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1987-202 N y =U K CER'I'IFI+C TE OF C.1C+��JI'ANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK J,:iiivar4f u , 19 85 Date r5pl - 1 - 'I'ttis 87-2fl F is to certify that work requestrtd to be dune as shown by Permit Na. has been completed- This structure may be occupied as a LocationI oC�93 S caraure Drive ( SC . No . 2). The Pines Of ueensbur ASa1. Chew Clark Owner By Order Town Board 'TOWN OF QUEEN3SBLIRY 1' Building 6 Zoning InsPector t i } BUILDING PERMIT TOWN OF QUEENSSURY No. 87-202 WARREN COUNdTY, NEW YORK PERMISSION is hereby granted to Matthew Clark OWNER of property located at Lot 93 Sycamore Drive ( St No . 2 ) Street. Road or Ave. rt SD in the Town of Queensbury, To Construct or place a One—FamilDwellin � 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. x' 1 . OWNER'SAddressis 10 Sycamore Drive Queensbury , New York. 2. CONTRACTOR or BUILDERS Name same O A'7 3. CONTRACTOR or BUILDER'S Address same w ::rA rrs n �-d w 4, ARCHITECT'S Name ro M CA rD 4 CJ 5. ARCHITECT'S Address p � ro ra p to w rt c,Y rPLANIS f Construction — (Please indicate by X) 1 Wood Frame { I Masonry i ) Steel I ) Iv and Specifications 26rx64t per plot plan , specifications and application submitted Noincluding sewage system and t:wo-car attached garage . m1 d Use One-Family Dwelling 1 �c • c M $5 . 00 CIO fD $ 164 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 , 19 87 (if a longer period is requited an application for an extension must be made to She Building and Zoning inspector of the d town of Qusansbury before the expiration date.) Dated at the Town of Queensbury this 27th,,,,, ,�,,_Day of _ April 19 87 / ! Iazz - g�� for the Town of Queensbury SIGNED BY Building and Zoning 1 nspector TO HE COMPLETED BY BLDG . DEFT . TOWN / Application No . c� _lour" a/ Quee► j 94r y Permit Issued 19 1 ! � rru BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Hawiland Road, R. D. 1 Box 98 Zoning Designation APR 16 U Queensbury. New York 12801 Variance No . Site Plan Review No . BUIL�DiNG @� CODE DEpT: - J -. 41 .3 Approve b A elI"Q�'�-'" /r, f ,7� APPLICATION FOR BU I LD I NG 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 . The owner of this property is : y �1f1 �} _!'r�Ll�IHP . P . O . Address ro 5 iLWJ!I - OA40,%4 Tel . 74 B ^ 34 ef" Property Location : I a:c 4;pA ti AA SYg'-A CA �'�T Tax Map No _ Street number or building lot number Subdivision name ( if applicable) ]Ddt, t ( F"Ya-s'9 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : C7 Name P . O. Address Tel . No . Name of builder_ or&0 y Address Tel . 7T6 - 3 (14957 qP Name of plumbero Address Tel ' Name of mason A"/ ye Address Tel- . NATURE OF PROPOSED WORK : ZONING INFOR)OATION : 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 f �' ft X ( 7 © ft . g Existing buildin s ) Size ft X ft . >f PROPOSED BUILDING AND USE : C. � * Existing building ( s ) Use Size of new structure 9,. ft X lho ft Foundation-pier/ slab/craw I/partia.r.WZDN Proposed building , distance from property line (circle one ) Front hard 6 1 ft Rear yard ft No . of stories (habitable space) 2" Side yards ft and _ I _ ft Height ( grade to ridge ) Z� ft • If on corner , setback from side s . eet l ft If residential , no . of families L Noe of rooms ( excluding baths) _ OCCUPANCY INFORMATION No. of bedrooms I -r� PRIMARY BUILDING - No . of bathrooms Y fL ✓One family dwelling Primary heating system IL-Ln G`T' C. 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?dip _ Transient occupancy Central Air conditioning?r 1►►0 Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin * If addition , what will use be? Raised ranch Mansion Duplex Split level old style Bungalow Cape Cottage Other " ACCESSORY BUILDING- _olonilal Row Town House Detached garage/one car/ two car/ car { CIRCLE ONE PLEASE ) k,!!