1986-458 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
This is to certify that work requested to be done as shown by Permit No. 86-458
has been completed.
This structure may be occupied as a Addition to dwelling
Location Ridge Road ,
Steven and Sally Miller
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-458
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Steven and Sally Miller
OWNER of property located at Ridge Road Street, Road or Ave.
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in the Town of Queensbury,To Construct or place a Addition to dwelling (living area)
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at the above location in accordance to application together with plot plans and other information hereto filed and
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNER'S Address is Star Route P
Glens Falls, New York a
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2. CONTRACTOR or BUI LDER'S Name Ralph Underwood
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3. CONTRACTOR or BUILDER'S Address P. 0. Box 172
Hudson Falls, New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( *Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
20'x24' per plot plan, specifications and application
No.
8. Proposed Use a
1-6One—Family Dwelling (additional living area added)
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$5.00 C/O Paid ▪ °
$ 60.00 PERMIT FEE PAID—THIS PERMIT EXPIRES Feb. 1 19 87crg
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n H
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town of Queensbury before the expiration date.) N N•
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Dated at the Town of Queensbury this 30th ' Day of JUly 19 86
SIGNED BY ///L�L�' C l /6 ' for the Town of Queensbury
Building and Zoning Inspectq
- 11L- L:U:+:YL::: . s Y LS.L,L)G. DEPT.
u� Application No.
Ls( . own of Queeniturc�
Permit Issued 19 TOWN OF QUEE{�1SHUR1"
G;� BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. 1 Box } Zoning Designation RECE {IVE, DI'. Queensbury, New York 12801 Variance No. ,
Site Pi Review No. JUL 2 81986
3-- ! / — ( I Appro b : • t7 .)91 r14 51.6
APPLICATION FOR a .1 e e , I . f.
BUILDING AND ZONING PERMIT
* *., * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *::*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: S i v -e n ± S d 1/ \ y /vL / / e f-- . ,
P.O. Address 5' T;- ,ie,s,, /i i ,44 cp /Pr( al,,,, I2//s /I/%/.2 1-c i Tel. 7 'f 2 36 L-1 Z
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Property Location: S/ /f,:,/, A(1q ,z .;�J 4./ ',.,s laJ/c h It Tax Map No. / /
Street number or building lot number /
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS. REGARDS BUILDING CODES IS:
Pi) PP /iVNIejcd// PO l 472 1710 elS€/Z 7 '//5 i y I9,g37 .5-15' /'.l' o
Name /P.U. Address q ?1`c!, Tel. No.
Name of builder/ /c,j l'Y4 h,',ivOoC�' Address fAI ,,&x / F; M/ Tel. 51- 7 ' .'a S r�—
Name of plumber CI, F•(= Wo.,y-, r S Address f c'/e r 3 7- )4 /i=J Jl (C Tel. '71 7 ,i•y 5
Name of mason R, f°/ Gf n ,%�-,e'e •/` Address PU../3.- )`i a /1 F. h'i/ Tel. 7F1 ''o
NATURE OF PROPOSED WORK: * ZONING INFORMATION: '
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
X Addition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
X Other work (describe) ��,.� ilee fr * set-back dimensions 'from property lines. Give
0//hi y L. Cr Pe-I iv , * street and number or lot number and indicate
*
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location •
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area. -
*
. * COMPLETE INFORMATION REQUIRED BELOW.
* Size of•property 0 0 ft X 356 ft.P�''d-'
* Existing building(s) Size c'2 ft X .39. ft.
*
PROPOSED BUILDING AND USE: * Existingbuildin (s) 'Use r z,9 ? 13' e.sr_tub
Size of new structure , ' p ft X 2 I/ ft * • cL'J) G( •1 I v i'-h 9 0'v:�•r Y7'►-5 ' (}
Foundation-pier/slab/fawl%partial/full * Proposed building;' distance from property line
(circle one)
* Front yard ' tp D ft Rear yard ft
No. of stories (habitable space) /
Height (grade to. ridge) 1y' ` ft. * Side yards i p7 ft and 67 ft
If residential, no. of families * If on corner, setback from side street ft
No. of rooms(excluding baths) 3 * OCCUPANCY 1NFORMATION
No. of bedrooms / *
No. of bathrooms / * PRIMARY BUILDING -
/�One family_.dwelling
Primary heating system %*J U/ /, P. * Two family dwelling
Type of fuel U ! �- Multi
•
No. of fireplaces to be installed * —multiple dwelling / Number of units
/V4 * rj Permanent occupancy
Will a wood stove be installed? * _YTransient occupancy _
Central Air conditioning?=- Business
*
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin
* Other
Raised ranch Mansion Duplex * If addition, what will use be? / i -t%i,; 440.71,,
Split level Old style Bungalow * �x '�Z C�� cam'" .
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * • Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * '* * * * * * * * • * * * * * * * * Private storage building
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ESTIMATED MARKET VALUE OF * Other •
CONSTRUCTION $ 2� '�00 *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BP:I /8r. ma-v.1
BUILDING PERMIT APPLICATION CONTINUED -
:BUILDING SPECIFICATIONS:
Type of construction, wood frame, 'fire safe,etc. . 1/t/d o j %= Je.%4-Jyj F y,
Will any second-hand or ungraded lumber be used? If so, for what?` it/ , t,
, •
Foundation wall material a OW i C' je)"T t fl/U(`o hickness %G►
Depth of foundation below grads (to bottom of footing ."
Will there be a cellar? -40 Heated or unheated? Floor sq. footage sq,�ft
Will there be a basement? to Will any portion be used as living pace? /
(If ,so, what portion? 1/90 sq.ft. - - Type of use? I r ; .1 0 h bf
Type of roof - sloped/fiat shed/other Material. of rilof 1 :%
Size, wood studs "X ';1?i " spacing j& "o.c. length • ft.
Joists(floor -beams) 1st. floor .1J'X " spacing %U "o.c. span %x ft.
Joists (floor teams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceili�n` beams) "yak._:- "X " spacing .c. span
Roof rafters Ld' ; � " sp
Roof trusses(pre-engineered) spacing _ 5f"o.c. span R, ft.
. Exterior wall finish V )/4/ / Of what material?
Interior wall finish / S/70 ,3
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between garagedwe
lling?g and dwellin ? 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 fireplace hearth ft. 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)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
I swear that 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.
SWORN TO BEFORE ME THIS Signature_---
Owner, owner'' agent,arcnitect,contractor .
�75 day of 19 P•
✓ / 'FCATHE;AP!"t.ROSt�otarS, Public, ::tat^ el Now Ycrl
Notary Public, Warren County, N.Y. _ :Saratoga County
t 72 E37
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* * * * * * * * * * * * * * * * * QI3]Aia lei@* y` �� * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF. THE PERMIT: *'Lj3d/Pi'
•
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 y •
2 . Type of heat O' 7- ,L
3 : Is the building mechanically cooled? 4/Q
4 . Percentage of area of windows and doors . J /
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 a'n-d--Fla-e-rs exposed to ambient conditions
2 . R value of exterior walls re- "
3 . _ R value of glazed area tit%')":, 6 ,/
4 . R value of doors M ., / •
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
• 8. R value of heated basement/cellar walls (above grade) �,i .
9. R value of heated basement/cellar walls (below grade) / t'.0
10 . Type of insulation g T \/ Y 'c `: ,> Fo)
C. Controls
1. Thermostat maximum heat setting
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. 71 r/ ((°,e
(applicant ''s signature) •
ID(Y awn o/ Queeniitury
4 BUILDING and ZONING DEPARTMENT
(( Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 4/Lle
LOCATION ��
Date / 46 Permit No. g
* * * * *
i/ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
masonry Veneer
("Rough Plumbing,+ eer ?1ie(P4-IN(0 Uf`
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers s\
Smoke Detectors ' `t
9himney
("INSULATION:
Foundation w
Floors
1lalls D(Z
Liling ��
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - ra
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14,14/6,4,4556
Building Inspector
6/86 and-vl
_awn o/ Queenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT '
NAME 11 6-
•
LOCATION
Date h6/f / cy4 Permit No. n 6 — 1715—
* * * * * * * * * * * * * * * * * * * * * * *
V = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
B�ckfill ((dd
✓Framing �' &14w,1 "' lV
Roofing
Siding
sonry 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 a�' l
Floors
Walls •
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- k,(9;aiAr) 2C4C /ea_
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Building InspeFt r
6/86 and-v16 "'ten iQ�/ Z
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. BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
•
• Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
•
NAME
LOCATION l,(dE2., „ _,„
C�O
Date —1 / Permit No. Vo'-`i"5 0
APPROVED - YES / NO
Footing/Pier Forms
Foundation
.Waterproofing •
Backfill
• )Framing (laeLe.1,9
Roofing
. Siding . .
Masonry Veneer
Rough Plumbing . c eeD or
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
• Final Building Survey .
•
Next scheduled Inspection(call when ready)
Remarks- - ,f°1
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BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME . 7..e v.e 4 .
LOCATION Rs 2
Date ,�/ �(,_ Permit No. 7 G -lf S?
APPROVED - YES / NO
Footing/Pier Forms
1.--Foundation 6 Ca a L-:q 4— P
jfaterproofing 0/a266n
.ackfi11 OK' bAc c 44-
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
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
1Veee inf7�; d1
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Bui ding Inspector f
6/86 and-vl ///
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BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME 3 i e u 2� •I I I
•
LOCATION d d v� c
Date '1 i 4-f / e}'f) Permit No. 86 - Li5 p
* * * * * * * * * * * * * * * * * * * * * * *
i/ = APPROVED - YES NO
Footing/Pier Forms 1 i
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 \ 1
Walls /
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey / :\/ .
\ •
Next scheduled Inspection(call when ready)
Remarks- -
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Building Inspe r
6/86 and-vl