1988-459 r -E147TVIT e Nelr797P 1-1%"1017147g1rVe4WKIMINTWISVPIIIIP"ill tk""r“*;:tt t?' 4,4.!"v1.1,‘ 4:4' W ruts
•
rip
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 101^ 2,!.:14; 19 .q
This is to certify that work requested to be done as shown by Permit No. 88-45
has been completed.
This structure may be occupied as a One Familv Dwellina - addition
Location Mayflower Zane
Fred & Carol Ducey
Owner
By Order Town Board
TOWN OF QUEENSBURY
f`
;41
e=6A
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 88_459
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Fred & Carol Ducey
(.0
OWNER of property located at Mayflower Lane Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to 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. 1-1
1. OWNER'S Address is
19 Horicon Avenue Pu
Glens Falls, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name
Q
Dean Howland Jr.
3. CONTRACTOR or BUILDER'S Address
Box 140 Star Route
•
Glens Fall±s, N.Y. 12801
4. ARCHITECT'S Name
(D
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
N.
°X)Wood Frame ( ) Masonry ( I Steel' ( I H
0
7. PLANS and Specifications ri-
0
No. 8' X 14' as per plot plan, specifications and application
- •
8. Proposed Use
addition to dwelling
5.00 C/O
J4.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 89
(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 30th Day of June 19 88
"plow—
SIGNED BY for the Town of Queensbury
Building and Zoning Ins.ector
• TO BE COMPLETED BY BLDG. DEPT. 3°:
// Application No. Ls ,,
�Otusl 0/ Queenil ur Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 JUN 2 2,9
Bay and Haviland Road, R.D. 1 Box 98' . Zoning Designation •
Queensbury, New York 12801 Variance No. BUILDING 84 CODE DEPT,
Site Plan Review No.
Approved �
APPLICATION FOR • !yam
•
S'� c0.
BUILDING AND ZONING PERMIT 'diG -/- ‘3 '.
* * * it. * * * * * * *• * * *' * * *. * '# * * * * * * * * * * * * * * iF *- * it it ;;it
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; ig/ 64 v4 c)GF/,cs,
P.O. Address / ,' /r�a2l.e40 A, eg/,e; F /6."0-V• J oee/ Tel.
Property Location: ,yya/KO J. Tax Map No./6U/ / / 9
•
Street Iriumber or building lot number
Subdivision name (if applicable)
THE
PERSON RESPONSIBLE FOR SUPERVISION.OF WORK AS REGARDS BUILDING CODES IS:
i'6'.7,47D 44 Zip4.. ox/Aft 67MZ ,e0,e1,77• s , �_,0•g/2&)l 7 �"Zes�
Name P.O. Address / Tel. No. • •
Name of builder -Ad I,9, • Address Snmfe 1 Tel. _5;4,0,
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
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
* •
* COMPLETE INFORMATION REQUIRED BELOW. 2637
6
* Size of property Ian wi ft X / ft.
* Existing building(s) Size 66)ft X a¢5 ft. .
*
PROPOSED BUILDING AND USE: ,�
,,
6 * Existing building(s) Use S;,e2h' •,n�rr/% 46/P� rs�6
Size of new structure g ft X lift * '
Foundation-pier/slab crawl7partial/full * Proposed building, distance from property line
(circle one) * /
No. of stories (habitable space) * Front yard ft Rear yard ft
* Side yards ft and '
Height (grade to ridge) ,/ r ft. ft
If residential, no, of families / * If on corner, setback from side street ft
No. of rooms(excluding baths) / * OCCUPANCY INFORMATION
No. of bedrooms . . *
No. of bathrooms * PRIMARY BUILDING - .
Primary heating system , oi9?�L * One family dwelling
Type of fuel ��L * Two family dwelling
* Multiple dwelling / Number of units
No. of fireplaces to be installed •
Will a wood stove beyinstalled? * Permanent occupancy
UILDING PERMIT APPLICATION CONTINUED -
UILDING SPECIFICATIONS: -
'ype of construction, wood frame, fire safe,etc. z,�o ,879-b,
lilt any second-hand or ungraded lumber be used? If so, for what? J,7
'oundation wall material Thickness
lepth of foundation below grade (to bottom of footing) -'1 .
sill there be a cellar? 4® Heated or unheated? Floor sq. footage , // sq ft
Lill there be a basement? 140 Will any portion be used as living space? .
(If so, what portion? sq.ft. - - Type of use?
[`ype of roof { s pfc?/flat/shed/other Material.. of roof ,,g.,444.6
Size, wood stuff ? "X /4 " spacing ,i "o.c. length 8 ft.
roists(floor beams) 1st. floor 7 "X /fj " spacing 16 "o.c. span 63./ft.
foists (floor beams) 2nd. floor "X " spacing "o.c. span ft. .. ;
Dverlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters 2. "X /7 " spacing?aF spacing
span " ft. .
Roof trusses (pre-engineered) spacing "o.c. span ft.
