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86-375 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 11 1g f37 This is to certify that work requested to be done as shown by Permit No. 86-375 has been completed. This structure may be occupied as a Addition to dwelling Location 7 Cottage Hill Road Owner Raymond Adams By Order Town Board 'TOWN OF QUEENSBURY "w'`. e Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY F No. 86-375 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Raymond Adams OWNER of property located at 7 Cottage Hill Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) 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 p 7 Cottage Hill Road a Glens Falls, New York a 0 2. CONTRACTOR or BUILDER'S Name David Hodges 3. CONTRACTOR or BUILDER'S Address 10th Avenue Hudson Falls, New York rt 4. ARCHITECT'S Name rt 00 H. H 5. ARCHITECT'S Address 0- 6. TYPE of Construction—(Please indicate by X) ( )f Wood Frame ( I Masonry ( )Steel ( ) 7. PLANS and Specifications No. 12'x28' two—story addition to dwelling per plot plan, specifications and application submitted. a. 8. Proposed Use rt One—Family Dwelling (living area added) o 0 rt 0 $5.00 C/O Paid $ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 19 87 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the H. town of Queensbury before the expiration date.) Or) Dated at the Town of Queensbury this 7th Day of July 19 86 H. 1-6 SIGNED BY /7`� �e AA � Naq �?����9 for the Town of Queensbury Building and Zoning Inspector rt co TO BE COMPLETED BY BLDG. DEPT. _awn No. Jocvn o/ Queenilury Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF QUEENSBURY . Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbury, New York 12801 Variance No. rEGMED Site Plan Review No. JUN 9 qs PP by: Su Approved b A.M: '�i ` eP`P.M. APPLICATION FOR ` :..;'.. k • �,7181911-&1IVi 213141516 - BUILDING AND ZONING PERMIT ` �� GAG ' '"-c- A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING. • The undersigned hereby applies for a Building Permit to do the following work which will . be done- in adcordance with the description, plans and specifications submitted, and such special conditions as•may be indicated on the Permit. The owner of this property is: tr'oG ' P.O. Address ` .- r- 9r Tel. 3 q J>" Property Location: cc,"'H-c&4-P i'}(I I gC�• A (-3„.Qeo,s,`..9 Tax Map No. v / y/j Street numbe±Jo_r building lot number •! Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: • Name \ P.O. Address /� pp Tel. No. Name of builder Do J i 6 14OG eS Address %O T6AJQ {J ud5[4 Jt(IS Tel. 797- 5 ?'7/ Name of plumber Address Tel. Name of mason Da i v \-1-0ACJ i�S Address 1Oth AJ'L. )--dc &,�1 FcU$ Tel. " /7- 5 Z 7/ NATURE OF PROPOSED WORK: * ZONING INFORMATION: Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, 2( Addition to a building * drawn reasonably to scale and attached hereto, Alteration to a building * showing clearly and distinctly all buildings, (no change. to exterior dimensions) * whether existing or proposed and indicate all Other work (describe) * set-back dimensions from property lines. Give * street and number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUUIRED BELOW. * Size of property 2, 03 ft X la() ft. AA * Existing building(s) Size Z.peft X ? pi ft. PROPOSED BUILDING AND USE: ,4J474"t * �u ` �' pvS t Dh I L, * Existing building(s) User ' ' 4;r.ce �, . . Size of new struct /2 ft X exit * 1 Fv"'3c. 2S F?`' Foundation-pie /slab crawl/partial/full * Proposed building, distance from property line rcle one) * . * Front yard 30 - ft Rear yard 5 9- ft No. of stories (habitable space) Z * Side yards f $ ft and ft Height (grade to ridge) ro v g ft. If residential, no. of families / * If on corner, setback from side street ft No. of rooms(excluding baths) p * OCCUPANCY INFORMATION No. of bedrooms 3 * _No. of bathrooms * PRIMARY BUILDING - Primary heating system fiics2lar6.(� ERCkoL. * One family dwelling Type of fuel gi.,�yeit * Two family dwelling No. of fireplaces to be installed le * Myltiple dwelling / Number of units Will a wood stove be installed? (� * rermanent occupancy Central Air conditioning? Ni * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE x Industrial Ranch Contemporary Log cabin * Other ' " " Raised ranch Mansion Duplex * If addition, what will use be? iQ)Etr . Y"' Split level Old style Bungalow * � ��04 �' Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town House * ' //Detached garage/one car/ two car/ 0/4 C car ( CIRCLE ONE PLEASE ) . * Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * ' Private storage building ESTIMATED