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1987-510 I � I 'CERTIFICATE OF +C CC1JPA.N+UY" TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date tiotFm*aer- 5 , 19 � 3 4� aJ 41 1 M ' 'Mis is to certify that work requested to be done as shown by Permit No. $ ; has been completed. `I ONE-FAMILY DWELLING This structure maims occupied as a Location FOX HOLLOW Owner DEAN BECKOS By Order Town Board OrOVV- V OF QUEENSBURY C.-.A Building, N Zoning Inspector I i BUILDING PERMIT TOWN OF QUEENSBURY No. 87_510 WARREN COUNTY, NEW YORK o v PERMISSION is hereby granted to Dean Beckcos Lot #588 Fox Hollow Lane l OWNER of property located at Street, Road or Ave, in the Town of Queensbury, To Construct or place a One-Family 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. t� m 1 , OWNER'S Address is 21 Owen Ave ad Glens Falls , N . Y . 12801 n 0 N 2_ CONTRACTOR or Bill LDER's^ Name William Herlihy 3. CONTRACTOR or BUILDER'S Address 1 Dartmore Dr . Glens Falls , N . Y , r 4. ARCHITECT'S Name R co co 5. A R CH ITECT"S Address o 0 0 k� W 6. TYPE of Construction — (Please indicate by XI (x*Wood Frame ( ) Masonry { I Steel { ] CIO) Ga P6 T_ PLANS and Specifications No. 61 ' x 81 ' per plot plan , specifications and application including septic system , attached two-car garage and driveway permit . B. Proposed Use One Family dwelling 0 $5 , 00 C /o $ 262 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES March 1 , 1988 N `^C (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the � town of O expiration usensbury before the date.) fa N Dated at the Town of Queensbury this 7th Day of August 19 87 ter} as SIGNED BY , vry,1 for the Town of Queensbury Building and Zoning Inspector X/ TO BE COMPLETED BY BLDG . DEFT . Application No . Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN - Bay and Haviland Road, R. D. 1 Box 98 zoning Designation ) . Oueensbury, New York 12801 Variance No . [8 Site plan Review No . i , Op7 �f Approved JUL 221987 198 APPLICATION FOR //( � BUILDING & COL 4G DEpr Ra� & -:I- ' EIIILDING 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 : r>-NF AAA R gc_ K OIL 41 P . O. Address Z OWPk" AVEG-,1.1✓i�.��. ����( �� _r Tel . 7�-r��,�� Property Location : C7x 1-�'n LL_Cr s t2 1 ] .r" $�F Tax Map No . Street number or building lot number Subdivision name ( if applicable) C..fJ& K^.'Z� + j4AMOT.12 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS 13UILDING CODES IS : h Fe Name P . O. Address Tel . No . r Name of builder . Pwr QQ;L Address Tel . S Name of plumber Address , Tel . 7 9 { _ y3 q q Name of mason 0,A,%j f. &,r"} Address �, � Tel . 4792 p NATURE OF PROPOSED nIC]RK : 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 whether interior or corner lot _ Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTEDo of septic disposal area . * * COMPLETE INFORMATION REQUIRED BELOW . * Size of property ft X / 5o ft & Existing building ( s) Size..L..�r ft X (_ 1 ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure ft XS1ft Foundation- pier/slab/crawl/partial/full * Proposed building , distance from property line (circle one) Front yard �; 3 ft Rear yard < oa ft No . of stories (habitable space ) � * Bide yards _ ,/ f3 ft and „� ,� �� ft Height ( grade to ridge ) .s� �e ft If residential , no . of families * If on corner , setback .from side street ft No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION No . of bedrooms q PRIMARY BUILDING - No . of bathroom E * ` „_,One family dwelling Primary heating system Type of fuel C`'& S � Two