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1989-624 CERTIFICATE OF OCCUPANCY TOWN OF CIUEENSBURY WARREN COUNTY, NEW YORK � C$z • y IJ r j This is to certify that work requested to be done as shown by Permit No. has been cn:npletsd. -#—t oy\46 'Luis structure may be occupied as a A a r; 1 �' 1 0 N '1"{ 11 N G f.,E T" A 6 t . 1's W F; Ta Lr I N cr Y tl #' :zk: rsr' ! fJt i 4 1 By Order Town Board TOWN OF QUEENSSURY Director of Bldg. & Code Enforcement BUILDING PERMITCD TOWN OF QUEENSBURY No. 89_99e � WARREN COUNTY, NEW YORK :� ,a l PERMISSION is hereby granted to Edmond DeRocker ca 1 OWNER of property located at Gg C"nnlidgP Aver to Street, Road or Ave. — in the Town of Queensbury, To Construct or place a A rirlition To Single FAmily 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_ t . OWNER'S Address is � trJ Same "o O C� t� 2. CONTRACTOR or BUILDERS Name � Self d 3. CONTRACTOR or BUILDER'S Address a 4. ARCHITECTS Name cp a 0 5. ARCHITECT'S Address ti m C 6. TYPE of Construction — (Please indicate by X) ttj C C m I Y Vyood Frame I I Masonry 15 Steel I ) 7. PLANS arxf Specifications No. 10' x 15' Two story addition to single family as per plot plan, specifications, and application. B. Proposed Use fs. d N• Addition to Single Family 7 e-i $ 40 nn PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 19 90 0 (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 hefore the expiration date.) aq Dated at the Town of Queensbury this Day of 19—R-g ... SIGNED BY for the Town of Queensbury Bui ding and Zoning I n�S,38ctor TOWN OF QUTEENSBURY REVIEWED BY FEE PAID $ G' TOWN OF QUEENSBURY RECEIVED PERMIT NO. - 6 �a BUILDING PERMIT APPLICATION AUG A 1989 BLDG. & CODE DEFT, 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. * R f ! # +M +M # # '# '� * * * * • * * • �e # ale * k • ! ■ * * # ! ! * * � '� 'It It • M ! The owner of this property is: 1'1'1 [5 /\( P.O. Address Tel. Property Location n 4 Qo Aiff Tax Map No. Has there been any split of this property since October I , 1988 ? ! 4•- ""� If yes Planning Board Review is necessary, yes no SUBDIVISION NAME, IF APPLICABLE Mo �'' Ga LOT NO. z THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: . cicere * NATURE OF PROPOSED WORK: ESI'*.MATED MARKET VALUE OF Construction of a new building * CONSTRUCTION: $ +Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: * Size of property ft x ft. Alteration to a building * Existing Buildings( 3 ) Size fte x ft. (no change to exterior dimensions) Proposed building - distance from property Iine0 tither work (Describe) " Front yard Q ft. Rear yard /570 ft. �4/as' * Side yards ft. and GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. 1st Floor 3 2f sq. ft. * OCCUPANCY INFORMATION 2nd Floor [ i f y �sq. ft. * Primary Building - Other Floors — -- sq. ft. * „.One Family Dwelling (not cellar or basement * Two Family Dwelling TOTAL FLOOR AREA sq. ft. * Multiple DwelUng/Number of units Size of new structure l�'3 ft x 115, ft. * Business Foundation-pier/slab/crawl/partial/full * Industrial (circle one) " Other * No. of stories (habitable space) , Height (grade to ridge) . ft. If addition, what will use be? If residential, no. of familIes+`� * No. of rooms(excluddng baths) ('] ; Accessory Budding No. of bedrooms ----Y' * Detached Garage ONE/TWO Car No. of bathrooms • Primary heating system �� * Attached Garage ONE/TWO Car Type of fuel " " Private storage building No* of flreplac4 to be installed ` Will a wood stove be installed Other • Central Air conditioning OV* ER BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame , fire safe, etc. .I Will any second-hand or upgraded lumber be used? If so, for what ? Foundation wail material 0ee,;t2 ,,z2 -yl Z3142 _Thickness o Depth of foundation below grade (to bottom of foot Will there be a cellar ? / ) heated or unheated? Floor sq. footage jag sq ft . Will there be a basement ? Will any portion be used as living space ? (if so, what portion? ' 7 sq ft . Type of use? VJ L Lac,• C � C Type of roof - slope ,-;.u , , ,,. ,w,.,�. Material of roof '4,,�,..;� Size, wood studs .2, '14 if spacing" o, c* length ft. Joists (floor beams) I s t floor c=;2� "x�" spacing /60 "lows. span,: kft, Joist (floor beams) 2nd floor.,,2,."x / O. " spacing / L "o.cl span ft. Overlays (ceiling beams) "x + spacing " o. c4 span ft. Roof rafters 0�2 "x r 17 spacing /�9:a. c. span ft. Roof trusses (pre-engineered) spacing." owe, span ft. Exterior wall finish Z�FX_.4 e'�o .Aeee.� of what material ? Interior wall finish 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 s a Fire-rated door, enclosure, self-closing dev*Lce be provided? Will a flue-lined chimney FS -` Called? Hei ove roof. ft . Depth of chimney foundation below gra Depth of fireplace hearth ft, n, Water supply p ""- -pp y - Municipal or vate well - SEPTIC SYSTEM ance from ANY private well (including adjoining properties ft . (A separati application is necessary for any repair or new installation of septic system) NAME OF BUILDER_ 04 )C.kajOe� ADDRESS TEL. NO.__�E���Cr1t��� NAME OF PLUMBER ALt apt p ADDRESS TEL. NO, NAME OF MASON ) } t --2 ADDRESS art r r TEL, NO. NAME OF ELECTRICIAN '&,&, �era_,+, 6 ,,, A, DDRESS TEL. NO. DEC LA RATION To the Crest 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 an ronosed ork to be stone on the described premises and that all provisions of the BUILD G CODE, THE O ING -R IN NCE, and all other laws pertaining to the proposed work shall be co lie w 'th, w eth r s cf 14 t, and that such work is authorized by the owner. Signature O r Vowner" nt, architect, contractor SPECIAL CONDITIONS OP THE PERMIT: BY TOWN OF ¢UEENSBURY 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�r—) Zr 2 . Type of heatrj 3 . Is the building mechanically cooled ? / — 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 ? ES-' NO I If YES , what is the R value ? } 3 . Slab on grade YES NC7 a . if YES , what is the value of insulation around perimeter of floor ? 4 . Is basement heated ? YEES NO a . R value of insulation ` 5 . Type of insulation - �Jk 1el B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. 2 . R value of exterior walls 3 , R value of glazed area 4 , R value of doors 5 , R value of floors over unheated spaces 6 . R value of slab edge insulation - unheated slab ? , 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 Do 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 No . { ap li an ' signature ) TOWN OF' r�tlf•.'!^ RLY".EMENT R❑ I i,ll I NG L 742 DAY ROP.11 QUEFNSII: IPY NY 12 "04 4441 ARRIVE. : __.�2._�._� DEPART : INS ,FINAL. INSPECTION REPORT - RESTDEN DATE INSPECTION REQUEST RECETVE0 : NAME L f ��-_R•"t C S�. r""C� LSD F'tfhu� t '� LOCATION �„� �+y l � f`Y�,1--� _! PERMIT I}ATE ~-# TYPE OF ST UCTURE FOOTINGS. FOUNDATf E3ACKFILL FRAMING ROUGH PLUMING SE TIC INSULATION f'`INAL ELECTRICAL OODSTOVE OR FIREPLACE N A YE$ NO CHIMNEY EIEIGHT LI V NT JEI1311T PLjjt, ING VENT _ F{UOFING E}S.Ti:RI.OR FINISH L7ECkC/PC)It'C 311'S'I'EPS L,�R.,T�_I LINGS „�� FL1RNACELI,10T WATEROPERATING IN'I''FRIap 'TRIM,-PRIVA(J—DOORS FINISH FLOORS : F3AT1i 1CITCF[EN WATEFtT113 T OTHFet FLQORS SWEEPABLE OTUEkt FLCIOR.S CARFETE CLEILR?�.NCC;LRAIL GS SNSCI_E<E PErjECTORS B�'Ski[2UC3M FffflS�-�--- UM�3FNG__FIK"TU[LES FOUE1l]_A'S'TOi•1 INSULATI [�N �. - _ v�F;.11GF F I I?.E PROOF ING.