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86-731 - n CERTIFICATE OF OCCUPANCY. TOWN OF QUEENSBURY WARREN COUNTY, NEW, YORK Date March 27 19 87 This is to certify that work requested to be done as shown by Permit•No. 86-731 has been completed. This structure may be occupied as a One-Family Dwelling Lot 19 Fox Road, Cherry Ridge Location Don and Diana Siano Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-731 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Don and Diana Siano OWNER of property located at Lot 19 Fox Road, Cherry Ridge 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. 1. OWNER'S Address is Star Route Box 133 • Glens Falls, New York ty l-J• iv 0 w 2. CONTRACTOR or BUILDER'S Name v' Town and Country Construction • o 3. CONTRACTOR or BUILDER'S Address - RD #1 Fort Edward, New York 0 4. ARCHITECT'S Name 'rt 0 5. ARCHITECT'S Address • 6. TYPE of Construction—(Please indicate by X1 rt (x)Wood Frame ( ) Masonry ( )Steel ( ) �C id 7. PLANS and Specifications QQ ro No. 72'x28' per plot plan, specifications and application submitted including sewage system and two—car attached garage. 8. Proposed Use One—Family Dwelling Per Var. 1146 and Site Plan 24-86 $5.00 C/O 1-6 $ 143.00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 19 87 `e (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the m town of Queensbury before the expiration date.) N Dated at the Town of Queensbury this 22nd Day of October 19 86 SIGNED BY --Mad for the Town of Queensbury Building and Zoning Inspecto TO BE COMPLETED BY BLDG DEPT. Application No. own oi QueenJbur, Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 7#3 Or QUEEN RPuIPY Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation LQ- ya O / 1 Queensbury, New York 12801 Variance No. it Lfi-v 11)Site Plan Review No. aL11--- $c - l0 • --c--L--17--- - ----- Approved by,: IYeo i & • APPLICATION FOR • C// .4L�!' 4fl . e :i� k•7 Y BUILDING AND ZONING PERMIT • * .* * * * * * * * * *. * * *. * * * * * * * *. * * * * 41.. .* # * * * * * * . 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: Io t a S, e,,,a )/ANA tS : SIANSO .. P.O. AddressB0 133 -STAR o,—. E . Gt JS QL,t.s./. 1\1Y•. __ Tel.1,054; - 3O4 Property Location X PcAD LEA fAe), .6 - Tax Map No. 26 /S/ /9. . • Street number or building lot number- - ; • Subdivision name ' (if applicable) 0- hE(Z2J T3tIG� V • THE-PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING ,CODES IS; , � G �Cc c Urfa.. .�y7' -.4/S/4 Name P.O. Address Vsi Tel. No. Name of builder (own¢C nrl? C, sTRucTt ddress RDf ��Fv��eD Tel.'�4%+' t( 6�, Name of plumber'we,n Ce csA-e. Addressc01 Q,-c,�(Y u_5,VAc &►i5' thTel.' q2. 3©©•7 Name of masoriauntCuunre.> Consrfut:nalAddress R,11 %cc:T E-'� Ale3 'N4f Tel. 7 t r i_ LiSac, , NATURE-OF PROPOSED .'!�RIK:-------- - -- - - - -- _.-, ZONING.•V -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. - * Size of property 135 ft X 213 ft. - * Existing building(s) Size ft X ft. *. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure 72 ft X eft * . Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line - (circle one) * Front yard 70 ft Rear yard la ft No. of stories (habitable space) * Side yards 2(6 ft and 37 ft Height (grade to ridge) 2 S ft. * If on corner, setback from side street -' ft If residential, no. of families No. of rooms(excluding baths) * OCCUPANCY INFORMATION • - NO. -of bedrooms - - 3 ------------ . . ---= - —*----- --- - ---- -.