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1986-448 BUILDING PERMIT TOWN Of QUEENSBURY WARREN COUNTY, NEW YORK No. 86-448 PERMISSION is hereby granted to Alan Casey OWNER of property located at Lot 7 West Mountain Road Street,Road or Ave. West Mountain Park Subdivision in the Town of Queensbury,To Construct or place a One—Family Dwelling at the above Nation 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. w m M 1. OWNER'S Address is Apt. 30 Manor Drive Queensbury Arms Glens Falls, New York 2. CONTRACTOR a BUI LDERS Name Phillip J. Tucker r 0 m 3. CONTRACTOR or BUILDER'S Address rtV rt 22 Lincoln St. Hudson Falls, New York 12839 0 rt 4. ARCHITECT'S Name r o W rr rt row n F, ' 5. ARCHITECTS Address to O ry r' 6. TYPE of Construction—(Pleura indicate by X) �' n ( )Wood Frame ( )Masonry ( )Steel (x) Log p 7. PLANS and Specifications 30'x46' per plot plan, specifications and application No. including sewage system. A 8. Proposed Use m One—Family Dwelling w $5.00 C/O Paid $ 91.00 PERMIT FEE PAID-THIS PERMIT EXPIRES Feb, 1 1987 0 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration data.) a Dated at the Town of Queensbury this 28th Day of July 19 86 ~ `A SIGNED BYad a, 0 for the Town of Queensbury BudkdMg and Zoning Inspector for i r.t.V( i TO BE COMPLETED BY BLDG. DEPT. "� c'7 // Application No. 3-- own of Queenur, TOWN Cyr' '"`r"�,cR JRY Permit Issued 19 _ _ BUILDING and ZONING DEPARTMENT Permit Expires 19 , e1 s ''�f ._ D Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ,:, II Queensbury, New York.12801 Variance No. JUL 2.5 'M 6 Q (� / Site Plan Review No. 8 1 / I I App `ve by: ��' 8• 9 1i 4 f! 4d��� tQI _O�8Ie I ' ,I, ICLaIl APPLICATION FOR �,�/1)� � � s4,s?--t.+"-- BUILDING AND ZONING PERMIT ` i [[ ; (t'ipzi,,-_-- 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 of this property is: i941/r/ 1,ag5c 7 rv1 P.O. Address /7p r'V /77i?/7//SE IO 7v — //d c6E/-1.e iy /Qel,JS Tel. AP /J Property Location: AV:./fl i i,4O 40T *i 7 Tax Map No." ! / A / 14 Street number or building lot number . Subdivision name (if applicable) (,.fie,. - y1/•4Y, 2 iG.r( . THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK/ / AS REGARDS BUILDING CODES IS: 1p T 7J-dt',/e-r 3).)/iii-o/ii .57, 5.34 Name P.O. Address Tel. No. (� . f r Name of builder f �114-7-c orLyr, Address r,� . jr?is).1 5J. Ii Tel. / / %-(y 7(, Name of plumber /1 ' Address " 1,-1 Tel. L/ Name of mason Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: e 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 and1indicate all Other work (describe) "' set-back dimensions from property lines. Give * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. . * Size of property /YU ft X /60 ft. * Existing building(s) Size lak, ft X ft. * PROPOSED BUILDING AND USE: // * Existing building(s) Use Size of new structure 30 ft X 2/(oft * Foundation-pier/slab/crawl/partial Proposed Proposed building, distance from property line (circle one) * Front yard ' 4/'R ft Rear yard K....) ft No.. of stories (habitable space) ( * Side yards /.0 ft and ��L/ ft Height (grade to ridge) 5 - ft. * If on corner, setback from side street ft If residential, no. of families ( ' No. of rooms(excluding baths) it * OCCUPANCY INFORMATION No. of bedrooms * * PRIMARY BUILDING - No. of bathrooms * / One family dwelling Primary heating system ekcreie * Two family dwelling Type of fuel No. of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy * • Transient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE *. . Industrial Ranch Contemporary in rLog cab * 7--Other ' Raised ranch Mansion Duplex * If addition, what will use be? Split level Old style Bungalow * Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * ' Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ . cm i ,/ 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 frame, fire safe,etc. ! (9 •5.