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1986-523 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 17 1986 t-\ \ This is to certify that work requested to be done as shown by Permit No. 86-523 has been completed. This structure may be occupied as a One Family Dwelling Location LiCA Cf Corinth Road • Gary A. Ball Owner • By Order Town Board TOWN OF QUEENSALIFt-Y, — (it-Aiding & Zoning Inspector— TEMPORARY CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK • Date October 7 19 £36 • This is to certify that work requested to be done as shown by Permit No. 86-523 has been completed One-Family Dwelling This structure may be occupied as a Location Corinth Road Gary A. Ball Owner TEMPORARY CERTIFICATE OF OCCUPANCY FOR 60 DAYS By Order Town Board TOWN OF QUEENSBURY ff • IA Building & Zoniiiginspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-523 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Gary A. Ball OWNER of property located at Corinth Road Street, Road or Ave. 0 in the Town of Queensbury,To Construct or place a One-Family Dwelling w at the above location in accordance to application together with plot plans and other information hereto filed and `C approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. td 1. OWNER'S Address is RD #2 Box 380 fv F-' Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name same 0 n 3. CONTRACTOR or BUILDER'S Address rt same 0 0 4. ARCHITECT'S Name 5. ARCHITECT'S Address - ♦0 6. TYPE of Construction—(Please indicate by X) ( Wood Frame ( I Masonry ( )Steel ( ) H. 7. PLANS and Specifications r7 28'x48' per plot plan, specifications and application submitted No. including sewage system. IJ• 8. Proposed Use per Variance No. 1111 °4 One-Family Dwelling $5.00 C/O $98.00 PERMIT FEE PAID -THIS PERMIT EXPIRES March 1 19 87 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before-the expiration date.) Dated at the Town of Queensbury this 28th Day of August 19 86 SIGNED BY , � - � �� for the Town of Queensbury Building and Zoning Inspe or TO BE COMPL,.. ;SY' 13LDG. DEPT. ".I c�1 D Quein.s1ur1 Application No. 7B0 _lo[vn of Permit Issued 19 TOWN OI; QUEENSBURY UILDING anal 7.0N+NG DEPARTMENT Permit Expires 19 Day and Haviland Road, A.D. 1 Boy Zoning Designation LT- ?4 •,' E _ V E Queensbury, New York 12801 Variance No. /$ / / Site Plan view No. NOGG 2 i 6 foZ(e 1— 1 '- Approved b • a .M: 3 2 . /=e P•0 12)11213)41516 APPLICATION FOR !_ 4,__e__[-..,.. e..1 s e : s a a, BUILDING AND ZONING PERMIT / . � ��C ld I tip.. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *:>* • 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: Cq A__ 6 • P.O. Address `; PI) '2-- c.,,t) S1 144-12r9 O�r ,?go " 6P Al Tel. / 'j."L yO Property Location: 0_94,,Ug l .9 Tax Map No./2-4/ / / 32V Street number or building lot number Subdivision name (if applicable) _� THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS. REGARDS BUILDING CODES IS: G A- B Ate. n • 1_ Lo - ,z PO 7F-z 910 N me P.O. Address Tel. No. Name of builder G/40 /A LC Address (4)I- r`li t 1249 Cc"N V Tel. 7y.1.2 qvo Name of plumber .51-r-og Ate AteCto Address f.Jef 7Q►ir /ell /-j-,P Tel. 7Y7S? 'j Name of mason taF•F= Ao JWit{- Address /71r4I1, ' /,2,g &. 7 Tel. 3 c:73 ? ' NATURE OF PROPOSED WORK: * ZONING INFORMATION: ' X 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 PE_WT, STATE SIZE * whether interior or corner lot. Show location S AF ECTLI. * of water supply and location and configuration LOCATION OF ST UCTURE * of septic disposal area. * COMPLETE INFORMATION REQUIRED BELOW. * Size of property 3 ft X /3?.o ft. * Existing building(s) Size cep ft X v ft. * PROPOSED BUILDING AND USE: * Existing building(s) 'Use .1�„1,,`) Size of new structure 2T ft X tit Foundation-pier/slab/crawl/partial/, * Proposed building, distance from property line (circle one) * Front yard ,S'Sb ft Rear yard • `7y7i ft No. of