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1989-790 " '9L a r � fj �CERTIFI 1 CDAF C]CCUP.tA1NC I TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK 1 1 Date J nuary 17 14 91 "i�6 l This is to certify that work requcst*d to be dune as shown by Permit No. +a_ I has been completed. This structure may be occupied as a Addition - In One Family \ Wi 1 dwood Place Uwmdon j Loren & Jean Blackburn 4 Soy Carder Town Bard TOWN OF QUEENSSURY � suadi a & zoning inspector k I BUILDING PERMIT TOWN OF QUEENSBUR'Y No. Ra_ an WARREN COUNTY, NEW YORK .cam PERMISSION is hereby granted to I orr3n & Joan Rl acYburn OWNER of property located at wi l A ood Place Street, Road or Ave. in the Town of Oueensbury. To Construct or place a Addition to 0 at the above location in acgordance to application together with plot plans and other in rmation hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1al--o t. OWNER'S Address is t�'a Star Route Queensbury , N . Y . 12804 z J 2. CONTRACTOR or BUILDER 'S Name �-- CJ CD CD r2w 3. CONTRACTOR or BUILDER 'S Address L, 0 4. ARCHITECT'S Name 5. ARCHITECT'S Address CL b O CJ. b 6. TYPE of Construction — (Please indicate by Xi u CD m ( ) Wood Frame ( ) Masonry ( ) Steel ( 1 7. PLANS and Specifications No. 24 ' x 28 ' Addition to one family as per plot plan , specifications , and application . S. Proposed Use y GL Addition To One Family a 25 , 00 Fireplace $ 56 00 PERMIT FEE PAID — THIS PERMIT EXPIRES May 1 19 XX 4n {If a longer period is required an application for an extension must be made to the Buiiding and Zoning inspector of the O town of Queensbury before the expiration date,) rp Dated at the Town of Queensbury this 5th Day of Octnhimr 19 _ SIGNED BY �� for the Town of Queensbury Building anal Zoning Inspector TOWN O! QUEEINSBUR Y Ft E VTE W ED BY �.�_.., TIO � � 5 ewe FEE PA c � PERIMW No. BtFMDING PERMIT APPLICATION oc`l BLDG. COO" DE-PT. A PgRNW MUST BE OBTA.Ii'ED BEFORE BECE NWMG CONSTRUCTION_ NO DISPECTIONS WILL BB MADE UNTM APPWCANT HAS RECEIVED A VALID BUILDING PERMIT. All applicants spaces on this application MUST be completed and the signature of the applicant MUST appear on the reverse side of this application. i/ • * ■ • • * ♦ * * * * * nr s w w * * * * * * w • * rU • ■ rM * * * ♦ ♦ s * r r The owner of this property P.Q. Address Tel. Property* Location Tax Map No. Has there been any split of this property since October 1 . 1988 ? { If yes Planning Board Review is necessary . yes no SUBDIVISION NAMEv IF APPLICABLE LOT NO. s THE PERSO$ RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: * NATURE OF PROPOSED WORK . Esrv,MATED MARKET- VALUE OF Construction of a new building CONSTRUCTION: $ 000 'Addition to a building ' COMPLETE INFORMATION REQUIRED BELOW: * Size of property ft x ft. Alteration to a building " Existing Buildings( 3 ) Size ft. x ft. (no change to exterior dimensions) ` Proposed building - distance from property line: (Other work (Describe) " 'Front yard ft. Rear yard to Side yards fto and ft. GROSS AREA OF PROPOSED 'STRUCTURE If on corner, setback from side street ft. lst Floor ✓ sq. ft. * OCCUPANCY INFORMATION 2nd Floor sq, ft* * Primary Building Other Floors s * One Family Dwellingq. ft. . . (not comer 4 a� en"basm, . Two Family Dw*Uhlg TCMA %. � A2XA.4 ' _SW ft- nrlr$tiplr o! awns ;gse ar! trar«r str r�r ft • 8w,.inr�. Koo. at - gem Iss Tag" Neil" (6rrade to e14d") ft . ,. 