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1987-453 t CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK �l Date t —L. 14 This is to certify that work requested to be done as shown by Permit No. 87-4 3 has been completed. %—/ lz.... 1 - K-^-I i ti 11 This structure may be occupied as a One,Family i'j irs g Lot # 3 Lady Slipper. Laves Location owner .lames hroderl-ck �]lhli S `1t.J By Order Town Hoard TOWN OF QUEENSBURY Building N Zoning Inspector � BUILDING PERMIT TOWN OF QUEENSBURY No. $7-453 WARREN COUNTY, NEW YORK te PERMISSION is hereby granted to James M . Broderick OWNER of property located at Lady Slipper Lane Street, Road or Ave. o ti I 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. t. OWNE WS Address is James Broderick RD 1 Box 439y Glens Falls , N . Y . 12801 rn 2. CONTRACTOR or BUILDER 'S Name to O Bill Andrews rri ri n 3. CONTRACTOR or BUILDER"5 Address T Bay Rda Queensbury , N . Y . 12801 4. ARCHITECT'S Name r„ D rt --w W 5_ ARCHITECT'S Address r l-� 6. TYPE of Construction — (Please indicate by XI M ( Y} Wood Frame [ ) Masonry [ I Steel C" 7. PLANS and Specifications N No, 50 ' x 35 ' per plot plan , specifications and application including NPHELk.3k septic system and two car attached garage . S. Proposed Use Mx ,:..ter.. _ ,.t. One—Family Dwelling ? z�•,.� -� I w $5 , 00 C/O F $ 164a 00 PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 , 19 88 `4 t� (If a longer period is repu ired an appIi art ion for an extension must be made to the Building and Zoning 1nspactor of the N town of Ousensbury before the expiration date.) 1-+ i✓ Dated at the Town of Queensbury this 15th Day of ,(July 19 $7 SIGNED BY �- .r� . � for the Town of Queensbury Building and Zoning Inspector x5l -c .. TO BE COMPLETED BY BLDG . DEPT . �] Application No . TOWN OF OUE.EJNS6 ,ere _Jdw" a Qf elenjiury Permit Issued 19 r D BUILDING and ZONING LIEPARTMENT Permit Expires 19 S L°: U 7r Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation [[[,��� ��u ,�� u p! Do Queensbury, New York 12801 Variance No . +� Site Plan Review No .Ar g� LD G QQ- ` DER, , I�i► Approved ^� ,r "L �/ 4.144e D APPLICATION FOR WAS / /L!"�.� ' COYZ4 d/t. / a , ! S 0--_" 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 . {� f The owner of this � property is ; s ? (p ,rp&d p '/`r,� jC / �.� P . O. Address 1C 22 I .M AVi k ■■4� ♦� e 40,s s a j5%w /4� �v�I ' /ZrArt > / Tel V73 04}� Property Location : k,&7 ' 02 Lad%, -</-A Jeew 44wnC Tax Map No . / / Street numbevPor b4ilding lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS REGARDS BUILDING CODES IS : ee M . lam' ar 9740'O V3 Name P . O . Address Tel . No . Name of builder f� ,Address � cuer= 5 Tel . Name of plumber ago Address. 4�, ur-/a,ae Name of mason '� r� K .�"y Address ter {l���ui' t: A Tel . �� 7�-yob t+ L u...e.' � r. NATURE OF PROPOSED WORK : ZONING INFORMATION : _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 lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED , x of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . * Size of property ft X M4!';0 ] ft . * Existing building ( s ) Size X ft . * PROPOSED BUILDING AND USE : * Existing building ( s ) Use F rift Size of new structure A!�o7q ft X_ Foundation-pier/slab/drawl/partia fu11 * Proposed building , distance from property line (circle one ) * I ! * Front yard �ft Rear yard [k6 ft No . of stories (habitable space? �• * Side yards _ "�,� ft and 0/ .{, " ft ft .Height ( grade to ridge ) * If on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths) r OCCUPANCY INFORMAT10N No. of bedrooms Noe of bathrooms * PRIMARY BUILDING - Primary heating system ■ &k^ �r'"''� * One family dwelling c --F Two family dwelling Type of fuel �rl�,r�r * Multiple dwelling / Number of units No of firen� a s to be installed Q s - "Will a wood stave be installed? Permanent occupancy Central Air conditioning? Transient occupancy * Business 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 e Cod Cottage Other ACCESSORY BUILDING- Colonia Row Town House * Detached garage/one car/ t car ( CIRCLE ONE PLEASE ) * Attached garage/one car �Ca -_4car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED ! Form RPA d 186 .rl,d-V1 TOWN OF QUEENSBURY WARRED 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 : 1 . Gross floor areas?C s 2 . Type of heat Ile,A; pyo'V 7 3 . is the building mechanically cooled ?. � 5 4 . Percentage of area of windows and doors .