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1992-149 N. OWN OF EENSSURY WART EN COUNT NEW YORK 1 Date. 19 Y J ... is is ttr rtify that we requZ11M be done as shown by Permit No. - ' has\t)een completed. This atructure may be occupie as a 3rd Apartment Location Sox 445 Stevens Rd '" � *�L [ - I IS hy\ Chvner _ Frank & Christine _Sears By Order Toxin Board TOWN OF QU EENSSU RY lee Director of Bldg. & Code Enforcement rn k BUILDING PERMIT � TOWN OF QUEENSBURY � Q No- 92-195 WARREN COUNTY, NEW YORK +.t f 1 PERMISSION is hereby granted to Frank Christine Sears ,p OWNER of property located at Stevens Road Street, 'Road or Ave. in the Town of Queensbury, To Construct or place a Convert basement to Ird Anar meat 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. CA th f . OWNERS Address is T Box 445 Stevens Rd w Queensbury. NY 12804 o� 2. CONTRACTOFt or BUILDER'S Name C7 Same a 'Pf to 4r+ 3 CONTRACTOR or BUILDER 'S Address a CD 4. ARCHITECTS Name cc O !6 A rrt 5. ARCHITECTS Address A C tD !Ii 6. TYPE of Construction — (Please indicate by X) Q { ) Wood frame ( I Masonry ; 1 Steel I 1 7. PLANS and Specifications O Y � No- 1020 s ft Interior Alterations as per plot plan specifications and application ?convert basement to 3rd apartment incl septic ) r 8- Proposed Use F N 3rd Apartment e e+ $ 40- 00 PERMIT FEE PAID - THIS PERMIT EXPIRES April 30 1993 0 w (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.} A Dated at the Town of Queensbury 0th Da April 19 92 A' SIGNED BY for the Town of Queensbury 'ITwilding and ZofWng Inspector TO W N OF QUEEN51t UR Y FOWN OF QUEENSBUH REVIEWED BY : RECEIVED FEE PAID : }c APR 15 1992 PERMIT NO . : `7 . - T BLDG. & CODE DEPT. 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 1(pplicant MUST appear on the reverse side of this application . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property : _ �� ' l , n. ' o4 c s — P . O . Address : _ / r r PHONE Property Location : v (� cry- ci Tax ap No . Has there been any split of this property since October 1 , 1988 ? Yes No X __ If yes , Planning Board Review is necessary . Subdivision Name , if applicable : Lot No . FHE PERSON RESPONSIBLE FOR SUPE�R^-VISION OF WORK AS REGARDS TO BUILDING, CODES IS : NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION : $ - Addition to building / Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : ft . x ft . Other work ( describe ) * Existing Building Size : * ft * x ft . Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : * Ist Floor / 0 2 c7 Sq . Ft . * Front Yard ft , Rear yard ft . Side Yards ft . and ft . 2nd Floor Sq . Ft . * If on corner , setback from side street- * ft . Other Floors Sq . Ft . ( not cellar or basement ) OCCUPANCY INFORMATION : I TOTAL FLOOR AREA : /0 ? r Sq . Ft . * Primary Building - * One Family Dwelling - Size of New Structure : ft . x ft . * Two Family Dwelling Foundation : * Multiple Dwelling/No . of Units Pier/ Slab/Crawl /Partin /Full Circle One ) * Business * Industrial No , of stories ( Habitable space ) * Other CAD,2 . j2Aj bad, & height ( grade to ridge ) ft . * ra rC .-. If residential , no . of families : * If addition , what will use be ? No , of rooms ( excluding baths ) : _ r No . of bedrooms : No . of bathrooms : * Accessory Building : Primary heating system ; _- av' .