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1987-707 Y T t i CERTIFICATE CIF' OCC PANC'Y TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Yvan 10 Date 19 This is to certify that work Tequested to be done as shown by Permit No. has been completed. ©rNf , J This structure may be occupied ar a �E lo tscatio � a N Owner By Order Town Board r ,i 'roWN OF QUEENSBURY J q t building Zoning i CRCATIVE 'IftSTA" PRINTING. OLEM$ FALLS. M Y IttPl I�IPIT93 !•5O . BUILDING PERMIT � TOWN OF QUEENSBURY No. 87-707 ' WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Frank & Judy Bartkowski w t Lot: # 2 Big Bay Rd , Street. Road or Ave. � OWNER of property located at '- One-Family Dwelling : r in the Town of Queensbury, To Construct or place a 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. III [2, OWNER s Address is 7 Sandspr ing ]]r . Saratoga , N . Y . n w CONTRACTOR or BUt LDE R"S Name Q John Heath. � CIA �c to 3. CONTRACTOR or BUILDER'S Address As RD 1 Box 1219 ° rt Whitehall , N . Y . E Sn x" 4. ARCHITECT"S Name Y' EITES'S Address t rr N struction — (please indicate by X) 1 04 Wood Frame ( ] Masonry ( ) Steel ( 1 C pecifications t , ectfications and application including 24 x 40 per plot plan , sPptic system and driveway permit e one Family Dwelling _ o O �c $5000 C /o May 1 , 19 88 ' 70o OO PERMIT FEE PAID - THIS PERMIT EXPIRES 1D application for an extension must be made to the Build'IM and Zoning inspector of the r (if a longer period is required an town of Oueensbuty before the expiration date.) po 21 October 19 87 Dated at the Town of Oueensbury this Day of ._ ✓7 �a for the Town of Queensbury SIGNED BY f� Building and Zoning inspector TO BE COMPLETED BY BLDG . DEPT . r--- I�V'lf ilia S �I � f / Application Lao . �lGrufrt 01 �,EleeMt .3hf.+E,ry Permit issued 19 c� QQ BUILDING and ZONING DEPARTMENT Permit Expires 19 SEP 3 0 '�987 Bay and Haviland Road, R-0. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No . B° L"'Nr' DEPT- { Site Plan Review Now I Approved by : C { r J.. r APPLICATION FOR _�� G BUILDING AND ZONING PERMIT to 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 Tel . P . O. Address kk Tax ap Nov /! Property Location : Street number or uil ing to number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : oz Name P . O . Address Tel . No . Name of builder .✓.-_ �7 Address /fir'' / '� ,✓ - Tel . � &41 - Name of plumber Address r^r' / Address n -' �zi.1.9-r'.� '•�' v Tel Name of mason ,r �,v � r.� ..-.*��S- ,sue-��. 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 , _ * proposed ,and indicate all {no change to exterior dimensions ) * whether existing or prop(describe) set-back dimensions from property lines . Give Other work — 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 . / 2 size of .property �+� � 7 ft X ft - * Existing buildings) Size ft X ft ' * PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure ft X4L ft Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line ( circle one ) Front yard O ft Rear yard 0$� C ft No . of stories {habitable space ) Side yards ft and ft Height ( grade to ridge) / ft If on cornerback from side street ft if residential , no . of families * OCCUPANCY INFORMATION No . of rooms ( excluding baths ) ,_ No . of bedrooms _ * PRIMARY BUILDING - No . of bathrooms, _ �_� 54 .,.0ne family dwelling Primary heating system �y /w2%G * Two family dwelling Type of fuel * Multiple dwelling / Number of units d No . of fireplaces to be installeA,tr .;Pr * Permanent occupancy Will a wood stove be installed?_enz , ! * Transient occupancy Central Air conditioning? 