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1987-823 a c ' CERTIFICATE OF OCC�..7I'AN"+CY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK } Date _ /�- 19 This is to certify that work requested to be done as shown by Permit No. 87- 823 has been completed. This structure may be occupied as a One Famlly Dwelling Location 7 Stanet�x�r� � ry David Harvey G7rwrner By C rder Town Bawd TOWN OF QU'EENSBURY fdl3 f d f Building 6 Zoning inspector Y ^ BUILDING PERMIT � TOWN OF QUEENSBURY No. 87_823 � WARREN COUNTY, NEW YORK � PERMISSION is hereby granted to David Harvey * i OWNER of property located at Lot # 17 Stonehurst 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_ w C 1 . OWNER'S Address is RD 1 Box 1432 � Lake George , N . Y . 12801 PO (a 2. CONTRACTOR or BUILDER 'S Name Same 3. CONTRACTOR or BUILDER'S Address. C O rr Same r-• 4. ARCHITECT'S Name zn rt d M G H 5_ ARCHITECT'S Address rr tv 6. TYPE of Construction — (Please indicate by XI I N Wood Frame I ) Masonry ( i Steel 7. PLANS and Specifications o 26 ' x 72 ' as per plot plan , specifications and application including 4 N�septle system and attached two car ,garage . r• I� S. Proposed Use One Family Dwelling to N r• $5 . 00 CIO aka $ 171 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 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 town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 7th Day of , December 19 87 SIGNED BY Z C' � . AL e� for the Town of Queensbury Building and Zoning I nspector TO BE COMPLETED BY BLDG. DEFT . �] / Application No . .✓Oran Oiseen � 6uMt Permit Issued 19 ! Ir l� . _. .. BUILDING and ZONING DEPARTMENTPermit Expires 19 Bay and Havlland Road, R.D. 1 Box 9$ Zoning Designation NOV 2 ��{�7r Queensbury, New York 12801 variance No . r� Site Plan Review No . r 1111L_QPI vG a CODE - 1 Approved by : �-�4 APPLICATION FOR BUILDING AND ZONING PERMIT A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING . The under:,igned 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 . ---------�� . . . _, ,_-------- . . . . - -.--- - ....W.eeee __,.._.. The owner of this property is : JJsrrN Il P. O. Address i .� L �' k �y 3 L u +fie G e� r A/ . _ Tel '193 `✓ / 1- c< Property Location : S+)p et 4* �_--•S rI .-.+e + :i Tax Map No . Street number or building lot number Subdivision name (if applicable) J' ` - e - 5 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : - Name P. O. Address �-� E G rTCaj 0 No . Name of builder Jaty , ek VI1 . dress IV - ` Tel . Name of plumber 1 e_.-r o2 a r- Address W G , n ' � 5 t Glctis idel . Name of mason -%dL 5. C n 5�. PV a s Gw_d-Address 5- ' _r 42 1- x n -Dr . / _ jz//�e1 . 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 AFFECTEDa of septic disposal area . * * COMPLETE INFORMATION REQUIRED BELOW . * Size of property as c' ft X ft . * Existing buildings ) Size ft X ft . PROPOSED BUILDING AND USE : * Existing building (s ) Use Size of new structure ft X / ft Foundation-pier/slab/crawl/partial f proposed building, distance from property line (circle one) * Front yard /� �'�„ � ft Rear yard ,r-- ft No * of stories (habitable space) 4 �, side yards �"V ft and � ft Height ( grade to ridge ) c� "] If on corner , setback from side street ft If residential , no . of families Noe of rooms ( excluding 'baths) OCCUPANCY INFORMATION No . of bedrooms 147f PRIMARY BUILDING - No. of bathrooms _one family dwelling Primary heating system no- cCgf" % Two family dwelling Type of fuel o Il Multiple dwelling / Number of units No . of fireplaces to be lnstalled.. _ * permanent occupancy Will a wood stove be installed? rn+� * Transient occupancy Central Air conditioning?