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98-598 jA\ cV BUILDING PERMIT VALUE $ 20000 TOWN OF QUEENSSURY No. s8598 TAX MAP Na . 128 . - 4 - 1 WARREN COUNTY, NEW YORK CONDONr CURTIS O . PERMISSIONI is hereby granted to � III III 143 LUZERNE RD • OWNER of property located at Street. Road or Ave. To Construct or place a RESIDIIIIIIIIENTIAL ADDITION in the Town of Queer►sbury' application together with plot plans and other Information hereto filed and at the above location in accordance to approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance. 1, OWNER S Address is 143 LUZERNE RD . QUEENSBURYr NY 12804 2. CONTRACTOR or BUILDERS Name CONDOI CURTIS 3. CONTRACTOR or BUILDERS Addrett ' 4. ARCHITECTS Name S. ARCHITECT'S Address 6. TYPE. of Construction — (Phis! indicate by XI RESIDENTIAL ADDITION } wood Frame ( I Masonry ( } Steel ( I 7. PLANS and Specification* AS PER 1056NSq rt RESIDENTIAL ADDITION [ BEDROOM & DINING ROOM ) PLOT 'bLAN SPECIFICATIONS B. Proposed Use RESIDENTIAL ADDITION Selpt,eMb+elr 30 2000 88 19 PERMIT FEE PAID — THIS PERMIT EXPIRES • (If a Longer period ill required en application for an extension must be made to the $ufkt irq and Zoning inspector of the town of oueensbury before the expiration date.) Septetuber 1998 ' Day of 19 Dated at the Town of Queestsbury this tt for the Town of QueensburY SIGNED f3Y _ Building and Zoning tnsWeter Building Permit APplicrxtion ToWn Of QUeenSbU y - Dept. of Corrvnunity Development, 742 Ray Road, Queensrbury, NY 12804 /761-82561 BUILDING & CODE ENFORCEMENT NOTI�I Requirements prior to issuance ' of this permit: PERMIT FILE NO. A permit must be obtained before be�ning construction, No inspections PERMIT FEE PAID .$ will be made until applicant has received �g Board Action a "V ,LM BUILDIIVG pERMrr. All Area I Use RECREATION FEE' P D applicants' spaces on this application MUST be coompleted eAd the signature 0 Plaitrtireg Board Action REVIEWED BY. of the applicant must appear on the SPR / Subdivision / Other Building lnsperu+r licatiun form. Th.% Recreation Fee Payment Applicant: ► t`-ti 0 b PJ Owner: (��fZjj C, [. Address: `- SAT A� Azt� ' 21 Address: ILI y Phone # _ _ _ - Phone # (� � �-) _� [�7 � �09 Property Location: ti _--__ t` ' Tax Map Number Subdivisi on Name- NATURE OF PROPOSED WORK : ESTIMATED MARKET VALUE OF THE New Building : CONSTRUCTION : $ vil . 00 0 residence / commercial Addition to �Building : residence / commercial OCCUPANCY INFORMATION : Alteration to Building : Primary Building - residence / commercial Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size Family Dwelling Off Ice � 9� Other Work. ( describe below ) Mercantile fi '� a Manufacturing Other GROSS AREA OF PROPOSED STRUCTURE : If ADDITION , what will use 1st Floor * sq • ft . of new addition be ? • !+ 2nd .Floor . . . . . . . . =� aq . ft . RoR So t' ruh,'IW+� t"5 other Floors , , ' * * sq . ft . ( not unfinished cellar or basement ) ACCESSO UILDINGS : C� Detache rage 1 , 2 car TOTAL, FLOOR. AREA : +-?� _ SQ • FT * Attached Gar 1 , 2 car Private Storage iuilding SIZE OF NEW STRUCTURE : Commercial Storage Bui . . ing Other , _ FEET X FEET Foundation Type : f►A1 G)eez0, Will any second-hand or ungraded lut,�er be used'? If so , for what ? Number of Stories : ]�► [} ( habitable space only ) Height ( grade to ridge ) : feet TYPE OF HEATING SYSTEM : Number of fireplaces and /or woodstove ( circle all whit lies ) to be installed : Elect /� / Wood Forced Hot Air se / Other Person respon ible for s er i.sion of work as regar s to b yildang codes is : YV Name, Addresss Phone Builder : Plumber : . Mason : Electrician : DECLARATION Please sign below after you have carefully read the statenx To the best of my knowledge 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 noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupancy 'or Certificate of Compliance being issued, an AS BUILT PLAT FLAN by a licensed surveyor; drawn to scale, showing actual location of project on premises. Signature: ,i 1 f^.