1990-144 • e
i I I
?s,/
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date irch 12, 19 92
This is to certify that work requ ted to be done as shown by Permit No. 90-1 44
has been completed.
This structure may be occupied as a Addition of Basement/Sentie System to Code'
Location Piin Prw,d
Owner Therisa Christie
By Order Town Board
TOWN OF QUEENSBURY
' ,j.:•." •
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No90-144
I>,
WARREN COUNTY, NEW YORK
co
PERMISSION is hereby granted to Therisa Christie L.D
w
OWNER of property located at Corner Sullivan Place & Glen Lake Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition of Basement/Septic System to Code
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.
C)
1. OWNER'S Address is
242 Manor Road
Staten Island NY 10314 Cd'
tT1
2. CONTRACTOR or BUILDER'S Name 1-3
Ronald Jarvis
Jarvis Construction Co -s.
cn
sv
3. CONTRACTOR or BUILDER'S Address
Farley Rd
Hudson Falls NY 12839
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4. ARCHITECT'S Name
s✓
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5. ARCHITECT'S Address 17
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6. TYPE of Construction—(Please indicate by X)
Ib
( )Wood Frame ( I Masonry ( ) Steel ( ) ca
7. PLANS and Specifications
No. Addition of 28'x40' Basement and Septic System to Code as per plot plan,
specifications and application
8. Proposed Use
Addition to dwelling of basement and bringing of septic system to code.
0
$ 69.00 - PERMIT FEE PAID —THIS PERMIT EXPIRES October 13 ,19 90
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the �y
town of Queensbury before the expiration date.) r+
Dated at the Town of Queensbury this 13th Day of April 19 90 0
SIGNED BY for the Town of Queensbury 0
Building and Zoning IKispector
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TOWN OF QUEENSHURY
REVIEWED BY Y i= ,,((. ..
FEE PAID = g� Pi ,Y' �-
PERMIT NO. 9'p-i �,PR 1 i 1990 !...�
�� `tom
BUILDING PERMIT APPLICATION
•
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. . NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application..
• • • • • • • • • • • • • • .• •-•._•" • • -• - • • • • • • • • • • • • • • • • •- • •
The. owner of this property is: . Mi S 111 o l S S✓/��
P.O. Address. oV 49e,, N y / .?/' Tel. :S7'%(-175Q -4?a
Property Location A/okiii 8E ni 1 1 L /6A-1)/ . Sealow Pk y-L, 64 Tax Map No. -2 / 2/e
-Has there been any split of this property since October 1, 1988? / V
It yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO. ^--�
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:,e2
4)i J12/2/l S c�•�2ve S eaa S TA77 o rc(- 62,
NATURE OF PROPOSED WORK: ESr:MATED MARKET VALUE OF •
•
Construction of a new building • CONSTRUCTION: $ 4,
• COMPLETE INFORMATIOREQUIRED BELOW:
Addition to a building
• Size of property /a'`%' rt x c3`p ft.
Alteration to a building / O li.e'54 - •
(no change to exterior dimensions) • Existing Building! ( Sized ft. x ft. /�a
• Proposed building - distance from propertyKg
Other work (Describe) ' Front yard=ft. Rear yard=ft.
•
Side yards XX ft. and I ft.
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street OA ft.
1st Floor sq. ft. • OCCUPANCY INFORMATION
2nd Floor sq. ft. • Prim ry Building -
Other Floor! • ne Family Dwelling
sq. ft.
(not cellar or ement • Two Family Dwelling
TOTAL FLOOR AREA sq. ft. gq. • _Multiple Dwelling/Number of units_
Size of new structure ft x ft. ) / • _Business
Foundation-pier/slab/crawl/partial/full 1 C�' • _Industrial
(circle one) • • Othee
•
INo. of stniOsst lh stable space) •
Height (grade`,io ride) ft. • If addition, what will use be?
