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1986-216 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 3 l ' v - I -a 0 86-216 This is to certify that work requested to be done a shown by Permit No. has been completed. One—Family Dwelling This structure may be occupied as a Location 7 J I Corinth Road near intersection with West Mountain Road R. Glen and Sandra Brown Owner By Order Town Board TOWN OF QUEENSBURY Building b Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No 86-216 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to R. Glen and Sandra Brown OWNER of property located at Corinth Road 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 andco approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 26 Hillcrest Avenue Glens Falls, New York co n 2. CONTRACTOR or BUILDERS Name Don Valentine 0 3. CONTRACTOR or BUILDERS Address McIntire Road Fort Edward, New York 4. ARCHITECTS Name 0 rt R 5. ARCHITECT'S Address a 6. TYPE of Construction—(Please indicate by X) (a)Wood Frame I )Masonry I I Steal I I 0 1. PLANS and Specifications P+ 64'x43' per plot plan, specifications and application submitted 0 No. 4 including sewage system and two-car attached garage. `< C e 8. Proposed Use One-Family Dwelling w $5.00 C/O Paid $ 171.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 1 19 86 Of 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.) Dated at the Town of Queensbury this 14th14 /Day of May 19 86 SIGNED BY ,,,lt (J . � for the Town of Queensbury Building and Zoning Inspector p TO BE COMPLETED BY BLDG. DEPT. C7 Application No. _town of Queenatury Permit Issued 19 TOWN OF QUEENSBU T( BUILDING and ZONING DEPARTMENT Permit Expires 19 (((��� (� (�l ((�� �1f� Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation -3 R l5 llp l5 l V" E III Queensbury, New York 12801 Variance No. �u 6� Site Plan Review No. AY 8 1986 a, Approved by: • A .m. a� P. 516 APPLICATION FOR TISI 1121, �I SI BUILDING AND ZONING PERMIT �' `� * * * * * * * * * * * * * * * * * * * * * * * * * * * M * * * * * * * * * * ::* 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: /f (9/.6- J 13Korr:A/ AA'D y gob2A F S2o/v,✓ "� P.O. Address . ,74 /ri.-LcKEs U T ,4UEA/ E/ 6F A L .va' /- tt5 fly Tel. 79JGGT- - 3 Property Location: € a a1oX ‘74/S A Go.e/UT/y Lb - b.F Tax Map No.tn / / / 41 / Street number or building lot number Subdivision name (if applicable) A74- THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: /Z 6zE4/ Lfetoga/ aG Ntcc,eEST Aft- ,c LE,o4 Fitts N/ 79a-636y/ Name P.O. Address Tel. No. Name of builder on/ C/LEAJT,,✓E Address /I-LL IN r,2E A. frFDe7/1E Tel. 7967- CA('1 Name of plumber ljir,q,N/1. N/tU2s Address GoUNrvb,,.E/LA 00,E Tel. 79a1 - ',WOO Name of mason S,4-cA2}A/ELt- Address (4/,s,TENALL,Ny Tel. ¢qq- ato7 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 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 ..7,2 AC,FS ft X ft. * Existing building(s) Size 30 ft X (00 ft. PROPOSED BUILDING MD USE: * H DOSE 6A4A/ * Existing building(s) Use * Size of new structure (At1 ft X y-jft Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) oF9ckF96F *• Front yard -750 ft Rear yard 99LAA,cF ft No. of stories (habitable space) 3- * Side yards 7S-' ft and ..rso / ft Height (grade to ridge) ,�za ft. * If on corner, setback from side street N//)-ft If residential, no. of families / No. of rooms(excluding baths) 7 * OCCUPANCY INFORMATION No. of bedrooms -3 _ * * PRIMARY BUILDING - No. of bathrooms oZ Primary heating system //E9 T "anif� * /One family dwelling Type of fuel EL Fc7ie/G * Two family dwelling No. of fireplaces to be installed / * Multiple dwelling / Number of units Will a wood stove be installed? L1/0 * Permanent occupancy * _Transient occupancy Central Air conditioning? YES iness* Bus BUILDING STYLE, PRIMARY STRUCTURE _Other Industrial Ranch ont e mpor Log cabin » -_-- * If addition, what will use be? Raised ranch Mansion Duplex 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 $ /1 J 0-L`0 * 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. 6aoa0 F4A41e Will any second-hand or ungraded lumber be used? If so, for what? ,//r9 Foundation wall material GOA'CesTc &L Ct/C Thickness /0 Depth of foundation below grade (to bottom of footing) Xi Will there be a cellar? y S Heated or unheated7/yr7247-), Floor sq. footage 9o0 sq ft Will there be a basement? yr> Will any portion be used as living space? Arl (If so, what portion? sq.ft. - - Type of use? Type of roof [mope flat/shed/other Material of roof g6Py9.4.7- SyavS[c 5 Size, wood studs 0e X (n " spacing /(,,, "o.c. length ,Q ft. Joists(floor beams) 1st. floor .2 "X " spacing /(a "o.c. span ✓'tRlrs Joists (floor beams) 2nd. floor cL "X c " spacing /4* "o.c. span /*74 ft. Overlays(ceiling beams) st "X J "" spacing /(o "o.c. span ft. Roof rafters "X /0 " spacing /(p o.c. span prioesft. .S Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish T- / - // S/Ismoorgof what material? T /- // • Interior wall finish .Sy.4Ser,<'oe/` If a garage is to be attached, describe materials to be used for FIRE SEPARATION: T�6 " all PSuin 2O42b M7Rreanr if,ub srt« boa, Is there to be an opening t.,rween garage and dwelling? yea If so will a Fire-rated door, enclosure, and self-closing device be provided? Ye 5 Will a flue-lined chimney be installed? yc 5 Height above roof .,2 ft. Depth of chimney foundation below grade .L ft. Depth of fireplace hearth / ft. /p in. Water supply - Municipal or private well ///otv<iVgL SEPTIC SYSTEM Distance from ANY private well(including adjoining properties 3SO ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of warren AFFIDAVIT 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 done on the described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proprsea work shall be complied with, whether specified or not, and that such work is authorized by the owner. [�[y�j� SWORN TO RSFORE ME THIS Signature=_ --- - " " r d10 , Oa'ner,TPu yef s Yarenitect,contractor crifikx clay of ,of 1940, O / Notary Pu i State ofNewou YtyM1 a 411 Residing in Saratoga County Y ,� K al �� No. 4]8225] (7�7 Notary 1 c, War en County, N.Y. Commission Expires March 31.18a/ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 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 y,,�y /,^/ Z3 OU SGz F—i 2 . Type of heat �/G/'+ � / (ii22 76) �/� 3. Is the building mechanically cooled? ,l/y/'� i w/%/6 4. Percentage of area of windows and doors 15 'O 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 I N a. If YES , what is the value of insulation around perimeter of floor? 4 . Is basement heated? YES NO a. R value of insulation /11 5. Type of insulation B. Under 16% Only 1. R value of roof and floors exposed 3 to ambient conditions 2 . R value of exterior walls ft Z2J rj 3 . R value of glazed area ` ' �w C - 0 4. R value of doors /n .S Z ,y 5. R value of floors over unheated spaces 2" y 6. R value of slab edge insulation - unheated slab s /0.o 7 . R value of slab insulation - heated slab Aagifi 8. R value of heated basement/cellar walls (above grade) /2 Z 9. R value of heated basement/cellar walls (below grade) /2-r tiQQ 10 . Type of insulation A/j`q.r'ancl n C. Controls 1. Thermostat maximum heat setting D. Duct Systems 1. Is duct system installed in unheated spaces? YES 410 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 setting maximum G. For Swimming Pool Only 1 . Maximum heating Telephone No. 17L) ??,57 (applicant ' s signature) • awn of Queendbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION Owner' s Name /, otter N 6ROu0,0 A.un JA.uoRA- 174olo it Address a/o /y//ct-C,eei7 Ave-, ( LE,us /.v-tf .N Person/Firm installing system Xi/tt Y ro,usr/eu'7io.J Number of bedrooms(residential only) 3 Total daily flow: (compute @ 150 aal.per bedroom per day)_ 4E6-0 Topography,: flat_Trolling - steep -(circle one) Degree of slope _% Nature of soils: sand-loam-clay othery Depth /0 ft. lv.eAt'Ft- Ground water-- at what depth? ,/i/¢ ft. Bedrock or impervious material--at what depth? ///fq- ft. 1 Percolation Test - Not required / Required -Rate min/inch. Domestic Water Supply - Municipal - Well - Other A/u A)/C/Pit- 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 gat domestic water supply or shore-line of lake, stream, pond or wetlands. Include all dimensions of the system itself . Description of proposed system: Septic tank size /,000 gal. Tile field- Length of each trench _50 ft. Total field_ .?So ft. IAr Size of stone @ 0? (V Seepage Pit (s) Number / / Size St ftX ft. Size of stone@ a 6 / dEEp rDAV LUt'tt_ 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 for in Section 6. 010 of the Town of Queensbury Sanitary Sewage Ordinance. 52 ignature Applicant Date 01/86 and/vl Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required by the Town of Oueensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of construction and 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) location 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 Building 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 he 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 Oueensbury Building Department before further construction . cc77/ 7vxZ awn of Queenalury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NPME tZ w LOCATION DATE lia/ PERMIT NO. B[i aJ( SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: total length Absorption field, Length of each trench Depth of trenches Size of gravel_ SEEPAGE PITS{Number of) Size- ft. X __ft. �-- Gravel size • PIPING: Size Type Bldg. to tank Tank to dist. box — Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: ft. Foundation to tank —ft. Foundation to absorption —ft. Absorption to lot line ft. Separation of pits LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - 04:Nic\ SYSTEM USE APPROVED Y ' NO rI Building In sector 01/86 and vl awn o/ Queensbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME_ e LOCATION 4 , i i• •) • IA ... 6. 1 DATE 2./2. ' 'ERMT N0. SOIL TYPE Sand Lo m - Clay - Percolation -et Required? YES -OP Percolation rate - Min/Inch TYPE of SYSTEM: y Absorption field, total length `J OO Length of each trench �1::: Depth of trenches 7 Size of gravel SEEPAGE PITS{Number of) Size- ft. X _ ft. _�_._. -- Gravel size PIPING: SIT TYP Bldg. to tank r 27�z Tank to dist. box Ir 7�i 3 Dist. box to field/p' Openings sealed? O NO Partial LOCATION/SEPARATIONS: ft. Foundation to tank ft. Foundation to absorption —ft. Absorption to lot line —ft. Separation of pits LOCATION STEM ON PROPERTY(circle one) Front Left side - Right side - CG4MEN klY@TIIM U®A ABPROVE1 NO / u C.Ii$ In ;"tflQ . ) 01/®6 md vi r - Jown o� Q,.ee„itury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME /34.Trz ti , �,, LOCATION 42.n.i 1- Win-A DATE 1 / i $( PERMIT NO. We- 2/6 SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch - TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel_ SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption _ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - CQ7MENTS: SYSTEM USE APPROVED YE' NO B ing In pector 01/86 and vl f0v4- LAT& I?M TOWN OF QUEENSBURY Building Department haspeeters Report Date 6/1/D 4 Name fJ AnruA/ — Location (n M.Ili114 217, Permit No. eV —,Q I G Weather Remarks Excavation — O K Footing Forms - '� Footing a Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rou h Plb . Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile Concrete Floors —p/�mvt G b " attezeji P2 rc Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Se tic A royal Floors Foundation Insulation Walls Ceiling iujm'ZBuilding Inspector REMARKS CPit hi. mrA kn TOWN OF QUEENSBURY Building Department Inspectors Report Date -5/Ze/Z Name 3R©c.>V ' Location rnva/A7h' gD ' Permit No. R6- .7,IG weather Remarks ExcaOat ion y/�,S,p Footin• Forms Footin, a Piers Foundation Cement Coat Water•roofin• Backfill Final Surve Framin• Sheathin• Roof Felt Roofin• Siding Masonr Veneer Roush Pl... Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railin•s Cellar Dr. Tile �a Concrete Floors - P1.• . Fixtures Gar. Fire•roofin• — Door Closers Chimne Water Meter Inst. Se•tic A. .roval Floors Foundation Insulation Walls ' .ailing r-\ '$ua ar Inspector Y REMARKS 6244 POtJK tLE " utto� t4A111 TOWN OF QUEENSBURY Building Department gt Inspectors Report Date S`�!' Name (t'IE,V R tet.IA/ Location tpsuu + Rpp- Permit No. 8b 2 I` Wad Remarks Excaiation Footi • Forms Footin• s Piers Foundation Cement Coat A _ 0. Water•roofin• Backfill Final Surve Framin• Shea thin. Roof Felt Roofin. Siding Mason Veneer Rou•h P1•• . Relief Valves Nall Board Ext. Porches Finished Floor Interior Trim Stairs & Railin.s Cellar Dr. Tile Concrete Floors imirma Pl.. . Fixtures Gar. Fire.roofin• Door Closers Chimne Water Meter Inst. Se.tic A. .roval Floors Foundation Insulation Walls Ceiling Ping Inspector REMARKS TOWN OF QUEENSBURY Building Department lommet•r. Report Date s/s/86 Name CS Lii! B,fvw,(r Loath. Coniurxl fan al, 1 4st.Hr )2p. Pena No. .-d Pe i tit Weather O W/ — o2/ee Remarks Excat.ation 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 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 in Buil i Inspector qq REMARKS / Lf04 Lot( lout (o 600TI�� 5 'e LANDS OF o ,� M►CHEL BRANDT 615-60 N / S-72=36=20=E � Prgvoxd____ drrw.rcrr t!: - -�-. w;iG—w� LAND OF MM pK,NS . ROW a 7i,/8+ W_361 _- � `.skb n, L4ND6 Ose r A ANUL C,eOF45E ?3.52-99 J O� LANDS OF FORREST & FRANCES PENO 239-474 S� M LINE *LAZED AND PAINTED�� 435.S0' S-73=4a-2&-E �I AREA = 2 2-A Ac. f NM:. ALTERATIONS TO T IS MAP ARE ILLEGAL. EXCEPT BY A LICENSED LAND SURVENOR . 8 WCR CORP. NIAC,ARA M�AWK P L� OF It%,Cnp* 1751.29' DEED REFERENCES : SK. PG - PARCEL "A"— EDMUND L. a ETWJ4 C. SMITH To THOMAS M.E. & RAYOLA B. MINDOCK 489-102 512/066 PARCEL air— •• g •• • • .010 • • a •• 469- 04 5/10/19M THOMAS M . E . & AYOLA B. MINDOCK R GLEN & SANDRA E. BROWN 662-1082 6-19-84 REC. 7-16-84 19 .eZ fN-74»23-40= 40&70'.,, r N-z• 23, J' �1 � .VW � N-7W , OIoHd 8 TrM• g Mlro Fine $ 0g.40-W 138?06• N-80r of 8 LNN 131.46' ae ll * $f 4 _$ pa � ess�B MAP e of lands of R. GLEN ,,o6 SANDRA E. �5I in TOWN OF QUEENSBURY , WARREN COUNTY , NEW YORK SCALE: 1 "= 100' JUNE 6,1984 REVISED AUG .7.1984 TO SHOW CUI*;ENT OWNEPSHW REVISED ad4R.2M)9616 POSED SURVEY & MAP BY IMPROVEMENTS. . %AYNE R. RAYMOND LICENSED LAND SURVEYOR GLENS FAILS & WEVERTOiWN . N.Y.