family dwelling * Multiple dwelling / Number of units No . of fireplaces to be installed I Permanent occupancy Will a wood stove be installed? � U r'� Central Air conditioning? Z! Transient occupancy _Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition , what will use be . Split level old style Bungalow Ca e Cod Cottage Other * ACCESSORY BUILDING- IQ rrlania Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) " _Attached garage/one car/ two o _car/ car Private storage building ESTIMATED MARKET VALUE OF " Other CONSTRUCTION INFORMATION ON BUILDING SPEOIFICATIONSr ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED — BUILDING SPECIFICATIONS : Type of construction . , od frame fire safe , etc . will any second-hand or ungraded lumber be used? If so , for what? �} Foundation wall material w.+ 0, rt n T _ Thickness ► / Depth of foundation below grade (to bottom of footing ) Will there be a cellar? r . Heated oreate Floor sq. footagesq ft Will there be a basement any portion he used as living space? t % (n ( If so, what portion? scq . ft . - - Type of use? Type of roof - o e flat/shed/other material of roof 7rR k.JS S L S Size , wood studs -"X +._.J spacing^ l (. "o . c . length _ft . " Joists ( floor beams ) lst . floor ^�_" X��" spacing /_ '"o . c . span�ft . .j oists ( floor beams) 2nd . floor �w0- X� " spacing _yam- ^o . c . span ft . OverIays ( ceiIing beams ) "X_ spacing Uc4 "o . c , sparr1p u#Mf t . Roof rafters "' X "' spacing o . cl span ft . Roof trusses (pre-engineered) spacing"o . c . spank .ft . Exterior wall finish CLAcl k:ooya4a �L Of what material? /.S Interior wall finishes fJ (,ti R 4(_ If a garage is to,� a attached , e materials to be, used for FIRE SEPARATION : s�fi3 F I c4A C,6 d -tt. Is there to be an opening between garage and dwelling? If so will a Fire-rated door , enclosure , and self-closing device be provided? ft& .S Will a flue-lined chimney be installed.?1$ 'Height abo roof. Mt ft . Depth of chimney foundation below grade ft . Depth of fireplace hearth _ft . i+ in . Water supply - unici 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 A F F I D A V I T STATE OF NEW YORK eensbury Warren County off 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 pecified or t , end that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature ............. . err owner ' s age t , arc,h - ct . contractor day of 19 Notary Public , warren County, N . Y . � * �+ * * � r� * * * ,� � * � ,r ,� * r► re * w � � * � * * * ye yt * * * rt re W * ,� re re * * ,� SPECIAL CONDITIONS OF THE PERMIT : By---------.......------^---------......- y r 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 : 1 . Gross floor area 9 ' 2 . Type of heat 3 . Is the building mechanically cooled ? SC's 4 . Percentage of area of windows and doors_ A . Over 16 % Only 1 . U value of gross area of walls , roof / ceiling and floors o exposed to ambient conditions 2 . Floor over heated spaces YES ,��� a . Are foundation walls insulated ? "✓ NO 1 . If YES , what is the R value ? AL 3 . Slab on grade YES a . If YES , what is the R value of insulation around perimeter Of floor ? 4 . Is basement heated ? YES a . R value of insulation Irk I 5 . Type of insulation_, _.