88-122 1 1 i
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 15 19 90
90
This is to certify that work requested to be done as shown by Permit No. 88-122
has been completed.
This structure may be occupied as a One Family Dwelling (Addition-Forth)
Location Pilot Knob Rd.
Owner George James
By Order Town Board
TOWN OF QUEENSBURY
7j4. (: { �,
Building & ng Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-122
WARREN COUNTY, NEW YORK •
PERMISSION is hereby granted to George James j°
OWNER of property located at Pilot Knob Rd. Katskill Bay Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition — Porch
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.
0
1. OWNER'S Address is
514 Acherman Ave. o
HoHotius, N.J.
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2. CONTRACTOR or BUILDER'S Name
m
Raven Industries
3. CONTRACTOR or BUILDER'S Address
58 McCormack Rd.
Lake George, N.Y. 12845 ro
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4. ARCHITECT'S Name rt
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5. ARCHITECT'S Address a.
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( 1 Masonry ( )Steel ( 1
M.,
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7. PLANS and Specifications
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No. 20' x 27' as per plot plan, specifications and application.
Area Variance #1326
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8. Proposed Use
0
Addition to one family — porch rt
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$5.00 C/0
$ 21.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1, 19 88
(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 7th Day of April 19 88
SIGNED BY / /77a-e .. [ /60-&/it for the Town of Queensbury
Building and Zoning Inspector
// TO BE COMPLETED BY BLDG. DEPT. TOWN OF QUEENE:':.II,... _
own o� Queendbu� Application No. p (a ( !..11 \VI
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BUILDING and ZONING DEPARTMENT jj1 4
Permit Issued 19 LVj �, ,
Permit Expires 19 A �Q Say and Haviland Road, R.D. 1 Box 98 Zoning Designation - APR 4 W88
Queensbury, New York 12801 Variance No. AQ'vA—�j2,(,
Site Plan Review o. • BUILDING & CODE DEPT.
��� Appro ed y Fe 6 o?/ o�
\C�- APPLICATION FOR - � } S�
BUILDING AND ZONING PERMIT a&
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * :*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The underni,gned hereby applies for a Building Permit to do the following work which will
done in accordance with the description, plans and specifications submitted, and such
)ecial conditions as may be indicated on the Permit.
•
►e owner of this property is:, � 11 syy.
� crof,
s
0. Address . /y /m�7�/l-r 40i ve j ,,5, /l -/5vf /—T Tel. /erS Z�ryy�
operty Location: // f 4neii G�G�" l7ct/3. ' Tax Map No. /7 / / / .? 2_
Street number or building lot number
bdivision name (if applicable) -r-- ---
E ERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
•
me of builder#,ma72""-12' -;�f Address SI(—' ».... (le e1S Tel. 5-79V—°? 7_?y
me of plumber Address ' Tel.
me of mason � ... Address ai c -- Tel. �;.-,.. lz
TURE OF PROPOSED IRK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Egadition to a building * drawn reasonably to scale and attached hereto,
Alteration to a building *. showing clearly and distinctly all buildings,
(no change to exterior dimensions) * whether existing or proposed and indicate all
Other work (describe) * set-back dimensions from property lines. Give I
* street and number or lot number and indicate . .
R DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
:ATION OF STRUCTURES AFFECTD. of water supply and location and configuration
f— �,e 7' — "2-, / * of septic disposal area.
/� * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 06. ft X /9) ft.
* Existing building(s) Size Y� ft X /3 ft.
)POSED BUILDING AND USE: *
* Exist),ng bui, ing(s) Use O'he /_�,.,,-
e of new structure 2,47 ft X Z- ft * eei g,'
mdation-pier/slab/crawl arts full * Proposed building, distance from property line
(circle one) `�
. of stories (habitable space) � *• Front yard ' /rr ft Rear yard/0- ���
Lght (grade to ridge) /� ft. * Side yards' ' 7�i® ft and s-/ ft
residential, no. of families * If on corner, setback from side street ft
. of rooms(excluding baths) > • * OCCUPANCY INFORMATION
. of bedrooms
of bathrooms * P IMARY BUILDING - •
* /One family dwelling
Lmary heating system /W "4k- * Two family dwelling
?e of fuel G/6-
. of fireplaces to be installed * Multiple dwelling / Number of units
L1 a wood stove be installed? *
itral Air conditioning? - Permanent occupancy
_--- * Transient occupancy
Y Business
*
[LDING STYLE, PRIMARY STRUCTURE * Industrial
* Other
ich Contemporary Log cabin If addition' w at will use be? O'er /= .,,�
Lsed ranch Mansion Duplex *
Lit level Old style Bungalow * wi 0 '" ' - -
?e Cod a� Other * ACCESSORY BUILDING-
Lonial Row Town House *' Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * ' Private storage building
;TIMATED MARKET VALUE OF * Other . ' ' . ' ' . ' . . ' '
INSTRUCTION *
$ 0T�
''ORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! .
rm BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. J"'-r 2'�U� •
Will any second-hand or ungraded lumber be used? If so, for what? ,1�;�
Foundation wall material Thickness / 3 "
Depth of foundation below gr de (to bottom of footing)v� y
Will there be a cellar? ' Heated or unheated? vi'f 'Floor sq. footage 5*' sq ft
Will there be a basement? -Will any portion be used as living space? .iG-
(If so, what porti• .? t----' sq.ft. - Type of use? ------
Type of roof - o•-- flat/shed/other Material.-of roof 23)-- " ,/7�G 4,G,
Size, wood stu•s 'Z_ "X " spacing/G "o.c. length ye ft.
