88-615 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSOURY
WARREN COUNTY, NEW YORK
Date October 5, 19 89
This is to certify that work ,Naquested o L done as ahoy by Permit No. 88-615
has been completed.
This structure may be occupied as a One Family Dwelling - addition
Bay Road
Location
Owner Byron B, Rist
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
H
TOWN OF QUEENSBURY No 88-615 b
WARREN COUNTY, NEW YORK 0
Byron B. Rist oNo
PERMISSION is hereby granted to
N
alillititn Bay Road
OWNER of property located at Street, Road or Ave. .
in the Town of Queensbury,To Construct or place a addition 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. tz
n
0
1. OWNER'S Address is 0
RR1 — Box 1469 — Bay Rd.
Lake George, N.Y. 12845 •
r•
2. CONTRACTOR or BUILDER'S Name rft
Same
3. CONTRACTOR or BUILDER'S Address
tzi
Same $1'
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4. ARCHITECT'S Name p,
5. ARCHITECT'S Address
w
rt
N.
6. TYPE of Construction—(Please indicate by X) 0
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()0 Wood Frame ( )Masonry ( ►Steel ( ) 0
P.
ro
7. PLANS and Specifications
I✓
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No. 14' X 16' as per plot plan, drawings and applicationCrq
8. Proposed Use
addition to dwelling
5.00 C/O
$ 21.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 89
(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.)
22nd August 19 88
Dated at the Town of Queensbury this Day of
SIGNED BY / CJ for the Town of Queensbury
Building and Zoning Inspector
INTERIM BUILDING PERMIT
-6/5
PERMIT APPLICANT ju s L .
CONSTRUCTION LOCATION ''/2/ 2E - /Y67 y jV
EFFECTIVE DATE .
0 /e-
sG
APPROVED BY 4f f�� ,@
/
SPECIAL CONDITIONS:
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit, the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, follo ' ng pr essing .
POST THIS INTERIM PERMIT IN A CON IC S N ! !
B ' ding & Codes Department
TOWN OF QUEENSBURY
TO BE COMPLETED BY BLDG. DEPT.
IC.0 N U: .uuE
c-] Application No. D '
_,otvq o� Queeni‘ury Permit Issued 19 �� ► ,,
BUILDING and ZONING DEPARTMENT Permit Expires 19 L
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation /2j2- 3,4 - AUG 16 988
Queensbury, New York 12801 Variance No.
Site Plan Review . BUILDING & CODE DEPT.
Approved
,��
- A l N O��
: ' ,4,
APPLICATION FOR eP
FUILDING AND ZONING PERMIT =�--"
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *::.*
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 accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
The owner of this property is: ,_EY42.06.4 XI K. [ 1--
P.O. Address F._ 1z... , R f) f, 114- (e5<A , l..-.141c-4- L. 0 'C'. —1 ✓1/- c% 1?4-y5 Tel. / !
Property Location: 4k{ 4_ 'IZ A I., M o T`L4- or F-T• ►ikC1 C RI T. Tax Map No. 2 / 0/ s5. )
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder $
ij g lS� Address Tel.
�t� Tel.
Name of plumber 1\ Address
Name of mason ',i Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
VAddition 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
* whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. *
of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 21 5- ft X Tic ft.
* Existing building(s) Size Zg ft x 4 o ft. l't st
44
PROPOSED BUILDING AND USE: * Z> � �
Existing building(s) 5' r(
Use , G,Lg (= M 4 ,
Size of new structure 04 ft X jt ft *
FO'undation-pier/slab/crawl/partial fu , * Proposed building, distance from property line
(circle one) *• Front yard SA-vviii' ft Rear yard ft
No. of stories (habitable space) t * Side yards ft and ft
Height (grade to ridge) /.a ft. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) / * OCCUPANCY INFORMATION
No. of bedrooms / *
* PRIMARY BUILDING -
No. of bathrooms 0 * ✓One family dwelling
Primary heating system l:La-t, Two family dwelling
Type of fuel * '
* Multiple dwelling / Number of units
No. of fireplaces to be installed Ci Permanent occupancy
Will a wood stove be installed? ,tJ * Transient occupancy
Central Air conditioning? A/ta * Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Other
Panr'h /--~Cnntamnnrarv)Loa cabin *
BUILDING PERMIT APPLICATION CONTINUED - f J
BUILDING SPECIFICATIONS:
Type of construction, d framed fire safe,etc. •
Will any second-hand or ungraded lumber be used? If so, for what? AID
Foundation wall material Ill GAiz. lam' l u< Thickness t 0
Depth of foundation below grade (to bottom of footing) t61-6
Will there be a cellar? '‘{ -S Heated or hea dt?) Floor sq. footage 2.7-4 sq ft
Will there be a basement? yL Will any portion be used as living space? N Q
(If so, what portion? sq.ft. - - Type of use?
Type of roof - slopee flat/shed/other Material. of roof S TL.0- C(t t1/U t
Size, wood studs 2 "X (o " spacing 1, j,, "o.c. lengthl V ft.
Joists(floor beams) 1st. floor Z "X 10 " spacing ( 6 "o.c. span !4 ft.
Joists (floor beams) 2nd. floor NojaeX " spacing "o.c. span ft.
Dverlays(ceiling beams) N om eX " spacing "o.c. span ft.
