Loading...
1987-736 CERTIFICATE OF TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date April Z1 , 1988 This is to certify that work requested to be done as shown by Permit No. 87- 736 has been completed. This structure rosy be occupied as a One Family Dwelling LAmation. L&F Pinion Pine Owner David & Patricia Kruczlnlckl By Order Town Board TOWN OF QUEENSDURY building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSiBURY No _ 7 *16 � WARREN COUNTY, NEW YORK PERMISSION is hereby granted to David & Patricia Kruczlnlcki m OWNER of property located at Lot 19 Pinion Pine Street, Road or 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_ r• t . OWNER'S Address is 15 Helen Dr . a' Glens Falls , N . Y . 12801 Q' hd w rt *t 2_ CONTRACTOR or BUILOER'S Name Martin Mosher rR s; 3. CONTRACTOR or BUILDER'S Address � ra 26 Sugar Pine Rd . Queensbury , N . Y . 12801 4. ARCHITECT'S Name 5. ARCHITECT'S Address Q 0 ro w b r• act 6. TYPE of Construction — (Please indicate by X) ro cu r• { xi Wood Frame I I Masonry I 3 Steel ; ? N, 7. PLANS and Specifications ro No_ 27 ' x 62 ' per plot plan , specifications and application including septic system, attached 2 car garage and driveway permit . 8. Proposed Use Co D One Family DWelling rn F-4 $5 . 00 C/O c $ 192 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 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 r� town of Gueensbury before the expiration date.) r Dated at the Town of Queensbury this 29t1t Day of October yg $ 7 04 SIGNED BY 2 �'�v ZZ�f/�/iZ � for the Town of Queensbury Building and Zoning Inspector — �/ �� TO BE COMPLETED BY BLDG , DEPT ,, C Application No , roWN i ; F ��j . .town o f Qj uee/' j "ry Permit Issued 19 - BUILDING and ZONING DEPARTMENT Permit Expires 19 L11] f L p , � !t l� J Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No . OCT 271987 Site Plan Review No . Approved b I3UlLF4tNG F� COD CODF [- EP I y APPLICATION FOR FUILDING AND ZONING PERMIT 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 . � y , The-owner of'this property is : ra .r :,G . r//��7 " I (2 7/�. n+ �.' ( ~ mot .' /° P . O . Address Tel . Property Location : Val ' Tax Map No . Street number or building lot n er Subdivision name (if applicable) />07L � C2 1 � THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS REGARDS BUILDING CODES IS : �," �. Name P , O. Address OFTel . No , y' Name of builder Address Tel . Name of plumber Address Tel . Name of mason Address Tel . 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 . * COMPLETE INFORMATION REQUIRED BELOW . " Size of property /�z d ft X � ,�'dz '_ ft . Existing building ( s) Size.ft X ft . * PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure ft X f eft Foundation-pier/slab/crawl/partial ull * Proposed building , distance from property line {circle one } ,� Front yard � d ft Rear yard �2 � ft No . of stories (habitable space) n? e . * Side yards ! ft and c? ft Height ( grade to ridge ) d2 -s2 ft . If on corner , setback from side street ft If residential , no . of families J No . of rooms ( excluding baths ) 7 OCCUPANCY INFORMATION No. of bedrooms No , of bathrooms_ x * PRIMARY BUILDING - Primary heat ' n system . y * ✓ One family dwelling Type of fuel l7 :� n a / , * Two family dwelling No . of fireplaces to be installed / >< Multiple dwelling Number of units / �Peasient occupancy Will a wood stove be installed? -�y� * * Transient occupancy Central Air conditioning? �'r Business BUILDING STYLE, PRIMARY STRUCTURE industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex if addition , 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/one car/ two car/ car 11 * * * * * * * * * + * * * * * * * * _Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ r � Loa INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form. EPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . Will any second-hand or ungraded lumber be used? If so , for what ? _ T_� Foundation wall material J O " 44— _ 'Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar? Heated or�heated? Floor sq. footage ! L4 a-o sq ft Will there be a basement? Will any portion be used as living space? ( If so , what portion? _sq . ft . - - Type of use? Type of roof - sloped flat/shed/other. Material of roof Size , wood studs X spacing /,/? ,�o . c . length .0 ft . Joists ( floor beams ) 1st _ floor e;z "X / p spacing J yI ft . Joists ( floor beams ) 2nd . floor �1 "X spacing%/� "o . c . span,-/ ft . Overlays ( ceiling beams ) '"X '" spacing "o . c . span ft . Roof rafters ""X " spacing O . C . span ft * trusses re-engine,,ared)A spacing,_,,Z�"o . c . span ,ap ft _ Exterior wall finishl/z x e;o F'. �r Of what material? 4,4o©01j Interior wall finish /7,2 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? 7a. .1 If so will a Fire-rated door , enclosure , and self-closing device be provided? '-4 "— Will a flue-lined chimney be installed?� Height above roof' ,=2 ft . Depth of chimney foundation below grade d " £ . Depth of fireplace hearth ft .Z'/10'Jn . Water supply - Municipal or private well SEPTIC SYSTEM `- Distance from ANY private well ( i.ncluding adjoining properties to (A separate application is necessary for any repair or new installation of septi system) Town of Queensbury County of Warren A F F I D A 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 . C _ SWORN TO BEFORE ME THIS Signature........ ��0000000 day of 19 Owner , owner ' s agent , aron rect , contractor Notary Public , Warren County , N . Y . SPECIAL CONDITIONS OF THE PERMIT : APPLICATION FOR. SEPTIC DISPOSAL PERMIT DATE LOCATION OF PROPERTY FOR INSTALLATIONk Owner's Name: Telephone. _ Address: Installer's Name:� � �G Telephone: Number of bedrooms (residential only) Total daily flow (compute (jP 150 gal per bedroom) Topography: circle one: Fla Rolling Steep Slope % of slope Soil Nature: circle one: Sand Loam Clay Other / Depth: feet Ground Water: At what depth? MIA= feet Bedrock or Impervious Material:. At what depth? _ f feet Percolation test: circle one: riot require required / rate min. inch. Domestic water supply: circle one: Municipal Well Other IF domestic water supply is a Well: Separation: Watersupply from Septic absorption � r*k feet PROPOSED SYSTEM: Septic Tank ) gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench 5�0 feet / Total system length ..2,_5'0 feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # I Depth or Thickness 7 feet IMPORTANT ...Please..*LIST NEW EQUIPMENT TO BE INSTAI_I_F_I] (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 $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 Queensbur-y Sanitary Sewage Disposal C kitinance. s Signature of responsible person: Date: Town of Queensbury Building and code Department Bay at Haviland Road Queensbury, New York IZ801 (518) 792-5832 SETTLED 1763 HOME OF NATURAL, BEAUTY A GOOD. PLACE TO LIVE WARR£N ZGUNTY , NEW YORK Application for & BUILDING PERMIT IN Comt, LIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A perieit must be obtained before beginning work . ANSVX R ALL of the followings 1 . Gross floor area . .1 � a s 2 . Type of heat s -- 30 Is the building mechanically corrylsd ? /`ir1� ' 19♦ , percentage of arse of windows and doorsy A , Over 16t Only 1 . Uo value of gross area of walls , roof/ceiling and flcors exposed to ambient conditions 2 . Floor ever heated spaces YES NO a . Are foundation walls insulated ? Yrs NO 1 . 1f YES , what is the R valuer 3 . Slab on grade YLS t+ O a . If YES , what is the R value of insulation around perimeter of floor ? 