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1987-232 iLTIFIC.A TE CIF OCCUP.A►N�C�' TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK87 _ Date August 11 , 19 1Lor This is to certify that work requested to be done as shown by Permit No. d 7 _ 23 2 has been completed. This structure may be occupied as a o��-Fame Location Stevens Road Penny Burch Owner By Order Town Board PrOWff OF QUEENSBURY Building & Zoning Inspector { BUILDING PERMIT TOWN OF QUEENSBURY No. 87- 232 WARREN COUNTY, NEW YORK b PERMISSION is hereby granted to Penny Burch OWNER of property located at Stevens Road Street, Road or Ave. 0 n in the Town of Queensbury, To Construct or place a One—Family Dwelling ::r 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 . OWNER'S Address is 30 Notre ]lame st . Hudson Falls , New York 12839 rT 2. CONTRACTOR or BUILDER'S Name fn 4 Robert Weaver M m su 0 3. CONTRACTOR or BUILDER'S Address 117 GanSevoort Road South Glens Falls , New York 4. ARCHITECT'S Name 5_ ARCHITECT'S Address CT B. TYPE of Construction — (Please indicate by X) 1 { If Wood Frame ( } Masonry ( } Steel r-� `C tv 7. PLANS and Specifications 24 ' x40 ' per plot plan , specifications and application No. including sewage system . r` 0 qa 8. Proposed use Per Var .. 1246 One-Family Dwelling $5 . 00 CIO $ 70 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES December 1 19 87 (If a longer period is required an Opp li Cal ian 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 �llth Day of May 19 87 /r/ SIGNED BY r/a4:::d a. '�✓.d*-�' for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT % ,?�] / Application No . Own of �1s�6+It36tlYe�l Permit Issued 19 f OwN OF �E. i 1S3:sr• BUILDING and ZONING DEPARTMENT Permit Expires 19 (� Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation DB Queensbury, New York 12801 Variance No * 4 1987 g Site Pla vi w No . j [ L-f e7 - l [ fJ Approv bar : E BU1L01NG Bc {CODE: DF.PTa APPLICATION FOR t 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 Permit . -----................................. The-owner of this property is : rPe.LNAJ ^� c314!c P . O. Address x ( + � Tel . �/ Property Location : Tax Map Noel Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : O ve 1 �l l� if�laGFI � T__ cu"TH C&US PIC aV a i &Iri Name P . O . Address Tel . No . Name of builder PF& U CC.- Address Tel . Name of plumber ", < _os 42 Address Name of mason a C �Q ,/'. ef-d "S 1!:. Address o , £.�' ;� ;7 C� �i +� E �G� 7rei _^i `Z 70 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 . Size of property ' fJ ft X �ft . Existing building ( s ) Size ft X ft - * PROPOSED BUILDING AND USE : * Existing building (s ) Use Size of new structure ft X„� ft Foundation-pier/slab/craw /partial u11 Proposed building , distance from property line (circle one ) Front yard 3 No . of stories (habitable spacq ) � _ * 4 ft Rear yard ft ft . * Side yards / ^ ft and � ,�` ft Height (grade to ridge) 1 � If on, corner. , setback from side street ft If residential , no. of families No * of rooms ( excluding baths ) OCCUPANCY INFORMATION Noe of bedrooms * PRIMARY BUILDING, - No . of bathrooms I ��'�c'6'll�-tC * One family dwelling Primary heating system Type: of fuel --([„ * Two family dwelling No . of fireplaces to be installed- * Multiple dwelling / Number of units Permanent occupancy Will a wood stove be installed? -T. * * Transient occupancy Central Air conditioning? N 3 Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial ("Ran Contemporary Log cabin * Other if add Raised ranch Mansion Duplex * 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 $ K- - 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 £r fire safe etc . Will any second-hand or ungraded lumber be used? If so , for what? f �} W +� I Ca drF Foundation wall material �fG,.