�f.,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 ff � 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 ? : . 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. rAoe f 38 2 . R value of exterior walls 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces dfl 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab � r 8 . R value of heated basement/cellar walls ( above grade ) ,�� n_gt-� 9 . R value of heated basement/cellar walls ( below grade ) ,�� /f lb . Type of insulation dr0 �1'A 4* C . Controls 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation ,rt 1 . Size of hot water or cooling carryigg agent pipe 2 . R value of pipe insulationI� F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . � CAd , ZT&OW ( applicant " s s gnature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE �ri / k / —rE,r LOCATION OF PROPERTY FOR. INSTALLATION Owner's Name: �,�/ ,I }f- �r-,t, �rrLe krelephone: �Q Address: lr_ _7� �S:zrs- ..'k /rU' r'' /rZ .Pd/° OOF Installer's Name: i4r 004 Telephone: Number of bedrooms (residential only) _ Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: Flat Rolling Steep Slope $fi of slope Sail Nature: circle one: an Loam Clay Other / Depth: feet Ground Water: At what depth? 7�0 feet //_ Bedrock or Impervious Material: At what depth? a v%okws 6d & ,,, feet Percolation test: circle one. of require required / rate min. inch. Domestic water supplyr circle one: unicipa�ell Other IF domestic water supply is a Well* Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank /42?;N:P gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench 6�0 feet / Total system length feet SEEPAGE PIT(S): Number of ' / Size each feet by feet r � f ri Size of stone to be used # +' / Depth or Thickness // feet * * * * * * * * * * * * * * * * * * * s * * * s a s s # * a s * * s * IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) Down o/ Queenshure� [ a ,V -„ 13UILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAM LOCAT I ON 2� �` C l) _. Date _ / � Permit No . li5>7" ✓ = APPROVED - 'YES NO Footing/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer ,Rough Plumbing 09rl< 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 ELECTRI L INSPECTION DRIVEWAY APPROVAL !. Final Building Survey Next scheduled inspection (call when ready Remarks- Building Inspector 6/86 and-vl c7 BUILDING and ZONING DEPARTMENT Ur [[[ Bay and Haviland Road, R. D. 1 Sox 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME /Cze� LOCAT I DATE ' PERMIT . NO / SOIL TYPE �' Loam - Clay Percolatio1T est Required? YES < Percolation rate - Min/Inch TYPE of 'SYSTEM: ,/"„ � }� Absorption f ' eld , total len i/i : G` Length of eac trench // Depth of trench Size of gravel SEEPAGE PITS4Numb of Size- ft. X _ ft . Gravel size PIPING : ize Type Bldg . to tank # p!if L Grp Tank to dirt. box ++ {! Dist . box to field f Openings sealed? YE O Partial LOCATION/SEPARAT S : Foundation to t k t. Foundation to orption � Absorption to 1 t line �ft , Separation of its ft. I.f")C.ATION TEM ON PROPERTY (circle one) Pront - , ear Left side - Right side - CCMMEN S : SYSTEM USE APPROVED YE NO Building Inspector 01/86 and vl ._./'ou/n o/ Queenjiuryl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D_ 1 Box 98 Queensbury, New York 12807 C- Q BUILDING INSPECTOR ' S REPORT NAME LOCATION � Date �{[ /_%A_ Permit No . ✓ = APPROVED - YES NO Footing/Bier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer - Rough Plumbing Relief Valves Ext . Porches .. Finished Floors Interior 'Prim stairs & Railings Cellar Drain Til '- Concrete Floors Plbg _ Fixtures t, Gar . Fire,proof ' ng Door Closers Smoke Detecto s Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRIC L INSPECTION DRIVEWAY APPR4V L Final Building Survey Next scheduled inspection ( calT when ready ) Remarks- 6?o< 8 lda nsgec r �86 and-vl e�dv W/o /vcun n QttPen36ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12BOI BUILDING INSPECTOR ' S REPORT NAMEpr'7G'J � LOCATION Date Permit No . ✓ = APPROVED - YES NO Footing/Pier Formsoundation aterproo£ing ackfi11 Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim or Stairs & Railings Cellar Drain Tile Concrete Floors Plug , 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- 'II9 J'k 4 1 Building ns ctor 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION '' Date^1�/ permit No , 4e ✓ APPROVED - NO Footing/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 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- Bua.l ng Inspector 6/86 and-vl own 0I f !!