89-028 7
CERTIFICATEI 'OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Auoust 13„ 1992
This is to certify that work requested to be done as shown by Permit No. 8 9—2 i'
has been completed. •
This structure may be occupied as a r,i nr1 Pam Y DLIn1 1 i nr ons
• •
and adult-ion
Location Rockhurst Road
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Owner Karen & Roger Howard -
iu,
By Order Town Board
TOWN OF QUEENSBURY
-mac "W i1 to A n
Director of Bldg. & Code Enforcement
-' � BUILDING PERMIT
TOWN OF. QUEENSBURY
No. 89-28
WARREN COUNTY, NEW YORK -
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PERMISSION is hereby granted to Karen Fr Roger Howard F-
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OWNER of property located at Pnckhurst Road Street, Road or Ave. •
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in the Town of Queensbury,To Construct or place a Alterations _ &7 addition
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
P.O.Box 203
Cleverdale, N.Y.
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2. CONTRACTOR or BUILDER'S Name
Sunsoval
John Mason
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3. CONTRACTOR or BUILDER'S Address
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Cleverdale,N.Y.
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6.•TYPE of Construction—(Please indicate by X) ;tJ
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( )Wood Frame ( I Masonry ( )Steel ( )
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7. PLANS and Specifications
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No. Alterations & addition to dwelling as per plot plan,
specifications, and application.
8. Proposed Use
SINGLE FAMILY DWELLING W/ ATLERATION & ADDITION
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25 . 00c/o
$ 40 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 1 1989 y
- O H
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 H
town of Queensbury before the expiration date.) Z
En
Dated at the Town of Queensbury this 9th Day of February 1989
SIGNED BY for the Town of Queensbury dd
Building and Zoning Inspector - H
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701V/C1 OF OUEENSBCJRY ' - -. APPLICATION FOR BUILDING AND ZONING PERMIT
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' BUILDING.AND CODES DEPARTMENT -, Date Iazued
iitY and HAVILAND ROADS RD 1Box: 93 .: -----' • -; -, '. '-.- .. ' , . -. . ' • ..0_70- • -2.....fek) -- i .
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PUEEItISBURY.,NEW YORk- .2-28p4 , . ,-... - : .Peiun4.,t Na. • , ' , , -- L.: co .
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•,..• _ ,... . _ •
. . Te.1 . (518) 792-5832 Ext -204--
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- "• * * * * • * *.-'*. -'*',.* .* A * -,* *J*-' ig •.,* -*: A * . * * .-*- if * -*I xxx -xx a * * ar. ,a,
A 'PERMIT MUST MI-OBTAINED BEFORE BEGINNING CONSTRUCTION NO INSPECTIONS
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WILL BE MADE UNTIL APPLICANT HAS RECEIVED:,•k-YAID BUILDING PERMIT:
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All applicable spaces on thi:s apPlication' uuste complOtod, and- the
.: siptature 'of .the. apPlicant Must appear on the reverse side of this sheet .
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'rho owner of this property- is Karen Karen.'aiid Roger Howard
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P . O. Address P.O. Box 203 , -Cleverdale, NY 12820 TEL. 656-3642,
Property, location- Rockhurst ,Road ' - . . . - . , TAX MAP NO. 15 / 1 , / 17
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has there been any split of this property since October 1, '1988? - - 4 NO -
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• if yes , Planning 'Board."Rev.ieW_ is necessary yes no.. . --- • " .- - •
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SUBDIVISION NAME, . IF APPLICABLE V .• ' ' -- ' ' ,- LOT NO. ,
the person responsible. for supervision ofwork,-as -regards Building Codes , is :
John A. Mason' T - ' P.O. Box' 86 . Cleversiale, NV 12820 656-9956
NAME , . - .. . .,. .:• . . : • -- P .O.. ADDRESS-. ' . _. - : TEL. NO.
• Name ',of builder SunsoVal. Irid,;AddreSs• Cleverdale. NY 12E)20 - . Tel 696_-c)(16 •
Name Of:- Plumber ' Stinsoval ;Iiic.:Address• • Cl eve:rdAl P. -• NY 1 7 8711 • Te1. 65A...:Q956
Name of Mason Suns oVal, Inc.Address Clever.dale. NY ).2'8 2 0 Te1656-9956—
NATURE or PROPOSED WORK: ,
. ZONING, INFORMATION (Office use only) -
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Conticruction of a new biailding . , ir ZONING DESIGNATION OF PROPERTY
X Adeition to :4 building -.' - . . -.y-..
'-. 1- PERMITTED PRINCIPAL ' PERMITTED ACCESSORY
X Alteration 'to .a building ' ' ''' -.- • i •- ' ' ' ' -
'( w',change co.-exterior dimensions) - kr, REVIEW REQUIRED - PLANNING BOARD -, ,ZONING BOARD
Other,work (describe) - . ''.'' '' — * SITE 'PLAN REVIEW II 6WAPPROVED- C'D-ATE - ,it lc/Sill:APPROVED_ le." -DATE.
CROE;S AREA OTtiUtatISTRUCTURE • VARIANCE. -
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Elst Floor =124,0_ , sq ft. -,: ,, Remarks:. - -
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2nd Floor 19-276 . -. • - sq ft'. . ' . „. 'COmPf...ETE.I.NyORmATION REQUIRED BELOW.
• ' Sizo.'..of property ' '123 ft X go.
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Other Floors - - - - sq ft .
, '' Exist4nci building(s) SiV.U. .97 ft: X_ 5ft VC.-
(not cellar -er ' baement) , , .
- _ 4.
• TOTAL .FLOOR AREA - 3166 - sq , f -.4 * • • - • - •
- • . Existing building (s) 1.1s4.:
_}_,•:...„->- • - _c--'-,,- --- -
: Size c.d new structure 4:1()L.:--ft X 16)ft * ' residential
youndation-pier/siab/crawl/partial/full ' * proposed building, distance from -property .Line
• (circle one) • .
• . • • , Front yard 123 'ft Rear yard 90 •ft
No., of stories (habitable space) 2 _ - . -
. f" , Side yards 8 - ft and ' 62 - -fr
height '-(gradc, to ridge) . 25- „ .on corner, setback from side street ft
lf residential, . no.- of families 1
, : No. oV rooms(excluding..baths) • 8 • 4' - .. -OCCUPANCY INFOR.MATICN .
No, of bedrooms" . - 4 • . • : V - wt* •
• PRIMARY -LUILDINC - : .• -
No. of;.bathrooms', .• 3 , .• ,
',,,„.-. X' One family dwelling .
Primary 'heating syst4.:M hot wat-'ei'r .
'two family dwelling • . .
Type of 'fuel fuel oil • • . • ,
. . ' l' --multiple dwelling / Number of units '
No, of.fireplaces to be installed 0 '-.--, .
, .;_....1 eminent .occupancy , '
* .-Will a wood stove b4.;-instalied? 0' . • .
* Transient occupancy . ,
= Central Air conditioning? NO •
• . „. Business V .
. . BUILDING- STYLE, PRIMARY- STRUCTURE :•-- - . ,,• Industrial
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. icanch Contemporary Log -cabin * Ocher • , ,
lf' addition, what will. use be?
• Raised ranch . Mansion • Duplex *
- Split level Old. style bungalow ..• bedroom addtion: deck addition ' •
•, .0ape. Cod -, Cottage - Ocher - ' 4' ACCESSORY BUILDING- , ,
Colonial ' 1.ow - ; Town llo.ute' ' `I Detached garage/one car/ two car/ car •
...- -• ( MODE ONE PLEASE I • - ' - •-• .. Ir... X Attached garage/one car/ two car/ 1 - car
* * * * * ir * u •-* * A a' * " li is it . or .* , Private storage-Wilding' . . ,
.,' .ESTIMATED - MARKET- VALUE- -OF - - ' * Other
., CON!;TRUtTIUN .- '- . . •
- * 30 000-.-0*0 ---- -- - : - • . - - _ • .. .
* -- -.
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.3NFORmATION ON BUILDING SPECIFICATIONS, ON EVERSE SIDE OF, 'ruts SHEET, 'TO DE COMPLETED;
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FormBPA 20/88 vl , . .• •-• V . ..
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BUILDING -PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame;•=fire_ af.p,etc..\ wood frame
Will- any, second-hand or ungraded lumber`s,be•. used? Ifs so, for what? no
Foundation wall"material cement block Thickness 1 0
Depth of foundation below grade (to bottom of footing) 8 ' 6"
Will there be a cellar? yes Heated or unheated? heated
Floor sq. footage 1240 sq ft
Will there be a basement? _yes Will any portion be used as living space? yes
(If so, what portion? 960 sq.ft. - - Type, of use? 2 bedrooms , 1 bath, laundry room
Type of roof - sloped/flat/shed/others loped Material, of roof asphalt shingles
Size, wood studs .2 "X 4 " spacing 16 "o.c. length 8 ft. '
Joists(floor beams) 1st. -floor - "X " spacing "o.c. span ft. (no• change)
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. (no change)
Overlays(ceiling beams) "X " spacing. "o.c. span ft. (no change )
Roof rafters 2 "X 8 " spacing o.c. span 16 ft. -
Roof trusses(pre-engineered) spacing _ "o.c. span - ft.
Exterior wall finish siding Of what material? wood
Interior wall finish sheetrock
If a garage is to be ,attached, describe materials to be used for FIRE SEPARATION:
N/A
Is there to be an opening between garage and dwelling? N/A If so will a Fire-rated
door, enclosure, and self-closing}device be :provided? N/A
Will a flue-lined chimney be installed? no Height above roof - ft. _
Depth of chimney foundation below grade N/A ft.
Depth of fireplace hearth - ft. - in..
Water supply - Municipal or private well Lake George
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)
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 premised and
that all -provisions ot:the:tBUILDING CODE, THE ZONING ORDINANCE, and all
other,,laws pertaining to the proposed work shall be complied with, whether specified
or mot, and that such work is authorized by the owner.
