7259 C/O Paid
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. 7259
has been completed.
This structure may be occupied as a Dormer addition to One—Family Dwelling
LocMion Jay Road - Glen Lake
Michael Lyford
i der
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CRtATIVt "INITA" PRINTING. GLENS FALLS. N T 12801 IS IBI793-S6S6
BUILDING PERMIT
TOWN OF QUEENSBURY No. 7259
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Michael Lyford
OWNER of property located at Jay Road — Glen Lake Street,Road or Ave.
in The Town of Queensbury,To Construct or place a Addition to dwelling (dormer)
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 R. D. #1 Box 321 ti
Lake George, New York ht)
0
2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
0
5. ARCHITECT'S Address
n
(D
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( 1 Masonry ( 1 Steel ( ) (D
7. PLANS and Specifications 8 'x26' dormer added to increase bedroom area and
No. add bathroom per specifications and application
submitted.
8. Proposed Use
One—Family Dwelling (dormer added) of
50
$5. 00 C/O Paid
v rt
$ 10. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES October 1 19 82
Of 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.)
1-1
Dated at the Town of Queensbury this 24th Day of March 19 82
1 a--SIGNED BY 5��t „. , E B for the Town of Queensbury
Building and Zoni •4Inspect.
t ►�
TOWN OF QUEFNSBURY - BUILDING DFPARTYENT
R. D. *1 BAY P':D Y.PVILAND RC .DS
GLFNS FALLS, ? F%' YORK
•
Phone 792-5832
DATE: /c%///C/
TO:
Our records records indicate that you were issued a building permit
number 7Z Sr9 on 1 O-L
for the construction of
Our files show that the required inspections are incomplete.
If still under construction please contact this office for an
extension of your building permit, or if completed please
contact as so we can take your card out of the active file.
Next required inspection .7�G,.,�
For all new construction Town Law recuires a Certificate of
Occupancy to be issued by this Department before occupancy.
Noncompliance may result in legal action.
To avoid further delay and possible legal action, contact this
office to make arrangements to update your file.
OUEFNSRURY BUILDING DFPARTYENT
///'=C
TOWN OF QUEENSBURY i (Space inside block to be filled in by
WARREN COUNTY. NEW YORK Building Inspector)
Application for \pp► cati, , No.
'crmit Issued 19
BUILDING AND ZONING PERMIT ► ei mit Expires ►g
/4,61»12. Uistrirt
\ AIR. id Work'
THREE (31 Copies of a PLOT PLAN, Drawn to scale \i;;,i+,keii h\
showingthe actual dimensions of the lot to be built Il�•ill.iiKf
upon, Te exact size, and location on the lot of the
building to be erected or altered MUST BE SUB- _
MITTED WITH THIS APPLICATION.
1 TOWN OF QUEENSBURY
// •:-3 .-- /— 7 (YVAN- ,13 i 1'1'3'1-- REGUIVE 0
,,ATE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK MNK 2. 3 1g82
ANSWER ALL OF THE FOLLOWING. F.M.
The undersigned hereby applies for a permit to do the following work A.M.7 819 s � �.2��.121314 :1 b
which will be done in accordance with the description, plans and specifi- `011IS. w /,v`'kdv
cations, and such special conditions as may be indicated on the permit.
The owner of this property is:,
l^1tc.11,cc.c..I k.Y<bl"d ► "fix 3 '1 -44 c Ce ." . . .
(NA 'F) iF 0.ADORE )
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
. . n/.1 t.c ha—A..I. . .)..... ;..... . . . . . . . . . . . . s.A .Ce
(N E) IF 0 AGGRESS/
Name of Builder. ?i Ji e 1. . A i.d . . • . . • • . . . .Address . . . .'S Arrl I
Name of Plumber i a_t/ .WO* . . . . . _ . . • . . Address 5.4 Pt t`
Name of Mason A ie._ Address
Lot Number Unit Estimated value of proposed work t y.V)C5
Name of Village
Name of Street . 6•4 • Side of street. north 0, east 0, south 0. west 0
Nearest Cross Street . . 6/e•/..-: .)4ke . Xci Distance fro ww this cross street / CJO 6 Ft.
Property is north ®,south 0,east 5,west 0 from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast 0. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
❑ Construction of a new building. Main Building
® Addition to a building. One-family dwelling
dwelling ❑
O Alteration to a building. Two-family
❑ Demolition of a building. . • . . -family apartment house 0
Store building ❑
. . . -car attached garage 0
Other: Accessory Building
f One-car detached garage ❑
❑ Other work. Describe:. tt�e ikRi . .p i4�!iJ►. .`�Q Two-car detached garage
� ', 4eail Private chicken house
I' �`S� I Private storage building ❑
efaaAA915y11. Other:
ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building,or a change of occupancy.
