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91-058 es CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK � p Q� Date 0(�: -C . f6 19 _L This is to certify that work requested to be done as shown by Permit No. 91-058 has been completed. This structure may be occupied as a Alterations to dwelling Location Hemlock Road, Glen Lake Owner Gerry Bodette By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-058 • WARREN COUNTY, NEW YORK w PERMISSION is hereby granted to Gerry Bodette OWNER of property located at Hemlock Road, Glen Lake Street,Road or Ave. in the Town of Queensbury,To Construct or place a Alteration to Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and .s approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ZCI oW 1. OWNER'S Address is a Adgro Avenue, South Glens Falls CD 2. CONTRACTOR or BUILDER'S Name Hilltop Construction a 234 Queensbury Ave. 3. CONTRACTOR or BUILDER'S Address Y a, CD 4. ARCHITECT'S Name r fD 5. ARCHITECT'S Address 0 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( )Masonry ( )Steel ( ) .+. fa 7. PLANS and Specifications No. 254 sq ft Alteration to dwelling as per plot plan specifications and application 8. Proposed Use New Bathroom $ 12.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 5, 19 92 (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 _5th Day A March 19 91 SIGNED BY ) for the Town of Queensbury Building and Zoni Inspector 1 TOWN OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT Pate- • Rec,i.ev ed 4Z h?ECc.lhr,�t) Fy .. Fee Paid P, FEB Z 3 1991 BUILDING AND CODES DEPARTMENT Date I44ued t Y and HAVILAND ROADS RD 1 Box 93 '!,DG. & CODE DEPT, .C)UEENSBURY,NEW YORK 12804 Pe uit t No. q( -C Jg Tel . (518) 792-5832 Ext •204 A PERMIT MUST B1 OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. All applicable spaces on this application must be completed and the sippature of the applicant must appear on the reverse side of this sheet . * * A A A * * * * A * A * * * * A * * * * A A * * A * * * * A * A * * * * the owner of this property is : Gerry Bodette P . O. Address Adgro Avenue . South Glens Falls. NY 12803 TEL. 7o2, Q1 41 Property location Hemlock Road , Glen Take TAX MAP NO. / c /0"=/_,r ;/ p Y teas there been any split of this property since October 1, 1988? /max yes no if yes , Planning Board Review is necessary. SUBDIVISION NAME, IF APPLICABLE LOT NO. The person responsible for supervision of work as regards Building Codes is : NAME Hilltop P .O. ADDRESS TEL. NO. Jame of builder Construction Address 234 Queenshi ry iv , Tel Tel 798 033E flame of Plumber of G. F. , Inc. Address Queensbury, NY 12804 Name of Mason Address Tel ATURE OF PROPOSED WORK: ZONING INFORMATION (Office use only) • Construction of a new building + ZONING DESIGNATION OF PROPERTY addition to a building # PERMITTED PRINCIPAL PERMITTED ACCESSORY X Alteration to a building (no change to exterior dimensions) s REVIEW REQUIRED - PLANNING BOARD ZONING BOARD_ Other work (de crib�al ' SITE PLAN REVIEW it APPROVED DATE * ;ROSS AREA OPPROPOSED, STRUCTURE " VARIANCE # APPROVED DATE .st Floor sq ft . r Remarks: • -- • !nd Floor sq f t . r. COMPLETE INFOkmATiON REQUIRED UELUW. Size of property ft X ft. )thcr Floors sq ft ;,,�; „ Existing building(::) Size ft X fc. ( not cellar or basement) ; COTAL FLOOR AREA � """� sq f t.L7 * Existing building (s) Use i:.e of new structure ft X ft * :oandation-pier/slab/crawl/partial/full " Proposed building, distance from property line (circle one) . Front yard ft Rear yard ft Aa. of stories (habitable space) Side yards ft and ft Height (grade to ridge) ft. * It on corner, setback from side street ft if residential, no. of families J No. of rooms(excluding baths) * OCCUPANCY 1NFORMAT!CN • No. of bedrooms • # PRIMARY BUILDING - No. of bathrooms , ✓One family dwelling Primary heacind :;yi;tem * Two family dwclliny Type of fuel Multiple dwelling / Number of units No. of fireplace:: to be installed . Y l0413e Permanent occupancy O Will a wood stove be installed? £ ` Transient occupancy Air conditioning? R r Business BUILDING STYLE, PRIMARY STRUCTURE „ Industrial ,� Ocher t:.