1991-077 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY r �«
WARREN COUNTY, NEW YORK 5
4
Date 6/1/1-7a. 7 19 9/
This is to certify that work requested to. be done as shown by Permit No. 91® j
'has been completed.
This structure may be occupied as a 1/2 of 2-family dwel 1 i ng
Upper level-'B`
Wisconsin Avenue
Location
Robert Northgard Jr.
Owner
By Order Town Board
f' TOWN:OF QUEENSBURY
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 91-077
WARREN COUNTY, NEW YORK ac
ROBERT NORTHGARD JR. ro
PERMISSION is hereby granted to
OWNER of property located at Wisconsin Av
Street, Road or Ave. N
V
in the Town of Queensbury,To Construct or place a 1/2 of 2-family 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'SA�drevisss ison, RD#4
44 IUJi
Queensbury NY 12804
2. CONTRACTOR or BUILDER'S Name
Andrew D. Tellier
3. CONTRACTOR or BUILDER'S Address
2 Bronk Dr c
Queensbury NY 12804 rD
c
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
C'1
O
(X)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications a
No. 24')(44' 1/2 of 2-family dwelling-upper level-as per plot plan,
specifications and application.
8. Proposed Use
Single family dwelling I''
O
$ 132.00 92
PERMIT FEE PAID —THIS PERMIT EXPIRES March 12 19
(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.)
12th March 91 CL
Dated at the Town of Queensbury this Day of 19
SIGNED BY ,%!f/r9L-'4/ 01/,L; for the Town of Queensbury
u:i ding and Zoning Inspector
/ N OF QUEENSBURY' ,
/
REVIEWE 1 BY Ai•if_Ad
, •• -- - -
/ / - - -
/
Pliiiiikifillibila • FEE PAID Si ,1-4-,
_
511F,4,1 ,'• - ' PERMIT NO. , ) --j
/
_
, TOWN (FrEgEtilgirl:"IRY
' BUILDING PERMIT APPLICATION
MAR 7 1991
BLDG. & COPE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
IVILL BE MADE UNTIL APPLICANT HAS RECEIVED4 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 * * * a a a * * * * * * * * * * * * *
The owner of this property is: iZo-F5f.gst- luorl-46_0 R.D
P.O. Address LI( 1) W IS ! 0 F-f . 5 . 1V 9- q sc., ay., Tel. 7:18 -3 48`r
Property Location L.t.t.lc,r,r) tiS fs.) AliE. 0 (3c?. Tax Map No. p 7/ 8/ (
•
Has there been any split of this property since.October 1, 1988? , / K
If yes Planning Board Review is necessary. yes no / //e/Ckg
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
E.A.u, p ,-T c-L L 1 E R. Ctu.c-k) "P 13 ad) P 1)A — C5rgki—t ILX,=- #014t E5)79 3-0673
NATURE OF PROPOSED WORK: ESEMATED MARKET VALUE OF -
•
Odo:
bi,.. Construction of a new building a CONSTRUCTION S 6 61 --'-6 -5 ----
• COMPLETE INFORMATION REQUIRED BELOWr
Addition to a building
- * Size of property •-? G 6 f ft x -W2ft.
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 -3o ft. Rear yard 46 ft.
*
Side yards s/7 ft. and '4 5' ft.
•
ROSS AREA OF PROPOSED STRUCTURE
If on corner, setback from side street 'tt.
G •
1st Floor (--.,Aii=zillig"L sq. ft. * OCCUPANCY INFORMATION
2nd Floor to 5 c sq. ft. - Primary Building -
, -
* One Family Dwelling
Other Floors sq- . ft.
(not collar or baser:Im----ii) * ...ETwo Family Dwelling
TOTAL FLOOR AREA 7IP-- sq ft • Multiple Dwelling/Number of units 2---
. . .
Size of new structure if.-A •_ft x WA ft. _Business
i
Foundation-pierislab/c.=:;;;;:/iArti 6010 * industrial
(circle ciAQ; 41 Other
No. of stories (habitable space) [ / ,
Height •
Height (grade to ridge) 11 ft. • If addition, what will use be?
If residential, no. of families 2_ • , I
No. of rooms(excluding baths) CA 4 Accessory Building i
No, of bedrooms... g-- Ikii , • /
Detached Garage ONE/TWO Car 1
No, of.bathrooms „2..._ _ •
Primary heating system
• Atta: ad Garage ONE/TWO Car
4:Ja-,1/1.4 9/0.
