1987-488 t ..
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date S 232 19 87
This is to certify that work requested to be done as shown by Permit No. 87-488
has been completed. C r'# 9n'
This structure may be occu as a L/t (7�na—Faml-1yittg
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Laocation Lot 44 Pheasant Walk kSt . No 1
owner Y o raft Inc . � �...+
By Girder Town Board
TOWN OF QUEENSBURY
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building & Zoning Inspector
} BUILDING PERMIT
TOWN OF QUEENSBURY �
No. 87-488 z
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Pro Craft Inc . n
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OWNER of property located at Lot: 44 Pheasant Walk ( St . No . 12) 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.
1 . OWNER'S Address is 11 Pheasant Walk
Queensbury , N . Y . 12801
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2. CONTRACTOR or BU{ LDERS Name W
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3. CONTRACTOR or BUILDER 'S Address
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4. ARCHITECT`S Name rt
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5. ARCHITECT'S Address o
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S. TYPE of Construction --- (Please indicate by X)
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IX,tWood Frame I ) Masonry I } steel I Y
7. PLANS and Specifications
No. 60 ' x 26 ' per plot plan , application and specifications , including
septic system, and driveway permit , attached two-car garage , o
B. Proposed Use j
One—Family Dwelling
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$5 . 00 C/o '
$ 122 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 , 1988
(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 27th Day of July 19 87
SIGNED BY C? ".Z _ G _�'_.!�/i3� for the Town of Queensbury
wilding and Zoning Inspector 6:,r1,�6''
/ TO BE COMPLETED BY BLDG . DEPT . _ -
_/Ow►t Opl1 fir_ ■[seert36ul Application No .
Permit Issued 19 T-Qt
BUILDING and ZONING DEPARTMENT Permit Expires 19 7 i
Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No .
Site PI n Review JUL 24
1 y Appro d b f g 1 OUiLDING tx , OEPT-
!I ! APPLICATION FOR
DU I LD I NG 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 prop ty is : a(p Coe'o+f f /L/C_
P. O. Address Z J V 14 S 4 S /9 C AJ .-74v— _.__Tel . : 9 pe 33
Property Location : {� i{�( �- /� � r�] ,t1 i ,� K . Tax Map No .
Street number or building lot numbe26"071111► �5'�e. 40,10 . / 9
Subdivision name ( if applicable) &E&0- /%,j-T t AJ "A1 L (C
THE PERSON RESPONSIBLE FOUR SUPERVISION OF WORK AS REGARDS BUILDING, CODES IS :
Name P. O. Address Tel . No .
Name of builder_ cs [�iE�,, } F f_ _Address � � Tel . � 9 c� / �-��
Name of plumber 2c� - TT Address Tel .
'7 `3 g / 33
Name of mason J r'f r`�rS'r� �- Address Tel . /�C 3 )
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NATURE OF PROPOSED WORK : ZONING INFORMATION :
(XConstruction 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 lot . Show location
FOR DEMOLITION PERMIT , STATE SIZE AND x of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED . of septic disposal area .
COMPLETE INFORMATION REQUIRED BELOW .
Size of propertyft X , 7CD a ft .
* Existing build±ng ( s) Size ft .
PROPOSED BUILDING AND USE : * Existing building ( s ) Use
Size of new structure /, jr)ft X 2,16 ft "
Foundation-pier/slab/craw partia ull * Proposed building, distance from property line
(circle one )
p Front yard ft Rear yard
No . of stories / yam _ ft
(habitable space) 1 - * Side yards --ca ft and _ � y ft
Height ( grade to ridge ) 1 ft . If on corner , setback from side street ------ft
If residential , no . of families f
No . of rooms ( excluding baths ) OCCUPANCY INFORMATION
No . of bedrooms * PRIMARY BUILDING -
No . of bathrooms �{ c�ne family dwelling
Primary heating system �"C-_-
_ Two family dwelling
Type of fuel r t Multiple dwelling / Number of units
`.` of fireplaces to be installed p g
Permanent occupancy
Will a wood stove be installed? n,e o
Central Air conditioning? x Transient occupancy
Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Ranch Contemporary Log cabin Other
Raised _r h Mansion Duplex if addition , what will use be .
...B�lt lever Old style Bungalow
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House Detached garage/one car/ two caz car
( CIRCLE ONE PLEASE } * attached garage/one car twrL car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF Other
CONSTRUCTION $ 'F
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED !
Form BPA n //r .id-vl
(g l 4F( ilf TOWN OF QUEENSBURY
I` WARREN COUNTYo 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 r G�
2 . Type of heat z' /
3 . Is the building mechanically cooled ?.,.1LJ C>
4 . Percentage of area of windows and doors
A . Over 16 % Only -
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over ~he� a d spaces YES NO
a . Are foundatio walls insulated ? YES
' 1 . If YES , wha is the R value ?
3 . Slab on grade YES 0
a . If YES , what is the R va of insulation around
perimeter of floor ?