- - - PRIMARY BUILDING = No." of bathrooms 2i� * Xr One family 'dwelling Primary heating system �t tcT{(�kc * : Two family dwelling Type of fuel No. of fireplaces to be installed * Multiple dwelling / Number of units Will a wood, stove be installed? p yej * Permanent occupancy Central Air conditioning? * Transient occupancy �� Business * BUILDING STYLE, PRIMARY STRUCIURE * Industrial . Ranch Contemporary 'Lbg cabin * Other. - Raised ranch Mansion Duplex J •. * If addition, what will use be? S•1't level Old style Bungalow * Case Cod , Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * ' etached garage/one :car/ two car/ ,. car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ 9, car * * * * * * * * * * * * * * * * * * . Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ C�4O00 * 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. V.Joo3 FRM'4E Will any second-hand or ungraded lumber be used? If so, for what? Ar`0 Foundation wall materia13o00 L/o e O,"G-?L-r-7 7- Thickness O e i . Depth of foundation below grade (to bottom of footing) 6' `. Will there be a cellar?%.cam Heated or unheated? Floor sq. footage sq ft Will there be a basement? y ,5- Will any portion be used as living space?- ,i7-0 (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Material of f s. 4-.!_ _ _____ Sx.de, WOW st14 7"X4 ,." OPh@J n j ,:0, ng 1�► : exit; (f t boamj lst. f I toisLs (floor begin ) end. oor g "Xj Q " spacing •j "o:c. scan 1, ft. Overlays(ceiling beams) 2 , "X " spacing /c, "o.c span )1 ft. Roof rafters _. , "X " spacin j 1_o_c. ep n 1 - --- - - --- - _ fr Roof trusses(pre-engir]r?ered) spacing "o.c. span f ft. • Exterior wall finish �FJ 4�I� 2. E;,/��� Of what material? Interior wall finish • d2,y �/�,4, If a garage is to be attached, describe materials to be used for FIRE SEPARATION: . Ai i49. c c 4,- d 2 t—/r'LL c ' Is there to be arV , opening between garage and dwelling? e If so will a Fire-rated door, enclosure, and self-closing device be .provided? eS . Will a flue-lined chimney be installed? /C?s Height abo e roof 3 ft. • D Depth of chimney foundation below grade ft. ' . Depth of fireplace hearth oZ ft. g in. . Water supply - Municipal or private well IPA VP 7).- j-ALL . 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 specified or not, and that such work is authorized by the owner. ~ SWORN TO BEFORE ME THIS Signature • , ? Owner, -owner's agent,arcnitect,contractor , day of 19 . Notary Public, Warren County, N.Y. . . • SPECIAL CONDITIONS OF THE PERMIT: • • By . TOWN OF QUEENSBURY • • WARREN COUNTY, NEW YORK Application for : BUILDING PERMIT IN COMMPLIANCE WITH THE NEW YORK STATE , ENERGY CONSERVATION CODE • A permit must be obtained before beginning work . ANSWER ALL of the Following: 1 . Grp.111;ss floor area 1 100 2 . Type of heat E e..c,f-p-t c, 3 . Is the building mechanically cooled? 00 A . Percentage of area of windows and doors tG°6 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 ' aa. 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. , . Tppe of insulation B. Und;er 16% Only 1. . •.R value of roof And floors exposed to ambient conditions 0bF - 3`) F cos 21�i - 2 . :R 'value of exterior walls RI�i 3 . *•R value of glazed area R 2.9 4 . • R value of doors Rio )) 5. P. value of floors over unheated spaces fJ/A 6. R• value of slab edge insulation - unheated slab R'S 7 .• R value of slab insulation - heated slab tiI]j A • 8 . R value of heated basement/cellar walls (above grade) N/A n - 9 . R value of heated basement/cellar walls (below grade) QS 10 . Type of insulation PlgEt4.4vcs 4 06 C. Controls 1 . Thermostat maximum heat setting ��J° F - D Duct Systems 1. Is duct system. installed in unheated spaces? YES NO 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. 