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1992-258
w CERTIFICAATE OF (:)CCIJPAN+�` TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Datc_ 9�iA14.L 9 9- 2 - 258 { This is to certify that work requested to be Banc as shown by Permit a. _ 1 has been completed. This structure may be occupied as a —, IZ2f 23 Nathan Street I..ocarion Lawrence R . Larson j Owner ` By Order Town Board TOWN OF QUEENSBURY r Director of Bldg. Code Enforcement x BUILDING PERMIT 3 TOWN OF QUEENSBURY 92- 258 No. ►r WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Lawrence R . Larson OWNER of property located at 23 Nathan Street Street, Road or Ave. in the Town of Queensbury, To Construct or place a conversion of 1- family to 2- family dwelling 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 $uiIding and Zoning Ordinance. a t_ OWNER'S Address is M 26 Lafayette St - Hudson Falls IVY 12839OP CD ra 2. CONTRACTOR or BUILDER'S Name Sterling Quality Homes Str 3. CONTRACTOR or BUILDER 'S Address 4. ARCHITECT'S Name rV w Z taa e-r• S. ARCHITECT'S Address =r pa eyh 6. TYPE of Construction — (Please indicate by XI IX ) Wood Frame ( ) Masonry I ) Steel ( l 7. PLANS and Specifications No. 1248 sq ft Conversion_ to 1/ 2 of 2- family dwelling as per plot plan , specificacttorgs , applic am and in accordance with Site Plan 23- 92 and sAordibas4affidance 0 1/2 of 2- family dwelling t5 -r, 48 . 00 May 28 7S 93 0 $ PERMIT FEE PAID — THIS PERMIT EXPIRES % (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,) r"G Permit issued with condition that ail crater-saving devices be inspected as installed. 4 Dated at the Town of Queensbury this 28th Day of May 78 92 ry re SIGNED 13Y for the Town of Queensbury a Build) oni ng inspect r �C TOWN OB QUEENSOURY Y REVIEWED BY : r4r. OVVN OF 0UEENgeu1-i FEE PAID : RECEIVED PERMIT NO . : �10+ i' MAY 19 1992 BLDG. & CODE DEP7: BUILDING PERMIT APPLICATION A PERMIT INUST 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 . Owner of Property : .L�wrcn Coln, , L arsnh 7. t Address : i . ate e ;:. .}.S rems ` j, " seh F 11's' mx 1424?3y PHONE7'f�~�`' - Property Location : 431"''!c a» Strco OiLeennS)>ac. ryr N)! fao2$p* Tax Map No . , 7 S" /-_____._ Has there been any split of this property since October 1 , 1988? Yes No If yes , Planning Board Review is necessary . Subdivision Name , if applicable : Lot Nov THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : Z,a. wr-anc.e- I4 , Lm r-son NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE AMENOMM Construction of new building * CONSTRUCTION : $ Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : 11,5' ft . x 5?0 ft . Other work ( describe ) * Existing Building Size : ft , xgr _ ft , * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : * Ist Floor �� , I ' , Sq , Ft . "to ften;39,6 Off,* Front Yard 30 ft . Rear yard ft . * Side Yards ft , and ft , 2nd Floor 12 Sq . Ft . If on corner , setback from side street- pE'eueo soy * �? ft , Other Floors Sq . Ft . ( not cellar or basement ) * OCCUPANCY INFORMATION : 1 * TOTAL FLOOR AREA : x Sq . Ft . /ow�r- 1,eVef * Primary Building - * One Family Dwelling