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1986-180 4 � CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY • WARREN COUNTY, NEW YORK Date December 9 19 is is to certify that work requested to be done as shown by Permit No. 86-180 has been completed. This structure may be occupied as a One—Family Dwelling Lot 591 For. Hollow Lane (Stu No. 32) Location Section 15, Westland Peter R. Weidman Owner By Order Town Board TOWN OF QUEENSBURY Building Fr Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-180 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Peter R. Weidman OWNER of property located at Lot 591 Fax Hollow Lane (St. No. 32) Street,Road or Ave. Section 1), Westland in the Town of Queensbury,To Construct or places 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. rt m 1. OWNERS Address is 9 Gilmore Ave. Glens Falls, New York H. 2. CONTRACTOR or BUILDERS Name same 3. CONTRACTOR or BUILDERS Address same rt rt 4. ARCHITECT'S Name In e 0 5. ARCHITECT'S Address y' 0 fr r 0 E' 6. TYPE of Construction—(Please indicate by XI 0 ( *Wood Frame ( )Masonry 1 1 Steel 1 ) y rt T. PLANS and Specifications 561x341 per plot plan, specifications and application submitted No. including two-car attached garage and sewage system. 8. Proposed Use One-Family Dwelling ,p $5.00 CIO Paid 113 S 164.00 November 1 86 B $ PERMIT FEE PAID-THIS PERMIT EXPIRES 19 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueensbury before the expiration date.) m Dated at the Town of Queensbury this 30th Day of April 1986 SIGNED BY / /1 0-4 0 ` f`�,��' for the Town of Queensbury oo Building and Zoning Inspector S'L/ .. All. TO BE COMPLETED BY BLDG. DEPT. Application No. olio of Queenitury Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN ('- ._irTNc"'% Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation rnl h ((.I j is j t� Queensbury, New York 12801 Variance No. JIJu LS l'J I Site Plan Review No. I OR 2 3 1986 Appr ed by: A.M. I ssan'tSS. APPLICATION FOR � ,�. ('�` 718I9(i (u2I3)41516 BUILDING AND ZONING PERMIT C..0 fact-. • • • • • • • * • • • • • • * * * * • • • * • • • • • A • • • * • • • • • • .i• 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 thethe Permit. The owner of this property is: ee_tt,�- L c &rvta-2 P.O. Address 9 6:, (mor2— RJc*- C.C- F II- /�),r-'ol Tel. 7Jr 8 36dLs- Property Location: I-o"(" ,s9/ Pox qn�(ur l L 5r#, - Tax Map No. ,/ / ( / T Street number or building lot number Subdivision name (if applicable) (r)99e-5'�/•-. / THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Ate"( Gie;cQ,wa gC/1(Mere- Aye_ GE /aa°-o( 798 38 -s Name P.O. Address Tel. No. Name of builder fifty (,) Q:+.-- Address e - Tel. 7Q6'-3 C13s Name of plumber " u Address (1 Tel. Name of mason Lee. Ike.,.... Address c...,a..v,,;()L N y Tel. 86r%-IQ4(c NATURE OF PROPOSED WORK: * ZONING INFORMATION: V 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 /,;f. L( ft X /8(O ft. * Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: . X 3 I * Existing building (s) Use Size of new structure Q8 ft X 3(e ft * Foundation-pier/slab/crawl/partial/s * Proposed building, distance from property line * (circle one) * Front yard y.//z ft Rear yard .5 O-Y ft No. of stories (habitable space) at- * Side yards t/( ft and /3 ft Height (grade to ridge) .2.4 ft. If on corner, setback from side street ft If residential, no. of families / * No. of rooms(excludin ,g baths) * OCCUPANCY INFORMATION / [ No. of bedrooms LI * * PRIMARY BUILDING - No. of bathrooms ,2.%y One family dwelling Primary heating system 6(tdrt - * family dwelling Type of fuel * _Multiple dwelling / Number of units No. of fireplaces to be i.nstalit.d ( Permanent occupancy Will a wood stove be installed? Jae * _Transient occupancy Central Air conditioning? p./O * Business BUILDING STYLE, PRIMARY STRUCTURE * _Industrial * Other Ranch Contemporary Log cabin * If addition, what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- CoTonial.) Row Town House * detached garage/one car/ two ar/ car ( CIRCLE ONE PLEASE ) "Attached garaye/one car/ two car, cat * * * * * * * * * * * * * * * * * * ---Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION * $-Z3St e-:1 4 INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, ood frar:a fire safe,etc. Will any second-hand or ungraded lumber be used? If so, for what? /tJ O A/F Foundation wall material n e6 Ur/� _ ttomzor+-ft-tingkness Depth of foundation below