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CERTIFICATE.. OF OCCUPANCY
!
TOWN OF QUEENSBURY
WARREN COUNTY,, NEW YORK
.•
. „
Date ' ,tifi // 19 D ,
This is to certify that work requested to be done as shown by Permit No. ( 90-75R
- .
- has been completed.
•
- -
This structure may be occupied as a ' • addition'to dwel 1 i na for
... storage _room/workshop
. : Location gb Luzerne'- Road
viner
ROBERT OV ITT :
b •
By Order Town Board
____i
TOWN:OF QUEENSBURY
_ s... _
. ,
Director of Bldg. & Code Enforcement
• AL.- .
•
A
BUILDING PERMIT
- x
TOWN OF QUEENSBURY
No. 90-758 -o
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to ROBERT .OVITT
rn
OWNER of property located at Luzerne Rd Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling
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
RD#4 Box 4
Queensbury NY 12804
H
2. CONTRACTOR or BUILDER'S Name '1
--I
self 7.
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3. CONTRACTOR or BUILDER'S Address -1
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) lD
( *Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 161x19'4" Addition to dwelling as per plot planm specifications
and application.
8. Proposed Use
Storage/Workshop
n
J•
$ 24.00 91
PERMIT FEE PAID —THIS PERMIT EXPIRES November 7 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the c-t'
town of Queensbury before the expiration date.) 0
0
Dated at the Town of Queensbury this Zi}l Day of ,November 19 90 0
J.
SIGNED BY for the Town of Queensbury C0
Building and Zoning Ins6ieLtor
/ TO BE COMPLETED BY BLDG. DEPT.
C� // Application No.
•
/otvn ol Queeni 'ure� Permit Issued 19
• BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1.Box 98 Zoning Designation . ,,;•--J ;1_L :i`l'.'- .;ss
Queensbury, New York 12801 „Variance No. • Ri-:::";:::.I',./C.J.--)
• Site Plan Review No. .
A•., oedby / / .OCT ' 1990
APPLICATION FOR L`- L •
BUILDING AND ZONING PERMIT . „).1
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ..* * * * * ::•*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will '
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit. •
•
The owner of this property is: g'E/2 O1/"7r- •
P.O. Address eb 4 gOX 4 QUEE�e 60 y "Iv I /2E304 Tel. 793-08ZO
Property Location: 300' FAST OF 1/4,V L2 uSE4.1 LU•i?-EfWE 2.cd. bk/TE-ZSCriarax Map No. /Z6/ / / d
Street number or building lot number
Subdivision name (if applicable) /A
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
,QE2i OVi7T
Name P.O. Address Tel. No.
Name of builder fa.SeeT Q ,,77 Address e 4 , 2ex 4, V/EENssuef Tel. -79 3- 0820
Name of plumber ''NMq Address Tel.
Name of mason II if Address Tel. vi I'.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Addition to a building * drawn reasonably to scale and attached hereto,
_Alteration to a building * showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions .from property lines. Give
_
* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply. and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
{-.
* Size of property /ZOO - ft X /ZO ft.
* Existing building(s) Size Z4 ft X 45" ft.
*
PROPOSED BUILDING AND USE:
* Existing building (s) Use 4ES17)ar- Ill- Nib
Size of new structure /(o ft X /9_4f t * a'A246E
Foundation-pier/at/crawl/partial/full * Proposed building, distance from property line
circle one)
No. of stories (habitable space) * Front yard 630 ft Rear yard //O O ft
Height (grade to ridge) /3/Z ft. * Side yards 47 ft and 52_ ft
* If on corner, setback from side street ft
If residential, no. of families �1/Q
No. of rooms(excluding baths) / * OCCUPANCY INFORMATION
No. of bedrooms N/A *
PRIMARY BUILDING -
No. of bathrooms AO ** One family dwelling
Primary heating $stem ijoljt
Type of fuel k * Two family dwelling ,
No. of fireplaces to be installed A)p,VE * Multiple dwelling / Number of units
Will a wood stove be installed? A'b * Permanent occupancy
Central Air conditioning? /U0 * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
(nch Contemporary Log cabin * Other 1�ised ranch Mansion Du lex * If addition, what will use be?
P * ' STOZ4GE- /Wo/KSNDP — U, /64T�
Split level Old style Bungalow
Cape Cod Cottage . Other * ACCESSORY BUILDING-
Colonial Row Town I-louse * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * * ,/117ivate storage building
_ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ IOOQ *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
•
Type of construction, wood frame, fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what? Ala
Foundation wall material eon/C. Q C(2G K- Thickness 8 "
Depth of foundation below 9rade (to bottom of footing) /0"
Will there be a cellar? MA Heated or unheated? NIA. Floor sq. footage 30 e3 sq ft
Will there be a basement? /\/O Will any portion be used as living space? A)® •
(If so, what portion? sq.ft. - Type of use?
Type of roof - sloped flat/shed/other Z Material.-of roof .e0RZU(ATE:'S ?4E-T4I.
Size, wood studs 2 "X 4 " spacing I(, "o.c. length 13 ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters 2 "X A " 'spacing )[o o.c. span ./O ft. wkXI; CoLLA. TIES 32 n O.e.
Roof trusses (pre-engineered) spacing "o.c. span ft.
Exterior wall finish ALUM. S ID/A16. Of what material?
