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1990-353 BUILDING PERMIT TOWN OF QUEENSBURY No. 90-353 WARREN COUNTY, NEW YORK 2 • PERMISSION is hereby granted to MYLES MILLER cr OWNER of property located at 22 Star Route-Ridge Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alteration and Addition to Residence 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. 1. OWNER'S Address is same 1- L? 2. CONTRACTOR or BUILDER'S Name Bill Dean Creative Construction Co. 3. CONTRACTOR or BUILDER'S Address Hudson Falls NY , lb 4. ARCHITECT'S Name Q eq 5. ARCHITECT'S Address tD 0 Po n 6. TYPE of Construction— (Please indicate by X) (x)Wood Frame ( ) Masonry ( )Steel ( ) - -- - 7. PLANS and Specifications No. 18'x30' Addition and 174 sq ft Alteration to residence as per plot plan, specifications and application including septic system. 8. Proposed Use n Addition and Alteration to residence 0 z 0 $ 48 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 11 (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.) co z tD Dated at the Town of Queensbury Day of June 19-9$- SIGNED BY for the Town of Queensbury Building and oning Inspector TOWN OF QUEENSBURY I /� REVIEWED BY , A..� 1�� FEE PAID $ 'I, — t C'-1a PERMIT NO. ! - ---if.,, l 3, O BUILDING PERMIT APPLICATION _ JUN - 61990 • BUILDING & CODE DEP-r 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:J-\Nc - 10(\Y-f-, uk p I) \ \e P.O. Address ;1 a - r- ft . k i V k , , Tel. C6—`7) 7c1/a --ORn( Property Location ADN - 'RA-, 1�� _C..\P cZ_\c , Tax Map No. ci /a/ Has there been any split of this property since October 1, 1988? / K 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: g ; i1 0ec‘,:t, (_—e ( \ t'L0_ ( r, c-\s�. C_ NATURE 7 7- C / ; (. NATURE OF PROPOSED WORK: • ESI',MATED MARKET VALUE OF : CONSTRUCTION $ -3 C�c>C' C)C) Construction of a new building • 7 • : COMPLETE INFORMATION REQUIRED BELOW: �ddition to a building • Size of property 1 0 ft x 7"4/1/? ft. eration to a building * ExistingBuildings(3) Size (' (no chance- to e- erior-dimensions) g c ft. x • Proposed building - distance from property line: Other work (Describe) • Front y • yard7 7 ft. Rear and (, ��' ft. Side yards yy 7 ft. and , _ca ft. • If on corner, setback from side street ft. 3ROSS AREA OF PROPOSED STRUCTURE • 1st Floor 5 c sq. a » • s ft.e OCCUPANCY INFORMATION atto a h~V,, •2nd Floor /'7� sq. ft. • Primary Building - Other Floors sq. ft. • . One Family Dwelling (not cellar or basement . Two Family Dwelling 'OTAL FLOOR AREA 7/i-f sq. ft. • Multiple Dwelling/Number of units size of new structure i 7 ft x 3 ft. • Business PoundatIon-pier/slab/crawl/partial ' •• Industrial ull (circle one) • Other • ft... of sw,, h 7-tgta iv7 (eight (grade to ridge) ) ft. • If addition, what will use be!� 0?I`CVN\C>.(1tl.\ f residential, no. of families .3 • Jo. of rooms(excluding baths • � c`k_ �' ._ --\ V1.C ., � - Accessory Building Jo. of bedrooms _� • Io. of bathrooms • __Detached Garage ONE/TWO Car 'rimary heating system 11117-0,,t.r • _ , __Attached Garage ONE/TWO Car 'ype of fuel r. : _Private storage building Jo. of fireplaces to be installed n F'; • Vill a wood stove be installed i1 •c • __Other • :entral Air conditioning n C OV• ER BUILDING PERMIT APPLlCATION c�ONT[Ni:EO - BUILDING ;PECtFICATIONS: Type of construction, wood frame, fire safe. etc. ()Jon,) V Y1(‘ e Will any second-hand or upgraded lumber be used? If so. for what? Re Foundation wall material r(k0.�-,G1\- Thickness i 01r �[.OC_ Depth of foundation below grade (to bottom of footing) '7 (, ` Will there be a cellar? li He a or unheated e&- Floor sq. footage -7/ sq ft. Will there be a basement? (4 e .. Will any portion be used as living space? l l (If so, what portion? - --- sq ft. Type of use? - Type of roof slo•e.,flat/shed/other Material of roof 4.1 ih �pe ..