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1987-220 r CERTIFICATE OF 0CCUI'A N�C'Y TOWN OF QUEENSBURY WARREN COUNTY. NEW YORK August 211 19 t57 Date 3 . !3j sa- zzo This is to certify that work requested to be done as shown by Permit No* has been comPle"CL This structure may be occupied as a Family roam additian to tine fasnil c1w411ir g BriCko [1 57'c`SC1 l veatlon micilael and Deborah Shea Owner By Order Town Board TOWN OF QUEENSBAJRY 01 Building & Zoning Inspector i { c -.-- � VOW BUILDING PERMIT TOWN OF QUEENSBURY No. 87-220 WARREN COUNTY, NEW YORK w ro PERMISSION is hereby granted to Michael and Deborah. Shea to C °`' OWNER of property located at 10 Brickoven Road Street, Road or Ave. .Addition to dwelling ( family room) in the Town of Queensbury, To Construct or place a o at the above location in accordance to application together with plot plans and other information hereto filed and *s approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. m 1 . OWNER'S Address is 10 Brickoven Road Queensbury , New York 12801 F3WNTRACCTTrO ONTRAOR or BUILDERS Name G , A . Armando r ua R or BUILf]ER S Address n' Glens Falls , New York 0 e rn 4, ARCHITECT"S NameOu p w 5. ARCHITECT'S Address B. TYPE of Construction — (Please indicate by X) (X ) Wood Frame { I Masonry { I Steel { ) 9 P• 7. PLANS and Specificationsrt 18 ' x20 ' per plot plan , specifications and application r, 0 No. rY G a. Proposed Use Q One—Family Dwelling ( family room added) ro Y N ".S 04 $5 . 00 C/o $ 18 . 00 PERMIT FEE PAID -- THIS PERMIT EXPIRES December 1 tg 87 (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.) N Ma Dated at the Town of Queensbury this 7th Day of 5' 19 8 7 o r7 IE§ SIGNED BY for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT , aw n Application No , .✓'i wn 0/ Q"ev+rl3fJJ ury Permit Issued I `�____�,__.� BUILDING andZlJNING DEPARTMENT Permit Expires lg TOWN OF CzUE '��` ' 13%y and Haviland Road, R.D. 'I Box 98 Zoning Designation Oueensbury, New York 12801 Variance No , Site Plan Review No , �� 8 198 �. Al R�Iw �0 :2e Approved . APPLICATION FOR BUILDi G & CODE DEPT. 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 . ti The owner of this property is : /�.+IC'.d/'Adr"G2zr P. O. Address 'c7 .ClC s7 rd LE`ifL.J'" dl1' Tel . '3' . Property Location : +� Tax Map No . Street number or building lot number subdivision name (if applicable) 4!F-pfsi,doteJ ez THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : .� s',cte .r1G d'' .lGd' wcr �' G� -.vim^ ./ �r',�^es .rs' :� ?`dr'-t�''�►9Z Name P . O. Address Tel . No . Name of builder ✓ Address Tel . / ow Name of plumber eolo *f/G` 000�Address Tel . Name of mason l"c% oy! �a/E/Ae�6.!/ Address .T .i%f/ Tel . ��9_!S S�fGo NATURE OF PROPOSED WORK * * ZONING INFORMATION : Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , ,>�Additlon 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 lanes . Give " street and number or lot number and indicate * whether interior or corner lot . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . * * COMPLETE INFORMATION REQUIRED BELOW , 61ze of property jexro ft x Zoe ft . * Existing buildings ) Size 1? -- ft X-.�_ft . * PROPOSED BUILDING AND USE : * Existing building ( s ) Use Mp4er �'Is�►srk+�AL Size of new structure ,,/'+,rrJ' ft X ZO ft * _ Foundation-pier/sla raw partial/full " P.ropos;ed buildirg , distance from property line (circle one ) Front yard C/W41V ft Rear yard g �'�» ft No , of stories (habitable space ) Size yards ft and � ft ,� . S'f'r{ Height ( grade to ridge) �y ft . If on corner , setback from side street ft If residential, no. of families/ T No , of rooms ( excluding baths) * OCCUPANCY INFORMATION Na, of bedrooms * PitExARY BUILDING - No . of bathrooms * � Jne family dwelling Primary heating system E'L�7Cr,r , +,Es1� . * i Two family dwelling Type of fuel ��Multiple dwelling / Number of units No . of fireplaces to be installed ---� .1 ?ermanent occupancy Will a wood stove be i.nstak�.+�4i? V&JT 'rransigrlt. gccupancy Cent gl Air conditiOning? � � BUILDING STYLEt PRIMARY STRUCTURE * �n ustleial bthQr Ranch Contemporary Log cabin * If addition , what will use be? ,I�idaMYiLS✓ sof.i11/__-- Raised ranch Mansion Duplex Split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUII.DING- o onia Row Town House * Detached garage/cane car/ two car/ car ( CIRCLE ONE PLEASE 7 '� Attached garage/one car/ two car/ car _Private storage building ESTIMATED MARKET VALUE OF " Other CONSTRUCTION INFORMATION ON BUILDING SPECTPTCATIONS , ON RU.V'F.RDE SIDE OF THTF fiHEET , TO 13E COMPLETED : BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . 4eoo27 Will any second-hand or ungraded lumber be used? If so , for what ? ,�t7 Foundation wall material 4:7�0, /�- Thickness ' Depth of foundation below grade (to bottom of footing ) Iiwtap .. Will there be a cellar? A140 Heated or unheated? Floor sq. footage s ft Will there be a basement? q /1�'D _Will any portion be usec'i as living space? ( If so , what portion? sq . ft . - - Type of use? Type of roof - sloped/flat/shed/otherSCepa�,!� Material of roof ,s"r'i�rr �J -, Cs�- pr1-fir, , ►- � Size , wood studs " „ n spacing C a . c . length ft . Joists ( floor beams) Ist . floor 'G' "X -" spacing /�'"o w c . span spacing Joists (floor beams ) 2nd . floor ""X spacing or span ft . Overlays (ceiling beams ) "X " spacing "o . ce span Roof rafters FIX spacing o . c . span f t . Roof trusses (pre-engineered) spacing 2 '"o . c . span ft . Exterior wall finish Of what material ? 44Wd402;+ Interior wall finish / .. �C-,Se'�-d,-�.•,�r,,,,p� r 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-lindd 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 County of Warren A F F I D A V I T STATE OF NEW YORK ,-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 trt}e 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, whe er ec ' led or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature- - - �`--- -----___ er, owner ' s agent , arcnitect , contractor - day of 19 --- -�_. Notary Public , Warren County, N. Y . * * * * IF * * * * * * * * * * * * * * * * * * * * * * * * * IF * * SPECIAL CONDITIONS OF THE PERMIT : By f TOWN OF QUEENSOURY WARREN COUNTY . NEW YORK Application for : BUILDING PER141T 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 1400 S,r� • --- 2 . Type of heat G�T�",re 1'a t' c7.d'.+�►1iry �1.r3�u.S' .yes <e,41F 3 . Is the building mechanically cooled ? AZO 4 . Percentage of area of windows and doors A . ver 16 % Only 1 . value of gross area of walls * roof/ ceiling and floors a x fed to ambient conditions 2 . Floor over he d spaces YES NO a . Are foundatio alls insulated ? YES NO 1 . ` If YES , what the R value ? 3 . Slab on grade YES NO a . If YES , what is the R value Insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a . R value of insulation 5 . Type of insulation H . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions X6 dsigr a .e3 7 .LLe e.G- a •j?Z9*, C,�JJd/.fi6 S/%m" f 'e7 Za 2 . R value of exterior walls ." 'Z, r 3 . R value of glazed area 'Oe ZP. / 4 . R value of doors A 2 5 . R value of floors over heated spaces 6 . R value of slab edge insulation - unheated slab "- 7 . R value of slab insulation - heated slab Be R value of heated ]casement/cellar walls ( above grade ) 9 . R value of heated basement/cellar walls ( below grade ) 100 Type of insulation Gle drCp'1'./' Co Controls 1 . Thermostat maximum heat setting SG7 � Do i Systems 1 . Is ct system installed in unheated spaces ? YES a . l YT R value of duct installation _..ram• mmmmm b . R value duct in other areas E . Piping Insulation 1 . Size of hot water or ling ying agent pipe 2 . R value of pipe i. nsulat ! F . Service Water Heatin 1 . Performanc iciency 2 . Temper re control setting maximum G . For mmin Pool Only Maximum heating Telephone No . ( applicant ' s signature ) to 73 21c"06u3 omPiewir —gown of Q een BUILDING and ZONING DEPARTMENT Say and Haviland Road, R-D, i Sox 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME ` '-► / �7Y LOCAT I OiV l.5ate� Permit No APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing aackf ill Framing Roof ing siding Masonry Vene Rough plumbin Relief Valves Ext , Porches Finished Floors Interior Trim stairs & Railings Cellar Drain 'Tile Concrete Floors Plbg . Fixtures Gar . Fireproof g Door Closers Smoke Deter rS Chimney INSULATI Foundati Floors Walls Ceiling Its SPECTION FINAL ELECTRICAL - RIVEWAY APPROV anal B,IldlnS Survey ready ) Next scheduled inspection (call when Remarks- Su .,din Inspector /�� and-vl ueQny � ur� ta 13UILD"I and Z.{3f11NG [3EPAFkTBOX 9r3 Say and Haav4iland Road, R-On Queenshury, New York 12801 13UI LD [ NG INSPECTOR ' S REPOP NAME LOCAT i ON ) i u. 6 V � I� Permit NO - --�4 Date APPROVED - YES NC7 Footing/i'1er Forms Foundation Waterproofing Fsackf i 11 �(F raining Roofing siding [4asonry Veneer Rough Plumbing Relief Valves Ext . porches Finished Floors Interior Trim Stairs 6 Railings Cellar Drain Tile�__� Concrete Floors plbg . Fixtures ,Gar , Fireproofing Door Closers smoke Detectors Chimney INSUI.ATT0N Foundation Floors walls Ceiling INSPE TION F3t3PeL ELECTRICAL ng IV FWAY APIs ROV AL Final Building Survey � � --� on (call when ready t,}exx scheduled ingpecti Remarks_ LIU ► �� Building inspector b/B'6 and-vl ueeris� ur� r" A _J urn a� BUILDING and C�t+lf{VG f]EPARTIu1ENT o Z �►J gay and Hauiland Toad, R.D. 1 Sox 98 0ueensbufy. Ne' York 12801 l2I P{)RT BUILDING INSPECTOfZ ' S LOCAT I -€ No * � Date APpROv'ED* - YES NO * Footing/'Fier Farms Faun da t ian Waterproofing ackfill Framing Roof ing Siding Veneer Masonry Rough plumbing _------_'^----_ Relief Valves____- Ext . Porches Finished Floors -` � ---- -- Interior 1`r im---- Stairs & Railings Cellar Drain Drain Tile Concrete Floors Plbg . Fixtures Car Fireproofing . Door closers Smoke Detectors Chimney } JNSUJ A'TION { Foundation # Floors Walls Ce i 1 ing Igl SPECTION�---^ -� FINN1, FyECTRICAL RIVFWAY ppplt{]VAL Final B�tiilding Survey f] t3ext 3Cheduied inspection t call s„rh�� xea+dY� RetnarlcG- y i�suilding Inspector �,/i36 mci-ul '7 r� 7 lcrwre o Qupe " IIIry BUILDING and ZpNjt4G DEPARTMENT 1 Box 98 Say Quee sbury. New york�12601 BUILDING INSPECTOR ' S REPORT NAME 4 o ✓ C� t, I cr�r �! t D t Permit No . qen 44r- Da /a - - APPROVED - YE 5( Footing/ Pier Forms Foundation waterproofing Backfill Framing Rooting Siding �..._..-. Masonry Veneer Rough Plumbing --- Relief Valves Ext . porches Finished Flexors Interior Trim Stairs & Railings _- --- Cellar Drain Tile___�� Concrete Floors plbg . Fixtures _---•--Gar . Fireproofing ---"-- poor Closers _ Smoke Detectors Chimney INSULATION Foundation Floors walls Ceiling FlNAI, E-1,EC"TRICA1, INSPECTION DRIVEWAY "V ROV Final Building Survey ee: tion {call when ready ? II Next scheduled Insp � �2etinarlcs_ f F3uiIding Inspector 6/86 and-vl BUILDING DEPT_ COPY OF APPLICATION FORM 46-EL. NEW PORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. A .DrATE CITY OR +�� /�r,��r TOWNSHIP (,fir ter' ,rgl.I� '!