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1989-801 CERTIFICATE OF 0CCUl'AN t%*"M"W4Y' TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK February 15 , 19 91 {� 89-801 This is to certify that work requested to be done au shown by Permit No. has been completed. 'Mis structure may be occupied as a Altenation to Single Family Lot 30 Bedford Close "` L a \ Location Owner Leo Boyle By Order Town Board TQWN OF QUEENS$URY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No- ss_av1 WARREN. COUNTY, NEW YORK Y PERMISSION is hereby granted to fV CM Street, Road or Ave- I OWNER of property located at _ Lot 0 Be fo1�Cl_ C7os� W in the Town of Queensbury, To Construct or place a Alteration to gne. fami Q 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 30 North Church Lane Queensbury , N . Y . 12804 2. CONTRACTOR or aUI LOU R'S Name r' fD Roger Thomas Oi Box 120 B o xtIII. NI. J 3. CONTRACTOR or BUILDERS Address eD 4_ ARCHiTECT'S Nama Cs a--F ca r7 5. ARCHITECT'S Address C� CD CL -h C ^L 6. TYPE of Construction — (Please indicate by X) COI C7 { ) Wood Frame { ) Masonry { 1 Steel { l to CD 7. PLANS and Specifications No. 420 sq . ft . alteration to second floor per plans , application and specifications . xt 8, Proposed Use —' CD Alteration to second floor of single family01 C+ c $ 16 . 00 PERMIT FEE PAIL] — THIS PERMIT EXPIRES May 1 19 90 (If a longer period i s a required an application lication f date.)xtension must be made to the Building and Zoning inspector of the town of Dated at the Town of Queensbury this 12th Day of October 19 89 for the Town of Queensbury SIGNED BY Building and Zoning I rrspectar BUILDING PERMIT APPLICATION CONTINUED - BUILDING 3PFCIFIC ATIONSz Type of construction, wood frame. fire safe. etc . __'✓'� ° off 1'(3 A ! [\E Will any second-hand or upgraded Ittmher be used ? If so, for what ? Mr4 Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar ? Heated or unheated? Floor sq. footage sq ft . Will there be a basement ? --- Will any portiorL be used as Living space ? `•tfcsS (If so, what portion ? fie- PLrs%S sq ft. Type of use ? _ rp4m 1.`i R..ornom Type of roof - sloped/ flat/shed/other5'LP9cn :Material of roof NSRsvkpU s s,LJSS SQbM o4 NbW DORKxP4 Size, wood studs „x�f spacing 16 " o. c, length ft. Joists (floor beams) Ist floor "'x " spacing FTo. c. span ft. Joist (floor beams) 2nd floor 2 ""x 5a " spacing Ib "o. c, span 1i' C ft. Overlays (ceiling beams ) "x '* spacing "' O. C. span ft. Roof rafters � +����►"x " spacing o. c. span ft, Roof trusses (pre-engineered) spacing " o. c. span ft, Exterior wall finish 6cV61, jxt'R1Z ' 51 bi of what material? R%,v�4x Crc bAR , S'b11PLAV Interior wall finish Az S E R+aGK If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to by an opening between garage and dwelling? FX15�1 4e. If so will a Fire-rated door, enclosure, 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 rnvN1C1#'r4L,. 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) fox 12� �+ as+' �, �`1'`T . NAME OF BUILDER �' 6yE.R�i '+�ortiAS �S6N.S ADDRESS � TEL. NO. la°..?¢y I 7 NAME OF PLUMBER N J A ADDRESS TEL. NO? NAME OF MASON NIA ADDRESS TEL. NO. NAME OF ELECTRICIAN R=T*onpS ADDRESS TEL. NO. DEC LA RATION To the best of my knowledge and belief the statements contained in this application, togethr^ v-Tith 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 haws 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's en , architect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY TOWN OF QUEENSHURY to - REVTE WED BY , FEE PAID s / PERMIT NO. BUILDING PERMIT APPLICATION A PERMIT MUST" HE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL HE MADE UNTIL APPLICANT .HAS RECEIVED A VALID BUILDING PERMPT. All 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: f'{1 R . , ('r('y M , L E o P.O. Address _ 30 �)09211 Q kAV RCN Tel � (2) $ 7 $ 3 Property Location LZ1 301 8'E3bFe)Al> CLas- ! VUsblV_ ,�E �� ,� b M f _ Tax Map 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 &DF-C,)Rb CLO-(C , gc M 4 LOT NO. b r THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: ' 0C-iE R T'i 0n-Asi ;3k:) ( -b gF9Z Eo)t•. i DLEY, N `T' 12 r63S - T4c L N 6 !D G0 '3 1 I 'MATURE OF PROPOSED WORK : � Esrt,.MATED MARKET VALUE OF Construction of a new building CONSTRUCTION: S 15i 0bo* oc] Addition to a building " COMPLETE INFORMATION REQUIRED BELOW: "X Size of property ft x ft.Alteration to a building , "(no change to exterior dimensions} Existing Buildings( 3 ) Size ft. x ft. sed building - distance from property line: : Other worn (Describe) Pto" Front ard� f Y ft. ' Rear yard ft. Side yards ft. and ft. GROSS AREA OF PROPOSED STRUCTURE ,. If on corner, setback from side street ft. 1st Floor -- sq. ft. " 2nd Floor 4:X0 '* OCCUPANCY INFORMATION sq. ft. * Primary Building - Other Floors sq. ft. • X One Family Dwelling (not cellar or Gi oment ,. Two Family Dwelling TOTAL FLOOR AREA sq, ft. • Multiple Dwelling/Number of units Size of new structure ft x fte " Business Foundatio"ier/slab/crawl/ " Industrfal (circle on*) partial/foil ~ Other Now of stories (habitable space) 1 Height (grade to ridge) 2 b ft. * If addition, what will use bar? '�ftmlL-`j Y�'ob+nn If residential, no. of familles� • No* of rooms(excluding baths).! •NO. of bedrooms -- Accessory Building No.. of bathroonn _�Detached Garage ONE/TWO Car • Primary heating system 'E3 +�k-r> • _ .Attached Garage ONEITyMO Car Type of final �Ls< • " `Private storage building Noo of fireplaces to be Installed �" • W ill a wood stove be installed -- +► _ Other Central Air conditioning - -- OV� ER TOWN OF QUE YSBO:' 61 . 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(7 Sc - 11E(2S1o�1, a� 4=,�.�{ aiE a�lll TO Z lU INS S �'ACEj 2 . Type of heat _ c ULC719L\t 6N9 ENS0AR�b 3 , Is the building mechanically cooled ? . 1C) 4 . Percentage of area of windows and doors f ` A , over 16 % Only, 1 . U value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 2 , Floor over heat , . 1 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 8 . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions_ cE1Llti�s — R— 3 �3 2 . R value of exterior walls 3 . R value of glazed area ( b It4bovsS 4 . R value of doors o SLID- boo NaNIE 5 . R value of floors over unheated spaces R- 3 cN 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 ) g . R value of heated basement / cellar walls ( below grade ) 10 . Type of insulation 'F[Sqr.R s'� Q� )66T 4FRArn1FYG i RkQI7 fcoP(ri 6N&P, F12A/hflV� Co Controls � 5a 1 . Thermostat maximum heat setting - Do Duct Systems Woo 1 . Is duct system installed in unheated spaces ? YES a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation I . Size of hot water or cooling carrying agent pipe ' 2 . R value of pipe insulation F . Service Water Heating N 1 . Performance efficiency 2 , Temperature control setting maximum G . For Swimming Pool Only - 1 . Maximum heating Telephone No . 7"-> �.•- eo-l62- q�& 1 'Fop;, 4W�1E:.0 ( appl icaffit ignat re ) THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 .STATE STREET, ALBAN� l?F2fC 72207 FE'BRI1 _� RV 21) • .14)� 1 l ;; >00189 / I3ri ? r) 1777 Date Application . . asLe ) THIS CERTIFIES THAT 11ERN 111 ?K f3A only the electrical equipment as described balose and Introduced b naased as the above of application atnasber in thepremlae, `[R i 'IR LEO E * BOYLE ,JR . 