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1986-726 TEMPORARY CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Doromher 77 19 a 301 This is to certify that work requested to be done as shown by Permit No. 8 6-7 2 6 has been completed. This structure may be occupied as a. One-Family Dwelling location `-� Michigan Ave Owner Kathryn Brayton TEMPORARY CERTIFICATE OF OCCUPANCY FOR 60 DAYS By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA-• PRINTING. GLENS FALLS. N Y 12801 18181793-5698 • CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY. WARREN COUNTY, NEW YORK Date 19 This is to certify that work requested to be done as shown by Permit No. 86-726 has been completed. One-Family Dwelling This structure may be occupied as a Location Michigan Ave Owner Kathryn Brayton • By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-726 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Kathryn Brayton OWNER of property located at Michigan Ave. 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. ro rr ri 1. OWNER'S Address is Michigan Ave. Glens Falls, New York n rr 2. CONTRACTOR or BUILDER'S Name o Roger Thomas 3. CONTRACTOR or BUILDER'S Address Box 120B Hadley, NY - r• 4. ARCHITECT'S NameCro 0 5. ARCHITECT'S Address CD 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( ) Steel ( ) 7. PLANS and Specifications 28'x32' per plot plan, specifications and application submitted. No. Will use existing system for septic. 8. Proposed Use CCD One-Family Dwelling N• H $5.00 C/O $ 63.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 87 H (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.) OR Dated at the Town of Queensbury this 21st Day of October 19 86 SIGNED BY 111 U.G/ a . /01, -.2 for the Town of Queensbury Building and Zoning Inspector • 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 . • LOCATION OF PROPERTY FORINSTALLATION OWNER'S NAME • jGA l i7 .y v�7 �3 w � G `v ADDRESS14/LA-Ge (2)---1--' • • • TEL- INSTALLER' S NAME TEL • Number of. bedrooms (residential only) Z • Total daily flow`(compute @ 150 gal per bedroom) . 306 • Topography: - Rolling - Steep slope- (circle one) % of - slope Soil nature: • - Loam -. Clay - Other Depth ft.- • Groundwater -At what depth? • 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 • ft. Proposed System: Septic tank gal. ( Minimun size, 1000 gal. ) Tile Field - Each trench ft. Total system legnth : f t. 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 lak'e, strea-m,pon-d 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 'fe1 -''"``��. . • -05/86 and/vl • • • • • • • • Section II Septic System Inspections: • • A. All applicationd for septic system installation, alteration or repair, as recruired by the Town of- • Queensbury Sanitary Sewage Ordinance, shall be submitted to the Buildina 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 $250. 00. C. An approved copy of the plot plan shall he available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction • prevent proper installation, alteration or • repair of an approved system, a new proposal • must be submitted to the Queensbury Building t Department before further construction . - TO BE COMPLETED BY BLDG. DEPT. / ` Application No. . • �OLWIl Of QueenJbu?y Permit Issued 3,9 BUILDING and ZONING DEPARTMENT Permit Expires 19 TO Iasi OF Q E BUR',' Bay and Haviland Road, R.D. 1 Box 98. Zoning Designation q� Queensbury, New York 12801 Variance No. . . 3 !�' Site Plan Review No. wEGEOEE - .. Approved APPLICATION FOR �'�y��i' )�� .4~ �$'a`..••. 6FS 4a m.: • g@@g Mppgg t¢��{CAP@1 BUILDING AND ZONING PERMIT _� . - '`G/ d ,. , * * * # * * * * * * 41 * # * * * * ,# # * * * * * * * * * * * .