1988-684 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
9310 tG __
Date .66',e--24ri? ;° -1 / 719 '/
This is to certify that work requested to be done as shown by Permit No. 2R-R514
has been completed.
This structure may be occupied as a Addition of Den/Study to One Family
Locatio "/ Stewart Rd.
Owner Michael & Judy Jabaut
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 88-684 ro
WARREN COUNTY, NEW YORK z0
PERMISSION is hereby granted to Michael & Judy Jabaut o '
OWNER of property located at Stewart Rd. Street, Road or Ave. C°
in the Town of Queensbury,To Construct or place a Addition to One Family (Den/Study) '
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 p�
RD 2 Box 158 Stewart Rd. fD
Glens Falls, N.Y. 12801 R°
2. CONTRACTOR or BUILDER'S Name
LeRoy Reeves cr
3. CONTRACTOR or BUILDER'S Address
RD 6 Box 192
Glens Falls, N.Y. 12801
4. ARCHITECT'S Name
r+
CD
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
• :d
No. 12' x 14' as per plot plan, specifications and application
8. Proposed Use p
, 0
Addition to one family (den/study) z
$5.00 C/O
$ 14.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 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 27th Day of Sept. 19 88
i •
SIGNED BY • %/ for the Town of Queensbury
Building and ning Inspector
•
` _Jow,n 41 duce i i ktr y
•
BUILDING and ZONING DEPARTMENT .
TO.:I O^ t- ! �_. -_, .
_.•7:77..
Bay and f-laviland Road, R.D. 1 Box 98 . • i
. p r-, . - ..= �-
•
Queensbury, New York 12801 . - y
SEP _�
4108
i1 Approvedby:
are
APPLICATION F012
. BUILDING & COD
t UE ��
• E _
BUILDING AND ZONING PERMIT /i` ' Z O
* * it * * * it • * iF iF * * .i • it * * * * .I 'N' it * * it- it * it. it. it• * it * �li�i F ,dF :, r,
•
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. •
I.
The owner of this property is: t'l i C HPrEL• 4' ''0 D`? Z-e6c ISA vT
P.O. Address RDa Bon I S81 . STadm-r RD ) GL�A1 c FA-L_s N`1' ( of Tel.'798-6 a-J(S -
Property Location: NsbrRT1-- <S1 DE S FLUB ROAD Ar IAJ --nSEci r45/v Tax Map No. / / /9
Street number or building lot .number SAuJ,V 'RD .
Subdivision name (if applicable) IV/4
. TIlE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Lr=RoY REEEs, ISO No (3eA e s FAL_s N y (DJ() ( . 79a.,-5533
Name P.O. Address Tel. No. .
•
Name of builderMICNAG.L- JAE ) Address RDa.- Box 1s-- Tel. 79&- (,a-c(S
Name of plumber — - - Address Tel. --
Name of mason M l Ok3AEs_, 17pre U-r Address `1'el. 7. (:.- 6 1y 5
NATURE OF PROPOSED WORK: • -- * ZONING •• INFORMATION:
Construction of a new building • .* TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
XAddition 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 DEMOLITION PERMI'T', S'1'I�f2E 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.
* Size of property l5p ft X a:SO ft.
- * Existing building(s) Size ZL ft X 36 ft;
*
PROPOSED BUILDING AND USE: •
S" * Existing building (s) Use S?n1G t=f)r-%1 .y
Size of new structure la- ft X i y ft . * 'RC•SI D Oc-G
Foundation-pier/slab/craw /partial/full * Proposed building, distance from property, line
(circle one)
No. of stories (habitable space) * Front yard 7� tt Rear yard 1- O ft ,
Height (grade to ridge) I� ft. *Side yards 3S ft and /0 ft
If residential, no., of families ( •* If on corner, setback from side street — ft .
No. of rooms(excluding baths) I - * , .00CUPANCY INFORMATION
No. of bedrooms ' • I *
No. of bathrooms — * PRIMARY BUILDING Primary -
heatingsystem * ,�C One family dwelling •
y,.,tem old-ii�T PcIIC Two familydwelling
•
Type of fuel pcL * ' Multiple dwelling ./ Number of units
No. of fireplaces to be installed —
•
-
. Will a wood stove..be installed? (Up * Permanent occupancy
Central Air conditioning? A!a * `transient occupancy
. * Business .
BUILDING STYLE, PRIMARY STRUCTURE . *" Industrial
*" Other
Contemporary Log cabin If addition, hat will use be?
.ailed ranch Mansion Duplex *
Split level Old style Bungalow * 17�Ns-�v�g/
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 $ 7o o 'I' - , •
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. C,UOOO F P M
Will any second-hand or ungraded lumber be•used? If so, for what? NC)
Foundation wall material Co 1Jc ROTE BL.oct( Thickness g�, ,1_,C-SS -ni-Ans y ' BAC F(LL"
Depth of foundation. below grade (to bottom of footing) / FT
Will there be a cellar?c"u-LHeated or unheated? (1N+Hte-A-r Floor' sq. footage ( ,$ sq ft
Will there be a basement? N a Will any portion be used as living space? N o
(If so, what portion? — sq.ft. - - Type of use? — .
