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1987-429 CERTIFICATE OF OCCUPANCY Y TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Dane 19 _ This is to certify that work requested to be done as shown by Permit No. 87-429 has been completed. One-Family Dwelling This struct}tre _ttf�be occupied as a 447pemf�ft Sherman Ave . Location C caner John Joseph By Carder Town Board OrOWN OF Q[JEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY N4 87-429 � WARREN COUNTY, NEW YORK PERMISSION is hereby granted to John Joseph r OWNER of property located at (P ! 1 mWTrpewxmw Sherman Ave . Street, Road or Ave, �! in the Town of Queensbury, To Construct or place a Addition to One—Family Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the "Fawn of Queensbury Building and Zoning Ordinance. t. OWNER'S Address is R. D . #3 Glens Falls , N . Y . 12801 c� 2. CONTRACTOR or BUILDER 'S Name n Same 0 m 3. CONTRACTOR or BUILDER 'S Address CD �s 4. ARCHITECT'S Name C73 4 ?C 5, ARCHITECT`S Address C' N C 'L) Ci fb Ft 6. TYPE of Construction — (Please indicate by X) C!1 (XlWood Frame I I Masonry I I Steel I I 7. PLANS and Specifications C No 10 ' x 11 . 6 ' kitchen addition per plot plan specifications and ro application . B. Proposed Use C1. One-Family Dwelling rt N- 0 0 $5 . 00 C/O $ 30 . 00 PERMIT FEE PAID — 'PHIS PERMIT EXPIRES February 1 , 79 88 0 (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 tt,e expiration data.) 0 to Dated at the Town of Queensbury this 9th Day of July 19 87 0. SIGNED BY G'l��� for the Town of Queensbury Building and Zoning I nspector p r-+ f+- Go 04 TO BE COMPLETED BY BLDG . DEPT . Application No . _ I'ourrt [�r� eteen � hura� i 0v4fVi,% P ermit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 _ Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation lu,,u5 V L � la Queensbury, New York 12801 Variance No . � JUL p itAa� Site Plan Review No . aJu �7 1,7Q �� �/�, l' Approved by : 13UiLDING 8c CODE DEP'cw,.� /I ✓ J APPLICATION FOR �2f �' BUILDING AND ZONING PERMIT G/ 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 : P . O . Address Tel . Property Location : Tax Map No Stre t number or bu ' 1ng lot umbe Subdivision name ( if applicable) u�26k THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O . Address Tel . NO . Name of builder 4Z&Z2ZyC..t_ Address Tel . Name of plumber Q ,c Address Tel - Name of mason^� - Address Tell NATURE OF PROPOSED WORK : * ZONING INFORMATION : _Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED , 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 , (pZ ft X ft . - Existing buildings) Size ft X 15 CO ft _ x- PROPOSED BUILDING AND USE : * Existing bu ldxn { s } Use Size of new structure 10 ft X i ( . e ft � Foundation-pier/slab/crawl/partial/full * Proposed iilding , distance from property line (circle one ) Front yard ZC,7 ft Rear yard Cos ft No . of stories (habitable space) _� * Side yards 12 9-5ft and : ,'Lic? ft Height ( grade to ridge ) ft • If on corner , setback from side street ft If residential , no . of families i No . of rooms ( excluding baths ) ! * OCCUPANCY INFORMATION No. of bedrooms No . of bathrooms * PRIMARY BUILDING system ' One family dwelling Primary heating systf Two family dwelling Type of fuel Number of units No . of fireplaces to be installed- J Multiple dwelling / Permanent occupancy Will a wood stave be installed? * _ 74 .7 Transient occupancy Central Air conditioning? n * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch , ontem rap Lo cabin * Other In * If addition , hat will use be? Raised ranch ZOinn Duplex Split level Old style Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- colonial Row Town Douse * Detached garage/one car/ PV6o c f Gar ( CIRCLE ONE PLEASE ) * Attached garage/one car/4<wb ca /� car * * * * * x * * * * * * * 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 TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for ; BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE work . A permit must be obtained before beginning} ANSWER ALL of the following ; 1 . Gross floor area All 2 . Type of heat ' t. 3 . Is the building mechanically cooled ? of area of windows and doors � 4 . Percentage and floor A . over 16sh Onl ! lY Uo value of gross area of walls , roof / cei ing exposed to ambient conditi ns� w Floor over heated spaces YES NO YES NO 2 _ a . Are foundation whatWalls theinsulated ? value ? 1 . If YES , 3 , Slab on grade YES Na a, , If YES , what is the R value of insulation around perimeter of floor ? __ N a 4 , is basement heated ? YES a . R value of insulation r+ 5 . Type pf insulation g . Under 16 only exposed to ambient conditi. ons � 1 . R value of roof and floors -0 �7 2 . R value of exterior walls G 31 R value of glazed area 4 . R value of doors - 5 R value of floors over unheated sP 6 . R value of slab edge insulation - unheated 7 . R value of slab insulation - heated slab g . R value of heated basement/ cellar walls { above grade ) II g . R value of heated basement / cellar walls (below grade ) l 10 . Type of insulation �r a co Controls V 1 . Thermostat maximum heat setting DW Duct S stems 1 . Is duct system installed in unheaatedationCes ? YES a . If YES . R value of b _ R value in other areas E . P ] Pi_n) nnl_ atson iPe 1 , size of hot water Or P nsulatiori 2 , R value o F . Service Wager Heating ncy 1 , Performance 2 . Ted ure control settin =a .