91-814 •CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY; NEW YORK
Date August 10 19 92
9
This is to certify that work requested to be done as shown by Permit No. 91-814
has been completed.
This structure may be occupied as a dining room
-Rockherst, Cleverdale
, Location
Owimm Steve and Lvnda Kirshon
• By Order Town Board
TOWN OF QUEENSBURY
s\—
Director of Bldg. 6: Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-814
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Steve & Lynda Kirshon
OWNER of property located at Rockhurst Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration 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.
1. OWNER'S Address is
Same
2. CONTRACTOR or BUI LDER'S Name
Albright Builders
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( )Steel ( )
-5
7. PLANS and Specifications
140
No. i sq ft Alteration to Dwelling as per plot plan specifications
and application
8. Proposed Use
Dining Room
$ 4.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 19, 19 92
(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 C y f November 19 91
SIGNED BY for the Town of Queensbury
Building and Zoning spector
TOWN OF QUEENSBURY
n"OWN OF 0UEET1SBU,
FECEIVED
.4 REVIEWED BY: Goa_ .
"#io, FEE PAID: IA—
PERMIT
i �99�
PERMIT NO. : _ 71`ep`/ F'_!� t CODE DEFT.
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces; on this application MUST be completed and the signature: of the
applicant MUST appear on the` re'erse side of this application. '
* ,* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * .*;.
Owner of Property: S-Tl�UIK c, L / MO1 K�1 J2 S 14c -(
\P.O. Address_: aP.Qi/eA.Lib , PHONE (066- 9°95S—
Property Location:. V-0611/1: 1 L)e.5 f Lilo e--71e, c Tax Map No. is/ / / ,SS-
Has there been any split of this property since October 1, 1988? Yes No 6---
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: gook biud21) Lot No. a 7
THE PERSON RESPONSIBLE FOR SUPERVISION OF. WORK AS REGARDS TO BUILDING CODES IS:
1 -1,e R i c-4 1 A 0, t t) .s -
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ /O azre). 6-0
Addition to building *
!/ Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: ioo ft. x / 7-4) ft.
Other work (describe) * Existing Building Size:
. * . 6 - ft. x i-/ ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
lst Floor /4'O Sq. Ft. * Front Yard t c ( ft. Rear yard L/y' ft.
* Side Yards A Lf', ft. and (Qv' 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: ;17(e Sq. Ft. * Primary Building -
* f O e Family Dwelling
Size of New Structure: yr¢ ft. x ft. *. Two Family Dwelling
Foundatio . * Multiple Dwelling/No. of Units _
Pier/Slab Craw /Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable, space) 2 * Other
Height (grade to ridge) . ft. *
If residential , no. of families: ( * If addition, what will use be?
No. of rooms (excluding- baths): '7 0 * _ 'MI Ai, Mc (? v►1--
No. of bedrooms: *
No. of bathrooms: , - * Accessory Building:
Primary heating system: c 7 FAQ_ * Detached Garage- - One/Two Car
Type of. fuel: iL 0 * Attached .Garage - One/Two Car
No. of fireplaces to be installed: . 0- * Private Storage Building
Will a woodstove be installed?: o * . )O.ther
Central Air Conditioning: Yes No v * 3a 9 . TL,--6
N61-- BeNG 614171rf6cLD
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:" -
Type of construction: wo d fra e, fire safe, etc.
Will any second-hand or ung ded lumber be used? If so, for what?
•
Foundation Wall Material : Nueo%lYt. 8/060hickness: "<
Depth of Foundation below grade (to b om of footing) :
Will there be a cellar? Heate or Unheated? Floor Sq. Footage: f4D
Will there be a basement? j//U Will any portion be used as living .space? jgig57 Na
If so, what portion? Sq. Ft. Type of Use? 010Q/A.0w 1 -
Type of Roof: ,Sloped/Flat/Shed/Other • gt 1j Material of Roof _ , 1Pliiiru Si-(rN.6-te
Size, wood studs : " x C "; spacing /,' o.c. ; length e ft. -
Joists (floor beams) : 1st Floor �, ' " x ^ spacing h " o.c. ; span t,0 ft.
Joists (floor beams) : . 2nd Floor AcA x j(, " spacing (-- o.c. ; span : ft.
Overlays (ceiling beams): Z " x / " ; spacing / . o.c. ; span / z- ft.
Roof rafters: .02, " x " ; spacing `/ o.c. ; span ft.
