94-084 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
April. 16 96
Date 19 _
This is to certify that work requested to be done as shown by Permit No. 94084
has been completed.
ADDITION TO DWELLING
This structure may be occupied as a
Location
Owner LY}'ORI) 11�1 i'I1AI L
TAX 111E I1t'r . 4 1 '4 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
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. 94 004
has been completed.
bedroom and closet
This structure may be occupied as a
Location Jay Road
Owner Michael Lyford
4 3-1-9 By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY b
No. 94-084
WARREN COUNTY, NEW YORK 0
PERMISSION is hereby granted to MICHAEL LYFORD
OWNER of property located at Jay Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Second Story Addition 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. 1-C
0
1. OWNER'S Address is ;U
RR1 Box 1691 t7
Lake George NY 12845
2. CONTRACTOR or BUILDER'S Name
same a
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
C-1
k<
5. ARCHITECT'S Address 0
6. TYPE of Construction—(Please indicate by X)
(y)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
5 ' x24 ' & 7 .6 ' x12 ' Addition to dwelling ( 2nd story)
No. as per plot plan, specifications and application.
8. Proposed Use
O
Bedroom and closet
sz
sz
$ 16 . 00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 5 19 95 rt
0
(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.)
(D
A F�
Dated at the Town of Queensbury this Day -1 A ril 1994
SIGNED BY
for the Town of Queensbury
Building Zo I ctor
TOWN OF QUEENSBURY 41110kREVIEWED BY: 1_
COMMUNITY DEVELOPMENT DEPARTMENT ,, 1fta11
BUILDING & CODE ENFORCEMENT FEE PAID:
531 BAY ROAD
QUEENSBURY, NEW YORK 12804 PERMIT NO. j�-
(518) 745-4447
BUILDING PERMIT APPLICATION
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. /o;, ' INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BU ft NG PERMIT.
All applicants ' spaces on this application MUST be corn' ete r t e
signature of the applicant MUST appear on the applica . n fo .�f
OWNER OF PROPERTY: /� /IG/!Q / // (Oi-c/ O'
Mailing Address : 2/ 730.E /6I/ AAle 6evtp /l4
N y"
Telephone Number(s) : Work Home 793--5-30 2Aber
PROPERTY LOCATION: G I2u L- xc
TaxaMap Number: Section Block Lot
Subdivision Name: Lot No.
NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE
CONSTRUCTION: $ 4OO
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
ADDITION TO BUILDING: PRIMARY BUILDING -
RESIDENCE/COMMERCIAL Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Office
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR V SQ. FT.
IF ADDITION, USE OF NEW ADDITION:
2ND FLOOR d.CP SQ. FT.
OTHER FLOORS SQ. FT.
(not unfinished cellar or basement) ACCESSORY BUILDINGS :
Detached Garage - One/Two Car
TOTAL FLOOR AREA: o SQ. FT. Attached Garage - One/Two Car
Private Storage Building
SIZE OF NEW STRUCTURE: Commercial Storage Building
Other
_5 FEET X ?-'f FEET
76 k /.2-
Foundation Type: Will any second-hand or ungraded
Number of Stories : lumber be used? If so, for what?
(habitable space only) /Uv
Height (grade to ridge) : feet Type of Heating System:
Number of fireplaces and/or woodstove (circle all which applies)
to be installed: Electric / Oil / Gas / Wood
Forced Hot Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NAME OF BUILDER/ADDRESS/PHONE: I7')/cA9e/ L-Y/bhp' G)9b -7 9$`,531J
NAME OF PLUMBER/ADDRESS/PHONE:
NAME OF MASON/ADDRESS/PHONE:
NAME OF ELECTRICAN/ADDRESS/PHONE: /21k-%9e/ ; �1<dl k/ 71,3
DECLARATION D
To the best of my knowledge the statements contained in this appli-
cation, 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 noted, and that such work is authorized by the owner.
