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1987-002
�+ 1 iFICA 1 E OF OCCUPANCY TOWN OF +QUEENSSURY WARREN COUNTY, NEW YORK l"Y DXC.h Vq C Date 51,.. ; 19 _ 71.is is to certify that work requested to be done as shown by Permit No. has . c. n"wete& E c C1 d) ct\Q Fam�1 'Phis structure may be occupied me a - - -- kqT lcU)OW. bl) Sv Ovder Town Hoard TOWN OF QULENSHURY Building & Zoning Inspector C At4TIVC "IM1TA" ►IOIMT�MG, 6LCf]f Fuw4ls M Y � QlD� CS U�Tf]•!�]• - BUILDING PERMIT TOWN OF QUEENSWRY No. 87-02 WARREN COUNTY, NEW YORK tj PERMISSION is hereby granted to Derek Richardson M m �f OWNER of property located at 29 T'wtcwood Lane Street. Road or Ave_ m � in the Town of Oueensbury, To Construct or place a Addition to dwelling ( 2nd story) 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. 0 1 . OWNE WS Address is 29 TwIcwoo atte Glens Falls , New York 2. CONTRACTOR or BUI LDER'S Name Hilltop Const . na H 3. CONTRACTOR or BUILDER'S Address w RD #1 Box 308A r' Hudson Falls , New York 0 0 c�. 4. ARCHITECT'S Name w 0 m 5. ARCHITECT'S Address & TYPE of Construction — (Please indicate by XI ra a so. 1 x1 Wood Frame [ 1 Masonry 1 ] Steel i 1 5 w as ru rr 0 0 0 7. PLANS and Specifications No_ 22 ' x28 ' (616 sq . ft . ) 2nd story addition per specifications andsubmittedo-� 4 w application submitted - tying into existing septic system � ❑., r• CD D m a. Proposed Use N One-Family dwelling ( 2nd story addition) CD 0o $5 . 00 C /O g, 64 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES August 1 1987 (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 date.) Dated at the Town of Queensbury this 9th,,g ,. Day of January 79 87 SIGNED BY """ �" for the Town of Queensbury BuiIding and Zoning Inspector TO 13E COMPLETED £1Y BLDG . DEPT . otu/! O rfPP113fff1l' Application No. Permit issued 19 BUILDING and ZONING DEPARTMENT Permit Expires �19 Bay and Havi)and Road, R-D. 1 Bo* . • Zoning Designation � I�I �I� �� Queensbury, New York 12B01 variance Nov Site Flan Review No . �, �� �v� ) Approved by z to APPLICATION FOR �'i! G G - Cam• BUILDING AND ZONING PERMIT Ik +ir *► a► ,. ,w ar . �► a► «� at . .. . . . w . a► :r « �► .• e « ar « . 10 . a « it :,# A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Puilding 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 : 2 _ mr'5 , +rJere,�L P) )c'kardSon P. O. Address A C1 r " I c f.Uh C7oj k a o C, Tel . 1 q3 1'J� e'x Property Location : _ _ yf Tax Nap Moe J Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS Rf1GARDS BU11*0ING CODES IS = Name P. O. Address T . Nov Name of builder Address 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 SLMMITTED, _ �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 Crther work (describe) * set-back dimensions from property lines . Give " street and number or •lot number and indicate FOR DEMOLITION PERlR:IT , STATE SIZE AND * whether interior or corner lot . Straw location LOCATION OF STRUCTURES AFFECTED. * of water supply and location and configuration * of septic disposal area . * COMPLETE INFORMATION REQUIRED BELCO1 . * Sire of property ft X ft . ) eveo " Existing building ( s) Size Ft X ft . ww- * . . PROPOSED BUILDING AND USE : " Existing buil9jng ( s ) use Site of now structure eq ft R '�7kft * ,.:r„ ,go Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line (circle one ) * Now of stories (habitable space) Front yard ft Rear yard ft* Side