1992-002 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date A2trrr!'ati, /l0 19 I
This is to certify that work requested to be done as shown by Permit No. *002
has been completed.
This structure may be occupied as a Porch and Bedroom
Location 578 Bay Road
Owner Edward & Elizabeth Allen
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
a
TOWN OF QUEENSBURY "
No. 91 002 z
WARREN COUNTY, NEW YORK v, 41
z
"1 Fs
PERMISSION is hereby granted to Edward & Elizabeth Allen
V
1
OWNER of property located at 578 Bay Road Street,Road or Ave. lb
0
in the Town of Queensbury,To Construct or place a Alteration 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. OWNER'S Address is a
..d
Same m
N
m
2. CONTRACTOR or BUILDER'S Name C.
X
Same a
file
3. CONTRACTOR or BUILDER'S Address rrn
N
a
cr
ro
4. ARCHITECT'S Name S
DTI
V
Co
5. ARCHITECT'S Address
CO
01
I<
0
a
6. TYPE of Construction—(Please indicate by X) C.
(X)Wood Frame ( ) Masonry ( )Steel ( )
4'
7. PLANS and Specifications
4-1.No. 382 sq ft Alteration to Dwelling as per plot plan specifications ;
and application c
8. Proposed Use g
3 season Porch, and bedroom .44
to
$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 6, 19 93
(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 Day anuaryzei
19 92
SIGNED BY o i for the Town of Queensbury
Building and Zoning In ctor
TOWN OF QUEENSBURY TOWN OF Qu
RECEIVED �r
Aralk REVIEWED BY:
JAN 0a 1992
1041, FEE PAID: ) Y.
PERMIT NO. :
D — OC)a
Etta & CODE DE,M
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
* * * * * * * * * * � * * * * * * *_* * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: Edt�?��f—\ q E) 12.czbq ` - I I( Y.-)
P.O. Address: 51 3 _ ' j -RoPriD PHONE-nS-1.413
Property Location: ` ) x' E3Ck.N1 -R(Dad Tax Map No. / /
Has there been any split of this property since October 1, 1988? Yes No >(
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODESr IS:
E d w and P 1 �11C?I l q r1 PHONE `q q 3 O
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ 800' '-
Addition to building *
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dim s' * Size of Property: OD ft. x 15lb ft.
Other work (describe) '`/// * Existing Building Size:
* ,.�
Gj� ft. x �4 €lft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor; Sq. Ft. * Front Yard ft. Rear yard ft.
* Side Yards ft. and ft.
2nd Floor Sq. Ft. 1 * If on corner, setback from side street-
t �*� ft.
,Other Floors Sq. Ft. 2 `—
(not cellar or basement)TAL ` � �/� nc AI�.* OCCUPANCY INFORMATION:
TO FLOOR AREA: 01 ��t Sq.5t. ,, ,vo!c Primary Building -
`' Ni'( / 0: S �� * �_ One Family Dwelling
Size of New Structure: ft. x ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) * Other
Height (grade to ridge) ft. *
If residential , no. of families: * If addition, what,will use e?
No. of rooms (excluding baths): I * ,
No. of bedrooms: * — ._ , ram a e'r r ,r�
No. of bathrooms: * Accessory Building:
Primary heating system: 1lo'f kig- * Detached Garage - 0 /Two Car
Type of fuel: * Car
No. of fireplaces to be Installed: joi * Private Storage Bu ding
Will a woodstove be installed?: po * Other
Central Air Conditioning: Yes No li. *
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood fra fire safe, etc.
Will any s,eeondThand oi`'tingraded lumber be used? If so, for what? I.Sb
Foundation Wall Material : Thickness:
Depth of Foundation below grade (to bottom of footing) :
Will there be a cellar? 00 Heated or Unheated? }-WM-iaD Floor Sq. Footage:
Will there be a basement? NO Will any portion be used as living space? \'fS
If so, what portion? Sq. Ft. Type of Use? 36sa,D,�,
Type of Roof: Slope./Flat/Shed/Other Material of Roof
Size, wood studs 7 " x "; spacing kta " o.c. ; length 48 ft.
Joists (floor beams) : 1st Floor " x spacing " o.c. ; span ft.
Joists (floor beams) : 2nd Floor " x "; spacing " o.c. ; span ft.
Overlays (ceiling beams): " x "; spacing " o.c. ; span ft.
Roof rafters: " x "; spacing o.c. ; span ft.
Roof trusses (pre-engineered): spacing " o.c. ; span ft.
Exterior Wall Finish: of what material?
