1989-712 4 iJMM ` J
• 4l '
I
CERTIFICATE C +�U1' �I`�C�''
° TOWN OF QUEENSBURY !.
WARREN COUNTY, NEWYC?RK
Date
19 !ZZ
r,L—L_7 Ll
89-712
This is to certify that work requested to be done as shown by Permit Na.
I
has been completed.
This structure may be occupied se ■ Sin k gle Fmi ly with alterations
I' Hal 1 Road ! ' ' rt4o, hy,
I..ocation
Owner Ray Jett
BY Order Town 'Board
i
{ TpWhI OF QUEENSBURy
I
I
Director of Bldg. do Code Enforcement
i
i
i
x
BUILDING PERMIT
TOWN OF QUEENSBURY
03
WARREN. COUNTY, NEW YORK 1'
N
CIO
V
PERMISSION is hereby granted to ry
w
Street. Road or Ave. '
OWNER of property located at
in the Town of Queensbury, To Construct or place a
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.
III
1. OwNE R'S Address is C,..
rrt
Same
2. CONTRACTOR or BUILDERS Name
XXX XXXXXX Craig Brown
3. CONTRACTOR or BUILD'ERIS; Address
r
r
r
4. ARCHiTECT'S Name
7
C
C
5_ A:RCHtTECT"S Address
6. TYPE of Construction — (Please indicate by XI
( l wood Frame ( ) Masonry ( ) Steel ( ?
7. PLANS and Specifications
No. 1250 sq , ft , alterations to building as per 0j4jXX#jjK specifications A .
and X#fAjgX8j1LXiji[X application .
8. Proposed Use
Alterations To Building
$ co n{l
PERMIT FEE PAID — THIS PERMIT EXPIRES _ Apr!
(If a longer period is requireoran aap Iic Pion If or aion $ extension must be made to the Building and 7oning inspector of It he
town of OueensburY � e
the
Da of
Dated at the Town of Queensbury t y
for the Town of Queensbury
SIGNED By Building and ning Inspector
TOWN OF QUE NSBURY r
REVTE W ED BY 'c kIUI✓ 4
FEE PAID $
S ,�
]PERMIT NO. / gLD � 798,9
BUILDING PERMIT APPLICATION G 4 COZ)'e oj! r `
A PERKrr" MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO IINSPECInONS
WILL BE MADE UNTQ. APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant %IUST appear on the reverse side of this application.
* * * 0 U # a * * a a * * a a a a 0 * it 0 i 0 0 1 M ! a a * Al * a * * • ■ ■ * 0 a
The owner of this property is:
P . O. Address / Tel.
Property Location I Tax :'clap No.
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 PERSOtf RESPON IBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF ROPOSED WORK : * ESr,MATED MARKET VALUE OF
CONSTRUCTION:
Construction of a new building
• COMPLETE INFORMATION REQUIRED BELOW:
.A ition to a building * Size of property 4W -I quo , ft x ft.
Alteration to a building * Existing Buildings( 3 ) S xe , fte is �� ft.
(no change to exterior dimensions)
Proposed building - distance from property line:
Other work (Describe) * Front yard 100 ft. Rear yard_ ft.
•
+ Side yards "I, 4" ft. and
GROSS AREA OF ROPOSED STRUCTURE * /If on corner, setback from side street ft./
1st Floor sq. ft. OCCUPANCY INFO$.A ACTION
2nd Floor sq. ft. * Primary Building -
Other Floors sq. ft. * One Family Dwelling
(not cellar or basement) Two Family Dwelling
TOTAL FLOOR AREA/0 0 sq. ft* ' Multiple Dwelling/Number of units
* Business
Size of now structure ft x ft.
Feu fttio"ier/slab/crawl/partlal/full ' Industrial , ,arm % ,/
(circle one) • Other { —.�i cY�r ",y/ �- �J �•� �
Nom of stories (habitable space) „
Height (grace to ridge) ft. a If addition, what will user bee?
If residentialt tio, of a . c-
ZZ l✓Co
No. of roomslexe be Y ' Accessory Building
No. of bedroo w Detached Garage ONE/TWO Car
Now of bathroo '*.
Primary heating system . Attached Garage ONE/TWO Car
Type of fuel ' Prfvate storage building
Noe of fireplaces to be installed '
• Other
Will a wood stove be installed
Central Air conditioning
Olf* ER
4
E3 (: 1LDfNc Pr" RNTIT .APP ' ICATTOti
BUILDENG 3� PFCIF' ICATIONS:
Ts. pe of construction, wood frame, fire safe. etc, 00 C3 T!" e_
Will any second-hand or upgraded lumber be used? If so. for what ? 44e
Foundation wall materialeX () Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar ? MHeated or unheated? Y'l Floor sqo footage
sq ft .
Will there be a basement ? fA Will any portion be used as living space ?
(If so, what portion ? sq ft . Type of use ?
Type of roof - sloped/ flat shed ther Material of roof +l C V . y ee � $ Ex
Size, wood studs "x " spacings/ " o. c, length t
.foists ( floor beams) 1st floor "x " spacing "o. c. span ft,
Joist ( floor beams ) 2nd floor."x " spacing "o.c. span ft.
