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Th CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
Y
WARREN COUNTY, NEW YORK
Date I . 19 i
' " 4 t This is to certify that work requested to be done as shown by Permit No. 90-335
has been completed.
This structure may be occupied as a addition - sunroom
Location
3 xMartell Road
AUDREY SWIFT & Joanne Sulkoski/Owners -
New England Log Homes/Applicant
Owner
By Order Town Board
TOWN OF QUEENSBURY
thy- icl'odiAlikU
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. g0-335
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to NEW ENGLAND LOG HOMES
OWNER of property located at 5 Martell Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to residencc-sunroom
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
Audrey Swift & Joanne Sulkoski
same
2. CONTRACTOR or BUILDER'S Name
(
New England Log Homes
3. CONTRACTOR or BUILDER'S Address
Box 427
Lake George NY 12845
4. ARCHITECT'S Name
I•
TC
C
5. ARCHITECT'S Address
r
t-
C
6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications ¢�
ti
No. 192 sq ft Addition as per plot plan, specificationsand application.
8. Proposed Use
n
Addition to residence-sunroom
a
0
16.00
$ PERMIT,FEE PAID -THIS PERMIT EXPIRES December 4 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.) o
O
Dated at the Town of Queensbury this Day of .Time 19 gp
SIGNED BY - /
\ `� 9 for the Town of Queensbury
Building and/Zoning Inspector
1
TOWN OF QUEENSBURY
REVIEWED BY — / /
._ 'ialk FEE PAID $ / : ( /I - ---- •...--iv,
i3 PERMIT NO. qYd - Jr
BUILDING PERMIT APPLICATION MAY 3 ® ;1,y.,4)
BLDG. A,COD;E,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: c\\%..\tee 1 (.-2----1.5�-\ mac,_ -Y`st•e ' \\< 5��
P.O. Address 5 V\c,--N<-- --e- \ - - Tel. m c - -1 6 -1--1-....
Property Location C- � ..,-q\_s`c,�� y \ y Tax Map No. J 7 /,5-/(`. ./s2
Has there been any split of this property since October 1, 1988? / , .SR / 8
If yes Planning Board Review is necessary. yes no 4 39
SUBDIVISION NAME, IF APPLICABLE LOT NO. `
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
/1041/ 67 /ti h,� / M1J - /.G
•
NATURE OF PROPOSED WO K: * ESTIMATED MARKET VAL-
Construction of a new building * CONSTRUCTION: /'/</-
Addition to a building * COMPLETE INFOR REQUIRED BELOW:
* Size of property . ?o ft x Lft.
Alteration to a building * Existing Buildings(3) Size �g ft. x .z Li ft.
(no change to exterior dimensions)
• Proposed building - distance from property line:
Other work (Describe) * Front yard yoo ' ft. Rear yard 2 5 b ft.
*
Side yards go ft. _ and --- 72-- _-_ft. -
- --- -
If on corner, setback from side street ft.
GROSS AREA OFF OPOSED STRUCTURE *
1st Floor ( ' sq. ft. •
* OCCUPANCY INFORMATION
2nd Floor sq. ft. * - Primary Building -
( -,,...e) ) 7One Family Dwelling
Other Floors t 1-i5 sq. ft. *
(not cellar or basement • Two Family Dwelling
• Multiple Dwelling/Number of units
TOTAL FLOOR AREA�sq. ft.
Size of new structure / ft x i c ft. • Business
�
Poundatio ier slab/crawl/partial/full * Industrial
circle one) • Other
•
No. of stories (habitable space)_ •
Height (grade to ridge) 1 I ft. • If addition, what will use be? R v-s ( b�N c-E--
If residential, no. of families I •
No. of rooms(excluding baths) I •
Accessory Building
No. of bedrooms • __Detached Garage ONE/TWO Car
No. of bathrooms •
Primary heating system\s`f_er,1,e • Attached Garage ONE/TWO Car
Type of fuel . • __Private storage building
No. of fireplaces to b. installed=
Other
Will a wood stove be installed — •
Central Air conditioning
/ COV` ER _
/-� i
BUILDING PERMIT .APPLICATI K cON.T,INUED -
'yr
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. Woo D ERArtitf
Will any second-hand or upgraded lumber be used? If so, for what? 7,--)o
Foundation wall material .J/A C'x , •- •c reiS'eP(ks Thickness
Depth of foundation below grade (to bottom of footing) e.,1
Will there be a cellar? 1_30 Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? too Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof - sloped/flat WI/other Material of roof �,15Rc..c.-ass
Size, wood studs "x io " spacing i " o.c. length g ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams)p," " o.c. span ft.
Roof rafters sE-riakfz " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish Mo,N,f, ee� � L - c-! ep ctb„,r,of what material? gg.j, p, NE-
Interior wall finish j ,,a _ �� y ,,,,r,. _, Z wn,�s ) �62 v G-RooVE._ Pt 6.)