^�!""`• y .^ (owner, owners agent, architect, contractor) Application for SEPTIC DISPOSAL. PERMIT Town of Queensbury Dept. of Community I]evelopment Permit No. Building Sc Codes. office 742 Bay .Road Fee Paid $ Quieensbury, NY 12804 Location of property for installation: 17 L U jea 1U--e o, (� Property Owner's Name: <Vr. l�► llc } ,S/ _ ry "A ©a�J Property Owner's Mailing Address: Installer's Name: i�'Q C W` �r �' Phone # A 9 ` Number of bedrooms (if residential): � Total daily flow: _ ) _— (residential - compute Q 150 aal.lbdrm.) Topography: at, rolling, steep slope % of slope Soil Nature: sand, loam, clay, other I depth: Ground water: at what depth? feet / Bedrock or Impervious Material: at what depth.? _ feet Percolation test: .0-not required, required [ rate nun. per inch I Domestic water supply* ,ifmvnicipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is -�-- feet. PROPOSED SYSTEM Septic tank: 100 o gallon (minimum size: 1,000 gal..) Tile field: each trench `lei feet I Total, system length: feet Seepage pit(s): number of I size each.- ft_ by ft. Size of stone to be used: # I depth or tisickness feet HOLDING TANK SYSTEM: (if required) Number of tanks: I Size of each: � _ _ gallons Alaxm system aid associated electrical work to be inspected by a certified ate. For your protection, please now that 'pursuant to Section 136-29 of the Code of the Town of Qoeenabury, any permA or approval granted which is based upon or is granted in reliance urpcn auy material misrepresoctitivn or failure to make a rnatp.TW fact or circtanatence known by or ott behalf of au applicant, alia11 be void. T bave read the regalationa with respect to this application and agree to abide by these and ail requirements of the Town of QueenablWy Sanitary Sewage Disposal ordwance. Signature of responsible person: C Date: TOM OF QUEENSBURY BUILDING & .CODE ENFORCEMENT 742 Say Road Queensbury NY_ 128Q4 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name � a5� r Location Date ' � ermi t # � SOIL TYPE: Sand- Loam-Clay- Results of Percolation Test- ( if applicable ) Rat - Minute/Inch TYPE OF SYSTEM: ABSORPTION FIELD . of l Length Length of each tre h Depth of trenches Size of stone SEEPAGE PITS ' umb Size - ft . Stone size PIPING: ize ype � Bldg . to Tank Tank to Dist . Box Dist . Box to Field/P ' t Openings Sealed? es No P arti a LOCATION/SEPARATIONS Foundation to Tank feet Foundation to Absorp ion feet Separation of Pits feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM PROPERTY : ( circle one) Front - Rear - Left Side - Right Side Middle Front - Middle Rear COMMENTS : SYSTEM USE APPROVED : S- No Arri w Dep ed - u d Sp GEivERAL 11WSmczzoN REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date ingpection request receiver!: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive -_L'- DIr� part tor's InIMO M NAE: PERMIT # 9Rd LOCATION& t LL�A l,�t ? 1l, _ R[7 DATE : 9,44 - TYPE OF STRUCTURE: �E�'�`i . AC?�j� � , _ RECHECK NIA YES NO COMMENTS Footings/Piers _ -- Monolithic Pour Form Reinforcement in The coni�rac#or is nsib for providing pratr ction m ng for 48 hours followi the p ment of the concrete_ Materials for thus purpr on si Foundation/WaLlY.) Reinforce tin Place Fouxulatio Hackfill Plumbing Under Slab Plumbing Vcnt/Vents in PI Rough Plumbi Heating Rough-In Insulation Foundation Walls Interior Foundation 'Walls Exterior Floors R- Walls R- Ceiling R- Duct work or piping in unheated. spaces R- Proper Vent, Attic 'Vent Frami Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/N4ain Beam Aar infiltration Harrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firesirsppin GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road Queenshury, NY 12804 Arrive am/pm Departg • am/ m Inspector's Initials c� NAME., �r f ,l i PERMIT # LOCATION: �1��k� _ DATE - l ! ] TYPE OF STRUCTURE- �S 1 r-� RECHECK N/A YES NO COMMENTS Footings/Piers j Monolithic Pour F_ ^ W ---i -- Reinforcement in lace The contractor is responsibl6 for providing pro lion from reefing for 4H hours fo owing tl} ' placement of the concrete. ,. Materials for this urp6sc oil site Foundation/Wal Ur Reinforcement in lace Foundation/Dam roofing ---_-- _ Backfill Approval _ -- Plumbing Under S b _ Plumbing VcnUVei its in Place Rough Plumbing } Heatation©ugh-!n Cry (r `-17L+� Y ` � ✓� f✓ lr ". Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Af A�� oe- - u vp > .. ,�t-Yps Walls R- Ceiling R- - � J � - � �a ✓�- - �7U C Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing--- - - - - Jack Studs/Headers -Bracing/Bridging— - Joist Hangers — Jack Posts/Main Bcam Air Infiltration Barrier Fire Separation 1 , 2, 3, hour_ Penetration Scaled_ Fire Wall 2, 3, 4 hour _ Firesioppmg If tfi� GENERAL INSPECTION REPORT ( 518 ) 761 - 8256 Town of Queenshury Dept. of Community Development Date inspection request received; Building & Code Enforcement 742 Bay Load f �/ Qucwensbury, NV I2$04 Arrive `7`-- amipm Depart amlpm Inspector's Initials NAME : C "o fls c /13 _ PERMIT # LOCATION: _ ,,�_ c�11��+3G� DATE TYPE OF STRUCTURE- RECHECK - - NIA YES NO CON MENTS Footings/Piers —�-- —�-� Monolithic Pour Form Reinforcement in Placc� j- The contractor is responsible for providing protection from fr ling ror 48 hours following tic acement of the concrete Materials for this pupas n site—� FounduionlWallpour.-_ Rcinforcemcnl in Pla Foundation/Damppr frog_ - Back fill Approval _ Plumbing Under ab - Plumbing Vent/ cots in Place , _ �Ron Plumbing, F ,sling, Rou -ln _ tion +lrtR-'� A� .-- I � FaFez — Foundation Wails Interior R- RR 4' +%e5 �` Q Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent. Attic Vent Framing -- --- -� Jack Studs/Hcadcrs Joist hangers_ - Jack Posts/Main Beam_____ Air Infiltration Barrier_ - Fire Separation L 2. 31 hour — -- _- Penetration Scaled Fire Wall 2. 3. 4 hour----. Firestopping.— . : rAYE; GENERAL INSPECTION REPORT ( 518 ) 76t - 8256 Town of Queensbu ry Dept. of Community Development Date inspection request received: Building & Code Enforcement 742 Bay Road / Queensbury, NY 12804 Arrive am/pm Depark 45 am/pm Inspector's Initials — ... ` ' LOCATION: L ,2 rV GAYETY # TYPE OF STRUCTURE: RECHECK __ _._ N/A YES NO COMMENTS Footings/Piers —� I Monolithic Pour Form Reinforcement in Place The contractor is respon le fo providing protection f free/in for 48 hours following c placcm ni of the concrel Materials for this urpo on site, Foundation/Wall r Reinforcement in PIN - - Foundation/Dampproofi g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents it Place Rough Plumbing "Ling Rug In vinsulation , _� f- Foundation Walls Interior R- Foundation Walls Exterior R- Floors R.- Walls R- Ceiling R- - - -- - f L � - Duet work or piping in J � y �f 0j eva /4'e-., ►Y��k�Gt2 � Y� - �f�' . unheated spaces R- 6,UP -� 'roper Vent_ A c Vent _ Lit A-4 y Framing , 2 � V1 AA164*i<5 A4--h Jack studs/Headers Braci ng/Bridgi ng_ ,f Joist Hangers / Jack Posts/Main Bcasn ✓Pur infiltration Barrier --�- -- �p - C •� "�'f � Fire Separation 1 , 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 BUILDING OF BURY SP� CODE ENFORCEMENT t 742 Bay Read ueensbury MY 12804 i (s) 8) 761-82-56 SEPTIC DISPOS STEM INSPECTION Name Location Lu Date CIO, ftQ` Q perm? # � V SOIL TYPE S n am-Cy y_ Results of Pe { it aPATicabl c° lat" on TYPE pate-Mi e/ ABSORPTIOM FIE utellnch Length of = Total each Tench Length -2! Depth of trench s "� - Size of stone SEEPAGE PITS; N ber- Size _ Stone size - ft x PIPING: Tank- t4 Tank S ixe Type to fist B°x - - - � k1r Dist . Box to . ►►Openin Field/ LOCATIOMISEP RA l ed ? NO Foundation to Tan S : part7a Foundation to ,qb o Separation o p ' ti —�- feet Conforms as s r feet L+DCA TI OM OF S e �' o f P l a Yes e t Front( circle one) TEM OM PRO ERTY: No Front - Rea Middle Fro <E Le CONENTS� fiddle Rear ight Side SYSTEM US�PPRp ._ � Arrived: Depart & Idin 9 s ectpr~------.