0/ 2 . R value of pipe insulation F. Service Water Heating Q 1. Performance efficiency - ggik p6% Temperature control setting maximum /yce' G. . For Swimming Pool Only 1 . Maximum heating - — Telephone No.. (56-3470(1 3,r„ / (applei.cant ' s signature) S �T� )1n. Sly — Lot ( q �X FPa ADDITIONAL INFORMATION: • 13. SITE PLAN - Draw to scale proposed building (s) in center box. Please fill out all setbacks for adjoining properties. Also fill in the currect land use types in each blank (ie; retail store, house, machine shop, etc. ) • USE H a 1/5 L USE• • - - — FRONT YARD ( ` ) SIDE YARD USE E-Ioas _ • • USE FRONT • YARD • YARD 'RD ( ) • �J I ° r'44,� 5 N bacc..4. _� G �o�; 31' ►,f2 .5S ` ( 41 ) . 4.• •S ..E �l3 5� ' USE ' ( ) • • FRONT ) YARD 0244 USE /— o ' 1;J • • 30 Additional Comments; Concerning Site. Plan: • Applicant please initial•• 4, • 3 - -own, of Queenitury - : APPLICATION FOR SEPTIC DISPOSAL PERMIT IT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R:b. 1 Box 98 Oueensbury, New York.12801 - DATE /v/r/ er6 LOCATION OF PROPERTY FOR INSTALLATION o% �A�r Len- NO, 19 , OWNER'S NAME ° _ ' silON a- rj LIANA 1: s,ito . ADDRESS rr �Ok: 133 TAP, Route GLEt3 GALLS ‘Nt.y. TEL 6S - 3604 INSTALLER'S NAME :'S ,_ , _4`. ./ 2 / .„1 DEL 3a2 32/ Number of bedrooms (residential only):, Total daily f low(compute @ 150 gal per bedroom) AS35 o1. Topography: Rolling Steep slope -(circle one) % of slope Soil nature: Sand Clay - Other Depth ft. . . (G;: " Groundwater -At what depth? ft. . Bed-rock or impervious material - At. what 'depth? . '7o - ft. Percolation test - Not required - -Required -Rate min-inch. Domestic water supply: - Municipal` �Well�- Other - Separation Watersupply(if well) from Septic absorption /G0 ft. /h"i'' Proposed System: Septic tank 1000 ' gal. (' Minimun size, 1000 gal. ) . Tile Field - Each trench 6-0 ft. Total system legnth 200 ft. Seepage pit(s) Number of . Size each ' , ft X ft . Size of stone to be used .# r Depth or thickness 1 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 ldnes and from ANY DOMESTIC WATER SUPPLY or shore-line of lake, stream,pond or wet-lands. Include all dimensions of f the system, itself. '*. .* `* * * * * * * * '* * *''* * .* * -* . * * * * * * * * * * * * * * * * ,* * .* I have read the regulations on the reverse side of this sheet and agree to abide by these and aZZ requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance. ' 4 Signature of responsible person ' Dote. /0- Il ,g J . . ;05/86 and/vl , 7 < 77,T____________ . igz- \ r. ,Lq -----, X Qt _rgm -73-1VM C‘ — J\4-2.1-0agi 9Q001 ? .A Xoci 146 1A ,,s o - (y"o-2! Ar J b 1+91 - qw 1 5 !(.,t 147/a -".jtl"."„"."..R,,".",.m4.0u.".„1,7, tR.,t,.,!-!. .,��r„t�i..�i"").,,,. ",jai., ,!.1,4,4 ,1,, ,!?�.!."" ,.+,p..!,J i,"„ire"-.,iiy? .""""i1<"—:1.f, ,, Z .1' • i THE NEW YORK BOARD. OF FIRE UNDERWRITERS 0 :`• g 4000927 BUREAU OF ELECTRICITY 41 STATE STREET,ALBANY.NEW YORK 12207 1 iLApplication No.on file A 6 8 9 10 5 '� Late April gs 1987 030414m86 , THIS CERTIFIES THAT `: �i only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of :' Don Sinrto, Fox Road, Glens Falls a New York • in the following location; U. Basement ;0 1st Fl. [E2nd Fl. outside Section 26 Block 5 Lot 19 ^1 was examined on 3/2g/87 and found to be in compliance with the requirements of this Board. : FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS :: ECEPTACLES SWITCHES if. OUTLETS INCANDESCENT FLUORESCENT , b�ACroUkRV AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. :_ • 23 49 18 22 3 fr : tt' DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME BELL UNIT HEATERS MULTI-OUTLET DIMMERS i': SYSTFJAS AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. A . H.P. NO.OF FEET AMT. WATTS .i MT 1 rang€: 3#6 4. 