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1987-708 x CER.THWATE OF 0CCUP.ANf%"4eY' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Art 4 t3 'E; Date 19 CON $ 7- 700 This is to certify that work requested to be done as shown by Permit No. has been completed. OPC This structure may be iv a Owner Frurrlc £x ud} srtkowski By Order Town Hoard TOWN OF QUEENSSBURY Building & Zoning Inspector I I CRC ATfVC "IPIl,T A" PpINTYNG. G6EA1! FALLS M x t!! 1 IS 1l1193.3{!! . . . BUILDING PERMIT TOWN OF +QU EENSBU RY No- 87_708 � WARREN COUNTY, NEW YORK a PERMISSION is hereby granted to Frank Fx Judy Bartkowski w OWNER of property located at Lot #3 Big Bay Rd . Street, Road or Ave. in the Town of Queensbury, To Construct or place a One—Family Dwelling 1 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 . OWNE WS Address is 7 Sandspring Dr , � Saratoga , N . Y . rr• 2. CONTRACTOR or BUILDERS Name John Heath w Ct rY 3. CONTRACTOR or BUILDER 'S Address RD 1 Box 1219 E Whitehall , N . Y . 4. ARCHITECT^S Name r-' r r* 5. ARCHITECT'S Address w bd t�- 4cI B. TYPE of Construction — {Planes indicate by XI C rt IXI(Yyood Frame ( } Masonry { I Steel { ) o- 7. PLANS and Specifications No. 241 x 40 ' per plot plan , specifications and application including septic system and driveway* permit . B. Proposed Use One Family Dwelling w t-Cl� t� $5 . 00 C /o 70 . 00 88 m $ PERMIT FEE PAID — THIS PERMIT EXPIRES May 1 ' �� (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.l Oq Dated at the Town of Queensbury this�yy� 21st Day of October 19 87 SIGNED BY ,�// �' �Z ��j' for the Town of Queensbury Buii rding and Zoning Inspector let� - TO BE COMPLETED BY BLDG , DEPT , Application No . �Jow►t o Queen 'l "ry Permit Issued 19 v1� BUILDING and ZONING DEPARTMENT permit Expires l9 LU} Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation LLLSSS SEP 3 01987 Queensbury, New York 12801 Variance No , Site Plan Review No . -I,..' ! ( ,j rF - - ,r Y APPLICATION FOR �C�f/ //tJd li.,, C' G' Ste'' � PUILDING AND 70NING PERMIT 024 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 : j � /� - 6 S+ { , d Tel . P , O , Address Property Location : Tax Map No . Street nuffiber or building 1 number Subdivision name ( if applicable) THE PERSON RESPONSIBILEFOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : g Name P , O, Address Tel - No , Name of builder � „�y� Address z' 'O_. I�S � - � Tel .t7 Name of plumber // Address Tel . ...-._ Name of mason �a-•+I•SP .- Add r e ss :.. -�-� /- -�=�el NATURE OF PROPOSED WORK : 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 AFFECTED. * of septic disposal area . ,f COMPLETE INFORMATION REQUIRED BELOW , Size of property .> ft xz?�-s ft . * Existing building ( s ) Size ft X ft . PROPOSED BUILDING AND USE : Existing buildings ) Use Size of new structure 7'�/ ft XX{Oft Foundation-pier/ slab/crawl/partial./full Proposed building , distance from property line (circle one ) Front yard C� ft Rear yard �✓ y Z f Side yards t No . of stories (habitable space) ft and ra ft � Height (grade to ridge) � ft * If on corner , setback from side street ft If residential , no . of families./ No * of rooms ( excluding baths ) OCCUPANCY INFORMATION Now of bedrooms x. PRIMARY $UILDING ^ Now of bathrooms one family dwelling Primary heating system G .�/ !' ..-• * Two family dwelling Type of fuel Multiple dwelling / Number of units No . of fireplaces to be instal Permanent Permanent occupancy Will a wood stove be installed? yp , . Transient occupancy Central Air conditioning'. c3 � . ..