stories (habitable space) Sideyards Height (grade to ridge) ft. * .Sv ft and 7�p� ft If residential, no. of families i * If on corner, setback from side street rt No. of rooms(excluding baths) • .S * OCCUPANCY INFORMATION No. of bedrooms • g . * p RY BUILDING - No. of bathrooms / V/� *. RI Primary heating system 4_6-/7Zie * One family dwelling fuel * Two family dwelling Type of ��� Multi No. of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? * vKrmanent occupancy Central Air conditioning? Jo * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE *' Industrial Ranch ' Contemporary Log cabin * Other ' sed ranch Mansion Duplex * If addition, what will use be? 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 CONS`PRUCTION $ -- 7 coo a-0 INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form SFA1 /Ft:; mA-v.L. • 7 BUILDING PERMIT APPLICATION CONTINUED - - BUILDING SPECIFICATIONS: • • Type of construction, wood frame, .fire safe,etc. . Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material- Thickness Depth of foundation below grade (to bottom of footing Will there be a cellar? Heated or unheated? Floor sq. footage sq ft Will there be a basement? Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other Material.•of roof Size, wood studs "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor "X " s acing "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. spans\ ft. Exterior wall finish Of what material? Interior. wall finish 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? Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. • Water supply - Municipal 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 A F F .I D AV I ' T 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 authorized by the owner. SWORN TO BEFORE ME THIS Signature Owner, owner's agent,arcnicect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * •* * * * * * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * •* SPECIAL CONDITIONS OF THE PERMIT: • • • • • By • awn o/' Queens1ury • APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.O. 1 Box 98 • !! „(Z, Queensbury, New York 12801 DATE V--, / __ +� LOCATION OF PROPERTY FOR -INSTALLATION ae„,Ajg Q OWNER'S NAME G.170-74- kiwer ( 1L4ADDRESS t oto &Leon 4-1(.4 110Lr TEL- ,7� f9e4"f INSTALLER' S NAME TEL Number of bedrooms(residential only) lL • Total daily flow(compute @ 15.0 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 - At what depth? 0 ft. Percolation test - Not required - Required - -Rate . min-inch. Domestic water supply - Municipal - Well - Other . Separation - Watersupply(if well) from Septic absorption ft. • Proposed System: Septic tank lop p gal. ( Minimun size, 1000 gal. ) T-le-F-ic1d Bac=h--tr-enc-h • - f-t:Total—sy`s em legnfli ft. Seepage pit(s) Number of 7 . Size each ft X 5rft r Size of stone to be used # Depth or thickness ' 2 ft. IMP*OR*TA*NT* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ! ! 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 . 6-d Signature of responsible person • Date 6j/-7 05/86 and/vl • Section II Septic System Inspections: • A. All applicationd 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 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 Oueensbury Building Department before further construction. ` • /�- i TOWN OF QUEENSBURY @vdi17", S 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)(K. � 2 . Type of heat Oil_ a,c 3 . Is the building mechanically cooled? Alb II 4. of area of windows and doors ✓( o \Percentage 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_ 2 . R value of exterior walls — Lel . 3 . R value of glazed area 2.. o 4 . R value of doors 5 ' I 5. R value of floors over unheated spaces _ 6. R value of slab edge insulation - unheated slab h'-Q • 7 . R value of slab insulation - heated slab l/1 'N 8. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below grade) 7 10 . Type of insulation ( 9-12--1/42-QtrilLIA,-, • . C. Controls o - 1 . Thermostat maximum heat setting 7 ° 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 D 2. Temperature control setting maximum 14{-o ° G. For Swimming Pool Only. 1 . Maximum heating Telephone No . (applicant ' s signature) 1 _Jocun of Queniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME N._)e-e_ (. -.t.je vce LOCATION , Dated ?3 / S6 Permit No. g(p- 5 d3 '�cn*�* * * * * , * * * * * * * * * * * * * * * * 'Footi" Q✓ APPROVED - YES / NO Foundation Waterproofing Backfill Framing Roofing tiding W,c Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Ilterior Trim Vtairs & Railings (q Cellar Drain Tile Concrete Floors •. Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors ChimneyuiNSULATION: Foundation L1loors >K'. � Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL 1 Final Building Survey r Next scheduled inspection (call when ready) Remarks- Q, K 40/4 Building Inspector 6/86 and-vl ce, IS Lc11 // 6 _/own o/ Queeniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 C /' i r,f,, BUILDING INSPECTOR ' S REPORT NAME rGY� • LOCATION Date /vl2 /J-6, Permit No. a ` --� Z' * * * * * * * * * * * -* * * * * * * * * * t,/ = APPROVED - YES / NO ' Footing' ier F rms Foundation Waterproofing Backfill Framing Loofing • (Aiding !'t&T e&7► N,16 Masonry,Veneer Rough Plumbing 5ief Valves , fit (� . Porches Co,� Finished Floors NAT //interior Trim dir airs & Railings 4; a) �tr Cellar Drain Tile poncrete Floors Plbg. Fixtures Q, ✓ear. Fireproofing / b26or Closers 4- • Ioke Detectors V,k Chimney INSULATION: Foundation Floors / - (Walls / Acoyi e2rnpleZT L/FCe ing l INAL ELECTRICAL INSPECTION P Final Building Survey • s?~� (/ • Next schedu ed nspection(call when ready) Remarks- - v A I c) f,y 4) (.. • • 1019/3/1,1:45- Building Inspector 6/86 and-vl Jown o/ Queeniburty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION— LQ-IL I��� �� /1f Date 9/ / Permit No. yG _S�3 APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framin /te.pe. 44.aredI/Dx Roofing Siding Masonry Vaneer Rough Plumbi g) �dr� Relief Valves Ext. Porches Finished Floors Interior Trim �! Stairs & Railings Cellar Drain Tile \ , Concrete Floors Plbg. Fixtures Gar.. Fireproofing Door Closers N Smoke Detectors i Chimney f ,\ INSULATION: �\ Foundation ' Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - 60/j3 Building Inspector 6/86 and-vl Jown of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME ( J2 ? LOCATION , PCP DATE ,44/ C;(4e PERMIT NO. 8 C, ...1- 3 SOIL TYPE - Sand - Loam - Clay - Percolation =St Required? YES NO Percolation rate - Min/Inch 0! TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS4Numb9T of) _ 9- &41.. Size- 6 ft. X ' ft. Gravel size . - .9 PIPING: Size Type Bldg. to tank Ce (/0 sh Tank to dist. box Dist. box to field/ it 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: , I SYSTEM USE APPROVED NO 4 Bui74ing Inspector Iii° 01/86 and vl TOWN OF QUEENSBURY • Building Department Inspectors Report Date • Name P Location ' f) Permit No. G - S a'} Weather Remarks Excavation Footing Forms /Footing & Piers t/Foundation Cement Coat VW terproofing ckfill © 'k 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 '1,1)14(2)4,432541). Building Inspector REMARKS • • • Jown o/ Queenit urcy • BUILDING and ZONING DEPARTMENT Bay and.Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • BUILDING INSPECTOR ' S REPORT NAMEP3(5-J4-de LOCATION Date / Permit No. �� -5�3 • * * * * * * * * * * * * * * * * * * * * * * 8� APP OVED - YES ,/JNO toting/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 J Chimney INSULATION: Foundation Floors Walls • Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey " • Next scheduled Inspection(call when ready) Remarks- - • • • Building Insp/ for 6/86 and-vl / V t MNZ r > ICU � f 4 eo`L 0� oo� CA c cps e� 190 ca Cz QY .Z c3 I � e Cod . eQ