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1987-656 r CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY F WARREN COUNTY, NEW YORK Date Dec . 31 , 19 87 This is to certify that work requested to be done as shown by Permit No. 8 7_6 S 6 has been completed. This structure may be occupied as a One Family Dwelling 3 laocation 't-9- Grouse Circle (Pheasant Walk) f f Owner Pro—Craft Inc . I Hy Order Town Hoard 70W'!V OF QlJ$�Y i � f Ape f Building fir' Zoning Inspector 1 1 1 2 l' . .11 1 1 ._:ac S..v i. i 4 a T E 11 P 0 R A R Y CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Darr December 28 19 87 This is to certify that work requested to be done as shown by Permit No. 87-656 has been completerd. This structure may be occupied as a One Family Dwelling i.[scrtion Lot 19 Grouse Circle Pheasant bulk Owner Pro Craft , Inc . TEMPORARY C J O I S SUED FOR 30 DAYS By Order Town Board PENDTI�G FINAL ELECTRICAL INSPECTION. TC]WN OF QUEENSBURY Building & Zoning Inspector y BUILDING PERMIT TOWN OF QUEENSWRY Na. 87-656 t4 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to PRO CRAFT INC . OWNER of property located at Lot 19 Grouse Circle (Pheasant Walk) Street, Road or Ave_ � in the Town of Oueensbury, To Construct or place a _ One—Fam3.ly Dwe l lin c 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. n 0 1. OWNER'S Address is c� Pheasant Walk m Glens Falls , N . Y . 12801 r-t 2. CONTRACTOR or BUILDER'S Name n Same r 3. CONTRACTOR or BUILDERrS Address r7a rt. rt1 On s.fl Iv r G� rt ri 0 4. ARCHITECT'S Name G� H fU F� �i n S. ARCHITECT'S Address @ 6. TYPE of Construction — (please indicate by X) tXj Wood Frame f 1 Masonry ( ) Steel l I 7. PLANS and Specifications No. 54 ' x 34 ' per plot plan , specifications and application including Septic System , and two car attached garage . m B 8, Proposed Use F+ One—Family Dwelling a M m $5 . 00 C /O ~ 162 . 00 April 1 , t9 88 F $ PERMIT FEE PAID — THIS PERMIT EXPIRES ao {If a longer period is required an appiication for an extension must be made to the auIld1ng and Zoning inspector of the town of Ouaansbury before the expiration date.) Dated at the Town of Queensbury this �y-28th Day of Sept . 19 87 SIGNED BY %/ ,r 6�ta "/� —`""' i for the Town of Oueensbury Building and Zoning Inspector �,f itifS3 j/ TO BE COMPLETED BYBLDG . DEFT . TOWN OF QQUEt. / Application No. UlfI OWIi p� GepelS56ttr Permit Issued l9 �� SEP 2 2 W7 BUILDING and ZONING DEPARTMENT Permit Expires 19 �, r�u Bay and Haviland Road, R-D. 1 'Box 98 Zoning Designation ;. I� -, ; s•�r t-t;p DEPT. oueensbury, New York 12801 variance a . � Site P n Review F Jq APPr 1 q [APPLICATION FOR FUILDING 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 ofthis pro erty is : Poo* Address t1 1�' r�J Tel . ; l �3 Property Location : S C.L �/ + � Tax Map No . Street number or uildiccn-gp,li�ol!t,, number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION- of WORK AS RE�GARDS BUILDING CODES IS .. Name P . O. Address Tel Luo /�" '--~ Address /�- Tel . /�� .✓33 3 Name of builder /" 7 ' Tel . t Name of plumber r� r r Address rr r• F y Name of mason r � . r Address r rr Tel ' 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. * of septic disposal area . COMPLETE INFORMATIOW RE�U�IRED BELOW . * Size of prop or y� GG�� ft X ft - Existing buildings ) Size Ft X ft ' PROPOSED BUILDING AND USE : * Existing buildings ) Use Size of new structurY ft x 3 j�ft Foundation-pier/sla craw partial full Proposed building , distance from property line q r (circle one) * Front yard 6 C� ft Rear yard-„ ft No . of stories (habitable space) �Z- Side arils ,•„ * � ;0&o -ft and �Cd ft Height ( grade to ridge ) 0` � ft • if on corner , setback from side street - - ft if residential , no . of families N I * OCCUPANCY INFORMATION No . of rooms ( excluding baths ) No* of bedrooms / PRIMARY BUILDING - No . of bathrooms -� -- One family dwelling Primary heating system = C * Two family dwelling Type of fuel Multiple dwelling / Number of units No . of dll fireplaces to be installed-. c� p �''r— Permanent occupancy Will a wood stove be installed? y fly * Transient occupancy central Air conditioning? * Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin if addition , what will use be? Raised ranch Mansion Duplex �lit�les✓ ' Old style Bungalow " Cap Coe d Cottage other '� ACCESSORY BUILDING- Detached garage/one car/ two c car Colonial Row Town House " car ( CIRCLE ONE PLEASE } Attached garage/one car/ two c / . 