85-132 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.
has been completed.
This structure may be occupied as a
Location
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA- PRINTING GLENS FALLS N Y 12801 1518)793-5658
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8 5-13 2
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Harold and Rose Harris
Reardon Road,
OWNER of property located at Glen Lake Street, Road or Ave.
0
in the Town of Queensbury,To Construct or place a One—Family Dwelling ¢,
at the above location in accordance to application together with plot plans and other information hereto filed and Su
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is 105 St. Stephen Place
Staten Island, New York 10306
2. CONTRACTOR or BUILDER'S Name
Jeffery A. Kilmartin N'
3. CONTRACTOR or BUILDER'S Address
RD #1 Bay Road
Lake George, New York
m
4. ARCHITECT'S Name
Fi
13+
0
5. ARCHITECT'S Address 0
w
1✓
6. TYPE of Construction—(Please indicate by X) (D
(X)Wood Frame ( 1 Masonry ( )Steel ( 1 N
N
7. PLANS and Specifications (D
32'x36' per plot plan, specifications and
No
' application submitted - using existing sewage system
8. Proposed Use
One-Family Dwelling
$5. 00 C/OPaid
$84. 00 PERMIT FEE PAID -THIS PERMIT EXPIRES November 1 19 85 5
N•
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
Dated at the Town of Queensbury this 22nd Day of April 19 85
SIGNED BY XI/ Z--"/
n N
K' - . for the Town of Queensbury
Building and Zoning Inspector W
TOWN OF QUEENSBURY (Space inside block to Ix filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for \poiUation No.
'
PP Permit Issued 19
BUILDING AND ZONING PERMIT P,.rmit Expires. 19
74ming District
\ ;il,u• ,,( work 1
THREE (3) Copies of a PLOT PLAN, Drawn to scale 1i►I i i)\cd by
showing the actual dimensions of the lot to be built its marKS-
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
I - 1 Z TOWN OF mrr
V
. DATE
-fi,
E 0 E v,. g 0
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. r< ! 9 9'
The undersigned hereby applies for a permit to do the following work , r 17INLC9
which will be done in accordance with the description, plans and specifi- 7181911011112)1.1; ,�cations, �.
and such special conditions as may be indicated on the permit. A ' ' r o S T. 5 � ti Q`G1 P Is
The owner pA this propertyis /f Arvld S� /�$ ��` f
(`„ .l�.f/. . ``rrJJ \ c ; . . .r.C. :'.-;.%R. . i-�; y> . .t ® C T r`-AY's �.—a.c., �� 0,--..1 . IC1:)C c;
IP O.ADDRESSI
The personr s{ponsibie for ry ision of thework insofar as the Building Code and the( Zoning Ordinance apply is:
tCl�4 arc<: : ' i ? :-�t 3
(NAME) " IPA-ADDRESS)
t j / , _1
Name of Builder. . C'\ . �t. 1.1:1 1.!'t ►J\ Address . . .K��+�t. .�- � . . . . .� ' / t3N. . 1.Z i i .t. %;
'3.`."-.(Q �'k�\ -' Address leC.,1, . f e e nS. /• ?.. . 1�.1:0-7,1%Llnc 05i.icirE.
Name of Plumber. . .
Name of Mason. .k.Q. '.c< - t. . It .I.YYlP"?4- `r1 Address . .6l '!1 .4(9-k'. .its' '. .‘ifAct (r'..4(.. . i' .
Lot Number Unit Estimated value of proposed work S `/(Si CC,C)
Name of Village . .G.Lc. -t'Y1 b`^k
Name of Street . ....'C3r.s .1\• 1 t.. ,� Side of street: north 0, east 0, south 0. west
Nearest Cross Street . . . '..'. .kit ec ° k Distance from this Bross street . . . tC':C C.. . . . . . . . . . Ft.
Property is north ❑,south ❑,east rest ❑from Cross Street
If on Corner, which corner, northeast ❑, northwest ❑, southeast D. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Et Construction of a new building. Main Building
❑ Addition to a building. One-family dwelling
igi
❑ Alteration to a building. Two-family dwelling ❑
❑ Demolition of a building. -family apartment house ❑
Store building 0
v -car attached garage ❑
Other:
Accessory Building
l
e_.e. P en,o/, ri 1) l'2r ?S— POne-car detached garage Li
Other work. Describe: Two-car detached garage
-e Private chicken house ❑
Private storage building ❑
S Y S r e ri 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,size and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed building(s) in dotted line and existing
t q.`.''a'r'\ q tlb'`n C\Pc\l..rALQtuilding(s) in solid line.
