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1987-024 OF r CY TOWN OF QUEENSSURY E WARREN COUNTY, NEW YORK Gct9ber 5 , I9 �. Date_ $7 - 24 This is to certify that work requested to be done as shown by Permit No. has been completed. ;J:ze -Fumil�r I]we1. 7.3ni; Thia�.s�twryu�ct�yu�■re rtx�R,y, bweoccupied as a ■ r t Vif- + '�� %' Trot 5$I Fax Hnl Lcr`r Lane St , NO . 12 ) West. 5ubrsi�r:Lsia z LA=ation T awrence and JI-11 Pal trrnwitz Owner By Order Town Hoard TOWN OF QUEENSBURY Building d► Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK No. _ 87-24 r PERMISSION is hereby granted to Lawrence and Jill Paltrowitz m OWNER of property located at Lot 581 Fox Hollow Lane fS Mo _1 71 Street, Road or Ave. ro Section 15 Westland in the Town of Queensbury, To Construct or place a On —Fgtni 1 X., Dwe 1 i r, g at the above location in accordance to application together with plot plans and other information hereto filed and c� approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. F- T. OWNER'SAddrewis 18 Oakwood Drive 'b a� Glens Falls , New York �t 0 F r+ 2. CONTRACTOR or BUILDERS Name rt Lee Horning N 3. CONTRACTOR or BUILDER 'S Address 8 Webster Ave . r Glens Falls , New York c' r-r d. ARCHITECT'S Name 00 O S. ARCHITECT'S Address x f� I-i t7 r fi. TYPE of Construction — (Please indicate by X) Q� ro 130 Wood Frame I ) Masonry I ) Steel 1 1 T. PLANS and Specifications No. 32 ' x8O ' per plot plan , specifications and application submitted including 3 car attached garage and sewage system , ..i S. Proposed Use One Family Dwelling y r i1 �c $5 . 00 CIO e7 239 , 00 m $ PERMIT FEE PAID — THIS PERMIT EXPIRES August 1 llf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the p town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 30th Day of January 19 87 SIGNED BY for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED rsY BLDG . DEPT. Application No . €awn a Lf["8r� f�ar� Permit Issued 19 � tZ� CWCXJE Y dUILDiNG and ZONING DEPARTbAENT Permit Expires 19 of Bay and Hariland Road, R. D. 1 Box 98 Zoning Designation Queensbury. New York. 12801 Variance Ho . _ Site Pl+ Review h 1►bG+ --7 _ 1 — �' Appro rt- k: P1.IjjIA. -� +�y 1 I fr •M,. APPLICATION FOR .�1 r��$ r ► � .i j a�l�i�3 4 Eli I LD I NG AND ZONING PERMIT - � ----�^ / A PERMIT MUST BE OBTAINED .BEFORE BEGINNING, CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The undersigned here4>y 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 : �Z-4 *Vj#249%ft4 =ja .d _ Jr L.4- I 40LCr[ 4r P. O. Address 4r"S�if„r+^uL,s d� met .IL _4�r `+�'� .5ar mel . �a 4� Property Location : J532-,,e QCL1a04*0 1.00.4 ; Tax Map No . Street number car building lot ntunber Subdivision name ( i.f applicable) AVjEwp LM .r ,'mac ro THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : AdAS X�*eZ N-' f-' 9949 - Name P . O. Address r-� Tel . No , Name of builder 6"!%, j . Address .%.o,e _ _ Tel . Name of plum Address 2 2a6L _._+�' ; , �s('�.r Tel . Name of rmaso Addressr �c7"t+..✓iy { rye.-Y' Tel NATURE OF PROPOSED WORK : ZCNJING 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 andfindicate all Other worts (describe) set-back dimensions from property lines . Give * street and numslier 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 or property ( 40 f t X .2"....'�"0 ft . * Existi:ig 'otzYlding ( s) Baize ft X ft . x PROPOSED BUILDING AND USE : ,. _ Existing building ( s ) Use _ Size of new structure ;5 ft X161nLft Foundation-pier/slab/crawl/partial/full * Proposed building , distance from property line (circle one) Now of stories (habitable space ) ^L * Front yard 02*5 ft Rear yard C5 ft Height (grades to ridge ) `Z 7 ft . Side ]cards 215 _ft and ft It residential, no . of families * If on corner , setback from side street �ft No . of rooms ( excluding baths ) " OCCUPANLY INFORMATION No. of bedrooms ------ ,�, PRIMARY BUILDING - No . of bathrooms 91 Primary heatingm��so. ,aF,cy /I . ,� * "" One family dwelling 'Type of €uel „� .