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1988-559 CIS-1'1 C :FE OF OCCUPANCY T )WN OF QUEENSBURY W4tREN COUNTY, NEW YORK Date 1'nbruary 2 19 90 \,...„(0. This is to certify that work requested to be done as shown by Permit No. 88-559 has been completed. This structure may l3 occupied as a One Family Dwelling - Alterations Location 11 Kiley Lane • George & Anne Fitzgerald Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning]Inspector • • BUILDING PERMIT TOWN OF QUEENSBURY No. 88-559 WARREN COUNTY, NEW YORK tz 0 PERMISSION is hereby granted to George & Anne Fitzgerald co OWNER of property located at 11 Kiley Lane Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alterations • N) at the above location in accordance to application together with plot plans and other information hereto filed and g` approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is Same CfQ m 0 rt 2. CONTRACTOR or BUILDER'S Name CD Same 0 3. CONTRACTOR or BUILDER'S Address N• Same N va CD n 4. ARCHITECT'S Name 5. ARCHITECT'S Address H. • N CD 6. TYPE of Construction—(Please indicate by X) `C (X)Wood Frame ( ) Masonry ( )Steel. ( ) - 7. PLANS and Specifications No. 15' X 27' addition and enclosed existing deck as per plot plan, °> specifications and application. 8. Proposed Use - W Alterations — spare room and screen porch o 5.00 C/0 24.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 89 (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 3rd Day of August • 19 88 SIGNED BY ,-Jceae, for the Town of Queensbury Building and Zoning In ector - -"i '' ' • TO BE COMPLETED BY BLDG. DEPT. -awn No. • _ wn u/ Quteni/)ur1/ Permit Issued 19 , BUILDING and ZONING DEPARTMENT T0'" I C �'�11�.'�. j Permit Expires 19 -� � ;; , . ,--Q Bay and Haviland Road, R.D. 1 Box 98' Zoning Designation iJ U i Queensbury, New York 12801 Variance No. i -Site Plan Review No. 11 - ' . /It,��JUL fib . APPQ by: / APPLICATION FOR • ��� '� , . ..4 I zf,f .7 -�UIL.DIi`1G & CODE DT. • U BUILDING AND ZONING PERMIT t/.. i • , .t.- * * * * * * * * * * * * * *• * * * .* *.• * . * * * * * * * * it * * * * * *• * *...* :}* 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: (2- v/2(L- /iAJD / -/k/A/C /TZ6'diei 2.v P.O. Address // /e/e.LY '-i . CGCA!S //�ZLS /Sty 12 g 0/ Tel. 793--/64/8 . Property Location: 416 7 Tax Map No./ / .-/ Street number- or building lot number ' eo / € 2 3 Subdivision name (if applicable) • THE PERSON RESPONSIBLE FOR SUPERVISION.OF WORK AS REGARDS BUILDING CODES IS : 6-7 26C T/TZ r67242D Name P.O. Address • Tel. No. • . Name of builder --c726 C /C/74/5M2D Address // AlLa//4 /6- 6,;',i,/V > Tel. 2/3/CW Name of plumber Address Tel. Name of mason Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: • Construction of a now building , i * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, )( Addition to a building Q0004 /S '27 * drawn reasonably to scale and attached hereto, X Alteration to a building RI over it1* showing clearly and distinctly all buildings, , U . (no change to exterior dimensions) * whether existing or proposed and indicate all )( Other work (describe) Ctvv�/e tv ,ear * set-back dimensions from property lines. Give /7ivD Sciee:6,/ /A/ L-X/ST/it/r, --c'k' * street and number or lot number and indicate . . : ' FC3t� n>'Ninr rmrnn� nrl�ntT7' i'Ar��� AND * whether interior or corner lot. Show location LOCAI'3:ON OP :fi'i C`i'[ F21:::; %F:'EC1'ED. * of water supply and location and configuration *. of septic disposal area. • * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property /e-O ft X /. 