30 NORTH ('11EJ RCH LANE , Q1'FT NsB1`Rl , Illi a in the following locution; ❑ Beeement ❑ 1 sc Fl. El Pad Fl. Section 1 n 5 Blacks Got s was examined on FEBR€ A RY .1 5 , 1 99 ] and found he in anm hence with the r i to p eguirementa of this Board. FIX TURE ECEPTACLES SWITCHES FIXTURES RANT.iES COOKING DECtfS OVENS iTiSN WASHERS EXHAUST FANS OU4JTLETS INCANDESCEM PLLIG1lESC,ENr OTHER AMT, K. w, Al1kT- K. W. T. K.w- AMT. A. W. AMT. H. P. 10 7 DRYERS FURNACE MOTORS FUTURE APPLIANCI' 1°EE!lERS SMCIAI REC`FT TUNE CLOCKS K, w RlTl UNIT HEATERS MULTI-0 UTLET DIMMERS AMT. . p4 M. P. GAS N- P, AMT, NG, A. w. G. /UNT, xMP, AMT. AMPS. TRAIiS. AMT. H. P. SYSTEMS AMT, WATTS SERVICE DISCONNECT NO, OF $ E R V I C E AlER AMT. MP. TYPE 1 ,a Yw 1 Ar 3w 3 X 3w 3 .v 4w Na. Of CC. COND. A. w. G. NG- Of HI-4EG w, W. G- 3 PER �' aP CC. COP1D. CX NI-LEG NO- OP NEUTRALS a nE11TIlAL OTHER APPARATUS: PA1) DI } f .]IIN 1. EPPTCH RI? 1 BOX 160 Cr)RFNTH RI? . U1 U V N: BUR RI. N Y - 1 " H D •1 BRANCH MANAGER [C w Per X This certificate must not ba oitered in any manner. return to The office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS CO ER E ST AL T E RED IN AN R. TOWN OF QUEENSBURY BU 'LQING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYX TOLEPHONE (58 Y ORK 17 ) 792�5832 � d�, . S I�UILDING INSPEMR' S REPORT pbVUEST FOR INSPECTION RECEIVED NAME LOCATION PERMIT #` � DATE C > r�. �. �.� - ' APPROVED YES NO FOOTING/PIERS MO,NOLXTHXC POUR IN�— FOUNDATION/DAMP- BACXF'ILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROU -IN INSULATION: FOUNDATION FLOORS WALLS cEXLING \FINAZ XNSPECTIO CHIMNEY HEIG ROOFING SIDING EXTERNAL F2CHES/ EPS STAIRS- RANCE & RAILS lima awl INTERS R TRIM/PRIVACY DOORS FINISHED FZ!_7ORS s.r., - FINAL ELECTF XC.AL INSPECTION FINAL APPROVAL OF CONSTRUCTION OK TO ISSUE C/o OR C/C A SIGNED CERTIFSCATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUXLDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! � " JD ri ARRIVF.I all c INS R TOWN OF QUEENSBURY BU,TLDING AND CODES DEPARTMENT BAy 6 HAVILAND ROADS QUEENSBURY, NEW YORK 128016 TELEPHONE ( 528) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED., NAME LOCATION jo PERMIT #� DATE ' APPROVED YES NO FOOTING/PIER MONOLITHIC PO . FORMS NG FOUNDATION/D P_ BACKFILL APPR VAL�.� ROUGH PLUMBIN FRAMING ELE TRICAL ROU H-IN -�- SULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION - CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ T PS STAIRS-C'LEAR.ANCE & RAID_- -� PLUMBING FIXTURES LIEF VALVE XNTE'RIOR TRIM/PRI A DOORS FINISHED FLOORS GARAGE FIREPROOF NG� �- DOOR CLOSER(S) ----`- SMOKE DETECTORS FINAL ELECTRICAL NSPECTION��_�_ FINAL APPROVAL O CONSTRUCTI6N A SIGNED CERTIF ATE OF OCCUPANCY MUST BE OBTAINED FROM T E 15 DING DEPARTMENT BEFORE THESE PREMISES RE OCCUPIED! REMARKS: . l r qL INS ECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY/ NEW YORK I .280¢ TELEPHONE (5I81 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTIONRECEIVED - NAME LOCATION DATE r .%rj PERMIT #19 ` Cr�'/ APF"RC7 (- •�" NO S NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATXON/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING ING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL .INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESf EPS'_ STAIRS-CLEARANCE A RAILS PLUMBING FIXTURE /RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOOR GARAGE FIREPR FIND DOOR CLOSERS SMOKE DETEC S FINAL ELECTRIC L INSPECTION FINAL APPROVA OF CONSTRUCTION A SIGNED CER IFICATE OF OCCUPANCY MUST B� OBTAINED FRO THE BUILDING DEPARTMENT B+E'FORE THESE PREMISES ARE OCCUPIEDI' REMARKS : r SPECTOR TOWN OF QUEENSBURY / o l 7 1UILDXNG AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYr NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INS CTION RECEIVED NAME LOCAT rO//N / DATE /0 /a5 . PERMIT # APPROVED YES No FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELF TRSCAL ROUGH--IN SULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHESISTEPS STAIRS-CLEARANCE Q RAILS PLUMBING FIXTURES,JRELIEF VALVE -INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSERS) ' SMOKE DETECTORS FINAL ELECTRICA.. . INSPECTION FINAL APPROVAL OF CONSTRUCTION r 1 A SIGNED CER IFICATE OF OCCUPANCY MUST BE OBTAINED FR THE BUILDING DEPARTMENT BEFORE THESE PREMI ES ARE OCCUPIED! REMARKS: Poo I NIP OF INSPECTOR "O*erw JUL TOWN OF QUEENSBURY C Pxsop BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS (dUEENSBURY, NEW YORK 2 2$pg. G' TELEPHONE (5� $) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION RECEIVED NAME — LOCATION 7G BATE ^j PERMIT #Milli /� s✓ ,a �� + APPROVED I ' dete , YES NO TING/PIERS .� MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOF X NG BACKFILL. APPROVAL ROUGH PLUN NG x..pf"RAMING 4w ELECTRICA ROUGH—IN -NSULATIO FOUNDATIO FLOORS WALLS CEILING FINAL INSPECTIO CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PO HES/ TEPS ,STAIRS—CLE RANCE & RAILS PLUMBING IXTURES/R LIEF VALVE INTERIOR TRSMIPRIVA DOORS FINISHE FLOORS GARAGE FIREPROOFING DOOR SER (S) SMOK DETECTORS FINAL LECTRICAL INSPECTIO FINAL PPROVAL OF CONSTRUC ON A SIGNED CERTIFICATE OF OCCUP CY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED1 REMARKS: 43 I SPECTOR YOU ARE HEREBY REQUESTED TO INSPECT AND ISSUE CER77FICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED r TEMP. # DATE Cm'OR VILLAGE .r r .-. --l^�. l^ r ] may „ �QU_ T]MT15JiR' rz STREET ANDG N OR ROADLSD Cy1 ; �. ` A �+.�• f ` 3a I1�OA7 �YAv7 �� Awl W •POLE NUMBER BETWEEN WHAL TWO CFIO$S STREETS IS PREMISES LOC'ATEDT SECTION .-.. BLOCK Lpr OCGUPAN7'S NAhIE euILOING CVPANCI' rvtFS - � i'i aI;. i9c %-et.*Lrco - �1R S f31CSIDENC +e OWNER'S NALf AND ADDRESS U'^MBER Ng7I TE1. N — 5 6B 5t,n'E n5 h�U � lGJ1fV7 ..l CURRENT SUPPLIED BY WORK TTE�LEPHCNJE NVFL FROM THEIR` � - OFFICE BUILDING 1S NEW ❑ OLD �',1" WORK IS NEW ❑ ADDITIONAL DEFECTS REMOVED O LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLEC7 NUMB€R OF OUTLETS No. of Fixtures A MOTORS HEATERS BRANCH OFFICE USE Lamp Receptacles CIRCUITS Lion Skle h,t ONLY Ceiling Wall Recap'Is snatch Perwarn Bracket No. Type Each ND. Each No. Gauge INSPECT OUT. SIDE SUB- RASE BASE- MENT Tet FL, 2nd FL. 3rd FL. REMARKS: LIST OTHER ELECTRICA DEVICE OT SET FORTH ABOVE. k S GF d 1 r4< E l # CE ik-G. - ?.M AS 1� c O `� 1 1 tstsxC��► . " �I+� b va�.c� iti�[ ceRc� ►SS EXIS�t ' �,- II`s3A1ta S� rawE� THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED, BUT IF AT TIME OF INSPECTION. THERE IS FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED, YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER THE ADDITIONAL EQUIPMENT, AS PROVIDED BY THE APPLICANT. SIZE OF MAINS FEEDERS ELE 7rRIC SFG"SH..AMPS TOTAL 4uAl-IS CHARAC:'1"ER i]F NKYRK f❑� EXPOSED Gs.TUBE SKIN EFIANSFORMERS# yA OONCEALED C40'E WORK TO BE STARTED DAFE COMPLETED SIZE OF SIGN (NUMBER) CAPACIr SERVICE ENTERS BUILDING MANUFACTURER OF SOON Q OVERHEAD ❑ UNDERGROUND f DATE INSPECDON REQUESTED ON{OR AS NEAR AS POS&BLEI .�, mm "U111111111111111111111 ► I I I I I I ARM DEI "S NY QW11ING FULL AM A=URATEItwFORIIIIIATION. Au s FB L BD IN QA APM1rAY RETURNEfl- PRiNT NAME AND ADDRESS NAME OF APPLICANT OF L CATION e.w h p,D 7- e P PW,% 4 rrbR o W F� R I ( a �C5 STREETADDRESS�:% 4+ 3 b0, �� N� N k u 4 TELEPHONE CITY OR FK)O FFICE , 8 '1{ riY ,n LICENSE NO, WHEN APPLICABLE El 85 John Street C7 41 State Street ❑ 570 Defaware Avenue ❑ 217 Lake Avenue LJ 202 Arterial Fload NEW YO RK, NY 1DD3$ ALBANY, NY 12207 + BUFFALO, NY 142021 ACICHESTER, NY 146M � SYRACUSE, NY 13206 THE NEW YORK BOAR© OF FIRE UNDERWRITERS