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1987-195 BUILDING PERMIT TOWN OF QUEENSBURY No. 87-195 WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Joseph H . Gi acobhe _. ._...._. m •cr OWNER of property located at 26 Pershing Road Street, Road or Ave. x in the Town of Queensbury, To Construct or place a Addition to dwelling ( solar addition) r• at the above location in accordance to application together with plot plans and other information hereto filed and ry approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. W cr m 1 . OWNER'S Address is 26 Pershing Road Queensbury , New 'York 12801 2. CONTRACTOR or BUI LDER'S Name Ron. Moss RJM Quality* Products Ltd . tv cs. 3. CONTRACTOR or BUILDER'S Address 'b m 37 Notre Dame St . ❑n Hudson Falls , New York 12839 N rs oa 4. ARCHITECT'S Name 0 via 5. ARCHITECT'S Address &. TYPE of Construction — (Please indi cote by X) (T Wood Frame C ) Masonry ( ) Steal I I C�- Gs. 7. PLAINS and Specifications i-+- No. 6 ' x2O ' per plot plan , specifications and application c p rr 0 S. Proposed Use a.. One-Family Dwelling ( solar addition) fn' r• arcr ram. $ 10 . 00 PERMIT FEE PAIL? - THIS PERMIT EXPIRES Nov . 1 19 87 m 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ~ >v town of Queensbury before the expiration date.) r4 ry CL Dated at the Town of Oueensbury this 23rd Day of April 1987 Pu rt SIGNED BY �J�%+ 7e.r for the Town of Queensbury Building and Zoning Inspector i TO BE COMPLETED BY BLDG . DEPT . R ,a�] / Application No . j -rrjWN OF C LIEE1[SGi, F ' ' wn o/ Queen -i Mir Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19� Bay and Havitand Road, R . D. 1 Box 98 zoning Designation h(� Queensbury, New York 12801 Variance No . APR JCT7 Site Plan Rev ' w No . BUILDING & CODE DEPT, Approved by - } APPLICATION FOR Ji J4I � _._ .. Fr AVV V F1J I LD I �iG AND ZONING PERMIT `` A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOMIING . 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 : .�� �,Sy��� r~ 1A C..7.A �pc P . O . Address ,� �o � ��. ekxw: r wJ , S � J`a +-�-�s NY Tel . Property Location : 5F�! v�nc Tax Map No . Street number or building lot number Subdivision name ( i£ applicable ) THE PERSON RESPONSIBBLE FOR SUPERVISION OF WORK AS REGARDS BUILDI,NG CODES IS : �0`�fa' Ali G L Sdti d y -� lfY .r au r t' /7'<r rJ d ff •fir / Name P . O. Address Tel . No . Name of builder Awo .: ( Address Tel . Name of plumber /yJrC} Address Tel . Name of mason , ,� Address Tel . NATURE OF PROPOSED WORK : ZONING I NFORMATI ON : ,Sec Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUUBMITTED , _,#�C_Aduicion 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 DEp1OLITION 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 ft X 2 !;�ft . Existing building ( s) Size ft X ft - PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure If t X ,, 0 ft r'oundaticn -x� ier/ slab craw partial/full Proposed building , distance from property line (circle one ) Front yard `fig ft Rear yard 6 ��.. ft He ft of stories (habitable space ) ,p Side yards ! 72C ft and "'� - ft Flight ( grade to ridge ) • If on corner , setback from side stre• fL If residential , no . of families o yip No . of rooms ( excluding baths ) C;) A4 OCCUPANCY INFORMATION No . of bedrooms PRIMARY BUILDING - No . of bathrooms 2 one family dwelling Primary heating system * Two family dwelling Type of fuel No . of fireplaces to be installed Multiple dwelling / Number of units will a wood stove be installed? n -.z' o 'Xermanent occupancy Central Air conditioning? Transient occupancy Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other If addition what will use be? r.ple'l rex Raised ranch Mansion Duplex - -r Split level Old style Bungalow Cape Cod. Cottage Other ACCESSORY BUILDING~ Colonial Row Town House car ( CIRCLE ONE PLEASE ) * _Attached garage/one car/ wo car car Private