Interior Wall Finish: �l e.4 12o04
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? kr) If so, will a Fire-Rated door,
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 mt private well (including adjoining properties: ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: PHONE
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: 'TElIFly ALLY Jo Lvfrtv Lptis�. PHONE 79 330 3�
ak-keervsY
DECLARATION
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 work shall
be complied with, whether specified or not, and that such work is authorized by the owner.
Signature ' } CU Q Q�
• Own owners a ent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code -Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
EAU3-Bc t I zAa T+' ALLEN 5 n t3a‘1 \o4tn
APPLICANT'S PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
X 1. Gross Floor Area - (Z X. 2( 5) Sq. Ft.
2. Type of Heat - Oil_ Elec. Base Board Other
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Nic Over 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R k-'3®
B. Exterior Walls R , �
C. Glazed Area R� s f? 5
D. Exterior Doors R A/
E. Floors over unheated spaces R /C):- 30
F. Edge of Slab on Grade (Heated Building) R ' A44
G. Basement/Cellar Walls (Above Grade) R 444
H. Basement/Cellar Walls (Below Grade) R /c/4
I. Heating/Cooling - Ducts - Piping in Unheated Space R. 4///1
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140• - WILL NOT BE EXCEEDED
APPLICANT'S SIGNATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS:
REVIEWED BY
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME "di, i /'
LOCATION _5W- ay UA/
DATE/2/(!/72 PERMIT # 9i?- G'2
TYPE OF STRUCTURE ,J- ,1i.�lli,/.O
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING t-, :htc .�aa/42
PLUMBING VENT/VENT IN PLACE
PLUMBING UNDER SLAB
FRAMING: f lac,, r t',e° �]n y K �L��9z
JACK STUDS/HEADERS 1
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM 1`
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INtERIO R-
FOUNDATION WALLS EXTERIORSkR-
FLOORS R j fpa IR-
WALLS CEILING 4"9AB-
DUCT WORK UR P PANG��IN�UNHEATED
SPACES
REMARKS:
1 � Cat.e �e cCev CA- t. /lam/9 CA-
Cti 1 ew-4 /:i4/9L X�
(C, L-L; —C: ►1-
MCC t Y i i )-11-i T t it A' t/e
ARRIVE
DEPART 1'--7
INS ECT R
Town o f Queen itur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
SEPTIC DISPOSAL SYSTEM INSPECTION
NAME
LOCATION �� �'j�
l.� LJ
DATE l / cocU PERMIT NO. •
SOIL TYPE - Sand - Loam - Clay l 0001
Percolation Test Required? YES - NO
Percolation rate - Min/Inch
TYPE of SYSTEM:
Absorption field, total length
Length of each trench
Depth of trenches •
Size of gravel _
SEEPAGE PITS{Number of)
Size- ft. X; _ ft.
Gravel size
PIPING: Size Type
Bldg. to tank
Tank to dist. box
Dist. box to field/pit
Openings sealed? YES NO Partial
LOCATION/SEPARATIONS:
Foundation to tank. ft.
Foundation to absorption ft.
Absorption to lot line ft.
Separation of pits ft.
LOCATION OF SYSTEM ON PROPERTY(circle one)
Front - Rear - Left side - Right side -
COMMENTS:
SYSTEM USE APPROVED XESJ NO
i
t �
Building Inspector
01/86 and vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENTg/K__.
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT •
:EQUEST FOR INSPECTION RECEIVED % 72",/
ME th l�Y'C fit` ,'y _C ri 1
OCATION l`1 c-,i
ATE ,.j 'GJ PERMIT #
'YPE OF STRUCTURE 6z,'./ fz% c% .0 ,:b�
ECHECK APPROVED
N/A YES NO
OOTINGS/PIERS
ONOLITHIC POUR FORM
EINFORCEMENT IN PLACE
'HE CONTRACTOR IS RESPONSIBLE
'OR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
-HE PLACEMENT OF THE CONCRETE.
