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1986-570 1, s CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 rt,61 ' I This is to certify that work requested to be done as shown by Permit No. 86-570 has been completed. This structure may be occupied as a One-Family Dwelling Location ,9kr13irdsall Road and on Glen Lake Owner Ernest and Maureen Horowitz By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-570 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Ernest and Maureen Horowitz tri OWNER of property located at off Birdsall Road, Glen Lake Street, Road or Ave. 0 • m One—FamilyDwelling (2 Car det. Garage) rr in the Town of Queensbury,To Construct or place ag ) - at the above location in accordance to application together with plot plans and other information hereto filed and a approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. Iv G 1. OWNER'S Address is r-t Robert Gardens Apts. Glens Falls, New York 0 x 0 n 2. CONTRACTOR or BUILDER'S Name 0 0.K.0. Homes 4 - N rt N 3. CONTRACTOR or BUILDER'S Address 9 John Clendon Road Glens Falls, New York 4. ARCHITECT'S Name 0 td a. 5. ARCHITECT'S Address Cr) 0 - w 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( ) Masonry ( )Steel ( ) _ CD 7. PLANS and Specifications >v No. 48'x35' dwelling per plot plan, specifications and application submitted including sewage system and wo7car� etached garage t(22 x24 ) 8. Proposed Use Per Var. 1094 granted 6-18-86 One—Family Dwelling/Two—Car Detached Garage H N. $5.00 C/O $ 262.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 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.) F'• 15th September 86 °R Dated at the Town of Queensbury this ^^�� Day of P 19 _ SIGNED BY )/A q e for the Town of Queensbury Building and Zoning Inspector e TO BE COMPLETED BY BLDG. DEPT. 1,434 • 6r1 Application No. Quin o f Queeniur, Permit Issued 19 's j'a'-.«•F vF ^:.� � y r:`? BUILDING and ZONING DEPARTMENT �' ``" .^ N Permit Expires 19 !�� ;', � �(� r{�- � .� �:� fii It Bay and Haviland Road, RD. 1 Rox 98 Zoning Designation ..)t,;, . l• L I{ Queensbury, New York 12801 Variance No. • f a q Lj i 1J r Site Plan Review No. lit;if.".,)` ;,..:n �` Approv by: lf,^i ;� . j d �a -;_'li;' , fi i 4: `` =cle N` u do 3 aJl ` �v` ' APPLICATION FOR Lri., A ,, i . . ,, BUILDING AND ZONING PERMIT P,t�c� R T - * * * * * * * * * * * * * * * * * * * * * * * * * * * it. * * * * * * * * * * * 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 9 ,s property is:G. /PV e -7-- - 4U&& ) ` /D 107)Lu r -r. P.O. Address CST C--/e)-Rh&7tJ5 1)7"S L/`7V 5 �9-tLS AJ Tel. ~]�p�/r Property Location: 73 / R05/�}-C.� eb -t$-L L� � AiC� Tax Map No.�a / / / /?( % Street number or building lot number Subdivision name (if applicable) ' dT PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS'-REGARDS BUILDI�D CODES IS: ,e/m_Gi LL 632 as)( 22E- FJ L�'t a (�R/4077f 1l Zr2-Z. Name //�� //// P.O. Address 7,' Tel. No. 166 --Z. ?j 7 Z Name of builde6k2). 6.ssromileildgas9 7 J d 7j0A1 �j Tel. f 2-2 C. � Name of plumber —p/yr�j� Address t LE?.t c is-e7-1s Tel. Name of mason Address Tel. 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 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. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property / 3„). ft X 3 I Z- ft. * Existing building(s) Size ft X ft. * PROPOSED BUILDING AND USE: * Existing building (s) Use Size of new structure 171, ft X 3 6ft * Foundation-pier/slab/crawl/partial fuli) * Proposed building, distance from property line (circle one) No. of stories (habitable space) Z- * Front yard 5 O ft Rear yard / 7�� " ft Height (grade to ridge) 3 ft. * Side yards " R ft and / 0 ft If residential, no. of families * If on corner, setback from side street . ft No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms ' 3 * PRIMARY BUILDING - No. of bathrooms i'1" w. / One family dwelling Primary heating system Ei9-T431716 u I4j p� • Type of fuel C C...Cc,Tje/C * Two family dwelling * Multiple dwelling / Number of units No. of fireplaces to be installed ' * Permanent occupancy ' Will a wood stove be insall,e0 yL-_S * . . Transient occupancy Central Air conditioning? C_� Business - BUILDING STYLE_ PRIMARY STRUCTURE ' - Industrial * 7—Other " Ranch o mpa nterary *Log cabin If addition, what will use be? Raised ranch Mansion Duplex * Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * ' L/Detached garage/one car/(two ca-r77) car ( CIRCLE ONE PLEASE ) * - Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * ' - 'Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTIONS * 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: 1 1 Type of construction, •od frame fire safe,etc. Will any. second-hand or ungraded lumber be used? If so, for what? /�C' Foundation wall material Bc-p�S Thickness / 24- /0 6 " Depth of foundation bel grade (to bottom of footing) .:4- /7 / ', Will there be a cellar? EE Gr3 or unheated? Floor sq. :Footage sq ft Will there be abasement? Will any portion be used as living space? ,j/ (If so, what por ? sq.ft. - - Type of use? Type of roof sloped flat/shed/other Material, of roof ,gA� c.gss tE,64.m..466.7x Size, wood studs ,. "X 4, " spacing /, , "o.c. length ' ft. Joists(floor beams) 1st. floor Z "X g "/p spacin ��, "o.c. span/� � ft. Joists (floor beams) 2nd. floor vZ "X /(., " spacing /6, 1o.c. span is ft. Overlays(ceiling beams) "X " spacing/ "o.c. span/2,2 ' ft1 ` f Roof rafters e,2 "X / " spacing / , o.c. span /7 1 ft. qt 2 ', _id, G D. C. , CO 7 swot Roof trusses(pre-engine red) (spacing "o.c. span --- ft. _ Exterior wall finish WM) , -,IJEZ/LJ of what material? /X g (,��i}/E' I/ N p;&j Interior wall finish ' s �fI/l Y14)/9-C� If a garage is t be a ached, describe materials to be used for FIRE SEPARATION: Is there to be an opening between garage and dwelling? o If so will a Fire-rated door, enclosure, and self-closing device provided? Will a flue-lined chimney be installed? 4' . Height above roof . ft. Depth of chimney foundation below grade . ft. Depth of fireplace hearth ft- Water supply - Municipal or rivate well SEPTIC SYSTEM _ Distance from ' a e well(including adjoining properties /d 0 ft. (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury • AFFIDAVIT County of Warren 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 pro osed work s all be complied with, whether specified or not, land that such work is authoriz d by the caner. SWORN TO B FORE/ME THIS Signature g I� / Owne er's; agent,arc luect , ntractor day o/ 19 `(/J.�/eiv,04 Notary P- lic, Wa\ren County, N.Y. • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: . • By • - sown of Queentur APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 DATE / LOCATION OF PROPERTY FOR INSTALLATION - OWNER' S NAMEDip���5 eci T- /Wl)/ T� . ADDRESS 7Z4 % - ,D JS 4,07-s L TEL799,r- /ViJ INSTALLER' S NAME C A'9-A /LC 17' k-)--'C��¢.�, TEL Z363 • Number of bedrooms (residential only) 3 Total daily flow(compute @ 150 gal per bedroom) " 5 C) Topography: F . Rolling - Steep slope - (circle one) % of slope_ adkii Soil natur: : Sand. Loam - Clay - Other Depth ---- ft. Ground water -At what depth? ft. . Bed-rock or impervious material - At what depth? ' ft. Percolation test - Not required - Required - -Rate min-inch. AMPDomestic water supply - Municipal Other • . Separation - Watersupply(if well) from Septic absorption ( O© ft. Hilt), Proposed System: Septic tank JO:O O gal.