89-714 CERTIFICATE O `OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 12 19 89
This is to certify that work requested to be done as shown by Permit No. 89-714
has been completed.
This structure may be occupied as a Addition to Office Space
Location378 Bay Road
Owner Worlco Management
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
= BUILDING PERMIT
TOWN OF QUEENSBURY
No. 89-714
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Wort Co Management
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OWNER of property located at
P P tY 378 Bey Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to Offi cP Spacp
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.
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1. OWNER'S Address is c
Same
2. CONTRACTOR or BUILDER'S Name
John Hughes
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3. CONTRACTOR or BUILDER'S Address 375 Bay Road
Queensbury, N.Y. 12804
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
XX)Wood Frame ( )Masonry ( ►Steel ( )
7. PLANS and Specifications
No. 10' x 10' Addition as per plot plan, specifications, and application.
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8. Proposed Use
Addition to Offices
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$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES XAMMIOR April 1 19 90 -11
(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.)
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Dated at the Town of Queensbury this it Day f,, September 19 R,q
SIGNED BY n for the Town of Queensbury
Bui mg and oning nspector
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_lawn u� Qttee is.11 urn
BUILDING and ZONING DEPARTMENT TOWN OF OUEENSRuRY
Bay and Haviland Road, R.D. 1 Box 98 RECEIVED
Queensbury, New York 12801
SEP 6 19
Approved by:
APPLICATION FOR BLDG. &.CODE DEPT.
BUILDING AND ZONING PERMIT
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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
De done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
l'hc owner of this property is: tc,sor"/GEC i�a,9iv, 4c sn �T
.O. Address 3 %I B y. �� • / Tel.
)roperty Location: eet fed Tax Map No. �p 0 /7 //4.5
Str number or building lot number
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subdivision name (if applicable)
PIIE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
lame of builder f „s jf,, A c S Address ?>,S S--P ,e444. Tel. 71,) VA: 6
lame of plumber / Address Tel.
lame of mason 5,4r„ Address Tel.
JATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building '* TWO PLOT PLANS 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
'OR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
.00ATION OF STRUCTURES AFFECTED. Of water supply and location and configuration
* of septic disposal area.
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* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property /4/0 ft X �30 ft.
* Existing building(s) Size ya ft X 72 ft.
*
'ROPOSED BUILDING AND USE: * Existing building (s) Use el ,rc
size of new structure r ft X /d ft *
'ocsndation-pier/slab/ /partial/full * Proposed building, distance from property line
(circle one) *• Front yard 5-1c ft Rear yard 8 ,5 ft
lo. of stories (habitable space) / * Side yards y ft and v ft
'eight (grade to ridge) // ft. • If on corner, setback from side street ft
:f residential, no. of families
lo. of rooms(excluding baths) * OCCUPANCY INFORMATION
lo, of bedrooms * PRIMARY BUILDING -
�o. of bathrooms c *' One family dwelling
rimary heating system f,/D 7
:'ype of fuel (�.44s * Two family dwelling
lo. of fireplaces to be installed * Multiple dwelling / Number of units
dill a wood stove be installed? * Permanent occupancy
ventral Air conditioning? )/e s * Transient occupancy
* :,-Business
WILDING STYLE, PRIMARY STRUCTURE *' Industrial
ranch Contemporary Log cabin * Other '
Zaised ranch Mansion Duplex * If addition, what will use be? ,L vrvCil Rde m
3plit level Old style Bungalow *
ape Cod Cottage Other * ACCESSORY BUILDING-
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 VALUE OF . * Other
CONSTRUCTION *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
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BUILDING PEIMdIT APPLICATION CONTINUED -
BUILDING SPECIFICATION:
Type of construction, wood frame, fire safe,etc. w o/ +r.07.,"
Will any second-hand or ungraded lumber be used? If so, for what? ;may@,,, e
Foundation wall material h Ia C.t.Thickness 8
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? rv0 Heated or unheated? Floor sq. footage sq ft
Will there be a basement? /,0 Will any portion be used as living space? .i.9
(If so, what portion? sq.ft. - - Type of use?
'type of roof - sloped/flat/shed/other 5'/1 / Material• of roof . , i,p rs;(, <
Size, wood studs "X / " spacing /G"o.c. length g ft.
Joists(floor beams) 1st. floor 4 "X >�a " spacing /G "o.c. span io ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) c " spacing, A "o.c. span ro ft.
Roof rafters ' "X " spacing ,r o.c. span /0 ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish .5,h,,,,0/4-s Of what material?
