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1987-833 i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date May i4 , 19 88 This is to certify that work requested to be done as shown by Permit No& has been completed. one Family Dwell ng This structure may be occupied so a I..acation .0�R;D Peggy Ann Lick . 1lav1d Howard Oavlf ker By Corder Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT � TOWN OF QUEENSBURY � No. $7-833 z WARREN COUNTY, NEW YOR K `D N David Howard i PERMISSION is hereby granted to RD # 2 Peggy Ann Rd . OWNER of property located at 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� f. OWNER'S Address is Same µ a. x 0 E 2. CONTRACTOR or BUI LDE R'S Name H Martin Mosher 3_ CONTRACTOR or BUILDER'S Address 4. ARCHITECT'S Name r.� f ro oQ w 5. ARCHITECT'S Address *C C 6. TYPE of Construction — (Please indicate by Xi ¢ f 1 Wood Frame ( 1 Masonry f 1 Steel i } 7. PLANS and Specifications Q No. 34 ' x 44 ' as per plot plan , specifications and application including roc septic system and two car attached garage . w 8. Proposed use One Family Dwelling E ro $5900 c/o N $ I15 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , t988 ov IN a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of aueensbury before the expiration date.} Rated at the Town of Queensbury this 8th Day of December �, 87 SIGNED BY / / / ,'Oew LC • 4 for the Town of Queensbury Building and Zoning Inspector .. To HE COMPLETED BY BLDG. DEPT. TC)'dVN 0F QUEENS , own o reeerxal6te// ry Application No. r _ Permit Issued 19 R irJ L7 BUILDING and ZONING DEPARTMENT Permit Expires 19 D r 7 Bay and Maviland Road, R.D. 1 Box 98 Zoning Designations DEC � # Queensbury, New York 12801 Variance No. 1 987 . Site P Revie -DI'NC- & C400E_ DEPT, APPLICATION FOR BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINER BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undernlgoed 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 ,property is : �y P. O. Address Tel . —rT " Property Location : �6 Tax Map No . /_�f Street- numb&3F Vr building lot number Subdivision name ( if applicable) THE PEVAqN RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : I5 4 ` . Name P . O. Ad r Tel . No . ` n Name of builder &,ALL /Address k) Tel , Name of plumber Address Tel . Name of mason Address . . . . 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 INFORMATION REQUIRED BELOW . Ok * Size of property ! (' o ft X ft . * Existing building s) Size ft X ft . * . . - , . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure ��r ft X ft Foundation-pier/slaGb/crawl/partia fu 1 * Proposed building , distance from property line (circle one ) ft No . of stories (habitable s ace) ^ * Front yard ' ft Rear yard Height (grade to ridge) Side yards ft and ft ft If on corner . setback from side street ft If residential, no. of famlll-es Now of rooms ( excludinc baths ) * OCCUPANCY INFORMATION No , of bedrooms ' PR Y BUILDING - Now of bathrooms * one family dwelling Primary heating s stern �✓ u * ' Two family dwelling Id Type of fuel [ 7 Multiple dwelling / Number of units No . of fireplaces to be installed * Permanent occupancy Will a wood stove be installed? OF * . Transient occupancy Central Air conditioning?, YI.A ^ Business BUILDING STYLE, PRIMARY STRUCTURE * Industri l * Other ' Ranch Contemporary Log cabin If addition, what will use be? Raised ranch Mansion Duplex � . Split level Old style Bungalow * "` Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town Mouse * ' Detached garage/one car/ two—car/ car ( CIRCLE ONE ]PLEASE ) " Attached garage/one car/ two cajW car Private storage building ESTIMATED MARKET VALUE OFF Other CONSTRUCTIONOQ -� r~ INFORMATION ON 80ILLIING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO VE COMPLETED I Form BPA 4/86 and-VI BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : `type of construction , od frame fire safs, etc . Will any second-hand or ungra ed lumber be used? If so, for what? Foundation wall material 21 Thicknestoos Depth of foundation below grade (to bottom of footing } too Will there be a cellar?