110s � * Business BUILDING STYLE,, PRIMARY STRUCTURE * Industrial Other Ranch Contemporary Log cabin If addition , what will use be? stsd ranch Mansion Duplex Split level Old style Bungalow * ACCES Colonial Row Town House Detached gar-age/one BUILDING- Cape Cod Cottage Other * car rage/one car/ two car/ ( CIRCLE ONE PLEASE ) Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * Private storage building _ ESTIMATED MARKET VALUE OF �bther * CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED : Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS. O r_ Type of construction wood fra , fire safe , etc . Will any second-hand raded lumber be used? If so , for what ? Foundation wall material [�Er Thickness Depth of foundation below grade (to bottom of footing ) ,rp Will there be a cellar? Heated or unheated? Floor sq . footage sq ft Will there be a basement? Will any portion be used as living space? ( If so , what Intosq , ft . - - Type of use? Type of roof sloped lat/shed/other _ Material. of roof Size , wood studs _��.+_X_ ,�_^ spacing��o . c . length _ft . r Joists ( floor beams ) lst . floor _ xXr�,�� '+ spacing'*o . c . spa.r2 ft , Joists ( floor beams ) 2nd. . floor ''X spacing ^a . c . span ft , Overlays ( ceiling beams ) "X " spacing '+o , c . span—ft , panft , Roof rafters '+X +' spacing O .C . span ft , Roof trusses (pre—engineered) spacing"a . c . span.�eft . Exterior wall finish �/ ��_Of what material? Interior wall finish/ if a garage is to be atta ..hed , describe materials 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 fireplace hearth ft , in . Water supply icpaj ,r private well - SEPTIC SYSTEM _ is ance from ANY private well ( including adjoining properties ft . (A separate application is necessary for any repair or new installation of septic system) Town of County off Warren I A F F D A V I T STATE OF NEW YORK 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 _ 1�� � ' ---___------ er , owner ' s agent , arcnitect contractor day of lg Notary Public , Warren County , N . Y . * * * * * * * * * . * * It * * * * * * * * * * * * * * * * * * 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 followings 1 . Gross floor area 2 t 2 , Type of heat_ � 'c 3 . Is the building mechanically cooled ? �� 4 . Percentage of area of windows and doors A . Over 16 % Only 1 . Uo 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 % Only i . 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 60 R value of slab edge insulation - unheated slab ^5;; 7 . R value of slab insulation - heated slab � $ , R value of heated basement / cellar walls ( above gradex;? </ 9 . R value of heated basement/cellar walls ( below grade )/ 7 10 , Type Of insulation G . Controls er 1 . Thermostat maximum heat setting 77 D , Duct Systems ,-�---• 10 Is duct system installed in unheated spaces ? YES �S3S1 a , If YES , R value of duct installation h . 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 F , Service Water Heating 1 . Performance efficiency 2 . Temperature control setting ma imum 4 G . For Swimming Pool Only 10 Maximum heating._ Telephone No , l 43 pllA , applicant s signature. ) APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE !J / LOCATION OF PROPERTY FOR INSTALLATION ' .' /� �.d"y°' rJ' C Owner's Name: ,firq/�r /y" �l�ieyr !•7'� 'tiGJ51�('J Telephone* 1' ��}� /� Address; /� .