� * �3'wo family dwelling Number of units No . of fireplaces to be installed �� * Multiple dwelling / ` Will a woad stove be installed? Permanent occupancy Central Air condi-tiou ng7 Ls�{ * `transient occupancy vF Business BUILDING STYLE, PRIMARY STRUCTURE * industrial Ranch contwmmra=y Log cabin * Other Raised ranch INa�n -nsio Duplex if addition , what will use be . Split level Old style Bungalow * -- Cape Cod Cottage Other * ACCESSORY BUILDTNU- Colonial Row Town House: * Detached garage/one car/ two cai / car ( CIRCLE ONE PLEASE ) " :::: Attached garage/sane car/ two car/ � c:ar private storage building ESTIMATED MARKET VALUE OF " Other CONSTRUCTION $ rL aca ' C Q g INFORMATION ON BUILDING SPECIFTCATIOLIS , ON REVERSE SIDE OF THIS c:,H.LET , TO BE COMPLETED ! Form I3PA 4/136 md-vl i BUILDING PERMIT "PLECATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction ; woad frame , fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? n o Foundation wall material r"1.4eoss. Thickness �r Depth of foundation Del w grade (to bottom of fora ' ng ) -<:00 7 Will there be a Cellar? iHeated or unheated? Floor sq. footage 2's0o sq ft Will there be a basement? Will any portion be use living space ? — ( If so , what par / d+7~G sq . ft . - - Type of use? +rG. cr7.r �,�, - Type of roof slope flat/shed/other Material of roof +$ ,, Z` , ,r Size , wood stu s_�2,•"X�'" spacing a Cs. "O . c . length Et . Joists ( floor beams ) lst . .floor "•i /Capp "' spacing lei^ "o . c . span t 'S ft . Joists ( floor beams ) 2nd . floor "X •may '" spacing ! f:�"o . c . span Tft . Overlays { ceiling Reams ) ��f � "" Hoof rafters "�' "; spacirtgr 2Q "o . c . span ft . � .cam spacing�a . c . span $r ? • ft . 14x7f trusses (pre-engineered) spacing^ o . c . span. ?ft . Exterior small finis h� � ,t]f what material ? 404000.42 Interior wall finish7,a 4D If a gar gel is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garages and dwelling? if so will a Fire-rated door, enclosure , and self-closing device be provided? u Will a flue-lined chimney be installed.?flS=mo Height above roof ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth '2,. ft . -- in . Water supply Municipal or private wall SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining prope.rties. . ► Q� ft . (A separate application is necessary for any repair or new installation of septic system) Town of hury County of A F F I D A V I T STATE OF NEW YOK warr Warr'pn R. I swear that to the hest 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 her laws I#ertaining to the proposed wank shall be complied with, whether specified not , and that such work i:a authorized by the owner . SWORN TO BEFORE ME THIS Signature _ _ _________ r--� ^Owner , o - er ' s ent , ar,cnir.;� 6ntracto; day of 1g Notary Public , Warren County, N . Y . • * * * * * * w * t w w w w r • * .t tit s" a • * * * • w * x r w * * • * rr * * * k w w * r It SPECIAL CONDITIONS OF THE PERMIT : By TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE. ENERGY CONSERVATION CODE A permit must be obtained before beginning work . ANSWER ALL of the following : 10 Gross floor area 2 . Type of heat ia4Z0c7 AE /G A— [:;. .q5 3 . Is the building mechanically cooled ? .4�.+ 4 . Percentage of area of 'windows and doors A , Over 16 % Only ` 1 . Uo value of gross area of wallst roof / ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 1 . If YES , what is the R value ? 3 . Slab on grade YES NO a . If YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a . R value of insulation s . 'Type of insulation x Be Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. 3 Go 2 . R value of exterior walls 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces b . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab 8 . R value of heated basement/ cellar walls ( above grade ) - 9 . R value of heated basement/ cellar walls ( below grade ) 10 . Type of insulation Co Controls 1 . Thermostat maximum heat setting e D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES NO a , if YES $ R value of duct installation b . R value of duct in other areas E . Piping Insulation 1 .� size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No , / / i - j ew ( applicant ' gn ure ) S. do APPLICATION FOR SEPTIC DISPOSAL PERMIT BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R .D. 1 Box 98 Queensbury, New York 12801 DATE + Z / 3 LOCATION OF PROPERTY FOR INSTALLATION i '�S f octcvtJ Lra-./� OWNER ' S NAME G.