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1987-706 R r ---------- CERTIFICATE OF OCCUPANCY TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK i I/ate 19 his is to certify that work requested to be done as shown by Permit No. `� 7- {' T has been completed. ��''�'` �p �� al11ee - ,I- af;, .L=, i�t ll. iri�, This structure maybe +r��jt# ied a�y 'KLJI Location " �r5,,/ti,i�y Owner Fr ;! ak & jLLdb 3" f:K c 5LI By Order Town Board .I pxz6 I'J of QUEENSBURY h Building & Zoning Inspec" .4 MM- f GRC,4T1Vf "1NfTP" Ff rnT1NG. 4LfMS FALb$, N V 11841 I51511l315555 BUILDING PERMIT TOWN OF QUEENSBURY � No. 87-706 WARREN COUNTY, NEW YORK C' Frank & Judy Bartkowski PERMISSION is hereby branted to w OWNER of property located at Big Bay Road Street, Road or i 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. 1 , OWNEWS Address is 7 Sandspring Dr . Saratoga , N . Y . *:2 rat w x 2. CONTRACTOR or BUILDER`S Name � ti John Heath p -c au 3. CONTRACTOR or BUILDER'S Address H rt RD 1 Box 1219 Whitehall , N . Y . £ rn 4. ARCHITECT'S Name ~ 5. ARCHITECT'S Address o 1'F r 6. TYPE of Construction — {Please indicate by X) W fi4 (X) Wood Frame ( ) Masonry I I Steel03 I ? `C 7. PLANS and Specifications v W No, 24 ' x 40 ' per plot plan , specifications and application including. A- septic system., driveway permit . B. Proposed Use One Family Dwelling n m I P1 Pa $5 . 00 CIO $ ]0 ` 00 PERMIT FEE PAID - THIS PERMIT EXPIRES y 1 ' 88 {If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of C2ueensbury before the expiration date.) n' !1 Y• Dated at the Town of Queensbury this 21st, _ pDay of October 19 87 SIGNED BY ��� C fe /L�'-- for the Town of Queensbury Building and Zoning I nspector ,�i� TO BE COMPLETED BY BLDG . DEPT . 3 PLL7 +' { Application No . L (J �)Osvn ©/ Qi Permit Issued 19 sj � �pQ198� BUILDING and ZONING DEPARTMENT Permit Expi CC`j e)res 19 J 1, Bay and Hawiland Road, RA). 1 Box 98 zoning Designation Oue nsbury, New York 12801 Variance No . /1 7 �f' Site Plan Review No . f 0 Approved by . �J C/o s APPLICATION FOR I rOn/ BUILDING AND ZONING PERMIT " r A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLCWIN+G . 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 P . O . Address Property Location : �[--G /r i /� Tax Map No . Street number or bui ding lot n er Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name // P . O. Address Tel _ No � .� Address Tel . Name of builder f�/ram h Name of plumber /,/ Address E Tel . Name of mason / tiyp i.+�,�..7 erg Address . ✓'c. �, C Tel . 's -�_ MATURE 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-bank 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 . COMPLETE INFORMATION REQUIRED BELOW Size of property / f �'� .._ ft X +'f ft . Existing buildings ) S9.'ze ft X ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure 2,A1 ft X 40 +oft Foundation-pier/slab/crawl/partial/full Proposed building' ,t distance from property line (circle one ) f Front yard � J ft Rear yard ! �j /� ft No . of stories {habitable space} ,� Side yards L t-7' ft and = ft Height ( grade to ridge) _—� c� ft . If on corner , setback from side street.ft If residential , no . of families / No . of rooms ( excluding baths ) "� OCCUPANCY INFORMATION Now of bedrooms PRIMARY BUILDING - No . of bathrooms 4Ne one family dwelling Primary heatings stern & L.A67c //;V/ " y C"" ---- � o family dwelling Type of fuel * Multiple dwelling / Number of units No . of fireplaces to be installed_ /evso Permanent occupancy Will a wood stove be installed? �r•-,w Transient occupancy Central Air conditioning ' ry'C' f /0 * Business BUILDING STYLE, PRIMARY STRUCTURE Industrial _Other Ranch 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 cam/ car * * * * * * * * * * * * * * _Private storage building <ATED MARKET VALUE OF Other tICT I ON [j 0 W ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ? 