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1987-218 CERTIFICATE OF OCCUPANCY h TOWN OF QUEENSSURY WARREN COUNTY, NEW YORQ Date Au g t 3 , 14 This is to certify that work requested to be done as shown by Permit No. 8 7-218 has been completed. ` 1 U-Av�y& A( This structure tray occupie as a Addition. Ca dwe113n ( iu ng area } �+ I.ocation LV lam' Re Thomas L . Ciar,r ► J L✓ C:lwner By Order Town Board TOWN OF QUEENS,BU RY Building N Zoning Inspector BUILDING PERMIT AMENDED PERMIT TOWN OF QUEENSBURY No. 87_218 WARREN COUNTY, NEW YORK rz PERMISSION is hereby granted to Thomas L . Clary OWNER of property located at Reardon Road Street, Road or Ave. 4i area)( living 1 in the Town of Queensbury, To Construct or place a Addition to dwelling t~s. 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. H t . OWNER'S Address is RD #1 Box 448 0 Vaughn Road Hudson Falls , New York. 12839 r 2. CONTRACTOR or BUI LDE RS Name N Dennis Traver 't •c 3. CONTRACTOR or BUILDERS Address Box 189 Green Barn Road Hudson Falls , New York 12839 A. ARCHITECT'S Name ra w r�. 0 5. ARCHITECT'S Address "1y 0 m P- 6. TYPE of Construction — (Please indicate by X) ( M Wood Frame l ) Masonry I ) Steel ( 1 7. PLANS and Specifications 20 ' x20 ' per plot plan , specifications and application and No. Area Variance 1121 granted August 1986 and Area Variance 1256 rmt r� ranted .Tune 17s, 1987 N• 4 8. Proposed Use One-Family Dwelling (living area) r* 0 cs. ro $5 . 00 C/o '- $ 44 * 00 PERMIT FEE PAID - THIS PERMIT EXPIRES December 1 19 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 Gueensbury before the expiration date.) 1� Dated at the Town of Queensbury this 18th Day of dune 1g 87 -��,.y,� sU SIGNED BY / ! falck , x� t for the Town of Queensbury rro Building and Zoning Inspector p c TO BE COMPLETED BY BLDG . DEPT. _,/ � G OAS& �f �1 Application No . �70W" o Q"4ee4" j "r y Permit Issued 19 # TOV `N 0 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and HavilaY Road, R. D. 1 Box 98 Zoning Designati - Queensbur New York 12801 Variance No . L/ _ $ APR 2 3 1987 Appro f3L)ILDIIVG & CC7DI= DEFT APPLICATION FOR 41 7 00 i5ep-16— 94 1` 0 BUILDING AND ZONING PERMIT ` , r � r +, A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE I=OLLOWING . 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 1% a� B-0 A %+%4 k Q Li R ILA Tel .IQ Property Location : Tax Map Now./ / 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 el . Noe , / g -y Name of builder prf Irl } S �`�' U, 0j Address ,� 1 +� _ Y yr el . � � �f Name of plumber Address ; , a al Tel . Name of mason Address I Tel NATURE OF PROPOSED WORK : * ZONING INFORMATION : _Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , %,�di.tlon 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 * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . of septic disposal area . * * COMPLETE INFORMATION REQUIRED BELOW . Size of property �� 1 ft X 2 ft . * Existing building ( s) Size 2 4) ft X � ft . * PROPOSED BUILDING AND USE : * Existing buildings } Use Size of new structure 20 ft x .9- 4(ft " Foundation-pier/slab/cra rya ful Proposed building , distance: from property line (circle e C Front yard ft Rear yard ft Now of stories (habitable space ) ._ * �7 * Side yards �.. 7 ft and is- £t Height (grade to ridge ) ''1 0 ft • * If on corner , setback from side street ft if residential , no . of fam' ies No . of rooms ( excluding baths ) " OCCUPANCY INFORMATION Now of bedrooms No , of bathrooms PRIMARY BUILDING - -1 Primary heating system - �_ * � family dwelling Type of fuel lI ) - * Twwoo family dwelling 7�CrL�R * Multiple dwelling / Number of units No * of fireplaces to be installed will a wood stove be installed? .*y * Permanent occupancy ransient occupancy Central Air conditioning? ,., � T *. 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- colonial Row Town House Detached garage/one car/ two cart car ( CIRCLE ONE PLEASE } * Attached garage/one car/ two car/ _car * * * * * * * * * * * * * * * * * * _Private storage building ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ �� INFORMATION ON BUILDING 'SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . oeL {� Will any second-hand or ungraded lumber be used? If so , for what? ,/yty7 Foundation wall material L,,r'^, ,r Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar?,. /' Heated or miKheate dP Floor sq. footage scl £t Will there be a basement? �.Will any portion be used as living space? ( If so , what porti7p�? �' sc3 , ft , - - Type of use? Type of roof - sloLae flat/shed/other Material of roof Size , wood studs e7, "'}L� -" spacingTl�"o . c . length ` _ft . Joists ( floor beams) 1st , floor 7 "X 10 spacing / G, "o , c . span ft . Joists ( floor beams ) 2nd . floor Z. "X Ip spacing..LA •'o . c . span ft . erlays ( ceiling beams ) "X " spacing "o . c . span ft . Verior £ rafters six " spacing o . c . span ft , f trusses (pre-engineered) spacings"'o _ c , span Z-0 ft , wall finish , �_ e�c.�z c�Of 'hat ma rial ? i Interior wall finish .yZ z_ 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? � Height above roof Depth of chimney foundation below grade_ (n „�_ftSA +tfr �i � Fcaea t-e ,vG S Islepm, Erface 3seQrC3i—�f� , tee , /� Water supply - Municipal or private well _ �fL�E *--'� ' 'ca�a 4/i--Kge SEPTIC SYSTEM _ N Distance from ANY private well ( i cluding adjoining properties �� "ro r (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury 1 Vl County of warren A F F I D A 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 true and complete statement of all proposed work to be done on the described premises and that all provisions of the RUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to the oposed wor shall be complied with, whether specified or not , and that such work is autho ' .zed by t owner , SWORN BEFO ME THIS Signature___, _ ___ , �. _ Owner , owner s igent , arcnircect, con actor da of 19 Notary public , Arren County , N . Y . SPECIAL CONDITION OF THE PERMIT : 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 y4O 57 . 1 . 2 , Type of heat r � LCDh'CL4-- 3 , Is the building mechanically cooled ? hjcl 4 , Percentage of area of windows and doors le z A . over 16 % Only 10 UQ 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 ? 'ICES NO a , R value of insulation 50 Type of insulation B . Under 16L Only 10 R value of roof and floors exposed to ambient conditions rzC70 f AL � eb rccaprL - re 1 R 2 , R value of exterior walls /? / q 3 . R value of glazed area 4 . R value of doors r2 Mr -�p 5 , R value of floors over unheated spaces pig 6 . R value of slab edge insulation - unheated slab 7 , R value of slab insulation - heated slab S , R value of heated basement / cellar walls ( above grade ) 9 , R value of heated basement / cellar walls ( below grade ) 10 , Type of 1 n s u I a t I o n jc- C- ( S � C . Controls Si 1 . Thermostat maximum heat setting 0 D , Duct Systems IV Is duct system installed in unhealed spaces ? YES a , if YES , R value of duct installation b+ R value of duct in other areas E , Piing Insulation 1 . Size of hot water or cooling carrying agent pipeA-)` 2 . R value of pipe insulation Al--4AIC �Ct F . Service Water Heating 1 , Performance efficiency 2 , Temperature control setting maximum G , For Swimming Pool Only . : , . 1. i 1 . Maximum heating � �. Telephone : No . 2q ( applicant ' s signatu I r 1 BUILDING and ZONING DEPARTMENT Gv ay and Haviland Roa(I , R. D. ' BQx 98 X?ueenshury. New York 12801 U DING INSpFCTOR ' S REPORT NAME G� /.