( r-e' aIDL nt Thickness / � - Depth of foundation below grade (to bottoof f o footing ) !r Will there be a cellar?x!.S Heated or�uiheated? Floor sq. footage r_s Sq ft, Will there be a basement? yf5L Will any portion be used as living space? ,,520 ( If so , what portion? sq . ft . - - Type of use? Type of roof - (,sloped lat/ hed/other Material of roof tti Ss 5HJ/v( yr t Size , wood Studs 7 "X " spacing "o . c . length ft . Joists ( floor beams ) 1st _ floor "X " spacing I - "'a . c , span 41Zft . Joists ( flaor beams ) 2nd . floor FIX " spacing "o . c . span ft. Overlays ( ceiling beams ) 7 "X spacing "o . c . span_ J ft . Roof rafters Z "X� " spacing -o . c . span -% ft . Roof trusses (pre-engineered) spacing+ "o . c . span ft , Exterior wall finish Of what material ? 8 1C-"W R / � Interior wall finish S Jt+ YQ 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? Will a flue-lined chimney he installed? / .;O Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth - ft . in . Water supply - zcina�o_ r private well SEPTIC SYSTEM _ istance 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 prov '%TOEFORE of the BUILDING CODE , THE ZONIftG ORDINANCE , and all other laws pertaining to thed work shall be complied with, whe r spe !fled or not , and that such work is authby the owner . SWOR THIS Signature _ _ ____ Owner , owne agent , archirect, contractor day f 19 NotaX4 Public , W ren County , N . Y . * * * * * +t t * x * * At OF IF ,t IF er SPECIAL CONDITIONS OF THE PERMIT : By TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application fore BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the followings: / 1 . Gross floor area 2 . Type of heat 5 +� l�i►�s [- L� 3 * is the building mechanically cooled ? A,Ir[`..�' 4 . Percentage of area of windows and doors 421I � 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 values 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 Be Under 16 % Only 1 . R value of roof and floors expo ed to ambient conditions !c'�- 3 2 . R value of exterior walls f< Y 3 . R value of glazed area 4 . R value of doors 5 . R value Of floors over unheated spaces /y / I 6 . R value of slab edge insulation - unheated slab J 7 . R value of slab insulation - heated slab ,rv/ 8 . R value of heated basement./cellar walls ( above grade ) e zo 9 . R value of heated basement /cellar walls ( below grade ) 11Foso 10 . Type of insulation�rrb� C q� i0 'S 'k Co. Controls p 1 . Thermostat maximum heat setting D . Duct Systems 1m is duct system installed in unheated spaces ? YES (25 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 Ale N,E F . Service Water Heating q 10 Performance efficiency 12J3 !a 2 . Temperature control setting maximum.!/ !9 0 - G . For Swimming Pool Only 1 . Maximum heating we Telephone No . .0000 pp scant s signature ) Vam o (►'7'L of APPIJCA77ON FOR SEPTIC DISPOSAL PERMIT DATE D!�j- - F 1f- LOCATION OF PROPERTY FOR INSTALLATION ' Owner's Name: f 2mAox & ILVt+ , _ Telephone: g Address• , C��- ] 7 • a i a C '7~' ,t�l ' ��. Installer's Name: , } . Telephone.& QC� T Number of bedrooms (residential only) J Total daily flow (compute @ 150 gal per bedroom) qr Topography: circle one: Fla Rolling Steep Slope $�i of slope _ Sail Nature: circle one: San Loam Clay Other / Depth: feet Ground 'Water: At what depth? feet Bedrock or Impeyvious Material: At what depthl i n, 4f— feet Percolation test: circle one: t required required / rate min. inch. Domestic water supply: circle one: unicipa Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ I p feet PROPOSED SYSTEM: Septic Tank j £7(aC�"1 gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length R Z2g2 feet SEEPAGE PIT(S) : Number of / Size each feet by L feet Size of stone to be used # / Depth or Thickness _- feet IMPORTANT ...Pleaise...LIST NEW EQUIPMENT TO BE INSTALLED (over) Section II Septic System lnspections: 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. G. 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 - abide by these and all requirements of the Torun of Queensbury Sanitr Sewage Il Cbrdinance. Signature of responsible person: Date: d7(A. Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 128C) 1 (518) 792 5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE C/�cs'� 7'cf�.v ?�.eZe _,/own vj Qicee" JA"ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME�_�I�U-��--. LOCATION Date Permit No . ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproof Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim ''Stairs & Railings Cellar Drain Tile Concrete Floors Plhg , Fixtures Gar . Fireproofin Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling )CINAL ELECTRICAL INSPECT ON _ , JJRIVEWAY APPROVAL O%Z g Surve � inal Building y + ..........._..._ Next :scheduled inspection (call when ready) Remarks- terry '� 6/, f Tim i+i / .I f�. nuilding Inspector 6/86 and-vl _..J`a arcs o� �tt eQ n s 6 et r+r,I BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D, 1 Sox 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LAA LOCATION Date Permit No * i ►�' APPROVED - YB8 NO ' Footing/Pier Forms Foundation Waterproofing Backfill I.Framing LIioo f ing lrr lding Masonry Veneer Rough Plumbing L�Xbllef Valves ZEE Mxt . Porches 0ilnished Floors tl4rterior Trim L4Mairs & Railings Cellar Drain Tile Concrete Floors tFsQbg . Fixtures e.Q&r . Fireproofs Door Closers ($make Detector hxmney Yg-SULATION . tFoundation Floors walls Ceiling FINAL ETECSPRICAL INSPECTION DRIVEWAY APPROVAI - iFfn�al Building Survey _ Next acheduled inspection (Call when ready ) Remarks Building Inspector i6/86 md-vl ._.Town o� �u€+Q,nd�rcrt� BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R-D. i Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT r� t NAME LOCATION Dat f Permit No * ✓ APPROVED - YES oor NO Footing/Pier Forms _ Foundation waterproofing Backfill ezo2ami.ng Roofing Siding Masonry Veneer kAcugh 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 4,.^INSULATION : P roundation Floors 14wal'ls "iling FINAL ELECTRICAL INSPECTIONI _ DRIVEWAY APPROVAL_ Final Building Survey Next scheduled inspection call when ready Remarks- Building Inspector 6/86 and-vl lawn W Qu ee/" i l if ry BUILDING and ZONING, DEPARTMENT Bay and Haviiand Road, R-D. 1 Box 98 Queensbury, New York 12801 SEPT DISPOSAL. SYSTEM INSPECTION NAME [t h LOCATION /-•'�, �'�rL .J t2v DATE PERMIT NO , 1 SOIL TYPE Sand Loam - clay .. Percolation Test Required? YESy�N_.Q�/ � Percolation rate - Min/Inch = �" TYPE of SYSTEM: Absorption field , total length_G7 Length of each trench t 0 Depth of trenches Q I Size of gravel_ SEEPAGE PITS4Nuimber of) Size- ft. X ft. Gravel size - PIPING : Size Type Bldg . to tank Tank to dirt . box V V4 , DistOpen box ea fueZIS f Openings sealed? NO Partial LOCATION/SEPARATIONS : Foundation to tank eft. Foundation to absorption 020�ft . Absorption to lot line Hof t . '- Separation of pits — ft. 7AC'.ATION YSTEM ON PROPERTY (circle one) Front Rear - Left side - Right side - CC7MME r SYSTEM USE APPROVE YES NO Buildi Spector 01/86 and vl 570"Opp? O/ Q"etr!'l6t"ry BUILDING and ZONING 'DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING'yy INSPECTOR ' S REPORT NAME LOCATION �T �1/�•�►cl RkAnQ Date.44 ate.44 -pe rm±t No . 7i _ a 3 2_ = APPR0VED - YES oOr NO Footing/Pier Forms Foundation waterproof in Backfill ,Framing Roofing Siding Masonry veneer )( Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Grain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY "PROVAI. Final Building Survey Next scheduled inspection (call when ready Remarks- If !"'7 IC00 . 7D- . Builddi g Inspector 6/86 and-vl __./'own o� �ueenat�iurt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. I Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date / -Permit No * J � APPROVED* -* YES* NO * Footing/Pier Forms Foundation aterproofing 0, 1lllackfill 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 IN SU I.AT I ON : Foundation Floors Walls Ceiling} FINAL ELECTRICAL INSPECTION DRIVFWAY APPROVAL Fisxal Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl _Down of Q"4een .fbury BUILDING and ZONING DEPARTMENT Bay and Fiaviland Road. R. D. i Box 98 Queensbury. New York 12801 BUILDING INSPECT�iO€2 ' S REPORT NAME �4vh.�+ , .. �7rLrtcz LOCATION IT:: bate 1I / Permit No . APPROVED - S NO Footing/Pier 'Forms f Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs 6 Railings_ Cellar Drain Tile Concrete Floors plbg . Fixtures Gar . Fireproofing Door closers Smoke Detectors Chimney INSULATION - Foundation Floors walls Ceiling F114AL ELECTRICAL INSPECTION DRIVEWAY APPROVAL, I Final Building Survey Next scheduled inspection ( call when ready ' Iding Inspector fi/F3Fs and-vl / wl ao -if 2 I S I