90-540 _ '" "'`^r11'r:'t y,`"Y r:sL- ila"4�%' -y,,.-j.. ' . „ .• _ - . e ,—y r i. 4,.
CERTIFICATE OF, OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 i
# o
This is to certify that work requested to be done as shown by Permit No. 90-540
has been completed.
This structure may be occupied as,a s!ngl, family cottn o
Location Rockhurst
CHARLES M. & HELEN JEAN BARBER
Owner
By Order Town Board
TOWN OF QUEENSBURY •
Director of Bldg. & ode Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 90-540
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to CHARLES M. & HELEN JEAN BARBER
OWNER of property located at Rockhurst Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Alterations to dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and 1
1
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1. OWNER'S Address is
PO Box 908
Minerva NY 12851
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2. CONTRACTOR or BUILDER'S Name
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3. CONTRACTOR or BUILDER'S Address 0
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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)
( )Wood Frame ( ) Masonry ( 1 Steel ( ) Frd
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7. PLANS and Specifications
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No. 852 sq ft Alerations to dwelling as per plot plan, specifications and application.
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8. Proposed Use
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Single family summer cottage
$ 40.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Fehruary 17 19 91
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(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.)
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Dated at the Town of Queensbury this 1 7th Day of August19 91) ,t
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SIGNED BYO I ,()(( l_ G( �jlr
�( (� for the Town of Queensbury co
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Building and Zoning Inspector
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'1/4'- -_ - , ,,) rArd P
TOWN OF QUEENSBU Y Vv
REVIEWED BYI
.. 1 _ FEE PAID $ 'IM
g 1r PERMIT NO. ��`�(! i-dn ii ,�i 4; ;,
BUILDING PERMIT APPLICATION AUG141990
n1NG a coDE DEP,_
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL 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:_a14,- M. 2/41 Veo.,-7 .0r e'.-- ,302
P.O. Address it,X we /-4,ieV4t H y, /2/5/ Tel. / - 2S/-3f ?
Property Location "ir-L�Ufs'7, 4/ Gtjr w° Tax Map No. / /
Has there been any split of this property since October 1, 1988? /
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE 1efr LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
•
NATURE OF PROPOSED WORK: * ESIIMATED MARKET VALUE OF
Construction of a new building •
CONSTRUCTION: $
Addition to s.building • COMPLETE INFORMATION REQUIRED BELOW:
_ --- - - - - -- * Size of propart5 - - -7-3_-- - -fr r3 ft,_
Alteration to a building , *
(no change to exterior dimensions) * Existing Buildings(3) Size 2V ft. x 30 ft.
\� Proposed building - distance from property line:
d( Other work (Describe), •&//,�/1 � � • Front yard 2ear. yard ft.
Ir.////I s/4ey�, /47.er/d.�9/a� • Side yards . and ft.
• If on corner, setbac from side street ft.
GROSS AREA OF PROPOSED STRUCTURE •
e it,1,,.,) ,to 4 eic/ �//�/�i' ,
1st Floor . 72- 0 sq. ft. a .
/L 3 � * OCCUPANCY INFORMATION
2nd Floor /. ?� . sq. ft. /LK,/ ' " ; ' Primary Building - '
Other Floors Ng sq. ft. • One Family Dwelling
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA IS-0 • Multiple Dwelling/Number of units
sq. ft.
Size of new structure_,t7ze ft. • Business
Foundation-pier/slab/crawl/partial/full • _Industrial
(circle one) • Other , C .
•
No. of stories (habitable space)4 •
Height (grade to ridge) /P ft. • If addition, what will use be?, /'O.A' .
If residential, no. of families ,.444/ . •
No.of rooms(excluding baths) 4/ • Accessory Building
No. of Bedrooms 2-- • �''"G
No. of bathrooms / •
__Detached Garage ONE/TWO Car
Primary heating system e/env • _Attached Garage ONE/TWO Car
Type of tuel • _Private storage building
•
No. of fireplaces to be installed / a - '
Will a.wood stove be installed /�e
• Other
•
Central Mr conditioning ma •
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe. etc. Lam' ( Ala�t,
Will any second-hand or upgraded lumber be used? If so. for what? /uj ,
Foundation wall material [',,,,,,�,�,j- 2,,e Thickness f--fri,at -
Depth of foundation below grade (to bottom of footing) 1/7,,,f A74 ,
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 portio ?- m sq ft. Type of use?
Type of roof sloped at/shed/other Material'of roof
'-•r,4/
Size, wood stu "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 f'. z -
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.
of what ma -rial? 6"��,y/
Exterior wall finish �/dj.�j/ ,�'/� / ��11 �
Interior wall finish /447/7 Q' J7C , ,oa7�a '7Z/.r�a•�e 'i t - .
