89-126 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 26 19 _'
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a
Location
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
__ BUILDING PERMIT
X
TOWN OF QUEENSBURY
No. 89-126
WARREN COUNTY, NEW YORK z
0
PERMISSION is hereby granted to Larry Zemanek .p.
w
1
OWNER of property located at Elm Drive Street,Road or Ave. i'
w
in the Town of Queensbury,To Construct or place a Addition 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
RD#1 BOX 1707
LAKE GEORGE, N.Y. 12845 n
til
2. CONTRACTOR or BUILDER'S Name
SELF MICHAEL LYFORD tii
.
3. CONTRACTOR or BUILDER'S Address t'
ii JAY ROAD Iv
n
LAKE GEORGE, N.Y. 12845 I-,
4. ARCHITECT'S Name
5. ARCHITECT'S Address
tri
I—,
5
CJ
6. TYPE of Construction—(Please indicate by X) N.
C
( )Wood Frame ( ) Masonry ( )Steel ( ) ..
7. PLANS and Specifications
No. 12 ' x 23 ' addition to dwelling as per plot plan,
specifications, and application.
8. Proposed Use
Single Family Dwelling Q;
I-,
rt.
25. 00c/o November o
$ 32 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES NN MINMi X 1 19 89
ri-
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.) ��
Dated at the Town of Queensbury this �F�th Day of April 1989 1---.1 N
~-
SIGNED BY c/ for the Town of Queensbury Lq
Building and Zoning Inspector
TOWN QF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT
Date-
ReeJ.eved 3 .C7O'
Review d _ . 4 I ,5-. cc'oW %F QUEENSBURY
. RECEIVED
�;_ Ey ri. DO
Fee Paid $.5 7 -- B�SII'',, P " MAR 3 0 1989
BUILDING AND CODES DEPARTMENT Date I4.ued
tAY and HAVILAND ROADS RD 1 Box 98 BLDG. & CODE DEPT.
1UEENSBURY,NEW YORK 12804 Pen.m,it No.
Tel. (518) 792-5832 Ext 204
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicable spaces on this application must be completed and the
sic mature of the applicant must appear on the reverse side of this sheet .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
The owner of this property is : L RRQ`( ZCMAN€1L.
P . O. Address F.D* t Box n0.) I LP -€. GEOiLaF ,N. 1 ( 2- TEL. 752,-(oVi0
Property location E.L.rM bot1U(, GtS.'a (, icwG TAX MAP NO. 143/ Z / 3
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 Building Codes is :
L kap( "zQMAN64C wk.( .Rex flo) LOWE Geoe4a h.y, 74 a-G 1!�_
NAME P .O. ADDRESS ' TEL. NO.
Name of builder(`(\VArjK,L LA1=o¢ Address ,)qy Q.ty CetAN C.gK6
Tel ?93-S314
Name of Plumber Address Tel
Name of Mason M. t.YFoat Address Tel
JATURE OF PROPOSED WJRK: w ZONING INFORMATION (Office use only)
Construction of a new building * ZONING DESIGNATION OF PROPERTY
/Addition to a building * PERMITTED PRINCIPAL PERMITTED ACCESSORY
_Alteration to a building *
(no change to exterior dimensions) * REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
Other work (describe) * SITE PLAN REVIEW # APPROVED DATE
*
DROSS AREA OF PROPOSED STRUCTURE * VARIANCE # APPROVED DATE
*
Lst Floor 2$$ sq ft . * Remarks:
z nd Floor is(p sq f t . * COMPLETE INFORMATION REQUIRED BELOW.
Jther Floors sq ft . * Size of property 7 ft X ea1I ft.
* Existing building(s) Size 3 . ft_ t X 34, ft.
(not cellar or basement) *
I OTAL FLOOR AREA (-VS sq f t . * Existing building (s) Use \n,evNiNe..
Size of new structure 12 ft X 13 ft *
Voaridation-pier/slab raw partial/full * Proposed building, distance from property line
*
(circle one) * Front yard So ft Rear yard It S" ft
No. of stories (habitable space) Z * Side yards i$- ft and 28
ft
Height (grade to ridge) ft. * If on corner, setback from side street ft
if residential, no. of families I
No. of rooms(excluding baths) 3 * OCCUPANCY INFORMATION
No. of bedrooms l *
* PRIMARY BUILDING -
No. of bathrooms 0
yheating y` e�cc� �nto�} * '/One family dwelling
Primary s .,tem * Two family dwelling
Type of fuel * Multiple dwelling / Number of units
No. of fireplaces to be installed o permanent occupancy
Will a wood stove be installed? no> * -
Transient occupancy
Central Air conditioning? 4... ** Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Other
ranch ..C.ontemporarg cabin * If addition, what will use be?
