88-020 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date V(n1*( 1 7 19 89
This is to certify that work requested to be done as shown by Permit No. 88--20
has been completed.
This structure may be occupied as a One Family Dwelling
Location JUshua v s Rock Dunham's Bay Lake George
Owner Al Dartis
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-20
WARREN COUNTY, NEW YORK 'Ts
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PERMISSION is hereby granted to Al Dartis
OWNER of property located at Joshua's Rock Dunhams Bay Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alteration to One Family
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 RD 1 Dunham's Bay
Lake George, N.Y. 12845
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2. CONTRACTOR or BUILDER'S Name m
Joel Clugstone
Adirondack Contracting
3. CONTRACTOR or BUILDER'S Address
Box 159 Star Route c�
Glens Falls, N.Y. 12801 En
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
(x)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 12' x 24' as per plot plan, specifications and application.
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8. Proposed Use
addition to one family (living room)
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$5.00 C/O °p
$ 60.00 PERMIT FEE PAID —THIS PERMIT EXPIRES August 1, 19 88 0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
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town of Queensbury before the expiration date.) rp
29th January 88
Dated at the Town of Queensbury this Day of 19 N
SIGNED BY
W-7a,e-j' lL/J�� for the Town of Queensbury
Building and Zoning Inspector
• TO BE COMPLETED BY BLDG. DEPT. I .
C� // • Application No.
_Jou�n o� 'Queensbur� Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 • Ti)'WN OF QUEENSDUR`.•
Bay and Haviland Road, R.D. 1 Box.98 Zoning Designation I,-/A D N M ji I ll iiii
Queensbury, New York 12801 Variance No.
Site Plan Review No. JN27198
` J • Approved by: �<�P •
B IL.DING & CODE DEPT.
" 1
_ 1 APPLICATION FOR
BUILDING AND ZONING PERMIT i. _ire-c�/e,
. * * * * * * * .* * * * * * * * * * * * * * * * * * '*• * * * * * * * * * *:*
A PERMIT MUST-BE:OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER' ALL OF THE FOLLOWING.
The undersigned hereby applies for a'Building Permit to do the following work which will •
be done in accordance with the description, plans and specifications submitted, and such• _
special conditions as may be indicated on the Permit.
The owner of this property is: ,4 (�cr-I�5
P.O. Address Re) ( )(, F . Lck �C�t'C;z ..✓1� r JO1
'S � � jJ/Z��S� Tel. ���.�. c
Property Location: �, /I G' II y� L Tax MapNo.
P Y ��(�A�S � L; ��:.�"—Ii.d.t.A-i l��c� •C;�. / /
Street number o'r building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
0 l CIJ ®-- IC /5) 4-jr Oh . C t 4. .4/o'// S 6 36L c)
Name ' P.O. Address /Zivl Tel. No.
Name of builder A,- r'c bo Cc.U1rBC v.AAddress !/5``� --).m..-ri ��-I. Tel. lv G" 3622). •
Name of plumber Address Tel.
Name of mason Lj,144 ! Address ' Tel.
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NATURE OF PROPOSED WORKS * • ZONING INFORMATION: •
Construction of a new building • * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
k/Addition 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 proper"Ey lines. Give •
* street and number Or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property -le) ft X / Z- ft.
* Existing building(s) Size /G> ft X SZ, ft.
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*. . . . . . . .
PROPOSED BUILDING AND USE:
* Existing building(s) Use ' V,c..&Ce
Size of new structure /Z ft X Zef ft *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
*
(circle one) 4, * Front yard - 6 " ' ft Rear yard '2 W ft
No. of stories (habitable space) 1 * Side yards ft and 3-ri ft
Height (grade to ridge) ili ft.43
* If on corner, setback from side street f�a2'i ft
If residential, no. of families l
No. of rooms(excluding baths) ' 1 ' . * OCCUPANCY INFORMATION
No. of bedrooms ' .. * • /'
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No. of bathrooms. / * PRIMARY BUILDING -
Primary heating system - C;(-&c c ,�� *. One family dwelling
* Two family dwelling
Type of fuel c�iq * • Multiple dwelling / Number of units
No. of fireplaces to be installed V
Will a wood stove be installed? � * Permanent occupancy
Central Air conditioning? -7= * Transient occupancy
* Business
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BUILDING PERMIT APPLICATION CONTINUED -
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BUILDING SPECIFICATIONS: •
Type, of construction, wood frame, fire safe,etc. erS •TU`4f -----
Will- any second-hand or •ungraded-lumber be used? If so, for what?