__. FI a E H . Under 16 % Only 1 . R value offroof and floors exposed to ambient condition s � 4 2 . R value of exterior walls 4qj 3 . R value of glazed area R i 4 . R value of doors 5 . R value Of floors over unheated spaces F . R value of slab edge insulation - unheated slab t-JA. 7 . R value of slab insulation -- heated slab 11 8 . R value of heated basement/ cellar walls ( above grade )] 9 . . R value of heated basement/ cellar walls ( below grade ) R1 � 10 . Type of insulation r` 1 13E2 >LAS Ie C . Controls 1 . Thermostat maximum heat setting 26 D . Duct Systems r �y 1 . Is duct system installed in unheated spaces ? YES + a . If YES , R value of duct installation b . R value of duct in other areas E . Piping insulation 1 . Size of heat water or cooling carrying agent pipe 2 . R value of pipe insulation 4� 4: F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephoner No , app ixklt ' s lgnaturC r %ra a rM Of f e4ftd6WV APPLICATION FOR SEPTIC DISPOSAL PERMrr 4 DATE LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: _r`1 EAt LV ,13 E Kd Telephone: 7 7 3 - Q> Z Z ) Address: e� I _L C? Ul 1 Installer's Name: ] jq-V F,= (} ���) r[ R ) _ Telephone: r Number of bedrooms (residential only) Total daily flow (compute (�b 150 gal per bedroom) e nr� Topography: circle one: Rolling Steep Slope ° QL slope � 5ai1 Nat►me: circle one: .*jA4d Loam Clay Other / Depth: .34 _ feet Ground Water: At what depth? , feet Bedrock or Impervious Material: At what depth? _? feet W%1 5t,t Ov (0/&Y Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: 4 icip Well Other _ IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet C PROPOSED SYSTEM : Septic Tank e�.a gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S) : Number of / Size each c feet by lr feet Size of stone to be used # / Depth or Thickness � feet I M P O R T A N T ,,Xlease...1.1S7r 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 Be 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.€10. 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. 1 have read the regulations above and agree to abide by these and ail requirements of the Town of Queensbury Sanitary Sewage Disposal prdinance. Signature of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . HOME OF NATURAL BEAUTY . . . A GOOD- PLACE TO LIVE f r r ; BUILDING 8nd ZONING DEPARTMENT B �n d Road, R. D . 1 98 Queens u . New York 12801Q1 fib NG INSPECTOR ' S REPORT NAME .,.G.c . +z � Gas LOCATION Date fr , "f _[ Permit No 6 ��` Ji'C� APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backflll Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves f Ext . Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile Concrete Floors Plbq . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling FINAL F:LECTR CAL INSPECTION DRIVEWAY A VAL „/' Final Building g 5uruey____ I Next scheduled inspection (call when ready ) r i Remarks- C ` / l� i ildi lnspector 6/86 and-vl s La 4086189 THE NEW YORK BOARD OF FIRE UNDERWRITERS - ,i► © Z BUREAU OF ELECTRICITY >N 41 STATE STREET, ALB ANY. NEW YORK 12207 w I� A.Y . Appliratiun .Yo. ""file ,/1 +( Data October 20 . 1987 024299 /87 A T V THIS CERTIFIES THAT only the electrfeal equiprner.t as deeeribed beloss and ir.trbd"ced by the applicant mmnsed an the above appiicattan number in the preKnieea q1 Dean Beckon . Fox Hollow Lane - Lot #588 . Glenn Falls . New York in thefallowin location; OCBasement T� lst Ft. 61 2nd Fl. Outside Section Black Lot el Was examined on 1 /7/r$7 and faund to be in compliance with the requirernenta of this Board. LE FIXTURE 1'IXTURE GE CO ti S RANS OKIN C4 CKS APES SWITSWITCHESOPENS WSH WASHERS EXHAUST FANS OUTLETS INCANDRSCEM FLkXN&SCENT AMT, 57 61 DRYERS FURNACE MOTIORS FUTURE AFNtANCE FFECQERS SFEGTµ REC'FT TFME CLOCKS Rpi tIPMT YIEATERS MULTI-OUTLET pNNEAERS 575TEM5 AMr. wAtts AMT. K. W. OIL N. P. GAS K P. AMT_ NQ A. W, (y. AMT. AMP. AMT. AMPS- TRANS. IUNT. N. F. Eq. GH: KiET SERVICE DISCONNECT NO. G]F S E R V f C E AMT, AAV. TYPE 1 .X RW 1 F 9W S AV 9W 9Ir xW OF cc_PIER ArC Wb. CrF GS C L!. NO. PF MLIEG OF HI LEG ' . aF NEUTRJLIS NWEUTRAL 1 200 cb OTHER APPARATUS: Electric Roam Heaters µ 3 - 2 * 0 KW ] - -a woke Detector � 4 - 1 . 