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1989-700 r {{P T CERFMWATE OF OC TOWN OF +QUEENSSURY WARREN COUNTY, NEW YORK �I I Date November ly 8 �3 i > This is to certify that work requested to be done as shown by Permit No. 89- 700 j has been compieted. This structure may be occupied as a Addition to Single Family Location , 25 Pershing Road - -- - Owner Thomas Hoy s j By Order Town Hoard ITOWN of QUEENSSURY Director of Bldg. do Code Enforcement - _ � w BUILDING PERMIT TOWN OF QUEENSBURY No a WARREN COUNTY, NEW YORK ti r.: PERMISSION is hereby granted to Zgonta a Hoy 0 OWNER of property located at 25 Peagh i n g Road Street. Road or Ave. in the Town of Queensbury, To Construct or place a ❑rl.i i t i on to One Fami l y 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 x 2. CONTRACTOR or BUILDER'S Name y Hilltop Construction 3. CONTRACTOR or BUILDERS Address RD# 1 Box 576 Queensbury , N . Y . 12804 4_ ARCHITECT'S Name can -n m cn 6. ARCHITECT'S Address La 7 s- 6. TYPE of Construction — (Please indicate by X) S I Wood Frame ( } Masonry t ) steel i I 7. PLANS and Specifications No. 40O sq . f. . addition to single family as per plot plan , specifications ,�.., and application . Q S. Proposed Use Addition to One Family m $ 32 _ on PERMIT FEE PAID — THIS PERMIT EXPIRES April 1 19 90 —1-I (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.) T Dated at the Town of Queensbury this 7 th _ Day of September 19 B9 SIGNED BY Aay. en/ for the Town of Queensbury Building and Zoning Inspector TOWN OF QUEENSBURY APPI. TCATTON FOR RUTLI) ING AND ZONING PERMIT Pata- ���_ TOWN OF. QL 5ENSBURY Revtme 3.r Cr 4V i7 Fee. Pa.i.d ,$ 3D _ 06 WILDING AND CODES Ul :IIARJJTr ,rr 'Date 144ued BLDG. & CODE DEFT. BAY and IIAVII.AAPD ROADS RD 1 Box 947 - v� OIJEENSBURY, NEIV YORK 12804 PeAnat NO .Tel . (518) 792-5832 Ext -2D4 _ A PERMIT MUST Bq OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS - WILL BE MADE UNTIL APPLICANT 1lAS RECEIVED A VALID BUIL.DINC PERMIT . All applicable spaces on this application must be completed and the o; it+ uature f the app a mt licnt ust appear on the reverse side of this sheet . 7k it a X * is p lk �a * it ak ak ]k ie !e fk ak fe fk ak ak it ak ! * sk 47k 7't * 9t ik alk "rhe owner of this Property is : Mr . & Mrs . Thomas H„nv 12 . 0 . Address 25 Pershing Road Queensbury 12804 TEL . 793- 3520 1roperty location same TAX MAP NO .7 _/�/�-if)_ Ilas there been any split of this property since October 1 , 1908 ? . /, x If yes , Planning Board Review is necessary . yes no SUBDIVISION NAME , IF APPLICABLE LOT NO . The person responsible for supervision of work asGregards Building Codes is : Hilltop Const . of GF , Inc . RD# 1 Box ## 576 oueenshii = - 1 2Bna . •7ras3 �a3 � NAME f' . O . ADDRESS TEL . • NO . Name of builder Same Address ,Tel iiame of Plumber same Address Tel Name Of Mason same Address Tel 14ATURE OF PROPOSED 60I;K : + ZONING INFORPIATION ( Office use on1y ) Con: rCrucciofl of a new building + ZONING DESIGNATION OF PROPERTY x Addition to :a building r -,PERMITTED PRINCIPAL 'PERMITTED ACCESSORY. nitur:,tion to a building r REVIEW -PLANNING BOA" 7'I�SNING BOARD � ( rao cla.artrl.: to sxt �rior, climensions] REVI ���-=. Other work i+1e:rrifaeT ' SITE PLAN REVIEW # _ ---�" PPROV ^.: OATE r .. CROSS AREA Ol' 1" ItOPOSCON t;TAUCTUUE + VARIANCE 14 APPROVED DATE _ ,.