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1987-247
CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBUR`u' WARREN COUNTY, NEW YORK Date 19 This is to certify that work requested to be done as shown by Permit No. 87-247 has been completed. This structure may be occupied as a One-Family Modular Dwelling Locarion Lot 31 Stephanie Lane ( St . No . 28) Owner George Koshgarian By Order Town Board 'MWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF +QUEENSBUR.Y No. 87-247 WARREN COUNTY, NEW YORK George Koshgarian PERMISSION is hereby granted to 00 lot 31 Stephanie Lane ( St . No . 28 ) OWNER of property located at Street, Road or Ave. P° a in the Town of Queensbury, To Construct or place a One—Family Modular Dwelling e- at the above location in accordance to application together with plot plans and other information hereto filed and Go approved and in compliance with the Town of Queensbury Building and Zoning Ordinance_ 1, OWNE R"S Address is Rt . 50 Ballston Spa , New York 12020 2. CONTRACTOR or BUI LDE R"S !Name O Poloron Homes rt w cn 3. CONTRACTOR or BUILDER'S Address 74 Ridge Road Middleburg , PA . m ri m 4. ARCHITECT'S Name t- N M ry 5. ARCHITECT'S Address 6. TYPE of Construction — (Please indicate by X) ( Wood Frame I 1 Masonry ( I Steel ( } m 7. PLANS and Specifications .n 50 ' x24 ' per plot plan , specifications and application submitted No. a.neluding sewage system and two-car attached garage . B_ Proposed Use THE ATTACHMENT OF THE TWO PARTS MUST BE APPROVED BY A LICENSED o PROFESSIONAL ENGINEER« N One-Family Dwelling tv $5000 CIO ro $ 94 . 00 PERMIT FEE PAIL] - THIS PERMIT EXPIRES December 1 19 87 � — ' µ (If a longer period is raqu ired an application for an extension must be made to the Ruilding and Zo nIng inspector of the town of Queensbury before the expiration date_) Crated at the Town of Queensbury this 12 t h Day of p May SIGNED BY *Mad i.r o f�f� ,t�.. for the Town of Queensbury Building and Zoning I nspactor �" * i � 0(7A_- W_�.-..._ _ • - l I.�rd`i �'„ GL �.�`.� E.r� �.: UtilL. L]laNG wid ZONING DEj:ldlV -I-S1 crdl; T Perm .t- :Isxl Tres _ 19 j i axy and w iaviland Road, R {. . i Box 98 j �' ,nina �r� 5 i gna°ti.c3n_ � •�"/+� ; � � �I I� !J L1 l�] C] eensbury, New Yo! k 128C! t ;*ari_ -.c: : Nc� . _ }y /' L.:n Review t)Fr. . _.� _- � MAY 1 2 I tl Fs i]I > c: r I 1 : ' -^ BUILDING Sc CODE L7EPT I : :nZ :i c r1 i ' 1 r r _... _ dd iS i:' •.`F '+' .- :t ik •7[• i!- iF ii' # ?i- # -I(- '?f' 'i• 3Yr •# .w •Y,• tE 3F # 3Y 3�r, #• # -It # # it # # # ai- if if 1 r r " ,� ? T Mll 1<_ '. 'P„ /� liV1 F3E r} ?[. i'' _GTkl ;C, C:C.+1'1 �TROCATIONa F'.f\.'�il<E ALL OF THE i-C�LLDWI JG . � :'S `.': a..Tn CCi kit-'. '::'-'i;� L£�+C71 iE: :Y f0 ' . c� Buildil1Cj L '-LrI?11. i. t- [� do tI":E� i[7k1c]wing WOT-k. 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T__ ._ -_ _ __� __ s'_ r = .et ana n _uiber (D 1c7t :1LIlril ex car,c3 inaJ1.cate i;; r_er:Lor or corner lot . Show location `F JLi"i i .T" -1- Cr' r"_ pM1.'I , i' i`i C: SIZE 1-3rIi7 A Or' '.rate-'• s,tPlAr3ly and locat JI-0n and configuration .