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.• CERTIFICATE OF O . : UFANCY
TOWN OF QUEENSBURY
;a
,_ WARREN COUNTY, NEW YORK
Date July 18 19 91
This is to certify that work requested to be done as shown by Permit No. 90-741
has been completed.
`
raised ceiling in bathroom of single s
This structure may be occupied as a family dwelling
Lake Parkway, Assembly Point
` Location
ARTHUR A. BIRNEY
Owner
By Order Town Board
TOWN OF QUEENSBURY
r—D
Director of Bldg. &"Code Enforcement
—I
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-741
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to ARTHUR A. BIRNEY
OWNER of property located at Lake Parkway, Assembly Point Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Al tprati on 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
4846 Van Ness St, NW rn
Washington DC 20016
2. CONTRACTOR or BUILDER'S Name -S
c+
Richard D. Morris
-s
3. CONTRACTOR or BUILDER'S Address
RR2 Box 2191
Lake George NY 12845
4. ARCHITECT'S Name
fD
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5. ARCHITECT'S Address c+
N
J.
SD-
CD
r-
6. TYPE of Construction—(Please indicate by X) a
co
( Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
cu
No. Alteration to dwelling (30 sq ft) as per plot plan, specifications
and application.
8. Proposed Use co
a
Raise roof of bathroom by joining two dormers.
0
$ 50.00 91
PERMIT FEE PAID —THIS PERMIT EXPIRES October 26 19
(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.)
c+
fD
26th October 90 -s
Dated at the Town of Queensbury this c
/2/,
Day of 19 °i
SIGNED BY % for the Town of Queensbury
Building and Zoning In ctor 0
C1
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J.
•
TOWN OF QUEEMSBURY '/ •
REVIEWED BY I'
OW
,' 1 FEE PAID $ 62) i-re)
s PERMIT NO. 90— l OCT 2 1990
BUILDING PERMIT APPLICATION BLDG. & DE DEAT.
•
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • • • • • • • • • • • a a • • * a • • • • • • • • • • • • • • • • • • • • •
The owner of this property is: Ar+hur A SIrn e.y
P.O. Addressy8yly Vun �ess Sf. IJ• Wt Wastiittj-tan D. C.cooiiTel. clog Lig - L72�
Property Location Wes+ SP ci t:1 La ICC., Pa r i'wa y Asser» t l y PO i r►+ Tax Map No. / 1 / l L/
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
Richard D_ Morris
a
NATURE OF PROPOSED WORK: • ESf7MATED MARKET VALUE OF •
Construction of a new building a CONSTRUCTION: $ 7006. o0
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property 1j.5 ft x 1-�ft.
/ Alteration to a building • Existing Buildings(3) Size 3.1. ft. x 3 3 ft.
(no change to exterior dimensions)
' Proposed building - distance from property line:
Other work (Describe) ' Front yard ft. Rear yard ft.
•
Side yards ft. and ft.
•
GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft.
1st Floor sq. ft. •
* OCCUPANCY INFORMATION
2nd Floor sq. ft. • Primary Building -
Other Floors sq. ft. • V One Family Dwelling
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA50sq. ft. • Multiple Dwelling/Number of units
Size of new structure ft x ft. • Business
Foundation-pier/slab/crawl/partial/full • _Industrial
(circle one) • Other
omini
No. of stories (habitable space) •
Height (grade to Mdge) ft. • If addition, what will use be?
If residential. no. of families _ e ,
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. Woo d game
Will any second-hand or upgraded lumber be used? If so. for what?
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? Will any portion be used as living space?
(If so, what portion? sq ft. Type of use? •
Type of roof - loped flat/shed/other Material of roof Aspha (f Shinj(es
Size, wood studs 01._ "x q " spacing l ( " o.c. length b ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft. T J,n.afc% �
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. Fra.,n a
13
Overlays (ceiling beams) "x 4 " spacing I( " o.c. span 8' ft.
Roof rafters a "x 4 " spacing I. 4. o.c. span g ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish .ShI'n5 le.s of what material? Ceciar
Interior wall finish % a S/tie e,"fro c.k
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,
self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.:
Water supply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
n ,21201 &ox67f
JAME OF BUILDER Pic-hard V /lurriI ADDRESS Lc,' GG-ep AIN TEL. NO. 66e ' t,9 �oL5
/.38 95-
JAME OF PLUMBER ADDRESS TEL. NO.
JAME OF MASON ADDRESS TEL. NO. •
Lcke SAor,, Dr-
JAME OF ELECTRICIAN£d and .cI/ci ADDRESS L4. Geo ry NW. TEL. NO.4,,62' ti
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
lana and specifications submitted, are a true and complete statement of all proposed work to be done on
he described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
11 other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
uch work is authorized by the owner.
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) OCT 2 r 19°0
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family DweUl.;icg& CODE DEFT.
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
a, c, / Lct e, k.way, era, b iY PO A d� !-
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 50 Sq. Ft.