Indicate on the plot plan street names, the location and
size of the property, the location, site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
Gle.,u 1,Ake huilding(s) in solid line.Size of property 1 5/66 X /4'S• ft. x�`./
O.40,,r10
cS0- s
Size and use of existing buildings, if any . 4.ka. .(. . • . •
0
N t3,3' to ., .f -Q
•
i w Size of proposed building . . .� . . • • • ft.x .�6 ft.
541
Height (from grade to ridge) . . - ft.
Front yard SA ft.
Side yards t c)' ft. and . ./.30 ft.
Rear yard G 0 ft.
SOUTH If on corner,setback from side street ft..
C'le& A k Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73—M
(cont'd.)
BUILDING SPECIFICATIONS., _l
Kind of construction: Wood frame, fire safe, etc.?. . (... y
Will any second-hand lumber be used? )/O If so, for what
Material of foundation walls . . GQUQ . ST�l�� Thickness /.Q"
Depth of foundation walls below grade S Continuous foundation? s.�/!-e
Will there be a cellar? . .AA) If so, material of cellar floor U
Type of roof: Sloped or flat? .a lo9.9.,5i Material of roof . . . ...h R p •
p� "x 6 ", spacing . 1.b. . . ". . . . . o.c., length ri
Size,wood studs ft.
Size, floor beams, 1st floor . . .at "x ./.0 ", spacing 16 "o.c.,span . . . .la,..,, ft.
Size, floor beams, 2nd floor . .a. "x / 0 ", spacing /6 "o.c., span . . . /,2. ft.
Size, ceiling beams cad— "x . ,4 ", spacing 14 "o.c., span . ./. 2— ft.
Size, roof rafters or beams . . .!A. . . . . . . . " x ./ta.. . ", spacing . . ./4 "o.c.,span II 7 ft.
Exterior finish ludo Q1 fi- . .S id./#.4 S With what material? . .W 4
Finish of interior walls. it—. . .T .4-!`!41 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Sege is to be attached, of what material is wall between garage and main building to be constructed?
1T`tiTerr to be an opening between garage and building?
Kind of heating system . .cA4- .. .got 4 f c Oil burner or coal? k.JOL(1dd
Will a flue-lined chimney be provided? / Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? Depth of fireplace hearth
Will a toilet be installed?. VS. . . . . . . . . . . . . . . . . .'
Will a kitchen sink be installed and connected to water supply? . .)(/(J.
Water supply(public water supply or pump) . .c°V me �}..
Distance of cesspool from any private well ti A k, •w•R I`i j- feet
Will drainage system be provided with required traps, cleanouts, and vents? .VIZ$
Town of Queensbury AFFIDAVIT j�//
County of Warren
State of New York
I swear that to th iO4-of my knowledge and belief the statements contained in this application,together with the ns and specifications sub-
mitted, are a true and co.,. Iete statement of all proposed work to be done on the described premises at provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the proposed work ll lied 'th,whether specified or not,
and that such work is authorized by the owner. t
Sworn to before me this Signature ...._. _. .
/'!( J'"�1VNIffii6WN R'S AG .ARCHITECT.CONTRACTOR
day of �� 19.i2---
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 ,WC) F.-
-17
2 . Type of heat A'' 1 ,-L.
3 . Is the building mechanically cooled? 1,, )
4 . Percentage of area of windows and doors i 614
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 �\ YES NO
\ a. Are foundation walls in'ulated? YE, NO
\ 1 . If YES, what is the "R value?_—
\ y
3 . v Slab on gra''' e YES wC= ,
If YES , "what is the R value\of insulation round
perimeter\of floor?
4 . Is\asement heAed? YES NO
a . R value of insulation
5. Type of insulation
B. Under 16% Only
1 . R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls 74,.• a3 .3C
3 . R value of glazed area /47 l
4 . R value of doors ODAMZ
5. R value of floors over heated spaces ,&j /J ,
6. R value of slab edge insulation - unheated slab kJAJe
7 . R value of slab insulation - heated slab .r ,E,,
8 . R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellar walls (below grade)
10 . Type of insul pn P/iwts c sS
C. Controls
1 . Thermostat maximum heat setting &Q
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
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Telephone No. -n %f `?r ie lfl ,-_ C; ! fir
-7 41 � �r (applicant ' s ,Onature)
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