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1989-751 CERTIFICATEC3F + +CCU PA►NC '�' TOWN OF QUEEN58URY WARREN COUNTY, NEW YORK I Date Agri l 27 1 � Tlhts is� tocerti t woorr requested to be done as shown by Permit No. has been completed. This structure may be occupied as a A ri d i t i o n to One F m i l Y 1 k i ,Owner, Kathy & Tony Jones By Order Town Board TOWN OF QUEENSSURY i Director of Bldg. & Code Enforcement i BUILDING PERMIT TOWN OF QUEENSBURY No. FAA-7 '+1 WARREN COUNTY, NEW YORK y r� PERMISSION is hereby granted to Kathy & Tnny 3n�__.— N OWNER of property located at Ri a Ramey, Road Street, Road or Ave. in the Town of Queensbury, To Construct or place a _ Addition to Qn¢ Family 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 Box 536 Big Bay Road oueem n unys NaY * 2. CONTRACTOR or BUILDER 'S Name 7c ra+ =3r 9�C 3. CONTRACTOR or BUILDER S Address r4 0 `-C 4. ARCHITECT'S Name m 5. ARCHITECT'S Address w =c 0 S. TYPE of Construction — (Please indicate by X) w 1 1 Wood Frame ( 1 Masonry ( 1 steel ( ? 7. PLANS and Specifications No_ 12 ' x 12 ' Addition to One Family as per plot plan , 9099113 #XXXXXX specifications , and application . x �c S. Proposed Use Addition to One Family ' r+ ra $ 32a00 PERMIT FEE PAID - THIS PERMIT EXPIRES A ri 1 1 i9 9O o (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the O town of Queensbury before the expiration date_) � ID T Dated at the Town of Oueensbury this 21st Dav of September 19 . 89 op SIGNED BY for the Town of Queensbury wilding and '2 ng Inspector Towx OF QUILEExsBvaY REVIEWED BY 4EL FEE PAID 'TOWN � T©WIV SOu ' OF QUEE Ry PERMIT NO. C�' RECEIVED BUILDING PERMIT APPLICATION SEEP cam, CODE DZpr, A Panwr musT BE OBTAOMD BEFORE BEGZNWMG CONSTRUCTION. NO INSPECTIONS WELL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUELDING PERMIT. Ail 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: P.O. Address }` / - ` Tel. 4E Property Location � , it! "' ` f - Tax Map r A? Has there been any split of this property since October 1 , 1988 ? I �-�-- If yes Planning Board Review is necessary . yes no M1 SUBDIVISION NAME, IF APPLICABLE LOT NO.� r THE PERSOIf RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: a. NATURE OF PROPOSED WORK : * ES MMATED MARKET VALUE OF Construction of a new building * CONSTRUCTION; 1 FcrSdi n to a building • C04MPLETE INFORMATION- REQUIRED BELOW: * Size of property / U ft x -�M Alteration to a building * Existing Buildings( 3 ) Size e ft. x �ft . (no change to exterior dimensions) * —`�"— Proposed building - distance from property line. -work (Describe) Front yard j� O ft. Rear yard 2. Z ft, * Side yards � 0 ft. and jr e2 ft• GROSS AREA OF PROPOSED STRUCTURE if on corner, setbackfrom side street 6z�' ft. 1st Floor �sq. ft. 'rz .'vf * OCCUPANCY INFORMATION • 2nd Floor i" ✓ sq. ft. * Primary Building Other Floors sq. ft* • �'�family Dwouing (not collar or m; t . Two Family Dwelling TOTAL FLOOR AREA sq, ft. * Multiple DwelHng/Muenbor of units SlzW of ne«r stresctueorL. tt : eft. • ,.�..,.. Bus3n Fowsrlti�an-pi(=Slobre �� • IetdAieri.rl wceb cf sioe#�s Qs�eitstlbia apsca�) -�'=- . - � Height (grade to ri ftgs) C> ft, • If +addition, what W U1 wave bea! If resideentW. no. of faenwli I • Na. of roon>,a[eaoclwdLng faatl+s) • AeceseessV Ong No6 of bodrooms n.t,a�naa c .e.,�. o o c . -� Now ar e.nreooeeas . . Attc�a al�rsr'cw�D Cae lriar�ary 1*sameg sF+atesa - � .,+�- ► ^ *' i. TM of ftwai ' ��Prf�rato stoe I" ftac"M I No6 of fire4iacas to be inst&U" • Other W IU a wage! Stowe be Ierstaue dam_ "` - -,•r Cantral Air conditioning '• Ov* ER B1: ILDING PERNTIT kPPrIC kTiGu CO LIN; ; - c- D BUILDING ;PFC-IFICATIONS. Type of construction, wood frame+ fire safe, etc. 4r"il! any second-hand or upgraded Itrmtrier be used? If so. for what ?