86-670 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. 86-670
has been completed.
This structure may be occupied as a One-Family Dwelling
Location Big Boom Road
Owner Henry Anable
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-670
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Henry Anable
OWNER of property located at Big Boom Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One—Family Dwg. (Demolition part of dwg.)
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.
M
1. OWNER'S Address is 205 Main St.
Catskill, New York 12414 p
w
c
r
m
2. CONTRACTOR or BUILDERS Name
Martin Celeste
3. CONTRACTOR or BUILDERS Address
Big Boom Road
Glens Falls, New York
00
4. ARCHITECT'S Name o
0
9
PO
0
0
5. ARCHITECTS Address a
6. TYPE of Construction—(Please indicate by X)
()Wood Frame ( I Masonry 1 )Steel 1 1
7. PLANS and Specifications
24'x34' dwelling per plot plan, specifications and application o
No. submitted using existing septic. m
1
B. Proposed Use W
Demolition 12'x28' and 8'x8' old dwelling El
r
One-Family Dwelling E
m
$5.00 C/O
r
$ 66.00 PERMIT FEE PAID -THIS PERMIT EXPIRES May 1 1987
aq
(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 9th Day of October ig 86
SIGNED BY a' / � for the Town of Queensbury
Building and Zoning Inspector 41,
TO BE COMPLETED BY BLDG. DEPT.
// Application No.
Jown o/ Queenabury Permit Issued 19 IygpqUEE`{3BURY
BUILDING and ZONING DEPARTMENT Permit Expires 19 "�
Bay and Haviland Road, R.D. 1 Box 98 zoning Designation 161'f:! �yl 9I4d(�({9I
Queensbury, New York 12801 Variance No. (1OR
r � 6i(p Site Plan Review No. OCT L 1996
Y O 105
�6/ o Approved by:
1��3 1�2'S�405�6
APPLICATION FOR Nino,r" .
BUILDING AND ZONING PERMIT fL
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. I
l
The owner of this property is:
P.O. Address d litinv / ! '� / Tel.
Property Location: c .fin LG,co �O Tax Map No._& f- jj=
, St et number or b i ding lot number
Subdivision name (if applicable)
THE PERSON R_ESPO SIBLE FOR SUPE,VISION OF WORK AS REGARDS BUILDING CODES IS:
` � Sid
Name .O. Address Tel. No.
1 �'
Name of builder ",,' Address Tel.
Name of plumber / Address e. ;oq Tel. ; 1
Name of mason Address f !ram it Tel. /r
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
jddnstruction of a new building , * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
ition to a building * drawn reasonably to scale and attached hereto,
teration 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
)e ZR, %�y�9Y R' /}-0Qi'i 0 Al * of septic disposal area.
COMPLETE INFORMATION REQUIRED BELOW.
* Size of propertyzitv ft Xft.
* Existing building(s) Siz -LL�ft X--eL(=ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure G ft X�ft
Foundation-pier/slab cra partia /full . *, Proposed building, distance from property line
(circle one) * Front yard 6} ft Rear yard_ / O ft
No. of stories (habitable space)Height (grade to ridge) / 2 ft. * Side yards : 9 t and /,a- ft
If residential, no. of families 1 * If on corner, setback from side street ft
No, of rooms(excluding baths) 7 * OCCUPANCY INFORMATION
No. of bedrooms *
No. of bathrooms ) * PRIMARY BUILDING -
Primary heating system F ; T,p4.t( * ), Qne family dwelling
Type of fuel Q'g•� * _Two family dwelling
No. of fireplaces to be installed * _Multiple dwelling / .Number of units
Will a wood stove be installed? ,io * Permanent occupancy
Central Air conditioning? * Transient occupancy
* -Business
BUILDING STYLE, PRIMARY STRUCTURE *_Industrial
Ranch Contem r Log cabin * _Other ' '
Raised ranch Mansion Duplex * If addition, what will use be. c�
Split level Old style Bungalow * /
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House *_Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ _car
* * * * * * * * * * * * * * * * * * Private torage building
ESTIMATED MARKET VALUE OF * Other �IA/'X1L�
CONSTRUCTION
v-�a —--------
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OP THIS SHEET, TO BE COMPLETEDI
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc.