86 md- vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction wood Pram fire safe , etc . � tr-�Will any second-hand c� ed lumber be used? If so , for what? Foundation wall material � rs ,,1-G /�'-.ry� ,. Thickness Depth of foundation below grade (to bottom of footing ) r 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 ? rr , ) ( If so , what po n? sq_ ft . - - Type of use? Type of roof sloped flat/shed/other Material of roof Size , wood stu ,�'" spacings" a , c . length �K ft . Joists ( floor beams ) 1st . floor �7, " X�" spacing r "'o . c . span ft . Joists ( floor beams ) 2nd . floor "X "' spacing "'o . c . span ft . Overlays ( ceiling beams ) "X "' spacing "o . c . span ft . Roof rafters " X It spacing o . c . span ft . _ Roof trusses (pre-engineered) spacinq. �_"o . c . span Z- ,,I ft . Exterior wall finish_ �r� / - of what material ? Interior wall finish p���'00 "�If a garage is to be attached , 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 firepia rth ft , in . Water supply Muni 1pal or private well SEPTIC SYSTEM _ 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 A F F I D A V I T STATE OF NEW YORK eenabury 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 specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature ____Llaz�__ i owner ' s agent , arcninect contracta� 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 _ Grass floor area 2 . Type of heat_ ��,/ 3 . Is the building mechanically cooled ? / 4 . Percentage of area of windows and doors A . Over 16 % Only Y . 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 1 . R value of roof and floors erxvoae to ambient conditions - 2 9 R value of exterior walls�6� � G'� f 3 . R value of glazed area '�`� U� 4 . R value of doors 5 . R value of floors over unheated spaces t 'r 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. ,1 ',GvI, . y.-•/`f / r'�� � -' !r C . Controls 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES N 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 piped 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 _ Maxi/mum heating Telephone No * applicant ' s signature ) APPIAGAT70N FOR SEPTIC DISPOSAL PERMIT LOCATION OF PROPERTY FOR INSTALLATION rIZ 4 Owner's Name: Ere,jY1r4 JTeA?,�' -r 5&.A-7'"46 I1 / Telephoner} Address: . sA/!'D <%016 cam/ - l�irl�� " �/ / is i5� �''ri t Installer's Name: D4,110l �l.��C1��- Telephone: - Number of bedrooms (residential only) _ Total daily flow (compute e 150 gal per bedroom) 15 U Topography". circle one: FlatRollin Steep Slope %n of slope soil Natures circle one. Sand Loam Clay Other / Depth: _ feet Ground Water: At what depth? � /29 feet Bedrock or Impe3rvious Materials At what depth? feet Percolation test: circle one: not required required / rate min. inch. r Domestic water supplyaw circle one: E i icipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption _ feet PROPOSED SYSTEMS: Septic Tank 40 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 feet Size of stone to be used 4F 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 0rdinanee, shall he 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 sha11 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, l