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1987-435 r � cERTIFIC-ATE TOWN OF QUEENSSURY WARREN CC3UNTY , NEW YORK .3auuary 181 19 L3ate rl �q 0 tili�' "" 4 � be done as shown by Permit No. 87-435 wMis is to ,certify that work requested to -11 in 1,as been cosr►pletCd. J qXMI I r`C3 TAM IL DWELLING This structure may l 401 ration Yc O � i KICJLk iZC7� Ella C1 C Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No 87-435 z WARREN COUNTY, NEW YORK RICH,t RD ROZELL o PERMISSION is hereby granted to 1 CORINTH RD . Street, (toad or Ave. 1 N OWNER of property located at in the Town of Queensbury. To Construct or place a TWO—FAMILY DWELLING fv lication together with plot plans and other information hereto filed an at the above location in accordance to app n� approved and in compliance with the Town of Queensbury Building and Zoning [Ordinance. 11 r1w"Edress is 22 Fox Hollow Lane Glens Falls , N . Y . 12801 OR or BUI LDER"S Name n Same OR or BUILDER 'S Address G�7 N t�] t-' 4_ ARCHITECT`S Name -- n 0 FAN Address N H x uction — {Please indicate by X) od Frame f ) Masonry I ) Steel f 1 cifications ' x 40 ' two—family dwelling per plot plan , speeifications , and ication including septic system, Site Plan Review No . 16-87 i a. Proposed Use H Two—Family Dwelling t:j $5 . 00 February 1 , Zg 88 $ 140 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES r� (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of t he town of (aueensbury before the expiration date_) loth July 19 87 Dated at the Town of Queensbury this Day of for the Town of Queensbury SIGNED BY B ildir+g and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . �vra c> �] I Application No . f} Rrt ;ry _JO,w,re o� '�uee►t36[t►'� Permit issued �L111r BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation -3 4 J N ►2 z ��' Queensbury, New York 12801 variance Lao . 1 vl� �+ Site Plan Review Ido . yg�UpIUDIII Be CODE C3EPT. �+ O D , a 1 � .� Approved b '� ` Ia f c�'L'� LJ�'f� " PV APPLICATION FOR BUILDING 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 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 . --------- ------- i The owner of-this property�lS ^ i'--+ T� I Tel . P . O . Address Tax Map No . Property Location : Cctr lot number Street number or building subdivision name (if applicable) THE PER ZONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS -.� C-d"rl'r G'' C'. ✓`—x ,Ye./f L3 G.G:.-.-P r`"r-''c •' 12 --C. P . O . Address Tel . Name Lao . x* ^ of builder 5.� - Address Tel . ..�.• Tel . Name of plumberAddress Name of mason Address Tel . NATURE OF PROPOSED WORK : ZONING INFORMATION : AL-Construction 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 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 ft * Existing buildings ) Size ft X ft . PROPOSER BUILDING AND USE. : * Existing building ( s ) Use Size of new structure ft X 4�0 ft ert line Foundat!on-pie r/slab/c Yawl/partial,dg '3 * Proposed building , distance from prop Y (circle one) Front yard_ / ft Rear yard ' ft ft No . of stories (habitable space) * Side yards , , � ft and Height (grade to ridge ) ft - If on corner , setback from side street - ft If residential , no . of families e- OCCUPANCY INFORMATION No . of rooms ( excluding baths) 457- No . of bedrooms PRIMARY BUILDING - No . of bathrooms One family dwelling Primary heating system TWO Family dwelling Type of fuel