-( ,Minimun size, 1000 gal. ) Tile Field - Each trench b ft. Total system legnth' o�SZ7" ft. • Seepage pit(s) Number of - . Size each ' - ' ft X ft Size of stone to 'be. used . ' ,' Depth or thickness 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 r 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. 1‘.. ,-e-e--,-,---1----t------' Signature of responsible person' 0el. :✓/ Dateg /652/0e . 05/86 and/vl j I • • 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 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 $2 50.00. 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,. alteratlion or repair of an approved system, a new proposal must be submitted to the Queensbury Building • Department before further construction. • • • • • • • • • • - P6-vf5 -opMtv -S7O gown of Qu 'en3tur , APPLICATION FOR SEPTIC DISPOSAL PERMIT • BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 'Queensbury; New York 12801 DATE /� / ' LOCATION OF PROPERTY FOR INSTALLATION /, 1).S4 L A • OWNER S NAME / -'2._, / a��2/ i`T/✓7 Al4ve J( ADDRESS • /0Jr_ / L /.ems. TEL 7g, //Jag INSTALLER' S NAME ///,/� C /7L7�G`� TEL 792 -2-}v c`7 Number of bedrooms (residential only) 3 • Total daily f compute @ 150 gal per bedroom) . • Topograp, : Flat Rolling - Steep slope - (circle one) % of slope Soil nature: Sand - Loam - Clay - Other e,4,J Depth 60 • ft. Ground water -At what depth? .o ft. Bed-rock or impervious material - At what depth? ft. Percolation test. - Not required. - Required _ -Rate min-inch. Domestic water supply - Municipal Well Other Separation - Watersupply(if well) from Septic absorption ,/®ep ' -/ ft. Proposed System: Septic tank /0 5 .gal. ( Minimun size, 1000 gal. ) 'Tile Field - Each trenbh ft. Total system legnth �t.� n �, r r Seepage pit(s) Number of • . Size each ft X ft ; },'� J9 1. 'i 1 1. Size of stone to be used # Depth or thickness . . . ,,�"�t. " * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * .t D * t IMPORTANT ! ! � �� 'I IiYI ;�941516 717 , a 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, streain,pond or wet-lands. Include' all dimensions of i r the system, itself . * * * * * * * * * * * * * * * * * * * * * * *. * * * * *. * * * * * * ,* * * I have read the regulations on the _ reverse side of this sheet and agree to abide by these and aZZ requirements of The Town of Queensbury Sanitary Sewage Disposal Ordinance. Signature ofresponsibleperson f�� • 9 p C / G�1 Date ( )7F-.4 105/86 and/vl . • Section II Septic System Inspections: . . • • . • A. All applications' for septid system installation, alteration or repair, as required by the Town of Queensbur y' '&anitary 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 Queensbury Building Department before further construction• • . , r 1 . 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: 911 1. Gross floor area 3s'42- 2 . Type of heat 6.--- e/ e — 4Vi-167Z�T ,21, p_5 �A re dm?). 3 . Is the building mechanically cooled? Y� 4 . Percentage of area of windows and doors A. Over 16% Only , 1. U value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heated •aces YE NO a. Are foundation w- is ins l'ated? YES NO 1. If YES , what i th- R value? 