2. Type of Heat - Elec. Base Board Other Io + Art- ( i r t Re r ec.n
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown. Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R .30 kgO
B. Exterior Walls R 19 25 19
C. Glazed Area R 2- 5 I •?
D. Exterior Doors R 2.5 205
E. Floors over unheated spaces
F. Edge of Slab on Grade (Heated Building) _Li__
G. Basement/Cellar Walls (Above Grade) R 25 19'
H. Basement/Cellar Walls (Below Grade) R � __JJ___
I. Heating/Cooling - Ducts - Piping in Unheated Space R 4-. (0 4 (a
6. Service (Domestic) Hot Water Heating Device •
A. Conforms to minimum efficiency per code k/ YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
0_a ) C ul�ris -
L �' '1
I tcha Q (ko(°r-0t-qate-
262
TOWN OF QUEENSB Y
`` j , QUEENSBURY,B ROADAY NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR�II ,L 9U�(NSPECTIO��N11 RECEIVED
NAME &/ ,, h4
LOCATION ctf// 1 Al_t/
DATE 7// 4/1 PERMIT# 90-- '7/
TYPE OF STRUCTURE ail- 74) Cc�U
RECHECK • /
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL LFR'AMING
ROUGH PLUMBING FINAL—ELECTRICAL/ SEPTIC
2FNSULATION WOOUSTOVE/FIREPLACE/ —
SITE PLAN/VARIANCE REQUIREMENTS J YES _ NO ,
REMARKS I
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION IX'
B VENT/LOCATION ,`I ✓ /
PLUMBING VENT if; ,/
ROOFING L1 r
SIDING / t/
DECK/PORCH/STEPS/RAILINGS y ,
RELIEF VALVES ,/,
FURNACE/HOT WATER OPERATING! 1 t/ ,
BASEMENT INSULATION/DUCTWORK /
INTERIOR TRIM/PRIVACY DOORS ✓J ✓
FINISH FLOORS: i -ft
BATH/KITCHEN WATERTIGH 1F7
t/
OTHER FLOORS SWEEPABL 1 J,, '
OTHER FLOORS CARPETED t✓ ,
STAIR CLEARANCE/RAILIN S -✓ •
HANDICAPPED ACCESS / ,/,.
SMOKE DETECTORS E/ .
BATHROOM FANS/WHOLEH USE FANS t/ /
ALL PLUMBING FIXTURES OPERATING t/
GARAGE FIRE PROOFI G /
DOOR CLOSERS r/ .
OTHER FIRE SEPA ION ✓ ,
FIRE/DEMISE WAL 14
DUMPSTER ✓
FINAL ELECTRICAL ✓/
OK TO ISSUE C/O OR C/C ;%
COMMENTS: •
.11/Pe-/ ' i"-7-0-4(
ARRIVE -9s 2a
DEPART 0Q23" (��L7:6--------
INS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME1}:
LOCATION
DATE 43 yyQ PERMIT # �Q— 7,7/
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS • '
FOUNDATION/DAMP—PROOFING
BACKFILL APPROVAL ' . . . `
ROUGH PLUMBING
FRAMING •
ELECTRICAL ROUGH—IN
(INSULATION: 1'
/' FOUNDATION ,r. .
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT j
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS!
PLUMBING FIXTURES/RELIEB VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS '
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION—
.
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF)OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCrPIED!
REMARKS: /
d
•
ARRIVE
DEPART
NSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k /��
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED �/ ,7o
NAME 1,11jam/ ZIineq IACATION71J,e� A/Lb/ ?_. / 47 mil/ T/�
/-
DATE /�f//k PERMIT � -7
APPROVED
YES NO
FOOTING/PIE
MONOLITHIC P R FORMS
FOUNDATION/D -PROOFING
BACKFILL APPRO AL
ROUGH PLUMBING •
\FRAMING
/'ELECTRICAL ROUGH N
INSULATION:
FOUNDATION
FLOORS . . . .
WALLS 1./ ' ' . . .
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORC ES/STEPS\
STAIRS-CLEA NCE & RAILS'
PLUMBING FI URES/RELIEF VALVE
INTERIOR TR M/PRIVACY DOO S
FINISHED F ORS
GARAGE FIR PROOFING
DOOR CLOSE (S)
SMOKE DET CTORS
FINAL ELECT ICAL INSPECTION •
FINAL APPR VAL OF CONSTRUCTION
OK TO ISSU C/O OR .C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPART NT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: •
•
, ARRIVE I
DEPART ii S3
TNRPFrpnp
y r TOWN OF QUEENSBURY /3-141
Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
Building & Codes Department
INSPECTOR'S REPORT
19
(Jr` `�j � /'C ��l < l.Cs2d_e/YI .
PROPERTY LOCATION 4
OWNER OR TENANT
BUILDING SEWAGE SIGN OTHER del 6- de(/.Pekf2G
REMARKS:
/-2A/90 Zd/I. •
0,79.44,61 - tdyilb 6L-4. /2-/-2/90
•
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,: l✓ice
CONTACT THIS OFF/ICE WITHIN
Z{) /c7:\',
INSPECTOR ,\
•
•
7 /S - '/'i'/7
"HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE"
SETTLED 1763 •
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