�Attached garage/one Car/ wo car car Private storage building ESTIMATED MARKET VALUE OF CONSTRUCTION $ '� - - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ? Form BPA 4/96 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood fra fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? L7 Foundation wall material S _Thickness f,c+ 4rr Depth of foundation below grade (to bottom of footing ) ' Will there be a cellar? 'fV_T Heated or unheated? Lje"saoo Floor sq . footage ft Will there be a basement? _Will any portion be used as living space ? /rc> ( If so , what portion? sq . ft . - - Type of use? Type of roof - cg7o e /flat/shed/other Material of roof Size , wood studs q "Xdospacing—I(., "o . c , length � ft . Joists ( floor beams ) lst . floor � _^X „-" spacinr3_.J��+'o . c , span R ft . Joists { floor beams } 2nd . floor or to spacing _"o . c , span 1 ft , Overlays ( ceiling beams ) "X_ � "' spacing _"o . c . spanI� ;y ft . Roof rafters _ "X _" spacing 4s,. o . c . span_ rr, ft , Roof trusses (pre-engineered) spacing "a0c . span ft . Exterior wall finish py( tp 5t �rtl� Of what material? Interior wall finish - � - - I£ a garage is to be attached , describe materials to be used for FIRE SEPARATION : ' t F i Iz' K. t� Is to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? �►'xcj' Will a flue-lined chimney be installed? _)(kl R Height above roof ft Depth of chimney foundation below grade 7 ft , Depth of fireplace hearth ft , in . Water supply - i r 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 C 'County of Warren A l F i D A V 17 STATE OF NEW YORX 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 other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature_ A _____ Owner , wner ' syagent , arcriirect , co �ractor day of 19 Notary Public , Warren County, N . Y . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IF * SPECIAL CONDITIONS OF THE PERMIT ; s By TOWN OF QUEENSBURY WARREN COUNTYt 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 : 1 . Gross floor area 2 . Type of heat 3 , is the building mechanically cooled ? / �9 40 Percentage of area of windows and doors jr A . Over 16 Only 1 , U value of gross area of walls $ 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 5 . Type of insulation B . Under 16 `k Only 1 , exposed to ambient condition R value of roof and floors s 2 . R value of exterior walls ZFr�ss 3 . R value of glazed area Lr5 fllGfik � -1�' S 40 R value of doors j 5 , R value of floors over unheated spaces j C+ 6 . R value of slab edge insulation - unheated slab 79 R value of slab insulation - heated slab 80 R value of heated basement/ cellar walls ( above grade ) g , R value of heated basement/ cellar walls ( below grade ) 100 Type of insulation ^ F ( 6i( - �5 IJI �Til C , Controls 10 'Thermostat maximum heat setting D . Duct Systems I . 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 _ G 2 , R value of pipe insulation -'-P- F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . ror Swimming Pool Only Af 1 . Maximum heating_/ /r^ Telephone No , ( applicant ' s signature } APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE f S 7 LOCATION OF PROPERTY FOR INSTALLATION Lc>T 4� 11if ' Owner's Name: p/! AT"Ir Telephone: Address: to r� -1 a► 1 VL41;, Installer's Name C K t..� Telephone: - Number of bedrooms (residential only) _ Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: Rolling Steep Slope r'cr of slope Soil Nature: circle one: an Loam Clay Other / Depth: feet Ground Water: At what depth? P10 64f'A 'V �et Bedrock or Impervious Material: At what depth? 