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1985-640 f c /o paid CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Da0e NoVemb r 1. 19 a vwcQ This is to certify that work requested to be done as shown by Permit No. 4 0 k has been completed. D l r tr amoy b w l This structure may be occupied as One-Family Dwel 1 i re-1 15 Location I of 43 Willow Road ( St. . TTo . 15 ) The Pines of rueenst-ur Owner Stenh n P1Yellyl By Order Town Board PrOWN OF QUEENSBURY Building N Zoning Inspector GO�ATW9 -'INSTA" ►141NTING. GL 6N$ FALLS. N V I ZOO 1 15181793-1450 1 T E M P O R A R Y CERTIFICATE C►F OCCLJI'ANC�i' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 22 L Date September 22 19 86 This is to certify that work requested to be done as shown by Permit No. 85- 64U has been completed. One--Family Dk4elling, a This structure may be occupied as i Lot 43 Willow Road ( St . No . I 1 ) The Pines of Queensbury L,ocarion Owner Stephen M . Ully TEMPORARY CE TTFIC:ATE OF OCCUPANCY FOR ? D DAY,S{ By Order Town Board TOWN OF QUEENiSBURY � I 1r7 ,/� �• Buildup H Zoning Inspector i BUILDING PERMIT TOWN OF QUEENSBURY No. 85- 640 WARREN COUNTY. NEW YORK PERMISSION is hereby granted to Stephen M Ke11y OWNER of property located at Lot 43 Willow Road ( St . No . 15 ) Street, Road or Ave. The Pines of Queensbury in the Town of Queensbury, To Construct or place a One—F ama lY Dwelling (D at the above location in accordance to application together with plot plans and other information hereto filers and "a approved and in compliance with the Town of Queensbury Building and Zoning Ordinance_ f(b 1 . OwNE WS Address is 14 Sweetbr iar Lane Glens Falls , New York M F— I 2. CONTRACTOR or BUILDER'S Namqsame 3. CONTRACTOR or BUILDEWS Address Same 0 4. ARCHITECT'S Name P w F' S. ARCHITECT"S Address rt' 0 Z 0 0 ¢r 6_ TYPE of Construction — (Please indicate by X) Ut (V wood Frame ( 1 Masonry ( I Steel ( ? 7. PLANS and Specifications 28 r x7 2 t per plat plan , specifications and applicatic� o No. submitted including two-car attached garage and lb sewage system . 1 8. Proposed Use Aj One-Family Dwelling lF— tiC l� $ 5 . 00 CIO Paid June 1 � $ 185 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES tg13Fr rn F ' (if a longer period is required an application for an extension must be made to tfis Building and Zoning inspector of the ~ F�- town of Queensbury before the expiration date_) Dated at the Town of Queensbury this lst Day of November tg 85 SIGNED BY FYI for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSRURY 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 2 . Type of heat G " 3 . Is the building mechanically cooled ? /V C1 4 . Percentage of area of windows and doors Zee, J- `7 A . Over 16 Only 1 . [] o 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 Cio 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 floov ? 4 . Is basement heated ? YES _ AV R value of insulation 5 . Type of insulation S . Under 16 % Only 1 . R value of roof and f oors exposed to ambient conditions 'ov3 d 2 . R value of exterior walls 3 . R value of glazed area • �� 4 . R value of doors , 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 Y 8 . R value of heated basement/cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) 100 Type of insulation Z6 r4" �;� ' /bjCX 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 PG 20 Temperature control setting maximum G , For Swimming Pool Only 1 . Maximum heating Telephone No . `' ( aP icant ` s s na ur (coot"d. y BUILDING SPECIFICATIONS" Kind of construction: Wand frame. fire safe, etc.? . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . Will any second-hand lumber be used? If no. for what? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Material of foundation walls . . . 