88-726 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date FPhrimry 9, 19 R.
This is to certify that work requested to be done as shown by Permit No. 88-726
has been completed.
This structure may be occupied as a Addition to One Family
Location Ridge Rd.
Brian, Frank & Elizabeth Arnold
Owner
By Order Town Board
TOWN OF QUEENSBURY
I
Buil ing N Zoning Inspector
BUILDING PERMIT 1-3
TOWN OF QUEENSBURY No. RR-79R
WARREN COUNTY, NEW YORK z
0
PERMISSION is hereby granted to Brian, Frank & Elizabe/h Arnold
OWNER of property located at Ridge Rd. Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition of bedroom & Den
at the above location in accordance to application together with plot plans and other information hereto filed and bd
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
RR 5 Box 41
pp
Ridge Rd. x
Queensbury, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name lz7
Jon Senecal Po
tT
CD
r+
3. CONTRACTOR or BUILDER'S Address
RR4 Box 451 0
Queensbury, N.Y. 12801
4. ARCHITECT'S Name
5. ARCHITECT'S Address rd
oq
CD
6. TYPE of Construction—(Please indicate by X)
( XWood Frame ( ► Masonry ( )Steel ( 1
7. PLANS and Specifications
No. 18' x 30' as per plot plan, specifications and application
8. Proposed Use '*
O
Addition of bedroom and den to one family dwelling z
$5.00 C/O
$ 21.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 19 Rg
(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 29th Day of September 19 RR
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
INTERIM BUILDING PERMIT
PERMIT APPLICANT ARA/OLII
CONSTRUCTION LOCATION VENNI ((r Ioto
EFFECTIVE DATE Ihrlifar
APPROVED BY4)i )
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, fol • 1 • processing .
POST THIS INTERIM PERMIT IN A CI SPIC •US WIIIPO ! !
TO "N C; .. {E-. r. . a
M
uU �, - 10A _ lit
Air
SEP 22148 Building & Cod_ _ Department
BUILDING & CC/It iE CO f TOWN OF QUEENSBURY
REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!!
1. Foundations Footings, before pouring concrete.
2. Foundations Inspections and Waterproofing, before Backfill.
3. Rough Plumbing, Heating and Frame Inspections before Closing in the Framework.
4. Insulation - Foundation, Floors, Walls, Ceiling.
5. Inspection of Electrical Installations before covering (rough in) and on completion
of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF
OCCUPANCY.
6. All new septic systems or repairs before covering any work.
7. Final Inspections before Certificate of Occupancy is issued.
THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITHOUT APPROVAL
OF THE BUILDING DEPARTMENT.
TO VN 07 .: ,3E ::'''' .):"
��
D 4QuiiLury I _
BUILDING and ZONING DEPAIITMENT I lJ
Day and Havitand Road, R.D. 1 Box 98 SEP �- 88
�.JOO
Queensbury, New York 12801 v�r
BUILDING & CODE uc.rT.
Appr9ved by,:' h •e r iI0 , 6, ' ' .`—
APPLICATION FOR / ;' ' I' „(/;_: ----
- /0i - z
BUILDING AND ZONING PERMIT
it * it it it it it it it it it it it it it it it it it it it it it it it it it it it it it it it it it it it * :i*
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: 8if, l Eei9J<' C/ r��,./?0-,0,.€171 %)(i/a..6
11.U. Address „e .S &) 11/ • gL 4p ~ L J Tel. 7') 'J5 '
Property Location: e,r / /f/ ,44!" se ' '6 Tax Map NO. VIP / / ,SG/
Street number or buitding lot number
Subdivision name (if applicable) k,4"
•
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name S x/ee*G P.O.O 7 Address�� �s / !Gehl./,,/ Tel. 7 - -77-4
No.
Name of builder 17;:t cAk-ritteso . Address 4!ev og7, 2/57 Jee"‹.47,4?1, 7%.2_ - 724w
Nam.: of plumber 5 6.- Address Tel.
Name of mason --)foie Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
_Construction of a new building .4 TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
j/-Addition to a building it 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
FOR DEMOLITION PERMIT, S'PAtPL: SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
�e "re " of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
•
* Size of property ,2 7 ft X /3C) ft-
* Existing building(s) Size t,/g, ft X dtY ft.
PROPOSED BUILDING AND USE:
* Existing building(s) Use 7(-/S4rq/Ct"
Size of new structure lI ft X 3O ft *
Foundation-pier/slab/crawl 4 ' "full * Proposed building, distance from property line
*
(circle one) ,�, Front yard 6 , �ft Rear yard .� ft
No. or stories (habitable space) exit Side yards
Height (grade to ridge) f V ft. * y �G ft and /33 ft
If residential, no. or families OAtd� If on corner, setback from side street ft
No. of rooms(excluding baths) 3 * OCCUPANCY INFORMATION
No. of bedrooms / • * PRIMARY BUILDING -
No. of bathrooms * PRIMARY
family dwelling
Primary heating system f0iz�CE7.) i-zr Two family dwelling
Type of fuel �lL - * • Multiple dwelling ./ Number of units
No. of fireplaces to be installed ,4 Permanent occupancy
Will a wood stove be installed: AtDV� * Transient occupancy
Central Air conditioning? ArO * —
Business p y
BUILDING STYLE, PRIMARY STRUCTURE ,�'—
Industrial
ranch Contemporary Log cabin * • Other '
If addition, what will use be?