� Business BUILDING STYLE, PRIMARY STRUCTURE Industrial �, Other Ranch Contemporary Log cabin I£ 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 Father CONSTRUCTION $ d � INFORMATION ON $UILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : ra Type of construction , wood fro o e , fire safe , etc . .Z/ft � I�?,�� Will any second-hand graded lumber be used? If so , for what ? Foundation wall material r ,+��� /c �� , %,.. Thickness o Depth of foundation below grade (to bottom of footing ) / Will there be a cellarY: Heated or unheated? Floor sq . footage sq ft Will there be a basemen ? gs:v .5 Will any portion be used as living space ? � J ( If so , what por sq . ft . - - Type of use? Type of roof - slope flat/shed/other Material of ocrf Size , wood studs " __".X. to spacing "o . c . length Oft. r Joists ( floor beams ) lst . floor -;7 119Z spacing.Z.AL"o . c . span`o--� ft . Joists ( floor beams) 2nd . floor "X " spacing "o . cl span ft . Overlays ( ceiling beams ) "x IS spacing "o . c . span ft . Roof rafters "A spacing O . C . span ft . Roof trusses (pre-engineered) sa . 0 . span Exterior wall finishOf what material? Interior wall finish c'l� If a garage is to be attached , describe material to be used for FIRE SEPARATION : 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? Height above roof ft . Depth of chimney foundation below grade ft . Depth of firepla _ in . �---- Water supply - M icipal v prift .vate well �' 4h�1e,. •��- �llQ r ..- SEPTIC SYSTEM _ ce 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 County of Warren p F F I D R V I T STATE OF NEW YORK 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.' - --J� ---------- -_=� er , owner ' s agent , arcnxrect , antractor day of 19 Notary Public , Warren County , N . Y . If * * * If * * * * * * * * rr * * * * * t 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 r 2 . Type of heatG 3 . Is the building mechanically cooled ? G7, r 4 . Percentage of area of windows and doors __ /L Y" A . over 16 % Only 1 . Uo value of grass area of wails , 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 % Only I . R value of roof and floors expo ed to ambient conditions_ 2 . R value of exterior walls 3 . R value of glazed area -` 4 . R value of doors i �- .� -- > s . R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab!" T` 7 . R value of slab insulation - heated slab loge A. s . R value of heated basement/ cellar walls ( above grade }_ 9 . R value of heated basement / cellar walls ( below -grade ) 1 U . T y p e o f insulation s u l a t i o n udt . r.-"' ' - i +S'____. C . Controls 1 . Thermostat maximum heat setting 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 Insulati000Tn pipe 1 . Size of hot water or cooling carrying agent 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maxirm`]um_.----,/ �Ooejp -- G . Far Swimming Pool Only �/ T 1 . Maximum heating Telephone No . /6r +' ( applicant ' s signature ) APPLICATION FOR SEPTIC DISPOSAL PERMIT MATE l LOCATION OF PROPERTY FOR INSTALLATION Z4o _ _t1 r c% R 0 Owner's Name: /r/JH![�v a r �fi7f [c�5 Telephone: S J Address. J� J✓� �J l�/t"/,/a Lr� /f"/� C�e�- /Y 4�. �r Installer's Name: +� �Y (rT/�!�! l� /t I Telephone: g'57 ,'j Number of bedrooms (residential only) 3 _ Total daily flow (compute (P 150 gal per bedroom) Topography: circle one: Flat Rollin Steep Slope `3i of slope _ Soil Nature: circle one: Sand Loam Clay Other / Depth: feet Ground Water: At what depth? A47 feet Bedrock or Impervious Material: At what depth? i feet Percolation test: circle one: not required required / rate min. inch. Domestic water supplyoe circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEM: Septic Tank /f�bp _ gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench 4 feet / Total system length '"*,,_ pC)o feet SEEPAGE P1T(S): Number of / Size each feet by feet Size of stone to be used # �.. — f Depth or Thickness f feet IMPORTANT ...