IATERIALS FOR THIS PURPOSE ON SITE
OUNDATION/WALL POUR
EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING
ACKFILL APPROVAL
'.OUCH PLUMBING allitt1'-214_
'LUMBING VENT/VENTS INPLACE
'LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
IRESTOPPING
WALLS
CEILING
IREWALLS
!EATING ROUGH-IN
NSULATION:
FOUNDATIOg'WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS, R-
WALLS ` R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
:EMARKS: ,
C.A4 r (b'6cTIod or(c IJ ':zr10
by 71 L L(is '-VO SWi-tL TA me-
_
ARRIVE 2 Zj
)EPART -273
S EC OR
TOWN OF QUEENSBURY f y�
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 � �? {i--
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION//`` RECEIVED
NAME
LOCATION 7/'..� 4:41/
DATE %./40,1 PERMIT # 9: G/aZ
TYPE OF STRUCTURE /Li,'
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB_
FRAMING: r,
JACK STUDS/HEADERS
BRACING/BRIDGING_
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R- ✓
WALLS R- 09
CEILING R- 30 ✓
DUCT WORK OR PIPING tN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
IN E TOR
W\Nt
TOWN OF NSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 TELEPHONE (5 8) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME ‘4) NVONA_
LOCATION 5 ? g Q oc
DATE PERMIT # (I2 OO Ga
TYPE 0 STR CTURE
RECHECK Cs4)PC I T,p APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB i r'
•FRAMING: =`leer—
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN ,SEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R
FOUNDATION WALLS EXTERIOR R-
FLOORS /
WALLS R-
CEILING i R-
DUCT WORK/OR PIPING IN UNHEATED
SPACES /
REMARKS:
•
)F n
ARRIVE
DEPART ,,
INSPECTOR
RECeriv'10 'all
I T O ' •N . . P Y TOWN OF QUEENSBURY BUILDING DEPARTMENT JAM 02,
r �, . �� I Based on our limited examination. '"" ►
ti U 1-D i G �A. " p T. cnmpfiance with ova comments shall
not be construed as indicating the �+�+
REVIEWED BY ,/_ plans and specification awls fidt
e ogor
DATE V*// Z ft comp�arace a cods.
. FlU
,.
_______________ .
_ __..
.......____________________________.
I . -.\ , . Di i ....._.........______________I 1 1, ............ ..... .... _ _
i, 1 —TT— ... /
k______4,...__ . , ,
l'\
I _,—II, ‘:' , •
N--1--
d ii _---
- _L_-_.-r f.'.-7 ,-'_/-'l___la,—/- --6,1 I 47.4,<L.--- 1
. 1---,—RC)si- T 7-7_LJL;',.-,-V&;11.C). '14 ) /
l
; P.0P 0 . D i, k=t-1 o V/ -'I 0 t '
, • „6.7,7 o . 434y/Q.:0_ -- 1_=D- 4 ,3uFT y, /7!2_6:7 4
fi..
A' A
F � •gym' � .µ.5
...
TOWN OF OURENGSLMY
i s 1 eic iy,/'
<"---)--7 __________—:•,!,7-1,------ - 1, t-—-—)JAN?a,199
......,_. _... , :,/ BLDG. &CODE DEPT.
. - .;
\ 1: .
. .,
• .
71'7" r,
]r> i54 77/
' N / /
•
----------J-4
•
•: \_'• /''
i v).
t4
. •
•
1714 5p10 i 4 0 - 4
N..
N - N . - ti-eDr.' .C,Nr,‘, ; \ •
. .
. , A\ •
. .
I ;
\ ,
N
:._......-::::::..,:IT._ _, -_ .. .. .-;=.....1--- -f::::-;:-.7:-..,i;:it-,„- i ------- ,. • -- -,--
- ...
/ .
. / 7-/2./.:..
I ' 1 I •
. .,•
.,.. c:/9/e /4: /-1co" /;'-`76 44 02P - ED 0 1z./r r,'" /ILYzE-A1/4,1
_,. .
.
TOWN OF OUEENSBURY
RECEIVED
JAN 0 2 1992
sun. &cooE DEPT.
1 ----= --
.....,
----
I i i
i
I 11
/ u. ) \• 'I ;“ 12\ ' Y.2; - ' ' ' r'S''''-'s, -I-2'Ili'''\IV:\--`1 '''''-',('‘Ii'''' -' ' - ''',''' I
1
4 — II- 9 x /-5-*
1 i 1
7 x, 4Z 7.--.40.174-;
I I
• i
/ x ." fiice‘1.> /1/34?S,e5- - I
/1
",--VC,<:::; „.(---",„A/4,-471i il i
1 , i
4-7—Y /37/Al i , -„, „„) ....
41 17:04,1r 111 ip I
rt
// _ x
// ,,/
1,7,----%, . ..
07 4.-- 1 It t I
I Aie .Z&E- 4-- -I 0 ,'-'
./.., ,te . A C X f ,-.1 i 1 1
/2 1/ ..57/4C-4 7-4,01:0 frp7V,,___ - -
I
1. r
it,,.....,....- --, / i-,- ,e- •; .
X /6 .-,
.. .: - . ' \': ,!
, _ , . ,
I 1!
1 N.
1
,t .....,7 • :.7 I
t i
t
1 t .
1 i
4 1
6.,,, /9 i z -17
- 4