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1987-165 s CERTIFICATE OF (Die AN �C'Y TOWN Of QUEENSSURY WARREN COUNTY, NEW YORK Noveinber 18 I9 87 DateThis is to certify that work requested to be done as shown by Permit No. 87--165 has been completed. This structure may be occupied as a Addition to one family du7elling � famlly room I.cxation 7 Kiley Lane Owner Donaikd V . 48�e14,i , Jr . By Order Town Board I TOWN OF QUEENSBURY --------- Building & ZOMUS Inspector i BUILDING PERMIT TOWN OF QUEENSSURY No. 87_165 WARREN COUNTY, NEW YOR K PERMISSION is hereby granted to Donald V . Weeks Jr . OWNER of property located at 7 Kiley Lane Street, Road or Ave. w N in the Town of Queensbury, To Construct or place a Addition to dwelling ( family room) s� at the above location in accordance to application together with plot plans and other information hereto filed and CD tb approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N G 1 , OWNE R•S Address is 7 Kiley Lane Queensbury , NY 12801 2. CONTRACTOR or BUI LDER S Blame same V 3. CONTRACTOR or BUILDER'S Address same w M m `C r-� 4. ARCHITECT'S Name N 5. ARCHITECTS Address 6_ TYPE of Construction — (Please indicate by X) R. 0[ I Wood Frame ( ) Masonry ( I Steel rr a 7. PLANS and Specifications 16 ' x17 ' per plot plan , specifications and application o No CIA E r� 8, Proposed Use N , One- Family Dwelling ( family room added ) oc m $5600 C/O $ 16 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Nov . 1 19 f� 7 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Oueensbu ry before the expiration date.} Dated at the Town of Queensbury this16th Day of,, April $7 SIGNED BY /7+ ""f" for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . cam■ ■ �'rNN CfF QI� Fc ; i Z Application No , ; s `• 7o"II't o/ Queert .� E ury Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires Say and Hauifand Road, R.D. 1 Box 98 Zoning Designation ILi_1 �3 Oueensbury, New York 12881 variance No . APR 141987 Site PI Review N Appro I BUILDING /& CODE DEPT. APPLICATION FOR cr Z,, .r 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 : �_ .' -�' P . O. Address L .!�/� c� ��'- 6,� • s .2%,!� 1.2 ,mod- Tel . ,r^.f�?� -/f► 3 / Property Location : ���.I.Z+C 4L ,eo44r 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 : Name P , O. Address Tel . No . Name of builder Address) /f'/ Tel . Name of plumber_ Address Tel . Name of mason �FmE"r'� Address Tel . 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 , 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 whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND w of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED * * of septic disposal area . �r COMPLETE INFORMATION REQUIRED BELOW . size of property /'Q ft X Existing building { s) Size / ,Z ft X Zee ft _ PROPOSED BUILDING AND USE : 44 A`sx P_ dam" Existing buildings ) Use Size of new structure ft X / i ft C��!% 2� �A1_*T Irz Ke Foundation-pier/slab/crawl/partia full Proposed building , distance from property line (circle one ) y No . of stories (habitable space) * Front yard ft Rear yard t'.� ft /hZ Side yards X Q - ft and ft Height ( grade to ridge ) ft - If on corner , setback from side s reet � ft If residential , no . of families ,/ No . of rooms ( excluding baths ) } * OCCUPANCY INFORMATION No . of bedrooms_ Q .� PRIMARY BUILDING - No . of bathrooms One family dwelling Primary heating system /fDI'�/lE!/P Two family dwelling Type of fuel L"rl7S Multiple dwelling / Number of units // No . of fireplaces to be installedjL_ * permanent occupancy Will a wood stove be installed? 1 Transient occupancy Central Air conditioning? r}`Pi Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other if addition , what will use be? Raised ranch Mansion Duplex Split level Old style Bungalow / Cape Cod Cottage Other ACCESSORY BUILDING- O%40 Colonial Row Town House Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) '" Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * _Private storage building 44 ESTIMATED MARKET VALUE OF _Other CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . fl/OVA9G Will any second-hand or ungraded lumber be used? if so , for what ? - Foundation wall material , 'Ct7G'¢' Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar? V� f , rr unheated? Floor sq . footage ,, Z:�r_ sq ft Will there be a basement? Yew Will any portion be used as living space? A,007 ( If so , what portion? sq_ ft , - - Type of use? Type of roof - sloped lat/shed/other Material of roof ,y/.s�,�,/C f Size , wood studs__ . -z " X�._" spacing��"o . c . length �' ft . Joists ( floor beams ) lst . floor spacing__ZjL_ "o . c . span ft ..42 JOiSts ( floor beams) 2nd . floor "X spacing "o . c . span ft , Overlays ( ceiling yearns ) "X_ r.6 spacings/ "o , c . span ft . Roof rafters ter' _"�{ �" spacing�o . c . span !fjg " ft . Roof trusses (pre-engineered) s acing "o . c . span ft . Exterior wall finish Si>'i&"///`. Of what material? 4700 Interior wall finish 77'r ►G'4 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? V p If so will a Fire-rated door , enclosure , and self-closing device he ,provided? wz6t Will a flue-lined chimney be installed? Height above roof ft . Depth of chimney foundation below grade ft , Depth of fireplaceb4arth ft , Water supply unicipal Dr private well /0�, r SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties .Yf� ft . (A separate application is necessary for any repair or new installation of septic system} Town of County off Warren A A F F I D V I d STATE OF NEW YORK 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 don+e ' 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 FOR ME THIS Signature _ / �_Yz��= Owner , owner ' s -agent , arch ect contractor day f 19 Notary Public , Warren County , N . Y . * ,r ,r * * * •k * it k k * ,t � Ye * * � � Me k * at � � � Ar * * * ,t * 1t * er ,r * * x ,t * � k * : wr SPECIAL CONDITIONS OF THE PERMIT ; Sy 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 : .7 1 . Gross floor area + +' 2 . 'Type of heat �� �1/+� - 3 . is the building mechanically cooled ?. /ya — 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 � c / 4? 2 . R value of exterior walls fz 3 . R value of glazed area 4 . R value of doors 5 . R value of floors over unheated spaces 6 . R value of slab edge insulation -- unheated sla/b 7 . R value of slab insulation - heated slabr/d 8 . R value of heated basement / cellar walls ( above grade ) N g . R value of heated basement/cellar walls ( below grade ) 10 . Type of insulation / z`-/���/� C . Controls 1 . Thermostat maximum heat setting D . Duct Systems 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 _ ,+t/ E . Piping insulation /., 1 . SIze of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Beating 1 . Performance efficiency 2 . Temperature control setting maximum_y�i� _ G . por Swimming Pool Onl 1 . Maximum heating Telephone No . / /y?- ( applicant ' s sic nature ) dd rr ` �e,eeer� s6 +urcf ; Dean o� BUILDING and ZONING DEPARTMENT iland Road, R.D . 1 Box 98 Bay and Hav Qu ensbury, New York 12801 i BUILDING INSPECTOR ' S REPORT NAME e e C S LOCATION 0�7 _ Permit No . Date " * * NO APPROVED - YES Footing/Pier Forms Foundation Waterproofing Backf 111 Framing Roofing Siding Masonry Ven er Rough Plumbi g Relief Value EXt . Porches Finished Floo interior Trim stairs & Railin s Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproo ing Door Closers Smoke Detec rs Chimney INSULATION Foundatio Floors walls Ceiling FINAL E CT CAL INSPECTION - �RTVEWAY APPROVST._._ _�-1- inal Bu ding survey Next scheduled insp action (call when ready ) Remarks- 1 Building Inspector g /g6 and-VI �* vwn oue+eresesre IDUILDING and ZOmNG DEPART�ME T d Bay and Hsviland Roa , R•G 98 ()ueensbury. clew York 12801 BUIL01WG I "SpECTOR ' S REPORT ' NAME Doh e G' lw to ZPAj i * LOCATION V-j AA / �=- ermit Vim' - � date *PT.oVED _ YES too Footing/pier Forms ,,Fo=d.slt,j.on Waterproofing -sack.f Ill Framing goof ing S iding Masonry Veneer Rough plumbing Relief Valves Ext - Porches Finished Floor'$ Interior Trim stairs t Fallings cellar Drain Tile Concrete Floors Plbg . Fiytures gar . Fire'procf ing Door Closers Smoke Detectors Chimney Founda,tlon Floors Walls Ceiling TIC" -- �� FTMA'.Lj ELECTRICAL Ii3SPEC DRIVEWAY APPROVAL Final Su,Idl.g Survey ectian (call when ready" Next scheduled insp f S ' drag inspector u r fa,/$6 and-vl I 4�7Fnwn� oueen surd EWILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 C)ueensbury, New 'York 12801 BUILDING INSPECTOR ' S REPORT NAME /a S LOCATION Late i� lv /'a Permit APPROVED - Y. 5 NO oting/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 INSUIAATION - Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION� i)RIVEWAy APPROVAL Fixtal Building Survey - - inspection (call w en ready Next scheduled Remarks- 7 Building Inspector 6/86 mci-vl BUILDING DEPT. COPY OF P MCAT opyWITH UILD NG NEW YWHEN BOARD EQU OF FIRE UNDERWRITERS. Fl r ,,r' ,,r .,e,,r .,�1 TEMP. F 'DATE . .#/ OR.AGE CTf � •' �+�.�° TOWNSHIP [f/r./rt�'e /V• " "� COUNTY s7 � /BEET AND NO. QR ,fJ'�f�! �r fir' � /! ` . POLE NO. AD AHD PpLf NO- /e '/ : . OCCUPANT'S ,!'��/'Ij�JrJ`�+'✓ IFFY' �if. /�-1 RiOiC[.UPA,NCY [j4r!'r �i'•+'I�I�"� -"" % � � . � f T ;. {. AONOe wD�DaE� ./JGW' �j/At",Ed's ,9,a�'r..r'r`r/a".✓ G-rr'"•�`•'.: .•�•�r.�t .+�'1',r,-lc'fi�*! TEL. # �1" r-„� r'`�f:1�' -/.�..,�" LIED �fr�✓� i /+�/ i�.� !J""� FROM THEIR J+rf/F-� + '" -"+ .lr OFFICE DEFECTS BUILDING YYS NEW O OLD Is NEW tJ ADDITIONAL L REMOVED El IS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Ha Fhteaws & BRANCH OFFICE USE NUMBER OF OUTLETS Lamp Rateptiales MOTORS HEATERS CIRCUITS ONLY Leer A.W.O. oael Side Attach't SwiWh Pit Brediet No. Type E Ido• Each INSPECTION DOWNS IIIwE Recep"b Due- aids Sub- \\d beew Bees. mere Y list Ft. and Ft. 9rd Ft. 00 NOT USE THIS SPACE. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: This application is Intended to corer the above4isted equipment to be insPee ead but it at time of inspection tihere is f"nd additional equipment not *beva fisted. you are authbeiaed an make the inspection and adjust the fail to eor the e addition at equipment, as ptor er klad by TOTAL SIZE OF ELECTR ICASI ON WATTS MPS MAINS FEEDERS EXPOSED GAS TUBE SIGN CHARACTER VA CH WORK CONCEALED TRANSFORMERS OF (N UMB E R) ICAPAC ITY 1 WORK TO BE COMPLETED SIZE OF SIGN STARTED SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN iLWNO INSPECTION REQUESTED OLD ON OR AS HEAR AS NEW pOS$IBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED- APPLICATION PRINT NAME AND ADDRESS ! X4r SIGNATURE j NAME OF +G.+c+ ��C.� /`S�•!-{ /'1 OF APPLICANT. APPLOCA14T STREET ADDRESS 'f" 'r" < 04PA14ee- TELEPHONE * CITY OR /r�I yE"�7w/` �[' y/,z! r ZIP / q �,,.,� ,e LICENSE NO. POST OFF ICE C� CODE„G6,.��EN APPLICABLE ae EL FFIC �Isrl A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING i r l 6�v I? *' 4704 r f I I i. '� Zee , -