` ry11 /'( Iy'e ��"' �Y1�c Utz )YO �=J'. Installer's Name. "L Telephone: -- Number of bedrooms (residential only) _ Total daily flow (compute @ 150 gal per bedroom) Topography: circle one: Flat Rolling Steep Slope 9'a of slope Soil Nature: circle one San Loam Clay Other / Depth: feet Ground Wat+Pr: At what depth? _ ,/f1 feet Bedrock or Impervious Materials 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 ��}_ gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench V 7 feet / Total system length 7 st+ C..) feet SEEPAGE PIT(S) : Number of / Size each feet by feet Size of stone to be used # _ / Depth or Thickness , 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, 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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal CkN irm ce. Signatures of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SE 'rTLEO 1763 . . HOME OF NATURAL BEAUTY A GOOD PLACE TO LIVE 4001121 THE NEW YORK BOARD OF FIRE UNDERWRITIMS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 Pate ?4ay7 26 , 1988 Application No. on file 0 3 0 3 3 3 / 8 7 9 7 G 7 4 THIS CERTIFIES THAT only the electrical equipment as described below and introchaced by the applicant named on the above application number its the preamises of Frank & Judy BzartkowskiBig Bety Rd . Lot # 2 Queensbury ,r New York in the following location: tJ Basement lot Fl. ❑ 8nd Ft. outside .Section 14 38laek 1 Lot 1 0 7 was examined on 5 17 ,88 and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RAl COOKING 0111"S OVENS DISH WASHERS 'EXHAUST FANS OUTLETS EFTACLES MITCMS INCANLIESC W FLUORESCENT "Ill I AlYIT. I K. W. I AMT. I K. W. AMT. K.W. AMT. K. W. AMY. H. P. 2 fr DRYERS MENACE MOTORS FUTURE AFFLIANCE FlECIERS SPECIAL NSCPT TIME CLOCKS BELL UNIT MRATERS MLPLTI.OUTLET DIMMERS AMT. K. W. OH. N. P. GAS H. P. AMT. NO. A. W. G. AMT. AMP. AMT. Al TRANS_ AMT. N. P. SYSTEMS AMT. WATTS NO. OF /$T !Tpg"# SERVICE DISCONNECT No,of s E R V I C E A/AT. Aw. TYPE METER 1 r 2W f jr3W 3 Ar 3W ]o 4W NO. OFCc. COh10. A. W.G. µry, OF WLEG A_ W- G- Na. CIF hauTol A. W. G. EQtJM. PER AV OF CC. call OF HI-LEG OF NEUTKAL 1 200 Cb I x 4 / 0 2 / 0 OTHER APPARATUS: E1ec , Ravin h esters : 3 / 2 * Oe 2 / 1 . 5 , 2 / 1 * 0r 1 / . 75 3 -gfci 1 -smoke detector John Heath Jr . �> r-�•."•�z�RDI Box 1219 Wh ite ha 1. 1. r NY 12887 239 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, �.lvwn o� �ueeris� ure� BUILDING and ZONING DEPARTMENT ��— .land Road, R. D. 1 'Box 98 !o�2ueensb ry, New York 12801 ECTOR ' S REPORT NAME LOCATION_ Date ', Permit No . G�i � /mil✓' / ✓ APPROVED - 'YES NO Footing/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 ELECTRICA INSPECTION DRIVEWAY APPROV L Final Building rvey Next scheduled inspection (call When/ ready) Remarks- of -17,4 . ) ,t B 1 a.ng Inspector 6/86 and-vl ._,lawn 0/ QIdee" 36e9ry BUILDING and ZONING DEPARTMENT Say and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 11B UILDING INSPECTOR ' S REPORT NAME ,L-/ � , LOCATION Date, -/�r/1/� � Permit No . X / `I7r ✓ = APPROVED - YES LVfJ Footing/pier Forms Foundation Waterproofing Backfill Framing ' Roofing Siding Masonry Veneer Y . Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim fStairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors �C"""h ' mn ey ,L� �g LA T I ON Foundation Floors Walls Ceiling { FINAL ELECTRICAL INSPECTION . :. DRIVEWAY APPROVAL ,, Final Building Survey. Next scheduled inspection (call when ready} I Remarks- fitoo Building inspector 6/86 and-vl �IjQ ld lT y BUILDING and C] PN Bay and Hawiland Road, R .D. 1 Box 98 Queensbury, New York 12801 BUILDING I NSPECTOR t SRrEPORT NAME LOCATION ', Date�_..