_ Foundation wall material Thickness_ r Depth of foundation below grade (to bottomiof footing) t'.'e Will there be a cellar ? (L�1#0� �Heated or unheated? Floor sq. footage Will there be a basement ' /L- '-) Will any portion be used as living pace?s (If so, what portion? _sq ft. Type of use ? Type of roof - s at/shed/other Material of roof__�,✓r Size, wood studs�`"x... '" spacing,," o. c. length 'ft, Joists ( floor be*msYist floor _ e„x ' " spacing.. / "o. c. span ft. Joist (floor beams) 2nd floor.'7i"X-AL. spacing I/� 'o. c. spanzl.' ft, Overlays (ceiling beams ) 9 ,"x c • spacing o.c, span +/'� . ft. Roof rafters _ _"X.,1eL.Frspacing , y o. c. span Z? ft. Roof trusses (pre-engineered) spacing ,. o. c span , � ., ft. Exterior wall finish r Gc of what material? Interior wall finish L> If a garage 19 to be attached, - describe materials to be used for FIRE SEPARATION: Is there to has an opening between garage and dwelling? If so will a Fire-rated door, enclosure, self-closing device be provided? yo 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 SYSTE54 Distance from ANY private well (including adjoining properties . ft. - W (A separation application is necessary for any repair or new installation of septic system) NAME OF BUILDERS yrlk0t7J,11CX Up.DDRESS _ 25;o9� 1 1 /t, TEL. NO. '� � � NAME OF PLUMBERsJ . Lf .� _ADDRESS �(7 v +� �_�TEL. NCI. NAME OF MASON 1 ?,11 �`t-} ► . ADDRESS bl" ti' ''�/t. t_ ✓ TEL. NO. '? MACE OF ELEC'FR1�CI!►1R� C.r '+.d A DDRESS c f . ►� I' S—��/^-` — TKLv NOT. To trot beet A!' NOWboopmhodow 4101*610 ar the at"O" ea ft ca nth im thins +si'� rR$B ads moo a "VV aced � sta�rr t of ea :h• described Prises and that ail provisions of the BUILDING COM THE ZC?r N Dk Ato NCE. aAdn & other laws pertsAnj ft to the proposed work shall be conlpU*d with. +irlhthae uch worlt is allthcwiiad by the owner. 7 or net, and that at ,f Owner, ow , iwtMR`. * COR!!'itiOr iPECLAL COND� PSF 'T= TOWN OF QUE . >13SURi 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 hea t 9A`7 !IU t f 3 , is the building mechanically cooled ? 4 , Percentage of area of windows and doors A . over 16 % Onl }*r 1 . Uo value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 . Floor over heat - d 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 , 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 S . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions . r 2 . R value of exterior walls r+7`Z 3 . R value of glazed area -! Z 4 . R value of doors 17 - ` 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 86 R value of heated basement/ cellar walls ( above grade ) 9 . R value of heated basement / cellar walls ( below grade ) 100 Type of insulation } . A-+_ C . Controls 1 . Thermostat maximun heat setting D . Duct Systems 1 . Is duct system installed in unheated spaces ? YES a . If YEs , a value of duct installation b _ R value of duct in other areas E . piping Insulation 1 . Size of 'loot water or cooling carrying agent pipe 2 . R value of pipe insulation r . Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G . F' or Swimming Pool Only 1 . Maximum heating -7 Telephone No * ( pp i is signature ) TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS � f , C)UEENSBURY♦ NEW YORK 12809 TELEPHONE ( 518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPEC ON RECEI D y& NAME LOCATION DATE_ PE T # 9 APPROVED iC�/ �''P�'r YES NO FOOTI NGI PI ERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFI G BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/S EPS STAIRS—CLEARANCE &, RAILS PLUMBING FIXTURES ? ELIEF VA VE INTERIOR TRIM/PRI ' ACY DOORS FINISHED FLOORS GARAGE FIREPROOFIi G DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL I SPECTION FINAL APPROVAL OF ONSTRUCTION > i A SIGNED CERTIFIC TE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMEPT BEFORE THESE PREMISES A OCCUPIED! REMARKS: l,f n INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 32sot- TELEPHONE ( 518 ) 792-5832 BU 11ADING INSPECTOR' S PORT REQUEST FOR INSPECTION RECEIV D - H NAME *� LOCATION r4 DATE PERM T APPROVED YES NO FOOTING/PIERS MON+C7LITHIC POUR ORMS FOUNDATION/DAMP- ROOFI BACKFILL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- INSULATION : FOUNDATION FLOORS WALLS CEILING FINAL XNSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH / EPS STAIRS-CLEARAN & RAILS PLUMBING FIXTU ES/ ELIEF VALVE INTERIOR TRIM] RI V Cy DOORS FINISHED FLOOR GARAGE FIREPR FING DOOR CLOSER (S SMOKE DETECTO S FINAL ELECTRICA INSP TION FINAL APPROVAL, F CONS RUCTIQN� I/+ r y i A SIGNED CERTI ICATE OF OCCUPANCY MUST BE OBTAINED FROM HE BUILD Na DEPARTMENT BEFORE THESE PREMISES ARE OCCU ED' REMARKS: INSPECTOR L"ITV MIDDLE DEPARTMENT INSPECTION AGENCY, INC. em Haddon Aranue; Colllnyawo N:$. 001113111111 aatu December 12 , 1989 �ei'Xif iIto that the electrical equipment listed has been exam and is approved as being in accord with the National Electrical Code, applicable governmental , utility and Agency ml.es. � s is Owner: Tony .Tones occupancy.. Dwelling ,.- occupant: Same Big BayRoad Queensbury (Warren CO) NY This certificate dove Fa the a+ettrlcol equipment and installaiion inspected this [_QL'a[iOn.' p i date_ ata N aaditionai egUiprannt .ahould be introduced or alterations made to existing system this cartlhoata shalq oe null and void, and appiica Iion for �SReceptacles ; l inspection should be Subm Mad prGmptly to this Agency. Equipment: 50 Outlets ; 30 Receptac 1e s ; 14 Fixtures t♦oltler df tfiis certificate should present same to hie prooe(ty nsu(ance Garner (agem or com pang)as evfdw wa qd cafti kcal ion of elect(iCal eq ul pme n I ePP Faxed as specified r Tony Jones Applicant: Box 5360 Big Bay: Road No- 15.029E+ 1i Queensbury , DIY 12804 n J Mo. 707 EL 71113 TOWN OF 'Qu-9ENSBURY BVII,DING AND CODES DEPARTMENT BAY & HAVILAND ROADS C7UEENSBURY � NEW PORK 22&(?� TSLEFHONE ( 5181 792.5832 B"lLnjW, INSPEMP'% S gEPORT L IVED REQUEST FOR,INSPECTIO� EC aoys t � NAME LOCATION P RMII, �I APPROVED PATE yes NO ti FOOTING1P OVR FORMS MONOLITHIC P�PROOFING FOUNDATIO P VAL BAC I{FI LL 1 OUGH PLUMB2N FRAMING G ELECTRIC C31V ROU —IN A INSULA7 F bdc FOUNDATION j FLOORS ` WALLS CEILING TION : ,FINAL INSPEC HEIGHT CHIMNEY ROOFING SIDING ST PS PORCHES/ IL STA --- ,5 EXTERNAL VA �� --- TAIRS� EARANC RES/ ELIEF LVE PLVNIBING FIXTU TRIMI CY DOO '_----�" INTERIOR FINISHED FLOORS GARAGE FXREPROOFI G__--- DOOR CLOSER (S ) ...�. DETECTORS �--- SM( D I SPSCT7ON.�_�— — FINAL ELECTRICAL ONSTRVCTION FINAL APPROVAL OF } OCCUPANCY MUST BE A SIGNED CERTIFICATE OF DEPARTMENT BEFORE BolLol OBTAINED FROM THE THESE PREMISES ARE OCCVRIED+ i'JSPECTOR TOWN OF QUEENSBURY �y XNG AND CODES€ DS EPARTMENT ` QUEENS.BURY. NEW PORK 1280& TELEPHONE (518 ) 792-5932 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED . J NAME LOCATION T � PERM DATE # APPROVED YES NO FOOTING/PIERS S MONOLITHIC POUR F PING FOUNDATION/DAMP-PR BACKFILL APPROVAL ROUGH PLUMBING ,.FRAMING - ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS VI WALLS CEILING FINAL INSPECTION: CHXMNEy HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST ITS SfiAIrRS-CLEARANCE 6 PLUMBING FIXTURES/ACX EF VAL E DOORS INTERIOR TRIM/PRI FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS r FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF )CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE FROM THE BUILDING DEPARTMENT BEFORE OBTAINED THESE PREMISES ARE OCCUPXEDI REMARKS: l SPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 92-5 280!