85-539 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.
Dweilinc
This structure may be occupied as a -
TL,a Pall Rear?
Location
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE INSTA PRINTING GLENS FALLS N Y 12801 1518)793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY No. 85-539
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Barbara Barber
td
OWNER of property located at Lot 3 Hall Road Street,Road or Ave. s
in the Town of Queensbury,To Construct or place a One—Family Dwelling 1-1
gu
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.
I-I
1. OWNER'S Address is RD #1
fD
Glens Falls, New York n
2. CONTRACTOR or BUILDER'S Name
Daniel Barber
I-'
0
3. CONTRACTOR or BUILDERS Address ct
W
RD #1 x
Glens Falls, New York
4. ARCHITECT'S Name N
id
0
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( )Masonry ( )Steel ( )
0
7. PLANS and Specifications
24 'x36' per plot plan, specifications and application
No. submitted including one car attached garage and
sewage system. N.
8. Proposed Use
One—Family Dwelling •
0
I--,
I�
$5. 00 C.0 Paid H.
$ 75. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 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
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 20th Day of Sept. 19 8 5
SIGNED BY `7214 (mil '/ for the Town of Queensbury
Building and Zoning Inspector G
BUILDING PERMIT
TOWN OF QUEENSBURY No. 85-539
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Barbara Barber
td
OWNER of property located at Lot 3 Hall Road Street,Road or Ave. s
in the Town of Queensbury,To Construct or place a One—Family Dwelling 1-1
gu
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.
I-I
1. OWNER'S Address is RD #1
fD
Glens Falls, New York n
2. CONTRACTOR or BUILDER'S Name
Daniel Barber
I-'
0
3. CONTRACTOR or BUILDERS Address ct
W
RD #1 x
Glens Falls, New York
4. ARCHITECT'S Name N
id
0
5. ARCHITECTS Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( )Masonry ( )Steel ( )
0
7. PLANS and Specifications
24 'x36' per plot plan, specifications and application
No. submitted including one car attached garage and
sewage system. N.
8. Proposed Use
One—Family Dwelling •
0
I--,
I�
$5. 00 C.0 Paid H.
$ 75. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 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
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 20th Day of Sept. 19 8 5
SIGNED BY `7214 (mil '/ for the Town of Queensbury
Building and Zoning Inspector G
TOWN OF QUEENSBURY
(Space inside block to be filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for 'l'l'li`ation No.
('c.rnut ls,ued 19
BUILDING AND ZONING PERMIT l',.111it Expires
7.11inL District
• \ AR'R' 1 work,$
THREE (31 Copies of a PLOT PLAN, Drawn to scale
\11)v,ccd lw
showingthe actual dimensions of the lot to be built kc illarKs"
upon, Te exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
I TOWN OF Q UE E N S B U r"
48-3-27. 224 9-16-85 10 l [ V E n
DATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ' I `y-;) I
ANSWER ALL OF THE FOLLOWING. A.m. -u % I" Ef .PIA-
The undersigned hereby applies for a permit to do the following work 71SI1� �
1116
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be indicated on the permit. G,ito t 1
The owner of this property is:
Barbary Barber RD #1 .Glens .Falls,. .New. Yor.k
(NA 4E) (PO ADDRESS)
The person responsible for supervision of the work insofar as the Building Code and the ZZt ing Ordinance a ly is:
Daniel Barber RD #1, Glens Falls, New Yorx
(NAME) (P 0 ADDRESS)
Name of Builder Same Address Same
Name of Plumber Same Address Same
Name of Mason Same Address Same
Lot Number Unit Estimated value of proposed work S 4.0,.0 0 0
Name of Village
Name of Street . . .Hail .Road Side of street: north ❑, east 0, south 0. west 0
Nearest Cross Street Tee Hill Distance from this cross street Ft.
Property is north 0,south 6,3,east El, west 0 from Cross Street
If on Corner,which corner, northeast 0, northwest ❑, southeast Q. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
® Construction of a new building. Main Building
Cl Additiondwelling o Addition to a building. ❑
El Alteration to a building. Two-family dwelling
❑ Demolition of a building. . . -family apartment house ❑
Store building ❑
1 -car attached garage ❑
Other:
Accessory Building
One-car detached garage
O Other work. Describe •
Two-car detached garage
Private chicken house ❑
Private storage building ❑
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
buildings) in solid line.
Size of property 23 ,210 ft. x ft.
Size and use of existing buildings, if any
1• ,e
0 m Size of proposed building . .24 • • • . . ft.x . . . . 36. . . ft.
Height(from grade to ridge) 14 ft.
Front yard 4 0. ft.
Side yards 30 ft. and 40 ft.
Rear yard 40 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
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe,etc2 wood. frame
Will any second-hand lumber be used? no.l If so, for what
CQ fred nCre.te Thickness 8
Material of foundation walls o Y '
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? Yes If so, material of cellar floor concrete
Type of roof: Sloped or flat? sloped Material of roof asphalt
Size,wood studs 2 "x 4 ",spacing 16 "o.c., length 8 ft.
2 "x 8 ", spacing 16 "o.c., span 12
Size, floor beams, 1st floor ft.
Size, floor beams, 2nd floor " x ", spacing "o.c., span ft.
Size, ceiling beams 2 " x 6 ", spacing 16 "o.c., span 12 ft.
Size, roof rafters or beams 2 "x 6 ", spacing 16 "o.c., span 14 ft.