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? If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? rvo 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)
N .uJ ��.X�- ►/vJ� i OCR- &aC `f z]NAME OF BUILDER H CS o o ADDRESS (:,6'5 �3_
t���- c--�o��. N.S! TEL. NO. 7a6
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO:
DECLARATION
To the best of my imowledge 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.
Signature � -6--E-4
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW PORK
� flIN \ STATE ENERGY CONSERVATION CODE
xl A permit must be obtained before beginnliTrqowgrkN ¢ .,
ANSWER ALL of the following:
1 . Gross floor area ] / 2- so. ter- MAY 3 0 1990
2 . Type of heat ' \ec c- `c_ • g Crif-
3 . Is the building mechanically cooled? too
•
4 . Percentage of area of windows and doors ' 2 vt.
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions'
2 . Floor over heat i spaces YES d
a. Are foundat on walls insulated? YES NO
1 . If YES , what is the R value?
3 . Slab on grade YES �' 0
a. If YES , wh .t 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 2 u,AL_Ls - R- 2g ► way+- � 2s�
3 . R value of glazed area 3.2. ..,---
4 . R value of doors
5. R value of floors over unheated spaces -R - 31
6. R value of slab edge insulation - unheated slab
7. R value of slab insulation - heated slab
6. R value of heated -bss"ementeollar wails (above grade) _
9. R value of heated basement/cellar walls (below grade)
5-16e 4:= ss WAOS Y 2
10. Type of insulation- Pot-Y(5oe-?iANLAAP-P- RAJ c� ��F
C. Controls
1. ostat 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. Pip nq insulation
1. Size of hot water or cooling carrying agent pipe��1.A
2. R value of pipe insulp*4^"
.F. Service Water Heating
1. Performance efficiency
2. Temperature control setting maximum
G. For Swimming. Pool Only
1. Maximum heating, r3JA
Telephone we. L.4761-a g-22,2—
(applicant' s signature).
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
TEMP.# DATE k1'
CITY OR VILLAGE TOWNSHIP COUNTY
041
STREET AND NO.OR ROAD POLE NUMBER
/2I42>'cGC, ID,
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
f4l v/ .-t,•� i2 9 5-
OCCUPANTIS NAME BUILDING OCCUPANCY
OWNER'S NAME AND&DDRESS / f HOME TELEPHONE NUMBER
CURRENT SUPPLIED BY FROM THEIR l� // OFFICE WORK TELEPHONE NUMBER
(LT)o
BUILDING IS ��/ �,j
NEW❑ OLD[1 WORK IS NEW Lf ADDITIONAL L3 DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
lion Side Attach't H.P. Watts AWG.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE I ��J /2-2"
SUB-
BASE
BASE-
MENT
1st
FL. Z
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
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 MAINS FEEDERS ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGNRRANSFORMERS OF VA
❑ CONCEALED
DATE WORK W BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) MUST ENTER APPLICANTS
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS
NAME OF APPLICANT DATE OF APPLICATION SIGNATURE OF APPLICANT.,f;J
-/Li �u 1'6?, %4) X 4 J..�C Fu. ✓d' Iv
STREEADDRESS E}� T H NE Nb Z
f� C tv
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
❑ 85 John Street ❑ 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
TI-II MI A/ Vnov raneion (1C CIDC I IFIf1CQIA/DITCDC
TOWN OF QUEENSBURY Al\-1
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832
BUILDING INSPECTO 'S REPORT
REQUEST FO'; I PECTION REC I D `1 JL (q6
NAME ) (_,
LOCATION S L(
DATE of 0 PE IT # gb 33S
APPROVED
YES NO
FOOTING/PIER", d
MONOLITHIC P.', R FORMS
FOUNDATION/D, P-PROOFI;G
BACKFILL APPR4. AL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUe -IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION
CHIMNEY HEIGHT
ROOFING V
SIDING ✓'
EXTERNAL PORCHE'/STEPS
STAIRS-CLEARANC & RAILS
PLUMBING FIXTU;A;./RELIEF VALVE
INTERIOR TRIM/;R%VACY DOORS
FINISHED FLOOR.
GARAGE FIREPReeF;NG
DOOR CLOSER(S,
SMOKE DETECTO'S
FINAL ELECTRICA' IN.PECTION
FINAL APPROVAL OF CqNSTRUCTION
OK TO ISSUE C/! OR .r- C
A SIGNED CERTI' ICATE OF OCCUPANCY MUST BE
OBTAINED FROM HE BUL DING DEPARTMENT BEFORE
THESE PREMISE' ARE 0 UPIED!
