1990-610 , `. '1` r.
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Data October 29 19 90
This is to certify that work requested to be done as shown by Permit No. 9®-610
has been completed.
•
This structure may be occupied as a PirltrATIPP/wAgtihi ill a to hanw��amm
Location Quaker Road
NOR.STAR, BANK
Owner
By Order Town Board
TOWN OF QUEENSBURY
et/
Director of Bldg. & Code Enforcement
.04
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-610
WARREN COUNTY, NEW YORK b
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PERMISSION is hereby granted to NORSTAR BANK
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OWNER of property located at Quaker Road Street, Road or Ave.
rn
in the Town of Queensbury,To Construct or place a Alterations to bldg.
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
Quaker Rd
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name
Ralph Underwood
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3. CONTRACTOR or BUILDER'S Address
37 Martindale Av
-Iudson Falls NY 12839
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
( ).1 Wood Frame ( ) Masonry ( )Steel ( ) '�
7. PLANS and Specifications
No. 128 sq ft Alteration to building as per plot plan, specificaitons and application.
8. Proposed Use
Entrance/vestibule of building
5.00 September 14 91
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 c
(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.)
Ot?
Dated at the Town of Queensbury this 14th Day of • September 19 90
SIGNED BY Ci AA
•
for the Town of Queensbury
Building and Zoning InsFCector
TOWN OF QUEENSBURY
REVIEWED BY VI--'.
elliiiiiiiihkhaill FEE PAID $ _ L.-_
g rNV/mile ,PERMIT NO. go-- �p i t),) IL
0 r, L V./ ',
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BUILDING PERMIT APPLICATION SEP 121990
• -.,m , 9. rrlr1E Dom-_
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL. APPLICANT 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.
• • • • •. • • • • • • • •NeR 5'7 4// +2A-A/J‹ a p p vz-• At pa• v v• • • • * • •
The owner of this property is: .err ,f-, �: '",�-,';�a /
P.O. Address, Qu akem{. /c! Ou¢e/75 4 &4 y /g/1/, Tel. ;'Y7 Yiy
Property Location 0) e v Ks lr 0 r , , / Tax Map No. C/ / //
Has there been anysplit of thisproperty ;i' nce October 1
1988? / ,.------
If yes Planning Board Review is necessary. yes no
,
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK. AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: • ESI'MATED MARKET VALUE OF •
Construction of a new building • CONSTRUCTION: $ 71-61
�J
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
• Size of property ft x ft.
Alteration to a •building • ExistingBuildings(3)
(no change to exterior dimensions) Size ft. x ft. .
' Proposed building - distance from property line:
Other work (Describe) * Front yard ft. Rear yard ft.
a ---
Side yards ft. and ft.
a
GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft.
1st Floor sq. ft. •
* OCCUPANCY INFORMATION
2nd Floor sq. ft. • ' Primary Building -
Other Floors sq. ft. •; One Family Dwelling
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA ,/ 1 sq. ft. • Multiple Dwelling/Number of units
?
Size of new structureft •x ft. ' t/ Business
•
Foundation-pier/slab/crawl/partial/full • _Industrial •
(circle one) • • Other
•
mMINMINII
No. of stories (habitable space)_ J •
Height (grade to ridge) ft. • If addition, what will use be?
If residential, no. of families •
Noe of rooms(excluding baths) ------ •
Accessory Building
No. of bedrooms
No. of bathrooms. •
__Detached Garage ONE/TWO Car
Primary heating syste - • __Attached Garage ONE/TWO Car
Type of fuel .E/�e---' --- •
__Private storage building
No. of fireplaces to be installed —" '
Will a wood stove be installed %� • __Other
Central Air conditionings '
OV• ER
• l/- 1-/_ �-7
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. ?� / z i o R, % .1.11.
Will any second-hand or upgraded lumber be used? If so. for what? ,47
Foundation wall material C.o'/ e Thickness Fr'
Depthrof foundation below grade (to bottom of footing)
Will there be a cellar? ,/70 Heated or unheated? ,,z-GATT Floor sq. footage 1 02.Y sq ft.
Will there be a basement? it/ Will any portion be used as living space? Ale
(If so, what portion? sq ft. Type of use? ,
Type of roof - sloped/flat/shed/other \-. !Material of roof �� . ps t. N j 1fIa�
Size, wood studs "x " spacing ",o.c. length , ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x " spacing "o.c: span 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 /i/I�s �y -ry of what material? j&de
Interior wall finish ✓,.0 c e ,/,o' %,/s�m artQ�,� ci
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? Aso 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
Depth of fireplace hearth r ft. in.. T
Water supply - Municipal or private well A I v N i d 1,0 e L r- �� 4/4 7":v/2:4-- 1°/
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft. 1474Ps A"1-
(A separate application is necessary for any repair or new installation of septic system)
FAME OF BUILDER �� b ati9,e4Zt4 DDRESS n-U1,3114/ TEL. NO. 7h11 '7aS''Fr—
FAME OF PLUMBER ADDRESS TEL. NO.
FAME OF MASON fqjo h A/ 'a frL DDRESS v/'Sc)/)/ /JL9 TEL. NO.` ' ' ✓7 Sri., 5— -
FAME OF ELECTRICIAN 8i.J NicAe)g5 ADDRESS Ak.05Yi i/ TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
tans and specifications submitted, are a true and complete statement of all proposed work to be done on
is described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
II other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
ich work Is authorized by the owner.
