1990-783 .f v r .. >y•K^5-t,'' f '}- de Z?4'LLiGr 1,441.4 .+ry '• I'1• ' k .. ' - 1
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CERTIF
ICATE OF OCCUPANCY
TOWN OF QUEENSBURY ..
WARREN COUNTY, NEW YORK
• \
`' Date a, 1-4 /119 9L
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`This is to certify that work requested to be done as shown by Permit No. 040-7R1
F. has been completed.
This structure may be occupied as a
Si v Vi n area & laundry plug :r1Prk
Location 7 Whi opoorwi l l drive. Queenshury, NY
,
Owner John and Nancy Maul tan
} By Order Town Board
TOWN OF QUEENSBURYJa
9 - ,
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Director of Bldg. & Code Enforcement
BUILDING PERMIT -I
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TOWN OF QUEENSBURY
No. 90-783 s. -0
WARREN COUNTY, NEW YORK o
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PERMISSION is hereby granted to John and Nancy Moul ton
OWNER of property located at 7 Whippoorwill Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alterations to dwelling, 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 7 Whippoorwill Drive
Queensbury, NY
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2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUILDER'S Address sv
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4. ARCHITECT'S Name �G
5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X) -a
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( I Wood Frame ( ) Masonry ( )Steel ( ) 'S
7. PLANS and Specifications
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No- 160 sq ft alterations & 240sq ft deck as per plot plan, specifications
and application.
8. Proposed Use
Sitting area & Laundry and deck
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$ 32.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 14, 19 91
0
(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.)
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Dated at the Town of Queensbury this Day of /November 14, 19 90 g
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SIGNED BY \ / //'/�c�-i �� for the Town of Queensbury
Building and Zonin gel nspector ca
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TOWN OF QUEENSBURY
REVIEWED BY TOWN OF QUEENSSURY -
Aft FEE PAID $ ,� -f�4i(j�0 , - RECEIVED
PERMIT NO. �� •i�J NOV'� 0 91990
BUILDING PERMIT APPLICATION
BUN:" .:. ..V1...� 6..cr`l
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.
« * * * * * « « « * « * * * * * * * * * * * * * * * * * * a * « * « « * * « * « *
The owner of this property is: aWAVi %,, 01/*4j(7//1/
P.O. Address 7/ x./7,IUi , /�z //%�/i/ Tel.. 77 — ,g,o-
Property-Location 74/1e/WAW//(Z P/ / 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:
o Ne✓ /710a _7-31 Al /,- \
• /
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF
•Construction of a new building • CONSTRUCTION: �,s d�JdiA) ��
*
Addition to a building COMPLETE INFORM TON-R.E-Q-U-IRED BELOW:
* Size of property j 7 ft x/4a ft.
/Zlteration to a building , •
(no change to exterior dimensions) Existing Buildings(3) Size 70 ft. x 3� ft.
" Proposed building - distance from property line:
Other work (Describe) �/�
- •
Front yard J:2 ft. Rear yard #3 ft.
•
EA72!' /C), ,A77(1,�C Side yards ,,�, ft. and �-2-ft.
•
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor /1‘2' sq. ft. •
• OCCUPANCY INFORMATION
2nd Floor sq. ft. • Primary, ma Building -
Other Floors sq. ft. •• L.one Family Dwelling
(not cellar or .basement • Two Family Dwelling
TOTAL FLOOR AREA sq. ft. • Multiple Dwelling/Number of units
Size of new structure /�21 itI /3/ * Business
ter/sla crawl * Industrial
Foundatio n-p� artial/full
(circle one • Other
•
No. of stories (habitable space) / •
Height (grade to ridge) 57 _ft., • If addition, what will use be?
If residential, no. of families/— • . / _✓___�7L/
No. of rooms(ezcluding baths) • Accessory Building
No. of bedrooms O. •
No. of bathrooms 0 * _Detached Garage ONE/TWO Car
Primary heating system_�`/G • '// Attached Garage ONE/TWO Car _
Type of fuel - - ' t/ Private storage building
No. of fireplaces to be installed / '
• • __Other
Willa wood stove be installed AO
Central Air conditioning /r ii�. •
OV• ER
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BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. 7_xi) d Zr
Will any second-hand or upgraded lumber be used? If so, for what? 6)
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing) /
Will there be a cellar? /1 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 roof - slopflat/shed/otherJLOrcel-Material of roof
Size, wood studs 7. "x " spacing/6 " o.c. length /� ft.
