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S
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date (4 25 19 —
This is to certify that work requested to be done as shown by Permit No.
87-825
has been completed.
This structure may be occupied as a Alteration to One Family
Location Rockhurst Rd.
Owner Richar Uhl
By Order Town Board
TOWN OF QUEENSBURY
r
Building & Zoning Inspector
4
�. BUILDING PERMIT -
x
Z
TOWN - OF QUEENSBURY . 87-825v
Ni
No.
. WARREN COUNTY, NEW YORK o
•
Richard Uhi - . V
PERMISSION is hereby granted to ui
OWNER of property located at Rockhurst Rd. Street,Road or Ave. a.
in the Town of Queensbury,To Construct or place a Alteration to one family
Vat 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.
Pd
_ N.
1. OWNER'S Address is ' n
201 Brandview Dr. N. _ - w
�t
' Pittsburgh,- Pa. 15215 - ' - . . a
•
H
2. CONTRACTOR or BUILDER'S Name V .
R.J. Martin
3. CONTRACTOR or BUILDER'S Address V • V V
56 Montray RD , V o
, - Queensbury, N.Y. 12801 - , cPit
. g
4.-ARCHITECT'S Name En
rt
. a
5. ARCHITECT'S Address V , - - V
6. TYPE of Construction—(Please indicate by X) V _ •
_ . 1 yj Wood Frame ( ,) Masonry • ( )Steel ( ) - V . N
.
• co
. II
7. PLANS and Specifications lv
. rt.
.
No 7 r x 10 t-3" as per plot plan, specifications and application. o
o
rt.- -8. Proposed Use , 0
- • 0
_ Basement storage and enclosed Frxxxk porch • ,
ro
r-n
. m
' V $5.00 C/o " -- 5.
$:30.00 , V - PERMIT FEE PAID—THIS PERMIT EXPIRES July 1, 19 88
- (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the '. m
town of Queensbury before the expiration date.) . . V . H
H
Dated at the Town of Queensbury this 7th Day of December 19 87
SIGNED BY . ��//G2-4 £ ,.��j✓t� ' for the.Town Jof Queensbury-
Building and Zoning Inspector 41e,
TO BE COMPLETED BY BLDG. DEPT. .
C7 // Application No.
Jotun o f Queent* urj Permit Issued 19 lO ,Q - y
BUILDING and ZONING DEPARTMENT Permit Expires 19 t
it
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation _` ,
Queensbury, New York 12801 Variance No. Ud
Site Plan Review No.'3 - -/"_. NOV 2 51987
Approved b • BUILDING & CODE DEPT.I.5-/ APPLICATION FOR
BUILDING. AND ZONING PERMIT - a i - ��� L,* 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 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:A/G/.4-/4 \i• Zil7/,)-
P.O. Address 2-4/ A zAP-ir
GY//UiC-t, R/Z . A/ i,T17-J 6r/,z �{y j T75.
� 2/a"_ Tel.y�.Z-7�/-8 7�. "Property Location:,0 J • /.S=/- Ko -A vp_.5 Z a - . t:-)aee.r-J1i '7t7 Tax Map No. / / •
Street number or building lot number
Subdivision name (if applicable) flab-/WAlc- a v e.1 0/4>hr e�i,
THE PERSON RESPONSIBLE FOR SUPERVISION. OF WORK AS REGARDS BUILDING CODES IS:
foki-r- ,/- �1&2T%-r� -5r sdT //�. /Zel- Av«�j)elL 77�O(JS^�-
Name P.O. Address / (Tel. No. .
Name of builder/j L. *// "-;,,y Address / Tel. /
Name of plumber Address Tel.
Name of mason 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.,
• "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
* whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND
of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED.
* of septic disposal area.
. *
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property &&- ft X 7/ ft.
* Existing building(s) Size., y ft X . ft. 1.
* .
PROPOSED BUILDING AND USE: * Existing building(s) Uses y /^
Size of new structure * . . . .
'il..- oundation pier/Slab/crawl/partial, * Proposed building, distance from property line
(circle one) *
No. of stories (habitable space) 4,0—
* Front yard 0 ft Rear yard 3 o ft
Height (grade to ridge) s tx+sTi%•� ft.
* Side yards �t'l' ft and �/ ft
If residential, no. of families p. .�
* If on corner, setback from side street ft
No. of rooms(excluding baths)2gctsi,,-. * OCCUPANCY INFORMATION
No. of bedrooms *
!S/ "� * PRIMARY BUILDING -
No. of bathrooms , . ' One family dwelling
Primary heating system * ' ' Two family dwelling
Type of fuel
* Multiple dwelling / Number of units
No. of fireplaces to be installed e.
