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1987-619 CERTIFICATE OF OCCUPANCY f TOWN Of QUEENSBURY WARREN COUNTY, NEW YORK I Date .tune 19 I990 This is to certify that work requested to be done as shown by Permit No. 87-619 i ' has been completed. I r his structure may ,be occupied as a One-Family 1]wellin 'T j Location Braeside i".ircle f Owner Baneside Ltd . j By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector f V 1 i BUILDING PERMIT TOWN OF +QUEENSBURY No. 87-619 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Braeside Ltd . n W OWNER of property located at Lot # 3 Braeside Circle (Fuller Rd . ) Street, Road or Ave. � 00 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. rs F2.:CONTFAC-TIOR WNER'S Address is N Fuller Rd . rmn RD 2 0 Glens Falls , N . Y . 12801 rk or BUILDER'S Name Gs Michael Vasiliou 3_ CONTRACTOR or BUILDER'S Address 32 Willow Rd . Queensbury , N . Y . 12801 .� +- 4. ARCHITECT'S Name r m 5. ARCHITECT'S Address t� Q r-r W 6. TYPE of Construction — (Please indicate by X) by ri (x) wood Frame ( } Masonry i } Steel i 1 m w M• 7. PLANS and Specifications n No 70 ' x 28 ' per plot plan , specification and application including septic system and attached two car garage . ro S. Proposed Use One—Family Dwelling �0 in I 45 . 00 C/O 192,.00 April 1 , 19 88 $ PERMIT FEE PAIL] — THIS PERMIT EXPIRES (tf a longer period is required an application for an extension must be made to the Building and Zoning inspecitor of the town of Queensbury before the expiration date.) .Se t 87 Dated at the Town of Queensbury this 15th Day of p 19 SIGNED BY ' C.�' .�-�' -�° 'n-- far the Town of Queensbury Building and Zoning Inspector APPLCCATION FOR SEPTIC DISPOSAL PERMIT DATE / LOCATION OF PROPERTY FOR INSTALLATION --Z Owner's Name: Telephone: ---15? 2 r ' 2� Address: Installer's Name. DA V , P � t .fFi'i'�. r� Telephone: 7 6?a ^es,wta,; Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Topography: circle oneC.Flaf> Rolling Steep Slope °,�n' of slope Soil Nature: circle one: and Darn Clay Other / Depth: --,ZO feet Ground Water: At what depth? feet H va+ck or Impervious Material: At what depth? _ feet Percolation tests circle one: not required required / rate min. inch. Domestic water supply: circle one. unicipal ell Other _ IF domestic water supply is a Weil: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM4 Septic Tank 54 - ego gal. (minimum size: 1,000 gal.) o*� /$- TILE FIELD: Each Trench 464 feet / Total system length �� feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # ,// / Depth or Thickness feet IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) Section 11 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 30 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 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. 13. 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 EKsposal Ordinance. Signature of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SE '1TLED 1763 . . . HOME OF NATURAL. BEAUTY . . . A GOOD PLACE TO LIVE TO BE COMPLETED BY BLDG . DEFT . � / Application NO . _Joule of Q"iee►t36ury Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 ({j ; 'bay arM Hawiland Road, R. D. 1 Box 98 Zoning Designation D Queensbur , New York 12801 Variance No . 2 y AUG03 Site Plan Review Na . a Approved BUILD11' Cs COLG 'E DFwPT d J APPLICATION FOR PUILDING 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 Kermit . ......... The owner of this property is : 3 9 �' �` P . O. Address Ll =L,,e p. 7 2- Tel . Property Location : A ,0S eLy ° �4� _ Tax Map No . Street number or building lot ynumber.I Subdivision name ( if applicable) . 