Multiple dwelling / Number of units No . of fireplaces to be installed * )(, Permanent occupancy Will a wood stove be installed? j Transient occupancy Central Air conditioning? " e) Business BUILDING STYLE, PRIMARY STRUCTURE Industrial other Ranch Contemporary Log n if addition , what will use be? Raised ranch Mansion Alex split level old style ngalow ACCESSORY BUILDING- Cape Cod Cottage Other * car Colonial Row Town House Detached garage/one car/ two car/ ( ) * Attached garage/one car/ two car/ CIRCLE ONE PLEASE � car _Private storage building ESTIMATED MARKET VALUE OF other CONSTRUCTION $ INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET . TO BE COMPLETED ! Form BPA 4/86 and-vl APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATIONS Owner's Name: /7 ` 4 r/ / C/s�� ��� Telephone: Sle- 7 54�5/ Address: Z Installer's Name: e / Telephone: Number of bedrooms (residential only) Total daily flow (compute @ 150 gal per bedroom) Q Topography: circle one: 1 t Rolling Steep Slope % of slope • nd Loam Clay tither J Death: feet Soil Nature: circle one a f ." ----- - - - Ground-nd.- Water: At what depth? feet Bedrock or Impervious Material: At what depth? � I feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply= circle one Municipal Well Other- IF domestic water supply is a Well: feet Separation: Watersupply from Septic absorption _ PROPOSED SYSTEM: Septic Tank f gal. (minimum size: 1 ,000 gal.) J TILE FIELD: Each Trench feet J Total system length 2S e feet SEEPAGE PIT(S): Number of J Size each feet by feet Size of stone to be used # / Depth or Thickness feet IMPORTANT ...Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPT. IANCE WITH THE NEW YO RK STATE ENERGY CONSERVATION CODE ., A permit must be obtained before beginning work . ANSWER ALL of the following : 1 , Gross floor areavvw /' � � 5 � '� OF 2 . Type of heat "�"�' i1 -- 3 . is the building mechanically cooled ? J� 4 . Percentage of area of windows and doors 0S/ A . Over 16 % only Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO q , Are foundation walls insulated ? YES NO 1 . If YES , what is the R. value ? Wo Slab on grade YES NO If YES , what is the R value of insulation around perimeter of floov ? 4 , Is basement heated ? YES NO a , R value of insulation S , Type of insulation 8 . Under 16L On.ly 1 . R value of roof and floors exposed to �ammbient conditions 2 . R value of exterior walls 3 . R value of glared area 3 • Z 4 . R value of doors mow op 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 $ . R value of heated basement/ cellar walls ( above grade ) g . R value of heated basement/ cellar walls ( below grade ) J�L�" ! 100 Type of insulation ' y jr dlr. 's .40 C . Controls p 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES o a . If YES , R value of duct installation b . R value of duct in other areas E . _Piping Insulation 1 . sire of hot water or cooling car ying agent pipe 2 . R value of pipe insulation", F . Service Water Heating_ g 1 . Performance efficiency 770 2 . Temperature control setting maximum G . For swimming Pool Only i . Maximum heating / Telephonte No . ( a plicant ' ignature ) t--- - 045 443 . . GkAw 3 avo sac it' s _ - O G► T - � � b CrG Ski �e7��a[Q .i "' G . L�o.wTcs17rC7Be U *,t ,t,A)46J1 - , �► r Ica - - - - !"�l ck.�c : ,wj,,,r w, 141�dww.bt �. �. = _ 14�r x ss�' -f� �.a3 aC f' .C+9 x r+dw�a + . 39X rt�► t _ �9x dv3 PC) f..