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91-112 41 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 94/ "15 19 _Zh/ This is to certify that work requested to be done as shown by Permit No. 91-112 has been completed. This structure may be occupied as a Alteration to Dwelling 1nwation Cleverdale Rd owner Carleton K. Little By Order Town Board TOWN OF QUEENSBURY Director of Bldg. do Code Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-112 O WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Carleton K. Little •N OWNER of property located at Box 53, Cleverdale Rd 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 approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is Same 2. CONTRACTOR or BUILDER'S Name r Alfred J. Pelkey co 3. CONTRACTOR or BUILDER'S Address —f fD fD 4. ARCHITECT'S Name O� fD C. 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( X Wood Frame ( ) Masonry ( )Steel ( 1 � fD 7. PLANS and Specifications . r mole mole No. Interior alterations to dwelling as per plot plan specifications and application 6 c 8. Proposed Use alterations to window & change any under sized headers & Insulate $ 76_80 PERMIT FEE PAID—THIS PERMIT EXPIRES March 27, 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 ?7t _, Day of r h i9 91 SIGNED BY \ l:z%, - for the Town of Queensbury Building and Zoning lnspe TOWN OF QUEENSBURY REVIEWED BY FEE PAID $ 6, To*"o PERMIT NO. C)/ //a BUILDING PERMIT APPLICATION A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS (ILL 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. • • • • • • • • • • • * • • * * • • • * a * • • * • • • • • • • * * • • * • • • • The owner of this property is: ...-.(..(f k 4Z P ( L . L' `(e P.O. Ad- c74ss „� 3 Tel. �ps‘93 ,,3 Property Location �'P lierdA 60 ed Tax Map No. '/ , Has there been any split of this property since October 1, 1988? / ff yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE LOT NO. I ` CHE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: * 1ATURE OF PROPOSED WORK: * ESC:MATED MARKET VALUE OF Construction of a new building * CONSTRUCTION: $ Addition to a building ,`,,, � * COMPLETE INFORMATION REQUIRED BELOW: * Size of property ft x ft. I/Alteration to a building (no change to exterior dimensions) Existing Buildings(3) Size ft. x ft. * Proposed building - distance from property line: L- Other work (Describe) m Front yard ft. Rear yard ft. &. t 41k3e t.cc f�n5,,1a� * Side yards ft. and ft. * 3ROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft. * 1st Floor sq. ft. OCCUPANCY INFORMATION * 2nd Floor sq. ft. • Primer Building - Other Floors sq. ft. • One Family Dwelling (not cellar or baser ont) * Two Family Dwelling TOTAL FLOOR AREA _=isq. ft. •* Multiple Dwelling/Number of units lize of new structureyft x ft. • Business Foundation-pier/slab/c.._ -:' ,;,rtiax/full * Industrial (circle �11.,.; * Other • :o. of stories (habitable space) 2.-- * (eight (grade to ridge) ft. * If addition, what will use be? f residential, no. of families • !to. of rooms(excluding baths) • � Access Building !Io. of bedrooms • v' Detached Garage ONE/TWO Car go. of bathrooms _3 * Primary heating system • _Attached Garage ONE/TWO Car rype of fuel 0 t __Private storage building • 1. of fireplaces to be installed a wood stove be installed V Air conditioning •• Other OV* ER 1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type -4 I of construction, wood frame, fire safe, etc. S-00 ,_ 2iP lE J� Will any second-hand or upgraded lumber be used? If so, for what? h p Foundation wall material Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar? Heated or unheated? Floor sq. footage sq ft. 