1987-622 r � y
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CERTIFICATE OF O CCLJI' CY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
j 'Date January i 5 , 19 i8
t� 14 . 1 87--622
This is to certify that work requested to be dome as shown by Permit No*
has been completed.
This structure may be occupied as a
One--Family Dwelllgg
Lxacatiom 9 Ryan Ave. .
William t;atas
owner
By Order Tawas Board
TOWrN OF QUEENSDURY
C.
Building & Zoning Inspector
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BUILDING PERMIT y
TOWN OF QUEENSBURY
No. 87-622
WARREN COUNTY, NEW YORK Q
PERMISSION is hereby granted to William P . Gates ocn
OWNER of property located at Moving of house from 97 Main to 9 Ryan Street, Road or Ave. cy
in the Town of Queensbury, To Construct or place a Moving of 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.
1. OWNER'S Address is
1 Glenwood. Ave . �
Queensbury , N . Y . 12801
W
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2_ CONTRACTOR or BUILDER 'S Name
P
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Same �*
M
a�x
3. CONTRACTOR or BUILDER 'S Address
4. ARCHITECTS Name �n
`PO
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5. ARCHITECTS Address C
m
6. TYPE of Construction — (Please indicate by XI
( x) Wood Frame ( ) masonry ( } steel ( }
C
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7. PLANS and Specifications
No. 24 ' x 30 ' house to be moved per plot plan , specifications and
application including septic systems and driveway permit . ro ,
M
a. Proposed Use ,One=Family dwelling
:o
$5 . 00 CIO '
$ 44 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 , 19 88
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 4
town of Quaensbury before the expiration date.)
16th Sept , 87
Dated at the Town of Queensbury this Day of 19
SIGNED BY QC ���r!1gCI� for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG . DEPT . , !
�] / Application No . 11LLL'iSSS'1u{� U
_f[]w►1 0lleen36urt Permit Issued 19 SEP 15 7
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Flavifand Road, R.D. 1 Box 98 Zoning Designation 6UILCI G CODE F oFR
Queensbury, New York 12801 Variance No . /J p arc,/ 9W
Site Plan Review No . I I 1 '
{ �Q Approved by : _
IO` fJ 7 APPLICATION FOR !
FUILDING AND ZONING PERMIT r
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 .
...._........................_-.---......... ._
�_v_-.--.--_- -_ ' -_---_---.-... ___--_•
The owner of this property is : la_ �f �. s -f At . / C / j
( � �-�- r��/ ie+/krt4 � �1 ✓�� y 'Pel . %��r P . O. Address � +Property Location : ►j4pV ;. C12 NrA se- ticeC104r Tax
Map
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON
RESPONSIBLE FOR SUPERVISION
/ OF WORK AS
REGARDS BUILDING CODES IS
1�/.�.j.1'�'." f \ �� [.so Is'�+ .�� +� 1 xft.w d L.G,c 9.i2.- "7 47 tSp 3 a
Name P . O. Address Tel , No .
Name of builder Address Tel .
Name of plumber Address Tel .
Name of mason "��- -�. Address Tel .
NATURE OF PROPOSED 'WK7RK : ZONING INFORMATION :
_Construction of a new building A PLOT PLAN MUST BE PREPARED .AND SUBMITTED , 4"
_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
L1 Other work (describe) pLyaV �. 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 y "
LOCATION OF STRUCTURES AFFECTED . w of septic disposal area .
x COMPLETE INFORMATION REQUIRED BELOW .
Size of property f t X_. J�,.ft
Existing buildings ) X ft .
PROPOSED BUILDING AND USE ; * Existing building ( s ) Use
Size of new structured ft X_JQ _ft
Foundation-pier/slab/crawl/partial full Proposed building , distance from property line
( circle one ) Y r�-� ft
Front and } ft Rear yard
No , of stories (habitable space) S, 4, ,� 'K-- � ft and /` ft
* Side yards / /5"+
Height (grade to ridge ) i _ If on corner , setback from side street ft
If residential , no . of families C3 :-�-
No . of rooms ( excluding baths) LEI — -- - OCCUPANCY INFORMATION
No . of bedrooms
,F ILDING -
PRI Y BU
Noe of bathrooms ne family dwelling
Primary heating system oar -- G! .r
Two family dwelling
Type of fuel 6QIf Multiple dwelling / Number of units
No . of fireplaces to be installed .. - Permanent occupancy
Will a wood stave be installed? ,+1,/43 - Transient occupancy
Central Air conditioning?. {/a
� Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Other
nch' Contemporary Log cabin If addition , what will use be?
