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1987-767 IIV i IFICA .i w OF Y Cv Y Y PANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date October 3 1988 This is to certify that work requested to be done as shown by Permit No* has been completed. Thia structure Ito be occupied as a One Fam:.ly Dwelling I ocation +� n D ana Larx BriarWood Close Owner D . E . C . Ueve lopment By Order Town Board TOWN OF QUEENSDURY Ins t,or Building !S► Zoning t� BUILDING PERMIT TOWN OF QUEENSBURY No. $7- 767 � WARREN COIUNTY, NEW YOIRK 0 D , E , C . DEVELOPMENT cc PERMISSION is hereby granted to OWNER of property located at Lot #$ Queen 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t� 1 . OwNE R'S Address is 0 1$4 Dunsbacii Rd . tv Box 451 Rk Cohoes , N . Y . 12047 0 2_ CONTRACTOR or $UI LDER 'S Name Same z H 3. CONTRACTOR or BUILDER'S Address r 0 H 4. ARCHITECT'S Name co co .O C tit 5, ARCHITECT'S Address z H S. TYPE of Construction — (Please indicate by XI L" 1 ]f wood Frame I l Masonry 1 1 steel 11 7. PLANS arwi Specifications No. 30 ' x 55 ' as per plot: plan , specifications and application o Including septic system , attached two car garage . rz S. Proposed Use ? One Family Dwelling H r �c a $5 , 00 CIO N $ 129 , 00 PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 , 19 8$ z (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the C1 town of Queenabury before the expiration date.) Dated at the Town of Queensbury this lt��h//❑ay of November 19 87 SIGNED BY 6Zt:%�G 4�2 .0 for the Town of Queensbury Building and Zoning Inspector To BE COMPLETED BY BLDG . DEFT . 4� / Application No . _J,/olvn of Queens ury Permit Issued 19 4! { BUILDING and ZONING DEPARTMENT Permit Expires _ 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Queensbury, New York 12801 variance No . NOV 1987 Site Plan Review NOV r Approved by : , f e r � APPLICATION FOR 400 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 P/e_rm,.,it . The-owner of-this prorp�erty is . �} C � a P . O. Address / ,Fl Tel . Lr try Qu�f Ds.4 A �C 11/ Tax Map Property Location : _ Street number or building lot gnu/tuber Subdivision name ( if applicable) — /Q� CrJ c7r� F THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : FtLw[�' /PC/ f,��?.v56.ac j h'c!� 79�r= 3 S/S/3'•- Name P . O . Address Tel . NOV Name of builder j,q►' +F Address I - }r (vS' i�o Name of plumber +^ .► ,w Address / 3L7 C'a�CJ.4rL ST / Tel . — Address TlCn Tel . Name of mason ,��,f�,[o w�.,, lf�+n�TC -. �- 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 INFORMATION �RErQUIRED BELOW . ,r Size of property Q o ft X /s_ 5 ft . * Existing building ( s) Size _ ft X ft . PROPOSED BUILDING AND USE : * Existing buildings ) Use Size of new structure 36) ft X ft property line artia "�*' Proposed building , distance from prop 'y Foundation-pier/ slab/crawl/p * r �, ( circle one ) * Front yard L ft Rear yard ft No . of stories (habitable space) _ * Side yards /© ft and � ft Height ( grade to ridge) a� O ft . * if on corner , setback from side streetft if residential, no . of ]Families OCCUPANCY INFORMATION No . of rooms ( excluding baths ) _ * No. of bedrooms * PRIMARY BUILDING - No . of bathrooms l' + .r One family dwelling * Primary heating system C-1 41 .. Two family dwelling * Type of fuel Multiple dwelling / Number of units * No . of fireplaces to be installed r13f} * Permanent occupancy Will a wood stove be installed? rilo Transient occupancy Central. Air conditioning? iV e * ,Business BUILDING STYLE, PRIMARY STRUCTURE Industrial other Ranch Contemporary Log cabin if addition , what will use bet Raised ranch Mansion Duplex Split level Did style Bungalow Ca e Cod Cottage Other ACCESSORY BUILDING- Cape Detached garage/one cart two car/ car oloni Row Town House car ( * CIRCLE ONE PLEASE r'" Attached garage/one car two car ) 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 , 000d frame fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? , Vt. ' Foundation wall material �� - �s.yc,cerT� Thickness FeIro Depth of foundation below grade (to bottom of footing ) / A" Will there be a cellar? �/&5 Heated or 4ulheated Floor sq_ footage f( 'z.' sq ft Will there be a basement? Will any portion be used as living space ?