Type of fuel Tho,,,i •
Private stor-.:e building
No. of fireplaces to be installed_0 Other
Will a wood stove be installed 0
Central Air conditioning a
OVER \
BUILDING PERMIT APPLICATION CONT,ENUED -
BUILDING 3PFCIFICATIONS:
Type of construction, wood frame, fire safe, etc. woo-p FRoVVvIe__ _ YIAal7+AL14.-Pt CScciatcRtolt Gioldif s)
Will any secondhand or;upgraded lumber be used? If so, for what? t9 0
Foundation wall material -et) ape R - �004:: Thickness 8 '
Depth of foundation below grade (to bottom of footing) /
Will there be a cellar? Ago Heated or unheated? Floor sq. footage sq ft.
Will there be a basement?4y1 rj -Will any portion be used as living space?. yoc . -.
(If so, what portion? Id .56 sq ft. Type of use? ` _ A p R� ��T-
Type of roof .slope.fflat/shed/other Material of roof -.6 -' 9--5Pht t - 51o,
Size, wood studs 7--,"xt..k " spacing 'LE, " o.c. length g` ft.
Joists (floor beams) 1st floor a-- "x 8 " spacing I "o.c. span )IV'ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) -_ "x (,. " spacing /6 " o.c. span /I'Es'"ft.
Roof rafters "x " spacing o.c. span ft.
Roof trusses (pre-engineered) spacing 2-* o.c. span /i'6" ft. .
Exterior wall finish c✓ i n IJ - of what material? . L9 / N i (; -D9L_4 11 O -
Interior wall finish i/ter' -DR Yix.44 - /spu��kL�D/g.g.Dpj /S•A it)7sT) ' P9/1-17.
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? iuc5me_ If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? Na Height above roof ft.
Depth of chimney foundation belowgrade lift.
Depth of fireplace hearthwc, ft. in..
Water supply - Municipal or private well A (3 � C 1 usracL (6.1 P.T c uRp
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties /4101 ft. J-ciS
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER 57 Povi ADDRESS a7 u.1 R._O 3!3TEL. NO. )5'
NAME OF PLUMBER SH--Yin • ADDRESS TEL. NO.
NAME OF MASON S.<11-4+46.- ADDRESS TEL. NO.
NAME OF ELECTRICIAN 94-ntie 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
ell other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
such work is authorized by the owner.
Signaturer(),.9:: _aatcr>,
(l./1.4
Owner, owner's agent, architect, contractor,
SPECIAL CONDITIONS OF THE PERMIT:
BY
I
ENERGY CODE COMPLIANCE APPLICATION .
TOWN'OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
•
Compliance Methods: TOWN OF QUEENSBURY
^c'CElVED
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
PART 6 Thermal Rating - Component Trade Offs - 1. & 2 Family Dwelling 1A R 7 1991
Multi-Family Dwellings' -
(3 Stories or LesIVIDEL & C:uDE DEPT.
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 3 3•67
B. Exterior Walls R E;#33 . .
C. Glazed Area. ►vi n-i_r o _ Low'E+ ' R 3,D,
D. Exterior-Doors e49 R 2-`'
E. Floors over unheated spaces R .
•
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar-Walls (Above Grade) R _
H. Basement/Cellar Walls (Below Grade)•
I. Heating/Cooling - Ducts -- Piping in Unheated Space R
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code p( YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° -. WILL NOT BE EXCEEDED
om • ., • 31 - �.
APPLICA SIGNATURE DATE
TELEPHONE NUMBER
INSPECTOR'S REMARKS :
REVI
TOWN OF QUEENSBURY 1
;Jiving APPLICATIOt FOR SEPTIC DISPOSAL PERMIT ��-��
/
01
DATE: YVINRc..14 7 / cr4/
LOCATION OF PROPERTY FOR INSTALLATION LIv(.
Owner's Name: Ro 73 - 4_ p 'iA •
Address: y DIOISIo g•7 , G 13" •
Installer's Name: 57kret_ Telephone: 75 3—°'i3
Number of bedroomsS O��A:4 �r �Lr�r.�:�fr3�lRld
b (residential only) T
Total daily flow (compute @ 150 gal per bedroom) •?SO S P N, 199A
R 4
Topography: Circle one:41P Rolling Steep Slope % of Slope & coUt DOT°
Soil Nature: Circle one• an Loam Clay Other 50th:
Ground Water: At what depth? 4 n Feet
Bedrock or Impervious Material : At what depth? Jo tu L Feet
Percolation test: Circle one: not required required
Rate - Per Inch
Domestic water supply: Circle one: Well Other
If domestic water supply is a well :
Separation: Water supply from any septic absorption feet.