� GENERAL INSPECTION REPORT To" of Queensbury / �- c� 9Dept_ of Community Development Date inspection request received: Building & Code Enforcement �. 742 Bay Road ` Queensbury, NY 12804 Arrive am/pm Depr am/pm ' /`7GI- GL Inspector's Initials NAME: �� ` S [ _ ,-xf`_ PERMIT # _ LOCAT10N, - L DATE : TYPE OF STRUCTURE: - Tootingmsdipiers, . CK N/A NtJ COMMENTSf ��, / ! r Monolithic Pour Form � Reinforcement- in Place� ��� The contractor is respon. ble for _44 A,,,4 1.w,,n providing protection fro freezing for 48 hours followin a placement ' of the concrete. Materials for this purpose n site FoundationlWallpour Reinforcement in Place Reinforcement dcfinApproval Plumbing Under Slab Plumbing Vent[Vents in Place Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R» Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R» Proper Vent, Attic Vent Framin Jack Studs/Headers Bracing/Bridgin joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping GENERAL IN SECTION REPORT Town of Queensbury I;j Dept. or Community Development Date inspection request received: J( Building & Cade Enforcement r 742 Bay Rand Arrive Queensbury, NY 12804 l�sa axnfpm Depart �pm Inspector's Initials NAME: PERMIT # W LOCATION: VA a3 DATE TYPE OF STRUC RECHECK N/A YES NO COMMENTS 4K A- , Monolith o ur Form j n y�ich� Cep +� .✓orb Reinforcement mi Place The contractor is responsibl for �Ta providingprotection from g for 48 hours following the p me i crs f of the concrete. ,Grl e ce f + 474 Materials for this p _ d' Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing. Backlill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing. Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Wails R_ Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3. hour. Penetration Sealed Fire Wall 2. 3, 4 hour Firestoppin 1 )EMERAL MA89C.�'Il7N' RE,rP�RT Town of Queensbury Dept,. of Community Development Date inspection mquest recelved: Building & Code Enforcement 742 Bay Road Queensbury, NY 12804 Arrive 3f to am/pm Depart am/ 1in lnspmwr's lnitaslsb NAME: t�.- PERMIT LOCAT1ON: ,t°„a e- . DATE : TYPE OF STRUCTURE: RECHECK Foot NIA YE NO CCIMMENTS ers r / Monolithic Pour Form �� 4/ Reinforcement in Place The contractor is nsible for �a4 d� tr f6 6 pro vidingpratecti n from freezing for 48 hours foll g the placement of the concrete. Materials for this on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofin Backfiil Approval Plumbing Under Slab Plumbing Vent/Vents in P Rough Plumbin Heating Rough-In Insulation Foundation Walls Interior R Foundation Walls Exterior R- Floors R- Walls R- Ceiling R_ _ Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging. Joist Ilartgers lack Posts/Main Beam Air Infiltration Barrier Fire Separation 1 , 21 3, hour Penetration Sealed Fire Wall 2. 3, 4 hour FirestOppin ON 133HS 96/8Z/9 :RV0 j � O � r uyu II V C� O %gL = }} bs 00,v6 - d36V N3360 % •bs OOIZ - d38V JN £9 •bs 0966 - `d3aJV N3380 % 9't, _ }; •bs 055 - d36`d 43A`dd V•Z l 'bs 009l - V3NV ONiwine S380V K' _ }� •bs OOZ t = 0Z 1x,00 L - 1308Vd 30 V38d ,O L - 4 JW, 8V38 ,0£ - 06W, 1N06J - SADVB13S I-b-SZL 'ON dVV4 Xbl S-6h 3NOZ x x 00 rA m x X � x x x rnm _ D � n �> rn a „O-,OZ l � 0 x 0 0 0 0 ❑ ❑ 0 ❑� �I o_ ❑_ o � NC) Nfr1 -------J k n N D D -0 p-------7 i m � z n D mz 00 r / D N N -0 O N - X O ' O z 0 D0 X i I � I E-- o � (Pm X � Z XJ " C 0 Uj G� J,mQZ AOVE13S 08VA 1NO8J x ` T-wL-,6Z ` rm*tn-x m+o -, z CO rn= Znn? 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