# # * 4 * *. * * '* • 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: #/ {1 v /t) 43 r A �//U� P.O. Address . f Tel. Property Location:. '22i C.4; f 4 AID ? Tax Map No: / / . Street number or building lot number Subdivision name (if applicable) • THE PERSON RESPONSIBLE FORRLSUPERVISION OF WORK AS REGARDS BUILDING CODES IS: PO ? e l l2cvg0 5 03c4( / Z-o.e 2.14 d 1e r 6 f 6 j/ 7 7. ' • . Name P.O. Address Tel. No. - Name of builder A <44 2 Address Tel. Name of plumber S.4 rzit ,e . Address Tel. • Name of mason s rv! Address 'Tel. • NATURE OF PROPOSED WORK: * ZONING INFORMATION: (7(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 6 O ft X /0 0 ft.. * Existing building(s) Size ft X ft. . * . • .PROPOSED BUILDING AND USE: * Existing building(s) Use ' Size of new structure c ,' ft X,3 ft * . . . . . . . . . . . • • . ' ' . ' Foundation-pie /e ab/-er-aw-1/pa- tial/full * Proposed building, distance from property line • • (circle one) * Front yard - 3 © , ft Rear yard ft No. of stories (habitable space) * Side yards •/•fj ft and 2-- ft Height (grade to ridge) / J^ ft. * If on corner, setback from side street ft If residential, no. of families ./. ' No. of rooms(excluding baths) LAC * OCCUPANCY INFORMATION No. of bedrooms ' 2 * . • / * PRIMARY BUILDING - No. of bathrooms ' r' One family dwelling Primary heating system: /,(:(re-Y Type of fuel * Two family dwelling • • No. of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? W Permanent occupancy • Central Air conditioning? A) p • * Transient occupancy * _Business BUILDING STYLE, PRIMARY STRUCTURE *' Industrial nch Contemporary Log cabin * Other " Raised 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• ' CONSTRUCTION $ 3D • � 000 * . 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? /11 0 Foundation wall material C Q Q& ' t6c /c. Thickness LU Depth of foundation below grade (to bottom of footing) ` • Will there be a cellar? ►fc'5 Heated or unheated? Floor sq. footage - sq ft Will there be a basement? Will any portion be used as living space? ,Up (If so, what portion? sq.ft. - - Type of use? • Type of roof - slope flat/shed/other Material. of roof 5 h.!,./d g`� Size, wood studs "X c, " spacing /c "o.c. length 3) ` it. Joists(floor beams) 1st. floor , "X j " spacing /6 "o.c. span Jc/ 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 a,? ".o.c. span;,.2 ft. • Exterior- wall finish `-J ;//6 " '26-z� Of ghat material? . %gro+w-e--a-e2 - Interior wall finish.' If a garage is to be attached, describe materials to b 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 fireplahearth ft. in.• /�1 Water supply - �p uhicipal Lt or private well v a.. �u s b v v • SEPTIC SYSTEM Distance from ANY private well(including adjovlzing properties ft. (kseparate application is necessary for any repair or new installation of septic system) ' • Town of f Warren A F F .I D A V 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 Owne owner's a ent,arch tect,c onntra for day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * • SPECIAL CONDITIONS OF THE PERMIT: • • • • • • • • • • By L-t/1416 • • • • • • • • • • • • 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 71Fe tr p • 2 . Type of heat 3 . Is the building mechanically cooled? . 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 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 g - -3(f 2 . R value of exterior walls - t9 3 . R value of glazed area ; 1j 4 . R value of doors Pi. 5. R value of floors over unheated spaces 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) p, s 9 . R value of heated basement/cellar walls (below grade) 10. Type of insulation C. Controls • 1 . Thermostat maximum heat setting �0 D. Duct Systems 1. Is duct system installed in unheated spaces? YES NO a. If YES , R value of duct in$tallation b. R value of duct in other areas M_ E. Piping Insulation 1. Size of hot water or cooling carrying agent pipe 31 /r 2 . R value of pipe insulation F. Service Water Heating 1. Performance efficiency 45-°)O 2. Temperature control setting maximum /V,r-c v • G. For Swimming Pool Only 1 . Maximum heating TelephonefNo. 