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88-804 3 r n CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date P1a5::C11 13 19 59, This is to certify that work requested to be done as shown by Permit No. 88-804 has been completed. This structure may be occupied as a Single FAnily Dwelling Location Lot #11 Woodcrest Drive Owner Sheldon Chase By Order Town Board TOWN OF QUEENSBURY Building &tZoning Inspector a BUILDING PERMIT �.. TOWN OF UEENSBURY Q No. 88-804 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Sheldon Chase i OWNER of property located at Lot #11 Woodcrest Drive Street, Road or Ave. *1c in the Town of Queensbury,To Construct or place a Single 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 P.O.Box 62 Glens Falls,New York 12801 x 9 2. CONTRACTOR or BUI LDER'S Name t=i rn SAME m 3. CONTRACTOR or BUILDER'S Address 0 O 4. ARCHITECT'S Name t' O 5. ARCHITECT'S Address rt r- r O 6. TYPE of Construction—(Please indicate by X) Q, n �i (XXWood Frame ( ) Masonry ( 1 Steel ( ) tD rt 7. PLANS and Specifications 7 d n No. 50' x 40' Single family dwelling as per plot plan, specifications, m and application, including septic. 8. Proposed Use Single Family Dwelling 25.00 C/O $ 324.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 89 �J (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0F1 town of Queensbury before the expiration date.) (D W Dated at the Town of Queensbury thi 21st Day of October 19 88 SIGNED BY �%� for the Town of Queensbury d Building and Zoning Inspector N QO _rF L' BUILDING and ZONING DEPARTMENT `.,�,, -_�.U :_• -' ,! Bay and Haviland Road, R.D. 1 Box 98 • �u �r�r 11 Oueensbury, New York 12801 BLI[LDING & CO® PT. Ap6d&APPLICATION FOR a O BU ILDING AND -ZONING PERMIT V . � it -!t it iF ,iF it iF � -u• it• � iF it it # 16_ it it dt i1 dF iF .iF iF iF iF iF, it iF il iF � .iF iF 16 it::tiF 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' subrnitted, and such special conditions`as may be indicated on the Permit. ------------------------------------=----------------I----------------------------------------- The owner.of this,property is: P.O. Address • G , o�C (n �C 1Ew5 �1�5 Vye y V, '1'e1.:w'��S/ Property Location: �101# 11 1 L)n0X0 ' RSo�4 iOf- `Pax Map No.� Street number or building -lot number Subdivision name (if, applicable) 'fill: PERSON L'RESP014SIB E FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: I DO k) Names P.O. Address Tel,. NO. - Name of builder Address Tel. Name of plumber S i}M 2 Address Tel. Name of mason ^,{}-M-R- Address Tel. NATURE OF PROPOSED WRK: * -ZONING INFORIATION: 4COnStruction of a new building. .. x TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED, _Addition to a building *'drawn ,.reazonably 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 DLMOLITION PERMI'T', S'1'Vrr SIZE AND * whether interior or corner lot. Show location LOCATION OF S'1'RUC1'UR! S AFFECTED. * of water supply and location and configuration * of septic disposal area. * COMPLETE INFORMATION REnUIREp 13 Wf * Size of property x ft X.2X Existing building(s) Size ft X ft. PROPOSED BUILDING AND USE: * Existing .building (S) Use Size of new Structure so ft X p ft foundation-pier/slab/crawl/partial full * Proposed building, distance from property line_ (circle one) * Front yard ft Rear yard ft No. of stories (habitable space)^ _ ft and t yards yar Side ai f Haight (grade to ridge) J ft.. * If ads If residential, no. of fam lies__ * corner, setback from side street ft No. of robins(excluding baths) '7 * OCCUPANCY. INFORMATION No, of bedrooms 3 * PRIMARY BUILDING - No. or bathrooms .-.c 2 * One family dwelling Primary heating systc:ui glee4R.e- Two famil dwelling Type of fuel �. 14 * Y J * Multiple dwelling ./ Number of units No. of fireplaces-:to be installed . J permanent occupancy Will a wood stove<ba installed? �j 0 * t occupancy Central Air conditioning? N Transient BUILDING, STYLE, .PRIMARY STRUCTURE *' Industrial Ranch Contemipo air y 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 ) * Att.ached 'garage/one car/ two car/ car private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ -25 U Ov�------------ INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED: Form 13PA 4/86 and-vl 3UILDING PER!•tIT APPL'1'CRT1011 CONTINUED - 3U1LD1NG SPECIFICATIONS: Pype .of construction, wood frame, fire safe,etc: rill any second-hand or ungraded lumber be •used? 'If so, for what? A14 Foundation wall material 00a je md_� Thickness CoAl�;ju( c- Depth of foundation--below grade (to bottom of footing)_- 4114E _ Will thare be a cellar? �C•�_Heated or unheated?q rj Floor sq. footage sq ft Will there be a basemt?an V�Will any portion.be used as living space? IVA (If so, what portion? sq.ft. - - Type of use? Type of roof - -sloped/flat/shed/other5^(4g1A Material.