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1987-298 G 1 r i I CERTIFICATE OF OCCUPANCY TOWN OF +QUEENSBURY f WARREN COUNTY, NEW YORK � 5 � 13 A at 5 , 19 87 DateThis is to certify that work requested to be done as shown by Permit No. 87-298 has been completed. �..+�� �`f�►�11 ���� l This structure may be occupiS4 as a fine Family elling tck V rVTGORk viz(x LA3Cati0n Lot Phe sa t Walk (St. No . 19 Sectlon II Pheasant Walk Sala . Owner Pro--Graf t , nt (y) I By Order Town Board i "TOWN OF QUEENSBURY i I � Building & Zoning Inspector I I I BUILDING PERMIT TOWN OF QUEENSBURY No. 87-298 + WARREN COUNTY, NEW YORRK PERMISSION is hereby granted to Pro-Craft , Inc . *d 0 0 OWNER of property located at Lot e 35 Pheasant Walk (St . No . 19 ) Street, Road or Ave. l ri w in the Town of Queensbury, To Construct or place a One-Family Dwellingram* 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. F2CONTRACTOR WNER'S Address is 11 Pheasant Walk Queensbury , NY or BUl LDE R'S Name Same us C ro o h rt rt r» ca o to 3, CONTRACTOR or BUILDERS Address r5y same � ro w ry m ro � 4. ARCHITECTS Name Ca � to � � 5e rt F- N En 5. ARCHITECT"= Address r-r cr, ex' o 6. TYPE of Construction — (Please indicate by X) ~ U (X ) wood Frame f ) Masonry I ) Steel ( ) 7. PLANS and Specifications p 7A No. 60 ' x34r per plot plan , specifications and application m including sewage system and two-car attached. garage .� w 8» Proposed Use F- One-Family Dwelling ro t, $5 . 00 C /O ~ December 1 87 T 108 . 00 ' PERMIT FEE PAID - THIS PERMIT EXPIRES 19 ara (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 29th Day of May 19 87 SIGNED BY __ ` for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . �r / Application NO . _town o/ 4 venji "Pq Permit IssuedIII 19 I TO WN OF' QUe.INSBI ;?Y BUILDING and ZONING DEPARTMENT Permit Expires 19 i Bay and Haviland Road, R.D. I Box 98 Zoning Designation Queensbury, New York 12801 variance No . I Site Plan view No MAY 2 71987 �] Approv b BUILDINGGj�&GCODE DEPT. APPLICATION FOR 1 113 '- I 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 :, ,�' P . O. Address s ZED e'"L Tel Property Location : � C7 / ._ - / ' y Tax Map No . f / Street number or building lot number Subdivision name ( if applicable) ! / - `�S ,�I/ � �'49-/ THE PERSON RESPONSIBLE FOR SUPERVISION of WORK AS REGARDS BUILDING CODES IS : �'/7/✓K �-Kc _ 6�Lc S tEl3cLS V79 .0 / 33 Name P . O. Address Tel . No . Name of builder ///eCJ _Address L'r � Tel . ,7 aF 33 Name of plumber G , •� Address Tel ' 7-J ; 3 3 Name of mason /�) 5 Address Tel . 7Q2 � ! NATURE OF PROPOSED WORK : ZONING INFORMATION : 1X' 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 Iota 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 / "/ }(' .2731?C ! 3`L` XX Existing buildings) Size ft X ft - x PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new structure .._-6-.ft Foundation-pier/slab/crawl/parties ul Proposed building , distance from property line (circle one ) Front yard Is-6 ft Rear yard fS ft No . of stories (habitable space ) , .' Side yards 2"5 ft and 2 3 ft Height (grade to ridge) / r� ft . If on corner , setback from side street ft It residential , no . of fame es / No . of rooms ( excluding baths ) OCCUPANCY INFORMATION Now of bedrooms 3 PRIMARY BUILDING Na . of bathrooms „/ * V'One family dwelling Primary heating system * Two family dwelling Type of fuel e G&j G * Multiple dwelling / dumber of units No . of fireplaces to be installed /+ O �/ Permanent occupancy will a wood stove be installed? LL.7d7 Transient occupancy Central Air conditioning? ^ / U W Business BUILDING STYLE, PRIMARY STRUCTURE Industrial * Other Rant Contemporary Log cabin If addition , what will use be? Raised ranch Mansion Duplex 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/ C_��-==' ' 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 od fra , fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? A'I-e Foundation wall material Aoz- e_ d_ ,/w Thickness 140 Depth of foundation below grade (to bottom of footing ) Will there be a cellar?