1988-282 . , '\ ' •�';i. - �'p; .�Lr..,'itu .qA tr.�,'r•:- tT `��`t '.I:, . . :� _ H--S:'- - .. -. 'U-'.
1
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 8 19 90
7)0q ,
m
This is to certify that work requested to be done as shown by Permit No. 88 282
has been completed.
This structure may be occupied as a One-famil dwelling (addition)
8 Western Avenue
Location
Owner William M. Smith
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
SL
TOWN OF QUEENSBURY No. 88-282
WARREN COUNTY, NEW YORK b
0
PERMISSION is hereby granted to William M. Smith ti
OWNER of property located at 8 Western Ave. Street, Road or Ave.
H
in the Town of Queensbury,To Construct or place a addition
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. OWNER'S Address is
22 Clayton Ave. sv
Glens Falls, New York 12801
2. CONTRACTOR or BUILDER'S Name
Wesley Veysey
3. CONTRACTOR or BUILDER'S Address
of
61 MacArthur Dr.
Glens Falls, New York 12801 0
ri
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications N.
rt
No. l6' X 16' as per plot plan, specifications and application N.
8. Proposed Use
addition
5.00 C/O
$ 26.00 PERMIT FEE PAID—THIS PERMIT EXPIRES December 1 19 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 Queensbury before the expiration date.)
Dated at the Town of Queensbury this 25th Day of May 19 88
SIGNED BY �/ Cfit'le for the Town of Queensbury
Building and Zoning Inspector
. TO BE COMPLETED BY BLDG. DEPT. ,
TOWN OF' QU ,',`.;-.
, Application No._ ; • :-)
�OLw/rl Uf Q11 tee aibturdy! Permit Issued 19 Pi L I. f t
BUILDING and ZONING DEPARTMENT Permit Expires 19 . -I LI I .' .
Bay and Haviland Road, R.D. 1 Box 98 , Zoning Designation VIZ--10 . APR '- 1988 ;;. ;.
Queen .mot,y, New York 12801 Variance No.
° -Site:P1 Review N
'.• BUILDING & CODE DFP+,,.,t �"
��� Appro e b 4/' 1.
k\S" " APPLICATION FOR f l' (JJ(9
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 description, plans and specifications submitted, and such' •
special conditions as may be indicated on the Permit.
•
p��
.�� i
The owner of this property is: W.e�-d�-+
P.O. Address _--1 � ''� i�* ,64.+� ("'"cc �`I_e/ ;. Tel- 7 y2-vb'®5,
•Pro r ( l Tax MapNo.
- -
Property Location: /(.)., %04�-e / / •
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION. OF WORK'AS REGARDS BUILDING CODES IS:
•
. Name dr-gt
P.O. Address � J Tel. No.- Name of builder ��� `�/ Address /'�%G�/7j`ThL4,(' ��% Tel.21 -- <Fj/',7 -
Name of plumber ! Address. Tel. ,
Name of mason Address Tel.
NATURE OF PROPOSED hORK: * - 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
FOR DEMOLTTION PERMIT, STATE SIZE AND •
* whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
- ' * of septic disposal area.
* - .
* COMPLETE INFORMATION REQUIRED BELOW. Y - . .
. * ,Size of property "0--' ft X ft:
Existing building(s) Size 74 ft X -2,ii ft.-
*
PROPOSED BUILDING AND USE:
. * Existing building(s) Use I �t ,,,-
Size of new structure I6 ft X a/4, ft. . * -
Foundation-pier/slab/crawl/partial/full: * Proposed building, distance from property line-
(circle one) * Front yard 6. ft Rear yard .36 ft
No. of stories (habitable space).
Height (grade to ridge) . ft * Side yards � � ft and 7 ft
If residential, no. of families 1 * If on corner, setback from side street ft
No. of rooms(excluding baths) / * , . OCCUPANCY INFORMATIQ\1
No. of bedrooms
No, of bathrooms * PRIMARY BUILDING -
Primary heating system ., One family dwelling
Type of fuel * Two. family dwelling
No. of fireplaces to be installed ' W' nV * Multiple dwelling / Number of units
Will a wood stove be installed? * Permanent occupancy1V a . * Transient occupancy .