1"' 4?a. . � . !?? ii .'1` . . . . . . . . . . . . . . . Thickness Depth of foundation walls below grade . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Continuous foundation? . . . . . . . . Will there be a cellar? . . . .V�?S. . . . . . , If so, material of cellar floor At . . . . . . . . . . . . . . . . . . . . . . . . . . . . Type of roof: Sloped or flat? Material of roof . r� /. `�. `' "f . °.!<. S .s . . t: /Z ✓.fir ,'r" t'+� . . . . . . . . . Size, wood studs . . . ~ `. a' a x . .�. . . . . . , . , . . . ', spacing . . . . . .r �Cz . . , , ."o.c., length . . . . . .. . . . . . . .. . . t. Size, floor beams, 1st floor . . . . . . . . . . , " x . !G . . . . . . . . . . . ... spacing . . - - - ./.'� . . . . . "O.c., span . . . . . . . . . . . . . . ft. Size, floor beams. 2nd floor . . . . . a . . . . " x . , _'ez `. . . . . . . . . ", spacing . . . . l h . . . . . ."O.c., span . - . - . - I . . . . W . . ft. Size, ceiling beams . . . . , . . . . . . . a . . . . x . ./Q . . . . . . . . . , ", spacing . . , . . . . . . . I . span . . . . . . . . . . . . . . ft, Site, roof rafters or beams , 7`+ K S eS. •' x . . . . . . . ", spacing . . . . . . . . . . . . . ."o-c., span . . . . . . . . . . . . . . ft. Exterior finish -9 ?L?OOP u C- With what material? Finish of interior walls . , . . ,�' .O G. e . �- .-or,o a rt ' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an ripening between garage and building? . . . . . �✓*'.S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : . . . . . . I . Kind of heating system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .". Oil burner or coal? . . . . . . . . . . . . . . . . . . . . . . . Will a flue-lined chimney be provided? . - Y-es. . . W e . . . Depth of chimney foundation below grade �. . . . . . Height of chimney above roof . . . . . . . . . . . . . . , . . &i .•r. . . . . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will there be a Fireplace? . . . . . . ?S. . . . . , . . . . . . . . . Depth of fireplace hearth , . . . . . , Will a toilet be installed? 1�/ �S . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Will a kitchen sink be installed and connected to water supplyy? , Yam' . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Water supply Ipublic water supply or pump] . . . . . . .^' -✓I , rz I . . . . . I . . . I . . . . . . . . . . . . . . . Distance of cesspool from any private well . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . feet Will drainage system be provided with required traps, cleanauts, and vents? . . .)'. e�� ' . . . . . . . . . . . . . . . . . . . . . . . . . . . Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to u: A rawrof my knowledge and belief the "oseroents awttained in tbie appticatitsa, toyedwr wleb the sod apeciamdons a61► true mitted, are a e and au... ete statansent of all p"nwmmd work to be done on the described premises and S t ""vieiwu BUILD, INCH CODE, THE ZONING ORDINANCE, and all other laws pertain' F-1 posed work sba whi, whether or nos, and that such work ie authorisad by the owner. Swam to before me this $istialure . .. . . . � �^'� _ aWNER. UWN 'S ACa ARGNITE.C7. CQNTRAG76R � � . . . . . ... day oL . t [ f. . __. . . _ _. . . 19 NOTARY PUBLIC. WARREN COUNTY, 14. Y. SPECIAL CONDITIONS OF THE PERMIT: By . - TOWN OF QUEENSBURY (Space inside block err !xm filled in by WARRKN COUNTY, NE:W YORK Building In%jx%:1or! Application for %I1p1ira6(I1t 'Nk). 1,4's mi, ls.rrr�cl __ 1q BUILDING AND ZONING PERMIT /,4Pnn,a.