�. '� r — 1 s t floor 400 sq f t •�'`r<71!rr Remarks. r - 2nd Floor sq ft . , COltPf LY'1: Irll?Ott►tA'1'lOH I u(: IUIULD $jVLAJ6 Other Floors sq fr .. Sir.Q of pralturty, 85 ft X ft . ( not collar or basement ) + "iuting baLldiar�] I :: 1 TOTAL FLOOR AREA 40.0 sq ft . * Existitay Dwilding (aa ) tl:;iu single family ': ic -i of new structure 15 ft X 25 ft t'owidation-pier/"�laL,/crawl/partial/full '" Pxopwouod building , dit:cancu trout property liou (circle one ) Front yard0 !'t Rear yard 55 t Na . of utorion (habitable zpacc) r Side: yards 26 ft and - fft Iluiclht: lyradra to ridq. I €t . r If on cornar, cutback froze side zero et If roaiduntial , no. of fuenilies 1 Ito * of rootma 1 oxcludinij b:►thsl / ` OCCUPANCY I NFORMAT ION 110. of bodroouns r No . of b achroom s r + PRIMARY faUILOIH[: vriuury Iwatititj y orcecj hot air -�--Qn ° Can`ily dwelling :;tom '1`w0 family dwolliny 'rylaw of fu. l y gas * Multiple awralliny / Numb of waits tso . of fire alacr:s to IJu irtst;allur! ,, , , will a wood ::s:ovua tpw istutallwd? no r i'crin:utent Occup:astcy Luncr..l Air coreaiti.uningw? yes . '1'runt:iwret racculaancy r 13usiauuu BUILDING STYLE, PRIMARY STRUCTURE „ Indus trial tuttcia Cons►mj--jper"ry Lora cabin r ochres:" 3:.aiswd ranch M"Aulrut Dulalsx + It "ddltion, what will use bu? :Relic lwvul Oid acy' lo ►eu,a•J.alow r ..lau co cottaxl.` ptlw .r '� ACCLSSORY UUILDZWG- e oni:al scow 'roan liousa " Datachad yaruge /ono cur/ two car/ car ( CIRCLE O"E6 PLEASE ] " Attacha:d Qar.agu/one cur/ two cur/ cue a ■ • ■ ■ a = a 4 a ■ a IF ■ • A '► lrrlv" to storage bailding 4 STIMATED MARKr64' VALUE OF + �Othar COH ;+•1• ltUC"l" IUt! r 43 , 879 1NPORMATI0H ON ourLD'INC SPrCIFICATTONS , ON REVERSE SIDE: OF Tl1ISS sfic er, 7'O BE CoMPLC' ED ! Farm BPA 10/80, v1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS » Type of construction , wood .frame , fire safe , etc . woo f-rame yg 'Will any secpnd-hand or ungraded lumber be used? If so , for what ? no Foundation wall material concrete Thickness 8 " ,t Depth of foundation below grade ( to bottom of footing ) wT Will there be a cellar? no Heated or unheated? Floor sq , footage sq ft Will there be a basement? no Will any portion be used as living space? ( If so , what portion? sq. ft . - •- Type of use? Type of roof - slo e flat/shed/other Material of roof Asphalt sh :Lncrles Size , wood studs 7 " X y " spacing If;_"o . c , length GY fto Joists ( floor beams ) lst . floor 2 " X. 12 " spacing 1614o . c . span /02, fto Joists ( .floor beams ) ' 2nd . floor '4X '" spacing "o . c . span ft . Overlays ( ceiling beams ) "X " spacing "/ o . co span ft . Roof rafters 2 '" X 120" spacing 16 o . c . span !CP fto Roof trusses (pre-engineered) spacing "o , c . span ft , Exterior wall finish _wood of what mater:ial7 Cedar shakes Interior wall finish sheetrock if a garage is to be attached , describe materials to be used for FIRE SEPARATION : ^f'> Is there to be an opening between garage and dwelling? If so will. a Fire-rated door , enclosure , and self-closing device be provided? Will a flue- lined chimney be installed? 