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89-836 CERTIFICATE OF d C=%fPw% Y PAN _I.Y I TOWN of QUEENSBURY I WARREN COUNTY, NEW YORK � Hate March 15 _ 19 91 � $9- 836 re 4 'Chia is to certify that work quested to be done as shown by Permit No, j i has been completed* to bgilding to a fami7v ranm_ This structure may be occupied as a JLlalteration — "'" Sherman Avenue Chvner Glen J . Raci cot By Carder Town Board i i � TOWN OF gtaggNgBURY j Director of Bldg. Code Enforcement i BUILDING PERMIT x TOWN OF QUEENSBURY � No. ACI_836 WARREN COUNTY, NEW YORK o PERMISSION is hereby granted to GLEN Ja RACICOT t OWNER of property located at ] g7 Sherman Avenue Street, Road or Ave. +� w ry in the Town of Queensbury, To Construct or place a n a1 terati on M) 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. t . OWNER'S Address is SAME 2_ CONTRACTOR or BUILDERS Name c-7 r-y tD O 3. CONTRACTOR or BUILDERS Address W r rn 4. ARCHITECT'S Name 5. ARCHITECT'S Address r . aS� 'V t!f 6. TYPE of Construction — (Please indicate by X) m'1 I}( I wood Freme I ) Masonry I ) Steel ( 1 A 7_ PLANS and Specifications m No. 128 sq . ft . alteration to building - enclosure of porch ` B. Proposed Use Alteration to building * r*1 p r— $ 4 . Q0 PERMIT FEE PAIL] — THIS PERMIT EXPIRES May 7 s t9 9U v (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Clueensbury before the expiration data.) O Vo r- 890 Dated at the Town of Queensbury this Day of fjr%tnhPr 19 SIGNED BY for the Town of Queensbury Building and Zoning nspector TOWN OF QUEENSBURY REV-rEWED BY , �J FEE P A M $ `,�" "-©yam �/ N OP PERMIT Nd. �I1r� BUILDING PERMrr APPLICATION 9 c4t jr�eLo� c 'rgsa Qb� A PERURr MUST BE OBTA12WED BEFORE BEGINNING CONSTRUCTION. NO I'NSPECTIt WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT. A11 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; c" U E N R oc!i; P.O. Addressy 2 3 (- (:Nk N3 A V Tel. 91 Property Location Tax Map No. / Imo' I2.;. 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: w - NATURE OF PROPOSED WORK : ES r,MATED MARKET VALUE OF r Construction of a new building CONSTRUCTION : S %04 (c)C7Ca COMPLETE INFORMATION REQUIRED BELOWO Addition to a building " Size of property ft x ft. XAlteration to a building ' Existing Buildings( 3) Size ft. x WOONOOftm (no change to exterior dimensions) Proposed building - distance from property line: Other work (Describe) WON, " Front yard ft. Rear yard ft. w • Side yards fto and ft. GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street it. 1st FloorOammum c 8 sq. ft. * OCCUPANCY INFORMATION * 2nd Floor sq. ft. * Primary Building - * Other Floors sq. ft. One Family Dwelling (not cellar or ement * �SwwTwo Family Dwelling TOTAL FLOOR AREA kja'2 q. ft. * Multiple Dwelling/Number of units Size of new structure ft x ft. • Business Foundation-psior/slabfcrawl/partial/full ' Industrial (circle one) * Other No* of stories (habitable space) » Height (grade to ridge) ft. „ If-4;.z^. ::an, what will use be? AM uz�_ If residential, no. of famlLes 1• • �l,�C] lYl No* of rooms(excluding 'baths) Accessory Buildlgg No. of bedrooms /�� Detached Garage ONE/TWO Car No* of bathrooms Primary heaatling system "6--r _Attached Garage ONE/Two Car Type of fuerl -- * Private storage buildltig No* of fireplaces to be installed. ' Otti� Will, a wood stove be installed la ► Central Air conditioning; kl C�l _ Ovi ER 1 BC' ILDIvcj PER %1IT _XPPI. ICATION cov -rrN � ED BI.