0619?---4-1'4 (ap icant.' s signature) • BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. ITEMP.# (DATE I CITY OR VILLAGE (1, (., _ i i(, %,3 v i s TOWNSHIP i .i _, r t.2i `_ 1�(J w COUNTY i„ .41 .,., v t-- c, STREET AND NO.OR ROAD AND POLE NO. ,'J., 1 1+ , XI -J /"-r' 1'. POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? '—_ < --.J R CA ?- SECTION BLOCK LOT OCCUPANT'S. BUILDING NAME ��� I4 ' -i ' �= i17 �' .v?� 'y I V lw7 OCCUPANCY OWNER'S NAME • ` TEL.# AND ADDRESS l�1'IA -- CURRENTSU t�- BYPPLIED f % Al rj FROM THEIR r (' ,ems C j J1J i (C OFFICE BUILDING NEWS OLD❑ IS NEW,4 ADDITIONAL❑ REMOVED ❑ IS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No.oFixtures& BRANCH NUMBER OF OUTLETS Lampf fReceptacles MOTORS HEATERS CIRCUITS OFFICE USE Loca- - ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- z side Sub- base Base- - J� ment r 1st Fl. ` ,,I) C. f 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. • • This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed. you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS , C) L) I'�U fl4 /7 FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD ,/ UNDERGROUND MAKER ENTERS J OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW OLD El AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME ANQ ADDRESS -.: C` SIGNATURE , -�i--+=% %j-,7;��--� NAME OF' v ,// APPLICANT �' �/ » ? �� G rn�� ? OF APPLICANT -1' .1 - STREET ADDRESS (i , ( - ''-' 1`� TELEPHONE# r I'' , CITY OR / J/� ZIP LICENSE NO. POST OFFICE /�� 11(74. t •/ ff/ ,,�1 t / . '. , �^ CODE WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING G0ec9 ////0/8 // i Jown o f Queen 3ur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 1`/Cf ,.i kL 231 -rU LOCATION in' Date l( 116 / a'b Permit No. ty(,— �a ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill )( Framing 5 --- i� (PL S.'Y V 4( 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl /6) 9 we'd /a : /-5 PM _/own o/ Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME Rro -bm LOCATION `C /2� a, ''C Date 4_30/ re, Permit No. f(,—'7 Co * * * * * * . . * ,* * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing XBackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches ,7 Finished Floors Interior Trim o Stairs & Railings Cellar Drain Tile / \ Concrete Floors 7 \ Plbg. Fixtures Gar. Fireproofing d 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- __ /\ el&; ,Liae,k_f,a' . X' eizialA a Building Inspector 6/86 and-vl • • awn of Queenibur, - BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 • Queensbury, New York 12801 • BUILDING INSPECTOR ' S REPORT NAME • • .LOCATION• f Date /_( Permit No. ',alo - kiato • , = APPROVED - YES / NO • Footing/Pier Forms y (J' LK Foundation; ,�& &L,c 2 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- - • • • • 413 :3 . /A Building Inspector 6/86 and-vl daa /0 of?6 `` awn of Queen5urcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT "' / NAME 4 /- r 1 rq T Q LOCATION (AA. �r erti Date /o fal /pp Permit No. 6711 * * * * * * * * * * * * * * * * * * * * * * * ✓ = Alm-- 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 Gar. Fireproofin Door Closers Smoke Detectors Chimney \ /, INSULATION: Foundation Floors � Walls f Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 442 te« , 4- 4 z Building Inspector 6/86 and-vl - o9Q et , . - 1 7 � ' 9� , i -----(-Vr6-1(m. ' . A = 9 - /, [//� - - - � - / ` ! - / . � ` | ' / � /^ / / [/L/} /1/� - ? � � ' { � | i � ! ( | { � | ! | | i | |! , / / ) . i ! � yK � yT // �/ / | i � | / ! k' e- N/�� / / -- ----- > ( ! / . . ' | . ^ i - . j A/ _ ,/