& 'TELEPHONE 32 BU I L DING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED , NAME 12 LOCATION DATE PERMIT # APPROVED YES NO l,/F�OOTING/PIERS ' MONOLITHIC POUR FORMS -�1--� ..-'� f FOUNDATION/DAMP-DROOPING -- BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-TN .INSULATION: id FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION : CHIMNEY HEIGH - ROOFING SIDING ,EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & J; AILS� PLUMBING VIXTURVS/RVLIEF VALVE INTERIOR TRIM/PRIVAG',Y DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETEC.$'ORS FINAL ELECTRICAL INSPECTION FINAL APPRO:I OF CONSTRUCTION A SIGNED ;CERTIFICATE OF OCCF�PANCY MUST BE OBTAINED' FROM THE BUILDING pARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: y 9. 1 1�"�� kA TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (518) 792-5832 c� BUILDING INSPECTOR ' S REPORT q REQUEST FOR INSPECTION RECEIVED /0 T r NAME LOCATION DATE PE IT #+ APPROVED YES INO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFXLL APPROVAL ROUGH PLUMB-'NG FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORC ES/STEPS STAIRS-C NCE & RAILS PLUMBING FI TURESIPALIEF VALVE rNTERroR T XM/PR.IVACYr DOORS FINISHED RS GARAGE F EPROOFING_ .. DOOR CLO ER (S) SMOKE D ECTORS _ FINAL ELE TRICAL INSPECTION FINAL API*OVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: �w L INSPECTOR MAIN OFFICE 997 M CLean Rd, ATLANTIC-INLAND, INC. Cortland, New York 13045 NEW YORK Phone: (607) 753-71 T$ MEMRER OF N F.P A. AND I A.E.I. (607) 753- 7ao9 FIRE UNDERWRITERS .I. 4 (607) 753-t396 (Electrical and Fir n e Inspectio -Enforcing and Consulting Service) 7870 (Incorporated in the Slate of Now York) Desiring certificate of Approval, application is made for inspection of electrical instariation in the premises described below. On demand applicant agrees to pay for inspection service in accord with schedule of charges. APPLICATION FOR ELECTRICAL INSPECTION — PLEASE PRINT OR TYPE gel [ME SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION wL.✓ kSr 7' TOWN. VILLAGE -�.�.3,a-.� CD1JNTv ^Z.•"T ySTATE ESS 7rUILDG. NO. TIQNSR'S .yam+ POLE NO. .. £ �. c. 4 OCCUPIED ASPANTR'S P_O,SSOR — ROUGH WIRING L7 FIxTU RES O OR RFJ4DY FOR INSPECTION 1s MIttE6 — i BY CHECK 0 CASH O MONEY ORDER ❑ MAKE PAYABLE TO ATLANTIC.-fINLAND, INC — NEW YORK Number of Roush Wiring Outlab Fixtures Switch UYng Recap KW Add Installation Mad. Mosul Flyor. 500 754 tp00 7258 }r i7S0 '2CMM7 22SD 250p 2Fg0 30pp Hew! ,Rasa Base Elect Heat Amp. Service Water Htr. Burner Air Cond. Surface Unit oven Flange Gr_ Drap- Dian W. Dryer H.P. Pump Ex. Fan Hood OTHER EQUIPMENT (Spti Type d Capacities) TYPE OF WIRING BRANCHES NO. O SIZE OF SUB- OPEN F OPEN O CONCEALED ❑ OTHER MAIN APPLICANT'S MAIN Cp tCUITS SIGNATURE APPLICANTS LICENSE Y PERMIT a ADDRESS NAME OF UTILITY CITY STATE OFFICE TO 21P CODE BE NOTIFIED NNW 0 ROUGH WIRING AMP BERVtCE OSWITCHES EQUIPMENT wipm U. I SURFACE AMP SERVICE ORS KW OVEN CONDUCT RECEPTACLES H.P.GARAA43E MEDIUM BASE H-P, PUMP DISPOSAL UNIT FIXTURES KW, MOGUL BASE K-W. DRYER DrSHWASHER FIXTURES K.W. WATER FLUORESCENT HEATER K.W. RANGE FIXTURES M.P. AIR AMP. RECEPTACLES CONDITIONER MERCURY VAPOR OR WIRING f1 CONTROLS FOR BURNER SMOKE QUARTZ FIXTURES D FRAC- H P. DETECTORS MOTORS, H.P. 1_120 1 /12 trio 1/8 lea 1 /4 1 /3 1/2 3r4 1 t VENT FANS MARK NUMBER K 2 3 5 7"h 10 15 20 25 30 40 50 75 11}q OF EACH SIZE APPARATUS Wo 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 Erect Heat MISC. IN iO � Received inspected FEE PAID Q PROGRESS �• /�yy CSli �j A (,} ❑ DEFECTIVE TOTAL $ Y0Z1W"&M4r4, 12 Rough Wiring Certificate Chack No. Mon.-Fri. s-7:3(1 A,Ii1A, © Ternporary Service Money Order 518-692.9295 Q FINAL CERTIFICATE V caah 518-638-6339 Dup. Carl- Req. O 11tUNICIPAL Charge MUN ADDRESS