1991-535 CERTIFICATE OF OCCUPANCY •
•
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date
This is to certify that work requested to be done as shown by Permit No. , -9 7535
has been completed.
This structure may be occupied as a Alteration to Dwelling (Rec.. Room)
Location West Mountain Road
•
• Owner Michael Sheehan
•
By Order Town Board
•
TOWN OF'QUEENSBURY
•
.„ s
Director of Bldg. do Code Enforcement •
/:
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-535
WARREN COUNTY, NEW YORK
1-1
PERMISSION is hereby granted to Michael Sheehan
OWNER of property located at West Mountain Rd Street, Road or Ave. co
Co
Co
in the Town of Queensbury,To Construct or place a Alteration 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 t/)
Same
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2. CONTRACTOR or BUILDER'S Name
Sherwood Acres Corp.
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X) r}
(X)Wood Frame ( ) Masonry ( )Steel ( )
v
7. PLANS and Specifications
No. 324 sq ft Alteration to dwelling as per plot plan specifications
and application
8. Proposed Use
Rec Room
$ 30.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 25, 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 25th .,Day,of / July 19 gl
SIGNED BY for the Town of Queensbury
Building and Zo i Inspector
TOWN OF QUEENSBURY
REVIEWED BY: REC
411111.111111Phkalk
kliSTON FEE PAID: 0()--- JUL 2 -A
PERMIT NO. : q I - 515 y
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: _ M , C if L ,Sg 6� /9 /0
P.O. Address: LO F_S j- 791 7- 4 çv !? ) / h PHONE 7 ? 3 7.)�
Property Location: N >• 1 c) 4 / Tax Map No./0/,, /$ /C) 1
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: K _ Lot No. __Ro____
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: $ 147 1i Q<7
Addition to building * /
Alteration to building * COMPLETE INFORMATION Q,UIRED BELOW:
(no change to exterior dimensions) * Size of Property: /70 ft. x //t.
Other work (describe) * Existing Buildin Size: , �_/+z,
* (eft. x 'ft. 77��
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor 'S ! . Sq. Ft.� V * Front Yard . Rear yard )W' ft.
* Side Yards /U . and ft.
2nd Floor /U Sq. Ft. * If on corner, setback from side street-
ju * ft.
Other Floors Sq. Ft. *
(not cellar or basement * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: W Ft. * Primary Building -
Ot.
* One Family Dwelling
Size of New Structure: ft. x * 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: C * If addition, what will use be?
No. of rooms (excluding baths) : *
No. of bedrooms: ''.
No. of bathrooms: a- * Accessory Building:
Primary heating system: F * Detached Garage - One/Two Car
Type of fuel : r f * Attached Garage - One/Two Car
No. of fireplaces to be installed: iLl * Private Storage Building
Will a woodstove be installed?: /(/ * Other .
Central Air Conditioning: Yes No 7 *
(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? k.)"d
Foundation Wall Material : Av dl— Thickness: A)
Depth of Foundation below grade (to bottom of footing) : /l
Will there be a cellar? MIA Heated or Unheated? - Floor Sq. Footage:
Will there be a basement? _ Aj - Will any portion be used as living spat ?
If so, what por ` - fYSq. Ft. Type of Use? ,
Type of Roo ': Sloped Flat/Sh d/Other Material of of
Size, wood stus " x 62 " ; spacing f�/ " o.c. ; length ft.
Joists (floor beams) : 1st Floor a. " x / " ; spacing G( 0 o.c. ; span ft.
Joists (floor beams) : 2nd Floor 0 Pjr " ; spacing " o.c. ; span ft.
Overlays (ceiling beams) : po " x _ " ; spacing _ " o.c. ; span ft.
Roof rafters: " x spacing MQ o.c. ; span ,/44t.
Roof trusses (pre-engineered) • sp cing � o.14; span ft.
