( if applicable) {0 41e, %� 0-c3 C�
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGXRD+S BUILDING CODES ISt -
3
Name P . O. Address Tel _ NOV
Name of builder Address Tel _
Name of plumbers x- C.lj-u`�2 _Address or , + �r R � . . F?�+ kytf } � Tel. J �! 7
Name of mason 5 ca r .rr Address Tel
NATURE OF PROPOSED WORK : * ZONING INFORMATION :
Construction of a new building * A PLOT PLAN MUST BE PREPAxEO 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
ION OF STRUCTURES
PERMIT , STATE ED,SIZ AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area .
* COMPLETE INFORMATION REQUIRED BELOW .
* Sine of property &<Q ft X z.W3 ft .
Existing building ( s) Size ft X ft .
PROPOSED BUILDING AND USE : * Existing building ( s ) Use
Size of new structure .r; `may ft X2 �ft
Foundation-pier/slab/crawl/parties UU " Proposed buildings, distance from property line
(circle one )
No , of stories (habitable space) 'e� Front yard ft Rear { �,�ft
-`"3 � yard _
Height ( grade to ridge ) -� ft . * Side yards ft and � S'`- ft
If residential , no, of fa -rmilies---- ,r If on corner , setback from side street ft
��
Now of rooms {excluding )oaths ) = * OCCUPANLY INFORMATION
No , of bedrooms :a
No . of bathrooms 2 ++ PR90ARY BUILDING -
Primary heating system One family dwelling
Type of fuel * Two family dwelling
No , of fireplaces to be installed * Multiple dwelling / Number of units
Will a snood stove be installed? * Permanent occupancy
Central Air conditioning? » Transient occupancy
,H Business
BUILDING STYLE, PRIMAJRY STRUCTURE � Industrial
*
Ranch Contemporary Lag cabin Other
Raised ranch Mansion Duplex If addition , what will use be?
Split level Old style Bungalc,w "
Ca_�2 cod Cottage ether " ACCESSORY BUILDING--
0 onla Raw Town House * _Detached garage/one car/ two car/ car
{ CIRCLF. ONE PLEASE ) * ,.--Attached garage/one car/ t ca�Ty car
Private storage building
ESTIMATED MARKET VALUE OF * 'Other
CONSTRUCTION $ +
_._ 10q�'S� _ _ _ _ _ _ .
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE GF THIS SREFT , TO BE COXPLETEDI
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
a
BUILDING. SPECIFICATIONS
Type of construction, wood frame , fire safe . etc . _ thj '�-> ' O21 +^
Will any second-hand or ungraded lumber be used? If so, for what? ry �
Foundation wall material iJ� , _ Thickness�7"�r
Depth of foundation .below grade (to bottom of footing ) . r
Will there be a cellar? eated or ateate Floor sq, footage sq ft
Will there be abasement?'442� Will any po�rl: Don be used as living space?
( If sa , what portion? sq. ft . - - Type of use?
Type of roof lat/ shed/other Material of roofl-
Size , wood studs "x �n spacing. it.
length ft . �xc-�_�* : xe2,
Joists ( floor beams ) 1st . floor "X "'�— ?```k 4 `" ) ..F r` k� k Xk.
.- `� _ Y X3 spacing. 01a . c , span�ft .'1�J`
Joists ( floor beams ) 2s floor "?C�" spacing. f o . c , spank-ft. 131
Overlays (ceiling beams )} "X '• spacing "o . c . span ft.
Roof rafters "X spacing o . c . span ft .
Roof trusses (pre..engineered) spacings-"o . c . span1 - ft .
Exterior wall finishes rVt +S �Of what material ?
Interior wall finish _ Y.�,'-` �' � 02 , • •-•- --
If a garage is �to be attached , describe materials to be used for FIRE SEPARATION :
Is there to be an opening between garage and dwelling?�:!-5 If so will a Fire-rated
door , enclosure, and self-closing device be provided? U-rs
Will a flue-lined chimney be installed? r-30 p Height above roof ft ,
Depth of chimney foundation below grade f t .
Depth of fireplace hearth ft , in .
Water supply - un cipa or private well
SEPTIC SYSTEM _ Distance from ANY private well {including adjoining properties s c] (n ft .