3,g ft. • , * Existing building(s) Size z 8 ft X 7C ft. , , ' . * . . PROPOSED BUILDING AND USE: * Existing building(s) Use Res/DCfi/7719Z Size of new structure &• ft X2.8 ft * • 6andation3-pier/slab/crawl/partial/full * Proposed building, distance from property line £X IS 7?/vI (circle one) * �,.� * Front yard I/I ft Rear yard ,3 ft No. of stories (habitable space) 2.— Height (grade to ridge) Z 7-C.E ft. Side yards / 5 ft and /� ft If residential, no. of families / * If on corner, setback from side street ._— ft No. of rooms(excluding baths) / * OCCUPANCY INFORMATION No. of bedrooms D * PRIMARY BUILDING - No. of bathrooms O • • Primary heating system / i Gu�71L=Z _ .� One family dwelling Type of fuel A/4-T, (iiiS * Two family dwelling . No, of fireplaces to be installed " G * Multiple dwelling / Number of units Will a wood stove be installed? C * Permanent occupancy Central Air conditioning? O * Transient occupancy . * Business BUILDING STYLE, PRIMARY STRUCTURE *' Industrial janch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition, what will use be? SP/tr2r: v?ectvl Split level Old style Bungalow R-,VD SG/ZLzcN po/2c N Cape Cod Cottage Other • * ACCESSORY BUILDING- Colonial Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) • * K Attached garage/one car/ two car/ 6/7_ car * * * * * * * * * * * * * * * * * * Private storage building G=X/ST/lvlj • _ ESTIMATED MARKET VALUE OF * Other �y� 1 CONSTRUCTION * $ /2 y .. . / OD-0 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, ood fram.e), fire safe,etc. • Will any second-hand or ungraded lumber be used? If so, for what? A/0 Foundation wall material eo-ev C , BUICK Thickness /® r, • • Depth of foundation below grade (to bottom of footing) 7# 0-'7/VLSI. ) 3 i O Oe C/C Will there be a cellar?GXI57SHeated ore- IT. 3 Floor sq. footage • i a S-0 sq ft Will there be a basement? Will any portion be used as living space? /da . (If so, what portion? — sq.ft. - - Type of use? -- Type of roof - ope. flat/shed/other - Material. of roof .2 ,GD)c // ),i/30,,e.- Sh`im,LLDS Size, wood studs 2 "x 6, " spacing /6 "o.c. length 7//L ft. Joists(floor beans) 1st. floor Z "X /c " spacing /(c "o.c. span /9 ft. . Joists (floor beams) 2nd. floor Z. "X " spacing J , "o.c. span /2- ft. Overlays(ceileams) 2-- "X 6 " spacing 7-V "o.c. span 8 ft. Roof rafters "X 8 " spacing z y o.c., span /6 ft. Roof trusses(pre-engineered) spacing ._._ 'o.c. span — ft. Exterior wall' finish / X(d T r Of what material? det)/te_.; . Interior wall finish .Sii —r ,eeC4 P/91,vrei) 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? /src If so will a Fire-rated door, enclosure; and self-closing device .be• provided? C-x/rnu-f; Will a flue-lined chimney be installed? C /Si5 -Height above roof ft. . . Depth of chimney foundation below grade ft. . Depth of fireplace hearth ft. in. . Water supply - Municipal or private well /t,/v 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 " ' AFFIDAVIT 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 i 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 BEFO)(1 THIS Signature ,friJ �Owne�is Jagent cnitect,contractorday o 19 • Notary Public, Warren County, N.Y. • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF TILE 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 !/ /98 .DpGj, 2 . Type of heat AT /'6�-C-�'(f `1 3 . Is the building mechanically cooled? //61- 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 (ov 1 . R value of roof, nd floors exposed to ambient conditions_ 2 . R value of exterior walls _ t 9 tia',,. 3 . R value of glazed area ,e- z, 3 r • 4 . R value of doors 5 . R value of floors over unheated spaces } (‘) . . 