MARKET VALUE OF * Other • CONSTRUCTION * • INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! . Form BPA 4/86 and-vl • BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: • Type of construction, Good frame fire safe,etc. Will any second-hand or -ungraded lumber be used? If so, for what? !J C) Foundation wall material elbA404-itic Thickness /a " Depth .of foundation below grade (to bottom of footing) Or Will 'there be a cellar? iJO Heated or unheated? Floor sq. footage sq ft Will there be a basement? WO Will any portion be used as living space? (If so, what portion? sq.ft. - - Type of use? Type of roof - ,.lope./flat/shed/other ' Material. of roof As pin c,11- Size, wood studs - "X y " spacing 16) "o.c. length ' ft. Joists(floor. beams) 1st. floor "X " spacing "o.c. span ft. yuCd•toelohtiL Joists (floor beams) 2nd. floor , . "X " ' spacing_ "o.c. span /Z ft. Overlays(ceiling beams) a. "X spacing /h "o. . span/4 ft._ Roof rafters A "X K " spacing //" o.c. span /c. 'ft. Roof trusses(pre-engineered) pacin "o.c. span 'ft. Exterior wall finish �'t N yf s S c i a Of what material? V' ,,i, Interior wall finish SVVe22i- KOCK 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, and 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_ AZQ5 a CA-e.t. SEPTIC SYSTEM _ Distance from ANY private well(includi g adjoining properti s ft. (A separate application is necessary for any repair or new installation of septic system) Town of Qbury AFFIDAVIT STATE OF NEW YORK County off Warren I swear that 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. SWORN TO BEFORE ME THI'S Signature C r" f Owner, wner's agent,arcnitect,contractor day of / 19 • Notary Public; Warren::County, N.Y. * * * * * *'' * * * '*\*_* * *. * *:..*. *:..* *-•* * * * * * * * :*• *.,\* * * * * * * * * * * * * * SPECIAL CONDITIONS OF•THE PERMIT•: • _ • .. By TOWN OF QUEENSBURY ' WARREN COUNTY , NEW YORK t 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 I2 3 • l 2 . Type of heat Se_ 3 C0.SZj 12.C-1 E Q C- 3 . Is the building mechanically cooled? N d • 4 . Percentage of area of windows and doors A. Over 16% O'I ly 1 . U valuof gross ar0a of walls , roof/ceiling and floors : exposed t'`e ambient ,conditions_ . 7 f . 2 . Floor over heatedNspaces YE-S NO a. Are foundation walls insulated? YES NO 1. If YES , whatt<he R value? 3 . Slab on grade YES " N,O a. If YES , what ins the R\,alu t✓ e of insulation around perimeter f floor? a 4. Is basemen '�heated? YES O a. R va lie of insulation 5. Type of insulation_ B. Under 16% Only 1. R value of roof a nd floors exposed to ambient conditions firoa f a r-3 4 /? • . 2 . R value of exterior walls A-- 46 ' 7 • i. R value of glazed area p-. 'Z.. R value of doors. A` Z 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab A"- S i T 7. R value of slab insulation - heated slab g;� (ZJ. 8. R value of heated basement/cellar walls (above grade) —' 9. R value of heated basement/cellar walls (below grade) -� 10, Type of insulation 74-C.r /4S I- S' y-PO_FO Q VVl C. Controls 1. Thermostat maximum heat setting 7 c e) e F. 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 r E. Piping Insulation '3/y" 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 l o G. For Swimming Pool Only 1. Maximum heating /•J o pool-- Telephone No. 65 - F95:5- C= -- (app icant ' s signature) . r AR- �; 4001168 THE NEW YORK BOARD OF FIRE : .UNDERWRITERS BUREAU OF ELECTRICITY �= �; 41 STATE STREET,ALBANY,NEW YORK 12207 •• .. � �' mr°pate April 3, 1987 Application 025397-86 `� �= -. THIS;CERTIFIES THAT x - - only the electrical equipment as described below and introduced by the applicant named on the.above application number in the premises of o 1' i .Raymond Adams .7 Cottag Hull, Queensbury, New York • 1: in the following location; Basement In 1st Fl. 2nd Fl. Section •Block Lot :c� ,' was examined on 3/1 1/8 7 and found to be in compliance with the requirements of this Board. •.: - FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS Y.= ECEPTACLES SWITCHES MERCURY OUTLETS INCANDESCENT.FLUORESCENT VAPOR AMT. K.W. AMT. K.W. MAT. K.W. MAT. K.W. AMT. H.P. •'i. -c _ 16 53 35 • 2 fr ., DRYERS FURNACE MOTORS FUTURE APPUANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI OUTLET DIMMERS •. -); AMT. K.W. - OIL H.P. GAS H.P. AMT. NO. A.W.G. MAT. MAP. MAT. AMPS. TRANS. AMT. H.P. NO,OF FEET AMT. WATTS ,. 1 range •31it6 . . . E �. 1 dryer 3i'/10 — . �; SERVICE DISCONNECT NO.OF 1 11W t Sk 10 E R V I C E• � AMT. i, AMP. - TYPE EQUIP. 1,e'2W 1 X 3W 3 0 3W 3,9 4W NO.OAR 1COND. OF CC.COND.. NO.OF HI-LEG OF.HI••iEG NO.OF NEUTRALS OF NEUGRAL o e<; 1 H' 200 cb 1 x 1 4/0 . 