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1987-512 %.'.ERTIF10 CATS OF OCCU'PANC.'eY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Daft 19 b� � � 17 This is to certify that work requested to be doge as shown by Permit No. 87-512 has been completed. This structure may be occup'ed as a ONE-FAMILY DWELLING Location Lot 58 Queens Lane , Seacgn Ru.n. (Van Howe Estates ) owner Robert Kroder By Order Town Sward TOWN OF QUEENSBURY Building 6 Zoning inspector BUILDING PERMIT 5 TOWN OF QUEENSBURY No. 87_512 4 WARREN COUNTY, NEW YORK z ca PERMISSION is hereby granted to ROBERT KRODERCD ' � [ C E~ nS I OWNER of property located at Lot 58 Queens Lane Beacon Run Street, Road or Ave. '0 l.n in the Town of Oueenshury, To Construct or place a One—Family Dwelling 00 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 coning Ordinance. t. OWNER'S Address is 4304 Heritage Park Apts a Glens Falls , N . Y . 12801 cr - ro �s r� 2. CONTRACTOR or 13U1 LDE R S Name rt 0 D . M . M . Enterprises w ro ti 3. CONTRACTOR or BUILDER'S Address 1 Lucille Dr , ra Hudson , N. Y . rt C d. ARCHITECT'S Name L" x .o o :✓ E ro m ro 0 S. ARCHITECT'S Addrass U2 tq rt to W 0 rt "3 ro ro 6. t�s ro TYPE of Construction — (Please indicate by X1 lyy era r3 tt (X} Wood Frame { i Masonry ( ) Steel ( I 7. PLANS and Specifications No. 36 ' x 67 ' per plot plan , specifications and application including septic system, driveway* permit and attached two-car garage . 8. Proposed Use One-Family Dwelling � ro $5a00 C/O w 13ra . 00 $ PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 , 1988 (if a longer period is required an application for an extension must be made to the Buildingh and Zoning inspector of the town of Oueenslwry before the expiration data,) ro Dated at the Town of flueensbury this th Day of August 79 w oa SIGNED BY a` 1'" _�------for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . �] / Application No . � lG►t�irt Gti ��lee►t �dury Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Queensbury, New York 12801 variance No . AUG gyp ; Site Plan Review No ,_� A V G 0 3 _ C511 Approved by : /Big UILDING ae :ODE aF APPLICATION FOR r,+'If/�/: �--"" FUILDING 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 : e I / f/r a Ct E P . O. Address / 0 .l rI AoL4,e -r�,t ,t� /anS /2 $"d''r Tel 'rQi ,' -7 .3 Property Location : r,+ e 4e, Tax Map No . Street number or building lot number 4Ty' it/p Subdivision name ( if applicable) _Ee c>- C C e-7 /�[�+CA, I a-�4d' u • S THE PERSONj- RESPONSIBLE FC:R SUPERVISION `yO/F WORM ASS//_ REGARDS BUILDING CODES IS : j � //l J / \ i"�;?,fx !� Y" ! �./ � I ��Yf C L..li e / '^ %C f'� 73 �'7�= / 2r C I / i.�,7 " 7 3 ^'}� 4; Name P . O . Address r / T Tel . No . / Name of builder_DAui pq n k+ iyr+s tom} Address z{tz.d3_ Tel . FF - 7 F..�C- Name of plumber W- ^ -� � Addressy Tel . �' 4 Name of mason Address Tel . NATURE OF PROPOSED WDRK : * 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 LOCATION OF STRUCTURES AFFECTED . * of water, supply and location and configuration of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . Size of property 2, 00 ft X ft . * Existing building ( s) Size - ft X ft . * PROPOSED BUILDING AND USE : // 7 * Existing buildings ) Use Size of new structure ,3 & ft X (y / ft Foundation-pier/slab/crawl/par a fu Proposed building , distance from property line (circle one ) Front yard J `�- ft Rear yard // ft No . of stories (habitable space) _ * Side yards- ft and � 1 7 ft Height ( grade to ridge ) r(v _- ft • if on corner , setback from side street ft If residential , no . of families r'� No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION No, of bedrooms * PRIMARY BUILDING - No . of bathrooms --�;- One family dwelling Primary heating system e! G ¢a•.st c1 Two family dwelling Type of fuel Yet r No . of fireplaces to be installed * Multiple dwelling / Number of units Will a wood stove be installed? Permanent occupancy •�� `�'��`�� Transient occupancy Central Air conditioning? 