1991-405 °
n
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date - 19 _
3o - i -- I
This is to certify that work requested to be done as shown by Permit No. 91-405
has been completed. •
This structure may be occupied as a Sun Room
Location 14 Centennial Drive
Owner Anna Vousev
By Order Town Board
TOWN OF QUEENSBURY
• Director of Bldg. do Code Enforcement
LLDING P RMIT
VALUE $ 0 TOWN OF QUEENSBURY _91405
TAX MAP NO. 80. -2-14. 3 No.
WARREN COUNTY, NEW YORK
YOUSEY, ANNA
PERMISSION is hereby granted to
14 CENTENNIAL DR.
OWNER of property located at _ Street, Road or Ave.
in the Town of Queensbury,To Construct or place a ADDITION TO 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
2. CONTRACTOR or BUILDER'S Name
GAGNE. NORM
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
RESIDENTIAL ADDITION
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
WOR . INCOMPLETE.. LAWSUIT AGAINST BUILDER. OWNER- HAD INCOMPLETE
ADDITION TAKEN DOWN AND SIDING PUT BACK- ON HOUSE.
8. Proposed Use
ADDITION TO DWELLING
0 June 13 92
$- PERMIT FEE PAID —THIS PERMIT EXPIRES 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.)
20 September 95
Dated at the Town of Queensbury this Day of 19
•
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector:
t '
•
BUILDING PERMIT
TOWN OF QUEENSBURY MC
No. 91-405
WARREN COUNTY, NEW YORK
v
0o
PERMISSION is hereby granted to Anna Yousey
OWNER of property located at 14 Centennial Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to Building (Dwelling) w
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
Same o
N
t<
2. CONTRACTOR or BUILDER'S Name
Norm Gagne
3. CONTRACTOR or BUILDER'S Address CI)
28 First Street a'
Glens Falls, NY
4. ARCHITECT'S Name
5. ARCHITECT'S Address -�
O
O
6. TYPE of Construction— (Please indicate by X) O
fD
;Wood
( T Wood Frame ( ) Masonry ( )Steel ( )
CO
7. PLANS and Specifications
No. 160 sq ft Addition to building as per plot plan specifications
and application
8. Proposed Use
Sun Room
$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 13, 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 13th Day of June 19 91
SIGNED BY �vl• for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
REVIEWED BY TOWN N OF, QUEEi`1 �Z-;.,=,'i
Oak FEE PAID $ D ' :414TIVIgiCitI
PERMIT NO. —
5 � � qN..Q ii
JUN111991
BUILDING PERMIT APPLICATION
BUILDING & CODE DEPT.
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 a * a * a * * a a * a * * * * * * * a a a * * * * a a * a * * * * a a * * a * *
The owner of this property is: 1/L0 Oc_A_S T_/ (r5''CO-k--,6—)
P.O. Address I If ,,ODA i-cin, to.): T r- Tel. 77 2f 12_,g's
:il.it= 0 0 57 y/
Property Location U1,1-14.S 't-,.v-( _ Tax Map No. D/ / / of
I l l S ic1,-/ciL
lr
/
Has there been any split of this property since October 1, 1988? / t t
If yes Planning Board Review is necessary. yes no
i
SUBDIVISION NAME, IF APPLICABLE k)U f kAd LOT NO. (iv/
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
*
NATURE OF PROPOSED WORK: " ESfNMATED MARKET VALUE OF •
Construction of a new building * CONSTRUCTION: $ SLin(}
" COMPLETE INFORMATION REQUIRED BELOW:
X. Addition to a building
• Size of property %.S 3, 6 q ft x L� n ft.
Alteration to a building ' Existing Buildings(3) Size (2 ft. x 2('I, ft.
(no change to exterior dimensions)
" Proposed building - distance from property line:
Other work (Describe) " Front Z� 31a ft.
yard•
I ft. Rear yard
Side yards ,c' ft. and C U ft.
*
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor I (00 sq. ft. "
* OCCUPANCY INFORMATION
2nd Floor sq. ft. • - Primary Building -
Other Floors sq. ft. ,,One, ,,One Family Dwelling
(not cellar or baser--- 4.. Two Family Dwelling
TOTAL FLOOR AREA (_CPC sq. ft. a Multiple Dwelling/Number of units
Size of new structure /( _ft x /I ft. * Business
Foundation-pier/l�lab�/ct'auti/partial/full * Industrial
(circle one) • * Other
*
No. of stories (habitable space) ( •
Height (grade to ridge) ft. ' * If addition, what will use be? c(1 1N) IeCXDfn
If residential, no. of families r
No. of rooms(excluding baths) a
Accessory Building
No. of bedrooms •
___Detached Garage ONE/TWO Car
No. of bathrooms , *
Primary heating system EA/S f/iU 7 • _Attached Garage ONE/TWO Car
Type of fuel • __Private storage building
No. of fireplaces to be installed "
" Other
Will a wood stove be installed
Central Air conditioning •
OV* ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING FIP,FC.IFICITIONS:
"`Typ'e of construction, wood frame, fire safe, etc. woo J
., W:ill ariy 'sedond=::hand or upgraded lumber be used? If so, for what?
Foundation wall material C.6KCIKI-i f OCIS Thickness "
Depth of foundation below grade (to bottom of footing) S i
Will there be a cellar? k; Heated or unheated? uvil sn -z Floor sq. footage (Go sq ft.
