88-369 '
CERTIFICATE -OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date `47,(54/Wate,. /19 9/
This is to certify that work requested to be done as shown by Permit No. 88-369
has been completed.
One Family Dwelling - Addition
This structure may be occupied as a
including deck
Location Rockhurst Road
Owner Judy Zeray Terry
By Order Town Board
TOWN OF QUEENSBURY
I/ ---
Building & Zoning Inspector
.t ="s BUILDING PERMIT
TOWN OF QUEENSBURY 88-3691-3
No '.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Judy Zeray o
OWNER of property located at Rockhurst Road Street, Road or Ave.
ti
in the Town of Queensbury,To Construct or place a Addition including deck
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
7—A Terry Court
Albany, N.Y. 12205
N
K
2. CONTRACTOR or BUILDER'S Name
Paul R. Terry
3. CONTRACTOR or BUILDER'S Address 0
Same
H
rt.
4. ARCHITECT'S Name
0
IL
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
ti.
( /Wood Frame ( ) Masonry ( )Steel ( ) N
O
7. PLANS and Specifications fj ti.
n
No. 32' X 21 ' as per plot plan, drawings and application a
including deck. ecx1
8. Proposed Use
addition (second story) including deck fy
m
0
5.00 C/O
40.00 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 Queensb is 13th Day f June 19 88
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
INTERIM BUILDING PERMIT.
PERMIT APPLICANTr,(,e4._ .
CONSTRUCTION LOCATI �/�����
EFFECTIVE DATE .
APPROVED BY G 5T1 '
SPECIAL CONDITIONS :
0
Gc dC l' ZG�k. -P
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 TI-lIS INTERIM PERMIT IN A CONSPICUOUS LOCATION ! !
"le,ada;24t,ie
Building & Codes Department
. TOWN OF OUEENSBURY
TO BE COMPLETED BY BLDG. DEPT. ,
•
awn
No.
_ wn o f Queenalury Permit Issued 19 TOV N OF QUEi 54!;:,v
BUILDING and ZONING DEPARTMENT Permit Expires 19 n " •`
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation '.�,f-,'..//Q
Queensbury, New York 12801 Variance No. ,r f� L✓
��" Site Plan Review No. ����- JUN 1 88
�� ��� Approved by: BUILDING & CODE DEPT.
APPLICATION FOR , ep
BUILDING AND ZONING PERMIT ��;�r �o
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ::*
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 accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: -1 t0'i G ---2_c2NA
P.O. Address TAT \lee-A Coot-7 PlkQc J-( N•,-.t \22oa"" Tel. 1-4-1_-68'24
Property Location: �0C11.....\\-J2S-1 RUPrD Tax Map No. / /
Street number or building lot number .
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
X POL. 7. -'S_P.si 7-Pc \s2Qy Cvuk-t AuthJ-I 1152.-0824
Name P.O. Address Tel. No.
Name of builder S,RJL 1z `\Cig.'l Address 17-A ThZi 1 Cu) --t Tel. .SL-6("ZC
Name of plumber tt Address n Tel. t(
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Ayldition 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.
* Size of property 0'0 WLDc ft X /2o9ECift. S
* Existing building(s) Size 3 v ft X Z/,�''ft. L
* . . . . . . 0 . ,,,
PROPOSED BUILDING AND USE: sacop 5uft1 * Existing building(s) Use ' C (3“-) 00 ` LPA+45_.
Size of new structure f-t---X-- * 2_ ��S .,-1-r8-1, vS�
Foundatio ,-pierlslab/crawl/partial/full * Proposed building, distance from property line
(circle one)
* Front yard 6// ft Rear yard214' ft
No. of stories (habitable space) * Side yards %3` ft and 3 ft
Height (grade to ridge) ft. * If on corner, setback from side street — ft
If residential, no. of families d'J
No. of rooms(excluding baths) -50C * OCCUPANCY INFORMATION
*
No. of bedrooms �yc ei� * PRI>KRY BUILDING -
No. of bathrooms -7-W o �r One family dwelling
Primary heating system 0s�Arr P u r.nP
e of fuel * Two family dwelling
T'p �L �2'�' * ' Multiple dwelling / Number of units
No. of fireplaces to be installed ' -T�o .
Permanent occupancy
Will a wood stove be installed? Oo
Central Air conditioning? 1-kb * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch . Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old st le Bungalow * -6-�02vaLA-S /NNr "--CYArk1.2d0 . .
. 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 *
$ `1-0� O-rlt.
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
32
BUILDING PERMIT APPLICATION CONTINUED - y7
63 .
G77-
BUILDING SPECIFICATIONS:
T o ,e of constructi wood frame fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? NO,
Foundation wall material ? (1 cJ o�S Cowc: Upt.YThickness x z� /
Depth of foundation below grade (to bottom of footing) £Xis9.n� ---7P,EaS
Will there be a cellar? /V0 Heated or unheated? ---- Floor sq. footage /3S1f/ sq ft
Will there be a basement? go Will any portion be used as living space? --
(If so, what portion? — sq.ft. - - Type of use?