Roof trusses (pre-engineered) : spacing o.c. ; span ft.
Exterior Wall Finish: %a of what' material ? P y
Interior Wall Finish: " 12AA0-1.— Avg sNi, z�crC
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 private well: r &v C cToA- Li iG�l C z>J
SEPTIC SYSTEM: Distance from Anz private well (including adjoining properties: (0.E3 ft.
(A separate application is necessary for any repair or new ,installation .of septic system. )
NAME OF BUILDER &-ADDRESS: : L8/? ) //-1 ()/01270.3 - PHONE I/vA- Y cG
NAME OF PLUMBER & ADDRESS: - SZ PHONE
NAME OF MASON & ADDRESS: • F'Yt1. PHONE
NAME OF ELECTRICIAN & ADDRESS: A11,4 PHONE
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 pro, osed work shall
be complied with, whether specified or not, and 'that such work is oriz y the owner.
Signature
• Owner, owne - agent, architect,
. contractor
SPECIAL" CONDITIONS, OF TUE ERMTT:
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY 9000 HEATING DEGREE _DAYS
uvm OF QUEENSBU,
``C EjVED
Compliance Methods:
1 1991
PART 5 = Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
3'.9C. & CODE DEFT.
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwelling�s;
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
• -1- u - k l 2 s a vAd 12oc k /4 062,s 2, �u.
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: •
1. Gross Floor Area - / /1=7 Sq. Ft.
2. Type of Heat - Elec. Base Board Other 0// 447- 47/2-:
3. Is Building Mechanically Cooled? YES j N0
4: Percentage of Area of Windows and Doors Over 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE- R-VALUES SHOWN VON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other ,
qa
A. Roof & Floors—exposed to ambient temperatures R 3�
B. Exterior Walls R 2
C. Glazed Area R
D. Exterior Doors R 1 0S
E. Floors over unheated. spaces R I/
F. Edge of Slab on Grade (Heated Building) R •//i'
G. Basement/Cellar Walls (Above Grade) R Al
H. Basement/Cellar Walls (Below Grade) R 63
I. Heating/Cooling - Ducts - Piping in Unheated Space R
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code VYES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT. BE EXCEEDED
A LT DTEELIONE NUMBER
INSPECTOR'S REMARKS: V V
REVIEWED BY
TOWN OF QUEENSBURY
531 BAY ROAD
al QUEENSBURY, NEW
5 YORK
K 12804
TELEPHONE ( 18)
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION 64�.
REQUEST FOR INSPECTION RECEIVED
NAME Q,/itp !L 4,,X,114_,,,__Z >0
L-OCAT AcatLGc)1ia- /,'
DATE f//a/ Z PERMIT# 9/ p-d i 4
TYPE OF STRUCTURE & A <j...6-6Dr ,
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING _FOUNDATION 4-8ACKFILL 4-FRAMING. _
vROUGH PLUMBING FINAL ELECTRI'CAL _SEPTIC
2IfISULATION WOODSTOVE/FIREI,LACE
REMARKS .,L- ; /444
/ APPROVAL
N/A S NO
CHIMNEY HEIGHT/LOCATIO�/
B VENT/LOCATION /1 �✓'
PLUMBING VENT / }
ROOFING / /
SIDING / c/j
DECK/PORCH/STEPS/RAILINGS °/
RELIEF VALVES / + ,./�
FURNACE/HOT WATER OPERATING ,.' /
INTERIOR TRIM/PRIVACY DOORS �/
FINISH FLOORS:/
BATH/KITCHEN WATERTIGHT k�
OTHER FLOORS SWEEPABLE\
OTHER FLOORS CARPETED ; ✓ /
STAIR CLEARANCE/RAILINGSi �v/
SMOKE DETECTORS 1 °,/
DOOR CLOSERS I ✓/
BATHROOM FANS A
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING r
DOOR CLOSERS t�
OTHER FIRE SEPARATION ;/
FIRE/DEMISE WALLS
FINAL ELECTR b- v ;7/
OK TO ISSUE C/O C/
COMMENTS:
ARRIVE J 21
DEPART / /D
I ECT R
ELECTRICAL'INSPECTIONS
��UP,LI TE MUNICIPAL RECORD
Permit No. /��1i
Owner 6 k//�-5/"ice
Occupant
Location Re eK l �L�S ei
al er •6l v Street
Town or City ! L[ FY State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by -.. ti& f 6 T &/fi p/2/Sty
Date •�' �9z--- •• ----��
615 - 44ector
MIDDLE DEPARTMENT INSPECTION AGENCY INC.
