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88-330 111 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 1lO.'t5C_,h_ q 19 rfz • This is to certify that work requested to be done as shown by Permit No. S8-330 has been completed. This structure may be occupied as a Addition to one family Location Seel sae Rad a Owner Linda McCollister By Order Town Board TOWN OF QUEENSBURY 7D Building & Zoning Inspector BUILDING PERMIT IL TOWN OF QUEENSBURY No 88-330 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Linda McCollister OWNER of property located at Seelye Road Street,Road or Ave. in the Town of Queensbury,To Construct or place a Addition 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 <~ Seelye Road Cleverdale, N.Y. 12820 tiz w 2. CONTRACTOR or BUILDER'S Name O N Joe Roulier N• rt 3. CONTRACTOR or BUILDER'S Address h Box 301 Cleverdale, N.Y. 12820 4. ARCHITECT'S Name U� CD CD LC CD 5. ARCHITECT'S Address 0 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( 1 Steel ( ) 7. PLANS and Specifications r~h ' Imo• No. 10' X 12' as per plot plan, drawings and application t. rh - _ o 8. Proposed Use 0 Addition to one family m N• 5.00 C/O �c $ 10.00 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 Queensbury this 3rd Day of June 19 88 SIGNED BY • for the Tow n of Queensbury Building and Zoning Inspector :svTO'sBE?'COMPLETED BY BLDG.- DEPT.: . _ `: :,,. ;;is„y.!rr.•a;,>.p t .,,f. • •-ty.,' /�,.;�•`';7�=;.,.• Fro>;:. if iYJ`'; 9,! or Of.rtz?2,4;,'-72'i'',-iY ,. own of Application No.Queeni1ur ,Permit- Issued 19 '-L1 �' t. ,f, •? .;?: ; ` T j BUILDING and ZONING DEPARTMENT: .Permit Expires. 19 Bay and Haviland Road, R.D.-1•Box 98 : •.;,.: aZoning Designation MAY. 1i •'•'` ' Queensbury, New York 12801.: . {•c.,Variance No. • fi;;•. k,-<Site;_.Plan;.Review No. BUILDI[ G&,,COp =:DEI?{, -/55 ' ' ' • ',,,;,- •::::,,=.•.-,;,,:;::- •fi SApproved by: • 0APPLICATION FOR ;, (�. :;`.. BUILDING. PND ZONING PERMIT.', .,'.�' ,:;.. .,. ' - x ,. 111 - , . * •* *, . * *..::*• * * *. A PERMIT, MUST_;BE OBTAINED. BEFORE;BEGINNING CONSTRUCTION. ANSWER ALL,-;OF. THE FOLLOWING.; t.',- " The undersigned hereby applies' fors'a'.Building Permit to 'do ..the following work-which' will,::::= be done in accordance with .the',description,' plans and specifications: submitted, . and such,.;•i ':�;::3'<;�a special conditions as may be indicated-on-the'the' Permit.' •• -. ' The owner of this grope ty is: - :- • e Z�l -cr • P.O. Address it//fJ ,.. . Te1,„?7,o e:— eL Property Location: Se/ / ;/ : e4 z�q /7r'• " Tax Map No. • /. "/e_ Street numbe 'or` /ild'ri 'lot number r., bu �- g ., Subdivision name (if applicable) . . •r . > ' THE PERSON RESP NSIBLE FOR SUPERVISION' OF WORK AS REGARDS BUILDING' CODES IS: - +` `t,.: ' C 66., e— ",,e; ,.. O- .•/ •Z(e,,, C% ! "2�•/ . /�Z, e"-J,( ' C Name • . P,0: +Address ) ==Name of builder -,X, ?:;- - - Address' Tel.. Name of ply. w,� .. i . Address-, ' - . . Tel. . • Name of mason/42a miasa,,,„ ,. ,� Address / o,J _�L,(: . . . Tel. 797 : '3 • /. 5r 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,,-,1i,;•,:. ,,: Alteration to -a' building : ' "' '''"•.. *::showing clearly and distinctlyall buildin s (no change to exterior dimensions) ` '-*'whether existing or proposed and indicate Y :•.:" Other work (describe) - ...'set-back dimensions from property lines..Give'•_, :,,'ti`_.::,,, • :' ,*-street and number or lot number and •indicate 4.:': •.;::.;. FOR DEMOLITION PERMIT STATE .SIZE ANDS'; * whether-interior or corner lot. Show location..`'- ' ' ; •-' of water supply' and location and ,configuration" ;+-.:«:: LOCATION OF STRUCTURES AFFECTED. :'..