2 eUi& y THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK) AS REGARDS BUILDING CODES IS : 2- G 1 C C uJ Name P . O. Address � / f} Tel . Lao . Name of builder-�� �� V1 S14'Orl_ Address -Z - GL -�' IS �3 Tcl Name of plumber Address Name of mason Address Tel . 7 � NATURE OF PROPOSED WDRK : 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 set-back dimensions from property lines . Give Other work (describe) 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 BELOW . Size of property. I ft X ..2 3 ft . * Existing buildings) Size ft X ft - PROPOSED BUILDING AND USE : ryC a + Existing building ( s ) Use -----� -- ,•�'� f t /X f t '� Size of new structure rt 1 ' n Foundation-pier/ slab/crawl/partial ul Proposed building , distdVWI o L7roP� PY if * i' (arT f t ( circle one ) �. Front yard ��� ft ear yard No . of stories (habitable space ) ,� Side yards~ ft and it Height ( grade to ridge ) _ _ ft . if on corner , setback from side street ft if residential , no . of families OCCUPANCY INFORMATION No . of rooms ( excluding baths) No . of bedrooms PRIMARY BUILDING - No * of bathrooms � ....._ � One family dwelling Primary heating stem Two family dwelling Type of fuel � C 77j 1 C _. Multiple dwelling / Number of units No . of fireplaces to be installed permanent occupancy Will a wood stove be installed? . , c � Transient occupancy Central Air conditioning? �___ Business BUILDING STYLE, PRIMARY STRU /TURE Industrial Other Ranch Contemporary Log cabin If addition , what will use be? Raised ranch Mansion Duplex � split level Old style Bungalow Cottage Other ACCESSORY BUILDING- Cape car Town House � Detached garage/one car/ two car olonial Row car ( CIRCLE ONE PLEASE ) X Attached garage/one car/ two car/ * * * * * * * * * * * ' '1 ' ' 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 wood fram ,e fire safe , etc . Will any second-hand umber be used.? If so , for what ? Foundation wall material Thickness rj �^ Depth of foundation below grade (to bot footing ) for Will there be a cellar? Heated or unheatedNZZ . Floor scoo£ Cage /�''�- Q sq ft Will there be a basement? Will any on be used as living space? { If so , what port ' ? sq , ft . - - Type of use? 'Type of roof slope flat/shed/other Material of roof �� �� _ �`��� � Size , wood studs " X� spacing "'o _ c . length _jp� ft , Joists ( floor beams ) lst , floor "X.ZJQ _-" spacing 14 "o , c . span ZIG/ ft . .joists ( floor beams) 2nd , floor spacing- "o , c _ span__:__ '-ft , Overlays ( ceiling beams ) "Xtg " spacing 2,a "o . c . span Z �' ft . Roof rafters "X spac o . c . "spin—�ft . Roof trusses {pre-engin eyed} spac span ft . Exterior wall finish CE7 p CST �� ,, 7 Of what material? Interior wall finish +CY CC ryc r� If a garage is to be ttached , describe materials to be used for FIRE SEPARATION -- rr ,z ` - e + c Is ere to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? P Will a flue-lined chimney be installed?!S Height a e roof �__ ft . Depth of chimney foundation below grade ft _ Depth of fireplace rth^ _ft . — in _ Water supply Municipal ar private well SEPTIC SYSTEM _ nce from ANY private well ( including adjoining properties_ (A separate application is necessary for any repair or new installation of septic system) Town of A F F I D A V I T STATE OF NEW YORK Warren 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 SignatureAte _ _-clay of 19 r3 _ _-- �+ ----------- wner , owner s agent , arcnsLectr, contractor, Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : �y__ 2 ----------------------------- TOWN OF QUEENSSURY 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 fallowing : l . Gross floor area 2 . Type of heatu 3 Is the building mechanically Cooled ? 