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 "x " spacing " o.c. length ft. Joists (floor beams) 1st floor "x " spacing "o.c. span ft. Joist (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 If a garage is to be attached, describe materials to be used for FIRE SEPARATION: Is there to he an opening between garage and dwelling? If so will a Fire-rated door, enclosure, self-closing device be provided? Will a flue-lined chimney be installed? 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) NAME OF BUILDER ADDRESS TEL. NO. NAME OF PLUMBER ADDRESS TEL. NO. NAME OF MASON ADDRESS TEL. NO. NAME OF ELECTRICIAN ADDRESS TEL. NO. 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. Signatur k Owner wner's t, ar ontractor SPECIAL CONDITIONS OF THE PERMIT: BY ENERGY CODE COMPLIANCE APPLICATION TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 1 & 2 Family Dwellings (ONLY) PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings; Multi-Family Dwellings (3 Stories or Less) PART 4 - Design By Component Performance - Commercial Buildings - Hi-Rise Residential PART 4 & 6 - Compliance Methods Require Submission of Worksheets tok c-D,cast2s±±, C������.�� e Qvec }\c .` P' IC QS PROPERTY LOCATION PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1. Gross Floor Area - /9 Sq. Ft. X2. Type of Heat - 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! Baseboard 5. Insulation Values: Actual Shown Elec. Heat Other A. Roof & Floors exposed to ambient temperatures R B. Exterior Walls R C. Glazed Area R �/I D. Exterior Doors R 0 ,t)� A `Y/I � R S E. Floors over unheated spaces G, ,� F. Edge of Slab on Grade (Heated Building) Ri G. Basement/Cellar Walls (Above Grade) R '1��0.4 p H. Basement/Cellar Walls (Below Grade) R f/�`el ` I. Heating/Cooling - Ducts - Piping in Unheated Space 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 A4lkDATE ► TELEPHONE NUMBER L AEI SIG URE g INSPECTOR'S REMARKS: REVIEWED BY TOWN OF QUEENSBURY 1 531 BAY ROAD ��► QUEENSBURY, 2804 ELEPHONE (518) 745 NEW YORK 1-444 4447 BUILDING INSPECTOR'S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME C AF11_Evn t� LOCATION CA �2 \t DATE-k°u( 9 4 PERMIT# C1\—11Z l TYPE OF STRUCTURE JLr RECHECK FIRE MARSHAL APPROVAL (COMMERICIAL STRUCTURE) FOOTING FOUNDATION BACKFILL FRAMING ROUGH PLUMBING FINAL ELECTRICAL SEPTIC INSULATION WOODSTOVE/FIREPLACE REMARKS APPROVAL N/A YES NO CHIMNEY HEIGHT/LOCATION B VENT/LOCATION PLUMBING VENT ROOFING SIDING DECK/PORCH/STEPS/RAILINGS ,/ RELIEF VALVES ` FURNACE/HOT WATER OPERATI,IG ./ INTERIOR TRIM/PRIVACY DQORS FINISH FLOORS: / BATH/KITCHEN WATERTI,HT OTHER FLOORS OTHER FLOORS CARPE7EEDE STAIR CLEARANCE/RAI 1NGS SMOKE DETECTORS DOOR CLOSERS BATHROOM FANS ALL PLUMBING FIXTURES OPERATING ✓ GARAGE FIRE PROOFING DOOR CLOSERS OTHER FIRE SEPARATION FIRE/DEMISE WALLS ✓ FINAL ELECTRICAL OK TO ISSUE C/O OR C/C COMMENTS: _ CetD_ = PLC�S c—i L \ VDo 1._0\1� HE CT k c� `C'\-\ �l�` � tJ v_- 1 kJ1:A Took Nv T\K-v T-\t-)NE. v`_ k).)OPAI,E t'\ 11s.. Page vJ y s cc ymmo EL_Ec-c-R\c . �ov A V‘t0.L ARRIVE \\ 4 DEPART 12. N PEC , ,r TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME e,,e2A7)0. z)2/'� ,4/ _ LOCATIONy DATE y//0/9/ PERMIT I X/-//Z TYPE OF STRUCTURE GC,.er / RECHECK APPROVED IN/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 ROUGH PLUMBING c-+L 9/ � (PLUMBING VENT/ IN PI