•";•.. :,* : of septic disposalarea, . . - . * COMPLETE INFORMATION REQUIRE,D/ BELOW. * Size of property ' �4Y • ft X .) ft,. ,,y. . . *.Existing building(s) :Size Nyyf t X �� ' ft: PROPOSED BUILDING AND USE: . Existing building(s). Use,,,./_3L y ay - Size of new structure jd ft X•/.Z.'ft'':. .': * : .; �,.a5 e- : . Foundation-pier/slab aw3.j'partia 7l/full * Proposed building, distance front propert line ,_ : ;, (circle one) ; ;:: , , _,. *.;' :';:, No. of stories (habitable space) Front yard 7Y ft_ Rear yard' .�ZGr3 ft;;:;1" p ) -.i .'h • • —' •,'',: Height (grade to ridge) j, ft,`: .�. * Side yards 'moo ft and %jo ft :'`_: :;'; / •• If on corner, setback from side street ' ft,,:-.;;:.•Y.: If residential, no. of families No. of rooms(excluding baths '-a-' *' * "r. OCCUPANCY' INFORMATION • No._ of bedrooms %IO• * .r. • No. of, bathrooms .. *`.PRIARY BUILDING. �'�/ One family dwelling.. . Primary:heating system J:. Z:. /4j�i.: Type of fuel * ,, Two family dwelling , '''` ' '` Multiple dwelling /,Number of units , :-:• ., . ,:• ` r':. -_'`'-; No. of. fireplaces .to be installed''4 ;:; •. * Permanent occupancy Will a wood stove'be installed? .. ,::, : Transient occupancy Central Air conditioning? :� : , ''� - • ' g' Business BUILDING STYLE, PRIMARY STRUCTURE. ",',. .:,: * ' • Industrial.. Ranch ` - Contemporary Log cabin' *: Other ' Ranch - - what will,.use be? Raised ranch Mansion Duplex ":'. ' ;; ,. •' . . r : Split level Old style Bungalow '!' - Cape Cod . • Cottage ' ' Other : * ACCESSO BUILDING- . ' Colonial • Row Town House. *'''' '' Detache garage/one car two car/ ''car .>.;. ( CIRCLE ONE PLEASE ) *" Attached g age/o car/ two car/ ca'r:' "'., * * * * * * * * * * * * * •* * *. .*; ., *_''' "Private stora building a ESTIMATED MARKET VALUE OF * Other ' " CONSTRUCTION $ . * - ��� - INFORMATION ON BUILDING SPECIF CATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! . L�..v... nn-h A %OG ...A_..l /..' . ' . • BUILDING PERMIT APPLICATION CONTINUED - sL. , BUILDING SPEC.IF'ICAT'IONS: ` : , Type-of construction, wood frame,-, fire safe,etc: on� . :-/le: W -l` -any -seeond=handor ungraded lumber be used? If so, for what? ,Z./d . Foundation wall material C�.Jc.ei ':'/f ' Thickness /0 . • Depth of,foundation below grade (to bottom of footing) • r'-. '2 " • Will there be a cellar? A'A .Heated or unheated? Floor sq.. footage sq; ft . ' • . . Will there be a basement? ,✓a ' Will any- portion be used as living space?. (If so, what porti• .' '✓ sq.ft. - - Type of use? • • Type of roof . . sloped at/shed/other 'Material.•of roof sQ�h!•i" s4 j!r t_ _Size, wood s "X e " spacing /l "o.c. length .jP ft. • • Joists(floor beams) 1st. floor •"X /o " spacinggle "o.c. span/0 ft. . •• ', • .. - Joists (floor beams) 2nd. floor., r, - "X " spacing "o.c. span ft. • Ov -n, ` " ft. _ . - .A Roof rafters- "X /o " spacing /G o.c. span/y ft. . ' . - Roof trusses(pre-enginee ed)' spacing- "o.c. span ft. ' ' Exterior wall finish- 3 •/e-ic Of what `material? ' Interior wall finish /L s�..��.� • • 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? • Height above roof ft. Depth of chimney foundation below' grade' ft. • - • . . Depth of' fireplac,e hearth ft. A.n. . . Water supply -' Municipal or private well , SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft. (A separatee -application is necessary for any repair or new installation of•septic system)•. , Town of.Queensbury ' • _ A IF F a D A V•: I T - .- STATE OF NEW.'YORK County of Warren, I swear that to the 'best 'of my knowledge and belief the statements contained:in this application, togethe with the pla ns .and specifications submitted, are a .true. and " complete, statement of all proposed: work to be. done Lon 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 .Signature ' - • �' - Owner, owner's gent,arcnitect,cotractor: . 