1986-522 BUILDING PERMIT
2
TOWN OF QUEENSBURY No. _ 86-522
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Pro-Craft, Inc.
OWNER of property located at Lot 14 Pheasant Walk (St. No. 1) Street,Road or Ave.
Pheasant Walk Subdivision Section 11
in the Town of Queensbury,To Construct or place a One-Family Dwelling b
ay
at the above location in accordance to application together with plot plans and other information hereto filed and o
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. H
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1. OWNER'S Address is easan a rt
Glens Falls, New York H
2. CONTRACTOR or BUILDERS Name
same
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3. CONTRACTOR or BUILDERS Address same I'd
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4. ARCHITECT'S Name
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5. ARCHITECTS Address n H
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6. TYPE of Construction—(PNese indicate by X) H Z
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(x)Wood Fra. 1 )Masonry ( )Steel ( )
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7. PLANS and Specifications
No 62'x26' per plot plan, specifications and application submitted
including two-car attached garage and sewage system. zi
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S. Proposed use
One-Family Dwelling H6
$5.00 C/O fD
122.00 March 1 19 87
$ 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 Queensbuny before tha expiration dam.)
Dated at the Town of Queensbury this 28th Day of August ig 86
SIGNED BY for the Town of Queennbury
Building and Zoning InaPMW
TO BE COMPLETED BY BLDG. DEPT.
Jown o/ Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury. New York 12801
APPLICATION FOR
BUILDING AND ZONING PERMIT I
Application No.
Permit Issued 19
Permit Expires 19,
Zoning Designation
Variance No.
Site Plan Review No.
row WMMA-4
TOWN a
QERtkEENSEtUtt"
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A.M.
A.M.
571�8 %1 i; P'M
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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: kelp, /A�
P.O. Address / /;��. i4SLF n/T &,/ qL!<- /� L�!. �'S /t/-i S /� Tel.: , /.30.3
Property Location: :-C' ' !`1¢d1-17- 7C S/->LtiTy✓�4LK Tax Map No.
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name of build
Name of plumb
Name of mason
O. Address
Address
Tel.
7ry i- / 3 3
Address
Tel.
S S'7 5' i / fr
Address
Tel.
7,�,F2
NATURE OF PROPOSED WDRK:
Construction of a new building
~ —Addition to a building
_Alteration to a building
(no change to exterior dimensions)
Other work (describe)
FOR DEMOLITION PERMIT, STATE SIZE AND
LOCATION OF STRUCTURES AFFECTED.
* ZONING INFORMATION:
* A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
* drawn reasonably to scale and attached hereto,
* showing clearly and distinctly all buildings,
* whether existing or proposed and indicate all
* set -back dimensions from property lines. Give
* street and number or lot number and indicate
* whether interior or corner lot. Show location
* of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property cj- ft Xft.
* Existing building(s) Size ft X -- ft.
*
PROPOSED BUILDING AND USE:
Size of new structure 6-4-ft X ? ft
Foundation-pier/slab/crawlk/piirtia full
(circle oneT--
No. of stories (habitable space)
Height (grade to ridge) / ? ft.
If residential, no. of families_
No. of rooms(excluding baths) (�
No. of bedrooms :3
No. of bathrooms ,-
L
z
Primary heating system G-_Lt C-
Type of fuel
No. of fireplaces to be installed Will a wood stove be installed? ;7o-
Central Air conditioning? .r/-u
BUILDING STYLE, PRIMARY STRUCTURE
Ranch Contemporary Log cabin
Raised ranch Mansion Duplex
�-Split level', Old style Bungalow
Cape Cod Cottage Other
Colonial Row Town House
( CIRCLE ONE PLEASE )
ESTIMATED MARKET VALUE OF
CONSTRUCTION $ 0 OGO
-'- -"-------------
INFORMATION ON BUILDING SPECIFICATIONS,
* Existing building(s) Use —
* Proposed building, distance from property line
*
* Front yard ft Rear yard /-'ft
* Side yards /'/' ft and f r ft
* If on corner, setback from side ss reetft
* OCCUPANCY INFORMATICN
* PRIMARY BUILDING -
1 One family dwelling
* _Two family dwelling
_Multiple dwelling / Number of units
* Permanent occupancy
* Transient occupancy
* _Business
Industrial
* _Other
* If addition, what will use be?
* ACCESSORY BUILDING -
Detached garage/one car/ two car/ car
* _7 Attached garage/one car,twocar� _car
* Private storage building
* Other
ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction,'wood frame, -•fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what?
,
Foundation wall material l'J L O6 K Thickness 10
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or,ifnheated? > Floor sq. footage � sq it
Will there be a basemen ? V c.Will any portion be used as living space?