-of roof U=0 Size, wood studs :, _"X�" spacingAft "a.a. length ft. Joists(floor beatns) :lst. floor, - -"X /y " spacing C. span j ft. Joists (flo'or beams)-` 2nd. floor "X_-f&--" spacing, "o.c. span�ft. Overlays(ceiling beams) "X (�" spacing Jy "a.C. span fr. Roof rafters Z ."X. spacing�(�o_.c. span l �f ft. Roof trusses(pre-engineered) spacing "o.e. span ' ft. Exterior wall finish, Ip k�ee+e.- Of What material?�9�m� Interior wall finish If a yaraga is `to be attached, describe materials to be used for FIRE SEPARA`t'ION: Is there to bean opening between garage and dwelling? ' If so .will a Fire-rated door, enclosure, and s,�lf-closing device be- provided? Will a_ flue-lined chimney be installed?, Height above roof ft. Depth of chimney foundation below grade ' ft. Depth of fireplaee;.hearth_ft. $' in. Water supply - Municipal or private well u a,)s C a 4Q A SEPTIC SYSTEM ' Distance. from ANY private well(including adjoining propertiesJlApV ft. (A separate application is necessary for any repair or new installation of 9upti6 :system) town of a A F F .•I D A V I T STATE: OF NEW YORK. �ounty off Warren I swear that to the best of my knowledge` and belief the statements contained in, this application,. together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done `on the described premises and that all provisions of the BUILDING CODE, 11HE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall bu complied with, whether specified or not, and that such- work is authorized 'by the owner. x SWORN '1'0 BEFORE-ME THIS Signature- -----=----------------------- Owner, owner's agent,arcnitect,contractor _day of © hc (A 19 Notary Public, Warren County, N.Y. X X -A * x SPECIAL CONDITIONS.; OF THE PERMIT: ay--------------------------------------- � 1 TOWN OF QUEENSBURY WARREN. COUNTY, NEW YORK Application' •for : . BUILDING PERMIT IN COMPLIANC$ 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 2 . Type of - heat- G7A5 3 . Is the building mechanically cooled? 4 . Percentage of area of windows and doors_ A. Over 16% Only 1 . . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . ' F1 or over heated spaces YES NO a. a foundation walls insulated? YES NO 1. T�f YES , what is the R value? 3 . Slab on grade ES a. If YES, what ythe R value of insulation around perimeter floor. 4 . Is ba ent heated? YES N0 - a R value of insulation . Type of .insulation B. Under 16% Only l.. R value of roof and floors exposed to ambient conditions_ rz'is �� ZZ S ?--rs 2 . R value of exterior walls 119 •3 R value of glazed area „ L 4 . R value of doors - ,� 5:" R value of floors over unheated spaces 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 .F. C.: Controls 1.. Thermostat maximum. heat setting D.:. Duct Systems 1..:,, Is duct system installed in unheated spaces? YES NO a. If YES , R value 'o f 'duct installation b. R value: of, duct in other areas E . Piping Insulation 1 . Size of hot water 'or cooling carrying agent pipe 2 . R value of pipe insulation- F. Service Water Heating 1 . Performance efficiency 2 '. Temperature control setting maximum G:` For Swimming Pool Only 1; Maximum heating Telephone No. applicant ' s signature) �Jv+v t o it ad&*r APPLICATION.FOR SEPTIC.DISPOSAL PERMIT' � 20ING 1 UlDO CODS DU'r. . 100 Of 4UCt IWUILY DA•,• ` -LOCATION.OF PROPERTY FOR I14STALLATION . (� Owner's Name: S1rp�ldo� C�•'/�S2 Telephone: lnstiA er's Name:" �, l 1 �it'w 'Pelephone: Number of bedrooms. (residential"o'nl y) / Total daily flow (compute @ 150 gal'per be' drooui) S O Topography' circle one: Flat -Rolling SteepySlope 9' of Mope Soil Natures: circle one Sand Loam Clay Other / Depth: feet . ..Ground Water: At what depth? nNe fret ,Bedrock or,Impervious Material: At what depth? 01ye- feet Percol:itiou test:,circle one not required required / rate rnin. inch. Dou,cstie water supply: circle on :=Municip)a ) Well Other " IF:domestic water supply is a"Well: Separation: Water:iuphly from Septic absorption feet PRDPOS-'D SYSTEM: Septic Tank Op(U ;gal. (minimum size: 1,000 gall TILE FIELD: Each Trench feet./ Total systeni length feet SEEPAGE PIT(S): Numher of_- / ".Size each feet 15y feet Size of Stone to l,u Use•tl .0 / Depth"or'Mickness feet' IMPORTAN"'1' ...1111ease...LIST NEW L-QUWML••NT TO BR'INSTALLED (over) s; Section II Septic System Inspections: A. All applications for septic system installation, alteration or repair, as redui -ed by the 'Town of Qurensbury Sanitary Sewage Ordinance, %hi 11 be sul,ulitted to the Building Department at least 2-1 hours before start of C611at1'UCti0n :,nd shall include :a glut plan showing: 1.) the proposed location of the system Z.) -.location and distance to lot lines 3.) „1QCatiOn and distance to structures a.) location and distance to :Lny water supply 5.) sile 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 inay result in the uncovering of the system by the installer and a.fine of up to $250.00. C. An;approved copy of the plot plan shall be available on the construction site. failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before furLhCr construction. 1 have read the regulations above and agree to abide by these'and all requirements of the Town of Queet"bury S:u►itary Sewage Di::po::al OrdinanCC. 