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1987-589 C if C- M (.3 L' 0CCU 1 AN Y TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK ,Yko Julie 1 , l9 Dare {- 87-539 This is to certify that work requested to be done as shown by PermitNo* has been completed. ✓ l_ .-�l x one—Faauily Dwe ing ll This structure may be occupied as a '- upper bay Rd . West of Sunsnyside North � Q r� L � Pk'' Location L71 1 kOL"I\AJ Ae ',ail Liam Jo & .Judith Shaw C►wner By Order Town Hoard TOWN OF QUEENSBURY Building 6r Zoning inspector BUILDING PERMIT � TOWN OF QUEENSBUR`tff � No. $7-5$9 � WARREN COUNTY, NEW YORK C' 00 ao PERMISSION is hereby granted to William J . Judith Shaw OWNER of property located at Upper Bay Rd . West of Sunn side North Street, Road or Ave_ ry 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. owNER s address is Robert Garden North N- Queensburys N . Y . 12801 N- w 2. CONTRACTOR or BUILDER'S Name lr 4 G 3. CONTRACTOR or aUl LDER'S Address w rt cn W E 4. ARCHITECT'S Name 5. ARCHITECT'S Address cn ro r-t *y 0 t h ID S. TYPE of Construction — (Please indicate by X) `C (XXvvood Frame R ) Masonry I ) Steel ( ) �C m µ 7. PLANS and Specifications No- 261 x 39 ' per plot plan , specifications and application , including a septic system, attached one car garage , 'Y 8. Proposed Use One Family dwelling 0 m I $ 5 . 00 C/O � $ 122 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 , 11988 (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.) m Dated at the Town of Queensbury this 4th Day of September 7 g $7 H r• Building and Zone I nspector SIGNED BY L �7 zotx [ �� IJf1p ---for the Town of Queensbury TO BE COMPLETED BY BLDG . DEPT . Application No . _Jfluriz O/ Lsee1e36tt►�f Permit Issued 19 T'?v"dFv ! C= BUILDING and ZONING DEPARTMENT Permit Expires 19 �1 n ; Bay and HaviEand Road, R. D- 1 Box 98 Zoning Designation Lq L? .� 0 fLa ©ueensbury, New York 12801 variant Site P an Reva. ..w N SEP 3 NO App e .7 '�!]'.3 ,... f! �„ r APPLICATION FOR BUILDING AND ZONING PERMIT �'—�`►�cf�'x�k �G6— � �'��— �/ +� 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 : P . O. Address /1©/af h"% /f�,i/�,� s %�Jr� /� /�0�.5 ��/1'.�_ � stir/ /�2:s'ca ! Tel . .P a 3 f6 S- .5 � � .sz Property Location z r1- e ( '7�+ c /f'c g, 1� - LL j rt cr.� 7y 5c• fc r�jor Tax Map No . Street rKmtber or building lc C numbei — Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : '2 Name P . o. Address Tel . No . rr Name of builder _gym c G167tUe.,_Address Tel . Name of plumber Address Tel . Name of mason Address Tel . .� NATURE OF PROPOSED WC]RK : ZONING I NFORMAT I ON : ✓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 AFFECTEDa of septic disposal area . - COMPLETE INFORMATION REQUIRED BELOW . * Size of property � cac� ft X a?J ft Existing buildings ) Size ft X ft . PROPOSED BUILDING AND USE : < _ Existing building ( s ) Use Size of new structure a2 ft X .3 ft * 7 ---- Foundation-pier/slag/crawl/partial ul * Proposed building , distance from property line (circle one) * Front yard 9� 7 ft Rear yard 2'n ft No . of stories (habitable space ) - 2 * Side yards 'jr ft and ft Height ( grade to ridge ) �2g/ ft . * 000000000 If on corner , setback from side street ft If residential , no . of families / No . of rooms ( excluding baths ) ';/ * OCCUPANCY INFORMATION No. of bedrooms �2. No . of bathrooms PRIMARY BUILDING - Primary heating system m - /dr * ✓One family dwelling / 4f w Two family dwelling Type of fuel Z4, ' Multiple dwelling / Number of units No . of fireplaces to be installed 0 * � sanent occupancy Will a wood stove be installed? V e__ S Central Air conditioning? YS * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * industrial Ranch Contemporar Log cabin Other Raised ranch Mansion Duplex Ar If additions what will use be? Split level old style Bungalow Cape Cod Cottage Other " ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE Attached garage/ e tar two car/ tar * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET VALUE OF x Other CONSTRUCTION - - - $ 4 - - - - - - - - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUI1,DING SPECIFICATIONS : Type of construction , wood frame , fire safe . etc . Will any second-hand or ungraded lumber be used? If so , for what . "r�JGJ Foundation wall material /J Thickness Depth of foundation below grade (to bottom of footing ) /Co;? 