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90-201N
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19q
This is to certify that work requested to be done as shown by Permit No. 90-201
has been completed.
This structure may be occupied as a sdd t:_..:_dwalling
Location Box 931 Corinth Road
William G. Ringer Sr.
Owner
By Order Town Board
TOWN OF QUEENSBURY
tic lki_ I
Director of Bldg. & Coe Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
PERMISSION is hereby granted to
OWNER of property located at
WARREN COUNTY, NEW YORK
WILLIAM G. RINGER SR.
Box 431 Corinth Road
5r
X
4
No. 90-201
z
O
Street, Road or Ave
in the Town of Queensbury, To Construct or place a Addition 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 LDEWS Name
Donald Baker
3.
CONTRACTOR or BUILDERS Address
73 Sanford St
Glens Falls NY 12801
4.
ARCHITECT'SName
5.
ARCHITECT'S Address
6.
TYPE of Construction — (Please indicate by X)
1 X Wood Frame 1) Masonry 1 1 Steel ( 1
7.
PLANS and Specifications
No. 256 sq. ft Addition to dwelling as per plot plan, specificaitons and
application.
B.
Proposed Use
Addition to dwelling for family room.
$ 24.00 PERMIT FEE PAID —THIS PERMIT EXPIRES ()Crnhar 96 19 90
(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
SIGNED BY
and Zoning
of
for the Town of Queensbury
0
d
rd
r:
0
0
0
TOWN OF QUEENSBURY
REVIEWED BY ` ,.ivuN OF OUCC11
FEE PAm
PERMIT NO. q19,1Z APR 241990 IIJ
BUILDING PERMIT APPLICATION
BUILDING & CODE DEPT.
A PERM" MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WELL 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 reverse side of this application.
The owner of this property is:
//
U0
Property Location
Tel.
Tax Map No. AA 5/
Has there been any split of this property since October 1, 1988? / y"
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE
LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
130V
NATURE OF PROPOSED WORK:
Construction of a new building
C/Addition to a building
_Alteration to a building ,
(no change to exterior dimensions)
Other work (Describe)
GROSS AREA OF PROPOSED STRUCTURE
1st Floor W,2sq. ft.
2nd Floor sq. ft.
Other Floors sq. ft.
(not cellar or basement
TOTAL FLOOR AREA,2.Sh Syq ft.
Siz w structure ft x ft.
Foundatio ier/slab/crawl/partial/full
(circle one)
No. of stories (habitable space)_L
Height (grade to ridge)_ft.
If residential, no. of families —.Li
No. of rooms(excluding baths) /
No. of bedrooms
No. of bathrooms _
Primary heating system
Type of fuel
No. of fireplaces to be installed
Will a wood stove be installed
Central Air conditioning LID_
ESr:MATED MARKET VALUE OF
CONSTRUCTION: $ �&p '0o
' COMPLETE INFORMATION REQUIRED BELOW:
' Size of property ft x ft.
' Existing Buildings(3) Sizeq'T_ft. x.60 ft.
Proposed building - distance from property line:
Front yard ft. Rear yard ft.
•
Side yards ft. and ft.
If on corner, setback from side street ft.
r
OCCUPANCY INFORMATION
Primary Building -
One Family Dwelling
• Two Family Dwelling
• _Multiple Dwelling/Number of units
• _Business
• Industrial
' Other
•
• If addition, what will use be? &M.,4 /lo0/}7
• Accessory Building
• Detached Garage ONE/TWO Car
• Attached Garage ONE/TWO Car
• Private storage building
•
• Other
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING iPF.CIFICATIONS:'
Ttipe of construction, ood fram fire safe, etc.
" � �i4
Will any second=hand or upgraded lumber be used?
If so, for what? pja
Foundation wall material 5� (M , A" Thickness
Depth of foundation below grade (to bottom of footing) y i'?'/
Will there be a cellar?_QL_Heated or unheated? Ald Floor sq. footage_,,2� sq ft.
Will there be a basement?/1//Will any portion be used as living space?
(If so, what portion? - sq ft. Type of use?
Type of roof - loped flat/shed/other Material of roof ayE „ e nY
Size, wood studs "x" spacing" o.c. length ft.
Joists (floor beams) 1st floor a"x_. spacing—OyL"o.c. span(—ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams)_"x -" spacingo.c. span14 ft.