Will there be a basement? 100 Will any portion be used as living space? (f c 5
(If so, what portion? ((4 sq ft. Type of use? Su,vl R.6Ws„
Type of roof - sloped/flat/shed/othersto £JJ Material of roof \/z_" CJJX l_C' FLJ;- Fibc„-o,jc c S\N"Lic fcs
Size, wood studs .2 "x (, " spacing )a " o.c. length S( ft.
Joists (floor beams) 1st floor 2 "x ( " spacing /(v "o.c. span 10 ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters Z "x - �s' " spacing 4 o.c. span 9 ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish (f (Lit S'1,t I ViC, I zJR of what material? Vail C7X a4gys :1il%Ar
Interior wall finish (Di( ,ic{ulx t-c-rco F
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? 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)
� n -----_._�\CC/1
NAME OF BUILDER 1 k `AWL ADDRESS ZS� hlrsi Si C)65 lAyTEL. O. .`??ZO9 3 � ) I�
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN 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
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
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
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
IL( (bk+a) n ic)J Dt- ,
APPLICANT'S NAl ` PROPERTY- LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - I (9 0 Sq. Ft.
2. Type of Heat - Elec. Base Board Other rX/S1-/10$ i ,4%/Z
3. Is Building Mechanically Cooled? )( YES _ NO
4. Percentage of Area of Windows and Doors X 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 $" i?
B. Exterior Walls R(o�� 3.17
C. Glazed Area R BIvf 11 C Tar �f
D. Exterior Doors R f
E. Floors over unheated spaces R 'Z 5
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 G 'i p1 Z Hot Or ,,t,\Cts
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
V.414,fra 9/2. -/P( 79' — /2_
APPLICANT'S SIGNATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS:
•
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 K�
LOCATION /4 " ()01(? /t'A1/� A`4 -
DATE / / 13/q/ PERMIT # 9/-1fO5
TYPE OF STRUCTURE a1/t & CLU,7, . 6/4
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPO ' .BLE
FOR PROVIDING PROTECTION "OM
FREEZING FOR 48 HOURS FOLLIWI G
THE PLACEMENT OF THE CONCR: '.
MATERIALS FOR THIS PURPOSE ► SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS PLACE
PLUMBING UNDER SLAB/
?SFRAMING: Alk c' 4 01 '46
JACK STUDS/HEAD'RS JJ
BRACING/BRIDG G
JOIST HANGER
JACK POSTS/ "IN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS /
HEATING 'SOUGH-IN
INSULAT-ON:
FOUNDATION WALLS INTERIOR R-
FOU 'DATION WALLS EXTERIOR R-
F HORS R-
''E LLS R-
ILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
Z(...292A.e.a/ _MiperaJ
ARRIVE
DEPART 9 9O
INSPE OR
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 QALUCL, ?J 1. 4 P i f
LOCATION f 1 �nAVL-Q�f n�.�11 Ji f
DATE q/ 3 f c1/ PERMIT I q1-4o5
TYPE OF STRUCTURE Q('h t tb CLL,i.P.0 e1
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE 1
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 a
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER WB /
XFRAMING: ( . OT ./i'
-17)
JACK STUDS/HEADERS
BRACING/BRIDGING i j
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOVR-
FOUNDATION WALLS EXTERIOR ,R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ain't 44 Y
D
ARRIVE
DEPART
INS CT
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 / j//9,/
NAME e/e4 JIG
LOCATION ,/// 6,i)-7,/ tJ9./ll/ mot&'
DATE 1l^'1% 9/ PERMIT #
TYPE OF" STRUCTURE 4`j',f- 6 �/P 4f/7'
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
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
,( FRAMING: ✓/
JACK STUDS/HEADERS G/
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:
l
ARRIVE // L
DEPART '/� �v
INSP CT R
5own OQueenJittruBUILDING & CODES D E F T,
. THE PLANS SUBMITTED HAVE BEEN REVIEWED AND
HAVE BEEN FOUND TO LACK SUFFICIENT DETAIL
FOR PROPER PLAN REVIEW.
WE HAVE ISSUED THIS PERMIT WITH THE
FOLLOWING STIPULATIONS :
1 . THE WORK WILL BE INSPECTED AND MUST CONFORM
TO ALL PROVISIONS OF PREVAILING CODES .
2 . IF DEFICIENCIES ARE FOUND THEY MUST BE COR-
RECTED BEFORE WORK CONTINUES .
3 . FAILURE TO COMPLY WILL RESULT IN REVOCATION
OF THE BUILDING. PERMIT
Code Enforce ent Officer
a/11Z--/9111
. Da t e
—`16s
Building Permit #
COMMENTS:
The &iildLng Depa.ntnent accepts dtrawLng4 {nom homeownetus {ion isma,Le
pnoject4, knowing that they cannot pnov..de pno4eA-.onat p.eans. HoweveA;
without ate a4pec.,ts ob the wonfz shown on the ditaw-Lngd, we nee.ve the
A ght to negtwte pnopelt con4iituetLon in coni onmance with &t edt,ng Code.
The'te5one-- WE ENCOURAGE THE APPLICANT TO ASK FOR INFORMATION ON ANY
PORTION OF CONSTRUCTION THAT THEY ARE NOT FAMILIAR WITH.
We wowed natheA hap with pnob.eems be4one they oecLwt, natheJt than
negu Ae_coitey Chan s _actek the wonfz haz been done. — - - -
FILE COPY ac n
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ToWtv OF QUEEN,
JUN I
qUILDI"a & CODE DEPT.
TOWN OF QUEENi_,,
JUIV 11991
BU*DM ME DEPT,
TOWN OF QUEENSSl-YIP'
Zoning Admin' etw
*/ f,
Date 11-5V