5 O TO &'f feet f �os� circle kp� Pe� not ot^required required / rate min. inch. Domestic water supply: circle one: unici ell Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank *Oe� i gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench St" feet / Total system length 35" feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # / Depth or Thickness �t-- feet I M P O R T A N T ...Please...LIST NEW EQUIPMENT TO BE INSTALLED (over) Section II 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 $2500006 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 installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the rep aiatlons above and agree to abide by these and all requumements of the Town of' Queensbury Sanitary Sewage l]isposal CIWdinancee Signature of responsible person: /~ Date: ff' 7 Town of Queensbury Building and Code Department Bay* at Haviland Road Queensbury, New fork 12801 (518) 792-5832 SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE atv" n/ Qtteen3hur y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ` S REPORT NAME � LOCATION Date _.- Permit Now ✓ = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfiil Framing Roofing siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim (,airs & Railings Cellar Drain Tile Concrete Floors � 1�P�l�bg . Fixtures 4.. d . Fireproofing r Closers Smoke Detectors Chimney I N SUTAAT I ON ; Foundation Floors Walls Ceiling FINAL EJAROVALo.— CAL INBPECT20N DRIVEWA�nal Bg Survey "ext scheduled inspection ( call when ready ) rks- 140 ding Inspector BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME zk - r T Ce LOCATION Date Permit No . .aSL� c2- ✓ = APPROVE - YES NO Footing/Pier Forms Foundation Waterproofing Backfill Framing CRoo f ing ceding (j Masonry Ve eer Rough Plumla ' ng lief Valve Ext . Porches Finished Flocs s Interior Trim Stairs & Railin I . Cellar Drain Til Concrete Floors bg . Fixtures ar . Fireproo ' ng ( f t..foor Closers L.,Smoke Detect rs p, Chimney XNSULATION : Foundation Floors Lava l l s Ceiling LoF'INAL ELE TRICAL INSPECTI(7N DRIVEWAY PPROVAJ.._�`_ Final Bui ding Survey Next schedqjled inspection ( call when ready ) Remarks- l � Bui d ng Inspector 6/86 and-vl VI ILDING and ZONING DEPARTMENT and Haviland Road, R,D. 1 Box 98 Queensbury, New York 12801 ING IN5PECTORTS REPORT �, , LOCATION Date Permit No . '"a APPROVED - YES NO Footing/Pier Forms Foundation Watergroofin Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim _ _... Stairs 6 Railings Cellar Drain 'Tile Concrete Floors Plbg . Fixtures Gar , Fireproofin -Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRI AL INSPECTION _ _ T DRIVEWAY APP WAL _ Final Buildl g Survey - ..... _ _ Next scheduled inspection {call when ready Remarks- J I Building inspector 6/86 and-vl ��7 c /r _.loturz o/ Quc�Yr+ .shurc� •�4 ( BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. Y Box 98 �� , ✓ Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT I ON ,D>4 DATE /� / / / ;�:77 PERMIT NO , SOIL TYPE -• Sand - Loam '- Clay Percolation St Required? Y _ NO Percolation r e - Min/Inch TYPE of SYSTEM ; J Absorption field total ength +r� Length of each tr ch Depth of trenches Size of grave.1 SEEPAGE PITS{Number f) Size- _ ft. X Gravel size _ PIPING : ize Type Bldg * to tank IL Tank to dirt_ x Dist . box to eld/ en in s sea d? YES NO Partial LOCATION/S ARATIONS : Foundatio to tank ft . Foundati to absorption ft . Absorpti to lest line t , Separat o pits ft. LOCATIO O TEM CST PROPERTY (circle one) Front - ear - Left side - Right side - CCIKMENT ; 0/ SYSTEM. USE APPROVED YES NO Buil i Spector 01/86 and vl ._/vwsa o/ Q"een .614ry BUILDING and ZONING DEPARTMENT Bay and Waviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME__._ LOCATION �I D �` `I� 34 4f hn ar e bAN . Cate Permit No . ;i,40 2 - ✓ = APPROVED - YES NO Footing/Pier Farms Foundation Waterproofing Sackfill Framing R.00 f ing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar 'Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproo£ing� Door Closers Smoke Detectors ChinmeyL. J INSULATION : Foundation Floors Walls X Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL. Final Building Survey Next scheduled inspection (call when ready Remarks-- Aell Bui ding Insp ctor 6/86 and-ul 11 awn 0/ BUILDING and ZONING DEPARTMENT +� Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDIP,G INSPECTORS REPORT NAME A44�1001 r9 T 3 LOCATION Date~ Permit No . * * * * * * * * * * * * * * * * r 7 *- ` - Footing/Pier Fps.