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 frames7fire safe , etc . Will any second-hand or ungraded lumber be used? if so , for what ? Foundation wall material Thickness Depth of foundation below grade (to bottom 01, ,footing ) Will there be a cellar? Heated or unheate � Floor sq. footage ft Will there be a basement? ---_ Will any portion be used as living space ?( If so , what portion? sq . ft . - - Type of use? Type of roof - o flat/shed/other Material of roof Size , wood studs spacing , ^� _ _ _ x_,� r ', pacing_ o . c . length ft . JOists ( floor beams ) Ist . floor Z "x ir.) t* spacing Overlays (ceiling beams ) "o . ca span r�Jt , .Toes is ( floor beams ) 2s ) floor -- .' x r� 3 tospace ng�r4 _"o . c . span Z &.. 4r.t"lf - spacing "o . c . span ft . Roof rafters spacing o , c . span f t, c Roof trusses (pre-engineered) spacing" o . c , spanf . Exterior wall finish Of what material? <7:7 Interior wall finish 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? CS. If so will a Fire-rated door , enclosure , and self-closing device he provided? Will a flue-lined chimney he installed? —Al o.> Height above roof of chimney foundation below grade — ft , � ft . Depth of fireplace rth ----'-ft , In . Water supply - <Eu iclp:aj or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties ft .(A separate application is necessary for any repair or new installation of septic system) Town of Queensbury County of warren A F F I D A V I T STATE OF NEW YORE{ 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 _ ��27 �.�-* Owner , owner ' s agent , arehi ActrContractorC7 � / day of J 6-11 19 � 7 Notary Public , Warren County , N . Y , It * * * * * * * At * At * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : By 1' co fI C � 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 : 1 . Gross floor area r-'� 2 , Type of heat L I- 3 . Is the building mechanically cooled ? ._ A../o 4 . Percentage of area of windows and doors A , Over 16 % Only_ 10 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 50 Type of insulation a , Under 16 % Only mmmmmm 1 . R value of goof and floors exposed to ambient conditions .P 3�r yo 4G 2 , R value of exterior walls Z � 5 3 , R value of glazed area ' • sr S 4 . R value of Boars _ 2 V s . R value of floors over unheated spaces" /C 6 . R value of slab edge insulation - unheated slab --- 7 , R value of slab insulation - heated slab 8 , R value of heated basement/cellar walls ( above grade ) -- 9 , R value of heated basement/cellar walls ( below grade ) 100 Type of insulationrf C . Controls 1 . Thermostat maximumoheat setting Dv 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 —� 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 �t�p 2 , Temperature control setting maximum / 270 G . For Swimming Pool. Onl la Maximum heating Telephone No . 77 f cap licant ' s sett re ,mY"*Vw Atil"wr APPIJCAT70N FOUR SEPTIC DISPOSAL PERMIT DATE 4,p Z / ao 0; LOCATION OF PROPERTY FOR. INSTALLATION Owner's Name ; Telephone: / 3 Address: _ Installer's Name: () C�/C��/ //L'C Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) , Topography* circle one: Flat �)Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loam CUy Other ~^- �/ Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? feet Percolation test: circle one: not required required J rate min. inch. Domestic water supply: circle one Municipa Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption feet PROPOSED SYSTEM: Septic Tank - ��_ gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench 5 G feet / Total system length Z CD feet SEEPAGE PIT(S) : Number of / Size each -- feet by feet Size of stone to be used # J Depth or Thickness Z_- feet IMPORTANT oeaPlease...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 Z4 hours before start of construction and shall include a plot plan showing: 1.) the proposed location of the system Z.) 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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system , a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbu ey 'Sanitary Sewage Disposal Ordinance. �J__ •� - Signature of responsible person: Dater Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New 'York 12801 (518) 792 5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . A GOOD. PLACE TO LIVE THE NEW YORK BOARD OF FIRE UNDERWRITERS (BUREAU OF ELECTRICITY �$ 41 STATE STREET, ALBANY, NEW YORK 12207 Date larch 31 , 1988 �PPliration .4'0. orefile 028161 /87 A r! 1 1 ! 1 THIS CERTIFIES THAT aaly the ele+ctricsl equipment as described below and intrachtead by the applicant named ark the abase app[iewtsw► namber in the p remission f Pro-Graft Inc , Lot 19 Grouse Circle , Queensbury , NON York in the following location; Q Basement Ljxlat FI. ❑ 2r d FT. Section Block Toot Outside I21 9 19 was examined ark 8 f 87 and found to be in compliance with the requirements of this Board. c RXTURE FIXTURES RANGES ODOKINGEC DKS CtMENS WSH WASHERS E)LHI4U5T FANS OUTLETS ACLES SWITCHES NC wNOESLENT FujonscENT v I AMT. K. W. AMT. R- W. AMT. K.W, AMT- K- W. A r. #I. F. 23 4 +' 16 1 6 . 3 3 F DRYERS FURNACE (MOTORS FUTURE APPUANCE FEEDERS SPECIAL RK`PT TIME CLOCKS SELL HEATERS (MULTI-OUTLET CNMAVII& 4 AMT, K, w- all H- a. CeA.L N. F. AMr NO. A. W. G. AMT. AMP. AMT. AAVS, TRANS. AMr. H. F. SYSTEMS wMT. WATTS No. OF FEET 1 HWT 1Cl SERWCE DISCONNECT NO. Of S E ft f C E MIEVER AMT. AMP. TYPE EQUIP. I -s' 2w I W sw a a 9Yv a!r ww ND. callo- . G. too. of e*I•eEc of LEG No- GF NEUTeALs w- w- G. OF NEl1rKAL , 1 ZZ00 OTHER APIARATW%T GFC 1 - Smoke Detector Electric ROOM eater T s 39 2 e O KW `• 4- 1e5 KW 2-- 1e25 KW 3- 1 . tY KW Wfl Pro. Crazt fnceoe ya -,_ Pheasant Walls 93 � glens Falls , Ny 12801 1 BRANCH MANAGER Per _ This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credentiols. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. 3 d Ic'� r . lower! a j Queen shury ' BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 Box 98 ��eens4ury. New York 128i71 �8UI L 'Di NG INSPECTOR ' S REPORT NAME LOCATION Date/ Permit No t� * * * * * * * * * /✓* * APPROVED* `.DES* NO rooting/Pier Forms Foundation Waterproofing Back.fill Framing Roofing ti Siding Masonry Veneer Rough Plumbing Relief Valves l:xt . Porches rinished Floors interior Trim Stairs & Railings Cellar Drain Til j -- -- Concrete Floors „_.... Plbg . Fixtures Gar . Fireproof ng Door Closers Smoke Detect rs Ch imn cry INSUL.A"TION : Foundation Floors Walls Ceiling_ FINAL EI.E TRICF+.L INSPECTIOf3 ^_.... .. — N\i)RIVEWAY APPROVAL , ,,7l�inal Building Survey �V I Next scheduled inspection ( call when ready ) Remarks- 49, oz Building Inspector 6/E36 and-vl am�'' ._.I`ourn oueenyburr✓ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ` S REPORT NAM .� LOCATION77 Date / ,� /_�� Per 'L No . APPROVED YES NO Footing/Pier Formsu -� Foundation Waterproofing Backfill gaming t! I,on Roofing Siding Masonry' Ven er ugh Plum ng f Relief Valve Ext . Porches Finished Floor Interior Trim Stairs & Railin Cellar Drain T11 concrete Floors Plbg , Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FTNAI. ELECTRI AL INSPECTION DRIVEWAY APPR VAL Final Buildin Survey Next schedule inspection. (call when ready ) Remarks- Building Inspect0 6/86 and-vl p gown of Queen3l"ry 0 BUILDING and ZONING DEPARTMENT y and Vlaviland Road. R.D. 1 Box 98 Clueensbury, New York 12801 EPTIC DISPOSAL SYSTEM INSPECTION E / LOCATION L' /f DATE /` ! - PERMIT NO. � SOIL TYPE - Sand - Loam - Clay Percolation Test Required? YES NO Percolation rate - Min/Inch TYPE of SYSTEM: Abaorpti n field , total le gt��— Length o each trench Depth of renches - Size of g avel SEEPAGE P S4Number o . 