Roof rafters _ "X t'z " spacing 2_4" o.c. span (I ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish ?t,4,1- 4, sA erw Of what material? pk ta`
Interior wall finish 'Iz" C9- #.t:) u,,,A /:),,
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?
dill 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)
own of Queensbury AFFIDAVIT STATE OF NEW YORK
ounty of Warren
I swear that to the best of my knowledge and belief the statements contained
n this application, together with the plans and specifications submitted, are a true and
omplete statement of all proposed work to be done `on the described premises and that all
rovisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
he proposed work shall be complied with, whether specified or not, and that such work is
uthorized by the owner.
WORN TO BEFORE ME THIS Signature___ Cin,�/�' _ `4f """
Ow e o is a ent architect contractor
day of 19
Dtary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
PECIAL CONDITIONS OF THE PERMIT:
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 224 S
2 . Type of heat
3 . Is the building mechanically cooled? Al
4 . Percentage of area of windows and doors / 5
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 — l ci
3 . R value of glazed area g - . b
4 . R value of doors
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)
$ 7" " S
10. Type of insulation Es.4-‘-✓4nrce - m A-tt--
C. Controls
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
TOWN OF QUEENSBURY l
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS )077
QUEENSBURY, NEW YORK 12804-,
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
/ 3Q
NAME _J_ ' �
LOCATION /Lf�. - 1/ �, l 19
#
DATE / PERMIT,�� �-�
' APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
L..PINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS /t/M
PLUMBING FIXTURES/RELIEF VALVE 444-
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING rA-
DOOR CLOSERS) /V,
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION ? /
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
IN EC OR
•
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
#72
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION'RECEEIVED //-g Sjf
NAME !" � f�
LOCATION �!X '� °""''"rl!' / / ��
DATE / PERMIT # 9d "f�`4 6
APPROVED
I ✓ % YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL !
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-I0
VNSULATION:
FOUNDATION
FLOORS 2- I t
WALLS 5
CEILING JL _ y 3
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
•
r.[.nry,m lD
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION` RECEIVED
NAME i 'fr2o)\/ g ��
LOCATIO !7/q4 121)110
#,
DATE • , r ,.! PERMIT # /
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR ORMS
FOUNDATION/DAMP—WOOFING
BACKFILL APPROVAL
ROUGH PLUMBING
XFRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/S=EPS
STAIRS—CLEARANCE RAILS
PLUMBING FIXTURE'/RELIEF VALVE
INTERIOR TRIM/PR VACY DOORS
FINISHED FLOORS
GARAGE FIREPR90 ING
DOOR CLOSER(S)
SMOKE DETECTO'.
FINAL ELECTRICA INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CER IFICATE OF OCCUPANCY MUST BE
OBTAINED FR'M THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
a. ),04,0A6713 2-st. G Cmx:A-two-tol-
G rA 1- 9001-
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED _
NAME
LOCATION /,,��DATE 7 -4 PERMIT # re` 64r
APPROVED
7?-2 ./4-)th /77 6irf //,/,- YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS y
FOUNDATION/DAMP-PROOFING'
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION is
FLOORS '
WALLS
/CEILING
FINAL INSPECTION
CHIMNEY HEIGH
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
1SMOKE DETECTORS 44,4 >
FINAL ELECTRICAL INSPECTION /
FINAL APPROVAL OF CONSTRUCTION v
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
•
Jown of Queenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
/SAL
LOCATIONS
7
Date g f / Permit No. D -
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
)(Foundation b"/
')QWaterproofing i!
k 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 R; c3
IZT
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
0 t274- c
Bui ding Inspec or
ti/Ak mri-wi
a Z C7
Jown o f Queenilury
t'j--\ BUILDING and ZONING DEPARTMENT
//Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
a
NAME 4-1'C!/ ,,. ...?
LOCATION f `'` >/jf. lam <;�r�i'I x_f� /z/f
' i
Date; ;' k /c Permit No.
* * * * * * * * * * * * * * * * * * * ,* * * *
V — ApPRWED / NO
t,,, noting/Pier Forms c`il Wt " 7
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Ve eer
Rough Plumb'ng
Relief Valve '
Ext. Porches
Finished Floor s\
Interior Trim
Stairs & Railing
Cellar Drain Til
Concrete Floors ;'
Plbg. Fixtures
Gar. FireproofEng
Door Closers /
Smoke Detecto s
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELEC CAL INSPECTION
DRIVEWAY APPR VAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
uil ing In ctor
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MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
900_Haddon Avenue,Collingswood.N.J�-08908
pat, May 31, 1989
C
�U.PTtuf tt that the electrical equipment listed has been examined and is approved as being in accord ,
with the National Electrical Code, applicable governmental, utility and Agency rules.
ct.
Byron Rist Occu Dwelling
Owner: Occupancy:4 Occupant: Same C4
Bay Road, Queensbury ([darren''Co}, Y='
Location: This certificate covers the electrical equipment and instauation inspected this, date. It additional equipment should be introduced or alterations made to It
.� existing system this certificate shaft be null and void, and application for C4
11 Outlets; $ Receptacles 1 Fixture inspection should be submitted promptly to this Agency S
Equipment: Holder of this certificate should present same to his property insurance canner
r .� (agent or this cert)as evidenCe ificate
should tcertifica ion ofto electrical opertequipment surance Carrier
4
as specified..- • C�
CI
il
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Byron Ri s t ''114 ....� �-
A r
Applicant: Bay Road ~- -.__._" --' O. 15-026663 11
C<
LQueensbury, NY 1230
n,e A. Nola a , c*
CK0SW".
BYRON B . RIST
GENERAL CONTRACTOR
TEL : ' • 518/798- 1881 JOB
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