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
AP
Is there to he an opening between garage and dwelling? ,41/.fr If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? /Jd Height above roof ft. —_ _-_ __
Depth_of chimney-foundation-belevu-grade'-- --ft-.--
Depth of fireplace hearth ft. in.:
Water supply - Municipal or private well ..4/Cc !r-'i,".. . •
SEPTIC SYSTEM Distance from ANYsprivate'well (including adjoining properties ft.eKfsA 3)07
''
(A separate application is necessary for any repair or new installation of septic system) ,
• . /19 — /2 04 - c'ccA, Sor75I sylA. ,,
NAME OF BUILDER etg. 0/.1. 3, ADDRESS ,rnr,'de ivy TEL. NO. Z oG . 6 ce,•-3 v 2,Z--
NAME OF PLUMBER A ' ADDRESS TEL. NO.
NAME OF MASON . , ADDRESS TEL. NO.
NAME OF ELECTRICIAN /If, ° 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
kit other laws pertaining to the proposed work shall be complied with, whether s cified or not, and that
such work is authorized by the owner.
Signature ,�
' Owne , owner's nt, architect, contractor
SPECIAL CONDITIONS OP THE PERMIT:
•
BY
ENERGY CODE COMPLIANCE APPLICATION
TOWN OF QUEENSBURY, WARREN COUNTY - 9000 HEATING DEGREE DAYS
Compliance Methods: ' ' {IL
PART 5 - Acceptable Practice Method 1 & 2 Family Dwellings (ONLY) AUG14 1990
PART 6 - Thermal Rating - Component Trade Offs - 1 & 2 Family Dwellings';' n'NG & CODE DEP
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
_ e/i/J-.71 2 -
APPLICANT'S NAME PROPERTY LOCATION
PART 5 METHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE:
1. Gross Floor Area - :rZ, Sq. Ft.
2. Type of Heat - >C Elec. Base Board Other
3. Is Building Mechanically Cooled? YES NO
4. Percentage of Area of Windows and Doors k 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
2=cR A. Gip & Floors exposed to ambient temperatures R 33- kg0 -
B. Exterior Walls I! R 2.5 I q
C. Glazed Area R ,2.5 2, 5 ,E
D. Exterior Doors R 2.5 - 2.5
E. Floors over unheated spaces R 25 ICI
F. Edge of Slab on Grade (Heated Building) R I I
G. Basement/Cellar Walls (Above Grade) R 25 _a_
H. Basement/Cellar Walls (Below Grade)
I. Heating/Cooling - Ducts - Piping in Unheated Space R 4-. (0 4. 6)
6. Service (Domestic) Hot Water Heating Device •
A. Conforms to minimum efficiency per. code . YES NO
TEMPERA] E CONTROL MAXIMUM SETTING 140° - WILL NOT BE EXCEEDED
./X1/79
APPLICANT S S MATURE DATE TELEPHONE NUMBER:
-FN P EMAR :
N R TOW OF QUEENSBURY
i 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME Cc\N-LLG12 z)(�
LOCATION r DOC:-A 1:/ s;--
DATA ? Z 6/Cr . PERMITS CA- 40
TYPE OF STRUCTURE
RECHECK
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES _ NO
REMARKS
APPROVAL .
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS I'
RELIEF VALVES /
FURNACE/HOT WATER OPERATING / •
BASEMENT INSULATION/DUCTWORK/
INTERIOR TRIM/PRIVACY DOORS\
FINISH FLOORS: y
BATH/KITCHEN WATERTIGHT I
OTHER FLOORS SWEEPABLE •\
OTHER FLOORS CARPETED N
STAIR CLEARANCE/RAILINGS !,
HANDICAPPED ACCESS
SMOKE DETECTORS I �_
BATHROOM FANS/WHOLEHOUSE�FANS '� _ •
ALL PLUMBING FIXTURES OP RATING
GARAGE FIRE PROOFING 1 3s.
DOOR CLOSERS S
OTHER FIRE SEPARATION I _ f
FIRE/DEMISE WALLS I
DUMPSTER d ! -
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/,C • h
COMMENTS:
.03.5- -t.t.A1-to..1) 0 tz& 06 -be-To re.S.
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ELECTRICAL INSPECTIONS -
DUPLICATED- MUNICIPAL RECORD
Permit No. 70 J.-14
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Owner C. /T��� a Be,€
Occupant p 1�
Location
�J/3�0C 6C /�/�6C1�gzeo5
L./'aRV Street
Town or City State
Installation as itemized on reverse side has been visually inspected pursuant to applicable
codes._
1
Installed by
7 , 0 4/6 d
Date .__l �/ `_""``�`.�.. _... _ ector
MIDDLE DEPARTMENT INSPECTION AGENCY, C.
