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85-613 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. has been completed. Alterations and ar"'7 4-i This structure may be occupied as a �- --P Location r• .,F,.,r. Road, Glen Lake Owner ''^uc la and Rhenita_ Ouinly By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA PRINTING GLENS FALLS. N V 12801 1318)793-5658 BUILDING PERMIT • TOWN OF QUEENSBURY No. 85-613 WARREN COUNTY, NEW YORK 0 0 LCI PERMISSION is hereby granted to Douglas and Rhenita Quimby In OWNER of property located at Dineen Road, Glen Lake Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alterations/Addition to fire damaged dwg. ¢' 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. P. 1. OWNER'S Address is RR #1 Box 1636 Lake George, New York to N• 2. CONTRACTOR or BUILDER'S Name Same 3. CONTRACTOR or BUILDER'S Address C7 W Same m m 4. ARCHITECT'S Name O Al fZ 5. ARCHITECT'S Address I� N 6. TYPE of Construction—(Please indicate by X) ti (N)Wood Frame ( ) Masonry ( )Steel ( ) N 7. PLANS and Specifications repair fire damage, add foundation and construct No. 8 'x38 ' addition to dwelling per plot plan, sppri f i ca ti crn. and application submitted. N 8. Proposed Use ffi One-Family Dwelling N n lily mH. ff $5. 00 C/O Paid /o—/—f� Qr o $l0. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES May 1 19 86 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the (D town of Queensbury before the expiration date.) (],R, H. Q+ ft Dated at the Town of Queensbury this 21ra Day of Or fr hPr 19 8 5 (D O N � SIGNED BY for the Town of Queensbury Building and Zoning Inspecto TOWN OF QUEENSBURY (Space inside block to he filled in by WARREN COUNTY, NEW YORK Building Inspector) Application for Application No. �� Permit Issued 19. BUILDING AND ZONING PERMIT 1',.r,,,it Expires I! %„nine I)i.trict THREE (31 Copies of a PLOT PLAN, Drawn to scale \i l)""(c 1 b. showing the actual dimensions of the lot to be built Itc mar)Cf' upon, The exact sire, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. /10 J/2/ /gam TOWN OF QUEENSBURY L �jATE HEINVE A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORKOCT d ANSWER ALL OF THE FOLLOWING. The undersigned hereby applies for a permit to do the following work H.M. lam ` } which will be done in accordance with the description, plans and specifi- 71819 149112 4i516 cations, and such special conditions as may be indicated on the permit. id/0 Rieetii&o, The owner of this property is: ...D0 ).0'.ft9.- .�' .R/./e-- u/rf9. . a orris/ A.k I 1c y I6934, t/I',e 6�a,e6.6r,,u, > ,/z8y$--- INA 4E) IPA.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: .moot1 lff;s. . .Q.vi.P a.y. .1- .P400". .yu,G.sR. . . . . . . . . . . . .6..q.er. uo t�i lee hiudsou T, Lt NI /2Dy (NAME) �/ !1G (P 0 ADDRESS) Name of Builder.'bOyC4iis. Q.v./MP/s/ RP ".I®Y . .Address -5/4' Name of Plumber Address Name of Mason Address Lot Number Unit Estimated value of proposed work S 211 U p Name of Village Name of Street Side of street: north 0, east 0, south 0. west 0 Nearest Cross Street Distance from this Bross street Ft. Property is north 0,south 0,east ii,west ❑from Cross Street If on Corner,which corner, northeast Li, northwest ❑, southeast D. southwest (Designate by marking with an "X"in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ❑ Construction of a new building. Main Building 0 Addition to a building. One-family dwelling Alteration to a building. Two-family dwelling ❑ ❑ Demolition of a building. -family apartment house ❑ Store building ❑ -car attached garage Cl Other: Accessory Building One-car detached garage 0 Other work. Describe: t ! F-1 X Two •car detached garage ❑ ,�,p 4 QA f Private chicken house �' Private storage building ❑ •#417,pi.r7°A . .1Z . . U?c 44,A/6- Other: 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, size and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing huilding(s) in solid line. Size of property ft. x ft. Size and use of existing buildings, if any N 0ki1 (Ar6 _ a m Size of proposed building ° ft.x -3 g ft. Height(from grade to ridge) // P.