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CERTIFICATE
: .. TOWN OF QUEENS U
WARREN COUNTY, 'NEW YORK
Date
arch 24. 19' 2 '
This is to certify that work requested to be done as shown by Permit No.
has been'completed.
This structure'may. be occupied as a single fami l Y dwelling
r� • (alterations" included new windows only)
)
— . . L). Stevenson Rd
i. Location
MARK A. BROWN
Owner
By Order Town Board
s TOWN'OF QUEENSBURY
Director of Bldg. & Code Enforcement a
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BUILDING PERMIT
TOWN OF QUEENSBURY No. qQ_652
WARREN COUNTY, NEW YORK
MARK A. BROWN c'
PERMISSION is hereby granted to
Stevenson Rd
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a alteration to dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and IV
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
Star Route Box 147
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name
self W
0
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
co
0
X
6. TYPE of Construction— (Please indicate by X)
V
(x I Wood Frame ( ) Masonry ( )Steel ( )
cn
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CD
7. PLANS and Specifications
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No. Alteration to dwelling to include new windows as per plot plan, o
apsecifications and applicaiton.
8. Proposed Use
New windows
$ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 1 19 91
(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.) —S
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Dated at the Town of Queensbury this 1st Day of October 19 90 0
SIGNED BY Ct%+%t_al `�`Gi11� for the Town of Queensbury Q
Building Inspector
rD
TOWN OP QUEENSBURY
REVIEWED Y
. 1�, FEE PAID $
g PERMIT NO. �(�-45;
BUILDING PERMIT APPLICATION
•
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.
• • • • • • • • • • • * • • • • • • • • * * • • • • •' • • • • • • • • • • • • • •
The_owner of this property is: Ak.P:t A' k, tzi (0cA-t-iN.)
P.O. Address I:i /CI `� . " _ � i` Tel. r'ig
Property Location 5-- ® n
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 NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: • ESI'IMATED MARKET VALUE OF •
Construction of a new building • CONSTRUCTION: $ 3rJtrp
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
* Size of property ft x ft.
ic 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 ft.
•
Side yards ft. and ft.
•
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 AREAsq. ft. • Multiple Dwelling/Number of units
Size of new structureft •x ft. ' . Business
.Foundation-pier/slab/crawl/partial/full ' Industrial •
(circle one) • Other
•
No. of stories (habitable space) •
Height (grade to ridge) ft. ,l If addition, what will use be? .
If residential, no. of families •
Noir of rooms(excluding baths) • 'Accessory Building
No. of bedrooms ' __Detached Garage ONE/TWO Car
No. of bathrooms •
Primary heating system • _Attached Garage ONE/TWO Car
Type offuel ' _Private storage building
No. of fireplaces to be installed '
Other
Will a wood stove be installed
Central Air conditioning '
OVER
BUILDING PERMIT APPLICATION‘CONTINUED -
BUILDING SPECIFICATIONS:
Tape of constructio , wood fram ire safe. etc.
Will any second-hand or upgraded,lumner be used? If so. for what? •
0
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 portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of root- sloped/flat/shed/other Material of roof
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 of what material?
Interior wall finish -
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,
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)
•
NAME OF BUILDER ADDRESS TEL. NO.
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN ADDRESS TEL. NO.'
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 by the owner.
Signature
O ner, owner's agent, architect, contractor
SPECIAL 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 Dwellings;
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - 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% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R L3,3 kgO
B. Exterior Walls /61 3 a" * 3/Y 64 te 45' 1 25 19
C. Glazed Area R 2; 5 IS
D. Exterior Doors R 2.5 2.5
E. Floors over unheated spaces R 25 Iq
F. Edge of. Slab on Grade (Heated Building) R (_ II
G. Basement/Cellar Walls (Above Grade) R 25 19
H. Basement/Cellar Walls. (Below Grade) R I __II_
I. Heating/Cooling - Ducts - Piping in Unheated Space R 41-. , 4 6
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
9,4etAiL
A PLI"CANT'S SIGNATURE DATE , .TELEPHONE NUMBER'
INSPECTOR'S REMARKS:
REVIEWED BY
j
owvLoQtteerdZIti'y BUILDING & CODES DEPT,
THE PLANS SUBMTED HAVE BEEN REVIEWED AND
HAVE BEEN FOUND TO LACK SUFFICIENT DETAIL
FOR-- PROPER PLAN REVIEW.
