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1986-060 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date • - 7 c 7 19 • SO\ . This is to certify that work requested to be done as shown by Permit No. '6--():) has been completed. (Mc-.F.-17‘11...ty 11 in This structure may be occupied as a Location Lot: L11ppCT 1;71)7 (I) Owner By Order Town Board TOWN OF QUEENSBURY • r• 'iLl '/ . , -;;•.e / f;1 .'1/ Building & Zoning Inspector CREATIVE ••INSTA- PRINTING. GLENS FALLS, N V 12801 1518)793-58,58 TEMPORARY CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date September 22 19 86 This is to.certify that work requested to be done as shown by Permit No. 86-60 has been completed. One-Family Dwelling This structure may be occupied as a Lot 11 Lady Slipper Drive (St. No. 20) Location Owner Timothy J. Burch TEMPORARY CERTIFICATE OF OCCUPANCEY FOR 60 DAYS. By Order Town Board TOWN OF QUEENSBURY / 12 (2' (Daa/14- Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-60 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Timothy J. Burch Lot 11 Lady Slipper Drive (St.No. 20) OWNER of property located at Street, Road or Ave. Peggy Ann Park Subdivision r 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 215 5th St. Ext. Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address b O same m ea 00 0 w 4. ARCHITECT'S Name 0 PL n x' w Cnb 5. ARCHITECT'S Address n R. C n H• H. m C H. m 6. TYPE of Construction— (Please indicate by X) 0 cn (x)Wood Frame ( ) Masonry ( ) Steel ( ) O 7. PLANS and Specifications N No. 76'x30' per plot plan, specifications and application submitted including sewage system and two—car attached garage. 8. Proposed Use 0 0 m One—Family Dwelling 0 w $5.00 C/O Paid - ~ $ 108.00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 1 19 86 (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.) H. GP Dated at the Town of Queensbury this 10th Day of March 19 86 SIGNED BY C ci, for the Town of Queensbury Building and Zoning Inspector ) • TOWN OF QUEENSBURY (Space inside block t1, Ise filled in by WARREN COUNTY, NEW YORK Building inspector) Application for c\l,l,iit'atiou No. : pp PerluII Issued 19.• BUILDING AND ZONING PERMIT l.,•t-utit Expires. • lg. 7.t,iiiitg District \ulut• ,i1 Work 1 THREE (3) Copies of a PLOT PLAN, Drawn to scale ppr.i d I) (A n ` Q 4 showingthe actual dimensions of the lot. to be built It�•m...-g$ upon, Te exact size, and location on the lot of the • building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. • iPP 6TOWN OFUEENSBU V ° -1 _ ! iEA DATE RECVE ILli A PERMIT MUST BE OBTAINEDBEFORE BEGINNING WORK ANSWER ALL OF THE FOLLOWING. �'7 '� ,1 U ` `'1 p/1 "A The undersigned hereby applies for a permit to do the following work , ,�; .� l)°I4° which will be done in accordance with the description, plans and specifi- ,7l8r� •v1 1)2l3)41516 cations, and such special conditions as may be indicated on the permit. - .� -b. The owner of this property is: . . . . .-T.*.........`,,. .fit. .gvc. ..t. . . . . . . . ..... . . .t-,. . :x' .!. . . .Gl . ,�0: . ., N,�'. . .1.z.sn«° (NA'4E1 IP O-ADDRESSI The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: M(cs,if, . . . . . . . ../5 ..,6-*4,,. .5T',. .0ict •l ,,(5. .F A.O•..} A),,,, Y (z 9o/ �1 � � (NAE1 IP0 ADDRESS( Name of Builder r'vviQiqi li i 113%,fL17 Address F5AM 5 /9 aeo Ili Name of Plumber li•ry o.tin 7o 6 I)re-Irk Address t° ' ' II Name of Mason. . .7. i .0. :1 v3. 4,. g eL.. . . . . • • • • • • • • • • • .Address Lot Number # 1/ Unit Estimated value of proposed work S 6 3 / OC° Name of Village . T.+A n. .9.... .