1982-7562 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date - 19
This is to certify that work requested to be done as shown by Permit No.
has been cotnpkted.
This structure may be occupied as a -
Locales
Omer hy
By Order Town Board
• •
TOWN OF QUEENSBURY
•
Building & Zoning Inspector
CREATIVE "INSTA'° PRINTING. GLENS FALLS. N 1/ 12801 1518)793-S6Se
BUILDING PERMIT
TOWN
OF QUEENSBURY
No. 7 562
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Thomas J. Murphy
OWNER of property located at Revere Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (living area)
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. y
0
1. OWNER'S Address is
R. D. #3
Glens Falls, N. Y.
2. CONTRACTOR or BUILDER'S Name
Ken Collette 1-1
1<
3. CONTRACTOR or BUILDER'S Address
R. D. 1 #455
Hudson Falls, N. Y.
4. ARCHITECT'S Name
PC)
CD
CD
CD
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( 1 Masonry ( )Steel ( 1
7. PLANS and Specifications 18 'x28 ' per plot plan, specifications and
No. application submitted.
8. Proposed Use
One-Family Dwelling (additional living area) rt-
'.
P-
H-o
$5. 00 C/O Paid
$ PERMIT FEE PAID-THIS PERMIT EXPIRES April 1 19 c-
20. 00 o
(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.) CD•
1
Dated at the Town of Queensbury this 29th Day of September 19-8 2
SIGNED BY for the Town of Queensbury
Building and Zoning I n or
TOWN OF QUEENSBURY
(Space inside block to he filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No. i - .
Permit Issued- - 19. .
BUILDING AND ZONING PERMIT Permit Expires.. . VI.
/(,,,if;; District .
\ dim..U.. f►1 Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale I'I"-("ctI by
showing the actual dimensions of the lot to be built llc silii i.Kr.-
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEEN BURY
I5743y
DATE RECEIIVE 11) ,
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK SP '719
L 2,1,e4 � � � �
ANSWE
R AL OF THE FOLLOWING. 4 Pt s
A.M.
The undersigned hereby applies for a permit to do the following work $ If'a it
which will be done in accordance with the description, plans and specifi-
cations, " " �`'
may and such s ecial conditions asbe ►
p indicated on the permit.
The owner of this property is:
-tho s JMugh1 . . . .. E a E Rd .. tis iz tioi(NA (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. . Kt.- . .COAee. . .
(NAME) (P 0 ADDRESS)
Name of Builder. . ,1 !. . .00ff Address ) a t— 5�t)
If. /*-
Name of Plumber Address
Name of Mason. . .K ,vbI // P Address
Lot Number:..... Si. . Unit Estimated value of proposed work$ . 0I O
Village8e1/ Q/ CbS ( L 'sJName ofe C � . . . . ,
Name of Street Re.7(1.Gfe ad Side of street: north
�l ree s east 0, south ❑. west CSt 0
Nearest Cross Street Lg!ZO°fie,p i "ha- Rd Distance from this rross '��-street �4- Ft.
Property is north ❑,south ❑,east X, west 0 from Cross Street
If on Corner,which corner, northeast ❑, northwest ❑, southeast ❑. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Construction of a new building. Main Buskin
g
51 Addition to a building. One-family dwelling X
❑ Alteration to a building. Two-family dwelling l
❑ Demolition of a building. . - - - , —family apartment house ❑
Store building El
-car attached garage 0
Other:
Accessory Building
One-car detached garage El
0 Other work. Describe: Two-car detached g
ara e
g
Private chicken house ❑
Private storage building El
Other:
ZONING SPECIFICATIQNS.,,M in for new building, or addition to existing building, or a change of occupancy.
Indicate on the plot plan street names, the location and
` size of the property, the location, site and setbacks of pro-
NORTH posed buildings,and the location of all existing buildings.
Show proposed building(s) in dotted line and existing
. /26.UrtZ /2 cif 16(f lauildin s in solid line.
\j propertyze Si offf ft. x ..7.3 . l. . . . . . ft.
Size and use of existing buildings, if any 64 )( 2-5-
o- ,. i- .04/e./4/r3.0 C.,.Pwcit(i
W
I.
W Size of proposed building 1 ft.x .2e 8ft.
Height(from grade to ridge) ft.
Front yard • WI ft.