Signature
• " .Owns owner's agent, architect,eiitracto
PECIAL CONDITIONS OF THE PERMIT: -
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings '(ONLY)
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwelil g( r _1
Multi-Family Dwe 1 g °��
(3 Stories or Leis„)) ;SEp 111990
PART 4 - Design By Component Performance - Commercial Buildings - Hi-R a pestdd"n£ial
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
n�(( ,C 6 GIAk/ r'1f/�d� ee o1 _5 6- J 191 I
APPLICANTS NAME PROPERTYLOOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - /,?d dW Sq. Ft.
2. Type of Heat - Elec Base Board Other
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% Unde I7%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I,R E D
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R kgO
B. Exterior Walls R
C. Glazed Area R 2, I .'
D. Exterior Doors R 2.5 2.5
E. Floors over unheated spaces R Iq
F. Edge of Slab on Grade (Heated Building) R I II
G. Basement/Cellar Walls (Above Grade) Icf
H. Basement/Cellar Walls (Below Grade) R I II
I. Heating/Cooling - Ducts - Piping in Unheated Space R - 4 Co
6. Service (Domestic) Hot Water Heating Device •
A. Conforms to minimum efficiency per code YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED
////
PPLL NT'S NA URE DATE TELEPHONE NUMBER:
INSPECTOR'S REMARKS:
REVIEWED BY
'9
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801,
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED l d/Z1VZJ
NAME Y0 k/J
LOCATION ,h (ej'L
DATE 10/ �Q PERMIT1# • 96 6 i'
APPROVED
YES NO
FOOTING/PIERS •
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING I . •
BACKFILL APPROVAL • • • • •
•
ROUGH PLUMBING 1 ' • I:
FRAMING • I • •II
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION
FLOORS ' •i • '
WALLS
CEILING i{ fj
FINAL INSPECTION:
CHIMNEY HEIGHT ,
ROOFING • '1 •
SIDING ' . ' CA •
EXTERNAL PORCHES/STEPS . 1 . . Y
STAIRS-CLEARANCE & RAILS , 11
PLUMBING FIXTURES/RELIEF ,VAtVE
INTERIOR TRIM/PRIVACY DOORS V/
FINISHED FLOORS k' 1
GARAGE FIREPROOFING 1.
DOOR CLOSER(S) A' 1 ' V/
SMOKE DETECTORS I
FINAL ELECTRICAL INSPECION k
FINAL APPROVAL OF CONSTRUCTION ' ' '
OK TO ISSUE C/O OR .C/C! V - --
A SIGNED CERTIFICATE OF OCCUPANC MUST BE
OBTAINED FROM THE BUJILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
REMARKS:
1
ARRIVE
DEPART 4 1,
TRT D mmna
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 /61/4/1/(q6
NAME 6-1,4179i gCl-IOC
LOCATION S //,((,�le,� /�� . / `
DATE /Q//// 9O PERMIT # 9 �(�i U
III APPROVED
YES NO
FOOTING/PIERS '• •
MONOLITHIC POUR FORMS K' fp'
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING ' ' 1
FRAMING ! " /
ELECTRICAL ROUGH-IN ' 1 p`
x INSULATION:
FOUNDATION
FLOORS ;j 'WALLS
CEILING ' ' IJ , )--7jO
FINAL INSPECTION: `r
. CHIMNEY HEIGHT
ROOFING
SIDING a •
EXTERNAL PORCHES/STEPS f ;!'
STAIRS-CLEARANCE & RAILS Q
PLUMBING FIXTURES/RELIEF1VALVE
INTERIOR TRIM/PRIVACY/DOORS
FINISHED FLOORS
GARAGE FIREPROOFING / '
DOOR CLOSER(S) / t
SMOKE DETECTORS I
FINAL ELECTRICAL INSPECTION1 '
FINAL APPROVAL OF CONSTRUCTI N"
OK TO ISSUE C/O ORC/C •
A SIGNED CERTIFICATE OF OCCU A VCY MUST BE
OBTAINED FROM THE/BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
1
REMARKS: (�
•
ARRIVE g Sd
DEPART •
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 RECEIVED /0-4O
NAME 7-4
LOCATION hale / ,p3(
DATE /Q/5/ 6 PERMIT # go�/O
/��� L' / ,( n APPROVED
P�zda->I4 6 J-edq/ YES NO
FOOTING/PIERS 4
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL ///
ROUGH PLUMBING /
FRAMING
ELECTRICAL ROUGH-IN " " "
INSULATION:
FOUNDATION ! 1
FLOORS ;7 "
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING " ' \ . if
SIDING A I
EXTERNAL PORCHES/STEPS 'i §r
STAIRS-CLEARANCE & RAILS, I
PLUMBING FIXTURES/RELIEF�VA ',VE
INTERIOR TRIM/PRIVACY DOORS'
FINISHED FLOORS I\ 1
GARAGE FIREPROOFING 4
DOOR CLOSER(S) A
SMOKE DETECTORS IS
FINAL ELECTRICAL INSPECTION4
_FINAL APPROVAL OF CONSTRU'TION
OK TO ISSUE C/O OR .C/C I 1+
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
v.
OBTAINED FROM THE BUIL ING DEPARTMENT BEFORE
THESE PREMISES ARE OCc PIED!•
•
REMARKS: 't,
\{,
•
tF
ARRIVE jot
DEPART /p- �� -
/ INSPE OR
RALPH UNDERWOOD - BUILDER
�, P.O. Box 172
Nogs/ Y �� r n/ ci HUDSON FALLS, NEW YORK 12839
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