FORM NO.18 EL. 1AA7 Wact(hactar Pik Waal.f_hactar PA 19ARf1
ROUGH WIRING OUTLETS H.P.AIR CONDITIONER
OiS (f(Teti. WIRING &CONTROLS FOR BURNER
2...6 RECEPTACLES H.P.PUMP
7 FIXTURES K.W.OVEN
AMP.SERVICE EQUIPMENT H.P.GARBAGE DISPOSAL UNIT
AMP.SERVICE CONDUCTORS K.W.DISHWASHER
K.W.SURFACE UNIT K.W.DRYER
K.W.RANGE AMP. RECEPTACLE
K.W.WATER HEATER FRAC.H.P.VENT FANS
MOTORS H.P. 1/20 1/12 1/10 '/t '/c % 'h '/: '% 1 1% 2 3 5 71 10 15 20 25 30 40 50 75 1100
MARK NUMBER
OF EACH SIZE
APPARATUS
•
FA AllkaLhk_.
QUEENSBURY
� TOWN O 90-`SAD
Bay at Haviland Road, Queensbury,NY 12804-9725-518-792-5832
Building & Codes Department
INSPECTOR'S REPORT
.9fizidx,_I9 9/
PROPERTY LOCATION •
•
Aahe XteLf 2, Ou
OWNER OR TENANT
BUILDING SEWAGE SIGN o J OTHER dv- C-
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RE 1 :r
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CONTACT THIS OFFICE WITHIN � YV
INSPECTOR
•
"HOME OF NATURAL BEAUTY...A GOOD PLACE TO LIVE"
SETTLED 1763
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT -
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
- 1
NAME -, ,z-1 pew ( � �Le S -4-
LOCATION odkh Vr + C� e v ey-c-V //ll
DATE 4�-/ ( PERMIT. # go —s-T C_/
G 1 -1-m-4-c, C,I I APPROVED
ct-I-us YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING . I
ELECTRICAL ROUGH SIN ' 41 '
INSULATION:
FOUNDATION 1; ;
FLOORS • , ''ti .
w . .
WALLS x ,
CEILING V - . - '
FINAL INSPECTION: V
CHIMNEY HEIGHT
ROOFING • .
SIDING / k\, '
EXTERNAL PORCHFIS/STP S
STAIRS-CLEARANCE & RILS
PLUMBING FIX/URES/RE IEF VALVE
INTERIOR TPJM/PRIVACY''DOORS
FINISHED F.2OORS
GARAGE FI EPROOFING
DOOR CLOfSER(S)
SMOKE fDETECTORS
FINAL ELECTRICAL INSPECT2• ;
FINAL 50PROVAL OF CONSTRUC ;ION
OK TO •SSUE C/O OR •C/C ik
A SIGNED CERTIFICATE OF OdC ANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: -
/&CL1)7 2 5)4(///
• •
Gi• �( v W„ok. fir /1,„
•
ARRIVE
DEPART
• INSPECTOR
/011
TOWN OF. QUEENSBURY
BUILDING ND CODES DEPARTMENT
BAY & HA LAND ROADS
QUEENSBUR , NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTO' 'S REPORT
REQUES FOR INSPECTI REC•IVED g/zo ICI IS
NAME 4 Gs • f( l akk
LOCATION 1 6C IL A 4 + I d .
DATE I'Z) Ivyn 4 PE' IT #9 0 - 5 4-0
APPROVED
YES NO
FOOTING/PIER
MONOLITHIC PO R FORMS
FOUNDATION/D P-PROOFI G
BACKFILL APPR AL
ROUGH PLUMBING
ARAMING
LECTRICAL ROUG -IN
INSULATION:
FOUNDATION
FLOORS
WALLS I// ✓
CEILING 4'/Jr- 4/
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHE'l.TEPS
STAIRS-CLEARANC a RAILS
PLUMBING FIXTU'' S/'ELIEF VALVE
INTERIOR TRIM/•'IV'CY DOORS
FINISHED FLOOR'
GARAGE FIREPRlfFING
DOOR CLOSER(S)
SMOKE DETECTOR'.
FINAL ELECTRICAL INSPE ION . .
FINAL APPROVAL 0 CONST:UCTION
OK TO ISSUE C/O DR C/C
A SIGNED CERTIF CATE OF OCCUPANCY MUST BE
OBTAINED FROM T E BUILDI DEPARTMENT BEFORE
THESE PREMISES RE OCCUPI D!
REMARKS:
ARRIVE)O t4"
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DEPART ,/ ' I ff ,'tom f
INSPEC'OR
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