1988-836 CERTIFICATE-OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 10, 19 g o'
cb\off -1—
t- 2k 33-336
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a Single Family Dwelling/Addition
Location Lam+. 4/ Queens Lane
Owner Leon James
By Order Town Board
TOWN OF QUEENSBURY
f
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-816
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Leon Jones
OWNER of property located at Lot 47 Queens Lane Street, Road or Ave.
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
SAME
2. CONTRACTOR or BUILDER'S Name
0
STUYVESANT DEVELOPERS w
3. CONTRACTOR or BUILDER'S Address
0
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
0
rt
0
6. TYPE of Construction—(Please indicate by X)
(D
( )Wood Frame ( ) Masonry ( ) Steel ( ) cnn
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7. PLANS and Specifications
No. 14'x 12' Addition as per plot plan, specifications, and application.
8. Proposed Use
Single Family NilKIXXXXX Dwelling/Addition
1
25.00 C/O 89
$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19
g periodrequiredapplicationBuilding Zoning inspector of the H.
(If a longer is an for an extension must be made to the and
town of Queensbury before the expiration date.)
U
Dated at the Town of Queensbury thjs24th Day of October 19 88
SIGNED BY �// C for the Town of Queensbury
Building and Zoning I spector
TOWN OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT
Tate- TOWN OF QUL-,EN?" UR'..
12 -717-2// Reviewedldr/O. 't /07---. . _ [7q1 1_,, .,L: _ _ .- 1 .
!1'.4, � s,I4 ? r!;r i
� , / OCT 2�: 19 .
, . mmi ;th�` Fee Pa id S . •
•
( 'BUILDING. & CODE DEPT.
BUILDING AND CODES UIJ'A NMEI!T Date •Iaaued . ..
.AY and HAVILAND ROADS RD 1 Box 98 '-
CJUEENSBURY,NEW YOfiK 12804 Penm(. Na• T
Tel . (518) 792-5832•Ext •209
.,a.
A PERMIT MUST- Ill OBTAINED BEFORE BEGINNING CONSTRUCTION. .NO INSPECTIONS
• WILL BE MADE UNTI_L .APPLICANT HAS, RECEIVED A VALID BUILDING PERMIT. ; -
All applicable spaces on this application must •be completed and the
•
* ; LAt1A t*eapplicantmks* * *r ° the reverse Al*° °* *hs y*e*
k ., I * * * * * 2 * * -* * * 2* *
The owner of this propertyJ is: j-G/4Y'1 e ile s
P . O. Address 4-O� 7 / qtoic/i.f,�f1�' P�� :�,/L�(1. � TEL.
Property location 'Mr1 Cam, /iiY-f - TAX 4MAP NO. / /
Has there been any split of this property since October 1., 1988? y ,�/
if yes, Planning Board Review is necessary. . .
SUBDIVISION NAME, IF APPLICABLE • LOT NO.
The person responsible for supervision ,of work as regards Building Codes is :
DDRESS TEL. NO.
NAME i ' /� ' ' Tel
Name of builder /., �! to, �/
Name of Plumber / i 4'4 ss ' Tel
Name of Mason 1 7 4WA ' d' is Tel
•
4,1TURk OF PROPOSED hORF:: „ .ZONING' INFORMATION (Office use only)
Construction of a new building } ZONING DESIGNATION OF PROPERTY
ddicion to a building '* PERMITTED PRINCIPAL • PERMITTED ACCESSORY
Alteration to a Wilding
(no change to excerior dimensions) * REVIEW REQUIRED - PLANNING BOARD ZONING BOARD__
Ocher work (describe) ; SITE PLAN REVIEW # • APPROVED DATE
•
CROSS AREA OF PROPOSED, •:�'rrcuc'1uRE `. " VARIANCE # APPROVED DATE_. _ •
1st Floor` . / v sq , ft . . r Remarks: - ' • -
l�
2 n d Floor sq' ft . t COMP LE'r1 .41FORmA'1'ION 1cLQU I1cED UELUW. /Q,
• of property / -f t X Z/ O ft.
Size p 1 y
Other Floors sq ft . + Existing building(s) Size ZX ` ft X • ft.
