87-814 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. 87-814
has been completed.
This structure may be occupied as a One Family Dwelling - Addition
Location East Side of Rte. 9
Owner Linda Muller
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
• BUILDING PERMIT
TOWN OF QUEENSBURY
No. 87-814
WARREN COUNTY, NEW YORK P
PERMISSION is hereby granted to Linda Muller
East side of Rte. 9L
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to one family
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.
r
1. OWNER'S Address is S.R. Box 121
Ridge Rd.
Queensbury, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name ~'
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address o
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6. TYPE of Construction—(Please indicate by X) r"
( )Wood Frame ( ) Masonry ( )Steel (
7. PLANS and Specifications
No. 20' x 22' as per plot plan, specifications and application aimixging >
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8. Proposed Use
Addition to one family p
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$5.00 C/0
$ 52.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1, 1988
(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 4th Day of December 19 87
SIGNED BY �. .CS/ for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT. t .'4,' Y ,_.,'4'
c� Applica{cio. c
JoU/n of Queenitur, Permit Issued 19 `' ;
BUILDING and ZONING DEPARTMENT Permit Expires 19 ` '' "`
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
CT 0o 7
Queensbury, New York 12801 Variance No.
Site P1 eview No. tly
pt'
1) si / ,, ...4e4, ' APPr edt b � f`�
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APPLICATION FOR /!,� l '-/;; ,t ,/,,r:L',-�-
BUILDING AND ZONING PERMIT ,
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: Ltle4.4 iY att'i_
P.O. Address -/Z • 00X I I I let /2-ez 1' Tel. n3'6 76c-7
Property Location: ETt a gat r ( `i-e L Tax Map No. / /
Street number 8r building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
LiibA- 1Vot.ULL(IL 1713--6-767
Name P.O. Address Tel. No.
Name of builder 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 dimensions from property 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 7.g. a(%.F-�• ft X ft.
* Existing building(s) Size Z 2 ft X '/L/ ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use Ak LcC *
zy-“
Size of new structure `Z 0 ft X 1.1- ft *
Foundation-pier/slab craw7rpartial/full * Proposed building, distance from property line
(circle one) ** Front yard ft Rear yard 1144 ft
No. of stories (habitable space) C * Side yards j ft and 10-1-D ft
Height (grade to ridge) lS ft• * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) ! * OCCUPANCY INFORMATION
No. of bedrooms I *
* PRIMARY BUILDING -
No. of bathrooms ` \rOne family dwelling
Primary heating system .e-J� Z * Two family dwelling
Type of fuel 2i * Multiple dwelling / Number of units
No. of fireplaces to be installed 0 X Permanent occupancy
Will a wood stove be installed? C * ransient occupancy
Central Air conditioning? 0 *
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Other
Ranch Contemporary Log cabin • If addition, what will use be? /UQ t1'-"(.
Raised ranch Mansion Duplex
Split level Old style Bungow *
al
Cape Cod Cottage tLher.-' * ACCESSORY BUILDING-
Colonial Row Town House * )(Detached garage/one car/ two car/ 3 car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * Private storage building
.
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION *
$• 6 00 `
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. LU Q oCd -r /L Y
Will any second-hand or ungraded lumber be used? If so, for what? )j,p
Foundation wall material s-t;vlA ( C 'A 0).4,a Thickness tO "
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? W Heated or unheated? Floor sq. footage sq ft
Will there be a basement? N` 3 Will any portion be used as living space? ,s
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other gi aetd Material of roof htt ,;
Size, wood studs t "X ` " spacing Ic. "o.c. length ft.
Joists(floor beams) 1st. floor / "X 10 " spacing 'L / "o.c. span Al ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) No "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses pre-engineered) spacing t ' "o.c. span i ' ft.
Exterior wall finish ''i,�yl_,t,i c ._ Of what material?
Interior wall finish
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? 00 Height above roof ft.
Depth of chimney foundation below grade 06- ft.
Depth of fireplace hearth p)/} ft. in.