1f aaelwd j&Q", reW W JU wo.,bej . j;0� 7 If raMe#dseetWo ns6 of No* at rAwtat(oxcbmAMg bears) / • —��• .�•.�•• Nos at r _ l�.taclr.a xr�o Care Noeart butlrroro.�s� Type of rkmk� * PN Vate storage WOO* No* of fbi episcas to Or lnstailled Will a wood stove to instsued * O� ••.—" Cant:al Air conditioning OVER 3 (: fLD [VG PE� R '.IIT APPLiC -\ TicDN c0 \; 7 ;ZNr E� 2 BL'iLD [NG 3PFCiFICATIONS: Type of construction, wood frame, fire safe. etc. Will any second-hand or upgraded lumber be used? If so. for what ? Foundation wall material n Thickness f Depth of foundation below grade (to bottom of footing) _ Will there be a cellar ? ZZd/ Heated or unheated? - '�' ' _ r^ .� �,r.Y� �+ p� f Floor sq, footage'�_'q ft . Will there be a basement ? ( r/?L,//`WiIl any portion be (If so, what portion? sq ft. Tape of use ? used as living space ? /r/d Type of roof - o d flat/shed/other Material of roof_ t ,i, �t y1r Size, wood studs 'r "x ram" spacing '" o. c. length , ' r ft. - Joists (floor beams)ow 1st floor 2 "x e5P " spacing AG ^o,c, span.�ft. Joist (floor beams) 2nd floor."x '" spacing "o.c. span ft. Overlays (ceiling beams ) IT „ spacing " o. c, span ft.Roof rafters "x " spacing a. c. span ft. t /� '� (52 Roof trusses (pre-engineered) spacing" o. c. span ;2- 4�1 --f Exterior wail finish "� / of whet material? Interior wall finish !' If a garage (s to be attached, describe materials to be used for FIRE SEPARATION: Is there to to an opening between garage and dwelling? If so will a Fire-rated door, enclosure, self-closing device be provided? Will aflue-lined chimney be installed? _ _ .. y Height above roof. '4;QJ711 " �� ' ft. Depth of chimney foundation below grade �1 ft . / Depth of fireplace hearth ft. in. Water supply Municipal or private well ,' / �h� 7� 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 BUILDER a `"'7 r ADDRESS ti L. ,�„Z__. NAME OF PLUMBER ,Ar t ADDRESS G� L. NO. G' !r5r- NAME OF MASON ADDRESS TEL. NO. NAME £1P ELEOTPtrrGlh - ADDRESS �,. . TEL. Ta tho beat ad MY b OW08 41000 a" bemot the stag Mmats, cawta wb" irk this awwdw� tagetbw urn the Pftm seed spree e "� suft' oftftr ea sew a trap +arid coee~ee stoleeer em at an proper work tea bI w afpm ere 'thee described Pf"Ofnisaa awed that all provisions of the BUTLOING CODE. THE ZONING ORDINANCIg, and all other laws Ver t4in ri to tee preposad work shall be coMplied with, whoUNw spesCiflad or net, and that such work Is AuthorlaW by the! owner. Signatures xPECIAL CONDe'r OOM Orr TH! let:llNMA- BY Town of QUE - 45BUR 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 f loor area � / � 15: � --- r 2 . Type of heat ,&ZZ?/04- ca"�-ZZ r - 3 . Is the building mechanically cooled7t1>1 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 heat - ) spaces YES NO a . Are foundat on walls insulated ? '� NO 1 . If YES , what is the R value ? 3 . Slab on grade YES NO a . If YES , wj% - 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 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 4 . R value of doors ' 50 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 wails ( above grade ) 9 . R value of heated basement / cellar walls ( below grade ) 10 . Type of insulation 41 r` C . Controls 1 . Thermostat maximum heat setting a . Duct S stown 1 . Is duct system installed in unheated spaces ? YL No a . If YES . R value of duct installation b . R value of duet 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 10 maximum heating Telephone no . ( applicant ' s signature ) MIDDLE DEPARTIYI 0,H AGENCY, INC. yq- '7 , y�]we"'T HNsP ' + r,� Data 'Y 209 1990 (Certifies that I # yi$al •ulpment listed has been f e approved as being in accord with the National Elect ,applicable governmental, utility an s. Owner: Loren Blackb 414 P occupant: Same +1 y Location: W i ldwood. PI , QL a na ar it to � tpmem and meta faiton inspected this date- it additienaf t be introduced or riteratione made to axistino system tht be null any void, and application for 23 Outlets 1,�C ta.c le s y inspection should sub it p fly to this Agency- Equipment: a U SPLIEM O M MS101dar of this ca fiesta Id ni same to him property insurance "friar •� oponi or com y) as ari a ifiC000n Of electrical aq uipmant appraved as specified. / r ,Tack Watkins Apptrcant: ktD 2. Sax 50 - - -` f O . I6-031219 Corinth, NY 12822 For his. TM EL t I" - TOWN OF QUEENSBURYf1� BUILDING AND CODES DEPARTMENT ! BAY & HAVILAND ROADS QUEENSBURYs NEW YORK TELEPHONE (518) 792-5832 /v % BUILDING INSPECTOR ' S REPORT REQUEST rpo INSPECTION RECEIVED NAME LOCATION ry DATE IhSi :!/` 4+ 1 PERMIT # T APPROVED YES NO FOOTINGIP ERS MONOLXT'HI POUR FORMS FOUNDATION DAMP—PROOFING BACKFILL A ROYAL ,}(ROUGH PLUMB G rRAMI NG ELECTRICAL R GH—IN kiNSULATION: FOUNDATION FLOORS WALLS ! 1le? CEILING FINAL INSPECTION. CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES EPS ,STAIRS-CLEARAMC & ILS PLUMBING FIXTUR SIR LIEF VALVE INTERIOR TRIM/ RIVAC DOORS FINISHED FLOC? GARAGE FIREPR FING DOOR CLOSER ( ) SMOKE DETECT RS FINAL ELECTRI L INSPECTIO FINAL APPROVA OF CONSTRUC ON u A SIGNED CE TIFICATE OF OCCUP CY MUST BE OBTAINED F M THE BUILDING DE P TMENT BEFORE THESE PREM SES ARE OCCUPIED! REMARKS . J. r �' INS ECTOR TOWA OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY dF HAVILAND ROADS" ��� QUEENSBURY, NEW YORK 12804- � �2 TELEPHONE (518) 792-5832 d �� w IN INSCTOR` S4REPClRT REQUEST INSPECTXON RECEIVED NAME LOCATION it u ►6j r� DATE . PERMIT # 15 ! 1 o ��---- APPROVED YES NO FOOTING/PIERS MONOLXTHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACK ILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: / CHIMNEY HEIGHT Y' ROOFING SIDXNG EXTERNAL PO HES/STE S STAIRS-C NCE & ILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS _ GARAGE FIREPROOFING DOOR CLOSERS) .SMOKE DETECTORS FINAL ELECTRICAL XNSPECT.ION FINAL APPROVAL OF CONSTRUCTION _ OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTA.1rNED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPXEDI REMARKS: f ARRIVE I N EACTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QuEENSBURY, NOW YORK ] 28 L1$ TELEPHONE (51 8) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME - LOCATION DATE PERMIT #Zry / G� Y APPROVED YES NO FOOTING/PIERS Y MONOLITHIC POUR FORMS ,,-tbUNDATXON/DAM PROOFING z -BACKFILL APPROVA ROUGH PLUMBING ARAMI NG ELECTRICAL ROUGH-IN : INSULATIONz FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION CHIMNEY HEIGH ROOFING SIDING EXTERNAL POR HES/STEPS STAIRS-CLEA NCE & RAILS — PLUMBING FI TURES/RELIEF VALVE INTERIOR M/PRIVACY DOORS FINISHED F RS GARAGE FIR PROOFING DOOR CLOS* (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION __.. FINAL APPROVAL OF CONSTRUCTION U A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT .BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS; INSPECTOR TOWN OF QUEENSBURY XtA BUILDING AND CODES DEPARTMENT XA BAY & HAVSLAND ROADS QUEENSBURY, NEW YORK 1280& TELEPHONE (5I8) 792-5832 3d BUILDING INSPECTOR' S REPORT �o 3 S REQUEST FO�RyNSPECTION RECEIVED NAME LOCATION ? c' DATE /f:7I PERMIT ##_ APPROVED YES vlio DOTING/PIERS MONOLITHIC POUR FORMS FOUNDATXON/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCH S/STEP STAIRS-CLEARA E & RAI PLUMBING FIX RES/BELIE VALVE INTERIOR TRS /PRIVACY DO�RS FINISHED F RS GARAGE FIR ROOFING DOOR CLOSE (S) SMOKE DETE TORS FINAL ELECTR1TCAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! ,REMARKS: Uti INSPECTOR • + y, 11, ell National eadquarters _ - �� 9MUdddon'A City. 'Down or Township d*r+a' -.County State } Location I Aeda.: Alf Located in Rural Area - Pleaw Attach Directions): pie O ti : ,e . Occupled As y g .yam �73 F Wino d Niv ` do Occupant W An3a in. Build-.. Fioior �, etic. c-- .p#or:aiWw lrrin Service _ or: .. ,„rr• - Re - . for !n i�EtSar : .. ._ � .' w .*��-� q ' lee Remitted 4' s - �. {_... _ .�rE k.. ;' Cash- Check ) E J i _ + '° • _ •aoo :7sP 1+0 se4ao ,gse R 4aSo :-r Number. of vwTIh�r +dut'lets Elect, Heat do SWite 'L�fxttn ! t.. _ a tw.d s 41u1uR-_ ` t - iie , it __—.� -- Raosptacle§ dd� d: �diNalk He or f— � '^,^AIr:[ s►Iecditloner F r+�t�ac �,;, �^�►ufilfi . - . '4':': w . .:trr :rti1. Wiring and Controls for Burner- � 1111l� , I %d"I Hif, Vent 'Fens' } Other Eq ' nwht: . �C ta ,t 'wC +V ,. 1NQTORS H;P, ( u* � ' .'/a 1/6 1/4 t/3 i/2 31 .1 lire 2 3 •5_ .VA 14 15 24 '25 30: A4 C40 7� ' 1E14 l4terk NurndlY L " ...1. .�T fi. _ I irf.Eagh Siza { AMans[ure s y ; rdd F. ...e.� - it R -' 4Ir 1.d +� Applicants Address: ` rdl ,I _rk"dd�L Lj.od ad j1' ­-P _d! iCItY1 Service R ... '_ Phoi '-1 - 1e, - A. �c,� E13:.. -`.V 4 . . DATE IMSPE . -u t :y.. Correct Location: Larne as Above or: *,,I', i t j1 :fin, Red Native Label . •,: : -= Hough Whin ;Cdutlets. W,r Surface tin #. Chen. . ' Ran 33 ., :. f3 leas acles �r Heate * : ;v ¢w . _ ...fi Amp. Service Equi rnent' : Burner, aft `A Cdr t s for Amjr: Am , Service Conductors Vent Fans 'MOTORS H,1 ' . 1/24 1/12 4 2 . 1/a T/4 ! / fh lb 15 2© 25 - +P4 [ ?7 9D ?LLL . Mark l`lu :. ..... ': :. : .. . :., - t.. . ._.. Sd of Each n '.'. t r ,.�: : - ' d. r .. . -M1, - - i. :,, , .. - - 'eoa. rao ioao 12e0 anoo ■seo araae 1=lect. Beat .. d} - _ Ip _ . . . :fits-s .p.,3 .�. RW Progress: lnc:'[ 'ICIi �intractor i . g,TCjl Q CFT Violation : Work Comp. �] � .. 0,. r ]vvner CASH - . L/A .. .. . . Fee CH K # ^t/A r 'I Ups { • .r. 5. - ; 1 D .rlllp}pala '•f �y b _ 3,{,. �� !. +�. 1 l.,. . p ,.�.5� . . - oe,=' 3Y�' K_'.G.. ;••: L. .. ys',�W' :..`jr Dater to 3 A LI dd i - r .i NYfi x:C`[.. F" :✓ Ji.'C : ? cut in .Card . [ fiemQpr �rs ` :=. . ?+ ' 'f.. . •W EkEif" Y = ._ - s, - .: � ..a.. 9. 'Jh#P!L:tCATtOr3 FORM No. 254� L-' 'r ".•_ . -.e t'g:- : ..-. ..++a i M+• - .. t. w ._: . . �a � a .e -.s..�.a - . .. �.r b;: t:a3 s`+�I1 be canifdesod w b did true COP41. FCffi :ndmScd ltCsu?st ;igQit� It+at ti'yS witit 1k cx• if'.ir v(f py u . raaw Ys:.Ti: ;:",c Aso " n[PY(cssiq+ut iv . :r4Cr or_. acid tltzlCttatSS stu i sv:a Ord ;.� ;;:� r.sse�: f S. TOWN iJFt1lENS$1�$ . , �. �---�._ — trtdr;0e sic • r' itimid iO'wian L 1 cox. � • _" ,,,R 4+' e• �/ t+GIs:Lsi:�".C� O� '•�7v�v"fSdttli'•• >tt Zoning Admmistrat( aI rr , .. . . _ If f frr r t �?:.ii ii.5k , . i� ttw� fi� 4r�.n'e�tf .4J � t y +J [ ✓Ate dA/F 1 /jf C . T:i DE FROM All ACT CJn BOUNDAM ES ATM * /f / {. t •.S.t L . ! �ni� 1 ..� .}�•`�' .txtr rLw'�� t. � Lila i. NO tjk66 f , iN I ; . R. TRACEV 17 tAnDuselln err t •-