1986-254 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-254
30 •
�Jy/,/WARREN COUNTY, NEW YORK
aJ " Richard Reed
PERMISSION is hereby granted to
OWNER of property located at 46 Eisenhower Avenue Street,Road or Ave.
Pii
in the Town of Queensbury,To Constructor place a
Mobile Home Dwelling H'
at the above location in accordance to application together with plot plans and other information hereto filed and H
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. p'
Wi
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1. OWNER'S Address is P. 0. Box 1025 a
South Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
same
a CONTRACTOR or BUILDER'S Address
Same mµ
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4. ARCHITECT'S Name Neme £
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5. ARCHITECT'S Address C
re
6. TYPE of Construction—(Please indicate by XI
1 1 Wood Frame 1 1 Masonry ( )Steel 1 1
7. PLANS and Specifications $
14'x701 mobile home for dwelling per plot plan and application oa
No. c
submitted including sewage system. Hi-
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8. Proposed Use Mobile Home Dwelling m
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$ 25J0cm
PERMIT FEE PAID -THIS PERMIT EXPIRES Dec. 1 1g 86
Y.
(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.)
Dated at the Town of Queensbury this ,s20th Day of Nay 19 86
�
SIGNED BY 170- D & /5 for the Town of Queensbury
Building and Zoning Inspector <�J
* TO BE COMPLETED BY BLDG. DEPT.
CC77 Application No.
awn o Queendhur Permit Issued 19
1E TOWN N OF QUEENS D
BUILDING and ZONING DEPARTMENT Permit Expires 19 �I l�� O
Bay and Haviland Road, R.D. I Box 98 Zoning Designation !U7 �`
Oueensbury, New York 12801 Variance No. MAN 1 b 10
��n no -/ _/_7 /p� Site Plan Review No. -{/
/ V"� f& L �i I okt 6 Approved by; AM. 2j 9C)2 .�"'4I616
?1819 I21ja
APPLICATION FOR F NU
BUILDING AND ZONING PERMIT
* * * * * * * * * * * * * * * * * * * * * * * * * * * A * * * * * * * * * N:':N
gkn+-f GvA- 0oMt 5 �-f- ? So `S
A PERMIT MUST BE OBTAINED BEFORE BEGINNING C STRUCTION. SW R ALL OF THE FOLLCMING. incAUy•
Wirt.K, ?W3• 7AAo . abr.
The undersigned hereby applies for a Building Permit to do the fol owing work w ich 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 thi/sue,+property is: �CI C/
P.C. Address {,Q ,>-{ JJ[[��JJ Tel. >>__
Property Location: c�C/ ,), ^'� ' Tax Map No/K/ / /f /_
"Street number or building lot number��// 6c,?
Subdivision name (if applicable) WI/T
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: fi i . b
Name P.O. Address Tel. No.
Name of builder Address Tel.
Name of plumber fidfkiND 2USD Address :a.v_ a, cht-4 Tel.
Name of mason 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
t9Yd}}l��eeer rk (describe): 0%/'e nai.xJJ * set-back dimensions from property lines. Give
/,.� , ➢i * 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 a ft Xr!I?7a)) ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use
tom
Size of new st uc e /'( ft X POP ft *
Foundation!syr/- ' * Proposed building, distance from property line
=` ' e) * Front yard ft Rear yard ft
No. of stories (habitable space) / * Side yards ft and ft
Height (grade to ridge) ft. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) , * OCCUPANCY INFORMATION
No. of bedrooms j *
1 ;,1 * PRIMARY BUILDING -
No. of bathrooms * I/One family dwelling
Primary heating system Two family dwelling
Type of fuel if-0 *** p_Multiple dwelling / Number of units_
No. of fireplaces to be instal led _ ermanent occupancy
Will a wood stove be installed?
* _Transient occupancy
Central Air conditioning? * Business
BUILDING STYLE, PIjt,MAYSTR STRUCTURE * _Industrial
/Lr0 k N -Al Other
Ranch Contemporary Log in * If addition, what will use be?
Raised ranc ansion uplex
Split level s Bungalow
Cape Co Cottage * ACCESSORY BUILDING-
C ial 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 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?
Foundati<�n materiaa IA igrade!-(t Si Al;of Thickness AT Av,(///AGLf C✓//'DO1N(„
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? . Heated or unheated? Floor sq. footage sq ft
Will there be a basement? jk. Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use? --
Type of roof - sloped/flat/shed/other Material of roof
Size, wood studs "X " spacing "o.c. length ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing "c.c. span ft.
Exterior wall finish Of what material?
Interior wall finish
—
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?
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 %)1, , ,y, .,l.< C41_,
SEPTIC SYSTEM Distance from ANY private wellll(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury
County of Warren AFFIDAVIT STATE OF NEW PORK
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 spe 'fied or not, and that such work is
author'zed by the owner.
SWORN TO ' ORE . THIS Signature X
Owner, owner's .contractor
day f ).g _,.
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
- er.gm—rI BBYM:nKa7:01 .:-PERMIT:
AB dJ(L01,4IOm 6-)UI'fJ K+4A-i-f O ✓;
A'4& o ,2MA,lvr,A-U-vre_Lt- S y L (Ay I
/Llo 17bc- (J4lfS/f uI/-
5I -- /Lii x 70
`DG� Sc ® 7 7/ V.
