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86-837 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date Sepeember 28, 19 88 This is to certify that work requested to be done as shown by Permit No. 86 837 has been completed. This structure may be occupied as a Addition to one-family dwelling Upper Bay Roftit Location Owner Carol and Kenneth Fuchslocher By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector } BUILDING PERMIT TOWN OF QUEENSBURY No. 86-837 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Carol and Kenneth Fuchslocher OWNER of property located at Upper Bay Road 3/10th mile north Street,Road or Ave. Lockhart Road 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 RR #1 Box 1383 Lake George, New York 12845 2. CONTRACTOR or BUILDER'S Name Francis Marshall 3. CONTRACTOR or BUILDER'S Address r 21 Helen St. Hudson Falls, New York 4. ARCHITECT'S Name 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( Wood Frame ( 1 Masonry ( )Steel ( ) 7. PLANS and Specifications No. 18'x18' per plot plan, specifications and application submitted F 8. Proposed Use One—Family Dwelling (living area added ) $5.00 C/0 $ 20.00 PERMIT FEE PAID—THIS PERMIT EXPIRES July 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 town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 9th Day of December 19 86 SIGNED BY )1/ �q.ea C. 4 for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG. DEPT. ac� Application No. wn Oi Queeniur y Permit Issued 19 _ BUILDING and ZONING DEPARTMENT TOWN tl - ;., Permit Expires 19 �--_ Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation I -''.1 !e, \ if1 Queensbury, New York 12801 Variance No. Site P1 n R view NNOV 2 " 3 -- ! — a G. a Appro by 2 5? 0.A•r V p.I APPLICATION FOR 81� -+- 6}1/s BUILDING AND ZONING PERMIT /° iNG� . l 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 Abe 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: C„trn ) C" t(ev.a.;_b Vc.&cLSl °Ate, P.O. Address '2 k a © y 1 3cc3 Tel. 7q 3 _9 2,Q Property Location: I,A 0 h e Q�‘, 12 00-C1 . Tax Map No. / / St*eet number or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: ry a_ v'' C. _. 5 ill a a ti 'na t t 21 H Ie 14 tof J ! ? 293 ' Name P.O. Address Tel. No. Name of builder a'NCL 9 M . .Sekoi(Address 2 / /4d ., sJ 9 ( Tel. 7y ? 7cj3.3 Name of plumber Address Tel. Name of mason 70) Grp,.. .. Address 2 t,,,?R ii.1 At01e SO Tel. Nri 3 2 2,y NATURE OF PROPOSED WORK: * ZONING INFORMATION: Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, (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) * whethe.r °existing or proposed and indicate all Other work (describe) — * set-b6qc dimensions from property lines. Give * s eet nd number or lot number and indicate FOR DEMOLITION PERMIT, STATE SIZE AND • *awhether interior or corner lot. Show location LOCATION OF STRUCTURES AFFECTED. of watee..supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. * Size of property /,50 I ft X 335 ft. * Existing building(s) Size.�3y ft X 22.'3" ft. * 1(' CIB' r . L�; ytba 12.1V )2' ) 61vro ` * 1 PROPOSED BUILDING AND USE: l ,f!� Existinguilding(s) Use 1,,,,,µ S;_ . _ �- _ t, ucturef g ft X //i= ,-_ * T r Sr 5 / f - * Propo s d tuilding, distance fron property line (circle one) * % S 2 / Front yard 1 3 q ft Rear yardft No. of stories (habitable space) I * Side yards 59 6 ' ft and 7 7 ft Height (grade to ridge) ft. If residential, no. of families 1 * If on corner, setback from side street ft No. of rooms(excluding baths) 1 * OCCUPANCY INFORMATION No. of bedrooms I * * PRIMARY BUILDING - No, of bathrooms * 1 One family dwelling Primarys heating Elecir�cc I _Two family dwelling Type of fuel 1^_ I Q cl mac.t - * Multiple dwelling / Number of units No. of fireplaces to be installed N ry _LPermanent occupancy Will a wood stove be installed? 