}. v-p1‘p r-Oc jn � Size, wood studs " spacing i to " o.c. length ft. Joists (floor beams) 1st floor "x " spacing 'to "o.c. span /1-j. ft. Joist (floor beams) 2nd floor "x fit, " spacing i to "o.c. span Overlays (ceiling beams) . "x 4, " spacing //„ " o.c. span j� t ft. Roof rafters a, "x i " spacing o.c. span /(p ft. Roof trusses (pre-engineered) spacing " o.c. span --ft. Exterior wall finish 1)1\\TP _ft 1krY1 4:‘ eCz of what material? ce `' Interior wall finish 7Y," cy.W If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to he an opening between garage and dwelling? Re-) If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? ( f) Height above roof ft. Depth of chimney foundation below grade---eft. Depth of fireplace hearth — Water supply - Municipal or private well \ t SEPTIC SYSTEM Distance from ANY private well (including adjoining properties L5O ,r,h,ft. (A separate application is necessary for any repair or new installation of septic system) NAME OF BUILDER RNk` U pu'\ ADDRESS 4‘.l ^.s1 0.‘k4.TEL. NO. 7/7—() C) NAME OF PLUMBER -0,C K 0.X ADDRESSSA-C.*Y\S. 00•1---t_TEL. NO. 7ta W5n VAME OF MASON }'sx-\ $ e\ P ADDRESS__ )e,�'Ve\A-4\x TEL. NO. -79 0077 LAME OF ELECTRICIAN B riAttY10 JADDRESS -Nu e_rNae TEL. NO. 6.,(LD—"`2'(9.5 7 DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the Mans and specifications submitted, are a true and complete statement of all proposed work to be done on .4 premises and that all provisions of th• A11ILDING CODE. THE ZONING ORDINANCE, and ill other laws pertaining to the proposed ;nail iJe complied with, whether specified or not, and that ;uch work is authorized by the owner. ' Signature \,'"N Owner, owner's agent, arc ect contractor SPECIAL CONDITIONS OF THE PERMIT: BY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following: OF QUEE.'._ 1 . Gross floor area U II \V/ 14 ; 2 . Type of heat O1 ' 1'�O* �► �C' JU 3 . Is the building mechanically cooled? Q o��IN6-Rcr rm IT r 4 . Percentage of area of windows and doors 16 7 G' A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heat 3 spaces YES NO a. Are foundat on walls insulated? YES NO 1 . If YES . what is the R value? 3 . Slab on grade YES NO • a. If YES , wh .t 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 B. Under 16% Only 1 . R valykof roof and floors exposed to ambient conditions �co la." - R-37 1oc Cols R_Iel 2 . R value of exterior walls G, - R L CI 3 . R value of glazed area 1--} ,a 4 . R value of doors •5. R value of floors over unheated spaces & i R . 6. R value of slab edge insulation - unheated slab ' 7 . R value of slab insulation - heated slab 8 . R value of heated basement/cellar walls (above grade) 9. R value •of heated basement/cellar walls (below grade) - - 10. Type of insulation V, h F r c \ U t�3 C. Controls 1 . Thermostat maximum heat setting eV 1(-No D. Duct Systems 1 . Is duct system installed in unheated spaces? YES ) a. If YES , R value of duct installation _ t • b. R value of duct in other areas E. pipino Insulat — ,, i 1. Size of not water'cr cooling carrying age t oipe — 2 . R value nsulation �)0,4 �l-,iPrM(� C O'n t 4c�l�c F. Service Water Heating 1 . Performance efficiency W k 2. Temperature control setting maximum G. For Swimming Pool Only 1 . Maximum heating Telephone No. ( r-i-i") 7y7 -O93C1 41.