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8543 TOWN OF QUEENSBURY (Space inside block to he filled in by WARREN COUNTY, NEW YORK • Building Inspector) Application for Application No. : Permit Issued 19. . BUILDING AND ZONING PERMIT Permit Expires. 19. / wing District \ ultie "I Work$ THREE-(3).Copies of a PLOT PLAN, Drawn to scale Appn,k`d by ,�"-` eS showing the actual dimensions of the lot to be built. Ityniargr upon, The exact size, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. . I a' /- f l b,� TGWU OF fi3)LJIEENSBI; RY �� / / DATE NE0E :HIEA PERMIT M UST BE OBTAINED BEFORE BEGINNING WORK ff ANSWER ALL OF THE FOLLOWING. JUN t 1984The undersigned hereby applies for a permit.to do the following work A.M: jD ) ' PA. which will be done in accordance with the .description, plans and specifi- 7I819� � - -+ 42I8I4 6 cations, and such special conditions as may be indicated on the permit. .s__e__9 9- `9- -_e-_._.n A__®., The owner of this property is: • --Sr d} stfrb� �� P '7 l-) 1 I l 1 � /<.f 4Cz;-,N -f/-t- i ik, (NA`4E) (P.O.ADDRESS) The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: (NAME) P ,/ (P 0.ADDRESS) Name of Builder. . . . ..�.�, "20 7' tiJ 71 ( �l p, Address l' D 9- Name of Plumber v w Address Name of Mason Address Lot Number Unit Estimated value of proposed work S . . ..9_a (TOO Name of Village . .c ,J ' N' b V $L/9 Name of Street . . . cP. r i N. .i.H. . . .,K a.,-._A Side of street: north E east ❑, south ❑. west 0 Nearest Cross Street . I e mi. I I v RP /9-G\ Distance from this cross street Ft. Property is north R,south ❑,east i 1, west ($`from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast 0, southwest (Designate by marking with an"X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY ❑ Construction of a new building. Main Buifding ❑ Addition to a building. , One-family dwelling EA X Alteration to a building. Two-family dwelling El E Demolition of a building. -family apartment house D. Store building ❑ . / -car attached garage N Other: • Accessory Building One-car detached garage Li 0 Other work. Describe: a ay h Two-car detached garage ❑ fi-ei d`( Tt al — Private chicken house ❑ ( / Private storage building El • t2r.» 0.t t�"t 4h. 3 2 k. 3)- . c''.Minks 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 • huilding(s) in solid line. Size of property i t' 5 ft. x f®v r 6 D 0 aft• Size and use of existing buildings, if any F- - F- R J a w Size of proposed building . . . 9- ' ft.x - (' ft. Height(from grade to ridge) /t' ft. Front yard b'i ft. Side yards j ft. and 7 ft. Rear yard .coo / 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., Kind of construction: Wood frame, fire safe, etc2 W Will any second-hand lumber be used? . . . . ' If so, for what Material of foundation walls Cn ' /4% "� � T`� hicknes Depth of foundation walls below grade . . . .4 l7,-- Cont. us foundation? . . zy Will there be a cellar? . . . . If so, material of cellar floor " ' Type of roof: Sloped or flat. . ..fie . Material of roof fi (::/.<<f S . .- 71 Size, wood studs ,t� "", spacing ��' "o.c., length 7 • ft. , spacing �� "o.c., span / Size, floor beams, 1st floor L "x ft. Size, floor beams, 2nd floor " x ", spacing "o.c., span ft. Size, ceiling beams Y " x .,j. • •", spacing "o.c., span 2. ft. Size, roof rafters or beams x 3 ", spacing "o.c., span ft. Exterior finish With what material? Finish of interior walls. 