5 XW s 6 - 1 . 0 Kid 2 - . 5 KW 3 Bill HerlLhy - G 1 Dartmore Drive BRANCH MANAGER Glenn Falls . New York 12801 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. c� �c� eensh +eere�t SU1L DING and ZC)N1NG DEPARTMENT Bay and Haviland Road, R.C7 - 1 Box 98 A l` QueensbUry. New 'Mork 12BOI SEPTIC DISPOSAL SYSTEM INSPECTION hU�h�lE LOCAT I -�-r� ' � DATE 4�1 PERMIT , - - Sand - Loam Clay SOIL TYPE i d? YES - NO Percolation Test Requ /IncYi Percolation rate 0. TYPE of SY'S eld , otal length Absorption encl► . Length of ea Depth of tree $ Size of grave SEEPAGE PITS4 er of } size- f t X t_ - �.�---- Gravel size :r pe Si e p IP jNG : �1 Bldg . to nk Parti rank to d st. boxDist . kyo to field NO -- � Openings sealed? ' E LOCATIO /SEPARAT'IONS : t-�fc t. Founda on to tank f to Founda on to absorption f Abs t on to lot line f t, S arat n of pits ON PROPERTY (circ SYSTEMle one) Front. - R ar - Left side - Right "side YES O SYSTEM USE ApFRUVED Bu ' ing Inspector 01/86 and vl t(y� owr+ o / ueert �� etre� Qr j3U-%LDING and ZoNtNG E)EPARTME 98 / Bay and Haviland Road, R.D. 1 BOX oueensbury, New York 12801 BUILDING INSPECTORS REPORT NAME ��,.e ,e.R% i ' S / ,r► LOCATION Date - * AP'€'ROV ED - YES I1O Footing/pier Forms Foundation Waterproofing a,ackfill Framing goof ing Siding Masonry Veneer Rough plumbing Relief valves Ext . Parches Finished FloorsY.r Interior Trim �— Stairs & Railings_ -� Cellar Drain Tile Concrete Floors Plbg • Fixtures ,Car , Fireproofing Door Closers smoke DeteCtOrS coney 13 SC7LATION Foundation Floors walls Ceiling INSPECTION �-... FINAL. FT.ECTRICAL 33RIVF,WAY APPROVAL Final Building rvey Next scheduled insp ection (call when ready Remarks- � i1 r`/'1�. -- ��� --'��'. 1 t�J Building Inspector 6/86 and-vl 5� 7Q M" !• o '7Y VV / V pNING Of SUILDING and Z I BOX 9$ Bay and Viaviland S08 & k 12801 � (]ueensburY• + � R B , , L. ING INSPECTOR ' S EPORT NAME LOCATION NO Date * * * * * * * * * APPROVED - yl5 C3© y Footing/pier ForMs FOundat3.on waterproof ing. .... _�-- Sack.f i 11 Frami-nq Roof ing Siding �_--- Ma nrY Veneer ugh Plumbinc3 ` �- Relief Valves Ext , Porches Finished Floors -- �--- Inter for Trim Stairs & Railin9s_._�- �- — -- Cellar Drain Tile Concrete Floors .1bg . Fixtures Gar . Fireproofing �-- Dao r closers -- — Srno'ke Detectors Chimney lr1sU'j NTT0N ' Fc>un dat ion Floor$ walls Ceiling FI73AL �:LEC`fRICAL IN5PEC'rIQ _�---�- �- 1]RIVFWM Y APYRC)VAL Final Building Suryey Next scheduled insP ection cc 11 when ready Remarks- Building Inspector Faf$'ro and-vl fill + BUILDIMG and ZONING DEPARTMENT Bay and Haviland Road, R.! +, 1 Box 98 f oueensbury. New York 12801 BUILDING INSPECTOR ' S/� REPORT NAME �-"�i1 T ONje e Permit No wr = APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Baack f i l l fi"` naming Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Gar . Fireproof g Door Closers Smoke Detect s Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY AFPROVA Final Building Survey �— Next scheduled inspection (call when ready) Remarks- Buildin9 Inspector 6/86 and-vl �iseeny� ar.re� 1f �Qf'VR O� p�pARTi ME'M'T gISiLD1NG and Z4N1f�SG R i BOX 96 Bay and Haviland Road,York 128f1i puee,nsbury, NOW INsPECTOR. ' 5 REPORT +�uII..DING �j�►�xa5 NAME 1..00AT I ON - } X Id permit pate * * * * NO * APPROVED - YES Footing/Pier For" Foundation W aterprcof ing ► i ackf ill r 1_Framim3 goofing Slding Masonrl► Veneer Bough Plumbing ,,elief Valves �---- Ext . porches Finished Floors Interior Trim Stairs & Railings Cellar r]rain Tile Concrete Floors Plbg . Fixtures far , Fireproofing Door Closers Smoke Detectors Chimney IN SJ]LATIC" ' Foundat ion Floor' Walls Cei.lin'ELECTRICAI. 