-, Will any second-hand or ungraded lumber be used? If se, for what? Foundation wall material auceci g...ocdr Thickness 55 Depth of foundation below grade (to bottom of footing) 7 ' Will there be a cellar? LIE.S Heated or unheated? Floor sq. footage sq ft Will there be a basement? l.(g, Will any portion be used as living space? NO (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped tat/shed/other Material.'of roof '7 )-yC 5/441_c/ /-i c•IQc 5/;.,. ks Size, wood studs "X " spacing "o.c. length ft. _ Joists(floor beams) 1st. floor 3 "X JO /," spacing "o.c. -span ; , ft. Joists (floor beams) 2nd. floor "X • " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span , ? ft.77i c. k, Roof rafters "X " spacing o.c. span ft'. '%,ram, Roof trusses(pre-engineered) spacing "o.c. span l� ft.f�"-;' 3 ' f 'Y Exterior wall finish ' Of what material? /O3.9 Interior wall finish 4 n�. •S ie„..- ,,' ("1Ia Gild IIsc i/`:acvi,,k..l, If a garage is to be attached, describe materialsjto 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? Will a flue-lined chimney be installed? Y.) Height above roof 2) ft. Depth of chimney foundation below grade ft. ` Depth of fireplace h arth ft. in. Water supply - Municipal 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 AFFIDAVIT STATE OF NEW YORK County of Warren / I swear that to the best of my knowledge and belief the statements contained in is application, together with the plans and specifications submitted, are a true and \I complete stateme�>v/t of all proposed work to be doneton the described premises and that allprovis��ions of ttie BUILDING CODE, THE ZONING ORDINANCE, and all other laws Ziertaining to the proposed work shall be complied with, whether specified or not, and that such work is authorizebyeche owner. SWORN TO BEFORE ME THIS Signature_ 4 tom"` Owner, ow s agent,a2cnitect,contractor ,day of\ 19 r \ . Notary Public, Warren County, N.Y. * * * * * * * * *\* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: • • By . 1 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 /2.. s2 2 . Type of heat FleCfr(C • • ' • • • 3. Is the building mechanically cooled? !VD . 4 . Percentage of area of windows and doors /lb$7.sy A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors . exposed ..to ambient conditions 2. Floor over he t"ed spaces YES _..,-,NO .-- . a. Are foundation walls insulatg YES NO 1. If YES, what 1s the R value? - ' 3 . Slab on grade YES_.„---""--- „,NO a. If YES, what the R value •of insulation around . perimeter of floor? �''�� . . . 4 , Is basement heated? YES NO a. R"walue of insulation --... 5. Type of insulation . Under 16% Only /7/8. 1. R value--)of3rsof and floors exposed ' to ambient conditions }• 2 . R value of exterior walls / • I • 3 . R value of glazed area dam/-9)1_,2, f%y 7iti- 5/?). '3333 4. R value of doors /O,5) C' -5 i5-4-Ar •///4� 5. R value of floors over unheated spaces . 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) ,. 3 10, Type of insulation ' 4- H 4- ji^jr / J g;r-11 C. Controls • 1. Thermostat maximum heat setti g (. • 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 Insulation 1. Size of hot water or cooling carrying agent pipe 2. R value of pipe insulation F. Service Water Heating 0. 