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1986-661 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date January. 30 19 87 (d‘N(F) ‘ --- 19, _ This is to certify that work requested to be done as shown by Permit No. 86-661 has been completed. This structure may be occupied as a One-Family Dwelling Location Lot 15A Forest Lane (St. v ) Courthouse Estates Owner John and Mary Lindquist By Order Town Board TOWN OF, QUEENSBURY d ,,eafi A /-- Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-661 WARREN COUNTY, NEW YORK k 2.1 PERMISSION is hereby granted to John and Mary Lindquis, , -7 OWNER of property located at Lot 15A Forest Road (St. No.[[ ) Street, Road or Ave. Courthouse Estates 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. n 1. OWNER'S Address is r N• p a 2. CONTRACTOR or BUILDER'S Name U) rt John McCormack 3: CONTRACTOR or BUILDER'S Address 7 Sarella St. Glens Falls, New York o rf 4. ARCHITECT'S Name �J c� rt 0 5. ARCHITECT'S Address i-ii 0 rf 0 CD 6. TYPE of Construction—(Please indicate by X) tri W rf Ix)Wood Frame ( )Masonry ( )Steel ( ) rt 7. PLANS and Specifications No. 70'x35' per plot plan, specifications and application submitted including sewage system and two—car attached garage. o 8. Proposed Use One—Family dwelling $5.00 C/O $ 150.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 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.) fro Dated at the Town of Queensbury this 7th Day of October 19 86 SIGNED BY 74 ad4 for the Town of Queensbury Building and Zoning Inspector :� TO BE COMPLETED BY BLDG. DEPT. c� Application No. . TOWN OF QUEENS URY Dawn of Yueenalury Permit Issued 19 '" BUILDING and ZONING DEPARTMENT Permit Expires 19 IP EGEFEED Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation 1 Queensbury, New York 12801 Variance No. 1 SEP 2 3 6 Site Pla eview N 4. /5i F-6,p 3 7- /- I. /U APPro by 718(WE ,• a INebf q16 APPLICATION FOR lilt) /1_ C BUILDING 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 be done in accordance with the description, plans and specifications submitted, and such special conditions as maybe indicated on the Permit. The owner of this property is: J CW f N\Y L JN f (DO 5T P.O. Address L o7 /$l+ J Tel. Property Location: ( - It) K. ' l j�pl C, 6 n 61 E ) /\L� Tax Map No. 37 / / / /•/G Street number or building lot number , :.j ,.;# 1 Subdivision name (if applicable) __- eOV� 1y7O,3C E. pj jl . THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: M c,Co?,nn KA I iNt 0 O 570 - "1 -- 6P0 5-r ( -7 9?3-7q0 7 Name P.-O. Address Tel. No. Name of builder3'0010NC6 Address (DA AAc (sp?-mi Off. f.K Tel. 7`i?,^^]LQ 1 Name of plumber -Ffe U Address; cp�JPI!i11, , N 7 Tel. 4-I_.j(0Q!�, Name of mason Y h c�� Address 616) \ PI y I_ Gil_ Tel. 1 T2-4-hkii RE NATU OF PROPOSED/IRK: * ZONING INFORMATION: tr onstruction 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. * Size of property (qD ft X 130 ft. * Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure 7 ) ft X 4--ft * Foundation-pier/slab/crawl/partial/AD * Proposed building, distance from property line (circle one) * Front yard ft Rear yard ft No. of stories (habitable space) I * Side yards ft and ft Height (grade to ridge) ZA ft. * If on corner, setback from side street ft If residential, no. of families i No. of rooms(excluding baths) 9 * OCCUPANCY _ INFORMATION No. of bedrooms .3 * No. of bathrooms * PRI RY BUILDING - Z' * One family dwelling Primary heating system keprr Row? ,�- ,)G * Two family dwelling Type of fuel C( * Multiple dwelling / Number of units No. of fireplaces to be installed Will a wood stove be installed? O * Permanent occupancy Central Air conditioning? ./�! N * Transient occupancy 1 * Business BUILDING STYLE, PRIMARY STRUCTURE k. 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 * Cached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other . CONSTRUCTION $--4�2}940-- INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl 1 'i BUILDING PERMIT APPLICATION CONTINUED - • BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. 1A3 e<r0 • Will, any second-hand Or ungraded lumber be used? If so, for what? NO Foundation wall material ,"15(130\ Thickness 10`• Depth of foundation below grade (to bottom of footing) 6q•• Will there be a cellar? N E,5 Heated or. unheated? 0/\( Floor sq. footage -7 Qc3 sq ft Will there be a basement. fey Will any portion be used as living space? ) (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other 5 Material. of roof A yjJ ,-r Size, wood studs 7 "X 4 " spacing I(p "o.c. length Fj ft. Joists(floor beams) 1st. floor 7 "X 10 " spacing (c, "o.c. span 15 ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses (pre-engineered) spacing Z41 -"o.c. 