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1986-530 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW PORK 1\ • Date October 14 19 86 3o ' if1 , 86 530 ' This is to certify,that work requested to be done as shown by Permit No. has been completed. This structure may be occupied as a One—Family Dwelling Lot 6 Sugar Pine Road (St. No. 12) Location rives or Lueensbury Owner Martin C. Mosher By Order Town Board OF QUEE 'SBU Buildin Zoning Inspector TEMPORARY CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY • WARREN COUNTY; NEW YORK Date October 6 lq 86 This is to certify that work requested to be done as shown by Permit No. R 6—5 3O has been completed. This structure may be occupied as a One-Family Dwelling LocationLot 6 Sugar Pine Road (St. No. 12) Owner Martin C. Mosher TEMPORARY CERTIFICATE OF OCCUPANCY By Order Town Board 36 DAYS TOWN OF QUEENSBURY elf r ig pow r Building & Zoning--Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-530 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Martin C. Mosher OWNER of property located at Lot 6 Sugar Pine Road (St.No. 12) 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. H. 1. OWNER'S Address is 26 Sugar Pine Road Glens Falls, New York cn CD 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address Same 0 rt rn 4. ARCHITECT'S Name cn H p"QG CD lap r{ ro O H. 5. ARCHITECT'S Address CD 0 CO C4 O ro Ni 0 Iv ,O p- tr 6. TYPE of Construction— (Please indicate by X) (Ti (D Cn • rt ( Wood Frame ( ) Masonry ( )Steel ( ) 1r Z ri 0 cC • 7. PLANS and Specifications F-' No. 33'x80' per plot plan, specifications and application submitted, including sewage system and two-car attached garage. 0 8. Proposed Use 0 One-Family Dwelling r• $5.00 CO $ 150.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 119 87 (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.) H. QQ Dated at the Town of Queensbury this Day of 19 SIGNED BYLQ-YJ for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. j>'Tiiwno/ Queenjur, Application No. Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF QUE:ENSBURY Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation RECEEIVED Queensbury, New York 12801 Variance No. Site Plan Review No. JUL 14;1986 ?v �, Approved by: Ss ES 4e-c ryP.M. � �r"� . A.M. APPLICATION FOR ( 4(23 tvv" 708 91Ol1)12)1I2)314I5I6 F, last r i t t t ail BUILDING AND ZONING PERMIT elebs`' * * * * * * * * .* * * * * * * * # * # * * * * * * * * * * * *. 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 is: L/r) ()/5Z„_7) (i ' 514-4--a----4LA--- P.O. Address e„P �6'4,/� P,___{,,,,,,/ —� L v+,e c,LA,v, Tel. '7 9 - J-5�0 Property Locaeiont i LP pc/i_ f / ,{— `4 7Z Tax Map No. / / Street number or building lot number Subdivision name (if applicable) l °L,c_, Pik al a (.4 ,f-e,, er.c THE PERSON RESPONSIBLE FO SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: �'� l v�' ^ ) • 11_,-�G.,� '7 9 z I So Name P.O. Address Tel. No. Name of builder . -/LVu-i Address Tel. Name of plumber ,5.4.1,,E Address Tel. Name of mason Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: V 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 FOR DEMOLITION PERMIT STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF 7pirghEs AFFECTED. * of water supply and location and configuration * of septic disposal area. * i''' * COMPLETE INFORMATION REQUIRED BELOW. * Size of property /�O ft X /4, 7 ft. * Existing building(s) Size ft X ft. * . PROPOSED BUILDING AND USE: * Existing building(s) Use " Size of new structure 3,3 ft X ft * Foundation-pier/slab/crawl/partial ull * Proposed building, distance from property line (circle one) No. of stories (habitable space) / * Front yard �0 ft Rear yard q ft Height (grade to ridge) /S ft. * Side yards 0 ft and ft If residential, no. of families / * If on corner, setback from side street ft No. of rooms(excluding baths) 7 * OCCUPANCY INFORMATION No. of bedrooms * , PR,MARY BUILDING - No. of bathrooms * V One family dwelling Primary heating system 6,t �] Rd�' .. Type of fuel * Two family dwelling No. of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy Central Air conditioning? * Transient occupancy Business * BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch) Contemporary Log cabin * Other. Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * l'''' Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $-.1 0,_10 0 O INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. -2--fr0-3,L- t✓ ;;4_, Will any second-hand or ungraded lumber be used? If so, for what? L-1?ia Foundation wall material /D CL,,,,,c 7,r •fib Thickness Depth of foundation below grade (to bottom of footing) tp a Will there be a cellar? Heated or&unheated?7 Floor sq. footage / F 6 ' sq ft Will there be a basement? h c Will any portion be used as living space? k\Ap . (If so, what portion? sq.ft. - - Type of use? Type of roof -{ flat/shed/other Material of roof a:2.--(, A (I,./ .3 it.r.,1 G ) Size, wood studs ,,.Z "X -7 " spacing /(, "o.c. length J• ft. Joists(floor beams) 1st. floor "X / p " spacing /6 "o.c. span /y ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. ii Overlays(ceiling beams r� "X /p " spacing /(, "o.c. span 1 L. ft. Roof rafters , "X " spacing 1 (, o.c. span /L ft. Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish "/a' X 6, ' et.,,t a- Of what material? Interior wall finish d-_.� M4 ..1 1/a " 5 h .�,U 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? 1L0 If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? 1/4„4,2 Height above roof a ft. Depth of chimney foundation below grade /00` £ . Depth of fireplace hearth ft.) in. Water supply - Municipal or private well )vtif(nn,r,f.rdt..Riv 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 AFFIDAVIT STATE OF NEW YORK County of 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 provi 'ons of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the pro sed work shall be complied with, whether specified or not, and that such work is authorize by t owner. / SWORN TO B RE ME THIS Signature ✓ ) 07.-Z,, C )vv (,,, , Owner, owner's agent,arcnirect,contractor ay of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By6 MARREN COUNTY , NEW YORK Application tors BUILDING PERNIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY .CONSERVA,TION CODE A permit . must be -,.obtained before beginning work . ANSWER ALL of the following: 1 . Gross floor area 2 . Type of heat LSZl:.Z-Z-( 6G • : 3. Is the building mechanically cooled? , _ Kr) '• 4.- Percentage of area of windows and doors A. Over 16% .On1Y 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 insulaXion'.. 5. Type of insulation . B. Under 16% Only t. 1. A value of roof and floors exposed to ambient conditions _ (L- 1j'p ' 2 . ' It value of exterior walls - 3. R .value of glazed area 2, 4 .. R value of doors . 1 —5•— R Vd1U, of f1.o`rr:-over :mated" rpacas 6. R value of slab edge insulation - unheated slab h�/ -r- • 7. R value of slab insulation heated slab 8. R value of heated basement/cellar walls (above grade) 1._... 9. R value of heated basement/cel,,lar walls (below grade) 10. Type of insulation C. Controls ,- : 1 . Thermostat maximum heat n:,•tt"ilij r)013 D. Duct.:.Systems 1�.;�..�•'Is duct eystVm installed in unheat3d spacat? YFS NO . ;W "a. If., YESr R value •ofduct installation , R value of duct in other areas • E. Piping Insulation ems.. 1 . Size of• hot water od cooling carrying agent pipe >3.jy 2. R value of pipe insulation F. Service Water Heating 1 . Performance efficiency , Scle) •2. Temperature control setting maximum _ t\-(.0 G. For Swimming Pool Only 2 ' 1 . Maximum heating • 'r N, . . Triephono.. No. 7 9�-/.2. 0 • 'N • C? 6 %2 ups ' N (c)jiplicant ' s signature) awn •o of Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION Owner's Name J f J a12;(� ; C Tel. `7 9 — I .ro Address u-� /2.61- • 4A--yr Person/Firm ins-tallinc7 system. 111 Q/)T,,,J 'L • Vv4uh� Number of bedrooms (residential only) . Total daily flow: (compute @ 150 gal.per bedroom per day) y ,_5" �7 Topography - rolling - steep - (circle one) Degree of slope % Nature of soils: sand) loam-clay- other- Depth ft. Ground water-- at what depth? ft. Bedrock or impervious material--at what depth? ft. Percolation Test - Not required / Required -Rate min/inch. Domestic Water Supply - Municipal - Well - Other IMPORTANT! On a separate piece of paper, submit a diagram of the proposed septic system with all dimensions; including distance from ' any structure, distance from property lines and distances from any domestic water supply or shore-line of lake, stream, pondor., wetlands. Include all dimensions of the system itself. ' Description of proposed system: Septic tank size/ (1 - gal. Tile field- Length of each trench gyb ft. Total field 00 ft. Size of stone # Seepage Pit(s) Number / Size ftX_ ft. Size of stone# Any contractor, corporation, individual,Etc. , engaged in the construction of a Sanitary Sewage Disposal System, who covers the same before inspection, •does not have an approved Permit, or varies from the approved application, will be subject to a Penalty of $250 as provided .for in Section 6. 