Foundation l /31.wall material . Thickness ��>>
Depth of foundation below grade (to bottom of footing) lte,4 Div+ �, /5h6 cUt effr-'r:Cz_ •5/42_
Will there-be a cellar? ye Heated or unheated? Floor sq. footage sq ft
Will there be a basement? Will any portion be used as living,space? /r/v
(If so, what portion? sq.ft: - - Type of use?
Type of roof - ope flat/shed/other Material-of roof 6A47/ 4 i i11`/,-
Size, wood studs 7, "X " spacing A, "o.c.• length ' ft.
Joists(floor beams) 1st. floor -2- "X /O' " spacing /t "o.'c. span g ft: . ' ,• .
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span . ft.
Roof rafters 2- "X 0J' spacinga o.c. span /(o ft. •
• Roof trusses(pre-engineered) .spacing "o.c. span ft. .
Exterior wall finish r_04a - � Of what material?
Interior wall finish ,e. ' i- •-� - •
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 installed? /" Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft in. . • .
Water supply - Municipal or ivate we
SEPTIC SYSTEM _ Distance from Y private well(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury
County of Warren AFFIDAVIT' STATE OF NEW YORK
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. . •
P .
SWORN TO BEFORE ME THIS Signature 1?-aartf-- --
\ Owner, owner's a ent,arcnitect,contractor
'2'U day of eJ(.1,c„, . 19
Notary Public, Warren County; N.Y. -. •
* * .* * .* * * * * * * * „•'t * * * * ,* * * * * * * * * •* •* * * * * * * * * * * * * * * * * * *
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SPECIAL CONDITIONS OF THE PERMIT: •
656-3612
�.--. 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 Ce, 4a:7? ¢r. Arporno__ K /
2 . Type of heat .PO PI ) I p A� 1
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
posed to ambient conditions
2 . Floo over`/he ated spaces YES NO
a. A e foundation walls insulated? YES NO
1. I/ YES , what is the R value?
3 . Slab on g ade YES NO
a. If what is the R value of insulation around
erimet:r of floor?
4 . Is basement he.. ted? YES NO
a. R value of \�nsulation
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
-�� {Co)t= ) —
2 . R value of exterior walls - 1 /3 /04 .V.
3 . R value of glazed area•- (LA
4 . R value of doors 2- 2
5 . R value of floors over unheated spaces
6. R—v-a-1-ue of unheated slab
7 . R v-a ,u,e ,n-f.-..s-1=a.b i-n-su-1 a-t4.on - heated slab
8 . R—v ]emus�o ---h•east.ed,-ba.s.em.ent/ce11ar walls (above grade)
9 . •=-R—va-hx`e af=hea-tWd""basement/cellar walls (below grade)
10 . Type of insulation Pl eeL-�j_1 ,
C. Controls 75
1 . sThermostat maximum heat setting ' Sv
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If YES , R value of duct installation
b. R value of duct in other areas /a///r
E . Piping Insulation `�
1. Size of hot water or cooling carrying agent pipe '/,
TOWN OF QUEENSBURY •
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS Pir/
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT V15/
REQUEST FOR INSPECTION RECEIVED
NAME ( LO
LOCATION j ke.. } m's We_.
9
DATE 3-/ PERMIT # Sj D
- o.„ .A41-n.:4 APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL -'
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN ' •
INSULATION:
FOUNDATION `, r
FLOORS •,P
WALLS
CEILING
/1INAL INSPECTION: '
CHIMNEY HEIGHT \
ROOFING
SIDING `� ✓
EXTERNAL PORCHES/STEPS,.
STAIRS-CLEARANCE & RAILS'\
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORSt L
GARAGE FIREPROOFING
DOOR CLOSER(S)' •
SMOKE DETECTORS ✓
FINAL ELECTRICAL INSPECTION '
FINAL APPROVAL;'OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS: /`/41
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