(If so, what portion ?fin sq.ft. - - Type of use? atfµ 1f _,x v �y
Type of roof � sloped/f at/shed/other Material. of
Size, wood stu?Is "- �_."X___&L" spacing _? i/"o. c. length _eft.
Joists(floor beams) 1st. floor �W8 spacing "o.c. span ft.
Joists (floor beams) 2nd. floor �"XyI " spacing / (, "o.c. span11Xft.
Overlays(ceiling beams) �dF— - spacing "o.c. span ft.
Roof rafters "X-- spacing o.c. span ft.
Roof trusses(pre-engineered) spacing"o.c. span_2,? cft,l
Exterior wall finish S;r3; Nam_ Of what material?ALUiw
Interior wall finish /f/� JTCD 5'ifi=E7- Pic ,r
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?— If so will a Fire -rated
door, enclosure, and self -closing device be provided? AFT 5,
Will a flue -lined chimney be installed? iVO Height above roof --- - ft.
Depth of chimney foundation below grade ---ft.
Depth of fireplace rth --€t: - in.
Water supply C _ MIJ id -a �-br 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)
Town of bury
County off Warren A F F I D A V I T STATE OF NEW YORK
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 sA
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
Owner, owner's agent,ar 7ect,contractor
day of 19_ �.�o J� �-� -
Notary Public, Warren County, N.Y. /`
SPECIAL CONDITIONS OF THE PERMIT:
BY W i110
Jou/n o` Qaeenliury
BUILDING and ZONING DEPARTMENT
Say and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE
LOCATION OF PROPERTY FOR INSTALLATION 7-
OWNER'S NAME
7
ADDRESS <i'h /' 1.T_ �L'l' K TEI..z.,
INSTALLER'S NAME TEL _
Number of bedrooms(residential only) -5
Total daily flow(compute @ 150 gal per bedroom) Lf5 C
Topography,: Flab`- 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? _
Percolation test c Not required - Required - -Rate
Domestic water supply,- Municipal)- Well - Other_
ft.
min -inch.
Separation - Watersupply(if well) from Septic absorption ft.
Proposed System: Septic tank 4n G gal.( Minimun size, 1000 gal;)
Tile Field - Each trench 5 U ft. Total system legnth ft.
Seepage pit(s) Number of — Size each ft X - -ft
Size of stone to be used # 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,stream,pond or wet -lands. Include all dimensions of
the system, itself.
• r + r + : • + + • ► • r ♦ + • + • • r + r + � r r r + r + • + • .• r + r
I.have read the regulations on the reverse side of this sheet and agree
to abide by these and aZZ requirements of The Town of Queensbury
Sanitary Sewage Disposal Ordinance.
Signature of responsible person
v
Date
05/86 and/vl
Section II Septic System Inspections:
A. All applicationd for septic system installation,
alteration or repair, as required by the Town of
pueensbury Sanitary Sewage Ordinance, shall be
submitted to the Building Department at least
24 hours before start of construction and shall
include a plot plan showinq:
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 Buildinq Inspector. Failure tv
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 Oueensbury Buildir.a
Department before further construction.
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 5� b
2. Type of heat L L C
3. Is the building mechanically cooled? // O
4. Percentage of area of windows and doors %
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 YES NO
a. Are foundation walls insulated? YES NO
1. If YES, what is the R value?
3! Slab on grade YES NO
a. If YES, what is the R value of insulation around
perimeter of floor?
4. Is basement heated? YES
a. R value of insulation
NO
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions_
2. R value of exterior walls
3. R value of glazed area f n
4. R value of doors
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 Zo
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10. Type of insulation
C. Controls
1. Thermostat maximum heat setting Zj
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 InsulationN
1. Size of hot water or cooling carrying agent pipe,'/ /
2. R value of pipe insulation
F. Service Water Heating a s Ci
1. Performance efficiency 0 jJ
2. Temperature control setting maximum ji/)c
G. For Swimming Pool Only R
1. Maximum heating /v//-�-
Telephole No. , ��; )
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(appl,icant'.$ si natu )
Jown of Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME
LOCATION
Date4Z /_V,/- Permit No.
✓ - nnnnnan vcc / win
Footir
Foundi
Waters
Batkf:
ramlr
Roof it
Sidinc
Masons
Rough
Relie]
Ext. I
Finisk
Inter:
Stair:
Cellar
Concre
Plbg.