� LOCATION L P Date= IA permit moo . '1- y'* * APPROVED - YES NO Footing/Pier orms Foundation Waterproofing I3ackf ill Framing Roofing Siding �y onry veneer ugh Plumbing Relief Valves 1:xt . Porches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile Concrete Floors p1bg . Fixtures Gar . Fireproofi Door closers Smoke Detector C-h imn ey INSULATION Foundation Floors Walls ceiling_ FINAL EI.E RSCAL INSPECTION�� I)ItIVEWAY F4PPROV 5 rvey*�--�—� Final Building -� scheduled inspection ( call when ready ) Next Remarks- Building Inspector 6/86 and-vl BUILDING and ZONING pEPARTMENT Bay and Haviland Road, R. D. 1 Box 99 C)ueensbury, New York 12801 BUIL.{ ING INSPECTOR ' S REPORT NAME LOCATION Date _/ _.�L_ permit NO Q * * * * * * * * ✓* "PROVED YES * � 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 'file concrete Floors Plbg . Fixtures Gar . Fireproofin Door closers Smoke Detectors Chimney 1 N SU LAT I ON Foundation Floors walls Ceiling FINA EL.EC RICAL INSP ION L DRIVEWAY A RCIVAL Final Bull ing Survey Next scheduled inspection tcall when ready ) Remarks- Building Spector 6 /86 md--vl _ own 01 Queenshury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 SEPTIC DISP SAL SYSTEM INSPECTION NAME f1/.+'I / LOCATION DATE PERMIT NO. �1 I1rA /fJ SOIL TYPE - Sand - Loam - Clay Percolation Test Required? YES �i90 Percolation rate - Min/Inch TYPE of STEM: AbSorptio field , total le th Length of each trench Depth of t enches Size of gr el_ SEEPAGE TT 4Number of T Size-SEEPAGE Gravel size - PIPING : SizQ Type Bldg . to tank � f Tank to dirt. b 1=1� mistw box to fie Openings sealed? YES 0 Partial I LOCATION/SEPA TIONS : Foundation to ank ft. Foundation to absorption ft. Absorption t lot line ft6 separation o pits f t. onztiic7i[� OF YS ON PROPERTY (circle one) Fr Left Front �7 Rea - Left side - Right side - CC94MENTS : SYSTEM USE APPROVED 6 ES Build ng Inspector 01/86 and vl MfIDDLE DEPARTMENT INSPECTION AGENCY, INC. 9GO Haddon Avenue, Collingswood, N.J. os1 off Duplicate C e r t i f l Cat e Da November 9 , 1987 Cirrtlf iim that the electrical equipment listed has been examined and is approved as being in accord with the National Electrical Code, applicable governmental , utility and Agency rules. owner. Thomas Clary Occupancy: �c Occupant: Same Dwelling Location, Glen Lake- Reardon Road , Qu een s b u ry ( Wa rre n Co )Tis Cenjdicate co"M the OleCtrical equipment and inslallap ed on ,nspecl 7hrs tlahte. If additional equipment Should be introduced Or alleralrpp:s made to .. "islong sysdem this Certificate shaft he null and void. and application for Equlpmerr: r od thi s rrt he feate she So ltted oudprompt resenl Y to In tsameltohsnCY 42- {)utlets ; 24- Receptacles ; 10- Fixtures HoOe Cs p property Insurance carrier +� 200- Amp . Service ; 1 - Protective Signal.fYig Device asspeQfied palY) aBeYidefCEOlierli}icatibn0}electriGalegolpmenlappraved ? C C r_- Clarys Pharmacy Applicant: Box # 448 Vaughn Road No . L Hudson Falls , New York 12r39 15 - 016905 T. y ' V01 +C,^� _Down o/ �ueens6urt� BUILDfNG and ZONING DEPARTMENT Bay and Haviland Road, R, D- 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME f/4 LOCAT I ON� Date /1� - permit No . ✓ = 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 Plbq . Fixtures_ Gar . Fireproofing _ ~ Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECT RI AL INSPECTION DRIVEWAY APPR AL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- Bui'laing Inspector 6/86 and-vl ._./'vw" v/ Queenjimrey BUNLDING and ZONING DEPAnTMENT Bay and iHaviland Road, P.D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Tativie Date /� Permit No . -.vFiv ✓ - APPROVED - YESN O Footing/Pier Farms �K Foundation XWaterproofing X$ackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Nor Finished Floors _ Interior Trim Stairs & a Cellar Dra Concrete F Plbg . Fixt Gar , FirepDoor CloseSmoke Dete Chimney INSULATI Foundatio Floors Walls Ceiling FINAL ELECTRICAL INSPECTION _ DRIVEWAY APPROVAL _ Final Building Survey Next scheduled inspection (call when ready) Remarks-Ile 7z& ie S ding Inspector 6/86 and-vl awn a/ Q"Oen3L+"ey BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION 1> ,r Date�JE72� 7 Permit No . ! "A ✓ = APPROVED - YE NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves -` Ext . Porches _.._. Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg _ Fixtures Gar . Fireproofing Door Closers Smoke . Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAT. Final Building Survey Next scheduled inspection ( call when ready ) Remarks- Build! g Inspector b/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviiand Road, R. D. i Box 98 Queensbury, New York 12801 BUILDING INSPl=CTO R r S REPORT NAME LC1CA T I c?N Date_ Pqermit No . ✓ =Footing/PierAPPROVED Forms OVER - S NO Foundation Waterproofing Backfill Framing Roof g Siding Masonry Veneer Rough PI ` inky Relief Val es Ext , Porches Finished Floor Interior Trim stairs & Railings Cellar Drain Tile Concrete Floors Plbg , Fixtures Car - Fireproof ' y I)oor Closers Smoke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRI INSPECTION � IVEWAY APPROVAL al Building Survey Next scheduled inspection (call w en ready ) Remarks_ X11110 6j86 ttzd-vl Building inspector BUILDING DEPT, COPY OF APPLICATION FORM 41 NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING. DEPT. WHEIIi RiEOUIRED. T$MP. fl .._ CITY OR iiiihil VILLAG ` STREET ROAD AND D • DR '^ - TdWNSHI f { : � h r COUNTY •y PW..E NO, - BETWEEN MAfAT TWO PREMI A i r� `•�. --� .. . CROSS STREETSTE ?� ,e-.'4 S - PC1tE ND, NAME BUILDING; BLOCK! !' r"Y ( LOT YR4YER^3 NAME 1�- � i.`",• UpANC Y . AND ADDRESS 4 f OCC •.�." _ - BUI4OIN0 FROM THEiR . } NEW OLD ❑ OFFICE WORK . IS NEW ADOITIONAL DEFECTS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED ❑ REMOVED ❑ NUMBER OF OUTLETS No. of Fixturiat & Lrpr-Non Lamp Reesptecles MOTORS BRANCH HE AttacheATERS CIRCUITS OFFICE USE CeNina yyWl R t Swlldr IMrdant Braokat Na Type HIP, WI ONLY OutWI ski*- Eac4 No. Each Na GoWN' INSPECTION Sub CIS base Bier otelet 1st FI_ 2nd Ft. 8rd FI, REMARKSr LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: OD NOT USE THIS SPACE. This application is intendesf to cover the aluirmAisted x r you are authpriz+sd to make the i equip+rrrnt to 1 w46 ted but if at Nrro of i 'nsPec'sion arW adjust thr #aa to corer the additional equipment ns idled n there is found atMli - ysflp iPtnrnt not above iisted, 512E OF oq Prnmt, w psoridarl by the, applicant. MAINS ELECTRIC Si ON CHARACTER FEEDER$ LAMPS TOTAL OF WORK EXPOSED GAS TUBE SIGN WATTS WORK TO BE CONCEALED TRANSFORMERS OF STARTED (NUMBER) VA SERVICE OVERHEAD COMPLETED SIZE OF SIGN fCAPACITY1 ENTERS UNDER OROUNO IL IN MAKER ON INSPECTION REQUESTED OF SIGN AS NEAR AS POSSISJ BLE AVOID DELAY BY OIVI NG FULL AND ACCURATE INFORMATION. ALL SPACES NEW ❑ OLD MUST BE FIL IN OR APPLICATION MAY BE RETURNED. PRINT 1YAPIA D ADORE" 6At F NAME OF - !- Aft ON APPLICANT "5 t ' i4N III- s If SIGNATUR �''^^''' STREET AD RESS � .-j k- C- OF APPLiCA ^'l`^ ,/`-• ' //.n .. l - . / . 4 :'•. PT CITY OR TEI-EPFIONE POST OFF) t'k -..�?"s„} ., I [' r-rl._. '`], .� 1 0 w� zip +... ". F —•---�, COD --��•� -. '"r WHEN NO, 46 EL (REV. 1/861 A SEPARATE APPLICATION MUST BE FILED FOR EACHS—E—PARATE BUILDING s Cv U J w �Lkuv t ///ddd lll" cz 0-1 � L1 9 .....__...... o(Z 3 S0. Qe v� �C_ j 2 dh ' •f° o� � N 41' M� I Z y moo �tt W qCO bi I Q,p 1 i CID .O t ,..,ter-•'�• ! � �D b N 'f, •,�" a L� JS ktA AG�Aj'f 'p—''�Z'/ � T -�`"��.�- 28�.28' �'i'a� ± ? / _ ► �� •� // 15 Of-NV /� -�., '�''�,f� �• �=, _ ate. o , t.ti 70 - Libb mpo �z� fit