�Lk �Heated or unheated? v.,� r Floor sq. footage���G �sq ft Will there be a basement? Y S • Will any portion be used as living space?- ,yam ( If so , what port � _sgoft . - - Type of use? Type of roof - oPe flat/shed/other Material of roof ��- Size , wood. studs 2"X � spaeing_.�"o . c _ length _ �' ft . Jaists ( floor beams ) 1st . floor 2 "X /a spacing���"o . a . span_ �ft . Joists ( floor beams ) 2nd . floor ---- "?�i- "' spacing "o . c . span ft . Overlays (ceiling beams ) - spacing '"o . co span ft . Roof rafters --J" *spacing o . c . span ft , Roof trusses (,pre-engineered) spacing_ + "o . c _ span c2 .3 ft . Exterior wall finish G mac , Of what material ? VIAOV l Interior wall finish �7,*OKAA � 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? TYE 5 If so will a Fire-rated door , enclosure , and self-closing device be provided? Yc S Will a flue-lined chimney be installed? Alec) Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth t , in , Water supply unicipa gr private well SEPTIC SYSTEM � distance from ANY private well ( , ncluding adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) Town of e A F F I D A V I T STATE OF NEW YORK n County off 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 agentpa nirei7tf contractor Notary Public , Warren County , N . Y . * * * * * * * * * * * * * * * * * * * ,t * * * * * Ar * * * SPECIAL CONDITIONS OF THE PERMIT : TOWN OF QUEENSBURY WARREN COUNTY , NEW 'YORK Application for : BUILDING PERMIT IN CONSERCOMPL CODE COMPLIANCE WITH TIME NEW YORK STATE A permit must be obtained before beginning work . ANSWER ALL of the following : 1 . Gross floor area 2 . Type of heat 3 . Is the building mechanically cooled ? - .Ro/ 01 .p 4 . percentage of area of windows and doors o3 U 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. lose 3 2 . R value of exterior walls 3 . R value of glazed area /;!' 4 . R value of doors III< 2In 5 . R value of floors over unheated spaces 60 R value of slab edge insulation - unheated slab 7 . R value of slab insulati. on - heated slab s . R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement /cellar walls ( below grade ) 10 , Type of insulation ZE:2a.�.k' � � /5'S Co. 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 -� -�"- EI, piping Insulation 1 . Size of hot water or coaling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency ff p 2 . Temperature control setting maximum G . For Swimming POO Only 1 . Maximum heating Telephone No . k 1173 +( applicant ` s signatur ) ./ -'� L-''. vc APPI.ICA77ON FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION aeo Owner's Name: Z40 C .^ xyle / /�4 c Telephone: Address: _ z/ / Installer's Name: � �C� "^' �,L�J� Telephone: �% �-3 Number of bedrooms (residential only) �3 _ Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: Flat Rolling Steep Slope 9� of slope _ Soil Nature: circle one** ( Sand Loam Clay Other / Depth: feet Grouted. 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: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM : Septic Tank ILVOO gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length � feet SEEPAGE PIT(S) : Number of "-7 Size each �e'et by ""feet Size of stone to be used # Depth or Thickness �r feet IMPORTANT .