WE REALIZE THAT ENGINEERED DRAWINGS ARE
NOT EASILY OBTAINED AND SOMETIMES NOT RE-
QUIRED . WE HAVE ISSUED THIS PERMIT WITH THE
FOLLOWING STIPULATIONS :
1 . THE WORK WILL BE INSPECTED AND MUST CONFORM
TO ALL PROVISIONS OF PREVAILING CODES .
2 . IF DEFICIENCIES ARE FOUND THEY MUST BE COR-
RECTED BEFORE WORK CONTINUES .
3 . FAILURE TO COMPLY WILL RESULT IN REVOCATION
OF THE BUILDING PERMIT
Cod Enforce ent Officer
9/c2Ød
Date
Building Permit #
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED - '.
TEMP.A 'DATE 6/L f ' f/t% -J/�
CITY OR VII I ACE TOWNSHIP
} COUNTY
STREET AND NO.OR ROAD / POLE NUMBER
jj
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S NAME BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER _
I I../ 7I I.., `I I f 17 . - .-a i ?i �
CURRENT SUPPLIED BY FROM THEIR OFFICE WORK TELEPHONE NUMBER
!'1 1 I.I)
BUILDING IS
NEW❑ OLD❑.,�' WORK IS NEW❑---- ADDITIONAL❑ DEFECTS REMOVED❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MUIORS HEATERS BRANCH OFFICE USE
Loca- Lamp Receptacles CIRCUITS ONLY
Lion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
OUT-
SIDE
SUB-
BASE
BASE-
MENT
1st
FL.
2nd
FL.
3rd
FL.
REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE.
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 ELECTRIC SIGNS/LAMPS TOTAL WATTS
CHARACTER OF WORK ❑ EXPOSED GAS TUBE SIGN/TRANSFORMERS OF VA
❑ CONCEALED
DATE WORK TO BE STARTED DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY
SERVICE ENTERS BUILDING MANUFACTURER OF SIGN
❑ OVERHEAD ❑ UNDERGROUND
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) DENT F CATION NUMBERS
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAfV E AND ADDRESS
NAME OF APPLICANT / DATE OF APPLICATION , SIGNATURE OF APPLICANT .I
I i '- r. ,✓ X r /,
STREET ADDRESS - . -,_. TELEPHONE NO.
.' J
CITY OR POST OFFICE ZIP CODE LICENSE NO.WHEN APPLICABLE
❑ 85 John Street 1241 State Street .b 570 Delaware Avenue ❑ 217 Lake Avenue Ei 202 Arterial Road
NEW YORK,NY 10038 ALBANY,NY 12207 BUFFALO,NY 14202 ROCHESTER,NY 14608 SYRACUSE,NY 13206
(212)227-3700 (518)463-2122 (716)884-1155 (716)254-0141 (315)463-8552
TI-IP M l VI vnRK RnARn nF FIRF I INnIRWRITFRS
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•
' t TOWN OF QUEENSBURY 1,: }
Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832
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. 01./.11146. , )79 . ./;1619d .
RE. Tax Map # . . ..,U. — 41/- Z �;.,
Building Permit # . ?a - G.5z
.
•
'. Dear /it/ �/ � x
The inspections for the building permit indicated above have been completed s
by this Department.. . However, the final electrical - inspection has not been '
- made, or if it has, we have not received an• indication of this . from •the , : } �
electrical inspection agency to whom you applied. 7 `' ' r ';
Please • contact ' your contractor,, or the electrical inspection agenoy. ; s' ;
representative .for this area,' " list attached;. to finalize this inspection as;;RA 4iV
soon as possible. A Certificate of Occupancy or Certificate Of Compliahce,J{ { rf 1
cannot be issued for this project until such time we receive this notification;- ; ,„ n, , 4 .
, and therefore, the dwelling, addition, garage, . etc. for which you applied, "`
cannot be -legally used in the Town of- Queensbury. .
