1986-583 - - _
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date December 29 -19 86HS
This is to certify that work requested to be done as shown by Permit No. 86-583
has been completed
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This structure may be occupied as a OneFamily Dwelling
Lot 1 Sugar Pine Road (St. No. 2)
Location
Owner Edward and Angela Barber
By Order Town Board
OVVN OF QUEENSBURY
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Building & Zoning/Inspector.
. ,
BUILDING PERMIT •
TOWN OF QUEENSBURY No. 86-583
WARREN COUNTY, NEW YORK
?iG
PERMISSION is hereby granted to Edward and Angela Barber
OWNER of property located at Lot 1 Sugar Pine Road (St. No. 2) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 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. a
1. OWNER'S Address is / Westland Ave. a
Queensbury
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2. CONTRACTOR or BUILDER'S Name
td
Pliney Tucker
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3. CONTRACTOR or BUILDER'S Address
Box 425 RD #4 Division Road
Queensbury NY
4. ARCHITECT'S Name 0
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OR
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) TJ
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(X)Wood Frame ( ) Masonry ( )Steel ( ) - a'
7. PLANS and Specifications *
No. 26'x64' per plot plan, specifications and application submitted
including sewage system and two car attached garage.
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8. Proposed Use
One-Family Dwelling
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CD
$5.00 C/O Paid1,1
$ 164.00 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.)
Dated at the Town of Queensbury this 17th Day of September 19 86 c
SIGNED BY `74a for the Town of Queensbury °A
Building and Zoning Inspector 61'0
TO BE COMPLETED BY BLDG. DEPT.
• Application No.
_
Joevn o/ Queereitury Permit Issued 19 TOWN OF QUEENS
BUILDING and ZONING DEPARTMENT Permit Expires 19 [ `. 11
. rd
Bay and Haviland Road, R.D. 1 Box 98 �1`Zoning Designation ! E L�� 1E I� j
Queensbury, New York 12801 Variance No.
Site Plan Review No. S}_P ;9C,
(69
Approved� by: A.M. Imo' • L. P-r✓�
APPLICATION FOR �7�"i6 J 11H19110)11�12)112)314 15
BUILDING AND ZONING PERMIT •
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 the Permit.
•
The owner of this property is:
P.O. Address 7 LiJ S /, , .� / Li e', -�c �aLi,A ti:, 4-1,it Tel.
Property Location: 1. T % s" � , �-� ; e- i? 31-• ft Tax Map No. / /
Street number or building lot number
•
Subdivision name (if applicable) '-/E7 i ,u <= S C, <= ZP « -?-e,(-_05 f Cn ._ A/
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
?/ /L'ma c/ • ,v 4, T_2 AS. 'nel 7 ' 5/ /
Name P.O. Address Tel. No.
Name of builder ,S,<<.// c f s /a.hoc,rAddress Tel.
Name of plumber S,;r ;, ,..„ 4,f, ,Address Tel.
Name of mason <'� . ,-� ,j .Address Tel. •
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
S 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 S ft X 1 65/ ft.
* Existing building(s) Size ,(;1 ft X ft.
PROPOSED BUILDING AND USE: • * Existing building (s) Use •;si
Size of new structure 0ZG ft X ‘y ft * "
Foundation-pier/slab/crawl/partial full * Proposed building, distance from property line
(circle one) * Front yard ' ��' ' ft Rear yard 1-3 ft
No. of stories (habitable space) * Side yards �2 �7 ft and 6 o ft
Height (grade to ridge) ?r ft. * If on corner, setback from side street 5: ' ft
• If residential, no. of families /' '
No. of rooms(excluding baths) ) * OCCUPANCY INFORMATION
No. of bedrooms Z. -
* PRIMARY BUILDING -
No. of bathrooms ,� �7-2-- • * VOne family dwelling
Primary heating system ,���� T�:, . * • Two family dwelling
Type of fuel Multiplei
No. of fireplaces to be installed i * dwelling / Number of units
Will a wood stove be installed? 4;4-2 * _ Permanent occupancy
* Transient occupancy
Central Air conditioning? ilia+ 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-
Glonia_U Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ L2.. car
* * * * * * * * * * * * * * * * * * ' Private storage building
ESTIMATED MARKET VALUE OF * Other '
CONSTRUCTION $ /C *
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. f e,.y«a -'
Will any second-hand or ungraded lumber be used? If so, for what? .Ls U
Foundation wall material ' Thickness ' '."