Overlays (ceiling beams ) "x pacing .�-- '" o. c. span �`'a ft,
Roof rafter s 01 x " spacir4g o. c, span ft.
Roof trusses (pre-,engiine red) -pacing " o. c. span ft.
Exterior wall finish C.. e r �ft?_r of wha m tarsal? -
Interior wall finish Ce >t Tu5mr, try"y 17i rrar,/j _ �F ✓r
If a garage I5 to be attached describe rt�aterials to be used for FIRE SEPARATION.
c� � d-�� +e +r3' �,r✓;} .5 � c�� r-cc�i � i},ne I
Is there to he an opening between garage and dwelling?self-closing device be provided? IP so will aFire--rated door. enclosure,
�,ir
Will a flue-lined chimney be installed? YN�o 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 separation application is necessary for any repair or new installation of septic system)
NAME OF BUILDERUAuk ] t j?&A e\ ADDRESS � �� AT ND. +' % � 1'
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON �hm ADDRESS TEL. NO,
NAME OF ELECTRICIAN AW _Aff- ADDRESS TEL. NO.
DEC LAR.ATrON
To the bast of my knowledge and belief the statements contained in this application, together with the
Plans and submitted, are a true and complete statement of all proposed work to be done on
the described premises and that all provisions of the 13UTLDING CODE, THE ZONING ORDINANCE, and
a.11 other laws pertaining to the proposed work shall be complied with. whether specifled or not, and that
such work is authorized by the owner.
Signatu C;;55 ..
Owner, 0,706rgx agentg architect, contractor
SPECIAL CONDMONS OF THE PERMrrt
BY
TOWN OF QUE . VSBURc
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
2 . Type of heat i ► 1
3 , Is the building mechanically cooled ?
4 . Percentage of area of windows and doors
A , over 16 % Only
10 Uo value of gross area of walls , roof / ceiling and floors
exposed to ambient conditions
2 . Floor over heat -3 spaces YES NO
a . Are foundat on walls insulated ? YES NO
1 , If YES . what is the R value ?
3 , Slab on grade YES NO
a , If yES , wl^: , t is the R value of insulation around
perimeter of floor ?
4 , Is basement heated ? YES NO
a , R value of insulation
S . Type of insulation
B . Under 16 % Only
1 , R value of roof and floors exposed tobient 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
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 )
100 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
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
r / ✓e�'Jr/,✓l
Telephone No .
( appiica is signature
TOWN OF QUEENSBURV
BUILDING 53 D BCODES AY ROAR DEPARTMENT
Ala QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518) 792- 5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR
77INSPECTION RECEIVED
NAME `-
LOCATION
DATE' PERMIT #
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/ IERS --
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONS BILE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOMING
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/VEN N PLAC
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS /HEARERS
BRACING/BRIDGING, -
JOIST HANGERS
JACK POSTS /MAIN BEAM ---
FIRES TO PP ING
WALLS
CEILING
FIREWALLS
HEATING ROUGH- IN
INSULATION =
FOUNDATION WALLS I E I R-
FOUNDATION WALLS EXTERIOR R-
FLOORS
WALLS -
CEILING -
DUCT WORK OR PIPING IN UN EA ED
SPACES
REMARKS Syr ► + - + ' S . /i�rFfx:E
�ia�i�D i i � � - 1
��1'� /9 ►
j , JfX.,u )� i .1 # lJ x�sTic G�
C1l Gr ;
ARRIVE
DEPART Z " S N CTOR
TOWN OF QUEEASBUR.Y
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 3280i&
TELEPHONE (538) 792-5832
BUILDING INSPECTIOP REPORT
REQUEST FOR INSPECTION RECE3' EDq Fo
NAME
LOCATION � 7 DATE1 T #_ ��
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATIONIDAMP-PROOFS
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEP
STAIRS-CLEARANCE & RAT
PLUMBING FIXTURES/RELI VALVE
INTERIOR TRIM/PRIVACY RS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER (S)
SMOKE DETECTORS "—
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCT N
A SIGNED CERTIFICATE OF OCCU NCY MUST BE
OBTAINED FROM THE BUILDING DE ARTMENT BEFORE
TIIESE PREMISES ARE OCCUPIED
REMARKS:
INSPECTOR
f
3 et TOWN OF QUEENSBURY
Say of Havftnd Road Que�ry, NY 1 2804-9 725-5 1 8-792-5892
Building & Codes Department
rNSpEcT0R IS REPORT
( PROPERTY LOCATION
OWNER OR NANT
BUILDING SEWAGE SIGN OTHER
` REMARKS :
c-
i
CONTACT THIS OFFICE WITHIN 0
p INSPECTO,
{
f
-HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE"
SETTLED 1763 -------
i
i +
b :
TOWN Ot
J
REVIEWED BYRA Wr
PATE G
1 '
r
: . .
1 f
16 0. (, .
�4 oS�t�t X vtr ' r
�vs
r
r
lot Fri I�
r � 1IS
AlumlmvJ,.t ty �c)441
4,1
114K
ce der 5 --- .. _
I
r F
� ElaA
- ? r
L '
/4k4 Owe
1,� � y . }Ott
ti +II.It
Ll
�4
30
Y i
vJ Iooc
W0 � tE ldZt