storage building ESTIMATED MARKET VALUE OF Other CONSTRUCTION INF't';RMATION ON BFJTLDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form SPA 4/86 and---1 .w Now BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood Ira fire sa£e , etc . Will any second-hand or ungraded lumber be used? If so , for what ? yy Foundation wall material ,i1 CY ,E Thickness u Depth of foundation below grade (to bottom cif -footing } -- Will there be a cellar? Ap.Heated or unheated � Cs Floor sq. footage , sq ft Will there be a basement? � Will any portion be used as living space? .prc ( If so , what portion? s aft . - - Type of use? j Type of roof - sloped/flat sh d ther Material of roof ,� �,J /,� Size . wood studs-"'?C a„!° ' spacing �/ C' "o . c . length eft . �^ _ Joists ( floor beams ) lst`. floor „X- - 67� " spacing�li_'"o . c . span_../,,.ft . Joists { floor beams} 2nd . floor "X IF spacing "o . c , span ft , Overlays (ceiling beams ) �2 _^X " spacing _'"o _ c . span ,►( ft . Roof rafters - "X�J _"' spacing `o . c . span- ' ft . Roof trusses {pre-engineered} spacing_ r'o . c , span ft , Exterior wall finish 7 " Of what material? yr ,. Interior wall finish 4F 7 " pe" ,*r.. >ofe If a garage is to be attach d , describe matearlais 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? zp!!� _ Height above roof ft , Depth of chimney foundation below grade ft . Depth of fireplace hearth ,644`ft . in . Water supply - Municipal or private well SEPTIC SXSTEM _ Distance from ANY private well ( including adjoining properties ft , (A separate application is necessary for any ,rrepair or new installation of septic system) Town of f Warren A F F I D A Y 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 , are a true and compleAmentof 1 proposed work to be done on the described premises and that all provisUI ING CODE , THE ZONING ORDINANCE , and all other laws pertaining to the pr11 be complied with, whe r specified or not , and that such work is authorner ,SWORN Is SignatureGawne owner s agent , archirect , contractor 19 Notary Public , Warren County , N , Y , * * * * IN IN * * * IF * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IF * t SPECIAL CONDITIONS OF THE PERMIT : / C: By 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 6 2 _ Type of heat 3 . Is the building mechanically cooled. ? f7 � 4 , Percentage of area of windows and doors �� /4n C •: over 16 % Only 1 . Uo value of gross area of walls , roof /ceiling and floors exposed to ambient conditions , `t__ 2 . Floor over heated. spaces YES 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 J 1 5 . Type of insulation G'! / `i Under 16 % 1 . R value uee of roof l �,�and oots exposed�.� o ambient conditions le ri 2 , R value of exterior walls l Ss 3 . R value of glazed area f.vt2W . 4 . R value of doors S . R value of floors over unheated spaces„ 6 . R value of slab edge insulation - unheated slab s�-^ 7 . R value of slab insulation - heated slab 80 R value of heated basement/ cellar walls ( above grade ) b wy)OL 9 . R value of heated basement/ cellar walls ( below grade )" 10 . Type of insulation C . Controls 1 . Thermostat maximum heat setting D . Duct Systems i . Is duct system installed in unheated spaces ? YES NO a _ if YES , R value of duct installation b , R value of duct in other areas E , Piping Insulation 10 Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F _ service Water Heating 1 . Performance efficiency J � /�7 2 , Temperature control setting maximum G . For swimming Pool only 1 . Maximum heating Telephone No , pplic nt ' s signature ) 'r ti BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R. D. 1 Box 98 Queensbury, New York 12801 BUI LD I NG INSPECTOR ' S REPORT NAME LOCATION ?ASK 5_�0-4)-� i Date-~ � Permit No . ✓ = APPROVED - YES NO Footing/Pier Farms Foundation Waterproofing Backfill F rami rig j Roofing } Siding Masonry Veneer i Rough Plumbing j Relief Valves Ext . Porches '!'Finished Floors XInterior Trim { Stairs & Railings !� Cellar Drain Tile Concrete Floors t Plbg . Fixtures Gar . Fireproofing Door Closers i Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION /. anal Building Survey. Next scheduled Inspection ( call when ready) i Remarks- - i 69 A i Buil ng Inspector 6/86 and-vl 1 a TOWN WN OF +Q UEENS B U R Y Bay at HaviLand Road, Queensbury, NY 1 2804-9 725--5 1 8-792-5832 BUILDING AND CODE ENFORCEMENT DATE_ BUILDING PERMIT # �j" - f ',� EXPIRATION DATE__ r/1 ' PERMIT ISSUED TO: LOCATION : (y The records of the Building Vepartment show that your Building Permit has not had all of the required inspections. Our inspections are done only when requested by the Permit holder. Following is a list of required inspections and indication as to those that have been done. We require that you contact this office and make necessary arrangements to finalize this permit. ftEGZCJIRED INSPECTIONS: DATE OF INSPECTION 1 . Foundation footings before pouring concrete 2. Foundation inspection before backfill 3 . Rough plumbing Framing Insulation before any closing in of the frame work 4. Final Electrical Inspection required by approved agency 5. Septic system , before covering 6 . Final Inspection before Certificate of Occupancy/Compliance is issued NO OCCUPANCY OF BUILDING WITHOUT APPROVAL OF THE BUILDING DEPARTMENT. THE BUILDING DEPARTMENT SHALL ASSUME NO RESPONSIBILITY FOR ANY PORTION OF CONSTRUCTION THAT HAS NOT BEEN INSPECTED. REMARKS: David Hatin, Director Bldg, & Code Enforcement "HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE" SETTLED 1763 own ouee1� yhacrr�C BUILDING and ZONING DEPARTMENT Say and Haviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAMIE LOCATION. ze Date- � � Permit No . .r /�S ✓ = APPROVED Footing/Pier Forms 1S NO Foundation waterproofing eackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches +'Finished Floors [interior Trim Stairs & Railing Cellar brain Tit Concrete Floors Plbg , Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION ; Foundation Floors Walls Ceiling FINAL ELECTRI . INSPECTI Ainal Build! Survey Next schedu ed Inspection ( call when ready) Remarks- 6/86 and-vI - Bull ng Inspectors _Jown o Quee►rs6ure� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12$07 BUILDING INSPECTOR ' S REPORT NAME j- <:z5 4 ,6 f C.t Gy 4 � r_O C A T ION_ Date ' eC`q / � Perm! t No , ✓ = - Footing/Pier Forms APPROVED YES NO Foundation Waterproofing Backfill raining Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors T Interior Trim Stairs & Railings Cellar Dram Tile Concrete Floors P1bg . Fixtures ; Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION ; Foundation r1 anrs Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final B/u�ild/f� ng Survey 5./1�/� S._. �r Nex scheduled inspection ( call when ready) Rema rks- jlj�4 woo jo D.(raWVA-mot. 14- c - x € A{cS _ yy F3ui long Inspecto /86 and-vl /overt o� �� Pr�r� sdurt� 13L ILDING and ZONING DEPARTMENT Bay and Havifand Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Da tie Permit No . ✓ =Footing/pier For APPROVED ms YES NO "Oundation Waterproofing t.Backf1ll Framing Roofing Siding MasOnry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar , Fireproofing Door Closers Smoke Detectors Chimney INSUEATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks - 'Of ,r( / Building Inspector 6/i36 and-vl [ BUILDING and ZONING DEPARTMENT ►'" Bay and Haviland Road, R, D. 1 Box 98 fi Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME �! ate' „�.�$ r * eo:) I� LOCATION ..