1986-496 i
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-496
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Paulin Construction Co. , Inc.
►d
OWNER of property located at Lot 26 Candleberry Drive (St. No. 14) Street,Road or Ave. P
Heatherbrooke Subdivision �_'
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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 aed 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. W
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1. OWNER'S Address is 22 Sugar Pine Road c
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Glens Falls, New York
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2. CONTRACTOR or BUILDERS Nine
same
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3. CONTRACTOR or BUILDERS Address
same
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4. ARCHITECT'S Name ;* 0
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5. ARCHITECTS Address &+ a.
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& TYPE of Construction—(Plesse indicate by X) `C
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(x)Wood Frame 1 )Masonry 1 1 Steel f ) F
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7. PLANS and Specifications
64'x26' per plot plan, specifications and application submitted
No. including two-car attached garage and sewage system.
S. Proposed Use 0
One-Family Dwelling M
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$5.00 C/O Paid
$ 87.00 PERMIT FEE PAID-THIS PERMIT EXPIRES March 1 19 87
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the M
town of Queensbury before tts expiration date.) N
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Dated at the Town of Queensbury this 18th Day of August 19 86 04
SIGNED BY �I� Q� for the Town of Queensbury
Building and Zoning Inspector
l TO BE COMPLETED BY BLDG. DEPT.
•
�] • Application No.
,Down nit Queeniurj Permit Issued 19 r
BUILDING and ZONING DEPARTMENT Permit Expires 19 g OW � ''( �`�
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation E 1 1 I
Queensbury, New York 12801 Variance No. e � �.,
1 i _ D„ - 2- Site P1 i Review No. AUG f 3 ,j936
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Approve by Y
p.m. /
A.M.
APPLICATION FOR G�
0.,�--` 7I p m• BUILDING AND ZONING PERMIT _ I
* . * # # # # # # # # # # # # # # * * # # * * * * # # * # # # # #' # * # # 4 #
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.
. A.
The owner of •this property is: Q'Is...x,_Q,yZm 11- (�.0 "NC
P.O. Address --2_7__ S la.C,��� �R INQtn �,,J Tel. 9g- pRZ
Property Location: �"" pR \ k 7_,(p Tax Map No. /-�/-�—
Street number or bu lding lot number 5 T. 00y ®icy®,4 _4 (
Subdivision name (if applicable) , 5i.a.,
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
—P C.Z-ry t- Z2 L s .J Ice - 663Z
Name P.O. Address Tel. No.
Name of builder C Address Tel.
Name of plumber Address Tel.
Name of mason 10C e 0 Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
JConstruction 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 lot 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.
* Size of property 1 CC2) ft X Zed ft.
* Existing building(s) Size LI Z. ft X ?J/, 'ft.
*
PROPOSED BUILDING AND USE:(0 5' / -3--L
I * Existing buildings) Use
Size of new structure 1,Z ft X 7joft * . . ' . . . . . . ' . . . .
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
. (circle one) I
No. of stories (habitable space) * Front yard ft Rear yard' 1� ft
Height (grade to ridge) � (, — ft. * Side yards ft and 3 ft
If residential, no. of families
I * If on corner, setback from side street ft
No. of rooms(excluding baths) . . 5. • * • OCCUPANCY INFORMATION
No. of bedrooms *
* PRI1MARY BUILDING -
No. of bathrooms I.
Primary heating system 5. Qi aZio * . One family dwelling
Type of fuel * Two family dwelling
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy
Central Air conditioning? * Transient occupancy
* . Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
;� Other. . . . .
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/ car
* * * * * * * * * * * * * * * * * * . . Private storage building •
ESTIMATED MARKET VALUE OF * •* _Other
CONSTRUCTION 'J^
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
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BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. �$� S' Mr:Lim&�
Will any second-hand or ungraded lumber be used? If so, for what? 1 V CS-
Foundation wall material ZAjyU T — Thickness L d 11
Depth of foundation below
P grade (to bottom of footing)
Will there be a cellar?)13e_S Heated or unheated? Floor sq. footage -f?sq ft
Will there be a basement? Will any portion be used as living space?