-�V' ( Heated or ate 9 pioor sq. footage c sq ft Will there be a basemenE7 �ill any portion be used as living space? ( If so, what port ' sq . ft . - - Type of uses? Type of roof 51 ad layyyt/shed/other Material. of ro f Siee , wood studs 40x / ,� spacing_-- o _ c . length ft . xoists ( rloor beams ) 1st , floor -�0X spacing /fe ',o . o . span 07 ,ft i . Josts ( €loor beams] 2nd . floor 41 r` spacing "o . c , span ft . Overlays ( coiling be ams } Fix to spacing "o. e . span ft, Roof rafters 'rX " spaaing� o . c . span�fto Roof trusses (pre-engineered) spacing "o . e . span ft _ Exterior wall finish f1�4 pe�f what material? Interior wall finish4y��� If a garage is to 4e attached , describe materials to :-be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? € so will a Eire_-rated door , enclosure , and self-closing device be provided? ,ram. will a flue-lined chimney be installed?. Height v aboe roof ft . Depth of chimney* foundation below grade ft . Depth of fire plac h�'ft . Water supply unici a or private well SEPTIC SYs*rLM _ Distance from ANY private well ( including adjoining properties ft . (A separate application is necessary for any 1rlepTair or new 'Installation of septic system) Town of flu ry County of Warrenarren A F F T D A Y 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 . J SWORN TO BEFORE ME THIS Signature __ day ofi2d l9 Owner, owners agent , arcnasect,, contractoY Notary Public , Warren County , N . Y . A W * * t * * * w , * * to * : * * t * * * * * * Ar #r Ar Ar yr * tk * * : Ar * * tk it k IF to Ar ,r tt tk s SPECIAL CONDITIONS OF THE PERMIT : _—_— 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 1 . Gross floor area I( �} 2 . Type of heat 3 . Is the building mechanically cooled ? � 4 . Percentage of area of windows and doorsu1U' A , Over 16 % Only 14 W value of gross area of walls , oof / ceiling and floors exposed to ambient conditions 2 , Floor over heated spaces CYE%S NO - a , Are foundation walls insulated ? +OYES NO 1 . If YES , what is the R value ? � ZL'� Teti 3 , Slab on grade YES NO a , if YES , what is the value of insulation around perimeter of floor ? III 4 . Is basement heated ? YES GDO � a . R value of insulation I � 5 . Type of insulationp B , Under 16 % Only 1 . R value of roof and fl ors exposed to ambient conditions _ . .'70 2 , R value of exterior walls l 3 . R value of glazed area l + 4 . R value of doors . � " � 5 . R value of floors over unheated spaces f , R value of slab edge insulation - unheated slab 7 , R value of slab insulation - heated slab s , R value of heated basement / cellar walls ( above grade ) - �v 9 , R value of heated basement /cellar walls ( below grade ) L- � � 1O . Type of insulation C . Controls l 1 . Thermostat maximum heat setting D , Duct Systems 1 , Is duct system installed. in unheated spaces ? NO a . if YES , R value of duct installation b . R value of duct in other areas E , Pining Insulation 1 . Size of hot water or cooling carrying agent pipe 2 , R value of pipe insulation F , Service Water Heatingl� S 1 . Performance efficiency �j r' 2 . Temperature control setting maximum l ` G . For Swimming Pool Only 1 . Maximum heating Telephone No . ( applicant s signature ) 1 APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION rr Owner's Name: - ,Lf4 Telephone: . /Z `I Address: Installer's Name: Telephone: 01 2 ?` Plumber of bedrooms (residential only) �) _ Total daily flow (compute @ 150 gal per bedroom) Topc graphy: circle one Flat Rolling Steep Slope °10 of slope _! Soil Nature: circle one: San Loam Clay Other / Depth: feet Gaound Water: At what depth? feet Bedrock or Impervious Material.: At what depth? i feet Percolation test: circle one: not required equire / rat in. inch. Domestic water supply: circle one Muni ell Other IF domestic water supply is a Well: Separation: Water-supply from Septic absorption — feet PROPOSED SYSTEM: Septic Tank L gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness (c feet IMPORTANT ...Please...LIST NEW EQUEPMENT TY3 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 50 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 $254.0o. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal C Wdinauce. Signature of responsible person; Dater Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . HOME OF NATURAL BEAUTY . . A GOOD- PLACE To LIVE Y F o5 a THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY to 41 STATE STREET, ALBANY, NEW YORK 12207 ^] i^� Q Date *'�a y� 2 3 r 1 09 8 8 Application No, an fide 0 0 4 6 14 { B igr. A f 1 ? 9 G �.J THIS CERTIFIES THAT h� Only the electrieal equipment no close *bed below and Introduced b the applicant non on Clue aboow application number in the premiiows of I]ave Floward 1>a Tay ,inn Rd . Glens rzal s ; '-Tew York outside on the following location: Fi Basement lot Fl. YCI 2nd Fl. section Block L.ot won examined on 5 " 1 d ^ 88 andfound to be in compliance with the requirements of this Board. FIXTURE ECRTACLES SWITCHlS HXTURES RANGES CO0ILING DECKS 4VEN5 DISH WASHERS EXHAUST FANS OEt'tLRTyy.B +y ,�T 1MC►JJpE$OENT FLUORESCENT V AMT, K. W. AMT. K. W- AM K.W. AMT. K. w. AMT- M. P. 1SD 3 -1 1. 3 DRYERS FURNACE MOTClRS FUTUEE APMANCE FEEDERS IS06CIAL REC'PT TIME CLOCKS y UNIT HEATERS +t'►YLTI-OUTUIT DIl MPARS SYSTEMS OILw- P. GAS M. P. MP T. NO. . 0. AMT. AMP. AMT. AS. TRANS. AMT. N. P. NO. OF FEET ,+uAT. WATTS SERVICE I115CONNECT NO. or S E R {., V 1 C E MST. AMP. TYPt .memo 1 Je 2w 1 X '9'rr 8 X 3W 3 .a IW Ma CIF ccdCONn. OF C[CaND. NO, Of WaG OIF�HI i4FG NO, OF MEUTRAlS A- W. 6. ` 1. 00 c b x 4 0 OTHER APPARATUS: 2 . g tl C i 1 - smoke detector Sa1x+ W . Corhouse a- 11 potter �Rc3 . / r:,an '~evoor t r NY 12831. y BRA14CH MANAGER c7 Per. This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by *Wlr credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. _ IL �J'own o/ Queenji "rty BUILDING and ZONING DEPARTMENT Say and Hawi#and Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME `� r✓/ C tlfe,_,y .� .� LOCATIONf�rQf Date-4 c $ / Permit. NO o I APPROVED - y NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer (tough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Raili s _ Cellar Drain le _ Concrete Flo s� --- Plbg . Fixtu S Gar . FireP ofing Door Clos s Smoke Det Ctors Chimney INSULATI N : Foundat on Floors WaI. 1s Ceiling FINAL ELECTRICAL, INSPECTION DRIVEWAY APPROVAL inal Building Survey £Text scheduled inspection (call when ready ) Remarks- /, Funding Inspector 6/86 and-vl .Down o� �ueerzn36ure�t } 40 BUILDING and ZONING DEPARTMENT ay and HaviIand Road, R. D. 1 Box 98 Queensbury, New York 12801 1 " SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT ION Ztlj DATE PERMIT NO . f SOIL TYPE - an Loam - Clay --� Percolation Test Required? YES Percolation rate - Min/Inch TYPE of SYSTEM: Absorpti n field , total length Length o each trench Depth of Tenches Size of g vel SEEPAGE PI S4Number of) Size- f X �ft . Gravel size FV-off. PIPING : Sizer Type Bldg . to tank Tank to dist . x Dlst. box to fi d/pit - Openings Seale _ ~ NO Partial LOCATION/SE RATI Foundation o tank I4 ft. Foundatio to absorpt ' on ac ft . Absorpti to lot line ,e'i, ft- Separat ' n of pits cAe7 ft- WCAT"- OF SYSTEM ON P OPERTY (Circle one) Rear - Left side - Right side - C S : SYSTEM USE APPROVED YES NO Building Inspector 