= va,e, C , For Sw �.mmin n1y �t_�-- 1 . Maim heating f Telephone No� �- pp icon ' s sign ure 2 1 0cJTf4*04 W46-5' "6041 N+ 'W �.n 0/ Q94 ee" 31"ry t1,//� V& BUILDING and ZONING DEPARTMENT Bay and Ha►riland Road, R. D_ 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION /fir Date /� Ci Permit No ✓ = APPROVED - 'YES X �ooting/Pier Farms 1 iu 17L'.R I Tstl 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 . Fireproofin Door Closers Smoke Detector Chimney. INSULATION : Foundation Floors Walls Ceiling FINIAL ELECTRICAL INSPECTION DRIVEWAY APPROVA14 Final Building Survey Next scheduled inspection (call when ready Remarks- Build% I Spector 6/86 and-vl .Dowel 0/ Queen3gurtit eUILDING and ZONING DEPARTMENT Bay, and Haviland Road, R.0- 1 Box 98 (pep ©ueensbury, NewYork 12801 V BUILDING INSPECTOR ' S REPORT NAME fl LOCATION J// �, rmit No Date 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 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-- in Inspector 6/86 and-vl THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY �Ca r � 41 STATE STREET, ALBANY. NEW YORK 12207 Gbte Y 5 s 1988 Application ,Vo. on file D 19152 /87 A ! 0 E; ` ' 5 .I. THIS CERTIFIES THAT only the electrrlce(egtsipmsent as deacribed bolow and introduced by the applicant nansed on the above application number in the premises of John Joseph Box. *67 RID3 Shern�sp )4V'8 , Queensburyh New York dwellAng in thefollowing location; ❑ Basement lat Ft. ❑ 8nd Fl. section 1238iock 3 Lot 12 was a amitsed on and found to be in compliance with the requirements of thin Board. FIXTURE FIXTURES I RANGES 1COOKING DECKS I OVENS I DISH WASHERS EXHAUST FANS OUTLETS ESA § fNC-ANDESCII F voftscENT 3 J t t T T DRYERS FURNACE MOTORS FUTURE APPLIANCE PEMERS SPECIAL RWVT TIME CLOCKS MUL LIMIT MEATERS AUXTI-OUTLET DIMMERS AMT. fL W" 4111. 11. P. GAS 11. P. A AT. NO. A. W. G. AMT. AMP. AMTT�7IM S. AMT. H. P, SYSTEMS NO.of FEET TS AMT. WAI 4 1 SERVICE DOCiONNECT NO.of S E R V 1 C E AMT. AMP. TYPE Mir2W 1 X 3w 3 0 3w a A aw NO- Of CC, CO"D. of CC, G. NO. OF MI-LEG t7f�1WM�iEC, NO. OF NEUMALSPER a of i ELfIK'A4 OTMER APPARATUS; or John Joseph RD 3 sox 167 239 WANCH MANAGPI Glens F,1411s , New Yoek 12801 Per This certificote must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credentials. copy RnLa P. T. . . I ~w Poe wnpy ATn %rnr ow A 1 r,.npn ... . . ..i &AANAIep � /1S f1ll /,**�iBLNkUING and ZONING DEPARTMENT Bay and Hawiland Road, R.D. 1 Box 98 qi pueensbury, New York 12801 BUILDING, INSPECTOR ' S REPORT NAIVE LO CA T I O Data Q / / Permit No . * * * x x * * * * pep APPROVED YES NO Footing/Fier Forms Foundation waterproofing Backfill 1.o�rami ng Rcofing S idi.ng 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 INSUT,ATION x Foundation Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROvA Final Building Survey Next scheduled inspection ( call when ready Remarks- Building Inspector 6/86 and-vl �fnuvrt o Queertxheere� LDING and ZONING DEPARTMENT " i Say and Havlland Road, R_D. 1 Sox 98 q + r Clueensbury, New York 12801 BUILDING INSPECTOR ' S }2EPORT NAME LOCATION Date // / . Permit No . APPROVED* -*YES* NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Proofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim stairs & Railing's Cellar Drain Tile Concrete Floors Plbg . FiXtures Gar . Fireproofing Door Closers Smoke Detectors C IMney N SULATION : Foundation Floors ✓Walls moiling FINAL ELECTRICAL I13SPEC'1'ION DRIVEWAY APPROVAL. Final Building Survey* _ -- Next scheduled inspection (call when ready ) Remarks- Building Inspector 6/86 and-vl ��+ _.Inecrn n� '�ueere3 � urr� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. I Sox $8 Queensbury. New York 128[31 it ]lU, BUILDING INS €' ECTOR ' S REPORT NAME Dates - , Permit NO v APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing Sackfi11 toporaming Roof ing Siding Masonry Veneer &tough Plumbing Relief Valves Ext . Parches Finished Floors Interior Trim stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney I N SU I.AT I ON Foundation Floors Wa11. s Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey* Next scheduled inspection (call when ready ) Remarks- ty _� 1002 Building Inspector 6/86 and-vl BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME L C7 CA T II O/��r �r Date ermit Noe APPROVED - S NO Footing/Pier Forms Foundation Waterproofing Viiackfil1 Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext , Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproo ng Door Closers Smoke Detec rs chimney INSULATT Foundatio Floors Walls ceiling FINAL EI,ECTR3CAL INSPECTION DRIVEWAY APPROVA3._� Final Building Survey Next scheduled inspection (call when ready Remarks- Building Spector 6/86 and-vi �IW''I fladV" D/ QUee4n3l"ry %z , BUILDING and ZONING DEPARTMENT o LA)-/ Bay and Haviland Road, R. D. 1 Box 98 tW{- Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME S %i;A&-r? 04 LOCATION � ✓�+ 2 �, Date f Permit No . !VZ- 9 ✓ = APPROVED - YES NO Footing/Pier Forms Foundation waterproofing q p re YBackfill fU 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 16 FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVA Final Building Survey Next scheduled inspection ( call when ready Remarks- � I Building Inspector 6/86 md-vl IL tj �Y IAI J'A