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89-915 i CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date August 13 19 90 This is to certify that work requested to be done as shown by Permit No. 89-815 has been completed. This structure may be occupied as a n addition to dwel l i ng Location Glen Lake Road Owner Susan PaDowski By Order Town Board TOWN OF QUEENSBURY Director of Bldg. ck Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 89-915 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to SUSAN PAPOWSKT co OWNER of property located at G1 en I a kP Road Street,Road or Ave. 00 Se in the Town of Queensbury,To Construct or place a Addi t far t0 Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is t/f C Box 206 a Northfield, VT 05663 2. CONTRACTOR or BUI LDER'S Name O JOEL CLUGSTONE 3. CONTRACTOR or BUILDER'S Address Box 159 - Star Route Glens Falls, NY 12801 4. ARCHITECT'S Name r- r 5. ARCHITECT'S Address rn 6. TYPE of Construction—(Please indicate by X) ( X)Wood Frame ( 1 Masonry ( )Steel ( ► -- 7. PLANS and Specifications No. 20' x 20' addition to dwelling with septic system as per plot plan, application and specifications. 8. Proposed Use Addition to dwelling. w a 0 a $ 32 PERMIT FEE PAID —THIS PERMIT EXPIRES November 20 19 90 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Queensbury before the expiration date.) m r Dated at the Town of Queensbury this Day of 19 89 P SIGNED BY for the Town of Queensbury Building and Zoning nspector TO BE COMPLETED BY BLDG. DEPT. , _awn of Queen Jtur Application No. Permit Issued 19 TOWN OF BUILDING and ZONING DEPARTMENT Permit Expires 19 QU Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation I RC �E�NSB(/RY Queensbury, New York 12801 Variance No. Site Plan Review No. NOV/ r , 989 1 !..--.1:7!'ir-„--7 4,-,.,,, le-- sJ-11---C,VL a DO 4 C APPLICATION FOR .� I ODE.DEPT BUILDING AND ZONING PERMIT I. . * * * * * * * * * * * * * * * * * * * * * * * * * * * •*'' * * * * * * * * * *::* 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: Scc..�c� Y01ltlti ielp,ILL`.ii!Ci / k7cu�— 495 7,z2.. Z' ✓ P.O. Address 13'CA' " 741A-4 I/ Cif. D`..6c 3 . Tel. - • — 5-s�c> Property Location: 6/eu,t_ L,e2 &A. 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: de` �lc,,. ,;(0i e— �0x /5 �� 5kr . /�=r,.5 ; es i' qG 3606 Name P.O. Address Tel. No. Name of builder /{ C- 1�. Address P.Z.bYc .d �GlM,(// iLE'94 Tel. 5-6-3 6 Lc-) Name of plumber say.,,� Address Tel. Name of mason Sei fr:(L Address Tel. NATURE OF PROPOSED WORK: * • ZONING INFORMATION: 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 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 /erZ ft X /75-1' ft. * Existing building(s) Size 3� ft X 3 0 ft. PROPOSED BUILDING AND USE: * Existing building(s) Use j — ('ofk y. Size of new structure 24) ft X „ft * Foundation-pier/slab/.4 partial/full * Proposed building, distance from property line (circle one) * No, of stories (habitable space) Z * Front yard 64. 7 ft Rear yard // 7 ft * Side yards 3 ft and ,./� ft Height (grade to ridge) Z�c ft. If on corner, setback from side street ft If residential, no. of families / * No. of rooms(excluding baths) 3 * OCCUPANCY INFORMATION No. of bedrooms 3 * No. of bathrooms 2 * PR1 1RY BUILDING - * One family dwelling Primary heating system 4/o44.L * Two family dwelling Type of fuel * Multiple dwelling / Number of units No. of fireplaces to be installed 4/0Will a wood stove be installed? yv * _Permanent occupancy Central Air conditioning? �c9 * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE *' Industrial * Other Ranch Contemporary Log cabin • If addition, what will use be? /3ezir000its 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 - * 76 INFORMATION ON BUILDING SPECIFICATIONS, 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. (.00-4/�/'Ctl�ti� Will any second-hand or ungraded lumber be used? If so, for what? 4/0 Foundation wall material 6/(14. Thickness ,« Depth of foundation below grade (to bottom of footing) Will there be a cellar? , Heated or unheated? Floor sq. footage S: . 