010 of the Town of Queensbury Sanitary Sewage Ordinance. 7�/9 / y/ Signature of Applicant Date 01/86 and/vl • • Septic System Inspections: • • A. All applicationd for septic system installation, alteration or repair, as required by. the Town of Oueensbury Sani.tary. 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 Buildinq . 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..0.0. ' 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 Oueensbury Building Department before further construction . • • _town of Queenjbur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 • Queensbury, New York 12801 • BUILDING INSPECTOR ' S REPORT NAME LOCATION Le Aval-e Date / /( / Permit No. g 3 3 a � � ✓ = APPROVED - YES / NO • Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing ‹Lief Valves 4.tr-t-ceeta 674 • Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors A bg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors , , L2l�imney (ifr � Q? INSULATION: Foundation . Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - • • • • • Building Inspector 6/86 and-vl (Lai L ) [VD ; Qimn _town 0/ Queen.i‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 CP Y1S 1). -1A exi/ BUILDING INSPECTOR ' S REPORTE NAME mar -I WI S0let k � LOCATION 1_61- Sc4h `( Date !v 13 / X(, Permit No. n. c J ier = APPROVED - YES I NO Footing/Pier Forms Foundation Waterproofing Backfill Framing (44, ("Roofing ding /9k Masonry Veneer L,Rough Plumbing Sin, Leek -u 4 ,)2 t' '-Relief Valves 4.II . /-°T • i 9 Ext. Porchestfi O, nished Floors Q, � erior Trim Ol Stairs & Railings Cellar Drain Tile v99u_crete Floors Plbg. Fixtures �d� ar. Fireproofing OJ 6r Closers p/Z, moke Detectors Ofk_ Chimney (az 4//Z u2/'( / c`6,7-5/0! INSULATION: Foundation Floors t l l s �34a1 'zF' Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey ' Next scheduled Inspection(call when ready) Remarks- - 1/14A5A21X-- Building Inspector 6/86 and-vl c All-0 9% 0/3 6 /d ;yo q i ° U -q ••-' .o nnueen3bury Rtr BUILDING apd.ZONING DEPARTMENT , Bay and Havilarid Road;OD. 1 Box 98 • Queensbury, New Yo.rk 12801 . SEPTIC DISPOSAL SYSTEM INSPECTION NAME i1•tArt 1 11, {h,6 SA e)-. LOCATION /,n-t" G t-U S i� f i h. ,t-_. DATE / / c PERMIT NO. 6. - 5-:f 0 SOIL TYPE �4111,1P- Loam - Clay - Percolatio est Required? YES N Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench ,' ( Depth of trenches ' 0.( Size of gravel $r-y SEEPAGE PITS{Number of) • Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank cL f g) Tank to dist. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank `© ft. Foundation to absorption .547 ft. Absorption to lot line (a() fi Separation of pits -- ft. LOCATION •YSTEM ON PROPERTY(Gircle one) Front - tt - Left side - Rig t side - COMMEN ,' .y ,r P • SYSTEM USE APPROVED NO tly1/13/44:6 - Bu lding Inspector • 01/86 and vl . Call ' c( '// 3 `d6 !o : /® i awn o/ Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 ilk BUILDING INSPECTOR ' S REPORT NAME iia►`/"1 A in®s/-ei. LOCATION / a7 6 Sj,�54v ®s n Date te., / �`KJ Permit No. ( C - S3O * * * * * *. * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill > �(. //Framing 0N< Roofing Siding Masonry Veneer tough Plumbing d'ktr,_ Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile • Concrete Floors Plbg. Fixtures Gar.. Fireproofing Door Closers Smoke Detectors Chimney j INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - H 4 (046A., Building Inspector 6/86 and-vl C ' Jouin of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ,4,4 LOCATION Date /23/ �7 Permit No. F6 -S 36 * * * * * * * * * * * * * * * * * * * * * * * '/ ✓ = APPROVED - YES / NO v Footing/Pier Forms (1 -- 'bundation G� "Waterproofing 5'G-k a6-CacJ V ackfill 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 Final Building Survey Next scheduled Inspection(call when ready) Remarks- - c vzo SG--i- 'AWL 1z o�-c; G� l � Building Inspect r 6/86 and-vl Jouin of Queenihurry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Of CA LOCATION Z6: Sep Date �/ / j/ �S� Permit No. — a * * * * Cc* *, * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO (ting/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 Final Building Survey Next scheduled Inspection(call when ready) Remarks- - 2 /` 60113./Vir.- Building Inspector 6/86 and-vl MART/N C. MOSHER •. . ' '• , _ 75 GREEN14,q Y, N0,4T,y •'GLENS FALLS NY 1280f 1 . f