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88-440 1 w CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date /.T//1,711J.�/L 719 Z/ This is to certify that work requested to be done as shown by Permit No. 88-440 has been completed. This structure may be occupied as a One Family Dwelling - addition "oration Ridge Road Owner Ned & Joyce Crislip By Order Town Board TOWN OF QUEENSBURY (7 1/ --_ Buildi & Zoning Inspector 1 - - BUILDING PERMIT u, TOWN OF QUEENSBURY 88-440 ti No. I WARREN COUNTY, NEW YORK 4 PERMISSION is hereby granted to Ned & Joyce Crislip Ridge Road (inside deadman's curve) OWNER of property located at Street,Road or Ave. addition to dwelling in the Town of Queensbury,To Construct or place a at the above location in accordance to application together with plot plans and other information hereto filed and c, approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is RD1 - Box 57 - Ridge Rd. Fi Glens Falls, N.Y. 12801 ti 2. CONTRACTOR or BUILDER'S Name Alan Brook, mason and owner 3. CONTRACTOR or BUILDER'S Address Q, fD Sv 4. ARCHITECT'S Name Q., 5. ARCHITECT'S Address rt 6. TYPE of Construction—(Please indicate by X) rt ( 1 Wood Frame (x) Masonry ( 1 Steel ( 1 O 7. PLANS and Specifications ti H No. 14' X 9' as per plot plan, drawings and application 8. Proposed Use addition to dwelling 5.00 C/O $ 50.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 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.) Dated at the Town of Queensbury this 29th Day of June 19 88 SIGNED BY for the Town of Queensbury Building and Zoni nspector TO BE COMPLETED BY BLDG. DEPT. `�. QuE , 'r-;�j. _an / �-1 / Application No. ' 9 �. ' ! .' ' wn of Queenilury Permit Issued 19 - ci BUILDING and ZONING DEPARTMENT Permit Expires 19 / `��� �� � � Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Queensbu`ry, New York 12801 Variance No. c UILDING & CODE DEFT. 00 Site Plan Review No. '�e ram` [r 1 a Approve k� B�j , . 7 A. APPLICATION FOR ��� �� rvb PUILDING AND ZONING PERMIT .j - �= * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * * * * * * * * * * 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: Ned and Joyce Crislip P.O. Address R . D . 1 . , Box 57 , Ridge Road Tel. 793-6869 Property Location: as above Tax Map No. 55 /1 / 12 .4 Street number or building lot numb r Subdivision name (if applicable) - / (�+e O' J- 1t C' ei/44/4h i r'Lg kv{ ' THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Alan Brook , mason and owner , N . Crislip Name P.O, Address Tel. No. Name of builder Address Tel. Name of plumber Address Tel. Name of mason Address Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, X 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 REQUIRED BELOW. * Size of property 1 . 75 acres k1"Ka 350 ft•frontag * Existing building(s) Size ft X ft. * See attached sheet PROPOSED BUILDING AND USE: * Existing building(s) Use Residence Size of new structure 14 ft X q ft * Foundation-piercrawl/partial/full * Proposed building, distance from property line * (circle one) * Front yard ft Rear yard ft No. of stories (habitable space) 1 Height (grade to ridge) ft. * Side yards ft and ft If residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) * OCCUPANCY INFORMATION * No. of bedrooms * PRIMARY BUILDING - No. of bathrooms Primaryheatingsystem * X One family dwelling Y` forced air r a Two family dwelling Type of fuel oil ' No. of fireplaces to be installed 1 * Multiple dwelling / Number of units Will a wood stove be installed? yes * Permanent occupancy * Transient occupancy Central Air conditioning? No Business * BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other. Raised ranch M_ ision Duplex * If addition, what will use be? * Family room Split level Bungalow Cape Cod Cottage Other * ACCESSORY BUILDING- Colonial Row Town house * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car * * * * * * * * * * * * * * * * * * Private storage building _ ESTIMATED MARKET VALUE OF * Other CONSTRUCTION $ o�5,4 00 0 * 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, wood frame, fire safe,etc. masonery Will any second-hand or ungraded lumber be used? If so, for what? no Foundation wall material concrete Thickness /�/ (�� Depth of foundation below grade (to bottom of footing) ( Will there be a cellar? no Heated or unheated? Floor sq. footage 126 sq ft Will there be a basement? no Will any portion be used as living space? - (If so, what portion? - sq.ft. - - Type of