Joists(floor beams) 1st. floor 2— "X /Gr " spacing /G "o.c. span/L ft.
Joists (floor beams) 2nd. floor , "X -____" spacing - .C. span''—... ft.
Overlays(ceiling beams) Z "X l' " spacing /' "o.c. span/e_ ft.
Roof rafters 2_"X /j " spacing/l o.c. span/7 ft.
Roof trusses (pre-engineered spacing ,- "t .c. span ---fit.
Exterior wall finish .e c ,- 1j �,r Of what material?��at �"� �
f 3z� -
Interior wall finish , i :ee � �- y'/ //n 7 .
If a garage is to be attached, describe materials to:be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-rated
door, enclosure, and self-closing device be provided? ✓----
Will a flue-lined chimney be installedHeight above roof .___--- "ft.
Depth of chimney foundation below grade - ft.
Depth of fireplace hearth .- t. --min.
Water supply - Municipal or private well 4/e,'- '
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties ft.
(A separate application is necessary for any repair or new ,•nFta (lation of septic system)
� -"� -i
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
I swear that 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.
SWORN TO BEFORE ME THIS Signature___
0 er, owner's agent,a cnitect,contractor. •-
day of 19
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
2 . Type of heat --
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors
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 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 r of and floors exposed to ambient conditions
�U
2 . R value of exterior walls
3 . R value of glazed area Z" 5
4 . R value of doors Z '
5. R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade) --"
10 . Type of insulation �yo
C. Controls
1 . Thermostat maximum heat setting �a
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
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.
( p icant ' s signature)
y awn of Queen Jl urrf
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME (/71,E: `4 e
LOCATION , � t.,
_o, 1Q ,
Date Vi /Wi Permit No. "' /
* * * * * * * * * * * * * * * * * * * * * * *
- APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing 1 .
Siding ✓
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches / 1/-
Finished Floors / I '\
Interior Trim \ P/---
Stairs & Railings `
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures ,
Gar. Fireproofing
Door Closers
Smoke Detectors \
Chimney
INSULATION: / \
Foundation \
Floors
Walls
Ceiling
FINAL ELECTRICAL SPECTION
D)IVEWAY APPROVAL
inal Building Surve
Next scheduled inspection (call when ready)
Remarks- ok Pefticr Ft—)tell , -7-79
u ing Inspector
hlik '86 and-vl
-own o/ Queeniturf/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME *6/19
LOCATION ifj 4:7-7,9--o
Dates __ Permit No.
- APPROVED - YES ,/ NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Ven_er
Rough Plumbi •
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
__ Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofi •
Door Closers
Smoke Detectors
is AT
ey
SULAION:
Foundation
Floors L^
Walls ( 9 c/
Ceiling I - -bc.)
FINAL ELECTRIsAL INSPECTION
DRIVEWAY APPRO AL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
7/7-- / /77 "?
Building Inspector
6/86 and-vl
' , 1
_J'own O/ Qø9enurS1
BUILDING and ZONING DEPARTMENT
Bay and Ijaviland Road, R.D. 1 Box 98
/UILDING
Queerlsbury, New York 12801
ilINSPECTOR' S REPORT
NAME
.,X,...,,,
LOCAT I ON .) -/I/
Date ' p / Fr Permit No. ,Ptp--J
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Ba fill
xaming
Roofing
Siding
Masonry eneer
Rough P1 bing
Relief Val es
Ext. Porche.
Finished Floors
Interior Trim
Stairs & Railines
Cellar Drain Til,-
Concrete Floors
Plbg. Fixtures
Gar. Fireproo ng
Door Closers
Smoke Detect+rs
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELE TRICAL INSPECTION
DRIVEWAY APPROVAL
Final Bui ding Survey^
t
Next scheduled inspection (call when ready)
Remarks-
/ %
Buildin14111°spector
6/86 and-vl
VP awn of Queeniury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME pAithil
two_
LOCAT I ON K_A-\-- . LL R/ -T twr
Date 'f/) � �i�g
3/ Permit No. � ��
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
}'Foundation
'Waterproofing fE/0t.,'
XBackfill /
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Parches
Finishea Floors
Interior Trim
Stairs & °ailings
Cellar Dra Tile
Concrete Fl..rs
Plbg. Fixture .
Gar. Fireproof'n•
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECT"ICAL INSPECT ON
DRIVEWAY AP'ROVAL
Final Buildi, g Survey
Next scheduled inspection (call when ready)
Remarks-
cG vT L
Building Inspector
6/86 and-vl
awn Of Queen Jurcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR 'S REPORT
NAME Ge m
LOCATION 7/0
�� t
Date / Permit No.
✓ = APPROVED - -S / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Vene_
Rough Plumbin•
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof in;
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECT•iCAL INSPECTION
DRIVEWAY APP'°OVAL
Final Buildi g Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
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