8257 r.Jid
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 7P17. 1 '. 19 86
This is to certify that work requested to be done as shown by Permit No.
8257
has been completed.
This structure may be occupied as a Two-Family Dwelling
Location Bay Road.
Owner
Daniel R.. Barber
By Order Town Board
TOWN OF QUEENSBURY
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Building & Zoning Inspector
CREATIVE "INSTA- PRINTING. GLENS FALLS. N T 12801 f 518)793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY 8257
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Daniel R. Barber
OWNER of property located at Bay Road Street, Road or Ave. sy
N•
in the Town of Queensbury,To Construct or place a Two—Family Dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and
td
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
t5'
1. OWNER'S Address is R. D. #1
Fi
Glens Falls, New York
2.-CONTRACTOR or BUILDER'S Name
Same
td
Iv
3. CONTRACTOR or BUILDER'S Address ''C
0
Same
4. ARCHITECT'S Name
•
•
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( I Steel ( ►
0
7. PLANS and Specifications 26 'x44 ° dwelling, 28 'x22 ' two car attached garage a
No.
per plot plan, specifications and application 5.
submitted including sewage system.
8. Proposed Use
. d
Two—Family Dwelling-
H
$5. 00 C/O Paid 4
$ 178 . 00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 84
(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 29th Day of November 19 83
SIGNED BY 2 for the Town of Queensbury
Building and Zoning Inspector
C-
TOWN OF QUEENSBURY
(Space inside block to lie filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for Application No.
Permit Issued 19• .
BUILDING AND ZONING PERMIT I'cri„it r:,pil-es. id .
Zoning District
• \ aloe of Work
THREE (3) Copies of a PLOT PLAN, Drawn to scale .\pp")".cl by
-
showing the actual dimensions of the lot to be built Remark."'"
upon, The exact size, and location on the lot of the .
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
Z"` "� 'A\ L— }�(y'� TOWN OFIfQ�UEE�\�N$EE3UR`f
._ 3 "-' J 1, J / �'\�GJ C! .cl AT E L l3 67 Ua T1
y D
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ,Ytlw 51983
ANSWER ALL OF THE FOLLOWING. A.n 6 �t��j-°C� nee---.v• `
herebyapplies fora permit to do the followingwork 71SP112°l14) ��� �3f 1 �
The undersigned pp e a a * ,_ t � � � a
which will be done in accordance with the description, plans and specifi-
cations, and such special conditions as may be in 1 ted on the permit. - < D
The owne,F of this property. is: V.:-•
-
,L}-.›,,. -_-F-)t,
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
•11 r 1
(NAME) / IP.O.ADDRESS)
Name of Builder Address
Name of Plumber e . Address f f,
Name of Mason Address I
Lot Number Unit Estimated value of proposed work 3 - C., c. : .
Name of Village
Name of Street %.e�.--7- _ Side of street: north 0, east ❑, south O. west ❑
Nearest Cross Street Distance from this cross street Ft.
Property is north ❑,south ❑,east i i, west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast Q, southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY •
Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling ❑
❑ Alteration to a building. Two-family dwelling
El Demolition of a building. -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
• Accessory Building
One-car detached garage ❑
❑ Other work. Describe: Two-car detached garage • ❑
Private chicken house ❑
Private storage building ❑
Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to.existing building,Or a change of occupancy.
- - Indicate on the plot plan street names, the location and
- size of the property, the location, size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
• 1 uilding(s) in solid line. „..---
Size of property . . 0 6 ft. x / S- ft.
Size and use of existing buildings,,if any
.tts. ft.x ft.
Yi4;*
s w Size of proposed building . . . ' /
Height (from grade to ridge) ft.
Front yard }r �� ft.
Side yards .e_)• • • ft. and /`�' • • ft.
Rear yard �� ft.
SOUTH If on corner,setback from side street ft..
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73—M •
(cont'd.)
BUILDING SPECIFICATIONS., -Th
._. „:„. —
Kind of construction: Wood frame, fire safe, etc . .il _
Will any second-hand lumber be used? ,,.;. . . . . .• .e,;-). . If so, t?
-.,
Material of foundation walls 1, ;:_-',1,_,_ . - e.,,..,--,--- --- - Thickness
..g/
Depth of foundation walls below grade Cont .ndation? ---*----el-
Willthere be - y9,-,-1- If so, material of cellar floor . . ei -,.....e:-_:--x, _ .._.-N.s.-.). . . . . . . . . . . . . . . .
Type of r f: Sloped flat? / i-/CMaterial of roof
acing i it
Size, floor beams, 1st floor x
r, if 0 4 -----;'
", spacing . . . .,./.6-. . . . ."o.c., span . . . . . .t. .,-"-z., . ft.
Size, floor beams, 2nd floor " x
4,/L ", spacing i W "o.c., span '" _ ft.
Size, ceiling ceiling beams -Di, " x
e.f......- '', spacing . 1.:'Z' -.„,-. . "o.c., span ,1 t.,--7 ft.
Siie, roof rafters or beams . . . .,,. .'0,„_. 6' x . . . .-. . , spacing
- ::-,-- --... le__, - ( "o.c., span 77,17.-. ft.
Exterior finish ii.,.../..--.,.... ,..-C--,,--' , ---a---,1- --%. . ith what material? -
Finish of interior,walls i 7,1 /, (e.a.. .,-,_ .---4..,0-.-----Nc-->
d /
If garage is to be attached, r Wrat material is wal.1,betweeriTara -1)1 buklding to be constructed?
.0-. _/_,..NALO
Is there there to be an opening between garageand ba' • 1Ws'
_
Kind of heating system Oil burner or coal?
Will a flue-lined chimney be provided? . . , . . . . . e)-. . . Depth of chimney foundation below grade
Height of chimney above roof "A...-> 0
s___
Will there be a fireplace? fkj 2," Depth of fireplace hearth
Will a toilet be installe& - y,........,._-.Z ___.L_ •
Will a kitchen sink be installed and con ected to water supply? >------*a
Water supply (public water supply or pump) ,..-------? " -
Distance of cesspool from any private well ) '.:2) ' feet
Will drainage system be provided with required traps, cleanouts, and vents? .
AFFIDAVIT
Town of Queensbury
County of Warren
State of Ndw York
I swear that to II bard my know,ledge and belief the statements contained in this application,together with the plans and s t • 'cations sub-
mitted, are a true and co.l.plete statement of all proposed work to be clb • 8-n the described pre and that proygions o .e BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to iiih.•%I.:.sed work she' Neompli th,W 'ther s died or not,
and that such work is authorized by the owner.
Sworn to before me this Signature •--41.11ilir 2*,....:...,-,,, • ,) 4
OWNER.OWNER'S A '''' T,ARCHIT C . NTRACTOR• . -
• day of 19
NOTARY PUBLIC, WARREN COUNTY. N. Y.
SPECIAL CONDITIONS OF THE PERMIT: '
- .
: .
• , ,
•
By •
TOWN OF'. QUEENSBURY
WARREN COUNTY , NEW YORK
Application for : BUILDING PERMIT.-IN ;COMPLIANCE WITH THE .NEW. YORK
STATE ENERGY CONSERVATION CODE
A permit must be`-obtained before beginning. work
ANSWER ALL of the following:
1. Gross floor area - - -
2 . Type of heat
3 . Is the building mechanically cooled? .
4 . Percentage of area of windows and doors "-
A, Over 16% Only
1,. U value of gross area of walls , roof/ceiling and . floors
exposed, to ambient conditions - .
2 . Floor over heated spaces YES NO
a. Are foundation walls insulated? YES NO
1. If' YES, what is the R 'value?
3 . Slab on grade YES NO
a'. If YES , what is the R value of insulation around
perimeter of floor?
4. Is basement heated? YES NO
a. R value of insulation
- 5. Type of insulation
B. Under 16% Only-
1. R value of ro and floor xposed to ambient conditions
2 . R value of exterior .walls
3 : R value of glazed area -^ .
4 . R value of doors
5. R value of floors over unheated..spaces 'A)
6:. R value of slab edge insulation - unheated slab'.
7. . R value' of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade) _
9 . R value of heated basement/cellar walls (below .grade)
10 . Type of insulation
R
C. Controls � . -
1. Thermostat maximum heat setting
. D: Duct Systems
1. Is duct system installed in unheated` spaces?. YES O
a. If YES , R value of duct installation
b. R value of duct in other areas
E . Piping Insulation ;
•
1. . Size of hot water or cooling carrying ?.gent pipe -- j
a
2'. R .value of pipe insulation
F., Service Water Heating `�/ "�� ' G'`J '
1. Performance efficiency
2. Temperature control setting maximum /ad 0
G. For Swimming Pool Only
1 . Maximum heating .
Telephone. 'No. 9 U .T 5 0
.
(applicant ' s signature)
•
TOWN OF QUEENSBURY
BUILDING & ZONING DEPARTMENT .
SEWAGE DISPOSAL P RMIT A PLI TIO
1. Owner' s Name IG._, �SZ �7 /\
Address i2 D a C C„,-,� � HQ I
b / Telephone'No. ,C1r )-.
2. Property location e _ ! p] 1 Q i
3 Name of person or firm ryponsib e for installing s tern
i
I r ` _. , e.• ,ro . Telephone No. _o.-,.__ -
Address �ci_ �"
4. Number of bedrooms (residential buildings only) ,/-/',
5. Daily flow llons/day /_
6 Septic tank capacity /U 6 d ,�� . P gallons
7 . Topography: flat, rolling steep
% of slope •
8 . Nature of, soil and depth. � .� p,"-,
9..,,, If ground water, bedrock or impervious material is apparent at what
depth does it begin? K ej ft.
10. Percolation test: A is required
. • resuiredtheminutes/inch
B s( is not required
C• If what is rater 'nutes/i h
11. Water supply: municipal well, other
12. Type of system proposed: .rywell, tile field, other
Any...contractor, corporation, individual, etc. engaged in the .construction
of a sanitary sewage disposal system who covers the same before inspection,
does not have an approved.:permit, ..or varies from the approved application
will be subject to a penalty of, $250 as provided for in `Section` 010 of the
Queensbury Sanitary Sewage`.Ordinance
Date� � S �' ;. .�;.
signature of applicant.
On separate sheet . of paper submit .a diagram of the proposed septic system.,
with all dimensions,. including distance from any structure, distance from
prop ertY line and domestic water supply, etc. Include all dimensions of
the system' itself.. ..-
.
Form 3-82 -
•
7,„ 5-7
. . .
• .
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
CITY OR -
VILLAGE TOWNSHIP COUNTY u_i
STREET AND NO.OR '
ROAD AND POLE NO. 1 - • POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS -_
PREMISES LOCATED? SECTION BLOCK LOT
OCCUPANT'S BUILDING
NAME OCCUPANCY
OWNER'S NAME E ----
AND ADDRESS '% -, ` .y. (N.
CURRENT -,
SUPPLIEDBY .. , y..; FROM THEIR - ? wt`_ '. I`` OFFICE
BUILDING NEW l OLD❑ REMODELED WORK DEFECTS
0 ❑ IS NEW M ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
Fixtures Si BRANCH
NUMBER OF OUTLETS LampfReceptacles CIRCUITS MOTORS HEATERS NUMBER OF LAMPS
Loca-
tion Side Attach't H.P. Watts A.W.G.
Ceiling Wall Recep'Is Switch Pendant Bracket No. Type Each No. Each No. Gauge I F M.V.
Out-
side ,:. L,.