Side yards 3(01 ft. and f3 7 i ft.
Rear yard a r ft.
SO U T H If on corner,setback from side street ~`'----------,-. . ft.. .
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73—N
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe etc.?. •• • • .ce
Willlumber be used? If so, for what?
any second-hand u .
Material of foundation walls . . .tednit
tiff. .41/1,4thickness t
Depth of foundation walls below grade . . . V. Continuous foundation? re
Will there be a cellar? . . . AO 0 li so, material of cellar floor
• or flat? . . Shp.* Material of roof . ./!�,V !°'ail
Type of roof: Sloped
yP .
Size, wood studs
2 "x � ", spacing lO "o.c., length. I ft.
„x ./ 0 floor beams, 1st floor . , spacing Ale "o.c.,span . ./ ft.
Size, „w
Size, floor beams, 2nd floor . . . DNA. ." x . . • ''�'. . .", spacing "o.c., span . . . ft.
Size, ceiling beams ax . . ... . .
. if 4 "o.c., ft.
. . . , spacing span
Size,roof rafters or beams 3... . . ...x • • • • • • ", spacing . . .,/'' "o.c., span . .,�'6t# ft.
Exterior finish . .ChlifikAPOIF With what material? "POP
Finish of interior walls $ it it.4"•et k
If garage is to be attached, o what material is wall between garage and main building to be constructed?
OPAI . . . . . . . . . . . . . . . . . . . . . . . . . .A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Is there to be an opening between arar and building? .
.9 iv 4
Kind of heating system . 9itii.T . • Oil burner or coal? . . . :a""""''�
Will a flue-lined chimney be provided? i •t.. Al. Depth of chimney foundation below grade .+fir
Height of chimney above roof. . . IF 40
g 1 e? S NO De th of Will there be a firep acfireplace hearth 'P
Willa toilet be installed?. . . . . . . . /P. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to water supply? 4/0
Water supply(public water supply or pump)
Distance of cesspool from any private well . . . . feet
Will drainage system be provided with required traps, cleanouts, and vents? --
AFFIDAVIT
Town of Queensbury
County of Warren _.,,'
State of New York 'of myknow and belief the statements contained in this application,together with the plans and specifications sub-
mitted,I swear that to t�: bard ��
coal�lete statement of all proposedwork to be done on the describedp premises and that provisions of the BUILD-
INGmitted, are a true and
DE THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be co. died with,whether specified or not,
CODE,
and that such work is authorized by the owner.
Sworn to before me this Signature .... .. ... .=
0 •.OW R•S/ NT, • HITECT,CONTRACTOR
day of 19
,_-_ NOTARY PUBL1C, 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. Gross floor area
2 . Type of heat
3 . Is the building mechanically cooled? Wit
4 . Percentage of area of windows and doors II •S Z
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 roof and floors exposed to ambient conditions
Ilk 140 _
2 . R value of exterior walls I 2011
3 . R value of glazed area 41Z II
4 . R value of doors
5. R value of floors over heated spaces tOR
6. R value of slab edge insulation - unheated slab N/P1
7 . R value of slab insulation - heated slab N/F1
8. R value of heated basement/cellar walls (above grade) tq s
9 . R value of heated basement/cellar walls (below grade)ANV14
10. Type of insulation i*OrleAd%\641•4 4 VA' A3vettw41e.
C. Controls . is
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
b. R value of duct in other areas
E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2. Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No.
(applicant ' s signature)
,•
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TOWN
OF QUEENSBURY
Building Department
inspectors ' -• ' Date jO ? 7
Name it r Location -t94.504)
6 k'e
Permit No, 1.. Z Weather
Remarks
Excava t. on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors .
Insulation 'Founda ti on
Walls
'Ceiling ' • .
lg(f6 /10744gZ;Ohk-70)
Building Inspector
REMARKS
TOWN OF QUEENSBURy
Building Department
ors Date /i4,
1e!,4-
Name - k
Location Y3Lice
Li
Peairnnit No. 7 ( Weather
Remarks
ExcaOa t.i on
Footing Forms t.-
Footing & Piers
Foundation ,PC)6/14-
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Va l ves
Wall Board
Ext. Porches .� f
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Ti l e
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation 'Foundation
Walls
Ceiling
O )e::7)
f .,€414 Bruilding Inspector
REMARKS