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1990-515 • C RTIFI A, E OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 4,410 JLl/_ //19 IL Date 1/430\ This is to certify that work requested to be done as shown by Permit No. 90 515 has been completed. This s cture may be occupied as a two-story addition to dwellincr inrinding nnrrh; bedroom and office Location -1' �x Goad McAir*rtzn R^ ? Owner RICHARD A. MISSITA By Order Town Board TOWN OF QUEENSBURYTh Director of Bldg. do Code Enforcement BUILDING PERMIT • TOWN OF QUEENSBURY No 90-515 WARREN COUNTY, NEW YORK 4 PERMISSION is hereby granted to RICHARD A. MISSITA O OWNER of property located at Box 214 West Mountain Road Street,Road or Ave. co in the Town of Queensbury,To Construct or place a Addition to Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and 0 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is Same 2. CONTRACTOR or BUILDER'S Name U] Gregg Nelson ti 3. CONTRACTOR or BUILDER'S Address '-" 4. ARCHITECT'S Name 5. ARCHITECT'S Address "rS N 6. TYPE of Construction—(Please indicate by X) 4 (x)Wood Frame ( I Masonry ( )Steel ( ) 7. PLANS and Specifications No. 1192 sq ft 2-story Addition to dwelling as per plot plan, specifications and application. 8. Proposed Use Two story addition to include master bedroom, office and porch. i 0 0 96.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 16 19 91 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 before the expiration date.) -' Uq 16th August 19 90 Dated at the Town of Queensbury this Day of SIGNED BY J41Ad '✓� �� for the Town of Queensbury Building and Zoning Inspector 6 TOWN OF QUEENSBURY WARREN COUNTY, NEW .YORK I ViNSBURV Application for : BUILDING _ PERMIT IN COMPLIANCE WITH T STATE ENERGY CONSERVATION CODE A permit must be obtained before beg nning al. OV. ANSWER ALL of the following: • CODE Dom' BLDG. 8t • 1. Gross floor area /J9? . • 2 . Type of heat Ec.ec:,Pic, 3 . Is the building mechanically cooled? fl'D • 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? YES NO. 1. If YES, what is the R value? . 3 . Slab -.on grade YES NO • . a. If YES , what 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' � • • 3 . R value of glazed area to 4 . R ,value of doors-c� 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) 10 . Type of insulation ?),AP,L,,c` - 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 /7) A X • • Telephone No-. -MI . p ?t� � 4S) ' signatu (app ant' s s g e) /TOWN OF QUEENSEURY \7"' tC \T ,';_ ritit 1'!CC AND 27"i'NC PrgmiT ,_Gc.:.v e,i 4 .y�� 6 OWN OFG�UEEPISE�11 1� '•', �,w/�� RECEIVED Fee . Fa.lLellr' - AUG 0.8 1990. • . UILDINc AND CODES ui.1'ARTPtEA!T. - Date- Ieeued (, . :«Y. .ind HAVII.aND ROADS RD 1 Box 93 - BLDG. & CODE DEP'T't .. nUEENSBURY,NEW YORK '1?d 04. Peiun t No. 'b-5L5 _ Tel . (518) 792-5d.32 Exc 204 ' ‘ A PEWIT MUST DO OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS - ►oILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC. PERMIT. All applicable .spaces on this application must .be completed and the ' c. � nnature of , the applicant .must appear on the reverse side of this sheet . ---�v * * * * * * * * * * * A A * * * * .* * * .* * * * * * * * * * * * 7C * * * * 1VI vie owner of this -property is : ` %1/L,./#9,e6 a ,ss-,:,9i IN l'-. O . A d d r'e s s x 2,4 iti-' /177=,‘,4'i54, . j, 45R y- . If-Ay /2861 TEL.79 SalZ'7 property location -,4ryy1� . ' TAX MAP NO.