1986-488 BUILDING PERMIT
TOWN OF QUEENSBURY No 86-488
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Wm. Herlihy
OWNER of property located at Lot 603 Fox Hollow Lane (St.#29) Street,Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and w
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
x
m
1. OWNERS Addross is 1 Dartmore Drive
N
Glens Falls, New York F'
x
2. CONTRACTOR or BUILDERS Name
same
3. CONTRACTOR or BUILDERS Address p
rr
same
0
w
4. ARCHITECTS Name 0
x
0
N
5. ARCHITECTS Address 0g
r
w
6. TYPE of Construction—(Please indicate by X) v
( )Wood Frame ( )Masonry ( )Steel ( ! z
0
7. PLANS and Speci ilmtk"m N
�o
No 27'x56' per plot plan, specifications and application submitted
including sewage system and two car attached garage.
8. Proposed use
One-Family Dwelling
I
p
$5.00 C/O Paid
$ 185.00 PERMIT FEE PAID-THIS PERMIT EXPIRES March 1
1987 E
(if a longer period is required an application for an extension must be made to the Buildingand Zoning
town of Ousensbury before the expiration date.) inspector of the F.+
N
W
Dated at the Town of Queensbury this 13th Day of August 19 86
OQ
SIGNED BY _ llaz4
z) for the Town of Queensbury
Buildbg and Zoning Inspector ��
TO BE COMPLETED BY BLDG. DEPT. .
C� L 2
Application No._
Jown of Qiieeni/i.r, Permit Issued 19 �
BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF QUEEN SO Y
Bay and Haviland Road, R.D. 1 BOA 1 Zoning .Designation p Z,D REGUIVE
r'Queensbury, New York 12801 Variance No. 4 4
Site Plan Review o. ,i0i
. Approved by: l�L 1 Q � �
A.M. 1 gb`il,�."G- P.M.
APPLICATION FOR 7Ng09�1�i1 � � i13}1 i
• a e e 6
BUILDING AND ZONING PERMIT atL`
* * * * * * * . * * * * * * * * * * * * * * * * * * * * * * * * * :le * * * * *::.*
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 done 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: ( r /(/Q r lie r/, ,/I. p A-e-� CC `2:w f
P.O. Address 1 la r r ' O re Dr. (0 6.)frl,,$ , ,./5 /II, y Tel. 2g3-6—a6/
Property Location: G iIUro La/i! GpT 603 CST+ ce 7 Tax Map No. 7 7 / ( / /,3k/
. Street number or building lot number
Subdivision name (if applicable) IjJ1�\--LA AiD —
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS. REGARDS BUILDING CODES IS:
liJi I (te(. -e-r 1i k9 I Parlrnora Or, Co, r-
Name P.O. Address , Tel. No.
Name of builder C) .- ii �1 Address AboJ2 Tel. (3t)e
Name of plumber ) AA , ,IN i INAddress ti - Tel. lr •
Name of mason � h Address " Tel. (i
NATURE OF PROPOSED WDRK: * ZONING INFORMATION:
XConstruction 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 dot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area. -.
* COMPLETE INFORMATION REQUIRED BELOW. U/ V
* Size of property 705/Z/7 ft X/ o//p$ft.
//
* Existing building(s) Size , ' ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building.(s) "Use ii//,4-
Size of new -tructure (9 7 ft X 6 ft * . .
Foundation. . slab/crawl/partial *. Proposed building, distance from property line
" (circle one) * Front and //6
No. of stories (habitable sp ce) * y ft Rear yard ft
A.Height (grade to ridge) al- ft. * Side yards ft and y,Z ft
If on corner, setback from side street ft
If residential, no. of fami ies ® * ✓V
No. of rooms(excludin baths) , . * OCCUPANCY INFORMATION
No. of bedrooms *
* PRIMARY BUILDING -
..No. of bathrooms c: f * One family dwelling
Primary heating system o•r /Jeltet Two family dwelling
Type of fuel (0 4S * Multiple dwelling
No. of fireplaces to be installed / * p / Number of units
Will a wood stove be installed? Np * Permanent occupancy
* Transient occupancy
Central Air conditioning? NO 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/ car
( CIRCLE ONE PLEASE ) * )(Attached garage/one car/ two car/ ,<;p car
* * * * * * * * * * • * * * * * * * * ' Private storage building
ESTIMATED MARKET VALUE OF * 7--Other. . . .
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form SPA /AF, ma-v.i .
/7 36 a
BUILDING PERMIT APPLICATION CONTINUED - 48 - ..
BUILDING SPECIFICATIONS . 3,3 4' 9 a I
Type of construction, frame fire safe,etc. .
• Will any second-hand or ungraded lumber be used? If so, for what? A.A9 .
Foundation wall. material /c) - .0/OG/' . Thickness �U
Depth of foundation below grade ' • bottom of footings (f, '
Will there be a cellar? , ed eated'�or unheated? Floor sq. footage ��° (z/ sq ft
Will there be a basement r <, ill any portion be used as living space? "PO
(If so, what porti ? 0 sq.ft. - - Type of use?
Type of roof - sloped)/flat/shed/other Material. of roof 471 /r s/j(�O/e.,S
Size, wood stu "X " spacing /6 "o.c, length ft.' 1 /
Joists(floor beams) 1st. loor "X /0 " spacing 4, "o.c. span ! 0 ft.
'Djoists (floor beams) 2nd. floor "X rj " spacing 1/ "o.c. span /? ft. •
verlays(ceiling beams) "X " sptacing "o.d. span ft. .
Roof rafters "X " spacing o.c. span ft._
Roof trusses(pre-engineered) spacing„? "o.c. span (2 7 ft.
Exterior wall finish Of what material? U Ivy/ ) b1 G
Interior wall finish 511Q-4Pr Rock ) " f
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
57 1 .�Li.e .T,'o4-
Is there to be an opening between garage and dwelling?),'5 If so will a Fire-rated
door, enclosure, and self-closing device be provided? \/ S
Will a flue-lined chimney be installed? Xf.. Height alove roof p`� ft.
Depth of chimney foundation below ade ft.
Depth of fireplace hearth Lft. ' in.
Water supply - unicipa or private well •
SEPTIC SYSTEM _ is, ance from ANY private well(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
•
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
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 .truc 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 s ecified or no , and that such work is
authorized by the owner.
SWORN TO BEFORE M
ETHIS Signature "
19 �� Owner, owner's a en-,arcnit- t,contractor
V
ay of
Notary Public,: Warren County; N.Y. •
* * * * * * * * * *,•* .* * * * * * * .* * * * *! * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF .THE PERMIT: .
•
• By
. awn of Queen31ury APPLICATION FOR. SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
, Oueensbury, New York 12801 DATE/ / 4/jcF6
LOCATION OF PROPERTY FOR INSTALLATION F-OX 4 I Ion: Lan e.. G-o't- 6:0 •3
OWNER' S NAME W i 1 k l ayr, )-1�)-- I t \ L(
•
ADDRESS *I tJGl-r-tyMOV'-e_ DY'1vc_. • • TELIQ3-5 (.0
INSTALLER' S NAME Dave_ . `Io r,_ TEL7`7 -a37/
Number of bedrooms (res'idential only) 4-4
Total daily flow(compute @ '150 gal per bedroom) (o60ya
Topography: Flat Rolling .- Steep slope - (circle one) % of slope
Soil nature: San - Loam - Clay Other Depth ft.
Ground' water -At what depth? j;Z ft.
Bed- ock or impervious material - At what depth? ft.
Percolation test - Not required - Required - -Rate min-inch.
Domestic. water supply nicipal - Well - Other .
Separation - Watersupply(if well) from Septic absorption ft.
Proposed System: Septic tank - gal. ( Minimun size, 1000 gal. ) .
Tile Field - Each trench ft. Total system legnth ft.
Seepage pit (s) Number of 3 . Size each ft X .6 ft
Size of stone to be used # ' 3' - Depth or thickness ft.
IMPORTANT! '.
On a separate piece of paper, submit a diagram of the proposed system
with all dimensions shown; including distance from any structure ,
distance from property lines and from ANY DOMESTIC WATER SUPPLY or
shore-line of lake, strea-m,pond or wet-lands. Include all dimensions of
the system, itself.
* * * * * * * * * * -* * * * * * * * * * * * * * * * * * * * * * * * * -* *
I have read the regulations on the reverse side of this sheet and agree
to abide by these and all requirements of The To n of Queensbury
Sanitary Sewage Disposal Ordinance .
Signature of responsible person
_ j /iL�l
05/86 and/vl
Section II Septic System. Inspections:
A. All applications for septic system installation,
alteration or repair, as reauired by the Town of
Queensbury Sanitary Sewage Ordinance, shall be
submitted to the Buildina 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 installation, alteration or
repair of an approved system, a new proposal
must be submitted to the. Queensbury Building
Department before further construction.
•
r�
/ TOWN OF QUEENSBURY
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::/
1. Gross floor area ail50 y,oe
2 . Type of heat Yoe- GcCrte-Y
3 . Is the building mechanically cooled? 40
4. Percentage of area of windows and doors /j D
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces NO
a. Are foundation walls insu ated? CNO
1 . If YES , what is the R value? (9 / r1
3 . Slab on grade YES qt(--13a. If YES , what is the value of insulation around
perimeter of floor?
