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1986-591 } 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. 86-591 has been completed. Addition to garage This structure may be occupied as a � Route 149 Location Owner Quantum Real Estate (Pallo Lampio) By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-591 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Quantum Real Estate (Pallo Lampio) • OWNER of property located at Route 149 Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to garage 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. ,o 1. OWNER'S Address is ��1 0 RR rt Lake George, New York CD 2. CONTRACTOR or BUILDER'S Name Town and Country En rt rt m 3. CONTRACTOR or BUILDER'S Address Hartford, New York 4. ARCHITECT'S Name 0 0 rt ro 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( ) Wood Frame ('1 Masonry ( )Steel ( ) 7. PLANS and Specifications 0›- No. 20'x20' per plot plan, specifications and application submitted. H. N• 8. Proposed Use 0 D Garage (addition) rto oa w $5.00 C/0 $ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 19 87 m (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 18th Day //off� September 19 86 SIGNED BY /2G-I o. /c./��QQ � for the Town of Queensbury Building and Zoning Inspector / // TO BE COMPLETED BY BLDG. DEPT. �] / Application No. _/ wn f Queniurl� Permit Issued 19 ( BUILDING and ZONING DEPARTMENT Permit Expires 19 t. _701,W1 OF ` ''"` Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation c�jF i rig L li L._. i Queensbury, New York 12801 Variance No. "� � `` ic ISite Plan Review No. (• t• V"+= - Approved by: r A. a in�� i b ..17—,ci# . APPLICATION FOR i-(J)°d� 1 '�i� {. M1��F r, a a 'I `; _ • Z- 0 , • 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. O �G, •-�r, The owner of this property is: - LCv(zt 11.1 f -Q �i,�//e / 1 f� qie . / P.O. Address 1� /` Il\ �✓ � ��I� /r�^' � c� !�4(2iCE'7- gd ic-fi i ViTel. 7 �-W U Property Location: SA i& Tax Map No. / / Street number or building lot number Subdivision name (if applicable) THE P SON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : r, _1ALLY • LA / -C4 t5. . Name P.O. Address Tel. No. Name of builder1 t,Cd)c,,„j/( Address -,/g7- r�G, io Tel. y0 Name of plumber Address ' Tel. Name of mason n&or N r Lt_'L4/v/rt4 Address f/_ 4 /V1 Tel. U r NATURE OF PROPOSED WORK: * ZONING INFORMATION: Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, XAddition 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 Other work (describe) • * set-back dimensions from property lines. Give * 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 n ,,Q,,,, ft X ft. * Existing building(s) Size /f ft X 3' ft. * PROPOSED BUILDING AND USE: //' * Existing building(s) Use ( / Lia/Z7 Size of new structure 'd Oft X 9 (aft * . . • • . . • . . • . . . . _ Foundation-pier/slab/crawl/partial/ 1* Proposed building, distance from property line (circle one) ���' S * Front yard '�U /c� ft Rear yard 2(2() ft No. of stories (habitable space) Side yards ft and ft Height (grade to ridge) '� ( 3 '' ft. * �� `` 9 f C) If residential, no. of fam�lies * If on corner, setback from side street ft No. of rooms(excluding baths) . " " . " . * OCCUPANCY INFORMATION • No. of bedrooms * No. of bathrooms * PRIMARY BUILDING - Primary heating system .' " YOne family dwelling Two •famil dwelling Type of fuel /� �4 1, Multiple dwelling / Number of units No. of fireplaces to be installed Will a wood stove be installed? 1/ S * Permanent occupancy */ Transient occupancy Central Air conditioning? * Business BUILDING STYLE, PRIMARY STRUCTURE *" Industrialustr Ranch ' Colt,emporary Log cabin * + '.. ��`A // Raised ranch Mansion Duplex * If addition, whA t wili. us be? ' (� /.c /1 Split level Old style _ Bungalow - Cape Cod Cottage i ocher * ACCESSORY BUILDING- Colonial Row �o n House * Detached garage/one car/ ,o/ca car ' ( CIRCLE ONE PLEASE ) *• u Attached garage/one car/ t 'g, car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET .VALUE OF * Other . " ' CONSTRUCTION f A A $ r INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: • Type of construction, wood frame, fire e tc. (-',d x.c k r7`r - �c-OC1 moo- �"Will any second-hand or ungraded saf r be used? If so, for what? QJ6.) �Y Foundation wall material (�,oq.�.c_2E_�� ' Thickness // Depth of foundation below grade (to bottom of footing) y� ' Will there be a cellar?,11C Heated or unheated? - Floor sq. footage sq ft Will there be a basement? //LJ Will any portion be used as living space? 12. c._) (If so, what porti ? -sq.ft. - - Type of use? Type of roof - sloped lat/shed/other Material•. of roof 9 , Size, wood stud "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor "X " spacing "o.c. span ft: Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft Overlays(ceiling beams) "X " spacing "o.c. span ft. ` Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing D "o.c. span 9C) ft. Exterior wall finish P(-,/_:)62., c Of what material? Interior wall finish ii _ — — If a garage is to be attac ed, describe materials to be used for FIRE SEPARATIO : Is there to be an opening between garage and dwelling? - If will a Fire-rated door, enclosure, and self-closing device be.provided? ��� Will a flue-lined chimney be installed? � C Height above roof 7 9 " ft. Depth of chimney foundation below grade ( ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private SEPTIC SYSTEM _ Distance from Y private well(including adjoining properties ft. (A separate application is necessary for 77 repair rr new installation of septic system) Town of Queensbury AFFIDAVIT County of Warren STATE OF NEW YORK . 1 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 no , and that such work is authorized by the owner. ( C3).- 74-__ SWORN TO BEFORE ME THIS Signature - ---- - -- - Owner, owner's agent,archi ect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By Cvlf/R) • 1 , • 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 • - _— 2 . Type of heat 3 . Is the building mechanically cooled? s`ci �1/ _. . 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. Flopr over heated spaces YES . NO �- • a. "Are foundation walls insulated? YES --�✓ 1 . 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 ' - a. R value of insulation 5. Type of insulation ._ B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions_ • 2 . R value of exteriorwalls • 01 , 12- 1. 3 . R value of glazed area Ta - 4 . R value of doors k • 5. R value of floors over unheated spaces_ ..—„_,_ R-`�� 6. R value of slab edge insulation - unheated slab 7. R value of slab insulation - heated slab (2-I( 8. R value of heated basement/cellar walls (above grade) , 9. R value of heated basement/cellar walls (below grade) -f� j.l,r4 10 . Type of insulation • i, (��``2-a-T G-/1------ 44.,e 4Z /16 l, C. Controls 0 �/ozilt� 1 . Thermostat maximum heat setting tIp" (�, ,�/� l,c. • D. Duct Systems �^ 1. Is duct system installed in unheated spaces? YES Q) 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 G--� - c 2 . R value of pipe insulation F. Service Water Heating 1. Performance efficiency /tio _ 2. Temperature control setting maximum G. For Swimming Pool Only , • 1 . Maximum heating • C� Telephovie No. 777 C 'c/o (appl c is signat re) a - i -JI`z/“ 3: .3 ,11 down of Quecniurty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME / cri U G vIT i l 1vl lea! 5-r LOCATION 7 Date l?_) l) /A, Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill I-Framing 0,11 Roofing Siding Masonry Veneer 547,4 �C 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 INSPF TION DRIVEWAY APPROVAL Final Building Survey r ' Next scheduled inspection (call when ready) Remarks- .0 //et lit/m6s Building Inspector 6/86 and-vl Jown of Queniur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME LOCATION cloq Date )4 J6 / c(y Permit No. st, _ 5-(/ ✓ = APPROVED - YES / NO Footing/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 LIB ULATI ON: Foundation Floors Walls '-ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- (443 Building Inspector 6/86 and-vl Down of Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME (r LOCATION /LI— /Y7 Date /'�-/� * / Permit No. g to — 5 1 1 * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Bfill l' 'raming Pe/L44) Q't Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors \ Interior Trim Stairs & Railings Cellar Drain Tile Concrete Fors L i„k Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- ia 'v' /o Building Inspector 6/86 and-vl �a ((� c( ccioo fa( 1c( /d : 35 _Down of Queenitur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ' W1 R ems! i.( �`( i'l � 6"-S1 4.t� LOCATION Pa- • Date i p/a_/ /,y(Q Permit No. p `"'51/ * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - Y S / NO ✓Footing/Pier Forms 5/4 !� \ 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 Survey Next scheduled inspection (call when ready) Remarks- 66/21/13 Building Inspector 6/86 and-vl Jown of Queens‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 7f���1Lti� 'i�/ LOCATION 44 /V Date lO / Permit No. 8j 6 - - 1 f A. * * * * * * * A. * * * * * * * * * * * * * * ✓ - YES / Na Off_ Xoting/Pier Forms 1470VED 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 Survey Next scheduled inspection (call- when ready) Remarks- ,s4_6/ ern ,J07cr,".4Co ( 6e/9146 Building Inspector 6/86 and-vl TOWN OF QUEENSBURY Building Department Inspectors Report Date/(2 /e Name Location j y9 Permit No. Weather Remarks Excavation Footing Forms Footing & Piers 66. (�Founda ti on (5/L Cement Coat Waterproofing �Backfill 04 Final Survey Framing Sheathing Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor \ Interior Trim /. Stairs & Railings a, Cellar Dr. Tile \ Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation. "Walls Ceiling Building Inspector. REMARKS flown of Queeniurty BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ` S REPORT NAME QQa Raci-Covie,t evt LOCATION y? Date / % 2 Permit No. 84 59 1 ✓ = APPROVED -o YE / NO L.-Footing/Pier Formsj $" '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 INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - eaxo Building Inspector 6/86 and-vl Jown o/ Queeni‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT Qu c 1-,4 w, e 4 NAME RLLO �_l� re p( e C5 LOCATION 2 4 I Date is?/ J 6 Permit No. ?(o -S 9/ * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing/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 Final Building Survey HAD l4i1f 6.)r,f4 S Next scheduled Inspection(call when ready) Remarks- - 1-dam RJ(v Ant -Buil ing Inspector 6/86 and-vl A✓89 °E _ _ 8'oz Z. 9110, [391 40 298, u � a 2p.o„ ZED ZD Lo " x ZD ' a �s.o. [1A1?A4E .tli9T.OQAJ a 'SV -WeZ Doc/ s `^ S g 9' LJ S t9 OA/ 31691.03'- /29.9Z 39./7'