� L�OOf2 CLQSE FLS_,_�-� !1 FINAL_ EL!E'CTTtICAI=. +y�J — SITE Y1..F.N1 VA;R.TANCE t" INAL SURVEY PLOT PLAN - PK TO ISSUE C!O Oit CSC �--- TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745-4447 4a BUILDING INSPECTOR' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME 0 �FFF fiC -t�L � DJ' 1 r'� A r •"� LOCATION [rn t r �z v� DATE 211 �! _ _ PERMIT,f TYPE OF STRUCTURE - RECHECK : FIRE F00TINGRSHAL FOUNDATION ( CBACKFILLL STFRAMING) "ROUGH PLUMBING FINAL ELECTRICAL�.SEPTIC _INSULATION _WOODSTOVE/FIREPLACE re oo� REMARKS �75 r i/'� S ✓'w..I L^.f_i l 1 , L. '"`-� A*ROVAL N/A IYES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/ TEPS/RAILINGS _ RELIEF VALVES FURNACE/HOT WATE OP R ING BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/ PRIVACY DOORS FINISH FLOORS : BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHOL HO E AN ALL PLUMBING FIXTURES OPER I�IG GARAGE FIRE PROOFING - DOOR CLOSERS OTHER FIRE SEPARATI N FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VA NCE REQUIREM£N FINAL ELECTRICAL OK TO ISSUE C/O OR C/CJ _ COMMENTS : i ARRIVE DEPART IN . ev TOWN OF QUEENSBURY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR ' S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME �rj LOCATION DATE ' PERMIT# TYPE OF STRUCTURE c1s RECHECK FIRE MARSHAL APPROVAL ( COMMERCIAL STRUCTURE ) FOOTING FOUNDATION BACKFILL FRAMING —ROUGH PLUMBING FINAU ELECTRICAL SEPTIC INSULATION WOODSTOVE/ FIREPLACE REMARKS PPROVAL /A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VE14T ROOFING SIDING DECK/PORCH/STEPS/RAILIN �..�,. RELIEF VALVES FURNACE/HOT WATT I ✓ BASEMENT INSULATION/ CTW K _ INTERIOR TRIM/ PRIV 000 FINISH FLOORS : BATH/KITCHEN WA RTIGHT OTHER FLOORS S EPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/ RAILINGS HANDICAPPED ACCESS SMOKE DETECTORS BATHROOM FANS/WHOL HOU E FANS ALL PLUMBING FIXTURES OPERATING Ul GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPA ATI N FIRE/DEMISE WALLS DUMPSTER SITE PLAN/VA NC REQU REM NTS_ FINAL ELECTRICAL OK TO ISSUE C /O OR C/C COMMENTS : ARRIVE ` DEPART OR IN TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804• TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR SPECTIONN ECEIVED _ NAMEf ^ LOCATION ,DATE PERMIT � � cm � f APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL A'�PROVAL ROUGH PLUMNG FRAMING ELECT CAL UGH-IN 7 LATXON: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STE STAIRS-CLEARANCE & S PLUMBING FIXTURES/ LT VALVE INTERIOR TRIM/PRIVACY D FINISHED FLOORS fe GARAGE FIREPROOF NG DOOR CLOSER (S) 777 SMOKE DETECTORSr — FINAL ELECTRICAL/SNSFECTION FINAL APPROVAL dF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: I . - ' INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT p 1 BAY & HAVILAND ROADS C QUEENSBURYt NEW YORK 1280!& TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST F y�SNa ISO/ RECEIVED_ � f NAME r - }/�G LOCATION DATE PERMS # - 2 APPROVED YES NO FOOTING/PIERS s' MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING ' BACKFXLL APPROVAL CMxNG CTR-rCAL H PLUMBING =. ROUGH-IN INSULATION: '� FOUNDATIO FLOORS WALLS C$ILING FINAL INSPECTS CHIMNEY NEIGH ROOFING SIDING EXTERNAL CHESTEPS STAIRS-CL RANCE RAILS PLUMBING IXTURES LIEF VALVE INTERIOR TRIM/PRIV Y DOORS FINISHE FLOORS GARAGE IREPROOFING DOOR C SER (S) SMOKE ETECTORS FINAL E ECTRICAL INSPECTION FINAL A PROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY.. MUST BE OBTAINED FROM THE .BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280!1- TELEPHONE ( 518) 792- 5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION " I.