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86-002 + r 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 Owner By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector CREATIVE "INSTA" PRINTING. GLENS FALLS. N V 12801 1818)793-5658 _`• BUILDING PERMIT TOWN OF QUEENSBURY No. 86-02 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Myron S. Rapaport OWNER of property located at Burnt Ridge Road, Assembly Point Street,Road or Ave. in the Town of Queensbury,To Construct or place a Addition to dwelling (library) 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. cn 1. OWNER'S Address is 175 Bradley Place Palm Beach, Florida .71 w 0 2. CONTRACTOR or BUILDER'S Name Joe Roulier 3. CONTRACTOR or BUILDER'S Address Cgeverdale,New York a M 4. ARCHITECT'S Name 0 rt 7y r• m 5. ARCHITECT'S Address id 0 w a, 6. TYPE of Construction—(Please indicate by X) m U) rD ( *Wood Frame ( ) Masonry ( )Steel ( ) 3 7. PLANS and Specifications 13')(13' per plot plan, specifications and application °, No. submitted and per Var. 1046 granted 12-18-85. rt 8. Proposed Use One—Family Dwelling 1-6 rt r• 0 $5.00 C/O Paid $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 1 1g 86 0 (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, 3rd Day of January 1g 86 1-6 CR SIGNED BY 7nadO. /J for the Town of Queensbury Building and Zoning Inspector a rt 113 , TOWN OF QUEENSBURY (Space inside block to be fillet) in by' WARREN COUNTY. NEW YORK Building Inspector) • Application for .‘1►,►Iicatiun No. ' Permit Issued Pt . BUILDING AND ZONING PERMIT 1'.•rmis }:spires. 19. /.InIi;.g I)iariti - ©.AJ& Copy %Am:(.I %Vork$ f a PLOT PLAN, Drawn to scale A1'1,1.1..4•tl by showing the actual dimensions of the lot to be built 1!.•.nar)(f' upon, The exact site, and location on the lot of the building to be erected or altered MUST BE SUB- MITTED WITH TH„(t APPLICATION."� Tax Map 5-1-18 //3 /e TOWN OF QUE SBURY 1/ RATE REGEAvEDI A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ., ANSWER ALL QF THE FOLLOWING. A A .3,, ` 8 ,,� .2` M. The undersigned herby applies for a permit to do the following work AMA 9./�'raa I which will be done in accordance with the description, plans and specifi- Qp �e� 3 4 s 6 cations. and such special conditions as may be indicated on the permit. 718191100.1411 8 `• ' t °)• • The owner of this property is: "�' �� Myron• •S••Rap pfir•t 17.5 .Bradley ey. Place„. PS A T act., .Fla The person responsibie for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: Joseph RouLi,?r Seelye. .Rd . .Cleverdale.,. .NY (NAME) IP O ADDRESS) Name of Builder. . . Joseph .Roulier Address same as above Name of Plumber Address Name of Mason Address Lot Number Unit Estimated value of proposed work f . .55 000•A too Name of Village Name of Street Burnt•Ridge Reed Side of street: north ❑, east CI. south 0. west [it Nearest Cross Street Distance from this rross street Ft. Property is north 0,south 0,east i,west 0 from Cross Street If on Corner.which corner,northeast 0, northwest ❑, southeast ❑, southwest (Designate by marking with an "X"in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY _ ❑ Construction of a new building. Main Building ❑ Addition to a building. One-family dwelling ❑ Alteration'to a building. Two-family dwelling ❑ Demolition of a building. • . . • -family apartment house 0 Store building 0 -car attached garage 0 Other: • Accessory Building One-car detached garage 0 O Other work. Describe: Two-car detached garage 0 Pe,. (km, /f f 4 Private chicken house 0 Z !�� Private storage building 0 1 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 NORTH pro- posed buildings,and the location of all existing buildings. TS Show proposed building(s) in dotted line and existing al o building(s) in solid line. co50' Size of property . . . .1 e5 ft. a . .. 231 ft. rel 231 ' W 151 ' Si av d use of existingbuildings, if any a Ostage 'x76 N . �(4 t- in e 83 W Size of proposed building 1.3. . ft.a .13 ft. ---a_ ft. 383 —! .0 Height(from grade to ridge) 25 . Front yard 310+ . ft. I Side yards 20 ft. and . . .2.9e4:71". . ft. Rear yard 45' to—Lake ft. SOUTH If on corner,setback from side street ft.. . Note: All distances ere net, as treasured frosts street side line to nearest part of building. (OVER) 7-73-M (cont'd.) BUILDING SPECIFICATIONS wood frame Kind of construction: Wood frame,fire safe,etc.? x Will any second-hand lumber be used? no If so, for what) Material of foundation walls none thickness Depth of foundation walls below grade na Continuous foundation? Will there be a cellar? 