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�' I ,a ` y
We anticipate your-cooperation in: this matter ... : g , z
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Very truly yours, € } 'i �
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tppa a3 xr ' E
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BUILDING & CODE ENFORCEMENT% •
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"HOME OF NATURAL BEAUTY. . . A GOOD PLACE TO LIVE" - =�' r
SETTLED 1763 h
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TOWN OF QUEENSBURY /�
531 BAY ROAD "`JJJ CCCttt
,;, ;' QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 7,
NAME /41/ a-ii d-
LOCATION r
0 Beyc l 2 [J/t'o es�„ £1
DATE VO PERMIT# ?G -as/Z
TYPE OF STRUCTURE /i d 1. `17, i,f�l ,,7
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
RfuGH PLUMBING FINAL ELECTRICAL _SEPTIC
vINSULATION WOODSTOVE/FIREPLACE
REMARKS SeP Lc;J 7z' Al
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING ,/
SIDING /
DECK/PORCH/STEPS/RAILINGS 1/
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK _
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED ✓/
STAIR CLEARANCE/RAILINGS r/
HANDICAPPED ACCESS _
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING `.
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE,,,REQUIREMENTS
FINAL ELECTRICAL /
OK TO ISSUE C/O OR C/C t/
9
COMMENTS:
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iCitra-
ARRIV
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DEPART
Of INSPECT
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801. / 7(--
•
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED / A��d
NAME //�t(/! - \= /_
LOCATION 4 /• 7 7/I/.P..e-� � ; k
DATE /Q/1//96 PERMIT #
APPROVED'
YES NO/
FOOTING/PIERS
MONOLITHIC POUR FORMS {° r
FOUNDATION/DAMP-PROOFING I •
BACKFILL APPROVAL
ROUGH PLUMBING • f
FRAMING j '
ELECTRICAL ROUGH-IN l • • ,l
INSULATION:
FOUNDATION • /
FLOORS N . .1
WALLS /
CEILING
FINAL INSPECTION: /!
CHIMNEY HEIGHT /
ROOFING / •
SIDING • /
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS y
PLUMBING FIXTURES/`RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS /
GARAGE FIREPROOBING
DOOR CLOSER(S) 1
SMOKE DETECTO S
FINAL ELECTRICAL INSPECTION
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!}
• 1
REMARKS , S , ' _j __ eye, ,tt � '
•
•
ARRIVE 1-"" /
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DEPART/ 3-5
• / INSPE'TOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
i
REQUEST FOR /INSPECTION RECEIVED
NAME %�I /Z �j /J�
LOCATION �I i47 — } ,e41€ KJ
DATE "7> PERMIT # gD'10 �
a-�jqe AP,PROVED
Y S NO
FOOTING/PIERS 1
MONOLITHIC POUR FORMS 1 l
FOUNDATION/DAMP-PROOFING!
BACKFILL APPROVAL fII
ROUGH PLUMBING
FRAMING 1
ELECTRICAL ROUGH-IN g
INSULATION:
FOUNDATION
FLOORS . . .
WALLS ( fri.1.41 S
CEILING • 1
FINAL INSPECTION: g'
CHIMNEY HEIGHT ,+/
ROOFING .
SIDING I
EXTERNAL PORCHES/STEPr
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS //
GARAGE FIREPROOFI G E
DOOR CLOSER(S) C
SMOKE DETECTORS t
FINAL ELECTRICAL 1rNSPECTION
_.FINAL APPROVAL 17 CONSTRUCTION
- OK TO ISSUE C/9 OR C/C f •
4
A SIGNED CERT FICATE OF OCCUPANCY MUST BE
OBTAINED FRO THE BUILDING DEPARTMENT BEFORE
THESE PREMI ES ARE OCCUPI4 D!•
I
REMARKS: k
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. ARRIVE 1,
DEPART 3. 7e
a6e*'-I
• INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME y/'
LOCATION I//,e,, P% /472 X i/_,4 4 r>.�/ i
DATE` , G�I 17. PERMIT # 9U-( 5
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
16e� u � � da
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ARRIVE
DEPART
MSPECTOR
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OF QUEEN'SUY
AtruzMr
BUILDING CO' E DEPT„ .
0,=--- FILE COPY
REVIEW ED BY
,PATE - qh.
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