__Please...LIST NEW EQUIPMENT TO BE INSTALI.EI� (over) Section H 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: 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 Be 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 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 L)isposal ChxUriance. Signature of responsible person; Date: 2 - Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 , HOME OF NATURAL BEAUTY A GOOD. PLACE TO LIVE BOARD OF FIRE UNDERWRITERS THE NEW YQRK �. BUREAU OF ELECTRICITY gYl3 At STATE STREET, ALBANY. NEW YORK 12207 October 30 , 1987 Application No. an file, 01 301 9 /jr7 A 698849 Date THIS CERTIFIES THAT only the etectrical equipn ent as described belt rsn and intraahaced bar she applicant nar.aed on the above .ppl.cation rwmber in tics premises al i= Pro-Craft , lnc . , Lot 35r Pheasant Walk , Q"aensburyr Now York � in thefa[lonving location. � Sasemenl � Ysl Ff. El $nd Ff. oicculde Section Block Lot was examined on a/ 14 / 8 7 anal found to be in compliance with the ""irernents of this Board. rl FIXTURE is FIXTURES RANiGES COMING DECKS OVENS DISH WASHERS EXHAUST (XTLRTS RClFTACUTS 5WITt ttES jNCANDESCENT RLK]REs"NT AMT. K- W. AMT- K. W. AMT- K,W- AMr. K. W. AMT. M. I 43 43 18 22 1 1 l . b l Fr DRYERS FURNACE MOTORS FUTURE AU'FUAH" FEEDERS SNECIAL REC'FT TIME CLOCKS REu IIMtT HEATERS MUL 11 D111EMIER5 AMT_ K. W- OIL H. P- GAS H- r AMT. No. A. W- G. AMT- AMP. AMT. AMPS. TRAMS. AMT. H- I. M1:1. ( ITT AMT, WATT5 SERVICE DISCONNECT MO.OF S E R V I C E AUTERNa. or cc- CONS. A. W. G. A. W. a. NO. of NEIiTKALS AMT. AMP. TYPE EQUIP, 1 .e 2W 1 0 3W 3 X 3W 3 .s Aw PEC s' of CC. CONtr. tJC1- t7► HI-EEG of WtEG of FiEUTRAL 7 1 20[ GS i X 4/ 0 2 / 0 S OTHER A►FARATUS; z 1 GrCl 1 smoke t1tcCar E electric room heaters 3 2 . 0 KW ` 4 1 r 5 tCW Ey �a M «`" � '4 �' C 2 1 . 0 KW rr T Pro Craft Ix1c . 1 i Phea.zant Walk U Gl1s Ls Falls , New York 12801 BRANCH MANAGER Per This certificate most not be altered in any manner; return to the office of the Board if incorrect_ Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, BUILDING and ZoNmG DEPARTMENT Say and Haviland Road, R.D . 1 Box 98 pueensbUry. New York 12801 BUILDING INSPECTOR ' 5 REPORT NAME 4 +Z" r LOCATION IeFr ✓ �r �3�y t ` permit Nc� . f ``. [lateIIII * * * * A -* YES NO ppRaVEi7 Footing/Fier Forms Foundation waterproofing B,ackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . porches Finished Floors interior Trim Stairs & Railing' Cellar Drain Tile �- Concrete Floors plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors walls Ceiling FINAL ELECT IC AL INSPECTION7�� DRIVEWAY ROVA final Bui ding Survey AIF Next scheduled inspection (call when ,ready ) Remarks- erl r 4 R ing Inspector 6/86 and-VI �lo+wn vueen36e� r� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R .O. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSArrL SYSTEM INSPECTION NAME _ 4'r LOCATION �J L�} LATE / / / PERMIT NO. _ SOIL TYPE - .Sand - Loam - Clay Percolation Test Required? YES - NO Percolation rate - Min/Inch _ TYPE of SYSTEM: Absorption field , total length Length of each trench Depth of trenches Size of gravel— SEEPAGE PITS{Nummber of) _ Size- ft. X Gravel size — PIPING : Si Ty Bldg _ to tank Tank to list_ Dist_ box to fie / Openings sealed? YES NO Partial LOCATION/SEPA ION ` Foundation to ank fto Foundation t absorpti ft - Absorption t lot line pr�ft. separation f pits fto WCAT STEM ON PROP TY (circle one) Front Re r - eft side - 4ght side - CCiMMEN SYSTEM USE APPROVED YES NO Build ' g Inspector 01/86 and vl Mourn 01 Queenshury 13UILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 