Permanent occupancy
- Will a-wood-stove- be- installed?__A(c _ * P y
• -Transient-occupancy.
Central Air conditioning? /yam * -- p _ _ __
* Business
BUILDING STYLE, PRIMARY STRUCTURE * ' Industrial
Ranch Contemporary Log cabin * Other '
Raised ranch Mansion Duplex * If addition, what will use be?,r� J .�-ew.�� iz.�-yr
Split level Old st le Bungalow * �-/;,-c'1'aalai ?Ae-C
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 $`5� �
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. uAu /�� �'
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material C . /32L/r - Thickness /
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Ve_f Heated or unheated?a�� it6( Floor sq. footage 6 y 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 - sloped/flat/shed/other e// Material.'of
Size, wood studs "X , " spacing / "o.c. length rf' ft!
Joists(floor:beams,) 1st. floor p— "X " spacing "o.c. span ' ft. ,
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters 2__ "X /2_ " spacing lG o.c. span 7 ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish .C� da•e-7L d Of what material? J/- '—
Interior wall finish '2 `
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 b�e 'provided?
Will a flue-lined chimney be installed? 4,7a Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply Municipal or private well ,Z/ 7-e
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining propertiea0Wii 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 Signatu e
Owner, o er's agent,arcnitect,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
A permit must be obtained before beginning, work. ,
ANSWER ALL of .the following:
1 . Gross floor area F t t14-(
2 . Type of heat
3 . Is the building mechanically cooled? ti /Pr
4 . Percentage of area of windows and doors
A. Over 16% Only
1 . d value of gross area of walls , roof/ceiling and floors
0.
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? TES NO
• a. R value of insulation
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
39)
2 . R value of exterior walls
3 . R value of glazed are'a
•
4 . R value of doors
5 . . R valud of floors over unheated spaces' KZE3
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
8.. R value of heated basement/cellar walls (above, grade) /4
9 . R value of heated basement/cellar walls (below grade)
- 10 . Type of insulation H6451bdels5 k----otR(v1
C. controls
1 . Thermostat maximum heat setting r *:-V4c.--
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 kW(N-
- 2 . R value of pipe insulation
F. Service Water Heating
1. Performance efficiency . • \\%/ 14\-- k
2 . Temperature control setting, maximum - Nrn-
G. 'For Swimming Pool Only
1. Maximum heating N/Ar-
Telephone No. /
Ave /
app 1 ' cant ' s signature)
�--=- . \-r1 /34\1
TOON OF QUEENSBURY
5QUEENSB531 1,BAY ROAD
NEW YORK 12804
— TELEPHONE (.518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION y ri /(�
REQUEST FOR INSPECTION RECEIVED ijf 2 `/
NAME (((
LOCATION u lR
DATE 7/ /'f/ PERMITS g 7—g��
TYPE OF STRUCTURE A I' G)A7
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
- ROUGH PLUMBING FINAL ELECTRICAL_SEPTIC
INSULATION WOOMSTOVE/FIREPLACE
SITE PLAN VARIANCE REQUIREMENTS YES NO
REMARKS
• APPROVAL
N/A YES NO .
CHIMNEY HEIGHT/LO ATION
B VENT/LOCATION
PLUMBING VENT
ROOFING ". •
SIDING
DECK/PORCH/STEPS/RAILI .5 r�C
RELIEF VALVES,
FURNACE/HOT WATER (PEW G
BASEMENT INSULATION/DUCTWI K
INTERIOR TRIM/PRIVACY BOOR
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPAB!.E
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS_
HANDICAPPED ACCESS
SMOKE DETECTORS \
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIRE PROOFING d
DOOR CLOSERS
OTHER FIRE SEPARATION \.
FIRE/DEMISE WALLS
DUMPSTER •
FINAL ELECTRICAL - - V
OK TO ISSUE C/O OR C/C
COMMENTS: '
c—i Cs& Oct & xrd .
ARRIVE /I_3‘,—
DEPART 1 f t r —�
F �
.411111111
i- TOWN OF QUEENSBURY
Bay at Haviland Road, Queansbury, NY 12804-9725-518-792-5832
IJ� Building & Codes Department
X 8 , , ..-
INSPECTOR'S REPORT
v Qk\j/t U y-1 e__f L.-J19 9 7
c.),,,.-i(-
Oak �u\rs� I: .