1. Performance efficiency S `U 2. Temperature control setting maximum / Q `- G. For ' Swimming Pool Only 1. Maximum heating 4/4. . . Telephone No. /7'"���% . ( 'pplicant/ ignature) Sown of (Xeen3'uray APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay.and Haviland Road, R.D. 1 Box 98 _ Queensbury, New York 12801 DATE 7 i8/ if LOCATION OF PROPERTY FOR INSTALLATION Narinf 440 OWNER'S NAME Mir) 2- efE I • ADDRESS •10 ,q , ndr Orl vv- C vaassd ury 4ei -' TEL. 728-1J0 INSTALLER' S NAME er-, � TEL Number of bedrooms (residential only) .. Total daily flow(compute @ 150 gal per bedroom) f/4 Topograp. Rolling - Steep slope - (circle one) % of slope Soil natu Sand - Loam - Clay - Other Depth ft. Ground' water -At what depth? `/ f ft. // Bed-rock or impervious material - At what depth? ft. Percolation test - Not required - Required - -Rate min-inch. Domestic water supply - Municipal Well - Other . Separation - Watersupply(if well) from Septic absorption ft. Proposed System: Septic tank /WO gal: ( Minimun size, 1000 gal. ) —Tile Field - Each trench SO ft. Total system legnth •�L - ft. !Seepage pit(s) Number of . Size each ft X ft Size of stone to be used # ' j Depth or thickness { ft. IMP* *OR*TA*NT* ! ? * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * On a separate piece of paper, submit a diagram of the proposed system with all dimensions shown; including distance from any structure, distance from property lines and from ANY DOMESTIC WATER SUPPLY or shore-line of lake, strea-m,pond or wet-lands. Include all dimensions of the system, itself . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * I have read the regulations on the reverse side of this sheet and agree to abide by these and all requirements of T. - Town of Queensbury �/ Sanitary Sewage Disposal Ordinance. 9 il Signature of responsible person Date / 'a ^Z 05/86 and/vl • • • • • Section II Septic System Inspections: • A. All applicationd 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, 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. • • 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. eu1142--01 1111` 6 // _awn of Queniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 v7.0",.'61,, Queensbury, New York/12801 /pL`�i f 1S Qeti eh y G` BUILDING INSPECTOR ' S REPORT NAME �! /af i'i 5-el LOCATION Guest mT• &)6"c( 410-11-1 Date MO / 8� Permit No. E G,- -f- * * * * * * * * * * * * * * * * * * * * * * * = 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: 4 / / Foundation Z AAAA I,(J 5 f)9L Floors - Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey f Next scheduled inspection (call wh: n ready) Remarks- tSs & CI 0 /1;24 Building Inspecto 6/86 and-vl Jown o/ Queeni ur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCAT ION - Date J//f„Z / � Permit No. '��b * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing IiRoof ing -Ki d in g 1� Masonry Veneer Rough Plumbing LP£elief Valves ✓Ext. Porches RA-MLVil (A/ 9/2061Zc 5S l)nished Floors 4erior Trim Stairs & Railings f� Cellar Drain Tile C9ncrete Floors 'dflbg. Fixtures l� Gar. Fireproofing T�D9or Closers I.,Smoke Detectors (/ Chimney ({A0 (lJ P2o G 2-L-9 S I SULATI ON: if Foundation 2 /0A1-M j/US(1) r Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL ;\ ‘C'f\\ Final Building Survey r Next scheduled inspection (call when ready) Remarks- 6(30 04-6,10 /I_ - i /SAA/0 2A-1 CS -C 6-t mid.5 iA-1!ZS 41 i Cci t'4/ rt---o c7v-i a L t4rfr f'n