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1986-673 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date January 20 19 87 ' - This is to certify that work requests to done as shown by Permit No. 86-673 has been completed. This structure may be occupied as a One—Family dwelling LocationLot 579 lox Hollow Lane (Sheet No. 8) Owner Mike Wild By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector- ' '.. :I ' O i A P_ Y CERTIFICATE OF OCCUPANCY TOWN•OF QUEENSBURY WARREN COUNTY, NEW YORK D e.taL;b Date ` 19 This is to certify that work requested to be done as shown by Permit No. `3 6__',.7::' has been completed. This structure may be occupied as a ohe-•Family DTielling Location Lo'c 37S Fox Hollow Lane S t. No. QIYner a/;i; T.E:A?OR(.nY CERTIFICATE of occuFAiac)t:_Fo1 30 I%tz Y By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector • CREATIVE "INSTA• PRINTING. GLENS FALLS. N Y 12801 151131793-5656 .. BUILDING PERMIT TOWN OF QUEENSBURY No. 86-673 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Mike Wild OWNER of property located at Lot 579 Fox Hollow Lane (St. No. 8) Street, Road or Ave. Section 15 Westland 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 CD approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. a 1. OWNER'S Address is Zenas Drive Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name Wm. Herlihy 3. CONTRACTOR or BUILDER'S Address 1 Dartmore Drive 0 rt Glens Falls, New York V 4. ARCHITECT'S Name �J 0 0 l� 5. ARCHITECT'S Address 0 0 CD 6. TYPE of Construction—(Please indicate by X) �.. rt (X )Wood Frame ( ) Masonry ( )Steel ( ) rr 7. PLANS and Specifications 0 No. 55'x48' per plot plan, specifications and application submitted, including sewage system and two car attached garage. 8. Proposed Use One—Family Dwelling $5.00 C/O �. $ 164.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 1987 (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.) F-' F-' Dated at the Town of Queensbury this 9th Day of October 19 86 ara SIGNED BY 74&J G� for the Town of Queensbury Building and Zoning Inspector Phly es-J(1 p--e..-44` t Jr ,i-ey . _ TO BE COMPLETED BY BLDG. DEPT. I.cli13h �df i cc77 byy //3'®/r. Application No. „j. Jocun of Quee) iburee Permit Issued 19 4� (.OF° ESa SuR'f BUILDING and ZONING DEPARTMENT Permit Expires 19 t:. ;_ ,' t 1 E H r Bay and Haviland Road; R.D. 1 Box 98 Zoning Designation i Queensbury, New York 12801 Variance No. p h 5t: 2 6 la lLJ . Site Plan Review No. i ` i Approved by: . [ N I a'11213,411 � /y� �`� ; • a • e r • ea • a �s APPLICATION. FOR �,V ' ems% � `ti'x/ ° 6 d/d /n L BUILDING AND ZONING PERMIT t * * * * * * * * * * * * * * * * * * * * * * * * * * * * 4 * * * * * * * * *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 iii 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/u,k, ,, P.O. Address . 7 r tQ-- A.tni� Tel. 793-�3W Property Location: '-r"a�— F W s p 1 LBT 579 Tax Map No. 77 / / / ? Street number or building lot number Subdivision name (if applicable) Of-4-tiel-^:2-4001-C140 . THE PE ONPONSIBL FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: 43jJkml� 1 D&Q$DJ-1-P . 75'3—52!I Name P.O. Address Tel. No. Name of builder (� -( Dp,_ ICI-0 Address ! E/, u ,ok, e Rol ,r1-Tel. 7S3 e. Name of plumber _/, j5,.4 . Address / Tel. . Name of mason ALy;;Ei_n ,S6WRlashit5Address 2e,7 LIcA ?Jag.< 4p- �-z/6 Tel. .,9 2 127_ o . NATURE OF PROPOSED WORK: * ZONING INFORMATION: X 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 * whether interior or corner lot. Show location FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property' ) 5-p ft X ,2&O ft. . * Existing building(s) Size , ft X ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure 518 ft X .55 ft Foundation-pier/slab/crawl/partial/full , * Proposed building, distance from property line (circle one) * //'' 2. * Front yard .