PROPERTY LOCATION r�.I
\Rfk9
OWNER OR TENANT
BUILDING SEWAGE SIGN OTHER
REMARKS: 1
I(ff3 Peem i T'/ ;s AA) I Al icAti-c.i z60 _
CALL_ f=n Tz A-Peopu c A dvrn 7—
f AIA-L iillsV ,oli ZO P -1-i
A4A48& --C_41)5 oci,74-1:
Ou-tz, u-covs ul -r--W ISs CtO
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CONTACT THIS OFFICE A ••�, C1
,1
i .LC�
INSPECTOR
"HOME OF NATURAL BEAUTY...A GOOD PLACE TO LIVE"
SETTLED 1763
TOWN 0' QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAI'ILAND ROADS
QUEENSBU% , NEW YORK 1280k
TELEPHONE' (518) 792-5832 �'
:UILDING INSPECT!!' 'S REPORT
/�/-lv j
REQUEST FO'' INSPECTION RECEIVED
NAME +� CY ,/� �
LOCATION ` J` 6�/�Jj)�, ;'
DATE (^ P DIRMIT # Y/7"-f25-
_, I
t I APPROVED
ajZ/}yfo ‘, ! YES NO
1 !
FOOTING/PIERS ,
MONOLITHIC POUR\FORMS
FOUNDATION/DAMP ROO I NG
BACKFILL APPROVA I
ROUGH PLUMBING \ '
FRAMING
ELECTRICAL ROUGH- .
INSULATION: /
FOUNDATION
FLOORS
WALLS - I . .. . . . .
CEILING 1
FINAL INSPECTION:!
CHIMNEY HEIGHT!
ROOFING t .
SIDING
EXTERNAL PORC:ES/STE .
STAIRS-CLEARA CE & RA :LS
PLUMBING FIX 44 RES/REL\' F VALVE
INTERIOR TRI y/PRIVACY POORS
FINISHED FLO,"RS
GARAGE FIREPROOFING ,
DOOR CLOSERS)
SMOKE DETE.'I ORS \
FINAL ELECTRICAL INSPECTIO .
FINALAPPROV,'L OF CONSTRUC ON '
OK TO ISSUE ,c/o OR C/C
t \
A SIGNED CE-TIFICATE OF OCCU'ANCY MUST BE
OBTAINED F'1•M THE BUILDING DEPARTMENT BEFORE
THESE PREM,SES ARE OCCUPIED!
1 _.
REMARKS: t
flea,„ Call / . Aa
£ 1iftl ''CIO IC- us
�P0
l a SD Gt Y i via, rr
ARRIVE / ,' 60
•
DEPART
TNSPECTOR
.own of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME (AIL
LOCATION /QGak� ,army_4j>
Date 9 !y/ Permit No. ?7 -8z-5
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES ND
Footing/Pier Forms
Foundation
Waterproofing
Bakfill
`raming
Roofing
Siding
Ma my Veneer
ugh Plumbing 1......-
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railing.
Cellar Drain Tit=
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL 1
Final Building Survey i t
Next scheduled inspection (call when ready)
Remarks- -
LAG/C' L '
la-4;224-""
Building Inspector
inti ma-.,1
awn of QueeniLur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME OHL
LOCATION CD4c)kS T �z
Date 01 /89 Permit No.
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbi g
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar
Drain Tile
Concrete Floors �' , I: iV( 5
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELE TRICAL INSPECTION
DRIVEWAY PPROVAL
Final Building Survey
•
Next scheduled inspection (call when ready)
Remarks-
Build'ng Inspec o
PF mri,1
Jown of Qucenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
1. o IS' 44 in-P-7 Ai 6e,APTIZ.,
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION R•
Date/.21 '7 Permit No. M
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED YES / NO
Footing/Pier Forms
,oundation tiL
Waterproofing
Backfill 1
Framing
Roofing
Siding
Masonry Veneer
Rough P1 e_ g
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 ELECT`_UCAL INSPECTION 1
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
*).
Building Inspector
ti/Qc
Amp )9-114
ocuPi of Quceniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 ,
Queensbury, New York 12801
awe 44i 'i 1 doev 7
BUILDING INSPECTOR ' S REPORT
NAME // , L
LOCATION k kJ/'5� e
Date/ f Permit No.6)7'2
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
oting/Pier Forms
.oundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venee,
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detector
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL EI.EITRICAL INSPECTIO
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- 2, G4 6 X24
eey4y-e-f-v,12/--e7t;-sf-'
Building Inspector
a/ac a_.,,