91-167 t
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 2a "19
This is to certify that work requested to be done as shown by Permit No. 91-167
has been completed.
Drstructure may be occupied as a Study
T nation 222 Reardon Rd (Glen Lake )
Owner Jack & Jackie Buchanan
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. ac Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 91-167 _ x
WARREN COUNTY, NEW YORK
O
PERMISSION is hereby granted to Jack & Jackie Buchanan
40,
OWNER of property located at 222 Reardon Road (Glen Lake) Street, Road or Ave.
in the Town of Queensbury,To Construct or place a 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. OWNER'S Address is
Da
RR#5 Box 194
Queensbury, NY 12804
1.
2. CONTRACTOR or BUILDER'S Name O
Wes Veysey c
C,
3. CONTRACTOR or BUILDER'S Address
61 MacArthur Drive
Queensbury, NY 12804 ^'
4. ARCHITECT'S Name 's
fD
0
5. ARCHITECT'S Address
G.
G.
C.
-I.
e-h
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( )Masonry ( )Steel (
O
7. PLANS and Specifications fXD
No.8' x 14' Addition to Dwelling as per plot plan specifications
and application cc
8. Proposed Use
Study
$ 8.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 12, 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 12th Day of April 19 91
SIGNED BY • for the Town of Queensbury
wilding nd Zoning In
TO BE COMPLETED BY BLDG. DEPT. --{ ""-
16
Application No. 7
own o� Qeiuri, Permit Issued 19 ddd
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation TOWN OF QUEENSBURY
Queensbury, New York 12801 Variance No. RECEIVED
Site Plan Review No.
4 4 APR 91991
T.
APPLICATION FOR k �t
-� BLDG. & CODE DEFT
FUILDING, 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: .j ,C/' +��C;�L-`C-1-e, EuGal'iU/1.-
P.O. Address Tel. 72,?y073 3 9.
roperrttyALWocation: d,;,.,2 / a a0a4/(6762/7 L‘g ce ) Tax Map No. / /
Q� 6 6)( I 4 Street number or building lot number
subdivision me r (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
4/(25 Ver'Scy
Name P.O. Address Tel. No.
Name of builder/-4S /e S.P7 Address c / filU1Af year ,2r, Tel. 7,,)^'�3(j 2
Name of plumber vGc: /�, f'/4/' 1 Address Tel.
Name of mason L e7t,o Address SA/yI/ Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
kAddition 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 property72 () S f=-
34ft X ft.
* Existing buildin (s)1 Size ft X ft.
PROPOSED BUILDING AND USE: i6L
„ %
•Z L/oz * Existing building(s) Use
Size of new struct - ft X / ft
Foundation-pier/-crawl/partial/full * Proposed building, distance from property line
(circle one) *
No. of stories (habitable space) * Front yard r / ft Rear yard ft
Height (grade to ridge) /P ft. * Side yards 3v/ ft and ft
If residential, no. of families * If on corner, setback from side street ft
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms *
* PRIMARY BUILDING -
No. of bathrooms * ,k One family dwelling
Primary heating systemNv7s- L✓�TR * Two family dwelling
Type of fuel 0/ (,
No. of fireplaces to be installed * Multiple dwelling / Number of units
* Permanent occupancy
Will a wood stove be installed? e9
* Transient occupancy
Central Air conditioning? iylj4 * Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Other
Ranch ("Contemporary Log cabin * If addition, what will use be?
Raised ranch Mansion Duplex
Split level Old style Bungalow * � �
Cape Cod 4gailm,. 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 *
$ /Q e, ,, e)
7
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, , od ram , fire safe,etc.
Will any second-hand or graded lumber be used? If so, for what? i\10
Foundation wall material AtAvvoi nor)C14eAg, Thickness 1
Depth of foundation below grade (to bottom of footing) ,
Will there be a cellar?A/p Heated or unheated? /t>Q Floor sq. footage sq ft
Will there be a basement? 'L/f7Will any portion be used as living space?
(If so, what portion? dowt. - - Type of use? J
Type of roof - sloped/fla other Material, of roof 4.1 ,j�x/� 5Ai'rL�I�S
Size, wood studs CZ "X spacing / "o.c. length ft.
Joists(floor beams) 1st. floor /V..71 "X " spacing "o.c. span 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 i ;L o.c. span /5—dft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish/a, . _ Of what ma erial? t/r'- -
Interior wall finish 1 /rli`,/G�ll/��„, n /�
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? /LG CJ 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)
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.