'Si3SpEC`TIC" F Il3AL DRIVEWAY KpyyRQv Final Building Survey call when ready Z+lext scheduled inspection C Remarks- Suildi Inspector 6/86 xnd-vl Down a/ Queenaheere� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUIL €JING INSPECTOR ' S REPORT NAME X e;f LOCATION X/r r Date o' Permit No . ✓ = APPROVED - VESVN¢" pier Forms Foundation 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 AL Gar . Fireproofin Door Closers Smoke Detector Chimney. INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL. Final Building Survey Next scheduled inspection (call when ready Remarks- Building Inspector 6/86 and-vl 52_ l0W011 of �uee,n y esreAt ING and ZONING DEPARTMENT Bay and Haviland Road, R.CI. 1 Box 98 OueensburyI, New York 12801 BU. ILDI- NG- INSPECTORrS REPORT pj NAME LOCATION � .2( Date 7d /� Permit Now AP ROVE - yEf No aoting/Pier Forms, Foundation Waterproofing Backf ill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief valves Ext . Parches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg - Fixtures Gar . Fireproofin Door Closers Smoke Detectors Chimney INSULATION Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION_��_ DR-1VEWAY APPROVAT Final Building Survey Next scheduled inspection (call when ready) Building Inspector 6/86 and-vl EVY BUILOLNG DEPT. COPY OE THIS COPY W TH BU LO NG NEPTYORK BBOARD OF IRE UNDERWRITERS. # DATE f COUNTY (Nw 'oj TOWNSHIP STREET AND NO. OR � 11 POLE NO. ROAD ANO POLE NO. BETWEEN WHAT TWO � LOT � i4..}��a PREMISES LOCATEO7 � �" "-°' ,� t-/-- lF• 7 '� IfL11LDING+ - AND BUILDING I--y WORK IS NEW AOp1TIONAL L—I RE MOVED ❑ 18 NEW �� OLD LJ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Na. of FiaWs+a & BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Reoepeeclaa MOTORS HEATERS CIRCUITS ONLY tiiaim Side Attadr't Srri,tsA Fa..dane Bnmket No. Typo E:: Na. E� Na. AGwM INISPECTIDN Cailiry Well Recep%* out- awe Skills, bare SsM- a lk let R. 2nd Ft 3rd Vt. DO NOT USE THIS SPACE. REMARKS,: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: arr there is found additiattal aq"PP1natlt not abase listed. This application is rnt+ndad to corer the above-tilted egtlipmenl to be ir.altecxad but oc A at ti L as i� by the applicant. you ar! "Ibeeized to make the inspection and adjust the fee to cores Me additional etlstiPrtlaflt. Pra'I TOTAL ELECTRIC SIGN WATTS SIZE OFMAINS ,{- Y' r / FEEDERS LAMPS' E S[PE13E0 GAS TUBE SIGN VA CHARACTER TRANSFORMERS irt.t"? �' CONCEALED TRANSFORMERS OF OF WORK \ S INUMBERI ICAPACITY] STARTED BE — COMPLETED '�° .ter^,/ ' SIZE OF SIGN SERVICE OVERHEAd UNOEROROUND MAKER ENTERS - -- OF SIGN BUt i INSPECTION REQUESTED ` OLD ON OR AS NEAR AS I } t '� �, X4 t� 'L� NHPR POSSIBLE AVOID DELAY SY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES PATE OF ! / MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLIC/ J N PRINT NAME AND DDRESS SIGNATURE NAME OF { �._ I s] A"4 �`� � Fas,� I � �OF APPLICANT _ APPLICANT ,r1 L,;I��� ...,y+• r7 �, STREET ADDRESS ,��- �� F 40 �`��"'— TELEPHONE ctTv OR t LE /c 4r } L r CODE +~s C f3 1 _LWHEN AAPPNLiCABI E_ POST OFFICE 46 EL (REV. 1/66) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING Nit of Q 00 OL ol CU 99 0 1 no sr ,. . p,h oo r / U� f t +1i 5. f ,, r a j��i ' ' 11, or 'r J iv f Y'���Fj,.fT� • �fi � � Y � ��, 4 , � 1 I r .t' r� to 10 .,Of *)1 0 ' t, J I � /J t'� 1 ' w ~ ~ J - h ♦ �,� t, � 3r y r r r Fe Ott • t .