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1987-390 { CERTIFICATE OF (DIC' C PA.N�*%jL'' TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK 6 DoteJuly 12 , 19 BF 1 -- 13 This is to certify that work requested to be done as shown by Permit No. 87-390 k has been completed. i This structure may be occupied as a Addition to one Family Dwelling f 14 Location Stevens Road I Owner Jon Senecal By Order Town Board TOWN OF QUEEN3BURY i Building & Zoning inspector { k i �- BUILDING PERMIT r3 PD TOWN OF QUEENSBURY Na. 87-390 WARREN COUNTY, NEW YORK o r PERMISSION is hereby granted to Jon Seneca( Stevens Road OWNER of property located a't"�"-�` N Street, Read or Ave. w in the Town of Queensbury, To Construct or place a Addition one family ( living area 2 car garage) 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 RFD #4 sox 451 Stevens Road Queensbury , N . Y . 12801 2. CONTRACTOR or BUILDER'S Name era m Same rn n N 3. CONTRACTOR or BUILDER 'S Address 4. ARCHITECT'S Name cry rt m d ra S. ARCHITECT"S Address 0 m 6, TYPE of Construction — (Please indicate by %) ( '7 Wood Frame I I Masonry [ ) Steel ( 1 7, PLANS and Specifications No. 22 ' x 36 ' Addition to one family dwelling per rpl,gt Plan , � specifications and applications . rr w *" n o 8. Proposed Use Addition to one family dwelling (Living area and 2 car attached a garage . w £ eD ro $5 . 00 C/O '_° $ MOO PERMIT FEE PAID -- THIS PERMIT EXPIRES January 1 . 1988 (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 axpiration date.} r e Dated at the Town of Queensbury this 23rd Day of June ,+ 19$7 aq SIGNED BYQ'.+ l [ =i� �'I.�/ for the Town of Queensbury m Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . c� Application No . _louln Dj Quee" JI"ry Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 7CsWIV `^ l Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation � ;; Queensbury, New York 12801 Variance No . �unu5 �a Site Plan Review No . JUN 1987 �" Approved y = p 1 E3UILDING & CC 6... uLf APPLICATION FOR fit" e q0 a-0 ELIILDING AND ZONING PERMIT NOW 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 Ls : I� `� i�'7r✓c lf+ L )r' )P . O. Address �f �! 7 S , �t2n � r Property Location : ' yVS/ .�cr`� 7 f Tax Map No .I/ /_ /1 /� Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : �Crz-' ., _'_A..2 G:�ri11 .i-ry` /�' -'T".'7./ ,T�F"G/.th/,_.t' C�c�-yr &0 - & `.e --rj Name -- --� P . O . Address Tel . No . Name of builder, Address - i-' ' �a T��' Tel _ _4S/>_l� z Name of plumber _ Address Tel . Name of mason Address Tel . NATURE OF PROPOSED WORK : w ZONING INFORMATION : Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED , L .eAddition 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 AFFECTEDa w of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . Size of property_ % ft x ft " Existing buildings ) Size--?:y ft x _ � ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure 9- ;' ft x. 3010 ft Foundation-pier/ ab crawl/partial/full Proposed building , distance from property line circle one ) r� ,� Front yard 2i I ft Rear yard /'a 7 ft Now of stories (habitable space) Ir Side yards / s ft and ft Height ( grade to ridge ) . �� ' Cc� ft - If on corner , setback from side street ft If residential , no . of families No . of rooms ( excluding baths ) Ayer- * OCCUPANCY INFORMATION No. of bedrooms * PRIMARY BUILDING - No . of bathrooms �- 1. One family dwelling Primary heating system Mtn tE .¢ic Two family dwelling Type of .fuel 0'/ Multiple dwelling / Number of units Now of fireplaces to be installed G`h..i? will a wood stove be installed? �r Permanent occupancy -- •� Transient occupancy Central Air conditioning?. Business BUILDING STYLE, PRIMARY STRUCTURE Industrial ,� other Ranch Contemporary Log cabin If addition , what will use be? Ra: nch Mansion Duplex * `•- r._c_.r split level Old style Bungalow } Cape Co Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ car/ car ( CIRCLE ONE PLEASE ) ✓ Attached garage/one car/ wo car 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 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . _ _ G_✓�c rk 7�-_.. .