'span-a ft. Exterior wall finish (�ppA) {- ,jg.1G1A. Of what material? 7 i(J( Interior wall finish "y W1rCL, If a garages is to be attac ed describe _materials to be. ,used for-FIRE SEPARATION: 5.18- R1V-NE uJl ' Is here to be an opening be ween_garage:and dwelling? �1e,, If so will a Fire-rated door, enclosure, and self-closirig' device-ke-provided? t,yr3 Will a flue-lined chimney be installed? Height abdve roof Z'-{ °' . Depth of- chimney foundation below grade q�'= k. Depth of fireplace hearth ( ' ft; () in: • - • Water supply - Municipal or private well_ {\A j tJ l GIi)PrL- SEPTIC ',SYSTEM _ Distance;from ANY private well(including adjoining__properties NI 18 ft. (A-separate-application is necessary for any-repair or new installation, of) septi 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 provisions of the BUILDING . THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be .,lied with, whether . .ecified or not, and that such work is authorized by the owner. • 06 0 . SWORN TO BEFORE ME THIS Signature___] _ __-_ :e, . Own- owner's agent, cn tect,contractor 20 day of 3 19 4 McCORMAC IN STRIES t Serella Street - •� GLENS FALLS, NEW YORK 12801 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: - I • • By TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Application for : BUILDING PERM:CT, 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 7 QQQ a 2 . . Type of heat (-E 'o(\/\c • 3 . Is the building mechanically cooled? Y�-5 1 0 4 . Percentage of area of windows and doors (Z 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 hea` d? . YES NO a. R value of insulation 5. Type of insulation • B. Under 16%. Only 1. R value of roof and floors exposed to ambient conditions_ 38 . • 2 . R value of exterior walls -Z( 3 . R value of glazed area 12,,. 4. R value of doors - (q, a • 5. R value of floors over unheated spaces a - ik 6. R value of slab edge insulation - unheated slab 7 . 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) 10. Type of insulation . 1..-1()) GJ-P1 5e7 • C. Controls 1 . Thermostat maximum heat setting D. Duct Systems 1. Is duct system installed in unheated spaces? NO a. If YES , R value of duct installation -((NW,` b. R value of duct in other areas C E . Piping Insulation 1. Size of hot water or cooling carrying agent pipe q 2 . R value of pipe insulation , I11) F. Service Water Heating 1 . Performance efficiency 2. Temperature control setting maximum 1 (0' G. For Swimming Pool, Only 1. Maximum heating Telephone No. q3- c10-1 applicant ' s si n ture) Jown of Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION Owner' s NameJa-Nl -t- /NAPR- - QU 1j-r Tel. Address I - (O'&4J� o. 7 ��i�-� -aE N Y� Person/Firm installing system. M ,.09,wn,cY-\ V1Jc) C `k)E75 Number of bedrooms (residential only) Total daily flow: (compute @ 150 aal.per bedroom per day) Topography. rolling - steep - (circle one) Degree of slope Nature of soilscsai_loam-clay- other- Depth e ft. Ground water-- at what depth? Q 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, pond or, wetlands. Include all dimensions of the system itself. Description of proposed system: Septic tank size lOpogal. Tile field- Length of each. trench ft. Total field -ft. Size of stone # Seepage Pit (s) Number 7. / Size (Q) ftX 6 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 theapproved application, will be subject to a Penalty of $250 as provided for in Section 6. 010 of the Town of Queensbury Sanitary sewage Ordinance. 'R-z3/s(o i nature of Appli ant Date 0 6 and/vl • Septic System Inspections: • A. All applicationd for septid system installation, alteration or repair, as reauired 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 he 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. • • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. • FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. TEMP.# DATE CITY OR /� _ VILLAGE 1 -,U" �L��`f TOWNSHIP COUNTY + ,�f�,.t2.f} ��r STREET AND NO.OR ✓I — FC55 Er 1_.!'FYl r C) �I_ • 1f t_ •S C'1 ROAD AND POLE NO. 1L � � t^ POLE NO. BETWEEN WHAT TWO ^� t Oks± ry / ,1'`I PREMISES LOCATED? Ir h`tOOyE. f/ .-4e /1( .,—cour/u SECTION -'�• -J-7 BLOCK / LOT [ OCCUPANT'S ,y�r�11 ^,� BUILDING �` NAME "Tj(_"Y 'r/XOPj \� L./'-1 fl klI OCCUPANCY�C- 5(D + 4 AL OWNER'S NAME /7 ,JC ..�` T AND ADDRESSM3.111.1 CURRENT _ `_ SUPPLIED N(fill\ ry11/ T\(J/ 1 ,,/ FROM THEIR MAU- 3 k - OFFICE BUILDINGS F1 NEW . 