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1987-824 ... . : n: `i� �.. al V.H'}:"!s .'';� _. - '' �,r. ""'.y+�j'„ `? '{ M"TH' 'r _•- Tc..:-.,.:'_.,- .-. y . ., CERTIFICATE CIF C LTPA�N+ TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Date A ri 1 19 14 94 7Ais is to certify that work requested to be done as shown by Permit No, 1 has. been completed, 1 sa a � Addition to one Family m This structure may be occupied� t- Village LocationLot t C3venc7r M:.clz,3e1 Brandt I s By Order Town Hoard TC7'WT3 C7F GILFSEN38iJRY t l4uilding & Zoning Inspector f BUILDING PERMIT � TOWN OF QUEENSBURY No. 87-824 WARREN COUNTY, NEW YORK Michael Brandt PERMISSION is hereby granted to t Lot 6 Sectionl Northwest Village Street, Road or Ave. OWNER of property located at in the Town of Queensbury. To Construct or place a Addition to One Family 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. FOWNERSAddressls RD 2 West Mountain Rd . m Queensbury , N . Y . 12801 1.J bd �t CIRA 'I or BUILDER'S Name �" rT Same 3. CONTRACTOR or BUILDERS Address O rt rn can 4. ARCHITECT'S Name ro n rr Y• C) r r5, ARCHITECT"S Addressrrt TYPE of Construction — (Please indicate by X1 rt 1 34 Wood Frame d ) Masonry l ? Steel l 1 � r S and Specifications No- 32r -4" x 121 -4" as per plot plan specifications and application sed Use Solarium and extension of existing kitchen y Q.. r- r-r F+- $5000 C/o $ 16 . 00 PERMIT FEE PAID — THIS PERMIT 'EXPIRES July 1 , 19 88 (If a larger period is reciulred an appllcmion for an extension must be made to the Building and Zoning inspector of the town of 1]ueensbuty before the expiration date.l o m Dated at the Town of Queensbury this 7th Day of December 19 87 .7d w fLr 1 � /, ,Z!,.I�y�L •Xr for the Town of Gueensbury SIGNED BY _ Buildy and Zoning Inspector u To BE COMPLETED BY BLDG . DEPT & Application No . " .!7o " Of Q"ev4" J ury Permit Issued 19 Id jI ; _i t e { BUILDING and ZONING DEPARTMENT Permit Expires 19 t , : [.. c...: Bay and Haviland Road, R. D. 1 Box 98 Zoning Desig ion /'I NOV 519E Queens bury, New York '12801 Variance No , i 9 Site Plan Re le No . r.:4 ' y [ SlI~i . Y [C�.. '._-' li f �C {: Approved by ; 13 f - a J" ! APPLICATION FOR C / [1 JAIC L- EUILDING AND ZONING PERMIT ! . >~ >f * ;: 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 tion , plans and specifications submitted, and such be done in accordance with the descrip special conditions as may be indicated on the Permit . - ------- The owner-of this property is , � �. + � '."� ' " ��-=—� s. l P. O. Address 'a *'b !L I wE 1ti � C �1 L� � Y'��+r0► h� Te1 .7 J '. lJ f yy �� ,/r SeMsm I I 1VWyMAEa�1 ��.�+ �V ja b%V • Tax. Map No . Property Location , WT VD . Street number or building Trot number Subdivision name ( if applicable) uV40m s >ti+ V % THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS - Name P . O_ Address Tel . No . Name of builder OWmEPA� Address Tel . Tel _ Name of plumber 19W i Address M��Iw+/a V �!' Tel . ' � .. 3�.C►'1 Name of mason I p Address NATURE OF PROPOSED WORK : ZONING INFORMATION : _Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTEDr drawn reasonably to scale and attached hereto , 25 Addition to a building *. 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 or or corner lot . Show location FOR DEMOLITION PERMITr STATE; SIZE AND E of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED. of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . Size of property ]'"� ; .!