7975 C/O Paid
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. 7975
has been completed.
This structure may be occupied as a Additional living area for one family
dwelling.
Location Indiana Avenue
Owner Ella Dean Danahy
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA- PRINTING, GLENS FALLS. N Y 12001 1518)703-54SS
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 7975
WARREN COUNTY, NEW YORK l�
N
PERMISSION is hereby granted to Ella Dean Danahy
OWNER of Indiana Avenue 0
property located at
Street,Road or Ave. O
t
in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) lb
at the above location in accordance to application together with plot plans and outer information hereto filed and ,
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNERS Address is Indiana Ave. :3
Glens Falls, New York w
la
ry
2. CONTRACTOR or BUILDERS Name
Richard Dainahy
c
m
3. CONTRACTOR or BUILDERS Address
Indiana Ave.
Glens Falls, New York
4. ARCHITECT'S Name
5. ARCHITECT'S Address k
a
a
6. TYPE of Construction—(Place indicate by X) rt
P_
O
1 )Wood Frame ( 1 Masonry 1 1 Steel ( 1 O
rt
O
7. PLANS and Specifications
17 ' 6"xl3 '6" per Alto plan, specifications and a
No. application submitted. M
N
N
8. Proposed Use �
one-Family Dwelling (additional living area)
N
r•
$5. 00 C/O Paid N,
$ 10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES Feb. 1 1984 W
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the W
town of Queensbury before the expiration date.) fi
fD
Dated at the Town of Queensbury this 22nd Day of July — 1983
SIGNED BY for the Town of Queensbury
BiRlding and Zoning I
TOWN OF QUEENSBURY (Space inside block to Ix filled in by ,l\
WARREN COUNTY, NEW YORK Building Inspector)
• Application for Application No. .
pp Permit ls,ued lg. .
BUILDING AND ZONING PERMIT Permit Expires. l9.� , ,
7.(inill� District
,111 "► Work• .
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\i'I)!" •`l h`• .
showing the actual dimensions of the lot to be built Rcil,ar)c5
upon, The exact size, and location on the lot of the •
building to be—erected or altered MUST-BE SUB- _T
MITTED WITH THIS ',APPLICATION.
ZO.Aa: 0� TOWN OF QUEEa`SBURY
- .l 2 / DATEREGIME ]
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK JUcy !.'S.983 Oe ���
ANSWER ALL OF THE FOLLOWING. off'
The undersigned hereby applies for a permit. to do the following work 718191 ®J111.2)1l2l3)415,6�
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated,on the permit. . L
The owner of this property is:. •
E. I 1 r-•• A i3 • C'•--,•c-:C ....t " . . J., .,-,ct .f J r . ►�-e •
(NA' E) IP O.ADDRESS)
The person responsible for• ., . •supervision of the werk insofar'-as-die Building Code and the Zoning Ordinance apply is:
i C.hc,_rd e?-1-)0._.1-,�
(NAME) • (P o ADDRESS)
pp •
Name of Builder... ,1.\,.0(.-Na... •a. ��'a\--,b Address \rxli ` (vk k 1.)-Q-'
Name of Plumber • - Address
Name of Mason. t.�-�1G0 �2 . CTh -\)... . Address .-1-l'lol:t UU t •
Lot Number. . .(..0.1 ..• . . Unit ' Estimated value of proposed work 3 a 1 ()L 0
Name of Village . . . . .\ b.1. :"\ . .0. . . .q. .�e.:Q,.11Sk-3a>1�� .
Name of Street . .S•X1a- {t•K.) • • -c-`' Side of street: north 0, east ❑, south 0. west ' .
Nearest Cross Street . . . . Il 0.)--.- cam. . •(.l)'_ Distance from this 'cross street . . . . . . . (_. . .C] . . . . Ft.-_ _
Property is north , ,south easf 74, west Trom Cross Street
If on Corner, which corner, northeast' 0, northwest 0, southeast E. southwest
•
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
4kConstruction of a new building. Main Building
Addition to a building. One-family,dwelling
❑ Alteration to a building. Two-family dwelling ❑•
CIDemolition of a building. . .-family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
Accessory Building
• One-car detached garage ❑
❑ Other work. Describe •
Private chicken house ❑
• Private storage building • ❑
Other:
ZONING SPECIFICATIONS. Fill 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, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing.
• -a CI I i�inh-huilding(s) in solid line. day- A
Size of property '_= ,r, ft. x .I D v ft.
Trg` Size and use of existing buildings, if any
a
s• t Q}8 w I Se. . ft.
f Size of proposed ! G ft.IC .
;V t ` p�
i A «9 Height (from grade to ridge) O . • • ft.
