92-542 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date NnvPmhr 9 19 _92
This is to certify that work requested to be done as shown by Permit No. 92542
has been completed.
This structure may be occupied as a ADDITION TO DWELLING
1201 OLD ASSEMBLY POINT RD.
Location
owner DITTRICH, ,Oflfl & 1=b'.nRrzFANN
By Order Town Board
TAX MAP NO. 5. -1-31
TOWN OF QUEENSBURY
DikK`rQ C*OkAirs-
S
Director of Bldg. 6: Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No.92-542
WARREN COUNTY, NEW YORK
w
PERMISSION is hereby granted to Todd & Georgeann Di ttri ch
OWNER of property located at Old Assembly Point Road Street, Road or Ave.
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.
v
1. OWNER'S Address is --I
same -i
c�
2. CONTRACTOR or BUILDERS Name —i
Fuller Construction Q
120
3. CONTRACTOR or BUILDER'S Address
O
9 John Clendon Rd
Queensbury NY 12804
4. ARCHITECT'S Name
5. ARCHITECT'S Address
O
O.
6. TYPE of Construction—(Please indicate by X) N
CD
(X)Wood Frame ( )Masonry ( )Steel ( ) II
7. PLANS and Specifications
O
No. 16'x26' Addition to dwelling as per plot plan, specifications and
application.
8. Proposed Use
Bedrooms
$ 32.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Sept 14 19 93
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the c,+,
town of Queensbury before the expiration date.) O
tZ
Dated at the Town of Queensbury this 14th Day of September 1992
r`sD
4,e4ed � C {
SIGNED BYy1 for the Town of Queensbur B ie►ttracid'Zoning Inspector
TOWN OP QUEENSBURY SITE PLAN
kEViEIV NEEDED
4011100k REVIEWED BY: „ ,e49
/�amPp /
imam
APPlieatiot FEE PAIR: ,3;,
P RMIT N . : (g `�)4,,, ,,a: FF 0 EENSLs,
ira-ID
ILDI � `' RMIT APPLICATION Ict�9 1992
A PERMIT MUST t.
+ A --,--• . ' . *CONSTRUCTION. NO INSPECTI(�i"SDi L . CRIDENAMEIONTIL
APPLICANT HAS '_. , A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applyi�,caant MUST appear on the reverse side of this application.
* *�/,c v m* * * * * * * * * *�* * * * * * * * * * * * * * * * * * * * * * * * * *
Own r of Property: 1� C 4— (f`�`z,,e 6a iAi,L) J.
7 -7-7-e 77-t .See 16i ,
P.O. Address: PHONE cJ
Property Location: ev2) / tee.- Y A- /L®,gb Tax Map No. , 7 / /,'/
(>� >.l3 tr/y'
Has there been any split of this property since October 1, 1988? Yes No t/
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: — Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
l/Rrs -i dkIlit /uc.LE/C
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ G-/ / S 2)
Addition to building *
Alteration to building * COMPLETE INFORMATION R UIRED BELOW:
(no change to exterior dimensions) * Size of Property: 9'l6 ,sft. x_ - ft.
Other work (describe) * Existing Building S ze: Itc zC:
* 2--0 ft. x 3 y ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor 1-//6 Sq. Ft. * Front Yard 4/ /4 ft. Rear yard 23'f ft.
* Side Yards /e/z' ft. and z_i?' ft.
2nd Floor Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: 47/ Sq. Ft. * Primary Building -
* / One Family Dwelling
Size of New Structure: /b ft. x A‘, ft. * Two Family Dwelling
: . ,ation: * Multiple Dwelling/No. of Units _
Pier,Slab/Crawl/Partial/Full (Circle One) * Business
--r * Industrial
No. of stories (Habitable space) / * Other
Height (grade to ridge) /1, ft. *
If residential , no. of families: / * If addition, what will use be?
No. or i Vi1.Sis \C l.:Li Ciillg tJ CG l.ii
No. of bedrooms: 2-- *
No. of bathrooms: * Accessory Building:
Primary heating system: 25-2 -a 7- c * Detached Garage - One/Two Car
Type of fuel : .�-� iC * Attached Garage - One/Two Car
No. of fireplaces to be installed: --- * Private Storage Building
Will a woodstove be installed?: * p
Central ' - . .l t, ii .,"'7.` ._ No c-/ * A . r •
Application
4
APP (OVER)
^ 9199?SEP I p92 po,
A.
r, . Y --risi Administ to,
_.`� . zon Administrator TOWN f QUEENS .
7
TOWN OF t1UEENSBURY = __. ...I - o. ,_
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING 1MTIONS:
Type of construction: wood frame 'fire safe, etc.
YR �
Will any second-hand or ungraded lumber be us:'.? If so, for what?
Foundation Wall Material : )4,/4 z Thickness: /i''
Depth of Foundation below grade (to bottom o ing): '5 `' , /„�,
Will there be a cellar? Heated o Unheated? Vy - •q. Footage:
Will there be a basement? ,C,/e, Will any portion" be used a I .ng spa -?
If so, what orti •i?
p Sq. Ft. Type of Use?
Type of Roof: Sloped lat/Shed/Other Material of Roof ,t9,e - 5‹
Size, wood studs " x 4 "; spacing /6 " o.c. ; length ' ft.
Joists (floor beams) : 1st Floor " x /n "; spacing /; " o.c. ; span // ft.
Joists (floor beams) : 2nd Floor x "; spacing "-o.c. ; span ft.
Overlays (ceiling beams) : " x . "; spacings" " o.c. ; span ft.
Roof rafters: " x " ; spacing o.c. ; span ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span ft.
Exterior Wall Finish: /72- X. C'c , .y S of what material ?(,, e)2 s�C-7�r.c�cxss�
Interior Wall Finish: /z 4
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 rivate well x / -
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. )
�)C I -5 7—1
NAME OF BUILDER & ADDRESS: ���L�-� �> PHONE -14z---a030
NAME OF PLUMBER & ADDRESS: `7 c�,E,�+,�1 6y6 ,,)ate XI PHONE
NAME OF MASON & ADDRESS: S,t,‘ ( '��Z- ,5,r3v2X 'CV PHONE
NAME OF ELECTRICIAN & ADDRESS: /sp ��L�,pTlf siv� PHONE793-/q(13
11 /'I. ti'/s � �
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 done on 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 wor 's uth ,ized by the owner
Signatu'
c Owne , owner s agen , architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
r
B y:
Code Enforcemen't Officer
NEW YORK STATE ENERGY CONSERVATION CONSTRUCTION CODE 3/91 GK Jr
PART 6 COMPLIANCE FORM - Building Design by Thermal Rating Method
v) w- a,eC-E✓.�v.v b M—.7-e r c/1
BUILDING ADDRESS: 64_6 BLY - �a�t DATE: q ' 3 -
(Pe) LI2,„o
ENGINEEER: GEORGE KUROSAKA JR., P.E. PHONE: (518) 793-7190
PERMIT APPLICANT: c..c_ C ,,.,g , PHONE: 7qz —2-03 0 „
HEATING DEGREE-DAYS: e000 Degree-days
HEATING SYSTEM: Gas-fired Oil-fired _Heat-pump _ Electric
SUMMARY OF TOTAL THERMAL RATING:
AREA U-VALUE THERMAL TABLE
RATING USED
A. ROOF/CEILING 44' 44 FT r 02 6, -4 4 (o-4-
B. NET WALL 46f 6 54 04.7 + $D -
C. GLAZING
Windows !'jam SQ f� .S0 '- S (0-2
Entrance Doors f.4/,a
Skylights NSA
D. FLOORS 440 5a pr 0 +Cv (9-3
D2 BASEMENT/CELLAR WALLS
Wall Perimeter 1\(/pl. Feet
Exposure Ab-grd ;(0'6,7 Feet `"i4 i''1 OF OUEENSb.
Wall U-Value �/f� RECE€IFD
Depth U-Value N/A
'IX 1992
Below-grade
t7.
D3 SLAB INSULATION
Slab Perimeter N/A Feet r.DG & CODE DEPT
Insultn R-Value
INFILTRATION CONTROL •
YES/NO All windows less than 0.35 cfm/lf operable crack
YES/NO All req'd areas -w/infiltration barrier
TOTAL THERMAL RATING •
\1,URQsf; \
LAI q = r
�e !1a 'a GEORGE KUR[]SAKA JR., P.E.
BUILDING SYSTEMS CONSULTANT
r;erl. 3580 / - 13 ARBUTUS DRIVEl` c\, x QUEENSBURY, N.Y. 12804
�f N.Y.S. P.E. Lic. No. 35869
P
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTS REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 1JY7lJ
LOCATION 4i4/( ,-a4
DATE 9//5-A2-, PERMIT
TYPE OF STRUCTURE o ,q,RECHECK APPROVED
APPROVED
, N/A YES NO
VFOOTINGS/PIERS
I MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING I
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS INPLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION: •
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: _
Cit./9 12• 7:j
(ct '71) tr I i•.tit 6LICC
•
it •
ARRIVE i!
DEPART
IN PECTOR
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
531 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: `v DEPART: s/f S INSP: '
FINAL INSPECTION REPORT - RESIDENTIAL
OATH INSPECTION REQUEST RECEIVED:
RAMS mm y4
LOCATION i12 f
DATE W / • • PERMIT I 4r; S4{L
TYPE OF STRUCTURE
adt/ 4 di/UP-ail)-/
FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION _
FINAL ELECTRICAL WOODSTOVE OR FIREPLACE
N/A/ YES NO
CHIMNEY HEIGHT/8 VENT/HEIGHT ‘/
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINGS sV
•
BELIEF VALVES
7URNACE/HOT WATER OPERATING �/
jNTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
Z
OTHER FLOORS CARPETED
STIR CLEARANCE/RAILINGS
i v./-
SMOKE DETECTORS f
EATHROOM FANS / L/
PLUMBING FIXTURES k
GAPAGE_EIRF PROOFING +V
POOR CLOSERS •
FINAL ELECTRICAL
SITE PLAN/VARIANCE REG. . ✓
//'
FINAL, SURVEY PLOT PLAN i •
OK TO ISSUE C/O OR C/C
L—G`,, of ,C c;/ram! c7c "/,4 7
Pc4
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION it A a
DATE 4' Z PERMIT it 1---5/1- -
TYPE OF STR CTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB ,
FRAMING:
JACK STUDS/HEADERS I
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM`
HEATING ROUGH-IN ,F
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- 19
CEILING R-3;6t!
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE 3f r'/0 ./'
DEPART 2 2<<
TNSAFCTfl
TOWN OF QUEENSBURY kilt
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION/ RECEIVED .A2EEree�
NAME fad i ,�lz,/-ty,ll%efi✓ Z./1'4/M
LOCATION AeA/ r / - /eL.,
DATE //, /f1 PERMIT # a% W
TYPE OF STRUCTURE /.e
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP NSIBLE
FOR PROVIDING PROTECTI N FROM
FREEZING FOR 48 HOURS LLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING I
PLUMBING VENT/VENTS I1I PLACE /
PLUMBING UNDER SLAB ' /
)( FRAMING: j..
JACK STUDS/HEADERS \
BRACING/BRIDGI%G
JOIST HANGERS
JACK POSTS/ IN BEAM
HEATING ROUG IN
INSULATION:
FOUNDATIO WALLS INTERIOR R-
FOUNDATI N WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILII R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE •
DEPART
INSPECTOR
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