� applicant ' s s q ature) 1�O WN OF Q UEENSE UP.Y APPLICATION FOR SEPTIC DISPOSAL PERMIT ...viv OF QUEF.n,. ._.._ JUN - 61990 DATE Leh Q 514/ C� BUILDING & CODE DEP.. LOCATION OF PROPERTY FOR INSTALLATION c � �� R�' Pre R . Owner's Name: r\r N\r� mules 11 J/e telephone: (c;4.) -79 a -qc) , Address: R , R;d C C� Installer's Name: CV\ (, U \p txeaici'\ ephone: Number of bedrooms (residential only) 3 Total daily flow (compute ld 150 gal per bedroom) U S-C) Topography: Circle one: Flat Rollin! Steep Slope % of Slope Soil Nature: Circle one: *It Loa Clay Other /Depth:/ - nFeet Ground Water: At what depth? aL) C-) Feet Bedrock or Impervious Material: At what depth? '7c. i- - Feet Percolation test: Circle one: t required required rate min. inch. Domestic water supply: circle one: Municipal Nell'` Other If domestic water supply is a well: Separation: Water supply from septic absorption 11 feet PROPOSED SYSTEM: Septic Tank ) O(')h) gal. (minimum size: 1.000 gal.) TILE FIELD: Each Trench '— feet/Total system length D•7 C) feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # /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 Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: UJ DATE: \`(\C.t 17 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, 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 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 : TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- 10Y TELEPHONE (518) 792-5832 ,so�/�dA `BUILDING INSPECTOR''1OT REQUEST FOR INSPECTION RECEIVED�� i(rfi/1/9Z) / / NAME [ n2YV L) LO CATION‘-'9';2 /21-- �DATE / 1, /1-ht,e_ '7) PERMIT # n/ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING . FINAL INSPECTION: CHIMNEY HEIGHT ROOFING ✓ SIDING ✓ EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE ✓� INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS v/ GARAGE FIREPROOFING - DOOR CLOSER(S) SMOKE DETECTORS ✓ FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ri 0- 7 r emu/ ARRIVE fv• vV DEPART run"-' 4%� TOWN OF QUEENSBURY C'` BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804, to.-de) TELEPHONE (518) 792-5832 L 72 (.)6,6/ BUILDING INSPECTOR'S REQUEST FOR INSPECTION RECEIVED )45* NAME Lib/&O /I LL LOCATION j)?_77 ( /DATE 0 47d PERMIT # 90 2.5 ' APPROVED (' �/ 4e e YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING y FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: rii4fi/C ARRIVE 9 3-0 DEPART 9 7J INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS M QUEENSBURY, NEW YORK 12804- /// TELEPHONE (518) 792-5832 BUILDINW INSPECTOR'S REPORT REQUEST FOR INSP,'CTION RECEIVED 9/0/(J61 NAME V / 11.e 4?'-.LSD '21-(-f /J LOCATION /J/� /Qd� DATE 9//0 9 PERMIT i 90-,652 APPROVED ot,,(L, ,,,„..) YES NO FOOTING/PIERS MONOLITHIC POURiFORMS FOUNDATION/DAMP` PROOF G BACKFILL APPROV L ROUGH PLUMBING FRAMING ELECTRICAL ROUG IN INSULATION: FOUNDATION FLOORS __ WALLS CEILING FINAL INSPECTIO CHIMNEY HEIGHa ROOFING ✓ SIDING l/ EXTERNAL PORC'! S/STEPS ✓ STAIRS-CLEARA CE & RAILS ✓ PLUMBING FIXTj)RES/RELIEF VALVE ✓ INTERIOR TRI4APRIVACY DOORS ✓ FINISHED FLO R (fi GARAGE FIREP/OfDFING — DOOR CLOSER(' ) ' — SMOKE DETEC OR ✓ FINAL ELECTRI AL INSPECTION FINAL APPROV L OF``CONSTRUCTION !/' OK TO ISSUE /0 OR C/C A SIGNED CE TIFICATE OF OCCUPANCY MUST BE OBTAINED F M THE BUILDING DEPARTMENT BEFORE THESE PREM SES ARE OCCUPIED! REMARKS: I4.2 //9 - I- 1 / ( �°4 g 9//0/1 D /eX /.71a/1 /a2L . 2 /f a- j-c?c'5'4 IQ ,/ , fo o? j�kj- ARRIVE p7,. 12 7U DEPART 02• 27 / — _______ PECTOR T 1 #,sue '�.. 1. '' TF' k f ! i,.:-4',;...i‘.,'.'.,:,..'4,;..77,,•.'-..,'S:M L i „#','.„'''w'.'-''.‘t 4•'-,t 1it:',.-'::—.;,'':;,;-/.;.;:'11'-':--'''.fA;".:.'.•i l',t"'.•),'-.1'1'.t,-,`-,1,',.,4-,:V-,-.-.,Rr,`i,..i..i.s-'-';•,,',, I"' emu"'+ °141 «# }.- . ,�s ''' }`r� `-' 4 ' y�r `�1� '� L�� _ " � .y h xM .t."-;•%t '• , b•'' at r wRl i i . j :,....;,,:',A:�t�� ' 'p{ c sue+.. t� ,:•�34 � "' ,a- � • � � �} .� p. 4,,, ‘4 7"'It,.1.trzf,-f....',i.-r..=.:':c r,....itil,‘ '4'l;•''.'ti.:t.l."'7 x _ ' e1s trt'fit' r0'$'71,',`., 4x. a� 1p 3 s^ _ C � .� l } 1 t� - 1%111. 'y ' fir. .f -0,d}4 . D 1'� b t�..-r y.wf� soh �> f ia,.* �' � z,�. t ' iLk ..:'.4if-7.-..'').',2,- , t,:,5'1-19t".- . 4-, � � ,:. ,...,,:r.,-:- .-- w f y ;cur ...tit ' w. 7M 1+ ';' +.� .�.5�' 3,4 to r E.: F 11 4� 'K i„.,. ,.,.,s.. { Y .Q tIk {"' y xy �, tic.. ,. 