�}�. .0 q..e,w ,c? Name of Street 1-Q-A 5.11 i P pal" b-clw e. Side of street: north jZf; east ❑, south ❑. west 0 cie Nearest Cross Street .li 4.Wt < (-0-Via. Distance from this cross street / P Ft. Property i nort 0,south i3,411pg,west 0 from Cross Street If on Corner, which corner, northeast 0, northwest ❑, southeast 0, southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY XConstruction of a new building. Main Building O Addition to a building. One-family dwelling ❑ Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ Store building ❑ 'Z-- -car attached garage ❑ Other: ' • Accessory Building One-car detached garage 0 ❑ Other work. Describe Two-car •detached garage ❑ Private chicken house El Private storage building ❑ Other: • ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy. • Indicate on the plot plan street names, the location and size of the property, the location, site and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed buildings) in dotted line and existing /99./9 huilding(s) in solid line. Lot It / Size of property6.$.71,-,7 9 f,I) t. x 2 0O ft Ib5' , , Size and use of existing buildings, if any F W,ri o s N tit. 1$�t m Size of proposed building / It.x 30 ft. (` Height (from grade to ridge) /$ ' ft. („6,1 ^' Front yard (0� ' ft. Side yards `-i ' ft. and . . . /8.7.Z ft. i )L0.e�W 6Ii , p.ti^ Rear yard . . . ./0.� 1 ft. -OUTH If on corner,setback from side street ft•. . Note: All distances are net, as measured from street side nicer t,e..n a line to nearest part of building. (OVER) (cont'd.) BUILDING SPECIFICATIONS.,Kind of construction: Wood frame, fire safe, etc.) (/)C>0et •h cc'-I14 e Will any second-hand lumber be used? . . . . A)0 jf so, for what) Material of foundation walls /0 I Co.o.arz fie. 13/e a< Thickness . .JO '' i Depth of foundation walls below grade . 6 Continuous foundation? Ye44 Will there be a cellar? Ye.y If so, material of cellar floor . .4'#1. .CovGCe.%. ooa Psg Type of roof: Sloped or flat? .5./o Q,t.( . . S7ALI?. Material of roof . P!,1.�P.0.4.. .%?�.F!'gelid 4/p-4s St•'n9le•�s Size, wood studs ' "x <o ",spacing . . . . /.4'. ., . . . ."o.c., length 8' '. ft. Size, floor beams, 1st floor Z "x . ./ . ", spacing . . ./CO "o.c., span /(a/ ft. Size, floor beams, 2nd floor " x ", spacing "o.c., span ft. Size, ceiling beams - "x ", spacing "o.c., span ft. Site, roof rafters or beams Tr."55t 5"x #1 ' . JJ II , spacing Z`� "o.c., span ?a6 ft. Exterior finish �®o�i, I`o yi V 0 With what material? !X/Z 4 S P.,'s e. 1 Finish of interior walls. . . . Z.�'.D.r j.IN o.-1 If garage is to be attached, of what material is wall between garage and m in building to be constructed? . . . . . . . . . . ..4 Mil 0.cal. .4 . /.€ . F.-;`ro. Case 5 L& troc Is there to be an opening between gay ge and building? V. S ' M-0V-/ i 're, D6Qr. :A'Ar... i.J/G4 fAc. , Kind of heating system rl ecg-t" V''v,--.(9 "e vcc 4.`r. . . . Oil burner or coal? Will a flue-lined chimney be provided? NO Depth of chimney foundation below grade — Height of chimney above roof Will there be a fireplace? /)d Depth of fireplace hearth Will a toilet be installed? . Ve CZ- ` Will a kitchen sink be installed and connected to water supp1�? ye%5 I. Water supply (public water supply or pump) . . .o' er L�Jc�te r Distance of cesspool from any private well . .,JO. .Pt'i.J.,?-1.4.. .(✓..?4, .. . e',B . .-A.o. . f::,.:fe,c, feet Will drainage system be provided with required traps, cleanouts, and vents? "7 5 Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to to b4a Cof my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.,. lete statement.of all proposed work to be done on the described prenuses and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertain to the proposed work shall be complied with,whether specified or not, and that such work is authorized by the owner. - J ,Le"-------Sworn to before me this Signature -�' "`^OWNER.OWNER'S AGENT.ARCHITECT.CONTRACTOR — l° day of ' 1956 NOTARY PUBLIC, WARREN COUNTY, N. Y. SPECIAL CONDITIONS OF THE PERMIT: • • • • • • • By 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 13 2 . Type of heat P ,p 6/e /2:sfa-vice - /Pr 3 . Is the -building mechanically cooled? Ye 5' 4 . Percentage of area of windows and doors //07 9p 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 heated? 