4 . Is basement hea 7 YES NO
a . R value insulation
s . Typ f insulation
B . Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls /'C -02
'5
3 . R value of glazed areammmm, 3 i. ak? S
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4 . R value of doors 47-> v
5 . R value Of floors over unheated spaces _� 2
6 . R value of { slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
e . R value of heated basement/ cellar walls ( above grad 5
9 . R value of heated basement/cellar walls (below grade ) fz�mlj
100 Type of insulationcl
Tyr r c°G�.r9 5 �' r4.T3`S b f�i ,
C . Controls (y
1 . Thermostat maximum + heat setting
U . Duct Systems
i . 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- - mmmmmmm
2 . Temperature control setting maximum 14=r9
am F'or Swimminci Pool Onlymmmmmm
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1 . Maximum heating
Telephone No .
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APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE / 1� / i
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name : ✓?ram Telephone:
Address:
Installer's Name; ,� c� C�,�/� /=' j Telephone:
Number of bedrooms (residential only) _ 3
Total daily flow {compute @ 150 gal per bedroom) �L�
Topography: circle ones, at olling Steep Slope 96 of slope
Soil Nature: circle oneCnd Loam Clay Other / Depth: _ feet
Ground Water: At what depth? feet
Bedrock or Impious Material: At what depth? feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one: unici al Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption 4 ' — — feet
PROPOSED SYSTEM: Septic Tank L C7`e ,gal. (minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench % feet / Total system length AP,�7 feet
SEEPAGE PIT(S) : Number of / Size each feet by — feet
Size of stone to be used # Depth or Thickness 2�_-- feet
I M P O R T A N T
...P'lease...LIST NEW EQUIPMENT TO BE INSTALLED
(over)
own o �eeeensb � rl�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
8UI LDIN SPECTQI? ' S REPORT
NAME 4
LOCATION G
Date �/ Permit NO .
*&oo' APPROVED YES NO
Footing/PiO r Forms
Foundation
Waterproofing
Backfill
�Roo
'rami.ng
f ing
siding
Masonry veneer !
kAlkough 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, ELECT CAL II3SPECTION
DRIVEWAY APPROVA�ti
Final Building Survey
I
Nex[ scheduled inspection Ccall when rea y
Remarks--
Building nspector
6/86 and-vl
awn 0/ Q"eerf 11"ry
v� BUILDING a dL7G DEP TM
ENT
+ Bay and Haviland Road, R,O. 1 Box 98
F �yQ Queensbury, New York 12801
BUILDING INSPECTOR + ,S�yREEPORT
NAME
LOCATION�JJ ` li yrT /Al �
Date l / Permit Noe
APPROVED - YES No
Footing/Pier Forms
Foundation
Waterproofing
13ac3c f it l
4,,0 naming
Roofing
Siding
Masonry Venee
. ugh Plumbin
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain 'Tile
concrete Floors
Plbg . F ixture s� — ---�-
Gar . Fireproofing_ -�-
Door Closers ----~ -
smoke Detectors
Chimney
IN SU LAT I0N3
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL--
Final Building Survey
Next scheduled irtspectinn (call wt►en ready
lternarlcs-
Building IryspectQx'
6/86 and-vl
_Jown v/ Queenjl"ry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME '�"" ,I'2 �"T..�
LOCATION !t_
Date/ Permit No *
✓ APPROVED - YES NO
Footing/Pier Farms
�L Foundation
waterproofing
Y BackfiII
Framing
Roofing
Siding
Masonry VeneelL
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 of
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY "PROVA
Final Building Survey
Next scheduled inspection call when ready
Remarks-
2 I V k --
8 ilding s ector
6/86 and-vl
f � 1,,�yy�ryJ ._.Jo+wrz o� �tt ee n s 6 ee rta f
{ 6 y�/ (BUILDING and ZONING DEPARTMENT
�4f Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION yr
Date , P f_77 Permit No .
✓ - APPROVED - YES NO
Footing/Pier Farms
Foundation
Waterproofing
u,�ackfill
Framing
Roofing OF
Siding
Masonry Veneer
Rough Plumb ' ng
Relief Valv
Ext . Porches
Finished Floo
Interior Trim
Stairs 6 Railin
Cellar Drain Til
Concrete Floors
Plbg , Fixtures
Gar , Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELIF
TRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( call when ready
Remarks-
/!r Aar1-C11
Building Ins ector
6/86 and-vl
/Own o/ Queenst ury
BUILDING and ZONING DEPARTMENT
Bay and Waviland Road, R-D. 1 Box 96
Queensbury, New York 12801
BUILDING IIf'N) SPECTOR ' S REPORT
NAME
LOCATION
Date/ 27 Permit No . y �
✓ = APPROVED - YVII NO
XFooting/Pier Forms
Foundation
waterproofing
Backfill
Framing
Roofing
Siding
Masonry Vene
Rough Plumbing
Relief Valves
Ext , Porches
Finished Floors
Interior 'Trim
stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproof ' g
Door Closers
Smoke Detect s
Chimney.
