93-658 r ►
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date March 11 19 96
This is to certify that work requested to be done as shown by Permit No. 936 SR
has been completed.
This structure may be occupied as a ALTERATIONS TO DWELLING
29 BIRDSALL RD.
Location
Owner STOCK. JOYC11
TAX MAID NO, 40 . 1-14
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. do Code Enforcement
41
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 93-658
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to JOYCE STOCK
Birdsall Road
OWNER of property located at Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Alterations 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.
rn
1. OWNER'S Address is p
same
ti
2. CONTRACTOR or BUILDER'S Name
Fuller Construction
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
F'•
5. ARCHITECT'S Address En
3
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6. TYPE of Construction—(Please indicate by X) 0
( XWood Frame ( ) Masonry ( I Steel ( )
7. PLANS and Specifications
Alterations to dwelling including new roof as per plot
No. plan, specifications and application.
8. Proposed Use
New roof; remodel of kitchen and bathroom,
replacement windows
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50 .00 November 2 94
$ PERMIT FEE PAID -THIS PERMIT EXPIRES 19
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the fA
town of Queensbury before the expiration date.) rt
O
2nd November 93
Dated at the Town of Queensbury this Day of 19
fD
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SIGNED BY for the Town of Queensbury
nd Zoning Inspector
W
TOWN OF QUEENSBURY
REVIEWED BY I
,. 1�, r FEE PAID $ S(?,(s`� '22223 _�
g 1r, PERMIT NO. q,3 - s 41 ,
BUILDING PERMIT APPLICATION ��T19
f 4' t'
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTI0 1 Z�
TILL BE MADE UNTII. APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
« « « « * « a a a a « ate• * a * * * a a a a a a • * • * • a a a * tat * * a a
The owner of this property is: -./ :-/e - `7' < I"
P.O. Address Z//at S/1-1-/-, - Tel. 7.72--C"/7S A.,4-kce
Property Location , 11--j,/vecf /1/ / � - Tax Map No:`7/(l` / //
Has there been any split of this property since October 1, 1988? /
_.:___
ff yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
IATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF
Construction of a new building * CONSTRUCTION: $ 6/14000.. 06
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
* Size of property ft xft.
X Alteration to a building , • Z� 3 z
(no change to exterior dimensions) Existing Buildings(3) Size ,z ft. x , ft.
* Proposed building - distance from property line:
Other work (Describe) • * Front yard �S " qt. Rear yard -± ft.
•
Side yards ft. and /a ft.
•
;ROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor -1C t 5 T ANY sq. ft. •
�� •
OCCUPANCY INFORMATION
*
2nd Floor LIZ / 5 /ic.1-sq. ft. 1-/ • Primary Building -
Other Floors • )One Family Dwelling
sq. ft.
(not cellar or basement) • Two Family Dwelling
'OTAL FLOOR AREA kz sq. ft. • Multiple Dwelling/Number of units
iize of new structure ft x ft jC t S7 JN Business
foundation-pier/slab/crawl/partial/full • Industrial
(circle one) • Other
Jo. of stories (habitable space) 7--- •
•
leight (grade to ridge) 36 ft. ? • If addition, what will use be?
f residential, no. of families / •
io. of rooms(excluding baths) • Accessory Building
lo. of bedrooms 3 a x Detached Garage ONE/TWO Car
do. of bathrooms 2- •
primary heating system /��--�/� •• Attached Garage—_ ONE/TWO Car
Type of fuel (0/L._ • __Private storage building
Ito. of fireplaces to be installed ® •
✓ / • ___Other
Nill a wood stove be installed
Zentral Air conditioning GCJo •
OV* ER
BUILDING PERMIT APPLICATION CONTINUED -
pUILD[NG SPECIFICATIONS:
Type of construction, d fra >fire safe. etc. �/�,
Witi,any second-hand or upgraded lumber be used? If so, for what? jr.4
Foundation wall material 1 5-1—, 6— Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar?Heated or unheated? Floor sq. footage sq ft.
Will there be a basement?L-Xf 3 Will any portion be used as living space? S
(If so, what portion? 3''c Z sq ft. Type of use? , J vt/L{ / t_-1
Type of roof sloe. flat/shed/other Material of roof
Size, wood studs "x S' " spacing / o.c. length O ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) "x , " spacing /A " o.c. span 7/ ft.
Roof rafters , "x " spacing /6 o.c. span // ft.
Roof trusses (pre-enginee ed) spacing v7� " o.c. span ZZ�eft.
Exterior wall finish 1e/A1'L- 5'j J) /ju4- of what material?
Interior wall finish k")Z 1 5 't y1'1
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to he an opening between garage and dwelling? jr,(4- If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? / Height above roof ft.
Depth of chimney foundation below grade Eri ( �
Depth of fireplace hearth ft. in, 1/o,tl1
Water supply - Municipal r private well
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties zZ/ S 7-r1L) a
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILDER e...� CL M5ADDRES EL. NO. 792- - 2- 30
NAME OF PLUMBERADDRESS TEL. NO. �(
NAME OF MASON ��../.,c_c2—_ ADDRESS f' TEL. NO. '1
NAME OF ELECTRICIAN DDRESS w TEL. NO. 7 3 6)(13
DECLARATION
'rest 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 corn 1' with, whether specified or not, and that
such work is authorized by the owner.
Signatur
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods:
PART 5 - Acceptable Practice Method 1 & 2 Family Dwellings (ONLY)
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwellings
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
s42y_-
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - Sq. Ft.
2. Type of Heat - k Elec. Base Board Other A-- -
3. Is Building Mechanically Cooled? YES X NO
4. Percentage of Area of Windows and Doors Over 17% ,< Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
Baseboard
5. Insulation Values: Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R fs
B. Exterior Walls R 2/ 4. 4 c,
C. Glazed Area R.3,2 4- L zi
D. Exterior Doors R 6 4— < < 4
E. Floors over unheated spaces R a/ 4- 4,- 4
F. Edge of Slab on Grade (Heated Building) R _G. Basement/Cellar Walls (Above Grade) R `�
H. Basement/Cellar Walls (Below Grade) R k y
I. Heating/Cooling - Ducts - Piping in Unheated Space R A cf
6. Service (Domestic) Hot Water Heating Device eX t -T-�,�J(
A. Conforms to minimum efficiency per code i„YES Nn
T RE CONTROL MMXIMUM SETTING 140• - WILL NOT BE EXCEEDED
/ 1T3 71z - 3®
4SA L C NHS SI RE DATE -TELEPHONE NUMBER
INSPECTOR'S REMARKS:
REVIEWED BY
liat
TOWN OF QUEENSBURY
__ BUILDI' G & CODE ENFORCEMENT
R� 742 BAY *GAD
�' QUEENSBURY NY 12804
(518)745-44 7
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:=IVE: ITS'?;(:) DEPART: INS,. 1 ...-IJ-
FINAL INSPECTION REPORT - RES,D- i
DATE INSPECTION REQUEST RECEIVED: V
NAME T c F 6%OCrAIN.
LOCATION�����A1111��RnA Au RQ.' ' �
DATE 1 Iq(o PERMIT i e2-6h(Q
,
TYPE OF STRUCTURE Pt TE• aLlEiLl NE„) QmF
FOOTINGS FOUNDA BACKFILL RAM7 1�
ROUGH PLUMBING �/ S TIC INSULATION ./
FINAL ELECTRICAL {/ WOODSTOVE OR FIREPLACE
N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIGHT
PLUMBING VENT
ROOFING
V 1
EXTERIOR FINISH Y
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING V.
INTERIOR TRIM/PRIVACY DOORS J' „'
FINISH FLOORS: v
BATH/KITCHEN WATERTIGHT i
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
j4OKE DETECTORS /
BATHROOM FANS
PLUMBING FIXTURES . /
FOUNDATION INSULATION I
GARAGE FIRE PROOFING
'
DOOR CLOSERS \ /"
/FINAL ELECTRICAL I V
SITE PLAN/VARIANCE REQ. I
FILIAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
EQUEST FOR INSPECTION RECEIVED /2//,7,2.A3
%ME i7,�
)CATION q'�L?irc G �• 2//-04//12,
%TE /; ,z)._ 3 PERMIT #
(PE OF STRUCTURE al (/'�,r
:CHECK AP RUVED
N/A YES NO
)OTINGS/PIERS
)NOLITHIC POUR FORM
:INFORCEMENT IN PLACE
iE CONTRACTOR IS RESPONSIBLE
)R PROVIDING PROTECTION FROM
tEEZING FOR 48 HOURS FOLLOWING
IE PLACEMENT OF THE CONCRETE.
ITERIALS FOR THIS PURPOSE ON SITE
)UNDATION/WALL POUR
:INFORCEMENT IN PLACE
)UNDATION/DAMPROOFING
ICKFILL APPROVAL
)UGH PLUMBING
.UMBING VENT/VENTS IN PLACE./
.UMBING UNDER SLAB ,
LAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING '-
JOIST HANGERS
JACK POSTS/MAIN Bf`AM
EATING ROUGH-IN
4SULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R- /S ,✓
CEILING R- 3f ✓
DUCT WORK OR PIPING IN UNHEATED
SPACES
:MARKS:
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