'f Will there be a cellar ?Heated or unheated? cei e Floor sq. footage sq ft Will there be a basement . Will any portion be usecl as living space? ( If so, what portion?- sq . ft . - - Type of use? Type of roof - slope /flat/shed/other Material of roof Size , wood studs "X �" spacing 14 "o . c . length ft . Joists ( floor beams ) 1st . floor "X /p spacing Z';2Z "o . c . span 14 ft . Joists ( floor beams ) 2nd . floor _" X /C> spacing..2,�L."o . c . span f _ft . Overlays ( ceiling beams ) "x " spacing. . "o . c . span ft . Roof rafters ( - "X spat ing AO o . c . span ;.� p f t . Roof trusses (pre-engineered) spacing "o . c . span ft . Exterior wall finish eZ2,a��,-�ypr_:+a Of what material? ] interior wall finish `Y �i ',� c j,, e_k If a garage is to be attached , describe materials to be used for TIRE SEPARATION . C Is there to be an opening between garage and dwelling? C3 If so will a Fire-rated door , enclosure , and self-closing device be provided? Will a flue- lined chimney be installed? Height above roof Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . � in . Water supply - Municipal or private well /ff to e We / r SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties (s0 _W0 ft . (A separate application is necessary for any repair or new installation of septic system ) l�Town of Queensbury A F I I n �{y V I STATE OF NEW YDRK County of 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 specified or not. , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature -___--�!��- ----- ------------��____-- Owner , owner ' s a ent , arcnirect , contractor day of 19 Notary Public , Warren County, N . Y . * * * * * * * * * , * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 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 :. 1 . Gross floor area�� 2 . Type of heat 3 . Is the building mechanically cooled ? r } 4 . Percentage of area of windows and doors A . Over 16 % Only y 1 . Uo value of gross area of walls , roof/ ceiling and floors exposed to mbient conditions 2 . Floor ave>Insullation spaces YES NO % a . Are f walls insulated ? .- YES NO 1 . Iwh is the R value ? 3 . Slab on gYES N a . If YEis the value of insulation around perimflo ? 4 . Is basemed ? YES N a . R valnsulation 5 . Type of .in B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions 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 / `7 6 . 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 A 1 . Thermostat maximum heat setting ri�a D . Duct systems 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 hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency62 2 . Temperature control setting maximum G . For Swimming Pool Only Z . Maximum heating Telephone No . T — 6 ( applicant ' s signature ) 441� &Upft of QeZWx*VV APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: Telephone: Address: Installer's Name: Telephone:Number of bedrooms (residential only) _ P. Total daily flow (compute @ 150 ,gal per bedroom) �cnO Topography: circle one: elat Rolling Steep Slope % of slope Soil Natuare: circle one: and Loam Clay Other / Depth: _+feet Ground Water: At what depth? p feet Bedrock or Impervious Material: At what depth? feet Percolation test: circle one: not required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank C 0 0 gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench feet / Total system length feet SEEPAGE PIT(S) : Number of _ / Size each feet by g feet Size of stone to be used # �' / Depth or Thickness L 'F+- feet IMPORTANT ...Please..AAST 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 Z.) 