_*911� ( If so , what portion? sq. ft . - - Type of use? Type of roof - X ope (flat/shed/other Material of roof Size , woad studs "" "' sacin .�i2..__. P g / (E, "'o . c . length ft . Joists ( floor beams) 1st . floor ,-"X / "" spacing / 42 c . span1l ; i ft . Joists ( floor beams) 2nd . floor `"X ", spacing "'o . c . span J J ft . Overlays ( ceiling beams ) '"X - "" spacing - "o . c . span -- ft . Roof rafters "X - '" spacing a c . span--- ft . Roof trusses (pre-engineered) spacing_��'"o . c . span�2 ft . _ Exterior wall finish_ _ „[ .a [ Of what material ? Lo , Vt. Interior wall finish u��/ r ,may - — 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? If so will a Fire-rated door , enclosure , and self-closing device be provided? V497s Will a flue-lined chimney be installed? PUa Height above roof Depth of chimney foundation below grade yy/Jft . Depth of fireplace hearth - ft . - in . Water supply - icipa 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 YORK 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 Signatur ---_ -- er , owner ' s a t , arcniT,ect , contractor day of 19 Notary Public , Warren County , N . Y . * * * * * * * * * . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : By 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 fCo 2 . Type of heat Tkl 3 . is the building mechanically cooled ? /V 0I 4 . Percentage of area of windows and doors 11 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 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 5 . Type of insulation B . Under 16 % Only 1 . R value of r of and floors exposed to ambient conditions. 2 . R value of exterior walls ._. 3 . R value of glazed area .2. 5 4 . R value of doors JZ z - 3 s . R value of floors over unheated spaces / 6 . R value of slab edge insulation -- unheated slab_ lLf 7 . R value of slab insulation - heated slab /rVA s . R value of heated basement / cellar walls ( above grade ) /V, 9 . R value of heated basement/,� cellar walls { below grade } 100 Type of insulation IVA c . Controls 1 . Thermostat maximum heat setting D . 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 insulations/ 1 . Size of hot water or cooling carrying agent pipe T 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 _ Temperature control setting maximumG . For Swimming Pool Only M + 10 Maximums^ heating , 1 + 'telephone No . 7 ` '� C { applicant ' s ignature } APPLIGATTON FOR SEPTIC DISPOSAL PERMIT DATE � ', 30 / 87 LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: , ,rat Telephone: � Address: cDu4ey, 1� '� Installer`s Name: &04/* Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) ! o Topographyx circle one: Flat Rolling Steep Slope % of slope Soil Nature: circle one Sand Loam Clay Other / Depth: /Z_ feet Ground Water: At what depth? A.2041C feet Bedrock or Impervious Material: At what depth? __AV #ycF feet Percolation test: circle onee not required required / rate min. /inch. Domestic water supply: circle one: unici a Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank f[ac�C_7 gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench _. S o_ feet / Total system length 'DJ feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # �_.+ / Depth or Thickness c;2 feet IMPORTANT ...Plea.se...LIST NEW EQUIPMENT TO BE INSTALLED (over) Section II 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 3.) location and distance to structures 4.) location and distance to any water supply 5.) size and dimensions of all tanks, distribution boxes, the 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 $254.00. 