Exterior finish board• d ba 11•en With what material?
lz cnh sheetrock
Finish of interior walls. . . . . . . . . . . .i .n. . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
5/8 sheetrock
Is there to be an opening between earaze aid building? no
Kind of heating system e e r 1C Oil burner or coal?
Will a flue-lined chimney be provided? no . Depth of chimney foundation below grade
Height of chimney above roof no
Will there be a fireplace? no Depth of fireplace hearth
Will a toilet be installed? - yes
Will a kitchen sink be installed and connected to water supply?
Water supply(public water supply or pump) well
Distance of cesspool from any private well 1 feet
Will drainage system be provided with required traps, cleanouts, and vents? yes
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tr. bap f my know)edge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.,.plete statement of all proposed work to be done on the described premises an that all rovisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed wor hall be plied ' ,whether specified or not,
and that such work is authorized by the owner.
Sworn to before me this Signature .... . -.��—
16th Sept. 19 8 5WNER.TSWNER'$A NT, CHITECT,CONTRACTOR
day of
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 4 e
3. Is the building mechanically cooled? Aei 1
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
der 16% Only
R value of roof and f or osed to ambient conditions_
2 . R value of exterior walls "" / / J. 3 — ) 7
3 . R value of glazed area R- 1
4 . R value of doors 10--
/ 5----
5. R value of floors over heated spaces 7
K -- / -
6. R value of slab edge insulation - unheated slab / v e -r-29411 -
7. R value of slab insula i• . = -d slab ! t3k9
8. R value of heated basement c ia • r, is (above grade)
9. R value of heated basement c lar \11's (below grade)
10. Type of insulation /
C. Controls Co
1 . Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? YES Nd
a. If YES, R value of duct installation
b. R value of duct in other areas '
E. Piping Insulation .� l(
1. Size of hot water or cooling carryi agent pipe l
2. R value of pipe insulation 1_. I I
F. Service Water Heating
1 . Performance efficiency
2. Temperature control setting maximum
G. For Swimming Pool Only
. ,9)
1 . Maximum heating )9 )Tel No. 1) f .r.a g _ 6
•
(applicant s signature)
ivrrty yr yuzEnoDU1[Z ,
BUILDING & ZONING DEPARTMFNT
SEWAGF I SAL PERMITL TION _
1. Owner ' s Name Cl ,
Address (----) „.___4 �� �`� i .)>('
. i ' Telephone No. P�� �
2. Property location 1--( ��
3 . Name of p rson or fi u responsible r installing system
.5' — =ax__,-6 elephone No. >g?.(: 2
Address c.eir------).--.—..9'
4. Number of bedrooms (residential buildings only) 0-
5. Daily flow 2 gallons/day
6. Septic tank ca.acity /6 gallons
7. Topography: rolling, steep
% of slope
8. Nature of soil and depth L Q
—
9. If ground water, bedrock or impervious material is apparent at what
depth does it, begin? A) l- ft.
10. Percolation test: A j( is required
B 4) is not required
C If re• ired what is the rate minutes/inch
11. Water supply: municipa —other
12. Type of system propose. • drywell,) the field, other
Any contractor, corporation, individual, etc. engaged in the construction
of a sanitary sewage disposal system who covers the same before inspection,
does not have an approved permit, or varies from the approved application
will be subject to a penalty of $250 as ided fo n 'on 6 .010 of the
Queensbur anitary Sewage Ordinance.
Date j6-
I ‹ ?1, ;)-
.
j signs ure of applicant
On separate sheet of paper submit a diagram of the proposed septic system
with all dimensions, including distance from any structure, distance from
property line and domestic water supply, etc. Include all dimensions of
` the system itself.
Form 3-82
I12- i— C-)
TOWN OF QUEENSBURY
531 BAY ROAD
�N4� QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME i661 J 1 tt_et.
LOCATION 4 f- ✓ / tL ,
DATE /4 ,l y . PERMITS C/ -7 y
TYPE OF STRUCTURE \ 5
RECHECK,
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION _WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A 'YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT ? X
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS\.
RELIEF VALVES
E/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORJ
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
OLE S
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:
/55Uk 0 O
I P
TOWN OF QUEENSBURY
Building Department
Impeders Report Date `Q//2/85-
NamLocation�4 2 ta ER.
Permit No. Y-53 9 Weather
Remarks
Excavation
Footing Forms
Footing & Piers eK
Foundation
Cement Coat
Waterproofing
Backfill A1A
Final Survey <6
Framing R OOOF eic •
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 1/ 60 '# 74ljc,0e — Q/
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation 'Foundation
Walls
Ceiling
7rf Building Inspector
REMARKS
/
e $e 4 4•e 0 6t3 ce — ` eVC
TOWN OF QUEENSBURY
Building Department
inspectors Report Date 57yilr
Naar 44.g Al a/4a /L
Location Rizzi Izit7.
Permit No waLAI6 Weather
Y S 5-3/ Remarks
Excavation
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
i Spector
REMARKS4 ///►►► 14417
Al
TOWN OF QUEENSBURY
Building Department
tnapeetors Report Date ' 74'?,6"
Name 3',4 j .
Location i 24.4, !ZA
Permit No. Weather
Y 'r- 5 3 / Remarks
Excavation
Footing Forms l�
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
1////
.. Cellar Dr. Tile A
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
4. 41
Building Inspector
REMARKS
L
o
LA)-12-0
56it\
(0 P
t