Signature V
Owne . ow errs agent rchitect, contractor
* * * * * * * * * * * *• * •* * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
•
• SPECIAL CONDITIONS OF THE PERMIT: '
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By -
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TOWN OF QUEENSBURY HOWARD
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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 3166 S .F.
2 . Type of heat ' hot water
3 . Is the building: mechanically cooled? no
4 . Percentage of area of windows and doors under 169,-;
• 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 o.f insulation
B. Under 16% Only •
1. R value of roof and floors exposed to ambient conditions "
R = 30
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2 . R value of exterior walls R = 19
3 . R value of glazed area U = . 58
4 . R value of doors R = 7
5. R value of floors over unheated spaces R = 19
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) _
9. R value of heated basement/cellar walls (below grade) -
10 . Type of insulation fiberglass/urethane .
C. Controls
1 . Thermostat maximum heat setting 80°
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 -
2 . R value of pipe insulation._ . - . .
F. Service Water Heating .
1 . Performance efficiency -
2. Temperature control setting maximum G. For Swimming Pool Only '
1 . Maximum heating -
Telephone No. 656-9956
7 (ap•licant ' s signature)
TOM OF QUEENSBUR
531 BAY ROAD
, ', QUEENSBURY, NEW YORK 12804 fly'-
`I TELEPHONE (518) 745-4447,4?,
BUILDING INSPECTOR'S REPORT
• FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED_fh iflaa
NAME F
LOCATION A) U L?Li ,4(
DATE 1////19 PERMIT# 071
TYPE OF STRUCTURE lv ,,,,,
„bifel,
i.
RECHECK`„_1 / - /fit 4 -ezt.,
FIRE MARSHAL APPROVAL (COME
_ RICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING vFINAL EJECTRICAL SEPTIC
1J,NSULATION WOODSTOVE/F,IREPLACE
i
REMl���
/
1 APPROVAL
N/A • YES NO
CHIMNEY HEIGHT/LOCATIO
B VENT/LOCATION ✓
PLUMBING VENT ; I L__--
ROOFING 14 ✓
SIDING ,I ti-
DECK/PORCH/STEPS/ *ILINGS
RELIEF VALVES I
FURNACE/HOT WATER OPERATING �_---
INTERIOR TRIM/PRI ACYDOORS u---
FINISH FLOORS: i,
,,
BATH/KITCHEN yATERTIGHT ,/-
OTHER FLOORS SWEEPABLE
OTHER FLOORS/CARPETED `,
STAIR CLEARANOE/RAILINGS''; L-----
SMOKE DETECTORS .5.1To401.0
DOOR CLOSERSf \ ✓
BATHROOM FANS \
ALL PLUMBINGriFIXTURES OPERATING ✓
GARAGE FIREPROOFING ✓
DOOR CLOSERS ,,,-'
OTHER FIRE SEPARATION ✓
• FIRE/DEMISE WALLS ✓
FINAL ELECTRICAL
,-
OK TO ISSUE C/O OR C/C (.I
COMMENTS: z
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ARRIVE
DEPART
INSPECTOR
TOHN OF QUEENSBURY y��
BUILDING AND CODES DEPARTMENT //
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 4/9/9
NAME ] 7 le27/ � 7
LOCATION Aelikadi A"�
DATE Wg,2 PERMIT # �Y-,Zrf
TYPE OF STRUCTURE
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 i
y
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE 'tON SITE
FOUNDATION/WALL POUR 'I
REINFORCEMENT IN PLACE 1
FOUNDATION/DAMPROOFING 7
BACKFILL APPROVAL ? a''
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE\
PLUMBING UNDER SLAB ./ 1
FRAMING: _ r
JACK STUDS/HEADERS r ';
BRACING/BRIDGING_ I
JOIST HANGERS
JACK POSTS/MAIN BEAM,
HEATING ROUGH-IN I
)( INSULATION: /
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R- /,7
FLOORS
WALLS # R-jy v
CEILING ] R-
DUCT WORK OR PIPING IN UNHEATED\
SPACES l
REMARKS:
t
� I
ARRIVE
DEPART
INSPECTOR /`
TOWN OF QUEENSBURY ''r /�
BUILDING AND CODES DEPARTMENT y J
531 BAY ROAD /
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAMA/aLeilt., J I,tx��7tl"��ti)a,2,2
(
LOCATION O(Y,L1,0_o/J,t / .l
i
DATE ,.5 , ,�'/% PERMIT I
LZY
TYPE OF STRUCTURE
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.
MATERIALS FOR THIS PURPOSE4ON SITE
FOUNDATION/WALL POUR k
REINFORCEMENT IN PLACE\
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
)( ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB)
jj FRAMING: v
'( JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS/�
JACK POSTS/MAIN BEAM
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:
1Jd •-D
02, 44orriptiLmve..
3 - 2 t�� t 1
c„el Tx44,4'J c
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ARRIVE
DEPART
N ECTOR