1992-159 CERTIFICATE CIF Oi CUP �NCY
T.
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
19
Date --f-.- -
Cr � Permit No.
This is tO certify that wt3rk requested to be done as shown by
hss been C0MV3tted•
Alteration to pwellin
This structure may be occupied as a
l,ocstiI. 3 4a Sul l iYan Road
t+on�
Owner Marcel a Cecile DeMers
By Order Town Board
TOVYN OF QUEENSBURY
i fr'
Director Of H1dg. be C'Qde Enforcement
s
se
BUILDING PERMIT
+ r
TOWN OF QUEENSBURY No- , 9
WARREN +COUNTY, NEW YORK �
0
PERMISSION is hereby granted to
Street, Road or Ave.
OWNER of property located at
in the Town of Oueensbury,
To Constructor place a Alteration to Dwel l in
at the above location in accordance to application together with plot plans and other information hereto filed an Y
ith the Town of Queensbury Building and Zoning Ordinance.
approved and in compliance w 3
C+
t_ OWNER'S Address is
Box 374 West Mtn Rd ,
Queensbury, My 12W4 n
rG
ty
2, CONTRACTOR or BUN LOER 'S Name ^r•
Sam
3. CONTRACTOR or BUILDER'S, Address
t4
V
4. ARCmITECT"S Name z
L AS
MMMA
1
S. ARCHITECT'S Address AC
f3
fil
O� -
6. TYPE of Construction — (Please indicate by X)
it Wood Frame ( 1 Masonry ( 1 Steel 1 1
7. PLANS and Specifications t'+
r lot plan specifications
No- 1012 sq ft Al terati an to Qwel 1 i ng as Per p
and application
B, Proposed Use
A; terati an to !)welling
A ri1 22z lg 93
$ 4OoOO PERMIT FEE PAID — THIS PERMIT EXPIRES p
(if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of QueenshurY befof1e the expiration date.Y
April 19 92
Dated at the Town of Queensbury this
22nd I I pay of
for the Town of Queensbury
SIGNED By Building and Zoning nspector
�'C7Wli OF QUEENSOURY
REVIEWED BY : r C)WN OF QUEENSBUH i
FEE PAID : �s----- RECEIVED
Pei
PERMIT NO , : t ' —~ APR 2 0 1997.
BLDM & CODE DEFT.
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 : /U]AC Z C4 C r" lazz 4E:N 5 .
—
11 . 0 . Address : PHONEp �r 9i"'
Property Location :
,.._„ /�_-__,_y Tax Map No
Z � -ry-z-
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 PERSONLRESPONSIBLE FOR SUPS OF WORK AS REGARDS TO BUILDING CODES IS :
NATUR OF PROPOSED W * 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 : ft . x ft .
Other work ( describe ) * 'Existing Building Size :
` �4 A:3 � a � E" � � " /� ft . x ft .
------
- * Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE : * property line :
ist Floor Sq . Ft . * Front Yard ft . Rear yard ft .
Side Yards ft . and ft .
2nd Floor Sq . Ft . * If on corner , setback from side street-
* ft .
Other Floors Sq . Ft . "
( not cellar or basement ) OCCUPANCY INFORMATION :
*
TOTAL FLOOR AREA : 10 :2 Sq . Ft . * Primary Building -
�" w" w * X 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 : r/ * Accessory Building :
Primary heating system ` * Detached Garage - One/Two Car
Type of fuel : * Attached Garage - One/Two Car
No . of fireplaces to be insta led : * Private Storage Building
Will a woodstove be installed ? : * Other
Central Air Conditioning : Yes No L,.wwoowim
( OVER )
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 ?
Foundation Wall Material : _ f�
1 5 /3t�dr^ �� Thickness : � --
Depth of Foundation below grade ( to bottom of footing ) :
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 ? j, � aa Sq . Ft . Type of Use ?
Type of Roof : Sloped/ Flat/ Shed/Other Material of Roof
Size , wood studs " x spacing " o . c . ; length ft .
.foists ( floor beams ) : 1st Floor x " ; spacing " o . c . ; span ft .
Joists ( floor beams ) : 2nd Floor : x _ T " ; spacing " o . c . ; span ft .
Overlays ( ceiling beams ) : " x " ; spacing T o . c . ; span ft .
Roof rafters : 'X G " x spacing o . c . ; span ft .
Roof trusses ( pre -engineered ) : spacing o . c . ; span ft .