Size of New Structure : A(a ft , x 1$ g_. ft , * 4��Two Family Dwelling Foundation : * Multiple Dwelling/No , of Units Pier/ Slab/Crawl /Partial /Full ( Circle One ) * Business * Industrial No . of stories ( Habitable space ) �_ * Other Height ( grade to ridge ) ft , If residential , no . of families * If addition , what will use be ? image fr�+v No . of rooms ( excluding baths ) : Grp,, 0,he-- akh ; ly' 1`;�- 7ra,rdajy- dwaJ14su No , of bedrooms : Sup 1 c2 down No . of bathrooms : * Accessory Building : Primary heating syst rri : 6,2 t)ywn * Detached Garage - One/Two Car Type of fuel : Gam - Elrc#r; * -- Attached Garage - One/Two Car No , of fireplaces— to be installed : - N,, * Private Storage Building Will a woodstove be installed ? : H,0 ^ * Other Central Air Conditioning : Yes No r.� ( OVER ) BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : Type of construction : wood frame , fire safe , etc . 141&C4 f�sxWf - <�-Oncre f � Will any second- band or ungraded lumber be used ? If so , for what ? /(/ems Foundation Wall Material : IQp�y � (',, , f`p Thickness : �s Depth of Foundation below grade ( to bottom of footing ) : Will there be a cellar ? ' Heated or Unheated ? #e-aAeJ Floor Sq , Footage : Will there be a basement ? N Will any portion be used as liming space ? Y� �..Z 'f rd t e �WD If so , what portion ? lfx, ,� Sq . Ft . Type of Use ? r'�s , dt�rt ,g Type of Roof : Sl oped/ F1 at/ Shed/Other Material of Roof � J; ; Size , wood studs CQ It x " ; spacing ( " o . c . ; length 57:1 ft . Joists ( floor beams ) : 1st Floor x " ; spacing " o . c . ; span - ft . Joists ( floor beams ) : 2nd Floor x '" ; spacing o . c . ; span ft . 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 : V PLYJ Crc 0 ,2e�) 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 ? 62...__ If so , will a Fire- Rated door , enclosure , self- closing device be provided ? Will a flue- lined chimney be installed ? AL - - Height above roof _/�I'f/¢ ft . Depth of chimney foundation below grade : c _ _ y 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 for any repair or new installation of septic system . ) NAME OF BUILDER & ADDRESS : PHONE.'j $ !3 NAME OF PLUMBER & ADDRESS : i err �,,, a PHONE NAME OF MASON & ADDRESS : rn P PHONE NAME OF ELECTRICIAN & ADDRESS : _ Sra_ ► - — 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 authorized by the owner . Signature wn owner s agent , architect con ractor SPECIAL CONDITIONS OF THE PERMIT : — 0/0 7Z) (36r /S,5U&D OAo'L-�l AfvforJS60� V C�s e t e A-T- fCr c1 Q Fl- By : - � �t� /1 -t7� —�� hcii � /+Ln /'� 5 Code nforc ment b9fficer ENERGY CODE COMPLIANCE APPLICATION TOM OF OUEENSBURY . MARREN COUNTY - 900D HEATING DEGREE DAYS i OWN OF QUEENSBUH _ RECEIVEDCOWLance Nletlrods: wwwwo PART 5 - Acceptable Practice Method - I & 2 Family Dwellings ( ONLY ) MAY 1 9 1992 PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellin%A-tjG. & CODE DEPT. Multi - Family Dwellings ( 3 Stories or Less ) PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential PART 4 & 6 on Compliance Methods Require Submission of Worksheets R, d Sc717 �20 Mt IAa )i . C rpm C dr��Its1 u ry, �.28G PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 . Gross Floor Area - �� ;3 Sq . Ft . 2 . Type of Heat - ~Elec . Base Board Other 3 , Is Building Mechanically Cooled ? YES 4 . Percentage of Area of Windows and Doors Over 17 % 4.- Ow Under 17 % THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D THE R-VALUES SHOW Or PLANS SUBMITTMI Baseboard 5 . Insulation Values : Actual Shown Elec . Heat Other A . Roof 8 Floors exposed to ambient temperatures R Be Exterior Walls C . Glazed Area D . Exterior Doors R 6(m Af' Now E . Floors over unheated spaces R F . Edge of Stab on Grade ( Pleated Building ) R� NIA G . Basement/Cellar Walls (Above Grade ) R� H* Basement/Cellar Walls ( Below Grade ) R I . Heating/Cooling on Ducts - Piping in Unheated Space R � 6 . Service ( Domestic ) Not Water Heating Device MMMMMM A . Conforms to wi "Ie efficiency per code ke"YES NO TEW ERATURE CONTROL MAXINUN SETTING 1400 - WILL MY RE ENCEEDW INSPECTOR ' S REWJt LS : TOWN OF QUEENSBURY APPLICATION FOR SEPTIC DISPOSAL PERMIT Permit # Fee Paid Date : Reviewed By LOCATION OF 'PROPERTY FOR INSTALLATION : a Nam Snee 1�ua ?� � Jk�1r ESd�f Owner ' s Name : Wre' itc e R . ZursS9r7.. Owner ' s Mailing �Ayddress0 �� � Aye Installer ' s Name : � �� ? 5't`r 7': //O.0 Fa F0115 Ylv 1a7?3!9 Phone iS Number of bedrooms ( if residential ) : uP aZ Bourn i rs -to b� �tjcfecl . Total daily flow ( residential - compute @ 1 1 � r myy . (J� ut 4C► a f, d'�''�-7/y I/'� 6�'- /' " •L' A+6 'G'�`�'fL✓i-+"G „"✓- *�''•Gi� ate`"-''K_. `-y —' -`--c''t 'C" /-d/-?`.L1,ti Topography- Circle One : F1 at Rolling RceR'� 3 � e GS© ►�otisi eYs .co Soil !Nature- Circle One : �5� Loam �y Other /Depth : Ground Water-At What Depth ? (,r h kk6wVt Feet Never r'e mxcA ed 7+h�t dep7i Bedrock or Impervious Material -At What Depth ? Feet Percolation Test-Circle One : 'Not Require Required/ Rate Min . Per inch Domestic 'Water Supply-Circle One : Municipal Well Other If domestic water supply is a well - Separation : Water supply from any septic absorption feet PROPOSED SYSTEM: Septic Tank db gal . ( Minimum size : I , 000 gal . } Tile Field : Each Trench feet/ /Total System Length zoo feet Seepage Pit ( s ) : Number of / Size each : ft . x ft . Size of Stone to be used : # / Depth or Thickness feet Altnead y Ih9 ta «e'd ,ten J rove d . HOLDING TANK SYSTEM IF REQUIRED No . of Tanks Size of 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 Town of Queensbury Sanitary Sewage Disposal Ordinance . SIGNATURE OF RESPONSIBLE PERSON : r�,e�'-r" �� a °e'''(- DATE : t 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 a17 tanks , distribution boxes , tile fields and/or drywel 1 s 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 : T �'t ?L Ali a t w- FLU ! :5 / y CAL. WF AYM90" 100531 BAY ROAD K 128047 QUEENSBURY , N T5xs) 745- TELEP"ONE t . 13IIDIIjl ' IN5P"ECT(YRN S REPORT FI1W. INSPECTION 0 REQUEST FOB I�{SPECTION 1�CE3YED.