`/d �ueQn .s6ur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 �u45 • Queensbury, New York 12801 9IBUDING INSPECTOR ` S REPORT NALON <FZ es Pe rm i t No . � 3 ✓ = - Footing/Pier Forms APPROVED YES NO ?kIoundation 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 INSULATzorr : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA Final Building Survey Next scheduled inspection (call when ready Remarks- , , p Id . 6/86 and-vl suildin Inspector BUILDING and ZONING DEPARTMENT Day and Haviland Road, R, D, i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME COCA T ION Date ermit No . � �_oa - PRCIVED*- * +r �1' ti9l' nPier FormsNO l Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Parches Finished Floors Inter.ior Trim Stairs & Railings Cellar Efrain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectars Chimney INSULATION s Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled fnspectton (call when ready) Remarks- E/86 and-vl Buildin Inspector .7 , Jow+� o u,een Jury BUILDING and ZONING DEPARTMENT Say and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME CR Y✓1 e5 d 8 J G LOCATION �k Date o7 permit No _ 42s-t 4 * * * * * * * * * * s "PROVED ^*YES* *NO )Cpooti.ng/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 3P1bg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors chimney INSULATION Foundation Floors wails Ceiling FINAL ELECTRICAL INSPECTION -. ... DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks-- V� Building Inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT Bali and Hawiland Road, R.D. 1 Box 98 CJuee,�sbury. New York 12L3f11 t BUILDING INSPECTOR ' S REPORT Y NAME LOCATI Date/ - Permit No % " t7f p t,,, p�// Pe' = APPROVED - YES LVO txating/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior 'Prim 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 Remark s- �� Building Inspector 6/86 and-vl BUILDING DEPT. COPYlOEFTAPPLICAPTtON F WITHBUILDING EW YWHEN BOARD REOU OF IRE UNDERWRITERS_ �TEMF:Js CITY OR t k TDWNSl44P. . L• .,e c sl < r�.A I? : COUNTY VILLAGE STREET AND NO. OR + ` rY POLE N ROAD AND POLE NO. ✓ _ BETIME£N WHAT TWO LOT PREM ES$RL EAT is ,P r br s`I S CTION BLOCK OCCUPANT'S 3nrl,rr BUILDING - f" +C.r OCCUPANCY NAME W OWNER'S MAME TEL. # AND ADDRESS r I SUPPLIED 0 #r /� ! 1,4 -'l ']' i ,F l THEIR r' 46� i C.� DEFECTS�BV 7 BUILDING NE OLD © IWOR% NEW ADDITIONAL Q REMOVED C.] IS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of Fiuturw 6 BRANCH OFFICE USE NUMBER OF OUTLETS Letnp Reaepsodw MOTORS HEATS RS CIRCUITS ONLY Laos A.W.G. Side Attaohot S rkoh Pwdr e Eachxt Bracket No. Type No. Ea Ho- Geuga INSPECTION Coiling VI II RecapFu Got- aide Sub- ete Boar rrt+nx 1st R. 2nd Fl -30 3d F1. REMARKS: LIST OTHER ELECTRICAL PEV ICES NOT SET FORTH ABOVE: OO NOT USE TH IS SPACE. This aPPI iCat ion is intruded to Covar the above-listed equipment to be inspected but it a�M time w nape titi by on ther theip is f0111"L"ditWc i equ'll"Men�t nat abewe listed. you are authorised to make *A inspection and ediust the Ise to corer the additional erluip ELECTRIC SIGN TOTAL Size OF -� FEEDERS LAMPS WATTS MAINS CHARACTER ,,r� CONCEALED EXPOSED GAS TUBE SIGN VA OF WORK { ice' '.-•[.J r�- CONCEALED YRANSFORMERS Of �} #NUMBERI ICAPACITYI WORK TO BE k COMPLETED I I �.! ' I SIZE OF SIGN STARTED / Ul SERVLCE OVERHEAD UNDERGR D MAKER ENTERS OF SIGN IL ING s ION ORTjOK AS NEAR AS REQUESTED t k ` �' �t I I NEW � OLD CJ POSSIBLE 1 AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF l y A PI C MUST BE FILLED IN OR APPLICATION M Y BE RETURNED. APPLICA �O/y PRINT NAME AND ADDRESS (SIGNATURE �1, NAME OF 1 L4 i"l 'L- 4 OF APPLICANT APPLICANT } 'd4.'.. /} s.s L`./ r t f { F ' IX' /°.- r TELEPHONE STREET ADDR Elm { " '' + C�Y LICENSE NO. CITY OR r �f: . .. ��'' CO ZIP APPLICABLE 11 POST OFFICE A SEPARATE APPLICATION MUST BE FILED FOR L*ACH SEPARATE BUILDING ws EL (REV. ,reel V I j I OV cy, � I I 4 I I I I I I I I � I : ! I i I i + } I I W ' an "w"r••,11 G► I : l`llf i _ $Ill k4 ft, a- I : I I I