� �r' { �+li IIto oft Fr ko 1r Y/k RL ", rl f 40 Ell J t � G 00 i I r C i Fog HOLLOW LAND, Lod 588 167 Acne f OEGKOS ; . r u �t` AJ�pN 5 45 so JZVN f 435 . " {�R1Sl f+Ilrtir Volsk STATE DEPARTMENT OF FI+PYIEIO't+1MENTAL CONSERVATION FFFECTIYk DATE DEC ►litiAlt NUMBER April 1 , 1987 50-86-0479 EXPIRATION DATEIsI PERMIT E AC Il1TYIPtIOGR AM NUMBk Rlrl ugader the Enviro-wiFenttaal [oPuer'vation taw September 1 , 1987 IS ❑ Article 17, Titles 7, 6 SPDI5 ❑ Article 27 , Title 7 ❑ Article 15, Title 5 Solid Waste Management PlottrClIon of Water ❑ Article 19 All Pollution Control ❑ Art lcie 27, Title 9 ❑ Article 15, "1 15 Hazardous Water supplq ❑ Articie 23, Title 27 'Waste Management ❑ Article 15. Title 15 Mined Land ❑ Mi .Reclamation Article . ►Eater Transport Coastal ❑ Article 15. Title 15, ® Article 24 Erosion Management Lang island Wells fresh,A'ater Wetlands — ❑ Article 36 FIArtlt It 1S. T Itlt' 27 Artlr to etlanc]* f loodplaln Kitanagement rS Ilf S{ rn+. 1 Fdal Vl Articles 1 , 3, 37 , 6NIII 3h0 an(, Kt" rt'at +<rn.! I A1 — Modlilcatlon 08 b Radiation Control �161ti1'4CRR !,: — Netn , R — Renertial.C -- Construction, C3 — Operatron, Cif Applicable) Water O8 y Certification PE RMIT ISSUE P T G Dean BeckOs hppRl55 Of Pf Rtit'TTf E 21 Owen Avenue , Glens Falls , NY 12801 Mbu E NUMBER ACE N't FOR PER:MITTf E +CONTACT PERSON 0221 NAME ANo ADDRESS OF FACILITY (11 different #tarn Perrns ttee) COUNTY TOWNIC ITY/V FR pINhTESCsf PROTECT WarreItOlueenFox Hallow LaneDESCRIPTION Of PROJECT1FACILITYplace a roximatel 10000 ISft . of bank-run ravel nthe l00 ft . ad acent area of Freshwater Wetland GF-12 etches that are attached and made a 11 pant of this ermit . GFNERAL CONDITIONS BY acceptance of this permit the permittee agrees that the permit is contingent Upon strict tampliarice with the ECL, all applicable r'eS,ulations and the conditions specified herein or attached hereto. T The to "�., . . •� '' • ' riE IS, •. ni' :re O"hr a: •.•0;•,:a'f re g:r+r+'' perSI ads .:n's'rpI Or other CIr designated r.•. •hr- speGlal [ondrapn5 a aoAC r' O' ontrn':Or to [P^''ne^ E 5rv.:•: ~ t hint h ' prom ptl • n- tn •a,ng eI tilt carn n. ! neerr • e:rra 5', a" a. a^'. c-..e [.. tnt LAEe:2^r•'sen, O" 1 r.s +r onmer,;4' Can se-.z':- S_ KjI a. o'd,': SF:, eor, The tse"r• -',eC .n ,,n .!-.d b+ >vbec C'- tO +n IS rx[ C! a:!!re,, Ze:' rep"•-^r the p. cI irrtereb! st, requl'rs 3 The perm Eit ee has ac cepted expressk7 . by the eserut+on o! the appl:[at+an, the t uC: legal respansibninY for all damages direct is indirect,Ct. of vragrs and CI nature. and br sw!r O-ne. e• suffered. arising out of the prol'ecl deScr+bed here+r' and has agreed to +ndemn!ly and Sas'e harmless the State from su+U act, damages of ewer} name and lion resulting from the sand project 1 The Departmen� reserves the Sigh! to mod:'v s:,pippl ^d or revoke lh's permit at ans tnrne after due notice and of req piped hold a hearing when [•: C. tF,x PSri I is PaC Pedip� O" a +. in!a' ,ar o+ am cond rt,n• o" the purr,• a+ p!n•',vor- a" She ECL anL pipe"n.ner.t regular:or,. ark four or L. rF„ per-r -' •n a- Pb'a�nt ] h, misrep'e,S—er II to nturr IC: d'sL lost rP1P •cn! ra; i• O' . - f new :. d.1" o5'Pred +n!O'md!