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 bg these and all requirements of the Town of Queensbury Sanitary Sewage Disposes Ordinance. Signature of responsible person: Date: lfDC? 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. PLA+CE TO LIVE 40G2343 THE NEW YORK BOARD- OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY tot 41 STATE STREET, ALBANY. NEW YORK 12207 Date October 17 r 1988 Application ,No. on file () 32 i0a9 / 86 A 730525 THIS CERTIFIES THAT only the electrical equipment as described belana and introduced by the applicant named an the above appUcatiars nunsber irr theprerrs*swes of DEC Development ?mot # 8 - 15 Queen Diane Lane Queerlshhry , :Vew York in thefallaw }y��-�� sem ing location, `C� Baen[ 01 let F1. [!5rNal� Fl. 9rtrage outside Section Block I.ot was examined on and found to be in Compliance with the requiremewts of this Board. NXTURE RXTURES RANGES ICOOKING DECKS I OVENS DISH WASH#RS EXHAUST FANS WTtffT,a FTACLES SWITCHES INCANOFcrEHT FLI ---WtNi AMT. K- W- MAT. K. W- AMT, K.W. AMT. K. W. AMT. N. r. 23 41 26 2 2 1 1 a5 5 fr DRYERS FURNACE MOTORS MM" AKIIANGE RIEDERS S10E041. INVIOT4 TIME CLOCKS II UNIT HEATERS I mmlr1-4WTLw DWAAMn AMr. K. W. all N. P. OAe H. r.' AMT. No. A. W. G. AMT- .AAA►. AMT. AMrs- TRANS. AMT. N. r. SYSTEMS AMt WATTS NO. OF Ii[T I. SQ S"VICE dSSIGOiThIFIEr�T 0. C* S E R V 1 C E AMT. AMp, METIR T"s EVDUW 10 2W 1 / swr 130 3W 3.0 4W NO. aF CC. CCWD. A. W. G. NO. O, NI-LEG A. W. G. ND. OF NEU7RAL5 A. W. G. PER I OF CC. COND. CIF NI.ItL`j OF MUT"I 1 2t3a pane 1 x OTHEE 4rRARATUS: Elec . Roofs, Heaters : 52 , 1 - 1r 3 - . 5 , 1 - 1 . 5 Elec . Water Heater 1 1 -4 . 5 3 -gfci receptacles 1 - smoke detector Richard Rosetti 0 OVIZ 423 New Kerner Rd . � � � BRANCH MANAGER Albanyo -NW 12205 Per This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by f 'r credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BUILDING and ZONING DEPARTMENT (� gay and Haviland Road, R.Q. i eox g6 Ctueensbury. Never York 12801 1 NG I N5P EC�TO S REPORT NAME LOCAT 10N Date c� /?s�L permit No . AppROVEID* -* YES NO Footing/Pier Forms Foundation Waterproofing Backfil'l Framing i Roof ing 4 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 TLNSUTATloN Foundation Floors walls eiling C'i"R.ICAL INSPECTION I lV£WAY APPRV surve7'�—� ,al Buildingg ection (call when ready ) tlext scheduled insp ,p IZetnarks ` � ��/ Building Insp or 6 /86 mti-vl _.town o �ueeensurt�f BIJI1 DING and ZONING DEPARTMENT Bay and Haviland Road, R-D, 1 Box 98 QueensburY, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NPME 1 OCAT I ON DATE r 'LSO IC PERMIT NO. nd Loam - clay - �----- SCIL TXPE fired? YE - NO Per Test Rem Inch Percolation rate - Min/ TYPE of SYSTEM: ,total 1 nth Absorption field , Length oP ch trench Depth of tr nches� ra el f _--- Size of g SEEPAGE PITS Number t. Size- ft. X _ Gravel size size Type PIP It3C+ : � Bldg . to tank Tank to dist . b d/P� � f� ---� Dist . box to fi NO Partial gpenings sealed 25) L0CATJ:0N/SEPA TIO S : ank /,�2 ft. Foundation to ionft _ Foundat lot lion to ' Absorption to lot in ft. Separation o pi-t P pPERTY (cirule one) ZACATICN OP. eft side - Right side Front ear CCKKEHTS i 'SYSTEM USE APPROVE . YE - inq =n eetor 01/86 and vl flown of uee" .31"ry BUILDING and ZO'NIING DEPARTMENT Bay and Havifand Road, R.D. 1 Box 98 Dueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date , Per[nit No . " APPROVED - S NO Footing/pier Forms Foundation Waterproofing Back.fill 7pFraming Roofing Siding Masonry Veneer >aRough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs & Rai gs Cellar Drain Ile concrete Flo s plbg . Fix tur s Gar _ Firepr ofing�^^- -�- Door Closer Smoke Dete or Chimney IN SUIJATICIN Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAI,_�. Final Building Survey Next scheduled inspection (call when ready ) Remarks- B lding Inspector +6/86 and-vl .Jown o/ ueen ��err� 'BUILDING and ZONING DEPARTMENT i pay and Wav[Mand Road, R.D. 1 Sax 98 Queensbury, New York 12801 DING INSPECTOR ' S REPORT NAME _ LOCATION .