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 $Z50.00. Co An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal. a Oiedinance. Signature of responsible person: � s1'SZ Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 5EF' TLED 1763 . . . HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE 4001121 THE NEW YORK BOARD OF FIRE UNDERWRITERS a BUREAU OF ELECTRICITY April 13 . 1988 41 STATE STREET. ALBANY. NEW YORK 12207 bete Application No. on file 030332 /87 A 712524 THIS CERTIFIES THAT only the electrical equipment as described be& to end introduced by the applicant tuned on the above application .sac Prank & Jody Bartowski Big Bay Rd . Lot #3 Queensbury , New York one FVbiarfr3flr$*V0f YTW � in thefollorwing location: IN lot Basement outside " 3 1 • '�^* FY. end F!. Section Block Got _ rcaa exam irtedan 4- 1-38 and found to be in compliance with the requirements of this Board. a FIXTURE Ac FIXTURES RANGeS coosciND DECKS I OVENS tNSH WASHERS EXHAUST FANS OUTLETS ElTAC1ES SWITCHES lNCANOOCENr FUX)RESCIEW AMT. K. w- AM r. r W. AM-F. K.w- &MT. K. W. AMT- K P. 12 29 1 9 j 11 I 3 fr DRYERS FURNACE ,MOTORS FUTURE APPUANCE FEEDERS SPECIAL RECOPTj TIME CLOCKS I REAL UNIT HEATERS MULTI {OUTLET DIMMERS, AMT. C W- Olt N- P. GAS N. P. AIM G. AMT- AMP. AWL AMPS, TRANS. SYSTEMS AMT. H. P. N6. OF FEET AML WATTS ryer1 ,7110 1 1 1lltrE D►SG�ONIHlCT NQ.Z S E R V I C E MP AWL A . MOE MEF%IM. L ,rr 2w i X sw a Ar 3w a A• sw No. OF cC- Ci7ND. A. w. NG. csF NF-IEG A- W_ G. No. OF MFDurewls A, W.G. � 1 200 eb PE4x of CC. Ct ND- OF W42G OP NELffft" 4/0 2 ! tl OTHER APPARATUS. 7 5 , 1 / . 5 Elec . Room Heaters : 3I2 . 0 , 4/1 . 5 , 2 / . 2-gfci I-smoke detector John Beath Jr . RD 1 Box 1219 Whitehall , NY 12887 2d39 ' BRANCH MANAGER This certificate mutt not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentiab. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �>elp -S .rr !/707 BUILDING and ZONING I3EPAnTMENT moray and Hauiland Road, R. D. 1 Sox 98 ensbury. New York 12801 UI LD I NG INS PECTOR r Sf�.REPORT NAME LOCATION Date Permit No _ � jf Footing/Pier Foams = APPROVED - YES NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry Ve eer Rough Plum ing - �- Relief Val s Ext . Porche Finished Fl rs Interior Tri Stairs & Rail ' ngs L-•'' Cellar Drain ile _.-- Concrete Floor �'^ - Plbg - Fixtures - Gar . Fireproofi Door Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT ICA,L INSPECTI DRIVEWAY AP ROVAL -' Final Build ng Survey Next schedu ed inspection (call when ready Remarks- / uil ng Inspector 6/86 and-vl AkMown queen 36urc� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDIING INSPECTOR ' S REPORT 1 NAME y° * LOCATION . C Date lt► / Permit No . C.�o ✓ = APPROVED - YES NO Footing/pier Farms 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 ELECTRSC L INS ECTION DRIVEWAY APPRO I Final Building Survey Next scheduled inspection (call when ready ) Rema rks- r i ram"] Buil Inspector 6/66 and-vl mey BUILDING� and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION = - Footing/Pier For[ns APPROVED YES NO Foundation Waterproofing Backfill (,jp'Fami rig Roofing Siding Masonry Veneer Hugh Plumbi g Relief Valve Ext . Porches Finished Floor Interior Trim Stairs & Railin Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproof ng Door Closers Smoke Detect rs Chimney INSULATION - Foun day t io Floors Walls Ceil iincj FINIAL FL CTRICAL INSPECTION DRIVEWAY PPROVAL��� Final 