- ILDIvc ;PFCIFICATIONS: Type of construction, wood frame, fire safe. etc . Qpb] Will any second-hand or upgraded Ise m her be used ? If so. for what ' Foundation wall material ColCgr,�rr Thickness Depth of foundation below grade (to bottom of footing)_ Lt ' Will there be a cellar ? tJ Q Heated or unheated? I _ I�Floor sq. footage sq ft , Will there be a basement ? ..hL0 � Will any portion be used as living space ? (If so, what portion ? sq ft . Type of use ? Type of roof - sloped/ flat /shed/other Material of roof Size, wood studs "x, _„ spacing " o, c. length > ft , .foists ( floor beams) Ist floor "x " spacing "o. c. span ft. Joist (floor beams) 2nd floor."x " spacing "o. c. span ft, Overlays (ceiling beams) "x OF " o. c. span ft. Roof rafters ,,'x (p " spacing ko. c. span ft. Roof trusses (pre-engineered) spacing " o, c. span ft. Exterior wall finish CbuaR L,oCK Ci N &J (n _ of what material ? {YI C,pi.} LTl Interior wall finish1yj ,i UJ A UL If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to he 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 ,, AL.6%0 — _ADDRESS_' .. P -TT00 T , TEL. N0, 7q9- 14d9 NAME OF PLUMBER �rf�lCK ADDRESS AQPFPnRT T r�i 114L TEL. NO. '+IQ2�„ - ' ak -�'�• Q NAME OF MASON K ADDRESS TEL. NOO, c caw , Y NAME OF ELECTRICIAN °'° p ■ S ADDRESS 1.,,} TEL. NO. 11ACA 4 - kk 100 DEC LA RATION To the hwot 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 the described pi proposed work to N done Ori Premises and that all Provisions of the BUILDING COD THE ZONING ORDINANCE, and Alt Other laws paertainbW to the proposed work shall be complied with ether s such work is authorized by the owner. Pecifled or not, and that Signature Owner, owner's agent, chitect, contractor SPECIAL CONDITIONS OF THE PERMIT: /',//��' f/ J y //f,J�{�Jys/ _J HY WARREN COUNTY . NEW YCRK 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 rE 4!_ 21 Type of heat _ 2.'~ � -�"d �` R 3 , Is the building mechanically cooled ? Q 4 , Percentage of area of windows and doors A . Over 16 % Only 1 . Uo value of gross area of wails , roof / ceiling and floors exposed to ambient conditions 2 , Floor over heat 3 spaces YES NO a . Are foundat on walls insulated ? YES i0 , le If YES , what is the R value ? 36 Slab on grade YES NO a . If YES , w1% . 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 - k 2 , R value of exterior walls 3 , R value of glazed area. 4 . R value of doors 5o R value of floors over unheated spaces �7 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 ) 9 . R value of heated ba sement /cellar walls ( below grade ) 100 Type of insulation__ � `�S Lit (e ' C , Controls 1 . Thermostat maximum heat setting D * Duct Systems I . Is duct system installed in unheated spaces ? YES NO a . If YES , R value of duct installation b . R value of duct in other areas — Ed 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 1 . Maximum heating Telephone Nod. � � t- ( app fCant ' s 9 ature ) ,. zz - TOMI O IEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURYNEW TELEPHONE , ( 518)DRK 792- 58324 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE lP�ErRMIT # .� TYPE OF STRUCTURE _! 