Raised ranch Mansion Duplex
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/one car/ two car/� car
_Private storage building
ESTIMATED MARKET VALUE OF Other
CONSTRUCTION
/- - - - - - - - - - -
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED
BUILDING SPECIFICATIONS :
Type of construction , q�'' od fram fire safe , etc .
Will any second-hand or lumber be used? If so , for what ? �� (D
Foundation wall material Thickness ! o Ae
w grade (to bottom of footing ) a0e
Will there be a cellarP Heated or unheated? /afd.,7c Floor dq. footage V sq ft
Will there be a basemenn Will any portion be used as living space?
( if so , what por n? sq. ft . - - Type of use?
Type of roof - lope flat/shed/other Material of roof ��4Z.; _ f�- ,
Size , wood stu "x ofspacing "o . c . length ft .
Joists ( floor beams ) 1st , floor "x to spacing "o . c . span ft .
Joists ( floor beams ) 2nd . floor "x " spacing "o . c . span ft .
Overlays (ceiling beams ) lox Is spacing "o . cl span ft .
Roof rafters to " spacing o . c . span ft .
Roof trusses (pre- engineered) spacing " o . c . span ft .
Exterior wall finish < c. y, Of what material?
Interior wall finish —a
If a garage is to be attached , describe materials to be used for FIRE SEPARATION :
diy
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door , enclosure , and self-closing device be provided?
Will a flue-lined chimney be installed?,;�rd *f eight above roof ft .
Depth of chimney foundation below grade ft .
Depth of fireplace arch
Water supply 7z I�unicipal r private well
SEPTIC SYSTEM ance from ANY private well ( including adjoining properties ,r(/a wr f
(A separate application is necessary for any repair or new installation of septic system)
Town of QuWarren ,A F F I 7 � A V I T STATE OF NEW YORK
County of Warren 11 �-t
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 clone 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 -- rr _-
_
day of 19 Owner , owner s agent , c t arnarect , conractor
- � / ,�'r�
n / ANIT01�dETTE M. KF�I_EY
Notary Pu ,fir, uta"' �._ New York
c5ta Public , �nTarren Coun , N . Y . Qualifier; in 5araiopa C~our�ty,
CiOMmission Expires Jarruar
'V 11 . 4 9.
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 a ► '
2 . Type of heat c -�� � r
ye-
3o Is the building mechanically cooled ? / / 0
4 . Percentage of area of windows and doors
A . Over 16 % Only
�j 1 . U value of gross area of walls , roof / ceiling and floors
I �4, X ;S +�L^ o exposed to ambient conditions
2 . Floor over heated spaces ES NO
#� a . Are foundation walls insulated ? YES NO
1 . if YES , what is the R value ?
-r" 3 . Slab on grade YES
a . If YES , what is the R value of insulation around
✓ perimeter of floor ?
4 . Is basement heated ? YES NO .. ��r r3 �. . �.•^ f"�
a . R value of insulation
! £ 5 . Type of insulation
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
6 . R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
$ . R value of heated basement/ cellar walls ( above grade )
9 . R value of heated basement cellar walls ( below grade }
10 . Type of insulation " - --
_.. 1
Co Controls k
1 . Thermostat maximum heat etting , �
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 insulationi
F , Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum
G _ For Swimming Pool Only /{ /
1 . Maximum heating 0
Telephone No * G+ fi C I " ' 'i'
( applicant ' s signature )
IeAW 600M jf atSW40V
APPI.IC AT70N FOR SEPTIC D]SPOSAL PERMIT
DATE J✓�y{ . . L�� / ;7
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: ,/� , .�^�+- ,,, , �C -cr ! Telephone: --y^�
Address: ! L'� xams�zz � Fs�e �4' ( � + �•+ d`�� efr w
Installer's Name: Telephone:
Number of bedrooms (residential only)
Total daily flow (compute @ 150 gal per bedroom) 30 0
Topography: circle one: Flat Rolling Sheep Slope 36 of slope
Soil Nature: circle one: Sand Loam Clay Other / Depth: feet
Garound. Water: At what depth? feet
Bedrock or Impervious Material: At what depth? _ feet
Percolation test: circle one: not required required / rate min. inch.
Domestic water supply: circle one:<iunicipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply* from Septic absorption _ feet
PROPOSED SYSTEM: Se is Tank O �? gal. (minimum size: ,1,000 gal.)
TILE FIELD: Each Trench feet / Total system length {✓ feet
SEEPAGE PIT(S) : Number of / Size each feet by feet
Size of stone to be used # / Depth or Thickness 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
40 location and distance to any water supply
5.) size and dimensions of all tanks, distribution
boxes, the 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 $250.00.