7 4 . Percentage of area of windows and doors A , Over 16 % Only roo £ / ceiling and floors 1 . uo value of gross area of walls , exposed to ambient conditions 2 . Floor over heated spaces YES NOYES NO a , Are foundation walls insulated ? 1 , If YES , what is the. R value ? 30 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 50 Type of insulation B , Under 16 % Only _ 1 . R value of roof and floors exposed to ambient conditions / 2 , R value of exterior Walls ec 3 . R value of glazed area Cf 4 , R value of doors 5 . R value of floors over unheated spaces / 60 R value of slab edge insulation - unheated slab rep'/ ° 7 . R value of slab insulation - heated slab) g , R value of heated basement / cellar walls ( above grade ) g . R value of heated basement/cellar walls ( below grade ) ,2 0I � .� 10 , Type of insulation O C . Controls 1 . Thermostat maximum heat setting,J_ /� D . Duct S stems__ [ NO 1 . Is duct system installed in unheated spaces ? YES a , If YES , R value of duct installation� re b , R value of duct in other areas �'�'_ I E . Piping Insulation Carrying agent pipe !� - l . Sixe of hot water or cooling 2 R value of pipe insulation) F . Service Water Heating e , � y Performance eff3. Ciency "' 1 - maximum 2 . Temperature control setting G . For Swimming Pool Onl 1 . Maximum heating Telephone No - ' l ( applacan ' s signatu ) ff �.,lowrt 01 Quee " shurry BUILDING and ZONING DEPARTMENT Say and Havifand Road, R.D. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME �,er� Si: C LOCATION111,111, Date Permit No * * * * * * * * « APPROVED* -xYES* /ENO � Footing/Pier Forms Foundation waterproof ' ng Back £ ill Framing Roofing Siding Masonry Ven r Rough P1umbi g Relief Valves Ext . Porches Finished Floor interior `Prim Stairs & Railin s Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproo ng Door Closers Smoke Detec ors Chimney INSUI.ATI Foundat n Floors Walls ceili cI FINA ELECTRICAL INSPECTIO _ DRIV WAY APPROVAL_ — pina 'Building Survey Next scheduled inspection ( call when ready ) Remarks- y' . s��G�scl� /=e•�ri �i 4=/dC%0 'S µ ✓ +� f Ll� '1�Mt t O 1 l / t^ 'H#I [r/tc .��+S.vsu✓ w w sa building Inspector G/86 and-vl 9:`� uper� sur aura o� BUILDING and ZONING DEPARTMENT Say and Haviland New Road. Rr D- I BOX 98 01 INSPECTOR ' S REPORT NAME roo a ,3- f `Y /_ Permit No . Date APPROVED - 'YES 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 -0 Foundation Floors walls Ceiling FINAL ELECTRICA I SPECTION DRIVEWAY AppRO V L Final Building urvey Next sck►ed%U'Ied /inspecCion (call when ready ) Remarks- 4/6 W di ns cteyr 6/86 and-VI ueensbur� "Q BUILDING and ZONING DEPARTMENT Bay and Haviiand Road. R. G. 1 Box 98 Ciueensbury. New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION � NAME LOCATION r DATE I 'PEPMIT NO . SOIL TYPE - Sand - Loam - Cl Pergol ion Test Required? ES - NO Pergola ' on rate - Min/In TYPE Of SY TE4: Absorption field , tot length Length of e h trenc Depth of tre ches Size of gray of) _ SEEPAGE P,TTS4 ft. Size- ft. Gravel size PIPING : Size Type Bldg . to tan Tank to disc box Dist* box t f iel ? E. Partial openings s sled LOCATION/ EPARATIf)NS 7 -Ac t .t, Foundati n to tank f roundat on to absorpt n ft . Absorp on to lot line Sepa,rn ion of pits —ft. one) OF SYSTEM ON P OP Ri Est r nt Rear - Left si e C TS : SYSTEM USE APPICOVED YES Building Inspector 01/86 and vl ell , U D ` " een38u +'V BUILotNG and ZO WNG L7EPARTMEN ,f y and Haviland Road, R-[) . 