_ft X 2+�.2• ft _ Existing building ( s) Size-a6l ._ft X__b-%._. tt . x- PROPOSED BUILDING AND USE : Existing building ( s ) Use Size of new structure $2-fir ft X12'4 Foundation-pier sla crawl/partial/full Proposed building , distance from property line circle one) Front yard (PI ft Rear yard_ " ft Now of stories (habitable space) M Side yards O ft and I' ft Height (grade to ridge ) fte If on corner , setback from side street qs _ft If residential , no . of families OCCUPANCY INFORMATION No . of rooms ( excluding baths ) _ No , of bedrooms '� PRIMARY BUILDING — No . of bathrooms one family dwelling Primary heating system WftOb WVW * Two family dwelling Type of fuel %4 6%b * Multiple dwelling / Number of units No . of fireplaces to be installed Permanent occupancy Will a wood stove be installed? '4'+C Transient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Other Ranch Contemporary Log cabin W If addition , what will use be? S016, AB�M Raised ranch Ma Duplex CL cu ��� % �1E1ib1 >f Split level Old style Bungalow ACCESSORY BUILDING- Cape Cod Cottage Other car Detached garage/one car/ two Colonial Row Town House car/ ( } Attached garage/one car/ two car/ car CIRCLE ONE PLEASE * * * * * * * * * x + * Private storage building ESTIMATED MARKET VALUE OF * other d=Emmww CONSTRUCTION $ - - INFORMATION ON BUILDING SPECIFICATIONSr ON RE:VE1'tiSE SIDE OF THIS SHEET . TO BE COMPLETED ? Form BPA 4/8+6 md-vl BUILDING PERMIT APPLICATION CONTINUED BUILDING SPECIFICATIONS : Type of construction , wood frame , fire. safe , etc . V4001b Will any second-hand or ungraded lumber be used? If so , for what ? Foundation wall material CoWLA,,. &L%0A Thickness_ 4a Depth of foundation below grade (to bottom of footing ) A&MOO Will there be a cellar ? 4% Heated or unheated? `+ q. g �} y�___,sq ft -�—._ Floor s foots e Will there be a basement . dip Will any portion be used as living space? ( If so , what portion? � S. . ft . - - Type of use? Type of roof - slopedjflat e ther. Material of roof, }„+� � , 1 ►iLE Size , wood studs 'j' '' X�_ acing__��_'"o . c _ length " 2,f t . Joists ( floor beams ) lst . floor "X .�. "" spacing aamoomor "o . c . span-oa.aa... ft . Joists ( floor beams ) 2nd . floor "X at spacing "'o . c . span ft . Overlays ( ceiling beams ) _ "X spacing aod%vo '"o , c . span ft . Roof rafters _ "XJ AQL�"1 spacing -o . c . span�__ft . Roof trusser spacing '"o . c . span ft . Exterior wall finish V* 04T 0 *„St_I M �k Of what material? Interior wall finish _ ! r 'V K*A OCK If a garage is to be attached , describe materials to be used for FIRE SEPARATION : Is there to be an opening between garage and dwelling? lowo 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_ _ _ �� [#" yii � ,._��► � ' yii4 +l SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining pr p rties ft . (A separate application is necessary for any repair or new installation of septic system ) Town of e A F F I D A V I T STATE OF NEW YORX n 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 . swoRrr TO 13EFC7RE ME THIS Signature_M•_ t.._ *1+4bTat day of W3' __ _ _ Owner , owner ' s agent . arcniItZo t r a c to_r lg Notary Public , Warren County , N . Y . * * * * * It * * * * * * it * * * * * * It * * it * * �k * * * * at * * * % et * k * * It SPECIAL CONDITIONS OF THE PERMIT : By TOWN OF QUEENSBURY WARREN COUNTYP 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 followingV 1 . Gross floor area 4W .5-5 S!A 41FI ' 2 . Type of heat wtoob5 * o mmmIIImmm 3 . Is the building mechanically cooled ? i1 I�•b."6.�RENI�p'I�sE �+�i� 1 4 . �C?�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 co 546E - Yxs�t11 @E[.W� 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 ES NO a . if YES , what s the R. value of insulation around perimeter of floor ? y1 " 4 . Is basement heated ? YES NO III` a . R value of insulation 5 . Type of insulation B , Under 16 % Only 1 . R value of roof and floors expos to ambient conditions tas t11.. 4�,i�.t� xll,►s, sw%b 2 . R value of exterior walls R � • 3 , R value of glazed area '� " 3•� Rr't .'9 R+� •"1t �"" {� 4 . R value of doors �.