1987-374 a-
+CERTIFIC,AiTE OF OCCUPANCY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Dade 8pril 3 _ 19 92
I
This is to certify that work requested to be done as shown by permit No._ 87 374
has been completed. GiE�
Addition to dwelling J
This structu ttt y be occupied as a
mk�►td
Locatiant 9 HuTnmingbi�rd Lane
Owner W +lliarn & Andrea Eichler
By Order Town Board
Tt7WN OF QUEENSSURY
Building'b Zoning Inspector
=- : -- BUILDING PERMIT
TOWN OF QUEENSBURY No 87 374
WARREN COUNTY, NEW YORK �1
PERMISSION is hereby granted to William & Andrea Eichler
OWNER of property located at 9 Hummingbird La Street, Road or Ave.
in the Town of Queensbury, To Construct or place a addition to dwelling
application together with plot plans and other information hereto filed and H,
at the above location in accordance to app 9 %� p~,'
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. r
it
1. OWNEWS Address is
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9 Hummingbird La rt
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Queensbury , N . Y . 12801
to
2. CONTRACTOR or BUI LDERS Name ~
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Satne rs
3. CONTRACTOR or SUILDEWS Address
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4_ ARCHITECT'S Name
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ii. ARCHITECT'S Address i
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6. TYPE of Construction — (Please indicate by Xi
( 1 Wood Frame l ) Masonry I ) Steal ( i
7. PLANS and Specifications P'
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No. 31 ' x 50 ' per plot plan , specificatlons and application
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S. Proposed Use p
1 family dwelling ( living area ih 2 car attached garage added)
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$5wOO C / O ~
$ 66 . 40 January 1 19 88
PERMIT FEE PAID — THIS PERMIT EXPIRES
(if a longer period is raquired an application for an extension must be made to the Building and Zoning inspector of the
town of Ciueensbury before the expiration date.)
22nd June 1987
Crated at the Town of Queensbury this Day of
SIGNED BY 0 ..+C.ar for the Town of Queensbury
Building and Zoning Inspector APrO
TO BE COMPLETED BY BLDG . DEPT .
�c�f // Application No .
:Jou/n o "eC n3hur Permit Issued 19
—�--- '!`GWfV
BUILDING and ZONING DEPARTMENT Permit Expires 19 L
Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation fL s
Queensbury, New York 12801 Variance Now i
site Plan Review No . JUN 16 198T
Approved Y ~ BUILDING & C,0IDJGE DEPT
QQ �/ APPLICATION FOR
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 descriptiont plans and specifications submitted , and such
special conditions as may be indicated on the Permit _
The owner of this-.property-is s �
P . O_ Address ,Ccx 2 :1e
Tax Map Now
Property Location : '�qa-? e f +
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 .,rAAddress _ . � - e Tel .-S;e
Name of plumber rr Address & Tel . _ !Z
Name of mason ill Address. W Tel . 4
NATURE OF PROPOSED WORK : ZONING INFORMATION :
Construction of a new building
A PLOT PLAN MUST BE PREPARED AND SUBMITTED ,
:Eoo�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 * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED . * of septic disposal area .
* COMPLETE INFORMATION REQUIRED BELOW .
* Size of property ft x /dd, y13 ft .
Existing buildings ) Size ,2 4 ft Xft .
PROPOSED BUILDING AND USE : Existing buildings ) Use
Size of new structure r ft bft
Foundation-pier/slab/crawl artia full Proposed building , distance from property line
(circle one Front yard_ ____._„tt Rear yard /���� ft
Now of stories (habitable space) +� Side yards /$ /lo ft and �'�3 ft
Height ( grade to ridge ) / A2jQ ft
g �' ft . � If on corner , setback from side street
if residential , no . of families / OCCUPANCY INFORMATION
No , of rooms ( excluding baths) J `
No. of bedrooms PRIMARY BUILDING
Now of bathrooms_ f One family dwelling
Primary heating system�E/�c�7�� . �" Two family dwelling
x
Type of fuel Multiple dwelling / Number of units
No . of fireplaces to be installed / Permanent occupancy
Will a wood stove be installed? AAQ * Transient occupancy
Central Air conditioning? A14 Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Other
Rant Contemporary Log cabin If additiont what will use be?
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Raised ranch Mansion Duplex goes;the ri !iJLef�._�...-=-=
split level Old style Bungalow {_
"
Cape Cad Cottage Other ACCESSORY BUILDING-
car
Colonial Row Town House Detached garage/one car/ two car /
( CIRCLE ONE PLEASE )
ttached garage/one ear two ca car
Private storage building
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 eafe , etc . G ^C-�'�r ,�
Will any second-hand or ungraded lumber be used? If so, for what ? .a
Foundation wall material Thicknesses/�
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? t10 Heated or unheated? Floor sg, footage s,x ft
Will there be a basement? .K.w'cx Will any portion be used as living space?_�rG>p
( If so, what porti ? eq. ft . - - Type of use?
Type of roof - ope flat/affied/other Material, of roof
Size , wood studs' ""X a "" spacing_ 146 "O . c . length ft . or
JOists ( floor beams ) lat . floor 4^"XL_"" spacing�"Q . c . span_ .�ft .
Joists ( floor beams ) 2nd . floor Nix ," spacing "'o . cm span ft .
Overlays (ceiling beams ) "X '" spacing "o . c . span ft ,
Roof rafters spacing O . C . span ft .
Roof trusses (pre-engineered) spacingj�"o . c . span` / ft
Exterior wall finish Si Of what material
Interior wall finish
if a garag is to be attached , describe ma erials to be used for FIRE SEPARATION :
'
P7P" lI G
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? 2Lor, r 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 ( includincf adjoining properties ft .
(A separate application is necessary for any repair or new installation of septic system)
Town of A F F I D A V I T STATE OF NEW YORK
eensbury
Warren
County off 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 doneLon the described premises and that all
provisions of the BUILDING CODE , THE ZONING ORDINANiCE# an all other laws pertaining to
the proposed work shall be complied with, whether sp ad o t, at such work is
authorized by the owner .
SWORN TO BEFORE ME THIS Signature
er , o ay of lg eras agent , a icect , contractor �
d
Notary Public , Warren County , N . Y .
SPECIAL CONDITIONS OF THE PERMIT :
By
TOWN OF +QUEENSSURY
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
2 . Type of heat
3 . Is the building mechanically cooled ?
4 . Percentage of area of windows and doors�i
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 ?
4o is basement heated ? YES NO
a . R value of insulation
5 . Type of insulation
B . Under 16 Onl
1 . R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls R Irl
3 . R value of glazed area R Z,!
4 . R value of doors R14-
5 . R value of floors over unheated spaces
6 . R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
8 . R value of heated basement/ cellar walls ( above grade ) VA /A
90 R value of heated basement /cellar walls ( below grade ) # # C7
10 . Type of insulations
C . Controls 7 �r
1 . 'Thermostat maximum heat setting
D . Duct Systems
1 . 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
1 . Size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
r F . Service Water Heating
1 . Performance efficiency. 00 /t•
2 . Temperature control setting maximum
G . For Swimming Pool Only
10 Maximum heating i
Telephone No . ! l y � ° '✓'4
a antIs gnature )
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THE NEW `r''ORK BOARD OF FIRE UNDERWRITERS
BUREAU OF= ELECTRICITY
41 STATE STREET. ALBANMEW YORK 12207
r'' • . - ApplicatioJA-m'". on file , . .
Dhate
j► THIS CERTIFIES THAT
1} only the eleetricsj equipment es described below and introduced by the applicant named ors they above application number in the Premises of .
' in the following location: ❑ Basernent ❑ lat Fl. ❑ 2nd FT. Section Block Got
was examined on arr.djoexrsd to bein compliancewith the requirements of this Board.
FixT1►1tE FIXTURES *AMCiES CCX)OONG DECKS OVENS LMSN WASHERS EXHAUST FANS
FIXUnTS A� SVtITCHES IhLCAP1UE5CENIT RRIORESCEN'r OTHER AMT. K. W. AMT. K. W. HALT. K.W. AMT. K- W. AMT.OUTLE
DRYERS FURNACE MOTORS RJTUEE APPLIANCE FEEDERS SF6CIAL REC PT TIMEGLOCKS MJL UNIT HEATERS MNJLTI LET OIIstJYr<RS
SYSTEMS
AMT- K. W. 04L H- P- GAS H. P. AMf. No. A. W. G. MAT. AMP. AMT. AMPS. 'TRANS. AMT. M P. �. (,� WONT HALT. WATTS
Y
SERVICE DISCON"S T No, CW S. R Y 1 C E
METRR No. Or CC. CONS. A. w. A. W. G. NO. or NtUTRALS A. W. G.
i
AM7. AMP. TYPE E �1, 1 ,e 2W 1 I' 3W $ .�' SW 3 ..K PER Jd ar CC. C G. IMD. C1F NI-LEG Of HI-ILG Of NEUTRAL
E
OTHER AfP'ARATLIS:
BRANCH MANAGER
Per
This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials_
CDPY FOR BUILDING DEPARTMENT. TH S CO OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
�F QUEENSBl3RY
531 BAY ROAD / r
QUEENSBURY > NEW PORK 12804 1
TELEPHONE ( 518) 745- 4447
BUILDING INSPECTOR' S REPORT
FINAL INSPECTION C)
REQUEST FOR I SPEGTION RECEIVED r k
NAME 4
0k
il
LOCATION � � ,
DATEIPERIIIT# _ -�.�-.