grade (to bottom of footing) Will there be a cellar? Ng5 Heated or unheated? (44raJFloor sq. footage ma sq ft Will there be a basement? v&s Will any portion be used as living space? HO (If so, what portion? sq.ft. - pe of use? Type of roof - sloped/flat/shed/other L'c//? Material of roof ,�„g le Size, wood studs a "X " spacing /(o "o.c. length ,Q ft. Joists(floor beams) 1st. floor a "X Jo " spacing /6 "o.c. span ft. Joists (floor beams) 2nd. floor g. "X in " spacing J/ "o.c. span aR ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing ay "o.c. span ,.21? ft. Exterior wall finish 5,42.1�qq Of what material? V)Hy ' Interior wall finish Le`-kfr,,6 If a garage is to be attached, describe materials to be used for FIRE SEPARATION: S/8 Fire rode Is there to be an opening between garage and dwelling? (/QS If so will a Fire-rated door, enclosure, and self-closing device be provided? (Mc Will a flue-lined chimney be installed? gas Height abdve roof 3 ft. Depth of chimney foundation below grade 7 ft. Depth of firepl. - - th ft. in. Water supply Municipa or private well SEPTIC SYSTEM Distance from ANY private well(including adjoining properties — 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 ,:nowledge 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 provisi,ns of the - ILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the prop. ed work shall be complied with, whether specified or not, and that such work is authorized • t - owner. � SWORN TO BEFO'1. ME THIS Signature 4._ //t -t Owner, owner's agent,arcnlcect,contractor da 19 lk Notary •ublic, Warren ounty, 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 „Z/ 90 cF 2 . Type of heat r I2cC ric_ 3. Is the building mechanically cooled? NQ 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 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_ lo-' C38 2 . R value of exterior walls 3 j7.2 /K 11 f '�� fit kg /,,. V T .Q !79 3 . R value of glazed area 4 . R value of doors /S 5 . R value of floors over unheated spaces /' X / 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 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 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 BC—?,07. 2. Temperature control setting maximum iyo G. For Swimming Pool Only 1 . Maximum heating '^✓ /, /1 n Telephone No. 7/ 8-38a,5 fa.(V� V' r•y------- (applicant ' s signature) flown of Queenabury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL PERMIT APPLICATION Owner' s Name Pe-f a r („de.); (Pm ci.ti Tel. 79 d 3801 C Address 7 ter; / mo //I ry /r0e_ RI.-4 FJJc /✓y J --PO( Person/Firm installing system Fnr+ Ann Fn+arprseS Number of bedrooms(residential only) Total daily flow: (compute @ 150 gal.per bedroom per day)_ 6 B'O Topography: OW rolling - steep - (circle one) Degree of slope P Nature of soils: sand loam-clay- other- Depth ft. Ground water-- at what depth? — ft. Bedrock or impervious material--at what depth? -----ft. Percolation Test - Not required / Required -Rate min/inch. Domestic Water Supply - i nicipa 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, pond or wetlands. Include all dimensions of the system itself. Description of proposed system: Septic tank size /pop gal. o a • S lroh -- Seepage Pit (s) Number 3 / Size (o ftx_ 8 ft. Size of stone* 3 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. y /a/ Adler Signature of Applicant Date 01/86 and/vl 3 6y b tl y /0OO 7*k � K9 Septic System Inspections: A. All applications for septid 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. sue VY\ Mi t3 4N1oI Queenstury I/ UILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR 'S REPORT NAME /ErnA4 Aiv Lor Sql �1 LOCATION 32 Fox 1 ff t4oiwccJ Date 11/5%RT, Permit No. 51(p-(1St * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES J NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding (/ Masonry Veneer Rough Plumbing Relief Valves 1 Ext. Porches Finished Floors \ 1// Interior Trim �✓ Stairs & Railings Cellar Drain Tile \:(:\\\\ Concrete Floors / Plbg. Fixtures ✓/ Gar. Fireproofing ✓ Door Closers � Smoke Detectors !