17.. . ,L-&o..e A- If garage is to be attached, of what material is wall between garage and main building to be constructed? Is there to be an opening between gas?lid building? "7�u Kind of heating system . . . . Oil burner or coal? I Will a flue-lined chimney be provided? . . . . in . . . • Depth of chimney foundation below grade x6 Height of chimney above roof eg Will there be a-fireplace? P Depth of fireplace hearth Will a toilet be installed?. ." i-:`✓ Will a kitchen sink be installed and connected to water supply? . . Water supply (public water supply or pump) Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to th ivi 1 of my knowledge and belief the statements contained in this application,together with the plans and specifications sub- mitted, are a true and co.i.plete statement of all proposed work to be done on the described premises and that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work shall be. mplied with,whether specified or not, • and that such work is authorized by the owner. i e , Sworn to before me this Signature a t!t.,f,t,n!YLLZ. ' ✓. �" OWN ,OWNER'S A ENT.ARCHITECT CONTRACTOR 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 lv1-/-*' 2 . Type of heat 3 . Is the building mechanically cooled? 4 . Percentage of area of windows and doors -U(iRfL, 12°7 A. Over 16% Only 1 . Uo 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 roof and floors exposed to ambient conditions - 2 . R value of exterior walls fiL., 3 . R value of glazed area — (, 1 4 . R value of doors R - 2- `J 5. R value of floors over unheated spaces 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 C. Controls 4-) 1 . Thermostat maximum heat setting D. Duct Systems 1 . Is duct system installed in unheated spaces? YES NO 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 agent pipe 2 . R value of pipe insulation F. Service Water Heating 1 . Performance efficiency 2 . Temperature control setting maximum G. For Swimming Pool Only 1 . Maximum heating Telephone No. 74?A, 5,6. / (appl ' cant ' s signat e) , 1 BUILDING DEPT.COPY OF APPLICATION FORM 46-EL.NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED. CITY OR i' VILLAGE ) TOWNSHIP f, yi t r. ,- et,.`1:-,I ; t� i i s1�,_I e t(•'�a ..e;i"t/ COUNTYLA,,,,!� E :.' STREET AND NO:OR • • / ROAD AND POLE NO. diti;t j .Y I c-f�P/ (,-•2',J� /r, (_ POLE NO. `(1 f.l2/ BETWEEN WHAT TWO • CROSS STREETS IS PREMISES LOCATED? .`_?. P'.•a..,.tsia- 4.2/./`^ VI.tip :i'4( 4) J. SECTION BLOCK LOT OCCUPANT'S Ii r BUILDING ?Y NAME c , J F t / OCCUPANCY OWNER'S NAME / / / _ AND ADDRESS n tit !.t q 0 r1 -i-- (_-,.. r-P:J f At- it,.( -' C f-VS III.' CURRENT . BYSUPPLIED A/ r),c FROM THEIR OFFICE BIS NEW WNEW❑( OLD❑ REMODELED IA IS NEW R ADDITIONAL❑ REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU•INSTALLED NUMBER OF OUTLETS Na,of Fixtures MOTORS HEATERS BRANCH LAMPS Lamp MOTORS CIRCUITS Loca- tion Ceiling Side Attach't Switch Pendent Bracket No. Type H.P. No. Watts No. A.W.G. NO WATTS Wall Recept'ls EachEachGauge EACH Out- side Sub- • base Base- ment 1st Fl. 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 ELECTRIC SIGN TOTAL MAINS FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN 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 n POSSIBLE NEW I I OLD 1-1 • AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. r ) t r NAME OF ,r i /�' ".'f' DATE OF // .)/ APPLICANT v;JCd:+F_ !.-; ! I h / 1_, l APPLICATION _— STREET ADDRESS =\ J'lt- t, r P r ii, I/4 �„I . CITY OR / ZIP r) LICENSE NO. POST OFFICE ./ iV.. , T-% r' I./..