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89-949 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 This is to certify that work requested to be done as shown by Permit No. 89-949 has been completed. This structure may be occupied as an addition to single family dwel 1 i ng Location 1730 Glen Lake Road Owner Martin Johnson By Order Town Board TOWN OF QUEENSBURY Director of Bldg. & Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 89-949 WARREN COUNTY, NEW YORK O PERMISSION is hereby granted to MARTIN JOHNSONco W OWNER of property located at 1730 Glen Lake Road Street,Road or Ave. la t CA) in the Town of Queensbury,To Construct or place a an addition 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 O x 2. CONTRACTOR or BUILDER'S Name Vf O Tom Burke 3. CONTRACTOR or BUILDER'S Address i-r 4. ARCHITECT'S Name 5. ARCHITECT'S Address O fD 6. TYPE of Construction—(Please indicate by X) Cu ()t Wood Frame ( )Masonry ( )Steel ( ) tD O 7. PLANS and Specifications Cu No. 20' x 14' addition to single family dwelling as per application, specifications and plot plan. 8. Proposed Use Addition to Single Family Dwelling Ft- $ 24.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 11 19 90 (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 . U th Day of December 19 89 SIGNED BY 4 %( for the Town of Queensbury Building and Zoning In ctor TOWN OF QUEENSBURY fi REVIEWED BY eipktmak. di , FEE PAID $ TOWN OF QUEENSBURY RECEIVED IF,P11;1$1, ,.PERMIT NO. ;� ( _ L 1' (j BUILDING PERMIT APPLICATION DEC 1 _ 1989 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. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • * the owner of this property is: /-1 ,ia A / ic,` —7 c. /,(_�,,,c-' � , ,A '.O. Address L,c. ,%: L.rr,, �: 0_ '-A.), ,.1 l Tel. 'roperty Location - J G Tax Map No. 3F/ / /3 ias there been any split of this property since October 1, 1988? / 6./ f yes Planning Board Review is necessary. yesno IUBDIVISION NAME, IF APPLICABLE /U — LOT NO. .. /4 'HE PERSON RESPy,ONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: ,/ C .L�e- • rATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF • • Construction of a new building • CONSTRUCTION: $ g L, ( C, Addition to a building • COMPLETE INFORMATION REQUIRED BELOW: • Size of property 7( ft x --7-L-ft. Alteration to a building , • (no change to exterior dimensions) Existing Buildings(3) Size ft. x ft. • Proposed building - distance from property line: Other work (Describe) " Front yard / c, ft. Rear yard ?5 ft. • Side yards i c ft. and I C ft. • ROSS AREA OF PROPOSED STRUCTURE " If on corner, setback from side street ft. 1st Floor ` G' sq. ft. " • atdtritAticYl FORMATIQN 2nd Floor sq. ft. • Primary Building - Other Floors — sq, ft. • One Family Dwelling " (not cellar or basement) _ • Two Family Dwelling OTAL FLOOR AREA .--2- L- sq. f • Multiple Dwelling/Number of units t. ize of new structure_ft x j - ft. • _Business oundation-pier/slab/crawl/partiallfull _• Industrial (circle one) • Other • o. of stories (habitable space) I • _T__ - .-- eight (grade to ridge) 1 - ( ft. , If addition, what will use be? ' residential, no. of families, / • L. v IA)co recom. o. of rooms(excluding baths) . R , i • AccessoryBuilding ng 'o. of bedrooms ., ' Detached Garage ONE/TWO Car ro. of bathrooms, I • __ rimary heating system • _Attached Garage ONE/TWO Car ype of fuel ' __Private storage building re. of fireplaces to be installed "1"----* ' ' • __Other Iill a wood stove be installed '�'`' :antral Air conditioning_ .............. " OV• ER BUILDING PERMIT .APPLIC.ATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction, wood frame, fire safe. etc. C' , �� c Will any second-hand or upgraded limber be used? If so. for what? Foundation wall material � Thickness i1 Depth of foundation below grade (to bottom of footing) 7_ C� Will there be a cellar? Heated or unheated? v ,dJg,a--7‘, )Floorsq• foota a -+ram '�( � H d g 6 sq ft. Will there be a basement? Will any portion be used as living space? 