Gar. I
Door
Smoke
Chimne
INSULT
Found
Floor:
Walls
Ceilir
FINAL
Final
9/Pier Forms
.tion
roofing
11
9
O
9
y Veneer
Plumbing
Valves
orches
ed Floors
or Trim
6 Railings
Drain Tile
to Floors
Fixtures
'ireproofing
losers
Detectors
y
TION:
tion
9
ELECTRICAL INSPECTION
Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
I
Bui Insp --
6/86 and-vl
Jown of Queendbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME
LOCATION T I._
cr L
Date / Permit No.
✓ = APPROVED YES ,/ NO
Doting ier Forms ✓ I
Fon
Backfi
Roof
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
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
/d ,41,gJ4 1-74lG S4-4t5
XC6 I M0-1jV(0 SAjcTZvv
( " �5/,t45 'S Gerfo,�
/.VGLubItiCo l9MZA-6E. I e o71V6S
Buil ng Inspect r
6/86 and-vl
Jown of Queen3Lrey
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTICiDISPOSAL SYSTEM
L6j
LOCATION G
DATE 0 //') PERMIT NO.
SOIL TYPE - Sand - Loam - Clay -
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total lencith2�_
Length of each trench. J�
Depth of trenches
Size of gravel_
y
SEEPAGE PITS{Number
of) _
Size- X
ft.
_ft.
Gravel size
PIPING:
Bldg. to tank
Siz ,�
pe� 4n
v
Tank to dist. box
Z 7 (n
Dist. box to field /r
Z % /(„
Openings sealed?
YES NO
Partial
LOCATION/SEPARATIONS: `
Foundation to tank
Foundation to absorption 2Y f
Absorption to lot line ftlp�% Jl wY y
Separation of pits _f�tjy/
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
SYSTEM USE
01/86 and vl
Town of Queendrbur[y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUIL NNSPECTOR'S REPORT
NAME
LOCATION
_6T J� '
g -szz
Date
_/�S Pe mit No.
✓ � L n
Foo t it
Foundz
WaterF
Backfi
Framir
Roofir
Sidinc
Masonx
Rough
Relief
Ext. I
Finis}
Interi
Stairs
Cellax
ConcrE
Plbg.
Gar. F
Door C
Smoke
ChimnE
INSULP
Founds
Floors
Walls
Ceilir
FINAL
Final
g/Pier Forms.
.tion VA
,roofing
11
9
9
y Veneer
Plumbing
Valves
orches
ed Floors
or Trim
& Railings
Drain Tile
to Floors
Fixtures
ireproofing
losers
.
Detectors
y
TION:
tion
9
ELECTRICAL INSPECTION
Building Survey
Next scheduled Inspection call when
Remarks- - k
6/86 and-vl
Jown o/ Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
C)ueensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME PRy - (/, /C1/r—T
LOCATION A ��
Date* / Permit No.
✓ DDDDl1VCT _ VOC / TTh
Footir
Founde
Waterl
Backf1
Framir
Roofir
Sidinc
LzM sonr
ugh
Relief
Ext. l
Finisl
Interi
Stair;
Cella:
Concre
Plbg.
Gar. F
Door C
Smoke
Chimne
INSULF
Founde
Floor:
Walls
Ceilir
FINAL
Final
g/Pier Forms — — --
.tion
--
-
,roofing
11
.g
g
y Veneer
Plumbing
Valves
,orches
ted Floors
or Trim
& Railings
Drain Tile
to Floors
Fixtures
'ireproofing
losers
Detectors
Y
.TION:
.tion
9
ELECTRICAL INSPECTION
Building Survey
Next scheduled Inspection(call when ready)
Remarks-
.�
Building Inspector
6 and-vl
Jown of Queen.l6ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAME -v rt-Ct/� (1 - C_
LOCATION ,)f )v,
Date �1+ ermit No.�
✓ — aonnnvnn _ voc i w+n
Footil
Found,
Waterl
Backf:
Framii
Roofii
(Sidin(
Mason:
Rough
(Relie:
(Ext. I
'Finisl
inter:
(Stair:
Cellar
Concr(
�Plbg.
'Gar. I
,Door
Smoke
Chimnc
INSULF
Founde
Floor,
Walls
Ceilir
FINAL
DRIVEW
Final
ig/Pier Forms
ttion
--
)roofing
.11
ig
ig
I
'y Veneer
Plumbing
Valves
porches
t/"
ied Floors
.or Trim
& Railings
Drain Tile
.te Floors
Fixtures
'ireproofing
losers
Detectors
y
TION:
tion
9
ELECTRICAL INSPECTION
kY APPROVAL
Building Survey
Next scheduled inspection (call when ready)
Remarks-
U IG (-on CP6,V0 � vG
c Gc
6/86 and-vl cto Building Ins e
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