�J�.2w�-/G-c�- •.,,(, to � ti t� yr..+: ADDRESS /,S, (:nmt doo , Ned,' marts= ' 4� S-4 TEL " 7 '> - 4.a INSTALLER ' S NAME ¢� �e,0 y, c;e .,c TEL Number of bedrooms ( residential only) 4� Total daily f low ( compute @ 150 gal per bedroom ) G=* a o Topography : Flat - Rolling - Steep slope - ( circle one) % of slope 10 40 Soil nature Sand Loam - Clay - Other Depth 4o 4- ft . Ground water -At what depth? 44r + - -ft . Bed-rack or impervious material - At what depth? /,416� ft % Percolation test - Not required - Required - -Rate mia.n- inch . Domestic water supply - unlclpal - Well - other_ Separation - Watersupply ( if well ) from Septic absorption �ft . Proposed System . Septic tank - gal . ( Minimun size , 1000 gal _ ) Tile Field - Each trench vft4t+G .ft _ Total system legnth � f. t . Seepage pits ) Number of Size each ft X ft Size of stone to be used # Depth or thickness IMPORTANT ! ! On a separate piece of paper , submit a diagram of the ,proposed system with all dimensions shown ; including distance from any structure , distance from property lines and from ANY DOMESTIC WATER SUPPLY or shore - line of lake , strea-m , pond or wet - lands . Iaxclude all dimensions of the system , itself . I .have read the regu "tations on the reverse side of this sheet anC7 agree to abide by these and aZZ requirements of The Town of Queensbury Sanitary Sewage Disposal' Ordinance . Signature of vesponsi. bte person Date 05/ 86 and/vl Section II Septic System Inspections ; A . All applicationM for septic system installation , alteration or repair , as r+eouired by the Town of Oueensbury Sanitary Sewage Ordinance , shall be submitted to the Buildinc 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 , the fields and/or drywells B . Teo 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 . O0 . O . 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 duringconstruction Prevent proper installation , alteration or repair of an approved system , a new proposal must be submitted to the Oueensbury Buiildina � Department before further construction . _J'vttrie 10/ uQen3Ge�r�t BUILDING and ZONING DEPARTMENT Bay and Havitand Road, R•D- 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME Pod r- 10 Vj e T--z= - LOCATION h —cp-y` Date A _I Permit £3c� . ��^ APPROVED -* y* * NO IL Footing/pier Forms Foundation Waterproofing Backf ill Framing Roofing siding Masonry Veneer Rough Plumbing Relief Valves Ext . porches Finished Floors Interior Trim i r.SCairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar , Fireproofing Door closers Smoke Detectors Chimney INSULATION - Foundation Floors Walls ceiling FINAL ELECTRICAL INSPECTIQN DRIVEWAY APPROVAL Final Building Survey Next scheduled .,.+inspecCion ( h� !'�ready )(LL s•x Remarks- y�^ /l_/! _ + r, 1 VAIVU BuildW-Lnv�P�" 6/86 and-vl awn of Queenslory i #40 J BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 1! Clueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date. IIII Permit NO . it k t ve it ! ,► fk * **oI * APPROVED YES NO Footing/Pier Forms Foundatlori Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves ext . Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile Concrete F100rs plbg . Fixtures Gar . Fireproofin Door closers Smoke Detector Chimney INSULATION Foundation Floors Walls ceiling FINAL ELECTRICAL INSPECTION DR.IVEwAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- � f e lee, Building Inspector 6/86 and-vl �7own of QueenJI " ry 13U11_DING and ZONING pEPARTMENT Bay and 'Haviland Road, R.D . 