Sub-
base
Base- " fS
ment - �. tV. " . F
1st Fl. i - ) _ • 4/i
2nd Fl.
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ,i ELECTRIC SIGN TOTAL _
MAINS w` J c_` FEEDERS 1„f f CI LAMPS WATTS„------
CHARACTER :-EXPOSED- GAS TUBE SIGN F
OF WORK ---CONCEALED TRANSFORMERS OF �•� VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED / . COMPLETED - SIZE OF SIGN „/ -'
SERVICE MAKER
ENTERS ,/
BUILDING OF SIGN-
INSPECTION REQUESTED
ON OR AS NEAR AS �j
POSSIBLE , , • NEW I I OLD I I
•
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS •
NAME OF DATE OF
APPLICANT `.-� �•' i,1 ' ' ' 1^ ' • • APPLICATION `
STREET ADDRESS • .- ' r't ' '
CITY OR t i--. ZIP LICENSE NO. •
POST OFFICE ,F - CODE ' - WHEN APPLICABLE
46 EL(REV. 1/82) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL. NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEFT.WHEN REQUIRED.
CITY OR //j\ : 1
VILLAGE TOWNSHIP( J
.--I�\ I �it"] _•i�-•..�._)`-�, COUNTY t_.J .�-e..JR;�..,.,'�..
STREET AND NO.OR f�,/\\ f ,r g
ROAD AND POLE NO. t Cf — l �f POLE NO.
BETWEEN WHAT TWO _ �_�
CROSS STREETS IS 'jam \�
PREMISES LOCATED? i .Q.SL_. A_ .;'f %f -) \ \ SECTION BLOCK LOT
OCCUPANT'S l s, ' ,'tit /�� \ -_ BUILDING
NAME ..,/�� �.. 1 _, .;,-- -- ,.�isz.,J> -OCCUPANCY
OWNER'S NAME _ `- �� r..'o., ".�-- . 1( V
<_ ,f \X'
AND ADDRES•:a^ J t1 "..._p,. f 7'J ",..., �ttJ`',�"e l �`? �.=� -=", � C'—Y�.- ", .G el ,�(
CURRENT � ;J� — l.� `
SUPPLIED `
BY FROM THEIR �,}`"'' ;"11-�"�` OFFICE
BUILDING / t WORK '�j� .DEFECTS-
-t OLD ' REMODELED ❑ IS NEW X.
ADDITIONAL❑ REMOVED ❑IS NEW L
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED////
NUMBER OF OUTLETS No.of Fixtures& MOTORS HEATERS BRANCH LAMPS
i Lamp Receptacles CIRCUITS ,
Loco-
Lion
Ceiling Side Attach't Sit ' Pendent Bracket No. Type H.P. No. Watts No. A.W.G. WATTS
Switch'
Wall RecepelsEach EachGaugeNO. EACH
Out- -
' side
Sub- r
bases . -. . ,
Base- + `f _. r ..-.`+.,-s
men-t r �
1st Fl. .1.Z/ , - 1 �y_ -
2nd Fl.
! J
` 3rd Fl. -
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSE GAS TUBE SIGN
OF WORK ALED TRANSFORMERS OF VA
WORK TO BE F (NUMBER) (CAPACITY)
r
STARTED JI B-,, J COMP LF),FEQ SIZE OF SIGN
SERVICE ir( MAKER
ENTERS t OF SIGN
BUILDING -� <,� ��=a ��
INSPECTION REQUESTED (�� I
ON OR AS NEAR AS ` ('} ri
POSSIBLE `` j„�;..- 3',• 0---.:F''.(- NEW I I OLD 1-1
AVOID DEL II \YGIVING FULL AID ACCURXITE INF R A�. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
r. 1 \
r _ �) I
NAME OF ! �,.. :\.�-^'� DATE OF /?L/ "� 7��
APPLICANT !! ---- -.f-._i`" :�,-''—' APPLICATION " / ""-^'
STREET ADDRESS /7�� '�, . S -"�I �•j. ft - \ /
CITY OR f/_ "') \�--\ r- yr P (•- I "+'/�` /�✓/ ZIP j� 6/LICENSE NO.