•
Raised ranch Mansion Duplex
Split level Old style Bungalow * ASeefeererin Gi, Z 'G 'rA^Vir
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial /
Row Town !louse * ' • 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 ifF ',vEI S
CONSTRUCTION $^ // d7.Z *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form I3PA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? 7*J 6
Foundation wall material CQ t ci (-- ,(7G1_ Thickness I N
cf
Depth of foundation below grade (to bottom of footing) I
Will there be a cellar? 1-"'' Heated or unheated? 0.446treirloor sq. footage ,ct2 sq ft
Will there be a basement? A O Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/otherSLoprb Material, of roof fxg& /_hk S'
Size, wood studs •tP- "X &- " spacing /k, "o.c. length ft.
Joists(floor beams) 1st. floor "X /O " spacing /(, "o.c. span 9 ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) c2 "X " spacing "o..c. span c' ft.
Roof rafters 0- "X " spacing / . o.c. span /2-- ft•
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish ]40 S/Di Of what material? / er SO'fl
Interior wall finish i Lti1
If a garage is be attached,/describe materials to be used for FIRE SEPARATION:
A/b
Is there to an opening between garage and dwelling? JIf so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? /L/D Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well CZ� Lc1 P
SEPTIC SYSTEM _ Distance from ANY private well including adjoining properties r-ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury STATE OF NEW YORK
County of Warren A F F :I D A V I T
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 doneion the described premises and that all
provisions of the BUILDING CODE, 1flJ 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.
SWORN TO BEFORE ME THIS Signature 41111111_
O owner's agent,ar itect,contractor
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 ✓' C- ��� �X
Q
3 . Is the building mechanically cooled? A-/C)
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. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
o
2 . R value of exterior walls _ ,Q 19
3 . R value of glazed area 3. 2-
4 . R value of doors
• L)
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)/A1
9 . R value of heated basement/cellar walls (below grade)
10. Type of insulation /lUU4 / S
C. Controls
1 . Thermostat maximum heat setting 9d
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation �r/ 7- /
b. R value of duct in other areas Av/0f .
E. Piping Insulation
1 . Size of hot water or cooling carrying agent pipe C/
2 . R value of pipe insulation ,e- /O
F. Service Water Heating 7 �
1 . Performance efficiency
2. Temperature control setting maximum /y4
G. For Swimming Pool Only
1 . Maximum heating
7�� "7�c�
Telephone .No. �—�
r•licant ' s signature)
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS /11/27
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /7 F
NAME ,--—d4G4 tW"
LOCATION ',Sr. � ,�9-y'1/
DATE //- y PERMIT #+. if4 21: (p
4 APPROVED
�' ✓�/B'Y) YES NO
FOOTING/PIER
MONOLITHIC POe ' FORMS
FOUNDATION/DAM'—PROOFING
BAKKFILL APPROV'L
`
OUGH PLUMBING
FRAMING r/
ELE TRICAL ROUGH—I
LATION:
FOUNDATION
FLOORS
WALLS i/
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/.TEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTUR.'S/RELIEF VALVE ,
INTERIOR TRIM/•'IVACY DOORS
FINISHED FLOOR.
GARAGE FIREPR,.FING
DOOR CLOSER(')
SMOKE DETECTIRS
FINAL ELECTRIIAL INSPECTION
FINAL APPROV'L OF CONSTRUCTION
/
r
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
1
REMARKS:
\fti
k ,
NSPECTOR
c-/-a7
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSP�EC/TIO RE/ �,�
RECEIVED
NAME1 �'E/v A /�/
LOCATION Pox (f f/ !t--id7&e:, ?wlf7
DATE /02,ft PERMIT # -7 z.
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
fBACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUG IN ////
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION: 1
CHIMNEY HEIGHT
ROOFING ,_
SIDING
EXTERNAL PORCHES,STEP''
STAIRS-CLEARANC & RAI S
PLUMBING FIXTUAS/RELI VALVE
INTERIOR TRIM :i'RIVACY Dir.RS
FINISHED FLO.'S
GARAGE FIREP-°JOOFING
DOOR CLOSER(.)
SMOKE DETEC ORS
FINAL ELECTRI AL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CE TIFICATE OF OCCUPANCY MUST BE
OBTAINED FR THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: 0 kC . ///
4,1. .4,4
INSPECTOR
Jouin of Queeniturj
BUILDING and ZONING DEPARTMENT
ABay and Haviland Road, RD. 1 Box 98
f'('l Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME Xt/n(7-1W/
LOCATION
Date/ cN/ Permit No. Kr- 7,2
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - / NO
Footing/Pier Forms
Foundation .
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing e
Relief Valves
Ext. Porches
Finished Floors !
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
•
Next scheduled inspection (call when ready)
Remarks-
I.
Building Inspector
6/86 and-vl
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 - 7
NAME
LOCATION L- 9"a, J � J F7 421/
DATE 6�, PERMIT #
APPROVED
a .f/ ` / YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING \, •
ELECTRICAL ROUGH-IN
INSULATION
FOUNDATICW
FLOORS
WALLS
EILING
/KIN
AL INSPECTI
CHIMNEY HEIGH
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE �-
INTERIOR TRIM/PRIVACY DOORS ✓
FINISHED :FLOORS
GARAGE FIREPROOFING --
DOOR CLOSERS)
SMOKE DETECTORS L/-
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:
11
6 : • • if
- '
INSPECTOR
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