92-061 CERTIFICATE OF CUPANCY
TOWN OF QUEENSBU'`'
WARREN COUNTY, NEW YORK
Date (.tLf ridi 4 19
This is to certify that work requested to be done as shown by Permit No. 92-061
has been completed.
This structure may be occupied as a Windows being changed and Reconfiq. Bathrooms
l
I nation Assembly Point, Lake George
Owner Ed Collins & Lynne Freihofer
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
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TOWN OF QUEENSBURYA a
No. 92-061 �°
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Ed Collins & Lynne Freihofer
OWNER of property located at Assembly Point Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration to dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and 0
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
RFD #1 Box 1267
Lake George, NY 12845
2. CONTRACTOR or BUILDER'S Name O.
Mitchell Homes Inc. "^
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3. CONTRACTOR or BUILDER'S Address
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500 Kenwood Ave
Delmar, NY
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction-(Please indicate by X) 9
( X Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications '! �•
No. 883 sq ft Alteration to Dwelling as per plot plan specifications
and application a
8. Proposed Use ef'
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Windows being changed and Reconfig. bathrooms 0
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$ 36.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 4, 19 93 trz
(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 4th Da . ' March 19 92
SIGNED BY ZIA1i for the Town of Queensbury
Building and Zo v• Inspector
TOWN OF QUEENSBURY
w REVIEWED BY: de�
s � FEE PAID: , TOWN OF QUEENSBURY
�/"�� �%- RECEIVED
PERMIT NO. : - ( ,I
MAR 2 1992
BUILDING PERMIT APPLICATION BLDG. & CODE DEFT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: _ 8) Co44.4^/5 1'' L}',c/ti/ Z6/1
P.O. Address: l/) l FOX I Z67 PHONE
Property Location: ! s t t j. 784- //4ft `i&-O 1,I j izsot-ax Map No. 7 / / /c3 0
Has there been any split ofthis property since October 1, 1988? Yes No
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: A1/4 Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ H 3 ,5
Addition to building
V Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: ft. x ft.
Other work (describe) * Existing Building Size:
* ALP ft. x 4z. ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCT RE: * property line:
'k (/c V *
1st Floor - - Sq. Ft. * Front Yard ft. Rear yard ft.
* Side Yards ft. and ft.
2nd Floor Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: -1 tt Sq. Ft. * Primary Building -
* )‹ One Family Dwelling
Size of New Structure: fOik ft. x _ ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial/Full (Circle One) * Business
* Industrial
No. of stories (Habitable space) :2- * Other
Height (grade to ridge) 1, 19 t,N ft. *
If residential , no. of families: ! * If addition, what will use be? W4
No. of rooms (excluding baths) : V2 - *
No. of bedrooms: *
No. of bathrooms: 'Z t/ * Accessory Building: N '\
Primary heating system: 5. Q .r-, * Detached Garage - One/Two Car
Type of fuel : C„ * Attached Garage - One/Two Car
No. of fireplaces to be insta led: * Private Storage Building
Will a woodstove be installed?, _ * Other
Central Air Conditioning: Yes No *
// ,
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. U00.) 40-1r:
Will any second-hand or ungraded lumber be used? If so, for what? x/e)
Foundation Wall Material : K-7-1 N c,- Thickness:
Depth of Foundation below grade (to bottom of footing) :
Will there be a cellar? Heated or Unheated? Floor Sq. Footage:
Will there be a basement? Will any portion be used as living space?
If so, what portion? Sq. Ft. Type of Use?
Type of Roof: Sloped/Flat/Shed/Other Material of Roof _
Size, wood studs Z x / "; spacing /( " o.c. ; length 15 ft.
Joists (floor beams) : 1st Floor 7 " x la "; spacing /2 " o.c. ; span e 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 " o.c. ; span ft.
Exterior Wall Finish: of what material ?
Interior Wall Finish: ��z � T �� -
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
fA
Is there to be an opening between garage and dwelling? A/O If so, will a Fire-Rated door,
enclosure, self-closing device be provided?
Will a flue-lined chimney be installed? AA Height above roof ft.
Depth of chimney foundation below grade: �
grade: /4 ft.
Depth of fireplace hearth: AA ft. in.
Water supply - Municipal or private well : 0 5 r,I7
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. )
NAME OF BUILDER & ADDRESS: A GrI/EtL �o,ye5 41.6. . 500 /`r,.1 o) it1r HONE c-/-3' -q 6
NAME OF PLUMBER & ADDRESS: C7 4'G /5o 4t4c . S� Ace,t,Uy PHONE 4/6c-203Y
NAME OF MASON & ADDRESS: Al 4- PHONE
NAME OF ELECTRICIAN & ADDRESS: AEG j Ec.6c[ /27 ,,1401c, '5 12o274- PHONE /-85/ j
DECLARATION
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.
Signature f1� n , r'a�.