Type of roof sl- oped flat/shed/other Material, of roof / S/9-. ;//idGu.rc
Size, wood studs a" "X it'" spacing /,'"o.c. length g" ft.
Joists(floor beams) 1st. floor r,�( ': . •"X,,B: ' " spacing /, "o.c. span ,, ft.
Joists (floor beams) 2nd. floor 7 essts"X " spacing / "o.c. span 2_p ft._ c,,�r;,} -)• .- >eV�TLG
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters /2,ssi �s"X " spacing / o.c. span 2a' ft. Luo2,,,+6,, ;--if,--
Seed,,,D 124,0�
Roof trusses (pre-engineered) spacing 2" _"o.c. span Aor ft.
Exterior wall finish '`{N'L ' 10dsc,c_ y(' Of what material?
Interior wall finish r?tr-ir� Fo( ¢. -( �waa_ — SY,gC-1ZoccL Z"9 C=Lomti .
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? `45 Height above roof 31 ft.
Depth of chimney foundation below grade \ApJEft. Fe€ti S-c a•NF ‘.)n),-c - 0- ct,c4,J15ti-E
Depth of fireplace hearth // ft. 6" 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)
Town of Queensbury AFFIDAVIT
County of Warren STATE OF NEW YORK
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 on the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, nd all other laws pertaining to
the proposed work shall be complied with, whether s c'fied or not, a at such work is
authorized by the owner. t' vim-
/
SWORN TO BEFORE ME THIS Signature Wi ✓�`�.
Owner, owner's agent;arcnitect, ontractor .
day of 19 /i
" gl
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
i A permit must be obtained before beginning work.
ANSWER ALL of the following: •
/i ,
1 . Cross floor area /3 ��.
2 . 'Type of heat lcpr7 u..14..P'
(VUC---1-2(c)
�\
3 . Is the building mechanically cooled? V�10
4 . Percentage of area, of windows and doors
A. Over 16r 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 N6-)
a. R value of insulation •
5. Type of insulation
Ii Under - 16% Only.:::1
1 . ii val.val.i.1 of roof and floors exposed to ambient conditions_
--3 0
2 . R value of exterior walls . \Q
3 . R value of glazed area Z 47Z440 —/P4*/C- 2-
,
4 . R value of doors / SL(9tti$ %,?- ?.- •
•
5 . R value of floors over unheated spaces - 'CZ ThC)
G. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - .heated slab• . - '
r
0 . R value of heated basement/cellar walls (above grade)
I . R value of heated basement/cellakr •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? 4 NO
1 - a. If YES ; R value of duct installation
b. It value of duct in other areas
E. Piping Insulation '
1 . Size of hut water dr cooling carrying agent pipe --------,
2 . It value of pipe insulation
F. Service Water Heating
1 . Performance efficiency
2 . 'temperature control setting maximum f
•
C . For Swimming Pool Only •
r
1 . Maximum heating]
telephone No. 4Z- 0� � • . ,
(applicant ' s sign to e)
TOWN OF QUEENSBURY �L�!
531 BAY ROAD
:411rT4 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
m. >; BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME 1 T
LOCATION )(�i�I t lif�l�fi -
DATE 9/ / Q/ PERMIT# 21 -, 49
TYPE OF STRUCTURE ( ,--i 'J L
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL 4-FRAMING
ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
FNSULATION WOODSTOVE/FIREPLACE
REMARKS jy/4/ i1/,4 / / / cF-
�� � P �' .
APPROVA
N/A iYES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION s`
PLUMBING VENT
ROOFING ✓/
SIDING / ,✓
DECK/PORCH/STEPS/RAILINGS l / ✓�
RELIEF VALVES /✓
FURNACE/HOT WATER OPERATING \ / %-/
BASEMENT INSULATION/DUCTWORK \• /
INTERIOR TRIM/PRIVACY DOORS /;,
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT ✓ /
OTHER FLOORS SWEEPABLE \ r//
OTHER FLOORS CARPETED \
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS \trz
BATHROOM FANS/WHOLEHOUSE!FANS W /
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING /
DOOR CLOSERS l
OTHER FIRE SEPARATION l ✓
FIRE/DEMISE WALLS
DUMPSTER ✓ *
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL +,
OK TO ISSUE C/O OR C/C
COMMENTS:
•
ARRIVE
DEPART
INSP
•
it
FILM UEENSB UR Y
M ' TOWN OF Q •
Bay at.Haviland Road, Queensbury, NY 12804-9725-518-792-5832
Building & Codes Department
S>C2r)1� INSPECTOR'S REPORT
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PROPERTY LOCATION .
OWNER OR T N T /
r
BUILDING SEWAGE SIGN OTHER
— /.
REMARKS p���t'O v !`�' //•'��
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CONTACT THIS OFFICE WITHIN N.
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INSP CT
"HOME OF NATURAL BEAUTY...A GOOD PLACE TO LIVE"
SETTLED 1763
TOWN OF QUEENS ;URY
BUILDING AND CODE• DEPARTMENT
BAY & HAVILAND RODS
QUEENSBURY, NEW YEIRK 12804.
TELEPHONE (518) '92-5832
BUILDINI; INSPECTOR'S REPORT
REQUEST FOR INSPE 'ION RECEIVED
NAME v 4 f itay
LOCATION ortj
DATE 'I 1 PERMIT # fP 34 9.
APPROVED
god i Grl -/,)' //�� YES NO
FOOTING/PIERS j J
MONOLITHIC POUR FO S
FOUNDATION/DAMP-PROOFING /
BACKFILL APPROVAL /
ROUGH PLUMBING
FRAMING � /
ELECTRICAL ROUGH-IA / . . . . . .
INSULATION:
FOUNDATION 1�
FLOORS i. II. . . . . . .
WALLS
CEILING j I
FINAL INSPECTION:
CHIMNEY HEIGHT ` j -
ROOFING I' ' j
SIDING
EXTERNAL PORCHES/SD
'S
STAIRS-CLEARANCE & ILS
PLUMBING FIXTURES/' LIEF VALVE
INTERIOR TRIM/PRIV'�'Y DOORS
FINISHED FLOORS / '
GARAGE FIREPROOFI G .
DOOR CLOSER(S) "
SMOKE DETECTORS /
FINAL ELECTRICAL I ,SPEC;ION ' ' . • .
_FINAL APPROVAL OF ONST'UCTION; .
OK TO ISSUE C/O O, C/C -
A SIGNED CERTIFI• .TE OF •CCUPANCY MUST BE
OBTAINED FROM TH1 BUILDING• DEPARTMENT BEFORE -.
THESE PREMISES '1'E OCCUPI:DI
_'KS: 11111111111
Jown of Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 •
` Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT •
i��%` 'o
NAME Pam/
LOCATION���/ i
Date /(///,Z / ' Permit No. 3,0
i
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms •
Foundation
Waterproofing
Backfill •
Framing y�
Roofing
Siding
Masonry Veneer Y/
Rough Plumbing / •
Relief Valves • „B'
Ext. Porches
Finished Floors
•
Interior Trim
Stairs & Railings . ‘ ,/
Cellar Drain Tile
Concrete Floors • e. /l
Plbg. Fixtures t.
Gar. Fireproofing
Door, Closers . I.
Smoke Detectors if 'i •
Chimney ' % ' •
INSULATION:
. \ '
Foundation
Floors . '
Walls
Ceiling •
FINAL ELECTRICAL I PECTION . ) '
DRIVEWAY APPROVAL
Final Building Survey .
Next scheduled inspection (call when ready)
Remarks-
•
Bui d g Inspec r
6/86 and-vl
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONELE (518) 792-5832
fit BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED JC///7/42"V
NAME
LOCATION Rr,DATE ra//9./ --y PERMIT # b b "3/ /r�
APPROVED
YES NO
FOOTI', •IERS
MONOLITHI 'OUR FORMS f
FOUNDATION/Dq: -PROOFING
BACKFILL APPRO
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-I
/INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHE'/STEPS @p
STAIRS-CLEARANt & RAILS
PLUMBING FIXT RES/RELIEF VALVE
INTERIOR TRI '/PRIVACY DOORS
FINISHED F 'ORS
GARAGE FI• PROOFING +
DOOR CLOS'R(S)
SMOKE D ECTORS
FINAL EL• TRICAL INSPECTION
FINAL ' -PROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
REMARKS:
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILANDROADS I,?/27/
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED Af 47 7
NAME
LOCATION /f41 ,j` 1 /
DATE /a• 7 PERMIT # '{ fh7/
-1 !i� APPROVED
�1 YES NO
FOOTING/PIERS
MONOLITHIC POUR((FORMS 1FOUNDATION/DAMP11-PROOFING
BACKFILL APPROVL
ROUGH PLUMBING \
FRAMING \
ELECTRICAL ROUGH-IN I
INSULATION: r
`.. i
FOUNDATION '
FLOORS
WALLS { . •
EILING "
INAL INSPECTION: y
CHIMNEY HEIGHT /
ROOFING
SIDING h Y
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & R PAILS';
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS �j
FINISHED FLOORS k 1, ✓
GARAGE FIREPROOFING --
DOOR CLOSER(S) e,
SMOKE DETECTORS I \ 1/
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION ' V
A SIGNED CERTIFICATE OF OCCUPANCY MUST, BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
REMARKS:
INSPECTOR