REMARKS: ,
/71
ARRIVE %d '"0
DEPART/0 :75
rn ant+mmnn
TOWN OF QUEENSBURY
ct/,)‘1111-144-31
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804, it'l 1
TELEPHONE (518) 792-5832 _
BUILDING INSPE TOR'S REPORT
REQUEST FOR INS CTION N., CEIVE n,, -/ Gj a di
NAME ija, 0 ° 01 fit
��4 /
LOCATION ! l w11 ' ( l ; ,
_
DATE 7, I ) P ' IT • V —3 3-)��
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING '
ELECTRICAL ROUGH-IN.
J/NSULATION:
FOUNDATION
FLOORS R 17
WALLS (Z-/ Cf XC
CEILING S i36C r
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES RELIEF VLVE
INTERIOR TRIM/PRIVACY DOOR'
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTIO
OK TO ISSUE C/O •.' .C/C
A SIGNED CERTIFI:ATE OF OCCUPA Y MUST BE
OBTAINED FROM T I BUILDING DEPA'TMENT BEFORE
THESE PREMISES ,:RE OCCUPIED!
REMARKS: C4 0.JC0 COVL1ZL
C L0/t-t_ 5‘.7 -S l�-OAM vIs Gov (l'f
ARRIVE
DEPART t'ap r ��-
c'n t+n mn n
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS /ems
QUEENSBURY, NEW YORK 12809.TELEPHONE (51%,) 792-5832 /712°
BU SING INSPECTOR'S REPORT
REQUEST FOR NSPECTION RECEIVEDp
NAME ` 0./.t/ 2,747.1.2d ofd� v
LOCATION ,1
DATE 4// 4?Q PERMIT #
APPROVED
YES NO
FOOTING/PIER'
MONOLITHIC Ps FORMS
FOUNDATION/D' P-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBIN. J"
1/ FRAMING Z!
ELECTRICAL ROtGH-IN
INSULATION:
FOUNDATION
FLOORS '
WALLS l
CEILING '
FINAL INSPECTO9 :
CHIMNEY HEIG
ROOFING ,
SIDING
EXTERNAL PORC ' S/S ' PS
STAIRS-CLEARANI E & RAILS
PLUMBING FIXTU`.ES/'ELIEF VALVE
INTERIOR TRIM/•'•I"ACY DOORS
FINISHED FLOORS
GARAGE FIREPROO' NG
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL I SPECTION . .
FINAL APPROVAL 0 0NSTRUCTION
OK TO ISSUE C/O OR 'IC
A SIGNED CERTI.ICATE OF OCCUPANCY MUST BE
OBTAINED FROM HE BU DING DEPARTMENT BEFORE
THESE PREMISE,. ARE OC UPIED!
REMARKS:
::: " ;
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT fir)
BAY & HAVILAND ROAD
QUEENSBURY, NEW YOR 12804.
TELEPHONE (518) 7 2-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPEC ION RECEIVED • G/7196
NAME VIZ/ ) �L � o6a
LOCATION Q is
DATE (�/'' 90 PERMIT # 'D - 5
i APPROVED
Adel- SiAm447702 YES NO
FOOTING/PIERS
MONOLITHIC POUR FO S
FOUNDATION/DAMP-PR OFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING .
ELECTRICAL ROUGH-I ' . ' ' ' ' '
INSULATION:
FOUNDATION . f
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING • • '
•
EXTERNAL PORCHES/STP
STAIRS-CLEARANCE & ILS
PLUMBING FIXTURES/R IEF VALVE
INTERIOR TRIM/PRIVA DOORS
FINISHED FLOORS
GARAGE FIREPROOF' '
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL I SPEC ION
FINAL APPROVAL OF CONST . CTION " '
OK TO ISSUE C/O O' .C/C -
A SIGNED CERTIFICATE OF CCUPANCY MUST BE
OBTAINED FROM T E BUILDI DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPI D!•
' REMARKS:
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1 ) All work IS to be d" iA COMP"W" With MW York 31M L
W4 Fire Prevention Codt
2) No work to boon prior to ISNOW of abuikrmqWmtt bV the
Coda onforcelment Official
3) to a0ftion to the prtwwy ad from a rm"Own room or hat At"Mo
other than a k itchemor bethrow. there 0*1 be PnW**'I" each MW
W" at IMW one open for am VnCY USS. OP*nWqs far VWVW 90"
shall include doers or windows, >aoetad so as to prov* WW*rWW
arm to legal OW stye. Such openings sal hat IMPKIS SWW % W
wWqwW Shall have a fw*tmm wee of Aw SW* fed with a MIMMM
ffimansion of 944W Wdm; with the bAW of the opwV*4 NO hVW Vw
3 feet 6 inches above"Woul floor in all dx" Wide *rwS, ud no
higher . then 4 (* 6 Inchas where r"Wr011 in 0 b"WAM Or 0014r.
4) OonVWW tO WIN Oil 0WOW4- Notify w"'twt of OW MW&W*
prior to start of any work.
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