By
I =
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY =
Flan 41 STATE STREET.ALBANY.NEW YORK 12207
Des September 24 , 1986 Application No.on file 011587-86 A 667937
THIS CERTIFIES THAT
2 only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of
Richard Reed, Eisenhower Road, Queensbury, New York
in the following location; ❑ Basement ❑ 1st Ft ❑ 2nd FL Section l20Biock 1 Lot
was examined on 7/8/86 and found to be in compliance with the requirements of this Hoard.
OUTIItl RECEPTACLES SWOONS RXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS
SS
GOUTLETSINC1.19f5QM-nLIC I$Ctxf yr,p, .W.r. [.W. M1r. R.w, Wl. XW. AEI. [w ANI. x.r.
DRYERS FURNACE MOTORS FUTURE APPLIANCE FROMSPECIAL NCR TIME aocts uu UNIT REAMS
MIXTI-OUTIET DIMMERS
3 SYSTEMS
3nT. cw. aM x.r. ess x.r MAT. xo ww.e. eni unr. MAT- AMPS. TRANS. Arer.l x.r. NO.0 lEl AMS. wArrs _
SERVICE DISCONNECT NO.OP S e I V I C E i
MO Me TYPE MUM. 101W I/3W 3/SEC 3/4W NO.RMiCCC. a A.W.4 W.Of xufc ot.ae Na.OF MEOWS 0,Ara&N
l
OTHER APPARATUS:
Pap
_ 77 s
i Richard C. Reed PIT
PO Box 1025 BRANCH MANAGER g3
i South Glens Falls, New York 12803
Per
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
s _ _ _.. -. — —. _._ __- -.._..___ __ _. _
awn o` Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 9B
Oueensbury, New York 12B01
SEPTIC DISPOSAL PERMITE APPLICATION Cc
Owner' s Name_ 1 V j1(' Y IO,Y Cl C , (' Reed NTe`lI. J 6 y--7� 03
Address /?n . ) .U )1 )C��'� "�-)O IY, ��C.1'l� U;-�I�S 7 I�psl�
Person/Firm installing system 'l2 1 Chccic! C - R ed
Number of bedrooms (residential only) 13
Total daily flow: (compute @ 150 eal.per bedroom per day)_
Topography: 4110
rolling - steep - (circle one) Decree of slope _%
Nature of soils: et loam-clay- 'other- Depth ft.
Ground water-- at what depth? w/A- ft.
Bedrock or impervious material--at what depth? X/(- ft.
._p - e1 -- sired f_.Reyyired -Rate _ min/inch.
Domestic Water Supply - Municipal - Well - Other NI11n,( 1 p-J
IMPORTANT!
On a separate piece of paper, submit a diagram of the proposed septic
system with all dimensions; including distance from any structure,
distance from property lines and distances from aay domestic water
supply or shore-line of lake, stream, pond or wetlands. Include all
dimensions of the system itself.
Description of proposed system:
Septic tank size 00 gal.
Tile field- Length of each trench U ft. Total field; 5C) ft.
Size of stone if_
Seepage Pit(s) Number / Size ftXft. Size of stone%
Any contractor, corporation, individual,Etc. , engaged in the
construction of a Sanitary Sewage Disposal System, who covers the
same before inspection, does not have an approved Permit, or varies
from the approved application, will be subject to a Penalty of $250
as provided for in Section 6. 010 of the Town of Queensbury Sanitary
Sewage Ordinance.
7---) 3
.--ist--26
Signature of Applicant Date
01/86 and/vl
Septic System Inspections:
A. All applications for septic system installation ,
alteration or repair, a■ reauired by the Town of -'
Oueensbury Sanitary Sewage Ordinance, shall be
submitted to the Building Department at least
24 hours before start of construction and shall
include a plot plan shoving:
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. Mo syste^.i 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 he
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 Building
Department before further construction.
_town 01 Queendbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. RD. 1 Box 98
Oueensbury, New York 12801
SEPTIC DISPOSALg fSJYSST�ESMI�INSPECTION
NAME b4 //// I eeee
LDCAT ICNN €/ f cruse-C,
DATE 47/7/ (y PERMIT NO. II, 2. 5-y
SOIL !4YPE -el - Loam - Clay -
Percolation --t Required? YES -g
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total leith 2(7Dj(
Length of each trench
Depth of trenches Z(
Size of gravel ..�r .j
SEEPAGE PITS{Number of)
Size- ft. X ft.
Gravel size
PIPING: Size Type
Bldg. to tank (r Yr
Tank to dist. box
Dist. box to field/pit _
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank /U ft.
Foundation to absorption 5 ft.
Absorption to lot line ne-ft.
Separation of pits ft.
LOCATION OF SYSTMM PERTY(circle one)
Front - Rear -.L t side Right side -
CCMMENTS:
-'11/ <//
SYSTEM USE APPROVED YE
// NO
77)if
Building Inspector
01/86 and vl
S
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date (P /O tt
Nome 9 u J i 'e 2 d )
Location f f S t4/MntvLrc - CVO OF
Permit No. k(o —a 5 'l Weather
Remarks
Excat'ati on
CFooly g—i6r+ns---='✓, 'i LAS ioK
RGotiF �,/
CFoundat on to--- /'(0ooiu- WOAI&
Cement Coat " ' n
Waterproofing ��i �(yvCn ,_¢ly
Backfill V/!
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Foundation
Insulation Walls
Ceiling
Building Inspector
REMARKS
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