01/86 and vl BUILDING and ZONING DEPARTMENT ZL y and Haviland Road, R. D. I Box 98 Queensbury, New York 12801 DING INSPECTOR ' S REPORT NAME LOCATION Date_:: Permit 60 . [7 ✓ = APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Z S��kfill Framing G Roofing Siding �M onry Veneer _ gkh Plumbing Relief Valves _ Ext . Porches Finished Floors Interior Trim Stairs s Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar _ Fireproofi g F>oor Closers Smoke Detecto Chimney INSUTATION : Foundation Floors x walls PCei1in(3 FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final B%iilding 'Survey Next scheduled inspection ( call when ready ) Remarks - Fiuilding In'specFtor G/86 and-vl eA1 } C� AJIP fowrr o/ Queensl�iurt�t BUILDING and ZONING DEPARTMENT ` Bay and Haviland Road, R. D. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date ,/ / f '� permit No . O( ✓ = APPROVED - Y NO �oting/Pier Forms t ,oundatlon waterproofing E3ackfill Framing Roofing Siding Masonry Ven er Rough Plumbi g Relief Valves Ext . Parches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofin Boor Closers Smoke Detector c'hirnney INSULATION : Foundation Floors Walls ceiling FINAL F.I E TRICAL INSPECTIO DRIVEWAY PPROVAL Final Building Survey Next scheduled inspection (call when ready ) Remarks- '-. }G✓ �'� � S II Building I spector 6/86 and-vl f lrIr ) ._fawn a/ Queen .fi* t4ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME fox LOCATION p G Date f_ r ermit No . - , f ✓ = APPROVED - NO `footing/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,Y Concrete Floors - -- Plbg . Fixtures Gar . Fireproofin Door Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- � < Building InkPK for 6/86 rnd -vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TES # DATE � CITY VILLAGEOVVMSFifP er.! .. -..' . COUNTY jo STREET AND NO. OR i" ROAD AND PDLE NO_ i- BETwEEM WHAT Two CROSS STREETS IS 1 _ ... ! ..,.. ."/ PREMISE TED? SECTION_ BLOCK OT OCCUPANT'S ---1 NAME '' BUILDING i1WNER"S NAME f:.t „- - �.eCf✓+.'�.:. OCCWA ICY !� u.d_ C " /J- - `�•r•-i�..fc. - ' AND ADORESS .• / . S'IJPPLIED BY FROM THEIR OFFICE BUILDING ff--1f DEFECTS IS NEW OLD tJ IWDRK NEW ADDITIONAL REMOVED C LOST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Flxtww & BRANCH Local- iLanw RoamimptaclN MOTORS HEATERS CIRCUITS OFFICE USE tlast Caiun1 Sit" Attach't gt - "-P. ONLY wan Raeals'la Salit Pendant Bracket No, Type Each Ms lflfreq A.YVCG. E■eh No. Below INSPECTION Ort- Sub- flda bNa now titan[ list Ff. ZnUd FI 3rd FL REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is lntanded tar ca w the aboae-listad eclimmipawiwiflWbat inspected but if st tuna of ineprcNon the, fs found additional i Y� are itu o rawal to make the in a'4e ftmenx not abate listed, specxion and adjust the fee to cower the additional equiPstsent. as ps--'_' yy the appKcant.. SIZE OF "' ELECFRiC SIGN MAINS (yam [,,asw :+""�",y^'(�,� FEEDERS LAMPS WTOTAL ATTS CHARACTER f EXP4DSED GAS TUBE SIGN OF WORK fut-�#J` CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBERI iCAPACITY) STARTED e2 �Ct;MNPLETED SIZE OF SIGN If TERSE OVEflHEAD VNDEIiG$plllND !MAKER ILDfNG P OF SIGN EnF. EC TION REQUESTED ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL A ACCURATE INFORMATION. ALL SPACES ,i MUST BE FILLED IN OR APPLICATION DATE OF MAY BE RETURNED- / PRINT NAMNAME OF E/,,jA N/�D�/ADD ESS APPLICATWN^—'-y APPLICANT ^' 7 "' r o" t4w� /e 19 SIGNATURE OF APPLICANT STREET ADDRESS 0 TELEPHONE #' CITY OR // y POST OFFICE r ~�'� - CODE ll'-3' WHEN APP LICENSE LICABLE 46 I:L (R"N 1/815) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING pE-;�.q y .J � II 5 AIAP 0� A AMP6- Lori DA V r D A. 4 Dr A n n rE NOWA ZD ToGRJnJ 44-)Aee6-AJ ooca iry Al v. 3o ' DAIS' Ti/NE 30 , VAnDusert 4 Srz vr.5 (AND 5i rc/f /C oe $ C1 L" S F,W CZ S , /✓• V