-ms APPROVED YES NO Foundation Waterproofing Backfill eAl*raming Roofing Siding Masonry Veneer ,,C- [ ugh 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, INSPECTION - DRIVEWAY APPROVAL. Building Survey Next scheduled inspection (call when ready Remarks- Building inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. Q. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Gfg 14 W � LOCATION r f-w i1 / Date !_ / � _ Permit No fl a� ✓ APPROVED - YES NO Footing/Pier Forms y undatl0n I�Vdm terproofing .pBackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors 06 Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbq . Fixtures Gar . Fireproofing Door Closers Smoke- Detectors Chimney INSULATION : Fc7 un d a t i on Floors Walls Ceilinq FINAL ELECTRICAL INSPECTION 1]RIVEWAY APPROVAL Final Building, Survey Next scheduled inspection (call when ready ) Remarks- -- �3ui ldin Spector 6/86 rnd-vl . low" of Q"ee" 34"r y BUILDING and ZONING DEPARTMENT Bay and Haviland Roark, R.0- 1 Sox 98 Clueensbury, New York 12601 BUILDING INSPECTOR ' S REPORT NAME! }y is + E✓ �' �A I LOCATION Perrnit ✓ = APPROVED - YES NO Ming/Pie Farms 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 INSPECTION_ DRIVEWAY APPROVAL Final Building Survey Next scheduled inspectic+n (call when ready Remark: -- gr-7 4 ^ -t' pn Ruilding KlnLspecr 6/86 and-vl BUILDING DEPT. COPFIOEFr"%APPLICATION 1RE LJNL?'EftW'RITERS. opy WIT14 UILDING DEPT. WHEN REQUIRE17 f it DATE COUNTY �+ -�T1�• �a -ter IP L7I�-!� �7- CITY OR VILLAGE C 11' . 1'...I`"�] [.I3^--I TOWNs.Ia , -R.{.'f�+¢ r��- `>Y•�-�ps."�'iPOLErEo. STREET AND NO- OR ..� ROAD AND POLE NO. j BLOCK LOT BETWEEN WHAT TWO �y ' i�Jf f _.. �1 �ir..l SECTION PREMISE SREETSTE s r r,: BUILDING ' i -. is "'• .; .. OCCUPANCY E OCCUPANT-S NAAA ,r TELL ' w,a w�Y F _ { {1[' I n 'ci lErr` �" / L7 AND ADDRESS I`rY r '� " `,,(y__ - J/ ; OFFICE SuliPLIEDUMNIT i r (,--�iC �" i17 i� • '� +�' FROM THEIR DEFECTS WORK ADDITIONAL Q REMOVED ❑ y / .1'r IS NEW BUILDING NEW I '+Y . : OLD ❑ IS ~ LLED LIST BELOW ALL EQUIPMENT WHICH YOU ISVSTABRANGH OFFICE USE No. o1 F1xu B MOTORS HEATERS CIRCUITS ONLY NUMBER OF OUTLETS Lamp React ISII'SPECTIONI Lion Side h lM No Type Each AttacIt Switch Fdent Bracket . Ns W� Na4 Oarae CeRkry Wall ReachN Out- side 4 Baee- meat 1st Fl. 2nd FI- 3rd F 1, DD NOT USE THIS SPACE. LIST ELECTRICAL DEVICES NOT SET FORTH ABOVE! REMARKS: OTHER _ tad but H ri t-xr.e d imwicx lr there rr#"nd alW�kionW erW�prAerY not ahPW Listed. ant to he insPeC xled by tha apPlicant. This OPPlieetion is irtanded to Cover the and adjust the tee to covet the addi<io+tel erWiPt m• as TOTAL you are authorized to make the inspacd ELECTRIC 'SI-AIIGGNS WATTS 512E OF FEEDERS MAINS EXPOSED GAS TUBE SIGN VA CFIARACT£R CONCEALED TRANSFORMERS OF lCAPACiTYI OF WORK ("LIMBER) ttK1RK 7O BE CONIPLEYED SIZE OF SIGN STARTED UNDERGROUND MAKER SERVICE OVERh1EAD OF SIGN ENTERS SUiL I OLD INSPECTION REQUESTED MEIN ON OR AS NEAR AS DATE OF p(71SSIBLE -- MUST BE F LLEU Nl OIR APPL CATION MAY BE RETURNED.idN. ALL SPACES APPUGATION SIGNATURE rip f{� .. PRIN7 NAME AND 1ADDRESS n �OF APPLICANT NAME OF 0A � L fs 0 K APPLICANT TELEPHONE � LICENSE MO. STREET ADDRESS coo - +� WHEN APPLICABLE f' t l r C r �u��N+G CITY OFFICE . �.L... ,r ag EL (REV' tlBfi) A SEPARATE APPLICATION MUST BE FILET] FOSS EACH SEPARit 's k Ufa' I { r 44 W J--- t— es z� t k SYCAMORE DRIVE PLDT PLAN f LOT 93 NYC AMORE DR,