Depth of foundation below grade (to bottom of, footing) 7 6- /'
Will there be a cellar? )( Heated or unheated? +4fN, ; d Floor sq. footage 2.,/ ,,0 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 - gjopeYflat/shed/other Material. of r•oorrk ass s
Size, wood studs c X G' spacing ` 4 "o.c. length '' ft.
Joists(floor beams) 1st. floor 2 "X j G> " spacing /C "o.c. span l.3 ft.
Joists (floor beams) 2nd. floor 99 "X iG " spacing /4 "o.c. span ' -;(f"t.
Overlays(ceiling beams) • "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing ,. 4{ "o.c. span 22 ft.
Exterior wall finish ("j,�f0 la 6;w .. Of what material? 5 ;0
Interior wall finish ' 1,4, D ,2
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? AJ If so will a Fire-rated
door, enclosure, and self-closirig device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grader,�r°ft.
Depth of fireplace hearth /. ft. 4/in.
Water supply - Municipal or private well /J��-,G, � �? �. /
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 A V I T • STATE OF NEW YORK County of Warren
C
.•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 L-� '
da of 19 - 7 Owner; owner's; agentrcnitect,contractor
Y •
•
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * * * 'k *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
By 1 ��L
•
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Jotun of QuQcniturV APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 I/
Oueensbury, New York 12801 • DATE/S /
LOCATION OF PROPERTY FOR 'INSTALLATION .
OWNER' S NAME F.ci ,u
ADDRESS 7S /i� L�a1 '�!v< �L!F'c���zl c•�-�i G�/r,�s.�.�ils ill,i_.TEL
INSTALLER' S NAME
P i W �i / ���,��� T E LT l3•-sic�1 -
Number of bedrooms (residential only)
Total daily flow(compute @ 150 gal per bedroom) 1--/,5'4=1 •
Topography: C1a9- Rolling - Steep slope - (circle one) % of slope_
Soil nature: and)- Loam -. Clay - Other Depth // ft.
•
Ground' water -At what depth? ;(,i i7 ft.
Bed-rock or impervious_ma±erial. - At what depth? ` /J;�,� ft.
Percolation test -Cot require - Required - -Rate min-inch.
Domestic water supply - Municipal - Well - Other
Separation - Watersupply(if well) from Septic absorption ,L'/4 • ft.
Proposed System: Septic tank %‘3l,a gal. ( Minimun size, 1000 gal. )
Tile Field - Each trench W? 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
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.
Signature of responsible person -
Date
05/86 and/vl
Section II Septic System Inspections:
A. All applicationd 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 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.
WARREN COUNTY , NEW YORK
Application fort BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY :CONSERVA,TION CODE
A permit must be -obtained before beginning work. .