ooi Build ng Inspector 6/86 and-vl Cct,II LcP alai/ice 14'f''l flown of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ` S REPORT NAME /4I Q. h C 5 2y LOCATION tAi s ( kvi If Date 9 Jj, Permit No. a(,, ,,�idy * * * * * * * * * * * * * * * * * * * * * *�*. APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill �s )(Framing Roofing Siding Masonry Veneer )(Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim / / Stairs & Railings Cellar Drain Tile � ,/ Concrete Floors V Plbg. Fixtures / \ Gar.. Fireproofing \ Door Closers Smoke Detectors Chimney INSULATION: Foundation wad Po (gfri,Z. O Floors Walls L G )(Ceiling ,Tf,-5( I- FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - //7-- 11(J: Building spector 6/86 and-vl OP Jouin of Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION ale-S DATE 9 q/ _6, PERMIT NO. Zt,:„'-1,,8( .NHS SOIL TYPE - Sand Loam - Clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field, total length 4_67' ' Length of each trench :25 Depth of trenches ' -f Size of gravel -i v SEEPAGE PITS4Number of) Size- ft. X ft. Gravel size • PIPING: Size Type Bldg. to tank -41 ?( Tank to dist. box _ 1 77/ (., Dist. box to field • '- al, zrrfr, Openings sealed? NO Partial LOCATION/SEPARATIONS: Foundation to tank ft. Foundation to absorption ft. Absorption to lot line ft. Separation of pits ft. LOCATION OF SYSTEM ON PROPERTY(circle one) Front - Rear - Left side - Right side - COMMENTS: Z0© ' Ti: t-i 6 ` SYSTEM USE APPROVED YES NO ( Buil ing Inspector 01/86 and vl Nit Let bt► 8l t a ;. 3o I' v1 Jown of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 i BUILDING INSPECTOR ' S REPORT ( NAME 41 ah Clgs ey LOCATION L AT 1 weir Pi . Date Permit No. (, o yv0 * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing/Pier Forms e/Foundation `‹ Waterproofing V ckfill k Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings f Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar.. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - • 60/4-'441X-2) Building Inspector 6/86 and-vl Jown of Queeniurcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 4 LOCATION IV, '/14 2p- o to Date //'1/ Permit No. �6 •- l-1 C1 APPROVED - YES -NO * actin. Pier Forms 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 Final Building Survey Next scheduled Inspection(call when ready) Remarkss/- - XI '1,6J P OTt �-170)/ • Bu 1142tect 6/86 and-vl vXlL•� ,kxk 's I t, _ '- 9..(A Aie,e&-- ,,,,,....e----H„:t,,3.. , ,,, 4 „fp- , 1 j . a44, --..,C .. 1 „e --46,(415,1;‘ elf et '-7 ( Ili(' , 41:661A1 tr x G 4/gif./A) 1 p re I 5! i i '' 1 TOWN OF QUEENSB t r." HIEGEfiVi la LOT. /6 sZa lands of Frey 682-154Ant JUL 2 51986 iPF /oF 718/911n1M 0 o .S/5'36ZOO"W /00.00' • 8 /5,000.0 5. F, Q t 1 v �° LOT 8 LOT 7 c L't'� LOT 6 • 1-1 x FCO • T CD �.� •ri cl-1 EH 0 ,- PtzoPaSct / 0 _39 �-. FaoUS� Zo' (1] .0 Locn tton) / cd H � � # - -- Ct o H 1_1 Zo I MU✓. `t i-- -I _ t .90'bui%ding sdrtboc* /Mgr t. 'N' I ProFos.d- ( .._.-L. N. _ _ ' N-/5436=E 604.5/' 4 fo cone, mal7u' a i p f° N-/5.36 ZO0.-E /00.00' 'P F to Pvggy Ann Rood -� j% f . .Mounfain Road . '1-\-\ Deed Reference : Map Reference : (lot numbers showr ) Marjorie J. & Judith Anne Bronk "Map of West Mountain Park" to by: A.J. Lanfear, Surveyor Alan P. & Catherine L. Casey dated: 10/07/1959 681-54.6 5/15/86 • MAP01 lands of . �A/an Poi Catherine L. Casey TOWN of QUEENSBURY, WARREN COUNTY , N. Y. SCALE 2'-30' ' JULY /5, 1986 - SURVEY & MAP BY - _ WAYNE R. RAYMOND - LICENSED LAND SURVEYOR GLENS FALLS & WEVERTOWN,N.Y. -