INSULATION
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROV I.
Final 'Building Survey
Next scheduled inspection ( call when ready )
Remarks-
Building Ins ctor
6/86 and-vl
�, "' � . .,lvtcrre o� �ueensr�urt�l
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. i Box 98
Oueensbury, New York 12801
BUILDING INSPEGTQl2 " 5 FtEPC1F2T
NAME
LOCATION
Date � Permit No . p��• Y�
x * * � ,c * � w yr * x * � � * * x w * s. x * ,►
✓ APPROVED - YES No
Footing/'Pier Forms
Foundation
Waterproofing
Backf ill
Framing
Roofing
Siding
Masonry venee
Rough 13, in
Relief valves
Ext . Porches
Finished FlooAlng
Interior Trim
Stairs & Rail
Cellar Drain
Concrete Floo
Plbg . Fixture
Gar _ Fireproo
Door Closers
Smoke Detect rs
Chimney
INSUTLATION
Foundation
Floors
Walls
zling
AL ELECTRICAL INSPECTIONR EWAY APPROV
Final Building Survey
Next scheduled inspection (call when ready )
Remarks- �^+ &4*7
Buildin nspector
6/86 and-vl
r1j� _Jotvrr oueenshurt�
BUILDING and ZONING DEPARTMENT
(•� !r 1 Say and Haviiand Road, R. D. 1 Box 98
" Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME Z3
LOCAT I
DATE / PERMIT NO._ .,Fol- Tve
SOIL 'TYPE - Sand - Loam - Clay
Percolation Test Required.? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM
Absorption fiel , total leng
Length of each t ench
Depth of trenches
Size of gravel --
SEEPAGE PITS{Ntumber f)
Size- ft. x
Gravel size -
PIPING : ry Ty e
Bldg _ to tank
Tank to list_ box —
Dist , box to field/
Openings sealed? E NO P vt1al
LOCATION/SEPARAT NS :
Foundation to t kt.
Foundation to a sorptionft.
Absorption to t line ��ft .
Separation of its ft ,
LOCATION TEM ON PROPERTY (circle one)
Front - ear - Lett side - Right side -
CC HMENTS
SYSTEM USE APPROVE YE g NO
Build ' g In ector
01f86 and vl
BUILDING DEPT. COPY OF APPLICATION FORK! 4454EL, NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED.
CITY OR
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TOWNSHIP f COUNTY
� Y I'-x rS.STREET AN6 NO. OR �j _♦ _ l
7--.+
ROAD AND POLE NO, '- [,l T C: / + .l ^U f { I
RE T1yEEN WHAT TV60 3 POLE Nd-
TACIETSPRR MI 3 L CA7EO? �. !, i i,_ F / JV P7 / i�- LI�
SECTION BLOCK LOT e.J
cccuPAMlrs
NAME Sull,. .�i I "l J .. OCC PAM.V
CYNNEWS NAME ! '''7 y
AND ADOR ESS C_J ", F I;..JC TEL. # /
suPPLI£D
IT�A) /
BY BUILDING FROM THEIR OFFICE
IS NEWI� OLD ElWDR DEFECTS
IS NEW ADDITION AL Q REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No. of FLugsrse 6
Loos- LN"W I#aaePtaa#w MOTORS HEATERS CIRCUITS OFFICE USE
Vlao RR ONLY
Coiling Side ,4 H.P.WaB Switoh Pawdant Braokel No. Type Nib. Nd WsRts
Each N10. Geuye INSPECTION
Side
Veide
Su6-
b�a
ilaaaF
naa..V
'I at PI,
2nd FI_
brd Fl.
REMARKS! LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE_ DO NOT USE THIS SPACE.
This application as inbndad to cover Uwe above-listed puipmant to be itaspected but if at time of i
You are authorized to make Vlte inspection andrsided n there as loured edditiottal aWiPnwmt not above listed.
atllaest the fe. to corer dye additional priPVtlant, as Provided lay. the applipnt.
AI MAINS$SIZE ELECTRIC SIGN TOTAL
M FEEDERS
LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF W VA
WORK TO BE INUMBERI ICAPACITYi
STARTED COMPLETED SIZE OF SIGN
SERVICE OVERHEAD
ENTERS UNDERGROUND MAKER
BUI ING OF SION
INSPECTION REQUESTED
ON OR AS NEAR AS
PASSIBLE NEW a OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED, DATE, OF
PRINT NAME A ADDRES APPUCAT
APPLICANT U >� J��T OF SIGNATURE
-�-• OF APPLICANT
STREETADDRESS,..^ Ao/ I 'L...}}}f� TELEPHONE # r gr �
CITY OR !�• �/`. /._.. .A .Y^ ,.9 / i! f / 2IP / 2 r / LICENSE NO
POST OFFICE C L_ /'�" ] ./'F L �3___. CODE ■ /3 Lr� ! YIMEN APPLI CARLE
46 eL (REV. I/ae) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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