1992-038 CERTIFICATE OF C%+CCUPA.NCY
TOWN 4F +QUEENSSURY
WARREN COUNTY, NEW YORK
Date, A u r 11 . MIS 14 ` 7
This is to certify th,t 'wary nrquested to be dome as shown by Permit No. io��
has been completed,
This structure may be occupied ar a ADDIT1014 TO DWELLING
':12 Ff`P . VIEW LANE
Location
C7+rncr t .N "'F 1 F1 1 :ES j i r r Tn A
By CSrdcr Town Board
` PAX tIAF N0 . 82 . - 2 - :L
TOWN OF QUEENSBURY
Director of Bldg. 15c Code Enforcement
BUILDING PERMIT
flu
X
TOWN OF QUEENSBURY Na. 92_038 ju
WARREN COUNTY, NEW YORK �
c
PERMISSION is hereby granted to Robert Lefebvre 1
Iv
OWNER of property located at 9 Mtn View Lane Street, Road or Ave. N
in the Town of Queensbury, To Construct or place a Addition to Dwelling ro
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
—h
2440 Log Cabin Rd tCr
"
Maidens , VA 23102
2. CONTRACTOR or BUI LDER'S Name
Bill Rereau o
ra
3. CONTRACTOR or BUILDER'S Address.
9 Mtn View Lane
Queensbury , NY 12804 ts>
3C
4. ARCHITECT'S Nam
J"
S. ARCHITECT'S Address f—
fss
f4
6. TYPE of Construction — (Please indicate by X}
( � Wood Frame ( } Masonry i } Steel [ } CL
r3.
J"
rH^
7_ PLANS and Specifications J"
Q
No. 110 sq ft Addition to Dwelling as per plot plan specifications
and application
m
S. Proposed Use
tCl
Dining Room
$ 8_00 PERMIT FEE PAID — THIS PERMIT EXPIRES February 4 19 93
(It 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 dare.)
Dated at the Town of Queensbury this Day cOx Fehf"ual y 19 92
SIGNED BY e /f �! for the Town of Queensbury
Building and Zoni rko nspector
TOWN or QuIIENSHuRy
REVIEWED BY : �Z�Ze mrov4m UlFt ►1 L1a1�� '
FEE PAID :
_ ,
PERMIT NO . :
0aoF.
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 : �. , t� ebV r -e
P , O , Address ; � �k l� �a Cg {mot Y 1 YV1 � 3 1 3 PHONE (g6Ld ssG, -666I
Property Location : q colt, tJ ,' P.Akfi 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 :
NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION : $
Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW :
( no change to exterior dimensions ) * Size of Property: / 3 ft . x a o ft .
Other work ( describe ) * Existing Building Size :
* - fto x " ;Z q ft .
GROSS AREA OF PROPOSED STRUCTURE : raposed building am distance from
property line :
1st Floor *
Sq . Ft . Front Yard q 0 ft . Rear yard ft .
Side Yards a, ft . and 5-c2 ft .
2nd Floor Sq , Ft . * If on corner , setback from side street-
Dther Floors Sq . Ft ft .
.
( not cellar or basement ) OCCUPANCY INFORMATION :
*
IOTAL FLOOR AREA : Sq - fit . * Pr Building
Family Dwelling
Building me
'r Z-'
'size of New Structure : ft . x f / ft , * Two Family Dwelling
lie
n : * Multiple Dwelling/No . of Units
ier lab Crawl /Partial /Full ( Circle One ) * Business
* Industrial
10o of stories ( Habitable space ) * Other
leight ( grade to ridge ) _ — ft *
: f residential , no. of fam�Tres : / �__ * If additi n , what will use bed
lo. of rooms { excluding baths ) ; _ / * la_v%tVV ; � U � L�
to . of bed rooms ; -- * - ,� --
lo . of bathrooms : - * Accessory Building :
'rimary heating system ; i,,,, �+ � . �. * 'Detached Garage ow One/Two Car
;ype of fuel : * Attached Garage - On Two car
'o. of fireplaces to a instaled : — * Private Storage Bu ding
sill a woodstove be installed? : * Other
entral Air Conditioning : Yes Noo —.=~
( OVER )
■
BUILDING PERMIT APPLICATION CONTINUED :
BUILDING SPECIFICATIONS *
Type Of construction : wood frame , fire safe , etc . w. --r-
Wil`l' anr,Osiecond- hapd er ungraded lumber be used ? If so , for what ? y1 C>
Foundation Wa'11'J c erial : Thickness :
Depth of Foundation below grade ( to bottom of footing ) :
Will there be a cellar? yti c--.) Heated or Unheated ? Floor Sq . Footage : Z 10
Will there be a basement ? v+ C> Will any portion be used as living space ? c e- '45
If so , what portion ? t C) Sq . Ft . Type of Use ?
