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1987-811 $ . CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date April 4 19 69 87-811 This is to certify that work requested to be done as shown by Permit No. has been completed. Alteration to One Family This structure may be occupied as a Location Lot 13C Rockhurst Rd. 'Owner Thomas & Susan Sargent By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT H TOWN OF QUEENSBURY 87-811 No. ,b WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Thomas & Susan Sargent I ~ u, Lot #13C Rockhurst Rd. OWNER of property located at Street,Road or Ave. I-' U, in the Town of Queensbury,To Construct or place a Alteration to One Family 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 12 Barney Rd. Clifton Park, N.Y. 5 p m 2. CONTRACTOR or BUILDER'S Name Robert Martin p 0 3. CONTRACTOR or BUILDER'S Address W QQ 56 Montray Rd. Queensbury, N.Y. 12801 rt 4. ARCHITECT'S Name 0 rt 5. ARCHITECT'S Address r W O 6. TYPE of Construction—(Please indicate by X) (x)Wood Frame ( ) Masonry ( )Steel ( ) rGt m rt 7. PLANS and Specifications �1 No. Ad Alteration as per specifications and application — Basement storage and den on 2nd floor. ' 8. Proposed Use Alteration to one family rt 0 H $5.00 C/O rt $ 60.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1, 19 88 o (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O town of Queensbury before the expiration date.) (D Dated at the Town of Queensbury this 2nd Day of December 19 87 I may, �. . k4 SIGNED BY j' / / � ��.(%7� for the Town of Queensbury Building and Zoning Inspector /24 TO BE COMPLETED BY BLDG. DEPT. // Application No. Own of Queenur, Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF t OF E.M.3J Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation M N Li ` Queensbury, New York 12801 Variance No. M 1i�� f Site Plan Review No. —• `,i'- .5 Approved by: NOV 1 APPLICATION FOR • � 21987 BUILDING a COuL DEP1. BUILDING AND ZONING PERMIT �s��je ,� * .*. * * * * * * * * * * * * * * * .* *. * *. * * * * * * . * * * * * * *. * * * ::• * 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:/0 4,1' IE,d--fUS�n,P- -i�/y-e",,.� P.O. Address /2 .�f./Z./r �/ A DFf I— G�5� -7b,---/ �ieyr m Tel67�Jf 7-3 G Property Location:,Le j�/.3'�--gel�.4viLs% /�Gr—aUeee�6 viz/ Tax Map No. / / Street number or building �t number / Subdivision name (if applicable) AgeiC "6-ed2�p�,-,--r c,z7 f THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: • 10b eizT cj - ` izT//,' /l/e/� /Zl:9vx�r-s),ri'-y 2y.j-- DGs"` --- Name P.O. Addr ss / Tel. No Name of builder ‘ 0,44"217.,t" Address Tel. Name of plumber ,,, „ address Tel. Name of mason ,1 ;= 7 „L„, 9ck„Address ' ' Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, Addition to a building * drawn reasonably to scale and attached hereto, X 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 3-5 ft X '7/ ft. * Existing building(s) Size24(!'ft X - 3" ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure ft X ft * Foundation-pier/slab/craw partial/full * Proposed building, distance from property line (circle one) * Front yard t( ft Rear yard 26 ft No. of stories (habitable space) D Height (grade to ridge) Zs ft. * Side yards ��� " ft and �/`—p ft If residential, no. of families B�: C * If on corner, setback from side street ft No. of rooms(excluding baths) Cv * OCCUPANCY INFORMATION No. of bedrooms ' * No. of bathrooms 6,6'R- * PRIMARY BUILDING - Primary heating system F,!2 c , * One family dwelling Type of fuel * Two family dwelling No. of fireplaces to be installed /AO * Multiple dwelling / Number of units Will a wood stove be installed? * Permanent occupancy * Transient occupancy Central Air conditioning? /j/D * Business BUILDING STYLE, PRIMARY STRUCTURE s. __ -Industrial -- - - - — Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If add'tion, what willuse be?l��1',K.,m, j ,y< Split level Old st le Bungalow * �� � �~ '� J2 Cape Cod ,Gotta e 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 $3d OO---- INFORMATION ON BUILDING 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. G r2,9}- Will any second-hand or ungraded lumber be used? If so, for what? /1, 41 Foundation wall material d " �ip✓G � /�1-�G/T - Thickness l Depth of foundation below grade (to bottom of footing) I� Will there be a cellar?/5S' Heated or unheated?(/may/? 1 ( Floor sq. footage , /4 sq ft Will there be a basement? Will any portion be used as living space? /yam (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other] Material,'of roofnie2 fy4 .r fj r� Size, wood studs. "X Y " spacing / "o.c. length r ft. / e Joists(floor. beams) 1st. floor "X , " spacing/0 "o.c. span /Z--,ft. Joists (floor beams) 2nd. floor 2 "X fD " spacing ( "o.c. span /L-ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses (pre-engineered) spacing?t "o.c. span / ft. Exterior wall finish ���j� bjo,,2� Of what material? /�fY71 Interior wall finish / " 14 A,42-4r 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? '/1I69 Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well 2.9.-,r-el_ < _. SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties f-/"7 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, 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 Signat e Owner, wner's agent,arcnitect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *_ . SPECIAL CONDITIONS OF THE PERMIT: • • • By N TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATIONCODE . A permit must be- -obtained,_before. beginning work. ANSWER ALL of the following: 1 . Gross floor area (+l++ q S0" � 2 . Type of heat �, .CA.� L . • 3 . Is the building mechanically cooled? \te CD .-. _ 4 . Percentage of area of windows and.. doors ) O C/(.7 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*,'`' 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 NO a. ' R value of insulation 5. Type of insulation B . Under 16% Only 1 . R value f roof and floors exposed to ambient conditions_ 2 . R value of exterior walls R 'q 3 . R value of glazed area k.' 3 4 . R value of doors �f 5 . R. value of floors over unheated spaces e,30 ' 6. R value of slab edge insulation -- unheated slab ‘..... )A-- , 7 . R value of slab insulation - heated slab 1)Ac • 8. R value of heated basement/cellar walls (above. grade) 9 . R value of heated basement/cellar walls (below grade) t-- 10 . Type of insulation i k �Q.Q�' Acks5 tcve._\-\30,1 .- \Cny4-ykA 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 \ ) 4r 2 . - R value of pipe insulation F . Service Water Heating 1 . ' Performance efficiency N ( Pc' 2. Temperature control setting maximum G . For Swimming Pool Only ( \ 1 . Maximum heating N ) fr Telephone No. 1/ 4 ` (appl ' • an ' s sig41 'nature) -‘1,) c_ ; ,-1--)t--e _e 0t,t.-I , m ) q (D r-eacia SIP E, , ) jkt3ibIE. x 7ao GF 03 latACt SF) 4- • 3c-1 ,5`A , .ifdo uo Actz.\-u.0, 2.q% LLOS elv) 0 2_Cp &XI) 1,3 K 9 Cc' ) (1C90 0-7 ) C7 7 TOWN OF QUEENSBURY 141 // ;;Ittl/A BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS f QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ,j 2 77y47 NAME ��r7 -,tom � LOCATION G�(.O�-lL/3 c Rca-d DATE %/3Fr--7 PERMIT # % APPROVED YES NO FOOTING/PIERS • MONOLITHIC POUR FORMS ' FOUNDATION/DAMP-PROOFING • a BACKFILL APPROVAL ROUGH PLUMBING if FRAMING 4 - ELECTRICAL RO GH-IN INSULATION: 1• FOUNDATION j7 FLOORS \ WALLS CEILING /FINAL INSPECTION: y CHIMNEY HEIGHT \ g ROOFING SIDING l\ V EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE &TRAILS. lr PLUMBING FIXTURES/RELIEF\VALVE INTERIOR TRIM/PRIVACY DOO FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER(S) !jF SMOKE DETECTORS;[ FINAL ELECTRICAL IINSPECTION FINAL APPROVAL OFF CONSTRUCTION l../e d A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!• REMARKS: Li IeC hc-/ely/ NSPFrTnP rIT.J4°cis& CU,/ Lk Pr/ Jo is AA-rtrutf _Down of Queendbur, Oft urF2 . BUILDING and ZONING DEPARTMENT A J Bay and Haviland Road, R.D. 1 Box 98 1J! Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME SA rc G 6,A)T- I I to mA-S LOCATION ) OCfe_ Quiz r van 7/1 Date '2 / rPermitP/Olt No. -87 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms .r Foundation Waterproofing Backfill Framing Roofing Siding Masonry Vene: Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railints Cellar Drain T'le Concrete Floo s Plbg. Fixtur'•s Gar. Fireproofing Door Closers Smoke Detectors Chimney 'INSULATIQN:in 91-ri OAl Foundati n Floors ec<cg1`y Walls 1//' Ale 1„, Ceiling FINAL ELECTRI L 1 SPECTION DRIVEWAY APPROV L Final Building Survey 1 t Next scheduled inspection (call when ready) Remarks- Building spector . 6/86 and-vl, awn of Queeniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME S — LOCATION R .c9C-A M-J r 1 i Date ,/ ��jg Permit No. 07-- 8/7 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Bac fill ing (� Roofing Siding ' Masonry Veneer pxough Plumbin• Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTR AL INSPECTION DRIVEWAY APP'SVAL Final Buildin: Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/R6 m1-v1 _/own of Queenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury,� New York 12801 ,R G7 J`'3 A 14Y L/isJ, c®/V riz_ BUILDING INSPECTOR ' S REPORT NAME f,/�p1/4_ eAtT- LOCATION ,F Date/2/2-l/ 57 Permit No. q ! b it * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED YES / NO Footing/Pier Forms 4oundation I L� 1 'Waterproofing - Backfill Framing Roofing Siding Masonry Ven-er Rough Plumbi g Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- - Building In ector F,/$:1 mrl-v1 .Town of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 500 141 14 1/. BUILDING INSPECTOR ' S REPORT NAME -.!E; ,4P_&t2-- LOCAT I ON Date`.//q/I/ Permit No.E87�--8// * * * *[[[* * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / O ,00ting/Pier Forms . Foundation Waterproofing /' Backfill Framing / Roofing Siding Masonry Ve eer Rough Plumb'ng Relief Valve. Ext. Porches Finished Floor. Interior Trim Stairs & Railing Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTIO DRIVEWAY APP'•OVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- / # Building Inspector F/RF mrl-'i,1