�.. NAME LOCATION PENMIT# DATE TYPE OF S RECNEGK ERICIAL STRUCTURE) RS"AL APPROVAL {CapCKFILL FRAMING FIRE FOU%DATIOH -- SEPTIC FOOTING 1NAL ELEGTRiCAL O5T SINGwO. STOVEIFIREPLACE -REMARKS pROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT&OCATION PLUMBING VENT ROOFING SIDING R HIS SIRA LING DECK/P _ -� •-'" _-- RELIEF VALVES O E A ING�� FURNACE/HOT W INTERIOR TRIMIPRIVACY DOORS FINIS" FLOORS : ATERTIGHT B W ATH/KITCHEN � - r- OTHER FLOORS GARPETED.E�� OTHER FLOORS FILINGS STAIR CLEARANCE/ SMOKE DETECTORS DOOR CLOSERS BATHROOM FAN S DP RA ING ALL PLUMBING I GARAGE FIRE PROOFING fir ' DOOR CLOSERS IN WALLS OTHER FIRE S --� FIRE/DEMISE �} OK TO ISSUE C/OL CO EN r ARRIVES-- DEPART �'� . � ELECTRICAL 11NSPECT10Ns []Uxa><ICrATE MVI,1ICIPAL REGORD Permit t io. ' s ---- Clwner -._-.- occupant . - --- �J7 �/� 1 .- - .,-• Sx rrr� Locatiol -' t to applicable torn reverse nuan side has been visually inspected pu Installation as itemized codes. f AJ Installed by Nn. --• �• -"- - • � .__ - -• -• - - - -�- j J s ector l Date INSPECTIONAG E MIDOgo ¢oHddon Ave7Congswaad, NJ48108 � FpnM N4. tE EL. 4prftrS /J N-P, AIR CONDITION Ep• •` C. WIPING 9 +G6fvTR©LS FOR RECEPTACLES SURNER FIXTURES H,v, PUMP . SERVICE EQUIPMENT K"W- OVEN MP. SERVICE CONDUCTORS N.P. GARBAGE DISPOSAL UNIT K.W, SURFAC K-W, DISH E' UNIT WASHER K.W. RANGE K-W. OR YER K.W- WATER "LATER AMp- RECEPTACLE 4=� FRAC, H.P. VENT FANS MOTORS M.p- I120 ] MARK NUMBER /I2 1Xl0 F E.+.CR SIZE 7 7p 1$ ?4 25 31)IAPPAR'AT US S I00 i TOWN OF QUEEMSB4lRl! BUILDING AND CODES DEPARTMENT 531 BAY ROAD QTELEPHONE � NEW 0( 518 ) 7 45- 4447 BUILDiING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVEO_.� NAME LOCATION - � DATE r' 2, pERNIT # TYPE OF STRUCTURE APPROVED RECHECK N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FOP" REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR +48 HOURS FOLLOWINIG THE PLACEMENT OF THE CONCRETE MATERIALS FOR THIS PURPOSE 05ITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DA,MPROOFING BACKFILL APPROVAL ROUGH PLUMBING ' PLUMBING VENT/VENTS IN P ACE PLUMBING UNDER SLAB FRAMING : JACK S UDS/HEADS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MALN A - HEATING ROUGH- IN INSULATION : FOUNDATION WAL INTERI R R- FOUNDATION WA S EXTERIOR RR- FLOORS R- _ WALLS R_ CEILING DUCT WORK PIPING IN UN EATER SPACES REMARKS : f>tbt 1J r U -;rt o 4) ARRIVE r DEPART l.d�� 74PE OR { � TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE (518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION / V A ) r` DATE (e& 2, PERMIT / TYPE OF STRUCTURE RECHECK APPROVED N/A YES NO , FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECT ON FROM FREEZING FOR 48 HOU FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS P RPOSE ON SATE FOUNDATION/WALL POUR REINFORCEMENT IN PLA E FOUNDATION/DAMPROOFIAG BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IR PLACE PLUMBING UNDER SLAB FRAMING : JACK STUDS HEADERS_ BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BE1 HEATING ROUGH- IN I INSULATION : FOUNDATION WALLS NTERIORR- FOUNDATION WALLS •EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS : ARRIVE DEPART -L t INSPEC O pi . MY I -TOWN OF 0 'r "MOR-Ur 1)9"'FTdrAFZ0?ER'yw— LX) ty OU iFEtjc- sit 12 SCALE: 26 IDRAWN: 9 DATE: SITE PLAN --4NG QUALITY* HOMES 1 90--04-01 ST E R L777-7—