11 Ir -4--0 � r{�� IA cv RECHECKS APPROVED N/A IYES1 NO FOOTINGS/PIERS _ MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPO IBLE 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/VENT IN PLACE PLUMBING UNDER SLAB FRAMING : JACK STU S/HEAD S _ BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BB AM HEATING ROUGH- IN INSULATION : FOUNDATION W LL ER R R FOUNDATION WALLS EXTERIOR FLOORS WALLS R- CEILING R` DUCT WORK OR IP NG IN HEA SPACES REMARKS : ARRIVE DEPART I SPECTOR MIDDLE DEPARTAB mMAWMaKEMON AGENCY, INC. o n IMSPEC 'era _ar/� oasis December i , 1989 ( C�erti€ie� that �' tp��, uipment listed has been exar tp� approved as being in accord with the National Elect ' �plicable go►ternmental, utility and S. Glen Racico P n Owner: � occupant: Same n a. art04611e t ueJn1nt end installationn inspected this Locatiorf: Sherman Ave � tlafe. If addYeionaY ui m be in7roduCed or anerahons made to ' axial Ynp system thi is be nuAl and void, ano application for 8 Outlets ; gr p� ���� y 1 �ffit �� © R s spec7Yen sho rtd aul7m t7 P ny to this rgencY. Equipment: LL 1 4i went of compjs iy)ai lsv n Itificat on Pl electr qal equIPment apprV insurance aevsd as specit Yed,,,i' Alan Deppe - _ S J�l10E #1863 / Applicant: l Patten Drive -- - - — - --- 0 - 1.5 -030341 L- Glens Falls , EiY 128 Fwlw daw 7W EL 143 -- TC7ZYIV OF QQUEENSBURY BUrLDXNG AND CODES �/ l BAY & AF'4Vr L7EFART MENT Y ND ROADS '7UEvjvsaUR TELEPHONE 0 N w YORI, 22BC?!f. f52s) 712-.5832 BorLDING TNSPECTOR P S REPORT REy?UEST FO rNsPEc R�cErvE NAME �'�CATrON DA rR —�F'ER1�1ITE FOOTING APPROVED MONOLI /PIE, YES' NO THIC POUR FORMS FOUN'I TIO NjDAMp� B PROOFING '�C ILL APPROVAL ROUG PLuMaxNc F MING ELECTRICAL R GIy-IN.xNSUZAT?ON: { FOUNDATION FLOORS WALLS C'EII,ING rXNAL IA7SPECTION: eHIMNE-Y UEXGHT ROOFING STDING EXTER.yAL POF2CHE /S PS'ST,ArRs-CLEARAN PLUMBING FIXTU ES & ILS .INTERIOR EF VALVE TRIM /RE ~� FINISHED F aRIVACY s OOR GARAGE FIR$p OOFING C�OsR f J DETEc R S E INAL RZI&CTR I AL FINAL APPROVA OF IJNS tcovsCTION TRUCTION-'- A SIGNED CE OBTAI RTIFICr*jTE OF OCCUPANC Y MUST NED FROM These THE BUILDrNGBE PREMISES OCCUPIED!1 41?TMeN?" $&FORE ARE R,;;;R.Ks r san1-44 t 14 at!onaI Headquarters' t i Aaddon'/�1 ., Collingswood, M.J. 00ho8 � ' V a. Date- City, Towrn.or Township ire County .lL yZZ7et State Location/Address.t..? '..' ' f Located in Rur A a .Please A� Directions] Pole � Owner (r G.Cr Jr Pen�et #„_ ' .. Occupied As Budding;' .iylewl.,- - ": Old ED Occupant _ _ . . ` Wo k`'' ea in BuildingFloor * etc. y : for: 'Wirin " Service � or: . Read for In ' e>rtion.' Fes Rsmitted'�"$ f ,Cash ,Check NFL Ilrla Pa tYgle Ta: M:D:I.A: s ion 4 rrso "00 2250 Number elf, Romph 11�[iring,6utle Elect. Heat switches t ea y. Amp. Servide. ` f9irface Unit Dishvra ar - Range Lighting 1 Water Heater Air Conditioner D ' '" Receptacles ryer:;; c - ._-.Pump umliar "'' ur «' Oven -..# ' '" " . ?. "., 'Ccbage Disposal Wiring and Controls for Burner p.`iiacaptaales:._ ;� . Fractional H.P. Vent Fans _ Other Equipment: � MOTOR' H.P, /¢ lfl 1/}� 1/a 1/6 1l4 1/9 IJ2 3J4 1' 1y* 2 .- 7% 16 15 20 25 30 '40 '0 70 Ord Mark Number S of Each Size Appl icant s r s . Signature Wcon' se # Pet-lt't i.(1 . T/A k . . Utility : Applicart s dress: (NAME) 1C (City) (Slate) !r'" _ �Zipy Service Request # 1Phone .#rt . - ,�- rician: r* RECEIVED: DATE i1VSPECCED: 3.§ . Correct Location : Same as Above'© or: Red Notice Label w Rough Wiring Outlets Surface Unit Oven Switches lean _.