--, Ai_ L CODE /2—'7i - f WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING _4, _' THE NEW YORK BOARD. OF FIRE UNDERWRITERS PAGE 1 ,' BUREAU OF ELECTRICITY ' 1• 10 1$a?� 41 STATE STREET.ALBANY.NEW YORK 12207 Date Application No.on file MAY 13,1991 O�i89G59`1/91 H 411327 • THIS CERTIFIES THAT n • only the electrical equipment as described below and introduced by the applicant named on the a application number in the premises of o STANLEY PHILLIPS, 366-2 CORINTH. *D. , OUF NSBURY, N.Y. U in the following location; LI] Basement q 1st Fl. 2nd Fl. D Section Block Lot • was examined on DI.4Z 08.,19s1 and found to be in compliance with the requirements of this Board. • FIXTURE I FIXTURES RANGES COOKING DECKS OVENS DISHWASHERS EXHAUST FANS - OUTLETS ECEPTACLES SWITCHES INCANDESCENT-.FLUORESCENT OTHER AMT. K.W. Ate. K.W. AMT. K.W. AMT. K.W. AMT. H.P. ia 13 22 13 11 2 1 5 1 F < DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET DIMMERS SYSTEMS AMT. K.W. OIL H.P. GAS H.P. AMT. - NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS -c 1 3 1. F -` SERVICE DISCONNECT NO.OF S E R V I C E � AMT. AMP. TYPE EQITJ�P .I A 2W 7,B 3W 3 03W 3.,9 IW NO.OF�R COND. OF CC.COND.. NO.OF HI-LEG OF•HI-LEG NO.OF NEUTRALS EUGRAL J 1 200 CB 1 X 1 4/0 1 2/0 -c OTHER APPARATUS: r • ELEC. WATER HEATERS: :1-4.5 K.W. G.F,C.I:-1 so 1 SMOKE DETECTOR:-1 . -C Z • STANLEY PHILLIPS - 0,„,„ _., ei, 3 2 COR I N'I H RD. BRANCH MANAGER k QUEENSBURY, NY, 12804 ' Per 2 3 9 4, This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials. • —7'-1Y iY fi i'i Y'7 Y- S- --ri..'YY'i Y'i?-i'%YY C"(-t'i 'v ','V. ' vtrit[lii[ liAmilitruk milerwrairty rintuenitturnsumnstlttdery rturr utifirirristvit urontvt �..` COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTIO€i RECEIVED NAME //-b4l E 8 LOCATION eptc4 fr £ DATE 0/07/ PERMIT 1 �J TYPE OF STRUCTURE RECHECK cA,/Zp//-zQ/ , 'L/-6/1„D 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 BRACING/BRIDGING JOIST HANGERS =% JACK POSTS/MAIN BEAM ,y FIRESTOPPING ;/ WALLS CEILING // FIREWALLS y HEATING ROUGH-IN ,i INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: j-lefY4C1 ?S2;, C/O &_ ARRIVE v DEPART /� INSPECTOR r . TOWN OF QUEENSBURY 4,,) j/��•" , 531 BAY ROAD -' _ QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION 7 �` REQUEST FOR INSPECTION RECEIVED it `P i / NAME ✓I 01 /.r1 9/1- Vhde4 LOCATION (?6,1L li4) kil 7 DATE a/g,*/ PERMITS 8'5 (igpel) TYPE OF STRUCTURE jQ 4 6 rb./>d6/2,3 RECHECK ,�(,d,¢ C/ V FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING _ROUGH PLUMBING /-PINAL ELECTRICAL _SEPTIC INSULATION WOUDSTOVE/FIREPLACE REMARKS li APPROVAL / N/A YES NO CHIMNEY HEIGHT/LOCATION ! sj` B VENT/LOCATION i II PLUMBING VENT 1 II ROOFING 1 SIDING 1 # DECK/PORCH/STEPS/RAILINGS'\ 4' RELIEF VALVES 1 47 FURNACE/HOT WATER OPERATING A BASEMENT INSULATION/DUCTWORK A' INTERIOR TRIM/PRIVACY DOORS\ 1 FINISH FLOORS: BATH/KITCHEN WATERTIGHT ." OTHER FLOORS SWEEPABLE A OTHER FLOORS CARPETED I/ N. STAIR CLEARANCE/RAILINGS ,F 4, HANDICAPPED ACCESS ,? \ SMOKE DETECTORS /' 1 BATHROOM FANS/WHOLEHOUSE!FANS \ ALL PLUMBING FIXTURES OPERATING GARAGE FIRE PROOFING / '", DOOR CLOSERS / OTHER FIRE SEPARATIO \FIRE/DEMISE WALLS \ DUMPSTER 1 \ SITE PLAN/VARIANCE EQUIREMENTS \ FINAL ELECTRICAL t OK TO ISSUE C/0 OR /C COMMENTS: S5, /407../I4 OK, �� ARRIVE DEPART `- itAk/ INSP TO % / 1// `J Pik TOWN OF QUEENSBURY 041111.