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 $Z50.00. 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 all requirements of the Town of Queensbur-y Sanitary Sewage Disposal C kxtit ance. Signature of r7 onsible person: Date: — 7 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 LOVE .Jcreun v� ��¢en36rtrt� BUILDING and ZONING DEPARTMENT Bay oue nsbury New York� x 98 and Haviland Road. 128O1 I LDING INSPECTOR ' S REPORT � qNAME LOCATION 6 r� /� / Pe37mit Date * • * * * * * * * �* - APPROVED - YES NO Footing/pier Farms Foundation Waterproofing Backf ill Framing Roofing Siding Masonry Vene r Rough PliLunbi 9 Relief Valve Ext . Porches Finished Floo Interior Trim Stairs & Railin Cellar Drain T11 Concrete Floors plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY APP OVALSurvey Final Building y Next scheduled inspection (call when ready ) Remarks- 0 �3 r I O A4 A Building Inspector 6/86 and-vl ._./c�wn v� �ieeens6ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. I Box 98 Queensbury, New York 12801 r� BUILDING INSPECTOR ' S REPORT NAMEl,/y Ifs L U LOCATION E� Y ]Date u Q� V permit No . . 461 ! . * * * * * * * * * ✓* * APPROVED YES NO Footing/Pier Farms Foundation Waterproofing Backf ill ;(Framing • - Ct �C �(Roof ing "`'.raiding Masan Veneer Rough P ing $( Relief Va ves )K Ext . Porch s Finished F1 rs �— x Interior Tri �f stairs & Rail i gs b Cellar Drain Ti Concrete Floors )( Plbg . Fixtures )( Gar . Fireproofing Door Closers )( Smoke Detectors %y ,,Chimney INSTJLATTON Foundation Floors Walls Ceiling S FINAL ELECT AL INSPECTION ... --� DRIVEWAY APPR VAL Final Buildin Survey Next schedul d inspection (call when really Remarks C f 7-oKZL� r 5-.4 ► fLWsrr-I T-� T l S sZ +Al . 1 .C- 7Buij6dkn9 InsPecto f,/86 and-vi �Jowrt n� �ueens � ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL. SYSTEM IN'SPE TION NAME LOCATION ✓ DATE PE IT NO ., -�-- SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - - NO Percolation rate Min/Inch TYPE of SYS ' Absorption f eldr total Is th Length of ea h trench Depth of tren hes Size of grave — SEEPAGE PI 4N er o£ � Size- ft. X Gravel ze PIPING : S i%e TYp Bldgo to tank �3 Tank to dist . box Dist* box to field Partial Openings sealed? S LOCATXON/SEPARAT Foundation to t k f t.0 Foundation to a sorption =ft Absorption to 1 t line ft . Separation of its _ ft' OF S.Y. TEM ON PROP TY (circle one) xFront - ear - Left side - ight side PITS a SYSTEM USE APPROVED YES ,` No Building Inspector - 01/86 and vl c. _.Dawn o Qeseen .stury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOS�,A�,L1 SYSTEM INSPECTION NAMEjON ] '- LOCA � r � DATE PERMIT NO. " SOIL TYPE - Sand - Loam - Clay Percolation Test. Required? YES - NO Percolatio rate - Min/Inch _ TYPE of SYST Absorption f * Id . total leng Length of eac trench Depth of trenc es Size of gravel SEEPAGE PITS-(N er Of ) Size- ft. S f . Gravel size PIPING : Size Type Bldg to tank Tank to dist . box Dist _ box to fie / it openings sealed? S NO Partial LrOCATION/SEPA IONS : Foundation to ank f t. Foundation to abSOrpti n ft" Absorption t lot line ft . Separation o pits ft- LOCATION OF SYSTEM ON P OgERTY (circle anew Front - Re - Left side - Right side - COMM'ENTS r r SYSTEM USE APPROVED YES NO Building Inspector 01/86 and vl `7 ©/ Qmeenjlury BUILDING and ZONING [DEPARTMENT Bay and Haviland Road , R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME -------------- LOCA, T I ON p Date �� / � Permit Now APPROVED YES NO Footing/pier Forms Foundation Waterproofing Khack£ i l l Framing oof ing S ing Masonry Veneer Rough Plumbing Relief Valves Ext . Po. hes Finished loors Interior T im Stairs & Ra lings Cellar Drain Tile concrete Floc plbg . Fixtures Car . Fireproof !n Door closers Smoke Detectors Chimney INSULATION Foundation Floors Walls ceiling_ FINAL EI ECTRI AL INspECTION DRIVEWAY APPRo AL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- ]//''//�/] t f/ jr e0op Bull g Inspector 6/86 and-vl toll 3 ,,.