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.
I have read the regulations above and agree to abide by tloese and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance_
�Signarson.. Z"'
ature of responsible F
Date: .i
Town of Queensbux-y
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 742-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY A GOOD PLACE TO LIVE
5OWn 01Q44ean.41ur
F
TOWN
N a
FF10E BUILDING
1,
. �tntr wnio �wiriL,�riro �aAa:. at. c►.
�HWAy ae.cr.,! rwK.Ls. brew ranK. tsso
arars+�xzxJcs�ragcxY xxxxxw.ae�:x.�
r�r � icHwwar Dort. 7a. s - 7r �
DRIVEWAY PERMIT
APPLICANTSNAMC
ADDRESS
(to be ingfoe cted)
MAILING ADDRESS
The Superintendent of Highways , Tawrn Of DUeensbury , has
reviewed the application of the above named resident to
connect a4 driveway to the Town - road . The following
action has been taken :
I ) Preliminary Approval ( to be followed bj+ " Final Approval " )
{ ] Final Approval Granted
[ ). Rejected :
Size pipe to be used (if necessary)
lots 12 " 24 " 3611
DATE :
j ..
Paul H . Naylor
Superintendent of Highways
Town of Queensbury
S[TTLra Or NA.TIMAI. OfAkMY . A rn ?[f TI.Irr 'Tn % mer
THE NEW 'YORK BOARD OF FIRE UNDERWRITERS _-
BUREAU OF ELECTRICITY �
f till 41 STATE STREET, ALBANY, NEW YORK 12207
Date January 19 , 1988 Application No- on file 0�21 9s3 � t� 7 A 4 8 23
THIS CE114TPP=PE9 THAT A
Only the electrical equipment as described below and intraduced by the applicant named on the above appltcrtioFs nsamber in the prensises of
William GaLeo , 9 Ryar. Avenue , Glenn falls . New York
in thefollowing Location; ❑ Basement ❑ l.st Fl. ❑ 2nd Ff. Ou 'talde Section Block lot
was examined on 12 / 16 /8 i andfaund to be am compliatace with the requiremen.ta of this Board.
FIXTURE EF'TACtES SWITCHES RXTURES RANGES COOItIHOOECES OVENS P]ISH WASHERS EXHAUST FANS .
OUTLETS INCANDESCE I- Ftl1DRE5[ENT Y AMT. K. W. AMT. K_ W. AMT. K-W, AMT. K. W.
;Y
DRYERS FURNACE MOTORS FUTURE A/FUANCE L&D"M TSPIOAL REC'tT TIME CLOCKS REu UNIT HEATERS tEu6T1-ouTtET DIMMERS
AMT. K. W. 011 M. P. OAS M. P_ AMT. NO, A W. G. AMT, P. STINTams
AMT. AAVS. TRANS. AMT. OFF AMT, WATTS
No, 3
SERVICE DISCONNECT NB. OF S E R V I C E
AMT. AI11P. TYPE METER 1 .M 2w 1 1' 3W 3 0 3W 3 AY iW NO. OF CC. CONI A. W. G. A. W. G. A. W.G.Et lEi. PER f Of CC. COND. NO. Of MLIlC3 OF NFIECa NO. rJF lIEIFTRAl3 OF NEUTRAL
I 1 0C3 C!a 1 x ! i f# 4 �
OTHER AFTARATUS:
21 .
Ronald i . Mumblo
Fort Edward , ?',`Y 12828 �c11`` ] BRANCH MANAGER
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.
rL.e �Z.�G I � i{�r u �s vrz Cep&'
Jowrt 0/ Q1Uee4"y6ur$
BUILDING and ZONING DEPARTMENT
Say and Haviland Road, R_0. 1 Box 98
Queensbury, New York 12801
ILDING INSPECTOR ' S REPORT
AME 11+ 11lh �f��L'rS
LOCATION
Date tl / g Permit No .
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
9ackfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves Yk
Ext , Porches
Finished Floors
Interior Trim
stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg _ Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimn ey.
INSULATION
Foundation
Floors
Walls
Ceiling
FINAL ELECTRIC INSPECTION _
DRIVEWAY APPROV L /
,(Final Building urvey.
Next scheduled inspection ( call u}hen ready
Remarks-
Building Inspector
6/a6 and-vl
BUILDING and .ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
SEPTIC�� DIDISPOSAL SYSTEM INSPECTION
NAME_ 4;;WA6
LOCAT ION'
DATE4 RMIT NO.