- 6arba Oils l' Rece ta.CleS a r- Heater " h er `- Fixtures Ali` Con Itio . er ' "t] r A . Service Equi ment Burner, McNrig'�'t Controls for Amp. R pe£acla ' Amp. Service Conductors Pum Vent FsprL MOTORS H.P. 11r001111211120111,1811/6 114 11/2 3J 1 1Vi ' a' 5 7�/x 10 15 20 25 0' 15 Mark iVurn rIr of Each Size I 1 � Elect. Heat11 xn 7so loco ixso ieoo xrsa xo xxso' x xi6 peon RW Progress: Inca LKD M Contractor ski d�„i © CFT Violation : Work Comp. Inc. <; . CASH M L/A Owner Fee C� L/A CH K 4* _.. .... Dire - IPA Ml7 .trx. Municipal INV nCa Cith r fir..; •f>a.cr:�� ,er lida`� T Utllityf " r 0 Temp # s Da,tg u , r Final Dots aaW�W0;ua mlTii?W moo RM iVi a5o'E"L: - L , ' *� IIi�1�1D4 : 1FLP1 , I1 EfitT #1 "�CTI�N-AQENG. ' iffl. X. E National Headquarters Haddon Ave., dollings`vvood, N:J: 08108 c 4 # k Date:. .City, wrrepr Township � y�J�C �n &Wbtx 4e- County(A State ocation/Address {if Located in Rural Area - Please Attach DirectionO Pole # jwner Permit # r s r - Clceupied.p�S ufldin f levir0 OidE Occupant jP 'r. W ek Area 1n Buildin Floor #,. etc. ): for: Wiring Service or: Ready for l kM- Fee Fie mitted = Cash Cheek M. Make Pa able ii: fuf.D.l.A .. -s , ' ' f SQO 733 11]4'Me ;23Q - ITSe 2060 R230 YSSe 2T54 8Qp0 ' Numbe ,o{ RQla lh �iilirrhg Nutlet Wect: Heat :. Switches ' Lighting Amp Servlce.,3 t Surface Unit . Oishv+reslvnrr Range Receptacl f� Water Heater Air Conditioner Dry m er " Pup Nam` ^ ur :.:- CIYaascbagaai Wirings Contrais for inner r t: . �4erptalitas + k�actional H P. Vent Fans I , Other l5quipment: [ d. ti M1 MarMOTOR NuS HI -, � s kjl ],/ , 1/8 1/6 1/d lf3 1/2 '$,M I lox 2 : . .a 'r 7Yz 1G. . 15 20 23 30 40, .5P 75 }r.�0 • +,x of Each Size •, +Appllcettt 8 �' `• :@'7'-: ' � - ta h ?y = '�.�` a. .. Signature - rusenae # # T/A Applicants Ad r : i . : NAM ,�, �r /7r� { / rvice Request.# (City)-�.: �Sta ,B}_. f1i "-: # � '. - ,.'].. , : `9:..: .•. t.GLM - Pl►on .- xC-1cja i e RECEIVED: DATES fNSPEL' Cy ' Correct Location Sarne as Above or: Red Notice Label + 3 Rough Wiring Outlets Surface Unit Oven Switches Ra _ �. x Receptacles IN er Heater s}4iieiW'- Fixtures #:onditI one F Amp. Service Equipment Burner, ►M1 A t A8fConitrols for Amp:`f'{e Amp. Service Conductors Pum Vent Fans MOTORS H.P. U20 1/12 1/So 1/8' 1/6 1/4 1/3 1/2 /4 2' a 7j/s 10 i5 20 '25 s Mark Numberrj = :• - :s of Each Size _ 11 Elect Heat 5a0 asa lODO lzso 150u lr5o zoos 2z5o ;sop vs . 0 V 0 RW Progress: Inc. LKD h r Contractor Q CFT 'Violation : Work Comp. � Inc . [� CASH 0 L/A , L` ' wriar Fee CI . L/A Due CH K + Cl MO 0. Date:: LO#tar �i Cl�tility i:: pplliCan# .i = r Cut in Card.. T p * } ?pa". *• ts�3� 'r ?+3 b ir_I� C{ naI, r r Date r ' :rr's $i IJAiTl1RE y ..,.: .; FkPPLIk,^A'Fi17ilY Po Fk'M N6, 260:EL 4789�. - - ` - .. .. . .. . . TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT ��� BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280916 TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S REPORT REQUEST FOR INSPECTION R EIVED _ NAME v 7 L4)CATION � 1 DATE �/^ PERMIT APPROVED YES NO FOOTING/PIERS I MONOLITHIC PO U FORMS FOUNDATION/DAM PROOFING BACKFILL APPROV ROUGH PLUMBING FRAMING ELECTRICAL ROUGH- ,. INSULATION: FOUNDATION FLOORS y WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS pf, STAIRS-CLEARANCE & RAI PLUMBING FIXTURESfREz.T$F ALVE INTERIOR TRIM/PRIVACY bOO� FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL IIVSPEC rlpV FINAL APPROVAL OF CONST14UCTION i i A SIGNED CERTIFICATE OF {7CCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ,ARE OCCUPIED!- REMARKS. f� INSPECTOR