1986-646 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date April 29 19 87
51), &
This is to certify that work requested to be done as shown by Permit No. 86-646
has been completed.
This structure may be occupied as a One—Family Dwelling
Lot 89 Brickoven Road (St. No. 11)
Location
Owner Gary and Wendy Sisti
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-646
WARREN COUNTY, NEW YORK c) •
w
n
PERMISSION is hereby granted to Gary and Wendy Sisti
a
OWNER of property located at Lot 89 Brickoven Road (St. No. 11) Street, Road or Ave. rD
0
a
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 co,
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. cnH.
1. OWNER'S Address is
P. 0. Box 851
Glens Falls, New York
m rt
rD
n CO
2. CONTRACTOR or BUILDER'S Name rt
H.
Dave Fuller o td
o
N.
wP
ed 0
3. CONTRACTOR or BUILDER'S Address
a (D
Jerome Ave. o
South Glens Falls, NY a o
c)
4. ARCHITECT'S Name
o ..
li
rt
0
5. ARCHITECT'S Address
I�
I�
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( 1 Steel ( )
0
7. PLANS and Specifications d
No. 74'x24' per plot plan, specifications and application submitted,
including sewage system and two car attached garage.
8. Proposed Use
One—Family Dwelling
r
$5.00 C/O 0
aa
157.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 19 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.)
Dated at the Town of Queensbury this 29th Day of September 19 86
SIGNED BY ' d. N: for the Town of Queensbury
Building and Zoning Inspect°
1
.TOWN OF . QUEENSBURY
. WARREN COUNTY, NEW YORK
. Application for : BUILDING• PERMIT INCOMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE
- .A permit' must be obtained before beginning work. .. .
ANSWER ALL of the following: f L1 '1 d 4 DTL (614 llv �s
1. Gross floor area1.1111111111,10fr.. 2/ SF-
2 • Type of heat &/e.G-r f,1k.5eIo,a.r4
3. Is the building mechanically cooled? A/0
4 . Percentage of..area of windows and doors /2, 6 90
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 and floors expo ed to ambient conditions
2 . . R value of- exterior walls ee—
3 . R value of glazed area
4 . . R value of doors � ,
5. R value. of floors over unheated spaces 19
• 6'. R value of slab edge insulation unheated slab /V1
•
7 . R value of slab insulation - heated slab' /�/& ,3
8. R value of heated •basement/cellar walls (above grade) i///i'
• 9. R value of heated basement/cellar walls (below .grade) 4/1•
10. Type of insulation f d0e-e q�CL�f . - P�eviok� b d a--w
. C. Controls /
' 1 .' Thermostat maximum heat setting . 6(j
D. Duct Systems
1. Is duct system installed in _unheated spaces? YES �: - .
a. ' Tf YES,.. R evalue 'of duct installatiOn -
R value - of duct in other area _�.
E. Piping Insulation. -
1. Size of hot water or cooling carrying agent pipe /9
2 . R value of pipe insulation
F. Service Water Heating
1. Performance efficiency •
. 2 .' Temperature control setting maximum /VD,'
G. For Swimming Pool Only
1 . Maximum heating
•
Telephone No. ` 7f .3.-9
(app i nt ' s signature)
/' TO BE COMPLETED BY BLDG. DEPT.
// Application No.
own of Queen iur y Permit Issued 19 TOWN OF"QUEEl'i•3SURY
BUILDING and ZONING DEPARTMENT Permit Expires 19 EEI �/J jjjj
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation �
Queensbury,, New York 12801 Variance /N . SEP 1 2 '���
Site Pla Rev -w 1(Io.f
1.2 =-s--731 Appro p - y:/ / A.M. V-® -P,e, ryi
7I8J3 1c j I , 3)4I5I6
APPLICATION FOR jj �
' BUILDING AND ZONING PERMItaL
T I.. i �� "
* * * * * * * * * * * * * * * * * .* * * * * * * * * * ,# * * * * * * * * * *::
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: GC?ry (4,/,qdi, , /t57-4j'
PO,Address PO, gz�)(. r`S<Sf J G/ells t y/C/$ Tel. 77 .3S5 €O
QPes
Property Location: // griCC , if aL La . 7 Tax Map No. / /
Street ,number or building lot number
Subdivision name (if applicable) &EC/1lQ!`C/ C/OS
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Gcre y S 7/'
Name P.O. Address Tel. No. // J/
Name of builder ague Fv/r/e'r Address • J 'Porai.e Ave 56P Tel. 7573—6/30
Name of plumber Address Tel. .