* l )i trirl '1 ,,lsl,• 101 $ Iowa fl Cops of PLOT PLA Drawn to scale � I 'I <•,I ITS _ __ showin the actual dimensions o the lot to be laud# k,-III:,, ](5 upon, The eiract size, and location a of of the building to be erected E�SU ,i APPLICATION / TOWN OF Q ) r E N S B i FY : [ VDATE; LE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK n ANSWER ALL OF THE FOLLOWING. � � ' ' ' ('fit The undersigned 'hereby applies for a permit to do the following work A.W Yb which will be done in accordance with the description, plans ands oci i- 71819 1* 11213141516 ca#ions, and such special conditions as may be indicated on the permit. " © ,frla The owner of this property is: L .S.?1 l.l. - . . . . 1. 'i`. . , - ,S"'� ' k? rr+s �tr W o. ADDAess, The person responsibia for supervision of the work insorar as the Building Code and the Zoning Ordinance apply is. l.7I.Y, , S ,e/ . 00 `r . , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , . . . . . . . . (N^ME) WO ADDRESS! Nameof Builder . S 7'� '!l. (' ". . !'?? - . . - . . - - Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ac ,E� �., e Name of Plumber . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . . - - . . , . . . . . . . . . . . . Nome of Mason . . . - . - s . 4. i't 4.j . . - . . . - Address . . . . . . . p . � Lot Number el. . . . ' ,:3 , Unit !�! e— Pi (1 �s , F.31intLed value of proposed work i .t° l t C . . . . . . . . . . . . . . . . . . . . Name of Village . . 0 &, -e. P.sr s . �. 4+ /e. y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Name of Street - . t.'��i'�.'f' . . . . � 47 .�.c {„ • , . . . . . . . . Side of street: north ❑, east O, south 0 . wcast 0 Nearest Gross Street I . �41 . . 7 'f.!f'. . . . � . . . Distance frorn this cress street . . . . . . . . . . . . . . . . . . . Property is north Vto , south 0 . east i , wesa ❑ from Cross Street If on Corner, which corner, northeast 0 , northwest 0 , southeast U . southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY Construction of a new building. Main Building Addition to a building. One-family dwelling Alteration to a building. Two-famiiv dwelling 0 0 Demolition of a building. . -family apartment house 0 Store building F—I , .. . . -car attached garage ILA" Other! le . . & . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - . . - Accessory Building One-car detached garage El IC3 Other work. Describe: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Two-car detached garage Private chicken house E 3 Private storage building 0 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 or the property, the location, site and setbacks of pro- NORTH posed buildings, and the iocatian of oil existing buildings. Show proposed building(s) in dotted line and existing tzuilding(s] in solid lint, Size of property ft. x Size and use of existing buildings, if any . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a "' Size of proposed building c* S` ft,.J� . . 7. �. . . , ft. Height (from grade to ridge) . . . . . . . . . . . . . . . . . . . . . ft, Front yard . . . 6 !�. . . . . . . . . . . . . . . . . . . . . . . . . . . . it. Side vards . . . . . .. . . . . . ft. and . . . . oor. '. . . . . . . . ft. Rear yard . . . . . . . . . . . . . . . . . . . . . . . . . ft. SOUTH If on corner, setback from side street . . . . . . . . It. Note: All distances are net. as measured from street side line to nearest part of building. tovcni 7-73—M TOWN OF MFFNSHURY BUILDING i ZONING DEPARTMENT SE"VAGF DISPOSA�' PERMIT APPLICATION ' 1 . Owner ' s Name Address Telephone No . '3 - c 2 . ,Property location_ / � ./'14574 , 3 . Name of person or firm responsible for installing system Telephone No . . Address 4 . Number of bedrooms ( residential buildings only) 5 . Daily flow*` gallons/day 6 . Septic tank capacity_ �'� i 4, _._. _.._..gallons 7 . Topography : flat , rolling , steep % of slope ,:� so Nature of soil and depth 9 . If ground water , bedrock or impervious material is apparent at what depth does it begin? ft . 