�.,�; y , �ti_.c._. * Detached Garage - One/Two Car Type of fuel : * Attached Garage - One/Two Car No . of fireplaces to be -installed * Private Storage Building Will a woodstove be installed ? : * Other Central Air Conditioning : Yes No ( OVER ) r .r rP BUILDING PERMIT APPLICATION CONTINUED : ✓ `� .� c� BUILDING SPECIFICATIONS : Type Of construction : wood fire safe , etc . Will any second- hand or unc used ? If so , for what ? Foundation Wall Materia l Depth of Foundation belt Will there be a cellar , Floor Sq . Footage : T Will there be a basemr / 3 , as living space ? _ If so , what portion ? � Type of Roof : S1 op( ~f eri al of Roof Size , wood studs , U 0 � !ngth ft . Joists { floor bear `i- -� o . c . ; span ft . Joists { floor bea,,. ' [ '� icing o , c . ; span ft . Overlays ( ceiling beams ) : \ " o . c . ; span ft . _ Roof rafters : > span ft . Roof trusses ( pre en " neered spacin , span ft . Exterior Wall Fini of what material ? Interior Wail Finish . If a garage is to be a tache de tribe ma rials to be used for FIRE SEPARATION : Is there to be an opening etween garage and welling ? If so , will a Fire- Rated door , enclosure , self-closing dev a be provided ? Will a flue- lined chimney be installed ? hfight above roof ft • Depth of chimney foundation below grade : ft . Depth of fireplace hearth : ft , in . Water supply - Municipal or private well : SEPTIC SYSTEM : Distance from any private well ( including adjoining properties : ft . ( A separate application is necessary foi • any repair or new installation of septic system . ) NAME OF BUILDER & ADDRESS : PHONE �- NAME OF PLUMBER & ADDRESS : PHONE NAME OF MASON & ADDRESS : PHONE NAME OF ELECTRICIAN & ADDRESS : PHONE DECLARATION 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 a4ithori7ed b e owner . Signature Own r , owne s nt , architec contractor SPECIAL CONDITIONS OF THE PERMIT : -------------- ------ By : Code Enforcement Officer �_� TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PER#PNN OF QUTePAau id APR 15 1992 Date : Reviewed B,y.,�y LOCATION OF PROPERTY FOR INSTALLATION : � rB�' G $` �DEPTC i / k,s� Owner ' s Name : Owner ' s Mailing Address : r, �'/ ' ( L r sInstaller ' s Name : re , z L 1L � et� Zge Phone # : Number of bedrooms ( if residential ) : Total daily flow ( residential - compute @ 150 gal . per bedroom ) : Topography-Circle One ; Flat Rolling Steep Slope % of Slope Soil Nature- Circle One • Sand Loam Clay Other /Depth : Ground Water-At What Depth ? Feet Bedrock or Impervious Material -At What Depth ? Feet Percolation Test-Circle One : Not Required -Required/ Rate Min . Per Inch Domestic Water Supply-Circle One : Municipal ell Other If domestic water supply is a we - Separation : Water supply from any septic absorption feet PROPOSED SYSTEM : Septic Tank r/ {� �'� gal . ( Minimum size : 1 , 000 gal . ) Tile Field : Each Trench feet/!Total System Length feet Seepage Pi t ( s ) : Number of Size each : .3 ft . x Z )ft . Size of Stone to be used : # / Depth or Thickness feet HOLDING TANK SYSTEM IF REQUIRED No . of Tanks Sizelof Each Gal . Alarm system and associated electrical work to be inspected by a certified agency_ I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the awn of Queensbury Sanitary Sewage Disposal Ordinance . f A'sSIGNATURE OF RESPONSIBLE PERSON : "' _ _ _/ 