use? - Type of roof - lopedijflat/shed/other Material.. of roof slate Size, wood studs "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor "X " spacing "o.c. span ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing o.c. span ft. Roof trusses(pre-engineered) spacing "o.c. span ft. Exterior wall finish stone Of what material? Interior wall finish drywall 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? yes Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth 6 ' ft. - in. Water supply - Municipal or private well 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) 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 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. y� SWORN TO BEFORE ME THIS Signature__ Owner, owner'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 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 126 sq . ft . for addition to family room . 2 . Type of heat Forced air 3 . Is the building mechanically cooled? No 4 . Percentage of area of windows and doors only 1 window (less than 10%) 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 • R-3. 2 . R value of exterior walls R-14; 3 . R value of glazed area R- DIl� 1L 4 . R value of doors - /40. 5 . R value of floors over unheated spaces - f„ycp using 2" poly- - 6. R value of slab edge insulation - unheated slabra,•.6) styrene insul . 7 . R value of slab insulation - .heated slab - 1.0,57° . r 4 . R value of heated basement/cellar walls (above grade) - x 9. R value of heated basement/cellar walls (below grade) - 10 . Type of insulation ridged foam board andle fiber glass C. Controls 1 . Thermostat maximum heat setting D. Duct Systems • 1 . Is duct system installed in unheated spaces? YES NO X 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 NA 2 . R value of pipe insulation F. Service Water Heating - 1 . Performance efficiency 2 . Temperature control setting maximum C . For Swimming Pool Only • 1 . Maximum heating - Telephone No. 793-6869 (applicant ' s signature) 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 / - 97 NAME ____1126._ ,67...C.Q.-962 LOCATION //J G(' ti � ��cr-�i� uel-aca DATE /27- PERMIT # i'i- `7 5L 0 •(,2,de 46.1 4 GGodGG YESR NOD OOTING/PIERS �/°y �F' MONOLITHIC POUR FORMS F6UNDATION/DAMP-PROOFING ...„- BACKFILL APPROVAL ROUH PLUMBING MING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION FLOORS WALLS CEILING 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: ( 1ii Rec_„e7.607,k 9 /22t7 . u' v INSPECTOR eok - . , it P1 TOWN OF Q EENSBURY 531 BAY ROAD . Phil QUEENSBURY, NEW PORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION q REQUEST FOR INSPECTION RECEIVED/Q 62 1r NAME , 1 "/ LOCATION_`o n si'a Z �a� /l DATE /V PERMIT# 7D TYPE OF STRUCTURE RECHECK FIRE MARSHAL APPROVAL (COMMERCIAL: STRUCTURE) (FOOTING)(FOUNDATION BACKFILL _FRAMING OUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS 'b I APPROVAL N/A YES yf A CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING ✓.- SIDING ;4 ,,ter c/" DECK/POR(/H STEPS/RAILING RELIEF VALVES FURNACE/HOT WATER OPERA ING BASEMENT INSULATION/DU WORK_ INTERIOR TRIM/PRIVACY OORS FINISH FLOORS: BATH/KITCHEN WATERTIGHT —+OTHER FLOORS SWEEP BLE I OTHER FLOORS CARP ffED STAIR CLEARANCE/RAILINGS HANDICAPPED ACCESS k SMOKE DETECTORS j °fi BATHROOM FANS/WHOLEHOUSE FANS ALL PLUMBING FIXTUaES OPERATING \ GARAGE FIRE PROOFITG_ ,, DOOR CLOSERS ‘k OTHER FIRE SEPARATI N FIRE/DEMISE WALLS DUMPS TER SITE PLAN/VARIANCE REQUIREMENTS . _ FINAL ELECTRICAL OK TO ISSUE C/O OR C/C 1/' COMMENTS: y ARRIVE_ DEPART INSPECTOR IOW OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORTS--�`. _� , REQUEST FOR INSPECTION RECEIVED ,)-) NAME ,'Vic,,/ /7' 1 7 LOCATION /<l .> 7,1 /,...r .,lr' G7"f<./(;.-T- C v":.-e- f-. b ,( / DATE o PERMIT I c",-Sf5/c° TYPE OF STRUCTURE - er / '? RECHECK /i/ /-- l—,,(L- f*A APPROVED . .47. 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 SIT, FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN PL' E PLUMBING UNDER SLAB ✓FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS / JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN NSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: '77S°'(- "e"- ARRIVE � ¢`� DEPART (c)1 `� PEC T ' ©n ap eJa4---4, T� bX1sifNG- I )Dc.tse. T ooE C,,,mrnile. SLATE ROOF - li 1I 1 iI SI ©t\) � e i rider block COrt sir Gt..e.X1 OVA. • te 4/ ' . FILE COPY „ I cou.)siovit, , 7- cbA -7, 1,"1 -• / , '., / '':::'.' 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