'BOX 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME PrZO LOCATION L04yr .r + 1��4`'$ I�►rA�' � L� Date/?.7 Permit No . APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill Framing At5OP 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 APPROV Final Building Survey Next scheduled inspection ( call when ready Remarks- pt,ra-camt/a►-�n ' L7 fx Building Inspector 6/86 and-vl e4� awn o// BUILDING and ZONING DEPARTMENT Bay and Haviland road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING /IINSPECTOR ' S REPORT hIAME� LOCATION 61 I]ate E��✓ Permit No . ✓ = - Footing/Pier Forms APPROVED YES NO Foundation Waterproofing Backfill /ACFraming 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 NSP,ECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- Q2§45� JV� krT P4� VAJ43 (A16 AAery Buildin Inspector 6j86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION �7 n DateA d / Permit No . r Footing/Pier Forms APPROVED YES NO u"oundation Ala terproo f ing LAKc'kf111 Framing Roofing Siding Masonry Veneer AO 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 Surveyr Next scheduled inspection (call when ready Remarks- Building Inspector 6/86 and-vl �.lo+wn of Q"eFvrsbttry BUILDING and ZONING DEPARTMENT Bay and Hai€land Road, R. D. 'I Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �rd C►^ a J� LOCATION -- PA P I S+ei LT 'rllLL Dat � �e/5 � _ Permit N . `F ✓ = - FootingfPier Forms APPROVED NO 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 . 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- / u�v csc► � - f v K � ovr. AFCo $ 1 ing s e or 6/86 and-vl BUILDING DEFT, COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. w DATE 3 CITY OR VILLAGE L'` C"�-L'�i rdrrN$HIP ?�,/. STREET ANO _ ROAD AND P - OR r{ .r.. _ COUAITY BETWEEN 1MHAT TWO .�.� •��"� ,•�+`/ G-^P�'„,�' C CROSS STREETS IS POLE NO. PREMISE L TED7 r}- � /-r (� i' f'r S„ "' 'f- . OCCUPANT'S NAMEBUILDING P,O OCCUPANCY f,� �� �. GOT ✓ j AND E ADDRESS .J/ - f Y f BSLPPLIED r,t,,,r �, -�,� TEL. ,� :,�;�:- - ► .3 BUILDING FROM THEIR / � IS ��y OFFICE NEW 1.13+ OLD ElIS■FOiRK F-�{ DEFECTS NEW l.4 . ADdITIONAL ❑ REMOVED LIST BELOW ALL EQUIPMENT WHIC" YOU INSTALLED NUMBER OF OUTLETS L1LMPft ROCoptnclm MBRANCH OTORS tio" HEATERS CIRCUITS OFFICE USE Sift Attaprt•t dlilinp WaII RwoRl"6 Swnmh FO"dmt Beat No. T"m Eaab IYa Na A.fY. ONLY out- E041011Ga.gw INSPECTION aids Sse- bwaa Baw. n.wR tat Ff. 2nd III Slid FI- REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE; 130 NOT USE THIS SPACE. This applscatiun is in twndad to cover tM aborw-tistad VO We sothwiaed to make thr inapawtieq. ifd '+�Finatt M W i�asl W but if at riw l of insp ectw ihKe a laund wddwtional'C%U%t the few to corwr the additiw.r by the is f oiiien wVuiWAanl not abos* listwd, 512E OF ,+� I as Pcowi+.4d MAIMS / (" FEEDERS ELECTRIC TOTAL CHARACTER WATT$ OF WORK EXPOSED GAS TUBE SIGN SFORMERS OF WORK TO BE CONCEALED TRAN VA STARTED COMPLETED (NUMBERI fCAPACsVYl SERVICE OVERHEAD Si12E OF SIGN ENTERS UNDERGROUNd ra<DrNG MAILER INSPECTION REQUESTED dF SIGN POSSIBLE ON OR AS NEAREj AS AVOID DELAY BY GIVING FULL AND ACCURATE FNFORMATIOW ALL SPACES NEtil1 ❑ dtb MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. DATE OF PRINT NAME g,�11D ADD,�ESS APPUCATI NAME OF ,�J / ,,..yy APPLICANT f fC�IJ ( ;P//„r7 SIGNATURE /y;/ f A OF APPLICANT STREET ADDRESS �'' / ! 1 4 ✓�� / C. '(i I CITY OR /` �! `,•.. y -�^ 7ELEPNDMIE .� POST OFFICE (;� �,C' f� /� f .�' "'" c7 �.F Czup ODE _ . . C3 f LICENSE NO- NRIEN APPLICABLE as el (lsev, tlas) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING i � t `h lay N 9 S