►►►ch Cont.:ml:orary ].on cabin ,� if addition, what will use be? Raised ranch Mansion Duplex split level Old style Uun&J loW ' Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town blouse * betachad garage/one cur/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car SSSSSS a IF * * * * _Private storage building L:SPIMATRD MARKET VALUE OF ' Other tONSTRUCTION h,1 * ]NFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED: Form BPA 10/88 v1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. Wood rra,'Y Will any second-hand or ungraded lumber be used? If so, for what? A/0 Foundation wall material 141- Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? N1MEHeated or unheated? Floor sq. footage sq ft Will there be a basemen-7TV 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 ft. Joists(floor beams) 1st. floor "X spacing "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 " spacing o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish Wood Of what material? dedo2 Interior wall finish , j A pp f/?OCK 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? ICU Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft. (A separate application is necessary for any repair or new installation of septic system) DECLARATION 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. • Signature &A--d4t- Owner, owner' gent, architect, contractor * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK .Aie�Av d6 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 40 2 . Type of heat xc(S „)r ui L ' 3 . Is the building mechanically cooled? /110 4 . Percentage of area of .windows and doors 0,2++ c2 c A. Over 16% Only ` 1 . U 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 exposed to ambient conditions 2 . R value of exterior walls p- /l 3 . R value of glazed area 1 4 , R value of doors /vanJ� 5. R value of floors over unheated aces 6. R value of slab edge',insulat ' n - unheated slab . 7. R value of slab insulatio heated slab 8. R value of heated bas ent/cel.4ar walls (above grade) 9. R value of heated asement/cellarlls (below grade) 10. Type of insulat on •ifbrfc ',.. :55 C. Controls 1 . Thermostat maximum heat Flatting D. Duct Systems 1. Is duct system install -d in un - eat.ed spaces? YES NO a. If. YES , R value of uct, ,nratnllnt icon b. R value of duct in ot' ; areas E. PipAng. Insulation, 1. Size Of hot Wester or . “)ling arrying agent pipe 2. R value of pipe ins ation F. Service Water Heating 1 . Performance effi iency 2. Temperature co. ' rol setting maximum G. For Swimmin• Poo Onl 1. Maximum hea ing Telephonle No. rig :J3g. (4 • a 1, (appl ' ant ' s signature) /9i)( '` - TOWN OF QUEENSBURY , 2 -L e kii �' 531 BAY ROAD N.SIF QUEENSBURY, NEW YORK 12804 32 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED %2A1.5/9f NAMEfre .'