Type of roof. - "'sloped/fla t/shed/otherst_c,Pe Material••of roof ftspfdALa S41,iJGCe—
Size, wood studs 2 "X 6 " spacing z-y "o..c. length S ft. . •
Joists(floor beams) 1st. floor 2 "X /o " spacing <6 "o.c. span /- ft.
Joists (floor beams) ' 2nd. floor -- "X " spacing "o.c. span— - ft. " •
Overlays(ceiling beams) Z "X 6, " spacing /6 "o.c. span !z ft. 1
Roof rafters Z "X '6 " spacing 16 o.c. span 6 ft.
Roof trusses(pre-engineered) spacing "o.c. span '-- ft. '
Exterior wall finish CCA-P6oAV20 Of what material?.M/1SO/Vi1T
Interior wall finish 'lz " GYPS'uM ,(3Df '(D
If a garage is'to be attached, describe materials to be used for FIRE SEPARATION:
Is there to bean opening between garage and dwelling? If so will a Fire-raced
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed?, A/D 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 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
complete statement of all proposed work to be doneion the described premises and that all .
provisions of the BUILDING CODE, uH E 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. s
-J - . '
SWORN TO BEFORE ME THIS Signature__ _ ___ _ ___ _
)� J Owner, owner's ag nt,arcnitect,contractor .
l Zt day of . , 1h9
. '_' ,- /7e___Lr7 /4, 4( ' .
Notary Public, Warren County, N.Y. .. .
* * * *. * * * * *-*_.,. * * x * * * * * * * * * - * * * * * * .* * * * * * * * * * It * * * * * * *
SPECIAL CONDITIONS 'OF THE PERMIT:
•
•
By •
TOWN OF QUEENSBURY •
WARREN COUNTY , ' NEW YORK
Application for : . BUILDING PERMIT IN COMPLIANCP 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 I S . rT
2 . Type . of heat O(L--j=f/b FO1CC yv 6 fr '
3 . Is the building mechanically cooled? 140
4 . Percentage of area of windows and doors 6
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
3 8
2 . R value of exterior walls 1
•3 . R value of glazed area G .
4'. . R value of doors p.VA n •
5.• R value of floors over unheated spaces l -1
6.. R value of slab edge insulation - unheated slab 411. -
7 . . R value of slab insulation - heated slab 4.9
8. R value of heated basement/cellar walls (above grade) ,N/A
9 . R value of heated basement/cellar walls (below grade) 44-
•
10 . . Type of insulation f I8 GL 41.S .
•
C. . Controls
1 . Thermostat maximum heat setting SO
D.' Duct Systems .
' 1'..,, Is duct _system installed in unheated spaces? YES g)
: ' a. I'f YES , R value of duct installation
b. R value of duct in other areas 0
E. Piping Insulation •
1 . Size of hot water 'or cooling carrying agent pipe )J/A
2 . R value of pipe insulation ,v1,A
F. Service Water Heating •
1 . Performance efficiency A/1/41/4
2 Temperature control setting maximum win '
• G. For Swimming Pool Only . • �'� .
1. Maximum heating
Telephone No. 77k- gays
(applicant ' signature)
INTERIM BUILDING PERMIT
PERMIT APPLICANT ��f-'�' 1
CONSTRUCTION LOCATION t' ;, s . ,
EFFECTIVE DATE ¢ "L70
APPROVED BY J ' N�°, 4 ,�.k?4 _ .
}
SPECIAL CONDITIONS :
•
This will certify that all. submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit , the above named
may begin construction per plans submitted. It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CONS CT�,T ; 1 OAyT N . !
Buildg& Codes Department
. TOWN OF QUEENSBURY
% . o-y r e .°pro w e s a 04 a s c°�b ,a eO1n rp10 pa. ,rnz Pw. • w i ii-
a Jm1 i�J�V�J s Vv-a Vcl♦UJ�.�u a �u ..�J 0 Ucl o`vv �VCF 4"VU P�""l+cl � vcr vv 9 Uc1 'vJ � v�r�' vJ o° u 34'VJrf^Z,�ti
Cj MIDDLE DEPARTMENT INSPECTION AGENCY, INC. �q
' 900 Haddon Avenue,Collingswood,M.J.08108 if"6/ C
C�! VVV 1
Date November 6 , 1988 e/
k' Cattf ley that the electrical equipment listed has been examined and is approved as being in accord 3'
c.
Fwith the National Electrical Code, applicable governmental, utility and Agency rules.
e.