1 2/0 4+ OTHER APPARATUS: _ lg. - �. . . Pg.r.- .. gfci3.-.-- Flee . Heaters . 4— 2.0 kw Li -; 1- smoke det 3— 1 .5 kw 2— 1 .0 kw ®— — �, �; _ • _ -‹,f' David Hodges a q - ,®- 3 1 Tenth Ave . BRANCH MANAGER _- Hudson Falls, NY 128 9 ' ®` 1Per _ �' 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. - -,uoimuurtMUM/IM(vt1vw Aft tilt vet vr mitt alit MikirrlIt[liirviti vim Art vitas(1f[AYt [irtr1ftia[nP[if[111t1nrvrv[vtUR/MtANEWclarv[v[iEAR/W[W[wWUvs-vow(lit - 'COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. awn 01 QueenigUry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 12./ No NAA 5 LOCATION (p1 1, 46. , 1/ctL 126 /vn.� Date * / �5----7 Permit No. L1,,-37,5f * * * * * * * * * * * * * * * * * * * * * * * V = APPROVED - YES / NO Footing/Pier Forms i Foundation Waterproofing Backfill Framing Roofing t.---- Siding ✓ Masonry Veneer Rough Plumbing Relief Valves Ext. Porches !/ Finished Floors Interior Trim 51- 6 pju U/ V- Stairs & Railings_ __ ____ -/%-- - - Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers -- Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION )Final Building Survey - V Next scheduled Inspection(call when ready) Remarks- - �` a14 • / 6 Al—i1 CoM )0U--r?r PLRvAct-f ov 6fresbtooAA iva5e,-c9Jl_. jezil) Li B ilding Insp for 6/86 and-vl own o/ Queeniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME r „ r Aroi-,ts LOCATION '1 /yi Po_ Date f 1/ ( / . Permit No. F6- 37.3- ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer )(Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar.. Fireproofing Door Closers Smoke Detectors f Chimney 1 INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey 1 Next scheduled Inspection(call when ready) Remarks- - Building Inspecto 6/86 and-vl awn of QueeniLry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME r / SCI LOCATION -7 // Z6-LC '7 Date /1 b Permit No. ��j_ 3 /J * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Rah,9-pcvLc eJ , Roofing Siding Masonry Veneer Rough Plumbing PirfA21A�4 LPLAPCS. j0 Relief Valves Ext. Porches Finished Floors Interior Trim -Stairs--& Railings -- - Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - i Bu 1 ing Inspector' 6/86 and-vl Jocun of Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road; R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /)-omkg LOCATION ' C- l Date 7/C371 Permit No. � ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief.Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile \� Concrete Floors Plbg. Fixtures Gar.. Fireproofing Door Closers Smoke Detectors Chimney \\\ INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey 0744-� fG�r/ 2, M (iV(, IS GYM PLC-r-74O . Next scheduled Inspection(call when ready) Remarks- - p u i-[°A11; Dv ,C/ 63E/A-rav& awiir-toAr 3i10 ULD 6,17- /jLL 10 w riI ©i 3 L�� f /D(C4 Building Inspector 6/86 and-vl l?-4I1Ij n c� // �� Q Jown 'o . Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME al m.Oh A li d a LOCATION `� (,611C1 tit I1 dw� n -/ 3 73 Date ( /,;17 /yt Permit No. Pew d rh 9 * * * * * * * * * * * * * * * * * * * * * * * i/ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproof in Backfill CAI( Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors 7 \ Chimney , ,!' \ INSULATION: / Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - „Aqe/Le 41050114 Building spector 6/86 and-vl TOWN OF QUEENSBURY • • Building Department• Inspectors Report Date %�2-4!f -,C Name Q CJ() Location e0 a 1 f. Permit No. -- 3 76 Weather Remarks Excaira tion t� / Footing Forms ) (6 /Qo f 1 116 Footing & Piers ! � 7 n� Foundation �f Cement Coat Waterproofing Ba ckfi ll 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 r Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation FOUndatiOn Walls Ceiling I I Buildi • nspector REMARKS C frbt () ('j=t G 6 G/t-rz /1--Q Lit o Jown o/ Que.eniLr y BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME r • �•.Xi `i'1bj LOCATION x f . , / G fG 3 7� Date � Permit No. * * * * * * * * * * * * * * * * * * * * * * * = APPROVED - YES / NO Footing%Pi_er Forms Foundation . }. ; Olt Waterproofing Backfill Framing • • Roofing Siding Masonry Veneer Rough Plumbing • Relief Valves Ext. Porches Finished Floors • Interior Trim Stairs & Railings Cellar Drain Tile \ / Concrete Floors Plbg. Fixtures \ Gar. Fireproofing \ // Door Closers jt Smoke Detectors / \ Chimney / INSULATION: \ Foundation Floors • Walls Ceiling • FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - • Building Inspector 6/86 and-vl Pro 5 pec- D. PI T P/A NJ F. R co TTAGE 1 r/ EINI. 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