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87-319
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. 87-319 has been completed. This structure may be occupied as a Additional living area for one family dwelling Location Jay Road, Glen Lake Owner Michael Lyford By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 87-319 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Michael and Suzanne Lyford w m OWNER of property located at Jay Road, Glen Lake Street,Road or Ave. Addition to dwelling (living area) 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 G approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. N 1. OWNER'S Address is RR #1 Box 1691 Lake George, New York 12845 rn 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address same 4. ARCHITECT'S Name 0 a c) 5. ARCHITECT'S Address 0 0 6. TYPE of Construction—(Please indicate by X) ( 1 Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specifications 24'x28' per plot plan, specifications and application No. C▪ a • rt ao 8. Proposed Use w p One-Family Dwelling (additional living area added) • ,, w 0 a ro $5.00 C/0 $ 34.00 PERMIT FEE PAID—THIS PERMIT EXPIRES January 1 19 88 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the OQ town of Queensbury before the expiration date.) Dated at the Town of Queensbury this 4th Day of June 19 87 SIGNED BY 7n Gti, /r9 for the Town of Queensbury Building and Zoning Inspector 609 TO BE COMPLETED BY BLDG. DEPT. Ed g D L! P Application No. A 141987 own O Queenitur, Permit Issued 19 »�� t4 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ' BUILDING & CODE DEPT. 1,0e , Queensbury, New York 12801 Variance No. ei/ , 99 Site P1 evie # f� _ / U APPr 4/2 f 7 39'. APPLICATION FOR BUILDING AND ZONING PERMIT 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: 02014e / ,_ Suz-L1k.k.e /`.'j t-OI~- P.O. Address 'p-(L. ( TI oy j (' U 1.: - (2, Te1.-7g 9 5 V / Property Location: iz..4 -a f oth 14 j1u4it ,4 Tax Map No. / / Str4et number-or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: /r /c-Aft j / L /fo1-r 544.mt S.AmC Name �}-P.O. Address Tel. No. Name of builder),YrCi_6 Q,,, '` Address ,4944[ Tel. S•/4 f Name of plumber i.>r)U-Q Address d.-.— Tel. " Name of mason pied 4.410W44..)4 BYCAi0;, ddress' PfI oiLa- e Tel. 74,7. L--37) NATURE OF PROPOSED WORK: ZONING INFORMATION: U * Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, ›: 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 /S3X/ferFX35 ft X4/7 ft. * Existing building(s) Size ,,t4 ft X 4/Q ft. * PROPOSED BUILDING AND USE: / * Existing building(s) Use / yC Ajih i * Size of new structure ,ZiC ft X, 8 f Foundation-pier/slab/crawl/partiaalp * Proposed building, distance from property line (circle one) * Front yard zom. 6/ ft Rear yard ?S ft No. of stories (habitable space) � • * Side yards ft and 49,, gyp/ ft Height (grade to ridge),gpp i y ft. * If on corne 4 setback from sffie street ft If residential, no. of families / No. of rooms(excluding baths) / - * OCCUPANCY INFORMATION No. of bedrooms * * PRIMARY BUILDING - No. of bathrooms Primary heating system, -r' m jZ * v One family dwelling Type of fuel C2// * Two family dwelling * Multiple dwelling / Number of units No. of fireplaces to be installed / • Permanent occupancy Will a wood stove be installed? Central Air conditioning? © * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other Raised ranch nsion Duplex If addition, what will use be. „4001)Y fix, t� Split level Old style Bungalow * J 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 $ / .05?Q * 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. ( O6. fjline • Will any second-hand or ungraded lumber be used? If so, for what? di, 0 /� Foundation wall material PoORO/OC LN Thickness 9 Depth of foundation below grade (to bottom of footing) Ay . <e , Will there be a cellar? yes Heated or unheated? /jd F .or sq. footage 67 L sq ft Will there be a basement Will Will any portion be used as living space? h/Q (If so, what portion? sq.ft. - - Type of use? Type of roof - slope flat/shed/other Material of roof dLS$46 Ship/pt' Size, wood studs 'a_ "X L " spacing 1G "o.c. length ! ft. 7 Joists(floor beams) 1st. floor .1_ "X lv " spacing lf., "o.c. span 12_ 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 , l` "o.c. span „j y ft.O ScasSC�RS' T. ' 05%sl Exterior wall finish NO(1e/7i" 5kM Of what material? GUUQOC) Interior wall finish Sigtartexl. 