6 (If so, what portion? 7,5C; sq ft. Type of use? rip ,,'c�0 I? -7,4/ Type of roof - sloped/flat/shed/other Material of roof Size, wood studs 2 "x " spacing j( " o.c. length ft. C2'( Joists (floor beams) 1st floor 7 "x f'2 " spacing (7 "o.c. spen ft. ©je• Joist (floor beams) 2nd floor "x " spacings---"o.c. spans-- ft. Overlays (ceiling beams) "x " spacing " o.c. span ft. Roof rafters "x " spacing o.c. span ft. Roof trusses (pre-engineered) spacing 7-0 " o.c. span 2 c; ft. Exterior wall finish - S f , 6' of what material? " / , �j C ° Interior wall finish `/Z 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? ti,G; 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) �� M ' r'irZ�fG�- ADDRESSC� CG�s�G'L / TEL. NO.�� �� NAME OF BUILDER NAME OF PLUMBER 5 ADDRESS TEL. NO. NAME OF MASON ��cyy t7Gr ADDRESS d� / TEL. NO.���� �c C.�f NAME OF ELECTRICIAN ADDRESS TEL. NO. 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 provisi. .of the BUILDING CODE, THE `47. ,EvinG ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, whether specified t, and that such work is authorized by the owner. Signature Owner, owner's agent, architect, contractor SPECIAL CONDITIONS OF THE PERMIT: BY 3 ir TOWN OF QU1VNSBURY WARREN COA:ITY, 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 2 . Type of heat E L E C Y R, I C 3 . Is the building mechanically cooled? 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 ES NO a. Are foundation walls insulated? 4110 NO 1 . If YES, what is the R value? R - /( 3 . Slab on grade NO a. If YES, what is the R value of insulation around perimeter of floor? R— /O. O 4 . Is basement heated? ES NO a. R value of insulation R - /I 5. Type of insulation 0 Under 16% Only Rootieexiivac 1. R value of roof and fflier& exposed to ambient conditions Rooricen.,tJ& R-3� CU = .03) 2 . R value of exterior walls R ' 2�J5 CCl = . Oq , 3 . R value of glazed area R - 2• S<D ( V ' .31) 4 . R value of doors R,'z • 5 Cu = . ya) 5. R value of floors over unheated spaces R" 25 (U04I) 6 . R value of slab edge insulation - unheated slab 7 . R value of slab insulation - heated slab R - /O . 0 8 . R value of heated basement/cellar walls (above grade) R-25 9 . R value of heated basement/cellar walls (below grade) -It 10 . Type of insulation 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 IF p/P/N6 /5 diecfprate. TNANJ" A,ALM., 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation ,R-"/ i 4'.C. est Arna EA/se Tatc1041eFs F. Service Water Heating of ./NsvGaT7v� 1 . Performance efficiency 2 . Temperature control setting maximum /1i/0 0 G. For Swimming Pool Only 1 . Maximum heating 630 , Telephone No. (applicant ' s signature) 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: -u . Gross floor area 2 ' F Type of heat C;�;C- / ( 3 . Is the building mechanically cooled? NO 4 . Percentage of area of windows and doors A/OL-'I2.. Q A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to amb'' nt conditions 2 . Floor over heat sp- ces YE NO a. Are foundat on wa - in -- ated? YES NO 1 . If YES , what is . , e R value? 3 . Slab on grade Y = NO a. If YES , w is the R value • insulation around perime of floor? 4. Is b- - ement heated? YES NO 'NNNN\ a. R value of insulation 5. Type of insulation B. Under 16% Only -- R value of roof and floors exposed to ambient conditions_ . -�Z . R value of exterior walls /2, '2 r 3 . R value of glazed area , R value of doors 1'2-- / c' A . R value of floors over unheated spaces i� 2 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) 10. Type of insulation ( <<; sC .i , c 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 R' 5 b. R value of duct in other areas E. Pipina Insulation 1. Size of hot water or cooling carrying agent pipe 2. R value of pipe insulation F. Service Water Heating 1. Performance efficiency 2. Temperature