Type of Roof : S7 oped/Fl at/Shed/Other S lad, -d material of Roof 0 ti . • � 1 s
Size , woad studs x , " ; spacingy -" o . c . ; length S'! ! ft .
Joists ( floor beams ) : Ist Floor LI- " x $ It ; spacing f o . c . ; span ICE ft .
Joists ( floor beams ) : 2nd Floor -- x spacing o , c , ; span ft .
Overlays ( ceiling beams ) : " x �0 spacing " o , c , ; span 1 � ft .
Roof rafters : x spacing , o . c . ; span t ( ft .
Roof trusses ( pre-engineered ) : spacing -- o , c , ; span ft ,
Exterior Wall Finish : `
°"T'r`�""` S i `�^ of what material ?
Interior Wall Finish : S Uk.-� -�-
If a garage its to be attached , describe materials to be used for FIRE SEPARATION :
/ S—eA r o G K ci VN W t I '� a _S we lC '4 0 Cz V7CA q
Is there to be an opening between - '-'p 9 garage and dwelling ? � e�5 If so , will a Fire- Rated door ,
enclosure , self- closing device be provided ? .s
Will a flue- lined chimney be installed ? y. c.-.) Height above roof ft *
Depth of chimney foundation below grade : ft .
Depth of fireplace hearth : ft , in .
Water supply - Municipal or private well : VV-, A ,,,,, .' � ,'
SEPTIC SYSTEM : Distance from any private well ( including adjoining properties : J` ft ,
(A separate application is necessary for any repair or new installation of septic system . )
NAME OF BUILDER 8 ADDRESS : zRe o yyyt l ' ; =.a t a , .z i (;3 54x r .PHQIYE 3
NAME OF PLUMBER a ADDRESS :NAME OF MASON & ADDRESS : PHONE
P. PHONE
NAME OF ELECTRICIAN & ADDRESS :
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
ill proposed work to be done on the described premises and that all provisions of the
WILDING 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 auth rized by owner .
Signature -
ner , owner ' s agent , architect
contractor
By%
Code n orcementOfficer-
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY , WARREN COUNTY - 9000 HEATING DEGREE DAYS
owes
Cgnipl i ante Methods : �
on,
'W
PART 5 Acceptable Practice Method 1 & 2 FamilyDwelling
g F lit1991
PART 6 no Thermal Rating - Component Trade Offs no & 2 Family Dwe ]' T�'nngs ;
Multi - Family Qw
( 3 Stories oRI s
PART 4 - Design By Component Performance - Commercial Buildings no Hi - Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
'S 1 � � vecLu PROPERTY
LI PERM N �+
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE :
1 . Gross Floor Area - } } Z7 Sq . Ft .