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material [;/e k S Thickness
bepth of foundation below grade (to bottom of footing)'/
Will there be a cellar?Heated or unheated? d a Floor sq. footage � sq ft
Will there be a basement? Will any portion be used as living space? +) a
(If so, what portion? sq.ft. - - Type of use?
Type of roof Jojpp /flat/shed/other jof Material• of roof ;111,ie .cr
Size, wood studs_ "X�_" spacing-"o.c. length eft.
Joists(floor beams) lst. floor ;_"X " spacing /G "o.c. span__LLft.
Joists (floor beams) 2nd. floor - " " spacing' "o.c, span ft.
Overlays(ceiling beams) J_ "X Y' " spacing /.L "o.c. span 12 ft.
Roof rafters 9 "X_ " spacing /C o.c. span 1 Z ft.
Roof trusses(pre-engineered) spacing "'o:o:-span^-
Exterior wall finish tj,„ , / Of what material? V/14e,/ L4,j
Interior wall finish.
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-linled chimney be installed? Height above roof 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 A F F .I D A V I T STATE OF NEW YORK
ry
Warren County off Warren
- .fI 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 _tnw _and
complete statement of all proposed work to be done !ZW 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 -- - � ------
Owner, o is agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
x * * • x x x x * x x x x x x x * � * * * x x x x x x * * . * * * x x x x x * * * * x
SPECIAL CONDITIONS OF THE PERMIT:
By---------------------------------------
f
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: G �•
1 . Gross floor area _��� yCj
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 gross area of walls , roof/ceiling and floors
exposed to mbient conditions
2 . Floor over heat d spaces YES -�xo
a. Are foundati walls insu ted? YES NO
1. If YES, wh t is th R value?
3'. Slab on grade YES NO
a. If YES, what ' the value of insulation around
perimeter o floor?
4. Is basemen eated? YES 0
a. R va a of insulation
5. Ty p of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls n I
3 . R value of glazed area X `Z
4 . R value of doors 'X N
� 5 . R value of floors over unheated spaces
6. R value of slab edge in
7. R value of slab insulation - heated sib
8. R value of heated basement/cellar walls Ta ove gra e
9. R value of heated basement/cellar a; g
10. Type of insulation C. Controls
1. Thermostat maximum heat setting 72
D. Duct Systems
1. Is duct system installed in unheated spaces? YES NO
a. If Y35p 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.
(applica is signature)
/own of Queenjbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME ANC
LOCATION
Date ti/m Permit No. 8✓✓ -ls 70
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
(Framing
Roofing
Siding
-Arce
R ng
��Q
Ex
p.
Stairs s - --�' - ---- -
Ce
Cons
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls Alwo _ S
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
D CEi LLAr�iii S �3 00evAf
znM pEA- UUbU- NA/-&0
A(1:51-B L- i>-At- 2- 2, S 6-,a6C, 4A-7-
Auildi g Inspect
6/66 and-vl
Jown of QueenjLry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR 'S REPORT
NAME 201YA 13L6-
LOCATION_ j��6 Q _ _� �4�
Date.�/JA / erg Permit No.
✓ = APPROVED - YES NO
Footing/Pier ting/Pier Forms
Foundation
Waterproofing
Backfill
)(Framing S L
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 -
ON
Door Closers
Smoke Detectors
Chimney
r INSULATION:
kFoundation
f Floors
KWalls
`Ceiling '
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready
Remarks-
RE A1,41
Building I pec r
6/86 and-vl
Jown o/ Queenaiury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDINNG INSPECTOR' S REPORT
NAME ! Z14-6L�
LOCATION
Date b AL / Permit No. 86- G-70
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
x Siding ILi - p A L
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
j, ed Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION: j
>!.Foundation Ir,� (�/} 1`1O iZ �`_� r- iZjk
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
1 °!vl_ —
Next scheduled inspection (call when ready
Remarks-
r., „cn-� k' c neozrs
'V4
r�
Building Inspectolly
6/86 and-vl
Jown of Queensburry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury. New York 12801
BUILDING INSPECTOR ' S REPORT
NAME B�r'
LOCATION' �
Date/ 97 Permit No.