Name of mason ,)70c f-o//er Address ' ,,rerdslie duC &5/= Tel. 77,3-(/3d
NATURE OF PROPOSED WORK: • * ZONING INFORMATION:
)(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 STRUCTURES AFFECTED. ' of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
/3oXl‘aX j06Xan
. * Size of property ft X ft.
* Existing building(s) Size NON ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure 7y ft X, ft
Foundation-pier/slab/crawl/partial Arit * Proposed building, distance from property line
(circle one) * Front yard k4P64ft Rear yard 456 C1aef/-9eft
No. of stories (habitable space) * Side yards , e- ft and (9 $ ft
Height (grade to ridge) ft•• * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) AO ! * OCCUPANCY INFORMATION
No. of bedrooms v *
No. of bathrooms ;1 l:_ , * PRIMARY BUILDING -
j * (.One family dwelling
Primary heating system e/PCr'/C.
Type of fuel * Two family dwelling
* Multiple dwelling / Number of units
No. of fireplaces to be installed No
* x permanent occupancy
Will a wood stove be installed? y5,S .
Central Air conditioning? pa * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE .. . Industrial
Ranch Contemporary Log cabin * Other.'
If addition, what will use be?
Raised ranch Mansion Duplex *
Split level Old style Bungalow * -
Cape Cod Cottage Other * ACCESSORY BUILDING-
olonia Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * (Attached garage/one car/ wo ca car
* * * * * * * * * * * * * * * * * * ' " 'Private storage building
ESTIMATED MARKET .VALUE OF * Other
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
•
BUILDING PERMIT, APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type .of construction, wood fram fire safe,etc.
Will any second-hand or raded lumber be used? If so, for what? A/0
Foundation wall material id" //oc fc Thickness •
Depth of foundation below grade (to bott footing) t.5-76"
• Will there be a cellar? vet Heated or unheated? Floor sq. footage a 4•X 3.� sq ft
Will there be a basemen ? yes Will any ortion be used as living space? AAQ.
(If so, what port2, sq.ft. - - Type of use?
Type of roof -(loped flat/shed/other Material 'of roof Qs csbo�/e
Size, wood studs AL "X " spacing %G "o.c. length ft.
Joists(floor beams) 1st. floor p, "X /0 " spacing /b "o.c. span /V_ ft.
Joists (floor beams) 2nd. floor OL. "X /0 " spacing "o.c. span/R. ft.
Overlays(ceiling beams) rig ASS " spacing c9sy "o.c. span ag ft.
Roof rafters -dMg/$S " spacing. a2V o.c. span ft.
Roof trusses(pre-enginee�rejd) spacing a �1 "o.c. span $ ft.
Exterior "wall finish " l%So;;i 6 4p/i4.. Of what material?
Interior wall finish 46e4m
If a garage is to be attached, describe mat ials to/ be used for FIRE SEPARATION:
Is there to be an o enin S bet 4en E s/� P eck ?
p g garage and dwelling? • loS If so will a Fire-rated
door, enclosure, and self-closing device be.provided? , 'S
Will a flue-lined chimney be installed? yA,s, Height above roof L4 ft.
Depth of chimney foundation below_crade , ft. /
Depth of firepla arth j/ "J in.
Water supply - unicipal r private well
SEPTIC SYSTEM "_ Distance from ANY private well(including adjoining properties /24,67—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
rI 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 o all proposed work to be done !on the described premises and that all
provisions of the BUALDING CODE, THE.ZONING ORDINANCE, and al other laws pertaining to
the pro••sed work s all be complied with, whether cified not and that such work is
authorizee by the wner.
SWORN TO BEF0 THIS Signature_ Ce!q it.
Owner, ow'' s agent,arcnitect,contractor
day of //Il95LI
\ .
Notary Publi , Warren County, N.Y.
* * * * * * * * * * *\* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *.
