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1987-784 IP ERTIFI ATEE % F +�+CZ.JT''A N ' TOWN Of +QUEENSBURY � WARREN COUNTY, NEW YORK I April 26 , 88 Date !9 LP �Dp 87- 784 This is to certify that work requested to be done as shown by Permit No. I has been Completed. I This structure may be occupied as a one F'acnily Dwelling 1 [ ocatioa Cronin Road Owner RayRa Rios /Anita Arirock j By order Town Board 1, TOWN OF QUEENSOMY 1 $uilding d► Zoning Inspector 1 BUILDING PERMIT TOWN OF QUEENSBURY 87_ 784 � No. � WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Ray Rios /Anita Amrock N - 1 OWNER of property located at Cronin Rd . Street, Road or Ave. .� in the Town of Queensbury, To Construct or place a nri o Family waillno __ 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 72 Haskell Rd . Glens Falls , N . Y . 12801 0 2. CONTRACTOR or BUILDER'S Name N• C & R Enterprises ri 3. CONTRACTOR or BUILDER'S Address n 720 6th Ave . as Troy , N , Y , 12182 4. ARCHITECT'S Name 5. ARCHITECT'S Address n µ ME S. TYPE of Construction — (Please indicate by X) (x ) Wood Frame [ i Masonry { Steel { I 7. PLANS and Specifications No. 24 ' x 48 ' as per plot plan , specifications and application including septic system. Special D . E . C . Permit attached 8. Proposed Use One Family Dwelling M- $s . oa C/O e $ 84 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES June 1 , 79 88 �— (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.) 64 Dated at the Town of Queensbury this r `24th Day of November 19 87 SIGNED BY 7 ' /6'- sC eg,-4V for the Town of Queensbury Building and zoning I nspector 0 2, TOWN 01 a _ ... . TO BE COMPLETED BY BLDG . DEPT . f 1 •, } �f / Application No . `�' _..+r wd" v QR.��'�enjt"r Permit issued 19 i� CT 1987 BUILDING and ZONING DEPARTMENT permit Expires 19 0 �+ ` �'+ Bayand Ha�iland Road, R.D. 1 Box 98 Zoning Designation ' 3 He Queensbury, New York 12801. Variance No . � SUIL.UOI AG CODE Own"r Site Plan Review No , `"� y r t'�• �S CIO Approved k59 APPLICATION FOR I RU I LD I NG AND ZON I NG PERMIT # * * * -W * * * * * * * * * as * x n # � a► it >E � � � # � it � it � # � � � et � ,.•# 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 clone 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 t3 � P . O. Address ^^ L c_.. __- -may sL Ley 3�� i� \ '2 >0 } Te1 . � �} S Lvl l � i Property Location : .. - V� - �_.�+ S� r2 Tax Map Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O. Address Tel . No . Name of builderG $u '�cS k1�Q.4v�a Aadress� -CG Chi 121jz Tel . �' c�'� �� Name of plumber Address Tel. . Name of mason Address Tel . NATURE OF PROPOSED WORK : ZONING INFORMATION : K 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 S12E AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFEC * of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . Size of property 065 £t X Existing building ( s) �Size� f ft . PROPOSED BUILDING AND USE : * Existing buildings} ) Us Size of new structure � ft x� ft '� Foundation-pier/slab/crawl/partial/full " Proposed building , distance from property line (circle one:) ft Rear and T'X"�Pz� ft Front yard �c� y No . of stories (habitable space ) Side yards 7 ft and �(J2 ft Height (grade to ridge) ft • If on corner , setback from side street ft If residential , no. of families No . of rooms ( excluding baths ) OCCUPANCY INFORMATION No. of bedrooms u • r� �. PRIMARY BUILDING No . of bathrooms 7 O�. One family dwelling Primary heating systems l \ Two family dwelling Type of fuel f� -�S �. Multiple dwelling / Number of units No . of fireplaces to be installed C> Permanent occupancy Wi11 a woad stove be installed? Lr 7 Transient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial * 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 House Detached garage/one car/ two car/ ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * W * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, To BE COMPLETED : Form SPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame. , fire safe , etc . _ %\/Opc, Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material Thickness /1 ckness Depth of foundation below grade (to bottom of footing ) ` F �.. Pv, Will there be a cellar? ` {{}rer> Heated or (�7 eat atecl',�_..ft , Floor sqa footage lL, ��7 sq ft Will there be a basement? JA'k ' Will any portion be used as living space ? tQ ( If so , what portion? sq . ft . - - Type of use? - Type of roof - s o /flat/shed/other:awFicb Material of roof size , wood studs "X_ r,7 spacing ""o . c . length _�iT ft . Joists ( floor beams ) lst . floor '+ :�— ", „ I X spac i ng.� o . c . spanJf t . Joists ( floor beams } 2nd . floor "X '" spacing'._---- "o . c . span .._ ft . Overlays (ceiling beams ) six— f\ spacing -- "o . c . span ft. Roof rafters "X spacingAfiw- o . c . spanxttt ft . Roof trusses (pre-engineered) spacing 7.4 "a . c . span ft . Exterior wall finish %Q —tOf what materi l ? Interior wall finish � If a garage is to be attached , describe materials to be used £or 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? Height above roof ft , Depth of chimney foundation below grade—..,,,,—, ft . Depth of fireplace hearth ft .— in . Water supply -�,,NluniciT�r�,a]�, or private well VA4 k,.D VN4 \.0 4 . SEPTIC SYSTEM Distance from ANY private well ( including adjoining properties N ft . (A separate application is necessary for any repair or new installation of septic system) G.ix: r :72.g6V of Qw cy - County of n KrF=W'C;Y. 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 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 . SWORN TO BEFORE ME THIS Signature -� iri:, 1' __ - _ ----_ Owner , owner ' s agent , arc Cct , contractor day of ,PYT 19,�i PAIRI�X, 3T',in1E o1 y, Pubiit, 5taha 00 Now york #4517111 palili01 in RanssQFen Cevhly No Lary Public , County ,cc"fPPPLOn Expiry: Dscomt, , 1't, f9"PesF �r ,t * it SPECIAL CONDITIONS OF THE PERMIT : TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK. Application fors 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 10 Gross floor area 2 . Type of heat- -C -� 's� , 3 . Is the building mechanically cooled ? LV 4 _ Percentage of area of windows and doors A . Ovft�er 16 % Only 1 . U value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 1577 3 2 . Floor over heated spaces YES a . Are foundation walls insulated ; YES NO � 1 . If YES , what is the R value ? _ No 3 . Slab on grade YES S1 > a . If YES , what is the R value of insulation around perimeter of floor? 4 . Is basement heated ? YES a . R value of insulation sA iA , 5 . Type of insulation B . Under 16 % Only 1 . R value of roof and fXgOrs exposed to ambient conditions. 2 . R value of exterior walls 3 . R value of glazed area p 4 . R value of doors , " G S . R value of floors aver sated spaces - or .. . _ X 6 . R value of slab ed insulation unheated slab 1 _ ✓✓✓ +' `� 9 . R value of sl insulation - heated slab - 16 8 . R value heated basement/cellar walls ( above grade ) l rr 9 . R v us of heated basement/cellar walls [below grade ) 10 Type of In c . Controls G' 1 . Thermostat maximum , heat setting % -' D . Duct Systems 1 . Is duct system installed in unheated spaces YES ND a . If YES , R value of duct installatio b . R val�: e of dual so othcr are : s E . Piping insulation i /� �� 1 . Size of hot water or cooling carrying agent pipe J 2 . R va).ue of pipe insulation ' 1 F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For swimming pool only swoons 1 . Maximum heating Telephone No . � ( applicant ' s ure ) .Jl�n9►i- +G�+�+te.