(not cellar or-basemen *
TOTAL FLOOR AREA y sq f t . " L•'xisting building(s) Use Zo)(%
..ize or new structure t Xlv ft '
11
you,ldetion-pier/sla �il artial/full " Proposed building, distance from property line
(ci one) w Front yard /1, et Rear yard - �/ ft
No. of stories (habitable space) . Side yards / 7 ' ft and ft
Height (grade to ridge) ft. r If.on ,corner, setback from side street rc
1f residential, no. of Tamil'
No. of roans(excludi • t ' - OCCUPANCY INFORMATION
No. of bedrooms / # P� BUILDING - '. •
No. of bathroomsa One family dwelling '
.Primary huecing sy, c •t . Two family dwelling '
Type of fuel• ' ,� Multiple dwelling / Number of units
No. of fireplaces to be installed • Perinanenc occupancy
a wood stove be installed? ; Transient occupancy
central Air conditioning? r 13usinc:ss
BUILDING STYLE, .PRIMARY STRUCTURE „ Industrial
Ocher
tc,i►ch Contemporary LGa cabin R lf addition, wh• t. will u::e be?Raised ranch Mansion Duplex . •
Split level Old style Uunyalow '
Calve Cod Cottage Ocher ' ACCESSORY BUIL'IWG-
Colonial how - Town House ' Detac d g• rage/one car/ two car/ car
. ( CIRCLE' ONE PLEASE ) ' Attach are u •/ c. •r/ two car/ l•��ca
11 • • ■ 1 • ■ a 'A ■ ■ M w * a a * Privet ' orage building
r ;TIMATI:D MARI:F9' VALUE OF ' Other
CON::'r'hUC'1'IUN . '� •
•
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 10/88 vl .
4 '
WILDING PEr .Il'1'. Al%PL7CA`1'1011 COII'PI11UC0 - , . . .
WILDING SPECIFICATIONS: / � • � �j
Tyl:e of construction, wood frame, fire safe,.ctc.
a.)
Will any :second-hand`or-.'ungraded lumber be used? If so, for what?
Foundation wall material Ifra - Thickness+
Depth or foundation below,,grade (to bottom of footing) loot sq. footagesq tt
will there be a cellar? /�/10.Heated or unheated?
will there be a basement? /y Will any portion be used as living ::pace? /
(If so, what port' . : . sq.rt. - - Type of use?
o•ed is hed/other
Matnrial. of roof /�
' •
Si Size,
roof - /. "o..c. length t_tt.
,� s acing_i„L
size, wood study X pa_ „X��„ spacing "o•c., span�ft. i
Joi:;cs(rloor beams) lsc. floor �� �� spacing "o.c. sp�_._rt.,
Joists (floor beams) and. floor X.��
Z"X spacing14"o.c. span cLi c.
ov�rlay5(ceilin beaus) o;c. span l ft.
Hoof
`� "X ,pacing l �• --�- ft.
hoof
rafters "o.c. span
hoof trusses(pre-engineered) spacingOf what naterialf • ✓1 7 �'
Exterior wall finish l�- L S t himG
Interior wall finish
if a garage is- to br attached, describe materials to be used for FIRE SEPARA'TI N: . __^
� � If so will. a Firc:;r�recd .
Is there to be en opening. betweun garage and dwelling. — .
floor, enclosure, and solf-closing device be provided? f c.
Will e flue-lined chimney be installed? Height above roof
-Depth of chimney foundation below grade
ft.
Depth of fireplace hearth ft. in. ft.
water Supply - Municipal or private well ro erti45
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining ,p, p
•
repair or new installation of septic system)
is necessary for any p
lh s�pµratt application _ , .
. • DECLARATION.
To the best of my knowledge and belief the statements contained
application, together with the plans and specifications submitted, are a true and
in phis app proposed work to be done `on the described premises and that all
THE ZONING ORDINANCE, and all otter law:: pertaining to
complete statement UI all prop and that pertaining
work i-
Lhe moos of work.phall bC CODE, whether specified or not,
she hruposcd shall be complied with, .
authorized by the' owner.
Signature___ ---- ------ -----------tractor
w owner's agent -c tect,c �'�/1_
* * * • * * * * * it * * * * * * • * * * * * * * *_ * * • * * * * • *
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SPECIAL CONDITIONS OF TII1 PP MIT:
•
•
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- . .. . 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 a r fp
2 . Type of heat /i N/ .
•
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors •
A. Over 16% Only .
1 . U • value of gross area o wal s , roo ei ing ::d
floors
•
• - 1 . - If YES , what is the R 'value?
3 . Slab on grade" YES NO
a. If YES, what is th R valu of insulation around .
perimeter of floor? •
4 . Is basement heated? YES le
a. R value of insulation
5. Type of insulation
B. Under 16% Only '
1. R value of roof and floors a posed to ambient conditions
2 . R value of exterior walls R•rI/ I4 7 • hi l t`"
filtk
•3 . R value of glazed area
4 . R value of doors • 7 •
5. R value of floors over unheated spaces f-1 f"( 9)
6. R value of slab edge insulation - unheated slab"
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).
10. Type of insulation '
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 A •
E. Piping Insulation .
1. . Size of hot water 'or cooling carry - "pre
. 2 . R value of pipe insulation _ i
F. Service Water Heating / ,
1 . Performance efficiency /
2. Temperature control setting Maximum' •
G. " For Swimming Pool Only • •
1. . Maximum heating
Telephone No. S (1--1- 7`{( - �73 y.
( icant ' s sign to •
INTERIM BUILDING PERMIT
g(--;
PERMIT APPLICANT G119 ' 4 AZele/
CONSTRUCTION LOCATION L/7 C U
EFFECTIVE DATE /1 4 Y K
APPROVED BY 1 /7, •
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 CONSPI OU/LOCATION ! !
