1987-478 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date November 12 , 19 87
L
This is to certify that work requested to be done as shown by Permit No. 87-478
has been completed.
Multiple Dwelling
This structure may be occupied as a
Location b Queens Way , Kingawood Estates Bldg . B ilnit 6
Owner William ferry
By Order Town Board
TOWN OF QUEEN5BURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF +QUEENSBURY No. 87-478 �
WARREN COUNTY, NEW YOR K
PERMISSION is hereby granted to William Perry a
1
OWNER of property located at 6 'Queens Way , Kingswood Estates Street, Road or Ave. a
Bldg . B Unit 6 Addition to Multi-Family
in the Town of Queensbury, To Construct or place a
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.
i. OWNER'S Address is 6 Queens Way
Kingwood Estates
Queensbury , N . Y . 12801
2. CONTRACTOR or BUILDER'S Name �d
Richard Rajec
F^i
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3. CONTRACTOR or BUILDER'S Address
73 Dixon Rd .
Glens Falls , N . Y . 12801
4. ARCHITECT'S Name ty
.o
CA
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5, ARCHITECT'S Address ua
`C
7C
B. TYPE of Construction -- (Please indicate by X) µ
fiti>
G�
( XI Wood Frame i ) Masonry 1 ) Steal ( 1
0
t=s.
7_ PLANS and Specifications
m
No. 12 ' x 16 ' per plat: plan , specifications and application . r
Variance - # 1271 rt .
ro
$. Proposed Use p°
Addition to Multi-Family Dwelling
y
a�.
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30 . 00 February 1 88 0$ PERMIT FEE PAID — THIS PERMIT EXPIRES ' 79
(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.) r'C'
O
Dated at the Town of Queensbury this 24th Day of July 19 $7 F�
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SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
ID-'-
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�j TO BE COMPLETED BY BLDG . DEPT . 10 14k. %, II {{ -.. c_
_ �/_ �/ Application No . [i. -� �[ � f5 Li 11J' 1
J
oufn O/ Qf� 't e" J ury Permit Issued 19 I f1
BUILDING, and .ZONING DEPARTMENT Permit Expires 19 LLLSSS LLLSSS JULL 2 1 1987 �r fYT ��
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation f A F
Queensbury, New York 12801 Variance No . _ f BUIEDIN & C0 E DEPT
Site Plan Review No .- �C 0� �Tl3
r ,�L Approved by
APPLICATION FOR
PUILDING AND ZONING PERMIT YY
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 : \ t- C.
P . O . Address vi Ca3 tCitips Tel . 14 }�
�+7 y Mc
Property Location , {'� Tax Map
StreE ber or bu ' ding lot n er
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF W AS REGARDS BUILDING CODES IS :
Name / P . O . Address / Tel . No .
Name of builder CCAddress c k - - � i�c, ct Tel .
Name of plumber Address Tel &
Name of mason ,� VnA Address Tel .
NATURE OF PROPOSED WORK : ZONING INFORMATION :
Construction of a new building * A PLOT PLAN MUST 13E PREPARED AND SUBMITTED ,
ddition 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 REQUIREDBELOW . / p�
- - - -- * Size of property-- r _ft X f O ft .
* Existing building ( s ) ' Size ft X�
*
PROPOSED BUILDING AND USE : / * Existing building ( s ) Use
Size of new structure j �-h`f't X ft
Foundation-pier/slab,/crawl/partial/full * Proposed building , distance from property line
(circle one) f * c3 ft
l * --
No , of stories (habitable space ) Front yard ft Rear yard*, Side yards ft and ft
Height ( grade to ridge ) . � ft _ * if on corner, etback from side street ft
If residential , no . of families
No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION
No , of bedrooms * PRIMARY BUILDING -
No , of bathrooms One family dwelling
Primary heating system
* Two family dwelling
"Type of fuel * Multiple dwelling / Number of units
No . of fireplaces to be installed permanent occupancy
Will a wood stove be installed?
* Transient occupancy
Central Air conditioning? Business
*
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
,�, Other
Ranch Contemporary Log cabin if addition , what will use be?
Raised ranch Mansion Duplex
Split level old style Bungalow
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town Hou— se ~� Detached garage/one car/ two car/ car
( CIRCLE ONE PLEAS --= ---- * Attached garage/one car/ two car/_ - - car
Private storage building
ESTIMATED MARKET VALUE OF Other
CONSTRUCTION
INFORMATION ON BUILDIN S ECIFICATIONS . O REVERSE SIDE OF THS SHEET To BE COMPLETED !
Form SPA 4/8Fi and-vl
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
2 . Type of heat
3o is the building mechanically cooled ? Z)
6
4 . Percentage of area of windows and doors [�
A . Over 16 % Only
1 . U value of gross area of wallg , roof�ceilr n� ��floors
exposed to ambient conditions ..
2 . Floor over heated spaces NO
a . Are foundation walls insulated ? YES NO
1 . If YES , what is the R value ? � 3
3 . Slab on grade "' NO
a . If YES , what is the R value of insulation around
perimeter of floor ?
4 . is basement heated ? omwt � NO
a . R value of insulation
5 . Type of insulation � �J �� ` � C �y - �6i1r� 1
]a . Under 16 % only
1 . R value of roof anclftflo xposed to ambient conditions
rr.
W oil
2 . R value of exterior walls
3 . R value of glazed area p
4 . R value of doors 40000
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
S . R value of heated basement / cellar walls ( above grade )
9 . R value of heated basement/ cellar walls ( below grade )
10 . Type of insulation
Co. Controls
1 . Thermostat maximum heat setting
D . Duct Systems
1ft 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
F . Service Water Heating
1 . Performance efficiency
2 . 'Temperature control setting maximum
GG . For Swimming Pool Only
1 . Maximum heating
V�L�Q V:,
Telephone. No . f �f
( applicant ' s signature )
THE NEW YMk BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
Electrical wiring in this building
has been inspected and found to
comply with the electrical code so
far as c mplete ❑ [ E CE SERVICE
LOCATION haw LLB
REMARKS:
NOTE:—Above pxoval s it far the use of el c cityo
/ Co the rono rg
DATE INSPECTOR
Fosx 61 (1/781
Down of 'Quee"44urry a'i^
BUILDING and ZONING DEPARTMENT
Flay and Hauiland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
t, �
NAME
LOCATION (C c.v-qv s L"- a 0`�
Date d J/ ems-J Permit N0 . i
✓* * APPROVED YES NO
Footing/Pier Forms
I Fo undatiort
Waterproofing
Sackfill
)dPraining
Roofing
Siding
Masonry Ven r
Rough pluvkbi g
Relief Valves
Ext . Porches
Finished Floor
Interior Trim
Stairs & Railin
cellar Drain Til
Concrete Floors
Plbg . Fixtures
Gar . Fireproof! g
Door Closers
Smoke Detecto s
Chimney
INSULATION
Foundation
Floors
Walls
ceiling
FINAL EL TRICAL INSPECTION'
DRIVEWAY PPRQVAL
Final Bui ding Survey.
Next scheduled inspection (call when ready
Remarks- - +
L.0 Cfitit w
Building Inspector
6/86 and-vl - �.
Iotun ofteeen3E�tert�
BUILDING and ZOMNG DEPARTMENT
Bay and Haviland Road. R. D . I Box 98
4ueensbury, New York 12801
BUILDING INSPECTOR . 5_ __RE DRT
NAME
qr
LOCATION Q
_ i o
Perrnt
Date /
APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
G'Roo£ing
in
Masonry Veneer -
Rough Plumbing
Relief Valves
t.f~xt . Porches
finished Floors
4'Tn'teri.or Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg _ Fixtures
Gar . Fireproofin
Door Closers
Lemke Detectors
L.€himney
INSULATION
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION-
DRIVEWAY APPROVAL
lfi`a1 Building Survey
"Next scheduled inspection (call when ready )
Remarks-
Bull ing Inspector
6/86 and-vl
