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1986-495 :. C. • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Feb d 19 19 £37 This is to certify that work requested to be done as shown by Permit No. 86-495 has been completed. This structure may be occupied as a Professional Office Jenkinsville Road Location Owner Richard W. Bennett and Patricia Wells By Order Town Board _- .- TOWN OF QUEENSBURY Ast Building & Zoning;Inspector s - BUILDING PERMIT TOWN OF QUEENSBURY No. 86-495 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Richard W. Bennett and Patricia Wells 7d Jenkinsville Road ~ OWNER of property located at Street, Road or Ave. 0' w in the Town of Queensbury,To Construct or place a Professional Office/Demolition Garage 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 RD #1 Box 423 Glens Falls, New York a. 2. CONTRACTOR or BUILDER'S Name by Richard F. Jones rt 1-t r• 0 r• 3. CONTRACTOR or BUILDER'S Address White Farms Road Saratoga Springs, New York 4. ARCHITECT'S Name Cs 5. ARCHITECT'S Address m I✓ I—. m 6. TYPE of Construction—(Please indicate by X) 0 a. ( t)Wood Frame ( ) Masonry ( 1 Steel ( ) 7. PLANS and Specifications 20'x24' professional office per plot plan, specifications and No. O applications submitted and demolition of 18'x22' garage ry b rD n 0 0 8. Proposed Use Professional Office - Per Site Plan Review No. 3-86 i0 CD r• m rt to Imo• I" O 0 O 0 w $5.00 C/O Paid o rh $ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 87 W rh (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ri F'' town of Queensbury before the expiration date.) cm• CD CD Dated at the Town of Queensbury this 18th Day of August 1g 86 SIGNED BY 1 .e ie a for the Town of Queensbury Building and Zoning Inspector Q14) 3i�� (.6. .f o (,UcL., TO BE COMPLETED BY BLDG. DEPT. 1 C� // Application No. I lit Jown of Queeniur, Permit Issued 19 1I R'" BUILDING and ZONING DEPARTMENT Permit Expires 19 /TOWN OF QUEEN, €t Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation (5 2-38 1ng E 0 E 11 I " r� Queensbury, New York 12801 Variance No. _� Site Plan Review No. 3 - y� fe AUG ��3 AUK, .9 ifi Approved by: g 2•� APPLICATION FOR 1 7,819/1(. 1.)12) � �,� '�1 L a a a s BUILDING AND ZONING PERMIT I ' eib * ::.* 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. A. The owner of this property is: Richard W. Bennett and Patricia Wells P.O. Address R.D. 4 1 -Box 423 Tel. 793-4916 Property Location: Jenkinsville Road, Tax Map No. 5 2/ / / 2..6 Street number or building lot number , Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Richard W. Bennett R.D. # 1 Box 423 Glens Falls, N.Y. 518-793-4916 Name P.O. . Address Tel. No. Name of builder Richard F. Jones Address White Farms Rg. SSara;ogia_. Telprings . 587-8276 Name of plumber Address Tel. Name of mason Address Tel. 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 FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration * of septic disposal area. 18 x 22 foot garage- ,Tenki nsvi_Lle M. * COMPLETE INFORMATION REQUIRED BELOW. * Size of property 159 ft X 188 ft. IRR. * Existing building(s) Size 28 ft x 24 ft. * . . . . 20 x 24 PROPOSED BUILDING AND USE: * Existing building(s) Use Home Size of new structure , ft X 24 ft * Garage Foundation-pier/slab` P partial/full * Proposed building, distance from property line * (circ e one) * Front yard 90 ft Rear yard 31 ft No. of stories (habitable space) * Side yards 30 ft and .108 ft Height (grade to ridge) ft. If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) 1 . . * OCCUPANCY INFORMATION No,of berms . . * * PRIMARY BUILDING - No. of bathrooms 1/y Primaryheatingsystem * 1. One family dwelling Y FlPntrin * Two family dwelling Type of fuel - Ne- f—Zik places to be installed * Multiple dwelling / Number of units 'Wi1a—d stove be installed? * Permanent occupancy L Centt -a-l—A r.,,conditioning? * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other ' Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bu ow * Cape Cod Cottage her * ACCESSORY BUILDING- Colonial Row Tow 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 * XOther -Professional Office CONSTRUCTION * 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. 