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TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280i TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /�O/ Qb NAME 1 p J II LOCATIO! f -1 [ 1Qq� DATE PERMIT # gQ- �„j� APPROVED &Id/� YES NO FOOTING/PIERS/ _ MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL 'xROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: /' FOUNDATION FLOORS �� L////:: WALLS CEILING Q- ? ,7u,,!1 FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFI G DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM i E BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ARRIVE 0/4/0 , )I' DEPART - '� (7 I Iil 1 it t I y�f k l -ate E .` .• t '.:'lc• * T ,�c " -'�f" 1 •may-.• y,;.� _ : �,.. 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It* • . vt4': ''''.-- ' — • ::724,AISit''''4PW.--- -1,4 : .1•'',4..',{6:.." Al."•: .f.,.',.„-„,,,,i., .4.,.,.::....., • " a - W t f: .'11 fi-4, k 41. YN N ., 11 , e f! . ' y9 +A ;f g� •t,! y ' g.; , x t t5 2 . t T M P t � Art ,Vi if. y ;is } WrIdilir .. r s ,, .*:.E.,,-; ,,., lif VV. ,,,.::::`."Why:a. ..4., '.., f n -,no,,,,t,i.,,- :., ,--.,.,...,:,...:,.• ..„,;.,.,....:.,--,..,::„. y Ifs.2 n r�tp# Y • ' .{4i- �t'\r+r ,. ,1 ,..r 0 ',�' y �q CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date i q 19 9U This is to certify that work requested to be done as shown by Permit No. 90-353 has been completed. - This structure may be occupied as a alteration 8 d addition to residence i ,l 22 Star Route, edge Road Location MYLES MILLER • r Owner By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No 90-353 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to MYLES MILLER cri I w OWNER of property located at 22 Star Route—Ridge Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alteration and Addition to Residence 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. 1. OWNER'S Address is 5 r same til 2. CONTRACTOR or BUILDER'S Name Bill Dean En Creative Construction Co. 3. CONTRACTOR or BUILDER'S Address Hudson Falls NY 4. ARCHITECT'S Name PZI rt- a oq 5. ARCHITECT'S Address N 0 tv GL 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No. 18'x30' Addition and 174 sq ft Alteration to residence as per plot plan, specifications and application including septic system. 8. Proposed Use 0. Addition and Alteration to residence $ 48 00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 11 19 90 •(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the a town of Queensbury before the expiration date.) (p Dated at the Town of Queensbury 's Day of June 19 90 ` 1 SIGNED BY % , for the Town of Queensbury Buildingand oning Inspector TOWN OF QUEENSBURY . .• : ) tt( • - REVIEWED BY , ! _ FEE PAID $ 'rb.,b a 7..�. -11111-1 It. ` ~D D EEC,'+-;s. . . PERMIT NO. Q ti t L BUILDING P• ERMIT APPLICATION .- - JUN 41990 BUILDING & CODE DEPT 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: * • • • * • * * * • * * • • « • « * « • • • • * * * * • * •- • • * • • • * * * • "• i The owner of this property is:L'1(Vr - . Y--S 4 1 - P,S M i \\E' r-- P.O. Address Tel. 6-:1Y) - 70/Q -7,CD Ott Property Location s ‘-- RA-, Tax Map No. r sili /a/ Has there been any split of this property since.October 1, 1988? / )( . " -• - If 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: Rif \ 0ecti, C' r+P_ou iue COrs '. C , `7 -2.— C qg0 NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF • • " Construction of a new building • CONSTRUCTION: $ 73, C�c,C'. o • COMPLETE INFORMATION REQUIRED BELOW: �ddition to a building a y — - ----- - - -- _�• S 0ize of-property G 0 ft x �' ''ft. lteration to a building , — ( ) Existing Buildings(3) Size Q ft. x `7(O• ft, ,' . Proposed building - distance from property line: _Other work (Describe) * Front • yard F-7 ?j ft. Reary and 6 GiO ft. • Side yards <J t7 ft.