2 . Type of Heat no Elec . Base Board Other
3 . Is Building Mechanically Cooled ? YES ko#' , N0
4 . Percentage of Area of Windows and Doors Over 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPONO TO R E Q U I R E D
THE R--VALUES SHOWN ON PLANS SUBMIjrMffi
Baseboard
So Insulation Values : Actual Shown Elec , Heat Other
A . Roof A Floors exposed to ambient temperatures R
B . Exterior 'Walls R�
Co 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
N. Basement/Cellar Malls ( Below Grade ) R
T . Heating/Cooling on, Ducts on Piping in Unheated Space R
6 . Service (Domestic ) Hot water Heating Device
A . Conforms to minimum efficiency per code YES NO
TEW MTURE CONTROL =XIKUrA SETTING 140" - YILl noT BE E=EEDED
b
INSPECTOR `S REMARKS :
TOWN OF QU R aRY J{+
BUILDING & CODE ENFORCEMENT /742
QUEENSURYYNYOIA2804
( (5I8) 761-8256
ARRIVE :
DEPART: ljt:ALy. INSP �
FINAL INNPBCTION REPORT - R}SSIVENTI,
DATE INSPECT N YOUMST RECS Vk'D :
NAME
LOCATION +
DATE
_ / -- � •
TYPE OF STRUCTURE PE ^.
FOOTINGS FOUNDATION _
ROUGif PLUMBING BACKFILL FRAMING
FINAL ELECTRICAL SEPTIC INSULATION �--
.�_ WOODSTOVE OR FIREPLACE
N A ra;s p
. I HEY HE GHT H V_E HEIG3iT
P B NG VEN
O NG
i
$�ITERI07tFINISFf
C PORCH ST PS
�? LEF VALVES
NACEt}iOT WAT`ER-OPERATING
NTE I H TRIM PRIV,fyCY DOORS
FIN SH FLQOg$ •
B TH ITCHEN W E IGHT
O ER FLOO S S E PA
--' E
OTHER FLOOR C RPET 17
SSTAIRCLEARANCI: R
.14 LING
$
SMOIC
ANS
U I G I TU E
U DA ION SO ON
G GE F RE OO I G
O LOSERS
L C R C L
S T N V R A E R
F N URVEY O L
AN
0 TQ SUE C R C f
i
I
BUILDING AND CODESR DEPARTMENT
QUEENSBURY , NEW YORK I28D4
TELEPHONE ( 518 ) 792- 5832
REQUEST FORBUILI011f C'�TION TOCEIY T
MAKE
1---
LOCATION
DATE PERNIT #
TYPE OF STRUC URE ��
RECHECK
FOO INGSfPIERS APPROVED
MONOLITHIC POUR FORM NIA YES NO
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPOIM I LE FOR PROVIDIM6 PROTECTIOMM FROM ~FREEz4rxG FOR 48 HOURS FOLEO�FIM6
THE PLACEMEMMT OF THE CONCRETE_
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLAC
FOUNDATIONfDAMPROOFING
614CKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/YEN S N L
PLUMBING UNDER SLAB
FRAMING ;
JACK STUDS/HEADERS
BRACING BRIDGING
JOIST HANGERS
JACK POSTS MAIN BEAM
FIRESTOPPING
WA LLS
CEILING
FIREWALLS
HEATING ROUGH- IN
INSULATION :
FOUNDATION WALL5 I OR R
FOUNDATION WALLS E ERIOR R-
FLOORS
WALLS R-
CEILING
DUCT WORK OR P ING IN UNHEA
SPACES D
REMARK ;
ARRIVE
DEPART =-�X +�
TOWN OF QUEENSBURY t
BUILDING AND CODES DEPARTMENT it
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518) 745- 4447
BUILDING INSPECTOR'S REPORT
r��
REQUEST FOR INSPECTION RECEIVED oc , 21
NAME---� r'� E' Y
LOCATION
DATE P$RMIT # El
- -
TYPE OF TRUCTURE _-c} _
RECHECK APPRy p
F00TINGS/PIE KZ) N/A YES 110
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEIrlENT OF THE CONCRETE_
MATERIALS FOR THIS PURPOSE ON SITE '
FOUNDATION/'WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/ EN S I PLACE
PLUMBING UNDER SLAB
FRAMING :
JACK S S/HEAD
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MA B A
HEATING ROUGH- IN
-INSULATION:
FOUNDATION LL N ER 0
FOUNDATION 1,IALLS EXTERIOR R-
FLOORS _
WALLS
CEILING
DUCT WORK OR PI NG IN UNH A
SPACES
EMAR
27
ARRIVE f Z
DEPART_ ,.
