88-344 CERTIFICATE OFOCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date .0 .4,W 23 19 it
This is to certify that work requested to be done as shown by Permit No. 88-344
has been completed.
This structure may be occupied as a Residential Camp - Addition
Assembly Point Road
Location
Nolte
Owner Donald E_ Natick =
By Order Town Board
TOWN OF QUEENSBURY
( -
Bui1dig & Zoning Inspector
BUILDING PERMIT
SL
TOWN OF QUEENSBURY No. 88-344
WARREN COUNTY, NEW YORK -`
PERMISSION is hereby granted to Donald E. Nolte
OWNER of property located at Assembly Point Road Street,Road or Ave.
co
in the Town of Queensbury,To Construct or place a Addition w
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.
0
1. OWNER'S Address is
132 Birchwood Dr.
Schenectady, N.Y. 12303
2. CONTRACTOR or BUILDER'S Name
Same ti
rt
m
3. CONTRACTOR or BUILDER'S Address
Same ui
m
4. ARCHITECT'S Name
fJ.
rt
5. ARCHITECT'S Address
O
lL
R,
6. TYPE of Construction-(Please indicate by X)
(XXWood Frame ( )Masonry ( )Steel ( )
R,
7. PLANS and Specifications CL'
VARIANCE NO. 1357 - 1988 ~'
ry.
No. 12' X 24' bedroom addition to replace trailer - install new roof
and extend porch as per plot plan,drawings and application
8. Proposed Use '
Addition
5.00 C/O
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 89
(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 7th Day of June 19 88
SIGNED BY sLl� 'CV for the Town of Queensbury
Building and Zon' Inspector
INTERIM BUILDING PERMIT
PERMIT APPLICANT T-_ >ts.) h� o /ic,L-`—C
CONSTRUCTION LOCATION f-i- S N, .6,Z,Lf tom- ;_;Jam;
EFFECTIVE DATE /1:>✓/4n
APPROVED BY
IY
SPECIAL CONDITIONS :
This will certify that all submittals for a Building
Permit have been received and fee has. been paid .
During the processing of the Permit , the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CO SPIeUOUC L ATION ! !
j4.r,,,----
Building & odes Department
TOWN OF QUEENSBURY
TO' NI OrQUEEN:C '° '`.v� _
2 n _
A
MAY 1 1998
BUILDING & CODE DEPT.
'fr
TO BE COMPLETED BY BLDG. DEPT. ; Or: QUE-:;,`::
Application No. `,
own U� 7ueiniLirc� Permit Issued 19ji) i
BUILDING and ZONING DEPARTMENT Permit Expires 19 MAY 1g1988
3ay and Haviland Road, R.D. 1 Box 98 Zoning Designation 4-12.-/A
Queen ury, New York 12801 Variance No. / 3 5 73- /c-ig BUILDING & CODE DEPT.
S 1 - Site P - ie o. l✓ �D � ��'
sl --5<0 • Appro ed,..4
APPLICATION FOR / A.A. j�t� CiV IAlC.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
e done in accordance with the description, plans and specifications submitted, and such
pecial conditions as may be indicated on the Permit.
he owner of this property is: De7/‘,/4c--12 E-• A/O 1-T E^
.O. Address /3 a, e/ /Z. :;/, moat) d 2 Sci-1 w c rft y A/i, /0',3 O-3 Tel 5-/5t-3...57-3?/,5 D
roperty Location 4SSri/Iaq yPO/NTROA0 A�fj�ivtg,ey I"OJfiI Ats c::e.0eCL:Tax Map No. S"/ / / 33
Street number or building lot/number
ubdivision name (if applicable)
HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
DOA/AL-0 C, AI o4-7F /3) 3i g c i wo OD DR. Scilfiva6 n9-p y At7/t1 a; 5/�-3S"S=3�'so
Name P.O. Address / / Tel. No.
ame of builder s 4A1, - Address Tel.
ame of plumber Address Tel.
ame of mason SAA4 Address Tel.
ATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
1/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)REAPicG T2/-IJ4!;tz* set-back dimensions from property lines. Give
'1 i tl BED(ZOOM `-"/NSTR4L-Naw ppo F 4.— street and number or lot number and indicate
�C T� /� I R c-l‘ whether interior or(corner loi). Show location
R DEMOL ION 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 9'`f, 4?43 ft X /I f, 5 ft.
* Existing building(s) Size 960 ft X 5(), ft.
* .
'ROPOSED BUILDING AND USE: * Existing building(s) Use krS/ps ,/-?E__ (cAM p)
>ize of new structure /g,. ft X/,'/ ft * 5 O fvt /VI .0 i2- (15 6- o%([
'oundation pier slab/crawl/partial/full * Proposed building, distance from property line
- (circle one) * ft
* Front yard 5-6 ft Rear yard 'Z , 'S
]o. of stories (habitable space) * Side yards ft and ft
ieight (grade to ridge) / Fj ft. * If on corner, setback from side street ft
Cf residential, no. of families
Jo. of rooms(excluding baths) *E0_0OM OCCUPANCY INFORMATION
Jo. of bedrooms TKl-l4€ R�P4c0 /T IR AL / H PRIMARY BUILDING -
*
Jo. of bathrooms * XOne family dwelling
?rimary heating system
* Two family dwelling
Cype of fuel * Multiple dwelling / Number of units
•
Jo. of fireplaces to be installed ' 0
permanent occupancy
Jill a wood stove be installed? A/0
* Transient occupancy
ventral Air conditioning? N A Business
*
3UILDING STYLE, PRIMARY STRUCTURE Industrial
•)c Other CAMP-- U5E9 OURIAlls SUMMER.. C:2NLy
Ranch Contemporary Log cabin * If addition, what will use be? &E D ROOM -
Raised ranch Mansion Duplex .. P..e PlAcE•7/ /LEJZ c)9iD .s” (3an Ito 0n1
Split level Old style Bungalow
tape Cod Cottage Other * ACCESSORY BUILDING-
colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/_ car
* * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other •
CONSTRUCTION $ y-.3`,D O .