00 t3eight above roof ft . Depth of chimney foundation below grade ft . 4? Depth of fireplace hearth ft , in . Water supply - cipa3 or private well SEPTIC SYSTEM _ Distance from ANY private well ( including adjoining properties (A separate application is necessary for any repair or new installation of septic system) 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 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 Owner, owner' gent , architect, contractor =w ,t * it * ,4• * - ! . ,A !r `t! * * * • ,► * - ] 'SPECIAL CONDITIONS OF THE PERMIT : . . .. . . tr 7, w F • r • .. _ r.3 -:. . Y al }••`L' oj1 l{°i.i ,Y _ ,fiF ry � . . t •5 �' '3C`Y .�........yrx_-e.�......21.` . e ' .a : Ii{ � . . " : f �.x '.i•• ..».. . .. 'vr� .ys . .. ',l,„`i.: i`. fri1 r - . d - : s If } _ 4 ,✓3ark i:Ps ti , c . ist . . . • n01Y p f TOWN OF QUEENSBURY Mr . & Mrs . 'Thomas Hoy 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 400 ' 2 . Type of heat forced hot air 3 . Is the building mechanically cooled ? .a 4 . Percentage of area of windows and doors • b A . Over 16 % Only 1 . U value of gross area of walls , roof / ceiling and floors o /r exposed to ambient conditions 2 . Floor over heated spaces YES NO +� a . Are foundation walls insulated ? YES NO 1 . If YES , what is the R value ? : • 3 . Slab on grade YES I NO a . if YES , what 1s the R value of insulation around w perimeter -"of floor ? 4 _ Is. basement heated ? YES NO a . R value of insulation 5 . Type of insulation B . _Under 16 % only +rl"r T. R value of roof and floors exposed to ramb � ont c onditio 2 . R value of exterior walls / • t -e 3 . R value of glazed area./2 4 . R value of doors ,, 7 V 5 . R value of floors over unheated spaces +�� / q 6 . R value of slab edge insulation - unheated slab „ �P 7 . R value of slab insulation - heated slab06 $ . R value of heated basement / cellar walls ( above grade ) " 1'(c ' � l � { 9 . R value of heated basement / cellar walls ( below grade ) ' ,/ J �1 4 M'' 10 . Type of insulation � ta C . Controls c 1 . Thermostat maximum treat setting Dw Duct Systems 1 . Is duct system stalled in unheated spaces ? YES NO a . If YES , R valu of duct installation b . R value of duct i =tother areas E . Piping Insulation 1 . Size of hot water or coolie rying agent pipe 2 . R value of pipe insulation F . Service Water Heat -in 1 . Performance efficiency 2 . Temperature control set ing maximum G . For Swimming Pool Only. 1 . Maximum heating Af Telephone No . C� . S�� ( appli ant ' s signature ) THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU Of- ELECTRICITY 41 STATE STREET, ALBANY, NEW YOQRK 12207 Late lvofit' 1 CA ,%q Application Nn. on file THIS CERTIFIES THAT only the e&ectricOf eslu&pPnent we described below and intrednced by the appl'cerat "rasa&on the abaroe application nunsher in the promisee of in the following &*catiion, r�Bosenee t Fl lest �� ❑ 2nd Ff. Section Bloch Lat sass examined on O E-v G..,�r 1 11189 andfo,u,nd to be in compliance with the requirements of this Board. HTCEMTACUIS SWITCHE5 Rx LMM RANGES OUTLETS DECKS 1 DISH WASHERS EXHAUST FA nI NS INCAnlSCENT f►UgRESCEhn OTHER AMT, K. W. AMT- K. W. AMTT K-, K-w. AMT. K. W. AMT. M. P. DRYER'S FURNACE #AOTORS FUTURE APPLIANCE FREtIRRS StiCIAL REC PT TIME CLOCKS RM UNIT HEATERS MULTI-OUTLET - AMT. K. W. ali N. a. GAS HIP. AMT. NO. A. w, G. AMT. AMP. MIT. A %P& TRANS. AMT, N. P. NO_ S O OFF FEET A1Mt. wA1T5 SERVICE DISCONNECT NO. of I METRIt S E R V I C E AMT- AMP. TYPE EL1UIr. t wr ry t X Sw T .