- and ,0,_ca ft. • 3ROSS AREA OF PROPOSED STRUCTURE , If on corner, setback from side street ft. 1st Floor �3 �sq.ft - � 0• . - ' a tOrci- OCCUPANCY INFORMATION 2nd Floor` /7 , sq. ft. die., r e Primary Building - - " - - One Family Dwelling-, • Other`Floors - " sq. ft. • • 7 (not cellar or basement) • Two Family. Dwelling . COTAL FLOOR AREA " s ft. • Multiple Dwelling/Number'of units 714 ` q. Size of new structure jft x 7ft. • Busineaa Foundation-pier/slab/crawl/partial/ • Industrial ll . (circle ono) • Other !To. of storm%- 0 b:tai lei? o`ace -- ) - --- ---- -1------ --- - -=- -._--- " — . -------- ' --- - - ---- '- --- -- 3eight (grade to ridge) " ) / ft. •• If addition, what will use be? c C f residential, no. of families I. - - ; \ ca,e-k-V\ A pa c. e .. ' !Io. of rooms(oxcluding_baths) - - , - . . • •Accessory Building - fo. of bedrooms --1 ' • • . Io. of bathrooms - - - ', • . • . • __,Detached Garage ONE/TWO Car . Primary heating system hlti CL�\f' • __Attached Garage ONE/TWO Car • type or fuelI ' Private storage building . • - !Io.of fireplaces to be -installed lye • Will a,wood stow be installed n p • Other Central Air conditioning ' \ p • - .,a OV• ER - BLILDING PERMIT APPLICATION CONTINUED - - BUILDING SPECIFICATIONS: Type of construction, wood frame,! fire safe. etc. Will any second-hand or upgraded lumber be used? If so, for what? ` o LL Foundation wall material 0501'\�C I. . . Thickness 10` W.O - Depth of foundation below grade (to bottom of footing) 7 ' (, r Will there be a cellar? - . Hem nor unheated't0H-ect--k--- Floor sq. footage. '7/ sq ft. Will there be a basement? il1p, Will any portion be used as living space? fLQ (If so, what portion? .sq ft. Type of use? Type of roof slo•ed,flat/shed/other Material of roof on p a4— r�� p tc-,60- t -Size; wood studs "x-( " spacing I.(0" o.c: length cif ft. Joists (floor beams) 1st floor . "x " spacing j "o.c. span N. ft. Joist (floor beams) 2nd floor . "x (n " spacing I (, "o.c. span e�"ift. Overlays (ceiling beams) D., "x 4' " spacing /[," o.c. spank; left. Roof rafters "x ) spacing i (. o.c. span ((a ft. Roof trusses (pre-engineered) spacing " o.c. span Exterior wall finish LLANI kt e Ctt1X W\ eN r t\yyck of what material? ce t + ` Interior wall finish y o%M) �y 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? Rh If so will a Fire-rated door,_enclosure, self-closing device be provided?Will a flue-lined chimney be installed? (\Q Height above roof Depth of chimney foundation below_grade=--_—ft.____ — __--_._. --- -- - - Depth of fireplace"hearth hearth-- ft. in. . Water supply - Municipal or private well \)Y`\k.1 C4 k-to SEPTIC SYSTEM Distance from ANY private well (including adjoining properties MO t on 1ft. (A separate application is necessary for any repair or new installation of septic system) !TAME OF BUILDER ek1 U Po, ADDRESS . y-N. kTEL. NO. °'7 '7•--a9R6 !TAME OF PLUMBER C C tY.. tka`` . AD DRESSJ)-clx\s toy— TEL. NO. 7`0,"DSO DAME OF MASON leia h '$P(z3 1 9 ADDRESS )eA 1 c)\kAT\Y\TEL.-NO. -79r-, OO' 7- JAME OF ELECTRICIAN r\- mOY10wADDRESS h(1L p rye' _ TEL. NO. I,--1219 7 DECLARATION. . To the best of my knowledge and belief the statements contained in this application, together with the ►fans and specification* submitted,_are_a true-and complete..statement.of all-proposed-work-to be-done on--- —I-premises and that all provisions of th' RTTILDING CODE, THE ZONING ORDINANCE, and ill other laws pertaining to the proposed mark Emu i,e complied with, whether specified or not, and that uch work is authorized by the owner. Signature NeN Owner, owner's agent, arc ect contractor✓ IPECIAL CONDITIONS OP THE PERMIT: BY - . - WARREN COUNTY , NEW YCRK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY -CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following: r c� 1 . Gross floor area -7/17 AqFrr I �I \V/ 2 . Type of -heat f ( )-tp* P-1 \f' 3 . Is the building mechanically cooled? On gUILDIPI('..