1%/13c iijc.,* Central Air conditioning? Ma * _ Businesnt occuparcy Business * BUILDING STYLE, PRIMARY STRUCTURE * Industrial _ n,..s,.i �.-� v r.. T .. .,� .. * Other 3 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe,etc. (p@c Irtrm,owa. Cows T r k I a e Will any second-hand or ungraded lumber be used? If so, for what? /SI p ft Foundation wall material i3 tact; Ce vvte-t T Thickness / 0 x Depth of foundation below grade (to bottom of footing) j 0 0 " Will there be a cellar? yes Heated or unheated? ? Floor sq. footage sq ft 32: Will there be a basement? yes Will any portion be used as living space? A/0 (If so, what portion? sq.ft. - - Type of use? Type of roof - sloped/flat/shed/other clop eJ Material of roof C-to g Size, wood studs ' "X G " spacing ((, "o.c. length $ ft. V Joists(floor beams) 1st. floor 2 "X 10 " spacing IG "o.c. span (sc ft. Joists (floor beams) 2nd. floor /i'1- "X 6/0- 7 spacing .' "o.c. span N/'i ft. Overlayp(ceiling beams) "X c{ " spacing 244 "o.c. span (g' ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing 2,4 "o.c. span J ' ft. 10 Exterior wall finish Y (,,} ( Of what material? j 1 - I P Interior wall finish Pa w I 4 S ke e1 Rock. 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? fin If so will a Fire-rated door, enclosure, and self-closing device be provided? A//'fi 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 Pe^ii j e !e Cue.i SEPTIC SYSTEM _ Distance from ANY private well(including adjoinins properties ft. „? (A separate application is necessary for any repair or new installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of 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 s= tement of all proposed work to be done 'on the described premises and that all provisions the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to the propose work .hall be complied with, whether specified or n t, ndlthat such work is authorized by the owner. SWORN TO BEFORE THIS Signature ' - ;101fer, owner's agent,arcnitect,contractor ay 19 Notary,Public, W en County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: A. 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 *T 2 . Type of heat 3 . Is the building mechanically cooled? IV 4 . Percentage of area of windows and doors 12. 9 t . 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? ' 4 LJ 3 . Slab on grade YES Nr' a. If YES, what is the value of insulation around perimeter of floor? ' 4 . Is basement heated? YES NO F,. a. R value of insulation /11 a.. y j e ct, a a 5. Type of insulation ) ay B. Under 16% Only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls { K 19 3 . R value of glazed area s u= r ata Lk. L 4 . R value of doors 5 . R value of floors over unheated spaces AM- 6. R value of slab edge insulation - unheated slab Al 7 . R value of slab insulation - heated slab 8 . R value of heated basement/cellar walls (above grade) 0 . 9 . R value of heated basement/cellar walls (below grade) 114,y 10 . Type of insulation C. Controls 1 : Thermostat maximum heat setting lit D. Duct Systems 1 . Is duct system installed in unheated spaces? YES 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 2 Jown of Queen Jturcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME KA_Ai. Fucti5LoCi+1-12._ LOCATION (if hz d, G papa) Date -1 /► Ip / Permit No.