4 . Is basement heated? YES NO
a. R value of insulation ri
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
3 F
2 . R value of exterior walls Q / 9
3 . R value of glazed area /\ 3
4 . R value of doors •
U�
5. R value of floors over unheated spaces
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) /.1
10 . Type of insulation g,fje 1,- l^/C $S
C. Controls 0
1. Thermostat maximum heat setting ge) f
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R value of duct in other areas
E . Piping Insulation " (i
1. Size of hot water or cooling carrying agent pipe +- 3/41
• 2 . R value of pipe insulation
F . Service Water Heating
1. Performance efficiency
2 . Temperature control setting maximum be° 0
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. rig3'' 52b f 4 .
(applican sign ure)
Cat/lam 3/J�/�7
lV �ocun of Ql eniUurly
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
e(6 , /1-;"171
BUILDING INSPECTOR ' S REPORT
NAME Zeim /�-e�l'A
/ y
LOCATION Lor GO .3 Fox /fv//uc' /44,
WO. 3 am GG
Date / /j7 _ Permit No. (Wo- 41"
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing /
Siding !/
Masonry Veneer
Rough Plumbing
Relief Valves ✓
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings / 1
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing ,
Door Closers a v
Smoke Detectors j \
Chimney /
INSULATION:
Foundation \�
Floors
Walls
Ceiling 0117>
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
•
6 O'LAl /-.4. fa N i b3 o 1(,Cs -.
4-1,44 Vc-To�t r
A FLoe c 1 IN&Li -p T 0Al nip p ere_
Building In pector
6/86 and-vl
Jotun o� 4eenibury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME / tLf
LOCATION r X ` �� L V
Date / Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation I
Floors \�
Walls /
Ceiling /
FINAL ELECTRICAL INSPECTION ,/
DRIVEWAY APPROVAL /
(Final Building Survey 1 -IA/SX�I-�i co.(/
Next scheduled inspection (call when ready)
Remarks- f
(�A/1 �f n ana//. 1,4 04 1/-K
4/1/(7/4 ‘,/
Building Inspector
6/86 and-vl
CA11,g I
awn of Queeniury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
UV IY 1 (sr, � i)
LOCATION l o I G 6 3 6//0) ,Ca„-e-
Date / //i, /f Permit No. 6 - 4(5'1'
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing 1/7
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
-\\IK
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- I�
Tr4S.e. Win he Drfzr V 15yr
e f t- o feh.
/Vc POV
IAISut /h m i1P6-5 /A/
(3 o x D e.
/ �
Building Inspec `or
6/86 and-vl
Town of Qu 'en.iur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME / 1.1-1
LOCATION 6 �'d C cot-' ���Lf
O K. ( L �
Date %7/(‘ / 66 Permit No. c8 G_
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer �r
�Rough Plumbing �).4-!AJ�- AS W .5 l
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors •
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Wirt 2 5V '9 )6-5
Next scheduled inspection (call when ready)
Remarks-
A- e-T7/3- %'L/terJi(t1�,
Buil ng Inspecto
6/86 and-vl
celitti
c14�'4418( 1 :
Jown of QuQeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME bc)01 Werli Ali
LOCATION LoT 603 FOX
L,//dW� .
Date TO/a / e)'‘, Permit No. 8 c - 9 $I
* * * * * * * * * * * * * * * * * * * * * * *
to/ = APPROVED - YES / NO
Footing/Pier Forms t
Foundation
Waterproofing
Backfill
y Framing at'
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings \
Cellar Drain Tile \ F
Concrete Floors I -
Plbg. Fixtures
Gar. Fireproofing
Door Closers ,I `''
Smoke Detectors
Chimney ." \
INSULATION: /I \
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - l '-r.,,,
l
Building Inspector
6/86 and-vl
Jown of Queenibur 1
• BUILDING and ZONING DEPARTMENT
Bay and Havilarid Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME a/-kite-7'
LOCATION /0/I /% Z c c
Date D /( / Permit No. (�lo - �2 F
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms i
Foundation
Waterproofing 'r,K
ligackfill OE
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim /�
Stairs & Railings `
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
601/8414fillib-
Building Inspector
6/86 and-vl
Jown of Queenilur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 116R L; tJ
LOCATION 14,� 'FO`: f5
Date \ _ /86 Permit No. O . - 8
✓ = APPROVED - YESL ,/ NO
4-4 Footing/Pier Forms �,rs
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar.. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
• Ty /4 /41-67-4-7
//6
Building Inspector
6/86 and-vl
•
•10
•
•
N
•
` •
h i � �
O . - • ,
•
•
•
i.2y
-
•
:.
Ov �j
I
m
. • nG cc
•..• • • 45_�57,f5F - -
6.. .:3
Fo'C HOLLOW LANE"