88-661 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date . 11,0),[i( CD 19�") )
I,
c /li (1 —) —
This is to certify that work requested to be done as shown by Permit No. RR—r"1
has been completed.
This structure may be occupied as a rInol, rn;1N7
f)\
Location ^,i Sunnvside North
Owner Larry King
By Order Town Board
TOWN OF QUEENSBURY
.J I
Building & Zoning In pector
BUILDING PERMIT
1-3
TOWN OF QUEENSBURY No. 88- 661 x
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Larry King
ex'
OWNER of property located at RD #1 Box 322 93 Sunnyside N. Street,Road or Ave.
en
in the Town of Queensbury,To Construct or place a Enclose existing deck
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. OWNER'S Address is
Same
2. CONTRACTOR or BUILDER'S Name
Same r,
sv
3. CONTRACTOR or BUILDER'S Address `C
Qq
4. ARCHITECT'S Name
en
5. ARCHITECT'S Address
- C.D
6. TYPE of Construction—(Please indicate by X) O
O
(X)Wood Frame ( ) Masonry ( )Steel ( ) -*
7. PLANS and Specifications
No. 10' x 24' as per plot plan, specifications and application
8. Proposed Use SITE PLAN REVIEW #33-88
s:
Enclosure of existing deck
O
$5.00 C/O
$ 18.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 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 N
town of Queensbury before the expiration date.) t7
Dated at the Town of Queensbury this 13th Day of Se t. 19 88
og
SIGNED BY - for the Town of Queensbury .
Building and Zoning Inspector
T .J.. `',' L. l:,L.J�. 'i 'i_D PY BLDG. DE PT. .
•
] / / Application. No. _
—Awn ,o1 l_ ttc'en3fiuo E� Permit Issued 19 737
BUILDING and ZONING DEPARTMENT Permit Expires. , 19T�`:nli�!�� i ;Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation �� _ :1: ::;‘,1
Oueensbury, New York 12801 Variance No. L `L.`
//�� Site Plan Review No. , AU
g
- %1 Appr.,_ . by: eved� DEf1.
APPLICATION FOR ��v
l.
EUILDING AND ZONING PERMIT 011
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * :>*
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: /9RPy /" 7)e,144 7y3-,y�U, `))
P.O. Address ?,.7) / 'ZX SZ2- 6/ 2G-'.4IS Azs /U y Tel. 79�-O/77 .-/")
Property Property Location: 93 .UN,uys/DC A/&2�f Tax. Map Noo d/�/ 524
. Street number or building lot number
Subdivision name (if applicable) . •
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: •
Name P.O. Address Tel. No.
Name of builder 5 zp Address Tel.
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- dimonsions:from-preper-ty- 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 AFFECTED. * of septic disposal area.
. *
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property % 0 ft X /O() ft.
* Existing building(s) Size - ft X ft.
* __
PROPOSED BUILDING AND USE: * Existing building(s) Use
\\Size of new structure /O. ft X029-ft
/ `Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
*
(circle one)
* Front yard ft Rear yard ft
No. of stories (habitable space) * Side yards ft and ft
Height (grade to ridge) ft. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms *
* PRIMARY BUILDING -
No. of bathrooms * K One family dwelling
Primary heating system
* Two family dwelling
Type of fuel * Multiple dwelling / Number of units
No. of fireplaces to be installed Permanent occupancy
' Will a wood stove be installed? * Transient occupancy
Central Air conditioning?. •
* Business
* .
BUILC)ING STYLE, PRIMARY STRUCTURE * Industrial
* Other
Ranch Contemporary Log cabin * If addition, what will use be?
Raised ranch Mansion Duplex
Split .level Old style Bungalow *
•
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE-) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUEQ_ * Other
CONSTRUCTION $se AG� / 0'0
INFORMATION ON BUILDING SPEC CATIONS, 4 ERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form RPA 4/86 and-vl
/
BUILDING PERMIT AI'PL'1i'A'I'I( N CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. /(4We %P ftp •
Will any second-hand -or ungraded lumber be used? If so, for what? N6
y
r
Foundation wall material , e/� , Thickness g Zi/mu e
Depth of foundation below grade (to bottom ,of footing) . ,I'G ''
Will there be a cellar? /y Heated or unheated? Floor sq. footage Z,S U sq ft
Will there be a basement? A Will any portion be used as living space? e •
(If so, what portion? .4u_ sq.ft. - - Type, of use? -S-!/J-, arm •
Type of roof - s Gl3�flat/shed/other Material of .roof i000D X2r79/E__
Size, wood studs•__. "X Qa " spacing / , "o.c. length ? ft.
Joists(floor beams) 1st. floor 'I,„ "X /6 " spacing / i "o.c. span /Q ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) - "X " spacing "o.c. span ft.
Roof rafters 2_ "X /'/._" spacing /', o.c. span f264ft.