0 Business * BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Rainlwkr 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 House Detached garage/one car/ two Car/ car ( CIRCLE ONE PLEASE ) * _Attached garage/one car/ t o ca / car * * * * * * * * * * * private storage building ESTIMATED MARKET VALUE OF * 'Other CONSTRUCTION $ - ,r / {j" --071,� - - - - - - INFORMATION ON BUILDING s�'SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : fi _ Type of construction , wood frame , fire safe , etc .� 1l pc - ? ry _...c... Will any second-hand or ungraded lumber be used? If so , for what? rt v Foundation wall material Come . Thickness Depth of foundation below 7 p rade {to bottom of footing ) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft Will there be a basement? JS ? Will any portion be used as living space ? /7 C.> ( If so , what po sq . ft . - - Type of use? Type of roof slop €lat/shed/other Material of roof , ,cola 5 r ttP'� y3 t`Ton Size , wood stu — "X spacing "o . c . length .._._._Sf' ft . Joists floor beams ) 1st . floor '"X % " spacing"o . c . span / .- €t _ .foists ( floor beams ) 2nd . floor "X F/ spacing "'o . c . span Z_4t__._ft . overlays ( ceiling beams.-�'�y'59 $"X spacing "'o . c . span ft . Roof rafters "X � " spacing o . c . span ft . Roof trusses (pre-engineered) spacin ""o . c . span. ft . Exterior wall finish fi i ry y Of what material? Interior wall finish -� /� If a garage is to be attached describe materials to be used for FIRE SEPARATION : i�Z ;� " C-o & x`► 6, c 06 - Is there to be an opening between garage and dwelling? S` if so will a Fire-rated door , enclosure , and self-closing device be provided? _ �. & S Will a flue-lined chimney be installed? Height above roof Depth of chimney foundation below grade--- -'_T-t. Depth of fireplace hearth ti- !t. -irr; ,,�" Water supply - Municipal or private well / ix 401 . G �r� C SEPTIC SYSTEM _ Distance from ANY private well ( inclifdIng adjoining properties /) O " 1fit . (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 R V i T STATE OF NEW PORK 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 spec3.fi d or not , and. that such work is authorized by the owner . !' SWORN TO BEFORE ME THIS Signature {'' � er , owner ' s ag t cn ect , contractor day of 19 e Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : �� Qa4vp APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE / LOCATION OF PROPERTY FOR INSTAALLATION Z �' � .6— se Owner's Name: Telephone: 7 47". 7 '- 73 C% 99154 X dr/. vM Address: _ e �C. 7 121 t,I Installer's Name: �. F Telephone: Number of bedrooms (residential only) _ Total daily flow (compute @ 150 gal per bedroom) T c if Topography_ circle one. 6 Roiling Steep Slope '% of slope _ Soil Nature: circle one: Loam Clay Other / Depth: feet Ground Water: At what depth? - -- feet Bed -k or Impervious Material: At what depth? _ feet Percolation test: circle one�`��n����o����t�� require required / rate min, inch. Domestic water supply: circle one Municipa Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet w PROPOSED SYSTEM: Septic Tank 14 gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length ^ 0 C feet SEEPAGE PIT(S): Number of r Size each feet by feet Size of stone to be used # / Depth or Thickness T feet IMPORTANT ...Please.._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, 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. l have read the regulations above and agree to abide by these and all requirements of the Town of Queensbur-y Sanitary Sewage Disposal C7rdinance. w Signature of responsible persons Date : 3 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 Lovr" Queer+ sturlj I ._.I'o w+i D �JJ 4 UILDING and Z© Road. R.D .FA BOx 98 Say and Haviland yo k12801 I Oueensbury, 5 U l L D 1 N G I NSpECTOR T S f2EQORT (SAMEDate LOCATIONY vermit NO APPROVEp - YES NO Footing/p1er Fors Foundation Waterproofing Backf ill F raasni ng Roofing Siding Ma onry veneer____— ---- LZugh P1 kxes f Relief Va es Relief Ext . Porch Finished F1 rs interior Tri Stairs & Rail * 9s Cellar Drain Ti e Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers srnoY,e Detectors chimney 114 SU I,p,TI ON Foundation Floors Walls Ceiling INSPECTION _ F IN A,L ELLCTRIC llR1vRW Building Sur-Vey`--� Final ection Next scheduled insp (e , l when ready ) Remarks_ Jc: uld1ng I sP tar 6/SCa and-vl } l ouln ZOMNG O PAFiTMYEfIT ✓] i �dI BU1LO1f1G and p i box 9B 101 17 gay and � I andRIC New s o V t2801 1 pueensb ,77 l3ILpING I4dSPECT R ` S REPORT fJf11 AME LoCAYiG►N rdermit NO Date * # * * * K O/ ALPPRpVBD _ YES F�tinq fpi.er Forms Foundation waterproofing gackfill ramin9 Roof ing Siding Masonry Veneer Relief Valves��— �-�- Ext . Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile Concrete Floors Plbg - Fixtures Gar . Fir 'Proofing poor Closers Smoke DetectOrs Chimney O INSU ,pTION F I,FCTRI pL I235PEC"TIC113 Al'PA AL DFLIVEFIAY Survey Final Buildin insPeetion (call when ready) Next scheduled N Q W NRAARO p ,\0,I� -,� pk, ► 1l�►� �' -- PITS � -�, ��r JAAAl 6-kR s rO pudding Inspector 6 f 86 mr3-vl Sl1iL[]INfa and 20Nt�1G DEPAFiTMEt+1T eay and Havitand York 12801x 98 Uu(] FLAPDRT UILDING INSPECTOR ' S .. t ME LfjrATi ION ,l / C/ Permit No . '� 07 Da t.e YID---`-1 APPROVED - YES NO Footing/Pier Farms Foundation waterproofing �ackf ill Framing Roof i.ng siding Masonry Veneer Rough Plumbing -�- - Relief valves Ext . Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile Concrete. Floors Plbg - Fixtures Gar . Fi.reproofin poor Closers -- -�'� Smoke DetectO �- Chimney IN Su LATION Foundation Floors Walls Ceiling FINAL ELECTRICDR'LVEAL INSPEC'TIDN�� y B vuilding Final Survey.-----�- ~- Final Next scheduled insP ection (callwhen ready Remarks- Buil ing inspector or and-vl eX, Iown of Queerestury / BU1Lb1NG and zC71JiNG f]EPAR�BOY " Bay and Fiaysiand N w Yark01280I (00 (]ueensburY, r riy� INSPECTOR ' S REPORT I .f�99 14 �-- 1, LC)CAT 1014 p / Sr '7'--•S1.c� /az permit Date o . �-- * * oft * * +� * * * w * * ,APPRCFVED - YES No ,...�aot ing/ Pier Forms Foundation Waterproofing Backf ill Framing' Roof ing s id ing Masonry Veneer �--- Rough Plumbing Relief valves Porches �-�- Ext . .�-- Finished Floors - - Interior TrimRailing~J s �--- Stairs & Tile Cellar Brain Concrete Floors Plb9 ,Fixtures Gar . Fireproo ng Door Closers Smoke Detec rS chimney II3 SS3;...ATr roundati In Floors Walls ceiling FINAL ELECT%TCAL 'NSPECTID I7RIVEWBuilding V F inalsurvey Nextscheduled inspection { call whex► read*]) Remarks" � V O �ro Suildin9 fispec tor 6/86 and-vl flown of �sxeeu: � ur� BUILD%NG and ZON%NG QR D Box 9$ Play and 4 {aail NewYork 12801 QUeeslSburYryb INC INSPECTfJR ' S REPORT BUILD NAME der, LOCAT I O' J /ems per It No . Date a * * * * * * * * 1✓ APPRC?VED - YES No l,�ooCing/Pier For Foundation waterproof waterproo€ ing Backf ill Framing Roofing Siding Masonry veneer Rough Plumbing f� Relief Valves Ext . Porches Finished T oors interior im stairs & Railings Cellar Drain Tile Concrete Floors P11x3 . Fixtures Gar . Fireproof Door closers Smoke Detect. S Chimney IN SU LAT-1 O Foundati Floors Walls ceiling TZc _� FIN AL ELEcTRSCAL SN SPEC DIZXVEWXY A?"OVA � - Final Building Survey�l-� �~' Next scheduled inspecst1o..n gall when ready ? Remarks- c�lY �v � *�'ia lot � A1 � )9cG�M% Building Tnspe Or 6/gf, md--vl � e y ue¢n a u ° � aN� rn d ZCN1 Bo x 98 iaUILDI"Gan toad. R - SaYandHaviion t' erw YOCK 28(31 aueensbU(V TOR ` 5 REPORT BiLI � iNO INSQ �C MAMA � r- LOCAT 'IOtA P �rm3..t Iyo ` * * * Date * It * * ✓ ��� 49otir►g�pie W aterPr�� in9 Back' ill goaf i1m9 neer --�� _-- gQu�r plying Relief 'Va7vesf�--��-- t . PoYcY►r3s yx,teriaylings�� ~!� yrs Tile Cellar gain Concrete glo ess p1bg - Ir i�ctur sin Gar . Fi.epro �r Closersor s�" Detector CYhi1vneY xusv�' xc� Foundation Fl�xs Walls Ceiling CAT. SD35Y ACT ION�- rlwvpajVU I &uildin8 c,uxvey Ein v,}1en ready) inSF!'ec'ti.o�+ (call tye%t scheduled A,,. 6/Sr PY OF AppLICATION FORM 46 EL. NEW YOFt£N ARD OEDIRE YSNDERWRITERS. BUILDING DEPT. CO FkLE THIS COPY VWITH BUILDING DEPT. vv DATE P. 0 COU t r P NTY �a TOWNSHIP t CITY OR (7 PKI ,S t-} L,4 ge .- POLE 11,11 Ill. VILLAGE -� �,., Ik ✓ 7 // f" i C- STREET AND NO, OA S " ! r5 f` J'"rr f rJ JN SL K ROAD AND POLE NO. S TI N BETWEEN WI'kAT IS `�•y 0 t c. ( BUILDING CROSSSTR£ETSTEOT OCCUPANCY PR MI E y� TEL. # �7 �i 3 OCCUPANT'S �" _ 7 " .�--•7 f fr F dry NAME / [ 1 OFFICE OWNER'S NAME � � , /� Yr T L'.+ Y- JF?' . AND ADDRESS / I - FROM THEIR J DEFECTS U REINOV E4 SUPPLrED d c� I" s. WORK NEW AddrTYONAL BY �r--77 IS BUILDINO NEiv �- OLfl V IS LIST BELOVV ALL ECIUIPMENIT WII-IIC" YOU INSTALLED OFFICE USE HEATERS CIRCUITS ONLY NL�R�tpldw"W6 lb MOTORS o,.W.G. INSPECTION IS NUMBER OF OUTLETS H.P. No. Ea h NO. GeuBa Lom Atted+�t Swltdt P re etldent Breart NO• Type Each ' gellbry Skl w+Reo 'is Out- side Sub^ beFe Bast .Went iet Ft. yYd Ft. 3rd Ft. DO NOT USE THIS SPAC£- REMARKS: LIST OTHER ELECYR ICAL DEVICES NOT SET FORTH ABOVE ' lion there It found edditians{ a9uiPr'nM't not chows listed' I ant to M insPsc but if at timeP~'ded by the aPOWs" . the e-Iisted squ pm TOTAL This apPricstion is intended to covrovo ar tion and adjust the Set* Cover tha edditionar ECG SIGN WATTS TIPtSC you are eurhoaired to mehe the inwseC LAMPS FEEDERS VA SAY£ OP GAS TUBE SIGN E KPOS£O MAINS CONGEALED TRANSFORMERS OF iCAPACITY! CHARACTER rNLr1ABER! OF WORK F SIGN COMPLETED SIZE O yWRK TO BE MAK E R STARTED UNDERGROUND OF SIGN SERVICE OVERHEAD OLD 1^.J ENTERS I NEW 1 / 1-.-� INSPECTION REQuEST£D /i J /" f L yA _�5�+�' DATE OF ON OR AS NEAR AS if!^J�/ APPLICATION pOSS/BLE pyOID DELAY SY DIVING FULL AND AGCURATE INFORMATION. ALL SPACE �[ SIGNATURE ++ MUST f FILLED rN oft ADDRESS,LICATION M BE RE +"ram cli�-'x'^' __L'�-OF APPLICANT pvt NAME N -f F ,�1,,,(,.a t s NAME OF L' ,N I i�" '^ S _�`T£LEPNONE # APPLICANT ZIP �y / LSGENSE NO. gT E R££T ADDRSS "% �� WM14EN / 1\PPLIGABL'E `` CODE __._ ----- RATE BUILDING CITY OR r e +" . POST OFFICE 11Y1U$T BE FILED FOR EACH SEPA ie FL (Rev. 1£e6) A SEPARATE APPLIGATIOFI