110 If so, material of cellar floor Type of roof: Sloped or flat? . . . .sl:oped Material of roof . i-!l. •Cdx.Rw•w/asph .shingles Size,wood studs 2 "x 4 ",spacing . . 1.6 "o.c., length. .6.,.75• ft. Size,floor beams, 1st floor 2 "x 1 0 ",spacing 16 . "o.c.,span .1 0, ft. Size, floor beams,2nd floor 'Ylon..e ", spacing "o.c.,span ft. Size,ceiling beams 2 "x 6 ", spacing 16 "o.c.,span . ..1 0 ft. Site, roof rafters or beams 2 "x 6 ",spacing .16. "o.c.,span . . .7.4 ft. Exterior finish bd & batten With what material? 1 !'x125.. pine. bd. w/battens Finish of interior walls 1 "x6" pine. .panel. ing If garage is to be attached, of what material is wall between garage and main buijding to be constructed? na Is there to be an opening between garage and building? Kind of heating system . . elPct. .basebd Oil burner or coal? no Will a flue-lined chimney be provided? na Depth of chimney foundation below grade . .na Height of chimney above roof na Will there be a fireplace? no Depth of fireplace hearth Will a toilet be installed' .n0 Will a kitchen sink be installed and connected to water supply? . .no Water supply(public water supply or pump) ma Distance of cesspool from any private well na 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 to harof my know/Ades and belief the statements contained in this application,n with the plats and speeifioadons sub- mitted, are a true and co... ete statement of all proposed work to be done on the described premises end that all of the BUILD- ING CODE.THE ZONING ORDINANCE,and all other laws pertaining to theemptied shall beemptiedwi sposidad oe art, end that such work is authorised by the owner. ---.�� Sworn to before me this Signature .. OWNER.O ER'S AGENT.ARCHITECT.CONTRACTOR -3 day of 19 � Conractor - . J Roulier 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: 1 . Gross floor area /4¢ 1 �Q 2 . Type of heat G of GT - N,/ 6 3 . Is the building mechanically cooled? a d 4 . Percentage of area of windows and doors (.cam S /�� Jz*s > / A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a. Are foundation walls insulated? YES t NO 1 . If YES , what is the R value? , - 3 . Slab on grade YES NO a . If YES , what is the R value of insulation around perimeter of floor? 4 . Is basement heated? YES NO a . R value of insulation 5. Type of insulation B . Under 16% Only 1 . R value of roof and floors exposed to ambient conditions 2 c) 2 . R value of exterior walls 3 . R value of glazed area 2 . C5 4 . R value of doors /" /Y . 5 . R value of floors over heated spaces 2(� 6 . R value of slab edge insulation - unheated slab/lf-)1 7 . R value of slab insulation - heated slab / "7 8 . R value of heated basement/cellar walls (above grade) / 9 . R value of heated basement/cellar walls (below gradeq`+4 10 . Type of insulation J7/5 . 57-4: --- ',S /9 rl✓3 1G/6 C. Controls 1 . Thermostat maximum heat setting 72- D . Duct Systems 1 . Is duct system installed in unheated spaces? YES 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 /L'''� 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 . GV-.3.ryY (applicant ' s signature) (ContractdOeph Roulier for Myron S Rapaport TOWN OF QUEENSBURY Building Department Inspectors Report Date L e,/'jf 96 � Name 4AI PC�tr' t Location Huic Ei � S /tiljjLY Pr— Permit No. �'/'- b 2 Weather VAG .2 AiCPe- Y1 emarks 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 s' Cellar Dr. Tile Concrete Floors "� Plbg. Fixtures Gar. Fireproofing Door Closers Chimney Water Meter Inst. Septic Approval Floors Insulation Foundation Walls Ceilin Buil i nspector . REMARKS TOWN OF QUEENSBURY Building Department Date q q�8(�' Name • /JO(a it+oaUgi k-1 s�;/Zt i t Pe mit No. a Co - o Z Weather Remarks Excavation Footing Forms Footing & Piers Foundation Cement Coat Waterproofing Backfill Final Survey l Framing t/,jT,‹ :1_ • Sheathing r Roof Felt Roofing Siding Masonry Veneer Rough Plbg. Relief Valves Wall Board Ext. Porches Finished Floor Interior Trim ,.' Stairs & Railings .f Cellar Dr. Tile 7o. Concrete Floors Plbg. Fixtures Gar. Fireproofing ' Door Closers , Chimney Water Meter Inst. • Septic Approval Floors Insulation Foundation Walls Ceiling * e/11 d-Z4 Building Inspector REMARKS ter► RAf AFO SIM►'tiS ; eND Bug NT R.LD66 RI). P,SS 5M5G%( 0 0) `h ASS {a DvNHRAgs SAY 04, � r