`1, dji' dx. d�'I' [:Jc.:TL1P..2::' T..F'FcA4:'; _`:L7 � .e . . ---___.._�._._ of sopt7.c dl.- >ndsal. area . ti C.0 5F'T, dV L'ELCTnf . x _._._ -. .__....- -- --- - -- edddd - - - .� �- - -... --- --- Si. Ze ref nruinert.y _ 1l4rJxy f X -/� ?e f t Add _ _ - _- . :r `Q� i:,L.: :c?s.tj 1di-ng { ) SiZ0 ft.: :t-_..___ ."�-- ft. . 'r r I ! E7 ,� r-, n' I _Ll i Nf-f id`%,1AD 3 J`_:i _ :: --- - ----- --__ - __... -___ ��._.__ �__ -_ ! �' I.:"l r S L.I, '�^�. C 3.n Cf l U 'S C:' _.....-..,/C..N,.._F-..-----' f 7 c': ." .: C.. ;J L '� i< `l'_ ....-.�- :. I . ... ' ? L c: 1" f F pYC C 5cl:1 .] J 'i :. (x7 r1 3Y J )r 1 t17 i1.T E? Ad { cZr Lcr. .: !I=: j r. orTk '✓<xr f. t . . i t .c .r .55 { I`7ab ] t . 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L'7 . i { F3Li LL17 it.1G PERMIT APpE,ICATTC7I`; C.ONT1NLIfip J i ' I BUILDING SPECIFICATIONS : � i Type of construction , woos' frame , fire safe , etc . frr 0�0040 Wil ;. any second-hand or ungraded limber be used? if so , for what ? - F'oarndatic�n wall material ,qr c _ [Yiickness r CDciPth of f'oiinclat .ion below grade-( to Ixattnm of footing ) y Will t-he.�e be a cellar ? .Vf�Heated or urheated ? L/t.� �Florar r footage 3• ,/.9dC?sq ft Will th(� r-c hot: a basernezr£ ? Will anv oorti. on be used as living space ? ( Tf so , what portion? Ga cf _ ft . - - T 5 _! "_ Type e o f use ? _ 'iT'a'! -L C000 =t. ,c r s 1yl�e c f roof - sloped flat/shed/other taterial of roof Size , wood stud " X length .'y ft . � � f -Z � r __.._. � .7oi sts ( Floor beams ) lst . fla.�r ,7 "X sx;acing � • o . c , span /2 ft . Joi =; ts { floor beams ) 2nd . floor — " X -- spacing "o . c . span ft . Overlays ( ceiling be � - g arxs ? .i_.�_ _ spacing fF�" o . c . span �.L ft . ' Roof raft.F^r }{ spa^ ing- �, o . c . sLan .!2 _ft . Roc)f trus,sr --r r�- oncpin� __mere_ spacing a , c . span ft . � . Exterior wall finishes' cOf what material ? y,��H/+9L &�r � � : sr _ Interior wal l finish - -- 3� r C" e' +E'ndC 3f a garage i. s to be attached , describe materiaJ. s to be used for FI12E SEPARATION ; Is there to be an opening between garage and dwelling? i - If so will a Fire-rated dor >r , en (NI.osure , and sr�lf- c3.osing device be provided? Will a flue -lined chimnoy be installed? IQ Hei. g'ht a ve roof ft . DCI)th of uh-imney foundation below grade -� ft . Dep th caf firepla Water e up}71y - �,Nunlclpa or private well, SEP, TC .S"YS7%EM _ ➢7istance from ANY private well { including adjoining properties — ft . fA selsarate application is necessary for any repair or new installation of septic system! `C'own of Quee nsbury !1 C 1� !1 t1 T - C.:Crelltty c)f Warren A i F L1 ,r-5 Y 1 STATE OF NEW 1*ORIC I I rwc, ar that to the best Of my knowl edge aria belief the statements contained Ln !