� !0 4> 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/ t r/ car Jr CIRCLE ONE PLEASE ) * `Attached garage/one cart wo car car * * * re * + * * * ar * * * * * * * Private storage building ESTIMATED MARKET VALUE OF '� Other CONSTRUCTION f c} � �e> 0C7 _ _ _ INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET,, TO BE COMPLETED ! Form BPA 4/86 md--vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS * Type of construction , wood frame , fire safe , etc . W ' �'�� vtiy 1Z Will any second-hand or ungraded lumber be used? If so, for what? C] Foundation wall material ! O b L0 �1rz-- Thickness Depth of foundation below grade (to bottom of footing) ` Will there be a cellar? Heated or unheated? Floor sq. footage sq ft Will there be a basement? _�Z Will any portion be used as living space? _ +r} ( If so , what portion? sq. ft . - - Type of use? Type of roof - mope fla shed/other Material. of roof ccs �p u� S ,; e Size , wood studs�_"'X + spacing L_4 '"o . c . length ` * ft . Joists ( door ]beams ) 1st . floor -*"X / a " spacing "a . c . span / ft . Joists ( Floor beams) 2nd . floor ,"�{ c" " spacing_,Lr6, "'o , c , spanRft. Overlays (ceiling Dams ) cl- "X _C,.." spacing AE, "o . c . span /eP� ft. Roof rafters _"X " spacing-LJ.60 . c . span lig ft . Roof trusses (Pre-engineered) spacing "'o . c . span ft . Exterior wall finish Ly * &A 5, c r' � ot Of what material? 4:4 Interior wall finish , .. I - if a garage is to be attached , describe materials to . be used for FIRE SEPARATION : / )ry , � t Is there to be an opening between garage and dwelling?�� If so will a Fire-rated door , enclosure, and self-closing device be provided? k/ Will a flue-lined chimney be installed? Height above roof ft . Depth of chimney foundation below grade..&A_ft « Depth of fireplace hearth ft , in Water supply - Municipal or p vate wel SEPTIC SYSTEM _ Distance from private well ( i.ncludIng adjoining properties / SS_' ft . (A separate application is necessary for any repair or new installation of septic system) Town of f Warren A F F i D A V I T STATE OF NEW YORK County of 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 ^-- . .Cy'�^ - �°_ �- ---- ---- ------------ Owner, owner ' s agent , arcn ce , contractor 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 : 10 Gross floor area 1 �� ' +� 5 • 2 . Type of heat cn 1 ti + 3 . Is the building mechanically cooled ? ! �7 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 1 . R value Of l } roof and floors exposed to ambient conditions _ 2 . R value of exterior walls K C:) 3 . R value of glazed area 4 . R value of doors IC 5 . R value of floors over unheated spaces fl 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation T heated slab 8 . R value of heated basement / cellar walls ( above grade ) / 0 9 . R value of heated basement / cellar walls ( below grade ) / Ca 10 . Type of insulation l e - ku5 5 4- C . Controls o 1 . Thermostat maximum heat setting D . Duct Systems 10 is duct system installed in unheated spaces ? YES NO a . If YESF R value of duct installation b . R value of duct in other areas E . Piping Insulation �7 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation' F . Service Water Heating 1 . Performance efficiency a45 y' 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No . �% 9 3 7 / 5~4;z ~ ( applicant ' s signatu APPLICATION FOR SEPTIC DISPOSAL PERMIT DATE / 1 / / G ! + ` ■�� 1 LOCATION OF PROPERTY FOR INSTALLATION Owner's Name: i " t �' "1M Telephone: 7 �i - 7 1 Sa Address: Installer's Name: i\ le k � ko N c ';e v--J e r Se rJ x � c Telephone: % r�. " a :`� j a Number of bedrooms (residential only) i Total daily flow (compute @ 150 gal per bedroom) > O Topography: circle one FlaO Rolling Steep Slope % of slope _ Soil Natame: circle one: Sand Loam Clay Other / Depth: feet Ground. Water: At what depth? NA feet Bedrock or Impervious Material: At what depth? h A feet Percolation test: circle one n t~required required / rate min. inch. Domestic water supply: circle one: Municipal Well Other _ IF domestic water supply is a We11: Separation: W atersupply from Septic absorption / 3'� 'D feet PROPOSED SYSTEM : Septic Tank / 0_a_ C> gal. (minimum size: 1 ,000 gal.) TILE FIELD: Each Trench '5� feet / 'Total system length