'71' c/ Size of property : . .1 U ft. x . ./ic:'. . X. -'ft.
l Size and use of existing buildings, if any . .3 .X. :.3 . . .
1.4.
!!, I Lt /
ve..,:
m Size of proposed building . .3 • • . . ft.x ( ft.
in
Height(from grade to ridge) 1 7 ft.
ti "r Front yard / ft.
3 Side yards 12 c i 4. . .1.1 . . . ft. and �_AC ft.
\..\'t' - ,, .\i..14,7, Rear yard /6 ft.
SeJTN If on corner,setback from side street ft..
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73—M
(coned.)
BUILDING SPECIFICATIONS.,
Kind of construction: Wood frame, fire safe, etc.?. .L-!r'( ` •'N\N•�
Will any second-hand lumber be used? . . .r.f 7.Ci If so; for what?
Material of foundation walls . . .6.1.0.c. Ks / Thickness
Depth of foundation walls below grade t I Continuous foundation?
Will there be a cellar? . /2.0 Ifs , material of cellar floor`` �.
Type of roof: Sloped or flat? . .S I.C>.Q t?G • • . Material of roof . . . %t 1. c-
�
Size,wood studs „x I ",spacing . . . ./( " >.;,. . . . ."o.c., length & ft.
Size, floor beams, 1st floor . "x . . . ", spacing . . . . 1.�. . . . . . ."o.c., span ! L ft.
Size, floor beams, 2nd floor . r'1 c: x ", spacing �� "o.c., span ft.
Size, ceiling beams . . �: • . • . • x
spacing tf "o.c., span . . . . . . . . ft.
Siie, roof rafters or beams . .3t i2 u Sc C':S" x ", spacing . . .'.(I "o.c., span 3 .2, ft.
Exterior finish . A.) J 4 i T t With what material?
Finish of interior walls. . w i.0 •1n
If garage is to be attached, of what material is wall between garage an main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system . .Cc' .I S-1A.C_,., Oil burner or coal?
Will a flue-lined chimney be provided? Depth of chimney foundation below grade
Height of chimney above roof
Will there be a fireplace? ( C Depth of fireplace hearth
Will a toilet be installed?. . .Z
Will a kitchen sink be installed and connected to water supply? we,
Water supply(public water supply or pump) . . . . L,rvA �7
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to tr. bit i of my knowledge and belief the statements contained n this a.•licatio r with the plans and specifications sub-
mitted, area true and co a.plete statement of all proposed work to be do n e � s and that all provisions of the BUILD-
ING CODE,THE ZONING ORDINANCE,and all other laws pertai i po. w• 1" bq complied with whether specified or not,
and that such work is authorized by the owner:
Sworn to before me this Signature '
O NER.OWNER'S AGENT,ARCHITECT,CONTRACTOR
day of 1
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 //,5"
2 . Type of heat ,, hf c {`hz)'C ,
3. •Is the building mechanically cooled? ,UO
4. Percentage of area of windows and door'
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 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' , 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 ke--//
3. R value of glazed area /C -}.
4. R value of doors j `/
5. R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab AV/4
7 . R value of slab insulation - heated slab /L/
8. R value of heated basement/cellar walls (above grade) /1J/4
9. R value of heated basement/cellar walls (below grade)/ ,4
10. Type of insulation /-�1✓Sl 67-4--/ 4
C. Controls
i. Thermostat maximum heat setting 76-
D. Duct Systems
1. Is duct system installed in unheated spaces? S 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 K - //
F. Service Water Heating � �
1 . Performance efficiency
2. Temperature control setting maximum / L' &/
G. For Swimming Pool Only
1. Maximum heating A '` •
Telephone No. applicant ' s signature)
Moron o/ Queenitur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR'S REPORT
NAMEtakf
LOCATION ieE-� pbb is
Date1 /'Z/ Permit No.-
* * * * * * * * * * * * * * * * * * * * * * *
✓ - APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim „
Stairs & Railings A/r/�
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing /c-/f
Door Closers Ii
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRI AL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey• ;)c
Next scheduled inspection (call when ready)
Remarks-
.17.Crif ,P dny
///-„ e liee.rkgA/1 -7't
Building Inspector
6/86 and-vl
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date 6 /51,'s
Name / U-o ! �/�� +@
Location e q - U h /Q c .
Permit No. R — i z Weather
�e K t\ rno,,1'+,,, y31cc- . Remarks
Excatta tion
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing ✓�,ti�
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing s/
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date y 0/S-
Name 1-1< -i c (i L ut2ri,U
Location IQea 2h
Permit No. 3 2— Weather -
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers mm
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
3712--1)(:
Building Inspec or
REMARKS