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1987-434 1 i MCA 1 E V t` OCC +1.1 1 A TC" 1 TOWN OF QUEENSSURY WARREN couNTY, NEW YiJRK Date January 18 19 k This is to certify that work requested to be done as shown by permit No. $7-434 1 has been completed. 'i TV10 FAMILY �}D,W�ELL NG This structure may ouPiod ' 0 J C c" 1 l Loaation RICHAPD RUZLLL t�,[ \ � CA I C'lwntr By Order Town Board . TCr'Wfif OF QLTLENSBLiCtY Building d' 2onitoyg ;nypector i I i I BUILDING PERMIT TOWN OF +QUEENSBURY No 87-434 WARREN COUNTY, NEW YORK z 0 PERMISSION is hereby granted to RICHARD ROZELL c.n OWNER of property located at CORINTH RD Street. Road or Ave. to in the Town of Oueensbury, To Construct or place a TWO FAMTT.Y DWRT-ETNG a at the above location in accordance to application together with plot plans and other information hereto filed and ry approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance. y aU 1 . OWNER'S Address is [ 5 22 Fox Hollow Lane Glens Falls , N . Y . 2. CONTRACTOR or 8UI LDERS Name H Same r' .3. CONTRACTOR or BUILDERS Address a N t� 4. ARCHITECT'S Name t" 5. ARCHITECT'S Address n Ca nix B. TYPE of Construction — (Please indicate by X) z ac f XVNfood Frame I ) Masonry I } Steel I ) l 7. PLAINS and Specifications Na, 25r x 40r Two family dwelling , including septic system, per plot plan and specifications and application . Site Plan Review No . 16-87 8. Proposed Use Plans in drawer , o Two Family dwelling H $5oOO C/O $ _140 * 00 PERMIT FEE PAID - THIS PERMIT EXPIRES ZE: {If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the tom" town of Ousensbury before the expiration date- ~ z Dated at the Town of Oueensbury this 10th �❑ay of July 19 $7 SIGNED BY ��i�G � ��c2r � for the Town of Oueensbury Building and Zoning I nspector �.� / TO BE COMPLETED BY BLDG . DEFT . Application No . I . ;yVC� C7's L+i4civc OLL I7 0/ QLfLtif'il3xL[I'I� Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19^� Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation �raa Queensbury, New York 12801 Variance No . JUN 2 2 egg] Site Plan Review No .(a Appr ed b B�,l��{-DING ,�c CODE DEPT. APPLICATION FOR Vq Q/a FU I LD I NG AND ZONING PERMIT ` A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION , ANSWER ALL OF THE FOLLOWING . The undersigned hereby applies for a Building Permit to do the followings wont 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 ofTthis property !so j 1G a-� P . O . Address '7 Cyr c�-� /' Tel . S-A 7 �Sie� Property Location : Tax Map No . / / street number or building lot number Subdivision name ( if applicable ) THE RSpN RF PONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : /z Ci e,= /�";+>e - Name P_ O . Address Tel . No . Name of builder 5 4- --ti. Address Tel . Name of plumber Address Tel . Name of mason i Address Tel * NATUREOF PROPOSED WORK : ZONING INFORMATION : Construction of a new building A PLOT PLAN MUST BE PREPARED ARID 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 whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. of septic disposal area . * COMPLETE INFORMATION REQUIRED BELOW . Size of property � r 3ST ' ft Existing building ( s ) Size — ft X ft . PROPOSED BUILDING AND USE : * Existing buildings ) Use Size of new structure Z. S ft X Selo ft " Foundation-pier/slab/crawl/partial/ u;_):,/ Proposed building, distance from property line ( circle one ) !�/ ft Rear yard 7� ft Noe of stories (habitable space) Front yard 410 2 * Side yards ft and S� 5 ft Height { grade to ridge) _ ' ft If on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths ) 5 * OCCUPANCY INFORMATION No . of bedrooms Z� PRIMARY BUILDING - No . of bathrooms / One family dwelling Primary heating system Type of fuel - ._X_Two family dwelling Na _ of fireplaces to be installed Multiple dwelling / Number of units Will a wood stove be installed? ,zip „ . Tr occupancy Central Air conditioning? jo ,� * Transiansient ent occupancy � BllS1neSS BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log c in * Other If addition , what will use be? Raised ranch Mansion plea Split level Old style B alow 