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�
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k).)OPAI,E t'\ 11s.. Page
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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