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1986-198 . 1 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 — X,\ % 86-198 Th tbertih tothat work requestedbe done as shown by Permit No. has been completed. This structure may occupied as a One-Family Dwelling Location 1 0 Lyndon Road (Section 4 Rolling Ridge) Dr. Richard and Lois Udall Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector . 4 BUILDING PERMIT TOWN OF QUEENSBURY No. 86-198 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Dr. Richard and Lois Udall OWNER of property located at Lot 50 Lyndon Road (Rolling Ridge) Street,Road or Ave. in the Town of Queensbury,To Construct or place a One-Family Dwelling asl 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. a 1. OWNER'S Address is Glen St. Glens Falls, New York 0 2. CONTRACTOR or BUILDERS Name Ruggles Construction a w a CONTRACTOR or BUILDERS Address 5 Wincrest Drive Glens Falls, New York co e+ • o n n 4. ARCHITECT'S Name rt O 0 0 0 C 0. 5. ARCHITECT'S Address o 0 0 0 0 P+ ag 6. TYPE of Construction—(Please indicate by X) lo QI I Wood Frame 1 1 Masonry I I Steel 1 1 m (n T. PLANS and Specifications 96'x32r per plot plan, specifications and application No. submitted including sewage system and two-car attached I�.. garage. N. B. Proposed Use ❑ One-Family Dwelling 0 m $5.00 C/0 Paid $ 220.00 PERMIT FEE PAID-THIS PERMIT EXPIRES December 1 1g 86 111 a longer period is required anthe applicationfor extension must be made to the Building and Zoning inspector of the retown of OreWry uns N before expiration date.) F. Dated at the Town of Queensbury this -y,' 7thhh ,gDay/of May 1986 w SIGNED BY /y' /j [( , Nta-sJ for the Town of Queensbury Building and Zoning l nspecto TO BE COMPLETED BY BLDG. DEPT. Application No. awn O/ QYeenahur1, Permit Issued 19 \ BUILDING and ZONING DEPARTMENT Permit Expires 19 .-OWN CI:tQ�UiEIE958U W Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation L; Ia l� Lri u U i Ilii Queensbury, New York 12801 Variance N . 1 U r Site Plan Review No. APR 2 8 vWc 6J ,. I— APpro d by: /�/\/ ' M. Rnaom2��S� c!°JorV RP.M. APPLICATION FOR �lA 'M!./L. ?IBI•Y 14L11I2ISI4IgI6 BUILDING AND ZONING PERMIT - A * * * * * * * * * M • * * * * * * * * * * * * * * * p * * * * * * * * * Y '.,* 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: /EDE:: ,r I ( l.I AR.ac. 4 Lm s Li pp C. L P.O. Address l� 11EA1 S / , A ) 5,V f4its. ivy Tel. 74 ?? f/ 34f Property Location: l ,h TS*fl 'J5 LL4nlZ. F n I D4V Tax Map N,i,nj f/ I /? Street number or building lot number Subdivision name (if applicable) 7'n LL14Z lei 1-, 4D- THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: F1U S�QY- it 4iJZ S1'Aysv )ASJt De. 793o r Na:,e P.O. Address Tel. No. Name of builder ,4/, /C{ ti. y tµAddress Tel. Name of plumber C AddressJJI 44:✓.Jb(y-St Tel. Name of mason ('plw✓r'y Address Tel. NATURE OF PROPOSED WORK: / ZONING INFORMATION: onstruction of a new building * ✓C 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 . ) ) ft X S bt ft. * Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure 1 /* ft X lift * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * J * Front yard {js' ft Rear yard /Sz f+. No. of stories (habitable space) 41'7^ 't Height (grade to ridge) 2 U * Side yards J s ft and DC y ft. * If on corner/ se ack from side street It If residential, no. of families / No. of rooms(excluding baths) 7 * OCCUPANCY INFORMATION No, of bedrooms PRIMARY� BUILDING - No. of bathrooms 2/t * * I/une family dwelling Primary heating system Ape khaae 7�^J{.