1 dryer 3#10 � ,' SERVICE DISCONNECT NO. I MI S :33i 1 U E R V I C E ',1 METER ��. AMT. AMP. TYPE EQUIP 1,!'2W 1 F 3W 3/3W 70 4W NO.OPER dCOND. OF C COND.,- ' NO.OF HI•LEG OF HI LEG NO.OF NEUTRALS OP NEIRRM , it .,' %i P 2C0 cb 1 x 1 4/0 1 2/0 is OTHER APPARATUS: .- �: 1-gfci 1-smoke detector • electric heater 3 2.5 kw 2 2.0 kk2 3 11.5 kw 1 100 kw 1: 2 n75 kw :.i Ji ..-1,:lp.50‘;7....--..-...d..."2-7•.. -iEEG Electrical CR°7 1..4‹; 134 East Hunter BRANCH MANAGER Glens Falls, Neu York 12801 e Per r. f s This certificate must not be altered in any manner;return to the office of the Beard if incorrect. Inspectors may be identified by their credentials. : z•i•ri i-ire-i • !I SO rilifiniEiliE ® 5ENETESIEEM Q ® 0 0 0 ® 0 0 ® r.r COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. di/ 3/ arin // Jown of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 /, C(A IhSeecri BUILDING INSPECTOR ' S REPORT • NAME OM Sigh ° LOCATION bo1 /9 Fax go a-V sti!!!!2=1--- Date i/d(0 /3-7 Permit No. s--G., 13/ * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves 7 &xt. Porches Vnished Floors /",-27711-(., -erior Trim Atairs & Railings Cellar Drain Tile Concrete Floors 'fabg. Fixtures r. Fireproofing / boor Closers X Smoke Detectors 1. Chimney / INSULATION: / Foundation / Floors Walls Ceiling //I \ .FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Z. Final Building Survey Next scheduled inspection (call when ready) Remarks- k-7 OA 1-6- 34}`47 oA' - G/� 1.xeJ,d'i,eJ Bu. ding Inspector 6/86 and-vl `71.Ld Down o/ Queen urcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 r707 BUILDING INSPECTOR ' S REPORT NAME ,5i a.4.i1,0/1 LOCATION Q G 1g �P Date 1 / / .Hermit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms _ Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer "ugh Plumbing Relief Valves Ext. Porches Finished Floors \\X:: • Interior Trim Stairs & Railings Cellar Drain Tile Concrete. Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detector Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) --/' Remarks eitie n 2 4,Z4_ 61424-aelAA4W Building Inspector 6/86 and-vl _Down of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 ,,,1 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME a c-.t/ O LOCATION X r20 Poo Co4-X- IL?ncs) DATE /cIi/ Oto PERMIT NO. lv - '7 3/ SOIL TYPE - Sand - oam - Cl >- Percolation Test Required? E -`N4 Percolation rate - Min/Inch _ 6, TYPE of SYSTEM: Absorption field, total length 17) Length of each trench .5— Depth of trenches ;7i Size of gravel - SEEPAGE PITS4Number of) Size- ft.' X ft. Gravel size PIPING: Size Type Bldg. to tank 9„ Tank to dist. box Dist. box to field/pi Openings sealed? Y S NO Partial LOCATION/SEPARATIONS: Foundation to tank f(ft. Foundation to absorption 20ft. . Absorption to lot line Oft! ry Separation of pits ft. LOCATION 0 SYSTEM ON PROPERTY(circle one) Front . - Left side - Right side - COMMEN lig SYSTEM USE APPROVED® NO ex_tip76 Building Inspector 01/86 and vl .Town of QuQeniur/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME 6.) C 116110 LOCATION vok, Date /03 / Permit No. 8I - 3l I� = APPROVED - YES / NO Footing/Pier Forms Foundation a-Waterproofing (,Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile ri 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- u,c.a 6p0 w s pou12 WA-EL5 Piva_ G 4- L147 Building Inspector 6/86 and-vl a 1,11 to /aa / s/(a Jouin o/ Queen iur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME � A-\ E LOCATION L6 ) �a y R d Date /a/�9/ 8fr Permit No. d (, - 7 3 / * * * * * * * * * * * * * * * * * * * * * * * $0/ = APPROVED - YES / NO y„ Footing/Pier Forms C2/ia- slob 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 Survej Next scheduled inspection (call when ready) Remarks- Zr- Building Inspector1, 6/86 and-vl