P Owner:Mke Jabaut Occupancy: Dwelling
Ct Occupant: Same
F Location: Stewart Road, Queens bury (Warren Co) This certificate covers the electrical equipment and installation inspected this \
! date. If additional equipment should he introduced or alterations made to S
' existing system this certificate shall be null and void, and application for ej
Equipment: inspection should he submitted promptly to this Agency.,t • 1-Switch; 8-Receptacles; 1-Electric Heater Holder of this certificate should present saran to his property insurance carrier
(agent or compmry)as evidence of certification of electrical equipment approved s�
' as specified. C
P
* �`
k P eel
' Mike Jabaut �`
� Applicant: No. C
Box#158, Stewart Road 15-025202 r
I
Lqueensbury, New York 128041 {'X
��R,we/r-klef rlefel��1e,0eOn.le/'nk! ,oas“z2,�,lj+,,��;ye,A�/ rk bn�L��ein�e.�.�"�L►ls!,6A1,40- rw!1,56,,c,.. w/6�'rkwRefly.e",rekA* +ck
Vi rrr a ee °irr �/ �./ �r a a ea rn -�
Form No.703 EL 1-83
TOWN OF.QUEENSBURY
4 531 BAY ROAD rnAyM'` QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED qI(pfri l
NAME �.I�aj 0 e- GLI �Q c J.-
iouvrib09 'p vai '. & .
DATE 147 1 q I PERMIT! Ar-444
TYPE OF STRUCTURE aftd , 1 c Pillint
RECHECK
FIRE MARSHAL APPROVAL (COMMERd,IAL STRUCTURE)
j FOOTING /-FOUNDATION BACKFILL 1RAMING
ROUGH PLUMBING /iFTNAL ELECTRICAL _SEPTIC '
_INSULATION _WOOD STOVE/FIREP[ACE •
REMARKS
k
/ APPROVAL
1 r" N/A YES NO
CHIMNEY HEIGHT/LOCATION I
B VENT/LOCATION \ / .,
PLUMBING VENT '/
ROOFING V '
SIDING A
DECK/PORCH/STEPS/RAILI(JGS‘
R-ELIEF VALVES -- I \. - - - --
FURNACE/HOT WATER OPRATINC�
BASEMENT INSULATION/'UCTWORK
INTERIOR TRIM/PRIVACY DOORS,
FINISH FLOORS:
BATH/KITCHEN WAT RTIGHT
OTHER FLOORS SW,rEPABLE
OTHER FLOORS CO PETED
STAIR CLEARANCE/RAILINGS k
HANDICAPPED ACCESS \
SMOKE DETECTORS le
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING '
DOOR CLOSERS
OTHER FIRE SEPARATION \
FIRE/DEMISE WALLS \.
DUMPSTER sk.
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL .
OK TO ISSUE C/O OR C/C
COMMEN_ 3
IA{co fiTit,' Wie-Lt S— 12-' 19 'a Lo 56.-0 tia,F6 '
j-()c " ,1t--i( M.55 gC '7zOA ',
ARRIVE ®: /(, -`
DEPART4O /Gfii
INS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT ���
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT//
REQUEST FOR INSPECTION RECEIVED /l --/-5�
NAME f--�-J ete, 9KaLleGe
LOCATION [ 2,127.A /?
DATE 7/ %-( PERMIT # (5(1 6
/APPROVED
YES NO
FOOTING/PIERS
MONOLI IC POUR FORMS
FOUNDATI /DAMP-PROOFING
BACKFILL A ROVAL
ROUGH PLUMB G
RAMING \ •
ELECTRICAL ROUGH;IN
INSULATION: \
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING N.
SIDING
EXTERNAL PORCHES/ST PS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES RELIEF VALVE\
INTERIOR TRIM/PR VACY DOORS
FINISHED FLOORS
GARAGE FIREPROO ING
DOOR CLOSER(S) \�
SMOKE DETECTO S
FINAL ELECTRIC INSPECTION \,
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CE TIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
"kVitfl)
INSPECTOR
Jown of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
fi(I?
BUILDING INSPECTOR ' S REPORT
NAME //
LOCATION
Date ',-*/ Permit No.
./, *
✓ �= AP Rp-VED - YES/7 NO
doting/Pier Forms /-�(-://.(/,T jP--77
Foundation
Waterproofing
Backfill
Framing
Roofing �.
Siding •
Masonry Veneer
Rough Plumbing A
Relief Valves
•
Ext. Porches /
Finished Floors \ /
Interior Trim \
Stairs & Railings ',f
Cellar. Drain Tile /\
Concrete Floors / \
Plbg. Fixtures ,�
Gar. Fireproofing /
Door Closers I °
Smoke Detectors
I
Chimney
INSULATION:
Foundation
Floors ,f
Walls j
Ceiling ;' \y
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- ( r
•
Building Inspector 7r
/86 and-vl
_town of Quecniur1
BUILDING and ZONING DEPARTMENT
, Bay and Haviland Road, R.D. 1 Box 98
1 Queensbury, New York 12801
•
•
BUILDING INSPECTOR' S REPORT
NAMEfj_
LOCATION 4 /�� /l
Date 10h/ / Permit No. S'D - Py •
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pi Forms '{
c—Foundation }(
/Waterproofing ?<'
Backfill
Framing
Roofingif
Siding \t, I
Masonry Veneer N)(
Rough Plumbing
Relief Valves
Ext. Porches ,
•
Finished Floors
Interior Trim ,
Stairs & Railings "
Cellar Drain Tile i AL
Concrete Floors
Plbg. Fixtures
Gar. Fireproof in .
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- / ; >�/i
c f_ !l
G / Y t,.
•
•
Building Inspector
6/86 and-vl
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