� . ft Rear yard �, 7. ft No. of stories (habitable space) Height (grade to ridge) ,Z5 ft. * Side yards jf ft and ft If residential, no. of families . A * If on corner, setback from side street ft No. of rooms(excluding baths) lb * OCCUPANCY INFORMATION No. of bedrooms '/• • * - * PRIMARY BUILDING - No. of bathrooms V9 • . e One family dwelling . Primary heating system A1--(0j4:7m. ' * . * - Two family dwelling Type of_ fuel rIp,S No. of fireplaces to be installed N ;�� * Multiple dwelling /.Number of units Will a wood stove be installed? * Permanent occupancy NI a * Transient occupancy Central Air conditioning? PO Business BUILDING STYLE, PRIMARY STRUCTURE *' Industrial Ranch ontemporar Lo 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 * ' etached garage/one car/ two car/ , car ( CIRCLE ONE PLEASE ) *'Attached garage/one car/ tsar/ • car • * * * * * * * * * * * - * * * * * * * ' Private storage building ESTIMATED MARKET VALUE OF * Other _ • CONSTRUCTION * • $.. /Doi oaf - 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. _ Will any second-hand or ungraded lumber be used? If so, for what? an ue__, F undation' wall material Gnj e n ! 1— Thickness /Q Depth of. foundation below grade (to bottom of footing) .--:yc yyE1 Will there be a cellar? ,25> Heated or unheated? Floor sq. footage sq ft Will there be a basement? will any portion be used as living spc oo? 06...__. (If so, what 'portion? sg,ft, - - Typo 7 ��° tide. Oo of roof sloped/fl l/shetl/othor i . Material of roof. fi 1' 2hJw ize, wood studs )- "X " spacing 9_ ( "o.d. length 4 ft. . rY Joists(floor beams) .1st. floor a "X in " spacing 4 "o.c. span 1,54ft. Joists (floor beams) 2nd. floor "X / U " spacing 4, "o.c. span I2 G ft. Overlays(ceiling beams) ,D "X " spacing /(C "o.c. span' 1l' ft. Roof rafters -;,2 "X 1 Z " spacing 4 o.c. span is ft. Roof trusses(pre-engineered) spacing ay "o.c. span 26 ft. . _ Exterior wall finish p►we Of what material? (r) R uQ aQ 1 ow L �/Tcv Interior wall finish l )/ vz o/qf_� ``--�� 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? ' If so will a Fire-rated door, enclosure, and self-closing device be provided? NV g Will a flue-lined chimney be installed? �90 Height abo e roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. 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 • A F F. I D A V I T 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'CODE, THE ZONING ORDINANCE,. and all other laws pertaining to the proposed work,shall be complied with, whether ecified or no and that such work is authorized by the owner. • si SWORN TO BEFORE ME THIS Signature___Z___ _,.• / j . 1 . • . Owner, owner`s ag n ,, rcnitect ontractor day of S�� 19 R-4 Notary Public, Warren County, N.Y.. , * * * * * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS. OF THE PERMIT: • ' . • • • • • . ' [06 . . sy . . _own of Queenslury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and.ZONING DEPARTMENT Bay and'Haviland Road, R.D. 1 Box 98. Oueensbury, New York 12801 DATE 9 123 LOCATION OF PROPERTY POR 'INSTALLATION OWNER'S NAME..: :.- ADDRESS ZeA)W�S (> Z,IIIC TEL 3 ^q3�T INSTALLER'S NAME 4-ow.4-p r TEL 7V-7-237/ Number of bedrooms (residential- only) Total daily flow(compute @ 150 gal per bedroom) 6 aO e¢L' Topography: Flat - Rolling - steep slope - (circle one) % of slope Soil nature: Loam - Clay - Other Depth ft. Groundwater -At what depth? R.49 ft. Bed-rock or impervious material - .At. what depth?, ft. Percolation test -( t 'require - Required - -Rate min-inch. Domestic water supply -cnicipa$ - Well .- Other - Separation - Watersupply(if well) from Septic absorption ft. Proposed System: Septic tank 1('? ) gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench ft. Total system legnth ft. Seepage pit(s) Number of (3 . Size each 2- ft X 2 ft Size of stone to be. used # Depth or thickness / 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 s the system, itself. * * * * * * * * * * * * * * * * * * * * * * * *= * * * * * * * * * * * * * I have read the regulations on the reverse side of this sheet and agree to abide by these and all requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance. 4 Signature of responsible person 1)� 793 -5z6, Date l l Z1/8 05/86 and/vl 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: " Gross floor area a. acro A ee 2 . Type of heat 747 R. 3 . Is the building mechanically cooled? •ij 0 4 . Percentage of area of windows and doors A. Over 16% Only 1 . U value of gross area of walls , roof/ceiling and floors exposed to ambient conditions , 2 . Floor over heated spaces NO a. Are foundation walls insulated? ar NO. 1 . If YES, what is the R value? 3 . Slab on grade YES AMO a. If YES, what is the R value of insulation around , perimeter, of floor? 4. Is basement heated? YES a. R value of insulation 17< 1 5. Type of insulation F B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions. It— 2 . R value of exterior walls 3 . R value of glazed area R- Z 4. R value of doors - 5 • -5. R value of floors over unheated spaces ‘k2s 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) R ) 1 9 . R value of heated basement/cellar walls (below grade) R, 10. Type of insulation pi tr--G LA-5 5 C. Controls 1. Thermostat maximum heat setting D. Duct Systems 1. Is duct system installed in unheated spaces? YES Qa_ a. If YES , R Value of duct installation b. R value of duct in other areas E. Piping Insulation 1. Size of hot water or cooling carrying agent pipe Vy. 2 . R value of pipe insulation R,- 5 F. Service Water Heating 1. Performance efficiency 410_0_ 2. Temperature control setting maximum G. For Swimming Pool Only heating _ ZA,VidUrt/ WV Telephone No. 7q3-52.61 / (applicant ' s -ignatur 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 .c_ .).,. r_, - ;-!.- • TOWNSHIP COUNTY : -,1..,_ 1 STREET AND NO.OR -- ROAD AND POLE NO. ' t:11 i- POLE NO. BETWEEN WHAT TWO CROSS STREETS IS • - 1 -j PREMISES LOCATED? ' •` . - :J.' - 'r- -II•;,r - - - ':SECTION / / BLOCK 1 LOT / ' OCCUPANT'S . •r - BUILDING NAME -� !•.; ) ; `= OCCUPANCY OWNER'S NAME • AND ADDRESS TEL # - - .r V•/ CURRENTS �• { �� BBYPPLIED FROM THEIR f=--/-_';v' h( /•4/� OFFICE BUILDING WORK f ! DEFECTS IS NEW q OLD❑ IS NEW ❑ ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS LampfRec Receptacles MOTORS HEATERS BRANCH CIRCUITS OFFICE USE Loca- ONLY lion 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 let 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 l Z./ /, ELECTRIC SIGN -TOTAL . ''MAINS - , � FEEDERS r r (.-) LAMPS WATTS - CHARACTER EXPOSED GAS TUBE SIGN OF WORK '(�-� - {ri.�� CONCEALED TRANSFORMERS OF VA WORK TO BE - (NUMBER) (CAPACITY) STARTED -- - COMPLETED SIZE OF SIGN _• SERVICE OVERHEAD UNDERGROUND MAKER ENTERS -` OF SIGN BUILDING X. INSPECTION REQUESTED • ON OR AS NEAR AS • n POSSIBLE ,:'_) 1. '-- -",..f NEW OLD I I AVOID DELAY BY GIVING FULL AND ACCURATE INFORIVATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. I APPLICATION PRINT NAME AND ADDRESS - • —.. -1 NAME OF / L. / SIGNATURE 1' APPLICANT f ~ X OF APPLICANT - ' ' - - - - - - STREET ADDRESS J.)I,`'/,l)t'IJ I` (2-' TELEPHONE# / I �'� /) J CITY OR ' / /' / / ^ ZIP I •; LICENSE NO. , POST OFFICE . �- — CODE ''- - . 