+► 9W a X aw NG- a ce,callo. , cc caiao. NO. OP HIAGG aA.Iq""u G. No. or NEUTRALS A. w. G- iDO C$ 1 OF NEu7RAI, OTHER APPARATUS; ' BRANCH MANAGER Pier- � This certificate must not be altered in any manner, return to the office of the Board if incorrect. Inspectors may be identified by their credentiab. __ COPY FOR BUILDING DEPARTMENT, THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY /] BUILDING AND CODES DEPARTMENT E All BAY & HAVILAND .ROADS QUEZNSnURY, NEW YORK TELEPHONE (51B) 792-58.32 BUILDING INSPECTCIR ' S REP{:IRT REQUEST FOR INSPECTIO REC$IVED NAME LOCATION DATE PERMIT �� APPROVED FOOTINGJPIERS YES NO MONOLITHIC POUR FORMS FOUNDATIOM1DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH+ IN INSULATION: FOUNDATION FLOORS WALLS L'P ILING SNAL INSPECTION: CHIMNEY HRIGHT ROOFING SIDING EXTERNAL PORCHESISTEPS STAIRS-CLEARANCE & RA_r PLUMBING FIXTURES/REEL VALVE INTERIOR TRIMIPRXVAC DO FINISHED FLOORS ' GARAGE FIREPROOFIN p G xfS DOOR CL-O S'ER (S) SMOKE DETECTORS FINAL ELECTRICAL I SPECTION FINAL APPROVAL OF CONSTRUCTIONy Y A SIGNED CE'RTIF ATE OF OCCUPANCY ST RE OBTAINED FROM T wE BUILDI DEPA WENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: L tic INSP TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYx NEW YORK I2804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME _.� �— se-cG' z(Zw-w-� LOCATION r d, j DATE Zo- PERMIT ,F 7 — 2+�>" ,p APPROVED YES NO FOOTINGIPIERS, MONOLITHIC POL)2 FORMS FOUNDATION/DAM PROOFING BACKFILL APPROV 4, W'OUGH PLUMBING 'l FRAMING ELECTRICAL ROUGH-I t,.IINSULATION: FOUNDATION FLOORS WALLS . I CEILING FINAL INSPEC ON: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S PS STAIRS-CLEARANCE S RAILS PLUMBING FIXTURES�/'"RELIEF V 4LVE _ INTERIOR TRIM/PPXVACY DOORS FINISHED FLOORS, GARAGE FIREPROOFING DOOR CLOSER (S),` SMOKE DETECTORS FINAL ELECTRIC1,t L INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERV-TFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED? REMARKS. INSPECTOR TOWN OF QUEENSBURY I BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ORK 2280 QUEENSBURY, NEW 792-5fl32 TELEPHONE f '.BUILDING INSPECTOR' S REPORT REQUEST INSPECTION RECEIVED NAME LOCATION DATE PERMIT r A " APPROVED YES NO FOOTING/PIERS MONOLITHIC POUF 40RMS G ~� FOUNDATION/DAM - --- "�" 1�6ACKFILL APPROVA ROUGH PLUMBING �F2AMING ELECTRICAL ROUGH-IN'; r INSULATION: ,FOUNDATION FLOORS Z WALLS CEILING FINAL INSPECTION: i CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEPS, STAIRS-CLEARANC & ELIEF VALV -~ PLUMBING FIXTU SfR INTERIOR TRIM/ RI'VACY DOORS - FINISHED FLOO GARAGE j' l.I FIND DOOR ,CLOSER [5 SMOKE DETEC RS FINAL ELECTRIC L INSPECTION FINAL APPROVA OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE ,BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! � y REMARKS : ; INSPECTOR