— ft. Front yard ft. Side yards ft. and ft. Rear yard ft. SOUTH If on 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.?. . . (2.)000 F1414L Will any second-hand lumber be used? NO If so, for what? Material of foundation walls . . . t.&Ott< Thickness t ' Depth of foundation walls below grade g Continuous foundation? /e5 Will there be a cellar? . . VES If so, material of cellar floor CeHt ' Type of roof: Sloped or flat? ...540Pr 0 Material of roof .4/4Pt:4, 0nL17 j 34'1 Size,wood studs oZ."x . ", spacing / "o.c., length F • ft. Size, floor beams, 1st floor oA "x S' ", spacing .. . . . . /.4,. . . ."o.c., span Y ft. Size, floor beams,2nd floor . . . . .e/t tt." x N/A ", spacing /UWA "o.c., span . . N /9 ft. Size, ceiling beams ...2. . "x ", spacing I G "o.c.,span . . . . . .b ... . . . ft. Siie, roof rafters or beams A "x Eo ", spacing /CP "o.c., span i ft. Exterior finish With what material? .7'/.-lI. 71-.PA ttq .8 eF..e.J. . . Finish of interior walls..h/ 61 RO e<7+' .PgA.' Lt,cY If gars g is to be attached, of what material is wall between garage and main building to be constructed? /A. /� Is there to be an opening between garage and building? / Kind of heating system . . .t.k.tsri•ti ' Oil burner or coal? &a Will a flue-lined chimney be provided? . . .Ye.s . Depth of chimney foundation below grade Height of chimney above roof Will there be a fireplace? . . .IV Q Depth of fireplace hearth . .P./../4. . . Will a toilet be installed?. ... ..n . . . . . . . . . . . . . . . . . .` Will a kitchen sink be installed and connected to water supply? P U Water supply(public water supply or pump) Distance of cesspool from any private well //D t feet Will drainage system be provided with required traps, cleanouts, and vents? t=1(t5Ti01)6r Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr. /Ai t of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, ar true and coal. lete statement of posed work to be done on the described premises and that all provisions of the BUILD- ING CODE, ONING ORDINAN ,and all other laws ining to the pro wo hall be complied with,whether specified or not, and that such work is a riled by caner. Sworn r0 before me this Signet OWNER.OW S AGENT,ARC ECT.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 M , `gyp e,(/51'/1Jc 7;)c.J6w/4/6 2 . Type of heat 3. Is the building mechanically cooled? 4 . Percentage of area of windows and doors Over 16% Only 1 . Uo value of gross area of walls , roo'/ceiling and floors exposed to ambi_- t conditions 2 . Floo over heated spa - s YES NO a. Ar= foundation wall - insulated? YES NO 1 . f YES, what is t •e R value? 3. Slab on gra. - YES NO If YES , w- at is the R valu- of insulation arou • perimeter o floor? 4 . Is b ement heate•'• YES NO a. R alue of insu tion 5. Type of in lation ` N„,. \ Under 16% Only \, 1. R value of roof and floors exposed to ambient conditions_ 2 . R value of exterior walls ViaR / 3 . R value of glazed area ie1, 1 -r- /?,2 4 . R value of doors k a.. J 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab 4/ 7. R value of slab insulation - heated slab N/A 8. R value of heated basement/cellar walls (above grade) /t!