1 � WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING \ 41- �r//—cto' �i// !:._ _loom of Queeni‘ury • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 ('�� /?Pde 0 BUILDING INSPECTOR ' S REPORT NAME ))) -2 CUB // L O C A T I O N / dr 5 fox % //02-ei Date ///7 /I/ Permit No. ( � - G * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation _ Waterproofing Back fill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves L/gxt. Porches c7k Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures ar. Fireproofing 0 I Loor Closers d ,K, Smoke Detectors • . Chimney `'INSULATION: I' undation O t rc Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Etak uUf 16 Building Inspector 6/86 and-vl .own of Queniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Piii - Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME l h i e.' � W[1, V - LOCATION t � �/ S 2 J-o x t40 L-coc() Date /y / 7/ gc Permit No. g 4. -6,23 * * �*,/�*� /� * * * * * * * * * * * * * * * * * 3O ✓ = APPROVED - YES / NO Footing Pier Forms Foundation Waterproofing Backfill Framing l400fing c i KY ceding • Or Masonry Veneer Rough Plumbing belief Valves 01K Ext. Porches D✓ ,� ,�,,, j� (-Finished Floors dt k iterior Trim c;p` Stairs & Railings - o,k. Cellar Drain Tile Concrete Floors Liabg. Fixtures p,tc Gar. Fireproofing 31 m.„1.4 1,,c44 e...-657or Closers w .• 4 L-51 — oke Detector O,K LCRimney ;:`,Z,,,___ • At. 'NSULATION: GF`oundation oJoj 40/09 ll Floors Walls Ceiling ok / , 0 - FINAL ELECTRICAL INSPECTION L D WAY APPROVAL inal Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl awn of QueenAury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME Ik►i a.) I id LOCATION L o 5 7`J U X /f i t f0QJ DATE f2-/5- /k4 PERMIT NO. 7.6 - 6 7.; SOIL TYPE - ..and - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total Length of each tre h-- Depth of Size of gravel SEEPAGE PITS-Number of) Size- ,ft. X ft. nL,rS Gravel size PIPING: Size Type Bldg. to tank Cf. Tank to dist. box Dist. box to field/pit if 0 Openings sealed? ® NO Partial LOCATION/SEPARATIONS: Foundation to tank /o ft. '-, Foundation to absorption ft:I-- Absorption to lot line eft.-t-- Separation of pits 15 ft - LOCATION OF SYSTEM ON PROPERTY(circle one) '_•_ - Rear - Left side - Right side - COMMENTS: SYSTEM USE APPROVED YES NO Building Ins ctor 01/86 and vl C a// /l//ccii�/� 4 //: 30 4--%-, Jown of QuQenitarcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME J21dram (e) LOCATION l_ 6r . 77 pox 3//'c Date ///,2//,yc, Permit No. d‘ j j,_; * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- i-;/ 5.6 AitAr r w5u04---rio) I � 1 Building Inspector 6/86 and-vl ca,eibA /1 ff7184 9=/6 /1117 Jown 01 Queniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME / /' ,Gf1aet fvs 1d LOCATION L r 6^ e, JOK Aay,< Date //7/1/3(0, Permit No. 36- 6 73 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill X Framing j L 13 k014.1 Roofing Siding Masonry Veneer )rRough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs -& Railings - -- - Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers �. Smoke Detectors W Chi - � SULATION:' • :_ 'on Floors a Walls MIK Ceiling FINAL ELECTRICAL INSPECTIaN DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Re(marks- r p Su(sr f4 A ���25 1 �d / -5 ,cit,,6•/t—_& f see, P 47 Buildi g Inspector 6/86 and-vl %o /a l a/p /0 ; 36-- '/ c��J _/own of Q ueenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME rn, K e- ( 0i 1st LOCATION I- r 5 71 ,off /dal/ate) Lci Date 10 /.2//3(e, Permit No. ylp 6 7_3 * * * * * * * * * * * * * * * * * * * * * * * I0/ = APPROVED - YES / NO Footing/Pier Forms lisFoundation / (Waterproofing e/ Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Ni:XI\ 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 i Next scheduled inspection (call when ready) Remarks- } ! }o Q cJ•- 6.J\L ()OW-11/So • itit., /7411 Buil ng Inspect r 6/86 and-vl • • • • • • • • • ss, . �0 u�' • .. . W.. �• .. . / - • . . • , . a N : . oho it • •• /- ofk - . -• . . . . . . . . . - • e • E - • • .11- , .\-;,. _ . . `; L.150.06 . .. 1o` , • 8• o X ►-�O O cc) L,R rJ m � KE web