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86-626 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date October 27 19 97 This is to certify that work requested to be done as shown by Permit No. RA g?A has been completed. • This structure may be occupied as a 2-CAR ATT, GARAGE VI/LIVING AREA & EXERC. SE R 4-1 301 ROCKHURST RD. Location Owner ROULTNIL. JOSEPH & AGNF.:8 By Order Town Board TAX HAP NO, 16 . -1-65 TOWN OF QUEENSBURY Director of Bldg. (Sc Code Enforcement . . . 4 ::.- '‘ ,. . • , ' . . . . , . , . • .., ' . .. . . . 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. 86-626 . .,• . has been completed , . . L . Two—Car Attached Garage with • This structure,may be occupied as a - living area above and exercise room . . . .. , • Seelye Road , Location - • , . Owner • Joe Roulier - . • • • , By Order Town Board • , , . , . TOWN OF QUEENSBURY • . - . • _, , . , • - ' - - , . _ • . - .- - . • ., , - Building & Zoning Inspector , . . - - - , , . . • . , . _ , - . , BUILDING PERMIT TOWN OF QUEENSBURY No. 86-626 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Joe Roulier OWNER of property located at Seelye Road Street, Road or Ave. in the Town of Queensbury,To Construct or place a Two—Car Attached Garage/Exercise Room/Bedroom above at the above location in accordance to application together with plot plans and other information hereto filed and garage approved and-in compliance with the Town of Queensbury Building and Zoning Ordinance. o CD 1. OWNER'S Address is Box 301 Cleverdale, New York CD 2. CONTRACTOR or BUILDER'S Name same 3. CONTRACTOR or BUILDER'S Address . . 0 same cC 4. ARCHITECT'S Name N 7y 0 p 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) ( 4 Wood Frame ( )Masonry ( )Steel ( ) 7. PLANS and Specifications 24'x30' two—car attached garage with bedroom above and 1-3 No. 12'x16' exercise room per plot plan, specifications and application submitted. 8. Proposed Use One—Family Dwelling — 2 car attached with living area above and exercise room r�r p p.. $5.00 C/0 fD $ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 1987 (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.) QQ (D Dated at the Town of Queensbury this 26th Day of Sept. 19 86 ro �j r• SIGNED BY '�,` �� :Qe��� for the Town of Queensbury Building and Zoning Inspector fD 0 0 TO BLDG.OMP ETED BY DEPT. . C L 11DWN OF QUEENSBURY -] Application No. ECEOVE . 0 _lolvet of Queeni1ur, Permit Issued 19 ��" BUILDING and ZONING DEPARTMENT Permit Expires • 19 p -, �' • Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation Y'' 1 6 Queensbury, New York 12801 Variance No. itta �� �L�� Site Plan Review No. Mitt: a8a�ro 7 6 — .L `0 Approved b .: a ` 4 e n a e a APPLICATION' EGR • �itl'i��� . . . BUILDING AND ZONING PERMIT * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 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: - ./e //ry�� c ' ._ P.O. Address /Sp -50 J ��c�(-,4(/c� . N', )/ . . . . . Tel.G.ie- 3 s�yy Property Location: .�ee.4 ��,,,/ Tax Map No. / / Street' number or building lot number Subdivision name (if applicable) - . THE PERSO RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: 'GEC C Name . P.O. Address // Tel. No. Name of builder_ �� Address Tel. _ Name -of plumber . Address Tel. • ,,Name of mason /i, S2 . Address /�j,�y74t/( .1,/. A/. Y Tel. NATURE OF PROPOSED WORK: * ZONING INFORMATION: onstruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED, 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 property 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' 02C- ft X 5' ft. • * Existing building(s) Size, 4v,,, ...ft X ��� ft. * PROPOSED BUILDING AND USE: may - y 30 '_(,o,c. Existing building(s) Use-7 ' ,4);.,, `/ , e.....c Size of new structure /4. ft X /{ ft-i' • 1 Foundation-pie sla crawl/partial/full * Proposed building, distance from ,property line , (circle ohe) * / * Front yard /vim ft Rear yard �5 o ft- No. of stories (habitable space) o42, ,-: . Height (grade to ridge) ''-'/i7 ft. * Side yards ] ft and �® ft If residential, no. of families •- * If