__ /` ?,f'_ Permit t3© . ✓ APPROVED - YES NO Forting/Pier Forms Foundation Waterproofing H,,,�ckfill 4'rami ng Roofing Siding Masonry Veneer C,R6ugh Plumbing Relief Valves 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 I:i.ECT'RTCA INSPECTION DRIVEWAY APPAO AL_� Final Building Survey Next scheduled inspection (call when ready ) Remarks - Irv/ r i i B i ng Inspect Gfs and -vl f7own o/ "eens6ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME %or LOCATION �J - try, .� DATE, / / PERMIT NO. Z/ - 7Z? 'Z SOIL TYPE - Sand - Loam - clay - Percolation Test Required? YES - NO Percolation rate - Min/Inch - TYPE of SYSTEM: Absorption field , total 1 gth � Length of each tre ch Depth of trenches size of gravel_ SEEPAGE PITS{Number Size- ft. X _ Gravel size PIPING : S e pe Bldg . to tank Tank to dirt. bo Dist* box to fi d Of k4� Openings sealed ES O Partial LOCATION/SEPA TIONSo Foundation to tank ft. Foundation t absorption ft. Absorption lot line ft. Separatio pits ft. 1.0 ATIO13 STEM e4 PROPER (circle one) Front - ea Left side - Rig side - C CIMMENT SYSTEM USE APPROVED - YES N 'ulr Building Inspector 01/86 and vl � ! ,.Jocurr o� '�ue�n36ur BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R. L1. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTORtS /REPORT NAME i_ OCALO N � l ` q Hate / f �i Permit No "74!9 1 t 40ting/Pier Forms APPROVED - YES NO oundation '-Waterproofing &ackfill Framing Roofing Siding Masonry Vene Rough Plurnbin Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofin Door Closers Smoke Detector Chimney INSULATION ; Foundation Floors Walls Ceiling FINAZ ELECT CAL INSPECTION DRIVEWAY AP ROVAI, - — Final Builds g Survey Next scheduled inspection ( call wlen ready ) Remarks- 1 Building Inspector 6/86 and-vl BUILDING DEFT, COPY OF APPLICATION FORM 48-EL, NEW PORK BOARD OF FIRE UNDERWFUTERS, FILE THIS COPY WITH BUILDING DEPT, WHEN REQUIIII CItY OR R DATE VILLAGE STREET AND NO. OR TOriNSHIP J 'l " ROAD AND POLE NO, BETYYEEN YRfAT TYPO +' �=• GROSS $TRFETS !S -� ' •"r' �,+ry! PR EM E -7 PO NAME ANTS r .✓ .... . .r .. N OWNER'S NAME _ BL}ILOIx►G BLOCK AND ADOR ESS - _ OCCUPANCY ' U � I ,lam J s`.I' °i. ye- , /�, BBY PLIED j __ . .' ' ., , ;.�., ,,ffr +,.Trr " .e,,. ; 1. TEL. if!' Is W NG FROM THEIR �% I .;.s /;. j OLD Q MIORK 1' ` OFFICE LI$T BEL I$ NEW i DEFECTS OW ALL EQUIPMENT WHICH YOU INSTAL IODNaL ❑ rer=Move b Q Loea. NUMBER OF OUTLETS No, of Fixturaa a tlwtl Lanlp RapiomwRis MOTORS Skis HEATERS BRANCH C./lioY waam pttsollaaap•}j Swit"i P.+Idrt �Bzadsat CIRCUITS USE SW* No. Type M.P. Me. LY No. A.M.+4 IIUSPECTION bub- ra ear. olatle fat Ft Ind F! Srd Flo REMARKS: LIST OTHER LECTR MAL DEVICES NOT SET FORTE{ ABOVE: DO NOT VSE THIS SPACE T ltrs 'aPoisl ation is in ewnled to cavat ; v4u ara anthazixad to rrlake the ' ha abuva•IisMd Mnillmant to ba issspeCpsl S12E OF n/iPactian and rdlos.t the f4 but if at einM M ! IY14lNS '.j to aoaa" the alldiHnoM e'4biP+esarlt, a "IaParttsets o"Rint is faersd is"Riwaal f -.%" f'.-'� tea, p"O" ded by eha AppRcant asilslP*nent not allow listed, CHARACTER FEEDERS ELECTRIC SIGN OF WORK LAMPS TOTAL E IKPOSEO GAS TUBE SIGN WATTS STARTED WORK TO BE CONCEALE4 TRANSFORMERS OF SERVICE OVERHEgb COMPLETED IIdUMBERI VA ENTERS f DING UNDERGROUND SIZE OF SION ICAPACITYI INSPECTION REOU STED MAKER ON OR AS NEAR AS OF SIGN POSSIBLE AVOID DELAY BY IN on FULL AMID ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED, NEYY OLD Q 13 PRINT AME AND /ADDRESS. DATE OF -' � �-.+ - l - �-- APPLICATION 9 ,r'� SIGNATURE ! r STREET ADDRESS + - OF APPU CA NT CITY OR �,,. .....rJ ,.POST OFFICE TELEPHONE a9E'. +' .".'� _ - :y - as EL (Rev, ilea) A SEPARATE APP Cms ZIP . LIGATION MIDST BE FILED FOR EAC" SEPARATE Af h o 1