46 Is basement heated ? YES NO a . R value of insulation _ 50 Type of insulation s . Under 16 ♦ Cnly 1 . R value of roof and onrji ex aashienk eanclitiane ^ 2 . R value of exturior calls .. q� 1 30 R value of glazed area. � • ice, 4 . R value of doors - --r-- 5 . R value of floors over heated spaces _ 6 . R value of slab edge insulation - unheated slab, _ 7 . R value of slab insulation - heated slab s . R value of heated basement/ cellar walla ( abave grade ) p Zen 1: 9 . R value of heated Lasement /c,ellar walls ( below grade ) [Z- � 10 . Type of insulation. ^' r� C . Controls 1 , Thermostat maximum heat setting AcA VF O , nuct Systems; 1 . Ia duds, aystlem installed in unh &Atad spaces ? Yrs a . If YES , R value of duct instillation b . R value of duct in other arean E , piping Insulation 1 . Size of hot water or cooliriy carrying agent piPp ��_ 2 , R value of piPe insulation F . Service Water Heating o� 1 . performance efficiency. 2 . Temperature control awtting maximum ItkG� v— G . For Swimming pool Dn1Yl 1 . --Maximum heat i ng� , Til ephonp . NO . Zc2 ,, -t + ( =s_I,Flicant ' s siyniturw ) rIlIKIM 4000532 - THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY �tFl 41 STATE STREET, ALBANY, NEW YORK 12207 Date June 6 , 19 8 "IPplication .Yo. an file 0 3 5 5 0 5 / 8 7 A i 1 9 ? V 3 THIS CERTIFIES THAT only the electrical equipment as described bohne and introduced by the applicant named an the abode applicationnu+nber in slug preaslses of Martin MoaherPinion Pine Rd . Gleng Falls , Nlew York in thefollowins location; Basement Ek Ise F7. ❑fit' nd Fe. outside Section Slack ,Got 19 was examined on and found to be in compliance with the requirements of this Board. RxTURE SWITCHES RXTURE3 RANGES GOOKIN G DECKS OVENS DISH 'WASHERS EXHAUST FAMS PTIUCIES OUTt"S NCANDESCENT FLUORESCENT AMT, K- W. AMT. K. W. AMT. K.W. AMT. K. W. �jAMT. H. P. oM J r. 31 45 25 DRYERS FURNACE MOTORS PUTYRE APP1tAJiCE 1°EEgHtS SPECIAL REC'PT TIME QOCKS BELL ~HEATERS Mt1t��Tf t AMT. K W. CIL H. P. GAS N_ P. AMT. 1 No. A- W. G. AMT. AMP, AMT. AMPS, TRANS- AMT. H. P. NO . IRET AMT. WARS Z fr 1 dr er 10 1 S9*y10E DISCONNECT HO.lors S E it Y I CAwl" E AA7T. AAM. TYPE tamp. ; X rir 1 X aMr 3 / 9twr s / rrti' No. Q�C*,COND. Cf ND. OF HI-LEG � HI-WG No OF HEI1TRAt5 DF PAI 1 20 ah x 4 / 0 2I0 OTHER APPARATUS: 3- gfci 1. smoka datectnr Sam. W . Corhause 11 Potter Rd . Gansevoort r NY 12831 239 BRANCH MANAGER Per This certificate must not be altered in any manner; return to the office of the Soord if incorrect. Inspectors may be identified by their 6redeMiols- COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. �,C cc�� ■ �� ..Jowrt o� �tteens �eere� BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 'Box 98 Oueensbury, New York 12801 UILDING INSPECTOR ' S REPORT NAME LOCATIONJ' hr '(t _ E - Date Permit No . f ✓ APPROVED - YES NO i Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Ve eer Rough PI ng Relief Va1V S _- - Ext . Porches Finished F1 s Interior Trim Stairs & Rails s Cellar Drain Ti Concrete Floors Plbg , Fixtures Gar _ Fireproofs Door Closers Smoke netecto Chimney i=72t a2 INSULATION : Foundation Floors Walls Ceiling FINAL EL CTRICAL INSPECTION _. DRIVEWAY APPROVAL Final Bu Iding Survey Next scheduled inspection ( call when ready ) Remarks- Building Inspector 6/86 and-vl TOWN OF QUE BUILDING AND CODES ODES DEPARTMENT BAY & HAVILAND ROADS 9 9001 QUEENSBURY, NEW YORK I280a— :Dj TELEPHONE (518) 792-5832 BU ILL7ING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVEDJ --c NAME LOCATION l `� DATE /� + PERMIT # 7 l ---------- APPROVED ! j '4f YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION c FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION- CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS_ STAIRS—CLEARANCE ,& RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: 41 Lr�� tt bw6le I INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1 2801- TELEPHONE (51 8) 792-5832 BUILDING INSPECTOR' S REPORT,r REQUEST FOR INSPECTION RECEIVED l� / NAME / LOCATION Lei DATE _ _ ,,. _ PERMIT # A)O YES NO FOOTINGfPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOF£NG BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE 6 RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR rale �] ! f� Town a/ Queenigury BUILDING and ZONING DEPARTMENT / Bay and Haviland Road, R. D. 1 Box 98 Clueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION ��( Z,r�j Date �C�/� Pelr'mit No . ✓ = APPROVED - YES No Footing/Pi r Forms Foundation Waterproofi _ Backfill Z,k*:raming Roofing Siding Masonry veneer Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete Floor Plbg . Fixture Gar , Firepra Ping Door Closer Smoke bete tars Chimney INSULATI Foundati n Floors Walls Ceiling FINAL ELECTRICAL INSPECTION��� DRIVEWAY APPROVAL Final Building Survey j Next scheduled inspection ( call when ready ) Remarks- f� E B rng Inspector 5/86 and-vl flow" ©/ Queenshary BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 K'�Z. Cot C. 2, L IV F C:-+e-� r SEPTIC DISPOSAL SYSTEM INSPECTION NAME LOCAT I ON - I ( I :( l r O LZ DATE /�/ PERMIT NO. J SOIL TYPE - Sand - Loam - Clay /- Percolation Test Required? YL�S - NO Percolation rate - M±n/Inc/h/// TYPE of SYST Absorption fie . dOF total en h G-- Length of each ench Depth of trenche Size of gravel_ SEEPAGE F ITS4Numbe of) Size- ft. X _ ft. Gravel size PIPING : Size e Bldg . to tank Grp Tank to list . x VTCOL -- Dist . box to f eldP ' Openings seal ? ES NO 'Partial LOCATION/SET RATIONS Foundation tank . Foundation o absorption it. Absorption o lot line iAlft Separation f pits OF SYSTEM ON PROPERTY (circle one) ro t Rea -- Left side - Right side TSe SYSTEM USE APPROVEDS Np Build Inspector 01/86 and ul if // / BUILDING and ZONING DEPARTWIENT � � Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date /d, ` Permit No _,,;, ✓ = APPROVED - Y NO �t�CingfPier Forms� Foundation Waterproofing Back£ill Fr ing Roof g Siding Masonry eneer Rough PI bi.ng Relief Val s - u Ext . Porche — Finished Floo s Interior Trim Stairs & Raili Cellar Drain le Concrete Flo s Plbg . Fixtu s Gar . Firep ofing - Door Clos s Smoke De ctors Chimney INSULAT ON : Founda ion Floor Wails- Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA Final Building, Survey Next scheduled inspection ( call when ready ) Rema rks- Building Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORTY! 06-EL, NEW - ORKWHEN BOARD OF FIRE UNDERWRITERS. WITH BUILDING DEFT• WHEN REOUiRED, CITY OR TEMP # DATE VILLAGE - STREET AND ND. OR TOWNSHIP ROAD AND POLE NO. Zoe- • COUNTY BETWEEN WHAT TWO CROSS STREETS IS PREMISES L OCATED POLE NO, NAME SECTION BLOCK BU I Lb I NG LOT AA NO'�R"�HY'MMIME w OCCUPANCY w w ODRESS BSU YPPLIE6 L—y�1 ♦ TEL. # �� BUILDING / FROM THEIR IS NEW OLD ❑ WORK OFFICE IS NEW ADDITIONAL DEFECTS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED ❑ REMOVED ❑ NUMBER OF OUTLETS No. of Fiaturas A Lace- LAMP Receptacles MOTORS BRANCH tion HEATERS Coiling Side Atlseh't CIRCUITS` OFFICE USE Wall Aaaap'Is Switch Pendant Bracket No, Type H.P. Ufatts ONLY Out. EiIM No' Each No. A.W.G. Gauge INSPECTION Sub base Brno• leant to Ft. 2nd Fri. $rd Ff, REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This aPPlicanan is intended IP c you area e'I'6'+ the abora-lisfeq aq Y authorized Ra make the inspection and adjust the feaU'Plto coaM4Mt to tlle additional but at time f ins e Iprispec pection n (here F3 found additional equipment not above listed Sf2E OF proritleq by Rho a MA f N S Pplica nt. CHARACTER FEEDERS ELECTRIC SIGN LAMPS TOTAL OF WORK EXPOSED GAS TUBE SIGN WATTS WORK TO BE CONCEALED TRANSFORMERS OF STARTED (NUMBER) VA OVERHEAb COINPLEFED 512E OF SIGN (CAPACITY)ENTERS SUP DING UNDERGROUND /MAKER INSPECTION REGUESTED OF SIGN ON OR AS NEAR AS POSSIBLE Q NII LD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION, ALL SPACES MUST BE FILLED IN OR APPLICAT� MAY PRINT NAME A ADDRESS NAME OF BE RETURNED, APPLICANT , 1! f/f . DATE APPLICATION OF STREET ADD" +F } {�. CITY OR / \ TELEPHONE POST OFFICE zip ff CODE LICENSE NO, 40 46 Kt Gxev. ,sos) A SEPARATE APPLICATION MUST BE FILER FOR EACH SEPARATE BUILDING JC7 ip �v1 V I