�ri�� APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE i I LOCATION OF PROPERTY FOR INSTALLATION Cv - gam \2A Owner's Name: ` \ ._� Telephone: Address: Installer's Name�l�� 1C' Telephone: Z Number of bed-roams (residential only) Total daily flow (compute @ 150 gal per bedroom) Topography: circle one' Flat Rolling Steep Slope % of slope _ Soil Nature: circle one Sand Loam Clay Other / Depth: _ feet ,,//�� CO Ground Water: At what depth? ! feet Bedrock or Impervious Material: At what depth? _ feet Percolation test: circle one: not required required / rate min. inch. Domestic vrater supply: circle one: unicipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank ) gal. (minimum. size: 1,000 gal.) TILE FIELD: Each Trench > feet / Total system length c'C7 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 INSTALLED (over) Section I1 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 30 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*000 Co 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. 1 have read. the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Selvage Signature of responsible person: _ Date: c7� 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 LWE f Mown 0/ Queen44ulry f p BUILDING and ZONING DEPARTMENT Bay and Haviland road, R.O. I Box 98 r Queensbury, New York 12801 BUIL.DING INSPECTOR ' S REPORT Q NAME lei L.00AT I ON /, .-ir Date Permit No o 4: d se" APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer ..,_.... ....---- Rough Plumbing „__...._ Relief Valvesy Exit . Porches Finished Floors Interior Trim Stairs & Railin Cellar Drain Ti e Concrete Flo s Plbg . Fixtu s Gar . FireP ofing Door Clos s Smoke Det ctors Chimney INSULATI N : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ' (call when ready ) Remarks---# `& 151 5 /7 I / f�''' j + j 'b SA�'orw� I '''��e�f it g Inspector 6/86 and-vl /� {{r� ! /otu�t OttYelt3f] tcrt� Jf / � BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.Q. 1 Sox 98 t]u ensb y, New York 12$01 r Gr BUILDING INSPECTOR ' S REPORT NAME Date � / Permit No * APPROVED - YF�S NO �tincj/Pl-er Forms _ Foundation waterproofing Backtill Framing Roofing Siding Masonry Veneer Rough Plumhing Relief aloes Ext . Po hes Finished loors Interior 7 im Stairs & Railings Cellar Drain Tile Concrete Floo s Plug . Fixtures Gar . Fireproof -in Dons Closers SSmake Detectors Chimney INSUI,ATTON Foundation Floors walls Ceiling FINAL ELECT ICAL INSPECTION DRIVEWAY AP ROVAI - - Final Build ng Survey Next schedul; d Inspection ( call when ready ) Remarks-- ? Building I pector G/€ 6 and-vl "''" lawr>r o/ Queenshurr BUILDING and ZONING DEPARTMENT Bay and Hawiland Road, R.0. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 0 Z7L io 2 LOCATION Date-f�� r— Permit No . 0 r'7" 7,64 'S/' ✓ = APPROVED - YES xPooting/Pier Forms roundati r " waterproof 9 Backfill framing Roof ing Siding Masonry Veneer Rough Plumbing Relief Valves IIxt . Porches Finished Floors Interior Trim Stairs & Ra .i.ling Cellar Drain Ti Concrete Floors Plbg . Fixtures Gar . Fireproo ing Door Closers Smoke Detect rs chimney INSULATION : Foundation Floors walls Ceiling_ FINAL, ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- 1 - ` Building spector 6/86 and-Vl ti ,+ BUILDING and ZONING DEPARTMENT �f Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION .rT DATE Ate/ PERMIT NO . ` SOIL 'TYPE - Sand - Loam - Clay Percolation Test Required? YES - NO Percolation rate - Min/Inch - TYPE of SYSTEM: Absorption fiel total length Length of each tre ch Depth of trenches Size of gravel_ SEEPAGE PITS{Number o Size- ft. X ft . Gravel size - PIPING : Siz Type Bldg . to tank Tank to dirt . box Dist . box to field Openings sealed? NO artial LOCATXON/SEPARATIONS , `~ Foundation to tank ft- Foundation to abso tioh ft . Absorption to lot ine ft . Separation of pit ft- LOCATION OF SYS ON PROPERTY (circle o e) Front - Rear - ft side - Right side - COMMENTS : f �1 pcv/41' // � L SYSTEM USE APPROVED YES NO Build ' g Inspector 01/86 and vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. ff DATE CITY OR VILLAGE TOWNSHIP �,� � " t1� 't Gx AI_..............COUNTY STREET AND NO, OR �,,r _ . 4 ROAD AND POLE NO r [ "`, 4 7 �.-'�,� POLE NO BETWEEN WHAT TW(X -- CROSS STREETS IS PREMISES LOCATED,? `S �, 7 "- SECTION BLOCK LIQIT OCCUPANT`S BUILDING - NAME OCCUPANCY OWNER'S NAME AND ADDRESS -If.�`� ,"L..I �i C J t ` � r� f'� TEL. il# "] C' A �� L1 ! i SUPPLIED r' . BY ) AIDr FROM THEIR OFFICE BUILDING WORKDEFECTS NEW OLD ❑ IS VI NE ADDITIONAL El REMOVED REMOVED Is .� LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of Fixtures 8d BRANCH NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE oca ONLY OlinSide Attech't H.P. wets A.W.G. Calling. yyay RaarpWis Swish Pendant Bracket No. Type Each No. Each No. Call" INSPECTION Duv side Sub- base Ft meet 1st FI. tad FI. $nl FI, REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE, This application is intended to cover the atiove-listed equipment to he inspected but if at time of inspection there is found additional equipment not above Iisted, you are au lhorized to make the irupection and adjust the fee to coves the additional equipment, its provided by the applicant_ SIZE OF 'q„r ELECTRIC SIGN TOTAL MAINS FEEDEq$r LAMPS WATTS CHARACTER '' > E?MOSED. OAS TUBE SIG14 OF WORK - CONCEAI I:Y1 TRANSFORMERS OF VA WORK TO BE t„_r (NUMBER) (CAPACITYI STARTED COMPLETED -SIZE OF SIGN SERVICEENTER$ OVERHEAD UNDERGROUND MAKER BUILDING OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW © OLD AVOID DELAY BY OIVFNG FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS NAME OF 'j^.�„+' Imo, ly "'-_-,i �,, DATE OF APPLICANT �3 a �'•i _ APPLICATION STREET ADDRESS {_ "Y I �:_-- TELEPHONE 1 TE LEPHONE CITY OR -"~" i ZIP 4:I % LICENSE NO. ky POST OFFICE -�� `',� I CODES �-- �'�-- '�-^' WHEN APPLICABLE S 4o EL (RE++. k:es) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING r 1y • r �2/ •/rA+C`-*O.y/r'"Y'J /� C.1+•9� ,r yr / J .vYarrMY a i�ia 14 top 4 +ear _�..• I t s Jar{ I s I[ tJ rf yy.7� E ( �g O vD A f � t oil 00Or sae ` sfa,rse derv/,c9e q ' �j pti 4 V N AVP Jr/ ea •yl � � � o N killillp 00, lope = s Sri SF i a "tt ! B� ,,qr a e•x r t if 'of are rA&MOO r� PV 1 40 car Oorl lip I hereby certify that this map was prepared from an accurate field survey. This certification shall run only to -the persons for whom the survey was prepared and to the title company and lending institution listed hereon, and to the assignees of th#w lending institution, Certifications are not transforable to additional institutions or P subsequent owners.oyr Iona's al" Certified tot I . Raymond . R. Rios 2. First National Barak of Glens Falls RAK"OI D Ra I?IOS Si&4cfe inCertiried syt 7UW1r•af 4uEE�vseuRY, WARREN c_ cwry rr, : nr. r. � �% SCALE ,` /'"=$per + iwILky/s, 1987 FPayne R. Raymond, Licenso No. 48988 .SUR'v�ry dC MAP I9Y L/CENS SURVEY©,Fr G4EIVS FQG [.S A WEVERTZ;Y/V• rV. Y, r II,rj .o'ratl' Mp''/d JVYT RF ` "' ��' R��f/'✓ pIp fas+r`�. r� yp .+ ✓ !I ! .rrarrrr -- at-d7'=7 !y - Jo-.�' .���Iw �.'9 - •f VVY ��y y • IIIIIIIIIwIwp ON WIP i' � L � � -• S qa fro h°p.Jl ��''``�.•.,�� • ,* _� � -- - - r�- ,.... 4 r r IL t.00 M� 14 1 T6lT hF•Y'f yr. +A • - ` - r - . , _ Afie L• .,i r,$ .arw.as a lrirwe rf �J�-^'_V � 1' sv- i`8 - - •3l, r dP ✓.✓ Tay"'vy,tr.CcrrO� � ! � 9 C r° •t:.ysr.,vo .. vo Xorr.+► .P'.ws . «l f a ..I=s�7 • sr•-3+ar•'er ,s:c.9 • s . r ` t �o J 'P' +FlAv/d" moor to/zewaf � Ow 3-- JOC r vw" .ir!' • 0'1 we • /1 �S �'► lr i vj d ll % � t ft�y� I ' • ����� imam r I�r.✓O lr,J l ' ; '�f; r 7'.rrrrj-.r C./ .r.Y.v�+rxso,✓ l t� IV ri/rs/raw ,?'ddfa,2,! AW I hereby certify that this map was prepared From an accurate field survey. This certification shall run only to the persons for whom the survey was prepared and to the title company and lending institution listed hereon, and to the assignees of the lending institution. Certifications are not trt►+sferable ►.r- • P subsequent, owners. of lands off+• Certified to* 1. Raymond. R. Rios Q ,�1 t ,� ,�r,�f I� �y 2. First National Sank of Glens Falls I A I MOI VD Rf /�IOS silu©le ,r11 Csr of ied By. ZOWN of N. Y QUEENS8UP)eopr 1� ARREN COUNTY, . , SCALE far •50r ✓ULYf5, 1987 W'afine R. Raymond, License No. 48988 .suFrry `Y A MAIIP Se WAYIVE *V. RAY14Q1VL7 L ICAr 'V.SEY7 L A/►!L7 SL/f?YE YOR GLENS FALLS 1t W£VER]'t�f�/V. N. Y. C - / � �