�a.� ar�►,��..cc. + �, WIN .QS' zrEG, f . r�z5� . + . n�1 xro#� �' 3 $U _ � �a-.. . tr `✓tee_ , . 4 7 Z- --- Uo - _. _ { ' vuvrt v ueen � � urV r?r BUILDING and ZONING DEPART��x 98 Q ' NT gay and Haviland Row Yo V' 12801 ,(,queens ury. New OR , S REPORT /� IfVSP 'ECT BUILDING NAME r / + LOCATION � ''7 Lt� No Da Le �• * * * * * * * * * �* APPROVED - YES NO FpotincS/ P� F r Farms Foundation Waterproofing 5ackf ill Framing Roof ing Siding r Masonry Vene Rolagh Plumbin Relief Valves Ext . Porches Finished Floors Trim stairs FM Railings Stairs Tile Cellar Drain V Concrete Floors Plbg - Fixtures Gar . Fi.reProofing_ Door Closers____ ---- �- Smok.e Detectors Chimney IN SUJ rATI OK = Foundat ion. Floors walls Ceiling CAL INSPECT-ION F IN AL ELEC AT VEMA`1 A RpVA nal Bull ing Surv+e9_.� --� � ��_.. Iyext eady ) scheduled inspectlOu (call when r t ✓ Remarks- " SO ui _ng Inspector 6e &6 and-vl t4eer+ 3644ry �+ g�y1LC»MG and xOI3iN�sint Hai ilanr3 y a ew York 1280ax 9B � gayand ,pry, �ueensn TqR INS? 13� 11'DIN� per"' *mppPRCr�1 ID YE5 R1Q * 13 ,fill �a4-: V�00,f Ext � eaFlaoxs din i.or .prim ln.tier gtai ax C� note Flag' plb9 - fixture f m p ix a ,r 9 `� are Doox Closer s i Sk a �eectr' t cni ey XL3S[3LA Found�'t�on Floors Walls 1-14SP f,,C -1014 CAL Ceil viwj, SLECTIx� p xV,,,yjpY AFYROVALrae���� final Bulldin$ "` ��all when ,�eady� �1exG Scheduled InsPectiux+ ', gemarks_ i �� / weeny urV r r own o Id 44 1NG OEPRF+ TME1V i U v4 I I B Y aw d tiia�+and iKG qrk 1260A g8 1 1 U �ue,nsburY . 5bpl' I C D 15pdSAl- SYS'OA INSPE•CIIc" y u�i+/ c L�yy-IION 4101, ppTE Loam - clay Sand i.red? YE is E PSOIL ero' st3.on rat Perc e Rem n/Ix,ch o t 3 ai SY S y��� of n eld . total 1 th �sorptio tjcenah ngth of ea �-- I,e es h of DeP of 43ravel^ er 'a ��- S1^• PITS E �-- -- 5pAGE .ft. X - T pe size Gray el size r- PI'pING ' - - .to tankYJ 8l 9 - to diet . ba � I,artyai 'T an14 boX to ES t3C? Dist- sealed op enin5 s _. E,pC,p.TI SE to TICS : �, ft. 013 Foundation absorption ft. F aus^,dation Ato lot 1 ine f t. ne) Absorption f pits (ci $ eparation ySTE14 00 PROPER sick 1JDC,ATI.O1NqR r T,eft side Front f N SYSTV24 SF, APPRQVED �- Inspector ;¢u • ng Ol/S6 met 441 .,.■+� �p D G OT=9P.1: IM1Et3 BUILT] and d FkSN Oa6. R 9$ 1NC* 1 ESO% Bay H and aVOaln ew YOck 12601 OueQnStyutiY• BUILDING ITdSVECTOR r S FLEQdR�` ,. t.T AMA LOCAY I 01I pe P c�� � I�Ip • ,� Np * AppgpVED � * * * wolf Fo©tin<3/-qier ForTns Fo,yndation r �W aterPrao f in9.�.�--.•�--_"_'r---� �ackf i.11 --��• 1p nry 'h P1umL rn9 e ,Relif 'Val-ves.lr----fj�� --- r - eli porches__.)--- f �� VlnisheTin 'r od F"elic6 Stairs & Ra}lL ge_� � � �-- Ce11ar t)rai n crete F3 ooess con ---- �-.. G - 13aox rs 1 eter ectoJ s~�J Smok e Chimney Ir�suljx'ICIor4 Foundat-�on Floors Walls_ Ce i..l i.ng CTRICAL F It,AL F, p pItov p€t-LVV AY n8 suicvev itiTa� Suildi when ready'1 ;,nioT► all, spect Next Sc}� eduled PeLoC)itewu 2_'"''` ' '� Ins for a y di.ng � 0 Jvulrra ouc+er� s �ure ` Q BUILDING and ZoNlt#1G DEPARTMENT 3 , Bay and Haviland Road, R.O. 1 BOX 98 oueensbury. New York 12801 BUILDING INSPECTORtS REPORT NAME �_ LOCATION � r� � Date� �r Permit No * Zoe Z �^ooting/F'ier Forms APPROVED No Y ,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 I spECTION DRIVEWAY APPROVAr Final Building Survey Next scheduled inspection (call when Ready ) Remarks- � # j17� 1 Ab u die< Building Inspector 6/aF� and-vl