Joists (floor beams) 1st floor 2 "x / 2 " spacing/b "o.c. span / ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) Z "x " spacing /6 " o.c: span/,.e ft.
Roof rafters�7)75 /44e " spacing o.c. span ft.
Roof trusses (pre-engineered)L 't) " o.c. span ft.
Exterior wall finish t X/f /JC di(-6112?LoG/C of what material?
Interior wall finish , /�AOc/(
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? - Y�
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)
KAME OF BUILDER ADDRESS TEL. NO.
(AME OF PLUMBER ADDRESS TEL. NO.
(AME OF MASON ADDRESS TEL. NO.
'AME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
:ens and specifications submitted, are a true and complete statement of all proposed work to be done on
e described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
K other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
4ch work is authorized by the owner.
Signature //1
Owner, owner's agent, architect, contractor
"ECIAL CONDITIONS OF THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods: 'OWN OF QUEENSBURY
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) RECEIVED
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings 0 V 9 1990
Multi-Family Dwellings
(3 Stories or Less bLDG. & CODE DEPT
PART 4 - Design By Component Performance Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
XAY// 47/f/ �di/ //,‘WC7P, 7 17//,~)//eL- / /,/
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - /o® Sq. Ft.
2. Type of Heat - t/ Elec. Base Board Other
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% IV 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 3.3 kgO
B. Exterior Walls
C. Glazed Area R 2. 5 I .S7
D. Exterior Doors R 2,5 2.5
E. Floors over unheated spaces _ R 25 Iq
F. Edge of Slab on Grade (Heated Building)
G. Basement/Cellar Walls (Above Grade) R 25 lc
H. Basement/Cellar Walls (Below Grade)
I. Heating/Cooling - Ducts - Piping in Unheated Space R q-, (o 4.G
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
D2), /f971 7 f-6af
PPLIC NT S SIGN URE DATE TELEPHONE MJMBER:
INSPECTOR'S REMARKS:
REVIEWED BY
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'0,0~ �N,. MIDDLE DEPARTMENT INSPECTION AGENCY,,.INC.-
National Headquarters
1337 West Chester Pike,West Chester, PA 19380
APPLICANT COMPLETES THIS SECTION Date:
City, Town or Township ti \ r J t; - j County W :S ie,f- ys State j'i\,/ t�
Location/Address i,_}_ I ‘ :-' , v: I \ r
(If Located in Rural Area '•-Please Attach Directions) Pole # Cv _ 43
Owner J C,. /-C VIA r, ._.; i •� �: r Permit # ` /0
Occupied As ! _-Y. ` ( . ci vt.4 r (�', (^C ,.f� :-'i't n, ; ) Building: NewL4 -Old❑
Occupant _ JJ
' Work Area in Building (Floor #,etc.):
App. for: Wiring $.puke❑ or: Ready for Inspection:
Fee Remitted-$ - Cash n Check❑ M.O. n - Make Payable To: M.D.I.A.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets. Elect. Heat .
Switches
Lighting Amp. Service • Surface Unit Dishwasher Range
Receptacles Water Heater Air Conditioner Dryer • Pump
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles Fractional H.P. Vent Fans
Other Equipment:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number -
of Each Size .
Applicant's
Signature __ License # - Permit #
T/A C_° LI_ �c i't- y, • - .Utility:
:> t� (NAME) (OFFICE LOCATION)
Applican 's Address: -c j L, • n` �� ,_ a ( / , /
(City) fi> ..c- r , (4tate) tev' (Zip) f P-tie - Service Request #
Phone # Electrician:
MDIA USE ONLY DATE RECEIVED: ( C...
/ ( `�.J �� - �aT DATE INSPECTED: `f' �� 7C.,,i
Correct Location: Same as Above n or: .
Red Notice Label n - •
Rough Wiring Outlets Surface Unit - Oven
Switches Range • - " " Garbage Disposal
Receptacles Water Heater - Dishwasher
Fixtures Air Conditioner Dryer -
Amp. Service Equipment Burner, Wiring&Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 " 1 11/z 2 3 5 7'/2 10 15 20 25 30 40 50 75 100 -
Mark Number - -
of Each Size .
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
•
CERTIFICATIONS USE FOR INITIAL VISIT ONLY NOTIFIED DATE CO RECT FEE PAID _.1,.._
❑ RW Progress: Inc. LKD❑ Contractor ,
❑ CFT Violation: Work Comp.❑ Inc. ❑
. ' n L/A Owner CASH ❑
❑ L/A . --• Fee CHK #
- Due - MO # -
n IPA Municipal
INV #
Date: Other Side❑ Utility Applicant ❑
Owner ❑
1 ; //' I .
