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1986-465 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date April 16 19 87 j. This is to certify that work requested to be done as shown, by Permit No. 86-465 has been completed. This structure may be occupied as a One—Family Dwelling Location Lot: 585 Fox Hollow Lane (St® No. 20) Section 15 Westland. Owner Ranold Raynor By Order Town Board TOWN OF QUEENSBURY v Building&'Zoning Inspector -�' BUILDING PERMIT TOWN OF QUEENSBURY No. 86-465 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Ronald Raynor OWNER of property located at Lot 585 Fox Hollow Lane (St. No. 20) Street, Road or Ave. Pd o U in the Town of Queensbury,To Construct or place a One-Family Dwelling a .s at the above location in accordance to application together with plot plans and other information hereto filed and ,h approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0 1. OWNER'S Address is 583 Dixon Road Glens Falls, New York 2. CONTRACTOR or BUI LDER'S Name same 3. CONTRACTOR or BUILDER'S Address same co rt 0 4. ARCHITECT'S Name rt t2� Li 0 Co Ln N �J O O Aj 5. ARCHITECT'S Address to m x n o rt N r• 11 O 0 6. TYPE of Construction-(Please indicate by X) r L, w (B)Wood Frame ( ) Masonry ( )SteelrD ( ) ED rt 7. PLANS and Specifications ~ w No. 67'x42' per plot plan, specifications and application submitted a. including sewage system and three car garage (attached) O 8. Proposed Use I w One-Family Dwelling $5.00 C/O Paid d 225.00 PERMIT FEE PAID -THIS PERMIT EXPIRES Feb. 1 �g87 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ~ 9 P 4 PP 9 9� sP N• town of Queensbury before the expiration date.) GQ Dated at the Town of Queensbury this 31st Day of July 19 87 SIGNED BY ,' for the Town of Queensbury Building and Zoning Inspector ":;L3 TO BE COMPLETED BY BLDG. DEPT. c] A I' Application No. Oran O� Queenjiur' y Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 OWN OF QUEENSBURY Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation n Queensbury, New York.12801 Variance No. u [y c� �/ Site P1 n Review No. r� 1986 2q �i'��� ! 7 " ? APpro d by• L.Oa �,eP,J APPLICATION FOR 1��21314I.51g a e a 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 may be indicated on the Permit. ----------------------------------- -------- --�- ----------- ---- -------- ------------------------- The owner of this property is: el 4Zrpr4` Y P.O. Address :ST', .2 Tel. 7%3 7 0 Property Location: [�a+ {} ZJ Tax Map No. s/ / Street number or building�7�ot numbe Subdivision name (if applicable) �,f / 21'J/ THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Name P.O. Address 9 Tel. No. Name of builder_ wr- Address � O �i ��}� Tel. 22 LF CC Name of plumber Address Tel. Name of mason Address Tel. 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 b-dildings, (no change to exterior dimensions) * whether existing or proposed andlindicate 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 219K 23D x!"2,-ft x2J_7k100 ft. * Existing building(s) Size ft X ft. PROPOSED BUILDING AND- USE: * Existing building(s) Use Size of new structure ft XZ//Zft * . . . . . . . . . ' . . . ' " Foundation-pier/slab/crawl/partial/ ul *. Proposed building, distance from property line - (circle one) * Front yard JOQ _ft Rear yards. 'O. ft No. of stories (habitable space) Side yards ft and ft Height (grade to ridge) . ' ft. * y — 3 5— ��'� If residential, no. of families . 1. . * If on corner, ,,e hack from side street ft No. of rooms(excludin baths) ' ' * OCCUPANCY INFORMATION No. of bedrooms No. of bathrooms * PRIMARY BUILDING - Primary heating system * L One family dwelling Two family dwelling Type of fuel Multiple dwelling / Number of units No. of fireplaces to be installed /pb T * Permanent occupancy Will a wood stove be installed? �r Central Air conditioning? �d * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch ntemporar 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 ) *'Attached garage/one car/ two car/ _car * * * * * * * * * * * * * * * * * * 'Private storage building ESTIMATED MARKET .VALUE OF * Other CONSTRUCTION $--- ?