Water supply - Municipal or FETivate well
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties Vat) 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, , nd all other laws pertaining to
the roposed work shall be complied with, whether spe4fied or not, and that such work is
aut orized by the owner. 7/ )1/
SW RN TO BEFORE ME THIS Signature \y
Owner, owner's agent,arcnitect,contractor
,+day of evi 1o7
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 1f401
2 . Type of heat
3 . Is the building mechanically cooled? /;iB
4 . Percentage of area of windows and doors /6 %
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
9 Under 16% Only —
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls /i - 4,
3 . R value of glazed area / 8
4 . R value of doors
5. R value of floors over unheated spaces /2041-L
6. R value of slab edge insulation - unheated slab ,i.,7 . R value of slab insulation - heated slab �id�cc
8. R value of heated basement/cellar walls (above grade) e
9. R value of heated basement/cellar walls (below grade) %&/1,
10 . Type of insulation y/t/1.c ids;, ��d.2'i ' 1
C. Controls U U
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 5/V ""
2 . R value of pipe insulation n Z
F. Service Water Heating
1 . Performance efficiency fXU) Y�
2 . Temperature control setting maximum P
G. For Swimming Pool Only
1 . Maximum heating f
Telephone No. % . /l1
(applican • • signature)
/ 4i4' .2 I
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME , &.
LOCATION I A('/- Oj yL
DATE ���`���/ PERMIT # et�iPr�
TYPE OF STRUCTURE Cl/�
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS 444_, /%2A47
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/A. `1'4
PLUMBING VENT/VENTS LACE
PLUMBING UNDER SLAB
FRAMING: tc4, J'
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R
FOUNDATION WALLS EXTERIOR R-/- 0
FLOORS WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
rerIvi
ARRIVE
DEPART
INSPECTOR
_C7o111n Of Queen.i ur y
BUILDING and ZONING DEPARTMENT
1 Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION L
Date 3 3 /a_ Permit No. -(17
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
FjAckfill
raming
Roofing
Siding
Masonry Verker
,ugh Plumb g �f
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railing
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofi g_
Door Closers
Smoke Detecto. s
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELEITRICAL INSPECTION
\\\) %
DRIVEWAY A'PROVAL
Final Building Survey
Next scheduled inspection (call when-ready)
Remarks- 414 ''Y 617 4
yo pvv. a,
Building Inspector
6/86 and-vl
1410./
4548 _Town of Queeniury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 5 //
LOCATION � e j 9G
Date to / 8-r Permit No/7'' r /y
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
(,136undation C/a w4 S Piic- (i//
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railin
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Moundation
Floors
Walls
Ceiling
FINAL ELECT' CAL INSPECTIO.
DRIVEWAY A:•ROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- // E E 6- r
Building Inspector
6/86 and-vl
11)11-111
lib
c'7
�� awn of Queeni1ury
I g J BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date 7'//%/_( Permit No.
✓ = APPROVED - YES NO
/looting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railing_
Cellar Drain Ti e
Concrete Floor:
Plbg. Fixture:
Gar. Fireproofing
Door Closer-
Smoke Detec ors
Chimney
INSULATION:
Foundatio,
Floors
Walls
Ceiling
FINAL ELICTRICAL INSPECTION
DRIVEWAY - 'PROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- FTI5 > /O b
p/E/Z s
Building Inspector
6/86 and-vl
TOWN OF QUEENSBURY
40011k-
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED „611M-\' 4j
NAME tit CAI ap, L- 1[�fl►-1
LOCATION A SSE e✓F 9 L
DATE ' /f(/c>I PERMIT# 9- T-ce,14
TYPE OF STRUCTURE )]D ITl N�
RECHECK , \-- 1 o Al E►_EC
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
`..FOOTING ,,FOUNDATIOIy ` fK GAMING
TROUGH PLUUMBING FINALE CTRICA _SEPTIC
INSULATION WOODSTOVE/FIREP E
REMARKS
APPROVAL
CHIMNEY HEIGHT/LOCATION N/A 'YES NO
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING =)
BASEMENT INSULATION/DUCTWOO K
INTERIOR TRIM/PRIVACY DOORS I
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE F
OTHER FLOORS CARPETED r
STAIR CLEARANCE/RAILING
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOIISE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
This pe/tm.i t needy on.ey the S Lna . Eeecttu ec2
ru pectton to be appnoved. The We may then
be cl o4 ed out and cetc-%{I-.ca to Ls sued.
Vic w-W contact Mir../Mn . Mu,P_een
ARRIVE
DEPART
INS T
Ai