-his application , tc)9ether with the - ans and p specifications submitted , are a true and c� i comDlet statement of all proposed work to 6e done on the described premises and that all provisions of the 13UTLDING CODE , THE ?OWING ORDINANCE , and all other laws pertaining to the pxoposed work :- hall be complied iv,-Ltl:, :u�hether_spcc" ifie or not , and that such work. iatath(-�rizecl by the nwner .WORN TO BEFORE Ml1 . TTIT5 S i cir: ?. tur o f tamer , owners a er t , arcn xrect , contractor --- - •-- —ci �y � Z 9 Notary Public , Warren County , N . y . * * * * * * * * * * * * * * * * * * it * * * * * * * y, * * * * * * * * * til'`F;C' ir'1L C'<_M ) -. TI0 OF 'iHE PERr4TT . f fa i i i By �a !f v7ARFck 1�' COUNT` . NFW YORK Apnlication for : BUILDING PE; WAIT IN COMPLIANCE WITH "] IE: t"' ti.:Wd YOP'K STATE: ENERGY CGNSERVATION CODE; I A permit; mUSt br- obtainecl before beginrtir's < Work . 7aYI: E WER ALL of the follow . r. g : I 14 ...' I rotes floor^ areas _' G C` 1 TV y P e of heat- k i 7 s t '� r. k ui1 .,Iinc� mechanirtll. y Coolc: cl ? M _ - /'✓c ___ T —_ - - - _. I Percentage of of windows and doorsA . OVE+ r ' G% Only 1 . � U va3. ue of gross area of walls• , roof / ceiling and floors exposed to a:nblent conditions Floor over heated spaces y N 0 YES_ 7� O yr . Are foundation walls in. , �t .lated ? 1 _ If `fES , what is the 3c 3 Sl. ,ib or. grade YES !'NO wv a . ff ytS , what is the R va ]_ ue of insulation around of {: 1 o .n r 7 � . IS ba e-;: nen, t l. a <rter3 " �SfFS fi a o R W a 1 5.l F3 0 f i n s L.1 a. .� ynf_ of i :. s �llation _ _..._ tlnct. er ' 6 % Only 1 R value of roof and £ hors exposed to ambient conc3itirrns . I I :< . R aar. ue of exterior :aZls � 3 R v er a 10f glazed 4 . R value of doors - 5 . R value of loons n;= er L? nheated spaces 6 . R value J {_ slab edcjki insulation - unheat: ec' slab W _ 7 . It kaluv O € sla. la i- rc srxlatior; heated slab^ 8 . R value of t, eatEd iaasementf` collar walls ( ,above grade ) 9 . R value of heated k + �; er� eri f :: r a wr walls ( below grade ) 10 . Type of insulation. _ _ _ - - 11 C- ontroJ_s :� , lY^ e � m ^+ : tat maximux� heat setting—_' �" �; Mom . ._. •.; aa . 1-) uCt S ;rst: e m 1. Is duct system in st: - lled in riheated spaces ? ^ YES Nr0 : ZL if YE S r R value of ducts. ins tallation b . :, value of duct in Oise :- areas E _ £ it ir. g Iris ila " ion �' � 1 Si � e, T ks < st water 0Y cooling carrying agent Fire __ zz 1 R va ]. rz1= of pipe insulation_ S , erviCe WJ ter neatince l .y PertOxr- c, zzue effzciency __ __ - -�-- 2 . Temrserat +are control setting rnaxirnum _ �_G . For Swimming PP01 Only I .� Maximum y_ -- e - l{ it i-'y- i G' ! ?.'t r 4 u .G rk-C. a t u ice' l I APPLIGAwnON FOR SEPTIC DISPOSAL PERMIT a. DATE LOCATION OF PROPERTY FOR INSTALLATION � � J s� rcr Owner's Name : _ 'n_0 Tel ephone s Address: Installer's Name: 67k) Telephone: Number of bedrooms (residential only) I Total daily flow (compute Cc? 150 gal per bedroom) TopograpbV. circle one( Flat Rolling. Steep Slope tr'a of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: feet