INSPEC R
TOWN OF QUEEKSBURY
BUILDING AN CODES
ROAD DEPARTMENT
531 BAYQUEENSBURY , NEW YORK 12804
TELEPHONE ( 518 ) 745- 4t447
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVE D
NAME
LOCATION
DATE PERMIT
TYPE OF STRUCTURE
APPROVED
RECHECK NIA I YES NO
11
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE _ IgL�� --
THE CONTRACTOR IS RES FROM
FOR PROVIDING PROTECTI
FREEZING FOR 48 HOURS F LLOWING
THE PLACEMENT OF THE C CRETE .
MATERIALS FOR THIS PURP EON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLA
PLUMBING UNDER SLAB
/ FRAMING :
f` JACK S U[IS/READ RS _ ---
BRACING/BRIDGING
JOIST MANGERS
JACK POSTS/MAIN SEAM
HEATING ROUGH. IN
INSULATION : IN ERIOR R-
FOUNDATION WAL
FOUNDATION WALL EXTERIOR RR�
FLOORS R_
WALLS R_
CEILING
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS =
ARRI V E'l... ,._,�----
DEPART. NSPEC R
-An bal1w
1-1
RTation,� - 44
a Headquarters
7837 Est Chi�ariicd; driest-bhester, #�' 19380
Date:
City, Town or Township L�, ■ r _ { County ��rt: %r V- � State
Location/Address
(If Located in Rural Area - Please Attach Directions) Pole #
Owner €��G9 '�
Occupied As r Building: ' New Qld
Occupant �_a t s . �` r� N+�4 r
Work Area in Buildin Floor #, etc- 1 :
for: Wirin Service or: Ready for inspection
Fee Remitted - $ Cash Check Q M:O,' Make Pa 'ahle To: M.D. I.A.
Number of Rough Wititlg OUtfats Elect, Heat sop 7qo laaa aago. >aoa SPSO 2aoo 22aa 2sao 275o a000
Switches - � . .
Lighting Amp. ServieW ,—.;:.�" �+rsface Unit Dishwasher Range
Receptacles Water Heater Air Conditioner Dryer Pump
Number of Fixtures Oven ^ '. Garbage Disposal Wiring and Controls for Burner
Arr0 Raceptav(Ps Fractional H.P. Vent Fans
Other Equipment-
MOTORS H.P. 1/ 1/1 1/10 1/a 1/6 114 W3 1/2 3/4 1 lhz 2
Mark Num 3 5 75z la 35 20 25 3a 4D 50 75 lna ber -
of Each Size .-
Applicant*-
Signature - CYCenSe # - • .
T/A Permit #
Utility :
Applicant's Address: NAME F10E [FAT
(City) (State} _ izipl Service Request 40
Phone # EI cian: r
4GATE RECEIVED: - • k
DATE INSPECTED:
Correct Location : Same as Above [ j or;
Red Notice Label
Rough Wiring Outlets Surface Unit Oven
Switches R
RangeGarbage [}i3posal "
Receptacles Water Heater '' [�ahvrasher
Fixtures i4Ir Co tierneY''�" ' 'C t3lryer I. .
Amp. Service Equipment Burner, V$Inn g & rols for Amp."Receptacld
P. Service Conductors pump
Vent Fans
MOTORS H.P. 1/20 1/22 1/20 1/5 1/6 1/4 1/3 1/2 3/4 5 7S2 30 35 2D 25 40
Mark Number > c.� , ,�
of Each Size
Elect. Heat 500 T50 1000 1230 1500 17 qQ 2000 :425a 2500 R750 ,300a
!;
RW Pro
0 Contractor
Progress : Inc.
g LKD
CFT Violation : Work Comp. Q Inc. �]
Q L/A 9 1.
'Owner {CASH
0 L/A 9 Fee CH K #
Q IPA _ Due MQ #
Municipal
INV #
Date: Other Side Utility Applicant Q
Owner (�
Cut in Card [] Temp C Date
[] Final ,# Date - - • INSPECTORS SIGNATURE
APPLICATION FORM No. 250 El 11f89 r P