1 Box 96 C)ueensbury, New York 12801 lJ 11- p ING INSPECTOR ' S REPORT NAME " LOCATION / ✓ No permit * * APPROVED - YES, No Footing/Pier Fox7ns Foundation Water'PYoof in Backfill �ami ng Roofing Siding Masonry Veneer 6)340 �gh Plumbing Relief Valves Ext . Porches Finished Floors Interior 'Trim stairs & Railings Cellar Drain Tile Concrete Floors P1bg . Fixtures Gar , Fireproofi 9 Door closers Smoke Detector Chimney INSULATION Foundation Floors v' walls 3 Ceiling CAL IN SPECTIO'N F JNAI� ELECT �---- DV,IVF,WAY APPR &L Final Building Survey ectlan (call when ready ) cheduled insp � Nexts �'[ Remarks- Apo �" 6-- IA Alrje2A A44 A/ C V&AIT r Building Ins ect 6/BE' and-vl a BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 IL DING INSPa= CTOFL " S R EPORT NAME LOCATION Date - Permit No . APPROVED � •• y NO cotin9/Pi.er Forms � � Foundation 7 „ Waterproofing Backf ill Framing Roofing Siding Masonry Venee Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Efrain Tile Concrete Floors Plbg . Fixtures Gar , Fireproofs Door Closers Smoke Detecto s Chimney INSULATION - Foundati.v Floors Walls Ceiling FINAL E TRICAL .INSPECTION DRIVEWAY "PROV Final. Building Survey Next scheduled inspection (call when ready Remarks- Y � -7,J Building Inspector 6/S6 and-vl i, arid� 2C7NIpIG etf at" LIDING INS gaY 8rrq Havilalnq Aoad (�ueehsbc,rt QCpR�14T►yE1VT Y. . O R Q 1 9ox 98 York t28D7 NAIKE EC T 17 r S REPORT LOCATION Da It Wate Lion F�+rmg $ack P?oofing YES Np I ' praming gam' ding masonry,`--Veneer ftugh Ext a ©chess 'nlished 'fin eri .r Fsoors Cellar & Eailzng ~~�~ x�nCrete ZsaazS ze Ca bg. Fixtures Door re e seofzn ��� Chinine �ete'ctoza rfall F. 'DRxV WA E RrCAL S Final gui I VS N� SPECmx� dinB Next Re,'"arks heduled inspectYnre Cc$1Z when ready) 6/86 md,"Z Eui1 aing xns Ct�r COPY OF APPLICATION FORS! gs.EL. NEW VOnX BOARD OF FIRE UNDERWRITERS. FILE THIS COPY VI BUILDING DEFT.WHEN REQUIRED. {DATE Jill VILLAGE -.. STREET AND NO. OR TOWNSHIP ROAD AND ,I'J COUNTY BETWEEN WHAT TWO ( ,tv frrrr ft3 ► ,eyjile PCRRG¢S STREETS ISD POLE NO. NNAAfMfE GGR� CTfON BUILDING "J S OCK LdT +' r AND ADORESSE 'OCCUPANCY ' i ILroQ #sLYwPLreo rEL. ab` SLAll NLOfNG FROM THEIR IS NEW OLD 0 WORK OFFICE fS NEW ADDITIDIVAL DEFECTS LIST BELOW ALL EQUIPMENA T W14ICH yLyU INSTALLED 0 REMOVED Lour NUMBER OF OUTLETS L"o l MOTORS Eaa. µB°RANC HZion RMM HEATERS CfRCUTS OF L USE man +a Swill ftWMnType ONLY � Each Na A.W. , ii1ISPECTIOIIi Sul hem nos" fIt in, # 2ud Ff, aid Ff. REMARKS_ LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE, 00 NOT USE THIS SPACE. This appili""IlM it intaindled you Ms Aufflotim d W n�Alt� ll! Ciuvw ifM iboMlfKRad E'4nP�oent to M iny.ocfed fwf if it tiM� of i MAINSOF "motion aoid r/jyu dte f41w b eoyr the+ddifiorW will t, a w R pay s found aeMiNunEf WquiP�ng rwt slbwe liatad,�'Md /FPfirt M. FEEDERS ELECTRIC SIGN CHARACTER LAMPS TOTAL OF WORK E1rFO14ED GAS USE SJGN WATTS WORK TO Be CONCEALED TRANSFORMERS OF STARTED fIIl.MSBERI VA SERVICE OVERHEAD COMPLETED 512E OF SIG fCAPACITYI ENTERS UNDERGROUND N If'ECTt MAKER REOLDDf IIIOR AS NEARA,gESTEO�t OF SIGN POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE iNFOR1NAT1(}R_ ALL SPACES NEW MUST BE FILLED IN OR APPLICATION MAY Be RETURNED. OLD PRINT NAME AND ADDRESS DATE OF NAME OF ` APPLICATION APPLfCAWT ' Sf Ca I1ATURE STREET ADDRESS _.- r ram~ ��f - ♦ ! • OF APPLIC/yAfT' '` !r CITY OR POST OFFICE fZsP --, TELE,PIjONE ifI r 3 CODE '_�. .•. ; . f LICENSE ND .: 46 EL SRE.,_ 1/80) A SF.,,P]dfiA"� ICAT1Qi11 MUST BCE FILE F4R EACH SEPARATE BUILDING �. ' L3,CAE.,51.D E C/2CL Z T, A, 0.5 0- .SB =E 2/6.20' � 9zz 8s ro siucF2 20 so o w o n � d