PROPOSED SYSTEM: Septic Tank /coo gal . (minimum size: 1,000 gal )
TILE FIELD: Each Trenchr feet/Total system length -3 8 5— feet
SEEPAGE PIT(S): Number of /Size each feet
by feet
Size of stone to be used #. Z /Depth or Thickness I a it feet
*****************************
HOLDING TANK SYSTEM IF REQUIRED
NO. of Tanks Size of Each Gal .
*Alarm system and associated electrical work to be inspected by an approved
agency.
I have read the regulation on the reverse side of this sheet and agree to abide ,
by these and all requirements of the Town of Queensbury Sanitary Sewage Disposal
Ordinance.
SIGNATURE OF RESPONSIBLE PERSON: 0 %` �i Qt DATE: �t 7/ «ct/
6oC4
TOM OVQUEENSBURY
10,0 QUEENSBURY,B ROADAY NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED ,5/30/91
NAME 1 fjY 04A c)
•
LOCATION v
DATE /31p / PERMIT# qi
TYPE OF STRUCTURE 1,iyape A b,(t,1 I, dt
bei,l/RECHECK
vi, rYLoGLU -t.
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
iFOOTING i-FOUNDATION g---BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL -�sE'PTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS _YES NO
REMARKS tibLeb
APPROVAL
N/A:- YES NO
CHIMNEY HEIGHT/LOCATION ,..°
B VENT/LOCATION
PLUMBING VENT I' .1
ROOFING II ,
SIDING
DECK/PORCH/STEPS/RAILINGS /F
RELIEF VALVES t ' •
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVAC,(DOORS
FINISH FLOORS: ,,
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE
OTHER FLOORS .CARRETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS 1
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING.FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
ARRIVE
DEPART
TOW OF QUEENSBURY
y •~' 531 BAY ROAD
rj;t�� QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING IT'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NA!!E /�Cf l//
d
LOCATION d 49te '2'.
DATE 4/c�CJ/ PERMIT# -e,/,/%77
TYPE OF STRUCTURE A72/ . laW/W-
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL/STRUCTURE)
SOOTING L$OUNDATION LBACKFILL/ FRAMING
ROUGH PLUMBING 4--FINALL ELECTRICAL L_SEP-TIC j.
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS;/ YES NO
REMARKS j ;a
•
APPROVAL
.". N/A YES NO
CHIMNEY HEIGHT/LOCATION , ;�
B VENT/LOCATION 1' '.d
PLUMBING VENT n' 1 ✓
ROOFING
SIDING i
DECK/PORCH/STEPS/RAILINGS , ,
RELIEF VALVES !�
FURNACE/HOT WATER OPERATING g ✓
BASEMENT INSULATION/DUCTWORK;
INTERIOR TRIM/PRIVACY/DOORS
FINISH FLOORS: g
BATH/KITCHEN WATERTIGHT t//
OTHER FLOORS SWEFPABLE ', ✓
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS ' J
BATHROOM FANS/WHOLEHOUSE FANS;,
ALL PLUMBING .FIXTURES OPERATING ✓
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER •
FINAL ELECTRICAL i - //
OK TO ISSUE C/O OR C/C „/
WIRERS:
ARRIVE
3
DEPART c -
IN
TOWN OF QUEENSBURY
BAY ROAD
QUEENSBURY, NEWYORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
i
FINAL INSPECTIO
REQUEST Ff.'° INSPECTION RECEIVED
NAI E ` 4-2,M I
LOCATION L
DATE 61411 PERMIT# qI()
TYPE OF STRUCTURE E7./Ii7 -, Vi/Y ✓'i/
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING i-FOUNDATION 1-BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL LSrEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS `/Z04._ / :7)//1, I,°4,f
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION ,
B VENT/LOCATION )'
PLUMBING VENT >4
ROOFING .
SIDING i {`
DECK/PORCH/STEPS/RAILINGS}
RELIEF VALVES 'f /
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS: '
BATH/KITCHEN WATERTLGHT
OTHER FLOORS SWEEPI)BLE
OTHER FLOORS CARPETED t
STAIR CLEARANCE/RAIrLINGS 1
HANDICAPPED ACCESS/
SMOKE DETECTORS fir
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING .FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS I \
OTHER FIRE SEPARATION 1
FIRE/DEMISE WALLS
DUMPSTER
FINAL ELECTRICAL \
OK TO ISSUE C/O OR C/C \
COMMENTS:
ARRIVE
DEPART
OR