Kt residential, no. of families •
No. of rooms(escluding bath) • Accessory Building
No. of bedrooms • _DethedONE/TWO Car
No. of bathrooms . Detached Garage
Primary heating system Attached Garage ONE/TWO Car
iyps of fuel
Private storage building
No. of fireplaces to be installed •
Will a wood stove be installed • OtherX4S/1/04r j
Central Air conditioning • r
OV•;ER
a
BUILDING PERMIT .APPLIC aTION CONT:N ED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc.
Will any second-hand or upgraded lumber be used? If so, for
Foundation wall material 6 i/Af j GLvc_/c„S Thickness 4)//7/ a//74,5_
Depth of foundation below grade (to bottom of footing) (, /_ W-yrrZ' r ''��
Will there be a cellar? �, ,S7 Heated or unheated? 1 ;4;.r7 Floor sq. footage �.itc) sq ft.
Will there be a basement? GS Will any portion be used as living space? ) S
(If so, what portion? ado sq ft. Type of use? /ere .
Type of roof - sloped/flat/shed/other. Material of roof
Size, wood studs "x " spacing " o.c. length ft. 4131(,..6(
19I11
1(g
Joists (floor beams) 1st floor "x `' " spacing /`, "o.c. span /0 ft. y.,,l -3 C
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. uLI v
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish of what material?
Interior wall finish
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,
self-closing device be provided?
Will a flue-lined chimney be installed? (�/,;S 3 Height above roof 2 1 ft.
Depth of chimney foundation below grade 4 ' ft.
Depth of fireplace hearth ft. in.
Water supply - Muniei-pal_or private well 7 't 1/g'7(
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)
AUK-ill Zip .
NAME OF BUILDER/ i/4LD=-1/'1i1Z//5 ADDRESS 40/3Scn/ TEL. NO. 77 -- V
NAME OF PLUMBER L/ ADDRESS TEL. NO.
NAME OF MASON G% ADDRESS � TEL. NO.
(TAME OF ELECTRICIAN /1 ADDRESS TEL. NO. ‘/
DECLARATION
To the best of my knowied:c and belief thS 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 provisi'm-.of the BUILDING CODE, THE ZONINr ^-*n' :''CE, and
01 other laws pertaining to the proposed work shall be co with, wheth . ,pecified or not, and that
4uch work Is authorized by the owner.
Signature ,-7.4 /, - Y-7
wner, owner's • t, architect, contractor
SPECIAL CONDITIONS OP THE PERMIT:
BY
TOWN OF QUEENSPURY
r c�1 APPLICATION FOR -' ' ,e /L� C i 4
: SEPTIC DISPOSAL . PERMIT ,.-s-'P '; i
'v99O _ -
DATE i \\\.\5
J `
LOCATION OF PROPERTY FOR INSTALLATION C-- - � �� R - ` 3 WI - - - P .@0.12NF'R OP)
Owner's Name: mo,5,1l4 9.:,f, efiRcl1G' Telephone: /‘ mac) 7 3 I-2 0 9
Address: j.P. ) ANek ffi .S7-A-cyf 'e,/ili.4.6 All 103/t/
Installer's Name: /( e%-v�7--Z?' '". -Cr Telephone: 7 7 /6 V
/ 1
Number of bedrooms (residential only)
Total daily flow (compute O. 150 gal per bedroom)
Topography: Circle one: ! ollin Steep Slope % of Slope
Soil Nature: Circle one: San4 Loam clay Other /Depth: Feet
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 water supply: circle one: Municipal CWel Other
If domestic water supply is a well:
Separation: Water'supply from septic absorption `3`5 feet M
PROPOSED SYSTEM: Septic Tank f O00 gal. (minimum size: 1,000 gal.) /b c7
TILE FIELD: Each Trench feet/Total system length feet
SEEPAGE PIT(S): Number of _3 / Size each 69f feet by / 'feet
Size of stone to be used # 0- /Depth or Thickness / feet
*************************
I have read the regulation on the reverse side of this sheet and agree to abide by these
and all requirements of the Town of Queensbur Sanitary Sew ge Disposal Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: 7 ,L�� „� 61' �`T_. 5 j
DATE:
OVER
•
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, d,istribution 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 installa-
tion, alteration or repair of an approved system, a new proposal must
be submitted to the Queensbury Building Department. before further
construction.