yards ft and ft Height ( grade to ridge ) fto if on corner , setback from side street ft If residential, no . of families I Nov of rooms (excluding baths ) �_ " OCCUPANCY INFORMATION Nov of bedrooms _ _. * PRIMARY BUILDING - Nov of bathrooms Primary heating system e + One family dwelling 667'l Type of fuel 64pf6 r ____" family dwelling Hoe of firepiages to be installed_ Multiple dwelling / Number of units will a wood stove be installed? Permanent occupancy Central Air conditioning? jrQ * Transient occupancy Dualness BUILDING STYLE, PRIMARY STRUCTURE * lndustrial Ranch Contemporary Log cabin * Other Rtised ranch Mansion Duplex * if addition , what will use be? Split ] revel Old style Bungalow C7rcrY� Ca a Cod Cottage Other ACCESSORY BUILDING- ROW Town House Detached garage/one car/ two car/ car [ CIRCLE LINE PLEASE } * Lwm�tached garage/one car/ two car/ ^car " * * ' +' 'e * * • • # * • * * * * Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEETr TO HE COMPLETEDI Vny-en E3F ,1 -I /I7;'. ne,3 vI BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . ujoot4 y !'aj l -e. Will any second-hand or ungraded lumber be used? if so , for what ? F'oundati:on wall material Thickness Depth of foundation below grade (to bottom of footingk Will there be a cellar? Heated or unheated? Floor sq. footage ft Will there be a basement? Will an ( If so what Y portion be used as living space? + portion? sq . ft . - - Type of use? lv pe of roof - flat/shed/other material of roof i Size , wood studs •']{ *' spac.ing�"o . c . length eft . . Joists ( floor beams ) 1st floor •• X " of spacing o . c , span ft . Joists ( floor beams) 2nd . floor "X /o ^ spacing "o , a , a,pan�ft . [fverlaysfceiling beams3 "sC- spacing"o . a . span 1 ft . ltriof rafters - C2 ^X ^ spacing _ f e o . G . span /,a" ft . Roof trusses {pre-engineered} spacing "o . c . slian ft . Exterior wall finis hC�dli r S 1 t !� n Of what material? E'�Q 2 Interior wall finish `'j � - C.,� u "` If a garage is to be+r7 attached , describe m&t`er�i^al to be used .for FIRE /SE/pAARATION : Is there o be an opening between garage and d ling?.� If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue-lined chimney be installed? Height above root an ft . Depth of chimney* foundation below grade ft . a(7 S�t.�f�- � � ri Yr' F-3 6L 1'*;rPth of fireplace hearth ft . in . .7 e Q 600AS R1JO G 07 Water supply - Municipal or private well Af rQ 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 Warren eensbury County off Warren A F F I D A V I T STATE OF NEW YORK �[ swear that to the bast of my knowledge and belief the statements contained in this application, together with the plans and specifications submitted , acre ^ trUaL and comPl+ete statement of all proposed work to be done On- the described premises and that all E}rovi.sions of the BUILDING CODE , T11E 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 day of ly Owner, ow is or agent , archxtect, contract � - Notary Public , Warren County , N . y . SPECIAL CONDITIONS OF THE PERMITi v scawr� OF Q� EJE S136KY 4000000 uxaR8t1 COUNTY , NFW YORK A,pplicwtion for : BUILDING pj9P 4IT INF�COMPL.rIiANCE WITH THE NEW YORK STXTz X permit most be obtained before beginnin4 work . ANSWER ALL of the following && / , 1 . Gross floor area /. �II / r 4' 2 , 'Type of heat 3 . Is the building mechanically cooled ? q , percentage of area of windows and doors_ /fines' A , Over 16t Ong and floors sss valve of gross area of malls , roof / ceiling l • exposed to ambient conditions � 26 ploy over heated spaces YES NO a . Are foundation waiasth 'eInsulated ? Value YES TyO 1 . If YES . what 3 . Slab Pun grade YLS No a . If YES * what is the R value of insulation around perimeter of floor ? 