SPECIAL CO'DITIONS OF THE PERMIT:
•
•
By
•
f
•
► on o` Quen3tury APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Oueensbury, Nev York 12801 DATE 7 / __ • •
LOCA7 JON OF PROPERTY FOR INSTALLATION tic/Cdlve, Q Z0f 87
OWNER'S NAME
ar c/s /f
ADDRESS , ly z5,076. TEL. 7f.5-3-5-vv
INSTALLER' S NAME fi,/oe •AwaUd. • TELA7 V37/
Number of bedrooms (residential only)
•
•
Total daily flow(compute @ 150 gal per bedroom) `7 0
•
Topography: I, Rolling - Steep slope •- (circle one) % of slope
Soil nature- Sand - Loam - Clay -Other Depth 4 ft.
Ground water -At what depth? ft. •
Bed-rock or impervious material - At what depth? 'L1NL ft.
Percolation test - Not required .- Required - -Rate min-inch.
Domestic water supply Municipal - Well - Other •
Separation - Watersupply(if well) from Septic absorption ft.
Proposed System: Septic tank gal. ( Minimun size, 1000 gal
. d v Gee/"s per- Co c/��/oar
Ta e r, el Each tench ft . Total system legnth ft.
Seepage pit (s) Number of - Size each ca5 ft X c?---ft
Size of stone to be used 0 Ber+thickness oZ - ft.
IMPORTANT ! !
On a separate piece of paper , submit a diagram of the proposed system
with all dimensions shown; including distance from any structure ,
. distance from property lines and from ANY DOMESTIC WATER SUPPLY or
shore-line of lake, stream,pond or wet-lands.' Include all dimensions of
the system, itself . •
* * * * * * * * * * * * * * * * * * * * * * * *' * * * * * * * * ' * * * * *
1 1:ovc ]'C .,. l;:c ]'•E:• _. i 0 % : ? G]: t i:E r.-cer'se side of this shec t cr:d agree
to abide- LT thoe6 and all recuirerr.ents cf The Tovn of:Queensbury
•
Sanitary SeL7acc tisposal Ordinance.
Si pnatl4re of rc erons },Ze rere or,
•
n5 /RA mrl /v1
Jown of Queen.iurj
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
l ` Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME q ca::„
LOCAT I Ofy( /, 1" if 5/q
Date Y % /_V Permit No. � 6/6
* * * * * * * * * * * * * * * * * * * * * *
V = 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 N
Cellar Drain Tile
Concrete Floors
Ilbg. Fixtures
r. Fireproofing
oor Closers
?',
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls •
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey ,
Next scheduled inspection (call when ready)
Remarks „4„..„1„erj_ellez.,
-
L7ilL
je,c,4_ _AI, ...iengz-,
i ',/)<-'
-7m
(9
,, ,
Buildi g Inspector
6/86 and-vl
, _Jown of Q een36urt�
BUILDING and ZONINGDEDEdrARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
ke i Kf D¢cT"I 1-4 Gic
BUILDING INSPECTOR ' S REPORT
NAME C ay-y ST
LOCATION ? s7 /J it t•
c k 6V ell
mate Wag /i1 Permit No. (?6,-(0 (0
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
E.E'xt. Porches
Finished Floors
Interior Trim
L.2tairs & Railings G 1C
Cellar Drain Tile j
Concrete Floors
Plbg. Fixtures (
tar. Fireproofing t///
t„.P6or Closers /
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Uinal Building Survey
Next scheduled inspection (call when ready)
Remarks-
A,(C) Or)'L(_ e449141 °
r•
Building Inspector
6/86 and-vl
CjI � . c
of Quaeni1ureg
Irn BUILDING and ZONING DEPARTMENT
- Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /- •
0.1-i� (Si 5 (TLOCATION
•
�ue d� �l1I /bT 8rl rtC�SdiIP,v,
Date Lila/ / (5,7 Permit No. y r !D y P
✓ = APPROVED - YES / NO
Footing/Pier: Forms
Foundation
Waterproofing •
Backfill
Framing
Aoofing Cy:
ding • a
Masonry Veneer
Rough Plumbing D_k
G{2elief Valves
LLXt. Porches gerP-t � t�
'4inished Floors } (
anterior Trim r79,1
airs & Railings F24 (
Cellar Drain Tile
Concrete Floors
$bg. Fixtures •
Gar. Fireproofing SOL N441.4) //
or Closers P.c;x4
�8 oke Detectors
imney D.k.
SULATION:
Foundation
Moors o-/k`
Walls
Ceiling
INAL ELECTRICAL INSPECT ON Oft,at
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- it--5,44, ervS. ,02,:214
voteeZed
1-43J - -it eP
at
6) yn 1 c4/Ll1
71-4
Building 'Inspe for
6/86 and-vl •
awn of Queen.iur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSSPECTOR ' S REPORT
NAME
LOCATION
Date/�2 5 / Permit No. tO - p Lf
* * * * * * * * * * * * * * * * * * * * * *•
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
tfaming JP.?
Roofing
Siding
Masonry Veneer
[ugh Plumbing D�(
Relief Valves
Ext. Porches
Finished Floors •
' Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors •
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors i
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
C
N-ee-c .AT
421/g3
Building Inspector
": 6/86 and-vl
awn of Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME c , �,
LOCATION /ui� . U-tre---b,, _ 0>1
/
DATE �J `'; / t;h 1 G
PERMIT NO. Q b— 6 c
SOIL TYPE Sand - Loam - Clay -
Percolation Test Required? YES T
Percolation rate - Min/Inch !J -
TYPE of SYSTEM:
Absorption field, total length ----
Length of each trench --
Depth of trenches --
Size of gravel ---
SEEPAGE PITS-fNumber of)
Size- 6 ft. X q ft.
Gravel size ' _3 A
PIPING: Size T pe
Bldg. to tank L�°i C_0
Tank to dist. box Lit' Lfi)
Dist. box to field/pity' ` 0
Openings sealed?c S NO Partial
LOCATION/SEPARATIONS:
Foundation to tank • L_ ft.
Foundation to absorption b ft.:`'
Absorption to lot line IO tft.
Separation of pits �1�" ft.
LO.GATION OF SYSTEM ON PROPERTY(circle one)
Fro — Rear - Left side - Right side -
OMMENTS:
7--- /.
SYSTEM USE APPROVED YES NO
• 4) et/IA.'
L
Building Inspector
01/86 and vl
Jown o/ QueeniAury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME cD(S r J
LOCATION 11 6r0&.)r./ A1 -,i
Date q fay/ go Permit No. egl (14(o
* * * * * * * * * * * * * * * * * * * * * * *
/o' = 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
Plbg. Fixtures \
Gar. Fireproofing
Door Closers
Smoke Detectors //7:\
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
6S5-C-15:- V� kepi;
1*-c ce--e--4--ThiatY-6-astN
ze.a_
d ) A/J� .c/
uilding Ins ectort
6/86 and-vl
_own of Queenurty
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME SE S.TI
LOCATION JJ &tr7 (y6A) )20
Date g12.5/ Permit No. vo G y 0
* * * * * * * * * * * * * * * * * * * * * * *
$0/ = APPROVED - YE NO
ootin /Pier Forms 01A-74 - '--
Foundation / .4(f 1-,,.f 12cC1 L.t
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- -
L Ault.
65i-cm 4-15 u//61,01-1o6S;v1-/Ce
T5
Buil ing Inspec or
6/86 and-vl
cc77 // W6 jo
awn of Q cc n i urcy
BUILDING and ZONING DEPARTMENT
Bay and Havilarid Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION it JJ rL-[Cf( (�(/6„,)
Date q/4/ “ Permit No. W, a G.4G
* * * * * * * * * * * * * * * * * * * * * * *
i� = 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
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- -
I 10
Bu'1 ing I s ect
6/86 and-vl
Yg.,AM f,¢ L (�hi�Gr
// reap
Jocun o Queenit'ur/ c ,,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME •
511.
LOCATION &2fC1(
0f/&iJ&VW
Date - 9/S0 Permit No. �p- 4Q LfC
_ ✓ = APPROVED - YES NO
Footin• Pier Forms
=• _ '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 Aj/
Plbg. Fixtures /
Gar. Fireproofing Z '\
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
A i3 .r.46
r 2 `Fo f SGe-q f o.Ar
Building Inspector
6/86 and-vl
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