. (If so, what portion? sq.ft. - - Type of use?
Type of roof. - slope. flat/shed/other Material. of roof I :L
Size, wood studs 7 "X (p " spacing 7 L{ "o.c. length $ f
Joists(floor beams) 1st. floor .. "X IC, " spacing' "o.c. span I'Z,*Iloft.
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) spacingVy "o.c. span`4:6 ft.
Exterior wall finish V LQ_ 5O',1,,,Npf what paterial?
Interior wall finish ' `Z)
If a garage is to be attached, describe materials• to be used for FIRE SEPARATION:
w15/I F
Is there to be opening between garage and dwelling? If so will. a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? Height 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 c.djoining propertiesft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury A F F .I D A V I T 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 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.
SWORN TO BEFORE ME THIS Signature -I/1
Owner, owner's agent,arcnitect,contractor
13 day of g 19V40
Notary Public, Warren County, N.Y.
* * * * * * * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
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By • \
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
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2 . Type o f heat 'pC�a.CJL r_ V.�3-0 4 e d-4
3 . Is the building mechanically cooled? 1\)C-)
4. Percentage of area of windows and doors
A. Over 16% Onlly `
1 . Uo value\,\of gross area of walls , roof/ceiling and floors,
• exposed to ambient conditions
2 . Floor over he ted spaces YES „..NO
a. Are foundat' on walls insulated? YES NO
1. If YES, what is the R'value?
3i Slab on grade YES ENO
a. If YES, what is t - R value of insulation around
perimeter of f Ldon?
4. Is basement hea ed? YES NO
a. R value of insulation "N
5. Type of insulation
B. Under 16% Only ,
1. R value of roof and floors exposed to ambient conditions
� �► k l
2 . R value of exterior walls
3 . R value of glazed area I rY11 N ' `1
4 . R value of doors Cam• 51 - m 1 (� 14
5. R value of floors over unheated spaces 1 —
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 F O.d
C. Controls �]
1. Thermostat maximum heat setting
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
1. Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating c�o
1. Performance efficiency
2. Temperature control setting maximum I
G. For Swimming Pool Only
1. Maximum heating
Telephone No. 1-7
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(applicant ' s signature)
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5non 4 QuQen3tur APPLICATION FOR SEPTIC DISPOSAL PERMIT
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D: 1 Box 98
Oueensbury, New York 12801 DATE O / L3
LOCATION OF PROPERTY FOR INSTALLATION
OWNER' S NAME q . r ,, Fynst fi NiC
ADDRESS SC) • . b K TEL lU 6
INSTALLER' S NAME • Il
TEL 11
• Number of .bedrooms (residential only) 3
1---) .
Total daily flow(compute @ 150 gal per bedroom) So
Topography: - Rolling - Steep slope - (circle one) % of slope
Soil nature: Sand - Loam - Clay - Other . Depth ft.
Ground: water ,-At what depth? ft.
Bed-rock or impervious material - At what depth? - ft.
Percolation test - Not required - Required -. -Rate . min-inch.
Domestic water supply Municipai) - Well - Other
Separation .- Watersupply(if well) from Septic absorption ft.
Proposed System: Septic tank 'IO00 gal. ( Minimun size, 1000 gal. ) .
Tide Field Each trench' loft. Total system legnth ft. .
1
Seepage pit(s) Number of . Size each ft X ft . .
Size of stone to be used# ' Z Depth or thickness . I . . 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 DO1' ESTIC WATER SUPPLY or
shore-line' of lake, streain,-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 Town of Queensbury
. Sanitary Sewage Disposal Ordinance .
Signature of responsible person
► Y) a
Dute T / J3 .