`
Exterior Wall Finish: - �_ . 'wlta erial ? --��
Interior Wall Finish: .S.:' o „ �-
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? Ki so, will a Fire-Rated door,
enclosure, self-closing device be provided? "M
Will a flue-lined chimney be installed? ' `—1 Weight above roof ft.
Depth of chimney foundation below grade: Al ,4.3 ft.
Depth of fireplace hearth: . in.
Water supply - Municipal or private well : AI .$6
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: _ _er. PHONE 6
NAME OF PLUMBER & ADDRESS: / ( PHONE - (
NAME OF MASON & ADDRESS: c PHONE Ic
NAME OF ELECTRICIAN & ADDRESS: // PHONE r -
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 N . . 1 provisions of the
BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertai is ,. the p osed or '.hall
be complied with, whether specified or. not, and that' such work is ..,t 'orizee b t .- q -e ..
Signature - 1r...A
Owner, owner s agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
COMM OF QUEENSBUh
Compliance Methods: _
RECEIVED
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) J U L 2 3 1991
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwellings BLDG. & CODE DEPT.
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
M caot 4 w _9_,.1-„,a,
APPLICANT'S NAME PROPERTY LOCATIO
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - ( Sq. Ft.
2. Type of Heat - Elec. Base Board Other
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors Over 17% ')C 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
C. Glazed Area R . l
D. Exterior Doors R_�'
E. Floors over unheated spaces R � 9
F. Edge of Slab on Grade (Heated Building) R /
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R l
I. Heating/Cooling - Ducts - Piping in Unheated Space R. 0-1.5*
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code YES NO po-
T E CONTROL MAXIMUM SETTIN 140° - WILL NOT BE EXCEEDED
APPLICANT'S SIGNATURE DA E TELEPHONE NUMBER
INSPECTOR'S REMARKS :
.4.".".0009).fit/J,t1.-\i-MIJWA.","(".".00,J..\t/W/."."W/A0Ti.-1 -mi.A0WA.A0VAAA-?,4".".At/.ek" \t/)ti-:tl-0,. ."-)t11t/ . 4
THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1
___ 34597 BUREAU OF ELECTRICITY ,Y
41 STATE STREET BANY.NEW YORK 12207
Date SEPTEMBER 09,1991 Ap ication i o.on fileJ7'_o7091/9i A 058232 REI
1--(: THIS CERTIFIES THAT l•-55/
4,
Si!' only the electrical equipment as described below and in reduced by the applicant named on the above application number in the premises of
�'NNICHAEL SHEEHAM PEGGY ANN RD. , OUEP..NS URY, N.Y. • �`
el,:E.
in the following location; ❑ Basement El 1st Fl. ❑ 2nd Fl. Section Block Lot G•
' was examined on AUGUST ^2, 19 91 and found to be in compliance with the requirements of this Board.
!' FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS >„
j OUTLETS; ECEPTACLES SWITCHES
INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
1 13 9 1 8 r} •
sc. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS
SYSTEMS
"(, MAT. K.W. OIL H.P. GAS H.P. ' MAT. - NO. A.W.G. MAT. AMP. AMT. AMPS. TRANS. MAT. H.P. NO.OF FEET AMT. WAITS
1
G00
^; SERVICE DISCONNECT NO.OF S E. R V I C E
�+ AMT. AMP. TYPE MET
l,e'2W 1 0 3W 3,B'3W 3%IW NO.OF C COND. •
OF CC.COND.. NO.OF HI-LEG O'HI'LEG NO.OF NEUTRALS OF NEUTRAL T
s4. OTHER APPARATUS:
E iir. PADDLE FAN-1
HOT `PUB-1 II
ELEC. ROOM HEATERS:1-2 K, . ,1-2_' .5 K.W.
iP
1: G.1 . .C.I -2 '
TRACK LIGHTING:-24 .