1 OLD IWS NEW L� ADDITIONAL❑ REMOVED DEFECTS ❑ • LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.of Fixtures& BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS Loca- ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side Sub- base • Base- ment • • 1st Fl. 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. • This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF - ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND . MAKER • ENTERS - OF SIGN BUILDING INSPECTION REQUESTED. ON OR AS NEAR AS POSSIBLE . NEW Li OLD 111 AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS r K /�+�t, ` - �7 q �j( APPLICANT M.C�'hAAP1Vr ` /1 v ' ` 5 i 1 4-� DATE OF APPLICATION �1]' /J—`(�`} •STREET ADDRESS -7 j�ElL A 5T TELEPHONE# / '13- 744 V 7 POST OFFICE C1 LJ J`b r +✓5_ CODE (z�� WHEN APPLOICABLE ' 46 EL (REV.1/85) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 411);1100 //_t cc77own of Queeniburcy, QBUILDING and ZONING DEPARTMENT '` Bay and Havilandueensbury New RoadYork, R.D.12801 1 Box 98 9 , BUILDING INSPECTOR ' S REPORT NAME C ,I !5LkO2LIk c/ --fr LOCATION r 'v � ���'4 Date 1 / Permit No. `X,6•-.& * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 i, r 4-1/b7_ Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing • Door Closers Smoke Detectors Chimney INSULATION: j Foundation Floors Walls Ceiling `! FINAL ELECTRICAL INSPECTION �G4 �/19/ DRIVEWAY APPROVAL !!! Final Building Survey Next scheduled inspection (call. when ready) Remarks- . r- - ,/ 0,6) Oyl „A, Building pector 6/86 and-vl C4/I;9' l/Pi/8'7 _awn of Queen3Lry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 / Queensbury, New York 12801 CIO BUILDING INSPECTOR ' S REPORT • NAME 1,, ori h q Z/ S r LOCATION Lot J / Fa,es e--n mate ]1/S /32_ Permit No. y6 6 6 / * * * * * * * * * * * * * * * * * * * * * * * i a' = APPROVED - YES / NO ng/Pier orms Foundation Waterproofing Backfill Framing )(Roofing o,k Siding Masonry Veneer Rough Plumbing )(Relief Valves }SExt. Porches Nan Citpj /,J )Finished Floors Q,1( Interior Trim , (.,. 4,,Z1/0,k ')Stairs & Railings . Qqo Cellar Drain Tile ' Concrete Floors XPlbg. Fixtures )(Gar. Fireproofing ) Door Closers (q.R ZSmoke Detectors 0,h, Chimney • IIJSULATION • oundation boors Of IC Walls Ceiling FINAL ELECTRICAL INSPE TION �SrM1 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- �ee F L. /0 W . S • le)11)(3 Building Inspector 6/86 and-vl _town of Queen bur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME -\A)T Qv45 t LOCATION Fl & U l y) DATE ( ( (9 / a PERMIT NO. pp — 6GI SOIL TYPE - ..and - Loam - Clay - Percolation Test Required? YES -00) Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total len Length of each tren Depth of tre Size of g avel_ SEEPAGE PITS{Number of) 2 _ Size- Sift. X _ ft. Gravel size ' PIPING: Size Type Bldg. to tank 1.4 eUC- Tank to dist. box _ q P U Dist. box to field/.'_ L. p J C; Openings sealed? 41211 NO Partial LOCATION/SEPARATIONS: Foundation to tank l 2ft.-}-- Foundation to absorption Z$ft.-j-- Absorption to lot line 1 Sft.•t Separation of pits 1O ft. • LA_ATION OF SYSTEM ON PROPERTY(circle one) t rt - Rear - Left side - Right side - COMMENTS: SYSTEM USE APPROVED 4111 NO /16 Building Ins ec or 01/86 and vl pi:, C�y�NI��IJL / _locun o� Queendbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME t ill �U CPU LOCATION LO I I s j6 &ST- 1? - Date ff'/Z-, / j Permit No. lD I * * * * * * * * * * * * * * * * * * * * * * ,* ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill )'Framing Roofing Siding r 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 APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 4 _ Aibms 1N GAS& /11 & 0,ap„,,) kAr__44 11,/ -Jay, Building Inspect 6/86 and-vl // 3 awn v/ çueeniurcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILD INSPECTOR ' S REPORT NAME / i 7)/a16 /�t 7. S4- LOCATI / 2b7 /5 4 Fc;,' —7' Date /0 a 7 8 Permit No. �O-62/ * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing )ackfillDiS Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings . • Cellar Drain Tile "l Concrete Floors i L Plbg. Fixtures �7 Gar. Fireproofing Door Closers Smoke Detectors / Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- i Building Inspector 6/86 and-vl Down of Queniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME 11 (6 - LO CAT I0r\d/iL i Date 2 ,z' / Permit No. vG - Gb * * * * * * * * * * * * * * * * * * * * * * , � ✓ AP OV D S / NO /Footing/Pier Forms I , Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile /1 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- - (1/117V0 Building Inspector 6/86 and-vl { / 3 LQ 4 C N 4, E o 4, N p T v m � V O to Iz o W 14 �1 / 2 \ _ m:6-et--- w Wv � / 1 0. �I M > I O 1 d'1?O Z W , W � o Q � Q � o Q fah