(A separate application is necessary for any repair or new installation of septic system)
Town of A F F I D A V I T STATE OF NEW YORK
Warren
County off Warren
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, %diether specified or not, and that such work is
asithoriz8d by the owner .
SWORN TO BEFORE ME THIS Signature !_
r , er ' s _ gent , arcn�zect , contractor
day of 19
Notary Public , Warren County , N . Y .
SPECIAL CONDIT'fONS OF THE PERMIT :
By
w TORN OV QUEENBDURY
WARREN COUNTYV MEN YORK
Application fort 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 hoar
3 . Is the building mechanically cooled ? }
4 . Percentage of area of windows and doors
A . Over 16 % Only -
1 . UT 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 floov ?
4 . Is basement heated ? YES No
a . R value Of insulation
5 . 'Type of insulation .�
8 . Under 16 . Only
1e lot value of roof and floors exposed to ambient conditions
T }
2 . R value of exterior wa11sep
+�
3 . R value of glazed area
_ 2epq
4 . R value of doors_
5 . R value of floors over unheated spaces (� ,� .{ U ,:E)
G . 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 ) Q
9 . R value of heated basement/cellar walls ( below grade
- �J
14 . Type of insulation . = 115e lac ` -{ � " ` '
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 Inaulatian
1 . Size of hot water or cooling carrying agent pipe [ �
2 . R value of pipe insulation Pre PL'Ir,,� x5tQ'
F . Service water HeatIA,
1 . Performance efficiency
2 . Temperature control setting maximum-- i LA CIS
G . For swimming Pool Only
1 . Maximum heating
C�.Telephone �-
No . /�/
( licant-laE signat re )
%Yea dfa &oy
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE �i / ] /
LOCATION OF PROPERTY FOR INSTALLATION (.rZL: -4FF L ., M2� �1�
Owner's Name: AnEBIQP,)11 %4 Lw ,A _ Telephones
Address* Y
Installer's Name: y� i �� _- _t�.rtn, Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) 14 ,j 70
Topography: circle one: F a Rolling Steep Slope 96 of slope
Soil Natuore: circle one: Loam Clay Other J Depth; feet
Ground Waters At what depth? . feet
Bedrock or Impervious Material: At what depth? feet
Percolation test: circle one: not require required / rate min. inch.
Domestic water supply: circle one: .r?J'tM^xiciyat- 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 q I feet J Total system length I2�_ feet
SEEPAGE PIT(S): Number of / Size each feet by feet
Size of stone to be used # '� ^` / Depth or Thickness r _ feet
IMPORTANT
...Please...LIST 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, tile fields and/or dry-wells
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 all requirements
of the Town of Queensbury Sanitary Sewage lliaposal Ordinance.
Signature of responsible person: Ax 15y' op `_off
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
�� �aevn a� q�uec�nsb +ure�
BUILDING and ZONING DEPARTMENT
B y and Haviland Road. R. D. I Box 98
Oueensbury, New York 12801
BUI DING INSPECTOR ' S REPORT
NA
LOCATION
Date _ / a Permit No . Vrfl �
✓ APPROVED - YES NO
Footing/Pier Farms
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
Plug , Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRI AL INSPECTION
DRIVEWAY "PR AL —
Final Buildin Survey
Next scheduled- Inspection (call whren ready )
Remarks- �r
Building Inspecto
6/86 and-vl
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION �/ 7/
Date,,," Permit No . - .,F�/
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
BackfiZl
Framing
Roofing
Siding
Masonry veneer
Rough Plumbing
Relief valves
Ext . Porches
Finished Floors r _
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRZCA INSPECTION
Q IVEWAY APPROV
-Building 8 rvey
Next scheduled inspection (call when ready )
Remarks-- f
Building Inspector
6/86 and-vl
flown o/ Quee" sbury
BUILDING and ZONING DEPARTMENT
Bay and Havikand Road, R. D. 1 Box 98
.+ oueensbury, New York 12801
[r BUILDING INSPECTOR ` S REPORT
NAME ] S
LOCAT I ON4,-",
Dat / Perrni. t No . 6fozo -A �
APPROVED - YES NO
Footing/Pier Farms
Foundation
Waterproofing
Back £ il
Framing
Roofing
Siding
Masonry VVn
Rough Plu _.
Relief Va
Ext . Porc
Finished
Interior
Stairs &Cellar DrConcrete Plbg . FixGar . FireDoor Clos
Smoke. Detec ars
Chimney
INSULATI01 1
Foundatio
Floors
Walls
Ceiling
FINAL ELlkCTRICAL INSPECTION
DRIVEWAY A PRCIVAL
Final Building Survey.
Next scheduled inspection ( call when ready )
Remarks-
loe 1z
Buil ing Inspector
6/86 and-vl
awn ra j Queen36ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME A
LOCAT I ON � �
Date Permit No . [4
* * * * * * * * * * * * * *
✓ = APPROVED - YES NO
Footing/Pier Fo
Foundation
Waterproofing
Backfill
', Framing
Roofing
Siding
Masonry Veneer
',,,,Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain 'Pile
Concrete Floors
Plbg . Fixtures
Gar . Fireproof!
n
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECIfRICALINSPECTION
DRIVEWAY APPROVAL
-
Final Building Survey*
Next scheduled inspection ( call when ready )
Remarks-
77
B 1 i s for
6/86 and-vl
Y.
e�f .Jc�tur� ea Queens6esrtf
f t � BUILDING and ZONING DEPARTMENT
s Bay and Haviland Road, R. D. 1 Box 98
Clueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCAT ION
DATE fI PERMIT NO.
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field , total len h
Length of each trench
Depth of trenches
Size of gr Vel
SEEPAGE Pi #Number of)
Size- ft X ft.
Gravel size
PIPING : Si Type
Bldg * to tank
Tank to disc _ bo Pf
Dist . box to fiel
Openings sealed? NO Partial
LOCATION/SEPARATION
Foundation to tank
Foundation to abso do
Absorption to lot line ft .
Separation of pi ft.
LOCATION. SYS ON PROP (circle one)
Front Rear ft side ght side -
CCMMEb7 %
d
SYSTEM USE APPROVED S NO
Building Inspector
01/86 and V1
.5
vwrt v Q"ee4"J Urt4
BUILDING and .ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury. New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCA, T I pM1l .•.L�t1I
Dated,f/ Permit No .
otin ✓ APP VED - YES NO
g/Pier Forms
Foundation
Waterproofing
Sackfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railin s
Cellar Drain Ti e
Concrete Floors
Plbg . Fixtures
Gar , Fireproofin
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECT CAL INSPECTION
DRIVEWAY APP OVAL,
Final Building Survey
Next scheduled inspection ( call when ready )
Remar ks-
Building Inspector
6/86 and-vl
6�7 �]
,Ro t./otun o uteen3fiurt�
BUILDING and .ZONING DEPARTMENT
Bay and Naviland Road, R. D. I Box 98
ueens ury, New York 12801
ING INSPECTOR ' S REPORT
NAME
LOCATION rrf
Late Permit No .
= APPROVED - YES NO
Ming/Pier Farms
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
TNSULATIGN :
Foundation
Floors
Walls_
Ceiling
FINAL ELECTR CAL, INSPECTION
DRIVEWAY APPR VAL
Final Building Survey
I
Next scheduled inspection ( tail when ready )
Remarks-
: �
tom/ /�
Building Inspector
6/86 and-vl
I
lsr'��,� .. ..locun o� �ueen .t6cerr�
Q f�' 13 and ZONING DEPARTMENT
Bay and aviland Road, R. D, I Box 98
/ nsbury, New York 12801
UILDING INSPECTOR " S REPORT
NAME
LOCATION
Date /� a j T Permit No .
_� ✓ APPROVED - YE NO
E.rooting/Pier Forms !
Four a on
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 . Fireproofi g
Door Closers
Smoke Detecto s
Chimney
INSULATION :
Foundation
Floors
walls
Ceiling
FINAL E ECTRTCAL INSPECTION _
DRIVEWA APPROVAIi
Final Building Survey
Next scheduled inspection ( call when ready )
Remarks-
Building Inspector
6/86 and-vl
C
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i
s
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