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_ 2 . •R value of exterior walls- /2-Zlo 3 .. R value of glazed area R.1,3 4 . R value of doors i? Ni 9 5. R value of floors over unheated spaces N//7 6. R value of slab edge insulation - unheated slab 4)//} 7. R value of slab insulation - heated slab 0 8. R value of heated basement/cellar walls (above grade) P-4( 9 . R value of heated basement/cellar walls (below grade) k.51S 10. Type of insulation rILAni 6t. * �r r 1o4.44., • C. Controls 1 . Thermostat maximum heat setting SDI 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 R-3 E. Piping Insulation 3/ ,� 1. Size of hot water . or cooling carrying agent pipe `/ 2 . R value of pipe insulation Z F. Service Water Heating 1. Performance efficiency 9 V/o 2 . Temperature control setting maximum / 9O G. For Swimming Pool Only 1. Maximum heating - Telephone No. (applicant ' s signature) Jown o/ QUCQUrty • BUILDING and ZONING DEPARTMENT -- Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION Owner ' s Name_ Timothy J . Burch Tel. 793-9489 Address Lot # 11 Lady Slipper Dr. Person/Firm installing system. WW. Maille Sewage & Excavating Contractor Number of bedrooms (residential only) ' . 3 • Total daily flow: (compute @ 150 gal.per bedroom per day)_ 450 Topography: al - rolling - steep - (circle one) Degree of slope Nature of soils: `sand loam-clay- other- Depth ft. Ground water-- at what depth? . 4 ft. Bedrock or impervious material--at what depth? N/ - 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, pondoriwetlands. Include all dimensions of the system itself. Description of proposed system: Septic tank tizelT2,90 gal. Tile field- Length of each french ft. Total field ft. Size of stone # ' ?, 0 Seepage Pit (s) Number / Size ,/is:ftX- �ft. Size of stone# 33 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 the approved application, will be subject to a Penalty of $250 as provided far in Section 6. 010 of the Town of Queensbury Sanitary Sewage Ordinance. _ - 17 ----- i( 3-3/ �.�Stiire of Applicant Date 01/86 and/vl TOWN OF QUEENSBURY RECE { VE VI) Tow f of QuEe seuriY FEB 1 « 186 171 E tE1 E AM; masa ,71819110)1412a112�31415� , February 19, 1986 Mr. Tim Burch c/o Queensbury Water Department RD #2, Corinth Road . Glens Falls, N. Y. 12801 Re: Peggy Ann Park Subdivision Lot 11, Lady Slipper Lane Queensbury (T), Warren County Dear Mr. Burch: The subdivision map approved February 25, 1975 showed tile fields as the only means of sewage disposal for the above subdivision. ft is acceptable to this office that dry wells be employed, provided that it is done under the direction of the Queensbury Building Department and in accordance with the New York State Department of Health standards. Very truly yours, BSF/mh Brian S. Fear, P.E. District Health Director cc: Building Inspector . Queensbury Town _locun of Queeraury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date 0— / S(7— Permit No. ( �Q G O * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer , Rough Plumbing b; Relief Valves Ext. Porches . Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures 1 fir. Fireproofing 0lc Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL 1 Building Survey Z' IlL Next scheduled inspection (call when ready) Remarks- 60116 Building Inspector 6/86 and-vl _own of Queenitury aBUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 13 LOCATION 2 Date /cry__ Permit No. �l_c —VO * * * * * * * * * * * * * * * * * * * * * * // = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing R ofing Aiding C) Masonry Veneer Rough Plumbing Relief Valves N, Ext. Porches Finished Floors � �, Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures I r. Fireproofing rpy '"T pj-p z vDoor Closers Ozk /Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL 1.417-131 Building Survey Next scheduled inspection (call when ready) Remarks- Wri4 Building Inspector 6/86 and-vl awn of Queenilur1 • BUILDING and ZONING DEPARTMENT X Baipand Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ::::;7 ‘4,c,9 „s, 0 / ��j Permit N 6 O * * *�*""**'��/�* * * * * * * * •* * * * * * ,662OI/ = APPROVED - YES / NO Foo ing/P er Fo Foundation Waterproofing Backfill • �,raming 6/Roofing ©,(/r �iding i ort c1tj1S6-LFi Masonry Veneer Rough Plumbing • (4elief Valves 04( Wit. Porches \ / ©. Wnished Floors / vinterior Trim / 1 fairs & Railings ` Cellar Drain Tile / 'Concrete Floors / terbg. Fixtures fll� '�affar. Fireproofing Neer Fl>`((SffE' I./KO-Or Closers t5eOke Detectors === )(5) Chimney INSULATION: Foundation • Floors Walls • Ceiling ' FIAL N PECTION 42744eir final Building Surve' Next scheduled Inspection(call when ready) Remarks- - E 1. 6 i • • ( 4/1/1(371-121Ltl) Building Inspector 6/86 and-vl 20 Lady Slipper Drive Glens Falls, N.Y. 12801 September 10, 1986 Town of Queensbury Building Department Bay & Haviland Rds. Queensbury, N.Y. 12801 Attn. Building,. Inspector Dear Mr. Britton. Regarding the sliding door on the back of my house, T will not have the entrance completed for approximately one year. I have barricaded the door. closed. I will assume all responsibility for any liability that may ensue. Very truly. yours, Tim Burch SL,ht,vcovoon-T z- TOWN OF QUEENSBURY Building Department Report Date 6 !'qk Name -n.0 fi3 UIIZGff Location 20 L4-04e) SL I f/i Permit No. A'10 Cl Weather Remarks Exca{ia tion Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding 'Masonry Veneer Rough Plbg. C%l Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures 111/ Gar. Fireproofing Door Closers / Chimney I Water Meter Inst. I Septic Approval f Floors Insulation . Foundation Walls 'Ceiling Building Inspector REMARKS • TOWN OF QUEENSBURY • • Building Department Inspectors Report Date 6 40/6'4' Name .J /4 r 1 Location 1"6.4 s/ S i a; fl 4 2 Permit No. 8(o-6 O Weather Remarks Excavation Footing Forms Footing & Piers ' Foundation Cement Coat Waterproofing Backfill Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer \ / Rough Plbg. Relief Valves Wall Board / N. Ext. Porches / a, Finished Floor ' \ Interior Trim Stairs & Railings / \ Cellar Dr. Tile ' Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney . Water Meter Inst. / Septic Approval , [ 1 Floors ' Insulation . Foundation ' Walls 'Ceiling ' 60/41)„,,,&- - % Building Inspector REMARKS 00'' TOWN OF QUEENSBURY • • Building Department • • .• Inspectors Report Date ,4-, /3 cC' Name 1-11-vx Location F a o L AD U. • L t p?L/ _ Permit No. E 6- (c o Weather Remarks Excavation Footing Forms V 4-(z, ¢- PoroL„-5- (, K Footing & Piers Foundation Cement Coat Waterproofing Backfill • Final Survey • Framing �/ *- ©;K . Sheathing • Roof Felt • Roofing • Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings • Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing • Door Closers Chimney l Water Meter Inst. Septic Approval / • / Floors Insulation / Foundation_ • Walls ' • Ceiling 64,11,64-;g&D . • Building Inspector • REMARKS TOWN OF QUEENSBURY Building Department Inspectors Report Date `! /3" Name 11 / VI-cI4 Location /40 51a AA62 Permit No. $to —(0 6 Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing — ©•f1 Backfill b Final Survey Framing • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers /j Chimney �l Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceiling Buildi Inspector REMARKS 10 s-o 5r;-c V) 9 O c /Vs eZe i r_vv J 9 FLo i0r'/frt . TOWN OF QUEENSBURY Building Department Inspectors Report Date 3'0)/ Name 7li17 j3gpe,H Location 4.Y ,Sz.m°e g-- Permit No. X 6 - 6 d Weather Remarks Excaf7ation Footing Forms Footing & Piers V t Foundation Cement Coat Waterproofing Backfill Final Survey Framing • • Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. 7\C Relief Valves Wall Board Ext. Porches Finished Floor • Interior Trim Stairs & Railings Cellar Dr. Tile Concrete 'Floors • Plbg. Fixtures Gar. Fireproofing • Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls ' • Ceiling 41-43,4:4*:) Building Inspector REMARKS • • • 1 q9 ' 19 5 . s 3° 4 8'E --� 0 • _ • 31) 17z .75 a for . ti N a o •C • 74.... I > . $ ?co fosedl I Favv,i I 30' f r Ill `. �asi0�e.ri�iU- '. C_ on�tcv��ion /� 1U yol ti Lu • • • � � I d V0 p • 6 • _IS'_t _ S.B3°y S' 6 !2=/vo SC 1✓"E . . I" = 2: 5 Lot # I1 Le,a,) 51 ;fsc).&r e, 0 ./1 /41/7y- r ID / Oil