6270 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
This is to certifythat work 6270
requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a One—Family Dwelling
(Garage converted to One-Family Dwelling)
Location Ash Drive
Owner
Robert C. Hay, Jr.
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE 'INSTA" ►RINTING GLENS FALLS. N V 12801 1518/793-5638
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 6270
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Robert C. Hay, Jr.
OWNER of property located at Ash Drive Street,Road or Ave.
Convert garage to One—FamilyDwelling
m
in the Town of Queensbury,To Construct or place a 9 �J g rt
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. n
1. OWNER'S Address is R. D. #1
Lake George, New York
n
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
• Same
4. ARCHITECT'S Name
In
C7
5. ARCHITECT'S Address ft
I-'-
C
(D
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( )Masonry ( )Steel 1 1
7. PLANS and Specifications Convert 2 9'x28 ' 9" garage to one-family dwelling
and add 28 'x18 ' carport per plot plan, specification
No. and application submitted including sewage system.
8. Proposed Use
O (']
O
One-Family Dwelling (D
$5. 00 C/O Paid
w5rrr
$ 8. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES. October 1 19 80 t N G�
O"I. ,
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the et-
town of Queensbury before the expiration date.)
(D
27th March 80
Dated at the Town of Queensbury this Day of 19 I—. H-
P-O
•
SIGNED BY f'x„! fLd , for the Town of Queensbury
Building end Zoning Inspect.
TOWN OF QUEFNSBURY - BUILDING DFPARTNENT
R. D. *1 BAY P`:D Y.PVILAND ROADS
GLFNS FAILS, NF%' YORK
•
Phone 792-5832
DATE: /e/s ii
TO:
CG 2�
y
Our records indicate that you were issued a building permit
number 6 ? U on C 0
for the construction of .�-v t.,--e ,e
Our files show that the required inspections are incomplete.
If still under construction please contact this office for an
extension of your building permit, or if completed please
contact as so we can take your card out of the active file.
Next required inspection
For all new construction Town Law requires a Certificate of
Occupancy to be issued by this Department before occupancy.
Noncompliance may result in legal action.
To avoid further delay and possible legal action, contact this
office to rake arrangements to update your file.
OUFFNSRURY BUILDING DFPART*"ENT
// 4 ��� ��
TOWN OF QUEENSBURY (Space inside block to be filled in b,
WARREN COUNTY, NEW YORK Building Innpccuw)
•
A lication for •.t►PIication No.
PP Permit Issued l9.
BUILDING AND ZONING PERMIT F'pires 19
1.,pn in District
%Au.nl Work 1
•
THREE (31 Copies of a PLOT PLAN, Drawn to scale ..\i,1,►."`c•cI by
showing the actual dimensions of the lot to be built Mona,Kf
upon, exact size. and location on the lot of the
• building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSEUrs
S /22/et
ATE H E 0 E 11 V i Ii .
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MAR 2 71980 a,d
ANSWER ALL OF THE FOLLOWING. A.M. f 3 f e e,
The undersigned hereby applies for a permit to do the following work ' P.M.
which will be done in accordance with the description, plans and specifi- ?I. I9r."i inn, I2I. I, I5I6
cations, and such special conditions as may be indicated on the permit.
alp "I nG
The owner of this property is: /
.k -..
.J.iu(? / ,-t '►
'y 1 ••• /t 4. /`)'II✓e. . .. .I. . . ike. .4-.� r .�. .V . .11a0. 4.i
(NA'•.E1 (P.O.ADDRESS)
The person responsible for supervision of the work insofar as the Building.Code and the Zoning Ordinance apply is:
,i- rC H.av .7. h . bY; v a Rki. 1. . y41c. .ram-. -AggDDRE7 S►l�•.Y!. .!d-. . . . . . . . . .
(FAME) )P O S
Name of Builder IR, k ti`r Id;y Jr Address At" rJ+-It; e 8 b I 1- k G e o,j e
Name of Plumber.1.Z.Q toevt `' tic,Y 11.• Address .63..4 . .0r.1Ue. . . R.O. .1 .1-4.1:C. . .G..,.1,r7e
Nattrte of Mason. �.ti ` '•
f 1-1-3--x ,j . Address .A.s .h LI t- ! u.e.l.?1,,. .l. . L�ll r.Cr. ../1-4 pe.
Lot Number Unit Estimated value of proposed work S . / v'42..
Name of Village ` ..
Name of Street .A.6.6. .lJ.k•!.0 a Side of,street: north east * sotith 0. west 0
Nearest Cross Street .(x:.I(..'i . .Li-t i.e.' . . k.a a d . . . . . • • . . Distance from this -ross street 37 . Ft.