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? 40,5 Height above roof .7'4 " fit. Depth of chimney foundation below grade ? ft. Depth of fireplace hearth ft. in. Water supply - Municipal or private well L,A ke 4„/.4lPit, SEPTIC SYSTEM Distance from ANY private well(including adjoining properties / 7S 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. SWORN TO BEFORE ME THIS Si nature 11 Owner, owner s ag ,architect, ntr ctor 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 (� 7oti- iuG, �-pt,14 2 . Type of heat 011 4L t thg 3 . Is the building mechanically cooled? PO 4 . Percentage of area of windows and doors A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions (.x),4 // / � J�64F 34 cioux. 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 69) a. R value of insulation 5. Type of insulation f/6eA /A B. Under 16% Only 1 . R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls 1 3 . R value of glazed area y y 4 . R value of doors 5. R value of floors over unheated spaces 34 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 P. 4( CVA S- 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 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 maximum G. For Swimming Pool Only 1 . Maximum heating Telephone No. -5 / / ��L: ^ P 79� � ��l (applicant s ' gnature) CO t i 'n4-I U e t'.f-.1 :i awn of Queeniburj /BUILDING and ZONING DEPARTMENT 2...... Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME L rt,)2-in LOCATION T4-4 jz ,o Date /2/ ?/ g7 Permit No. e'- 3i q p, = APPROVED - YES / NO Footing/Pi r Forms Foundation Waterproofs g Backfill :.-'' Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves . Ext. Porches Finished Floors Interior Trim , Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproof in• Door Closers Smoke Detector. Chimney INSULATION: Foundation Floors Walls Ceiling FINAL E CTRICAL INSPECTION • DRIVEWA , APPROVAL Final B ilding Survey Next scheduled inspection (call when ready) Remarks- Buil 'ng Insp ctor 6/86 and-vl #e flown of Queen iLur/ BUILDING and ZONING DEPARTMENT !! c� Bay and Haviland Road, R.D. 1 Box 98 ��J Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME 77 d e/ U L• a I ON , �,�� G' ,„), '4,4 / u, Permit No. /� r91 * * * * * * * * * ** * APPROVED -* * * YES ✓ NO Footing/Pier Forms "F�odation t. aterproof ing Backfill0 Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings �,_ Cellar Drain Tile Concrete Floors Plbg. Fixtures 111111111111.�� Gar. Fireproofing 10111 Door Closers 1.11111111111111 1113111 Smoke Detectors all.111111 Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- C �/�, /./lam ;;i41. , -� Building GInspector 6/86 and-vl Jown of Queen Lurcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME f V LOCATION \ln . Jay., Date Vite / 77 Permit No. Fr -3 I 1 ✓ - 'APPROV, D - / NO oting/Pier Forms e f 01..I r'`,',4 Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTI DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- .6 7 b 141 Building Inspector 6/86 and-vl t own of Queeniturcy B ILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME b^_iti-e ii7ft.tre.AJ/ze LOCATION 1 Date {'fr5� Permit No. 31 , 31 Cj * * * * * * * * * * * * * * * * * * * * * * * ✓,= APPROVED - YES ,/ ,9_ noting/Pier Forms YAvtil."�' !' oundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney ?C\*** - INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- .� -2- Z'�- ‘/� 1! /00 Building Inspector 6/86 and-vl — LANDS OF FR4 / 1 N� Found r X /ton Rod 239.0/ x ' �� .4 w .b 0 N 87 -3/ o ' Goroge Dirt Drive k= - 'Z (Y \v �C P p O 0. 653 - 2 Storyr L i. LANDS OF �Yxa Frame Comp dF ACRES R/CHARD CROW E , Co �,. TIE ONLY N860-25'- 40W /44./6, ,. u 2.5 `£ S os 15 - 6>,0 �r -Found Found Iron Rod LAKE . MAP OF SURVEY LEGEND MAP REFERENCES - of lands of. 0 FOUND IRON PIPE I. MAP OF A SURVEY OF THE LANDS OF FRANK 8 LOU/SA COLOTT/, BY ✓OHN E? VANDUSEN, DATED C Q SET IRON PIPE FEB. 14, /967 MICHAEL 4 SUZA NNE L YFORD 2. MAP OF SURVEY MADE FOR ELLEN S. 8 ROBERT W. Ausr/N , BY ✓OHN B. VANDU.SEN, DATED ✓UNE 20, /975. TOWN OF OUEENSBURY, WARREN COUNTY, STATE OF NEW YORK OF NF L, SCALE : I ° = 20' NOVEMBER 2 I , 1983 y`,%A ROG ` W. J. ROURKE, ASSOCIATES Unauthorized Alteration to this map is Licensed Land Surveyors a violation of Section 7209, Subdivision ' 10264 Saratoga Road 2 of the New York State Education Law, SOUTH GLENS FALLS, NY 12801 .,- Fo ZAND s Wi//iom ✓. Rourke, L.S. N0 49098 8.3-/52 B