%W37 ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Vene1/4 Rough Plumbing Relief Valves Ext. Porches .� Finished Floors \ e Interior Trim Stairs & Railings Cellar. Drain Tile I \ Concrete Floors Plbg. Fixtures • Gar. Fireproofing f Door Closers Smoke Detectors Chimney • INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- B it ing. Inspect Jown of Queenitur1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME IJGifs,e CC ke R LOCATION aoo"4i' QitYD Date 7 '7/B7 Permit No. ,, -gy7 ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer )tough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures 1/ Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: 0 X undation 2,, !, AAA- tuSi D&C f Floors 1 ails Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey rf / A-C Next scheduled inspection (call when ready) Remarks- B ilding Inspecto 6/86 and-vl Jowl? of Queenábury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME u_ 6) C I}Lo 6-IZ LOCATION SA,4 kzopt Date_/ 0 7 Permit No. 86 --?3 7 * * * * * * * * * * * * * * * * * * * * * * * APPROVED - YES / NO Footing/Pier Forms i Foundation RWaterproofing 1/x ll / )(Framing (f Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures \\/)c Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls r/_ /9 L/ Ceiling ,Q T 7 FINAL ELECT CAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - QP:tto -r-/fr41,7-- Ctej/tVa746 6-6MA-t&-- 4-14g-f2 61526€ Building Inspector ti/Rh and-vl .own of Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME Ki,Ed„.„ r1. sci cyA. LOCATION 044 12eM-0 , Date! 4 p 1q /` Permit No. Y 31 * * * */ * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing pA Z, 1AL 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 4W4(gAU4Z‘r- Buildin Inspector 6/86 and-vl Of) ( c7/- / 30 awn of Queenitury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.O. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME "_C,�- 1'SY, ri LOCATION L,pp f3,94,y 1 b Dat Permit No. 3I--837 * * * * * * * * * * * * * * * * * * = APPROVED - YE� SQO noting/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 Next scheduled Inspection(call when ready) Remarks- - 1 v�C�C�GGGs�Q/ 4 GC/; ;;) Building Inspector 6/86 and-vl i If ? f `l { gy q oo SIED Ev,o,...2 , ,L1—:-----4>__ Mau:,e 4 rc ri �l M a i . li z.1 NEB � - -- TO 6E GUILT ' ) jii '' E.-e►s,1Aw , , i ___, . , f -lir E or) PtL 7 `rMN1 / Wr"L-. _ i ►Q/xlaf &%'1tD 7 if} r i I f , c --"* )op' Ove,.._ .J " 36. 2. S9 C=r. ci Li) , , • h 1 u /4Di) . . . . . 11" " . . ' . . . . . . ' • , i • • , _., Vi,r , * triOsi .., '. ...%, ] . • lid ------1714'` : 44, i .1 .. . . % 1 32." Doak I 1 urisgoul I- ! . 1.11N roof,, I I ----k _______ N `- , f 41I ' ---- 1 tet I if 0.3 I • i . vi o •k , . ' 1 I .. . 0 .. • 1 f i 1 -""I li ", '.4-114•Tet. i- ' if/0 ...- -i 1. y — o ' . Q . • ...__ :. .. , ()Lb r-lacit,q III, f 0 47 . • , , . e il 1- 'I itt .".. 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HI ! _ r I. ., 1 r i } s't au. o ce�t t iNsouvre u o { I , 1 I 1 611...0 i. t i wiauow AO iel® 'owl It. `-,,„s • 1 1111 , d 1 I Ili .. ..it 1OX16 " 0/ QjIOCK JCu!( tb 1 r 0 rwl,OG lC ib,4co r Ow)* +. 1 Y " FL,VI:_i_____ xOetf ropriNc L i 1 ~ , 0X 1a FootJNC- W $T F o t fr,161.1..1 F•rt t: (.LLe.A GNIttACt.' r. s S1-.��1'� a�l?ti,�tl fit.-�R�,��/.���_�.,fit.-;_./.fib-�h,��e-��-,�.�,�.�,��.,��i„���„ti-;��.;.�,����t�,�ti,1�i_;��,A,.:�,.�tt.1�l?��,�1/.��!,J.�i.���,��,,?��,)t,,Ai-Via-.