Property is north Afriouth $east 'Li,west 0 from Cross Street•
If on Corner,which corner,northeast D, northwest 0, southeast 0 southwest
(Designate by marking with an"X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling g
EC Alteration to a building. Two-family dwelling 0
❑ Demolition of a building. . • • -family apartment house 0
Store building 0
-car attached garage 0
Other:
• Accessory Building
One-car detached garage 0
❑ Other work. Describe Two-car detached garage 0
Private chicken house 0
Private storage building ❑
Other: e4 eid CU r-f o r
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of occupancy.
Indicate on the plot plan street names,the location and
size of the property, the location, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
MORTM Show proposed buildings) in dotted line and existing
f liuilding(s) in solid line.
r
Size of property . -' ft. x -?' -- ft
Size and use of existing buildings,if any
a 4ti : m Size of proposed building ft.x ft.
• Height(from grade to ridge) ;; ,ft.
N. ` / r/'' Front yard 1,✓. ft.
y
v Side yards is ft. and ,+t ft.
Rear yard ..L'7-ft.
—7 SOUTH If op corner,setback from side street ft..
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73-M
(cont'd.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame,fire safe,etc.?. .I' ?g•S.q?i. .• `.' • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
Will any second-hand lumber be used? . . IV O If so, for hat?
Material of foundation walls . . . .,M..%.y = z r 7 Thickness ./:r.Jf
Depth of foundation walls below grade g P c o Continuous foundation?
Will there be a cellar? . If so, material of cellar floor
Type of roof: Sloped or flat? . .'). .o i.e "t Material of roof . .c o.tt .p .
Size,wood studs 4 "x '� ",spacing / . ."o.c.,length • g` ft,
Size, floor beams, 1st floor "x ",spacing "o.c.,span ft.
Size, floor beams,2nd floor ft.."x IQ ", spacing ./6 "O.c.,span '' ft.
Size, ceiling beams . .i."x .4 ",spacing /4 ."o.c.,span /4. ft.
Site, roof rafters or beams 4 "x C ",spacing /4 "o.c.,span ay. ft.
Exterior finish 13/e o K With what material?
Finish of interior walls. 5ho.it•RAcik• r.' .*. •/'ki•Nt
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building? .,lv
Kind of heating system .'_.f., :r•r.•G Oil burner or coal? .hie I Ti o h
Will a flue-lined chimney be provided? .\i1. •-..D Depth of chilhney foundation below grade . . .g. £..: t
Height of chimney above roof. . .4,2,.p-tt
Will there be a fireplace? .440 Depth of fireplace hearth .N Q
Will a toilet be installed? 40*
Will a kitchen sink be install and connected to water supply? .1�@ 5
Water supply (public water supply or pump) .
Distance of cesspool from any private well . .(Os. .Q o t i feet
Will drainage system be provided with required traps,cleanouts,and vents? . .\f.(5
AFFIDAVIT
Town of Queenshury
County of Warren
State of New York
I swear that to tr, bai r of my knowledge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co... lete statement of all proposed work to be done on the described premises and that an�twt's' of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the pro work shall be complied wit tl.wire he specified or not,
and that such work is authorized by the owner.
Sworn before me this Signature . �'...
pp�/ OWNER.OWNS N CM! T.CONTRACTOR
2 z ,k-'a day of 19....Lf.�
NOTARY PUBLIC.WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY L, 0 ;r P
P.„4') '"A'A -- ' '‘
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 9 61
2 . Type of heat Ft e -t v i G
3 . Is the building mechanically cooled? A o
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 spac - AgMBP NO
a. Are foundation walls insulated? NO
1 , If YES, what is th - R value? {j //
3 . Slab on grade YES NO
a. If YES, what is the R valu: of insulation around
perimeter of floor?
4 . Is basement heated? Ns
a. R value of insulation / if
5. Type of insulation Co RHf 41 6/A-s -5
. Under 16% Only
1 . R value of roff and floors exposed to ambient conditions
2 . R value of exterior walls fi7:1 -'47 ------
!, 4, t
-- 3 . ‘'R value of glazed area
4 . R value of doors 9-}- ' i —
lual
h 5. R value of floors overoheated space
i
•�,fa d
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
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct system installed in unheated spaces? YES 0
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
Telephone No. w_ .^--s k, ..f ,..) 6 f, ,-e ,R< ., ,` �'�
(applicant ' s signature)
r
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date .4-A (9
Name /
Location �/k-4 JjZ
Permit No. !oa o Weather
Remarks
Excatation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs &Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling , -
Building Inspector
REMARKS
S , lit t)GE` £rs'/-e„ 41,yv.
TOWN OF QUEENSBURY
Building Department
Inspectors Report D e S O/7 f
Name yv�
Location �' /f /'7 0-e
Permit No. 22 '7c) Weather
Remarks
Excat;a tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
.100//)KI
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
• Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney /
Water Meter Inst.
Septic Approval s'/
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
/iooOrq/ 5.C/03c
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