�+v Occ 6 � ----------- 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. ®6 Will any second-hand or ungraded lumber be used? If so, for what? a Foundation wall material - /•71e C k Thickness Depth of foundation bel ow r o,bottom of footing) /C3 Will there be a cellar? (Z• ' eated r unheated? Floor sq. footage sq ft Will there be a basement? of Will any portion be used as living space? p (If so, what x ? sq.ft. - - Type of use? Type of roof - sloped lat/shed/other Material,-of roof Size, wood studs "X spacing_"o.c. length ft. Joists(floor beams) lst. floor 2. "X�" spacing "o.c. span1 ft. Joists (floor beams) 2nd. floor 2 "X�" spacing:_"o.c. span��ft. Overlays(ceiling beams) "X spacing "o.c. span ft. Roof rafters 2 "X spacing f6 o.c. span�2 ft. Roof trusses(pre-engin ed) spa jing ( "o.c. span ft. Exterior wall finish O what material? � �Y Interior wall finish If a arage is to,be attached, d scrib 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? Will a flue-lined chimney be installed? y2f Height a ove roof ft. Depth of chimney foundation below grade ft. Depth of firepl e h ft. in. Water supply - unicipal r private well SEPTIC SYSTEM _ ce from ANY private well(including adjoining properties 0,0 ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of Warren A F F .`ID A V I T STATE OF NEW YORK ,•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 donefon the described premises and that all provisions of the BUILDING CODE, THE 'ZONING ORDINANCE, and all other laws ]Sertaining to the proposed work shall be complied with, whether cified or not, d tha such work is authorized by the owner. SWORN TO BEFORE ME THIS Signature__ ____ _____ ________ _________________ Owner, owner's agent,a izect,contractor day of 19 Notary Public, Warren County, N.Y. SPECIAL CONDITIONS OF THE PERMIT: By--------------------------------------- Jouln of Queendury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 DATE / LOCATION OF PROPERTY FOR INSTALLATION. OWNER' S NAMEO ADDRESS �p / T E L 7� INSTALLER' S NAME PC-It/e— �d._cA) q rC1 TEL Number of bedrooms (residential only) Total daily flow(comp @ 150 gal per bedroom) Topography: Flat - Rolling . Steep slope - (circle one) o of slope Soil nature: Sand - Loam - Clay - Other Depth ft. Ground water -At what depth? ft. Bed-rock or impervious material - At what depth? ft. Percolation test - Not required - Required - -Rate min-inch. Domestic water supply - Municipal - Well - Other Separation - Watersupply(i ell) from Septic absorption ft. Proposed System: Septic tank gal. ( Minimun size, 1000 gal: ) ile Field - Each trench eft. Total system legntli ft. �- p• 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, strea-m,pond or wet-lands. Include all dimensions of 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 Que-ensbury Sanitary Sewage DisposaZ Ordinance. 1 Signature of responsible person Date 05/86 and/vl Section II Septic System Inspections: A. All' applicationd for .septid system installation, alteration or repair, as required by the Town of Queensbury Sanitary Sewage Ordinance., shall be submitted .to the Buildina Department at least 24 hours before start of construction . an_d 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) , Iocation 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 Buildinq ' 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 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 Buildinq Department before- further construction. 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: 1. Gross floor area P V 2 . Type of heat G � 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 . Floor over heated spaces ES NO a. Are foundation walls insulated? ES NO 11 If YES, wha is the R valu . 3. Slab on grade YES NO a. If YES , what is the v,� ue of insulation around perimeter of floor? 4 . Is basement heated? O a. R value of 7-tation_ 1 I 5. Type of insulait�ion B. Under 16% Only a 1. R value o4 of and floors exposed to ambient conditions 2 . R value of exterior walls �--1 9 3 .. R value of glazed area 4. R value of doors e ._._ .... ,__.._.- .__.. ... __�G_"may.."............. ....... ....�__. 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) ,4-®qM 9. R value of heated basement/cellar walls (below grade) 'ta=../I " 10. Type of ' insulation ��,�j•Q.