1 Box 98 pueensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE �FERMIT NO . � c'�`~f' SOIL TYPE - and Loan+ - Clay Percolation est Required? YES N Percolation rate - Min/Inch _ TYPE of SYSTEM: total length Absorption field . -� Length of each trench f �_�--- Depth Of -trenches Size of gravel_ �� SEEPAGE P ITS4Numbar Size- - ft_ size G Size TYPe P IP x�rz : _ Bldg . to tank Tank to disc . box. Dist. box to field/ O Partial Openings sealed? ES LOCATXON/SEPARATIONS : t. Foundation to tank f Foundation to absorption ft. Ole Absorption to lot line separation of pits LOCATION O.F. SYSTEM ON PR PERTY (circle One) Front ear - Left Sid - Right side - 1/ CCt4mENTS ) e3po �s,, SYSTEM USE APPROVED YES NO Bu , ,ding Insp for 01/86 and V1 .._.Down o� �ueena�url� BUILDING and ZONING DEPARTMENT Say and Haviland Road, R_D, 1 Sox 88 Queensbury, New `Fork 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Late IIII- / —Permit No . * * * * * * yr' APPROVED - YES NO Footing/P±er Forms Foundation waterproofing Back.fill Framing goof ing 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 Ch2jancY Nsr�LATxoia �rpun dat ion Floors 7.rnTe�l1 s ling FINAL ES ECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Nexc scheduled inspection (call when ready ) Remarks- ,r <k Building 'Inspector 6/86 and-vl . lo"M 01 Qween3iury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ` S REPORT NAME LOCATION " L Date c`' : Permit No . � �r F APPROVED - YES NO Footing/Pier Forms Foundation Waterproo€ing Backfill )LFrasing Roofing siding Masonry Veneer Yl ,Rough 'Plumbing C Relief Valves Ext , Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile Concrete Floors plbg _ Fixtures — ---- Gar . Fireproofing Door Closers smoke Detectors Chimney I N SU I.AT I ON :/ L.�.- Foundation ro Floors Walls Ceiling FINAL EL ECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Rext scheduled inspection (call when. ready ) Remarks- i ap ` iffy 8ui ding Inspe or 6/86 and-vl a"/n of ueenshur l BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 oueensbury, New 'York 12801 BUILDING INSPECTOR ' S REPORT NAMEP LOCATION Date Permit No . ✓ APPROVED - YES�o NO ting/Pier Forms ` Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Exte 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 INSPECTION DRIVEWAY APPROVAL Final Building Survey _...� Next scheduled inspection (call when ready ) Remarks- BuTidipector 6/86 and-vl FORM 46EL APPLICATION IREV. 1"71 TYPE OR PRINT ALL INFORMATION DO NOT REMOVE CARBON THE NEW YORK BOARD Or FIRE: UNDERWRITERS CERTIFICATE NO. 41 STATE STREET, AALBANY , N . Y . 12207 BUILDING PERMIT NO. YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED, CITY OR VILLAGE +IIR dap TOWNSHIP COUNTY F{/' STREET AND NO. OR ROAD AND POLE NO, �„1 d [,�I�wyf POLE NO. BETWEEN WHAT TWO .le (o CROSS STREETS IS ,�r�+ ,I PREMISES LOCATED? e J #Co C�� LA F Arje It-dl. SECTION t mlIZ BLOCK LOT OCCUPANT S// / BUILDING NAME L.�JI. eajl7Ls.LGt� �iJr 6�L �'OM.".'�'re�.f7/Ira OCCUPANCY �a r l'Ct.�„"�L..� II""�D.i.►i i". ^�►" OWNER'S NAME AND ADDRESS 5:pdo A400 CURRENT SUPPLIED LED /&4i FROM THEIR - LIE ~! ,(L.�"�.re OFFICE BUILDING WORRK DEFECTS IS NEy OLD ❑ REMODELED © IS NEVII,,.� ADDITIONAL REMOVED ❑ LIST BELOW ALL EO.UIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Na. of Fiatkr dr MOTORS HEATERS BRANCH LAMPS L kKa Lamp Receptacoc les CIRCUITS uao Side Attach't H. P. Watts A.W.G. WATTS Coiling wall Recepllrls Switch Pendent Bracket No, Type Eecd No. Each No. Galrge NO, EACH Out- side b ent Mont Tat Fi. 2nd FI. 3rd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This applicatiatt is intended to carer the ebave-listed aquipment to be inspected but it at time of inspection there is Found additiorsal equipment not above lifted, you are authorized to make the inspection and adjust the tee to corer the additional equipment, as provided by the applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS Cr4 FEEDERS LAMPS WATTS CHARACTER E%POSER GAS TUBE SIGN OF WORK �y., ED TRANSFORMERS OF VA S STARTED BE (CMAGiTY] 1�✓'iGi�� a /�c„Ilar COMPLETED SIZE OF SIGN SERVICE MAKER OF SIGN BUILDI INSPECTION REOUESTE6 LL + i0 4t � � ON OR LE NEAR AS KI' POSSIBLE NEW OLD AVOID DELAY SY GIVING FULL AN ACCURATE INFORMATION, ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNER, NAME- OF V * ,� DATE OF r 2" �` e � APPLICANT APPLICATION STREET ADDRESSzipLICENSE NO. CITY OR y .. POST OFFICE w's"e -L +.IE�' �I"'k"O'4'L�SL '�'I ! CODE f�+�r WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 4 0, cl� r a' xF %Z i ��rc rxTY -�`►- v �r r �•Z" C4 1 3e1 Sec ' . q + y°"sOf !q„ca+ 1 IpsbtA Gdl I ;m DGyrTomOMP4IC j r l� __. U. . .4�� 10 99 • f,'R7rJ1 L iG7 i n14 I 'QI k b - 41 G7 L to riM1J •�j� •. I ! �. �LtILD . SYS,.Ius C'o11mL'!AFIT �' ' . ..- ,. 'RIMIINIMC M �P �fJ4