INFORMATION ON BUIfDING 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. 1.✓ O O p (= RAMC"—
Will any second-hand or ungraded lumber be used? If so, for what? NO
Foundation wall material FIr R- (I:L Thickness
Depth of foundation below grade (to bottom of footing) '
Will there be a cellar? alp Heated or unheated?C ggrgpFloor sq. footage �3 8� sq ft
Will there be a basement? A/o Will any portion be used as living space?
(If so, what portion? — sq.ft. - - Type of use? --
Type of roof - sloped/flat/shed/other5c.o PEp Material. of roof 5ffi,/6.4 Es
Size, wood studs ,'L "X 4 " spacing /(o "o.c. length F' ft.
Joists(floor beams) 1st. floor A_ "X g- " spacing /6 "o.c. span /Z ft.
Joists (floor beams) 2nd. floor "X - " spacing -- "o.c. span — ft.
Overlays(ceiling beams) AI/ALX p in as ft.jjerroAAct-kORD OPTn-vsS
Roof rafters -- "X -" spacing o.c. span — ft.
Roof trusses(pre-engineered) spacing Z.'' "o.c. span34, ft.
Exterior wall finish f'.,V(Ja o b Of what material? -f-Arx-2,-0/ec
Interior wall finish �-L" 57//10"7---,2o ck
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? No Height above roof - ft.
Depth of chimney foundation below grade -- ft.
Depth of fireplace hearth — ft. in.
Water supply - Municipal or private well r'xf5 77,i'6- (F'[Z o,1c (-,414:0)
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties ft.G2/5rr,,,e
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
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 Lon the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the p oposed wor' shall be complied with, whether specified or not, and that such work is
authori-ed by e owner.
SWORN TO BE •' ME THIS Signature__ �}) 240/fe G O"&-
Owner, owner's agent,arcnitect,contractor
•.y of 19
Nota• Public, Warren Co •ty, .N.Y.
* * * * * * *' * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
S'ECIAL CONDITIONS OF THE PERM ' :
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 2.3s ( rxores�0 NL r.✓ 2ooift>
2 . Type of heat Ulf big -T-r
3 . Is the building mechanically cooled? IV 0
•
4 . Percentage of area of windows and doors CA? l°
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 (4
a. Are foundation walls insulated? YES NO
-l . 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 Al 0 812t50/140N1
a. R value of insulation
5. Type of insulation
. B. Under 16% Only •
1 . P. value of roof and floors exposed to ambient conditions
2 . R value of exterior walls
3 . R value of glazed area
4 . it 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
0 . 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 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
2 . It value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2 . Temperature control setting maximum
C. For Swimming Pool Only •
1 . Maximum heating
OsibigA -p "},VD Al /..!!L C0/1/!,r/ON/.✓o- — /A 5vLI►T/ON 'VDT Xazzwitylo.
Telephone No. J /$" 3S
(applicant ' s signature)
ellifilimilliki ,3- / 33 ,f' !'
`' '�
co TOWN OF QUEENSBURY
Bay at Haviland Road,Queensbury,NY 12804-9725-518-792-5832
Building & Codes Department
INSPECTOR'S REPORT
__41430_____19 177
PROPERTY ,71ilLOCt N�I�-C/X/ lee
OWNER OR TENANT
BUILDING SEWAGE SIGN OTHER j7r6 t o7c.�
REMARKS:
': f'7� , y
Ps
‘.i/tal 1;?; - '‘''' 42.4' R7,3 ,#c.
9/2ze.
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7 / dt C1999.. Dop p-a _ 6-
CONTACT THIS OFFICE WITHIN `'
ioy
PECTOR
"HOME OF NATURAL BEAUTY. . .A GOOD PLACE TO LIVE"
SETTLED 1763
.Town of Queeniur,
BUILDING and ZONING DEPARTMENT
l Bay and Haviland Road, R.D. 1 Box 98
Queens bury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME /4 , Lz�
LOCAT ION 7 ,7,44 •
9
Date 7/Kr Permit No. ' ;, `r/
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Back fill
Naming
Roofing
Siding
Masonry Venee`
Rough Plumbing',
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar. Drain Tile i
Concrete Floors
Plbg. Fixtures
Car. . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors r�
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
.
OA)
Building I 's•-etor
6/86 and-vl
i\1
11/-j:/47/
.own of Queeni4urcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME / 017 „ Q ,
LOCATION Ce�7),,,,,a, �
r� W� 77
Date �7 - fi/W Permit No. ..T
* * * * * * * * * * * * * * * * * *
to/ = APPROVED - YES ,/PTO
L E4 6ti /Pier Fo ���
Founds
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Til:
Concrete Floors
Plbg. Fixtures
Gar. Fireproo ng
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELESTRICAL INSPECTION /
DRIVEWAY A'PROVAL
Final Buil. ' ng Survey
Next scheduled inspection (call when ready)
Remarks-
r
7
Buildi g Inspec r
,/86 and-vl