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1987-011 CERM[FICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 3 ] `8 Date I9 eAq ac 'This is to certify that work requested to be done as shown by Permit No. has been �• nt rA J 1� �1 This structure may be occupied as a 5 C By Order Town Board TOWN OF QU&EN$SURY Building 6 Zoning Inspectar CR<ATIyt "IMSTA" PRINTING. YLILMS VA4L'f_ M Y lzaot {SISITlSASSS i r M F 0 R A R Y i GER.'TIFICArM OF OCCUPA.NIC�.O'X' I TOWN OF QUEENSBURY ' WARREN COUNTY. NEW YORK i [?ate August 20 , 19 87 i I This is to certify that work requested to be done as shown by Permit No, 37- 11 I has been completed. i This structure tray be occupied as a C7r:e- Fan:il.y Uwe3.ling Sweet Road Location Bruce D , Koopka Owner TEMPORARY C/O ISSUED FOR 30 DAYS By Order Town Hoard Pt+GbTNG ELECTRICAL INSPECTION _. WN OF UEENSBUR nuildirg & ioning Inspector i BUILDING PERMIT TOWN OF QUEENSBURY No. 87-11 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Bruce D . Knopka OWNER of property located at Sweet Road Street, Road or Ave. in the Town of Queensbury, To Construct or place a One—Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and o approved and in compliance with the Town of Queensbury Building and zoning Ordinance. t= 1 . owNER'S Address is 25-5 Robert Gardens Queensbury , NY 12801 00 az 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address same Cn (o 4. ARCHITECT'S Name M :o a m ram. 5. ARCHITECT'S Address S. TYPE of Construction — (Please indicate by X) I ) Wood Frame { ) Masonry i ) steel oc } ] p$ 7. PLANS and Specifications No. 9016"x38 ' per plot plan , specifications and application submitted CD including sewage system and two-car attached garage . I 8. Proposed Use e E� N- w One—Family Dwelling r� E $5 . 00 C /O $ 143 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES August 1 19 87 (If a longer iod is re uired an a Iication for an extension must be made to tha 6uiIdin and Zoni in h g per q pp g ng inspector of the town of Queensbury before the expiration date_) Dated at the Town of Queensbury this 21s t Day of January 19 87 SIGNED BY GG i Fc for the Town of Queensbury 0Building and Zoning Inspector ? ' � TO BE COMPLETED BY BLDG . DEPT . CC�� Application No . _Jnaan C1 Permit Issued 19 IQ BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation 4 Queensbury, New York 12801 Variance No . �woeV Site Plan Review No , F (' Approved by : / ��pz �,/ APPLICATION FOR 0` r BUILDING AND ZONING PERMIT � — Sze 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 p � P . O . Address 4 5 ^r ,, Property Location : }�r,-� � 2 , "4�+` +. .{ Zk ._ g0mh .a.'�C^, C 11 Tax Map Street number or building lot ner 1 Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR 'SUPERVISION OF WORK AS REGARDS BUILDING CODES IS 4 S Nalne P. O . Address Tel _ No . Tel .Address '_'t .n.�l.,.. ' !a Q ww gGW0A4X Name of builder -a+�---"'�' Name of plumbez �,+.,,.,, t!=_,&, tww& Address Tel . Name of mason Address Tel . ^ 4�k6q.= (.3 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 whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . Size of property �Ard ft X 2w ft ' * Existing buildings) Size ft X ft . PROPOSED BUILDING AND USE : Existing buildings ) Use Size of new structure ft ]X ft Foundation-pier/slab/crawl/part ull ial * Proposed building , distance from property line {circle one} * y � r ft Front and ft Rear yard l '-?,� No . of stories (habitable space ) Side yards i ft and I <& ft Height ( grade to ridge ) ft ' If on corner , setback from side street ft If residential , no . of families Now of rooms ( excluding baths ) * OCCUPANCY INFORMATION * No . of bedrooms PRIMARY BUILDING - No . of bathrooms One family dwelling Primary heating system g * Two family dwelling f fuel e Type o ue '�`�'�S. �. Multiple dwelling / Number of units No . of fireplaces to be installedpermanent occupancy Will a wood stove be installed? * Transient occupancy Central Air conditioning? � Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary ca in * 'Other If addition , what will use be? Raised ranch Mansion Dup ex Split level Old style :Bungalow Cape Cod Cottage Other ACCESSORY BUILDING- Colonial Raw 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 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 . Will any second-hand or ungraded lumber be used? If so .' for what ? Foundation wall material—aAa mot . 