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 drywelIs 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 . Town of Queensbury Building & Code Enforcement Department 531 Bay Road Queensbury NY 12804 Remarks : TOWN OF E gUAY 531 BAY ROAD 1297 .,. YO NEW TELEPHON'EY 611ILDI . IMSPECTOA"S REPORT FINAL. LNSPECTIp1 REQUEST FOR INSPECTION 1N"CfiIYEfl��— NAME d , LOCATION pEfTJ+{IT# �. DATE TYPE OF SVUCTUAE C}1ECK BACKFILL FRAMING FIRE MARSFIFOUNDA TCHL �COMMERICIAI. STRUCTURE) IC FOOTING FINALELECTRICAL� `INSULATIONoUG" BINGwO�STOVE/FIREPLACE REMARKS AP PRO VA N/A YES NO CHIMNEY HEIGHT/L CATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING GS DiECK/PORCH/S E S/ RELIEF VALVES ING FURNACE/HOT 1�A ER Y DOORS INTERIOR TRIM/PRIV FINISH FLOORS : IGHT BATH/ KITCHEN W E ER LE OEP THER FLOORS OTHER FLOORS RPE G STAIR CLEARAN f RAILI 514OKE DETECT 5 DOOR CLOSER BATHROOM F S U ES 0 RA N ALL PLUMBI G F GARAGE FI E PROOFING�y--- D00R CLOSERS1 ION OTHER FIRE SE.PA FIRE/DEMISE WALLS FINAL OK TO ISSUE /OL /C Vz DEPART. � N EC IOW OF QUEENSBURY 531 BAY ROAD 2804 QUEENSBURY > NEW 518)dRK 745� 4447 TELEPHONECL { BUILDING INSPECTOR` S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME � LOCATION pEftrllT# � OXTEJ TYPE 04F SS CTURE iI'YUl7 _- �' —�`� �-O r � r • 1 RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE ) ' ING FOOTING FOUNDATION BACKFILL NAI ELECTRICAL 7' /c iC —ROUGH PLUMBING INSULATION �WOODSTOVE/ FIREPLACE REMARKS APPROVAL N /+ YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/ STEPS /RA LINGS RELIEF VALVES FURNACE/HOT WA ER OP A LNG BASEMENT INSULATION/ CTWOR INTERIOR TRIM/ PRIVACY 00 FINISH FLOORS : BATH/KITCHEN WATERTIG OTHER FLOORS SWEEPAB OTHER FLOORS CARPET STAIR CLEARANCE/RAI NGS HANDICAPPED ACCESS SMOKE DETECTORS SATHROdM FANS/WH HOUSE AN _ ALL PLUMBING FI URES OPERATI GARAGE FIRE PR OFING DOOR CLOSERS OTHER ION FIRE/DEMISE ALLS DUMPSTER + SITE PLAN/'V , LANCE EQU REMEN S FINAL OK TO iLECTRC /DLO/ C OMME S = gbh-" - j3AA-N ^l IZ(Tpf&A,*' 'S 1 N fG S A,Lt T� fit c r ig 1l R �1�' - �- T"V" o T� Ica°R— r"u C,,rC>64C`1` 1 t7 J✓ ARRIVE )DEPART ZL.J` .�� �� y Ns .�,lncun o� �eeeert36ure� BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D. 1 Box 98 Clueensbury, New York 12801 SEPTI,rC� DISPOSAL SYSTEM INSPECTION NAME LOCATION Ue5' � DATE PERMIT NO, SOIL TYPE an � Loam - Clay Percolation �_est Required? YES - NO Percolation rate - Min/Inch TYPE of SYSTEM: Absorption field , to 1 length _ Length of each trenc Depth of trenches Size of grave]:_ SEEPAGE PITS{Number f) Size- ft. X t_ Gravel size - _ PIPING : Size Type Bldg . to tank H z Tank to dlst. box Dist. box to f field/pi Openings sealed? YE NO Partial LOCATION/SEPARATIONS Foundation to tank Oft* Foundation to abso Clop Absorption to lot ine Separation of pi + f't- LCICATION OF SYS ON PRbPERTY (circle one) Front - sari' - eft side - Right side - CCHMENTS SYSTEM USE APPROV O 1111yldmng Inspector of/a6 and vl MIDDLE DEPARTMENT INSPECTION AGENCY, ING, . National Headquarters 13;17 Whist Cheer Pike., West Chester, PA- 1" 241012dig- 2 N f a DIte: City, Town or Township I I P Coun-ty State Location/Address (If Located in Rural A - Please Attar rections) Pole # Owner Permit # Occupied As Building: No OldO Occupant e _ . ' , s, .c ' irF �... . .. . . q'Wotk. ArOgifn Building Floor #; etc.): for: Wirin © ' ' 'Service or: Ready for Ins action : Fee Remitted - $ Cash Check M.O: Make Pa ble To: : M.D.I.A. 500 Aso xano x2ao xsao ,x7sp z000 22so 2500 278o goon Number of Rough Wiring ^Outlets Elect, Heat Switches Lighting nAmp. Service Surface Unit Dishwasher . Range Receptacles Water Heater Air Conditioner Dryer Pytmp Number of Fixtures P Oven --,�C+a!Page Disposal Wiring and Controls for• Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H:Si P. 1 1/3 1fi3A lf8 '3 fS 1/4 1f3 1f2 3f4 1 '1�h " 2- 03 5 7 la 15 20 ^c5 3a 40 5a 75 1 Mark Number of Each S :. r. a rl Applicant's Signature )Dense # Permit* T/A Chi lityF:`,r Applicants Address--' AME) (OFFME LOCATiiam) (City) I PiState) (zip) Service Request # Phone # Efectrecian'- ;;F k'J_E-.RFzCEIVED: _ a DATE INSPECTED: Correct Location : Same as Above M or: Red Notice Label L r Rough Wiring Outlets Surface Unit Ova�r Switches f° , , r .:: Ran Ga 'D1sposal Receptacles Water Heater Dishwasher 31 . Fixtures `: +- Air Conditioner dryer Amp. Service Equipment Burner, Wiring a,:Controlofbjr: Amp:.=net5eptacle Amp, Service Cooductors.. Pump -'s 'Vent Faos MOTORS H.P. #/12- 1f10r 3 1!s 1/4 lf3 -.1/2 f 1 -#,r,9e_ 2 , a .•-§i., FWi ; 10 15 20 25 36 ao 50 75 Mark Number.. of Each Size •�;� Elect. Heat su 2000 xz0o IS00 17E0 2op0 2250 seo0 $750 3000 � . RW Progress: Inc. LKD 0 Contractor ED CFT Violation : Work Comp. E3 inc.. 0 [] L/A Owner CASH ED M L../A Fee CHK #Due .. [� IPA . Municipal MO # - - Hate• C ther Side r7l - Utilityr APPIfekht ' fJ+wr:refr . . _ - h. Cut in Card Q TemP # batr . I [] Firial Date lfUS�PECTORS SIGNATURE �uPpucwrION r[ sn NO. 3ieb EL i r _ y hh ,. 7 .. , c IOU IFF l . �° 6 + . _ _ 6 j _ J I ' � J _.. FFF- to AIL re FF — � r se - _.. . + OWtV OF Qt1 EI 6S ruh SBURy- _ _. � - . -- . ... - -{_. - - F. -- 1 ! I f FF I I �... 1 , - IL f Cop ...X..F. F r I r r rip I �_ FF. - _ �. � ._ - j 12' . DI -- ,mrot4AL UW- -ooT AR.I:A lz o, to'. 3'Iz.'� x `I'- 15/Ica'' ¢ v. 3' 2'' y' 1 5// tr" r,( R. d 3' Z 5//u" 2 -32�0 3�Zp 'j�ZO Z-''j22AC� ', 5�8 •• Ty'r�'• yc, � Y, bRn. 'FR^ tl!` rlaLL5 It':� I i ( 1 �+ ( v'f PJs•�TZ T %T i c-- NSvv fa �lu TZ 1 !2) I .414 Dp. r,. t Ar-j , (— sv>z -rR�-teU yrRco sT(�I) 3YZ'' �sTEE1. ►P� c ..u�-►� (Z� `I If 11 Na . �- o f .V.Lf- t v 131y ' x 14"'DP • vl.1A O. oEv %c ®— L --- :J 1` r� �,,,,, y.. (c�R L✓J "k1 t=-46 =_ •- °,�8i J Z I'- a , I I � � II i� ,I 3° �• t oc� I�oR— fillFUTU r<--F. 0�41� -9� — f— h r yAr2T I T toN'� i. i 1 Cs o" : I f, 2-?,2Zo i 2- �22 7- -Tj � � � / - 3220__._ L� :� z" , o~ N to � 2 I QoTe.: AEA afi+t Z Or4 A'S>vl TioH AL N c'ES BASS Nl� N 0 I i i UN IT 413 FIOoR �LR�! CAP-4 ua� uY BUILDING APT. REVIEWED BY q� n DATE )ry lz tztivkstat.lS e� -THIS C>F Job cog' r! 1r ,VE VE:St-i Mp vE Td Z�► jq? �Z`�T: Tto�A 2 R�N AL t•„� 1 �' �Gt R 5 TI c`l (-T LS %vrLT• REV,=,oN o.,TE ��,BER ��,���, AdO3 3113 FILE COPY IISE OF THESF CLANS WITHOUT WRITTEN PERMISSION FROM WOODBURY S IS PROHIBITFD f-In N01 4f A, E THESF DRAWINGS USE ONI v THE DI MFNSIONS SHOWN OW'+FR AN,, ION'PA, ' 1m: SHALL COW4I , APPL;GABLE BUILDING CODES TO INSURE THAT PLANS AND DETAILS CONFORM TO ALL REOUIRE.MENTS. VF RIF-Y All BEFORF CONSTRUCTION WORK AND NOTIFY WOODBURY 5 DRAFTING DEPT OF ANY DISCREPANCIES BEFORE WORK IS PERFORMED XV DESIG` r DATE: REVISIT, .. L O LL w z OD Fn W 0 JOB NO.