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1992-296 c y x l I CERTIFICATE OF OCCUPANCY f TOWN OF +QUiEENSSURY WARREN COUNTY, NEW YORK I I I This is to certify that work requested to be clone as shown by Permit No. _ %Icco 9� In 4 i has been completed. (ICI dh C' k t ' dVkA y vck This structure maybe occupied as a A D D J T T 0 N `r (`)�LDWELLING Location kTw Ik= ifri71tY rRYST}�, 2. 'PAX r 1 F. F ' td c 0 By f3rder Town Board TOWN OF QUEEMBURY i IL I Director of BIdg. ck Code Enforcement I f I I BUILDING PERMIT TOWN OF QUEENSBURY No. WARREN COUNTY, NEW YOR K .o r PERMISSION is hereby granted to Greggry b Crystal Fish w OWNER of property located at 7 Her Avenue Street, Road or Ave. '*7 col in the Town of Queensbury, To Construct or place a Addi ti (fR to Dwell -lng = 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. erg O 1. OWNER'S Address is Sam 2- CONTRACTOR or BVILOERS Name .J ynand J . Storms 3. CONTRACTOR or BU1 LDE R'$ Address Sig Bay Rd Queensbury, NY 12W4 4_ ARCHITECT'S Name 3a' 5. ARCI-IITECT"S Address 6. TYPE of Construction — (Please indicate by X) ES. J I Wood Frame 4 ! Masonry I } Steel f } �t J. O 7. PLANS and Specifications C+ O No. 576 sq ft Addition to Dwelling as per plot plan specifications and application 91 B. Proposed Use �* iO Living room. Bedroom and Dining Roan $ AR nn PERMIT FEE PAID — THIS PERMIT EXPIRES July_16 , 19 93 {If a longer period is required an applicatian for an extension must be made to the Building and Zoning inspattor of the town of Queensbury before the expiration date.] Dated at the Town of Queerisbu-cyAbLis. 16th Da of July 1992 SIGNED BY for the Town of Queensbury Building a oni spectar TOWN OF QUEENSSURY REVIEWED BY : FEE PAID : 49 F - t ONVW OF: CIUEENSBUK (Elw PERMIT NO . : FiECE[VED .i Ut4 1 1992 BUILDING PERMIT APPLICATION BLDG. 8. 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 . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property : - e � F airy S,T�AL A . FIS Y1 cziL P . O . Address : -M r�?t- P1 L s �? } G Le- ij s 1 a t%!gP H ON E Property Location : SA AM t.V 4M 5 Tax Map No . / 07 /_�/ 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 : $ If _U Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * Size of Property : Cla;a7 ft . x / ' op ft . Other work ( describe ) * Existing Building Size : * a ft * x -710 ft . * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE : * property line : * Ist Floor �`p _ Sq . Ft . * Front Yard 2,;L . ft . Rear yard Ufa, ft . Side Yards ft . and -- �7 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 : Sq . Ft . * Primary Building - * One Family Dwelling Size of New Structure : 4::� y 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 add tion , what wi 11 use be ? L. L... No . of rooms ( excluding baths ) : * No . of bedrooms : No . of bathrooms : in Z 0 es * Accessory Building : Primary heating system : F. Detached Garage - One/Two Car Type of fuel : * Attached Garage - One/Two Car No . of fireplaces to be installed : / OA &P * Private Storage Building Will a woodstove be installed ? : AJ o * Other Central Air Conditioning : Yes No ( OVER ) BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : Type of construction : wood frame , fire safe , etc . G? O Will any second- hand or ungraded lumber be used ? If so , for what ? A/(' Foundation Wall Material : . 0 C f',r Thickness : Q f + Depth of Foundation below grade ( to bottom of footing ) : Will there be a cellar ? /4./0 Heated or Unheated ? Floor Sq . Footage : Will there be a basement ? /t/ j} Will any portion be used as living space ? /L/O If so , what portion ? Sq . Ft . Type of Use ? Type of Roof : Sloped/Flat/Shed/Other T. )12& d Material of Roof on yR. S Hkrig ) = V Size , wood studs D " x _" ; spacing ' o . c . ; length og ft . Joists ( floor beams ) : 1st Floor _ " x Q " ; spacing _ 0 o . c . ; span a c:j_ 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 ;p �,j o . c . ; span ,Is! ft . Exterior Wall Finish : -- Q c- t7 c _NN4-rw oca� -- of what material ? V I `r► YL 5 Interior Wall Finish : S 1-44:r-- E„ + R C9 CL 15;2 _ 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 . ) NAME OF BUILDER & ADDRESS : +'G t3a y. r2d- �� r e� .S T.