1986-847 TEMPORARY
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
•
WARREN COUNTY, NEW YORK
Date ADril 6 19 87
This is to certify that work requested to be done as shown by Permit No: 86-847
has been completed.
This structure may be occupied as a One—Family Dwelling
Location Lot 49 P•heasant Walk (St. No. 3)
Pro-Craft, Inc,
Owner
TEMPORARY CERTIFICATE OF OCCUPANCY
PENDING FINAL ELECTRICAL By Order Town Board
•
TOWN OF QUEENSBURY r •//
4.el ta I
Building & Zoning Inspector
4 _ BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-847
WARREN COUNTY, NEW YORK
ro
PERMISSION is hereby granted to Pro-Craft, Inc.
OWNER of property located at Lot 49 Pheasant Walk (St. No. 2) Street, Road or Ave. w
rh
rr
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 p
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 11 Pheasant Walk
Queensbury, NY 12801
2. CONTRACTOR or BUILDER'S Name CD 0
same n rr
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3. CONTRACTOR or BUILDER'S Address H
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same I'd co
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address cn
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6. TYPE of Construction—(Please indicate by X) H.
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(X) Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications O
60'x34' per plot plan, specifications and application submitted
No. including sewage system and two-car attached garage.
0
8. Proposed Use
One-Family Dwelling
ty
m
H
$5.00 C/O
101.00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 1 19 87 Q°
(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 llth Day of December 19 86
SIGNED BY W61 /0-e,t for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT. 4
c� Application No.
Jown of Queeniur, Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 ?OWN oa' EIcW:,`, -
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation �1
li, 6 AQueensbury, New York 12801 Variance Nog �1 ,
Site Plan eview No. '3 ` E�!L�V ' `""
1 Approved 10 (UCCr '�f1 •, ;f.
APPLICATION FOR ['1011q1?} 1213); 1���
BUILDING AND ZONING PERMIT •
* * * * * * * * * * * * * * * * * * * * * * * * # # # # * * * * .* * * * * * #
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 -- Cie/q-c7 /�N- d-
P.O. Address // {p/�E�¢SfIU 7 /f/,¢L,e G &?..Lc f/-"i„4!' $ /ZOO/ Tel. 797 /333
Property Location: ,L o 7--s f 1/9 //-� 5f} 'h/fzg 5 7, z Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable) ,f�6 .S294ZtOlt-K S ec-7i 67.1
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
/-Z%NK Ait/E/kr- 42�-711S F/GGs Ai/ 77f /.33 3
Name P.O. Address. Tel. No.
Name of builder ',es) 4-
�4/ r- Address . /4.: Tel. 79k / 3 3
Name of plumber , 2//G s2v4-"a/5 Address -,¢,eig- f} . Tel.
Name of mason R c, .�-a/g,14S Address �.. Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Vonstruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
_ ng Alteration to a buildi * 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 ,Qp o ft X / 2/ /�`ft:
* Existing building(s) Size — ft X ft.
*
PROPOSED BUILDING AND USE:
Existing building(s) Use
Size of new structure Go ft X ,3Se ft *
Foundation-pier/slab/crawl/partial ar * Proposed building, distance from property line
(circle one) *
* Front yard 3, ft Rear yard ?e, ft
No. of stories (habitable space) * Side yards " , ft and if-g ft
Height (grade to ridge) /S ft. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) ( * OCCUPANCY INFORMATION
No. of bedrooms ' 3 *
/? -:
* PRIMARY BUILDING -
No. of bathrooms
� * ,(One family dwelling
Primary heating system G�� C
Type of fuel L c_� c * Two family dwelling
No. of fireplaces to be installed ye S. * Multiple dwelling / Number of units
Will a wood stove be installed? i✓o * Permanent occupancy
Central Air conditioning? if./0 * Transient occupancy
*--- Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
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 ) *' K Attached garage/one car/Cwo 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 constructioCwood fram fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? /vO
Foundation wall material
6LOCK Thickness j0
Depth of foundation below grade (to bottom of footing) ,g'
Will there be a cellar? YC3 Heated or n eat Floor sq. footage /2 7f-Zsq ft
Will there be a basement? --- Will any portion be used as living space? A/a
(If so, what portion? — sq.ft. - - Type of use?