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 INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS 'SHEET , TO BE COMPLETED : Form BPAA 4/86 md--vl df QeZ4d6WV APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE / s�er 17 LOCATION OF PROPERTY FOR INSTALLATION 47 Owner's Name: r=- ��Z2� _ee' Telephone: Address: _Z c' /'�- . C'c#--- �3 �//�',r d'T�Y / ?ram/ Installer's Name: /Grr (r_ � -' � e -G t Telephone: Number of bedrooms (residential only) _ Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: �i�a�t Rolling Steep Slope 3�0 of slope , Soil Nature: circle one an oam Clay Other / Depth: _ feet Ground Water: At what depth? feet Bedrock or Impervious Material*. At what depth? i feet Percolation test&. circle one: not required required f rate min. inch. Domestic water supply: circle one: icipa Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSER SYSTEM: Septic Tank gal. (minimum size: 1,000 gal.) TILE FIELD: Each Trench feet / Total system length '2'S: Z� feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness feet IMPORTANT ...Please_..LIST NEW EQUIPMENT TO BE INSTALLED (over) 1A') � Joeun a ueen36urr� UiLL]fNG and ZONING DEPARTMENT Bay and Ha,,iland Road, R. D. 1 Bax 98 i7 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME FW LOCATION ,A - �"{ 9� Date /� $ / Permit No ✓ r APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfill Framing Roofing v Siding t Masonry Veneer Rough Plumbing Relief Valves Ext . Porches I' Finished Floors Interior Trim Stairs & Railings !/ Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing kip Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRIC L INSPECTION _ KIVEWAY APPRO AL,__ _ al iBuildin Survey Next scheduled inspection ( call when ready ) Remarks-- Build ' ng Inspector 6/86 and-vl vwn o/ Quive" Ji " ry BUILDING and ZONING DEPARTMENT Bay and Maviland Road, R. D. 1 Box 98 pueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION x� Date � ermit No . 7 Y APPROVED* -AYES* NO Footing/Pier Forms Foundation WaterPrOOfing Backfili Framing Roofing Siding Masonry Venee Rough Plumbin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete Floors plbg . Fixtures Gar . Fireproo ing Door Closers Smoke Detec ors S Bey ✓ N SL3 LAT I O FoUn da t io Floors <a' lls filling FINAL ELEC RICAL INSPECTION _... DRIvEWAY APPROVAL. Final Building Survey - Next scheduled inspection (call when ready ) Remarks- Building Inspector 6/86 and-vl �/ I JOWn 0/ Q"eerl .y "ry r iBUILDING and ZONING DEPARTMENT i Say and Haviland Road, R-D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME / I ' LOCATION Date / ' / / .._ Permit No . ► ' APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing ' B kfill r.� rami ng M Roofing Siding M sonry Venee �ough plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fi.reproafin Door Closers Smoke Detector Chimney INSULATION Foundation Floors Walls Ceiling FINAL EL TRICAL INSPECTION DRIVEWAY A PROVAL Final Buil ng Survey Next scheduled inspection (call when ready ) Remarks- Building Inspector 6/86 and-vl /�m'� I � �otv►t o� �utJrns6urt� ! - 4014 BUILDING and ZONING DEPARTMENT ; `T Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME JO C:Wc LOCATION C. bv+ DATE / PERMIT NO . SOIL TYPE - Sand - LoZngt�h Percolation Test Requ NO Percolation rate - Mi TYPE of SYST Absorption f i Id . totLength of eac trenchDepth of trenc es Size of gravel_ 2 SEEPAGE PIMN er f) Size- ft. X _ ft. Gravel size PIPING : Size Type Bldg . to tank t Tank to disc . x Dist. box to f eld/rnll= Openings seal ? Y S O Partial LOCATION/SEPA I Foundation to ank ! t. Foundation to absorption 02� Absorption to lot line -,±:jt. Separation of pits --- ft. ZACATI STEM ON ON PROPERTY (circle one) Front Rear Left side - Right side - Ct7MM S SYSTEM USE APPROVED (YES NO _ s Buildin Inspector 01/86 and vl __.!c►wn o/ Qceen s � ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPE,✓CfTOR ' S REPORT NAME LOCATION Date Z f Permit No . ✓ APPROVED - E$ NO Doting/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 Pibg . 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- � ✓ x Buildin Inspector 6/86 and-vl