•
Town of Queensbury
•
BUILDING and CODES DEPARTMENT
Bay and Haviland Roads
Queensbury, New York 12804
Remarks.
MAIN-OFFICE - ATLANTIC-INLAND, INC.
997,McLean Rd: . - . • NEW YORK
Cortland,New York 13045 - -
• MEMBER OF N.F.P.A.AND I.A.E.I. .
. Phone: (607).753-7118 FIRE UNDERWRITERS
(607)753 7809 '. 1 17 0 3 8
(607)753-1396 (Electrical and Fire Inspection Enforcing and Consulting Service) -
(Incorporated in the State of New York) .
Desiring Certificate of Approval, application is made for inspection of electrical installation in the premises described below. On demand applicant agrees to,pay for
inspection;service in accord-with schedule of charges:
- rje:: H I? 0 -191 ,APPLICATION FOR ELECTRICAL INSPECTION— PLEASE PRINT OR TYPE "
THIS SECTION TO BE// COMPLETED BY APPLICANT DATE OF APPLICATION,C / q / �j/J }` '
- ' CITY,TOWN,VILLAGE /,f7 i ✓': {JY&O,i (J'-f' COUNTY (/J fr/e JR L�// STATE j'V( /'' /`�
STREET i1 �I�] : C` 7.. • - `� - ✓ -
' ADDRESS fi..h. -, :•N�- ! . '/.f• f„ .� r.. 1_1',�, P�_�•'�•.:u-1.1, . . - BUILDG.NO.
-RURAL. - - - /'�015, ; 'fit{L r( �.J -1 )
- - W ��.'- - POLE NO. Ik./ ,.• i �- r-J _
OWNER• 'S' /+,,}}'��,.J7 �- �'- •-_\�. - .��.,__' .� !`"� "-�;' . - � _ •
NAME jt-11S�' /!.i/ f�' - '.r:// \ f�J,.�l�' .00CUPIED As". __`) if'-vi�t !t'/+�'_ :t?' r'(r,7 t
OCCUPANT: . )-qF.�:/..,---• -- _ -- r.�)-�•-- ,( �^ BUILDING—N,ew❑.Old❑WORKS J—New El Additional / ?
OWNER S P.O._... c7'_ ,= '!. ('I f'/ i ,tl. y 1'JT F' ..,L.��� V l /y`C�-f c� (%t''"`!1 i{'f ll, F',7,0-.3 /
•
APP.FOR—ROUGH WIRING❑FIXTURES❑OR , .. - READY FOR INSPECTION , - / _! 19
FEE REMITTED—$ . ." ..BY CHECK❑OASH❑MONEY ORDER❑ -MAKE PAYABLE TO ATLANTIC-INLAND,INC--NEW YORK -
Number of Rough Wiring Outlets Fixtures- - • • ' ; _ - - Add Installation
'- Swtch Li'tng Recep.. KW. : - Med.' Mogul ',Fluor- : ••. 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Heat• Base .. Base. --. _- - - -
t�.� - - ' - - _: Elect.Heat - - -
t Jr • � - - .. Amp.Service • Water Htr.' - Burner Air Cond. '
t _ _
I. - -Surface Unit " Oven Range - Gr..Disp. - Dish W.
•
- •• Dryer - - H.P.Pump - Ex.Fan Hood ` --
OTHER EQUIPMENT(Specify Type&Capacities) . - - '
• i
TYPE OF - • • SIZE OF- SUB- -' BRANCHES NO.OF •-
•
. WIRING ' " _ OPEMEI . CONCEALED❑ OTHER MAIN - -. - MAIN CIRCUITS
APPLICANT'S _ r •
SIGNATURE - `
-
olir
.. %,"r;� �. „.,�._ '"y '�.Lr-'-''%-'_ . LICENSE# PERMIT#
APPLICANT'S i (i ><f% J, '� CI �' ) f[r /J, AME OF /1 j J)3
ADDRESS• r a4, 7 Ch //r J 1�'f' rr�' /) . . /!/(, Y 1—S J7+'/L �J TILITY f" d !_/� .