Roof trusses (pre-engineered) spacing "o.c. span ft. .
Exterior wall finish S, ,„ic;Lcs Of what material? ` �
. Interior wall finish r/��/ ._
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? 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) - -
Town of Queensbury AFFIDAVIT
County of Warren STATE OF NEW YORK
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__wor-k_shalLe compl i_ed with,_whether_spe if.ied or not,__and_that -such_work-is ` _ _
authorized by the owner. i
SWORN TO BEFORE ME THIS Signature / rf
:::' :
is agent arect,contractor
RO� day of aryPub JR
6/ Notary Public, State of New York
N tary Public, Warr Count N.Y. Washington County 9 /, 2
Y. My Commission Casp'aros3/�� ..-
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
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 ZSv Sp ,
2 . Type of heat
3 . Is the building mechanically cooled? 44.
4 . Percentage of area of windows and doors 4D)..g
A. Over 16% Only
1 . U value of gross area of walls , roof/ceiling and floors
0
exposed to ambient conditions �_
2 . Floor over heated spaces YES c_N0=
a. Are foundation walls insulated? YES NO
1 . If YES , what is the R value?
3 . Slab on grade YES c 0�
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
•
' 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 c�
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES G`_
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
i
Telephone No . ( 77?--O/7
4 ,4
(appl ' c nt � igna ure)
(o) 792- 5� � <
INTERIM BUILDING PERMIT
PERMIT APPLICANT
CONSTRUCTION LOCATION " Q5
EFFECTIVE DATE
APPROVED BY ieer
6vi_d la_. -7/-0 •
SPECIAL.. CONDITIONS :
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction; per plans submitted . It is the
responsibility of the applicant to obtain the Permit -
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CONSPICUOUS LOCATION ! !
424°.
Building & Cod s Department
TOWN OF QUEENSBURY
FILE COPY
THE NEW YORK BOARD OF FIRE UNDERWRITERS CERTIFICATE NO.
DO NOT WRITE HERE-FOR OFFICE USE ONLY
1
• "` BUILDING PERMIT NO.
•
- '
TEMP.I! DATE
CITY O_IVILLAGE ,..� TOWNSHIP COUNTY
c:,24.�:,J... �',d 45 € tiZ.1&%u'S eZ,Ve:'6f .40:127zttAl
STREET AND NO.OR ROAD ! POLE NUMBER
BETWEEN WHAT1 WO CROSS STREETS IS PREMISES LOCATED? SECTION - BLOCK LOT
OCCUPANTS NAME BUILDING OCCUPANCY
. 44i./ .` Al /
OWNER'S N ME AND ADDRESS 1 HOME TELEPHONE NUMBER
44-41e:4V Ai g r r'3 f n/ /
CURRENT SUPPLIED BY` FROM THEIR OFFICE WORK TELEPHONE NUMBER
iti// O • G w= s .:1*z,T 7 ....3 -.a S 0
BUILDING IS �g
NEW❑ ITTyT OLD Kh WORK IS NEW A ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
• lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each NO. Gauge INSPECTION
OUT-
SIDE
SUB-
. BASE
BASE-
' MENT
1st
• FL. •
2nd
FL. •
3rd •
FL. •
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE:
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 MAINS FEEDERS . ELECTRIC SIGNS/LAMPS .••', TOTAL WATTS
. CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF L VA
❑ CONCEALED -
DATE WORK TO BE STARTED • DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN •
' ❑ OVERHEAD ❑ UNDERGROUND -
DA'E INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) DENTIN CA TON NUMBERS ►
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESSA. .
•
NAME OF APPLICANT s i DAFT-OF PPLLIICATION SIGN R F A5�ICA } a
A..4rer,��j A/` .`.:;,T . , e /?. v X ' .I
STREET ADDRESS LEPHONE NO.
Cf'a 5:'VA 1,t+y/=%�''h- lYl a �,,j347`t?..?I!i�.�.2.L ' - ..
CITYOR POST OFFICE e- f �� IPC E LICENSE NO.WHEN APPLICABLE .
❑ 85 John Street ❑ 41 State Street ❑ 584 Delaware Avenue ❑.217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10,038 ..._ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 ;,.SYRACUSE,NY 13206
' 'TUB. NI WW_i V( QI( Rnapm rw i:ipj - I,Ifdf PRWRI
TOWN OF QUEENSBURY 4/� `�
BUILDING AND CODES DEPARTMENT d' Lad]
BAY & HAVILAND ROADS ( , ,154:4.,>
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832 7i _,,car
-------------
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ij/FA)
NAME /} .Gs7 "
9�
LOCATION a6f ,(L is!1 % ,
DATE ,,J-/6C) f, PERMIT # ,/r /
• APPROVED
41,1,ILW ;/ a YES NO
•
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL'.