SOiI, TYPE - nd Loam - Clay ,
Percolation Required? YES Z"
Percolation rate - Min/inch
TYPE of SYSTEM :
Absorptio f ield , total length
Length of each trench
Depth of renches
Size of 9 vel:
-- -
SEEPAGE PI S{Number cif)
Size- f
Gravel size
PIPING : Size TVpe
Bldg to tank
Tank to dist _ b
Disto box to fie
Openings sealed? ES NO Partial
LOCATION/SEPA TIONS :
Foundation to tank
Foundation t absorptio = .
Absorption lot line 4 ft .
Separation f pits
LOCATION SYSTEM ON PRO RTY (circle one )
Front w r - Left side - Right side -
CCMMENT
SYSTEM USE APPROVED 4fESNO
Build 179 Inspector
01/86 and vl
�(p� � � .Jcrusez o� �eeeeris6urr�r
q BUILDING and ZONING DEPARTMENT
� _ nd viland Road, R. D. I Box 88
en bury, New York 12801
y
ILDING INSPECTOR ' S REPORT
NAME V / d.�
LOCATION .2
Date /0 � Permit No .
�/ ✓ = APPROVED - NO
LY'coting/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
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-
t/ /( &
X �.
a
Building Inspector
6/86 and-vl
BUILDING DEPT_ +Copy OF APPLICATION FORM 464EL. IVELV YORK BOARD OF FORE UNDERWRITERS.
FILE THIS COPY WITH BUILDONG DEPT. WHEN REQUIRED.
CfTY OR TE�/P ' DAl•E
VILLAGE low ry +/�,
STR EET AND -�•f T V •• .. ;.
ROAD AND POLE 0R ,,,.7 TOWNSHIP /_ NO. �I, r COIUNTV 'r"V"+w YI cloo �
IS
CROSS EN WEHf�T TW0 ar a.a
PREMIS TEDT r POLE NO.
OCCUPANT'S MARE S CTION
r,yr /� xI" { B OCK LOT
OWNER'S NAME 'L�Sr�' �/` BUILDING
AND ADDRESS f. f + OCCUPANCY
SUPPLIED
BBY UILDING. 'v �- TEL.
IS FROM 7M EtR -� ~ r/
NEW ❑ OLD WORK ` `f OFFICE
is NEW DEFECTS
BELOW EQUIPMENT WHICH Y
LIST BELO ADDITIONAL ❑ pEMOVED
Imn NXIMBER OF OUTLETS OU INSTALLED
LAMW Rresp>
CaYk" � A •f MOTORS HEATERS RS CIRCUITS OFFICE USE
Br+dnf No. TYPa ".P• yat" ONLY
a�da Each Nn Each Nw A.W.G.
INSPECTION
Sub-
bftee
Bran
+tiw�t
Tat Ft.
Ynd Fl,
3td Pl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE:
DO NOT USE THIS SPACE.
Thn mppjfe att rtion :s :ntend04 to coaar U/a alwrsfislad equop rut to 6r i
Ynu Ara autharixtM to maka elsa inrPaCeon and nsP+Ctad but if at tuna of i -.
MA OF
adjust tha fed tP Coconino, the slhlit on l aquip t• as Prey there is fossnd adaliti WW rgwipmant not rbur• lotted,
Hoe spie icant.
C
FEEDERS ELECTRM SIGN HARACTER LARDS TOTAL
OF WORK LARDS
GAS TUBE SIGN WATTS
WORK TO BE CONCEALED
STARTED TRANSFORMERS OF
L`OMPLETIED (NUMBER) VA
SERVICE OVERHEAD SITE OF SIGN ICAPACITY)
ENTERS UNDERGROUND
INSPECTION ILOI RAKER ORAS REQUESTED OF SIGN
PO OR LE NEAR AS
POSSIBLE
AVOID
MUST DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES NEW MUST BE FILLED IN OR AppLICATION MAY BE RETURNED. OLD Q
NAME NAME AND CATION
,DATE OF NAME OF APPLICATION
APPLICANT M - /^' -y^�. .
SIGNATURE
STREET ADDRESS �y , r� ,./� OF APPLICANT k•+ . /' _ � mIopvoo mg.mww "
CITY on
POST OFFICE + 1 .. "' A TELEPHUN,E +A! /5t"y
•�'/ CODE ✓,� LICENSE NoAPPLi. t•+ABLE
as EL (aEv. 1`aa) A SEPARATE APPLICATION UST BE� FILEp FOR EACH SEPARATE BUILDING
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A LOCAF-
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PAr. Willlsm i!_ Galas
1 Glenwood Avenue
+Glans Fella, NY 12801
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