Central Air conditioning? Wv .
* ` Business . - .
BUILDING STYLE, PRIMARY STRUCTURE • . * ` . Industrial
Ranch Contemporary Log cabin Other '
Raised ranch Mansion Duplex, * If addition, what will use be?
•
Split level Old style Bungalow, * vIN�A ����
•
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial . Row, Town House .- . * Detached garage/one car/ two car/ car
•
•
( CIRCLE ONE PLEASE ) *. Attached garage/one car/ two car/ . car
* * * * * * * * * * * * * * * * . * * Private storage building
+- ESTIMATED MARKET VALUE OF - . * _Other • -
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
.cm BPA 4/86 and-vl -
'.
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: .
Type•of construction, . 00d frame, fire safe,etc.
Will any second-hand or ungraded lumber be. used? If so, for what? /.toile
Foundation wall material o x,/O,u / /.7,nc ,,Q/dThickness
Depth of foundation below grade (to bottom of footing) p4/"' 1L
Will there be a cellar? 7i Heated, or,unkre Floor sq. footage a,5-(� sq ft
Will there be a basement? Will any portion be used as living space?
(If so, what portion? s•.ft. - - Type of use?
Type of roof - sloped/flat Ql:O/other Material. of roof iF'% E2,444*// / of-/%
Size, wood studs c "X a " spacing A; "o.c. length ' ft.
Joists(floor beams) 1st. floor ,? "X /O " spacing / , "o.c. span ), ft.
Joists (floor beams) 2nd. floor "X " s acing "o.c. span ft.
Overlays(ceiling beams) "X /, " spacing ,_ "o.c. span /g'ft.
Roof rafters • "X__" spacing o'.c. span ft. . .
Roof trusses(pre-engineered) spa ing "o.c. span ft. �
Exterior wall finish /z'it.Ase/p Of w t material? ,k'� �) rei/r�
Interior wall` finish . 0r1i�%iz / /'afi)e.j <./2� 72e,, Y ' -y''
If a garage is to be attached; describe. t(taterials to be used for FIRE SEPARATION:
Is there to be an op ,�
opening between garage and dwelling? l4 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_/1 ' ft.
Depth of fireplace hearth A,d 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 Queensbury A F F :I D A V 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,
complete statement of all proposed work .to be doneLon 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. .
SWORN TO BEFORE ME THIS Signa.ture � .A -' �'
• Owner, ownelas agent,a "cnir4ct,contractor
day of 19
•
Notary Public, Warren County, N.Y.
SPECIAL CONDITIONS OF THE PERMIT:
. 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 r SF
• 2 . Type of heat A Jry-7' 6� //c, /4/ %�C 6,„
3 . Is the building mechanically cooled? 7V0
4 . Percentage of area of windows and doors
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?
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 k 47q)0 1
3 . R value of glazed area 4 g , c. 7
4 . R value of doors te - „5 C recfcii /J n/ b %ir- .
5 . R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab ig
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) 12-/(7
10 . Type of insulation Ov!/2n.i Corais F,,A.Q/"I4/0' /'?
1/71-1
C. Controls
1 . Thermostat maximum heat setting EO
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 Heating •
1 . Performance efficiency
2 . Temperature control setting maximum
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. 7gA.- VuLee(4a,.., �dZ
(applicant ' s signature
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL. NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR
VILLAGE r- ��W // TOWNSHIP( COUNTY ,//
STREET AND NO.OR
ROAD AND POLE NO. r'' �G
POLE NO
�• `_\i .�'' `•<•? -�
.
BETWEEN WHAT TWO -- _ �•_ (N'`')(,2
CROSS STREETS IS //
PREMISES LOCATED? `- -, .'. •- .. • • "~ �_. //?" %�1AECTION BLOCK LOT
OCCUPANT'S, f ,.f' ._'BUILDING 7— r `
NAME
OWNER'S NAME - - (%
AND ADDRESS
CURRENT
SUPPLIED �r't �� I l
BY 1/��'; l,'� �;'�'.; fGG!?;.rl FROM THEIR �-,B I ?7 J� OFFICE.