control setting maxi um G. For Swimming Pool Only 1. Maximum heating 41-- Telephone No. ✓�< -;-'�' (applicant ' s signature) 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 NAME Arb_ LOCATION 17.36 ( /F� �1 DATE V3-// 6 PERMIT # 09 (7 TYPE OF STRUCTUREAWA :, RECHECK 5/ 2 L 6,/A adze 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/ DERS. BRACING/BR GING -` JOIST HANKERS JACK POTS/MAIN BEAM FIRESTOPVING WALLS,/ CEIL,tNG FIREWALLS _ HEATING ROUGH-IN INSULATION: FOJNDATION WALLS INTERIOR R- FOJNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: V/easc Ca / On/ A airy ceoroWl A2- Of :(4p f:-1-,74a1 -1147,ecib-L, ARRIVE DEPART - C`f IN ECTOR /, 42 TOWN OF QUEENSBURY fA� BUILDING & CODE ENFORCEMENT 742 BAY ROAD12 QUEENSBURY NY 12804 (518) 761-8256 ARRIVE: //' DEPART: INSP: FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION REQUEST RECEIVED:C/E�� NAME " °' L/G'/i�/ �'=J ,ef rfAl LOCATION 3 ��r/�f 414e,' r DATE ,n�J � �PJERMIT I TYPE OF STRUCTURE - 4Ir , FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC INSULATION FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR T /PRIV CY D ORS FINISH FLOORS: BATH/KITCHEN ATERTIGHT OTHER FLOOR SWEEPABLE OTHER FLOG S CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING POOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. FINAL SURVE,X- LOT PLAN I OK TO ISSUR C/0 R C/C r TOWN OF QUEENSBURY /1:7 BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME9/-) LOCATION 14 J )ZV4L -Clef DATE 000/J).Z PERMIT I ,f9- 9/ TYPE OF STRUCTURE 24"l ,(�� 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: v" JACK STUDS/HEADERS ° BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM E HEATING ROUGH-IN J/ INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXT RIOR R- FLOORS I R- WALLS CEILING R-/y DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: i ARRIVE r DEPART ' INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804- TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST F R INSPECTION RECEIVED NAME /f 1 .b ` d PAT cn+ LOCATION 44htts- gar DATE s ( PERMIT # ?4/9 APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS (//// _P5UNDATION/DAMP-PROOFINGBACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION: FOUNDATION t FLOORS WALLS < 4 CEILING , r FINAL INSPECTION: ' CHIMNEY HEIGHT ROOFING d SIDING L EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE &TRAILS PLUMBING FIXTURES/RELIEF VALVE INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS __ GARAGE FIREPROOFING: DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL kNSPECTION FINAL APPROVAL O111 CONSTRUCTION OK TO ISSUE C/O bR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM E BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: I till..., 6Y-0 b(- 1, l) , ARRIVE 3;70 +&s,14,k CSC' DEPART 5:17-8 INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT PM BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 $UILDING INSPECTOR'S REPORT REQUEST FOR',INSPECTION RECEIVED 4 1/`o NAME LOCATION /7 0 ,41 k°a &L. DATE ,5/! '' O PERMIT # 19-ff 9 APPROVED ___ 'I - YES NO FOOTING/PIERS MONOLITHIC POUR IS -6 FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING 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 OK TO ISSUE C/O OR C/C A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES AREIOCCUPIED! - REMARKS: //! 1 / fl � v Q A A .4/ / T i ill'/ f ice /km' 0! A": ARRIVE h' e 1- ' f '-'4;--- - DEPART ! `1 t/ i,, INSPECTOR /730 6;Lf4v 4,9,rE _,&D.l1J ro . I ,V' j /10/4Titi S. ge3mvse.vf I . /730 'GEid /,4'.4 - k t A,q,# ' ne2ase it/.//a 515 oW�I,l r � ks M r 4 1 o N k q n i ,,,w ♦ / V ,Y/^,' Q uric. K-7 1 r: '4I 1 lY - �_ft I- SEPI2CEI 1 1 \I -/O' N. IA I )7/ \© f .5/714- . mG,9 77.=, -I/ G2 ' 0 • t) (0 F.e_O/1! S'E'#3TWG Ti9,t/�i`r'; ' / //.f 41S6' /E'Ol/r/OrpTioi✓, , 12 5FP7 sz007%c sycs7 -. ' o g,4-io�c.6-ram / yX4`414s .96a L I D41 y, INE 12/01/ - . . \i i 4---V 7 - a /t/ - ,e, dee44 9 .