/,�� 9. R value of heated basement/cellar walls (below grade) AV,f 10. Type of insulation C. Controls 1 . Thermostat maximum heat setting gO D. Duct Systems 1 . Is duct system installed in unheated spaces? YES NO a. If YES , P. value of duct installation b. R value of duct in other areas E. Piping Insulation 1. Size of hot water or cooling carrying agent pk_pe A"(A 2 . R value of pipe insulation 1 F. Service Water Heating 1 . Performance efficiency 2. Temperature control setting maximum /-a L" G. For Swimming Pool Only 1. Maximum heating 412/19 Telephone No. (applicant ' s signature) 5 Jown of Queenibury etg `� BUILDING and ZONING DEPARTMENT 'v Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 Jo BUILDING INSPECTOR ' S REPORT NAME Aau.4414 �� �, LOCATION /Pi Ge Date g-39 /Yr Permit No. err-- •45 * * * * * * * * * * * * * * * * *'* * * * * * ✓ = APPROVED - YES I NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Y Masonry Venter Rough Plumbi g Relief Valve. Ext. Porches Finished Flo•rs j" Interior Trim ✓ Stairs & Rail ngs Cellar Drain tile Concrete Floo s Plbg. Fixtures Gar. Fireproof. ng Door Closers Smoke Detect•rs Chimney INSULATION Foundatio Floors Walls Ceiling FINALE ECTRICAL I SPECTION DR EW, APPROVAL nal '.uilding Survay ',X t* Next scheduled inspection (call when ready) Remarks- Aft) INSiecTO)`AI/R12-/1-i6 3`3a Cd, //It 'A /Py ( ,c10 Building s ct r 6/86 and-vl awn o/ Queeni4ur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME qo ( i4 LOCATION n'J thc-0 Date s /7/ $7 Permit No. tit--/p/3 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing 1(Siding Alcw co PrP P\TIO,U Masonry Veneer Rough Plumbing /- Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofi Door Closers Smoke Detec s Chimney INSULATIO : Foundation Floors �Wa11s /(i"IC64Sift7364-40 TZ5\ ADDifal Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL ;Final Building Survey Next scheduled inspection (call when ready) Remarks- strLA-cou).4,0 towoo Bui ding Ins ecto 6/86 and-vl f1 cc�-� /! ` own of Queenibur, r BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR S REPORT 7/NAME / 4) 14/ LOCATION r I filli / < Date{74 /f _ Permit No. 83-~(4 l3 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing 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- emz.„ K. (A j5 /6.e_rCp/lf 10.4-4/ 26,-/V)41 PL-6-lis3r - Bui ding Ins ect 6/86 and-vl r Jown of Queenaurj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME 1 ,„.6 (2,4.1-7- LOCATION _ i 442.41,` o'jamerQ` p Date 3 , to / n Permit No. tS S-9 13 * * * * * * * * * * * * * * * * * * * * * * * ✓ - APPROVED - YES / NO Footing/Pier Forms i Foundation Waterproofing Backfill kraming { te .~ VP Roofing Siding Masonry Veneer Rough Plumbing 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 Final Building Survey I _ "� 1- v,SP L-ci, (9/(f- 5 /f 7 Next scheduled Inspection(call when ready) Remarks- - s- WOO dSTOvi 1 141M6 -126P 1r2. 0 0 ')-'of 5 T 4A/( 5 (N/5AS6-.4444)-- ,5to A M W MI looutg Fox_het. 5144Li P A4- uil(T� _ rB ilding ns ctor 6/86 and-vl Jown of Queenaturf, _eABUILDING V and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INNSSPPECTOR' S REPORT NAME �!� f LOCATION 4Jjjjj )2o. Date 3/f 7/ ; Permit No. ?,5.--(/3 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms 1 Foundation Waterproofing Backfill (Framing (Z--L&/5 p&a.-r1 oltl Roofing Siding Masonry Veneer Rough Plumbing 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 Final Building Survey Next scheduled Inspection(call when ready) Remarks- - R 4114- 06/4-Af- 7 wit is AO 6-Qom- Building s ec or 6/86 and-vl TOWN OF QUEENSBURY Building Department Inspectors Report Date ?/2 S24 5 Name 1)o u(, 14S CQuc.is 8 y Location 0 IN E4A1 12. ro,. Permit No. • 3 • - , Weather / 3 Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey Framing Sheathing (JA/SA6— Roof Felt Roofing Siding (J14/(a Masonry Veneer Rough Plbg. Relief Valves Wall, Board 1A(AuVExt. Porches —rat- Finished Floor V , )f (� Interior Trim I I Stairs & Railings L Cellar Dr. Tile Concrete Floors Z � Plbg. Fixtures (2billji Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls ring Buil i Inspector REMARKS rtad 3 l/3116- TO 1 3 rx uc r ati , 12.76-01i C.) 0 11)6 it4.ALS Bi ift trn 40— /0 • 7 V 1120 Pori / cI Ho 054.- 4— so fro fa, T:D ,Tt.71/ Pro 7/C/