fi..fo/�-i: 5^/wt 1 TQtiVN OF QLIEENSBURY ,BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK I28OLL TELEPHONE (518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION R/EECEIVED NAME _ 3 LOCATION IS ✓� DATE PERMIT # APPROVED LrFOUT2NG/°�"2B'RS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL AP VAL ROUGH PLUMBI FRAMING ELECTRICAL R H-.rN INSULATION ,FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORC S/STEPS STAIRS-CLEA CE & RA -- PLUMBING FI RES/REL VALVE INTERIOR M/PRIVACY IRS FINISHED F RS GARAGE FI EPROOFING, _ DOOR CLO ER (S) SMOKE D TECTORS FINAL EL TRICAL INSPECTION FINAL A ROVAL OF CONSTRUCTION BE A SIGNED CERTIFICATE OF OCCUPANCY MU OBTAINED FROM THE BUILDING DEPARTMENT FORE THESE PREMISES ARE OCCUPIED!' REMARKS: INSPECTOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE GERTIFIGATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT -IV-' BE INSTALLED BY THE UNDERSIGNED pPS� TEMP. CITY OR VILLAGE TOWNSHIP COUNTY Quelensbury warren POLE NUMBER S2T'PWA9 ng Road BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCKED? SECTION BLOOK LOT Dixon Rd _ L Broad Acres OCCUPANT'S NAME BUILDING OCCUPANCY Hvw & Mrs . Thomas Hill c+ sin le fam l HOME TELEPHONE NUMBER OWNER-5 NAME AND ADDRESS 7 9 3 � 3 5 2 0 CURRENT 25 Pers2sin Rd _ J JJL CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER Niagara Mohawk Glens Falls BUILDING IS ' NEW IX OLD ❑ WORK IS NEW ADDITIONAL ❑ DEI`Ef.l'-`"+ REMOVED LIST BELCJW ALL EQUIPMENT WHICH YOU INSTALLED Luca NUMBER OF LETS No,f FLamp utures & MOTORS HEATERS BRANCH OFFICE USE CIRCUITS ONLY tlon SideWaR ,AAfach'tptacles .P- No. 'EaCh Na AYY-G. INSPE.CI ON coming Wall Recap'1s '�'I'kch Petulant BlackW NaN Type Each Each Gauge OUT- SIDE SUB- SASE BASE- MENT 1S FL. rL. FL. 3Fd FL. REMARfv._ LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT -nME OF INSPECTION. THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTER, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT; AS PROVIDED BY THE APPLICANT L FEEDERS ELECTRIC SIGN&LAMPS TOTAL 1roA1T9 CHARACTERF WORK ❑ EXPOSED GAS TUBE SID ITRAN SEORMERS OF `aa ❑ CUNCEALFD BE STARTED DATE CpM TED SIZE OFF SIGN(NUMBER) GAPACITY ERS 9 UILDING MANUFACTURER OF S ION ❑ OVERHEAD ❑ UNDERGROUND TION REDUESTED OM JOR AS NEAR AS POSSIBLE) ]MUST ENTER AI PILICANT81DENTeFICAMN NUMBER DEL BY 131VIFlQ LL AND ACCURATE INF MAT] N. ALL SP11bCE MUST BE FILLED IN OR APPILICATICIN MAY BE RETUR—H- PRINT NAME AND ADDRESS r , NAME OF APPLIG4NT DATE OF APPLICATION vS +IC'ttIA7U OF APPI-N�RMT H 1.1�..t o !,L TELEPHONE NO. STREET ADORE 7�$,,,_ Alrport Ind . Park RD # 1 Box 0576 0338 ZIP CODE LICENSE NO, WHEN APPLICABLE qTY flR POST OFFICE ❑ 85 John Street El41 State Street El584 Delaware Avenue El217 Lake Avenue ❑ 202 Arterial Road NEW YORK, NY 10038 ALBANY, NY 12207 I BUFFALO, NY 14202 l ROCHESTEFL NY 14608 SYRACUSE, NY 13206 THE NEW YORK BOARD OF FIRE UNDERWRITERS JOB^"TC.,"s Rib P ,�,pNST�UC_ k` vCALCULATEDn4 — SHEET NO 'i * L� p OF � /y BY ++7 DATIE_����� Nx RD #1 • PO BOX 308A '�•• ? CHECKED RY DATE — HUDSON FALL'S, NY 12839 • (5181 798-033B � SCALE y TOWN QF Qt.;4E SBURY 55' /vZoning Ao�" Date 111 r bb r PlLgpl[;1 P941 � Inc., GMen, Mlm OUJk.