Si na ure G-
SWORN TO BEFORE ME THIS g t �%:I!___ --�
2--7
Owner, owne/'s agent,arch ect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY TOWN OF °mewIS ,
URY
WARREN COUNTY, NEW YORK t 'r?P ,.s
Apklication for: BUILDING PERMIT IN COMPLIANCE WITH THE NE , RI► 4
STATE ENERGY CONSERVATION CODE
A permit must be obtained before beginV . lcatppE DES•
ANSWER ALL of the following:
1. Gross floor area `d o s-F
2 . Type of heat „ �/i /_ -L° t'
3. Is the building mechanically cooled? / ��
4 . Percentage of area of windows and doors
A. Over 16% Only
1. U value of gross area of walls, roof/ceiling �a'nd floors
exposed to ambient conditions ,� o?/"_1n/of-A
R - 3 r cpeJ,
2. Floor over heated spaces YES -di
a. Are foundation walls insulated? ar NO
1.� If YES, what is the R value? 0'-./C,
3 . Slab on grade :YES NO/
a. If YES, what is the • value of insulation around
perimeter of floor?
4. Is basement heated? YES ; NO
a. R value of insulation
5. Type of insulation li* r ,s / i —Ia ' bad to d' fa 44.4,,
B. Under 16% Only PUcxf�
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls
3 . R value of glazed area •
4 . R value of doors
5. R value of floors over unheated spaces
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
C. Controls
1 . Thermostat maximum heat setting zv, ?s- 6
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
T, 77`7
elephon� No. 3 � J
(applic4t ' s sig'na Jere)
4
TOWN OF QUEENSBURY
`�1 531 BAY ROAD
,fj QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOI, INSPECTION RECEIVED '
r np C.),C
LOCATION 9 Pam(
DATE f_:) /(1 ( PERMIT# 9/ - /(0
TYPE OF STRUCTURE
RECHECK
IRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
__FIRE
FOUNDAT N BACKFILL VFRAMING
__;ROUGH PL ING FINArELECTRICAL SEPTIC
7INSULATIO WO STOVE/FIREPLACE `
3TTE PLAN/VA IANCE REQUIREMENTS _AYES _ NO
REMARKS
\ '
APPROVAL
/ N/A YES NO
CHIMNEY HEIGHT/LOCA ON iii
B VENT/LOCATION
PLUMBING VENT
ROOFING 1
SIDING
DECK/PORCH/STEPS/RAILIN►
RELIEF VALVES
FURNACE/HOT WATER OPE-TIN,
BASEMENT INSULATION/D+CTWOR
INTERIOR TRIM/PRIVAC DOORS
FINISH FLOORS:
BATH/KITCHEN WAT TIGHT
OTHER FLOORS SWE PABLE
OTHER FLOORS CA PETED ✓
STAIR CLEARANCE/RAILINGS a
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS `,
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER l_
FINAL ELECTRICAL ;j///
OK TO ISSUE C/O OR C/C L
COMMENTS:
ARRIVE -
DEPART 0ale444 -----
N
I UMN Ut QUEENSISUKY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED it/,�1 1 I
a' a _
NAME ` iicjh cxr D r ) s-4
LOCATION �) c:)- -Cctk\c( .)6 � \
DATE ej/ I PERMIT S I /W /
TYPE OF STRUCTURE OW i A i J , wc' I
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 PILACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN LACE
PLUMBING UNDER SLAB
FRAMING: f
JACK STUDS/HEADERS;
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN"
INSULATION:
FOUNDATION LLS INTERIOR R-
FOUNDATION ALLS EXTERIOR R-
FLOORS R-
WALLS f R- j q r _
CEILING R- h
DUCT WO OR PIPING IN UNHEATED
SPACES
,r
REMARKS/
yet
ARRIVE //
DEPART // '3J �i
INSPECT
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 4/22
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME9)42-11-) 4--Li,filifiALd_AA—)
LOCATION 0.7. �C
DATE /6/fl/ PERMIT
TYPE OF STRUCTURE ��,4,;/
RECHECK " APPROVED
N/A YES NO
XFOOTINGS/PIERS S(
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 t3N PLACE
PLUMBING UNDER SLAB :-
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING,
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING `
WALLS
CEILING
FIREWALLS
HEATING ROUGH�IN
INSULATION:
FOUNDATION WALLS INTERIOR R- JO sic
FOUNDATION WALLS EX ERIOR R-
FLOORS { R-
WALLS R-
CEILIN.G R-
DUCT WORK OR PIPING N UNHEATED
SPACES
R EMAR I P&a
Fa - ICE )`-ro(� - 0,0 W3IP6
6), �
ARRIVE Cti-h�
DEPART CrS J ,l•L,
INSPECTO