-----/ / Has there been any split of this property since October 1 , 1988? %r/ yes no If yes , Planning Board Review is necessary . SUBDIVISION NAME , IF APPLICABLE • • LOT NO . Yhe person responsible for/,, s or supervi ' of Work as eg rds Building Codes is : -7q • • _ - • NAME P . O . DRC . TEL.• NO. • • ,Jame of builder . Address • Tel - Name of Plumber . f.ddress Tel Name of Mason . Address Tel . . r,ATORE or .PROPOSCO w01:K: . ZONING .LNV0RPIAT1ON (Office_ use only) , . Con:;crucciori of a new building • ZONING DESIGNATION OF PROPERTY • -1lU icion to :i building • PERMITTED PRINCIPAL - PERMITTED ACCESSORY • iAlteration co a Luilding • . (no change to exterior dimensions) • REVIEW REQUIRED - PLANNING BOARD ZONING BOARD_ Other wort: (describe) • SITE PLAN REVIEW $ H APPROVED DATE • :ROSS AREA O1•' P.RO'POSCD, ::TfcUCTURE • VARIANCE 4 APPROVED DATE :st Floor -di1,yg' sq ft . • Remarks: 2nd Floor 724" sq f t . ,r COmPLLrk INVOktav LON 4LQU1hED sELUw. l • Size of property /.S^6 . - ft X 2GO ft. Dther Floors sq `.ft . ( not cellar or bssement) • Existing building(S) Size 'Z.M it .X i- rc. TOTAL FLOOR AREA //7z sq f t . • L•'xi,clrl.g :Du11�1iny (:.) UZe S,�F,L0 `-,t)n►.l L - ZO '�izu of now structure z. ft Xz _ ft __ •Poendation-pier/slat (Mr/partial/full • Proposed buileinq, distance from iaepurcy lino (circle lone) . ft Ve. of stories . (h:�bit:.hle space) z . Front yard f't Rear yard . Side yards . ft and is height (grade to_ ridge) _ ft. lc' raaidonci:,l, no. of-[smiling 1 . If on corner, �ucb..ck from side street fc __ No. -of roo►ns(excludintl b:.ths1 OCCUPANLY INFORMATION tic, of bedrooms PRIMARY [WILDING - No. of b:+tLIrOOMa • , Q fanu.ly dwelling Primary heating sy::ceu4,acri coal Two family dwelling Type offfuel , multiple dwelling / Number of units ' tao. of >rirupldc� tons o z vu ic�llud hern.inWM occup:ikcy will a- wood acovu t..: i11:4c4114:41? CoA_ czUgegeb' — Central - Air conditioning?,, . _fransiurre oucuh:.ncy g' A/o • ��businc:5a - BUILDING STYLE, PRIMARY STRUCTURE . . _Industrial. . IBM Ocher Concu,r�lor..ry Lai ccabin • if addition, what will u:al: be? liaised ranch Mansion • Duplex uhlic lwv.el Old styli Uungalow ' C..}Ju Cod Cottage . Ocher . ' ACCESSORY UUILDINC- Colonial • NOW '1•owrl douse . butachaa garage/ono car/. . car ( CIRCLE•' ONE PLEASC ) • 1, ,Actachud ciaragu/onu car/ two cat __ cue • • • • • • • 1 • o • • • • • • • • Priv..cu storage building USTIMATHD' MARKET VALUE OF- - • • • Ocher - CON5TkUC'PIUN . n Oyyp • • . • (, FORmATTON ON DUILDINC SPECIFICATIONS, ON REVERSE SIDE OF THIS SWEET, TO BC COMPLETL•'0I • rm DPA 10/88 vl. - \ i 1 BUILDING PERMIT AFPLICATT'C:1 __... _`iu:D - BUILDING SPECIFICATIONS: • • Type of construction, wood frame, f:re safe,etc. 6.3cyc7b R,,,us • will any second-hand or ungraded lumber be used? If so, for what? go Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar?No Heated or- unheated? Floor sq. footage sq ft Will there be a basement? pjO. Wi-ll any portion be used as living space? ,yam (If so, what portion? sq. ft. - - Type of use? Type of -roof - sloped/flat/shed/other5uspe2b Material of roof Size, wood studs "X (o " spacing l,„ "o.c. length ft: Joists ( floor beams) 1st: floor 7 "x - e spacinglle "o.c. span /8 ft. Joists (floor beams) 2nd. floor • z "X .& " spacing u "o.c. span l . ft. Cverlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters Z "X I Z " spacing ta" o.c. span Zz ft. Roof trusses (pre-engineered) s acing ��, "o.c. span Z y ft. Exterior wall finish 1 xiZ s i.),3,je Of what material? Interior wall finish ) . ' s� 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, and 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 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) 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 b th owner. c\' /7 L., Signature. , Ai. i .ri ,`.