�,->R(-_�(-. _ _ ��-��i•. - - - - _-THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY !: T LG 41 STATE STREET.ALBANY.NEW YORK 12207 !is! APRIL 20, 1988 Application No.on file 034018/86 A 71 1 4 8 4' . Date THIS CERTIFIES THAT • only the electrical equipment as described below and introduced by the applicant named on the above application number in the premises of %: KENNETH FCCHSLOCHE, BAY ROAD, €QUEE? SEURY s NEW YORK 'd.' B ® 1st Fl. ❑+2n$e�l. t" '. OUTSIDE Section 23 Block 1 Lot 26.2�; in the following location; asement �; was examined on 3/1/88 and found to Ife in't to ' nce with the requirements of this Board. �' FIXTURES RANGES CC 1 OVENS DISH WASHERS EXHAUST FANS ?' FIXTURE RECEPTACLES SWITCHES AMT. K.W. AMT. AMT. K.W. AMT. K.W. AMT. H.P. �' OUTLETS INCANDESCENT-FLUORESCENT vMo�1 il: OS • 1; 6 12 56 ts MULTI-OUTLET DIMMERS • DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS ill UNIT HEATERSSYSTEMS AMT WATTS 0 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 1: • SERVICE DISCONNECT S E R V I C E NO.OF A.w.G. METER NO.OF CC.COND. A..G• NO.OF HI-LEG A'W'G' NO.OP NEUTRALS OF NEUTRAL �, AMT. AMP. TYPE EQUIP. I'P 2W 1�i'3W 3/3W 3,6'IW PER d OF CC.COND.. OF HI-lEG ii, OTHER APPARATUS: PN9 ELECTRIC ROOM HEATERS:• O 1— 1.3 KW VSES 03. KENNETH FLJCJSLOCxE _ / i R 1 BOX 1383 s r •."•v�. a LAKE GEORGE. NEW YORK1‘845' . • "r yt 239 BRANCH MANAGER . e •l; Per p f sc :' 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. ',,; ,.,',a,a,a�.''a'a' . '• �.,.'.�-�•' . . ;$ 'e`• "' r•<�•� "•`'•` • <•�'•` •<�• _..._ ,.,.rt., AC e®TIWIrATF MUST NOT BE ALTERED IN ANY MANNER. NEW BUILDING DEPT.COPY OEF APPLICATION FORM THIS COPY WITH UILD-L,NEPTYORK BOARD REQUIRED.FIRE UNDERWRITERS. L TEMP.tf DATE t , CITY OR TOWNSHIP ¢ -r f COUNTY t_t A VILLAGE Gai STREET AND NO.OR POLE NO. ROAD AND POLE NO. , A BETWEEN WHAT TWO �r $ ' TION ! BLOCK / LOT CROSS STREETS IS PREMISES U)CATED7 � ��� � LOU � BUILDING .• OCCUPANTS OCCUPANCYU E 1' i ;°': / NAME yf} ill4:at.IAS, Ut- {, OWNER'S NAME c, } / } { I TEL * .} 7 AND ADDRESS ia\ys; S i t�4' ii t 5-.f 1 C Ci ,: c% °#, f"'f CURRENT t FROM THEIR # �` OFFICE SUPPLIED # l`?:; I/ ir-ADEFECTS BY WORK NEW ADDITIONAL. DEMOVED❑ BUILDING NEW� OLO IS IS LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED BRANCH . OFFICE USE No.of Fixtures& MOTORS HEATERS CIRWITS ONLY NUMBER OF OUTLETS Lame Reaptades Lou H,p. A W'G INSPECTION Watts GW G Lon wail Attao 1, Switch, Pendant Bracket Type Each Each CeA1rW wail Recap htil Sub- ' Ili M■ fet .. ® gi M = 2nd F ®®■ 11111 IIIMIMIMIIIIIMMIIII 111111 DO NOT USE THIS SPACE. REMAR ♦ 1ST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: f This application it:intended to coverheand above-listed the fee to cover the inspected equipment,but if ti of provided by the ection is found o nd additional equipment not above listed, you are authorized to make theinspectionELECTRIC SIGN TOTAL A FEEDERS LAMPS WATTS MAINSEXPOSED GAS TUBE SIGN CH OF WORK TER CONCEALED TRANSFORMERS OF VA OF WORK TCY (NUMBER) (CAPACITY) WORK TDBE COMPLETED SIZE OF SIGN STARTED SERVICE OVERHEAD (UNDERGROUND MAKER ENTERS OF SIGN BUILDING - ' INSPECTION REQUESTED iiNEW OLD =' ON OR AS NEAR AS 0 0 POSSIBLE AVOID DELAY BY GIVI FULL AN r, ATE ;FOR ATI o ALL SPACES DATE OF + MUST BE FILLED IN f' APPLICAT Y BEfI TUR ED. APPLICA I r PRINT NAME, '' A' ' ,r ?' V SIGNATURE S /� r. r:«' NAME OF A- 1- OF APPLICANT # APPLICANT � � s ri ' 2 TELEPHONE# STREET ADDRESS ( ZIP r LICENSE NO. CITY OR e ev s , CODE .?—WHEN APPLICABLE POST OFFICE A SEPARATE APPLICATION MUST at FILED FOR EACH SEPARATE BUILDING