on corner, setback from side street ft No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedrooms --.t . * " • No. of bathrooms — * PRIMARY BUILDING - �. ✓ dwelling .One family Primary heating system D ' * Two family dwelling Type of fuel - No. of fireplaces to be installed * Multiple dwelling / Number of units , Will a wood stove•be installed? * permanent occupancy Central Air conditioning? x , Transient occupancy * Business BUILDING STYLE, .PRIMARY STRUCTURE ,-1.' • ' Industrial - - - Ranch ' Contemporary Log cabin * Other • If addition, what will use be.. /& 1ee;.,. , 6ra..4 �. . Raised ranch Mansion Duplex ' Split level Old style Bungalow * �' 7xe�c.ss - i6B.-� Ca e Cod Cottage Other • - * ACCESSORY BUILDING- - .Colonial) Row Town House * - Detached garage/one car/ t -car , car - , ( CIRCLE ONE PLEASE ) *'. /ttached garage/one ca twb, ca car. * * * * * * * * * * * * * * * * * * ' 'Private storage building - . ESTIMATED MARKET VALUE OF * ' Other _ . - - . CONSTRUCTION * - INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET TO BE COMPLETED! Form BPA 4/86 and-vl p..�. 3(0/ c�c-� A-t't,4-e?•,,c f �Q, ,.6-ci(fib ai !Wi • /4.,-<,7h-- /-<" A/a tip_ x e \e ram. .. a ,. I__Frel'7�,., ' �'° • BUILDING PERMIT APPLICATION CONTINUED - ' BUILDING SPECIFICATIONS: ! Type of construction, odam�,fr fire safe,etc. 1. • Will any second-hand or u3zgraded lumber be used? If so, for what? -I/® Foundation wall material Lo.vcic. / /( Thickness �o .- , ' Depth of foundation below grade (to bottom of footing) `/ ' _ Will there be a cellar? -,•o Heated or unheated? ...,.-d 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 .,474,ci 5� Size, wood studs . "X y " spacing �(� "o.c. length P ft. Joi.,aL (floor bG�Xf?e) J.'sL, floor "X, " vacj g_L"o.o, • Span ft. . J i1Its (fleor beams) grid. floor ") _ . •ii spadi ig /G "a.d. spanAz ft: . . Overlays(ceiling beams) . "X, , " spacing • "o.c. span ft. . Roof rafters ., "X d7 " spacing,Ily o.c. span/a ft. Roof trusses (pre-engineered) spacing "o.c. span , ft. . Exterior wall finish ,0,s,,.,/,,/,,q�T.� Of what material? Interior wall finish . s,,e, -,,7:..:(' . . If a is o be attac d describe materials to be used for FIRE SEPARATION:garage XS e G-a., •-.- . Is there to be an opening between garage and dwelling? I4s If.so will a Fire-rated _ door, enclosure, and self-closing device b '.provided? /e$ Will a, flue-lined chimney be installed? Height above roof . 2 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) • Town of Queensbury I • County of Warren A F F :I D A V T STATE OF NEW YORK T 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 doneson 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 Signatu . . . , • Owner, Owner's agent,arcnitect, tractor / day of S�,i 19 re . Notary Public, Warren County, N.Y:' • * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *. * * * * * * * ,* * * * SPECIAL CONDITIONS OF THE PERMIT: . By. 1 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 cif area of windows and doors A, Over 16% Only 1. Uo value of gross area of walls , roof/ceiling and 'floors. • s. 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 floozy? • 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 ' 2 . R value of exterior walls /l' 3. R value of glazed area 4. R value of. doors . /-2 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 C. Controls �.. 1. Thermostat maximum heat setting ,FO . • 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 - 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. • (applican s signature) . TOWN OF QUEENSBURY �+" �, �J •'`"r. ^j.' BUILDING & CODE `ENFORCEMENT : ;: 742 BAY ROAD QUEENSBURY NY 12804 (518) 761-8256. "//yi ARRIVE: DEPART: INSP: FINAL INSPECTION REPORT -RESIDENTIAL J C��J DATE INSPECTION REQUEST RE EIVED: ! O�� / _ ! / NAME (&411,-.Z LOCATIONQODATE J0 / - IT L A,0 TYPE OF STRUCTURE R{.D S, ' Vi\,(y'� FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING _ SEPTIC INSULATION _ FINAL ELECTRICAL. WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT • ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/ I INGS RELIEF VALVES FURNACE/HOT WATER OP RATING INTERIOR TRIM/PRIVA Y DOORS - FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS 'SWEEPABLE OTHER FLOORS CARPETED • STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REO. FINAL SURVEY PLOT PLAN • OK TO ISSUE 0 0' .0 C (518) 761-8256 TOWN OF QUEENSBURY ;r'r BUILDING & CODE ENFORCEMENT 742 BAY RD., QUEENSBURYU NY 12804 ' ,1\Mt�'.:..4 ,,.,E INSPECTOR'S REPORT: ARR///(DEPART INTdJ//� REQUEST FOR INSPECT RECE VEDD NAME tic)‹ /,Duner LOCATION e4e_ I� / - DATE ��7 7 PPERMIT g `^ll/26 TYPE OF STRUCTURE: RECHECK APPROVED NIA YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTE TION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACE- MENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALLPOUR REINFORCEMENT IN PLACE FOUNDATION/DAMPPROOFING - BACKFILL APPROVAL \ PLUMBING VENT VENTS N P A.E _ ROUGH PLUMBING PLUMBING UNDER SLAB FRAMING: JACK STUDS H ADERS BRACING/BRID ING JOIST HANGERS JACK POSTS/MAIN BEAM AIR INFILTRATION BARRIER HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS R- CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES R- • • cSkjEYrO6a 1 a// /W 1-re- .._ /Ara s xtv- P -1 t/ deca,4;a/ k,JL-0 Jown o/ Queeniur, BUILDING and ZONING DEPARTMENT Bay and Havilarid Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR' S REPORT NAME 'pot) L1 LOCATION L`19 )204-0 Date tU 22/ tc Permit No. "3-‘— a f/ = APPROVED - YES / NO Footing/Pier Forms Foundation kaaterproofing/ Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey • Next scheduled Inspection(call when ready) Remarks- - � it OE 14 0 Al& (1og.Z104J at- UI rzLY ' /12O Dc:?u& . sy � Building Inspector c•°` 6/86 and-vl awn of Qurj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 , • ! r BUILDING INSPECTOR ' S REPORT NAME O U Zf i '7_-- LOCATION 5�4-t LLf 1 go/{�7- Date 09 / �'� Permit No. 8( - C .24 * * * * * * * * * * * * * * * * * * * * * * t- = APPROVED - / NO ootin•►. Pier Forms , Ji-e, Foundation Waterproofing Backfill . Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings - - Cellar Drain Tile Concrete Floors \ Plbg. Fixtures \\. Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: . Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - )f21G—G Foci4.- 6 r¢ rogm616 ,I Gvarq, Si-A4 - 10 4- yA4l / rk1 Building Inspector 6/86 and-vl awn of Queen t ur y 6 ` BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION &/C Date 07-/ Permit No. aG- * * * * * * * * * * * * * * * * * * * * * * * � � I� = APPROVED - YES / NO toting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs &_Railings - Cellar Drain Tile Concrete Floors Plbg. Fixtures >� Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors • Walls • Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - • A forte` ? io cJ6 t-1 j ,uaf 65 r r , /1-e- -1) Building Inspect•, 6/86 and-vl S-11, 17 flown of Queenibury • 11/ BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 90,e__, )Qmc ig/V LOCATION _ f Date f Permit No. . -6 ,44 * * * * * * * * * * * * * * * * * * * * * * = APPROV'D - YES / NO Footing/Pier . o ms Foundation Waterproofing Ge'raming �GCljjf�lUi- j,-'--- Roofing (l` Siding • Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Raili •s Cellar Drain T le Concrete Floo s Plbg. Fixtur:s Gar. Firepr.ofing Door Closer.. Smoke Dete.tors Ch�' coney NINSULATION: - Foundation Floors 4r/ZEZof' 5740: 7 i>441alls jY74 Ahhge t;ef kteilin3 P & R -3 FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- .77* Building Inspector 6/86 and-vl • , `1"71117.7' . --------------- at 1 _______:41-cc-I--------- ob,4, _, ; '_-_y5 9 fl . a1.4 y#,/5 t OE uR OULIER * Home Improvements and Maintenance BOX 301 CLEVERDALE, N.Y. 12820 (518) 656-3544 c=a > e • I \ ' ' v 1 ; - 1 Ii I 6vrt. a�j ?4C-" 1 D r�,d ___!.:7c/i ,�r . . �r `\`' lkN�'f . \ 0 \ . 'IN 0OA 00? _. Oil Z . -- _ . OE OULIER * Home Improvements and Maintenance BOX 301 ° CLEVERDALE, N.Y. 12820 (518) 656-3544 • r«c r 3 v N / , qqv .'N PI - / i>.‘'\' I l I I 4( / u .1 .1(‘ l Aa f 1 ' , N , p /li I /N/ c. u / +61 t /_. < o 7,r ti