6. R value of slab edge insulation - unheated s(4ab 7 . R value of slab insulation - heated sl fo// 8 . R value of heated basement/cellar walls (above grade) 9 . R value of heated basement/cellar walls (below grade) _ f/ %/ 10 . /-Type of insulation /6L�Zc /f5 0i , / 61/0072cy .S/f/E2c) 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 Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only • 1 . Maximum heating _ Telephone N o. 7?,3_ /Dye .Q . #SefG (alica ' s signature) BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. �'' ITEMP.*. IDATE I `3� j VILLAGE fir6t'J ' ,M 5 TOWNSHIP ,;-jc `"'I✓f.1 _i%/- r/ COUNTY /4 e1-"f'7 STREET AND NO.OR / ' /*- 1 ROAD AND POLE NO. t /. Y. ./"'Ai', POLE NO. . r- `1 BETWEEN WHAT TWO CROSS STREETS ISJ �j/� // .1 C-.,, (� PREMISES LOCATED? 81/4-/-//v/ 1 `:7-1 f 1/i'1 O Ott) k 0 '-' SECTION r `-� BLOCK 1 LOT OCCUPANT'S - _ /- / BUILDING 1z1 �. �� '��_.t', NAME � f.,. . . F (' 7-1., 'w � ~~ "- _i.r� � "� (1,,, y.t✓.i OCCUPANCY �'t\2 �`{{�f.1`r- C. +`�' � ._>>\ ,f----f9\ OWNER'S NAME ;^ / ,{��. "'�^ ) AND ADDRESS i'F�O,,,el- - f /'f!7 ,,,,,v6 .,,'"E/-. ,,,-,. f/y-2/ TEL.# f T r� r=.3 CURRENT / f - SUPPLIED /\// 6/j•/f> 7/,r/ kV/(' FROM THEIR . ?! i OFFICE BUILDING / WORK DEFECTS IS NEW❑ OLD A IS NEW ❑ AODITIONAL2 REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. Fixtures& BRANCH NUMBER OF OUTLETS LamptReceptacles MOTORS HEATERS CIRCUITS OFFICE USE Lon- ONLY tion Side Attach't H.P. Watts A.W.G. Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION Out- side Sub- base Base- ment 1st Fl. 2nd FI. i/ f 1 . 1 3rd FI. • - • - . 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 ,.r. � ELECTRIC SIGN TOTAL MAINS /5 i 4 t-1 p 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 OVERHEAD UNDERGROUND MAKER ENTERS - X OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS n ¢' POSSIBLE NEW I M1 - OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. A-P-PLICATION PRINT NAME AND ADDRESS _ Pit c,....../,-*".. n NAME OF f If -, .L` - SIGNATURE ,,,,/ '7%' W" ,�Y. 1 i !.._{_/. ' APPLICANT CO iC JIC "/ 1 f i 7 !_ `'7--' ) OF APPLICANT'-'..- O 7 STREET ADDRESS/ /I J'f -L `� /'"' TELEPHONE# �..7 -' (�G CITY ORLICENSE NO. • POST OFFICE (f,!C_+�:/._`s f f -1`e.L i�j \� COIP /? WHEN APPLICABLE i CODE E �,- p 46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING — ..„ -.4 THE NEW YORK BOARD. OF FIRE UNDERWRITERS :-'AC:'E 1 ..--4. in 101181 BUREAU OF ELECTRICITY 41 STATE STREET,ALBANY.NEW YORK 12207 ' = W. •5 k`: Elate FEBTOSAI:V ?3 ,1991) Application No-on-file_,,:Q-116 c;i38./c p 11 E) 15'..2 53 iic' THIS CERTIFIES THAT rmiT .,.,:.. ) only the electrical equipment as described below and introducr by the opplican -named on the above application number in the premises of -1! ii',1 N - .,;. _ i17.1GE ,c..( ANH FITZ(ERALD. 11 ILEY LA. . l'OLEIt25 .2 , CLEN (.;:',1,T.A . in the following location; 0 Basement E 1st Fl. Ej 2nd Ft. Section ,j::-) Block 1 Lot ..,5, 2-:: -t. was examined on ,3,:'NT7,12.,.: I(", , 199 C' and found to be in compliance with the requirements of this Board. -<. ek. FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ECEPTACLES SWITCHES OUTLETS INCANDESCENT,FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P. .12 2 1 .,. ,- a ; - DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS rl K; ANT. K.W. OIL H.P. GAS H.P. ANT. NO. A.W.G. ANT. AMP. AMY. AMPS. TRANS. AMT. H.P. FigiSL FEETS AMT. WATTS 74 W. . , . • No . a 1.0 SERVICE DISCONNECT NO.OF S E R V I C E ' :11: 1 METER N it- IA: AMT. AMP. TYPE K TA 2W 1,8 3W 3 Id 3W 3.0 AW NO.OFFIFCOND. OF V../LOND.. NO.OF HI-LEG 4.a:I& NO.OF NEUTRALS OFANILL N i ^. 