10 . Percolation test : A is required .B is not required c if -req lred what is the rate minutes/l nch 11 . Water supply : municipal , well , other . ^' 6e,. , 12 . Type of system proposed : drywell , tile field , other ?'L 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 pr vided for in Section 6 . 010 of the Queensbury Sanitary Sewage Ordinance . Date. 2 s nature4of a scant On separate sheet of paper submit a diagram of the proposed septic system with all dimensions , including distance from any structure , distance from property line and domestic water supply , etc . Include all dimensions of the system itself . Form 3- 82 ._/Uttln p� '�uPen3+bt.ert� BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION 2+r2��= ""? v% r� l ■ 1 Date / J_ Permit No �-- y"' APPROVED - "YES NO Footing Pier Forms Foundation Waterproofing Backfil l Framing Roof ing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors IqX erior Trim (..stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures �-- 6�r . Fireproofing " Dior closers. Smoke Detectors Chimney L,/' NSULATION : Foundation Floors Walls Ceiling �INAL ELECTRICAL INSPECTION a„ DRIVEWAY APPROVAL.___ Final Building Survey Next scheduled inspection call when. ready ) Remarks- - - Building Inspector 6/86 and-vl tw / . . 101vo1 0 "emit ury SUILD4NG and ZONING DEPARTMENT Bay and Haviland Road, R.D. i Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 1 J, LOCATION [•' Date / Permit No . S1 S -I� 5Cd f © � APPROVED - YES NO �g/Pier F Foun anon Waterproofing Backfi.11 F rami.ng f ing Siding « Masonry Veneer Rough Plumbing 000 elief Valves "xt . Porches `"Finished Floors bofnterior 'trim jf3tairs & Railings_ r!n ;. Cellar Drain Tile 9oncrete Floors lbg . Fixtures War . Fireproofing 4lJey' Closers f L 4Ef�toke Detectors Chimney IN SUEATION : Foundation Floors Walls Ceiling ELECTRICAL INSPECTIONFinal ui.ldiing Survey Next scheduled Inspection ( call when ready) Remarks- - Building Inspector 6/86 and-vl TOWN OF QUEENSBURY Building Department Inspectors Report 'Date a. ! i N A=M FyTK 1 LAcatiwon d W� , z n w ,��C4A - _ Permmk No. 5 - •t ° We�sther Remarks -_ FsxcatYation - Footing Farms Footing & Piers - Foundation Cement Coat - Water roofin - • Bac&fill - Final Survey - Framing - Sheathin - Roof Felt - Roofing Sid-in Masonru veneer Rou h Pl b . Renef Valves - Wal I .Hoard - Ext . Porches Finished Floor Interior Trim - Stairs & Railings Cellar Dr . mile Concrete Floors _ - -- Pjbq a Fixtures Gar . Fireproofin - - Door Closers _-- Ch.imne Water Meter Inst . Se tic ApPrOval Floors �. Foundation '- Ynsulation wells. Ceiling "~ � uilding Inspector REMARKS i' N PC EM URY Building Department ; 'W+ Repcwt q3 Penu t Remarks ExcatM tj on Footing Formw rooting & Piers Foundation Cement Coat water rovfin Beec"Ill Final Surve Framing Sheathing Roof Fel t Roofi Masonry veneer Boer h PI Relief valves Wall Board Sxt . Porches Finished Floor Xntertor Trim stairs 6 Railings Cellar Dr . Tile Concrete Floors PI, Fixtures Gar . Fire roofi.n Door Closers Chime Water Meter Inst . Se tic !jeproval A9L Floors Founda t.t on Ins u1 a ti an Walls Ceiling 22 Bu 1dang Inspector REMARKS TOWN OF QOEENSSURY 131"'Iains. Department Name �4 LAcatim erez Permoit No. Weather Remarks sxcatYat on Footing Forms Footing & Piers Foundation Cement Coat Water roofin BaChfi33 Final surve Framing sheathing Roof Felt Roofin si din Arasonry Veneer Rough Plbgo Relief valves Wall Board Ext . Porches Finished Floor Int,er3or Trim stairs & Rallin s Cellar Dr . Tile Concrete Floors PI . Fixtures Gar . Fireproofing Door Closers chimney Water Meter Inst . Se tiC AEErowwrA.Z _ Floors Insulation Foundation malls Ceilin .8vx ding Inspec'tar REMARKS 4 i Pic a rz 5corw +3Ac +C ! y l P, r- VV s J U y p Ct! L, c t AJ G S� mac-_ S2-r'r3.fl-G+c S � of SCE- � K Vj �►zo tir �" r F r j rr3gc,C yPEa -r llN1= 91��� r r r `J