Exterior wall finish Of what material? �'tor'v , 6-i0lxas
Interior wall finish V i/ " ��,w6�//4dA6C
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? , 91 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 - Municipal or private well. /;Z 4.44.4,/
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)
`own of Queensbury A F F .I D A V I T STATE OF NEW YORK
:ounty of Warren
I swear that to 'the best of my knowledge and belief the statements contained
.n this application, together with the plans and specifications submitted, are a true and •
:omplete statement of all proposed work to be done ,on the described premises and that all
>rov`isions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
:he proposed work shall be complied with, whether specified or not,' and that such work is
77 authorized by the owner.
3WORN TO BEFORE ME THIS Signature .4g2e
Owner, owner's agent,arcnitect,contractor
day of 19
Votary Public, Warren County, N.Y. .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
I . .
TOWN 'OF QUEENSBURY
WARREN COUNTY , NEW •PORK
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 f/22F
2 . Type of heat kr /97k, Olt
3 . Is the building mechanically cooled? 40
•
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 , a
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
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
3 . R value of glazed area
4 . R value of doors
5 . R value of floors ',over unheated spaces
• 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
• C. Controls .
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation
-- 1�-- -_R -va1_ue--o-f--duct_ i-n-other--areas ---- - -
f(t. . MIDDLE DEPARTMENT INSPECTION AGENCY, INC.-
* National Headquarters
900 HaddonAve., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION r f,/�
f Date
City, Town or Township .,2 .t) Li' County / -mJ State Jf-9,1/-
Locati on/Address' ')Sy,\14N -
���� �L (Located in Rural Area-Please Attach Directions) Pole #
w'
Owner /� y� � Permit # , �.
Occupied As 5.1, `-J .8 ie.o Building: New❑ Old
Occupant •
Work Area in Building (Floor#,etc.):
App. for: Wiring El Service El or: Ready for Inspection:
Fee Remitted-$ Cash❑ Check n M.O. 17 Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches
Lighting- Amp. Service Surface Unit Dishwasher Range
Receptacles Water Heater Air Conditioner Dryer Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size '
Applicant's // �Signature J:". /
i- ! j License # Permit #
T/A Utility:
Applicant's ddress: / Z) (NAME) (OFFICE LOCATION)
(City) (State) /u 1- (Zip) /280/ Service Request #
Phone # 793-6907 • Electrician: '$A R. '&))5
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as Aboven or:
Red Notice Label ❑
Rough Wiring Outlets Surface Unit Oven
Switches Range • Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring&Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3I 1/2I 3/4 1 11/2 2 3 5 71/z 10 15 20 25 30 40 50 75 100
Mark Number � L_ I I T
of Each Size
` l '
L
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
L P Patrick J Dashnaw
Elect. Heat
c4,x, PO Box 321
di'' Hudson Falls, NY 12839
iutuvabi
:INCTRICAL INSPECTOR
CORRECT
CERTIFICATIONS. USE FOR jNITIAL VISIT ONLY; . NOTIFIED : DATE FEE' FEE PAID
1 I RW • Progress: Inc.❑ LKD❑ Contractor
I I CFT Violation: Work Comp.❑ Inc. ❑ CASH ❑
n L/A Owner Fee CHK #
❑ L/A Due MO #
❑ IPA Municipal INV #
Date: Other Side❑ . Utility Ownerant n
Cut in Card ❑ Temp # Date
INSPECTORS SIGNATURE
❑ Final # Date
APPLICATION FORM NO.250 EL 11/86
Jown o/ Quee4urcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S, REPORT
NAME
L0CATION „1,//7
f4< k Q /"
Date /73 /cfr Permit No. n7-4,..S1
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
)O Footing/Pier Forms
Foundation
Waterproofing L /
Backfill •
Framing
Roofing \ r
Siding
Masonry Veneer
Rough Plumbing
Relief Valves •
Ext. Porches
Finished Floors \
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors \
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL( INSPECTION
DRIVEWAY APPROV�
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
1
Mew she S
a•
- -
•,. E'l(lS��l3L d ! a E �f$T1PJ:e - �� f �' . .
' 53c/f C!Jk'' LfisA': _._.� I
! 40
Zt
i
Ilk
�.Fr , ► I I 'f i
! G E)"nR 1�14l) ' to t /I<E c'...19A' /0I �:7's (f � / G}t�✓ ���E OF iVEby ya
PALL y
U
`. cr
8CALE. /Iq rz f 0" A14WVED$Y
DAM JOAPC
1_.1111 l I Lii
` t - .; -. ., :r.- � � .- �. -.t - - - I I I JI� III I I II I I�� - - '• . - -, ,. - _ - - � ,
•
401
-t..
-
.
M v
v
Y « Y
` z
r
OF
�4 PAt1Cy,,�'4¢
y
DATE: ��
. �tt �oRr`a�►t� I I I I r��.'
2 `` "� � - $ ." .. , � � � - . � � .. � _ � J _ �� .. ,- - .. _ � � i - � `F• it-
„
le
ju
£AVM $Llrf!?
U '
`p
s
Pt*C.k:j
tin
�Q
j�OF
SAY PA(k
Ole
- H
F
CILLE: I'iCc !n APPNOVEo
DATE;
r
on& ws