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1991-438 . . rl. .. .{ _ t.t''r _t:4. ,f 1. .-. . t .i li.l. - ;\.{ .q• }' ♦.. - ^1- .., .... - f1, e -. . . _ CERTIFICATE OF _ OCCUPANCY - TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date ./.d/lii /. 19 f/ r This is to certify that work requested to be done as shown by Permit No. 91-438 has been completed. This structure may be occupied as a Alteration to Building Location 69 Main Street Owner Robert Gover By Order Town Board TOWN OF QUEENSBURY n ,, / /2.,/,/, /6-------- Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY " No. 91-438 WARREN COUNTY, NEW YORK ro 0 PERMISSION is hereby granted to Robert Gover ~' w OWNER of property located at 69 Main Street Street, Road or Ave. Iv in the Town of Queensbury,To Construct or place a Alterations to building 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. CD 1. OWNER'S Address is 31 Orville Street O Glens Falls, NY CD c+ 2. CONTRACTOR or BUILDER'S Name Same °1 0 3. CONTRACTOR or BUILDER'S Address CM e+ fD CD c+ 4. ARCHITECT'S Name cf' ID a 5. ARCHITECT'S Address rt. O r+ 6. TYPE of Construction—(Please indicate by X) 4. 0 ( X Wood Frame. ( ) Masonry ( I Steel ( ) 0. 7. PLANS and Specifications ta) No. 400 sq ft Alterations to building as per plot plan specifications and application 8. Proposed Use Alterations to building $ 50.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 24, 19 92 (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.) Dated at the Town of Queensbury this 24th Day of June 24,19 91 SIGNED BY I(I) 1 A �( for the Town of Queensbury Building and Zoning in's3 for TOWN OF QUEENSBURY TOWN O Pay REVIEWED BY: _ JUN 21 'Isal IFEE PAID: /ny� {" C{ G 1�LUG. �. ,:vut 1 T. PERMIT NO. : 1- g 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. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property: odetzT GovE-rz (fuRetti+sW., vizom Vwo p.ct rro) P.O. Address: 31 okv11 LE tirvs 'Fr- us NY PHONE 7?,- 3Z87 Property Location: (p 9 ,'flw ST 6?8, Tax Map No. / / Has there been any split of this property since October 1, 1988? Yes No If yes, Planning Board Review is necessary. Subdivision Name, if applicable: Lot No. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: R o -, &cv�—r? NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE waif Construction of new building * CONSTRUCTION: $ OV Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW: (no change to exterior dimensions) * Size of Property: (0,o ft. x 3 V ft. Other work (describe) * Existing Building Size: * zo ft. x to ft. * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE: * property line: * 1st Floor y0 p Sq. Ft. * Front Yard ft. Rear yard ft. * Side Yards ft. and ft. 2nd Floor eft Sq. Ft. * If on corner, setback from side street- * ft. Other Floors Sq. Ft. (not cellar or basement) * OCCUPANCY INFORMATION: * TOTAL FLOOR AREA: Sq. Ft. * Primary Building - * t/ One Family Dwelling Size of New Structure: ft. x ft. * Two Family Dwelling Foundation: *. Multiple Dwelling/No. of Units Pier/Slab/Crawl/Partial/Full (Circle One) * Business * Industrial No. of stories (Habitable space) * Other Height (grade to ridge) ft. * If residential , no. of families: * If addition, what will use be? No. of rooms (excluding baths) : * • No. of bedrooms: No. of bathrooms: * Accessory Building: Primary heating system: * Detached Garage - One/Two Car Type of fuel : * Attached Garage - One/Two Car No. of fireplaces to be installed: * Private Storage Building Will a woodstove be installed?: * Other Central Air Conditioning: Yes No (OVER) BUILDING PERMIT APPLICATION CONTINUED: BUILDING SPECIFICATIONS: Type of construction: wood frame, fire safe, etc. uraaD Will any second-hand or ungraded lumber be used? If so, for what? ,v-o Foundation Wall Material : 407/ Thickness: Depth of Foundation below grade (to bottom of footing) : ,px:, Will there be a cellar? Heated or Unheated? Floor Sq. Footage: 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: 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. Joists (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: Rgess.0, 0 q(• c e of what material ? krioo Interior Wall Finish: sis6-67 g�t.i< 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? Rid 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. ) /ST/N C& NAME OF BUILDER & ADDRESS: .