Q !S�c' feet SEEPAGE PIT(S): Number of / Size each feet by feet Size of stone to be used # �„ .T / 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 $250.00. C. An approved copy of the plot plan shall be available on the construction site. Failure to produce said plot plan at time of inspection may result in an immediate work stoppage. D. Should unforeseen problems during construction prevent proper installation, alteration or repair of an approved system, a new proposal must be submitted to the Queensbury Building Department before further construction. I have read the regulations above and agree to abide by these and ail requirements of the Town of Queensbury 'Sanitary Sewage Disposal. C kxUnai.nce. Signature of responsible person: Date: Town of Queensbury Building and Code Department Bay at Haviland Road Queensbury, New York 12801 (518) 792-5832 SETTLED 1763 . . HOME OF NATURAL BEAUTY . . . A GOOD- PLACE TO LIVE c7 Qtege r �eer� BU11�CNT 11NG and Zdhil{VG R T$ox 98 j PAR Bay and Hav"and m 1 oueensbury. New ork SEPTIC DISpoSAL SYSTEM I[3SPECTION LOCAT ION PERMIT Clay Sand - Loam ,�,R - 140 SOIL TYP Test Required? Percolat3.on rate - Min/Inch Percolation TYPE of S STEM of total anc; Ch tia f field Length engt ach trench Depth of itenches III lip Size of gra el of) SEEPAGE PIT 'El3umba f t_ Size- Gravel size pxpI-IqG = tank Bldg . X Tank to +diet - t d/pl i NO Partial Dist. box to YES YES Openings $e ,r LOCATION) �,Ao,Txor� �l!„ t. todaioFont taabnsKo zPti Fuda toounty - f t. to lot line —fct. Absorpt i n one) Separ;EL't of pits PROP RTY (c �rcle LOCATI OF SYSTEM ON yht side Fron Rear - Left si3e t CCKMEN IS ,jM� IIf TnX .,;Era 'P1 SYSTM4 USE APPROVE L piuil ng Inspector 01/816 Ttd v1 _ /nwn n� 'oC'weereabc� r gulLOYNG and ZONING DEPARTME 98 Say and Haviland Ne YorD. i Bo oueensbu ry. 01 BUILDING INSPECTOR ' S REPORT fdAME f/C If LOCATION ` 5' Perini i40 - .J gate ;L I * * * * * * * * * * *foe S rzo _ YE F4oCing/pier Forms Foundation Waterproofing laackf ill F rami ng Roof ing Siding Masonry Veneer — Rough Plumbing --� Relief Valves Ext . Porches Finished Floors interior Trim stairs pailings Cellar Drain 'rile Concrete Floors Plbg - Fixtures Gar . F i r,eproof i g Door closers Smoke Detecto s Chimney I1.3 SIMNTION Foundation Floors Walls Ceiling E"IN AL Fy,EC R7CCAL IIISPEC'TIO AL DRIVEWSuildingv Survey Final s insp action (call when ready ) Next cheduled Remarks- ' spectar psuildln 6/86 Md-vl �Yr cc'']� �teeert -l � u �� � 1 _ lotvo,, of gufLDfNG and ZC)NING f]EPARTMEfVT j gay and HaIII Road. Box $B i C]ueensbury, New York 1280ti BU i LID I NG i NSPECT (7R ' S REPORT N A Mi" LoCAT 1 ON e� ���/ �1� permit rlo - __,-------- dat * * * * * * * * * * 140 APPROVEO Footing/Fier Forms Foundation Waterproofing gackfill aming goofing Siding Masonry veneer ---- Rough Plumbing Relief valves F:xt . Porches Finished floors Interior 'Trim Stairs & Railings cellar Drain Tile concrete Floors Flbq , Fixtures Gar _ Fireproof g 17oor C.lnsers Smoke petecto s (,h imn ey V 1.%Tl()N v Founaation Floors walls Ceili.rn7 F' IL*1,i'sL L:L1 CTRTCAL IDISPEC"1'ICS 17R1VIwAY APPROVAL Final Building Survey ection ( call when ready) Next scheduled in-s p gelua r ks- xl-i � >? ,4 cling n pector 6/66 mcl-vl ._. tV11 of Q" eenibury gU1l.D1NG and ZONING DEPARTmE T Bay and Haviland Road, R.D . Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME � �P s / LOCATION `� . '111 1 a + ] -< Ferm i t f3o . � brie Dai.E 2 * * App�ROVED91 - Y S No 'ooting/pier Forms 1�a ndation Waterproofing I3ackfiI I Framing Roofing Siding Masonry ven er Rough Fluwbi g Relief Halves Ext . porches Finished Floors Interior Trim Stairs K Railings Cellar Drain Til Concrete Floors 1'lbg . Fixtures Gar . Fireproof ng Door Closers Smoke Detect rs Ch iron ey IN SU I,AT I ON Faundation Floors Walls Ceiling FINAL El ECTRICAL IN 5F'ECTION CIRIVEWAY APPRCIVSLrvey�-� - �- Final Building ins ection ( call when ready ) Next scheduled P Remarks- Building