® * --- Twofamily dwelling Type of fuel '� L¢C. I' * Multiple dwelling / Number of units No. of fireplaces to be installed / * ....Permanent occupancy Will a wood stove be installed? J1lp __Transient occupancy Central Air conditioning? IA $ . * Business * BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin * If addition, what will use be? Raised ranch Mansion Duplex 9 lit level Old style Bungalow * — a e Co Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * -;:.;Attached garage/one car/ two car/ n. car * * * * * * * * * * * * * * * * * __Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ /l ifre at/�,.y---- * INFORMATION ON BUILDING GSPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! .na LPe /b., n 1-v1 BUILDING PERMIT APPLICATION CONTINUED - ,� BUILDING SPECIFICATIONS: / Type of construction, • fire safe,etc. Will any second-hand o- .i - -. umber be used?'/ If so, for what? Foundation wall material 'P N� 49 6 g hi{o bot cone of Thickness Depth of foundation below gr a (to bottom of footing) /�o y Will there be a cellar??4qs Heated or unheated? Floor sq. footage eye sq ft Will there be a basemen ?,qs Will any portion a use as living space? (If so, what porti.. / s�.ft. - - Type of use? �� Type of roof - loped lat/shed/other Material of roof ,4i a id I Size, wood stud 'x � " spacing"o.c. length ft. Joists(floor beams lst, loor 7, " 7A " spacing s. span).ft. Joists(floor beams) 2nd. floor .a "xj n " spacing / "o.c. span /' ft. '7 Overlays(ceiling beams) "X k sY/acing l‘ "o.c. spany 1Lft. Roof rafters 7 "X ji, " spacing J. o.c. Span I f ft. Roof trusses(pre-engineered) spacing "o.c. gpan ft. Exterior wall finish e .- ��/I6gie9 Of what material? jir/12 . j )�- CB ,p/2 j? Interior wall finish / f 5 . If a garage is to be a allied, es itt)e materials to be used for FIRE SEPARATION: zJ . i3 Is there to be an opening �een garage I. and dwelling? 9,...i• If so will a Fire-rated door, enclosure, and self-closing device be provided? I/Sj S Will a flue-lined chimney be installed? /,��� Height above roof 7 / ft. Depth of chimney foundation below grade 7..y fft. Depth of fireplace hearth / ft. 0 in. Water supply - Municipal or private well py. t 4 SEPTIC SYSTEM Distance from ANY private well(including adjoining properties .Yd 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 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__ Own r, owner s agent,a c itect,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 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 29 y D .pQ 2. Type of heat Li-c• 6 tip by A /� �7Llf'y"il�H¢ 3. Is the building mechanically cooled? / 4. Percentage of area of windows and doors // /''9. 4 !D 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_ 4 n 2 . R value of exterior walls g-� 3. R value of glazed area /2- 7 4. R value of doors 5. R value of floors over unheated spaces F. 2 S 6. R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab B. R value of heated basement/cellar walls (above grade) 9 . R value of heated basement/cellar walls (below grade) 10. Type of insulation F/$5y2 6 C4J c , t44iCJ£7 li ptA fostij C. Controls 1 . Thermostat maximum heat setting 7 2 ° D. Duct Systems 1 . Is duct system installed in unheated spaces? AO NO a. If YES , R value of duct- installation i• .5 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_ J!o n° G. For Swimming Pool Only 1 . Maximum heating Telephone No. (applicant ' s signature) awn of Quecnebury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Raviland Road. R.D. 1 Box 98 T• Ql1EENSE+t i t.' Oueensbury, New York 12801 DATE��I / t4'- I. s B u LOCATION OF PROPERTY FOR INSTALLATION( / 11`, ) 1j�}_C Lei OWNER'S NAME �oCJ K.U.' tnps Vyj ?IA18I1�"luu�:1i9I14thi . ADDRESS CCC���10 Op� U 4, (2CQ TEL INSTALLER'S NAME IIi.0 ti�- TEL Number of bedrooms (residential only) Total daily flow(compute @ 150 gal per bedroom) ( SO Topography: at - Rolling - Steep slope - (circle one) % of slope Soil nature: - Clay - Other Depth ft. Ground water -At what depth? /L ft. Bed-rock or impervious material - At what depth? I i' ft. Percolation test -e Required - -Rate min-inch. Domestic water supply - Municipal Well - Other Separation - Watersupply(if well) from Septic absorption /DQ ft. Proposed System: Septic tank /WWO gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench 50ft. Total system legnth 3 C70 ft. Seepage pit (s) Number of ---. Size each --ft X —ft Size of stone to be used # fr,L 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 DOD:ESTIC WATER SUPPLY or shore-line of lake, stream,pond or wet-lands / Include all dimensions of the system, itself. } ♦ ♦ } R * 4 * f * * R * * ♦ • ♦ R f ♦ f } * ♦ } * } R f * R * * * * * I lave rccd t;2( zeruZo^::one on tD.e re�c, sc side of this s7.rct ari agree to abide by these and aZZ requirements of The Town of Queensb.ry Sanitary Sewage lisposoZ Ordinance. Signature of responsible person 05/86 and/vl Section II 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 Buildina 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 $250.00. C. An approved copy of the plot plan shall he available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Oueensbury Building Department before further construction. Ct 1 flown of Queens6 ury I I BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 l/ Oueensbury, New York 12801 ex BUILDING INSPECTOR' S REPORT NAME p r LEI a 1I � 1 LOCATION �r� i o e — Date 1 (e /f$_2_ permit No. g� _(98 * + + x * x x ✓*_ APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill V Framing __ Roofing Siding Masonry V- Rough Plum. _ Relief Valy. Am -_ Ext. Porches -_ Finished Floor Itairsor Trim -_ Cellar & ainli1 Cellar Drain ril MIS - ralill Plbg.Concrete Floors -_ Plbq Fixtures yea Gar. Fireproofing -- Door Closers Choke Detectors ___ Chimney INSULATION: Agalill Foundation Floors Walls ng �!1 FINAL FINAL ELECTR CAL INSPECTION DRIVEWAY APP OVAL Will 1/E1na1 Building Survey -2111 NNext scheduled inspection (call when ready) Remarks- n heed _ev:0 _ /Jte erxe _pia Building Inspector 6/B6 and-v1 tir Jown o� Queenstury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION UJ4 'I NAME LOCATION DATE *0 PERMIT NO. R lay SOIL TYPE - _• lred? YES - NO Percolation 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 - iz Ty"" PIPING: S �I Bldg. to tank Tank to dist. box Dist. box to field/pit NO r ial Openings sealed? LOCATION/SEPARATIONS: ft. Foundation to tank tion ft. Foundation to absorp Absorption to lot line 44. ft. Separation of pits APERTY(tircle one) Front LOCATION OF SY �, - - Right side - Front - Rear CG4MENT5;e1 SYSTEM USE APPROVIC NO l B In Inspector 01/S6 and vl JOwn of q1 /ueenitur% BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Dueensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME V' IJA-t-�^ LOCATION /� Date—iii "'p/r/t Permit No. Ai - iq8 + x x + x x + x x x x x + + + + * * * ✓+_x APPROVED - YES NO Footing/Pier Forms _ Foundation waterproofing Backfill Ypraming Roofing _ Siding Masonry Veneer vRough Plumbing Relief. Porches y== Ext. Porrches -- Finished Floors TAM _ Itairsor Trim - Stairs s Railings -_ Cellar Drain Tile �_ Concrete Floors Plbg. Fixtures _ Gar. Fireproofing Door Closers Smoke Detectors _ Chimney I ■ N SULATT ON: Foundation Floors Walls Ceiling _ FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspectionlcall when ready) Remarks- - pjj5ULA-T4'- A-0o 3CS,,�! �PAN&61 CaafiB SUP o�� " Awl" rroic 8A-T14 i Notuvrea- Lo.v6 auAu /14.4-1N Sr,teiC YY24P5 Could Ig& Su-ciCktoD Building nspector 6/86 and-vl TOWN OF QUEENSBURY Building Department hrrpectore Report Date s/n/Qt Name p 'c_ U OA-cc-- Location L+moor/ eta Dm tkl.Lc f2.v - Permit No. . 4 -t 5 8 Weather Remarks Excatation F. „ , l Footing 6 Piers Foundation p 0 U -0_ Cement Coat Waterproofing ��t/�11f Rockall ✓l.%�l_- Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Vaalves Wall Board Ext. Porches Finished Floor Interior Trim Stairs & Railings Cellar Dr. Tile I^�L, Concrete Floors � Ci Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation FOunda do». Walls Ceiling r Duil. 'ng Inspector � pp Arta. REMARKS U( � V i . 0A-a2t �-aLjiti F poK- asap ,Wfnciwl (4-rrat-_ 4 p k g r� r a n � 6 r k a v q� Ik Ile 00,11 f7 - ' dO1Fttrk#Y �f 111� 1=�� I i I