1990-087 r,
" CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date -1,12/17i.0.4 7/P19
90 - 87
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 addition to building
Location li(6g Michigan Av
Owner Pauline E. LaBarge
By Order Town Board
r ' TOWN OF QUEENSBURY
• ,
Director of Bldg. & Code Enforcement
iS
BUILDING PERMIT 1-3
TOWN OF QUEENSBURY
No. 90-87
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to PAULINE E. La BARGE w
OWNER of property located at Michigan Avnue, Box 194 Street, Road or Ave._
in the Town of Queensbury,To Construct or place a Addition to building
at the above location in accordance to application together with plot plans and other information hereto filed and ri
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
tG
1. OWNER'S Address is
same G]
2. CONTRACTOR or BUILDER'S Name E
fD
LTJ
3. CONTRACTOR or BUILDER'S Address
C�
4. ARCHITECT'S Name Citg
IX.
O
5. ARCHITECT'S Address, DS
co
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( 1 Masonry ( 1 Steel ( 1
7. PLANS and Specifications
No. 174 sq. foot Addition to building as per plow plan, specifiations and
0.
application. _ n
8. Proposed Use
Addition to building o
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_ r✓
$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES September 30 19 90
(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 30th Day of March 19 90
SIGNED BY ''j iT'ye / for the Town of Queensbury
Buildi d Zoning In ctor
TOWN OF QUEENSBURY I
REVIEWED BY .r� '• c4)
+,o A OWN OF OUEENSBURY
FEE PAID $ 1(p._� RECEVED
.tr PERMIT NO. 00-.1
'AR 28 1999
BUILDING PERMIT APPLICATION
BLDG. & CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
• • • • • • • • • • • • • • * • • « • « « « • • • • • • • • • • • • • • • • • • •
The owner of this property is: /2 1 r,1_r ` Li 2 cj .p
P.O. Address‘ ,/71�` , c: 4I11 /2L/P , • &o f I Q Ue,ioslafii Tel. 9 5_ Ss
Property Location O u tog, d A/i ' -J Tax Map No/,77/A.5
Has there been any split of this property since October 1, 1988? __/
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON' RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: • ESIIMATED MARKET VALUE OF •
Construction of a new building- • CONSTRUCTION:
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property G & ft x /` ft.
Alteration to a building • Existing Buildings(3) Size 2,7 ft. x ft.
(no change to exterior dimensions) • •
• Proposed building - distance from property line:
Other work (Describe) •
Front yard ?( ft. Rear'yard 1F9 ft.
• Side yards ,_3 1 ft. and 3 Z ft.
•
DROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street 3 ft.
1st Floor V sq. ft. •
/
• OCCUPANCY INFORMATION
2nd Floor �� . sq. ft. • Primary Building -
i/
Other Floors - sq. ft. • One Family Dwelling
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA sq. ft. • Multiple Dwelling/Number of units
►lize of new structure 6 ft x LLft. • _Business
Foundation-pier/slabs •/ • _Industrial
(circle one � partial/full •
_Other .
moo. of stories, (habitable space). •
� •
•
.ieight (grade to ridge) • ft. • If addition, what will use be'
f residential, no. of families, / •
_20. of rooms(excluding baths) _ •
Accessory Building
+to. of booms, •
of bathrooms __Detached Garage ONE/TWO Car
Primary heating system c P i L' • Attached Garage ONE/TWO Car
K'ype of fuel .• Private storage building
4o. of fireplaces to be installed (�D •
Willa wood stove be installed N C • ___Other
Central Air conditioning j\) () '
�f l 47X. 6- l �l OVER
BUILDING PERMIT .APPLICATION CONTINUED -
BUILDING 3PECIFICATIONS:
Type of construction, wood frame; fire safe. etc. f V490 2�=Will any second-hand or upgraded lumber be used? If so. for what? fU
Foundation wall material �� ?f &— Cl<1rThickness,
Depth of foundation below grade (to bottom Of footing) y
Will there be a cellar? We) Heated o • eat d Floor sq. footage / `%- 4 sq ft:
Will there be a basement? Ma Will any portion be used as living space? /V-6
(If so, what portion? sq ft. Type of use?