Front yard . -� 5 ! :.:'i�(5.rl:,. .�. . �`:-r'.I.'"(,aka: It.
Side yards . i 5 t a_ ft. and . .:;.0. . . .4..). . . . . ft.
Rear yard "'I .-�`r• ft.
SOUTH • 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—M •
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. . . . . . . 1,0 n Pc-L. ��'-mt • . . • . • . . . . . . . . . . . . . . . . . . . .
Will any second-hand lumber be used? At 0 If so, for what2
Material of foundation walls t.00,L.$ Thickness . I 1] 11
Depth of foundation walls below grade ►-� C.c Continuous foundation? �
Will there be a cellar? . . . b•1\.C4�-. If so, material of cellar floor
Type of roof: Sloped or flat? S v p� Material of roof CL.5.P. . - a $
Size; wood studs " x • ", spacing I .. . . ."o.c., length `�? ft.
Size, floor beams, 1st floor "x spacing • .'.� . ."o.c., span . . . . . . . .o` . . ft.
�1
Size, floor beams, 2nd floor x ", spacing "o.c., span ft.
Size, ceiling beams " x ", spacing "o.c., span ft.
Size, roof rafters or beams v'� .' X � �. , spacing � L. "o.c., span l_ Le ft.
Exterior finish Va"�'-�•� • • • • With what material? �1L
.
.he��--n.lvc
Finish of interior walls ¶ t-•f�CX.
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system lt.)C')C. Oil burner or coal?
Will a flue-lined chimney be provided?,� e- ci..(cari4 epth of chimney foundation below grade ..
Height of chimney above roof
Will there be a fireplace? pp 0 Depth of fireplace hearth
Will a toilet be installed? I1 i
Will a kitchen sink be installed and connected to water supply? . .(\J C
Water supply (public water supply or pump) (� -'" . h c\1�,1r
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents? . ./J O
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to th bard my know,Iedge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.hplete statement of all proposed work to be done on the described premises and that ail provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work sha complied with,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this. _ - "- —- - Signature .<C.,Q D v! V� . C A P
W ER,OWNER'S-AGENT,ARCHITECT..CONTRh$TOR_ _
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:
1. Gross floor area
2 . Type of heat
3 . Is the building mechanically cooled? r 0
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. der 16% Only
P; R value of roof andfloors exposed to ambient conditions
2 . R value of exterior walls , , _- r \ S' •', ^s. ir, i zr,
3 . R value of glazed area
4 . R value of doors
`'o` a5� R value of floors overeated spaces V\ Ems .
la .
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
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. .? - 3 LI efj C !'r1) ' ilk
(applicant ' s signature)
l - .
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR
VILLAGE •
- - • , TOWNSHIP . - COUNTY ,
STREET AND NO.OR
ROAD AND POLE NO. - - POLE NO. - "
BETWEEN WHAT TWO
CROSS STREETS IS '
PREMISES LOCATED? i SECTION BLOCK LOT ,
OCCUPANT'S BUILDING
NAME OCCUPANCY
•
OWNER'S NAME • .
AND ADDRESS .._ - _ - I
. I
CURRENT ,- _
SUPPLIED FROM THEIR OFFICE -
BY
BUILDING NEW❑ OLD❑ REMODELED ❑ IS
NEW ❑ ADDITIONAL❑ REMOVED ❑
IS
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& BRANCH
Lamp Receptacles MOTORS HEATERS CIRCUITS NUMBER OF LAMPS
Loca-
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge I F M.V.
Out-
side
Sub-
base
Base-
ment
1st Fl.
2nd Fl.
3rd Fl.
•
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS , WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE MAKER
ENTERS
BUILDING OF SIGN
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW ri OLD
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF t, DATE OF
APPLICANT , . APPLICATION • - ' • ' . _
STREET ADDRESS • • ' ; . •-
CITY OR. -- ZIP' - - . I LICENSE NO.
POST OFFICE - 1 r . . CODE . i i WHEN APPLICABLE
46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QU•EENSBURY
Building Department
hupeetors Report Date ? Z_3 5
Name PI'AJ A (`f \1
Location (',U n(AAlA 4(J -
Permit No. ? f 2 ' Weather
Remarks
Excafia ti on
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing V/ kJkat 1,4;r .n U:i44.-/L/,t•
Sheathing ze-�a c' , /Cr
Roof Felt
Roofing
Siding Pg; tr. (,-K Pt Irk&i)
Masonry Veneer dd
Rough Plbg. / &fa I ; (IC&
Relief Valves LL7 H1 -14
Wall, Board 175'X 1 "1 T�
Ext. Porches PRa5e1 7`
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 Foundation
Walls '
Ceiling
141..Ce /2-t��
Bding Inspector
REMARKS
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