4. OTHER APPARATUS: g. ifs: f;NOKE IT3ETCT:-1 .„.• iisc:: • ., . .7, K: • . ..-: .... w. .e . .... _ -,, ...„ . • - :1 .4. ... :.? r.: . FIrECERALD ;2 s. It ;".-: 1..1 1U LEY L':NE • ejLENf; C:1..11::::: NV. 12V)1 BRANCH MANAGER . . Per — 4 .1 ; This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credentials. :ria iff'?. MEM Cilfi CIESIMESO rinnrintionsretationnemorinnineso WI !I rl !HI MEOW tl ! !I CISEI ti 11 II tl CI iii";.?•;•;". COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. - TOWN OF QUEENSBURY (\� BUILDING AND CODES DEPARTMENT il I�1 BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORTI REQUEST FOR INSPECTION RECEIVED ►I , NAME C�/11 �(! 411I 11�G CC-�'� LOCATION .�( ` 1 I 0,L U �`k.(� _. DATE Ii L0 02, 1 PERMIT #/AP ^d51 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR F RMS FOUNDATION/DAMP-P OOFINGJ ' BACKFILL APPROVAL ROUGH PLUMBING J FRAMING '149CA ELECTRICAL ROUGH-I INSULATION: FOUNDATION FLOORS WALLS CEILING .FINAL INSPECTION: FLooP a!-'LY CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES//ST SI . A/J,9- STAIRS-CLEARANC & ILS 2A4 +Q_ 1C PLUMBING FIXTUR frS/RE EF VALVE X47 INTERIOR TRIM/I/RIVACY DOORS ,(/�� FINISHED FLOORS GARAGE FIREPRCOFING A/q. DOOR CLOSER(S)` \ Ji- SMOKE DETECTORS \ X FINAL ELECTRICAL INSPECTION . " FINAL APPROVAL OF CONSTRUCT x' 2'" t i rt c_o P L kr4-0 . . . . A SIGNED CERTI ICATE OF OCCUP NCY MUST BE OBTAINED FROM THE BUILDING DEP RTMENT BEFORE THESE PREMISE ARE OCCUPIED!• REMARKS: Rn ez)64.4 'li 62414 6 J 14_(� C-e.t._ wife _.mUscfck'/OAJ 15 m pilTrizn lZ=5D IZ=©a /6]:i _ INS ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME _ r11-2__C- 12A-e..-64 LOCATION L I DATE 7/ ' PERMIT # APPROVED . YES NO r FOOTING/PIERS j MONOLITHIC POU FORMS FOUNDATION/DAMP'r,PROOFING BACKFILL APPROVAL ROUGH PLUMBING , /% : FRAMING ELECTRICAL ROUGH-;IN INSULATION: FOUNDATION S / FLOORS WALLS l> CEILING )(FINAL INSPECTION: VI, CHIMNEY HEIGHT )(ROOFING , �^ )(SIDING f` :k EXTERNAL PORCHES//STEPS " r / \,s S INTERIOR TRIM/,.PRIVACY DOees FINISHED FLOrO1IS C L,CA:W}- L6:- CAkAGE £I EFROOFING gMO's S FINAL ELECTRICAL INSPECTION '{ v FINAL APPROVAL OF CONSTRUCTION • A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS;' -y(4012- w /► ✓b(r/Jl T ,uGCos , U/JJ F AJ fma) (JA) I -i�-0 'Pbt t 0 YL [OWLS) • IN PECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS 7J QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED ////7/—V NAME _� / LOCATION I/ Rc: d DATE //J/c/l' PERMIT # - Ss' APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS /' FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL // ROUGH PLUMBING FRAMING 2 A d G�l r „ ELECTRICAL ROUGH-IN % ,i INSULATION: FOUNDATION, r;�J FLOORS N - r� WALLS Xi CEILING NL FINAL INSPECTION: CHIMNEY HEIG* ROOFING 14, ' SIDING EXTERNAL PORCHES%STEPS STAIRS-CLEARANCE�4RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVAC DOORS FINISHED FLOORS'! GARAGE FIREPROOFING "\ DOOR CLOSER(.)) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION \h FINAL APPROVAL OF CONSTRUCTIOW\ A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED PROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: c/< < /lex/ C (/Z- / / i._ INSPECTOR /53. 90 11 It ►t �I (f � (I oc t� APPROX. QZ' /N AIMS wI7N Z A0&;,Vc NT NonsrN.fi � f� j W 3I� QWRGE KUROSAKAJi..i1,1- a+R opelonEaMw 2 ADDED 1ArGROUND POGO. t0AK/ 5PRAr4 UG� _ �Q� 1 NOME PACCA6C- 8Y WOODOURy CLFNS fAtt,S 9 3, D G ESi o FITZGERALD 0 A C GN PLOT PLAN SCALE 1" = 10' DATE 5- 18-7b OVII6. BY ,0u► PRi V0001 "R 2 APPROVED BY 11; B