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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 k TOWN OF QUEENSBURYA a No. 92-061 �° WARREN COUNTY, NEW YORK 0 o 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 O 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. "^ 0 3. CONTRACTOR or BUILDER'S Address fD 500 Kenwood Ave Delmar, NY 4. ARCHITECT'S Name tD 5. ARCHITECT'S Address N fD 6. TYPE of Construction-(Please indicate by X) 9 ( X Wood Frame ( ) Masonry ( )Steel ( ) 0 111 7. PLANS and Specifications '! �• No. 883 sq ft Alteration to Dwelling as per plot plan specifications and application a 8. Proposed Use ef' e+ Windows being changed and Reconfig. bathrooms 0 0. $ 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: / .6.tC - L�A�c L'1< s' • 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