7 _ Size- t. X _ t_ Gravel size PIPING : Size Type Bldg _ to tanL- Tank to list _ boy Disto box to f d/p NO Partial Openings Seale ES LOCATION/SEPA TI NS : �ft_ Foundation t tank ft . Foundation t abSo Lion ft . Absorption a lot li e ft. Separation f pits 14>CATION STEM ON PROPERTY (Circle one) Front - e r Left Si e - Right side - CCMMENT _ i, SYSTEM USE APPROVED ES O B ilding Inspector 01/86 and vl ._..lawn o/ Q"eens6ury BUILDING and ZOWNG DEPARTMENT Bay and Haxiland Road. R,D, 1 Sox 98 C]ueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date l / 'X .::Z 1 ermit No . !g �r APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill raam3.ng Roofing Siding masonry Ve eer 4o s ugh Plum i ng____.T� Relief Val es� Ext . Porche Finished FI ors Interior Tri Stairs & Railings Cellar Drain T I Concrete Floors Plbg . Fixtures Gar . Fireproo ng Door Closers Smoke Detec rs Chlmmney 'Jf INSULATION Foundatio Floors walls Ceiling FINAL EL CTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection { call when ready ) Remarks-- 0 LtML fs � D (JI� L+� � — Q �� Buildi g Inspecto r 36 and-vl q��i � �ty evez D� �ee ee n 9 h Ee red C7 � fJ11 BUILDING and ZONING, Dp-PA'RTMENTi ++i , Bay and Haviiand Road. R.D. 1 BOX 98 Uueensbury, New York 12801 BUILDING INSPECTOR ' S }REPORT NAME . ��D r6 LOCATION p ?` / " /�fi� cK= Bate / V -7 permit NoIn * * * * * * « NO L4.ting/pier Forms AppRCVED Foundation waterproofing Backf it l Framing goof ing Siding Masonry Vene r Bough plumbin Relief Valves Ext . porches Finished Floors Interior Trim stairs & Railing Cellar Drain Tile Concrete Floors plbg . Fixtures Gar . Fireproof ' g Door closers Smoke Detecto s chimney IN SULATT ON : Foundation. Floors Walls Ceiling FINAL EY+ TRICAL INSPECTION " DRIVEWAY pPpROV Survey Final Bu lding Next scheduled iF�gpeetion (call when ready) Remarks- �le Building Inspector ro/86 and-VI BUILDING DEPT_ COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED_ TE�MM! i WTEC�i y lF J rl:�.i CITY OR f L!"�,/.. G/'..k L'� vc, e°j 4,- CILLAGE f (,1 /.}�-'".`! "} {/ +,•C' TOINPM9HIP f/L .�: STREET AND NO. OR . - •� •fir • C / POLE HO- ROAD AND POLE NO. / ,7 I _ ,r E r'. a ITT �. SECTION BLOCK LOT + 7k BETWEEN WHAT TWO - _ _ I rRREM/S'S£TREETS'EO?' ..J -- C r cooANTS �, ,,rr7� l :v ,rr BUILDING rv1' ,�... .f'.'.+�-7 f CMAIM . {3 I— 4..�- OCCUPANCY 7 f ^] AND EADDR 'mil'• �.. _ !.` i / .•'�/ (_,�l" . . TEL. LIED �ij �,1 ' FROM THEIR /1i•�� "~o� ks NAME: OffMCE BUILDING yy.�••�� OLD is NEW ER f ADDITIONAL ❑ DEFECTS D IS NEW CJ RE/ADVEO LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OAF OUTLETS �Reenvorwa as MOTORS HEATERS CIRCUITSOF OM USE i_eea. 'ion D.MIwM Nar Anowt Swildl Pwndellt Brr.eloee We- rrw Ea'+cil - Not " - Go" ■ lNSPECT701(1 Owt- ■k1e 1401 - bete Bear wrrs ret Ti. tad FI 3rd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE! kra S SPACE. Thm appsi ion is inaanded to Dever the abeutrlisaW WWlwmnt to be insPoctrd but i4 at time of imPKk+oo ll a ix found idditiwral wine nM d ow Ircted. Yon eve "Oupprized to r kw for irlapeCb0" aril odNast tb! Ina to eaves Mre eddilional mW"Mmmrd w i"ovldad b4 the ePWrc-rd. SIZE OF } �} ,s,, ,�'] ELECTRIC: SIGN TOTAL MAINS ` Ci C_� { 1 r"� I ' FEEDERS (..AMPS WATTS CHARACTER E%POSED OAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE INUIMBERI (CAPACITY$ STARTED COMI PLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN BOIL NG INSPECTION REQUESTED OIII OR AS NEAR AS NEW OLD POSSIBLE AVOID DELAY BY DIVING FULL AND ACCURATE INFORMATO IN. ALL SPACES DATE OF �-'? /�{ ,;p" MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME D ADDRESS �y �I SIGNATURE �LiGNT ...1 4.t ` 7 ` 4 r' •i f C X OF APPLICANT STREET ADDRESS I-: ! ' l +V t/i.f / LI- ............TELEPHONE iMt f 8 f 3 LICECITY OR ('- t € I S r -'' % co /� �? '�/ rWHENAPiwL��m E POST' OFFK:E 7 �' k CODE As eu (RE - Vats) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING � � a , T" T,, , . � � - �?rm wea I�6n� I I I , a I ; -1 10 I I - *�� - �,�� FN�� FZF7 I V, 'ggg--,-- & �A ... *-. -a- III m-I " I ZAW-c Fee�, �� .1 M �� I a It It I F , ,.. ,� F.F. 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