�- ��� C. Controls G 1 . Thermostat maximum heat setting -" D. Duct Systems 1. Is duct system installed in unheated spaces? YES 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 _ 2 . R value of pipe insulation F. Service Water Heating 1. Performance efficiency 2. Temperature control settiing maximum G. For Swimming Pool Only 1 . Maximum heating Telephone No. ��0 3� O (applicant ' s si ature) 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. TH �IZ4 W YORK BOARD OF FIRE UNDERWRITERS APPLICATION 0. ) -� - LOCATION DATE INSPECTOR I ELECTRICAL INSPECTOR ATTACH TO SERVICE EQUIPMENT ONLY Down oy QueenjLry- BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME J LOCATION Date Ll//Y/ �'7 Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 X Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney f \ INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- c Building Afnspector 6/86 and-vl • r .Jowta o f Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date / Permit No. O&? * * * * * * * * * * * * * * * * * * * * * * * APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches FinisheA s XnterioTrim , Stairs gs Cellar ile Concrets ��Plbg. FGar. Fiing�, 'xQor ClSmoke Ds I Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey NexC scheduled inspection (call when ready) Remarks-• WoUsC /s Building Inspector 6/86 and-vl TOWN OF QUEENSBURY Building- Department hopectors Report Date / Name— P��.� r�_ . Location_ 11 <�c,f Permit No. 1,14' Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Water roofin Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plh . Relief Valves Wall Board Ext. Porches Finished Floor l Interior Trim Stairs & Railings Cellar Dr. Tile f Concrete Floors Plb,q. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceilin B ilding Inspector REMARKS Jowr: o� Queendbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUY, ? ING INNS�PECTOR ' S REPORT NAME `.��!JG>f2 LOCATION Date/ Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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 r RIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- �X ell � Building Inspector 6/86 and-vl Jowfz oI Queenibur y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Ci �d gay 1161- LOCATION Lo7- �5 Fax Hdll ow 4 qat. 'e- Date / Y(o Permit No. * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing jackfill !' raming _ ,� Roofing Siding Masonry Veneer X Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings _ Cellar Drain Tile-- --— y Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls 2 — -- Ceiling O FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey y� Ang- 1 ?T CA-K_ e1 liver:; Remark Re Remas- ark sueI S-rCO®L)J6 4-7�) 12lratbV /ja'J0 Sjvpon-;7-uAllol/a- PAX i VOV A-A)- '5vPPosy" Building Inspector 6/86 and-vl _Down of QueenJlury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPT,,IppC DISPOSAL SYSTEM INSPECTION NAME /L o h 61V/I/ LOCATIONvJ7oz DATE /d 131 /S( PERMIT NO. 11465 SOIL TYPE - an) - A am Clay Percolation st Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length 2 0 Length of each trench Depth of trenches 'Z 4, " N�_ Size of gravel'_ A-—_ SEEPAGE PITS{Number of) Size- ft. X _ ft. Gravel size PIPING: Size Type Bldg. to tank i-t S7(4"U I�UC- Tank to dist. box u J7 d C_ Dist. box to field/pit _ 0 V L Openings sealed? ES NO Partial LOCATION/SEPARATIONS: Foundation to tank -A ft. Foundation to absorption .--oftf— Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: Z>< SYSTEM USE APPROVED YES -, NO //1 _Building In ' e for 01/86 and vl Down of Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME�O1^ V VIbIr LOCATION Lot SSS E6Y� NOP6w Date )D 9� Permit No. $— * * * * * * * * * * * * * * * * * * * * * * * APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing, Backfill Framing i 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- Building Inspector 6/86 and-vl Jown o . QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date Permit No. * * * * * * * * * * * * * * * * * * * * * * * 01' - APPROVED - YE NO L.,F'6o t ing/-P4-,r-zooms 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 INSPECTI N Final Building Survey Next scheduled Inspection(call when ready) Remarks- - Bui ding Inspector 6/86 and-vl Jown o/ QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME l\. 011 0�- LOCATION L' T 5 ZEa Y- Z7 c2 oG,j Date 1�Y / 8C� Permit No. „ 5 * * * * * * * * * * * * * * * * * * * * * * * 01 = 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- - Building Inspector 6/86 and-vl Jown o/ QueenjLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 12 ply- l'(fAyvag LOCATION Date 9 7 / Permit No. (�jr * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YE / NO ootin Pie Forms oundat' 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- - r Building Inspector 6/86 and-vl