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89-903 � 1 i + CERTIFICATE OF OCCUPANCY TOWN OF QUEENS13URY j WARREN COUNTY, NEW YORK 4 Ste June 8 lq 90 fThis is to certify that work requested to be dome as shown by Permit No. has been completed. kThis structure tray be occupled as a C ; n91 a Fami ] y DwPI l i na L,acation Ledaevi ew village John Hughes Owner By Order Town Board � TOWN OF QUEENSBURY i 1 Director of Bldg. do Code Enforcement f i I ti BUILDING PERMIT x TOWN OF QUEENSBURY � No. $ -903 CD WARREN COUNTY, NEW YORK 4 PERMISSION is hereby granted to f OWNER of property located at _ edigevi ew Vi 7 l aoia Street, Road or Ave. in the lawn of Queensbury, To Construct or place a Sin a Fa�ni Jr fl LTt9 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, [2:7TRACTO ER'S Address is = RR #3 - Box 3292 rn rn CA CONR or BUILDER'S Name CD Self 3. CONTRACTOR or f3UI LDER'S Address 4. ARCHITECT'S Name f� G S. ARCHITECT'S Address Mac yK 6. TYPE of Construction — (Please indicate by XI r f }h Wood Frame 1 } Masonry ( } Steel ( 1 rM 7. PLANS and Specifications No. 22 ' x 66 ' single family dwelling as per application , specifications s and plot plan . a. Proposed Use t N Single Family Dwelling rn r ;V $ 132000 PERMIT FEE PAID — THIS PERMIT EXPIRES November 27 , 1990 19� (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.) Q 1989 r+I Dated at the Town of Queensb this 27th Day of November r '9ysf'� a for the Town of Queensbury SIGNED BY Building and Zoning Inspector TOWN OF QUE.ENSBURY APPf . TCATION FOR T� UTLPTNC ANn zoNINc, rrrzh+ TT - ec %cuIod - TOWN OF QUEENSBURY RECEIVED ys� Ptf _.r � Fee Prztd s NOV 1 L 1989 1�U I LD I NG AND CODES U1 .1 'ARTTfENFT Va+ ce I.64 ued ;jAY and JtAVlr4ND ROADS RD 1 Rnx 93 � BLDG. � CODE DEPT. OUEENSBURY, NEIV YORK 221304 P '�'zt Na • f 11-LLL •-�"-Tel * ( 518 ) 792-5832 Exe 204 r ! ! r r rrf r t • fr r ♦ w r A r • • r x r n r • r r r w r s • r s • s A PERtIfT MUST ED OBTAINED BEFORE BEGINNING CONSTRUCTION * NO INSPECTIONS 14' ILL 13C MADE UNTIL APPLICANT HAS RECr: IVED A VALID BUILDINC PERMIT . All applicablo spaces on this application must be completed and the %0puature of the applicant must appear on the reverse sick of this sheet . The owner of this property is : P . O . Address �� ,�-�' � �i Re, i[' TEL . ''1 'r �'� �.�-� lroperty location �qje' ✓loeo .� v/ i e _'TAX MAP N0 . . 3c,�/ teas there been any split of this property since October yes no If yes , Planning Board Review is necessary . SUBDIVISION NAME , IP APPLTCAnLE LOT NO . HG 'i' he person responsible for supervision of work as regards Suilding Codes is : NAME F . O . ADDRESS TEL . NO . - rfume of builder 3tar4N &L }} Address Tel raume of Plumber <.j ," C'ja o- h �� Ikddress Tel �:j 5 ) v Tel Name of M<ason �7 .r.t . ,,2 f� • ,� c - AddraSti I1,1TU(tt: C]I' (°{:Or'L'��10 hiJR�: FREVIEW INFORMATION ( r3rtice use only ) 1.� Con �: truct ior6 of a iruw building] SICNATION OF PROPERTY Addition co :a laui. l.ling # PRINCIPAL PERMITTED ACCESSORY �Altuc"Lion to :a building ' � ( , 4o ci �.irai] u to uxt � rior climensiGn35 QUIRED PLANNING BOARD ZONING BOARDw� + Utttr.: r work (do crib..: ) ' SITE PLAN REVIEW APPROVED DATE I c; tt �, SS ARL:A OV PROPOSL' D. 