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1987-423 f i y i i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 'mis is to certify that worl requested to be done as shown by Permit No. 87-423 has been completed. This structure may be occupied as a Otxe-Family 17weliing tr j Location . . . Queen Dt.ana Lane (13riax �.+oc+ci C3ase Subd3 �rision) f i De . C . DEVELOPMENT CO . owner By Order Town Board TOWN OF QUEENSSURY t,;oo Building & Zoning Inspector i 1 BUILDING PERMIT � TOWN OF QUEENSBURY � No. 87-423 � WARREN COUNTY, IVEW YC}RK D . E . C . DEVELOPMENT PERMISSION is hereby granted to i OWNER of property located atm4r.gT--j,,'6o Queer_ ,Diana Lane 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 d approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 184 Dunsbach Rd . Cohoes : N . Y . 12047 I~ Q 2_ CONTRACTOR or BUi LDE R'S Name Same r� C7 Q 3. CONTRACTOR or BUILDER "$ Address Same 4. ARCHITECT'S Name r H CA r bV 5. ARCHITECT'S Address rs m CIA E � 0 o t7 w 6. TYPE of Construction — (Please indicate by X) O I XI Wood Frame i ) Masonry i 1 Steel ( } ro rn ry 7. PLANS and Specifications � No 32 ' x48 " per plot plan , specifications and application including C septic system and attached two-car garage . m , r• 0 8. Proposed Use One family dwelling + Q $5000 C/a I `"' $ 129 , 00 PERMIT FEE PAID — THIS PERMIT EXPIRES February i , 19 88 IIf 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.) rC C Dated at the Town of Queensbury this Sth Day of July- 19 87 t� ri SIGNED BY _ for the Town of Queensbury co) Building and Zoning Inspector TO 13E COMP-LETED BY BLDG . DEPT . / Application No . awn 0/ Quee" .4 "r'y Permit Issued 19 4 /-� �''• ]] I ` ,)lmay 1 BUILDING and 2OIVlNG DEPARTMENTPermit Expires lg Say and Haviland Road, R.D. 1 Box 98 Zoning DesignationU 1JI Queensbury, New York 12801 Variance No . gyp } A Site P1 { Review N _ JUN 2 987 I / V Appr C� i BUILDING & CODE DEFT: }� APPLICATION FOR � � U 'n'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 . _______________________.._____..._,__..._______...___._____-___._______.....__...__________-___s___.__.---__ The owner of this property ^ids : r� � � � c tG t 00ei 2jeK � t3 P . U. Address . . .._.�_.f �'�f �,+r�5 bA�;�N /� (20 #04GS Tel . Property Location : L Al Tax Map No . Street number or building lot number Subdivision name (if applicable) 6 RIA-K C[e,. e THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : 1 C Field -7 Fs- Of 3 9- 7 9F3 S0*e1' Name P . O. Address Tel . No . Name of builder 3 'C Address .S �lrntF 4.5 A6oV4o Tel . ^/ 9,,V- 3 5+`yy"' Name or -plumber .4._ & n, Address i q L 17 Tel . erfo 5= 2 Y0 Name of mason a Address ^rIPpj� A.,+) r?S/ NATURE OF PROPOSED WORK : ZONING INFORMATION i+' 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 W<3cribe) 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 BET.UW . * Size of property /Gb : ft x /9G7 ft . " Existing building ( s) Size ft X ft . * ALloeje PROPOSED BUILDING AND USE : * Existing building ( s ) Use IV Size of new structure .3,2_ft X y ft Foundation-pier/slab/crawl/partial ul Proposed building , distance from property line (circle one ) Now of stories (habitable space ) * Front yard ft Rear yard �JC] ft Height ( grade to ridge ) � aD ft . * Side yards �� ft and 40 ft if residential , no . of families ¢ * I£ on corner , setback from side street ft No . of rooms ( excluding baths) OCCUPANCY INFORMATION Now of bedrooms Y_4 * PRIMARY BUILDING No . of bathrooms ► Primary heating systemCEcTRi� * One family dwelling Type of fuel -� * Two family dwelling T `� y . of fireplaces to be installed * Multiple dwelling / Number of units `FWi. 11 a wood stove be installed? * Permanent occupancy y � * Transient occupancy r � ' Central Air conditioning? 7`f Business E � BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other Raised ranch ,Mansion Duplex * If addition , what will use be . Split level Old style Bungalow Ca a Cod Cottage Other * ACCESSORY BUILDING- olonia Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * I..