4 . is basement heated ? YES N O a , R value of insulation 50 Type of insulation g , Under 16 % only 1 , R value of roof and- floors to ambient candibons 2 . R value of exterior walls/ 3 6 R value of 'glazed area A q . R va lue of doors 50 R value of floors over 'heated spaces edge insulation - unheated 6 . R value of slab 7 . R value of slab insulation - heated S . R value of heated basement / cellar watll $ ( above 90 R value of heated basement / cellar walls ( below grade ) __ ... lo . Type Of insulationr� iv+ P/'.✓'fS _C� ✓srvlr� l /` _ - --- -- c , Controls 7 heat netting 1 . Thermostat taaximua+ p . Iluc t Systems YEs r: �� 1 , Is duct systlem installed in unheated spaces ? ue, as If YES . R value of� duct installation,_, b , R value of duct in other areas rf E , piping Insulation V.1 ( carrying agent pipe j 1 , Size of hot ►P ater % or cooling ' 20 R value of pipe insulation [� F . Service water 114atin ,f 1 , performance efficiency 20 Temperature control astting G . For Swinmi ng Pool only ss 1 . Maximum heating t i + signature )TrlcPhonPt NOV � �d 1�� � � ,s � iapPIi nt ' s APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE / LOCATION OF PROPERTY FOR INSTALLATION )Z) Owner's Names Telephone: Address: ;2 cl�t %+uC3►� ,r ,C,e -e -0 `> Installer's Name: ?Carv1 }l /_ 1,1294611 Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom ) Topography: circle one: Fiat Ro'll gg Steep Slope % of slope Soil Nature: circle on . Sand Loam Clay Other / Depth: feet Ground Water: At what depth? feet Bedrock or Impervious Material: At what depth? i feet Percolation test: circle one: not recIgired required / rate min. inch. Domestic water supply: circle one: nicipa Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM : Septic Tanis _ gal. (minimum sine: 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 feet I M P O R T A N T ...Please...LIST NEW EQUIPMENT TO BE INSTALL _�n 74. * (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, 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. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage U sposal Glydinance. Signature of responsible person: el(-- L .j& -e--�== Date: 25 1 ry �� 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 TOWN OF QUELMSBURV BUILDING AND CODft DEPARTMENT 531 BAY ROAD Q y NEW © 4 TELEPHONE ( 518) 792- 5832 BUILDING INSPECTOR ' S REPORT REQUE��--S--T FOR INSPECTION RECEIVED NAME �--- LOCATI ON! c '�j • ; 5.` ems DATE _�3 L PERMIT if TYPE OF STRUCTUREj�..',,�... '� Yiq �1�` _ RECHECK , n APPROVED N/A YESI Nd FOOTINGS/PIERS _ MONOLITHIC POURfORM�REINFORCEMENT IPLACE THE CONTRACTOR ONSIBLE FOR PROVIDING ON FROM FREEZING FOR 4FOLL G THE PLACEMENT ONCR MATERIALS FOR POS ON � SITE FOUNDATION/WAL REINFORCEMENT FOUNDATION/DAMBACKFILL APPROROUGH PLUMBING PLUMBING VENT/ PLACEPLUMBING UNDER FRAMING : JACK STU S/H ER BRACING/BRI NG JOIST HANGS _ JACK POSTS iTV SEAM HEATING ROU IN INSULATION : FOUNDATI ALL INTERIORR- FOUNDAT N WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK PIPING IN UNHEA ED SPACES or REMAR ARRIVE DEPART INSPEI' OR 1- 9-87 68-2-5 C / O Taken $-1-87 RICHARDSON : Derek _ 87-02 29 Twi.cwood Lane Addition to dwelling ( 2nd story living area) 1 roLA �)" tp(2rf CO ) c S /! Vs t<) 2 , l nS �LlaSJs 7 Jks"Its tm', 1 ncj PIS CIi�/� "� Q 3 . t. l l /3 is �..