41 Signature of responsible person: Date: Town of Queensbury, Building and Code.Department Bay at Haviland Road r Queensbury, New York 12801 (518) 792-5832 i -t7 A 0 C7 611 D)U 10 p 86-A (D 07L t TOWN OF QUEENSBURY -0 BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280!Z- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTIONRECEIVED NAME LOCATION 6 �� �� G✓ �i} . DATE 3 q PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN ' INSULATION: FOUNDATION FLOORS WALLS -CEILING INAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING a.0 Yt.t-S EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE ,& RAILS L� PLUMBING FIXTURES/RELIEF, VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER($) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION a' r A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! { REMARKS: INFORMATION FOR BUILDING DEPARTMENT WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION AS COVERED IN AN APPLICATION FILED WITH OUR DISTRICT OFFICE. THE NEW YORK BO D OF FIRE UNDERWRITERS APPLICATION NO. � �� LOC TIO G 0 DATE INSPECTOR FORM IBD(REV.1/86) TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HA VILAND ROADS QUEENSBURY, NEW YORK 1280.Q-- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT f REQUEST FOR /INSPECTION RECEIVED_ NAME LOCATION DATE � - PERMIT # j�-O �f APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL ,APPROVAL ROUGH PLUMBING �RAMING � ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS - CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS-. STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF 'VALVE INTERIOR TRIM/PRIVACY DOORS, FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DE7�ECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: I S i t-t'A1 -up-s U tG i L, SfA tn-LU Al I ECTOR TOWN 'OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HA VILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED o� - NAME _ LOCATION DATE PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL vROUGH PLUMBING L,,-PRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION C•,%?( ���j FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS ' STAIRS-CLEARANCE &RAILS' PLUMBING FIXTURES-%RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS J FINAL ELECTR2'CAL INSPECTION FINAL APPROVAL OF CONSTRUCTION " 1 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! .P REMARKS: �F � J A, • � ,�, Ili;' ,; L INSPECTOR . Jown of QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT I ON `ro AJ Jcr DATE /Z J PERMIT NO. SOIL TYPE - Sand, - Loam - Clay_ - Percolation Test Required? YES - NO Percolation\rate - Min/Inch _ TYPE of SYSTEM: Absorption field, total length ' Length of each trench 6-0 Depth of trenches " Size of gravel_ SEEPAGE PITS4Numberr o) Size- ft. X _ ft. Gravel size PIPING: .?Size pe Bldg. to tank (, �- Tank to dist. box Dist. box to field/pit ly Openings sealed?> YES NO Partial r LOCATION/SEP9RATIONS: Foundation/to tank 12Lft. Foundation/ to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front Rear Left side - Right side - COMMENT SYSTEM USE APPROVED(DYE� Building Inspector 01/86 and vl TOWN OF QU IS:&U4RY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED_a-� NAME LOCATION 2�' J/ DATE Z�f- PERMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FO NDATION/DAMP-PROOFING 1�'IF APP,R,OVAL ROUGH PLUMBING. FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESISTEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURESIRELIEF VALVE INTERIOR TRIMIPRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 16cV&D IVAtL—S; • Wien mm�n TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION/R�EC,EIVED___11= NAME -I/ LOCATION / DATE PERMIT # 0 U y 1 APPROVED � YES NO FOOTING/PIERS MO OLITHIC POUR �FORMS ,_, UNDATION/DAMP-PROOFING BACKFILL APPROVAL i ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- INSULATION: % FOUNDATION FLOORS WALLS CEILING f FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S±EPS STAIRS-CLEARANCE 9 RAILS PLUMBING FIXTURI RELIEF VA VE INTERIOR TRIM/PRACY DOORS FINISHED FLOORS GARAGE FIREPROO ING DOOR CLOSER(S) SMOKE DETECTORIS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 4c " � TNCDF/`mnD TOWN 'OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED _ NAME — !/� A LOCATION DATE f U J Z� PERMIT # r APPROVED YES NO OOTING/PIE MONOLITHIC P UR FORMS FOUNDATION/D —PROOFING % BACKFILL APPROVAP, ROUGH PLUMBING FRAMING r ELECTRICAL ROUGH-1 `I INSULATION: a FOUNDATION FLOORS WALLS J CEILING FINAL INSPECTION: X CHIMNEY HEIGHT ROOFING F SIDING EXTERNAL PORCHES/STEPS,"• STAIRS—CLEARANCE & RA AS PLUMBING FIXTURES/REZIEF VALVE INTERIOR TRIM/PRIVAY DOORS FINISHED FLOORS fi GARAGE FIREPROOFINP DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL fWSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTI ICATE OF OCCUPANCY MUST BE OBTAINED FROM HE BUILDING DEPARTMENT BEFORE THESE PREMIS ARE OCCUPIED!- REMARKS: T T1(ITT mll r'