2//day of 19d� Notary Public, Warren County,.-•N.Y. - * * .* * '* * *- * * * * * * * *. •* •* * * * 4 * * * * * * * * * * * * * * * .* * * * * *. * *„* * 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 Z�D sy 2 . Type of heat /�% V/,'"- 3 . Is the building mechanically cooled? 4 . Percentage of area of windows and doors 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 of roof and floors exposed to ambient conditions^ ` 3c 2 . R value of exterior walls ,' 3 . R value of glazed area � J/ • 4 . R value of doors /-, ' 5 . R value of floors over unheated spaces .30 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)_4771...‘ 9 . R value of heated basement/cellar walls (below grade) 10 . Type of insulation —.CPr94-.5s °c (�/% c C. Controls 1 . Thermostat maximum heat setting "•://42 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. s/1-Z7.-31- •• • .4..7 - (applica ' s signa ure) 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 NAME 4oda, Y7 &e.4-eeie,11 LOCATION -QPb.P/ A( ,. DATE ,v i(7M PERMIT # ��`3, 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 PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPP ING 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: / 6. ') , 6 ARRIVE DEPART IN ECTOR • • ��`� r cr?-33o • V7: TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury,NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT /PROPERT LOCATION • 09 R OR TENANT BUILDING SEWAGE SIGN OTHER d / " 1€ REMARKS: f • C-44./ ( 0( • CONTACT THIS OFFICE WITHIN I SP • "HOME OF NATURAL BEAUTY...A GOOD PLACE TO LIVE" SETTLED 1763 gown o� Queenitr " .ty BUILDING and ZONING DEPARTMENT. Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • • BUILDIING INSPECTOR ' S• REPORT. NAME. iG�G' eGC7/46olee LOCAT I ONSee%eo /efci Date o?Q / Permit No. A-330 ✓ = APPROVED - YES / NO Footing/Pier Forms j Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing 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 I1SPECTION V DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- ?mee4 L." 1-c � r ` / wilding nspector 6/86 and-vl Jown of Queenury BUILDING and ZONING DEPARTMENT _ / fe( Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 po kue BUILDING INSPECTOR ' S REPORT NAME 711C- CP///,--47— LOCATION See/u 6 Date c3 /aT Permit No. effr3C-7 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - Y S /'NO noting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing 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 Next scheduled inspection (call when ready) Remarks- • ` it-- u..c,/`' / /Ld f' A) 0 (61 kie Building Inspector 6/86 and-vl • _Down of Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME C` ") LOCAT I 0 (AtjAjizA...5141fee-g) Date lQ /`ly Permit No. 330 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation / Waterproofing Backfill 4 Framing r • Roofing Siding. • Masonry Veneer • Rough Plumbing Relief Valves • Ext. Porches Finished Floors Interior Trim • Stairs & Railings Cellar. Drain Tile • Concrete Floors • Plbg. Fixtures Gar. \,Fireproofi.ig Door Closers Smoke Detectors Chimney t 'INSULATION:• • / Foundation , j(j41/ Floors Walls / / Ceiling %-� f- :1,/e q(6' r/ • FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- • • Building nspector 6/86 and-vl • -O! (518)656-3544 b, OULIER, INC. / BOX 301,CLEVERDALE,N.Y.12820 �3 ,ice ���©L�.. �--4(.. A. c O }r w, ' c�/,s 1sac Zss 1 __ 11 r S c/,cc/() zc!/ Soc).'-icie-c( Q.ezG -5`A" ,' , o, C i ..y --. ., ! „pc X e -�c.o;—c c1 5.-ec , , 5 W , X d o.- Z , a- �-;� ...", sc./ 1,,,(c.„: -_____ . __ - V -. - ~:.- - -- - `t /c > . /6 - ` 7 72?‘„,- ,(/' <-) /02 / x /6 , ��e. 3 // 'M