8uil ing Survey Next scheduled Inspection ( call when ready ) Remarks- B l ng I Spector EifF3Fx m<i-vl /[Jj/�Q �otura o� +�scee+►� ��urr�t BUILDING and ZONING DEPARTMENT ' Bay and Haviland Road, R. D, 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE "ee! &/� PERMIT NO, SOIL TYPE - Sand - Loam - Clay - Percolation Tes Required? YES - NO Percolation rat - Min/Inch TYPE of SYSTEM: Absorption field , t,al leng 7-eAz' Length of each tren h Depth of trenches Size of gravel_ SEEPAGE PSTS{Number © Size- ft. X _ ft . Gravel size PIPING : S e T e Bldg . to tank Tank to dist. box ter` ---- -- i7 est. box to fiel it Openings sealed? YES O artial LOCATION/SEPARA ONS : Foundation to k t Foundation to bsorption t _ Absorption to of line t. Separation of pits LOCATION STEM C]N PROPERTY (c . cle one ) Front - r Left side - Right s ' e - CCHMENT SYSTEM USE APPRC�V ET] YES` NO But. 1n Inspector 01/86 and vl F� �.�..- �ocvn o� �ueens6uryr I BUILDING and ZONING DEPARTMENT f Bay and Havifand Road, R, D. I Box 98 Queensbury, New York 12801 BUILDING INSPECTO ' S REPORT NAME e cif L ©CATION t Date ! / ,T / Permit No . ✓ = APPROVED - YES NO Ling/Pier Forms F oundation ckfill Framing Roofing Siding Masonry Ve eer Stough Plurnl�i g Relief valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors P11>9 . Fixtures Gar . Fireproofing Door Closers smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRSCA INSPECTION DRIVEWAY APPROV 1,`� - � Final Building urvey "--' Next scheduled nspection (call when ready ) Remarks- Buildinginspector 6/86 and-vi BUILDING DEPT" COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. ! CITY OR VILLAGE TOWNSHIP / �-.��:�i'.'' �:. ,1 G.7 +�'"c..�. R.J f COUNTY 6•r'-' '" I'r�.CM � r4 STREET AND NO. OR t'? { !!� 1. ` ]"7 f a, POLE NO ROAD AND POLE f\. if ,c BETWEEN INHAT TWO C'RDSS STREETS IS •^�.. 3 . y _..� .r'I PREM/SES LOCATEOT SECTION BLOCK LOT _ OCCUPANT'S BUILDING NAME BUILDING OINNEWS ME AND ADDRESS. s+�« _ i•`r "', , ry.;' . .:> f �J CURRENT StYIP'ALIEn B _; v'I 7r !+-,£i,p J± d `7'.y'f:+er+TGr._.1 AFC FROM THEIR s:�:_�`:� A : , Y. J �+' �_�,►•���,•�{/ OFFICE BUILDINGIS NEW OLD ❑ FECTS IWORK NEW 12F ADDITIONAL Q REMOVED_I._..J LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS Ho- of Fixersl A BRANCH Lots Lamp ReelpksNss MOTORS 14EAT€RS CIRCVIT'S OFFICE USE ONLY twin Sins lAnsWit H.P, tlllk44 A.W.G. Comma TTM Resep'b SwIl"oh "- - - Brock" Na TYPe Each Re• Eeeh Ro. G+siP INSPECTION out- how wsr.e In Fl_ 2" Fl it1 FL REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE, This application is :stsrW W to covee the rbare•listed equipment to be inspmted but it at timr of i Yna ire"llwatimA to make the i tWYicRion there Round itltl/tlDnil equipment not she" 7ictid, nspectian i.d adjislt the Rae to coYer tM edditionil egpipspent, es Prorhled I„r tM applicant. SIZE OF . I �, , ELECTRIC SIGN MAINS J' .;7 . c.' - / FEEDERS LAMPS TOTAL WATTS CHARACTER EXPOSED GAS TUBE SIGN OF INORK CONCEALED TRANSFORME RS OF VA WORK TO BE CNLNNBERI ICAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNOERGRDUN6 MAKER ENTERS BUILDING OF SIGN MI51'ECTIOfi REQUESTEDowD D OR AS NEAR AS POSSIBLE 0 NEW a OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION, ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. DATE OF APPLICATIONr,L ' PRINT NAME AND ADDRESS .T •• N�LICANT " 4R' �- �17 .� /-"' �` SIGNATURE APP �I'o OF APPLICANT_.,r "� ""'L•"s '..,�-''.�+�'.n- f�� • _— STREET liDORESB It i s' ! OA TELEPHONE CITY PO T OR r � 1 r_ - Z� �'7' S�T 'i, LICENSE NO. .._. CODE NM€N APPLICABLE as EL ilrty. llas3 A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING u i � BI� F