ROUGH PLUMBING ; _
FRAMING 4
ELECTRICAL ROUGH-IN 1 '
INSULATION:
FOUNDATION C •1
FLOORS 1.. :1 . . .
WALLS . . . ;1 . .
CEILING ,'' . .
XFINAL INSPECTION: ,'
CHIMNEY HEIGHT ;;
ROOFING '� 1.
SIDING ''
EXTERNAL PORCHES/STEPS . . '
STAIRS-CLEARANCE & SAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACYx DOORS
FINISHED FLOORS iy
GARAGE FIREPROOFING \
DOOR CLOSER(S)
SMOKE DETECTORS F • .
FINAL ELECTRICAL INSPECTION'
.FINAL APPROVAL OF pONSTRUTIONY----'—4-
- c
OK TO ISSUE C/O OR. •C/C i - /
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE !BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!\'
N• •
REMARKS: �a n
i'" a ,-,111 .__c ,,,ry �/: 2 /` ci l /
1- pr, ,..j.,_
._._,,,,p/99 _J- .,----1/44 .) \ • . •
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DEPART //
v
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832 •
BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED .��-///y` -r
NAME ff��_ / ��
LOCATION 9
DATE /v -/7'(f i? P IT # fp -667
APPROVED
am-1;1%1442d>C. •"MO11 YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING • /
BACKFILL APPROVAL ;"'
ROUGH PLUMBING /,
(YAMING
ELECTRICAL OUGH-IN i
INSULATION:
FOUNDATION_ •
FLOORS 4% 3 dr'
WALLS
�r �11
CEILING ',, ,., 6-0 -----
FINAL INSPECTION: N
CHIMNEY HEIGHT , '‘
ROOFING �;,
SIDING jf.. `)
EXTERNAL PORCHES/STE '-S
STAIRS-CLEAgANCE & RAiLS
PLUMBING FIXTURES/RELI ' VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED aFLOORS 't%
GARAGE FIREPROOFING
't'1
DOOR CLOSER(S) 7,ti
SMOKE 4ETECTORS 'h
FINAL EIS 'CTRICAL INSPECTION ',:,
FINAL APPROVAL OF CONSTRUCTION ,
a)
A SIGN D CERTIFICATE OF OCCUPANCY MIST BE
OBTAINED FROM THE BUILDING DEPART BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
�l-l-J CIS/ gq'1-4'45 G :
i.
LA/ 1(' /' ': 4
INSPECTOR
•
•
Jown of Quecnaur,
\c4\1\. BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME l a{ c y ► ' no9
LOCATION q3 nn ys1d1? '1 )
Date ! / 2V Permit No. f—‘,
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YE$ / NO
XFooting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbin
Relief Valves •
Ext. Porches \ /
Finished Floors
Interior Trim
Stairs & Railings /\
Cellar. Drain Tile/ \ •
Concrete Floors / \,
Plbg. Fixtures/
Gar. Fireproo ing
Door Closers I
Smoke Detectors
Chimney I `�
INSULATION: ;
Foundation. f':
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
• DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- 01).. 62443
n
k\I-04
, ,
Building Inspect
6/86 and-vl
� .f✓I� TOWN OF QUEENSBUR'Y
Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
:'` BUILDING AND CODE ENFORCEMENT
r
DATE , : it 61
BUILDING PERMIT # ,f7- L / EXPIRATION DATE y/-cr'y7
PERMIT ISSUED TO:
J
LOCATION: 93 /..// 77?7 �� .26 '���c—
The records of the Building Department show that your Building Permit has not
had all of the required inspections. Our inspections are done only when requested by the
Permit holder. Following is a list of required inspections and indication as to those that
have been done. We require that you contact this office and make necessary arrangements
to finalize this permit. •
REQUIRED INSPECTIONS: DATE OF INSPECTION
1. Foundation footings before pouring concrete
2. Foundation inspection before backfill
3. Rough plumbing
Framing /Z2 -/7-
Insulation before any closing in of the frame work /47 �i
4. Final Electrical Inspection required by approved agency
.5. Septic system, before covering
6. Final Inspection before Certificate of
Occupancy/Compliance is issued
NO OCCUPANCY OF BUILDING WITHOUT APPROVAL OF THE BUILDING
DEPARTMENT.
THE BUILDING DEPARTMENT SHALL ASSUME NO RESPONSIBILITY FOR ANY PORTION
OF CONSTRUCTION THAT HAS NOT BEEN INSPECTED.
REMARKS: .
t '
David Hatin, Director
Bldg. & Code Enforcement
"HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE"
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FILE COPY
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SEAL MICHAEL J. HUPENCE
PROFESSIONAL BUILDING DESIGNER
17 DIX AVENUE.GLENS FALLS, NEW PORK tml- (6401 704-6164
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