TYPE OF UC RE..a
RECHECK
FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE )
FOOTING BING FOUNDATION
ELECTRICA BACKFILL L SEPTIC
FRAMING
'��rtOUGH PLUMBING
INSULATION �WOOpSTOVE/FIREPLAC'E
REMARKS
APPROVAL
N/A YE NO
CHIMNEY HEIGHT OCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/ T P5I ILING
RELIEF VALVES
FURNACEIHOT WA ER O R INGK
BASEMENT INSULATION
INTERIOR TRIM/ PRIVAC GORS -
FINISH FLOORS :
BATH/KITCHEN WATERT HT
OTHER FLOORS SWEEP E
OTHER FLOORS CARPE E
STAIR CLEARANCE/RAIL NG
HANDICAPPED ACCESS f
SMOKE DETECTORS
BATHROOM FANS/WHOL H USE NS
ALL PLUMBING FIXTURES OPER TING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARA ION
FIRE/DEMISE 'WALLS
DUMPSTER
SITE PLAN/V N E REQU REMENT
FINAL ELECTRICAL
OK TO ISSUE CID G I
COMME :
if '3
AOL
ARRIVE
-
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DEPARTS S
TOWN OF Qi,i EE NSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADSQUEENSBUR
NEW
ORK
T Y}TELEPHONE y) 792111111,5832D�
BLULDING INSPECTOR' S REPORT
REQUEST FOR INSPECT ON RECEIVED ?
NAME
LOCATION
DATE PERM #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR I �
FOUNDATXONIDAMP .PROOFING
BACKFILL APPRO L�
ROUGH PLUMBING
FRAMING
ELECTRICAL ROU -IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTI
CHIMNEY HEIG
ROOFING
SIDING
F.XTERNAL PORC E ISTRAILS
PLUMBING Fix ES/RELIEF VALVE
INTER
TOR TRI PRIVACY DOORS
FINISHED IF S
GARAGE FIRE FING
DOOR CLC?SE S
SMOKE DET IO
FINAL ELEC CA INSPECTION
FINAL APPR AL CONSTRUCTION
oixt TO I SS cI0 R C/C
BE
A SIGNED ERITHp BUILDITE OF NGCUPANCY DEPARTMFNTT,BEFORE
OBTAINE M
D RoM
fiHESE PR ISES AAF OCCUPIED!
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REMARKS.
Ga
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ARRIVE -- J
DEPART
INSPECTOR
TOWN OF QUEEMSBURY
MD CODES DEPARTMENT
BUILDING 531 BAY ROAD
` 12804
QUEEMSBURY , NEW Y0745_ 4447 Fy ) .
TELEPHONE [ 518} ilti �" � C
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVEED
of �
LOCATION
PERMIT 0
DATE 9
__�__� `� - 71 ,
TYPE OF STRUCTURE gFFR0VEO
RECHECK O.fiJ''! �- � N/A YES NO
FOOTINGS/ IE
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACESIBLE
TOR IS RES
THE COfI TRAC
F(W PROVIDINOI� HOURCTIOHLLOYIING
FREEZING OF THE CONCRETE .
THE PAC
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING - %01 ---
PLUMBING VENT/V'E IN PLA E
PLUM AS PLUMBING UNDER L,
FRAMING: DS HEAD
JACK. 5
BRACING/BRIDGING
JOIST HANGERS � -
JACK POSTS/MAIN BE
HEATING ROUGH- IN
INSULATION : I E IOR R-
FOUNDATION AL
FOUNDATION WALLS EXTERIOR RRiI
FLOORS 111 R-
WALLS R-
CEILING
DUCTWORK OR PIPING IN Oy{yHEATE
SPACES
ARRIVE
pEPART INSPECTOR
._ tvn 01 Q" ee" J ' "rty
BUILDING and ZONING DEPARTMENT
ry Say and Haviland Road. S. D. i Box 96
/, T I Queensbury. New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
{ 77.'!?
Date +'�_� ...__ Permit
APPROVED YES NO
Footing/'Pier F40rms
Foundation
waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . l)orches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg , Fixtures
Gar . Fireproof ' g
17ocir Closers
Smoke Detect rs
ch mney
�SU L.AT ION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRTCAL INSPECTIUN
I?Ii1VEWAY APPROVAL
Final Building Survey
Next scheduled inspection (cal] wtxen ready )
Romarks-
BuildingInpector
6/86 and-vl
' 1Q
fr
owre ueenjl ury
BUILDING and ZONING DEPARTMENT
Bay and Havikand Road, R. D. 1 Box 98
Queensbury, New York 12801
ten(\ J
\� BUILDING INSPECTOR ' S REPORT
NAME
LOCATION
Date /_ Permit NC
wt *
✓ APPR D - YES NO
Footing/Pier F rms
Foundation
Waterproofing
Back.fill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Rail ' gs _.. _..
Cellar Drain ile _
/ation
F l rs -
xt res
e roofing
ers
tectors
ON :
ion
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready )
Remarks-
Bui-ldin Inspector
6/86 and-vl
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