Roof rafters _"x__L_" spacing_/,�_o.c. span-,Yft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish j/ �J�p<<ypJ/ of what material?
Interior wall finish
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
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.,
Water supply - Municipal or private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties
(A separate application is necessary for any repair or new installation of septic system)
ft.
ft.
NAME OF BUILDER Qn.v 64,kef ADDRESS 62r,IATEL. NO. �? 2 ,j/ 7 j
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON Z,4& 7d9bA, ADDRESS A*.I2001TEL. NO.�/7 �S,3-
NAME OF ELECTRICIAN / �' ko�Ay ADDRESS ( �` TEL. NO. 65�`
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
Asins and specifications submitted, are a true and complete statement of all proposed work to be done on
:he described premises and that ell provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
ill other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
uch work is authorized by the owner.
Signature `<%Gkv ,t�5 Z, �, —. ..
Owner, owner's agent, archi ect, contractor
iPECIAL CONDITIONS OF THE PERMIT:
WARREN COUNTY, NEW Y:;RK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE vvvry OF QUEBN,-�
A permit must be obtained before begiflry
ANSWER ALL of the following: 1L55 !(PUrr jj ��JJ 9f L5 I iI
., I" , APR 2411990 J
1. Gross floor area
BUILDINL- GVUE
2. Type of heats!
3. Is the building mechanically cooled? /f/Q
4. percentage of area of windows and doors
A. Over 16% Only
1. Uo value of gross area of walls, root/ceiling and floors
exposed to ambient conditions
B.
2. Floor over heat
a. Are foundat
i spaces YES NO
on walls insulated? YES
1. If YES,
what is the
R value?
3. Slab on grade
YES NO
a. If YES, wh.t
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
1. R value o ,roof and floor exposed to ambient conditions_
2. R value of exterior walls�� %
3. R value of glazed area Q q
4. R value of doors R IN
5. R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation - heated slab
S. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10. Type of insulation A Ciao l` UA�_
C. Controls y
1. Thermostat maximum heat setting
D. Duct Systems lj
1. Is duct system installed in unheated spaces? YES (y
a. If YES, R value of duet installation
b. R value of duct in other areas
Z. PSDi. Insulation
1. Size of hot water or cooling carrying agent pipe_
2. R value of pipe insulUt ^"
F. Service Water Reatine
1. Performance e!liciency
2. Temperature control setting maximum
o. For Swimmine Pool only
1. Maximum heating
Telephone No. 7 �'3 6
(applicant's signa ref
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (5I8) 792-5832
BUILDING INSPECTOR'S REPORT
REQUL-5: +-1 UR _ECTION RECEIVED
NAME L VL l A.Q P
LOCATION
DATE q-30 PERMIT # 9O-A0
APPROVED
\ZPOTINGIPIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL'
ROUGH PLUMBING
FRAMING '
ELECTRICAL ROUGH-I�j
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS -CLEARANCE & RAILS_
PLUMBING FIXTURES/RELIEF VAL
INTERIOR TRIM/PRIVACY DOORS_
FINISHED FLOORS:
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERR�T1''IFICATE OF OCCUPANCY MUST BE
OBTAINED FROk THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED! -
REMARKS:
�w& 344 3 ,P T�J��e�
THE CO"CTOR IS RESPONSIBLE FOR PROVIDING
PROTECTION FROM FREEZING FOR 48 HOURS
FOLLOWING THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE_ _
ARRIVE (�2,i ID YES NO
DEPART % O
TOWN OF,QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAV D ROADS
QUEENSBURYJ NEW YORK 1280k
TELEPHONE (518) 792-5832
INSPECTOR'S REPORT
REQUEST FORIINSPECTION RECEIVED
NAME
LOCATION 11 L€N
DATE (0 a PERMIT H
FOOTING/PIERS
MONOLITHIC POUR)FORMS
BACKFILL APPRO
ROUGH PLUMBING
FRAMING
ELECTRICAL ROU
INSULATION:
APPROVED
FLOORS
WALLS
CEILING
FINAL INSPECTION*,�
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEP
STAIRS -CLEARANCE & RAZ-
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOi,RS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPEC ION��
FINAL APPROVAL OF CONS RUCTION
OK TO ISSUE C/O OR C/
A SIGNED CERTIFICATE OF UPAN MUST BE
OBTAINED FROM THE B ILDING DEPARTMENT BEFORE
THESE PREMISES ARE CCUPIED! �.
REMARKS:
S� J
ARRIVE ^d1Lii�
DEPART-:"-
r• cnsv.mnn
TOWN OF QUEENSBURY
BUILDING AND CODES DEPART
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 128
TELEPHONE (518) 792-5832
BUILDING
REQUES 7R INSPECTION
NAME 1 a�
LOCATION OQ�LX"f1
DATE (n
FOOTING/PIERS _
MONOLITHIC POUR
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
EIVCTRICAL ROUGH -IN
/fNSULATION:
FOUNDATION
WALLS
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STE:
STAIRS -CLEARANCE & A
PLUMBING FIXTURES/RE:
INTERIOR TRIM/PRIVAC:
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS r
FINAL ELECTRICAL IN PEO
FINAL APPROVAL OF �ONS
OK TO ISSUE C/O O§ C/C
'S REPORT
VALVE
APPROVED
A SIGNED CERTIFI ATE OF A CUPANCY MUST BE
OBTAINED FROM TH BUILDIN DEPARTMENT BEFORE
THESE PREMISES RE OCCUPI D!'
0
REMARKS:
DEPAR��'
T NCDD/`Tl1D
TOWN OF QUEENSBURY���
BUILDING AND CODES DEPARTMENT
BAY 6 HAVILAND ROADS
QUEENSBURY, NEW YORK I2801,
TELEP*7T9292-5832
INSPECTOR'S REPO
REQUETION RECEIVEDNAMEJLJLOCATDATEPERMIT
N'/
I ,/�APPROVED
/ ) ! T
I OTC I 01n
FOOTING/PIERS
MONOLITHIC POUR RMS
FOUNDATION/DAMP- OOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH -I
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
�YiI'AL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S S
STAIRS -CLEARANCE & ILS
PLUMBING FIXTURES/R EF VALVE
INTERIOR TRIM
DOORS
FINISHED FLOORS
GARAGE FIREPROOFIN
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL I PECT ON' -
_FINAL APPROVAL OF ONSTR TION
OK TO ISSUE C/O O C/C
A SIGNED CERTIFIRE
TE OF OC UPANCY MUST BE
OBTAINED FROM BUILDING EPARTMENT BEFORE
THESE PREMISES OCCUPIED
REMARKS:
4RRIVE
/ / i,
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL`
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP, p 5r/ 9d Cl
GIiY Gp VILL E 1 NSHIP
STREET AND NO OR R
of
CURRENT SUPPLIED W
iI, \ik u
Loca-
NUMBER OF OUTLETS
NO.0 rlmu s
I MOTORS
HEATERS
Mr NL.n
Lamp Receplades
CIRCUITS
ties
tion
BiGa
AtgchY
H.P.
Welb
AWG
CBiliTg
ml
Rp P'IS
Switch
PBnGent
&acket
No.
TypB
Each
NP.
Each
Na
Gaup
OUT-
{
SIDE
RI1m
and
FL.
FL.
FL.
THIS APPLICATION IS INTENDED TO COVER THE ABOVE -LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION,: THERE IS
FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED. YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT
SREOFMMNS
FEEDERS
ELECTRIC SIGNGM1 n MAL WQTS
auRIGTFA OFwwx
❑ EJD'TSED
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SERVICE eUIDINGL
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6VE BISPEGIpN REGUESfED OLTIOR AS NEM AS MSSIBLEI
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t0ffifrIFlCATIDNJNMBF.Fi.
PRINT NAME AND ADDRESS -
N�AM�gF PLIANT OF APPLICATION
t l.3111ort of*c'L tno, I
11 L 0uC 57� -y Kl
CITY POST OFFICE ZIP CODE LICENSE NO WHEN APPLICABLE
. I E N.
❑ 85 John Street I 41 StatiV. rest El570 Delaware Avenue I El217 Lake Avenue I ❑ 202 Arterial Road
NEW YORK, NY 10038 ALBANY, Y 12207 1 BUFFALO, NY 14202 ROCHESTER, NY 14608 SYRACUSE, NY 13206
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