Ground Water= At what depth? feet Bedrock. or Impervious Material: At what depth? � feet Percolation test: circle one : not, required ) required / rate min. inch. Domestic water supply& circle one: Muni p Well Other IF domestic water supply is a Wells Separation: Watersupply from Septic absorption feet IC PROPOSED SYSTEM : Septic Tank gal. (minimum size: 1 ,000 gal.) TILE FIELD : Each Trench CI' feet / Total system length �e7 feet SEEPAGE PIT(S) : Number of 4:f;� / Size each feet by � feet Size of stone to be used # / Depth or Thickness _.._ feet IMPORTANT ...Please...L.IST NEW EQUIPMENT TO BE INSTAILUEU (over) i I f Section lI 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; Iff I 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 I' uncovering of the system by the installer and a fine of up to $250.00. f i An approved copy of the plot plan shall be available on the construction t 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 and all requirements of the Town of Queensbury Sanitary Sewage Msp ance. Signature of resso-n-'siti a person : Date : 5 Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 I I SETTLED 1763 . . . HOME OF NATURAL BEAUTY A G©op PLACE TO LIVE 14 BUILDING DEPT, CO -PILET SLCOPY WITH BUILDING DEPT* WHEN REOUI RED. IRE UNDERWRITERS. CITY OR TOWVNSFIIP COUfWTY VILLAGE STREET AND NO. OR ROAD ANDPOLE NO. gETREEN WHAT TWO CRO®88TRf EYS IS W ' SECTION BLOCK LOT PREMISEyS LOCAT€D7' OCCUPANT'S OCCUPANCY NAME OCCUP fr OWNER'S NAME , TEL. AND ADDRESS SUPPLIED PPLIED +� ,� s FROM THEIR OFFICE '1�• FECTS SUILOING REMOVE �r---�7I WORK I-p� IS YNEW © OLD LJ IS NEW I.ol. ADDITIONAL ❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of FI%turea d� BRANCH OFFICE USE NUMBER OF OUTLETS Lamp R■ pt+ eE MOTORS HEATERS CIRCUITB u d ONLY Leca• tlon gyve Attach't Srvitah Pe„d+nt Bracket Na. Type Each Na' E� N'e• A.W.G.aauee INSPECTION CaNirrp well ndcw* a Out- akla 8e beat Bea. mant let FI. 2nd FI_ Srd FI, REMARKS: LIST OTHER ELECTRICAL DEVICEB NOT SET FORTH ABOVE' DO NOT USE THIS SPACE. This application is intended to Cower the aboae•listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, you are auMorizad to make the inspection adjust the fee to cover the additional equipment, as Provitled by the applicant, E LECTRIC SIGN TOTAL SIZE OF } RS LAMPS WATTS FEEDE MAINS ..ar' !y +.,.% ! CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA lNUMBERI WORK TO BE ICAPACITYI M STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEA6 VNPERGROUND MAKER ENTERS �„ OF SIGN ILDf ION flR A NEAROAS STED POSSIBLE ,I� NEMf � OLD AVOID DELAY BY GlW NG FULL AND ACCURATE INFORMATION, ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPL1CATlON�� ""'•••—• ,..`..... PRNT NAME AND ADDRESS 1/ SIGNATURE NAME OF - A pF APPLICANT AF'PLIGANT STREET ADOR ESS • ' I" I ' ..l TELEPHONE # CITY OR CODE LICENSE POST OFFICE ZIP i ! . , `� WHEN APPPLILI CABLE 46 EL (REV. 1/00) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING . .