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1987-629 t x +CERTIFICATE OIL OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTYe NEW YORK Date 19 " � , C, 87-629 This is to certify that work requested to be done as shown by Permit No. has been completed. Addition — Carport & Bedroom This structure may be occupied as a L, ft '' ,,1 .�GJ,p rxation uzer s L.�LL r Peter & Loz Moffre Owner By Carder Town Board ToW N of QUEE".NSBURY Building H Zoning inspector BUILDING PERMIT TOWN OF +QUEENSBURY No. 87_629 � WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to Peter & Liz Moffre 00 I OWNER of property located at Luzerne Rd . & Massachusetts Street, Road or Ave. in the Town of QueensburV. To Construct or place a Addition— Carport & Bedroom 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_ 1. OVVNER'S Address is r�s Box 313 rt Queensbury , N . Y . 12801 tr r r� 2. CONTRACTOR or BUI t.DE R 'S Name N Ly€ord Construction rY, rn .y 3. CONTRACTOR or BUILDER'S Address 10 E . Washington St . Glens Falls , N . Y . 12801 r, c 4. ARCHITECT'S Name N m H fD s7 5. ARCHITECT'S Address w n 6. TYPE of Construction — (please indicate by X) r-r t X) Wood Frame ( ) Masonry { I Steel i ) co 7_ PLANS and Specifications No. 12 ' x 30 ' per plot plan , specifications and application . 9 8_ Proposed Use w rr Addition to one family dwelling o 0 I $5 . 00 C/o m 24 * 00 April 1 , 0 88 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Clusensbury before the expiration date.) p, i76 rD Dated at the Town of Queensbury this 21st Day of Sept ' 19 87 In SIGNED BY � c.�-�"�''' for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEFT . Application No .��77 ■ .,70WA Of �eeeered6etrt Permit Issued BUILDING and ZONING DEPARTMENT Permit Expires l9 SEP 9 Say and Haviland Road, RID. 1 Box 98 zoning Designation Queensbury, New York '128d1 Variance No . gIJIL.�ING /} Site Plan Review No . dI i �a ', eh Approved by : f� /' .rye APPLICATION FOR % " r ZIIIIIIIII BUILDING AND 70NING 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 description , plans and specifications submitted , and such special conditions as may be indicated on the Permit . ----- ----------------------- .. The owner of this property is : �1 � `-Y 4 J L- I x - !µ ,, P . O. Address �x Tax Map Noe./ / Property Location : Street number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : P . O . Address Tel . No . Name +F- t Name of builder /. C7i•- L ;?1�� f Address / r - �' F 3 Tel . Name of lumber 4t.�`A Ia,p Address G+ + Tel ' Name of mason Address Tel . NATURE OF PROPOSED WORK : ZONING I NFORMAT I ON : _Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED , Addition to a building * drawn reasonably to scale and attached heretor mnW Alteration to a building * showing clearly and distinctly all buildings , (no change to exterior dimensions ) * whether existing or proposed and indicate all set-back dimensions from property lines . 'Give Other work (describe) 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 Existing building ( s) Size__,,RAE.ftft . r PROPOSED BUILDING AND USE : * Existing building ( s ) Use iCs4OF*.1 %. ft X — Size of new structure lc�--- f t * Pro used building , distance from property line Foundation-pier/slab/crawl/partial ful F ft (circle one ) Front yard ,j ft Rear yard No . of stories (habitable space) * Side yards ! C7 ft and `� S ft Height ( grade to ridge) ^ .�I�__— ft . * If on corner , setback from side street 4!!+ ft if residential , no . of families f OCCUPANCY INFORMATION No , of rooms ( excluding baths ) cE No* of bedrooms * PRIMARY BUILDING - No * of bathrooms / One family dwelling Primary heating system ! 400" Two family dwellings Type of fuel S Multiple dwelling / Number of units Noe of fireplaces to be installed Permanent occupancy Will a wood stove be installed? 2 * Transient occupancy Central Air conditioning? d * Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin * if addition , what will use be? '�" Raised ranch Mansion Duplex S lit. level old style Bungalow � ACCESSORY BUILDING- Cape Cod Cottage 'Other car Town House * Detached garage/one car/ two car/ Colonial Row car CIRCLE ONE PLEASE ( ) Attached garage/one car/ two oar * * * ng * * * * * * * ,� * * +� Private stora e ]Jul 1di� X .- Ik ESTIMATED MARKET VALUE OF Other R k W CONSTRUCTION INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 md--vl r BUILDING PERMIT APPLTCATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , (wood frame fire safe , etc . Will any second-hand or gin racied lumber be used? if so , for wheat ? �- Foundation wall material Thickness Depth of foundation below grade (to bottom of footing ) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft Will there be a basement? will any portion be used as living space? ( If so , what portion? sq . ft _ - - Type of use? Type of roof - s ope flat/shed/other Material of roof Size , wood studs 4 _-" spacing�R.."o . c . length fr' ft ,W .joists ( floor beams ) lst . floor to Itspacing "o . c . span ft . Joists ( floor beams) 2nd . floor "X " spacing "o . c , span ft . Overlays (ceiling beams ) "X410spacing+ -"o . c . span / Z-- ft . Roof rafters y�,•x " spacing-6 o . c . spann ft . Roof trusses (pre-engineered) spacing PI span £t . Exterior wall finish Of what material ? Interior wall finish If a garage is to be hed , describe materials to be used for FIRE SEPARATION : ttac ' _1/Z-c C c� ems.— � / 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 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 { including 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 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 done on the described premises and that all provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner . �G,r� SWORN TO BEFORE ME THIS Signature ^--__ �� `�Lrt+_'`_-'- �. __ _----- Owner, owner ' s agent , a rec , contractor day of 19 Notary Public , warren County, N . Y . * * * * * * * * * . * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : DA �k- ` ca 6'_r Ilt t t- `r d 1 C'!-�4 c ►= / 4©.,ref + -- O c�[ tlq(- S 1 APCL � ti5 C`OA15�-rzUc �- ( cnU ( �. i L i� AJZ569Lc G r00`r� C C ). � % YL r7-rt^.AlC , r_0 'Oeo P A ez n B v r L p I AJ y (o I' a� � l � e717 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 3 , Is the building mechanically cooled ? . 4 , Percentage of area of windows and doors A . over 16 % Only 1 , U 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 ? YES NO a . R value of insulation 5 . Type of insulation B . Under 16 % Only 1 , R value of roof and floors exposed to ambient conditions. 2 . R value of exterior walls 3 , R value of glazed area 4 . R value of doors 46PL 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 ) 9 , R value of heated basement / cellar walls ( below grade ) low Type of insulation c . Controls 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 F , Service Water Beating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Onl 1 . Maximum heating Telephone No . ( applicant signature ) ■rr��"- ����� OF WEERSBURY TO1 J, ROAD 531 PORK 12804 ( 518� 7 45REPORT OL {�UEENSBI3RY > NE Ti ELEPHtJNE1�SPCCT(3R S 81y1l.101118 v,lSXL 1RSPECTI(Nx 1l4SPECf10N RECEI'� � REQUEST Ft3R f LO,(;AT 10>' PEF�►1Tt ��,GU� Q v�- DA,TE TYPE QF STRd1CTURE _M`_ r a TURE) COMMERCIAL STRUC RECYIEGK �RAM1 NG �nARSKAL