- Attached garage/one car/ tN. car/ car * * * * * x * * * * * * 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 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 : /,& "e) 1 . Gross floor area 2 . Type of heat e44670tc, 3 . Is the building mechanically cooled ? /Vo Percentage of area of windows and doors 6P A . Over 16 % Only ` 1 . Uo value of gross area of walls , roof / cellinq 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 £ loon ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation 8 . Under 16 '% Only 1 . R value of roof and floors exposed to ambient conditions_ 00449 [� L1A2ZV4i5 2 . R value of exterior walls 040 U UdgLue � -- 3 . R value of glazed area - 30 U VslL-ut �^' /0-=0 4 . R value of doors . o8 U VALcl� 5 , R value of floors over unheated spaces Z.6 . R value of slab edge insulation - unheated slab ",c�,77 . R value of slab insulation - heated slab /} A R value of heated basement/ cellar walls ( above grade ) _^1� 9 . R value of heated basement/ cellar walls ( below grade ) NQO . Type of insulation /2A c . Controls a 1 . Thermostat maximum heat setting 90 D Duct Systems 1 . Is duct system installed in unheated spaces ? YES a . If YES , Revalue of duct installation ` b . R value of duct in other areas E . Piping Insulation q 1 . Size of hot water or cooling carrying agent pipe _ 2 . R value of pipe insulation F . Service Water Heatincg- 1 . Performance efficiency 2 . Temperature control setting maximum /960 G . For Swimming Pool only 1 . Maximum heating juA Telephony No . 7t?S [3Gs ( applicant ' s tgnat e ) 5 `` '" "�,�` Quip "��'r APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING ano ZONING DEPARTMENT Bay and Haviland Road. A.D. I Box 98 Gueensbury, Ne►n York 92801 DATE LOCAI ION OF PROPERTY FOR INSTALLATIONIMP �a-�" � /! � IQjt11QCc )taMt�rl �.lbCti OWNER ' S NAME � �" C ADDRESS /� �6 Yan.1iACA A TEL ' INSTALLER ' S NAME TEL Number of bedrooms ( residential only) � Total daily f low ( compute @ 150 gal per bedroom) Topography ; 1a - Rolling - Steep slope - ( circle onle) % of slope Soil nature : ariNI - Loam - Clay - Other Depth f t . Ground water -At what depth? ,f(, A ft . Bed-rock or impervious material - At what depth ? 1Uaey6" ft . IIII Percolation test - Not required - Required - -Rate r ,rn;••J 1 axJ min-inch . Dor!`estic water supply - unacipa - well - Other Separation. - Watersupp.ly ( if well ) frorn Septic absorption. /yA ft . Proposed System : Septic tank IZ)oc> gal . ( Minimun size , 1000 gal. . ) Tile Field - Each trench 50 ft . Total system legnth go c> f t , Seepage pit ( s ) Number of -- Size each ft X --�� twwryryry Size of stone to be used Depth or thickness �_ft IMPORTANT ! ! On a separate piece of paper , submit a anagram of the proposed system with all dimensions shown ; including distance from any structure , distance from pxoperty lines and from ANY DOMESTIC WATER SUPPLY or shore - line of lake , stream , pond or wet - lands: ' Include all dimensions of r the system , itself . NIT J f:CL' e 7-0C : Li; F' S' Ef: ie GJ' i. GYi : GT: t i: E- rr .- Crsc r idE of �. '1: 2- 5 & I�: i. t e. GY: :.'.' to abide bra these and all recuzvements of The ToLln of Queenebury Sanitary sewage Lbis,posa "C ordinance . SionaturF of responFible ppreor. 05 / 66 annd /vl 1 � 6tjIUDING and■■■■ZONING DEPARTMENT ,y7 Bay and Haviland Road, R. D. 1 Box 98 Queensbury. New York 12801 L "I�3UIp I NG INSPECTOR ' S REPORT NAME LOCATION yl� rr Date /r- / Permit No . 5A�Lft,�� APPROVED* -* YES* NO i Footing/Pier Forms foundation Waterproofing I3ackfill 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 . Fireproofi Door. Closers Smoke Detector C'h i mn ey INSULATION : Foundation Floors Walls Ceiling_ FINAL EI. TRICAL INSPECTION RIVEWAy "P.RO'vAL inal B lding Survey -- Next sc eduled inspectian _Ccall W en re ,y Remayr/k'sg- Building spector G/8E� and-vl 4002343 THE NEW YORK BOARD OF FIRE UNDERWRITERS •{ BUREAU OF ELECTRICITY dl STATE STREET. ALBANY. NEW YORK 12207 lute November 31, 1987 ApplceationNo- an file 032024 / 86 A 699080 THIS CERTIFIES THAT only the electrical equipment as described below and introdueed by the ap Ucant nansed an the above application number in thoe premieee of � s DEC development , l" t 11 - 13 Queen Diana Lane , Queensbury , Now York g in the fallowing location; UXBasement ❑ lat Ff. ;1 Ynd FT. Section Block Lot a and found to be in compliance with the requirements of this Board. was examined on 1 0 `' 2 1 / RXTV" EPTACLIS SWITCHES FIXTURES RANGIES COOKIhIr) DECKS QVENS DISH WASNERS EItFEAl15T FANS OUTLETS IHCANDEE"T FLUORESCENT v AMT. K. W. AMT. K, W. AMT. K.W. AMT. K. W. Amt. H. P. 26 41 21 24SC 2 2 F DRYERS FURNACE MOTORS PdTURE APKJANCE PEEVE" SPECIAL MC'PT TIME CLOCKS RELI UNIT HEATERS I PART[-WIL" OVA MERS SYSTEMS AMT, K. W. OIL H. P. GAS H. P_ AMT. ► o. A. W. G. AMT. AMP. AM►. AMPS. TRANS. AMT. H. P. No. DF of" AMT. WATTS z Frye is $ SER'VKX IDISCO"NECT n W x S 10 , E R Y I C E AMT. AMP. ttIE MEaiMI�. 1 X 1W 1 X 9W 3 X S1M 9 X IW O 4COND. OF C,. CONp. ISO, or HI-I>:c M-LEG NO. or NEUTRALS c 1 210 Cb 1 x 1 4 / 0 OTHER APPARATUS: 2 - GPC. I x 1 - Smoke Detector s Electric Room Heaterte : 3 - 200 KV 4 - 1 . 5 Kw 2 - 1 . 0 KW 3 - . 75 KW101 .� Richard Rosetti 423 A New Kerner Road Albany . New York 12205 BRANCH MANAGER This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credeMiols. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ,7otvn of QuYenshur y $UILD1NG and ZONING DEPARTMENT Stay and lHauiland Road, R .O. 1 BOX 98 Oueensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME . LOCATION DATE p J / PERMIT NO. SCIL TYPE -(Sand Loam - Clay Percolation Test Required? YES Percolation r to - Lyin/Inch TZ) TYPE of SYSTEM Absorption fief total Zen h Length Of each reInch Depth of trench Size of grave] SEEPAGE PITS4N r o Size- Gravel size Size ze PIPING : k l 3 1 /� Bldg . to tank + a Tank to list . box a. r - Dist_ box to field t30 Partial openings sealed? YE LCCATION/'SEPARA IONS : f Foundation to ank Foundation to bsorption 1 Absorption to lot line Separation o pits ---- ION OF YSTEM ON PROPERTY ( 149Q role one) oKT - Rea - Left side - Right side Ts : SYSTEM USE APPROVED ES N � 'Val iIdin nspector 01/86 and V1 "lawn v� uQpnsur� 13UILDING and ZONING DEPARTMENT Say and Haviland Road. R.D. i Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME � �' LOCATION Date � � ' Permit No . APPROVED - YES 140 Footing/Fier Farms 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 A ,,k"SvLATIoN Foundation j,Floors rtyld 11 s tqciIing FINAL ELECTRICAL NSPECTION_��.- .-�— -�- DRIVFWA.Y APPROVAL - Final Building Survey --� l when ready ) Next scheduled inspection (cal Remarks- OD Building Inspe tar 6/B6 md--vl ING o BUILD and 2C3h1{NCa DEPARTMENT O. d gay and Hauifand Road, F%.'C3- i Box 98 16 Caueenshury, New York i280i BUILDING INSPECTOR ' S REPORT NAME rQ ,. LOCATION Z- permit N<> Date APPRO'V'EL? YES L30 rooting/pier Forms Foundation Waterproofing Backfill Framing Roof ing Siding masonry Veneer Rough plumbin Relief Valves Ext. , porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floor's ( Fixture s Gar . Fireproofing Door Closers smoke Detectors Chimney INSULATICN Foundation Floors Walls Ceiling IUi SPECTION`� FINAL ELECTRIC DRIVEWAY APPROV Final Building Survey Next scheduled inspection when ready (call Remarks, ) 040 {J L/ Sunda ng Inspector �, rg� and-Vl �..locun o� �uPQ,n y � ur+I� 13L)ILDING and ZONING bEPARTMENT Say and Havifand Road, R.D. 1 Sox 98 Queensbury, New 'Work 12801 BUILDING INSPECTOR ' S REPORT NAME LOCAT I ON Date/ Permit NO . * * * * * * * * " ✓* * APPROVED - YES No Footing/Pier Forms�� ►Foundation *qa terproo f ing )Q, ackf i l l 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 APPROVA Final Building Survey��. Next scheduled snape ction (call when ready) Remarks- Building Inspector /86 and-vl awn of Queensgurey BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date. Permit No . Moe ROV D SrEs NO �aooting/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 . Fireproofing ,:- K� Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building, Survey Next scheduled inspectlan (call when ready Rem*ks- s cx C "K . �,, 0 Gam. 7 A. Buildln Inspector 6/86 and-vl -- 1 -i / ,v..✓irK<o umrf /I r��s �rye uev,u,✓ I �.aur.,r I •`'.�. ,vn<c✓!r E<.s evcc m[�[ __. 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