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1987-878 ,a .e .r "'+SCE¢• . ., if": .>,.a ZY' CERTIFICATE OF 0CCUPA.N'%t.`."%Xr TOWN OF +QUEENSBURY WARREN COUNTY, NEW Y+O►RK II �} Date May18 , 19 88 1 '35 ?L �37-873 Thts its to certify that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a Line Family Dwelling Locarion ._l� g Bay R. . (7►wtscr Raymond Storms By Chder Town Board TOWN OF QUEENSDURY Building & Zoning Inspector BUILDING PERMIT y TOWN OF QUEENSBURY No. 87-878 � WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Raymond Storms -� OWNER of property located at Big Bay Rd . N Street, Road or Ave. cc 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 . OWNE R'S Address is Raymond Storms m RD #4 Box 554 Big Bay Rd . Queensbury , N. Y . 12801 0 0 2. CONTRACTOR or SUI LDE R'S Name cn H Same 00 3. CONTRACTOR or BUILDER 'S Address tz 4. ARCHITECT'S Name H co 5. ARCHITECTS Address 6. TYPE of Construction — (Please indicate by X) Q Ix I wood Frame 1 ) Masonry I ) Steel I I ro 7. PLANS and Specifications g F+ No. 26 ' x 48 ' as per plot plan , specifications and application including C Septic system and attached two car garage . S. Proposed Use One Family dwelling oq $5 . 00 C/o $ 143 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , 8g 79 (lf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of flueensbury twfore the expiration date.) Dated at the Town of Queensbury this y�2 Znd / pay of December 19 87 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT.E ` ff Application No. owe: o ieeensbesre� zt-j P - i Permit issued 19 GUILLANG and ZONING DEPARTMENT � Permit Expires 19 D�C� ��� ~� Bay and Haviland Road, R.D. 1 Box 98EL zoning Designation QueEnsbury, New York 12801 ,\ Varian o. s:_; 41Lr, +�; ,_- c�^� rr . E_,E F)E-P , L. r' % VPGW-V4 anv '-1415� 1i APPLICATION FOR o rAuc BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undern.$gned 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 Lh.,Ls propert is P. O. Address Property Location : -- , Tax Map No . / / do Street Inumberl or building lot number Subdivision name (if applicable) THE PERSON RIESPQNSIBLE FOR UPERVISION OF WORK AS REGARDS BUILDING CODES IS qj Name r P. O. Address r Tel . No . Name of builder .[SLY Tel -wwei_ I Name of plumber v,r -.address Tel . � Name of mason sad ress Tel . ,Z ;km _ sr NATURE OF PROPOSED WDRK . * ZONI INFORJMATION ; ,v Goonstruction 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 FOR DEMOLITION PERMIT , STATE SIZE AND * whether interior or corner lot . Show location LOCATION c STRUCTURES AFFECTED. * of water supply and location and configuration * of septic disposal. area . * * COMPLETE INFORMATION REQUIRED BELOW . * Size of property /a'.6 ' ft X 00 7 ft . * Existing buildings ) Size�f} ft X ft , * . . . . . . . . . . . . . . . . PROPOSED BUILDING AND USE . * Existing building (s ) Use Size of new structure aiLft X±jLft " Foundation-pier s ab crawl/partial/full * Proposed building, distance from property line cxrcle one } Now of stories (habitable space ) Front yard " - ft Rear yard_,�4oli J4 ft Height ( grade to ridge ) �aO ft . * Side yards AC�f� ft and a-.1.- ft If residential, no . of families * If on corner , setback from side street ft No , of rooms ( exeluding baths ) * O+CCUPP"CY INFORMATION No & of bedrooms ,3 ' Now of bathrooms ,� * P Y BUILDING - Primary heating system * ;Mftwwftwwft One family dwelling Type of fuel * Two family dwelling No . of fireplaces to be installed ri * Multiple dwelling / Number of units Will a wood stove be installed? ,,L * Permanent occupancy Central Air conditioning? roily, * 'Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * ' Industri l RayContemporary Log cabin * Other ' i5ed ranch Mansion Duplex * _ If addition , what will use be? 1 . ie . eve Old style Bungalow " Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House " �tached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * ✓Attached garage/one car/ two car/ car mmmmmmmm* * * * * * * * * * * * * # * * * * Private storage building 'ESTIMATED MARKET VALUE OF * Other CONSTRUCTION � C}� � _ - - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS .SHEET, TO BE COMPLETEDI Form SPA 4/66 and-vl BUILDING PERMIT APPLICATION CONTINUED BUIL€3ING SPECIFICATIONS : Type of constructs , wooed frame fire safe etc . Will any second-han or ungraded lumber be used? If so , for what? . t'j 13i � tr Foundation wall material OCi Thickness Depth of foundation below grade (to bottom of footing ) .deg if Will there be a cellar?, 15a.Heat+ed or unheated? Flaor sq* footags sq ft Will there be a basement? laed. Will any portion be used as living space? ( If so , what port ' �- sq . ft . - - Type of use? Type of roof lope flat/shed/other Material. -of roof i Size , woad stu "X�" spacing "a . c . lengthft. Of Jossts ( floor beams ) 1st , floor �.g. ^"X ' spacings"o . c . span / ft . Sossts ( floox beams ) 2nd , floor "}C " spacing "o . c . Fspan ft . Overlays (ceiling beams ) A."X " spacing"o . c . span /`WS..ft, Roof rafters spacingwo . c . span ft . Roof trusses (pre-engineered) spa snc "o . c . spank-ft . Exterior wall finish /Ak)4 Of what material? Interior wall finish r .c If a garage is to be attached , describe r tersals torbe used for E'I13E SEPARATION : Is there to be an openinbiSbetwe&n garage and dwelling? If so will a Fare-rated door # enclosure , and self-closing device be 'provsded? Will a flue-lined chimney be installed? 4.A. Height above roof ft . Depth of chimney foundation below grade ,ft . Depth of fireplace hearth ft . i.n . Water supply - Municipal 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 I County of Warren A F F D A 'V 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 spec 'LI: d or ot . and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signatures _ �_ ___� -�____ ____________ __ Owner . wner ' s _ ent , arcnlrect . contractor day Of 19 Notary Public , Warren County, N . Y . w * * * * * w w w . w * • w * * w w w w w w w w * w w w w w * w * w * w w w w w w w * w * w SPECIAL CONDITIONS OF THE PERMIT : ............. w _----- -------- 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 18 7Jo ' 2 . Type of heat 3 . Is the building mechanically cooled ? y.wo 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 Aan� cy d floors exposed to ambient conditions . pp / R 2 . R value of exterior walls 3 . R value of glazed area , 4 . R value of doors. C3 5 . R value of floors over unheated spaces c 6 . R value of slab edge insulation - unheated slab f ` ? . 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 ) L,, 10 . Type of insulation $ ,,( C . Controls 1 . Thermostat maximum heat setting . s D . Duct Systems i . Is duct system installed in unheated spaces ? YES a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation 00 tJ 1 . Size of hot water or cooling carrying agent pipe :X 2 . R value of pipe insulations F . Service Water Heating /•_ /� 1 . Performance efficiency [ r T" 36 4eA- Qj41q� 2 . Temperature control setting maximum J_ G . For Swimming Pool Only 1 . Ma--x'Jimum heating Telephone No . ( appl ' cant ' s ignature ) APPLICATION FOR SEPTIC D SPOSAI. PERMIT DATE L lq / 2 LOCATION OF PR PERTY FOR INSTALLATION Owner's Name: 1i v� _ "Telephone. Z >� ~ I� Address: —QJ) Ao, V Installer's Name: Telep one. Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) 'T Topugraphy: circle on . F1at olling Steep Slope % of slope Soil Nature: circle one and Loam Clay Other / Depth. g:AO feet Ground Water: At what depth? ,�-Q feet Bedrock or Impervious Material: At what depth? *�Ad feet .......... Percolation test'. circle on not require required / rate min. inch. Domestic wa#er supply: circle o . Municipal ell Other IF domestic water supply is a Well: Separation: Wa#ersupply from Septic absorption feet PROPOSED SYSTEM : Septic Tank 14"0 gal. (minimum size. 1 ,000 gal.) TILE FIELD: Each Trench 490 feet / Total system length 2AW feet SEEPAGE PIT(S) : Number ai - S zi a eac eet Size of stone to be used # { / Depth or Thickness c.