05/86 and/vl
2. _ --a
Section II Septic System Inspections:
A. All applicationst for septid system installation.,.,_, ,
alteration or repair, as reauired '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 he
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. __ _
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�,l i _/own o/ Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDINNG INSPECTOR ' S REPORT
•
NAME
LOCATION OiLkdielje_Ajufm
Date Voler/ 61/p Permit No. h* * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
LRoofing ✓
)( Siding V
Masonry Veneer
Rough Plumbing
(Relief Valves
Ext. Porches / t
Finished Floors
)(Interior Trim �, .� ✓
(stairs & Railings \
Cellar Drain Tile \
Concrete Floors
). Plbg. Fixtures
y Gar. Fireproofing �/
'I Door Closers
)(Smoke Detectors �VVVf
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
q-t) iS,S-4}Li_ (),
'uzez.)Gy
Fl,ka
Building Inspector
6/86 and-vl
1
fio1,11n of QuQeniurcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME `
LOCATION rj /
Datey Permit No.
* *�* *, * * * * * * * * * * * * * * * * * * *
/7 7 �/- = 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 /N\
Cellar Drain Tile
Concrete Floors i `r
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-
P,P.61Axai
Building Inspector
6/86 and-vl
ju/l,-4 1,/ /c ii-' 3)
_lown of Qu et,thi‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME i-U/cij <i C v1.) Sr--•
LOCATION Le)/ D`( CV? d/Le,h 6 rV i Pk1.
DATE 10 / kt, PERMIT NO. C, _ `(' ! C,
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length a
Length of each trench ci d
Depth of trenches a
Size of gravel c -2--
SEEPAGE PITS-Number of)
Size- ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank if[ G27
Tank to dist. box
Dist. box to field/ i
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank g, ft.
Foundation to absorption ft.
Absorption to lot line of cD f tt`
Separation of pits ---ft.
LOCATION TEM ON PROPERTY(circle one)
Front - Rear Left side - Right side -
COMMEN
SYSTEM USE APPROVED YE NO
.60- AtA-7 ------
Building Inspector
01/86 and vl
Jocun o/ Queeniurty
BUILDING and ZONING DEPARTMENT
Bay and Havilarid Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME pa,„4-,--,1/4, h U
LOCATION
Date q / x6 Q Permit No. 6 -4 7
✓ = APPROVED - YES / NO
Footing/Pier Forms 1
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
,kiesonry Veneer C-t'
Rough Plumbing 4 -�
Relief Valves
Ext. Porches
Finished Floors.
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing 1-
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL I SPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - ?4(7t_
Me
Building Inspector
6/86 and-vl
O.__ et 1i I "I/ fa/ 3 ; 5-6 !'"y].
_ wn of Queeni‘ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Pctv�l� I� CU1�s�t .
LOCATION La I' G C4 h d
Date /_5(,, Permit No. 8G - -y(o
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
.Waterproofing
Backfill
Framing '1fZ
Roofing
Siding
Masonry Veneer �Z� „
yz Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors7 1
Chimney <- .\\\\
INSULATION:
Foundation
Floors /
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
r\Cea/4- _4,62 ger( ,AZ-,4„,
/01_ r
Building Inspector
6/86 and-vl
id CLEti. 1/9/'1t
...awn o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAMEEe1ZIv► ar �5kGc6 -/ Ca, _Ov, c.
LOCATION y 9(1dG - y `�7.
Date (1 / ? Permit No. �
* * * * * * * * * * * * * * * * * * * * * * *
$0' = APPROVED - YES }i'NO
0-Footi
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- -
Bu , n ns for
6/86 and-vl
_lown o/ Queenibury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME nj A, - i
LOCAT I ON 2_,a r #061 o-L-- k
Date D /sq,„ Permit No. � - ���
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
S Foundation
NWaterproofing
�Backfill Oir
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- -
6-(7)/0, 4‘.
Building Inspector
6/86 and-vl
Jown of Queenibury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 17a.ct_ti A COh ,i
LOCATION Lot (2c li o.(11 ev 1,, ,-1,7 f< -e Date 'l ic./ /bt, Permit No. 0 �- "/ 96
* * * * * 1* * * * * * * * * * * * * * * * .
V = APPROVED - YES NO
/Footing/Pier Forms 1
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 v
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
4- cheduled Inspection(call when ready)
411
Remarks- -
0 4O 6C4—
p Ii ro ills
V:7—I 444-1--1-----
Building nspector
6/86 and-vl