_ OFFICE TO
CITY - STATE -ZIP CODE BE NOTIFIED '
SPACE BELOW FOR USE OF INSPECTORS ONLY
.ROUGH WIRING - �'� !7-'-' AMP SERVICE K.W.SURFACE
OUTLETS t '''_-—'-��-�'{'�-"'- EQUIPMENT - UNIT -
•
--7 SWITCHES ;/ /1 f•7 AMP SERVICE KW.OVEN
• L- .-- -- -----' L--'`f=7./ ' CONDUCTORS
H.P.GARBAGE _ _
',', . RECEPTACLES H.P_PUMP _ DISPOSAL UNIT
-MEDIUM-BASE" - - K.W.
J FIXTURES K.W.DRYER DISHWASHER
MOGUL BASE - .41' K.W.WATER .�,. _
7
FIXTURES / --� . HEATER - ✓i K.W.RANGE
FLUORESCENT- •
_
- H.P.AIR AMP. RECEPTACLES -
FIXTURES,_ . , CONDITIONER
. MERCURY VAPOR OR WIRING&CONTROLS FOR - - BURNER SMOKE FRAC.H.P.
' -. - QUARTZ FIXTURES - DETECTORS' VENT FANS
MOTORS:H.P. 1/20 1/12 .1/10 1/8 _1/6 1/4: 1/3 1/2• 3/4 1 1' 2 3 5 71/2 10 15 '20 25 30 40 50 75 100 '
MARK NUMBER - _
OF EACH SIZE _• - , . .
' . - - . . - • - - 500 750 1000 1250 1500 1750. 200012250 2500 2750 3000
- , APPARATUS . . • Elect.Heat - - : -
MISC.INFO:. Received '� `/-`L✓ FEE PAID -
Inspected �:�
•
•
❑.PROGRESS- •
-
. . / �,// /nJ/,� / . TOTAL$ . tl
SianLPiv`i -j fj44� ❑DEFECTIVE - - - .
❑Rough Wiring.Certificate,• Check No.
R..• #.-2; Box 60 - . .❑Tern ovary Service _ Money Order. _
Q'eeriutic/ /VN.9'. 12f3* . _ �L CERTIFICATE'. Cash /' r '
M-On.-Fri. 6-7:30A.M.. - - - UDup.Cert.Req.
❑MUNICIPAL . Charge
518-692-9295 - -
518 638 6339 -
%,.-,,_
_ MUN.ADDRESS .'� ,�f -
ATTN: / • -
Temp.Cut-in Card No: ..,•-"....'---- Final Cut-in Card No,' -•'---'
'.. . Inspector
Al-01 . - --MUNICIPALITY • . ..
•
INFORMATION FOR BUILDING DEPARTMENT
LENDING AGENCY
Atlantic-Inland, Inc. is in the process of issuing a Certificate of
Occupancy/Compliance for the electrical installation/
construction project as covered in an application filed with - -
our main office.
_3 -// Y2
Date Ins ector
NEW YORK ATLANTIC-INLAND, INC.
II�IYiC—�� Y T �Ic1'ililYiT'r U'
TOWN OF QUEENSBURY
1 6 ,. 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
rN TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR/INSPECTION RECEIVED
NAME �6 sP/Y c r (
LOCATION JJ// 4 /01 eX -cZe: r/
DATE ,2/ / C R11ITO
TYPE 0 STRUCTURE �5�� ,zil / �'%/--,
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
L TING cAUNDATION L-TACKFILL FRAM_.NG
ROUGH PLUMBING FINAL ELECTRICAL , PTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A, YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK _
INTERIOR TRIM/PRIVACY DOORS 7
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT f
OTHER FLOORS SWEEPABLE /
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS ? _
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUS,E FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING '
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL /
OK TO ISSUE C/O OR C/C i/
COMMENTS:
ARRIVE
DEPART
. NSP T
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHON (518) 792-5832
':UILDING INSPECT 'S REPORT
REQUEST INSPECTION RE EIVED
NAME //.( /�—/k
LOCATION G .�? ,.( /g(
DATE (L '/• -- z P IT # "I/ !—
APPROVED -
YES NO
FOOTING/PIERS
MONOLITHIC POUR 4RMS
FOUNDATION/DAMP—P`'OOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION .
FLOORS
WALLS .
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ST: P`,
STAIRS—CLEARANCE & + S
PLUMBING FIXTURES/R' LI;F VALVE
INTERIOR TRIM/PRIV• Y iaORS
FINISHED FLOORS
GARAGE FIREPROOFINe;
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INS 'ECTIO
FINAL APPROVAL OF COOSTRUCT{ON
OK TO ISSUE C/O OR C C
A SIGNED CERTIFICATD OF OCCU'' NCY MUST BE
OBTAINED FROM THE B ILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
_'-
ARRIVE
DEPART ���///___
INSPECTOR
- -2LY
//
_Jouin of Q7 / '(
BUILDING and ZONING DEPARTMENT
:ay and Haviland Road, R.D. 1 :pox 98
Queensbury, New York 12:.1
SE'TIC DISPOSAL SYSTEM I .PECTION
NAME "2E?'_,C % �A .!_.C..-(.! -7
•
LOCATION 0( fit,/,/,M(J.JV/7/ ��%.� /(_,
DATE h/ / gO PERMIT NO. 0— I4; -
1 SOIL TYPE Sand Loam - flay -
Percolatio Required? YES - NO
Percolatio') rate - Min/In.
i
TYPE of SYSTEM:
Absorption 'field, total ength
Length of ea h trench
Depth of tre ches
Size of grav:l
SEEPAGE 6ITS4 umbpr of
Size- ft. \X -10 ft
Gravel size "I ?j
PIPING: \ Size Ty el
Bldg. to tank
Tank to dist. b.x
Dist. box to fild/vu
Openings sealed.\ i( 'NO Partial
LOCATION/SEPARAT 0
Foundation to ta , 0 ft.
Foundation to abs.+ ption ft.
Absorption to lot line ft.
Separation of pit ft.
AWN OF SYST:? ON PROPERTY(circle one)
rout -' Rear - L-f side - Right side -
ENTS:
SYSTEM USE APPROVED I NO
A 4110A
mil
Buildi rg spector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDI G INSPECTOR'S 'I PORT
REQUEST OR INSPECTION RECEIVEi
NAME is 1 e
LOCATION (f ef4 1 ' gV62
DATE 1.—go—9 PERMI I # U"i//'Y'
ci
• APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR F.• S '
•
LOUNDATION/DAMP-PR•OFING �L ,I
( CKFILL APPROVAL V
ROUGH PLUMBING 1
FRAMING '
ELECTRICAL ROUGH-I
INSULATION:
FOUNDATION
FLOORS
WALLS • '
CEILING '
FINAL INSPECTION:
CHIMNEY HEIGHT \ •
ROOFING ' \
SIDING
EXTERNAL PORCHES/'•TE 1 . '
STAIRS-CLEARANCE RA LS
PLUMBING FIXTURES RELY F VALVE
INTERIOR TRIM/PRI ACY ()ORS
FINISHED FLOORS __
GARAGE FIREPROOFING
DOOR CLOSER(S) \ .
SMOKE DETECTORS
FINAL ELECTRICAL I SPECTIOII�
FINAL APPROVAL OF ' ONSTRUCT`ION
- OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICA E OF OCCU NCY MUST BE
OBTAINED FROM THE :UILDING DE ARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
REMARKS:
64611 CA241t11 J g (""ARRIVE 41-16
DEPART O DC 4 "
INSPECTOR
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