/ Chimney ✓ INSULATION: q' Foundation / CI'/K /#SiVer Floors Walls Ceiling FINAL-ELECTRICAL INSPECTION DRIVEWAY APPROVAL / lam Building Survey r/ Next scheduled inspection (call when ready) Remarks- /l/e el LIti L No ©CCUPAAIc- w (rite ctr CI-2 n f 1 c ,47-t- o (- ©cc ura Bu' 6/86 and-vl c7 // Jown o/ Queenetury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, RD. 1 Box 98 Dueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME IGU/s/0.44AAT LOCATIC 1 /O X Ff(9LLO& DATE 0/ Ob PERMIT NO. Yi G -de 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 PITS4Number 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 - COMMENTS: Out- ,1-OOL-O SL&0/+06- QI r A-S (2.6- put 2.66- \\N„._ SYSTEM USE APPROVE. 4 NO A — ( visa_ Building IA"-ector 01/86 and vl awn of Queen abury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME -' O LOCATION 4 e 1 Date yj2j�'i 7 /_ Permit No. g(/ ' I $0 * *✓ = APPROVED - YES J NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer ,/� ✓Rough Plumbing et— -Clock 1.1Y 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 INSP.CTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - Building Inspector 6/86 and-vl -own 4 Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, RD. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NN 1E argil LOCATION S 9( kix (Jo med DATE _/ r PERMIT NO. VD - 1 8 U SOIL TYPE - -and 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: Si Type Bldg. to tank Tank to dist. box Dist. box to field/pi Openings sealed? YES NO Partial LOCATION/SEPARATIONS: Foundation to tank 20 ft.-le— Foundation to absorption .70 ft:fr. Absorption to lot line ft. Separation of pits _ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: 3- gxg5-eEpA-GEArs ToN+uvb 303SgFr /Veto /IIWIMUM - $00swpr TANK+ &K(3rWG FITS- O.K. SYSTEM USE APPROVED YES a Building Inspect 01/86 and vl awn al Queensbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR'S REPORT NAME '1pA4A-Ar LOCATION r0�/ / t( Date// �Lfpf , Permit No. 0 6— I ID ✓ = APPROVED - YES J NO Footing/Pier Forms Foundation Waterproofing Backfill aming ✓ Roofing Siding l !onry Veneer / gh Plumbing ✓ Relief Valves Ext. Porches 1 Finished Floors. / O �o Interior Trim Stairs & Railings /'t (2.Cellar Drain Tile r .,r) tit v`i Concrete Floors W v 7 Plbg. Fixtures /Q I , / Gar.. Fireproofing /� NJ Door Closers Smoke Detectors O ^` �/f_'at c&t ( ' Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSP ON Final Building Su Next scheduled Inspection(call when ready) Remarks- - tea9 % vEREID— At/ -/2. GmzAc& S IfL-er no cat CAA vn r (AIS ybar,''72,4,4,1 �- 2 " l &tr atity9- W✓ &o Mfg-rn/ s -r� .V; Building nI spector 6/86 and-vl Joum o� Queen-slur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC I fDISPOSAL SYSTEM INSPECTION NAME W.a stattrYt LDCAT�I,D/N -000& £[ , DATE 'y O�Y// K�/ PERMIT NO. �G - /g0 SOIL TTYPE -CO, Loam - Clay - Percolation - Required? YES - NO Percolation r✓tte - 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 _ BIdING: Size � Typal Bldg. to tank S 1 Cam/ Tank to dist. box _ Dist. box to field/pit Openings sealed? YES NO Partial LOCATION/SEPARATIONS: / Foundation to tank 2 Lft. 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 - COMMENTS: a u6, — SYSTEM USE APPROVED Y: . NO �,•� AL . B I°� ng In-•ector 01/86 and vl awn of Queendbury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME rn ^ t�. �� LOCATION '1 Y Date R/ /t4 Permit No. A( R6_ /90 * * * * * * * * * * * * * * * * * * * * * * * ✓ = 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- - 8 /COMA [11r.4 3(9 /y w cs c9 to J Qg o-O PS„lc -s - Building Inspect( 6/B6 and-vl awn of Queenstury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR'S REPORT NAME l�v�1t7.KstAr�t 3� Au 4 LOCATION vv /V 9 LW& idrS41 Date vs / ab Permit No. 6 -['D D * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms F Foundation Waterproofing Backfill ✓Framing S.LQ, Y7ex..J Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs a 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- - 1 , / ow ."I. Building Inspector 6/86 and-vl OWN OF QUEENSBURY Building Department inspectors Report Date VZ/PC Name /I/61OM9i,lt Location FO k 1-F OLc-bG✓ Permit No. Weather 86 - 18 u Remarks ExcaOation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing !COX Backfill V Ottt. 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 Fl. .rs Insulation Foundation. Walls Collin. Building Inspector REMARKS TOWN OF QUEENSBURY Building Department inspectors Report Date rt s-' g(P. Name Whig 0Jt 'mots nn Goa Location regt Permit No. it a - 12'o Weather Remarks Excavation ✓r' Footing Forms UHC Footing a Piers / n,r" 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 Ceiling LV Building Inspector REMARKS roya b5 4°1 1 it p it kl (ice / cihr'/ l Io I0