IS NEW DEFECTS NEW� J OLD CIREMODELED ❑ SORK NEW ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
Lamp Receptacles CIRCUITS
Loca-
tion
Ceiling Side Attach't Switch Pendent Bracket No. Type H'P' No. Watts No. A W.G. NO WATTS
Wall Recept'Is yP Each EachGauge EACH
Out-
side
Sub-
base
•
Base •
-
ment
1st Fl.
2nd Fl. •
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE MAKER
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW OLD ri
• AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
NAME OF DATE OF
APPLICANT APPLICATION
STREET ADDRESS
CITY OR ZIP LICENSE NO.
POST OFFICE CODE WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
TOWN OF QUEENSBURY 4,
BUILDING AND CODES DEPARTMENT
af
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT /
REQUEST FOR INSPECTION RECEIVED /O-//7'JP
NAME
LOCATION 8-
DATE /0-"/�/a-&1- PERMIT # e;27,
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
c INSULATION: "y
FOUNDATION
FLOORS
WALLS
CEILING ry
(. 111AL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING 1'' '1 f ,r
EXTERNAL PORCHES/ TEPS\ f/
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF, VALVE PI
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS f;1/
GARAGE FIREPROOFING ~s %'
DOOR CLOSER(S ) A �' ��
SMOKE DETECTORS % ✓,/
FINAL ELECTRICAL INSPECTION k -" V ;
FINAL APPROVAL OF CONSTRUCTION ,
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: "
C/d
INSPECTOR
. ,
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flown of Quecniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
• BUILDING INSPECTOR ' S REPORT
•
NAME / �2 J l i /
.
LOCATION ezt/z �
Date /- % /(5 () Permit No. XX
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
ming
Roofing
Siding
Masonry Ven-er
Rough Plumbiig
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar. Drain Til:
•
Concrete Floors
Plbg. Fixtures
•
Gar. Fireproof ng
Door Closers
Smoke Detecto s
Chimney
INSULATION:
Foundation
Floors
• Walls
Ceiling
FINAL ELECT'ICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
J
Next scheduled inspection (call when ready)
Remarks-
//l1
Bui }, Inspector
6/86 and-vl
_Mum o/ Queenil ur y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME LC/d/i9/J'I,� -9--)i /12
LOCATION 4/4.1.E^���/`///v C�
Date /4 / F Permit No. Plf' ,AIFE:
* * * * * * * * * * * * * * * * * * . * * * *
✓ = APPROVED - ES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
.aming
Roofing
Siding
Masonry Vene-r
Rough Plumbi ,g
Relief Valves •
Ext. Porches
Finished Floo s
Interior Trim
Stairs & Raili gs
Cellar Drain Ti e
Concrete Floors
Plbg. Fixtures
Gar. Fireproof. m
Door Closers
Smoke Detecto, s
Chimney
INSULATION:
Foundation •
Floors
Walls ,'
Ceiling/
FINAL tLECTRICAL IN.PECTION
DRIVEWAY APPROVAL \
Final Building Surv-y \
Next scheduled inspe tion (call when ready)
Remarks-
V
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•
Building nspector
6/86 and-vl
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BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
0\\
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION Q .
Date 1p / 1G Permit No. — ' -----
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
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. Fireproofi •
Door Closers
Smoke Detecto. s
Chimney
INSULATIONS
Foundatio'
Floors
Walls '
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
4 11
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Building IrVsp to
6/86 and-vl
. own of Queeniur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 128011
BUILDING INSPECTOR ' SEP REPORT
a
NAME //4
LOCATION
Date -�/ / Permit No. O, �o;
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
ing/Pier Forms
Foundation
Waterproofing
Backfill •
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches \
Finished Floors
InteriorlTrim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney •
INSULATION:
Foundation
Floors • '
Walls •
•
Ceiling
FINAL ELECTRICA' INSPECTION
'DRIVEWAY APPROV.
Final Building urvey
•
Next scheduled inspection (call when ready)
Remarks-
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Buil ing Inspector
6/86 and-vl
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