Type of roof - s' e _ flat/shed/other Material, of roof . Sic-i,v cClc..r'
Size, wood studs 2-21X (, " spacing ZC/"o.c. length 5 ft.
Joists(floor beams) 1st. floor ;"X /p " spacing /‘ "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 241 "o.c. span Z.C,L ft.
Exterior wall finish _c/, /,t/ - Of what material? (//../y'L
Interior wall finish /.f6-4--7-2c"
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
/R /' iz S'ff� vGic
Is there to be an opening between garage and dwelling? }%-3. If so will a Fire-rated
door, enclosure, and self-closing device be provided? 7, -7-3"-
.
Will a flue-lined chimney be installed? yC3. Height above roof Z / ft.
Depth of chimney foundation below grade ' ft.
Depth of fireplace hearth a- ft. 0 in.
Water supply .. i►.r 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 AFFIDAVIT 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,architect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
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: p.
1. Gross floor area
/al 7d t
2 . Type of heat
3 . Is the building mechanically cooled? /U/D
t
4 . Percentage of area of windows and doors /3, 3' Z
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_
367
2 . R value of exterior walls /2 / 9
/
3 . R value of glazed area 8'
4 . R value of doors ,. , 5
5 . R value of floors over unheated spaces . /2. /
6. R value of slab edge insulation - unheated slab r—
7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade) --
9 . R value of heated basement/cellar walls (below grade) —
10. Type of insulation
C. Controls
1 . Thermostat maximum heat setting
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
2 . Temperature control setting maximum / .ep d
G. For Swimming Pool Only
1 . Maximum heating W/4 ,Q
/iLe-7•
Telephone No. 74f /3 33
(applicant ' s signature)
awn of Quecnalur y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D..1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL PERMIT APPLICATION
Owner s Name /2,6 riei47%/4/C Tel. 7 ( /53-
Address // . 1/fe- 5 A,T /Lk ( i- / i �8 I
Person/Firm installing system, ��6-- c
Number of bedrooms (residential only) 3
Total daily flow: (compute @ 150 gal.per bedroom per day)_ 4.45a,
Topography: - rolling - steep - (circle one) Degree of slope %
Nature of soils: san loam-clay- other- Depth ft.
Ground water-- at what depth? 7° ft.
Bedrock or impervious material--at what depth? . ft.
Percolation Test - Not required / Required -Rate min/inch.
Domestic Water Supply - Munici L Well _ Other
IMPORTANT!
On a separate piece of paper , submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from any domestic water
supply or shore-line of lake, stream, pond ors wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size /0'00gal.
Tile field- Length of each trench_1/7 ft. Total field /f 7 ft.
Size of stone # 7-
Seepage Pit(s) Number — I Size ftX -- ft. Size of stone#
Any contractor, corporation, individual ,Etc. , engaged in the
construction.. of a Sanitary Sewage Disposal System, who covers the
same before inspection, does not have an approved Permit, or varies
from the approved application, will be subject to a' Penalty of $250
a's provided for in Section6. 010 of the Town of Queensbury Sanitary
Sewage _ Ordinance.
/ 5—/SY
ignature of Applicant . • Date
01/86 and/vl
•
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS: •
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
(TEMP.* DATE
,"
CITY OR
VILLAGE 73by%' TOWNSHIP / COUNTY //I/// it�%�
STREET AND NO.OR //J �/ /s
ROAD AND POLE NO. LO7 4% "I C-74"S/9/L f A/7/v e. POLE NO. •
BETWEEN WHAT TWO
CROSS STREETS IS /� t, ff t) c 1 �/�s SECTION f ( BLOCK • LOT '� C/
PREMISES LOCATED? L c C/ /(/�N /` U 91:G11.5 E^
OCCUPANT'S /3 __ BUILDING
(NAME / KO et/F•• / LIC— OCCUPANCY ,$/AJ /74 in
OWNER'S NAME
AND ADDRESS ?t r f TEL.#994 / 3
CURRENTs)
SUPPPLIEDLIED WO FROM THEIR �� /4". OFFICE
BY
BUILDING NEW®. OLD❑ WORK NEW El ADDITIONAL❑ REMOVED DEFECTS ❑
IS
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH pFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS .
Lora- _ ONLY
tion Side Attach't H.P. Watts A.W.G. .
Ceiling Wall Recep'Is ' Switch Pendant Bracket No. Type Ea°h No. Each No. Gauge INSPECTION
Out-
side
Sub- '
base
Base-
ment
' 1st Fl.
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 `=�'�,%'"i2 /1///?; 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 OF SIGN
- BUILDING
INSPECTION REQUESTED '
ON OR AS NEAR AS
POSSIBLE • NEW 0 OLD El
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
�
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICAN f// /��
PRINT NAME ND ADDRESS
NAME OF re -. C2 a 01 (-z_ fiv c. (SIGNATURE �G- �
APPLICANT OF APPLICANT i� �� t !!!`t''
•
STREET ADDRESS // 1 t1cr E S f",,U7 iii if L.K' TELEPHONE# 7a G en I '�S-,
CITY OR (�./(,/G� I— )[ (- _ i(,f,/ ZIP , 0Q f WHEN APPLIILICENSE CABLE
)}
POST OFFICE COODE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
//c&( J-i/a /t7
down of Queentur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
�lv /h V.
BUILDING INSPECTOR ' S REPORT
NAME �p - T
LOCATION � r 174 PA ed 5441 A✓n//(
r;r-
' :h9
Date if/3 /Y7 Permit No. ,P; 5'7
* * * * * * * * * * * * * * * * * * * * * * *
4� = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing X
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings "I, /
Cellar Drain Tile \ /
Concrete Floors
Plbg. Fixtures t' .\
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- /J e<ci t+1
.447
Building Inspector
6/86 and-vl
Cam( -3c7/3 i '? 3 Pill
.own of Queeniurcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME firo- crag"
LOCATION to, A ,reiAT" fro aA
Date 3/� /X'? Permit No. $6 - ey7
* * * * * * * * * * * * * * * * * * * * * * *
i/ = APPROVED - YES / NO
Footing/Pier Forms 1
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer f
)(Rough Plumbing V
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
\\\
Smoke Detectors
Chimney I
INSULATION: I
Foundation
Floors
Walls / \\s
Ceiling
FINAL ELECTRICAL INSPEC .ION
Final Building Survey
•
Next scheduled Inspection(call when ready)
Remarks- -
/j ] /,//!
J/./ /Builg Inspector
6/86 and-vl
Qc( 114P-ce t l;c7lc?
_lows of Queen iur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 17F6) - ,I--at
s-cri
LOCATION /,( 9 /
17 ec,S kt_if Gva 1lC
Date // 4,7 Permit No. ye;
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing//.4.Le, k--(49tRoofing ie-L(1 4f „ . 4-
Siding l
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-
67)//4g
Building Inspector
6/86 and-vl
_/ocun of Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME P vi.49
LOCAT ION i.CFrl
DATE 4k? /_W PERMIT NO. y 7
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:Absorption field, total length Pit)
?()
Length of each trench -j 0 5-0— j 0 4o
Depth of trenches
Size of gravel_
SEEPAGE S{Numberr f)
Size- ft. X/ ft.
Gravel s / y
PIPIN / Size Type
Bldg. to tank .ic.64-40
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank
Foundation to absorption f .
Absorption to lot line f G
Separation of pits ft
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front Left side - Right side -
COMMENTS.
SYSTEM USE APPROVED NO
1
B 1 ing Insp ct
01/86 and vl
6 a//.'d /c 7//5/)c 3:36 /i77
Jown of Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME �d _ erq f T'
LOCATION / e •}-- in / J e4 5 q / /f)
Date/ /n, Permit No. (37"/
* * * * * * * * * * * * * * * * * * * * * .* *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
)(Waterproofing
y(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
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
B ilding Inspector
6/86 and-vl
Jown oi Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILD G INSPECTOR ' S REPORT
NAME
LOCATION C�7 . / 9
Date // /_a�jPermit No. 36 0 yl
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YE ,/ NO
> noting/Pier Forms
bundation
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
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
AO APO 116 Cf
B ' lding Inspe for
6/86 and-vl
•
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