=_� PERMIT DATE !1_, '� APPROVED YES NO Lw,efooTXNGIPTERS MONOLIThrxC POUR F S FOUNDATION/DAMP-PROOFING BAIL APPROVAL ROUGH PLUMBING _'- FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EFCTERNAL PORCHE STEPS x ,STAIRS-CLEARAN(* & RAILS PLUMBING BIXT[}*ES/RELIEF VALVE INTERIOR TRIM`/PRIVACY S FINISHED FLIS GARAGE FIREPROOFING DOOR CLOSERfS) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTR'UCTI N A SIGNED CERT'IFrCATE OF OCCUPANCY MUST" BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED?. REMARKS : a NSPECTC?R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 3280& - TELEPHONE (538) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR XAVVPECTTON RECEIVED NAME LOCATION L r�lsAioAe DATE - 1 Q r PERMIT # 7 f 4b 7 — APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP--PROOFING BACK-FILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIMJPRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED: REMARKS: J&-A/ aTSPEC'TOR SELECT BOSINESS FORMS (609) 226-7775 APPLICATION FOR ELECTRICAL INSPECTION PLEASE BEAR DOWN YOU ARE MAKING (4) COPIES MIDDLE DEPARTMENT INSPECTION AGENCY, INC. National Headquarters 900 Haddon Ave., Collingswood, N.J. 08108 COMPLETESAPPLICANT • Date : City, Town or Township LLe County Knn State Location/Address Located in ai Ar - Please A ch Directions) Pole # Owner. Permit # Occupied As . �-� r - * �-> "� - Building: NewO Old Occupant Work Area in Building Floor #, etc. ) : _A pp, for: Widn C] Service or: Ready for Inspection : Fee Remitted - $ Cash Q Check Q M.Q. [] Make Payable To : M. D. I.A. Number of Rough Wiring Outlets Elect_ Heat I 1 500 1 760 1000 1250 1500 1760 200[1 2250 250p 2750 3000 Switches Lighting Amp. Service Surface Unit Dishwasher Range L Rightin Iles Water Heater Air Conditioner Dryer Pump Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner Amp. Receptacles Fractional H.P. Vent Fans Other Equipment: MOTORS H.P. 1/2 1112 1110 1/a 1/15 1/4 1/3 112 3/4 1 111z 1 2 3 1 5 1 74t 10 1 15 24 25 30 40 50 75 1[1e Mark Number of Each Site Appl i can is Signature License # Permit # T/A Utility : Applicants Address; (NAME) (OFFICE L CATI ONT- (City) {State) (zip) Service Request # Phone * Electrician : * DATE RECEIVED: DATE 4NSPECTED: Correct Location : Same as Above Q or: Red Notice Label 0 Rough Wiring Outlets Surface Unit Oven Switches Range Garbage Disposal Receptacles Water Heater Dishwasher Fixtures Air Conditioner Dryer Amp. Service Equipment Burner, Wiring & Controls for Amp. Receptacle Amp. Service Conductors Pump Vent Fans MOTORS H P 1/20 1112 2110 118 1/6 1/a 1/3 1/2 3/4 1 14x 2 3 5 7 /z 10 LS 2A 25 30 40 50 75 lIX} Mark Number of Each Size Elect. Heat 500 1 750 1000 1250 1500 175❑ 2000 22s0 2500 2750 d000 C6ii7tl�iA1T1O11 USE F0 INITIAL VlBfT r' 1118cYrWIED DAeTE "+�. PBfe PIIIIEU 11F Fes.. RW Progress : Inc. Q LKD Q Contractor CFT Violation : Work Camp. 0 Inc. CASH 0 L/A Owner Fee Q L/A Due MO CH K # 0 IPA Municipal INV # Date: Other Side Q Utility Applicant Owner Cut in Card 0 Temp # Date TOWN OF QUEENSB URY 531 BAY ROAD, QUEENSBURY , N .Y . 12804-9725 aw BUILDING AND CODES DEPARTMENT ( 518 ) 745 4447 NOTICE : ACCORDING TO OUR RECORDS THERE IS AN UNRESOLVED BUILDING PERMIT AS DESCRIBED BELOW . WE WOULD APPRECIATE YOUR ASSISTANCE IN BRINGING IT TO A SUCCESSFUL CONCLUSION . . .. . . . . . . - - - - -- _ _ - -- - - - - - - -- _ -- -- _ - - - -� �� r l�' �r Viz,. . . . . .. . . _ . . . . I - - - - - - - - - _ - . . . . . . PERMIT ISSUED TO C p FOR LOCATION q(o 00 () ) ; 4yr , BUILDING PERMIT 11 �Z Iq DATE ISSUED y / t�� DATE EXPIRES 511 U 1 q . REQUIRED INSPECTIONS Date inspected COMMENTS 1 . Foundation .footings before ,Pouring concrete 2 . Inspection of foundation and damp proofing Cif re uired) 3 . Framing and plumbing before any work is covered . 4 - Insulation of walls , ceilings and foundations - 2- (Roughin electrical inspection) 5 . Septic system-installed per a roved plans . r B - FINAL INSPECTION-Including : Building final Fire Marshal (if required) �bYG' IG77G� , XL317 _ L �13 THIS BUILDING PERMIT IS STILL OPENy EVEN IF EXPIRED. WE CANNOT CLOSE OUT THE PERMIT UNTIL ALL REQUIRED INSPECTIONS HAVE BEEN MADE , THERECAN BE NO CERT'IFXCAT'E OF OCCUPANCY OR COMPLIANCE ISSUED UNTIL ALL INSPEC•TXONS HAVE BEEN MADE . 40 * These inspections to be made by Electrical Inspector . REMARKS : 4tS 4, J)h •.ee e'er' iy l/94vl