/Z LOCATION � �..,_ "4/ 4 '5,1, G7 `. -40 DATE `Q//f`�/ PERMIT# /-G2�: r. TYPE OF STRUCTURE07.,,,fy.,,..; G��'-rv,e,,,: v G RECHECK l/ _FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) _FOOTING FOUNDATION BACKFILL L-FRAMING �OUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOEDSTOVE/FIREPLACE REMARKS ' APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS:' RELIEF VALVES --- FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK' /� INTERIOR TRIM/PRIVACY 'DOORS �/ FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED 1, STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS t BATHROOM FANS/WHOLEHOUSE FANS \, ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS T OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL ` OK TO ISSUE C/O OR C/C i/ COMMENTS: 065 /73 ri//K, ARRIVE iii /1 DEPART i /`KAN F " I"SP TI' 1 - 1 1� `y. �. [r 30 r ah TOWN OF QUEENSBURY ilmek 531 BAY ROAD # NEW�`f" TELEPHONE (518)0745-4447 r��� BUILDING INSPECTOR'S REPORT v'eS+G INAL INSPECTION �,�- REQUEST FO PE iIEDQ _' NAME D•c d ' LOCATION Hel(v 2.eck QG� ' C-3-JI �' e) DATE /0//77/ PERMIT# ! TYPE OF STRUCTURE-1 ) t oX) I lq_9( RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL (FRAMING _ ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/AI YES - NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS. No A AIscvt-r6 P-6o(, - An c/o,- dio i, ARRIVE 71 5 U z DEPART -3.=( NP 11 `CPR VlI ) TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED 3l 2- 'I °t NAME Cho a e LOCATI DATE 3 f 5 19 1 PERMIT # '/ f - 0 S TYPE OF STRUCTURE '4' - a )/V9" RECHECK APPROVED • N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFINIG BACKFILL APPROVAL ,RIRIGIWOLtM&' NG PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADER BRACING/BRIDGING : JOIST HANGERS JACK POSTS/MAIN BEAM HEATING ROUGH-IN NSULAT1OPk FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS I R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 1 r • ARRIVE , DEPART INSPECTOR TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY, NEW YORK 12804 V TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME P 7 LOCATI -Z4 C� DATe / _PERMIT# //-©r//- TYPE OF STRUCTURE 4 4._ /9m RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL ST�TURE) _Fq,OTING FOUNDATION BACKFILL RAMING vi/� GH PLUMBING FINAL ELECTRICAL SEPTIC NSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/AI YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING , BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILING HANDICAPPED ACCESS 1 SMOKE DETECTORS BATHROOM FANS/WHOLEHOUS FANS ALL PLUMBING FIXTURES 0 ERATING GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: 1270144 Cali "14 ke, a N alp ikk€44 � ds �a a (‘hot( Vt5/ e kja14 • ARRIVEA DEPART INSP T TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ojcc 531 BAY ROAD QUEENSBURY, NEW 0 4 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT QUEST FOR INSPECTION RECEIVED 31 (7,, i / s CATION \- \` 4._r7(- `a�cl (-t n\,1 C.1 _._ ,TE 5 i - PERMIT # I — C�5,- 'PE OF STRUCTURE ,!Q 14" •*� cite c II 6<1-1 11 1117iti Z�. 11 —cc,C CM s v G{-i Ow, CHECK ? APPROVED N/A IS NO iOTINGS/PIERS d INOLITHIC POUR FORM ;- :INFORCEMENT IN PLACE IE CONTRACTOR IS RESPONSIB E IR PROVIDING PROTECTION FR tEEZING FOR 48 HOURS FOLLO ING IE PLACEMENT OF THE CONCRE E. f iTERIALS FOR THIS PURPOSE N SITEE )UNDATION/WALL POUR ) ' :INFORCEMENT IN PLACE )UNDATION/DAMPROOFING 1 ICKFILL APPROVAL )UGH PLUMBING i 4( .UMBING VENT/VENTS IN PLACI .UMBING UNDER SLAB rit K STUDS/HEADERS ` , JC BRACING/BRIDGING JOIST HANGERS i ii JACK POSTS/MAIN BEAM t EATING ROUGH-IN ) VSULATION: FOUNDATION WALLS INTERIOR FOUNDATION WALLS EXTERIR FLOORS i R WALLS / R CEILING s R DUCT WORK OR PIPING I I UNHEAED SPACES , \ i EMARKS: � W M i N 6 RRIVE lid c EPART °.{';s--- INSPECTOR JOB I 0ci-fib-' • .cOp CONSTR(k,�� SHEET NO. OF CALCULATED BY DATE RD#1 • PO BOX 308A CHECKED BY DATE HUDSON FALLS,NY 12839 •(518)798-0338 A a — / SCALE • • ........ i ...... ....... ... .:. • ; B < ' 19 ., 7C3.y & COD PER • • • • • • C) .:. : • • F. • •Wit sin t r.... 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