�Y' COUNTY VILLAGE {,�y�• .� / .rin' [ ,r ROA6 AN6 POLE NO. d� ' - _ 6ETWE EN WHAT TWO SECTION +� ' �� 6LOCK -� LOT �.'' > CROSS STREETS IS ,re'//,�/.�YS�IIrY+ PREMISE LOCATED? �.�` -y BUILDING NAME 7a✓ IrR'%+•• +F"r�+r AND ADDRESS �+'7� ! SUPPLIED ,��f�f.. ��1" FROM THEIR OFFICE BY 1"�" ORI[ REMOVED CTS SUILDING OLD ❑ IS NEW ❑ ADDITIONAL REMOVED VE ❑ is NEW LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED BRANCH OFFICE USE No. of Fixtures & MOTORS HEATERS CIRCUITS ONLY NUMBER OF OUTLETS Lamp R4=PU cles Loaar H.P. Watts A.W-G• INSPECTION d tion Side AttooWit Switch Porent Bracket No. Type Each No` Each No, Gauge Ceiling Wall Recep'Ie Out. tide Buts beg Baas ment let PI. 2nd Fl. 3rd FI_ 00 NOT USE THIS SPACE. REMARKS: LIST OTHER ELECTRICAL'DEVICES NOT SET FORTH ABOVE: ui and to be inspected but it at time of inspection there is found addltional equipment. not abeva listed„ This to author i thorIz is intended to corer the a and adjust equipment ui ment. as Provid*d by the applicant. you are aulhorixstl to make his inspection and adiust the 1e* to cover trie addition alELECTRIC SIGN TOTAL WATTS SIZE OF LAMPS MAINS FEEDERS CHARACTER CONCEALED EXPOSED GASTRANSFORMERS OF TUBE SWFI VA OF WORK (NUMBER) ICAPACITYI WORK TO BE COMPLETED SIZE OF SIGN STARVED SERVICE OVERHEAD UNDERGROUND MAILER ENTERS OF SIGN ILDING INSPECTION El ON OR AS EAR AS SPED NEW OLD POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE rNF ORMATION. ALL SPACES MUST BE PILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS _ r� r t^// DATE OF `7't � - FY NAME OF �G`ll�.��F "�F T " APPLICATION APPLICANT c'"/ _ +� Vila 0 4C,,�,0/ TELEPHONE STREET ADOR ESS // ,/� LICENSE NO CITY OR Ci Cc.-.MYs' CL,�I 7' _ CODE ��� aF" WHEN APPLICABLE POST OFFICE Aa EL (REV. rles) A SEPARATE. APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING F t� 4�5 i w I y� j 1 F i Unauthorized alteration or addition to3survey 3E"-0,4o.ea CGof6 Sva^G/✓/S�o/,/ rap hearing a licensed land surveyor's seal is a violation of section 7209,sub-division 2,of die New York State F.duption law." `•� �y,5 i "Only copies from the original of this survey F M A•�c `4 Worked wide an original of die land surveyor's •� (L seal shall be considcmd to be Valid we copies." d �� "Certifications indicated hereon signify that this i �J' - -survey was prepared in accordance iviGi die cz- A s,, fisting Code of Practice for Land Survc:s adopted y ty die Nov York State Association of P rfcssional �d Lind Surveyors.Said certifications sli:dl run only yr / to die person for whom the survey is L rcparcd, '\ and on his behalf to the tide company,governmcn- Fi j La{agency and lending institution listed hcson,,xA 0 to die assignees of die lending insd:uton. o �' CaT 83 3-0, o0o Sq r B'! CERTIFY I J•II. i:AEL P. AND DE30RAH A. 1ri+�.:F '41DLAND ,)ANx, N.A. , 9�i succE -0k, �rr� ne,✓��.y b t AM I l i LE L N7Ur:i NlCE f't 4r1 iY ar i H l� 4A(' WAS MADE FROM A"4 LkCIUAL SI uV;f ON N F,.t.C"r'✓ IHE t UJND ACCORDING TO RECORD UE Cr:IPTIONS AND C.i E c. i8 �,• " �LtiON.; OF BOUNDARIES AND 1sPPOVEMEN S LAND AND THERE ARE NU ENCi%OACHMEiJi � N Rk7.••� a Ld boa 0 � t con' 87- c� r , \ yAa of A 5�/e✓E ✓ ,yanE Fog 1-f L c 1-(A Ce- P. 41 OtF,TOZA H A. 514 EA 4 of Quc t.vs SUPV G✓Qe e E"n I Goc(Arry , .v.Y. `C, SCAe- E`: / "' 30 DATE': .r7E'GE'�/B'4.2 '91 /49•�— (A P SuK✓<VaPC, G<<Nf FAtLf,A/•% 5'1'AT'6- e-/C. Alo. ?S�6/7 /.�,.C 'o,J ,f2e v F"o d.v 77 /ZS-�- fl3 r1E' •677 -3