• Owndr,, owner's agent, architect
contractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
C TOWN OF QUEENSBUR�r
Compliance Methods:
RECEIVED
PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY)
MAR 2 1992
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings;
Multi-Family Dwel l iAzbG. 81 CODE DEFT,
(3 Stories or Less)
PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential
PART 4 & 6 - Compliance Methods Require Submission of Worksheets
/ 3'6K /7&c 5) Coct o./s - /Y,/il � K � r�3c�' �./��` .�•�!(c (x'aieer A/Y rZ£3®y
APP ICANT'S NAME PROPERTY LbCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - ��5 //W 7 Sq. Ft.
2. Type of Heat - /44 Elec. Base Board Other
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors )( Over 17% Under 17%
THE R-VALUES GIVEN ON THIS SHEET MUST CORRESPOND TO REQUIRED
THE R-VALUES SHOWN ON PLANS SUBMITTED!
C4LL Baseboardee
5. Insulation Values: �Ct� �C Actual Shown Elec. Heat Other
A. Roof & Floors exposed to ambient temperatures R
B. Exterior Walls R
C. Glazed Area R
D. Exterior Doors R
E. Floors over unheated spaces R a
F. Edge of Slab on Grade (Heated Building) R
G. Basement/Cellar Walls (Above Grade) R
H. Basement/Cellar Walls (Below Grade) R
I. Heating/Cooling - Ducts - Piping in Unheated Space R
6. Service (Domestic) Hot Water Heating Device
A. Conforms to minimum efficiency per code YES NO
TEMPERATURE CONTROL MAXIMUM SETTING 140• - WILL NOT BE EXCEEDED
APPLICANT'S SIGNATURE DATE TELEPHONE NUMBER
INSPECTOR'S REMARKS:
REV IEWE D BY
A-4-I
TOWN OF QUEENSBURY
531 BAY ROAD
12
iliz„ TELEPHONElt: UEENSBURY� (518)NEW YO74 804
4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED ..364??-
NAME id l 24/..1G Y 1/,.C.rJW 11--
LOCATION 1>`
DATE 2/Z/49 Z-- PERMIT# ' -0 6
TYPE OF STRUCTURE �Xl A
RECHECK
_FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL A FRAMING
TROUGH PLUMBING FINAL ELECTRIC _SEPTIC
INSULATION WOSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATIONS 4
B VENT/LOCATION `
PLUMBING VENT ----"--
ROOFING • ✓
SIDING i 4'�
DECK/PORCH/STEPS/RAILINGS '
RELIEF VALVES ''
FURNACE/HOT WATER O ERATING
INTERIOR TRIM/PRIV Y DOORS L----fts
FINISH FLOORS: g =
BATH/KITCHEN WAT RTIGHT — t
OTHER FLOORS SW EPABLE . -'
OTHER FLOORS CARPETED
STAIR CLEARANCE/ ILINGS ��'"
SMOKE DETECTORS L,--
DOOR CLOSERS �'
BATHROOM FANS
ALL PLUMBING FIXURES OPERATING
GARAGE FIRE PROO ING ��v
DOOR CLOSERS .---
OTHER FIRE SEPARAtION •--'
FIRE/DEMISE WALLS ��
FINAL ELECTRICAL .—.--'''--
OK TO ISSUE C/O OR C/C
COMMENTS:
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ARRIVE
DEPART ,z
z INSPECTOR
TOWN OF QUEENSBURY
531 BAY ROAD
I .
QUEENSBURY,
NEW YORK
1804
745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST
p,FOR
/�INSPECTION RECEIVED
NAME fill <�ldf ,
LOCATION 47/y p
DATE PERMIT#
TYPE OF RE di/ ji
RECHECK
FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL ,AFRAMING
jROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WO DSTOVE/FIREPLACE
REMARKS /n;�
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES .
FURNACE/HOT WATER OPERATING /'
INTERIOR TRIM/PRIVACY DOORS /
FINISH FLOORS: ,
BATH/KITCHEN WATERTIGHT /
OTHER FLOORS SWEEPABLE /
OTHER FLOORS CARPETED,/
STAIR CLEARANCE/RAILINGS
SMOKE DETECTORS
DOOR CLOSERS �`
BATHROOM FANS
ALL PLUMBING FIXTURES OPERATIVE
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C
COMMENTS:
0(20_, Stejkit
7 2 9 Z
ARRIVE
DEPART
INSPECTOR
/97)2
TOWN OF QUEENSBURY 0).-\
BUILDING AND CODES DEPARTMENT
531 BAY ROAD / ,
QUEENSBURY, NEW YORK 12804 4z
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED , 1�(3�
NAME �-�') CO)�,E�S 4 ��.�. 1l fl YC'
LOCATION /`';((` 2 ( y ctY/(c.L.Y A---
q ` PERMIT #DATE S/(S' �- q ,) —occi
TYPE OF STRUCTURE A 1 3- 4 0 k-CM'1.�X
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 PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL �7
ROUGH PLUMBING i
PLUMBING VENT/,BENTS IN PLACE
PLUMBING UNDE SLAB
:FRAMING:
JACK STUD/HEADERS
BRACING/B IDGING_
JOIST HA GERS
JACK POS S/MAIN BEAM }.
HEATING ROUGH-IN
INSULATI :
FOUNDA ION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R •
-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
.11h k,0
ARRIVE ' tY '
DEPART
' IN 'ECTOR