APPRON ( gACKFILL SEPTIC FIRE FOUN'DATION "£L.ECTRICAL "FCIOTING y-FIKAL ` ROUGH PtUMBINGWOtt STOVE /FIREPLACE INSULAT ION _OVA YES CI{IMNEY }IEIGHTItO GATION � g V ENT l tOCAT PLUMPiNG VE4�T ROOFING 51D1NG CH /RA1LS DECY�/ POR VALVES OpERAT ING RELIEF HOT WA ER IyCTUO RK FURNACEI IfSSULA lot"CY 'DOORS BASEMENT 114 INTERIOR TIGHT FINISH FLOORS WATER KITCHEN -- BA,THI SWEEPA BL E OTHER FLOORS FLOORS CARPETED OTHER CE / RAILINGS f STAIR CLEARAN _-- - HAN[3iCAPPED ACCESS -- SMOKE 'DEN FAN5IWH LEHO OPERA BATHROOM FIxTURES AIL PLUVA RE PROOF I f,ARAGE N DOOR CLOSER�EPARA OTHER FIRE WALLS FIREIDEMISE REp1yIREME TS OUIMAPSTE-Rk om VA IAN 5ITE PCLECTRICA OR C !C FINAL ISSUE C /0 ,+tl _+✓ t OK TO T5 '. CON1'N4EN c c�sC� av pe a /At �- ARRIVE �� I SP DEPART� -" ' TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT . .- 531 BAY ROAD .. QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 792- 5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME C 6\ 0 �r r 2L A _L' -z LOCATION DATE-� L/ J PERMIT it Cl 7= TYPE OF STRUCTURE RECHECK- � APPROVED N/A YES NO FOOTI S/PIERS MONOLIT C POUR FORM REINFORCE NT IN PLACE """""" THE C OR IS RESPONSIBLE FOR PROVIDI A PROTECTION FROM FREEZING FOR HOURS FO !.OWING THE PLACEMENT F THE CON RETE , MATERIALS FOR HIS PURPO FOP ON SITE FOUNDATION/WALL POUR REINFORCEMENT I PLACE FOUNDATION/DAMPR FINING . BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS PLACE PLUMBING UNDER SLAB FRAMING : ix JACK ST S/HEADER BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN AM HEATING ROUGH- IN INSULATION : FOUNDATION WALL INTE R R- FOUNDATION WALLS EXTERIOR R- FLOORS R_ WALLS R- CEILING R_ DUCT WORK ING DR I IN UNHEATED SPACES- REMARKS : ARRIVE_ DEPART f j(ssf INSPE i THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 Date THIS CERTIFIES THAT ' E only the electrical eguw- resent ae described below and int app+IiL�sInC ++ana4rd aai she abope aprplicaCion number in Cho prernisee of in thefollowing location: _ ❑ Baeement laC FT. �r 8nd Ft. was examined on ` i Section Block Lot and for4nd to be in compliance with the requirements of Chia Board, FIXTURE ErTACLES SWITCHES NXTURES RANGES OUTLETS IWCANUESGENT PLUOKE3CENT OTHER COOKINGOEGKS CrVENS DISH WASHERS EXHAUST RAMS 14 AMT. K. W. AMT- K. W. AMT- K-W. AMT. K. W. AMT- H. A. PRYERS FURNACE MOTORS RUTURE APPLIANCE FE&MRS SpSCIAL REC'/T "ME CLOCKS AMT, K. W. OIL H. P- GAS H. P- µFT- BELL UNPT NRATERS MULTI dMr T DOVAERS f4K]. A. W. G. AMT. AAIv. AMT. AMPS. TRANS. AMT. H. IF SYSTEMS N'O, OF MT AMT. WATTS SERVICE MSCONNECT NO. OF S E R V I AMT- AMP, rrPE METER C E L4t11� r x 3w 1 }' 3W 3 Ar 3W 3 x 4W NO- OF CC. CONa. A- W, G- PER A OF CC. k&D NO. Os w-LEG OF •L& HO, Or NEUTRALS A. W. C- OP NEUTRAL OTHER APPARATUSe f - • .� BRANCH MANAGER Per- This certificate must not be oitered in any manner; return to the office of the Board if incorrect. Inspectors ropy be identified by theirl credantiah. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, .Jt�w►t o� '�ueert�rhur� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. I Box 98 Queensbury, New York 128f?1 BUILDING INSPECTOR ' S REPORT NAME LOCATION At Date/_ .� pe it 'Sb' �- go !�� = - Fpoting/Pier Forms APPROVED YES Na Foundation Waterproofing Backfill L,)T`rami ng Roofing Siding Masonry V eer Rough P1 ing� Relief Valv s Ext . Porches "— Finished Floo s Interior Trim Stairs & Railin s Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSUI ATION : Foundation Floors Walls Ceiling FINAL ELUbTRICAL INSPECTION DRIVEWAY APPROVAL _ Final Building Survey — Next scheduled inspection ( call when ready Remarks- // "- Building Inspector E/86 and-vl l ISO i iff qa60 f 50 u71' / �� .