flown of Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Hawiland Road. R.D. 1 Box 98
Queensbury, New York 12801
BUILDING/� INSPECTOR ' S REPORT
NAME .,_ �YY
LOCATION
Date VP Perrni NO
/i' - A`P1-PRO T - YE'` NO
/ Footing/Pi '
Foundation
Waterproofing ej
Backfill
Framing
Roofing
Siding
Masonry Venee
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete 'Floors
Plbg . Fixtures
Gar . Fireproofin
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
'walls
ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROV6T
Final Building Survey
l3exC scheduled inspection (call when ready
Remarks-
Build n Inspector
6/86 and-VI
! own o/ Q"eer+ .s1ury
QI � BUILDING and ZONING DEPARTMENT
UQ {� Bay and Haviland Road, R-E). 1 'Box 98
Queensbury, New York 12801
BUILD/ING /INSPECTOR ' S REPORT
NAME Z<, c �c/.GZ-e�-.yy
LOCATION
7i�
Date ghall Permit Noss. _
APPROVED* —* drS *N*O
Footi.ng/Pier Forms
vKundat ion
waterproofing
BackfiIl
Framing
Roof ing
Siding
Masonry Veneer
Rough Plumbing
Relief valves
Ext . Porches
Finished Floors
Interior Trim
stairs & Railings
Cellar Brain Tii
Concrete Floors
Plbg , Fixtures
Gar , Fireproo ng
Door Closers
Smoke Detec rs
Ac Imney
suLATION -
undation
Fl rs
Walls
Ceiling
FINAL ELECTR=CAL INSPECTION
DRIVEWAY APPROV
Final Building, Survey
Next scheduled inspection (call when ready)
Remarks-
Suil ng 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
LOCATION
Date Z /' /_ Permit 0 ,
* * * * * * : « * * * * * * * *
✓ = -
Footing/Pier Forms N
APPROVED YES
Foundation
aterproofing
Backfill
Framing
Roofing
Siding
AOr
Masonry Veneer
Rough Plumbing
Relief ValvesJF
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-
lei
Building Inspector
6/86 and-VI
BUILDING DEPT. COPY OF APPLICAT104N FORON 46-EL. NEW PORK BOARD OF FORE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT, WHEN REQUIRED,
TEMP. • J
eery OR -
VILLAGE
- TOWNSHIP COUNTY
STREET AND NO
ROAD AND POLE.NO. to I %�v.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S L \ .. BUILDING
NAME p4.� \. \4C, v'+.�� - - �ii` '[ k' OCCUPANCY r' /fi ; '�, � �f:�. -
OWNER'S NAME
AND ADORE" C L C.. µ - t . § . TEL.
UNRENT
SSUPPLIED i{ x
F OM THEIR x 1 e - l . , k OFFICE
IS NEW
NEW ❑ OLD ILSORK NEW ADOITIONAL REPECTS
MOVIED
LIST BEL ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS Lan
of Fix A BRANCH
Lame Recapoicaw. MOTORS HEATERS CIRCUITS OFFICE USE
Thm ONLY
Ceiling Side attach"t S+a:oeh Pr.tdani Brackett No. TYPO E� No. Eadr ^+o. A.W.G.p. INSPECTION
Wall Reaep"la
Out
Owe
Bwat
mwtt
'Iat Fl,
Zed FI.
3rd fL
[4REMAP=KS.� IST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.: 00 NOT USE THIS SPACE.
This aPPtiution is intended to eovar the abovtrl'rstad equi t to be inspected but if at time Of inspection there is found additional equipment not above listed,
VOY ate authwized to make the inapectiOn and adjust the fw to cover the additional equipment, as PravidW by the applicant.
SIZE OF aC) S
TRIC SIGN
TOTAL
MAINS FEELAMPS WATTS
CHARACTER EXPOSEDUBE SIGN
Of WORK RANSFORME240F yp
WORK TO BE BER) ICAPACITYI
STARTED COMOF SIGNSERVICE OVERHEAD UNDERGROUNENTERS RBUIL FNG ON
INSPECTION REQUESTED
ON OR AS NEAR AS
ISLE NEW OLD
AVOID DELAY BY OI VING FULL AND ACCURATE INFORMATION. ALL SPACES OgTE O MUST BE FILLED IN OR APPLICATION MAY BE R TV RNED. AP PLICA
PRINT NAMErXNO AD RESS
NAME OF SIGNATURE
APPLICANT` xx Of APPLICANT ^�
STREET ADDRESS , TELEPHONE # ri
CITY OR ZIP LICENSE`
POST OFFICE l• CODE C aC.'1NO
WHEN APPLICABLE
as eL (REV. 1/86) A SEPARATE APPLICATION MUS BE FILED FOR EACH SEPARATE BUILDING