Exterior Wall Finish : of what material ? _
Interior Wall Finish : r � eile `
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 ? ¢{' ZFSL} w
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 : JVAtey-
SEPTIC SYSTEM : Distance from any private well ( including adjoining properties : lu d ft .
( A separate application is necessary for any repair or new installation of septic system . )
NAME O1= BUILDER & ADDRESS : J_ PHONE
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 auth rized the owner .
Signature `%l (
9einer , er s agent , archTtect
contractor
SPEC ONDITIONS OF THE PERMIT :
By :
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY , BARREN COUNTY on 9000 HEATING DEGREE � OF
QUEENSRUH �
RECEIVED
Cowliance Methods :
APR 2 D 1992
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( ONLY )
PART 6 - Thermal Rating onComponent Trade Offs - i & 2 Family Dwel l ingsO ;"D(3' 'E` CODE DEPT:
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
AF LICA � PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE0
1 . Gross Floor Area - 44a Sq . Ft . /
2 , Type of Heat - Elec . Base Board Other 2,r',�f .
3 . is Building Mechanically Coaled ? YES '' NO
4 , Percentage of Area of Windows and Doors Over 17% _ /c %u Eder 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D
THE R-VALUES SHOW ON PLANS SUBMI7TWI
Baseboard
5 . Insulation Values : Actual Shown Elec . Heat Other
A . Roof & Floors exposed to ambient temperatures R i r
Be Exterior Walls
Co Glazed Area R ,
D , Exterior Doors R f f
E . Floors over unheated spaces Rom,_
F , Edge of Slab on Grade ( Heated Building ) R
G. Basement/Cellar Walls (Above Grade ) R
He Basement/Cellar Walls ( Below Grade ) R
1 . Heating/Cooling on Ducts we Piping in Unheated Space R
6 . Service (Domestic ) Hot Water Heating device
A . Conforms to mi nimism efficiency per cede YES NO
TEWMIURE CONTROL MAXIMUM SETTING moo - WILL NOT BE EXCEEDEQ
i'' ",Z 52(� ,
000, TELEPHONE NUMBER
INSPECTOR ' S REMARKS
TO NO llr OWEMSBURY Wm
531 BAY ROAD
TELEPHONE , ( 518) 745-4447
TELEPHONE
BUILDING. INSPECTOR' S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
MANE tN n A4 it S'
LOCATION cte � __
DATEPERMIT#
TYPE OF STRUCTURE
RECHECK
FIRE MARSHAL APPROVAL ( COMMERICIAL STRUCTURE )
FOOTING FOUNDATION BACKFILL FRAMING
_ROUGH PLUMBING FINAL ELECYRICAL _SEPTIC
INSULATION WOODSTOVE/FIR LACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATIO
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/sTEPS/RALLINGI
RELIEF VALVES
FURNACE/HOT WADER OPERA ING
INTERIOR TRIM/PRIVACY D ORS
FINISH FLOORS .
BATH/KITCHEN WATERTI T
OTHER FLOORS SWEEPABL
OTHER FLOORS CARPETED'
STAIR CLEARANCE/RAILING
SMOKE DETECTORS
MOOR CLOSERS
BATHROOM FANS
ALLPLUMBING FIXTURES OPE _
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARA ION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
,COOM�M!!MEM
l J c0 AA f �
ARRIVE
T OWN OF ENSOURY
5531 BROAD
TELEP'HOUNE (5181 74�$�7
BUILDING INSPECTOR I S REPORT
FINAL INSPECTION
REWE,ST FOR INSPECTION RECEIVED
NAM
LOCATION
PERMIT#
DATE„
TYPE OF STRl1CTU�
RECHECK
FIRE MARSHAL APPROVAL (1sACKFILLL,p 4RAMINGE�
FOOTING FOUNDATION SEPTIC
TROUGH PLUMBING FINAL ELECTRICAL
,G.-I3NSIlLATIflN W�STOVE/FIREPLACE
>
REMARKS
A PROVALNfl
N/A YES
r
CHIMNEY HEIGHT/LOCA ON
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
BECK/P RIC E Sf L S
RELIEF VALVES E
NG .~
FURNACE/HOT WA
INTERIOR TRIM/PRIV CY DO IS
FINISH FLOORS : TERTIGHT
BATH/KITCHEN
OTHER FLOORS WEEPABLE
OTHER FLOORS CARPETED .
STAIR CLEA SMOKE CETERCpT,IN $/RAILINGS
OOP
ALL PLUMB IN7U 0 ERAFINAL
I
OK TO ISSUERC/OL /
COMMENT AfIA.�.1:'�
A o AJ
ARRIVE.