Further it is understood that I/we shall submit prior to a Certificate of
Occupancy or Certificate of Compliance being issued, an AS BUILT PLOT PLAN
drawn to scale, showing actual location of _proje„cTres .ees .
Signature /
(Owner, owner' s agent, rchitect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
Rilk' ENERGY CODE COMPLIANCE APPLICATION
411100_11 . TOWN OF QUEENSBURY, WARREN COUNTY /1,4`
9000 HEATING DEGREE DAYS i - sibjig 8I
A 4
teessG o,eQ 3v
Compliance Methods : PART 5 - Acceptable Practice Method - �P,o�i ti
1&2 Family Dwellings (only) :7;'
PART 6* - Thermal Rating - Component Trade offs-Ls,, `,Y
1&2 Family Dwellings; 'Multi-Family
Dwellings (3 stories or less)
PART 4* - Design by Component Performance
Commercial Buildings-Hi Rise Residential
*Requires submission of worksheets
APPLICANT' S NAME: PROPERTY LOCATION:
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1 . Gross Floor Area - 400 square feet
2 . Type of Heat - Electric I Oil Gas Other
3 . Is building mechanically cooled? Yes lV' No
4 . Percentage of area of windows and doors Over 17% Under 17%
5 . R-VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS
SHOWN ON PLANS SUBMITTED:
a. Roof R 3(f'
b. Exterior walls R /'
c. Glazed areas R
d. Exterior doors R
e. Floors ove unheated spaces R
f. Edge of slab`-,on grade (heated building) R
g. Basemett/cella . walls (above grade) R ..
h. Basement/cellar walls (below grade) R
i . Heating/copling-ducts-piping in unheated space R
6 . Service (domestic) hot water heating device / Yes No
Conforms to minimum efficiency per code
TEMPERATURE CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
Ap lic is Vpure Date' Phone Number
is /?2 u 3/ - 53- S313
INSPECTOR' S REMARKS :
TOWN OF QUEENSBURY
. '` BUILDING & CODE ENFORCEMENT
`4 742 BAY ROAD
_ QUEENSBURY NY 12804
+- (518)745-4447
ARRIVE: 1,'Ab DEPART: ``1 h INSP
FINAL INSPECTION REPORT - RESIDENT 2
(12
DATE INSP CTION REQUEST RECEIV 0
`( �!1
NAME ‘ e
LOCATION .�, (-)
J,
DATE -) '-/C)--1 ( ) PERMIT
tkTYPE OF STRUCTURE AC)a � )t4
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 V
EXTERIOR FINISH f
a
DECK/PORCH/STEPS/RAILINGS
^
RELIEF VALVES .� X/
FURNACE/HOT WATER OPERA ING 1
INTERIOR TRIM/PRIVACY ::T
SNIFORS:BAKCHENTER
OTHER FLOORS .SW PABLE
OTHER FLO CARPETED
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSULATION
GARAGE FIRE PROOFING
, DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REQ. \\/;;1
FINAL SURVEY PLOT PLAN
OK TO ISSUE C/O OR C/C
TOWN OF QUEENSBURY + - ,
BUILDING & CODE ENFORCEMENT
eir
it 531 BAY ROAD
iliti QUEENSBURY NY 12804
.. (518)745-4447 //Q)
ARRIVE: ,"'-J-) DEPART: . C)k) INSP .-
FINAL INSPECTION REPORT RESIDENT L
DATE INSPECTIONK: REEQU,ST f
fRECEIVE : I
NAME / L ;� (0!C O -
LOCATION 'At',f 'L, _t ._
DATE _ 5I Z19!") PERMIT # (71(--(.7
TYPE OF STRUCTURE /
FOOTINGS FOUNDATION BACK"ILL FRAMING
ROUGH PLUMBING SEPTI INSULATION X° ' -
FINAL ELECTRICAL WOOuSTOVE OR FIREPLACE
- N/A YES NO
CHIMNEY HEIGHT/B VENT/HEIr.HT
PLUMBING VENT l
ROOFING
EXTERIOR FINISH /
DECK/PORCH/STEPS/RAILINGS ✓
RELIEF VALVES ,///
FURNACE/HOT WATER OPERATI G J
INTERIOR TRIM/PRIVACY DO RS J
FINISH FLOORS:
BATH/KITCHEN WATERTIG T
OTHER FLOORS SWEEPAB E �`.