ANSWER ALL of the followings
1 . Gross floor area . 2
2 . Type of heat (ACI, It LC_
3 . Is the building mechanically cooled? , _ / ,
4 . Percentage of area of windows and doors } Lr
A. Over 16% Only
1. Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2. Floor ever heated spaces YES . . NO
a. Are founUation walls insulated? YCS 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 insulaxion'.: z ,
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
3. R value of glazed area 2 L O
4 . R value of doors LS •
5. R value of floors over heated spaces
6. R value of slab edge insulation - unheated slab P).A
7 . R value of slab insulation - heated slab
6. R value of heated basement/cellar walls (above grade),
9. R value of heated basement/cellar walls (below grade)
10. Typu of insulation
C. Controls ` 01 . Thermostat maximum heat s+•tt"i• y O
U. Duct..Systems
1". :i Is duct system installed in un) eat3d •pacew? YFS . NO
•.;�T,�r}r'a. IL.. YESi R value of duct installation
C;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 ?). ( C
2. Temperature control setting maximum
. G. For Swimming Pool Onlyic . 2 '
1 . Maximum heating • 'r
• •
Telephony. No. •
1 (kW licant ' s signature)
Jown of Queenibury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /Ue/C7;if-
LOCAT I ON
LOT f P '--
, ,,,,,,i,„. Q
Date/�I,,� / Permit No. �'�-Sx3
* * * * * * * * * * * * * * * * * * * *
?� ✓ = APPROVED - YES NO
Footin)/Pier orms
Foundation
Waterproofing
Backfill
Framing • 1
LRoofing
\/: Oik
LS-iding a k
Masonry Veneer
Rough Plumbing
`'Relief Valves 1
.(=
'xt. Porches , d,,
Finished Floors giDe/LD T I ' at:
Le' Trim C),/c
fairs & Railings o
Cellar Drain Tile
Concrete Floors
(rflbg. Fixtures 0,3:
Gar. Fireproofing 0.1<,
Door Closers CZ
I.moke Detectors (4
L-chimney evt.c,/iye n �- 6 r .11.9 L�
"INSULATION:
Foundation vZ&y/Ci.tj/L41 Otk
Floors
Walls
Ceiling
i VYLINILIA
�R-INAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL i
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
•
•
6,44
Building Inspector
6/86 md-vl
_loom Of Queen it ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Li 8Cr-vere--4.-..
LOCATION r! (J
DATE )1I13 /%6 PERMIT NO. Sig- .5 C3
SOIL TYPE Sa - Loam - Clad' �-
Percolation est Required? / J-�
Percolation rate - Min/Inch _ p`j_ 5�
TYPE of SYSTEM:
Absorption field, total length �5-0
Length of each trench G, 01
Depth of trenches a,f
Size of gravel 47 o—
SEEPAGE PITS-(Number of)
Size- ft. X —ft.
Gravel size •
PIPING: Size Type/
Bldg. to tank �/" 9?O `4
Tank to dist. box
Dist. box to field/
Openings sealed? NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /D ft.
Foundation to absorption 07O ft.4
Absorption to lot line /D ft.
Separation of pits ' ft.
LOCATION OF SYSTEM N PROP RTY(cirCle one)
Front Left ide - Right side -
COMMENT'
SYSTEM USE APPROVED NO
Building Inspector
01/86 and vl
• '_town of Quenibury •
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME •
Irtit,dis-eaer-1...41
• LOCATION / .. L / p,-....0
DateLty r / t(/, Permit No. ' ? �jr 50
* •* * *(* * * *'* * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
• Footing/Pier Forms .
Foundation
Waterproofing - . .
Backfill .
aming dr
Roofing .
Siding
-y..Masonry Veneer
.L-11S—ugh Plumbing 0,h
Relief Valves l
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile \-1\1 . •
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors X\\\\N
Chimney I
INSULATION: /
Foundation
Floors l
Walls '1
Ceiling
FINAL ELECTRICAL INSPECTION
•
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - -S-71 -C--
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G)vLv2y._ •
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•
- Buildi g I ector
6/86 and-vl
Jown o/ Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S R PORT
i ' p_ 6 -
NAME Q j
LOCATION -4
•
Date
5 _q Permit No. 0‘ - S 83
* * * * * *. * * * * * * * * * * * * * * * * *
✓ 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 9
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors 1
Chimney
INSULATION:
Foundation
Floors
Walls A
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
61 /Co raft_ 6o,ccc
1(J:5l�
f/////--
Building sp ctor
6/86 and-vl
Jown Of Queen itur[y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME z( &t.„4„..c
LOCATION
1/7 5/ 2 ✓-�-?-cam
Date 02 ¢/ %; Permit No. O(o _ 5 83
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
vFoundation [q,
LWaterproofing �)�; .
ckfill
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 \\17\,
Chimney
INSULATION:
Foundation
• Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
Building Inspector
6/86 and-vl
Alp
of. Queeniburt�� � ��
Jown
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
LOCATION L�•r--( - Ju_E
Date / l Rp Permit No. ..5 81
* * * * * * * * * * * * * * * * * * * * * *
V = APPROVED - YES NO
ootin /Pier Forms
oundation
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 Na
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- -
NOVO L110G5-)2 �oVX-
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Building Inspecto
6/86 and-vl
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