85-481 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 t<
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
CREATIVE "INSTA- PRINTING GLENS FALLS. N V 12801 1518)793-5858
BUILDING PERMIT
TOWN OF QUEENSBURY No. 85-481
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Ellis J. Sharkey
OWNER of property located at Assembly Point Road, Lake Geo. 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 RD #1 Box 1361
Lake George, New York
m
2. CONTRACTOR or BUILDER'S Name
Adirondack Contracting
3. CONTRACTOR or BUILDER'S Address
Box 189 Star Route
Glens Falls, New York
4. ARCHITECT'S Name
I✓
0
5. ARCHITECT'S Address
rt
0
6. TYPE of Construction—(Please indicate by X)
1x)Wood Frame ( ►Masonry ( )Steel ( ) p
(D
7. PLANS and Specifications
No replace porch with porch 10'x26 ' 9" per plot plan, 0
1-1
specifications and application submitted. 4
m
B. Proposed Use Per Variance No. 1016 granted 8-21-85.
One-Family Dwelling (new porch)
$5. 00 C/O Paid
$ 26. 00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 1 19 86
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0 rf`
town of Queensbury before the expiration date.) 0 N.
O
Dated at the Town of Queensbury this 28th Day of August 19 85 F
SIGNED BY .-' ,,ter) for the Town of Queensbury PO 0
Building and Zoning Inspecto (�/1
-+ Q;
H.
TOWN OF QUEENSBURY (Space inside block to lx filled in by
WARREN COUNTY, NEW YORK Building Inspector)
Application for \s'1'luation No.
'
Permit Issued _19-
BUILDING AND ZONING PERMIT Peintit Expires Ig.
"twin. District
. \ ;iliic of U` ,rk
THREE (3) Copies of a PLOT PLAN, Drawn to scale \i,t,r„‘e`1 by
showing the actual dimensions of the lot to be built 1 iu:ii)S
upon, The exact size, and location on the lot of the
building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
TOWN OF QUEENSBURY
/...,'' �^ ! 2��� DATE RECEIIVE
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK
ANSWER ALL OF THE FOLLOWING. MOO G 0 1
The undersigned hereby applies for a permit to do the following work A.M. 3( r -pi .
which will be done in accordance with the description, plans and specifi- 7)8I9l10 1I2)3)4I5I6
cations, and such special conditions as may be indicated on the permit. "
g o NC.c u o
The owner o ,t s property is:
-;, pi
, _. .cam,:J ctr. C — E, A55 e w 6I P t
IP O.ADDRESS)
The person responsible for - supervision of the work insofax the Building Code and the Zoning Ordinance apply is:
ioe_.. CA43s4-ok.P.„., . . .X9 / 9 50- . C/ st5 7/5 —)' r Lga'/
(NAME) /� �,{ / IP O ADDRESS)
Name of Builder Pt�1ro(y.�C��Kk`�'�G`�t `� Address ��/� +'��9r14' 6'relif
! /LS,
Name of Plumber ��/ - - Address ,
Name of Mason. . /k 4'� C "44 'h Address L4'-e.-
Lot Number Unit , E
, stimated value of proposed work$ -3
5
Name of Village e4., '' r
Name of Street i"6/y s� p-ec
leX • Side of street: north 0, east 0, south ❑. west @'
Nearest Cross Street . ..1-3r-ct "'''•" r c r Distance from this cross street sin Ft.
Property is north ❑,south ❑,east Li, west re from Cross Street
If on Corner,which corner, northeast ❑, northwest ❑, southeast a. southwest
(Designate by marking with an "X" in the correct space.) -
NATURE OF PROPOSED WORK OCCUPANCY
El Construction of a new building. Main Building
a Addition to a building. One-family dwelling
TY
❑ Alteration to a building.
Two-family dwelling ❑
El Demolition of a building. - -family apartment house ❑
Store building ❑
-car attached garage ❑
Other:
Accessory Building
One-car detached garage
[� Other work. Describe:�J t . . "' Two-car detached garage
Private chicken house CI_--j-
q �_. e /�1�u �� Private storage building ❑
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 N, Show proposed building(s) in dotted line and existing
`- — , C� �r� uilding(s) in solid line.�j� I �"0t t
alltri
` ; Uw.9_Size of property ` " `'� ft. x ft.
Le., - V r�` Size and use of existing buildings, if any
y.
e i ,b S{ m Size of proposed building . . . 7 ft.x 48. . . ft.