Raised ranch nsion Duplex
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two cur/_ car
* * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION *
$_-- aO}OOo
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 10/88 v1
uUILDING PEIiI•MIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. L o Fvewe^C-
Will any second-hand or ungraded lumber be used? If so, for what? h a
410 k_ 1bu
Fouiidatiori 'wall material Covlcv'c. a Thickness
Depth of foundation below grade (to bottom of footing) `Ea sq ft
Will there be a cellar? Yu) Heated or unheated? Floor sq. footage
Will there be a basement? ho Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flatChe other Material.-of roof C:".4ys,r3SRSS SWtvc1tS
Size, wood studs Z "X (Q " spacing ((, "o.c. length �' ft.
Joists(floor beams) 1st. floor 7. "X to " spacing tb "o.c. span 13 ft.
Joists(floor beams) 2nd. floor 2. "X 10 spacing 14 "o.c. span 13 ft.
Overlays(ceiling beams) Z. "X Ce " spacing 14 "o.c. span 15 ft.
Hoof rafters Z"X (2. " spacing 14 o.c. span 10 ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish 6c.3e4+kt-leA Of what material? Q. ept.e.
Interior wall finish 10," wOM
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? b If so will a Fire-rated
door, enclosure, and self-closing device be provided? ft.
Will a flue-lined chimney be installed? Y1b Height above roof
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in. •
Water supply - Municipal or private well ems tivNe\ va el`
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties , /De ft.
(A separate application is necessary for any repair or new installation of septic system)
CMS-11NG
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 doneion 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_ *A
caner, owner'', ace ,arcnitect,contractor
•
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * k * *
SPECIAL CONDITIONS OF THE PERMIT:
•
By
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANC$ 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 7S7
2. Type of heat L i-e /'//a..'f"
3 . Is the building mechanically cooled? Ye $
4 . Percentage of area of windows and doors 36 , 5'26,
A. Over 16% Only
1 . U value of gross area l-s,-�.�of/ceiling and floors
exposed to ambient onditions;
' Ua _ •O34i • i
2 . Floor over heat spaces Y£$
a. Are foundation 3s-insulated? YES NO
1. If YES, what is the R value?
3. Slab on grade YES
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 r,4(7 //Gt-5 5 4" ft,c,,okc roar.
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions_
2 . R value of exterior walls
•3. R value of glazed area
4. R value of doors
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)
9 . R value of heated basement/cellar walls (below grade)
10. Type of insulation
C. Controls �� o
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 /V
2 . R value of pipe insulation
F. Service Water Heating �/
1. Performance efficiency /t � (gxi(57LI1)
2. Temperature control setting maxim
G. For Swimming Pool Only AJ
1. Maximum heating AV
2. - (4:7 1 • ee l
Telephone No. 7q
plicant si nature)
TOWN OF QUEENSBURY
BUILDINC..AND CODES DEPARTMENT /j�
BAYr& HAVILAND ROADS /c`
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832 /0//0
0 .,
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION re/kii .(�/Lee,A(
DATE /Q/Rc/t? PERMIT # !9 '/&60
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
AL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES STEPS
STAIRS-CLEARANC & RAILS
PLUMBING FIXTU'ES/RELIEF VA' E
INTERIOR TRIM PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSE'(S)
SMOKE DETE TORS
FINAL ELECTRICAL INSPECTION
FINAL APPRO AL OF CONSTRUCTION
A SIGNED C RTIFICATE OF OCCUPANCY MUSJJT BE
OBTAINED F••M THE BUILDING DEPARTMENT BEFORE
THESE PREMI . ARE OCCUPIED!
REMARKS:
4t5
ok `I o a 6S a7
•
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT c�
REQUEST FOR INSPECTION RECEIVED i—//—d
NAME
LOCATION ( �(
DATE - /7— ? PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
/FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS
WALLS !7 ::2"
CEILING 02)
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS'
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
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:
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME f=C-1, -LC-
LOCATION (!LJ i) 441C -d41c.-
DATE 7//Y/A j PERMIT # �-J �,j
/ APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
PCUNDATION/DAMP-PROOFING v/
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIRE4ROOFING
DOOR CLOSEI (S)
SMOKE DETECTORS
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:
LNSPEcWR
TOWN OF QUEENSBURY Zd:_`f
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME L/�-itt '""f/ 7 6/l'f iU //�f" �—
LOCATION 6 L/r1 a yZ(VL
DATE 7(/o / 1'9 PERMIT # Fy -/`v
! fff / APPRO ED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING f
EXTERNAL PORCHES/STEPS,.%`;
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF`} VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS '
'INAL ELECTRICAL INSPECTION
'INAL APPROVAL OF CONSTRUCTION.
SIGNED CERTIFICATE OF OCCUPANCY MUST BE
)BTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
tEMARKS:
r (-24_, (Lo0
Lk.),
INSPECTOR
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