& COLT LIEr 4 .- Percentage of area of windows and doors A 70 A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions . 2 . Floor- over---heat= i_ spaces__-, ____ YES__._ '-NO - a. Are foundat on walls insulated? YES NO 1. If YES , what is the R value? . 3 . Slab on grade YES NO • a. If YES , wh .t 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 . H. :Under 16% Only 1. . R valu of roof and floors exposed to ambient conditions 2. R value of exterior walls (pit -- R t I 3 . R value of glazed area 44 .0.. . 4 . , R value of doors - - 5. R .value of floors over 'unheated spaces In i _ 6. R value of slab edge. insulation - unheated slab ' 7. R value of slab insulation - heated slab 8. R value of heated basement/cellar walls (above grade) 'r; 9. R- value 'of heated basement/cellar walls (below grade) - 10. Type of insulation V;"- Y--- n 45 C. Controls 1. Thermostat maximum heat- setting e u k4 yN D. Duct Systems 1. Is duct system installed in unheated spaces? YES • a. If YES, R value of duct installation - b. R value of duct in other areas= E. Puina Insulat . ' 1. :Size of det-waterer- os 2. . R valua —pipe insulation O 11 M-1ieX t Ce IN‘diCVI4' 14 F. Service Water Heating - • , - 1. Performance efficiency 10 KN-, to . 2. Temperature control setting maximum G. For Swimming Pool Only 1`. Maximum heating • Telephone No. (. -i-31 71r 9)3� : • applicant s ligature) TOWN OF QUEENSnURY APPLICATION FOR SEPTIC DISPOSAL PERMIT OF OIMINIJL511-; JUN - 61990 _.. DATE c \ f BUILDING & CODE DEP;. LOCATION OF PROPERTY FOR INSTALLATION da R+ Kerr R()t Owner's Name: r`(\r ,a-- .c mu I e 11_�)IerTelephone: ( r5?) 79—nj Rc Address: A �Y-�r -- R ' \ Installer's Name: C_K� C ra� 1p KCC1 Uc�'\ ephone: Number of bedrooms (residential only) 3 Total daily flow (compute e 150 gal per bedroom) L/ i® Topography: Circle one: Flat Rollin! Steep Slope % of Slope Soil Nature: Circle one: 'an•4 Loa clay Other /Depth:j nFeet Ground Water: At what depth? (9,0 Feet Bedrock or Impervious Material: At what depth? 7c -,I- - Feet Percolation test: Circle one: 6t requires equired rate min. inch. Domestic water supply: circle one: Municipal ells Other If domestic water supply is a well: Separation:_ Water supply from septic absorption \ ( feet, PROPOSED SYSTEM: Septic Tank )p on gal. (minimum size: 1.000 gal.) TILE FIELD: Each Trench lit} 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 have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the.Town of Queensbury Sanitary Sewage Disposal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: fl MiNtN. - _ DATE: `\'`\Ck - OVER • Septic System Inspections: 'A. All applications for septic system installation, alteration or repair, ; :as .req,uired by the Town of Queensbury Sanitary Sewage Ordinance, shall be submitted to the Building Department at least 24 hours before start of .cons,truction 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 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: • TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS �7 L QUEENSBURY, NEW YORK 12801- TELEPHONE (518) 792-5832 „_ , 1h�aa}7�t i BUILDING INSPECTOR''S ��- SRT 'Z�„ REQUEST FOR INSPECTION� (7)2(11,1A) RECEIVEDL� / /Z!/�2) NAME i,U Y4 Cho /l.(I-rJJ o ) LOCATION�a /e� �p,� 1j DATE l 4/ 11/TY/1;u_ � PERMIT # I19�f APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS ' • FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING . 'I FRAMING • ' Y . ELECTRICAL ROUGH-IN ' • • :�' ' • INSULATION: FOUNDATION I • FLOORS WALLS CEILING FINAL INSPECTION: '` CHIMNEY HEIGHT . ROOFING • •" ' ' • SIDING .' EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS l� PLUMBING FIXTURES/RELIEF*ALVE INTERIOR TRIM/PRIVACY DOORS 1/ „+ FINISHED FLOORS (,"/ GARAGE FIREPROOFING A . • DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION- • 1/ , OK TO ISSUE C/O OR WC j ✓f A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING,. DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: • ARRIVE 0160 DEPART [,0» TNCAwr?+/)A TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS /0,"gv QUEENSBURY, NEW YORK 12804, °/ TELEPHONE (518) 792-5832 _ge i2GZ Ini �2 / lt BUILDING INSPECTOR'S REPORT L-r1 • REQUEST FOR INSPECTION RECEIVED ,' JDi/,J/f(� NAME L q1/C(�01 >2 an ) /LOCATION , 7 •�),( /C� G,C�jL 1e DATE 14)-f 6/9'd PERMIT„# 170 6 _ / //��v�l � ; APPROVED ( (// (Le T P,P / 1.,{ YES NO FOOTING/PIERS l MONOLITHIC POUR FORMS 4 FOUNDATION/DAMP-PROOFING/1 / BACKFILL APPROVAL j • " / ROUGH PLUMBING /l f FRAMING ELECTRICAL ROUGH-IN " I t �e INSULATION: FOUNDATION 1; ' f FLOORS WALLS ;"+ 1 CEILING +' I- FINAL INSPECTION: f CHIMNEY HEIGHT A"�;, ROOFING 1' 'I SIDING ,�' ;! " " EXTERNAL PORCHEES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TR��tI��M/PRIVACY DOORS FINISHED F�IAORS r GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE ATECTORS FINAL ELECTRICAL INSPECTION . . . . " " FINAL APPROVAL OF CONSTRUCTION ' • OK TO ISSUE C/O OR .C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE •PREMISES ARE OCCUPIED! REMARKS: ARRIVE 9 3-0 DEPART 2' 7.7 INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS /)/) QUEENSBURY, NEW YORK 12801- /// TELEPHONE. (518) 792-5832 • BUILDIN' INSPEC R'S REPORT REQUEST FOR INSP/CTION RECEIVED 9j/O/90 r NAME LOCATION a , ! e_dr /�d DATE /d r P RMIT 90-3,5.3 //�� APPROVED • C,l� YJ i�7' J / �/%� "�A,l ,671 YES NO FOOTING/PIERS i / MONOLITHIC POUR FORMS FOUNDATION/DAMP PROOFING BACKFILL APPROVAL I ROUGH PLUMBING 1 ' FRAMING i l ' ELECTRICAL ROUGH IN 'I INSULATION: FOUNDATION FLOORS WALLS CEILING ' FINAL INSPECTION': ' CHIMNEY HEIGH ROOFING • g/ SIDING EXTERNAL PORCS/STEPS STAIRS-CLEARA CE & RAILS ,� PLUMBING FIXTTRES/RELIEF VALVE 1/INTERIOR TRI P_RIVACY DOORS 0/' FINISHED FLO RpS 4 -- GARAGE FIREPR +FING DOOR CLOSER( ) SMOKE DETEC ORS'g, FINAL ELECTRI AL INSPECTION. . . . - _ FINAL APPROVAL OF'CONSTRUCTION fr OK TO ISSUE 1/O OR C/C A SIGNED CEETIFICATF OF OCCUPANCY MUST BE OBTAINED FR M THE BUILDING DEPARTMENT BEFORE THESE PREM SES ARE OCCUPIED!• REMARKS: 1Y),/F9 .-- -1-6 - `-4 A2 ,C-(C a-4 g 9/..49/T 472v \ 4L • g �`-c � ' asVI', -1-o a 14 �y ARRIVE p?,' )4,,,0' • DEPART 02• (rI‘./ SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND. ROADS QUEENSBURY, NEW YORK 1280k l TELEPHONE (518) 792-5832 /2I BUI ING INSPECTOR'S REPORT REQUEST FOR IN .'ECTION RECEIVED (O NAME °� ,1 1�h� LOCATIONTji3 v},�;',�-, -C '�P4 ed DATE ( PERMIT # Pa--.916 • APPROVED AW/afj ; YES NO FOOTING/PIERS , MONOLITHIC POUR FIRMS FOUNDATION/DAMP-'!OOFING BACKFILL APPROVAL rOUGH PLUMBING 1 a. FRAMING ELECTRICAL ROUGH-1W ' )(INSULATION: FOUNDATION / FLOORS _ 3,K� /' WALLS . . Q /Gj cV/l CEILING /J- l ;�a:74 I/ FINAL INSPECTION: I� CHIMNEY HEIGHT A ROOFING 1 I SIDING i i EXTERNAL PORCHES/S4 S STAIRS-CLEARANCE & ' ILS_ PLUMBING FIXTURES/R LIEF VALVE INTERIOR TRIM/PRIV. Y DOORS FINISHED FLOORS . - GARAGE FIREPROOFI .G DOOR CLOSER(S) SMOKE DETECTORS A FINAL ELECTRICAL (SPE ''ION ' ' FINAL APPROVAL OF;CONST"UCTION OK TO ISSUE C/O q' C/C 1 A SIGNED CERTIFICATE OF ©CCUPANCY MUST BE OBTAINED FROM 4 E BUILDI G DEPARTMENT BEFORE THESE PREMISES.ARE OCCUP ` DL REMARKS: FL__ I , ARRIVED Yil DEPART (Q'N J L . TMCDPI,MI1D TOWN OF QUEENSBURY oli)U BUILDING A D CODES DEPARTMENT BAY & HAVI', 'ND ROADS QUEENSBURY NEW YORK 1280- TELEPHONE 518) 792-5832 B . LDING INSPECTOR'S PORT REQUEST FOR SPECTION RECEIVE ' a1 q NAME • 1 /,4 all ll,(1OirJ LOCATION S / /ej��, Q �� DATE ,,11 101 6, PERMIT $ q `,3�}l3 AI ^ "� 1 fl f� �� APPROVED (2017 U�/J D )1A. LL / // A). �.,d' ES NO FOOTING/PIER , MONOLITHIC POUR FORMS FOUNDATION/DAMP- ROOFING BACKFILL APPROVA , ROUGH PLUMBING VFRAMING 1/ ELECTRICAL ROUGH- iN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: f CHIMNEY HEIGHT 1 ROOFING SIDING EXTERNAL PORCHES/S PS STAIRS-CLEARANCE & /''ILS PLUMBING FIXTURES/' LIEF VALVE INTERIOR TRIM/PRI ' DOORS FINISHED FLOORS ! GARAGE FIREPROOFI G \\ DOOR CLOSERS) i SMOKE DETECTORS 1 FINAL ELECTRICAL I,SPEC"•ION _FINAL APPROVAL OF il ONST' CTION OK TO ISSUE C/O O' C/C A SIGNED CERTIFI0ATE OF • CUPANCY MUST BE OBTAINED FROM TH ' BUILDIN DEPARTMENT BEFORE - THESE PREMISES RE OCCUPIc'01 REMARKS: _r_______ _ -- le , ARRIVE /U` Ja / DEPART/0 , e) i TNQPPOMnD Down oI Queenitur . BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 ri, , Queen..iury, New York 12801 SEPTIC DISP`iSAL SYSTEMy INSPE ION NAME /J��: /'dGL61 LOCAT I OfyVA L b £4 __ADATE /�Q �l RMIT NO. I� '�J�� SOIL TYPE - Sand Loam - Cla - Percolation Test •,-quired? S - NO Percolation rate - \Min/Inch TYPE of SYSTEM: Absorption field, total len.th - R Length of each tren.h , , 6 4-14. v Depth of trenches v ' Size of gravel /i SEEPAGE PITS{Number .f) Size- ft. X , . Gravel size PIPING: S e Type, `' Bldg. to tank Tank to dist. box //G Dist. box to field/p r nil-, Openings sealed? NO Partial (._Ji LOCATION/SEPARATIONS Foundation to tank ) % ft. Foundation to absor'•ti.' r ft. Absorption to lot :"ine A- ft. Separation of pits ft. /'OCATION OF SYST. ' ! Pi OPERTY(circle one) ront Rear Le,t sidL Right side - COMMEIQTS: 1 wr`'` 7-dito- .� SYSTEM USE , 'PROVED iI ' 4 BuiLdtng'Ins•ector 01/86 and vl TOWN OF QUEENSBURY M BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPOT REQUEST OR INSPECTION RECEIVED 4 /sAP. A ' NAME (F4 ' ,1( LOCATION f � CZZ 2Z) DATE ' 1 9Q PERMIT # qo „r APPROVED al 10 ,ra�. / YES NO FOOTING/PI 'S MONOLITHIC ,'OUR FORMS VFOUNDATION/LA P-PROOFING it x BACKFILL APP-OVAL _)` ROUGH PLUMBI .,G FRAMING ELECTRICAL ROUGH-IN ' INSULATION: FOUNDATION FLOORS WALLS i CEILING FINAL INSPECTION. CHIMNEY HEIGHT ROOFING - . . SIDING EXTERNAL PORCHES TEPS STAIRS-CLEARANCE RAI, S PLUMBING FIXTURES 'EL!EF VALVE INTERIOR TRIM/PRIV.CY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSP'a ION FINAL APPROVAL OF C0 ,6 •UCTION OK TO ISSUE C/O OR C C A SIGNED CERTIFICAT.' OF ICCUPANCY MUST BE OBTAINED FROM THE :,: ILDI '. DEPARTMENT BEFORE THESE PREMISES ARE OCCUPItD! REMARKS: 106LoGC - et-0to icernAlb F"o UitiOn- [OA) 0 czA-I,v Ic Lr�rz Eck,n+ 0 Vim_ ARRIVE DEPART q,q isp ri / T11TCD1.' T/lD TOWN OF QUEENSBURY CGA BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK ' 12804- TELEPHONE (518) 7925832 BUILDING TNSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED "/' Q NAME (7 (/_ _ r '� LOCATION L .047c4, 4 DATE 7/LD/q0 i PERMIT #f APPROVED `I YES NO FOOTING/PIERS ,1 J MONOLITHIC POUR FORMS I FOUNDATION/DAMP-PROOFING/ BACKFILL APPROVAL ROUGH PLUMBING FRAMING 1 I ELECTRICAL ROUGH-IN V . INSULATION: /1'\ FOUNDATION FLOORS • f } ' WALLS / • . CEILING 11 • • • FINAL INSPECTION: CHIMNEY HEIGHT/ • ROOFING SIDING ta, EXTERNAL PORCgHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FI/TURES/RELIEF\VALVE INTERIOR TRfM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) t. SMOKE DETECTORS FINAL ELECTRICAL INSPECTION •t; • FINAL APPROVAL OF CONSTRUCTION; • OK TO ISSUE C/O OR C/C ! 1 A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINEDr ROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!• REMARKS: rf ��1.� o 7G'97�\' el, 06/14i' n C-71 41/may ARRIVE DEPART . �a i t i t i i i i �A 1 i 1 r t 1 ti S --Pon. _ M 1000 GAr,. - 8EF'rlC -TANK r r s ((UF QU'IELI:,.__._:.,. i (P� JUN - 61990 © L ��,� 1UIL.DING & CODE DEPT TOWN OF QUEE 'BURY 12" am ,/j 745'x�)00' �AW •CALW N ! IKYit10M! iv ` Oi►Tt- Zoni Ad finis ratan CAT � g Dot - b OM w tKO. TITLE we. MILL