� 3" �►�'��' ���" fix S 50 R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab kM 7 . R value of slab insulation - heated slab_ Xme rI a . R value of heated basement/ cellar walls ( above grade ) g . R value of heated basement/cellar walls ( below grade ) lO . Type of insulation-' it �`t�ERG►L S►A3sa �"�+�� �P1u�MsU C4 �po 744�D► f�M BOA it#NC C . Controls 1 . Thermostat maximum heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? ES DY O a . If YES $ R value of duct instalZativn 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 insulatiasi F . Service water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool only r� 1 . Maximum heats{ng Telephone No . 999-.I CAI bA3. ( applicant ' s sign u TOWN OF QUEENSBURY BUILDING AND CODES DEPARTM E NT BAY & HAVILAND ROADS / !J OUEENSBURY, NEW YORK I280& TELEPHONE (518) 792-58'32 BUILDING INSPECTOR ' S REPORT RAWEST FOR INSPBSCTTON RECZ rvrD NAMEr LOCAT ION DATE ZRMTT # APPROVED FOO27'NG/PIERS ES NO AiONOLITHxC POUR FORMS FOUNDA21IONIDAMP-PROOF G BACKPILZ APPRC}VA.Lr ROUGH PLUMBXXG FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS C�'-t'LrNG PT1VAL xNSPECTION: cm-Z'mvHy HExGHT ROOFING SIDING EXTERNAL PORCHES STEPS STAIRS-'CLEARANCE & RAT PLUMBING F'rX2'LTRES/RE rNTERTOR TRxM/PRIVACY F VALVE �- F.rNTSHED GARAGE FxREPROOFING —_ DOOR CLOSER (S) - SMOKE" DEsTECTORS FINAL ELECTRrCAL INSP TrON FINAL APPROVAL OF CON RUCTI N - OK TO ISSUE C/O OR .C/ A SIGNED CERTIFrCATE F OCCU . NCY MUST BE OBTAINED FROM THE BU ING DE THESE PREMISES ARE AR2"MENT BEFORE iIPTED! REMARFCS r 7 ARRIVE f,/�/ P r� vped DE p la xivs4psCTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT SAY & HAVILAND ROADS QUEENSBURYr NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' SREP(7RT REQUEST FOR INSPECTION RECErVE^D bOCAT'TCJ`v/V DATE PERMrT APPROVED YES NO FOOTING/PIERS MONOLTTHTC POUR pop MS FOUNDATION/DAMP—PROOPXlVG BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICA4, ROUGH—TN" INSULATION'S FOUNDATION FLOORS • WALLS CEILING a FINAL TNSPECTTON: � CHIMNEY HEIGHT f . ROOFING - SIDING EXTERNAL PORCHE S PS STAIRS--CLEARAN & �TLS PLUMBING FIX ES/RE EF VALVE INTERIOR TRI PRIVACY ip(XJRS FTNTSHED F RS GARAGE FIRE ROOFING DOOR CLOSE (S) SMOKE DET FINAL ELEC TCAL !INSPECTION s ' FINAL APPR VAL OF CONSTRUCTION — —" f i A SIGNED CERT_TFTCATE OF OCCUPANCY MUST BE OBT'.ATNED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDf INSPECTOR 14 _._.Jnuan o/ ueens6urt� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 ©ueensbury, New York 12801 DING INSPECTOR ' S REPORT NAME ev LOCATTON � / 00000?, ��.� Date / r ^' Permit No . ✓ = APPROVED - YES N Footing/Pier Forms Foundation Waterproofing Sackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief valves Ext . Porches Finished Floors Interior Trim Stairs 6 Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chi ney AT suLATION : Foundation Floors Walls Ceiling FINAL ELECT CAL SPECTIO`N DRIVEWAY APPROVA Final Building Survey Next scheduled Inspection ( call when ready ) Remarks- Buildingector fi/86 and-vl -1 520wn o/ ueenadur /✓ BUILDING, and ZONING DEPARTMENT Bay and l-laviland Road, R. D. 1 Box 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME — ' e LOCATION P . J Date���// ! Permit No . ✓ = * * � Footing/Pier Forms APPROVED - YES NO Foundation waterproofing Backfill Framing Roofing Siding Masonry Ven er ugh Plumb! Relief Valves L:xt , Porches Finished Floors Interior Trim stairs 6 Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofin Door Closers Smoke Detector. Chimney INSULATION-: Foundation Floors Walls Ceiling FINAL ELEC RICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready Remarks- fif86 and-vl Building nspector �f � ._./ott�n o� �ueens6ur�l � + BUILDING and ZONING DEPARTMENT Bay and Havifand Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION 00, L7ate -/ " / r Permit No . ✓ = - Footing/Pier Forms APPROVED YES NO Foundation Waterproofing g�aml 11 raining Roofing Siding Masonry Veneer \ "' Rough Plumbing Relief Valves - Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors P, bag . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney 1NSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL I SPECTION - DRIVEWAY APPROVAL,. Final Building Survey Next scheduled inspection ( call when ready } Remarks- rr r 7 i Ru ' di In ctor 6/86 and-v1 _/vwrr n/ ueF ns6ur f j SV BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R-Q. 1 Box 98 Queensbury, New York 12801 BUILDING INS�PECTTORR ''SS REPORT NAME t,f2•J/�.i* t"'l �''� _� LOCATION / Date - `# / t Permit NO . ✓ = - Footii^ryfPier Forms APPROVED YES Foundation waterproofing Backfill gaming see Roofing siding Masonry Ven er Rough Plumbi g Relief Valves Ext . Porches Finished Floor Interior Trim -- Stairs & Railing Cellar Drain Tile Concrete Floors Plbq . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Cbimney INSUTATION : Foundation Floors Walls Ceiling FINAL ELECT ICAL INSPECTION DRIVEWAY AP RUVAL Final Building Survey Next sc}�eclxxied_yinspection (call when ready ) Remarks- OA4- Z'075�t' 1c iir�t Zinspector 6/86 and -vl _lUwrt U� �ueen3hurf� BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R. D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT LOCAT ION / Date Permit No . ✓ APPROVED - YES NO Footing/Pier Forms k.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 ELECTR.I AI, INSPECTION _..........W DRIVEWAY APPR VAL Final Buildin Survey s Next scheduled inspection (call when ready ) Remarks- .' r Building Inspector 6/86 and-vl j1 '1 BUILDING and/Q DEPARTMENT GI Iy 1 Bay and Haviland (load, R. D. 1 Box 98 Queensbury, New York 12801 B ILDING INSPECTOR ' S REPORT AME L O C A T I O B ate Permit No . ✓ = AP P OVED - Y S NQ Ming/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 EI.ECTR _CAL INSPECTION DRIVEWAY APP OVAL Final Suildin Survey Next scheduled inspection ( call when ready ) Remarks- 14 ldf Building Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 4E:,EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILOINGa DEPT. WREN REQUI FIE b_ DAT CITY OR VILLAGE TOWNSHIP COUNTY +.. STREET AND NO. OR ROAD AND POLE NO. :: .- t ,3y 4 U i� n•.^ " .'�E �ti �L POLE NO BETWEEN WHAT TWO PREMISES SES LOC^=E07 SECTION ! BLOCK LOT OCCUPANT'S :• '1 BUILDING NAME ' = 1 '1 t L 1i, OCCUPANCY - + is AND ADD ESSEy TE L, SUPPLIED BY I f V;y FROM THEIR OFFICE BUILDING 1� WORK DEFECTS is NEW 0 OLDl�w IS NEW ❑ ADOITIDNALX REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS crop ieaapyelas MOTORS HEATERS BRAN OFFICE USE Lou- ONLY tion Skid Attawt N.P. Watt A.W.G. CeilingWell Retoas"h. Srritah Rnrdtert Breaket No. Type Each Now Eenb No. Gan" INSPECTION aide Swwstr $w► rHant let FI. Snd Ft. 3rd FI. REMARKS: LIST OTHER IEL EC TA MAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended to corer the abore-l➢eted rquipment to be inspected but it at time of irrspectipn there is fe rrd additional agtriprrtent not oborrr listed, vow are ewthorixed to make the inspection and adjust the fee to cover the additional equiprrratr . as previdad by the applicant. SIZE OF ELECTR tC: SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRA NSFORMERS OF VA WORK TO of - INUMBERI (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS BUILDING OF SIGN INSPECTION REQUESTED ON OR LF NEAR AS WS NEW O OLD "DID DELAY BY GIVING FULLAND ACCURATE INFORMATION. ALL SPACES p y % k MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION i 1i �7q PRINT NAME AND ADDRESS NAME OF �-{ SIGNATURE i APPLICANT �'CF' au"- i4i. �. �,:�1, i� . . . :t•:. • �?� ,� r y�, - OF APPLICANT ^� STREETADORESS }" ' � '�'# �'.�1,] 5(� 1- # " ZIPi TELEPHONE # f � .{ r ^. CITY on �''.a"a '�,f,„ C Nu y ' # CODE P' i ctl WHEN AFMLLICENSE OICABLE POST OFFICE `1 i ae EL (REV. ilea) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING 0 /r r' N � ' 6 222 . � ca �' PfL Fll t5?tir, W���, iit�LL ' cry M J fie'' N F tV ;coo F FR., Ai'1 ! K • ; �EAtSTGr . 1 FUT. op OrcK RES ! T) . 1 �DD1T19N �� � wo STD►S � .�s `.� t v -To wKsT MT N . iZo is.D 4!!5 1T I5 1=l.rAb. N' of S r- CT i ON No, I OF NORTHWIF-ai' V1LLAv, SUBI:>jV•3 ToW N of C,? Ut,-r- N,( 5P ij RY, AiZ�->;.: o.BG �•(�,�71g~3x7.1b �c�.f�� S W Rg fli 9