Ar' Height(from grade to ridge) 6 ft.
Front yard` H ft.
,r
Side yards ft. and . . . .`�. 8 ft.s'p r / r �-_ -,' , Rear yard l� ft.
�
l SOUTH If on corner,setback from side street ft.
fill Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73—M
(cont'd.)
BUILDING SPECIFICATIONS., �,/
Kind of construction: Wood frame, fire safe, etc.? '"zr6 '1' ___
Will any second-hand lumber be used? . e2�v If so, for what?
�E
Material of foundation walls 6/a�,,1 Thickness
Depth of foundation walls below grade Continuous foundation? . . s
Will there be a cellar? . .(4ytt, Ifs , material of cellar floor n. C<rte re /It - ,/
Type of roof: Sloped or flat? �S.�P • • Material of roof . . .+.�. r.11'.tc Sat ir.
Size,wood studs 2-- "x t spacing /lP "o.c., length g ft.
Size, floor beams, 1st floor . . . .Z. . . . . . "x ", spacing /<e "o.c., span /0 ft.
Size, floor beams,2nd floor . .4":. e . • " x ", spacing "o.c., span ft.
Size, ceiling beams Z- " x 4- ", spacing "o.c., span /CI ft.
Size, roof rafters or beams Z "x 41fr ", spacing 7 ' "o.c., span / Z ft.
Exterior finish Cl/ar boot f-cj With what material? f�vDg:'(
Finish of interior walls. . . . . . ..N!- .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If garage is to be attached, of wh it material is wall between garage and main building to be constructed?
4.; . .. . . . . . . . . . . . . . . . . . . . . . . . . . . ./. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Is there to be an opening between rage and building? /0/
Kind of heating system CC-. Oil burner or coal?
Will a flue-lined chimney be provided? .'/U . 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? d
Will a kitchen sink be installed and connected to water supply?
Water supply(public water supply or pump)
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 tt brafr of my know,Iedge and belief the statements contained in this application,together with the plans and specifications sub-
mitted, are a true and co.h lete statement of all proposed work to be done on the described premises and that all imovisions of the BUILD-
ING 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 Signature
OWNER,OWNER'S AGENT,ARCHITECT,CONTRACTOR
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:
A .
1 . Gross floor area Z70 4
2 . Type of heat f/Ce,
3 . Is the building mechanically cooled? /�✓v
4. Percentage of area of windows and doors Sd �
A. Over 16% Only
1 . U value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2 . Floor over heated spaces ES 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 value of insulation around
perimeter of floor?
4 . Is basement heated? (YES_) NO
a. R value of insulation / /
5. Type of insulation F;4104 t/A'f
B. Under 16% Only �1
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
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. 65'6 _ 3;21-
(applicant ' signature)
_j Jown
Jown of Queeniiury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME S4 �� n c
LOCATION61-14,7144.- ��,Z
Date 4 /? / Permit No. k,6 -�?1
* * * * * * * * * * * * * * * * * * * * * *
�` �4�- ✓ - APPROVED - YES / NO
Footing Pier Forms 1
Foundation
Waterproofing
Backfill
Framing
Roofing 0rf'(
Siding 0 t[i
Masonry Veneer
Rough Plumbing
Relief Valves
kxt. Porches -L�
iFinished Floors prw r itit�s1`l�'h-
LFnterior Trim Otk
--Stairs & Railings or
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
w.
Gar. Fireproofing
Door Closers
Smoke Detectors 4.,
Chimney ' \
INSULATION: '
Foundation
Llioors nic
Walls
Ceiling /
FINAL ELECTRICAL INPSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
\D
C/
--)J4/
Lai; 6.
Ai
Building Inspector
6/86 and-vl
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date S///gl,
Name 54 ci ,e cra
Location r4--5"5- 7/1/ZYGJ P Rfl
Permit No. a'S-i.f. 7 1 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
(/>CC::
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors ®
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
/�� B ding Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Inspectors Date 3/4/1;24.
N
� ,eA--
Permit No. S, 8/ 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
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
. ,� Aka — fD
o",
e5
TOWN OF QUEENSBURY
Building Department
Inspectors Report Date /2A3/R`�
Locations -G7+-1 B y" P7--
Pernnt No. s S' - ( Weather
( ,1/S7r- - Coivne. Remarks
Excat)a tion
Footing Forms / (11X
Footing & Piers Y
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
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building nspector
,Pr- rizo-sr ),4r . p o 4 - ptk..„
REMARKS
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