�GP ay r� _ Date--- { � Permit No . r/ —� a ✓ = APPROVED - YES NO Footing/Pier Forms oundation 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 - F3uildzr +spector G/86 and-vl THE NEW YORK BOARD OF FIRE UNDERWRITERS F—A . Y BUREAU OF ELECTRICITY August 12 ; $ �41 STATE STREET, ALBANY, NEW YORK 12207 Dale Application ,Vo. on file 0 0 9 8 Q 3 f 8 7 3 THIS CERTIFIES THAT A 691320 S only the Vier tricel OgUipment ve deaeribed belaw and intrad weed by the applicant na"Sed on the aboVe eppU"tsan nunsber in then premieee of Joseph Giacabbe , 26 P+ershing Road , Queensburye -New York A in thefatlowin focat $ n"Sent rat Flo Ro Fr. Outs id3 Len examined on QI ae Sectionl 14glock S coot 3 = and found to be in eornplience with the requirements of this Board. FIXTURE T,AC0:5 SWIT[H!S FIXTURES OilTIrETS IMCAMtllSCEMT FLlX7RESCEIVT RANGES COOKtMG DECK _S OVENS DISH WASH 1 3 I ERS EXHAUST fsANS AMT. K- W- AMT. K. W, AMT. K.W AMT- K. DRYERS FURNACE MOTORS FUTURE AFFUANCE PEEDERS SPECIAL REC"PT TIME C40CE5 R�EII UMiT HEATERS NtuLTI-cf�1,tT1,ET pRq Rg AMT. K. W. CKL H. P. GAS H. P. AM7. MO. A. W. G, AMT. AMP. AMT. AMP'$- TRAMS- AMT- H. P, SYSTEMS AMT. Wx775 NO. OF PE1:T � MCE DISCONNECT A T* S E R Y 1 C E AMT.MT, AMP. type t 1 ?W 10 3W J J► JW 3 's AW F+O. # CC. COND. A. W- G. MO. OF k11-LEG A. W. G. OF CC. COMD. # H♦•lEG MO. OF NEUTRALS A. W. G- OF MEUMAL OTHER APPARARM as Joseph Glacobbe 2j�• .. ...� . J'! _ 26 Pershing Road Glens Falls , New York 12801 BRANCH MANAGER Per This certificate mist not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. — — COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. BUILDING DEPT. COPY OF APPLICATION FORM 46.EL, NEW YORK BOARD OF FIRE UNDERWRITERS, FILE Try IS COPY WITH BUILDING DEPT. WHEN REQUIRED, s DATE - CITY OR f VILLAGE �V � t� [�-.? `'-s \• i..,+ �'i... STREET I1Ii0i NO. OR �i . TOWNSHIP COUNTY ROAD AND POLE NO, R S�'RI ETST IS POLE NO. LOCATEDif OCCUPANTS BUILDING BLOCK LOT NANAME '^"'" '—''` ti,.�t '1^ir. i I�S,�C:! t'•``.- OrRVER"S NAME t�+C OCCUPANCY .I, L ANO ADDRESS �£.,,7Y,1 - � q BSUYPPLIED a �1 [a� *' y TEL. / } BUILDING FRO&I THEIR J ! r T " 't'"' �=' OFFICE IS PIEIM OLD 1MOw K lope DEFECTS Is NEW CI ADDITIONAL REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No et FlaRr.. a Lamp RasgavNts MOTORS HEATERS BRANCHCIRCUITS OFFICE USE CMNWW M r "II# SwiWt I'etedatee Btaeleee Ntw Type H'P' Na IMa1 Otte Each 4t A-IY.G, ONLY E Ne Gaupe INSPECTION elde sabr lease Belle- MGM lee eq. Zed FI 3M FI, REMARICS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: OO NOT USE THIS SPACE. Tom +pP/:eat. K intan"sd to ewer tlae aho.a•IQtad eYe!pnaent to he inspected but fI at ai.ne 'v c* umd M enal{e alYe iaatpeStitett and adjust the Iee 1d 90eae the addrOni1 i eI i+MlMctiOn there is fwu nd iddi at6naN 512E OF �'+Penenl,. as provieltd by the applicant. iP114^t. not above listed" MAIN$ FEEDERS ELECTRIC SIGN TOTAL CHARACTER LAMPS WATTS OF %lORK EXPOSED GAS TUBE SIGN WORK TO BE CONCEALED TRANSFORMERS OF WA STARTED C )"PILFrED (NUMBER] ICI6PACITYN SERVICE OVERHEAD SIZE OF SIGN EN;RS UNDERGROUND In MAKER INSPECTION REQUESTED OF SIGN ON OR AS NEAR AS POSSIBLE AVOID BELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES NEW OLD MUST BE FILLED IN OR APPLICATION NIAY BE RETURNED. OAT OF PRINT NAPAE AND ADDRESS, AP 1 TION NAME OF -- +�- APPLICANT SIGNATURE _ a OF APPLICANT RL STREET ADDRESS 'a^^""'te^s �~ ...... C. k-� 1 1� ITv OR C {�. .. .. TELEPH E POST OFFICE r.- n,3 \ `" k ZIPLICENSE NO, _ CODE �+ '� ) YMIEN APPLICABLE 46 EEiL (REV. 1/8E7 A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING ticl t�� / �Q • f .� �� f l� � �- Stli�tcl errnipf6v rfar+ r ti� f � {} r e. • - b , I �pYdw++� �9vd1 canCtw�p — - 5" lay jayT4 ` I i �x bar + S .oiDa y Dh � ' �" P,rSolr Plata So� t�t 1�,►1/ ,Fltva�`/on Cos1s+ l 1 � 1t1tUphC' ' , i Iat 02 Ad r 1 rus �t � �ea�ut Va7 Tfxr rnp�$�P TAe}rnapitht �4t � ��V��3 � t►G�t►1�t �i�'tc�� �i�. ��tJ4eut��� A J i PO 0 r �W 261 I}dr�i�i�h f 2X2 t� k q t; ftro of 1 �'�1��rriG�74nC ,tarp e lint yt Oil id e ' 3S , � pry r� /er��s J '/1�� f/ F/a t Fitz n �IU px If yte8 / F4