3 . Slab on grade YES NO a. If YES, what is he R va e of insulation around perimeter of f or? 4 . Is basement he9,ted? YES NO a. R value insulation 5. Type of insulation Under 16% Onl value of roof and loors posed to ambient conditions 2 . R value of exterior walls 30 3 . R value of glazed area 3i3 4 . R value of doors ill 5. R value of floors over unheated spaces 3 0 6. R value of slab edge insulation - unheated slab 1 / 7 . R value of slab insulation - heated slab I I 8. R value of heated basement/cellar walls (above grade) 13 9 . R value of heated basement/cellar walls (below grade) 13 10 . Type of insulation I"-' / se--- a_fii-5.5 -,4- -C7 yrOfc '19 C. Controls D , I / 1 . - Thermostat maximum heat setting 7,S 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 �i(&-y2d y 54,06a 2. Temperature control setting maximum / -/ ,S G. For Swimming Pool Only 1 . Maximum heating . Telephone No.7�z -ZB� ) 0/( ' #014( licant ' s i ature) awn o/ çu ?efliur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME • LOCATION 66.71. Date 5r/ 1 / %Permit No. h)-- * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - Y / NO Ming/Pier Forms ti Foundation Fj �' c Waterproofing (ackfill v. , Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures N. Gar. Fireproofing Door Closers s, Smoke Detectors /, Chimney INSULATION: / • Foundation \�• Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl Town of 2ue?n3ur4 BUILDING and ZONING DEPARTMENT • Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCAT I M ("3, DateA / b Permit No. Vp— 676 * * * * * * * * * * * * * * * * * * * * * * * ✓�l APP VED - YES / NO Ming/Pier Forms .,- Foundation t� Waterproofing e,y7) Backfill //v' Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings // Cellar Drain Tile Concrete Floors Plbg. Fixtures f\\ � Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building In ctor 6/86 and-vl i lai/r'7 l i i11 i. // Down of Queeniturj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME "pi r /r(J1 i„, �Z LOCATION Date / /A/ 47 Permit No. L6"70 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill ?( Framing r/ Roofing Siding Masonry Veneer X 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Ct rOyL A SO i )1464164/45 111/412 RA O MI51 latil Building Inspector 6/86 and-vl ca HH-zc( 114/ '1 cc�� Jocun of Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME 1,vt.e 51 14 cm--o c.v t 1-2- LOCATION e B 4 J s t 1 I DATE f I rf / B 7 PERMIT NO. E, _51)6 SOIL TYPE -(Sand. - Loam - Clay -!33 Jv',Y Percolation Test Required? YES -(-' Percolation rate - Min/Inch C.,� TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel SEEPAGE PITS-fNumber of) Size- > ft. X ft. Gravel size ' S)'o/i/ PIPING: Size Type Bldg. to tank - — - Tank to dist. box Dist. box to field/p't " /47rci Openings sealed? 411211iNO Partial LOCATION/SEPARATTONS: _ Foundation to tank, 2-Uft. Foundation to absorr on 5 ft.f- Absorption to lot l'• e ft. Separation of pits \ LOCATION SYSTEM/ON PR PERTY(circle one) Front -N Rear - Left side -\Right side - CCMMENTS: b; L`( tee ttcrvf^ SYSTEM USE APPROVED len NO Building Inspector 01/86 and vl C4 /1 cD 7/aw/ ''1 Jown of Queenihur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT (o'/1 o c u 7-6)1,r /tilroi) NAME l�vi 4,5r e r o �� + Z. LOCATION 6 ^( /3irc151/ RUt - C/ek A.4Xr Date / htV/2.6 Permit No. G - 5-7° * * * * * *. * * * * * * * * * * * * * ✓ = 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- - rduY;,11 b / 9/0,1s7J'4 /0 2® u t< /2�1LD 6 2� r'r x �C " ' Q wc-X 4�Gv(--L 1//,(4: Building Inspec r 6/86 and-vl • J�t . . rt CGS` • M • i _ _ i'C • / jY _ _ \ g-� b..,ems'.., liammic.1 XI II 111112111... MiliasolltI T ^ \ ,`ter;)_ \ \ .. , • \ ��� p �\ ' • - \ \ \ .: • . ,, \ 4.,-r , \ \ „....... \ , .„ , , t 1 ..ri , . t; k • • • \ c\ \ \ \ • \` a\ , 'i • \...... r • --- C1�z'GJ \ \ 'ram\.. \ \ r • — PN„, ._.. . . . a /— . lir . I ' .: : '\\ \. \s, \\ . \ II ' • . 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