Interior wall finish I.MFULIISNED'
If a garage is to be a ached, describe materials to be used for FIRE SEPARATION:
Ail
Is there to be an opening between garage and dwelling? /14,4 If so will a Fire-rated
door, enclosure, and self-closing device be provided? .
Will a flue-lined chimney be installed? /U0 Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water. supply - Municipal or private well I�4UAJ CIPAL
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)
•
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
I swear that 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 no t such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature_ ,, N _
Owner, owner's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y. .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
i.i•
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Application for: BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK
STATE ENERGY CONSERVATION CODE ..,•i'u `2"` :-- ".'.,=`"` .
A permit must be obtained before .beginning ,work:
Hi 9 19.90
ANSWER ALL of the following:. .
1 . Gross floor area 3-08 •5QU.2E f- PEff�' v ct-t-F rI pr
2 . Type of heat k1OaF- STORA(.' Af EA
3 . Is the building mechanically cooled? A)O
4 . - Percentage of area of windows and doors )4IA
A. Over 1,6% Only
1 . Uo value of gross area of walls , roof/ceiling and floors
' exposed to ambient •conditions. 'A/IA
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated YES NO
_1. If YES , what is the R value?
3 . Slab on grade411110
NO
a. If YES, what s the ' va
lue alue of insulation around
• perimeter of floor? .
4 . Is basement heated? YES NO
a. R value of insulation
5. Type of insulation /VO).lam- 0AL 4 ATE" STD PA E SPAS
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 r
5. R value of floors o e'er unheated spaces '
6. R value of sla edge insulation - unheated slab •
7 . R value o slab insulation - :heated slab- •
8 . R val . e of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade)
10 Type of insulation -
C. Controls
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct system installed in unh • • ted spaces? YES NO
a. If YES , R value of duct i .- tallation
b. R value of duct in othe areas •
E. Piping Insulation '
1. Size of hot water or coiling carrying agent pipe
2 . R value of pipe insulation
F. Service Water Heatin.
1 . Performance eff' ciency
i2. Temperature c. trol setting maximum
G. For Swimmin Pool Onl
1 . Maximum 9- ating
phone No. (---1-
a �� r
( ppl cant ' s signature) .
TOWR OF QUEENSBURY
`SAD
`, j , QUEENSBURY,BNEWAYRYYORK 12804
__TELEPHONE (518) 792-5832
C� BUILDING INSPECTOR'S REPORT
F IP�SPEGTI REQUEST FOR INSPEC`T CEIVED I I'D)ci 1
NAME Q \ c\ (7),,,m- ,
,.
LOCATION 2.0 Z-Piip'(Q_ Rd
DATE 7 j 6 -. /�
�'I I PERMITS V -�73
-
(
TYPE OF STRUCTURE . , -2\
RECHECK �_
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
_FOOTING FOUNDATION BACKFILL t` FRAMING
_ROUGH PLUMBING FINAL ELECTRICAL SEPTIC
INSULATION WOOUSTOVE/FIREPLACE —
SITE PLAN/VARIANCE REQUIREMENTS s-' YES NO
i
REMARKS ;" „�
,1
/ APPROVAL
''` N/A YES NO
CHIMNEY HEIGHT/LOCATION P
B VENT/LOCATION /
PLUMBING VENT / :;
ROOFING / ; f
SIDING / h v
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES / E
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT]
OTHER FLOORS SWEEPABLE
OTHER FLOORS ARPETED t
STAIR CLEARANC /RAILINGS
HANDICAPPED A CESS 'ISMOKE DETECT S 1
BATHROOM FAA/WHOLEHOUSEFANS
ALL PLUMBI G.FIXTURES OPE TING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS: !�� p
d
ARRIVE /'7Val:, e-4f )
f
•
DEPART'f v ili
H5
TOWN OF QUEEISBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBU.RY, NEW YORK 12804
TELEPHONE .(518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST F' ' INSPECTICIN RECEIVED
NAME ! /' / - V CJ�i
LOCATION -,/2.e,`
DATE S/92 PERMIT IP 1 v r 7f TYPE OF STRUCTURE q12424
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 r
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB V
FRAMING: ✓ f/
JACK STUDS/HEADERS '
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS •
HEATING ROUGH-IN /
INSULATION: ,� I
FOUNDATION WALLS' INTERIORI R-
FOUNDATION WALLVS EXTERIOR\AR-
FLOORS IR-
WALLS r R-
CEILING / R-
DUCT WORK 0R PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
INSP CTO
TOWN OF QUEENSBURY /AL,
BUILDING AND CODES DEPARTMENT 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTIONI RECEIVED
NAME
LOCATION ,u/ kOL i& ,
DATE 5i711q / PERMIT # go- 7 5
TYPE OF STRUCTURE/d di LtU`� 4
RECHECK APPROVED
• N/A YES NO
FOOTINGS/PIERS I//
MONOLITHIC POUR FORM r/
t. 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 a`
BRACING/BRIDGING •
JOIST HANGERS
JACK POSTS/MAIN BEAM
F I R ES TO PP ING ,'''
WALLS
CEILING
FIREWALLS
. HEATING ROUGH-IN I.
INSULATION:
FOUNDATION WALLS';' INTERIOR R-
FOUNDATION WALLS EXTERIQgR R-
FLOORS -'t R-
WALLS / ! R-
CEILING f , R-
DUCT WORK OR PIPING IN UNHEATED
SPACES .
REMARKS: /
1�l
Jv
ARRIVE /`."
DEPART '3c) I,.. / A4f_
/ INSPEC R
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