-P feet I M P O R T A N T ...Please...LIST7 NEW EQUIPMENT TO BE iNSTALI- s s s s * s s s s * * * * s * * s * * s * * * * s * * * # * * * * s * sssss (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 to abide by t and all requirements of the Town of Queeasbury Sanitary age D" ce. Signature responsible pers on: 00000e Date. G Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-583Z SETTLED 1763 . . HOME OF NATURAL BEAUTY . . . A GOOO. PLACE TO LIVE awn a/ 00fe"A 44P BUILDING and ZO�ING DEPARTMENT Bay and Havilancl Fipwd, R.D, 1 Box 88 Opoensbury, New York 12801 do BUILDING fNSPECTDR ` S REPORT t4AME twQGATION pate�� Permit tacr . "C r :. A.PPROVFD Footing/Pier Forms Foundation. Watarproofincl Rackfill Framing Roof ing Siding Masonry Verse r Rough plumlain Relief Valves Exit. Poxe eel Finished Floors Interior Trivo Stairs & Rai}ings _. Collar Dra+n Ti.l Concrete P oors P- .b Fixtures Gar . Fireproog Door Close3rs S�nolce Detest rs C�izt►ney INSiiLATION Founda.ti4n Floors Walls Ceiling FINAL ELEC CAT. DRIVEWAY FRP16F Er,,_ .., Fjpal Built ing Sµrvey Next scheduled ipspection all when rea . Y Remarks- {L2 rY or� 612& " r rI I� rp Sui �. Tnspe for 6/66 and-vl - hawn ©/ Queeny6ur y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R_d. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME I LOCATION Ui I ') C++ ' V Date/� Permit No . �! ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing C_- &--e 1.� _ Roofing Siding Masonry Ven r Rough Plumb! g� 7 Relief Valve Ext . Parches Finished Floo Interior Trim Stairs & Rail!. Cellar Drain 1 Concrete Flo s Plbg . FL a Gar . Firep offing Door Clos s Smoke rep ctors Chimney INSLTLATS N : Foundati n Floors walls Ceiling FINAL ELE ,TRICAL INSPECTION DRIVEWAY APPROVAL , Final Building Survey Next scheduled inspection (call when ready ) Remarks- Bui &pctor 6/86 and-vl f . � �i]" Journ a� �tteen .3Lxttr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Oatec.23 ,.._ Permit No . _ol 1 g /✓ s APPROVED - YES NO Footing/Pier FC1rT[1S� � . Foundation Waterproofing fill Bac ing Roofing Sid-ing 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 INSPEC ION DRIVEWAY APPROVAL Final Building Survey i Next scheduled inspection (call when ready ) Remarks- -6ec I s 1� o s r # e -s-o Building Ins ctor 5/85 and-vl x f 3 r f7r �vcun o/ Queen lgurry j BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION �^ Date erm ' No . : /`� ✓ = APPROVED - 'YES Na Footing/Pier Forms Foundation Waterproofing Backfill teaming Roofing Siding Masonry Veneer v Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior 'Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers 4 -INS Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT ICAL INSPECTION DRIVEWAY AP RIVAL w Final Build t ng Survey Next scheduled Inspection (call when ready) Remarks- � I *99z� j� S46U- O- cf i re r, 4- u Ar, IV e-e," - o ae''w-_ wilding Inspector 6/a6 and-vl " � __./nuria n� �ueerxs�urt� Af BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D, 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION_._. _ y Zee DATEI PERMIT NO. e SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES NO Percolation rate - Min/Inch TYPE of STEM : Absorptio field , total 1 gth Length of ach trench Depth of tr nches Size of gra I: SEEPAGE PITS umber f) SiZ'e- ft. ft . Gravel size - PIPING : Sizel Type Bldg. to tank �f f �G Tank to dist. x Dist. box to leld/p t Openings sea ed? YE NO Partial LOCATION/SE ARATIONS : Foundation to tank ft. Foundatio to absorption ft. Absorptio to lot line f t. Separatl n of pits ft. LOCATI OF SYSTEM ON PROPER (circle one) Front - Rear - Left side - R! t side - COMMENT SYSTEM USE APPROVED ES NO; lo Bu l�ding Ins ector 01/86 and vl Oki �GWI! f1fiBL'1►s 3 � fL►'R { BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.O. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME a LOCATION .r I]ATE _s ' PERMIT NO *_ d ` �[� SOIL TYPE - Sand - Loam clay - Percolation Test Required? YES - NO Percolation rate - Min/inch - TYPE of SYSTEM.: Absorption field , total length Length of each trench ! — Depth of trench r� — ZZ- Size of gravel s SEEPAGE PITS4N r of} _ - Size- ft. X _ ft . Z Gravel size PIPING : Size Type Bldg . to tank {/� Tank to disc. box Disto box to field/ A/ V _ openings sealed? ES O Partial LOCATION/SEPARATIONS : JJ Foundation to tank fft. Foundation to absorpt on fto Absorption to lot li e ft. Separation pits t. LOCATION S TENI PROPERTY ircle one} Front Rear Lef side - Right side - ccbWEN or lLq SYSTEM USE APPROVED YE NO Bu%1 Spector 01/86 and vl BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME <S' LOCATION I cx /6 Date/ permit No . ✓ = APPROVED - YES NO Footing/Pier Forms foundation *Waterproofing Y3ackfi l 1 Framing Roofing Siding Masonry eneer - Rough P1 bing Relief Va ves Ext . Porch s Finished Fl rs Interior Trim Stairs & Rail ! s Cellar Drain Til Concrete Floors P-1bg . Fixtures Gar . Fireproof , ng Door Closers Smoke Detect rs Chimney INSULATIO Foundati Floors Walls Ceiling FINAL F.IECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- s ctor 4uiildingr 6/86 and-vl t'jko IBUILDING and ZONING DEPARTMENT ff ay and Haviland Road, R- D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME S LOCATION �? FS, /� Date iJf j(� / Permit No ✓ = APPROVED -AFooting/Pier FoNO rms Foundation tioja to rproo f i ng BackfiII 1.' raming Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Inter-!or Trim Stairs & Railings Cellar Drain Tile _ Concrete Floors I' Ibg . Fixtures - -` Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL, Final. Building Survey Next schedules! inspection (call when ready ) Remarks-- . 04 Building inspector 6/86 and-vl BUILDING DEPT. COPY OF THIS COPY WITH BUILDING NEWT WO BOARD OF IRE UNDERWRITERS. F1 LE TEMP. all DATECITY Cm . VILLAGE V+ -- ' " ' TOWNSHIP COUNTY STREET AND NO. OR z T 11Pf1LE NO" ROAD AND POLE NO 903190L BETINEEN MIHAT TWO PREM L E� IS µr1 f i�T10N BLOCK LOT . OCCUPDING BUIL ANT'S + ,�,. OCCUPANCY NAME OWNER'S NAME j jf1 x "'ram TEL. * AND ADDRESS SUPPLIED i ��,: ';/��---' FROM THEIR - OFFICE BY ' �—1, DEFECTS 13URLDOM NEW �' OLD © IyMORK NEW Lam" ADOk T1ONAtis m L.f REIMOVEd ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. Of Fbretn+e A BRANCH OFFICE US£ Letup NUMBER OF OUTLETS RraeI las MOTORS HEATERS CIRCUITS ONLY Lode iieo Silo Afteeh't Svthch pit Ifam of No, Type WIP, Me. E� No, 'AQ04W INSPECTION Each +CeR111M 'IMaM Rectple Ovt- e S Sulu, ItBe "teat leant let Ft. aid " (a ,,►cl 3ed FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE= QD NOT USE THIS SPACE. This applicatiuwt is intended to corer the abe listad equipment to be inspected but if at time of inspeotion then, is found edditiatsal equipment not abors listed, Yaa are wfhonized to lmeke the insPectian end adjust the foe to ooe the addilianal equipment, es pdoeidasl by the applicant. ELECTRIC SIGN TOTAL SIZE OF "`) f S ;i, + I '�a FEEDERS LAMPS WATTS MAIMS 9 CHARACTER +FL CON EALED GED OAS TUBE SIGN TRANSFORMERS OF VA OF WORK WORK TO BE (NUMBER} (CAPACITY( r� STARTED L,r' ;t,n1k COMPLETED size OF SIGN SERVK:E +OVER EAD UNDERGROUND MAKER INSPECTION REQUESTEO ON OR AS NEAR AS NEW � OLD POSSIBLE AVOID ¢FLAY BY OIYINO FVLL AND ACCURATE INFORMATION. ALL SPACES PATE OF �{��_.- ; MUST BE FILLED IN DR APPLICATION MAY BE RETURNE¢. APPLIC ON PRINT NAME A D, R��'S gICiNATURE � V F NAME OF �.. �/1, � OF A?PUCANT APPLICANT STREET ADD" TELEPHONE OFF LICENSE NO. POST CITY OF FICE It .CO DE V HEN APPLICABLE +a EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING i i 1 bna4a.,k f far i