- - Will any second-hand or ungraded lumber be used? If so , for what ? /t _ Foundation wall material Zer) .,r Thickness fGy Depth of foundation below grade (to bottom of footing ) F cs - will there be a cellar? ,I= Heated or unheated? _Floor sq. footage sq ft Will there be a basement? � tt� Will any portion be used as living space? ( If so , what portion? sq . ft . - - Type of use? Type of roof - oped Flat/shed/other Material of roof Size , wood studs "x y/ " spacing"o . c . length F ft . 5 Joists ( floor beams ) lst . floor "X " spacing "o . cl span ft . Joists ( floor beams ) 2nd . floor 2� "X �I spacing 1 & "o . c , span / z -ft . Overlays ( ceiling beams ) ? "X spacingZ'L."o . c . span__ZZ ft . Roof rafters a go G spacing /&l..' o . c . span / ft . Roof trusses (pre-engineered) spacing " o . c . span ft . Exterior wall finish l- ,/ Of what material? w•�� ' Interior wall finish if a garage is to be attache , describe materials to be used for FIRE SEPARATION . is ther6 to be an ope i g between garage and dwelling? / �,r If so will a Fire-rated door , enclosure , and self-closing device be provided? -" Will a flue-lined chimney be installed? rL,f'S _ Height- abo e roof C, ft . Depth of chimney foundation below grade 7 ft . Depth of fireplace hearth ft . in . Water supply - Municipal or private well L"'A.s/ c, ,cry 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 County off Warren c A F f I D A V I T STATE OF NEW YORK 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 . SWORN TO BEFORE ME THIS Signature_ __ �, �^ Own owner ' s agent . arcnirect . contractor day of c;/t.r." 4- 19Z'j Notary Public , Warren County, N . Y . * * * * * * * At * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT : B}'----------------------------------- --- TOWN OF QUEENSBURY WARREN COUNTY , NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CORE A permit must be obtained before beginning work . ANSWER ALL of the following ; 1 . Gross floor area 2 r�� -46 2 . Type of heat_ FCE Acfz— 3 . Is the building mechanically cooled ? 6:_ o 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 3 . R value of glazed area ff!12 e2S 4 . R value of door' s � A-'X0 r+ ' 5 . R value Of floors over unheated spaces - 6 . R value of slab edge insulation - unheated slab -}D� 7 . R value of slab insulation - heated slab Be R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement/cellar walls ( below grade ) 10 . Type of insulation ,r f�� IIA? Co 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 -, r 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 . 7 ^' - - (.a licant ' s signature ) THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELEGTRIGITY 41 STATE STREET. ALBANY, NEW YORK 12207 Date MAY 27 a 198G Application No. on file 0 14701 J87 A "�` __ 7 9"` � � 83 THIS CERTIFIES THAT only the electrical equipment ox deacribed below and introduced by the applicant named on the abase application nunsbOr in the premises Of .ION SENECALa RFD #4 STEVENS ROAD BOX 451 , GLENS FALLS , NEW YORK in the following location; ❑ Basement ❑ lot Ff. ❑ l'nd Fl. Section Block 1 Loot 7 &48 was examined an 5 / 19 f 8€t wsa found to be in compliance with the requirements of this Board. ' FIXTURE ^CUES svAnirc es NXTURES ES RANG CCMKINO OECKS OVENS DISH WASHERS EXHAUST FAN S S.w TUITS 1WAN&$C*NT FU ENT I OTAW AMT. K. w_ AMT. K. W. XMT. K.w_ 14 37 `18 3 i+14 DRYERS FURNACE MOTORS Puma Almmm mmans 1s"aALwv"j TIME cuxors �, UNIT HEATERS MULl"OUTtET DIMMERS TRANS, ANT. n. P. O. OF NET ANT. WATM ANT, K. W. 01L N. F. GAS H. P. ANT, NO. A. W. G. ANT. AMP. ANT. AMPS. NQ. 4F FIaT Y1'�.F I~6i iV SERVICE MSODN 611ECT NO. @it S E R V I C E AMT. AMP. TY [OUIr. 1 .p !W k .s 3W 3 as 3W 3 A AW r"b' B PE PEt OF CC. COND. OF CC, COND, 141-LEG OF PWAEG NO. OF NEUTRALS OF NEUTRAL OTHER A"ARATUS; GFC1 SMOKE 17fc:'i EGTON S nL JON SENEGAL t^"^ RYD #4 13OX 451 'Yy GLENSFALLS s NEW YORK l Zbl) 1 <39 BRANCH MANAGER Pry _ This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be iden11 tified by their credentials. COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. r � ' ./own a� �ueen9bur+I� BUILDING and ZONING DEPARTMENT Say and Hauiland Road. R.D. 1 Sox 98 y �`'j Oueensbury. !''dew York 12601 BVILCDING INSPECTOR ' S REPORT NAME LOCAT ON � Date/ J /��_ PerTn t No . 