► 531 BAY ROAD `;` QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME a./..,4 24,i/LOCATION r,YL DATE 9 PERMIT# !tea G / ' / TYPE OF STRUCTURE RECHECK FIRE MARSHAL,APPROVAL (COJ1MERCIAL STRUCTURE) DOTING c,P UNDATION t/AACKFIL'L RAMING RJOUGH PLUMBING (ANAL ELECTRICAL _SEPTIC 'INSULATION _WOUDSTOVE/FIREPLACE REMARKS i I I / APPROVAL I N/A YES NO CHIMNEY HEIGHT/LOCATION t` I B VENT/LOCATION ;\� PLUMBING VENT / ROOFING } SIDING DECK/PORCH/STEPS/RAILINGS RELIEF VALVES i` A FURNACE/HOT WATER OPERATING A BASEMENT INSULATION/DUCT,WORKi INTERIOR TRIM/PRIVACY DOORS 'j FINISH FLOORS: BATH/KITCHEN WATERTL HT '' // OTHER FLOORS SWEEPOLE S �/ OTHER FLOORS CARPETED A STAIR CLEARANCE/RAILIINGS HANDICAPPED ACCESS I h / SMOKE DETECTORS / 1 ,/ BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTURES OPERATING ,\ V GARAGE FIRE PROOFING DOOR CLOSERS ,/ OTHER FIRE SEPARATION FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS 1 / FINAL ELECTRICAL ✓ OK TO ISSUE C/O OR C/C COMMENTS: ARRIVE DEPART K� INSP TOR = I 40ft coo TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury, NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT Q 'r► 1 / 197/ C..0\d(‘ Co c rocc PROPERTY LOCATION r , e b t QJIc ) S4artie,6 v»` ��� OWNER OR 1TENANT BUILDING( SEWAGE SIGN I ,,OT/HER y REMARKS: �vC(1_ 6-y"\40 )ui&lI'(LQ\ CONTACT THIS OFFICE WITHIN INSPECTOR "HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE" SETTLED 1763 Acx2ossricaoti.466vaf €ems TOWN OF QUEENSBUR&Y BUILDING AND CODES DEPARTMENT . BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 • - TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR' INSPECTION RECEIVED NAME \4sk(.0 4 93 LOCATION (2-5,, CYttk DATE PERMIT # 5 3 J nr-rctS Dr4-7-6047114,44 . APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS b_ / FOUNDATION/DAMP-PROOFING U I / NACKFILL APPROVAL;' R ROUGH PLUMBING . ; . . / - • h� FRAMING - 134 ea)I. ELECTRICAL ROUGH-IN ' • '- INSULATION: FOUNDATION " FLOORS . . I ' WALLS •• CEILING • d� �; FINAL INSPECTION: F CHIMNEY HEIGHT:. f ROOFING— —'._ • 1- —- - SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & (RAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS / GARAGE FIREPROOFING 1' DOOR CLOSER(S) f ' SMOKE DETECTORS • FINAL ELECTRICAL!INSPECTION . . . ' ' ' FINAL APPROVAL OF CONSTRUCTION " ' OK TO ISSUE C/O/OR .C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED!• -_ REMARKS:01664 44 � f iDA Jfy A-ON:sit-% i o 5G21,./(e)2M rAiro M rnt tu-5.0A-7-16,0— 5 0 as ps-x(o - iz 19 -P&L©cov" 4I' cr7uc -64i4-/. • S101116 POT l l/5r ARRIVE 2.; -2a TN DWrmnP 31:v TOWN OF QUEENSBURY Building Department Inspectors Report Date �/2�/� Name 5� 1 0 b(,1(a s Location . -r 4 d1 /A Jf© Permit No. sg 5 Y 2 /Weather Remarks Exca*Ya ti on Footing Forms Footing & Piers Foundation 1 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 Inspector REMARKS • • TOWN OF QUEENSBURY Building Department • Inspectors Report • Date ( L Name c-5' �-/U Location C9,,„Ir-J- r�cQ, //W /o 24 . Permit No. 5�/3 Weather Remarks . • Excat'ation Footing Forms Footing & Piers Foundation 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 Fotndat 'on Walls 'Ceiling ' Build'ing Inspector REMARKS fi2Xq/ - -- 4104---{ 9 - ,,, it__ • e - '''' \\. ,,‘y _ , . _ g i -e.,/, ,,._ . Ati,#,,,A;:avi‘eptD v --Qt to6' VO • ,O. i 1 qw 'g/ 7.9f fit rovk ‘stri . --- , ...„,oqz --ti: ) , 0, •i/1%1 —' r ....4, r - - i . 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