())/ Owner, owner's gent, architect, con.tFActor ' • • • . SPECIAL SPECIAL CONDITIONS OF. THEPERMIT: • • • • • By • `'J1►�V J +N,t_07 ,J'aV JMV J►WV J \,J4V J J►GV J►Cw N.,t%'hV c.I'4V t/di.v J Nit, \,JaRt t /s eiM.;i 4,14 u i 0 MIDDLE DEPARTMENT INSPECTION AGENCY,INC. i 1337 WestNChester Pike Wesi_Chester,SPA 19382 C � -voila t a ~"�'' W" '' `: ,4 4 oateNovember 5, 1991 e r�rr' r �'1 r C Certifies that the electrical equipment listed has been examined and is approved Cwith the National Electrical,Code; applicable governmental, utility and Agenc• y'rulesp ed as being in accord Is Owner: s,, '' r, r,FRick Miss itta ' ' s oc�pan� Dwellin C Occupant: Same _� : ., , g Additionci) Location: West Mtn Rd • Thi ce ific covers the,electrical a Dui ment and installation inspected C ,s Quee'nsbury-•(Warre = 9 P a his I ditional equipment should be introduced or alterations made is Equipment: : to existing system this certificate shall be null and void,and application for e 50-0utlets r: 24—Receptacles #14-> inspection should be submitted promptly to MDIA, Inc. ? Fixtures; 50•-. Amp Sub; 2-"JVent'Fa r - n s 3` A ,, Rick Missitta �.'� �� C West Mtn. Rd. ` �_ --...,, .....?�g "1,-; r _ ' 'No. LQueensbury, NY 12804=� .� - --�'� 16-001216/960 C _:.cam ' . Form No.703 EL 7-91 f ���.�.n n - ELECTRICAL INSPECTIONS DUP CATE MUNICIPAL RECORD Permit No. //�� — /-� Owner 1ST `C /iY! 5 S i 7 7 4 Occupant / / Location _/0p g5 T �`� 7 `�J - Reo. �-�y ella!Y/Street Town or City 1A✓✓ 1'r/C/7 State Installation as itemized on reverse side has been visually inspected pursuant to applicable codes. Installed by e 5 Ala/a r Al / ,a�� Sv ec Date f /�� -` k 6`�" ror MIDDLE DEPARTMENT INSPECTION AGENCY,INC. FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19380 (5-13 ROUGH WIRING OUTLETS H.P.AIR CONDITIONER / 'L OUTLETS WIRING &CONTROLS FOR •"'BURNE`R RECEPTACLES H.P.PUMP l ( FIXTURES K.W.OVEN S CJ AMP.SERVICE EQUIPMENT 7 � H.P.GARBAGE DISPOSAL UNIT AMP.SERVICE CONDUCTORS K.W. DISHWASHER K.W.SURFACE UNIT K.W. DRYER K.W. RANGE AMP. RECEPTACLE K.W.WATER HEATER '7_RAC. H.P.VENT FANS MOTORS H.P. I/20 1/12 I/10 % %s % % '/2 M 1 11/2 2 3 5 71 10 15 20 25 30 40 50 75 100 MARK NUMBER OF EACH SIZE APPARATUS TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION (v(� �47 DATE /v/ / PERMIT # l APPROVED YES ;NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING . BACKFILL APPROVAL ROUGH PLUMB NG FRAMING ELECTRICAL ROUGH-IN XO INSULATION: FOUNDATION FLOORS ✓WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING ' ` { SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS ' ;{ PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING I DOOR CLOSER(S) ' SMOKE DETECTORS . FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONS1RUCTION ', ' OK TO ISSUE C/O OR C/F A SIGNED CERTIFICATE /OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!' REMARKS: ARRIVE /0 ;o'O DEPART (? 7O INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION C N TIO RECEIVED NAME /�1.-ka i /v/ >Z-/+.1_ e.,-- L_ LOCATION ,41, ,2/r �/ ..,6L DATE /6/f,_ /C(o PERMIT # ;fi� APPROVED `of /4�177i YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING !� V y FRAMING ."E- D4,�,,, l' ELECTRICAL ROUGH-IN "„'' INSULATION: ,j' FOUNDATION FLOORS Y' WALLS CEILING FINAL INSPECTION R CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORFHES/STE STAIRS-CLEARANCE & RA .LS PLUMBING FI)ITURES/RELI F VALVE INTERIOR TRIM/PRIVACY JO ORS FINISHED FI ORS GARAGE FIREPROOFING DOOR CLOSERE(S) SMOKE DETEC ORS a FINAL ELECTRIbAL INSPECTION Q _FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! /i REMARKS: dC�C"� �/9:�/G ,....1,4'^-e.. / // 'mil_ V 2v,- 45 � h,�-S y • ARRIVE t0)((t) DEPART `blid INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR/INSPECT ON RECEIVED NAME 4Ck / 1 psi GL LOCATION 2J " ae DATE 7/,..;---2\ PERMIT # J 5/j I APPROVED YES NO FOOTING/PIERS MONOLITHIC POIR F RMS FOUNDATION/DAMP-P OOFING o, / ZBACKFILL APPROVA tom' ROUGH PLUMBING\ FRAMING ELECTRICAL ROU IN • INSULATION: FOUNDATION FLOORS WALLS 1 CEILING FINAL INSPECTIO : CHIMNEY HEIGH ROOFING I SIDING I EXTERNAL PORC ES/STEPS STAIRS-CLEA'•NCE RAILS PLUMBING FIX.URESRELIEF VALVE INTERIOR TRII /PRIV�CY DOORS FINISHED FLOORS GARAGE FIRE OOFINd DOOR CLOSER S) SMOKE DETEC ORS I FINAL ELECTRI AL INSPECTION .. .. FINAL APPROVALOF CONS UCTION OK TO ISSUE 40 OR C/C \ A SIGNED CER FICATE OF CCUPANCY MUST BE OBTAINED FRO THE BUILDINq DEPARTMENT BEFORE THESE PREMIS S ARE OCCUPIB ! REMARKS: \\\ . \ / j \ 9/ INSPECTOR TOWN OF QUEENSBURY ,,, 0/ BUILDING AND CODES DEPARTMENT / 5'. al) BAY & HAVILAND ROADS / G� QUEENSBURY, NEW YORK 128O . TELEPHONE (518) 7j92-5832 BUILDIN iINSPECT°r 'S REPORT REQUEST FOR INSPEC1►ION REC IVED NAME 4Lut.(.0 j,�G�/ , i LOCATION A.4% . I i /P�( DATE l/a P gRMIT # 90- �/3 cJ APPROV D YES NO FOOTING/PIERS MONOLITHIC POUR FO' S FOUNDATION/DAMP—PRa'OFING BACKFILL APPROVAL \, ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN[ INSULATION: FOUNDATION FLOORS WALLS I CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING . . EXTERNAL PORCH:S/ST:PS STAIRS—CLEARANI E & '•ILS PLUMBING FIXTU-ES/RE' IEF VALVE INTERIOR TRIM PRIVAC': DOORS FINISHED FLOORS GARAGE FIREPR.lFING DOOR CLOSER(') SMOKE DETECT'RS FINAL ELECTRICAL INSPECT ON . ' FINAL APPROVA OF CONSTR CTION ' ' OK TO ISSUE C 0 OR C/C A SIGNED CER IFICATE OF OCCUPANCY MUST BE OBTAINED FRO THE BUILDINt DEPARTMENT BEFORE THESE PREMIS S ARE OCCUPIER! REMARKS: t j n._ z/ (b / I./i ( �y. tz.A, i, i ,7 ARRIVE 07-2 i 1 f� DEPART gr./5 ' 1/ NSPECTOR :V August 15 , 1990 Building Department Queensbury, New York 12804 ATTENTION: David Hatin, Building & Codes Director Dear Dave : As per our conversation on Tuesday, August 14, 1990 ; Since 1983 I no longer use the electric system to heat my home. At that time I installed a coal/wood furnace and this became the primary heating system with the electric as a backup. The coal/wood furnace will also furnish heat for the new addition to the house. Thank you for your time and cooperation. Respectfully, Richard A. Missita . . . . • . pr)irAc CDT-tee AtS;riffebe:: icrigye .: --1. c,iehr- c-* .tt * Ni Co 4.) oi,` qz.kr?,Le .'77te cret‘-- . #4 . ,....... • rf r ____. --A . 5. ••-• . .... Gr:r • ezt............ ---- rse-.° • /'.-1" . ,.... i ,-<-4—; torn." re,,_ -.9.. sret's •• i ,. . . . . , • 6 eN, •• * • • _ . . •. 4peria•41 •ii , '• At . 1 ob . 544P i /S--..• / - ...i.—_- A . i 1 FiACE, r-epc::.• i o . CraC....kw• . i 5.7.rocor,A.e• . . r___,i • 1 . i nibieCez e- , ! 24 : 6,-,..7 1 - . • , i . . , . I • . . , • . . . . . • ›- . . cr 14:• --- 4 e-2)4/ = 0., • • . .1,1V ra G= w . . . u) ca CI Z r en, . . -1.!• 0 Tit> 0, TOWN OF QUEENSBURY f c=b . 0 i ,:f.„; •c.0, 06 A'W iPf...,,,, i• !-INS . . --..-,...----.--. c:C 6:9 .r- Z 00 --a. • rn •-„., Zoning Adr-.Instrtor . . .. A Data ._ ....._ ,. ..,,,-.... :„...,.....:•: ... _.-- • ,,-,r,-i;a- . • • . . ,