,4///i
•
Building & Codes Department
. TOWN OF QUEENSBURY
REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!!
1. Foundations Footings, before pouring concrete. •
2. Foundations Inspections and Waterproofing, before Backfill.
3. Rough Plumbing, Heating and Frame Inspections before Closing in the Framework.
4. Insulation - Foundation, Floors, Walls, Ceiling.
5. Inspection of Electrical Installations before covering (rough in) and on completion
of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF
OCCUPANCY.
6. All new septic systems or repairs before covering any work.
7. Final Inspections before Certificate of Occupancy is issued.
THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITHOUT APPROVAL
OF THE BUILDING DEPARTMENT.
t, MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
QElectrical-Building-Plumbing-Fire Inspections
n S `. ;1
Date
. on I lector
T - constitutes certification that the
above installation, but not the equip-
0o ment itself, has been visually inspected
00 as of this date pursuant to the applic-
ali able codes. If additional equipment
should be introduced or alterations
made to the existing system or struc-
ture, application for inspection should
O be submitted promptly to this Agency.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801--
TELEPHONE (518) 792-5832 C)AJS 3
BUILDING INSPECT 'S REPORT
REQUEST FOR INSPECTION REC VED , - ` (if
NAME ( ° �(1
LOCATION / hl/40#41
�� n ' - _
DATE /-3 .S PERMIT # e(r-F3Z2
��/M, APPROVED
� YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN f`
INSULATION:
FOUNDATION ,
FLOORS
WALLS
CEILING
FINAL INSPECTION:
/
CHIMNEY HEIGHT `.
ROOFING x l./
SIDING 1-.7
EXTERNAL PORCHES/STEPS KJ,A0
STAIRS-CLEARANCE &,RAILS N 1)
PLUMBING FIXTURES/RELIEF VALVE k1Id'
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS] (�
GARAGE FIREPROOFING /J414
DOOR CLOSER(S) /ii
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION ri
FINAL APPROVAL OF CONSTRUCTION
A SIGNED!CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
0_,/ b
Cp,A)---(11/' D ,
I PECTOR
I 4 •
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
.��
NAME __� , ')��-5
LOCATION/ /7 (. ./te,°ft.(- A),
DATE ti/�Si i PERMIT # /—,Sf 3 .,
APPROVED
\,�n/,ll YES NO
FOOTING/P F,RS /
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING •
BACKFILL APPROVAL
ROUGH PLUMBING\
/ RAMING \\ / • X__
ECTRICAL ROUGH=IN
INSULATION: \\
FOUNDATION /
FLOORS \„/ —// — • X
WALLS / /��1/6 ! 11/
CEILINGfi. `( 7 •
FINAL INSPECTION:
CHIMNEY HEIGHT \
ROOFING
SIDING
EXTERNAL PORGIES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED LOORS
GARAGE F EPROOFING
DOOR CLO ER(S)
SMOKE D TECTORS
FINAL ELrCTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
,J -
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /22
BAY & HAVILAND ROADS //
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED `/-
NAME _ ��v _, B�Q�
AVLOCATIAVfi7". @�DATE //'( F. Fe PERMIT # /f/� 0`-.524,
APPROVED
/ YES NO
FOOTING PIERS 1/
MONOLIT IC POUR FORMS
FQUNDATI N/DAMP-PROOFING /
CACKFILL \PPROVAL / t./
ROUGH PLUM ING
FRAMING / '
ELECTRICAL UGH-IN /
INSULATION: /
FOUNDATION
FLOORS \ /
WALLS
CEILING
FINAL INSPECTION: /
CHIMNEY HEIGHT
ROOFING V
SIDING I \
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/Pf2IVACY D ORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)I
SMOKE DETECTOS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL/OF CONSTRUCTION
I
A SIGNED CERTIIFICATE OF OCCUPANCY M T BE
OBTAINED FROM THE BUILDING DEPARTMENT EFORE
THESE PREMISS ARE OCCUPIED!
\%
REMARKS:
1 I
(411 .)//1)
INSPECTOR
0 9
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 /(� e 7
NAME .15; s_l_j-IG)9--71-1---- L--.
LOCATION / o I V7 Z 46
DATE /Q-`FJ-- PERMIT # 0 (o
APPROVED
/ 0-CY, YES NO
EA TING/PIERS 1
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL /'
ROUGH PLUMBING /
FRAMING
ELECTRICAL ROUGH-IN
INSULATION /
FOUNDATION
FLOORS \\
WALLS \\
CEILING
FINAL INSPECTION: \\\
HEIGHT \\
ROOFING
SIDING /
EXTERNAL PORCHES/S/TEPS
STAIRS-CLEARANCE p RAILS \\
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/P 2VACY DOORS \
FINISHED FLOORS
GARAGE FIREPROOFING '\
DOOR CLOSER(S)
SMOKE DETECTO S
FINAL ELECTRICAL INSPECTION "
FINAL APPROVAL tF CONSTRUCTION
N.
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
IIV
INSP CTOR
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