have read the regulations above and agree to abide by these and all requirements of the Town of Queensbury Sanitary Sewage Uqmposa]L Ordinance. Signature of responsible person: Date: Z6t 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 LIVE 4001121 THE NEW YORK BOARD OF FIRE UNDERWRITERS to BUREAU OF ELECTRICITY 2 i r 1988 41 STATE STREET, ALBANY, NEW YORK 12207 Vate May Application No. on fide U 3 0 3 3 4 J 8 7 A 717673 THIS CERTIFIES THAT only the electrical egesipm*4mt as described befogs and introduced by the alapefcant nwm ad on this above Lion number in the pre+rrisee 40 f Frank & Judy Bawkowski Big Hay Rd * Lot # 1 Que:en6bury , Tzew York �i-� in thefoliowing location; L! Basement E lat. Ff. ❑ Ynd Ff. Section Block Lot was esamiraed on and found to be in compliance with the requirements of this Board. FIXTURE IMPTAClES SWITCHES FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS INCANDESCENT FLUORESCENT AMY. K. W. AMT. K. W. AMT- K.W. AMT. K. W. AMT- I H. P. 16 38 4 2 r DRYERS FURNACE MOTORS FUTURE APPLIANCE POWERS ISPOCIIALKSCrPTI TIME CLOCKS am UNIT HEATERS MULTI-OUTLET DIMMERS ANT. K. W- OIL H. P. GAS H. P. T. MIG. W. G. AM-L AMr. AMT. AMPS. TRANS. AMr. H. ►. SYSTEMS AMT. WATTS NQ. OF FEET SEIIVKZ DISCONNECT NO. OF S E R V 1 C E MOVE ANT. AAO. TYPEy, E1aUIF. # 0 7w 1 j r ]w 3 Ar 3W 3 / aw N ..L m f.CG. OF CC COND. NO. OF H4LEG 0 'HH&LEG NTURA` S CW PAEi.RAL 1 2 f) Gx] 1 x 4 0 OTHER APPARATUS: El ec . RoornHeater t 2 . 0 r .2 2 . S r . 0 P 3 -gfci 1 -smokeedatectoor John Heather �a •. �y RD I Box 1219 / Wh iteha 1 l r NY 12887 239 BRANCH MANAGER Per This certificate roust not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credentiols. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. � `a �Jouin o� Qi4eensbure� J BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. 1 BOX 96 Ure s y, ew York 12801 CTOR ' S,�-REPORT NAME LOCATION Date` /� Permit. NO . 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 ELECTRICAL INSPECTION up,IVEWAY APPROVA Final Building S rvey Next scheduledinspec y � tion (call/ when ready ) Remarks- 0Jk ". C Building Inspector 6/86 and-vl A�� cc'77 II �Q �.Jeawn o� o�ueenshe,Yr+� i BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Sax 98 Queensbury, New York 12801 BUILDING INSPECT OR ' S REPORT NAME OF LOCATION Date=/f!/' _ Permit No APPROVED* -*YES* NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Text , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney L,I�SULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL • Final Building Survey Next scheduled inspection (call when ready ) Remarks- �fs,cc,�e 140 Z�,r a+ ss.� +tif id� d✓ � Building Inspector 6/86 and-vl � f 7 Queens bur J" ' BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. i Box 88 Queensbury, New York 12801 BUILDING I NSPECTOR ` S REPORT NAMEG!'C'CA LOCATION G /� Date d— f Permit No . 4DyI," APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Backfill vEr�rami ng Roofing Siding Masonry Veneer ugh 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 Cei1inq FINAL ELECTRIC L INSPECTION_ oRIVEWAY APPROVAL_ Final 'Building Survey. _....._ Next schedixled inspection ( call when ready ) Remarks- s i - I3ui g inspector E,/8Fr rnd-vi f � BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R,D. 1 Box 98 Queensbury, New York 12801 SEP+T--I�fC DISPOSAL SYSTEM INSPECTION NAME LOCATION DATE '� l PERMIT NO . SOIL TYPE - Sand - Loam -- Clay - r Percolation Test Required? YES 146 - Percolation rate - Min/Inch TYPE of S\ch Absorption , total leng Length ofrench Depth of sSize of gSEEPAGE Per of)Size-Gravel si PIPING : Size Types Bldg * to tank �i -----�+r� Tank to dist . box f" Dist. box to fiel y [f �— openings sealed? S NO Partial LOCATION/SEPARA IONS : Foundation to nk ft. Foundation to bsorptio ft . Absorption 000 to of line I ft. Separation of pits - ft. LOCATION OF STEM ON PRO ERTY (circle one) Front - ear Left side Right side - CCMMENTS . SYSTEMS USE APPROVEXl�rxng Bctor 01/86 and vl �✓' _.lows o� �eteerrs6ure� BUILDING and ZONING DEPARTMENT Bay and Ha►riland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING IN PECTOR ' S REPORT NAME / 70KAaal LOCATION �,r � � �r 4" { Date 1 ? / ermit N f '7 - 'I'0b tB YES NO = - o xForms ✓ APPROVED]oting/Pier Faroundationaterproofing ackfill Framing Roofing Siding ; Masonry 'Venee 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 ELECTRI AL INSPECTION DRIVEWAY APPR VAI^_ Final Building Survey Next scheduled inspection ( call when ready ) Remarks-- Building Inspector 6/86 and-vl flown o/ Queens ury BUILDING and ZONING DEPARTMENT Bay and Ha►riland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPO& NAME LOCATION Date%4 / Pe 11 NO . ✓ = APPROVED - YES NO Ming/Pier Forms Foundation Waterproofing Backf ill. Framing Roofing Siding / Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbq . Fixtures Gar _ Fireproofi Door Closers Smoke Detecto Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELEC RICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey— Next scheduled inspection ( call when ready ) Remarks- ,Building nspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 48-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. * oiIL79E CITY OR VILLAGE TOWNSHIP COUNTY STREET ANO NO, OR :lLf , �, x.. - ROAD AND POLE NO. BETWEEN WHAT TWO .„_ POLE NO CfIIdSS STREET& IS . p-� ,,,�.- C; r - .. PREMI TED? '._. 'fl f'.' , 1; i ,: s:,f,l , - ±: ,% ION _ OLQQK LOT _SECT OCCUPANT'S BUILDINGNAME OCCUPANCY . -NNEWS N. E AND ADDRESS !� ;4• .. !s P J .a . + ' tr: / •;, .. � . TEL. SUPPLIED . t !.^ .L- .f7 f !.1 . // ,r'"•` 1' . '.} .r^�?- G ,S BY ;r'd-P �'� y'r_-t.-1 FROM THEIR 7T t_,:. . 'pry` �. OFFICE Is 'BUILDING NEW E3Y OLD O "DRK New [A ADDITIONAL ❑ REMOV£O ❑ _ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUNB�R OF OUTLETS Ra lkl� opt �y MDTO/IS HEATERS BRANCH OFFICE USE Lear den ONLY comwitp MNM M R SwfRft fYesdrM BIa Isal Na rWr Eaxat Na E.teiat no Ao"01010' INSPECTION Quit- Sub- bew Ba..- 41%" FI. 2nd FI, 9rd fi. REMARKS LIST OTHER ELECTRICAL: DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to corer tM mbw -- led aqniamraM to 4w impacted Iwt if at time of i mPowtion 41% rm is found m Witionsl oquipmsnt rwt atyrs Iistad, ynn are authaaitad to make ow inspsellw and muse q.e ha to corer dla A"Ciianal aquiVnVO ; as prwidad kV the applicant. size OF MAINS s. ,/}�r/ ,r;- f9� �'..-� FEEDERS ELECTRICL+$FiM TOTAL WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE STARTED COMPLETED INLKli1BER1 lCAPACITY} SERVICE OVERHEAD LMDERGROUND SIZE ISOF SIGN MAKER EN; 07N OF SIGN INSPECTION REDUESTED ON OR AS NEAR AS POSSIBLE NEW ❑ OLD AVOID DELAY BY GIVING FULL ANp ACCURATE INFOR IMAT{ON. ALL SPACES MUST BE FILLED IN OR APPLICATION M DATE OFAY BE RETURNED. DATE CATION PRINT NAME _AI40 ADDRESS ,t ; APPLINAMCANT f f `w • '�(� "` x SIGNATURE f OF APPLICANT ..'" STREET ADDRESS TELEPHONE CITY OR J f� PORT OFFICE / f.� '�' ,+x•.�'14 /V �^7j ` CO "7 2 WHEN APPLICABLE CODE ! 'Sx aS EL (REV. ,lad) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING