91-128 w►1
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Dateiltali P/L -5- 19 ft
This is to certify that work requested to be done as shown by Permit No. 91-128
has been completed.
This structure may be occupied as a Living Room
Location 19 Fitzgerald Road
Owner Raymond Erb
By Order Town Board
TOWN OF QUEENSBURY
jz)eiff.i*,
Director of Bldg. do Code Enforcement
BUILDING PERMIT .�
TOWN OF QUEENSBURY No. 91-128
WARREN COUNTY, NEW YORK
O
PERMISSION is hereby granted to Raymond Erb A 1.
w
OWNER of property located at 19 Fitzgerald Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to Dwel l i ng
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
Same
2. CONTRACTOR or BUILDER'S Name m
Peter J. Sluck c•
442
3. CONTRACTOR or BUILDER'S Address TI
.a.
RD#1 Box 1152
Ft Edward, NY C2
4. ARCHITECT'S Name a
5. ARCHITECT'S Address 0.
O
6. TYPE of Construction—(Please indicate by X) e
( XWood Frame ( )Masonry ( )Steel ( )
7. PLANS and Specifications �'•
tG
No. 440 sq ft Addition to dwelling as per plot plan specifications
and application
8. Proposed Use
Living Room
$ 32.00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 29, 19 92
(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 March 19 91
J7
SIGNED BY for the Town of Queensbury
Building and Zoning nspector
i'OWN OF QUEENSBURY
TOWN OF QUEENSBURY !
� REVIEWED BY PF. FINED
./! FEE PAID $_ -
s PERMIT NO. �� MAR 2 8 1991
BUILDING PERMIT APPLICATION BLDG. & CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
ILL BE MADE UNTIL 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 « a * a a a a a * a * a a a a a * a * * a a « a a a * a * a a * * * * *
"he owner of this property is: R <. P c,,,, 12`C2>
'.O. Address tR T.:1-2;le.k•A f1LA _ Tel. 79 - ,397
�� V
'roperty Location C rcti.s8u Tax Map No. / /
[as there been anysplit of this pro�erty since October 1, 1988? L - ___ _ ____
/
r yes Planning Board Review is necessary. yes no
UBDIVISION NAME, IF APPLICABLE LOT NO. `
'HE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
ATURE OF PROPOSED WORK: • ESC;MATED MARKET VALUE OF
Construction of a new building a CONSTRUCTION: $ �Q,,900.,-�-
Addition to a building • COMPLETE INFORMATION REQUIRED BELOW:
• Size of property j(Ag. .,5- ft x r '3"ft.
Alteration to a building • Existing Buildings(3) Size 9G ft. x 0?-r ft.
(no change to exterior dimensions) �� -�—
• Proposed"FiL ang - distance from property line:
Other work (Describe) • Front yardjy.S'7.f'ft. Rear yard V ft.
•
Side yards& 9 ft. and 7o?. .cf( ft.
•
ROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor -jYe) sq. ft. •
* OCCUPANCY INFORMATION
2nd Floor sq. ft. • Primary Building -
Other Floors sq. ft. • u une Family Dwelling
(not a ar or base:- art , Two Family Dwelling
OTAL FLOOR ARE?. a
ft. • Multiple Dwelling/Number of units
sq.
,ze of new structurec20 ft x o24 ft. • Business
oundation-pier/slab/c.. -1:' rtinx/full * Industrial
(circle ,.A,,; • Other
•
o. of stories (habitable space) /
•
eight (grade to ridge) 1 7' ft. • If addition, what will use be?_,L ;0 c'1,5 ter--
residential, no. of families ( •
o. of rooms(excluding baths) •
Accessory Building
o. of bedrooms 0 • __Detached Garage ONE/TWO Car
o. of bathrooms I •
rimary heating system Fc�rcM2• • _____.Attached Garage ONE/TWO Car
ype of fuel • _Private storage building
o. of fireplaces to be installed 0 •
• _____Other
fill a wood stove be installed ID
ventral Air conditioning a •
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. k)ococ:Q Fv,q yrt
Will any second-hand or upgraded lumber be used? If so. for what? D
Foundation wall materialvra....)k r Thickness Cr
r
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? 0..} 0 Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? K.5 a Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof slope. flat/shed/other Material of roof �)) &
Size, wood studs o2 "x ( " spacing 1C " o.c. length 8 ft.
Joists (floor beams) 1st floor 2 "x I u" spacing 1(2 "o.c. span \0 ft.
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft.
Overlays (ceiling beams) e, "x g " spacing lc, " o.c. span 9 ft.
Roof rafters 2_. "x " spacing /6 o.c. span /2,' ft.
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish U ,1 C—t tv , of what material? l)c ( `
Interior wall finish ,Vj ,2 u< ,
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,
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 \----1- i‘.a,a "z- \3 t.\ M.x , ,,,i
SEPTIC SYSTEM Distance from ANY private well (including adjoining properti s ft.
(A separate application is necessary for any repair or new installation of septic system)
NAME OF BUILD ___ � cADDRESS /" 1D' /3• 7 TEL. NO. rt t t L 3
NAME OF PLUMBER t1ot/r v(,e_„73 - ADDRESS WRsi/4/ Av�c� z. /ti•y.TEL. NO. e'f- �,C 3*
LI 2' i50 \i y ✓
NAME OF MASO Z -eS- % \vcic- ADDRESS f7-7 , r4ta. /U , TEL. NO. 797- 9'.
NAME OF ELECTRICIAPL vcb ')1l2,4(etz ADDRESS,c//44. ,4_2/' Ad: ":// ' TEL. NO. 717-,*- .�---
DECLARATION
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.
Signature 4e/
Owner, ner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT: SG--6- Pi-AA - x'(0 30/'"21O )26Q4 t ZG 44 6
t Pcr94) th (o 7l
BY reei
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods: TOWN OF
QUEENSBUR
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) PFCEIVED
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;MA R 28 1991
Multi-Family Dwellings
(3 Stories or Less) BLDG. & CODE DEPT.
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
‘,Ct. Fk. t,s,,,,,,c„e (2.i. 6::6 efrti 14
/7
PLICANT'S NAME PROPERTY L'9CATI0N V
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - Sq. Ft.
2. Type of Heat - Elec. Base Board Other Fevre - - - 2-- cD
3. Is Building Mechanically Cooled? YES U'llO
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 .5 r'
B. Exterior Walls R_a_
C. Glazed Area itivde J y/r`" ' ' R
D. Exterior Doors A i`c U R
E. Floors over unheated spaces R 3 0
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R
I. Heating/Cooling - Ducts - Piping in Unheated Space R
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
•
3/ fit; 7-5/7-,- y .,
L C SI NATUR •E DA E TELEPHONE NUMBER
INSPECTOR'S REMARKS :
I WED BY
TOWN OF QUEENSBURY
531 BAY ROAD
QUEENSBURY, NEW YORK 12804518
TELEPHONE ( ) 745-4447
BUILDING INSPEc,TOR'S.REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED 47//' ` - 3
NAME
LOCATION n ll'7
DATE , 9 �� ( PERMITS C///C1 fY
TYPE OF STRUCTURES �'•
RECHECK
FIRE MARSHAL APPROVAL �MMERCIAL STRJICTURE)
,_,FOOTING UNDATION BACKFILL _ RAMING
,-ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
:,1 SULATION WOOODSTOVE/FIREPLACE
REMARKS ,/..`y �I�`� /
APPROVAL
I N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION ✓/
PLUMBING VENT r!/
ROOFING \� ✓/
SIDING `.4
DECK/PORCH/STEPS/RAILINGS ` y/
RELIEF VALVES
FURNACE/HOT WATER OPERATIN '
BASEMENT INSULATION/DUCTWOK
INTERIOR TRIM/PRIVACY DOOR1
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT `
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING FIXTURES OPERATING a/
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C V
COMMENTS:
p,9,0,4, 4414100-te
ARRIVE / 019
DEPART J Z-
INSP TOR
mos....,••••••••••,11m•11.1110,1.1.0•••••••.
DUPLICATE MUNICIPAL RECORD
Permit No.
Owner .43±1.014 A;
Occupant
Location /4/41/4- IS ( R / Y 602 40
atk4,-1---A/NSX7y
Town or City State
Installation' s itemized on reverse side has been visually inspected pursuant to applicable
codes.
Installed by f>").6.-e-i S 4/-rt /
No 9 e.)
Date
4
.1_114'4,;.sispector
MIDDLE DEPARTMENT INSPECTION AGENCY,INC.
FORM NO.18 EL. 1337 West Chester Pike,West Chester,PA 19380
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
r OYSLiTe• JVV T( (7 WIRING &CONTROLS FOR BURNER
7. RECEPTACLES H.P.PUMP
FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W. DISHWASHER
K.W.SURFACE UNIT K.W. DRYER
K.W. RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC. H.P.VENT FANS
5U/ff S-41,3 ALiL' -z
MOTORS H.P. 1/20 1/12 1/10 K 1 K Ih f Y4 1 11% 2 3 5 7/ 10 15 20 25 30 40 50 75 10
MARK NUMBER
OF EACH SIZE
APPARATUS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT /,�
531 BAY ROAD /yJ
QUEENSBURY, NEW YORK 12804 II
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 4/ 6-ter %-
LOCATION /q J Aid ,
DATE -4,/`71#/ PERMIT # ek- /42
TYPE OF STRUCTURE (6ejg Z4/,, thief,/
RECHECK APPROVED
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 SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN FILACE l°
PLUMBING UNDER SLAB '
FRAMING: F �
JACK STUDS/HEADERS t
BRACING/BRIDGING !�
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS # r
HEATING ROUGH-IN
y/INSULATION:
(' FOUNDATION WALLS ItVTRIOR R-
FOUNDATION WALLS:'EXT RIOR R-
FLOORS R-31) �j.
WALLS n R- znay d/
CEILING R-'1, ✓
DUCT WORK OR PIPING I4 UNHEATED
/
SPACES
REMARKS: \\\,.
j 1
iL)
ARRIVE c-
DEPART
I NS PEC R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /%/9/ :
NAMEa.a ��-
LOCATION ?,Zq 11
DATE 419/�'/�/ PERMIT # 6//- a(
TYPE OF STRUCTURE ' [, 6" (; aie.4{
RECHECK APPROVED
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 SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
?( FRAMING:
JACK STUDS/HEADERS r
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM r`
FIRESTOPPING /
WALLS
CEILING
FIREWALLS
HEATING ROUGH-IN w.
INSULATION: 1
FOUNDATION WALLS INTERIG R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
SS
ARRIVE /U
5
DEPART /l
I NS PEC TO
TOWN OF QUEENSBURY jyJ
BUILDING AND CODES DEPARTMENT 79%/ L
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 4W-4-Y74 L. Z f L
LOCATION/9 /Cd
DATE 4// '1 g/ ERNIT # //oPf
TYPE OF STRUCTURE 1idd y`b,
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE 1
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION` FROM
FREEZING FOR 48 HOURS FOLLOWING .
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR /
REINFORCEMENT IN PLACE +f.
FOUNDATION/DAMPROOFING r
( BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UN ER SLAB I
FRAMING: Ig5E- ,� Ll L ti
JACK STUDS/HEADERS f
BRACING/BRIDGING '
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING
WALLS 3.
CEILING ' '
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS IN'TERICR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-3p)
WALLS rY R-
CEILING R-
DUCT WORK OR PI,OING IN UNHEATED
SPACES
REMARKS:
r
ARRIVE /L
DEPART ,/ 6144q,//
I NS PEC
/-/ )
TOWN OF QUEENSBURY ave
BUILDING AND CODES DEPARTMENT
531 BAY ROAD ./CrZA-1)
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME E Y (;)"(--AkNinrY\-) Cr'
LOCATION \C\ c'v C�iV-C
DATE q/9/97 PERMIT # qs/
TYPE OF STRUCTURE c l v e
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCE ENT T1FPtACE
THE CTOR IS RESPONSIBLE
-FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATE: 1: x PU• •OSE ON SIDE
NFORCEMENT IN PLA E
d
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: `
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIOR d-
FOUNDATION WALLS EXTERIOR It-
FLOORS R=
WALLS Rr
CEILING R=
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
S-S
ARRIVE
DEPART 3 v 5 9!;2,4a
k, i
INSPEC R
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT .,
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT '
EQUEST FOR INSPECTION RECEIVED 4/ff
AME A _L/yYt17?
OCATION J ,r2 car;?‘11` --
ATE 4bh / PERMIT # % //
YPE OF STRUCTURE f � f
ECHECK APPROVED
N/A YES NO
DOTING/ PIERS I
HIC POUR FORM
EINFORCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE
OR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE.
ATERIALS FOR THIS PURPOSE ON SITE
OUNDATION/WALL POUR
EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING
ACKFILL APPROVAL
OUGH PLUMBING
LUMBING VENT/VENTS IN PLACE
LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
I RES TO PP ING
WALLS
CEILING
IREWALLS
EATING ROUGH-IN
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS: v
x f� + /0 e 7-1/U 6 /T2 2J-f S
"tt7t1 1700 1AJ3 J--(i1
IRRIVE /h%?J
DEPART /D,; ' )
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