Ar o y//�/y`/ PLUMBING UNDER SLA FRAMING: & //gX/ G!ig JACK STUDS/HEA ERS x BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN 'INSULATION: CM- e/(pre/C FOUNDATION WALLS INT RI R R- // , FOUNDATION WALLS EXTERIOR R- FLOORS R- WA LLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: Zdll A/V/Ce7/ (//6(v(/4( ARRIVE DEPART INSPECTO Ind ° // fr-rf.124�1� own eensbur/ BUILDING and ZONING DEPARTMENT , Bay and Haviland Road, R.D. 1 Box 98 930 Queensbury, New York 12801 SEPTIC DISPOSAL SYSTEM INSPECTION NAME D rz- LOCATION C DATE //U/ 'T/ PERMIT NO. C//-1. SOIL TYPE - Sand - Loam - Clay - Percolation Test Required? YES - NO Percolation- rate - Min/Inch TYPE of SYSTEM: Absorption field, total length Length of each trench Depth of trenches Size of gravel '' _ SEEPAGE PITS{Number of) Size- ft. X ft. Gravel size PIPING: Size Type Bldg. to tank Tank to dist. box Dist. box to field/pit _r_ Openings sealed? YES„ / NO Partial s . LOCATION/SEPARATIONS: i\ Foundation to tank ft. Foundation to absorptipn ft. Absorption to lot line ft. Separation of pits 4'\ ft. LOCATION OF SYSTEM ON PROPE TY(circle one) Front - Rear - Left side - .ght side - C ENTS: Nap 1,05 terOI_.7 D Q cis t --- ,1_ M& r wrr'1 AA2, 0oof y��,v�`iA 12 &A---rP\--c SYSTEM USE APPROVED ES NO uilding Ins ector 01/86 and vl . ` 1 VW TOWN OF QUEENSBURY Bay at Haviland Road, Queensbury,NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT ` May 10 19 91 C2evendate PROPERTY LOCATION DA. L L-tt,!e OWNER OR TENANT BUILDING SEWAGE XX SIGN OTHER REMARKS: Met with septic conitac ton and eng Lneen to view test ho.2e don pnopo4ed septic system. Hole was machine-dug to apnox. 10 it depth. Wat'en ways ob-&enved seeping .in hole at apnox. 6(t. below exLc t i ng Soi.t4 don the top 3-4 4t arpentLed to hP inniP gnanulan gnadua ;Lnq .into deri en,clay-.eih.e 4o.i.14 at apnox. 6ct depth. Test hole waz dug at a meatuned 1101 t. bnom take. cutkftXMKKPOWAVXAWAX • • INSPECTOR V-La Leiebvn "HOME OF NATURAL BEAUTY. .A GOOD PLACE TO LIVE" SETTLED 1763 4, TOWN OF QUEENSBURY 0A‘ BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED NAME d av,h5, 1< o4,/ b , LOCATION :j 0&(uiil d - lI DATE //&/l// PERMIT # TYPE OF STRUCTURE ta - _e/diby%q 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 ROUGH PLUMBING PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB FRAMING: /` JACK STUDS/HEADERS ✓ BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM FIRESTOPPING WALLS CEILING FIREWALLS HSUTT ROUGH-IN INSUiATION: '4 FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIQR R- FLOORS R- WALLS R- CEILING ' R- \ DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: � A ARRIVE 4:20-0 DEPART ./C) 1I PE 'TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT EQUEST FOR INSPECTION RECEIVED Lt II .F TAME ; ' /1,,-�C .00ATION IQt"�' ATE '1, �. \� I PERMIT # 9/// YPE OF STRUCTURE du- ry v 2L - ECHECK APPROVED . N/A YES NO OOTINGS/PIERS ''ONOLITHIC POUR FORM EINFORCEMENT IN PLACE HE CONTRACTOR IS RESPONSIBLE 'OR PROVIDING PROTECTION FROM REEZING FOR 48 HOURS FOLLOWING ME PLACEMENT OF THE CONCRETE. IATERIALS FOR THIS PURPOSE ON SITE OUNDATION/WALL POUR EINFORCEMENT IN PLACE OUNDATION/DAMPROOFING ACKFILL APPROVAL OUGH PLUMBING LUMBING VENT/VENTS IN PLACE : ". LUMBING UNDER SLABf . RAMING: JACK STUDS/HEADERS ' BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM (''. (EATING ROUGH-IN NSULATION: FOUNDATION WALLS INTER OR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES ;MARKS: IRRIVE /62'/v EPART /o/ INSPECTOR