Type of roof aped)flat/shed/other Material of roof
Size, wood studs "x " spacing " o.c. length ft. • "
Joists (floor beams) 1st floor "x spacing % "o.c: span ( ft.
Joist (floor=beams) 2nd floor "x " spacing "o.c. span 6' ft.
Overlays (ceiling beams) "x- " spacing " o.c. span `. ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing " o.c, span ft.
Exterior wall finish 5/0 FfV- of what.material? ,- ' -
Interior wall finish • ' P A-5T /3 A-0
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to he an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
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 hear.,tt
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)
NAME OF BUILDER ADDRESS TEL. NO.
NAME OF PLUMBER ADDRESS TEL..N.O.' •
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL.. NO.
DECLARATION
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 describs t!+P� =: and that all provisi.rr of the BUILDING CODE, THE ZONING fIRDINANCE, 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. n
Signature _ (S� o �-1-: C. Pea- 6
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
WARREN COUNTY , NEW YCRK
• .
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 .
. .
.2 . • Type •of heat 6A-5 14SIT' AP, . . . .
. _
3 . ' Is the building mechanically 'cooled? - A.. . . , , . •
4 . Percentage of area of windows and doors . Jen - . •
. .
A. Over 16% .0nly . ' -. • . .1 . Uo 'va-1ue of gross area of walls , roof/ceiling -and floors
exposed to ambient -conditions
•
• .
• . .
2 : Floor over heat- i spaces YES - NO •
• . a. Are foundat on walls insulated? 40MM NO .
. 1. If -YES , what is the R value? .
I. Slab on grade YES NO . , . •
a. ' If. YES , wh .t is the R value of . insulatiOn. around .
perimeter of floor? .
' .•: -
4. Is basement heated? YES • -:
. . a. R value of insulation .
'. . .
. .
• .
- 5. Type of insulation . . •
. . •
. • .. .
. .
. .
• B. Under 16% Only . , .
1. R value of- roof.. .and fploora expose& to ambient conditions
•
. .
• 2 R -value of exterior walla- 4 iiir - : -
- 3 . R value of glazed area - - ' • -
4 .- R ,Value of doors . ,
. .
5. k value of floors over unheated spaces
- - . 6. R value of slab edge insulation - unheated slab ' ' ligCL . . •
•
7. R value of slab. insulation - heated slab 1.4/4-.. • .
•
- 8. R valueof • heated ' bisement/cellar walls (above grade) .
•. • 9. R _i/alue of_heated base ent/cellat walls (below grade) 44/4- -. .
10. Type of insulation 1pym6L -63
.
C. Controls 75,..,,. . •
4
1. Thermostat maximum heat setting,.
0. 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 arias . .
E. EigIna Insulation. . . - . ' • .
.J. Size of hot water or- cooling carrying agent pipii'iii„..
. - - - k value' of pipe insulation -
F. • Sirifica Water Heating 4 * '.
• J., ' Performance efficiency . ..1-11---•
1. ' Temperature control setting maximum .
G; For Swimming Pool Only (X.0///d- -
,
. • , 1. Maxima* heating ..
: .. .
• .
.. .
. . Telephone No. ' /1131. ( : .- : : . C
- la.:
. (applicant' s signature) • -
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- .-. . - . - . • . • . ' - . • - . • - , - .
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• •• - • ..
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LAbip t c[a.
TOWN OF QUEENSBURY 3/36/q/
BUILDING AND CODES DEPARTMENT
531 BAY ROAD / ?7 — _S
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIO1 RECEIVED ,
�±
NAME 6''O1 O fjU P50/191
LOCATION I) th qa' &" .61( / q 5t
DATE 91 /G / PERMIT # 96 -f I
TYPE OF STRUCTURE a1 (27 w)
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL .
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING ,
WALLS
CEILING
FIREWALLS „',!
HEATING ROUGH-IN .
INSULATION: .` 1
FOUNDATION WALLS INTERaIOR R-\
FOUNDATION WALLS EXTE1IOR
FLOORS / R- \
WALLS ,>' R-
CEILING tj R- \
DUCT WORK OR PIPING IN UNHEATED
SPACES A
/ 1
REMARKS: \\
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V NSPEC'OR
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