4 Thickness Depth of foundation below grade (to bottom of footing ) _ % krno494 Will there be a cellar?_Heated or unheate Floor sq. footage k '1L.� sq ft Will there be a basement's L�r� Will any portion be used as living, space?> ( If so, what portion? _ sq . ft . - - Type of use? eat Type of roof - ope flatfshed/other Material of roof Size , wood studs " X it spacing "o . c . length ft . Joists ( floor beams) 1st , floor iQ X_ __j�" spacing�xf_"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 No spacing o . c . span f t. Roof trusses {pre-engineered} spacing-A ft-410 W c , span 4:klft . Exterior wall finish G� Of what material ? Interior wall finisht '► ,r�� �l if a garage is toLp attached , describe materials to be used for FIRE SEPARATION :rt Is there to be an opening between garage and dwelling? S.Us, If so will a Fire-rated door , enclosure , and self-closing device be provided? — Will a flue-lined chimney be installed? % Height abovN roof ft . Depth of chimney foundation below gradeft . Depth of fireplace hearth ft , in . Water supply - Municipal or private well �L.„%rs� ,',C ° `"xs�. SEPTIC SYSTEM Distance from ANY private wellU ncludin)g adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury � f 1 T T County of Warren A F F I D ►A 1 V I STATE OF NET 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 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►.. .. da of Owner , owner ' s agent arch tect, contractor - Notary Public , Warren County, N . Y . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Or SPECIAL CONDITIONS OF THE PERMIT : BY' ;-•b' TOWN OF K7UEElVSSURY WARREN COUNTY , NEW YORK 1 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 C+mt- % .hCA .106 . , 3 , Is the building mechanically cooled ? 4 . Percentage of area of Windows and doors 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 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 E a . R value of insulation 5 . Type of insulation g . 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 4 . R value of doors 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab ? . R value of slab insulation - heated slab r 8 . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) 100 Type of insulation c . Controls 1 . Thermostat maximum heat setting DW 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 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . "lr1o� 16ML" ss, ( applicant ` s signMeture ) T� .r' APPLICATION FOR sEP'TIC I]ISPOSAL PERMIT BATE LOCATION OF PROPERTY FOR INSTALLATION _ „�-� '� � Owner's Name : �+ � '3a 1rt",����� Telephone: _��3 'S N% Address: _ A a �+ � �f � G� rt��is+�t I �. Installer's Name: Telephone: Z -ck Number of bedrooms (residential only) 3 �_ Total daily flow (compute @ 150 gal per bedroom) _k%q _ Topography: circle one.otoFlat.2 Rolling Steep Slope % of slope Soil Nature: circle one: and Loam Clay Other / Depth: feet Cround Water: At what depth? feet Bedrock. or Impervious Materials At what depth? r feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply. circle one: Munici a Well Other IF domestic water supply is a Well: Separations Watersupply from Septic absorption _ feet PROPOSED SYSTEM : Septic Tank li 4S,C ,r.� gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each 'french fir} feet / Total system length &cam feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used #F _ cl Depth or Thickness feet I M P 0 R T A N T ...Please_._LIST NEW EQUIPMENT T© BE INSTALLED (over) Section II Septic System Inspections: A. All applications for septic 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; i .) the proposed location of the system Z.) 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 $250.00. Co An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these andd all requirements of the Town of Queensbury Sanitary Sewage EH ice... al Ordinance.. Signature of responsible person: ! A2 i\ Date: { Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York IZ801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . A G40D. PLACE TO LIVE I {� r . __. . �{l _ Jc�cvn ofueeresiuAe BUILDING and ZONING C)EPARTMENT t Bay and Haviland Road, R.D. 1 Box 9$ ` ()u8ensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME C . ' ------- LOCATION Date f / Permit No . APPROVED YES NO Footing/Pier Forms Foundation waterproofing Backf ill Framing Roofing Siding masonry Venee Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior 'Trim stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures _ Gar . Firepraofi g .. Door Closers smoke Detector Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVl finaI Building Survey Next scheduled I ectian {call when ready Remarks - ev J r -L ,p /400;/ t. Cr I suildin specter 6/86 and-vl owt, 0/ BUILDING and ZON�IING DFPARTMI=NT Say and Hawifand Road, R. D- 1 Box 98 Clueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAE LOCAT I ...... I7ATPt / ;PERMIT NO. SC-IL TYPE - Sand 'L - oam - Clay - r-- Percolation Test Required? YES - No Percolation rate - Min/Inch TYPE of SYST = ngth d`ZN Absorption f eld , total Length of ea trench Depth of tren es size of gravel ) SEEPAGEex PITS-W t. Size- ftV Gravel size ' Sized T PIPING : ¢ Bldg - to tank Tank to dist . bo Dist. box to s 0 Partial Openings Seale LC7CATI4NISEP IONS : ft. Foundation o tank ' ft . Foaundatio to absorpti eft. Absorptio to lot line eft. Se t3. n of pits RTy (circle one) CA I OF SYSTE14 ON PR ht side - xent ear - Left side - 9 c ) SYSTEK USE APPROV YES N i r.. Build ' g Inspector i -TMEN e0tv, o� u ,,, . j urn wrtNR andC►h1iNG 1 gpx 'B 98 SU�+�ofNG woad. �.� Bay and Haviland my tk 12SOA VbO Queensbury. Nw e 61. ILDING iNsPECTOR ' S REP()RT I MAKE 19 I._bCAT I Ot4 Perm ' SCEs ND Footix►91�T'ier Forms Foundation Waterproofing p,ackf ill Framing} Roof in9 siding r masonry go,�gYt 12Lumk�in�3�---�—� „�.�--- Relief Valves �---"- —� Ext • 'Porches F in ishe c3 Floors�_� --�� Interior 'Trism'�- ---� stairs & Railings ,,in ^rile Cellar D Floors Concrete plb9 Fixtures Car . Fireproof in9 ,poor Closers smoke Detectors Chimney p(TP35UI.P.rION = Foundation Floors -- Walls Ce it ingINSPECfi ION FINp.L EILEC surve9 TRI r� �--- Final BuildinE. Next SCANe I`xl ea ins eCtion all aay R,�rnarks� �pW17 p� � �RPARTM ptA% B"jLIO%tAc' a"d x Road. FL.D• Bay and VAaVi%and New York (}1 128 �Ueensbury. LtySp � CT R w 5 R'EL'�RT }3 U I L.C] L P1'G P � hpCA� LDN pexm3-t Date y* pppRR �,apt.iTig/ pier porms oundat io f-Ingo Wa''Gerprao 9aC'kfill Fr�xn9 . Si.din9 �-� seam plumb n`3� ' us3h �--- elief valves _ xt porcht s Finis'ned � anteriar ilinrSs-----'f--~ --_~ S,�air s rain del a tie Floots Can Flb9 fixture roof Gary clos _-~- paor Glaser tors �--~ Smoke Do Chit�+r`e CC7t3 = Foli a tian F'koors WallstySPF.C*TIC7Nr �--~~ EC �W" o� BUILDING and ZONING DEPARTMENT 9$ Bay and Haviiand Road. R- pueensbury. New Mork 12801 BUILDING INSPECTOR ' S REPORT NAME Y ' C. -r-� D LOCATION �,(! Q ! /c) permit. No . * * * * * * * * * see * ApppgoVED i30 Footing/pier Forms g Dun dat ion E/- waterproofing ^� Backf ill Framing goofing Siding Masonry veneer�� �- Rough plumbing Relief valves Ext . porches Finished Floors Interior Trim��� � Stairs & Railings ----� ~- --- Cellar Drain 'rile Concrete Floors plbg . I fixture s Gar _ Fireproofing Door Closer$ Smoke Detectors f---- Chi nuley INSULATION L poun dat ion Floors Walls Ceiling FINAL ELECTRICAL INSPECT1014 pItI.VEWAY APPROVSucve9� --�"� Final Building ection (call when ready) Next scheduled snap � Remarks- ,r Buildi g Inspector {o/$6 and-vl 4/ - 4/ ! /I f� 3IY76 1 I{� !! ff 9oa/n Of Queen3haer+j BUILDMG and ZpNyNG DePARTMF-NT May a H nd aw+land Road Box 9B . r 1 pueen5bury. New YorK 12801 k R> BUILDING INSPECTC7R ' S rPORT NAME yIs c LOCATION ,.j r c+ 4e, d tlf arc 13c+ permirc p3t0 . * APpgOVM) _ YES ZIO r4 Footing/Pier Forms Foundation WaterProo'j n gackf ill Framing goofing Siding Veneer Masonry Baugh Plumbing Relief valves Ext . Porches ginished Floors Interior grim Stairs air, gallings cellar 'Drain Tile Concrete Floors p,bg _ r 1xtUre S Car _ V ir,eprvof ins3_�-- Door Closers Smolce Detectors Chimney IN SUI ATlotz : # Foundation Floors wails Ceiling .fgICAL INSPECTION F Iti,� ELEC DRIV.ZVAj Building Survey Final call when ready) t7ext scheduled inspection C Building Inspector � 6/86 and-vl _Down of Queen BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R-D. i Box 98 �0ue,ensbqII,I New York 12801 vAe, N I NS P CA BUILDING R ' S REPORT NAME. LOCATION Date�� G _ Permit No r APPROVED YESNO M [ mooting/Pier Forms oun atio� waterproofing Backfi ll Framing Roofing siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floor Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors 1 Chimney INSULATION . Foundation Floors walls Ceilinq F IN AL Fa:L `Y"RICAL INSPECTION DRIVEWAY APPRC]VAI., Final Building Survey 1 on {call when ready) Next scheduled insp ecti Remarks- Euilding Inspector 6/86 rnd-vl