88-371 '
CERTIFICATE OF OCCUPANCY
k,
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 10 19 q0
This is to certify that work requested to be done as shown by Permit No. 88-371
has been completed.
This structure may be occupied as a One Family Dwelling
Pilot Knob,Road
Location
Owner William H. Walker
By Order Town Board
TOWN OF QUEENSBURY
itZe,
Building & Zoning Inspector
• BUILDING PERMIT
s;r
TOWN OF QUEENSBURY 88-371
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to William H. Walker
co
OWNER of property located at Pilot Knob Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a
One Family Dwelling 1-4
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 �.
Star Route ti
Glens Falls, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name
SAme
(t
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name N.
0
rr
0
5. ARCHITECT'S Address b'
0
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( 1 Masonry ( 1 Steel ( )
O
m
7. PLANS and Specifications SITE PLAN REVIEW NO. 5-88 DEMOLITION PERMIT #88-306
No. 26' X 36' as per plot plan, specifications and application
ti including existing septic system and existing foundation �
8. Proposed Use
One Family Dwelling ti
5.00 C/O
$ 70.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Januarti 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 13th Day of June 19 88
SIGNED BY �� for the Town of Queensbury
Building and Zoning Inspector
pr
. ,
\ TO BE COMPLETED BY BLDG. DEPT. �
aQlvA
r ocvrl U/ Queenilury Application No.Permit Issued 19
BUILDING and ZONING DEPARTMENT
Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designate n �, / TO':'N OF C-1UE ''.R,- ' °
Queen I
s bury, New York 12801 Variance No. A/ A . � r' : _;
Site Plan Review No. - ` °i
. ` • Ap •
proved by: . _ JUN. s 1988
•
` ��
APPLICATION FOR /
B ILDING & C•
ODET•
PU I�LD I NG AND ZONING PERMIT 5 .0 /
72 v6
70* * * * * * * * * * At �E * * * * * * * * * * * * * * * _, * . * * * .a. # * * *::.*
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
be done in accordah'ce with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit. . -
The owner of this property is: WILtiAnt 1-1 wri ie/ E%
P.O. Address OA, Ad P r6F- 6-46=iF.l i 4 A>�}/ Tel.451 f(/�
Property Location: fI1. UT ,/< 'O RJJ Tax Map No. e / 1 / 2, p
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
sM' ' /fig , U76 - •
Name P.O. Address Tel. No.
Name of builder . Address Tel.
Name of plumber Address Tel.
Name of mason Address Tel.
NATUREOF PROPOSED WORK: * ZONING INFORMATION:
Konstruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
_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) * set-back dimensions from property lines. Give
_
* street and number or lot number and indicate
•
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED, of. •water supply and location and configuration
* of septic disposal area.
* ,
* COMPLETE INFORMATION REQUIRED BELOW.
l
* Size of property //'/ ft X -��=/ ft.
* Existing building(s) Size y ft X ft.
PROPOSED BUILDING AND USE: * Existing building (s) Use ,z0,A r',-a -
J Size of new structure .2 �A ft X ‘ ft *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
*
(circle one) j * Front yard //0 ft Rear yard d�V ft
No. of stories (habitable space) - / Side ards ft and ft
Height (grade to ridge) ft. * y �} t
if residential, no, of families , * If on corner, setback from side street ft
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms a *
* PRIMMARY BUILDING -
No. of bathrooms j
* One family dwelling
Primary heating system//0�" U, *I
Two family dwelling
Type of fuel VI-
* Multiple dwelling / Number of units
No. of fireplaces to be installed
Will a wood stove be installed? * Permanent occupancy
* Transient occupancy
Central Air conditioning? )4 * Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
4110
* Other
Contemporary Log cabin * If addition, what will use be?
Raised ranch Mansion 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 car/ car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION *
INFORMATION ON BUILT 424 CATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: �i
Type of construction, wood frame, fire safe,etc. ;ti0Ob , r
•
Will any second-hand or ungraded lumber be used? If so, for what? PO
Foundation wa!l material GC'��// �' Z�" Thickness l6/�
Depth of 'foundation .below grade (to bottom of footing) t - 1/00 7016,n6 JO('/<
Will there be a cellar? Heated or unheated? Floor sq. footage ' Z sq :ft
Will there be a basement? y'e,S Will any portion be used as living space? NO
(If so, what portion? sq.ft. - - Type of use?
Type of roof loped lat/shed/other Material•.of roof tf:ii' ai4��+'' JAY/(.:L�\.Y.
Size, wood studs .) "X L/ " spacing ),4. "o.c. length J ff. 14
Joists(floor beams) lst. • floor ? "X JO " spacing 1/-; "o.c. span 1 ft.
Joists (floor beams) 2nd. floor - --.4 re ft.ftb fi AJ A1) ,,rjj-l-�
Overlays(ceiling beams) 'X - " -spacing f G "o.c. span /' ft. •
_ Roof -rafters . '_ "X i " spacing /t o.c. span J,' ft. .
Roof trusses(pre-engineered) pacing "o.c. span ft.
Exterior wall finish �Jb.'✓vo' Of what material? 14J0017
Interior wall finish // sfiee •
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? / ki Height above roof 3 0)i
Depth of chimney foundation below grade ~7-6 eft )1,Z
Depth of fireplace hearth ft. in. • . , r
Water supply - Municipal or private well - �'r
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties j a ° ft.
(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 donelon 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. -
SWORN TO BEFORE ME THIS Signature /� ,_ IQ- (/' �, :r'\
Owned owner's agent,arcriitect,contractor .
day of 19
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
t,
A permit must be obtained before beginning work.
ANSWER ALL of the following:
1 . Cross floor area 736 •
. 2 . Type of heat Oh- PVT 4'//A
3 . Is the building mechanically cooled? AA)
, . .
4 . Percentage of area of windows and doors
A. O t'ttr 16% Only
1 . i value of gross area of walls , roof/ceiling and floors
co .d to ambient conditions /
•
2 . Floor over heatc•d,,spaces YES NO
a. Are foundation walls insulated? YES NO
1 . If YES , what i's� the It , ue?
3 . Slab on grade YEj . 0 ',,
a. If YES , what---'is the R value of insulation around
pc tof floor? ,„‘
4 . Is-basement heated? YES O `N '-.,,
a R value of insulation '''
'5. Type of insulation 'N
B . Under 1G% Only • '
1 . Mt value opp ' roof and floors exposed to ambient conditions
q" irr Ai/F //IdOMTio..!/ / J f�!rC --.�i f.-30 /
2 . R value ofexterior walls .��' tjO/ ?'L f`Va1��L. °S�/� -1—i. � 1
3 . R value of glazed area R 2/4. Jr R k?
4 . R value of doors R - / % -e / , q
5 . R value of floors over unheated spaces ' R.- LL
G . R value of slab edge insulation - unheated slab Ai 4
7 . R value of slab insulation - .heated slab' • AJ/14-
U . R value of heated basement/cellar walls (above grade) AJ111A
9 . R value of heated basement/cellar walls (below grade)/((/,
10 . Type of insulation /'Wl, \ 6.1.74
C. Controls u
•
1 . Thermostat maximum heat setting ' 6 (r
D. Duct Systems •
1 . Is duct system installed in. unheated spaces? 41, NO
a. If YES , R value of duct installation
b. It value of duct - in other areas •
•
E. Piping Insulation ' ' / ``
1 . Size of hot water or cooling darryi g agent pipe ,3/.7 ql�
2 . it value of pipe insulation /WA
F. Service Water Heating o
1 . Performance efficiency AO
2 . Temperature control setting maximum 1r.
C . For Swimming Pool Only 0 •
1 . maximum heating
•
Telephone' No. fla ! rn 1...„
Yt A^ :/�:*
(applicant' s signature)
TOWN OF QUEENSBURY /4I
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUES FOR IN PECTIO ' RECEIVED 1109 illy
NAME G 40/C>
LOCATI\\ Ili' /&(7d
DATE ,>s-rn PERMIT # ��1I
1 \ ��j 3
11--aL6 \. `" )`- I C11, )1(dY YES APPROVED
\ G'
FOOTING/PIE S
MONOLITHIC P UR FO S
FOUNDATION/DA P-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH- N
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING \
"FINAL INSPECTIO': \
CHIMNEY HEIGHT
ROOFING '\
SIDING \
EXTERNAL PORIHES/STEP
STAIRS-CLEA"NCE & RAI► \ ✓
PLUMBING FI ,TURES/RELIE VALVE
INTERIOR TR M/PRIVACY DO•'S \ (...--"----
FINISHED F JORS \
GARAGE FIR 'ROOFING \ --
DOOR CLOSE'(S) \ .-
SMOKE DETE( TORS \
FINAL ELECTR CAL INSPECTION
FINAL APPRO 'L OF CONSTRUCTION \\ L
\
A SIGNED CERTIFICATE OF OCCUPANCY M.ST\BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED! \
REMARKS:
41CC oaa4 ,61-Z 6 ✓ \\
J
e INSPECTOR
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
NAME
LOCATION f;10-i �,vo 6 ��-
DATE ��j�/' 1- P PERMIT # (5 7/
!! J
/ APPROVED
YES NO
•
I /
FOOTING/PIERS j
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PRQOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING ` '
ELECTRICAL ROUGH-IN}a '
'INSULATION:
FOUNDATION
FLOORS
WALLS \.\
CEILING 2%J
FINAL INSPECTION:
CHIMNEY HEIGHT '
ROOFING
SIDING
ha. EXTERNAL PORCHES/STEPS . . . .
STAIRS-CLEARANuE & RAIL
PLUMBING FIXTUI'ES/RELIEF VALVE
INTERIOR TRIM PRIVACY DO S
FINISHED FLOORS
GARAGE FIREP'OOFING
DOOR CLOSER S) \
SMOKE DETEITORS •
FINAL ELECTRICAL INSPECTION \ ' .
FINAL APPRO AL OF CONSTRUCTION
.
A SIGNED SERTIFICATE OF OCCUPANCY hTUST BE
OBTAINED . ROM THE BUILDING DEPARTMENT BEFORE
THESE P• MISES ARE OCCUPIED!•
REMARI/S: \:
•
y 4
1 f i
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT -, r)
BAY & HAVILAND ROADS �'�
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEI ED 1S'•--,5A I ^20
NAME 66 „,n(/ ) Q •
LOCATIONR, pr R - (:
DATE %-- ap r 1 PERMIT # -_3 7 )
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
• BACKFILL APPROVAL
' DOUGH PLUMBING • �P,Q /IIere /
FRAMING 5 e.L NJ(x, V
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 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:
/i kOctA -P 1,444 u g4i053 0-14,17
red evr5• Q,24,i ovl cat-
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS / 2T?
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED// ) ��
NAME (,�.c-eetiCF/2 LeCe�ly r
LOCATION ,4jQ 7( � `1y�ei— //JD.t 1 Ly-
DATE - PERMIT # 7/
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING !�
B CKFILL 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'
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OFOCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
ciI- AsCItAtLr 1D/Amp p Ito O
////1---
I PECTOR
•
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
NAME �,4:�(.6c-& 1�J ,{C/
LOCATION 1 ` 40 7(��d-71 /�L� e
DATE PERMIT # 6 - 7/
APPROVED
YES NO
dING/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
EXTERNAL PORCHES/STEPS ' '
STAIRS-CLEARANCE &/RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) '
SMOKE DETECTORS
FINAL ELECTRICALI INSPECTION
FINAL APPROVAL OF CONSTRUCTION '
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: )07-1 S —
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