POST OFFICE �'-� �'�=--�^.---'�� t /,.�, ----) r CODE ! f WHEN APPLICABLE
A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
-w, THE NEW YORK BOARD, OF FIRE UNDERWRITERS f
7` BUREAU OF ELECTRICITY.
�, r 41 STATE STREET,ALBANY,NEW YO,RK.12207 '
!..
-` January 23 ,1985 0q-J�41-v3 -
a. Date Application No.on file A 63 1 5d�fl i
< THIS CERTIFIES THAT
4. 'jc. only the electrical equipment'as described below and introduced by the applicant named on the above application number in the premises of .r h
Daniel Barber, Bay Road, Queenubur yip. NewYor r
r
_
-' in the following location; ❑Basement El 1st Fl. ❑7.2nd Fl. outside Section Block Lot 0- ---
1, was examined on /3/r,�-� and found to be in compliance with the requirements of this Board. - .-
, FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS ;
1-PIOUTLETS RECEPTACLES SWITCHES Vat
: AMT.INCANDESCENT FLUORESCENT Va AMT. K.W. AMT. K.W. AMT. K.W.. AMT. K.W. AMT. H.I':
iiP
I-P< BELL
' DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS .r
{' 'AMT. K.W. OIL ' H.P. GAS H.P. AMT. r O.c?_ 5A.WG: AMT. AMP. AMT. AMPS. TRANS. AMT. H P SYSTEMS AMT. WATTS '
�C �y...,C ;J J NO.OF FEET
r
-- ii.<1 '.
' ' SERVICE DISCONNECT NO.OF S E R V.. I C E •Mr
-- i AMT. AMP. TYPE EQUIP.EI.0 2W 1,B'3W 3.0'3W 3,0'4W NO:OPER COND. OF CC COND. NO.OF HI-LEG OF HI-LEG G NO.OF NEUTRALS OF NEUTRAL 'r
- . 1, 2 150 GB 2 -r-.. 1 • 2/0 ? 1i C+; 'y
' OTHER APPARATUS: P�� L{" ��•���.� _I�J �� 1, - r
01 2- rT0 ► ester 1 eater #10 k, � �^s 2- 1 . 0 :.w. r
2- Srok Detectors — 1 n. 7 . 1. r
4' - 15 amp- G.F. I. Breakers iNspE� ^:.�t;� It I 1, ,�•',rr�I 7
p- `qV}e/,,, tit ir'1t, .1 -b, lea �.�TITi, ,
e.. Ge V L..CJo Y
Si
.1.�(,,� patl i.1 Barber • '-
c
or x
z
W' New BRANCH MA .AGER ,�
G?:ergs Falls , ���i:I� 12�,01
..
Per ! 1 +s`t 'r
'PYaY4?"iew I?el% MIMS= 5cc10 ® MEI IMO ® rtilill ® CI 0 19 ® ® MO ® Il ® i Y'''Y- "(1" ;,:"
COPY FOR BUILDING DEPARTMENT.THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
Building Department
inspectors Report Date 7. �c�_
Name 0: 5 77z_
Location ARP
Permit No. _57- Weather
a 5 Remarks
ExcatYa tion
Footing Forms
Footing & Piers e
Foundation V
Cement Coat -
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches -
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures '
Gar. Fireproofing /
Door Closers
Chimney
Water Meter Inst
Septic Approval
Floors
Insulation Foundation '
Walls . .,
Ceiling
Building nspector
REMARKS V
SSIZEZUrooct 4a'E1 6o z1iozatron
BUILDERS &.DEVELOPERS
R. D. 1, GLENS FALLS, N. Y. 12801
DANIEL R. BARBER, Pres. Tel. (518) 798-4252
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