DEPART Ld
��
ToWl OF QUEENSBURV
BUILDING AN BAD ROAD DEPARTMENT
QUEENSBURY , NEW
O
TELEPHONE ( 518) 7451111114447
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIYED
MOE
LOCATIONsr}
DATE
TYPE f `l
TYPE OF STRUCTURE
APPROVED
RECHECK-,�, N/A I YES NCI
OOTINGS/PIII i R
MONOLITHIC POUR F � ^—
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESiPONSIBLE
FOR PROVIDING PROTECTION F 014
FREEZING FOR 48 HOURS FOL OwIKG
THE PLACEMENT OF THE CON £TE .
MATERIALS FOR THIS URP E ON SITE
FOUNDATION/WALL PO R
REINFORCEMENT IN P ACE
FOUNDATION/DAMPROO IN
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/V N IN PLACE
PLUMBING UNDER SL
FRAMING :
JACK S IHE
BRACING/BRIO ING�
JOIST HANG S � '�
JACK POST MANS B A
HEATING ROU H- IN
INSULATION
FOUNDAT O LL I E
FOUNDA ION WALLS EXTERIOR RR-
FLOOR
WALLS R_
CEILING
DUCT WOR R PI I G IN UNH£ E
SPACES
R7T
ARRIVE .r
DEPART 4t.L ' INS4ECTR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY . NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED IO A 3-` ' �-
NAME_ -!I` C, e
LOCATION
DATE 104 3 �i off" PERMIT if
TYPE OF STRUCTURE
RECHECK APPRO
NjA YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RES St LE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRIN
E .
MATERIALS FOR THIS PURPOSE S E
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN P A
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS �...........--;-- — _
JACK. POSTS/MAIN BEAM �....
IEATING ROUGH- IN
NSULATION :
FOUNDATION WALLS I ER OR R-
FOUNDATION WALLS TERIOR R-
FLOORS R-
WALLS R~ �z
CEILING R-
DUCT WORK OR PIPING IN UINHEA ED
SPACES
REMARKS :
ARRIVE
DEPART
i SPECTOR
7O11M OF QIlEEf158URY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 518 ) 7 45- 4447 X�, �
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED 41/a ielevoa,
MANE ,c. �
LOCATION
DATE PERNIT
TYPE OF STRUCTURE �. /✓xl �s
RECHECK _- APPROVED
N/A YESI NO
O INGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPOII
FOR PROVIDING PROTECTIONiFRQN
FREEZING FOR 48 HOURS FO OWING
THE PLACEMENT OF THE CON ETE_ ;
MATERIALS FOR THIS PURPO ON 'z'ITE _
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
( ROUGH PLUMBING
/ PLUMBING VENT/VENTS IN ALIkCE
PLUMBING UNDER SLAB
FRAMING :
JACK S /HEAD
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MA BEAM
HEATING ROUGH-
INSULATION :
FOUNDATIO ALL INTERIOR R-
FOUNDATIO WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING . R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS : t �
ARRIVE '.
F�e
DEPART -
iNSPEC R
T &W OF QUEERSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURYt NEW YORK 12804
TELEPHONE (518 ) 745-- 4447
BUILDING INSPECTOR "S REPORT
REQUEST FOR INSPECTION RECEIVED_ _ J1
NAME d
LOCATIONS
DATE PERMIT 3I_
TYPE OF STRUCTURE
RECHECK APPROVED
00 INGS/FI RS N/A YES NO
MONOLITHIC POUR F
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPON IRL
FOR PROVIDING pROUCTION FR
FREEZING FOR 48 FQLLO NG
THE PLACEWNT OF CONCR E
MATERIALS FOR THIS PURPOSE N SITE
FOUNDATION/WALL POU
REINFORCEMENT IN PL E
FOUNDATION/DAMPROOFI G
BACKFILL APPROVAL LL"'
ROUGH PLUMBING
PLUMBING VENT/VET S I LACE
PLUMBING UNDER Sf_AB _
FRAMING . .....
JACK S /H AD S
BRACING BRIDGING
JOIST HANGERS
JACK POSTS/MAIh� A --
HEATING ROUGH- IN
INSULATION :
FOUNDATION AL I ERI R -
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R_
DUCT WORK R i I G N UNHEA E
SPACES
REMARREMARK .
ARRIVE
DEPART
INSPECTOR