6Jood a'rame Will any second-hand or ungraded lumber be used? If so, for what? No Foundation wall material Concrete Thickness 8" Depth of foundation below grade (to bottom of footing) 4' Will there be a cellar? No Heated or unheated? Floor sq, footage sq ft Will there be a basement? No Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Slope Material, of roof Shingles, Felt Paper, Sheathing Size, wood studs 2 "X 6 " spacing 16 "o.c. length 1o'� ft. Joists(floor beams) 1st. floor 2 "X 10 " spacing 16 "o.c. span for ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. . Overlays(ceiling beams) 2 "X 6 " spacing 16 "o.c. span a o' ft. Roof rafters 2 "X 6 " spacing 16 o.c. span 1o'. ft. Roof trusses (pre-engineered) spacing "o.c. span . ft. Exterior wall finish Clapboard Of what material? Spruce over Aspenite Sheathing Interior wall finish Sheetrock . If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure, and self-closing device be provided? Will a flue-lined chimney be installed? No Height above roof_ ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well Private CXisl SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties 60+ ft. . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warren ,••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 authorize by the own . SWORN TO BEF RE ME HIS Signature I- , Le--7. Owner, owner's agent,arcn t ct,contractor day of 19 \ • Notary Pubs c, War en County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS 0 THE PERMIT: By sown of Queenitury APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 DATE 8 / 12/86 LOCATION OF PROPERTY FOR INSTALLATION Jenkinsville Road OWNER'S NAME Richard W. Bennett and Patricia Wells , ADDRESS R.D. 7 1 Box 423, Jenkinsville Road. TEL 518-793-4916 INSTALLER' S NAME TEL Number of bedrooms (residential only) Total daily flow(compute @ 150 gal per bedroom) Topography: Flat - Rolling - Steep slope - (circle one) % of slope Soil nature: Sand - Loam - Clay - Other Depth ft. Ground water -At what depth? ft. Bed-rock or impervious material T At what depth? ft. Percolation test - Not required -"Required - -Rate min-inch. Domestic water supply - Municipal -l\0 Other Separation - Watersupply(if well) from Septic absorption ft. Proposed System: Septic tank gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench ft. Total system legnth ft. Seepage pit(s) Number of . Size each _ ft X ft Size of stone to be used# • 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 DOMESTIC WATER SUPPLY or shore-line of lake, stream,pond or wet-lands. Include all- dimensions of 'the system, itself . * * * * * * * * .* * * * * * * * * * * * * * *. * * * * * * * * * _* * * * * I have read the regulations on the reverse side of this sheet and agree to abide by these and all requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature of responsible person Date _a ' 05/86 and/vl ic9d/9 0-otxac4- ct4icam. br,i_h NA, e)cisii'oy S S1-"7 Section II Septic System Inspections: A. All applicationd for septid system installation , alteration or repair, as required by the Town of Queensbury 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 be 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 Queensbury Building Department before further construction. 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 2 . Type of heat ,f/L C-j.- .2 4 tZ/F-7/1-0 3 . Is the building mechanically cooled? 4 . Percentage of area of windows and doors A. Over 16%.,Only 1 . Uo va e of gross area of walls , roof/ceiling and floors . exposed o ambient conditions 2 . Floor over heat d spaces YES a. Are foundatio walls insulaat�t.- ? YES NO. 1. If YES, what ' s the Revalue? 3. Slab on grade YES a. If YES, what the R va ue of insulation around perimeter © floor? 