�o.oexT G-;duz 3/ o.er«' s2 f PHONE 7f2-3243 7 NAME OF PLUMBER & ADDRESS: PHONE NAME OF MASON & ADDRESS: PHONE NAME OF ELECTRICIAN & ADDRESS: PHONE 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 e� Owner, owner s agent, architect contractor SPECIAL CONDITIONS OF THE PERMIT: By: Code Enforcement Officer BLDG. PERMIT NO. 91-438 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; 69 Main Street for the following uses: Single family dwelling o/,.t ;f / . /M %7 r,=7i / 1/-1A- DrA�TE✓� SIGNATURE OF APPLICANT TEMPORARY CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby (")APPROVED ( )DISAPPROVED with the following conditions: final Certificate of Occupancy will be issued when all windows are repaired and siding is done as well as minor repairs are made. Electrical system must he in working order. • TEMPORARY CERTIFICATE OF OCCUPANCY FEE: (x)$10.00 DEPOSIT: ( )$100.00 (waived per DH) received on Mk ,•,` Date of Issuance Director of Bldg. & Code Enforcement THIS TEMPORARY CERTIFICATE OF OCCUPANCY EXPIRES 30 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement or his designee. ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 H®ATIfB1WD'AW Compliance Methods: JUN 21 1991 PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (:ON_.LY)E DEFT. 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 Ra t 9 ,W & APPLICANT'S NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - goO % Sq. Ft. 2. Type of Heat - 6,11/1 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 B. Exterior Walls R I/ C. Glazed Area R D. Exterior Doors R 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) R I. Heating/Cooling - Ducts - Piping in Unheated Space R 6. Service (Domestic) Hot Water Heating Device A. Conforms to minimum efficiency per code t// YES NO TEMPERATURE CONTROL MAXIMUM SETTING 140* - WILL NOT BE EXCEEDED el 6 — a-f- f/ 79,E- 3�f7 APPLICANTS SIGNATURE DATE TELEPHONE NUMBER; INSPECTOR'S REMARKS : REVIEWED BY •- W4-21,0 TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 12804-9725-518-7: Building & Codes Department INSPECTOR'S REPORT NN-dG „ (N. P OPERTY LOCATION çocJbi - Gr R OR TENANT / BUILDING SEWAGE SIGN .OTHER RRKS: V g /ivo , )(2.(7_6 O,I _s M CG- re)nr Doe ZilAivati,- a I kJ©P SA46 CWO LL 1 / ° J M_ uLLVA,v0wit-e-®L1LO , c) e _ S,4Lo ice- 0 t-ezo c e£azn iJ O.mCCOONTACTTTHIS gOFFICE mamma -- INSP CTO "HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE" SETTLED 1763 3- 93, tra - TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT AUC0 19 11 NN\ xi PROPERTY LOCATION OWNER OR TENANT BUILDING SEWAGE SIGN OTH R P/46 REMARKS: ` �lt�=Cl� %�iZ CO/1•11 PL(1 1t1CL— I (SSciL3. cti(Voaas (Pr t''fZ-� (JO t-� i 2 ,,. a. ��I 1G (A/ I �� -�L t�� - � .5%454 (A .•49-r o -- CONTACT THIS OFFICE WITHIN // v INSPECTOR "HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE" SETTLED 1763 l G/b TOW1 OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT 100 REQUEST FOR INSPECTION RECEIVED NAME ` ll LOCATION 0, AJI� 4 0t' DATE `S\ \ PERMIT I cp / TYPE OF STRUCTURE Ai-i-Pird--1 31-, cf7J ( /C( RECHECK APPROVE' N/A YES 0 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: P62-0 13 0"OS U� zinc pa 015 /i-0(_46n 0I2_D1 C VioLA-7)J i(,'LLc, C— 3�/U I ARRIVE /- j(_> DEPART CI: S—c) V INSPE/TOR TOWN OF QUEENSBURY dUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, TELEPHONE (518)NEW 0RK 4 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME 4 )- LOCATION V 01 0x 4,0 )6 DATE ,Y/I Jq I PERMIT # g/ /-3 rC TYPE OF STRUCTURE RECHECK Ohl 1 /p 1ALei 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: =I JACK STUDS/HEADERS ''\ BRACING/BRIDGING \ JOIST HANGERS JACK POSTS/MAIN BEAM \ / FIRESTOPPING WALLS CEILING f \ FIREWALLS / \ HEATING ROUGH-IN ." INSULATION: / FOUNDATION WALLS INTERIOR R- \ FOUNDATION WALLS EXT,1ERIOR R- \ FLOORS / R- WALLS / R- CEILING / R- DUCT WORK OR PIPIYNG IN UNHEATED SPACES / REMARKS: / Loos 6r-gA6L-- PeiAo v-c--O Sa M ; IS-[ utG Al Accbc (r I ) P&c -ciA/ /Vc) raom /t: co VL- i-cf ARRIVE /Z; I, 7 DEPART /`5 (� n V ' -INSP CTOR TOWN OF QUEENSBURY � :, 531 BAY ROAD # QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME ,(446//a •..1 )^0_) LOCATION W) . DATE g`fp,1/ PERIfIT# /-iJe TYPE OF STRUCTURE 4ej 4 RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING - ROUGH PLUMBING FINAL ELECTRICAL4 _SEPTIC - INSULATION WOODSTOVE/FIREPLACE: rr REMARKS , 'tyo, � �� *// /• APPROVAL i; N/A YES NO CHIMNEY HEIGHT/LOCATION` B VENT/LOCATION PLUMBING VENT ROOFING .•` SIDING DECK/PORCH/STEPS/RAILINGS ' RELIEF VALVES xr FURNACE/HOT WATER OPERATING', BASEMENT INSULATION/DUCTWORK INTERIOR TRIM/PRIVACY DOORS '. FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAI;LINGS HANDICAPPED ACCESS/ SMOKE DETECTORS '. BATHROOM FANS/WHOLEHOUSE FANS;. ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING_ DOOR CLOSERS / OTHER FIRE SEPARATION FIRE/DEMISE FALLS DUMPSTER SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: j j . o �XP / J /' Af tiV 8 ()-(&&ri_o/V ARRIVE I ,177 DEPART (/�) �- J INSP T qi IJ? gift Wo TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 1 2804-9 725-5 1 8-792-5832 Building & Codes Department INSPECTOR'S REPORT 6,/2r 19 L / PROPERTY LOCATION o0U6�rc..-- OWNER OR TENANT • BUILDING SEWAGE SIGN OTHER REMARKS:ha fle2APritik‘-/ITO kJ LO 5- S\D WC, t-1-- Cil n A- /41A-T-V(f /fie )'Vs v •t= aJ . 6-4b-4-S /1) LS 1 5 %5 r7-6 N i�:C-►2 ;� CONTACT THIS OFFICE WITHIN • • INSPEC OR "HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE" SETTLED 1763 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROADnn QUEENSBURY, NEW YORK 12804 ( 1/r/ TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAMEr�- LOCATION )2fri- ) , DATE &f ,Jr1(// PERMIT f 7/— 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 i. FOUNDATION/DAMPROOFING • BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB A FRAMING: 5 r - JACK- STUDS/HEADERS - BRACING/BRIDGING �+ JOIST HANGERS s' JACK POSTS/MAIN BEAM FIRESTOPPING / WALLS \ CEILING ' FIREWALLS i HEATING ROUGH-IN )( INSULATION: ct�r-)6Py"��, /� �t9.1„ - (' FOUNDATION WALLS ,It1TERIOR R- FOUNDATION WALLS/EXTERIOR R- WALL R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: CPS U 7J"l SJPeo12i S cam i ov.,uO AT-0A o' ro A © r th--} w/b-c� ARRIVE /0' C-1(-- DE PART ) ( r' / INS CTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804. TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR NSPECTION RECEIVED NAMErV' �` � LOCATION ( 9 /1I n 1 ,t f s DATE 6/ C/ PERMIT # !(- 4i3 / APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ', ROUGH PLUMBING i )(FRAMING AJ k) I_6 L��.1V0 X, ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS • WALLS / �-f ,00g_A CEILING FINAL INSPECTION: CHIMNEY HEIGHT j ROOFING • SIDING j} t' EXTERNAL PORCHES/STEPS / STAIRS-CLEARANCE & RAILS,x' PLUMBING FIXTURES/RLIEFxVALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING ; I DOOR CLOSER(S) tN' SMOKE DETECTORSi? FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION ! I A SIGNED CERTIFICATE,IOF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING`;DEPARTMENT BEFORE THESE PREMISES ARE .00CUPIED'! REMARKS: • 4/-2 6 SPECTOR i , ei'°\14V -eo ' • 3k% 241991 1 fix\'- �j�6{2D fk Ni • . _ , Nebo 00-)JC t-oP PAA-a-c5 u.t1--;a-6 { I R YL-C-rQul/1�o 1. 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