+['n o• s,gr•:•,ca"" Rh• - - d ' Changes air d's"f"r' a S+nCE She Rl rdl ! wa` rssue� .,!tmen'c'� [nt('r•m:d::.)'� .r•!'::- II r-1'r . of re- _ ' r The ::tet it respnn-,vie for kee P'n6 the n'F'•r... art:. r bs subm:tting a ten Pin a' a�;sl:c a':n' in- k�d+nS am t[�•m tee: or sup - . S"r .m Ft2io"C�.. 1n. a.'• eta^:djt'-m e"'• p`.rr—.-7 ' I" :n• t[ tfitr eaG':.a `-ec•• q�!e [s, eke lie:.�'•_.f ' " n: ?'f'• the ' 3t. O -14S. •.e . ScEJES fJ' SU'ti• O' C 7 h.• Rr- mlt sC c: rvO• l"'•' t o••s:ru> a• SOnve.. :r„s ![. thr apP•I Gan: anti trek ! tc VPSPas, uR.-" tn+ 4and. or +nt ,% f• p. with. the nA a'ran ngh!s o• 7 a P +n o t t to pr °' :.� .,; . . emit• +r rr:.' ry..•,e:r.P ' n'e.p. ••w hr;d or vest!-c' +r a ,t:.,.,- nr: a Rar!', re th. r.r..._ .. .._.. tt.s >.+ r..: [.. a' r .:.l ..:7 :nL, the IFI rr"- r- e,. a..., rig r: It n� +:.< rc.:r._ t Re. .. mrrv'• an, �•,'•-i v.2. ewh:.: + VI tY• reajrn?� to. t p :If he .n.... + fa• o'G'a n,:nF an, ra•',^ ' pr•r.l appre,,. ai. Ia ea•r •:�: : . . >% . . pern c,' u.,:es' eapre.,Jy pn>. rdrC xc:, ma.y ..nr•.+ �. {.r ree' :r.e a^ vdr' or co-:.f.r ` or de.!r r•+.:na: :nr ••+, , r : '" 'Y':e E]•'pa'x n.Fr.r dew: r: such orour O; hl.•e.: .:-[�'.' G. lnF, E?C j'cit men' G' a^ s r:' the tt'R: . { 4r.C-L+U.1] a' fe.7u:rP'-h f-n', era r'd: E'- + 4 Ain rnod rr.car :on of th l: perm+l grant l. tit J "Imen' mu n ,writing and attached hereto Wit H ApORE 55 FEE Rtit!1 fSSt •.^.{ { p+,1 F PI R".t!T. k.Fl^.tt`. ' P. Hudson St . , Warresxsbur,g , NY l2$SS � r Thomas . Hall � ACLTHORIZIES SI rsATIJRk Page 1 +cif 2 _'I its rasa tsresl Deals beckos If ` Apt)ITIOMAk CE MLRAL COMfif?MOMS FOR ARTMCLES 15 (Title fife 24r 250 24 WW J4i e4f in the rOlecutran of the work heron prrmfited 10 That if future operations by the Stott of New York require an ai 14 Any material dredg nl without leaving tar reiusr piles. ndgrs across teratrbn m the position of Lire ssructurt or work herein authorized, or shall be removed evenly. * �` if, In the opinion it the Department Stnsent of Environmental Conservation the bed of a waterway or floodplain or deep hairs that may have a is shall cause unreasonable obstruction to the tree navigation of &aid tendency to cause damage to navigable channels or to the banks of watery or flood flows or endanger the health, safety Or welfare Of a waterway the people of the Stale, or Cause foss or destruction of the natural 15 1t ant material is to be deposited or dumped under this Permit, eithe* bout Aigirwatri rrsa rk. it sistiil be resources of the state. the owner may be ordered by the D w o ttachedd, ars Deportment to in the wateray or n share a ,and deposited remove or alter the structural work, obstructions, or hazards caused of dumped at the locolsty shown on the drawing hereto a thereby without expense to the State, and if, upon the expiration or if so prescribed thereon, within or behind a good and substantial revocation of this permit. the structure, fill, excavation, or other bulkhead or bulkheads. such as will prevent escape of the materia' modification of the watercourse hereby authorized shall not be corn into the waterway pleted, the owners. shall, virlhout expense to the State. and to such 16 Tisere shall be no unreasonable interference wit . navigation by the wof; extent and In such time and manner as the Department of t nvirorimentaI herein authorized Conwrvatran may require, remove sit or any portion of the uncompleted 17 11 granted under Articles 24 or 25. and if upon the expiration or re structure or fill and restore to its former condition the navigable vocation