-� .- ,..t NAME OF PLUMBER & ADDRESS : PHONE NAME OF MASON & ADDRESS : /�� ,r,,,nLA � � S T. Itu= a s + ` + PHONE NAME OF ELECTRICIAN & ADDRESS : lei C„,t. I x7. . PHONE gg 3 _' 7g " f 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 7. = ` Owner , ow#M r ' -S agent , architect contractor SPECIAL CONDITIONS OF THEPERMIT : By : Code Enforcement Officer ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY , WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Nettio�ds : i OWN OF 0 ram•-ft;SBUh PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings ( ONLY ) PART 6 - Thermal Rating - Component Trade Offs - I & 2 Family Dwellings ; '� UN } 1 �L Multi - Family Dwellings ( 3 Stories or Less ) BLDG. & CODE DEPI , PART 4 - Design By Component Performance - Commercial Buildings - Hi - Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets f Ic>esA eb r A le_ Co. LLB \ s _ i�a I t •Y APPLICANT NAME PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE : 1 , Gross Floor Area - S 7 fc Sq , Ft , 2 . Type of Heat - Elec . Base Board Other 3 , Is Building Mechanically Cooled ? YES coow "Na 4 . Percentage of Area of Windows and Doors 4-- Over 17 % Under 17 % THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO R E Q U I R E D 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 �� 7 C . Glazed Area R D . Exterior Doors R� — E . Floors over unheated spaces 4:- F . Edge of Slab on Grade ( Heated Building ) R G . Basement/Cellar Walls (Above Grade ) R 4=oL 11 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 YES NO TEMPERATURE CONTROL MRXI14IM SETTING 1400 - WILL NOT BE EXCEEDED E E HONE NUMBER INSPECTOR ' S REMARKS : IV >_ vr,�sz TOWN ov Ql )'-. :CE,^, Imp Y/ Rf}; L37I I3G & "rl] r}•. 1 :11 E-ORCEMENT 742 IiTtY P( YP." QUERNI-oTm E> Y NY 1 J FI04 ( 51n ) 14 nnnT ARRIVE. : DEPART : INS FINAL I1455PVCTXQN AMPO RT - RESIDE I DATE INSPECTION REQUEST RECEIVED !"1 , L�'�1 NAME G. {-"'T ) T1 ■ _ __J > ]-�f-�=-1 f1 \1 � LOCATION PERMIT TYPE OF ST /U C/ URE } s'�rRAM�yy� � F60TINGS_]�/. FOUNDATION HACKFILLINSULATIONF.4te BOUGH PLUMBINGS WC FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N A YES No CHIMNEY IiEIGHTflI VENT HEIGHT PLUNS6IN[a VENT RCl.[7F_ ING - EX"1'ERIOR FINISH DECK jp-'DHC[if STGPS�ILF_+; LxNGS -- FUk2[3ACEO�I' WATER CYPERAT INTERIOR TRIM.LPRIVRCY_D R FINISH FI,C70RS : F31�Z'EiLFJTCHEN WATER. IGHT _—. O'}"]iEFt FLc7c7R5 SWE ABLE. _ ,. O'I;SiER FLC10f2S, C P—UM - SMr7.Y_.> Dl 'TEC'F C7 kZS f D�P"'I`kifLC3QM FhfFS —' `"— LA FO ot71)AT.i ON„—I N SU LA'I'ICIN _��---- C,,.*t_F gr FIRE^PROOFING UOOCL _CLCjS1• RS__„^_—�_,,—�—y FINTI I,. ELECTRICAL-.�y,1_!j]� t t', ITF PLAN VARI.7!.NCE ItdlsL SURVEY PLOT r: PLAN OK TO ISSUE C /O OF2 C,�''C low 11 THE NEW YORK BOARD OF FIRE UNDERWRITERS } BUREAU QF ELECTRICITY 42 STATE .STREET. ALGA► Y, P ORK 12207 # ltlls?iE< ',' I ! ` • i AppluationN on ,, Ir ; Date } }.IS- 11 I T I,la . 4 .. •I . THIS CERTIFIES THAT only the piectrical equipment as described below and introduced by the ssasssed on the oboes appliceeion number in the prremtase of QmMunkra%j vVisin in thefollotainA location; Boat t 1st F'l. ❑ Sod FY. Section Black Lot was exansinod an W 1I t and found to be in compliance with the National rElectsical Cade. FIXTURE AGLES SYVITGIES 14XTURM RANGES CCDOKING DECKS OVENS DISH wASNlRS EXHAUST FANS OUTLETS INCANDESCENT FLI OKSCENT OTHER AMT. K. W. AMT, K. W. ANT. K.w- AMT. K. W. AMT- H. P. 4 M 3 DIIYlRSi FURNACE MOTORS FUTURE AINUANCE /!ltilRS SrWAL RRC rT TIME CLOCK gM UNIT HEATERS MULT1• XJTLET DIMMER$ AMT. K. w, all H. P. aAs H. P. AMT. MO• A W. G. AMT. AMP. STSMS AMT. AMPs- TRANS. AMT. H. P. N. C* N AMT. WAM aaaa rwylce DISCONNECT NC. DF 5 ! R V I C ! AMT. AMP. TYFE METlR 1 X 7W 4 X sW s X 71p 9 X 4W Na. M ,GG. GONG- 1l w.G. NO. Or IWLEG A, w. G. NO. of NEUTRALS A. w_ G EGKAF. PER a' K4F CC. CONO. Or HFLlG OFG, OTHER APFARATUsa '6,v-. C,T j BRANCH MANAGER . t • w swasd Per This certificate must not be ahered in any manner; return to the office of the Board if incorrect. Inspectors may be ident3fnad by their credantiols. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF OUEENSBURY BUILDING A�NID CAOYD ROAD DEPARTMENT QTELEPHONE � NEW 0 ( 518) 745- 444'7 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTIOMI RECEIVED ! NAM a T LOCATION OATS AG e" T ES?e� RUC 'URE APPROVE RECHECK N/A YES NO FOOTINGS/'PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FRO01 FREEZING FOR 48 HOURS F LOWING THE PLACEMENT OF THE CO RETE. MATERIALS FOR THIS PURP E ON SITE FOUNDATION/WALL POUR ' FEINFORCEMENT IN PLA E OUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN A E PLUMBING UNDER SLAB FRAMING : JACK STUDS/HEADER BRACING/BRIDGIN JOIST HANGERS JACK POSTS/MA BEAM 4 EATING ROUGH- NSULATION : FOUNDATION ALLS IN E IOR R- FOUNDATION WALLS EXTERIOR RR_ FLOORS R- 4 WALLS - R_ CEILING DUCT WORK OR PIPING IN UNHEATE SPACES REMARKS : ARRIVE DEPART I pECTOR TOM OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QTELEPHONE � NEW 0 ( 518 ) 745- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED qtaA.. :e NAME_ ! O � � 1.4 LOCATION DATE���� �PERMIT TYPE OF STRUCTURE,. G✓�u'rt7� �CL�Ld�� 1� RECHECK APPROVED N/A YES NO FOOTINGS/ I RS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPOND FOR PROVIDING PROTECTION FREEZING FOR 48 'HOURS FOLLOWING THE PLACEMENT OF THE CONCRILTE . MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/OAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/YEN S IN LA E' PLUMBING UNDER SLAB FRAMING : JACK S MEADE BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAI B A HEATING ROUGH- IN INSULATION . FOUNDATION W L N E FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK R I NG IN UNHE E SPACES RE MA KS : LA r ARRIVE DEPART _ f ZIT N R TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT lt. c�r 531 BAY ROAD / R 7 NEW 0 TELEPHONE ( 518 ) 745- 4447 BUILDING INSPECTOR" S REPORT RIEWEST FOR INSPECTION RECEIVED r �' NAME LOCATION DATE '' PERMIT _ ? _ TYPE OF STRUCTURE RECHECK APPROVED N/A IYES1 NO F00TINGS/PIERS MONOLITHIC POUR ORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RES SISLE 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 P AC FOUNDATION/DAMPROO NG��_ —X BACKFILL APPROVAL ROUGH PLUMBING e PLUMBING VENT/VEN sPLACE PLUMBING UNDER SLAB FRAMING : JACK S S/H AD BRACING/BR IDGIN JOIST HANGERS JACK POST /MA S AM HEATING ROUGH— INSULATION : FOUNDATIO L E FOUNDATIO WALLS EXTERIOR;EE FLOORS'WALLS CEILIN DUCT W RK R PI ING IN UN SPACE RE RKS : ARRIVE. © r =S DEPART F _ PFCTM TOWM OF QUEEMSBURY BUILDING AND CODES DEPARTMENT 531 SAY ROAD QUEENSBURY , NEW YORK 12804 Molt TELEPHONE ( 5I8 ) 745- 4447 BUILDING INSPECTOR` S REPORT REQUEST FoR IHsPECTION RECEIVED r NAME c: c LOCATION fl �DATE PERMIT # `~ TYPE OF TRUCTURE RECHECK APPROVED N/A YES 140 OOTINGS/PIER MONOLITHIC POUR FORM REINFORCEMENT IN PLA THE CONTRACTOR IS RE SIBL FOR PROVIDING PROTEC •. ON FR FREEZING FOR 48 HOU FOLL ING THE PLACEMENT OF THE ONCR E . MATERIALS FOR THIS PU POS ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLAC FOUNDATION/DAMPROOFING SACKFILL APPROVAL 11 ROUGH PLUMBING PLUMBING VENT/VENTS IN A E PLUMBING UNDER SLAB FRAMING : JACK MOSMEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN B ' HEATING ROUGH- IN INSULATION : FOUNDATION WALLS IN ERL R - FOUNDATION WALLS ' EXTERIOR FLOORS R j WALLS R- CEILING R- DUCT WORK OR PIPrNGIN UNHEA SPACES REMARKS : r lie ARRIVE DEPART TNSPFCTnR t 4 A C7 q z ro f _ T-FP ale . 1 94 PLO" t -13 r o r y F. F%; 1VN a 450 , QAc r wo +.OVVN €3F QUEEIYsBull —� RECEWED SUN z 7992 BLDGo S CODE ,DEP?