4 . Is base -nt heated? YES NO a. alue of insulation 5. ype of insulation B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls 1Z' 1 q 3 . R value of glazed area • 4 . R value of doors • 5. . R_ value of floors over unheated spaces . re® 3- 0 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 r f r3 , C. Controls 1. Thermostat maximum heat setting 440. • D. Duct Systems 1. Is duct system in led in eated spaces? YES NO a. If YES alue of ct installation b. R ue of du n of -er areas E . Piping Insulatio 1. Size of t water or cooling carrying agent pipe • 2 . R va e of pip insulation F. Service Water Heating-c 1 . Performance efficiency S `G 2 . Temperature control setting maximum /,cep° G. For Swimming Pool 1. Maximum -1 TelephoAe No. r � c -pplicant ' s sign t re) 1_ ..:,.. ,ca i..1,!..1!...!..1-... ?..�1.A r"..1...y,,....,te....i,t1 rs !..I••natga i.1 P.91......!1.. i.. ...(a 4..1%.Ca,ta!.a t.10 .)!!.aP{.�t•!.,,ti."c9! n"i. _.!�s 19?. .?•"-1ti 1.•:!•'19 ,.!.1t.,J -6THE NEW YORK BOARD. OF FIRE UNDERWRITERS _ --6 BUREAU OF ELECTRICITY := E Y 0 41 STATE STREET,ALBANY,NEW YORK 12207 i_ Date June 16 , 1987 Application No.on file ile 021 377/ /4Fr9 8 6 w � �qq Q kd a ! THIS CERTIFIES THAT `,f : i" only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of �f Richard W. .Bennett, L�Ien3cinsv'i?le Road, Glens Falls, New York - _ in the following location; ❑ Basement ® 1st Fl. ❑ 2nd Fl. S Sections 2 Block1 Lot 26 { was examined on 2/17/87 and found to be in compliance with the requirements of this Board. . FIXTURE FIXTURES - RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECEPTACL•ES SWITCHES INCANDESCENT.FLUORESCENT INC . MAT. K.W. MAT. K.W. AMT. K.W. AMT. K.W. MAT. H.P. _ �� 6 16 3 3 4 1 FR ,v it DRYERS FURNACE MOTORS RJTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS - SYSTEMS r•, MAT. K.W. OIL H.P. GAS H.P. MAT. NO. A.W.G. MAT. MAP. - MAT., AMPS. TRANS. AMT. H.P. NO.OF FEET MAT. WATTS 314 . , SERVICE DISCONNECT NO.OF S E R V I C E AMT. AMP. TYPE METER 1 A 2W 1�'3W 3 0 3W 3,B'4W NO.OF�R kCOND. OF CC.COND.. NO.OF HI-LEG OF-H•LG- NO.OF NEUTRALS Op NEUTRAL - ' 1 100 cb 1 x OTHER APPARATUS: -� 11:-.; !"$ 1 ° ‘"It. ::: F--1- .14116,$ - .::: Fr: • ii Richard W. Bennett i Jenkinsville Road O 0 ' BRANCH MANAGER (ir Glens Falls, New York Per , i' r ke This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. gist 7 y.rY4r i6Y 47ciiit-4—cim ® ® 0 11 II Cl 0 17 It ® Il i COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Lail-d _own of Queenilur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • BUILDING INSPECTOR ' S REPORT NAME cyt ,,k d g h e LOCATION Few ih' Date 9/ )--- Permit No. cn- /f lS * * * * * *. * * * * * * * * * * * * * * * * * APPROVED - YES J NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding 1 Masonry Veneer Rough Plumbing Relief Valves 1/ Ext. Porches Finished Floors . Interior Trim Z�r 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- - 424)- 0 L4 cL e r�s /0 Bui ding Inspec or 6/86 and-vl 1I-e4 61/VA Oti "36) 10' in Jown 01 Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME R -I C 1 ak e)(.0 w• LOCATION , I Date 11) /U le Permit No. 8r6 - ! 95 * * * * * * * * * * * * * * * * * * * * * * * V = 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 � .rr Gar. Fireproofing Door Closers / . Smoke Detectors / Chimney INSULATION: Foundation Floors re."3 0 Walls 6Z— / ? Ceiling ' 30 -- FINAL ELECTRICAL INSPECTION Final Building Survey)- PLi ,Jc Next scheduled Inspection(call when ready) Remarks- - Building Inspector 6/86 and-vl Down of Queenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME le „�� LOCATION V a Le_s e52, Date K7 Y/ )e6 Permit No. * * * * * *. * * * * * * * * * * * * * * * * ✓ = APPROVED - YE 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- - [1 Bui ding Inspecto 6/86 and-vl �anC.l S now ff)owmarl MoroJcare-�- Leas, Lear z w t \37- e Q, fie,\1 Zq 3 t ely\ �9 • (yt �`oj °^ 9 ZO1j �JGG O � � AO tJ App liC-ont P,;charcj W . Ecnne,-tt P,.O. 171, 6oX A23 .-�--nkinsvi Ile. ?-K�oo6 Glens Fo115, N- Y. 128a� 96.� 3- k O )A�G ° (16 Grr Az,p showing the lands of Richard IV. Benno= 'F&r-rlCWtz6 5 i+uate in it)e. Town of C�ueenSburq , County o-� Wa,rmn , 5taAe- d Kle.w York scale �:zo' date. February 2s.lg8ca F) ic. hard W . Cie n nett Licensed Land Surveyor Glens Falls, New Yovk No. 04g493 5".--t-L