'rrcU �L: TURE VARIANCE # APPROVED DATE lst Floor /IHFr' sq ft � '�, ~ Remarks : nd Floor sq f t . COmPLL 4 i{jpOj,tm"'rlON lu:tsUIIcED UCLa>.so t ai4Q of proliurty /sa .l> it x /6;; 0�5 Fr . other Floors sq ft . Lxi �tir�=� L' uil .li, ry] ( :: l � icu I` s x r' c . ( not cellar or ba5ementl TOTAL FLOOR AREA 11t &O sq ft • ' LxisCistig ouilalnq ( :: ) Ua.r L' ire ( f new structure �3 f t X e. f t t'uus�dacion-pier/slat/ ;y� /L3arti.41/ full ` 1,rolaoSea builua.ng , dL::t.►ncc: troil+ L.r.�lxurty lino {else)` onc ) + Front yard_ 3 ft near yard i _5 . N.3 . of Stories {ts:aiiit:rYslu space ) b•v Side: yaardu _5 et :end y-r' is lfuighe ( yrado to rid(j%: ) . 00e ' £ t . r If on corner , x:Ltb,ack boss sidu atruc: c fe 1f raaid"nti"- I , no . Of families / No * of roomn* ( excludin{3 ti:ath:;1 tf OCCUPANCY 1NFOIZMAT lON tloo of budroomu GU3LLlI14C -� Noo of b"LisrOOsm: a pryp fax Lily dwelling I#risaary Ixuu+ cisuJ s:ya tam ,ice - ec.7lt <- -- ; Two fcam.ily dwelling •Pyle" of fuel Multiple alwulling / Nusabor of unitS�r No . of firuplac"g to k'1�: in;:t"11i:f1 � i'BrLft&LnG:nt 0CC9iV4JbGy will :+ wuQ1 acov" tow iss� t:. 11.:cl? .� ` '1`r:►nuiunt cac0ut1h:ar9cy Cuntrwi Air conait.LuAlsig ? r` ' L:+ s liusins:as BUILDING STYLC, PRIMARY STRUCTURE . lnduserial s►Ch Conzouwpctr.,ry LC,g c:aUin . Other it .addicion , what will u4�u bow? ►`.xisud CaACII M:anail" L Oul.lux !11414t luv4al Old scyla Uuss4J.. IOW � •• - %: pu Cod Co&t"gj Octu,: r # ACCESSORY buzLDINC- ort. cpe-' j '--- Coloni..l scow grower Clouse W : cached y4rs4clo/0n0 Car/ two car./ car { CIRCL9 ONL•" PLFASE ) " ACtachuct cj"r.agu/'osscs Carl two czar/ Clef a a r r r ■ w • s • + ■ r : * W 1°ri.V" c%a stor"go building ESTIMATED MARKrT VALUC OF " Other -- ZOH :;4rkUC6I' IQft NP0144ATTON ON BUILDINC SpCCIFICATION5 , ON rtcvuRsE sior. OF 'TliTS .^.FILET, 1�0 Be COMPLCTU01 Form BPA 10/88 V1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , erc. . Will any second-hand or un �— aded lu.mher be u- If so , for what ? v7l ,r�U Foundation wall material cy ,vCr b ? c,, Thickness �1 Depth of foundation below grade ( to bottom of footing ) ,V Will there be a cellar? ,v� Heated or unheat . . . Floor sq . footage sq ft Will there be a basement ? !I Will any portion be used as living space ? ( If so , what portion? sg ft . . - Type of use ? Type of roof - sloped/ flat/shed/other �f Material of roof Size , wood studs_- " K spacings" o . ;� , length ft . Joists ( floor beams ) lst . floor Q" X /,,� "' spacing , 6 "o . c . span iy €t , Joists ( floor beams ) 2nd . floor " X " spacing "o . c . span ft , overlays ( ceiling beams ) " X IN spacing loomc . span ft . Roof rafters " X spacing o . c . span ft . Roof trusses (,pre- engineered) spacing .3y "o . span y ft . Exterior wall finish r �rG , d' r,;, r Of what material ? Interior wall finish fsi- be if a garage is to be attached , d sera. a materials to be used for FIRE SEPARATION Is there to be an opening between g rage and dwelling ? If so will a Fire- rated door , enclosure , and self-closing device be provided? Will a flue- lined