�' ..4, r..C. -f ,Ge 'G /l .�` ."f"`? `;�J ' "�'" - ...-;�"/L- 1 {.�. C. L.i�"�"'�.•.:" � awn o/ Quee" i Ury BUILDING and ZONINGS DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME p e yr e K R 4 <' S on 1 LOCATION c �" G I.t)fJ Gs �F L Ct ✓t F-V4 cIRy Date ^/ Permit No . nJ — C3 ✓ = APPROVES] - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer pRough Plumbing rA Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Lsrain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney }C INSULATION : Foundation Floors {Ha-lls LCeiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection ( call when ready) Remarks- - 4 i it-to.. C -v..3?'• Itoge Building Inspector 6/86 and-vl _,low►e o/ �ueen 3fiure� BUILDING and ZONING DEPARTMENT Bay and Hawiland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME G &s Ric4 r. s d y LOCATION I3�I�a2 /X7 Permit No . cF7- 4z ✓ = 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 : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks-- Building inspector 6/86 and-vl S Ft anEL APB[. /rT10N R#:4. 1I66I� J ir f f S f S � _ THE: NEW PORK BOARD OF FIRE UNDERWRITERS 47 STATE STREET CERTIFICATE IIID. AL.BANY , N . Y . 12207 YOU ARE HEREBY R,EOUESTED TO INSFECTANDISSUECER774FICA 'SS FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY WILDING PERMIT NO. THE UNDERSIGNED. . • OAT€ CITY OR VILLAGE TOWNSHIP y"j I'"' COUNTY STREET AND NO. OR +'� ROAD AND POLE NO. C29 l c h�Q cj C.KT POLE NO BETWEEN WHAT TWO CROSS STREETS 15 PREMISES LOCATEVx SECTION BLOCK LOT OCC UP A {.,� �'} BUILDING f NAME "$ k lr�l y ti Jam' r e }2 I C Vico OCCUPANCY & FGi r77 / OWNER'S NAMEV4y TEL.AND ADORES'$. r (' . �r BsvPPCumn ENT L1E0 1 Q�C.L ,�-L- L - FROM TFIEIR C. ' ��r�'�j�. Fi'G�..,.� {s ' OFFICE BUILDING WORK OEFECTS IS NEW ElOLO M IS NEW I.,.,J ADDI TIONAL REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Line p Receptacles MOTORS HEATERS IRCUl FI OFFICE USE C1 R C1iCH Loco- ONLY tiw Side Astaeh•a H.P. Wells A.W.G. pikinq Well Aeomprk Swish Pendent Bracket No. 7vpe Each No. EPGh No. Gameem INSPECTION Oat- skda Sub- be" Rwlr r tnant J Tat FI. 21W Pl. 444 3rd Ft. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE, Thn appliutiovi is in landed to co"r the above-I rated pu ipment to be inspected but if at trice of Inspeeti on the.e Is IGYnd additional equ ipKj not ;bow hated, You are authorized to make the inspection and adjust the Ive to cover the adeSeionat apuipment, aI provided by sew spolicarrL SIZE OF ELECTRIC SIGN - TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE INUMMBERI (CAPACITY► STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD VNOERGROUND MIAKER EI4TirFISsyl DING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE I NEiM 0 OLD AVOID DEL-Ay BY GIVING FULL AND ACCURATE INFORMATION. ALL SINACES DA162 OP MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLIC 7Oft Jr J Q PRINT NAME NALME OF ,!gN ADD ESs 1 �� APPLICANT 'LFV .+f '. L�1 r,,.S'T". C..:G.' el4 OF APPiac►EinT �}"-w Xy. STREET ADORE,S.,S E L J C I TIE iik -033GJ PPOST OFFICE f !' - � 1 " • , f ! �J CODE „LIB ,..=LICECITY OR NSE NO. WHEN APPLICABLE AS EL (REV. Ifae} A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING