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1986-810 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 ( \ 6 This is to certify that work requested to be done as shown by Permit No. 86-810 has been completed. This structure may be occupied as a Addition to dwelling Location 0Lk ,I774 West Mountain Road ' � Owner Marcel J. Demers By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector f BUILDING PERMIT TOWN OF QUEENSBURY No. 86-810 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Marcel J. Demers OWNER of property located at 374 West Mt. Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) 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'SAddressis 374 West Mountain Road Queensbury, NY 12801 0 2. CONTRACTOR or BUILDER'S Name Ct ri CD same 3. CONTRACTOR or BUILDER'S Address same w 4. ARCHITECT'S Name rt 5. ARCHITECT'S Address rt 6. TYPE of Construction—(Please indicate by X) p a (x)Wood Frame ( I Masonry ( ) Steel ( ) 7. PLANS and Specifications No. 8'x24' per plot plan, specifications and application submitted. ,� a H. rt C N• • H. o 8. Proposed Use p 0 One—Family Dwelling (additional living area) °r? ,, p o n rD a. E $5.00 C/0 $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 1g 87 H. ao (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 17th Day of November 19 86 SIGNED BY evel C. �,¢,C`-r✓ for the Town of Queensbury Building and Zoning Inspector I 1 TO BE COMPLETED BY BLDG. DEPT. // Application No. �lown of Queeniury 'TOWN Permit Issued 19 OFURv BUILDING and ZONING DEPARTMENT Permit Expires 19 1E8 [WE [I Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation �`a Queensbury, New York 12801 • Variance No. NOV . zit; _ Site P .an Review o t /fir F�� S,� PPr y` • 4....„...,_ � p213141516 g i APPLICATION FOR A Il� 1 / de tl,L, ,B :v`e ,ef' ad �tara / hc.. BUILDING AND ZONING PERMIT ____� lI _ Ufa_.___-. ____— * * * * . * * * * * * * * * * * * * *. .*. * * * .* . * *• * * * * * . * * * *. :;.*. • 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: ,/�/,jjfj CL 2I PC-Xif L5 P.O. Address ,?? % vy.hrcf Alt fI)*(F' 6.1,c44S Ai41 Tel.7f9 1 c� g57 Property Location: c,$ r /0 / dllza..S /Vrg& /:•'/ // ,,14 P 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 Ay//IJ7rf Gf f 7; Address yj s,7'/►%f- /J pAc/ Tel. 7,1— 7/.,3 Name of plumber ,6/jjfGFF) J�,,e.W 's Address /- c` Tel. I- Ab Name of mason Address Tel. NATURE OF PROPOSED WORK: ' * ZONING INFORMATION: Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, • r/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 , * LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration . * of septic disposal area. 1 .. * * COMPLETE INFORMATION REQUIRED BELOW. • * Size of property /) .�,�,,_ ft X ft. * Existing building(s) Size,. r ft X y;‘,: ft. * PROPOSED BUILDING AND USE: Existing building(s) Use Size of new structure ya. ft X�1 ft Foundation-pier/slab craw /partial/full.I * Proposed building, distance from property line . * (circle one) * Front yard ' ./ 00 ft Rear , ard - ft No. of stories (habitable space) / * Side yards ft and /gyp ft Height (grade to ridge) 'f ft. * If on corner, setback from side street ft If residential, no. of, families No. of rooms(excluding baths) g * OCCUPANCY INFORMATION No. of bedrooms * * PRIMARY BUILDING - ' No. of bathrooms Primaryheatingsystem ,� One family dwelling y Ref AJ l� * Two family dwelling Type of fuel No. of fireplaces to be installed �— 1. — Multiple dwelling ./ Number of units Will a wood stove be installed? --` * Permanent occupancy:°:: Central Air conditioning? 5 * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE . . Industrial ch Contemporary Log cabin * Other Ran Raised ranch Mansion Duplex * If addition, what will use be? ii,vi wj a,i-R 5 Split level Old style Bungalow .* • 6rc ,rul^^I 13,drel� Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * ' Detached garage/n c / two car/ car ( CIRCLE ONE PLEASE ) * • Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * ' 'Private storage building ESTIMATED MARKET VALUE OF * ' Other . . ' CONSTRUCTION $ QaD, * • J INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl i , BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type;of construction, wood frame, fire safe,etc. i*.=?-f0/1 Will any second-hand or ungraded lumber be used? If so, for what? Aid /yQ Foundation wall material / �,0 G Thickness " • Depth of foundation below grade (to bottom of footing) 1/ / 1 Will there be a cellar? A( ? Heated or unheated? uuh0-4fJ loor sq. footage /9' sq ft Will there be a basement? /y9 Will any portion be used as living space? Aid (If so, what portion? /kd sq.ft. - - Type of use? Type of roof —sloped/flat/shed/other S ,'Z Material:•of roof s 4 r;,(1, 2=s Size, wood studs £ "X " spacing "o.c. length, ft. / Joists,(floor beams) 1st. floor 9„ "X /0 " spacing /(,"o.c. span 01 ftL>v42-' 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( f engineereD3o spacing y"o.c. span '/ft. Exterior.wall finish f�X „j,¢<Of what material? 2 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, and self-closing device be• provided? Will .a flue-lined chimney be installed? /j/i) Height above roof c ft. — Depth of chimney foundation below grade �d ft. 1 Depth of fireplace hearth ft. in. • Water supply - Municipal or private well f 4'/V SEPTIC SYSTEM Distance•from ANY pkivate well(including adjoining properties Milt- ft. (A separate application is necessary for any repair or rew installation of septic system) Town of Queensbury 'A F F .I D A V I T �/ 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, _ar_e _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 an- 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's t,arcnitect,contractor ' day of 19 E • Notary Public, Warren County, N.Y. ' * 1* * * * * * * * * * * * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE 'PERMIT: • • • • f ' 1' I I ' ' By ' I TOWN OF QUEENSBURY , WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK 1 STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work. // ANSWER ALL of the following: 1 . Gross floor area "um, a, /IP 7/1I0•i-7r 2 . Type of heat ii //j› • 1 I 3 . Is the building mechanically cooled? r:,9 , 4 . Percentage of area of windows and doors s i/.L i,t'b A. • Over 16% Only I if 1 . Uo value of gross area of walls , roof/ceiling and floors ' • exposed to ambient conditio • ' I 2 . Floor over heated spac =s YES NO a. Are foundation wa is insulated? YES NO , 1 . I\f YES , what is the R value? ' i 3 . Slab- on .gra'de . Y 'S NO • a: If YES , wha is the R value of insulation around • perimeter\of floor? 1 I 4 . Is basemen heated\\?-- YES NO a. R va • e of in 'iation 5. Type of insulation ' IV-Under 16% Only 1 1. 'R value of roof and floors exposed to ambient condition _ g D 2 . R value of exterior walls et Aril R zZ 3 . R value of glazed area a_ 2.__ ,(, . 4 . R value of doors ,/✓© 7-2;CY1S />� 4SL/Jy>///69 Z 5 . R value of floors over unheated spaces 4;141 ,/gyp ' 6. R value of slab edge insulation - unheated slab _-`-`"`- 7_. R value of slab insulation - heated slab - 1 8 . R value of heated basement/cellar walls (above grade) /,�, /rif 9 . R value of heated basement/cellar walls (below grade)/ff-60/ I 10 . Type of insulation (31 `22.f Co,,e0,ri'i 6/ /40 f6.Ss k C. Controls , 1 . Thermostat maximum heat settingf/,la . D. Duct Systems 1 . Is duct system installed in unheated spaces? YES NO • a. If YES , R value of duct installation i b. R value of duct in other areas E . Piping Insulation �` /j 1. Size of hot water or cooling carrying agent pipe --10. �0/9,Ufr••' 2 . R value of pipe insulation F. Service Water Heating , F. Performance efficiency Ay nk go 4 . 2 . Temperature control setting maximum //M c • G. For Swimming Pool Only • 1 . Maximum heating /V/4, , Telephone N o . .7', ` ! (1 ? "-5 - A��2 .2? - ar-rr '' ( pplicas s signature) BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. • FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. TEMP.# (DATE CITY OR • . / VILLAGE J,,f,._,,.,.- / ' TOWNSHIP COUNTY \f(J//-�/J III �� /`1°�i STREET AND NO.OR /' ROAD AND POLE NO. 'VV/.- `iI .';/i , ,j 7//=c , i'',. , ,., iv/.- !. POLE NO. BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT OCCUPANT'S _ _ BUILDING NAME /Vil r)t /.-_} L'-.f�/'t,f`�/1 c OCCUPANCY 6 ,`f',.. i .j-_.t l) ,-t I-- .i ' '.l 1 OWNER'S NAME / / _ r _ y �, ' ,.;- *7 AND ADDRESS 4 /tt`vi r./. .-I /,. /� /I'/L- A, TEL # /T/ `l /f!�•�/ CURRENT / 7 f:. : .11 e SUPPLIED / FROM THEIR T' ` '-- - - i OFFICE BUILDING WORK DEFECTS IS NEW❑ OLD❑ IS NEW 0ADDITIONAL❑ REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Fixtures& BRANCH NUMBER OF OUTLETS Lampf fReceptacles MOTORS HEATERS CIRCUITS OFFICE USE Loca- - ONLY tion Side Attaeh't H.P. Watts A.W.G. Ceiling Wall Reeep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side Sub- base Base- ment • 1st Fl. 2nd Fl. 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. 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. SIZE OF ELECTRIC SIGN - TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE. (NUMBER) (CAPACITY) STARTED ,;*- ����_�r COMPLETED'•f%�! ':..' SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN BUILDING INSPECTION REQUESTED • ON OR AS NEAR AS POSSIBLE NEW OLD 1-1 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 / ---- NAME OF "-,-? .. �r - SIGNATURE -/ /-i /,i r- APPLICANT ''' "-%%•'f /> - /= ;/) /-/ --- il‘OF APPLICANT /'/ Y)1/ c L=% !',f-- !) STREET ADDRESS r•t�tf•/!2 Aft- �: 'l/_,J ' -' "a l TELEPHONE# i -` /-/ / ZIP - ,/,.p i LICENSE NO. POST OFFICE (-. ,/ i 1-.- // %j//"-/-. / ' CODE/ �,• f U I WHEN APPLICABLE 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING awn of Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME LOCATION 11/1_5 .r (2om_v Date --//6 / 7 Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Orlog. Y/�L,M,11G/ L Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures ,,l Gar. Fireproofing / Door Closers I ./ Smoke Detectors ( / Chimney {/ INSULATION: ` Foundation j Floors Walls /j Ceiling ! FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- = � LLo uI Mtb n "V !.d NJ 111/1; 116.1 Building Inspect 6/86 and-vl Jown of Queen36ur/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAMEArairt_ p JC AL/0,s LOCATION ID VV, /- 120 Date 3//? / c---7 Permit No. lo-- )' tD * * * * * * * * * * * * * * * * * * * * * * * APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill praming (� 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 INSPECTI Final Building Survey Next scheduled Inspection(call when ready) Remarks- - eO vT1A1 u,A-Tric-(Tb r LA-1-7( J C/a u P iv.,Jd i Jd-m 0 vac.- iv v o P I.+flo /.v-i o f/ovJ� Building n pec r 6/86 and-vl Jouin of QueeniLr1 BUILDING a'nd ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION ILL/vlT823A.6 Date-A /r) Permit No. 19- 3/6 * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Fpoting/Pier Forms oundation Waterproofing L ckfill 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 ELEVTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- /� P I o-c- r-hD o.vi9A--no,d a.Ai-(AlG Building Insp tor 6/86 and-vl alkd / ,cfii 1I1 G Jocun of Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 �t_i• Gk BUILDING INSPECTOR ' S REPORT NAME LOCATION 3 `f West mT, 6..4 Date /). M ,(p Permit No. - 530. * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YE / 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks-, ®fT Pav - 111 Bu lding Ins ec or 6/86 and-vl awn o/ Quenitar, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME *geb-C OG44 c LOCATION /i1 r A.r- A--p- Date /l//?/ n Permit No. * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / �IO� Footing/Pier Forms 4-0011-/CAS V 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- A r J\-Q QIto v &1) N N e r Po u sT- 41 Building Inspector 6/86 and-vl _ ( r r I II 11 j 1 1\\. 1 I I i : Ir ill Ii I . + I - - i ' I ; --Li / _i S' 1�C_"� `. H � • II.iI, 1ii1i _ i:,; ;,, lam---` I ` - • ,, i 1:- byes , �n 1 Q� . i11,11: -A. .\ 1 I 1 ___Ii _ _..._! . (\ ! 1 l'.. 1 ___:_, ..d ,, , 7-)-9 /)/ 1 1 i /- 1 .,-----, " i ; •• \ : 10 � t , i • f I i �' ii F------] • • • • • • • • - . 'yc+yjro .fir. I, - - .. - _ . • .✓✓4 C3'J 6 1IM ` r f J . :7,-2) i -i • . " . 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