�G "� Z �`., y. .�► Date2_�W Permit a * * * * * * * * * APPROVED* -*YES* NO Footing/Pier Forms Foundation Waterproofing Backfill �,,F"rarning Roofing Siding Masonry ven er Rough Plumb! g Relief valves Ext . Porches Finished Floor Interior Trim Stairs & Railing Cellar Drain Til Concrete 'Floors plbcj , Fixtures Gar . Fireproo ng Door Closers Smoke Detect rs Chimney. INSULATION : Foundation Floors walls Ceiling FINAL ELE TRICAL INSPECTION DRIVEWAY A PROVAL Final Build ng Survey Next scheduled inspection (call when ready Remarks- / Building Inspector 6/86 and-vl lotun o/ Queen36ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D- 1 Box 98 Queensbury, New York 12801 BUILDING INS,PECTORfS REPORT NAME f� �� +Ci'c�/�-,� •y7'2E'--..i�'„� LOCATION Date /oft� 'pF� /' � Permit No . f APPROVED - YES NOFoot ' ng,�Pier Forms �ndation Waterproofing Backfill Framing Roofing Sidin Masonry eer Rough PI ' ng Relief Valve 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 AL INSPECTION _ DRIVEWAY APPR VAL Final BuI din Survey 1 Next scheduled inspection (call when ready ) Remarks- u lding Inspector 6/86 and-v 1 `R,,Cuee►zsurtaF ] ow►: o� 1� �U BUILDING and ZONING DEPARTMENT 10 ay and Haviland Road, R. D. i Box 98 f(� Queensbury, New York 12801 1 LD ! NG INSPECTOR ' S REPORT -pF NAME LOCATION kz9 Date / UG '/ Permit NO . APPROVED - Y S NO 6ef<:�30ting/Pier Forms Foundaticon waterproofing Backfill Framing Roofing Siding Masonry Venee Rough Plumbing Relief Valves Ext . porches Finished Floors Interior Trim Stairs & Railin s -- Cellar Drain le ---- Concrete Flo s Plbg . Fixtu es Gar . FiLx Doping Door Clos rs Smoke De? ctors Chimney INSULAT ON : Foundat on Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVALr� Final Building Survey Next scheduled inspection (call when ready ) Remarks- . Building Inspector 6/86 and-VI BUILDING DEPT. COPY OF APPLICATION WI FORMBUI 6 NC. NEW YWHEN REQUIRED IRE UNDERWRITERS. FILE THIS COPY TFJMP. s DA CITY OtR TOWNSHIP COUNTY =-L-+'� 0I VILLAGE }„T STREET AND NO. OR f�"!' yk#- ;� �-4 Ly o f. � *4 �/I ( _ ROAD AMC POLE NO. I CR 7 SSNTREETS TWO - ff SLOCK UOT �/'} �. ' �.�+ a(t d /_: L-. 6- r .�. • [� ECTtON PREMI E L T ? BUI4DING .v' " ..-�"� K.. F iv r..rff �G irl a: •v OCCUPANCY TEL. DINNER'S NAME AND ADDRESS III? . .J B$LYMPL IED is 2.. �r (, FROM THEIR f A rr4� '�'•�7 ,/L OFFICE • t,OT"+ DEFECTS BUILDINO "^ 0 WORK rs NEW 'Y...1 OLD IsNEW ADDITIONAL © REMIpV£D ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Wraa III MOTORS OFFICE USE No. of Fix NUMBER OF OUTLETS Lamp 'Raopswlw MOTORS HEATERS CIRCUITS ONLY LOI _ N.P. Warts No. A.W.G. INSPECTION CeNirW Sids Recap'It Switch perdnt i Bracket No. TYps Each No' Each Gaspe vmlOut- tlde bale Bear matt ist Ft. 2nd FL 3rd FL REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application if intended to corer the abowrlistad equipment to be inspected but if at time of inspection Mare is found additional equipment not agora listed. Tau we autho.ised to make the inspection and adjust the fee to corer the additional E LECTRIC SIGNorrdad by Me applicant. TOTAL STYE OF FEEDERS LAMPS WATTS MAINS POSED GAS TUBE SIGN VA CHARACTER CO OF WORK CONCEALED TRANSFORMERS OF iN UMBER) (CAPACITYI WORK TO BE CAP COMPLETED SIZE OF SIGN STARTED SERVICE OVERHEAD UNDERGROUND MAKER ENTERS /•' OF SIGN But DI INSPECTION REQUESTED ON OR AS NEAR AS {;FO , l..`Z..� CAI New OLD L POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION, ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APfruBAd7QH PRINT NAME A ADDR ESSr 1 tt SIGNATURE i NAME OF ,/f' f N X OF APPLICANTfy+ APPLICANT. TE LEPH ONE STREET ADDRESS zip r ,/� LICENSE NO.. CITY OR t+'r � �(-+[ j f' '�"+ CODE 3 i'M� +' WtIEN APIPLNCA$LE POST OFFICE ae EL (REV, r/as) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING i i y� w� I I i , I ; �a...y y� I � i i I I i u EE, Y .l ff rV/4