chimney be installedf> Height above roof ft , Depth of chimney foundation below 44 ft . Depth of fireplace hearth €t . in Water supply - Municipal or private well 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) D E C L A R A T 1 Q N 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. Signature Ow , owner's agen , architect , contractor It SPECIAL CONDITIONS OF THE PERMIT : 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 /,rp/ .9 2 . Type of heat fc r _rr . <:, _ 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors A . over 16 % only 16 U0 value of gross area of . walls , roof / ceiling and floors exposed to ambient cc,nd"itions 2 . Floor over - "treated 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 s . Type of insulation B . Under 16 % Only Y. R value of roof and floors exposed to ambient conditions . 2 . R value of exterior walls ,2 ,9 ,:5 3 . R value of glazed area J/- c;j 4 . R value of doors )J :::� 5 . R value of floors over unheated spaces - 6 . R value of slab edge insulation - unheated slab 7w 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 - f ticr /,o .5 .5 C . Controls 1 ' Y . Thermostat maximum heat setting 7. D . Duct Systems z , 1 . Is duct system installed in unheated spaces ? YES (`N 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 . 2Y& L c;� f pplicant signature ) TOWN OF QUEENSBURY ' ENT BUILDING AND CODES DEPAR Fl SAY & HA VILANND ADS 12 0!b QU,EENSBURY, W YORK TELEPHONE ( 518 ) 792 -583 BUILDING INSPE TOR' S REP T REQUEST FOR INSPECTION CEIVED � —�� NAME LOCATXO 7 rd l DATE APPROVED YES NO FOOTINGIPXERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFIN BACKFILL APPROVAL _�- ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING y FINAL INSPECTION : !` CHIMNEY HEIGHT ROOFING SIDING EXTERNAL pORCHFSIST PI STAIRS-CLEARANCE & LI VALVE ~_ PLUMBING FIXTURES/ INTERIOR TRIMIPRIV CY RS FINISHED FLOORS GARAGE FIREPROOFI G �- DOOR CLOSER(S) SMOKE DETECTORS SPECTXO FINAL ELECTRICAL I ON STRUC TONS^ FINAL APPROVAL OF OK To ISSUE C/o O C/C�- —...�� A SIGNED CERTIFI TE OF OC PANCY MUST BE OBTAINED FROM TH BUILDING EPARTMENT BEFORE THESE PREMISES A E OCCUPIED REMARKS : / �J ,IJ ARRI'VE,io �- DEPAR INSPECTOR TOWN OF QUEENSBURY r� p ,�� BUILDING AND CODES DEPARTMENT ]�f�+j r �' � BAY & HAVILAND ROADS £T Y' NEW Y G4- TELEPHONE 8 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST F'D NSPECTION RECEIVED-��� NAME LOCATION DATE PERMIT # J APPROVED YES NO Fy(_ TXNG/PXERS MONOLITHIC PO FORMS FOUNDATION/DAMP PROOFING BACKFILL APPROV L IIII,40UGli PLUMBING FRAMING ELECTRICAL ROUG IN INSULATION: FOUNDATION FLOORS WALLS r .r CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING T PS EXTERiVAL PORCHES/ STAIRS-CLEARANCE & ILS CLEF VALVE -- PLUMBING FIXTURES) INTERIOR TRIM/PRIG" Y DOORS FINISHED FLOORS GARAGE FIREPROOFI G �...... MOKDETECTORS FINALELECTRICAL I TON ION �- -- FINAL APPROVAL OFICONST UCT A SIGNED CERTIFICATE OF CUPANCY MUST BE OBTAINED FROM THE BUILDIN DEPARTMENT ,BEFORE THESE PREMISES ARE OCCUPIE REMARKS : PECTOR IYAIDDLE DEPART AGENCY. INC. ®(� - "C 1NSPECRrI pats, January 22 , 1990 A � � � _ ' uiprnent listed has b approved as being in accord Certlf ito that .r�l &ble gaWernmental, utility an S. with the National Elect PP John Hughes P Owner: Same ... occupanr' �� � �edg �i } rytiCata IeC IC uYpmanx and insta HaWan inspected this for anon: date. It addru at U1 t an he Intrndueed Of Unarm honSG maodatlCo exialing synxam thi No he null and Void, and app pppg inapeccan nna uld suD*niti p tiv to this AflanCv. ac@ t ac 1 e s ; ���T+t�• nk snme to his propany Ynsuranee prearnsd Equipment: 48 4u t l e is ; �'t, fy �� .�mder oe coin ce Licata a 5 Ap p 1 L anc e e lac t c Heat ,t , G Ks tpe or eom YY asaxi erxitiCatYon of alecerlCal equipment apprpwed as spedlTYatl. Signaling Devi. r—� -ter _ - �: �� 8 r I Sam Corizouse 0 . 15 -032141 APpliCant: 11 patter Road - LGansevooxt , NY 12831 Farm ns, soa M 1 as TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ORK 1280� QUEENSBURY. NEW TELEPHONE ( 5I8) 752-5832 KjILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED �._�.------ NAME LOCATION Lz) G M DATE �� ,I_I PERIT # *G 1 s APPROVED s YES NO FOOTING/PIERS FORMS MONOLITHIC PO _PROOFING FOUNDAT IO N/I DAM BAC,KFILL APPRO L ROUGH PLUMBING RAMING ELECTRICAL ROUGH IN INSULATION FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL. FORCHES/S ERASES STAIRS—CLEARANCE PLUMBING FIXTURE jREL F VALVE INTERIOR TRIMJP VACY RS — FINISHED FLOORS GARAGE FIREPR PING DOOR CLOSERS SMOKE DETECT S��_ FINAL ELECTRI L INSPECTION -- FINAL APPROVA OF C04NSTRUCTI A SIGNED C TIFICATE OF OCCUPA Cy MUST BE OBTAINED F OM THE BUILDING DE FA TMENT BEFORE THESE PRE ISES ARE OCCUPIED ! REMARKS. I ECTOR TOWN OF Q CJ EENSBRY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 22809E TELEPHONE (528) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FO NSPECTION RECEIVED a , NAME t LOCATION DATE f�/ 2 F"ERMTfi # e7 mil` 7 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP-PROOFING ,,,.4A+CxFSLL APPROVAL ROUGH PLUMBI FRAMING ELECTRICAL ROU -IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH S/STEPS STAIRS-CLEARAN E & RATTA PLUMBING FIX RES1PELIEF 'VA�_— INTERIOR TRI PRIVACY DOOM FINISHED F RS GARAGE FIREP OOFING DOOR CLOSER ) SMOKE DETEC RS FINAL ELECTRI AL INSPECTION FINAL APFRaVA OF CONSTRUCTION A SIGNED CERT ICATE OF OCCUPANCY MUST BE OBTAINED FROM HE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARxs: INSPECTOR TOWN) OF QUEENSBURY BUILDING AND CODES DEPARTMENT `�� BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280!& TELEPHONE (5I8) 792-5832 BUILDINJG INSPECTOR ' S REPORT REQUEST FO NSPECTION R CEIVED NAME LOCATION t �! DATE PERMIT # APPROVED i ,� YES - NO ``VFOOTING/PI RS MONOLITHIC UR FORMS FOUNDATION/ AMP-PROOFING BACKFILZ APP VA ROUGH PLUMBr* '. FRAMING ELECTRICAL ROUdff-IN INSULATION: FOUNDATION Y FLOORS WALLS CEILING ; FINAL .INSPECTION: ' CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEP . STAIRS-CLEARANC & RAI PLUMBING FIXTU S/RE'LIEF' ,VALVE INTERIOR TRIM/ RIVACY DOORS FINISHED FLOG S GARAGE FIREP FING DOOR CLOSER ( ) �. SMOKE DETEC RS FINAL ELECTRI AL INSPECTION FINAL APPROVA OF CONSTRUCTION A SIGNED CER FICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: S �ANSP TOR r U� e / vy r - zi,xilrg Admincst