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 Plug , Fixtures Gar , Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION_DRIVEWAY APPROVAL APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- -. / Tiding In Pe or G/86 and-vl _Jown 01 Queerl jI "P$F BuILDING and zC)NING DEPARTMENT Bay and Hauiland Road. R.Q. 'I Sox 98 Oueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Datepermi t Na APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backfi11 Framing Roofing siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney J ZNsuLATION Foundation Floors Walls ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROV 5 rvey Final Building Next scheduled inspection (call when ready) Remarks - t wilding Inspec r 6/86 and-vl . J'own o� �rxeenshurc� BUILDING and ZONING DEPARTMENT Bay and Mawifand Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION � L Date Z$/ Permit No qv' APPROVED - YES NO Footing/Pier Forms Foundation waterproofing Backf i l l X 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 c>c r Remairkk kjmo� IA I" ,9 `5,t in l J�C� yj1 i ding Ins ctor 6/86 and-vl $M 'awn o/ Queens ureyBUILDING and ZONING DEPARTMENT '' Bay and Haviland Road, R.D. 1 Box 98 Clueensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATIO Date G �fi /mil % Permit Nc>���7' ✓ = APPROVED - YES ND 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 ly Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION * Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION I)RIVEWAY "PROVA Final Building Survey Next scheduled inspection (call when ready Remarks- eo� Li Buil ing spectort 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 4Q,9.L,.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REOUIRED. CITY OR lc VILLAGE TOWNSHIP '�' STREET AND NO OR ° x.l, �fI / COUNTY ROAD AND POLE NO. BETWEEN WHAT TWO } s • 4 POLE N ` .r CROSS STREETS lS � �OCCCUPCAJPANTS �T�-- ES LD�,I4TED7 C - ♦ l f- �,. y„ gECTtON '"+ /7 BLOCK LO NAME I,. BUILDING OCCUPANCY OWNER'S NAME AND ADDRESS �.. . #G.� TEL �. SUPPLIED ! BUILDING FROM THEIR ..-� OFFICE IS NEW OLD WORK DEFECTSDEFECTS 1-1 IS NEWADDITIONAL yC7" REMOVED 1�1 LIST BELOW ALL EOUIPMENT WHICH YOU INSTALLED ' NUMBER OF OUTLETS LL&MP R asP� MOTORS HEATERS I Imm Lace- CIRCUITS OFFICE 1.13E tiara ONLY Sae. Att CMlkq bgb" Wan ReoaP"4 Ssvltah Pendant Bracket mm Typo Each Na- Eeah Ns. �B,MIew INSPECTION Side Oult blame Ba.. 'nM1f Tat FL 2nd FI 3rd Fl. REMARKS: LIST OTHER ELECTRICAL DEVICES N„OLSET FOR TH ABOVE: DO NOT USE THIS SPACE, This application is in tended to cover the abwa-lis[ed equipment [a 6a ir[apec led but if at tuna PI i You are auMwixad to make d[e i � naWection Rfsera is footed arkli[:aned aqulprwant not show noted, rr[peclion and adjust the fee to cover the additional aquiprtlao[, of provided by the applicant. S12E OF j - �I ELECTRIC SIGN MAINS j /ram-% k FEEDERS 1r LAMPS 'TOTAL CHARACTER I WATTS OF WORK �.+kl ZA:>'/ j ''I XAWW EXPOSED GAS TUB£ SIGN CONCEALEd TRANSFORMERS 4F VA WORK TO BE STARTED '�,'�'"'i"' /� / COMPLETED 6 1NI,IMBERI {CAPACITY) .! J S12E OF SIGN SERVICE OVERHEAD UNDERGROUND ENTERS MAKER UILDITI OF SIGN INSPECTION AR A STED POSSIBON OR LE NEAR AS r^• ..... 5 ,�, Cyr res NEW EJ OLD AVOID DELAY BY GIVING F A ACCURATE INFOO RMATION. ALL $PACES MUST BE FILLED IN 4R APPLICATION ON MAY BE RETURNED_ DATE OF PRINT NAME AND ADDRESS f APPLICATION 1 /f - ;�� ;7 NAME OF APPLICANT__.- r�.�,e J _ !� � �` SIGNATURE = (�'- �. OF APPLICANT STREET ADORESS/� CITY OR / .rL 7r�rT-"�7 ,C/.��lC:^G�,r.Gly TELEPH E # POST OFFICE �''- F !"` ZIP ',1 1 J LICE NO, +�J � vie CODE WHEN APPLICABLE ae EL (REV. 1/or) A SEPARATE APPLICATION MIDST BE FILED FOR EACH SEPARATE BUILDING co IY