Cut in Card ri) I�` %i �'
n Temp # Date , 1 r'1,_' ^.
V I 19'EC ORS SIGNATURE
1 I Final # Date /
APPLICATION FORM NO.250 EL 11/89
YOU ARE HEREBY REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO BE INSTALLED BY
THE UNDERSIGNED
j
TEMP.A DATE 7-i / J
CITY OR VILLAGE TOWNSHIP COUNTY
STREET AND NO.OR ROAD -y / // POLE NUMBER
/ / J ) ' '' i ,4 //// /'
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S NAME V BUILDING OCCUPANCY
OWNER'S NAME AND ADDRESS HOME TELEPHONE NUMBER
I /P V `7, ;A/ /C/ ;I�(//z`� /.'7.%-''/-
CURRENT SUPPLIED BY /. FROM THEIR OFFICE WORK TELEPHONE NUMBER
BUILDING IS - % I-I n '
NEW Ill OLD Q• WORK IS NEW❑ ADDITIONAL� , DEFECTS REMOVED❑
- LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& MOTORS 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 FL. / 1 Y'G,i)` 1 1
''I L...
2nd ))
FL. ( . )i;l
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 0 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) MUST ENTER APPLICANTS ►
IDENTIFICATION NUMBER
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS /1 • .--'
NAME OF APPLICANT - DATE OF APPLICATION SIGNATU EOF gp�LICANT,,,- r.
STREET_DDRESS / ' ._ _ �_-/ ,TELEPHONE NO. -- '.
/ X7/1.2j i.:>)C/'//f_j. //'./r/C.' - - !":..'- /.- '-,
CITY OR POST OFFICE ZIP CODE, LICENSE NO.WHEN APPLICABLE
r//ii r!/i!i'/.':.f/ 1� � i�,ir/ .,J .r fL-.. Gam. ELF /-
0 85 John Street /I Li 41 State Street ❑ 570 Delaware Avenue ❑ 217 Lake Avenue ❑ 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
THE NFW MIRK B - -.O.F FIRE UNDERWRITERS • -
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 ctfri6L- na4Cot f �� l l 7IyI /
LOCATION /7 Liteu p-p -tu -W ,at_.
DATE 9/ IA/C / PERMIT I go-- 'Id'_ 5
TYPE OF STRUCTURE '9jy- -/-) ( d u. J
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM i
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 / N SITE
FOUNDATION/WALL POUR ,/
REINFORCEMEN1\IN PLACE /
FOUNDATION/DA PIROOFING /
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB I
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING `14
JOIST HANGERS ,
JACK POSTS/MAIN BEAM
FIRESTOPPING §.
WALLS
CEILING / ,4
FIREWALLS / 4
HEATING ROUGH-IN!
INSULATION: I
FOUNDATION WALLS INTERIOR`R-
FOUNDATION WILLS EXTERIOR R�
FLOORS J R-\
WALLS / R- N.
CEILING R- '
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
d;t / c4t�.p `J /1�CiL9�ZLeL�Or
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a*1-`t'S 771°.j
ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY \�
BUILDING AND CODES DEPARTMENT 313 o V �'})
BAY & HAVILAND ROADS ( I/I
QUEENSBURY, NEW YORK 12804•
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME o )\*rn j ,JOh�
LOCATION 9 1,.)�, ay- Lv) ,
DATE ///L//Gf( PE IT '# ' Q -7e3
l (� / APPROVED
n q'R coo ac, YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROC H-IN '
INSULATION: `�
FOUNDATION
FLOORS 1
WALLS
CEILING \ '
FINAL INSPECTION: \
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORT" ES/S`,S
STAIRS-CLEAT NCE & ' ,ILS
PLUMBING Ft TURES/REI EF VALVE
INTERIOR li'IM/PRIVACY OORS
FINISHED DOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTI
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!
REMARKS:
/A-0 ���G4i�/vim.
C�
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ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME yz&/` ln.
LOCATION �7`0/�/. �✓T�/1 T!
DATE /C/ A71 PERMIT #
lJ I APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING '
BACKFILL APPROVAL /
ROUGH PLUMBING
FRAMING 1
ELECTRICAL ROUGH—IN ' ,r
INSULATION: _ d�
FOUNDATION
FLOORS •
WALLS
CEILING
FINAL INSPECTION: /
CHIMNEY HEIGHT
ROOFING
SIDING j
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS j
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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