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 - �slopee "flat/shed/other Material of roof 4 5/ /i/461-g�5 Size, wood studs Z "X 4 " spacing /6 "o.c. length g ft. l Joists(floor beams) 1st. floor 'Z- "X /8 " spacing /6 "o.c. span a ft. . • Joists (floor beams) 2nd. floor 'Z "X j " spacing /6 "o.c. span // ft. Overlays(ceiling beams) " spacing /‘ "o.c. span it ft. Roof rafters Z "X (, " spacing /6 o.c. span ft. Roof trusses(pre-engineered) spacing 2,9 "o.c. span c' ft. Exterior wall finish eve/6 5/d,U S Of what material? / Interior wall finish Y L>A j 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 beprovided? 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 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 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. C\\ � SWORN TO BEFORE ME THIS Si nature �J F�cX( . ) g • Owner, owner's agent,arcnitect,contractor day of Notary Public, Warren County, N.Y. • SPECIAL CONDITIONS OF THE PERMIT: • • • • By , a yr tv VI' L'ULL1NJU 111t T APPLICATION FOR Zv SEPTIC DISPOSAL PERMIT DATE t H //i /It/ LOCATION OF PROPERTY FOR INSTALLATION C' l I-rc. RcQ . Gi/, tigS_ 7 2 0 Z RAO.. Owner's Name: �5c Lv`a la V_ Paphdi i Telephone: S.' a° 6.5. Address: (icy ZoCo Mrilk L'e of, n 5 5 Installer's Name: I . C.. i. Telephone: (5-6` fi n Number of bedrooms (residential only) S Total daily flow (compute Ce 150 gal per bedroom) Topography: Circle one: Flat Rolling Steep Slope % of Slope Soil Nature: Circle one: Sand Loam Clay Other /Depth: Feet Ground Water: At what depth? Feet Bedrock or Impervious Material: At what depth? Feet Percolation test: Circle one: not required required rate min. inch. Domestic water supply: circle one: Municipal Well th ae,,, Ll/ If domestic water supply is a well: Separation: Water supply from septic absorption feet PROPOSED SYSTEM: Septic Tank 46-00 ubkChhgal. (minimum size: 1.000 gal.) TILE FIELD: Each Trench feet/Total system length • feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # /Depth or Thickness feet ************************* I have read the regulation on the reverse side of this sheet and agree to abide by these and all requirements of the Town of Queensbur Sanitar Sew ge Di posal Ordinance. SIGNATURE OF RESPONSIBLE PERSON: 4 C �7 't,L, U DATE: /( //7/6 OVER I Septic System Inspections: A. All applications for septic system installation, alteration or repair, as required 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 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 installa— tion, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. Town of Queensbury BUILDING and CODES DEPARTMENT Bay and Haviland Roads Queensbury, New York 12804 Remarks: TOWN OF QUEENSBURY BUILDING AND CODi, DEPARTMENT BAY & HAVILAND R.'DS QUEENSBURY, NEW Y'RK 1280k TELEPHONE (518) '92-5832 ,j27 BUILDIN' INSPECTOR'S REPORT REQUEST FOR INSPE I ION REC IVED f4-47e; �jNAME . 99_ ,4- - k_, LOCATION �� e' DATE , , :/ PE IT # '¢-9/5- APPROVED lC Z- �./1 , YES NO FOOTING/PIERS MONOLITHIC POUR FO•4 S FOUNDATION/DAMP-PR..F G BACKFILL APPROVAL E ROUGH PLUMBING t FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: i \ CHIMNEY HEIGHT € / ROOFING t ✓ SIDING I 1 t_ EXTERNAL PORCHES/ST PS c/ STAIRS-CLEARANCE; & *AILS L.,'-- PLUMBING FIXTURES/ LIEF VALVE INTERIOR TRIM/PIIVA Y DOORS i/ FINISHED FLOORS `, t ✓ _ GARAGE FIREPROO 'ING DOOR CLOSER(S) SMOKE DETECTOR FINAL ELECTRICAL INSPE ION ' tom'- FINAL APPROVAL O CONST UCTION v OK TO ISSUE C/O OR C/C c% A SIGNED CERTIF'CATE OF 4 CUPANCY MUST BE OBTAINED FROM THE BUILDI G DEPARTMENT BEFORE THESE PREMISES ARE OCCUP ' DI t. REMARKS: ycd -e-ee-.._ 1,7. fb 7 //!e. �" / / 12 .mil6:4-te-'(2 ARRIVE .:3 53 0 DEPART �3s 4 J 6 INSPECTOR i k own of Queeniur, BUI DING and NING DEPARTMENT Bay a d Havilan Road, R.D. 1 Box 98 eensbur New York 12801 SEPTIC ISPOSA SYSTEM INSPECTION II NAME :)(1k) t'' ktf<i-lam_ LOCATION yCF/t k J' j,.i(,E— �j! . DATE NJ 126 ) PER.MIT NO. S 9 - CM SOIL TYPE - S.nd - Loam - Clay - Percolation T- -t R- • ired? YES - NO Percolation ra e - in/Inch TYPE of SYSTEM: Absorption fiel ;, ,otal length Length of each , e ch Depth of trenche Size of gravel SEEPAGE PITS-N of) Size- ft. X _ ft. Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field 'it Openings sealed? ; S NO Partial LOCATION/SEPARATI• S: Foundation to tan ' /o ft. Foundation to abs•rpt' .n " ft. Absorption to lot line ft. Separation of pit- ft. LOCATION OF YST0 ON P•OPERTY(circle one) Front CCIP, .L: t sid= - Right side - COMMENT . 4/ a Ail •y,� . �° S , aseggatir l l� S'417,2./ a� -- ✓ d� � Co ec icci 7 /a '/ f G"`1 /ilU5 htkfk--( 7774 eP(avo , SYSTEM USE AP ROVED YE r e, i f / Bu ng Insp- tor 01/86 and vl TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS /211? QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPO'T REQUEST Fs' INSPECTION RECEIVED R//Q NAME 1 > . 1:761/2,41.61,441,A4'� LOCATION 4 ak 'l DATE / 9) PERMIT # 9-9/5- //���� APPROVED aeed=',4 diei7 YES NO FOOTING/PIER die/7 MONOLITHIC Po FORMS FOUNDATION/D•.'P-PROOFING BACKFILL APPROVAL ROUGH PLUMBIN FRAMING ELECTRICAL ROUT -IN INSULATION: FOUNDATION \, FLOORS WALLS CEILING FINAL INSPECTION: \ CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/'•T a'' S STAIRS-CLEARANCE &` : ILS PLUMBING FIXTURES/"', LIEF VALVE INTERIOR TRIM/PRIV° \ Y DOORS FINISHED FLOORS GARAGE FIREPROOFI 'G DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL I SPEC ION FINAL APPROVAL OF ONST-' CTION OK TO ISSUE C/O 0 C/C A SIGNED CERTIFI1ATE OF OiCUPANCY MUST BE OBTAINED FROM T BUILDIN DEPARTMENT BEFORE THESE PREMISES RE OCCUPIE►! REMARKS: 1/1 ARRIVE C9 , 0 j 1 ' f DEPART 0 a - 4L INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST AOR gINSPECTI / 3) c N RECEIVED 2 NNAME ` LOCATION ✓�� � DATE PERMIT # q qr 5C" l APPROVED YES NO FOOTING/PIERS \ MONOLITHIC POUR,FORMS FOUNDATION/DAMP4ROOFING BACKFILL APPROVAt ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEP '< r STAIRS—CLEARANCE & RAILS PLUMBING FIXTURES/RE4EF'.VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) ? 4 r SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION s+ A SIGNED CERTIFICATE OF 'OCCUPANCY *UST BE OBTAINED FROM THE BUILDING DEPARTME1OT BEFORE THESE PREMISES ARE OCCURrED! ! e REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT JJ BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR fNSPECTION ECEIVED I/`-- NAME _ _ f C/C G LOCATION I '',C I A' DATE 0 Ski I PERMIT # 39 - ! / % APPROVED I YES NO FOOTING/PIERS I MONOLITHIC POUR FdRMS FOUNDATION/DAMP-PROOFING +.BACKFILL APpROVAl'' ,,j ROUGH PLUMBING FRAMING I ELECTRICAL ROUGu-IN INSULATION: FOUNDATION FLOORS WALLS ', ! CEILING ', j' FINAL INSPEC1? ON: CHIMNEY HE HT ROOFING ,1 SIDING l EXTERNAL P•RicHES/STEPS STAIRS-CLE'RANCE & RAILS PLUMBING XTVRES/RELIEF VALVE INTERIOR RIM, PRIVACY DOORS FINISHED 'LOOR`.S GARAGE FI'EPR ING DOOR CLOS R(S) SMOKE DET CTORS FINAL ELECTRICAL I PECTION FINAL APPR• AL OF C NSTRUCTION A SIGNED C 'TIFICATE OF OCCUPANCY MUST BE OBTAINED F'•M THE BUILDING DEPARTMENT BEFORE THESE PREM ES ARE OCCUPIED! REMARKS: • / 7kV /(27,k INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS / QUEENSBURY, NEW YORK 12804- /61/S TELEPHONE (518) 792-5832 /G,.`'( BUILDING INSPECTOR'S REPORT REQUEST FO INSPECTION CEIVED / :;/JC) (�/K/ NAME d LOCATION DATE 07/ek PERMIT # 6(i-9/L APPROVED / YES NO l�'OOTING/PIERS ff MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION S FLOORS k WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ' 4. ROOFING SIDING 4 EXTERNAL PORCHB / TEPS STAIRS-CLEARAN &�+RAILS PLUMBING FIXTU Es/llELIEF VALVE INTERIOR TRIM/,lRIVACY DOORS FINISHED FLOOR GARAGE FIREPRC)FING DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL QF CONSTCTION t A SIGNED CERTIFICATE OF Ox UPANCY MUST BE OBTAINED FROM THE BUILDING EPARTMENT BEFORE THESE PREMISES ARE OCCUPIED. REMARKS: The Contractor is responsible'to provide protection froi, freezing for 48 hours following the placement of the concrete. 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