OTHER FLOORS CARPETE J
STAIR CLEARANCE/RAILL GS t
SMOKE DETECTORS \t V
BATHROOM FANS ://
PLUMBING FIXTURES �/
FOUNDATION INSULATI N \I
GARAGE FIRE PROOFI1G
i /
DOOR CLOSERS
FINAL ELECTRICAL !
�
SITE PLAN/VARIANCE REQ.
FINAL SURVEY PLOT PLAN �/
OK TO ISSUE C/O OR C/C
t\ K E^ PuE Cp •TC� c-1-\0„
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED li/e9a/C'jL
NAME in ciNatt Li, a
LOCATION J4,3 ed. G/€,.
DATE i/ 9/$c( PERMITS (PI-OP1
TYPE OF STRUCTURE-`
RECHECK APPROVED
R
FOOTINGS/PIERS N/A YES NO
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 f.
ROUGH PLUMBING c,
PLUMBING VENT/VENTS IN PLACt
PLUMBING UNDER SLAB \
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
,$EATING ROUGH-IN
)INSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS
CEILING R-- 3b -
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
\? 0
kx. ‘1J'Do`'J5 '
CAA
ARRIVE k lyt-iv
DEPART 1.0
INSP
TOWN OF QUEENSBURY /'
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED gh 7/97
NAME
LOCATION 1)4
DATE .//,', /y4 PERMIT # 9H l d'
TYPE OF STRUCTURE 2,`/,/ d ? die
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
LUMBING UNDER SLAB
FRAMING::,,,lew (`i,tA414 k tt Pli
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN _
INSULATION:
FOUNDATION WALLS INTERIOR,:=fit
FOUNDATION WALLS EXTERIQR R-
FLOORS ' R-
WALLS / R-
CEILING R-
DUCT WORK OR PIPIN '`IN UNHEATED
SPACES
REMARKS:
ARRIVE 1. 00
DEPART 1 `tp
NSP TO
TOWN OF J727
BUILDING AND CODES DEPARTMENT `i
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
EQUEST FOR INSPECTION RECEIVED l/,'7 f f
AME 1Z ACLjJ 4/44,--(.(4
OCATI ON 21.y
RTE / /9/ PERMIT # (fV
YPE OF STRUCTURE
ECHECK APPROVED
N/A YES NO
DOTINGS/PIERS
DNOLITHIC POUR FORM
EINFORCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE
DR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE.
4TERIALS FOR THIS PURPOSE ON SITE
DUNDATION/WALL POUR
EINFORCEMENT IN PLACE
DUNDATION/DAMPROOFING
4CKFILL APPROVAL
DUGH PLUMBING
LUMBING VENT/VENTS IN PLACE
LUMBING UNDER LAB '
RAMING: ,PSxt\Vti_ 7� '✓/
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
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: Mjr621:%0ED
I\\ o -Z O� Vc c fit N2LCV
U`tG 6 HV_ CAS Cif
v7.
RRIVE \\=�
E PART N ve: zb /� i,l
INS��'
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE' (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION�� RECEIVED ;f',/Ay
NAME ✓ '6/ 4&Za r t.4'e C
LOCATION9t.ei .
DATE L76/9 PERMIT # 91.1-6',4
TYPE OF STRUCTURE /t/j/
RECHECK APPROVED
FOOTINGS/PIERS N/A YES NO
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
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM k /
HEATING ROUGH-IN
)INSULATION:
FOUNDATION WALLS INTERI R4
FOUNDATION WALLS EXTEOR R
FLOORS
WALLS / R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: /
U,/4&uF ( n1 2 t-4- o a
t
ARRIVE J..
DEPART `2 j ) ./tt
INSPECT