of this permit. modification of the wetland hereby authorized and flood capacity of the watercourse No claim shall be made against has not been completed, the applicant shall, without expense tb the the State of New York on account of any such removal or alteration State. and to such extent and in such time and manner as the 11 'What the State of Nev. York shall rn no tare be liable for any damage Department of E nvrronmental Conservatrcrn maw require, remove all or or injury to the structure or work herein authorized which may be caused any portion of the uncompleted structure or fsli and restore the "if bs or resuli from future operations undertaken bs thfL stair for thi tc, sty former condition No Claim shall be madam againO the- State- o` ConserVaT40n Or IMPTncement of na• igatiorz or for other purposes. and Ne,,, look on account of any such remora' o- alteraTion no claim of right to compensation shall accrue Pram any such damage 15 it granted under Article 36. this permit does not signify in any was 12 That if the display of lights and signals on any work hereby authorized that the project will be free from flooding is not otherwise provided for by law . such lights and signals as may 19 All activities authorized by this permit must be in strict conformance, be prescribed by the United States Coast Guard shall be installed and with the approved plans submitted by the applicant or his agent as part maintained of the permit application 13 All necessary precautions shall be taken to preclude contamination of any wetland or waterway by suspended solids. sediments, fuels. Such approved plans were prepared by solvents lubricants, epoxy coatings, paints, concrete, leachate or any on other environmentally deleterious materials associated with the pro;ect SPECIAL CONDITIONS 20 . The wetland boundary shall be marked before any fill commences as part of this permit: . 21 . The surface of all fill placed in the adjacent area of Wetland GF- 12 shall be seeded and mulched so that the surface is stabilized by the expiration of this permit . ' 1 1 cc : ECO J . Timko 1 i i i DiC P; RM+ l NUMS R 50-86-0479 PROGRAM r AC It 11Y NUMBF P of 2 j New York State D*partment of Environmental Coneervratian � pecju3,atCW y Af f&Ira box 220 * arrensburg , New York 12885 Telephone : (518 ) 623-3671 or 668-5441 Henry wi ianw +GommWrloner December 30 , 1986 cei ,y, . _ 25 ,/ C> Mr . Dean Beckos 21 Owen Avenue Glens Falls , New York 12801 Dear Mr . Beckos : Enclosed is your ;+� ; t which was issued in aom>rdanoe with the applicable provisions of Envirorirwantal pc>rkservation Law. Please review the general and special cOrxIitions that are intexxled to misamize the envirormiental disturb- ances associated with your project . please note that it is the responsibility Of the Perm ttee and his agents oily with all perm t aarkditioris . Fu r . '� Peru is valid only to for the activity expressly authorized . VaDrk beyond the scope of the permit shall be considered as work without a permit & Any failure to cxwqply with these terms may be treated as a violation of mwirorr ental CorLsesvation Law. Questions regarding the terms of the permit s?xould be directed to William White of our regional Fisheries office (telephone (518 ) 891-1370) . fiver , should your plans dxange , please contact this office to determizxe if nx),difications of the permit are recJx' red . Thank you for your interest in environmental conservation . Very truly yours , Thaxias W. Hall , Alternate Regional Permit AcIninIstrator INgH/n