'117
c, DOB PitiR`PHA �° 1 CIA - :
9:I. !i_�1`iIS RD. -/.."--s-LI (..... _
•! GLENS FALLS, NY, 12801 BRANCH MANAGER - .4
3 9
_ , Per ;
�; This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors Inspectors may be identified by their credentials. : E
�'4i 4 -i�C'i• 0 ® ® ® 0 0 0 ® n ® . ''C,„ e7'i� F� 0 �C,�(-ii 0 0 1� •..?„ .L'
COPY FUR L BUILDING OEPA�T 1MEN F. THIS LOPY DF LER o itlLA 1E MUS I k'4U E A KeD IN A N .
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
V"? -`' TELEPHONE (518) 745-4447
`n"~ BUILDING INSPECTOR°S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED Jul 5I G(J
NAME i • n S'l� jinn
LOCATION f1cor\-\P ,‘An Rd
DATE 19/ S t J PERMITP 9 I -5 c
TYPE OF STR CTURE Art V.' (veLtL'1
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL ST,R'GCTURE)
FOOTING FOUNDATION BACKFILL !//FRAMING
_ROUGH PLUMBING //FINAL ELECTRICAL SEPTIC
✓INSULATION WOODSTOVE/FIREPLACE _
REMARKS
APPROVAL
N/AI YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION 6,
PLUMBING VENT
ROOFING ✓
SIDING •
DECK/PORCH/STEPS/RAILINGS:,;'
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK',
INTERIOR TRIM/PRIVACY DOORS 1/
FINISH FLOORS: r3,
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPQBLE ✓
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAI•LINGS
HANDICAPPED ACCESS/
SMOKE DETECTORS 1
BATHROOM FANS/WH9LEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING_ h•.
DOOR CLOSERS /
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS FINAL ELECTRICAL" 1,/j _
OK TO ISSUE C/O OR C/C ,/
COMMENIIT,,S:
-./jefezigete_ r/t2/F/
ARRIVE_
DEPART ///
SP T R
()/ka->
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT j
531 BAY ROAD //v
QUEENSBURY, NEW YORK 12804 ,%14
P
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME j
LOCATION C:IJ\ OIrithu 4 Q t
DATE ;44A// PERMIT # `/`,.3-
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
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS 'IN PLACE.
PLUMBING UNDER SLAB ; F
FRAMING: /
JACK STUDS/HEADERS, I'
BRACING/BRIDGING f
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING > �i
FIREWALLS
HEATING ROUGH-IN/
)(INSULATION:
/" FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- /c pi
R- 37.z
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE /
DEPART lU
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 7)1
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME2Azifelez.,7-c.2
LOCATION -/ ,11/4 __, '"f /2 Off' )
DATE % PERMIT #
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
FOUNDATION/DAMPROOFING 1
BACKFILL APPROVAL 1
ROUGH PLUMBING i\ 1
PLUMBING VENT/VENTS IN PLACE / L✓
PLUMBING UNDER SLAB �'
)(FRAMING:
/ JACK STUDS/HEADERS i
BRACING/BRIDGING /
JOIST HANGERS ; /
JACK POSTS/MAIN BEAM / ,
FIRESTOPP ING
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN 1
INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
/ a
DEPART � ✓
INSPECTS°
I-_
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L--) RECEIVED
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c... 5 TOWN OF QUEENSBUkY
1 juL 2 41991 BUILD N G & CODE
DEPTTOWN OF QUEENSBURY BUILDING DEPARTMENT
BLDG. &
REVIEWLb a 0*‘-`- - Based on our limited exoninolon6
CODE DEPT.
DATE compliance withts o comments*.
not be construed n Indicant-the
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rt plans and specificities are haul
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. r--Y EAGirooci of CTE1 Cozfzozation
BUILDERS, DEVELOPERS & RENTAL UNITS
R. D. 1, GLENS FALLS, N. Y. 1280t
DANIEL R. BARBER, Pres. Tel. (518) 798-4252
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