✓ = APPROVED - YES NO
Footing/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 ELECT CAL INSPECTION
DRIVEWAY APPROVAL
(Final Building Survey
C`A-V- IBC NJ I�
Next scheduled inspection (call when ready)
Remarks-
J,#5r LCrrZt P[&-TRA-cK 5TO" WI AJOOu.15
C,W)LK t AA16"s + P60K-5 - f-'A,vks��-
�C
ICL&4iZA 4-SI0w6TO &eAoE:
WrC-v-10e DoaP9-icaa?_�V&C14/6S
C!9_ArWL SPAC&- boa{z—
Building I p
6/86 and-vl ra-141_
�l SD own of QueenjLry
,7/ AUILDING and ZONING DEPARTMENT
IQ�f Bay and Haviland Road, R.D. 1 Box 98
/� ✓ Queensbury, New York 12801
i 'q
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION d'41
Date�/ s�/ Permit Nola--- �p 70—
A" = APPROVED - YES NO
Footing/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 Ally
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
inal Building Survey
/Next scheduled inspection (call when ready)
Remarks- 7[ l
L ' ^ ' /
SSGre C �j�lp h lCy
(o �C' �✓lC � �
i
1�
Building Inspector
6/86 and-vl
Jouwn o/ Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPE TOR'S REPORT
NAME
LOCATION (�//(O J 920AS �('- / 70
Date y/ t(�//J Permit No.&-4101 eC�
✓ = APPROVED - x,rpr NO
Footin Pier Forms V
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- -
g `X�6`' /0;1 �
Build'n Inspecto
6/86 and-vl
Jown o/ Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME
LOCATION
Date 1
0 /8 (o Permit No.
-70
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
YBackfill
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: ,
kFoundation -Z
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
1-5mM I Z&
Next scheduled Inspection(call when ready)
Remarks- -
f rL;l
Building Inspector
6/86 and-vl
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
>; -'FILE THIS COPY WITH BUILDING DEPT.WHEN'REQUIRED. -:
TEMP.a DATE
CITY Oft
VILLAGE TOWNSHIP t ! COUNTY r
STREET AND NO.OR 6 4
ROAD ANO POLE NO. V / POLE NO.
SETWEEENyWHAT TWO J
CROSS BfREETS IS
PREMISES LOCATED? I - j^ l SECTION '� BLOCK LOT
OCCUPANT'S ' BUILDING
NAME OCCUPANCY 7.
OWNERS NAM TEL.
E rt _
AND ADDRESS /�S I' . J 4 OF
SUPPLIED f FROM THEIR / e OFFICE
BY
BUILDING .. NEW❑ OLD® IS
WORK
DEFECTS
NEW U ADDITIONAL❑ REMOVED ❑
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS N o.q R�jpgyAp� MOTORS HEATERS LypCUIITTS OFFICE USE
Lost ONLY
don Side Anteater - N.P. WatN A.W.G
CeNMS maRpq•y SwivA Perdant Bracket Type Eadr Na Eat No. OW.G INSPECTION
Gut-
a1M
Sub
base
eta►
We
In R.
Zed FI.
9rd FI.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: OO NOT USE THIS SPACE.
This application is intended to wwr the abo listedl epuipese d,W ba insiwctad but if at time of inspection there's found additional asrripm art not above[hard,
you are audeorued to make the i upsilon sad adjust the fee to cover the additional esuilmrant.a provided by the applicant.
SIZE OF ELECTRIC SIGN TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED-. GAS TUBE SIGN
OF WORK -CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN
SERVICE OVEflHEAD UNDERGROUND MAKER
ENTERS OF SIGN BUILDING
INSPECTION REQUESTED -
ON OR AS NEAR AS NSA _ OLD
POSSIBLE
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICATION
PRINT NAME AND ADDRESS
NAMEOF f V SIGNATUREi
APPLICANT A OF APPLICANT
STREET ADDRESS -1 TELEPHONE#
CITY OR ZIP LICENSE NO.
POST OFFICE - CODE WHEN APPLICABLE
46 eL (REy. 1/66) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
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