Interior wall finish is-s " carve µ.,49i/
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)
sown of Queensbury AFFIDAVIT
STATE OF NEW YO
'ounty of Warren lt1C
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 doneion the described premises and that all
provisions of the BUILDING CODE, 'LUE ZONING ORDINANCE, and all other laws pertaining to
:he proposed work shall be complied with, whether specified or not, and that such work is
kuthorized by the owner.
WORN TO BEFORE ME THIS Signature__
er, owner's a nt,arcnitect,contractor
day of 19
Jotary Public, Warren County, N.Y.
R * . * * * * * * * * '* * * * * * * * * * * * * * * * * * * * * * * * * * a * * * a * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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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 065 JOp
2 . Type of heat n ► / �p-f' 0- IC-
3 . Is the building mechanically cooled? 'fief
4 . Percentage of area of windows and doors 42 •6, 4%.
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
R-30
2 . R value of exterior walls • te-/
3 . R value of glazed area £- V
4 . R value of doors R- /y
5. R value of floors over unheated spaces Ae-/9
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation - heated slab ^/.f1-
S. R value of heated basement/cellar walls (above grade) itb/4/
9 . R value of heated basement/cellar walls (below grade) A 4,
10 . Type of insulation rba.<q[�c 53 AeHol� r'oa....
C. Controls /
• 1. Thermostat maximum heat setting SO°
D. Duct Systems
1. Is duct system installed in unheated spaces? IlaCIP NO
a. If YES, R value of duct installation g-
b. R value of duct in other areas -3
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 l 3r
2. Temperature control setting maximum /(00"'
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. 99c.--i)ac
(applican s signature)
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
NAME
LOCATION 3 2f ,f
DATE /aIWO �ERMIT # 9- 7,/t-
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL '«
ROUGH PLUMBING
FRAMING f
ELECTRICAL ROUGH-IN
INSULATION:
y
FOUNDATION
FLOORS
WALLS 3
EILING
INAL INSPECTION:
CHIMNEY HEIGHT
ROOFING '
SIDING / t/
EXTERNAL PORCHES/bTE t�
STA-IRS-CLEARANCE:`& RA. S
PLUMBING FIXTURI°S/RELIT' VALVE
INTERIOR TRIM/PRIVACY D ORS
FINISHED FLOOR$
GARAGE FIREPROOFING
DOOR' CLOSERO
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVA , OF CONSTRUCTION �/
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMI. 'ES ARE OCCUPIED!
REMARKS:
141 I - 319
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Cae- Witco'44-
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!LOA)
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804,
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSf�PECTI 1 RE EIVED
NAME kI 77. 8 i74
LOCATION t JJ/44
DATE PERMIT # ' -7/
127
APPROVED
/<(-14/\ YES NO
FOOTING/PIERS J�
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
4OUGH PLUMBING
RAMING`� 6 '
EL TRIAL ROUGH-IN
LATION:
FOUNDATN
FLOORS `
WALLS \ ✓ `'I1 /L -104
CEILING
FINAL INSPECTIONc
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/SIPS
STAIRS-CLEARANCE & RILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOQRS
FINISHED F,`LOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DEtECTORS
3
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
I/1
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS '
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME __ 0
LOCATION -3-) %--
c ,Q-Q
DATE q- 9- 1 PERMIT # v I- //41
' APPROVED
_____
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING /
BACKFILL APPROVAL
ROUGH PLUMBING
/lRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS V', (``C,_? .
CEILING 14 3`E X
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
4/
rci 144 ///7;
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR`S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME Z-r� r--C
LOCATION .)
DATE G/-/S__ 9' PERMIT # " / l 41
APPROVED
� t4 �f7� YES
L.,FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
r
SIDING
EXTERNAL PORCH`S/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIX2'URES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
eel
, 1
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INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT - 1r��cr
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832 „..'
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION 3 e7 .�� �
DATE
PERMIT # %` 2r.
APPROVED
YES NO
FOOTING/PI RS
MONOLITHIC OUR FORMS
FOUNDATION/ P—PROOFING
BACKFILL APP VAL
ROUGH PLUMBIN
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOOR' l
A' WALLS �..
F C ILING.
iL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL POR' ES/STEP$
STAIRS-CLEA`"NCE & RAILS
PLUMBING F XTURES/RELIIF VALVE
INTERIOR RIM/PRIVACY *ORS
FINISHED FLOORS
GARAGE IREPROOFING ' t
DOOR C •SER(S)
SMOKE DETECTORS
FINAL giECTRICAL INSPECTION
FINAL 4PPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
04-
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00 INSPECTOR
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