}'vwn o� �eeeensbur+� BUILDING and ZONING DEPARTMENT Say and Maviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S NAME a[f LOCATION P pr Dame /0 l�S' permit No . ��� APPROVED YES AND Footing/P±er Farms }! Foundation hwaterproofing Yeackfi11 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 . Fireproof± Door Closers smoke Detector Ch±mney INSULATION Foundation Floors Walls Ceiling FINAL ELEC RICAL INSPECTION DRI-vEWAY A ROYAL ., Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspect 6f 86 and-vl It III "eenjl"ry f BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D- i Box 98 pueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date f / Permit No * J �'� = APPROVED - NO ooti.ng,/Pier Forms v Foundation waterproofing Waterproofing Sackfi.11 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 _ Fir'ePrao€i Door Closers Smoke Detector Chimney INSULATION : Foundation Floors walls Ceiling FII3AL E1,ECTRICAL INSPECTION DRIVEWAY APPROVAI Final Building survey Next scheduled inspection (cal^l� when ready Remarks- JCr� Buildi 9 Inspector 6/'86 and-v1 _Jo urn o� '�ueen 3fiur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' SREPORT � 0or NAME ;Y4 LOCATION /- Cyr � � /J• r Date / Permit No .Ae c,,�' ✓ = PR D - t3© rFooting/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 Flbg . Fixtures Gar . Pireproofin Dear Closers Smoke Detectors Chimney INSULATION : Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY AYPROV Final Building Survey Next scheduled inspection (call when ready Remarks- , - 14 Building spector 6/$6 and-vl BUILDING DEPT, COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILOING DEPT. WHEN REQUIRED. i DATE CfTY OR VILLAGE y tJ C a KIa 50 ft TOYrNSHIP STREET AND NO. OR F'" *+ $ L./[.'41 COUNTY ( ; f w t ;f J-/i'✓ ROAD AND POLE Np, BETWEEN VETS . . _ PO . PREMISE STREETS IS +� ,,..._ / PREMISE .. ..t , 710N .. "I OCCUPANT'S LOT !NAME ��, .� �-�.+ �.�� /� BUILDING BLOCK l P9 L } OWNERS NAME OCCUPANCY "... ram,, J' :';.,..".''40. + /r AND ADDRESS .�/ J q U i f'0� �.,.� r < X r3 /'�� TEL, * / ! l"n 1 i .BUILDING s y J` FROM THEM OFFICE IS NEW NJ OLD WORK DEFECTS is NEW ADDITIONAL 0 REMOVE6 0 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS II of Fbtewpv*III Loca- tu HEATERS Lao"P MWNPdaa MOTORS HEAT BRANCH tion CIRCUITS OFFICE USE C&I � Attaah•t TyPaNLY Owt ReeIP'b StHaah Pendant Brrobat N4.. H.P.eaft No. each Na. A.W.G. INSPECTION side Sub- br ease- tat Fl. Ynd Ft. 3rd PP. REMARKS; LIST OTHER ELECTRICAL OEVICES NOT SET FGRTH ABOVE; p8 NOT USE THIS SPACE, This aPPlKati411 d intended /4 ewer the a64+a-IR'IM pYliPlrMnI to be i4lPraeted bug it at t"o 0j: 1 y a., err audwrizrd to make d,e Inlpecti4n and adjual the fre 10 00~ the additional +naeeti4n tl.err s fennd o"tiond equipment . f above listed, SIZE OF i"4uHMmmn• 11a Provided by the awMl mt. MAINS FEEDERS EL ECTR Be S;GN TOTAL CHARACTER LAMPS WATTS OF WORK EXPOSED GAS TIME SIGN CONCEALED TRANSFORMERS OF WORN TO BE VA STARTED COMPLETED SIZE ICAPACITVI SERVICE OVERIIEAO SIZE OF 'SIGN ENTERS U1NbE RGROUNO BU;LOtIVG MAKER INSPECTION REQUESTED OF SIGN ON OR AS NEAR AS POSSIBLE AVOId DELAY BY GIVING FULL ANO CCURATE INFGRMATION. ALL SPACES NEW O OLD MUST BE FILLED IN OR APPLICAT MAY BE RETURNED. DATE OF PRINT NAME AND A/1 fw f - r APPUCATIt}Iy NAME pF APPLCCANt toX SIGNATURE // r ! OF APPLICANT.L__L '�=_� STREET ApDR ESS If ;'' A CITY OR - `J+ t TELEPHONE #} POST OFFICE ZIP. CODE LICENSE NO, MA41EN APPLICABLE aB EL.. (Rev. 1I8e) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING To : Building Department , Town of Queensbury From: William Shaw Re: Building Permit # 87-589 Date: June I , 1988 Sirs; Per our discussion , I agree to replace: the temporary steps , at all entrances to this house; with permanent , conforming stairs within 64 clays of the above date . Signed : Date : FILE Copy t a. -_ __ .1 4-7-- Y t _. 'z r <.< ........ ... ......:......... .. .,.:......._v._ :...::.. ...,..,._ r .._.,..J..:,w ,.<:«.W,we.:r:.....w.«.w..ess�m-.um.,..a..n� 8 r 1� ,, a lea