inspector 6/66 and-vl ��` _lottin o Queenshttry /r BUILDING and ZONING DEPARTMENT 6f/ Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 SEPTIC DISPOSAL SYSTEJ4 INSPECTION NAME.. LOCAT ION.,,. `c DATE /• / PERMIT NO. 1f f i SOIL TYPE - Sand - Loam - Clay Percolation Test Required? YES Percolation rate - Min/inch / TYPE of SYSTEM: Absorption f ' eld , total lenth �'��/ Length of ea h trench Depth of tre hes Size of grave SEEPAGE PITS4N er of Size- ft. X f . Gravel size PIPING : size , e Bldg . to tank _i Tank to dist . box Dist. box to fie / f Openings sealed? Y $ NO Partial LOCATION/SEPA IONS : Foundation to ank Cjft. Foundation to absorpti n +fit * Absorption t lot line eft . Separation pits -"" ft. LOCATION YSTEM ON PR PERTY (circle one) Front - e r Left side Right side - COMMENT 4 i 1 SYSTEM USE APPROVED YES NO Buiil Inspector 01/86 and vl TOWN OF QUEENSBURY Building Department impaclsarr Rapr�rt Dade / Aiame Permit No. Weather emarks r - Exca�ka ll tion - ootin Forms - Footin 4 Piers - Foundation - Cement Coat - Water roofing sackfill - Final surveyr - Framin - Sheathin - Roof Fel t Poo fin Siding Masonr Veneer Rou h Pill JI Relief Valves Wall Board Ext , Porches Finished Floor Interior Trim Stairs & Ra.ilin s Cellar pr . Tit a _------- Concrete Floors -- P3 Fixtures Gar . Fire roo€i ---- -- Poor Closers — -- Chimne Water Meter in t . Se tic A rova Floors Foonda tion _. xnsrulation Walls Ceilin Building Inspector REMARKS �f� c� r BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D_ 1 Box 96 oueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME ,,/ Lo LOCAT I O �{+`✓� rrr Elate ermit ,�/-� Nr APPROVED YE NO &, oting/Pier Forms Foundation waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim stair's & Railings Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproof ng 'poor Closers Smoke Detect s Chimney INSUIL TION : Foundation Floors Walls , Ceiling FINAL 'ELECT CAL INSP'ECTJ�W DRIVEWAY APPR Final Building Survey Next scheduled inspection (call when ready Remarks- 169 auilding Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIFI£D. _s GATE _.._.. CITY OR {t/ , � � J VILLAGE TOMMFIIP S -J� a' COUNTY lrV �A l f ROADEAND AND +w_ " -. -} . ' .-•, ;:. F-. _, ,�' '_ �C c - "� t1 t '% roLE ND_ PROWS BETVWE'STR�EETS aAT s � '� V � r1 r\ I���-..:C S/Y I JL " �' C. PREMISES LOGA SECTION BLOCK LOT_ OCCUPANT'S BLNLGING NAME OCCUPANCY r ' DNNEfi^S NAME ' AND ADDRESS y 4 rA , . �fj TEL. `Y �Lh J . , r't t - CLMRIERT BSLr PLIED I, i . , t' r Y"�1 47 ti"'\ ^v'-^-1 i-�. FROM TNEIR . .. ��pp � �L � � OFFICE FECTS BUILDING NEW M C LO ❑ IISRK NETY N, ADDITIONAL Q REMOVED 0 LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Flw NUMBER OF OUTLETS LAMReempolmAlls MOTORS HEATERS CIRCUITS OFFICE USE Le ONLY tuft iiM AterJt"I t>•Nlaa Iwr R„�,tP.4 s+t.:Ilrt flatYdawR w.sruc No. rtfxtt �„xp'y fMe. a.. Na. A.WAL INSPECTION Dwa aNle aa.al Tat R. 2mel Ff. ad FL REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE_ OO NOT USE THIS SPACE. This aePlicatien n: wstwmmd to c w the aboaa4isled egeipwtent m be inspaclnd but if at imam of intPacIiwn d ere is found o"Norol etMllpm moot not also" listed. veto we "w-= to make the itttparden and adjust the faro to cwar 'Mr rWicionM aaoiptnwttt, as Proridwd 4v IN&APPlioowt. Wdre OF ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE INUMBERI ICAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN IEDING INSPECTION REQUESTED {� ON FLEOR NEAR AS NEIY OLD u AVOID DELAY SY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF ! / I Mil ST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION PRINT NAME-AND ADDRESS 4 r - NAME OF y'v a. f- y! C --1x SIGNATURE A,�,.♦ ! it t i -- [4•'�.. +� APPLICANT } `. . "r �. l� r OF APPLICANT _ Y'` STREET 11L7DIRESS},, 4_"'i TELEPHONE. CPDST OFFICE "~'- �L. C." {:. c .L ' ` 7 'n,/� Z� I -.:, •.1� TIFI N APPLICABLE .to � ER". tlttel A "SEPARATE APP\LICATIONf1MUST BE FILET] FOR EACH .SEPARATE BUILDING A50 / 9s