vetoer fon 40 at 900 Haddon Ave..Collingswood,NJ 08108
T / KVtJ fl WIKIrvIa VI-1 ILC IJ n.n.mart•.vI�vIII�i�cr�
Ts ,'('r fie WIRING &CONTROLS FOR 6 71, BURNER
i� RECEPTACLES / H.P.PUMP
FIXTURES K.W.OVEN
rga-
tt
�1MP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
yATMP.SERVICE CONDUCTORS K.W. DISHWASHER
((// K.W.SURFACE UNIT 1 K.W. DRYER
` K.W.RANGE AMP. RECEPTACLE
/ K.W.WATER HEATER 4FRi4C. H.P.VENT FANS
OTORS M.P. I/20 I/12 I/10 '/a % % '/ ' '/ 1 1%¢ 2 3 5 71 10 15 20 25 30 40 50 75 100
ARK NUMBER
EACH SIZE
PPA RAT US
TOWN OF QUEENSBURY •
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 0 9 /
LOCATION e(y):-Mead,...te
DATE 3//6/9 PERMIT # e/4/
TYPE OF STRUCTURE / " /A j ( v
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 IFOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE * SITE
FOUNDATION/WALL POUR f
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING /
BACKFILL APPROVAL f` i
ROUGH PLUMBING '
PLUMBING VENT/VENTS I'N LACE
PLUMBING UNDER SLAB 9
FRAMING: 04 -.
JACK STUDS/HEADERSU
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN 8DAM
FIRESTOPPING i
WALLS
CEILING /
FIREWALLS
HEATING ROUGH/IN 4
`k INSULATION:
/ FOUNDATIOV WALLS I TERIOR R-
FOUNDATIO/V WALLS E TERIOR R-
FLOORS/V Po ra. D 0- R- t y
WALLS R- (9- �5
CEILIN V R-50 SC
DUCT ORK OR PIPING IN UNHEATED
S PAC
REMARKS:
ARRIVE /Q;6d
DEPART /(:
INSP CT
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
J� '
NAME I/w'- i mda,
LOCATION iradA.L//i,b-
DATE ,/6/9v2 PERMIT # -f/4
TYPE OF STRUCTURE �Q t-
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. j
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR 1
REINFORCEMENT IN PLACE +
XFOUNDATION/DAMPROOFING
BACKFILL APPROVAL 5 v'
)( ROUGH PLUMBING ✓
PLUMBING VENT/VENTS IN PLACE;`
PLUMBING UNDER SLAB 1r
`(.FRAMING: 1 /
JACK STUDS/HEADERS s'
BRACING/BRIDGING
JOIST HANGERS X
JACK POSTS/MAIN BEAM t
FIRESTOPPING
WALLS
CEILING
FIREWALLS d
HEATING ROUGH-IN /
INSULATION: / \
FOUNDATION WALLS/INTERIOR R-
FOUNDATION WALL$ EXTERIOR R-
FLOORS I R- \
WALLS I R- \
CEILING / R- \
DUCT WORK OR IPING IN UNHEATED \
SPACES `
REMARKS:
ARRIVE
DEPART
INSPEC OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ///a/,/
NAME*A6 /�� ce�/1 �%L
LOCATION QWL1-0
DATE 0//0/ PERMIT # 9/4/4
TYPE OF STRUCTURE ��(��('/ - l 6. 1
RECHECK APPROVE
N/A YE 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.1
MATERIALS FOR THIS PURPOSE ON ITE
FOUNDATION/WALL POUR I
REINFORCEMENT IN PLACE 6
FOUNDATION/DAMPROOFINq /
BACKFILL APPROVAL /
ROUGH PLUMBING 1
PLUMBING VENT/VENTS IN\PLA E
PLUMBING UNDER SLAB
FRAMING: 1�
JACK STUDS/HEADERS A
BRACING/BRIDGING / t,
JOIST HANGERS /
JACK POSTS/MAIN BEAM ,
FIRESTOPPING
WALLS
CEILING /
FIREWALLS /
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:
ARRIVE /' '/ +�' I
DEPART ; `�D ,f, /11�►;!1
y ' I PEC TOR
E S 0 r--P-T* • 0Q -
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