1986-141 i -w
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
tBR
86-141
This is to certify that workkkk requested to done as shown by Permit No.
has been completed.
2nd floor addition to one family dwelling
This structure may be occupied as a
Location Fitzgerald Road and on Glen Lake
Charles Carder
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
t = BUILDING PERMIT
TOWN OF QUEENSBURY No 86-141
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Charles Carder
OWNER of property located at Fitzgerald Road and on Glen Lake Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (living area)
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 27 Cloverleaf Drive
Ballston Lake, New York 12019
n
N
2. CONTRACTOR or BUILDER'S Name '^
Horning Construction
r
P.
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3. CONTRACTOR or BUILDER'S Address
8 Webster Ave.
Glens Falls, New York cry
4. ARCHITECT'S Nellieco
m
5. ARCHITECT'S Address
a
6. TYPE of Construction-(Please indicate by XI
0
( id Wood Frame ( )Masonry ( )Steel ( 1 0
m
7. PLANS and Specifications
No. 2nd floor addition to dwelling per plot, specifications and
application submitted.
8. Proposed Use
One—Family Dwelling (2nd floor addition) H.
F+
n
$5.00 C/O Paid
November 1 19 86 rr
$ 18.00 PERMIT FEE PAID —THIS PERMIT EXPIRES
0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of oueensburV before the expiration date.) ,a
Dated at the Town of Queensbury this 21st Day of April 19 86 a
a an
C`,0
SIGNED BY C.,0"-or. for the Town of Queensbury
Building and Zoning I nspector (�YL
TOWN OF QUEENSBURY (Space inside block to by Idled in Building Inspector) In-
WARREN
COUNTY, NEW PORK \ppllcat ion No.Application for Primo Is.ued 19
BUILDING AND ZONING PERMIT priinit Expires VI
/c uin_ Di.tri I
• \ ins id Work
\po,.o ed In
THREE IN Copiesof a PLOT PLAN, Drawn scale lomatKr
showing the actual
lot dimensions of the lotto be built
upon, The exact size, and location on The lot of the
building fo be erected or altered MUST BE SUB- _
MITTED WITH THIS APPLICATION.
A{ d_ i 1 / 1 4' "V DATE R ia W E 4 Y LI LJ
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK W imp
ANSWER ALL OF THE FOLLOWING. APR 41� h�p.M"
The undersigned hereby applies for a permit fo do The following work MA. 1 6
which will be done in accordance with The description, plans and specif I- 71818 t s1 t$1$1s4t6
cations, and such special conditions as may be indicated on the permit. 8 a 1,1/G0-_
The own r of this ro is: c J J
LQve.ztac ' 2.2.vE cLs)G;N . , , , , . ,.
fj P PeSfY )w 7Ul
(�teI Al2 LES C.OiiA r-2 ) 527 r .
1NasEl Iv o.ADDRESS)
The person 1r1esponsible or supervision of the work insofar as the Building Code and the Zoning Ordinance apply is:
L.'—,E o/2../.-v4 I a tie/cAS-..T' A...5., C,LE^rs Fgees n/ Y,-)
(NAME) // IP0 AqDRESSI
Name of Builder
,2.Jz-vc. Ccz.zs.: Address 8Lll/c.ea67vx 4.i,= ,.G,. F. .
Name of Plumber Address
Name of Mason Address
Estimated value of proposed work S . . .9, OOb
Lot Number Unit P 1
Name of Village Qs,.''—../. R>cJaY
Name of Street F �.$0' a=/•Te 4LO (Zap- Side of street: north_ east 4, south 0. west ❑
Nearest Cross Street
h-/o iN•b Distance from this cross street �f2, 's—r'4 Ft.
Property is north 0,south east 5, west 0 from Cross Street
If on Corner,which corner, northeast D. northwest ❑, southeast Ll. southwest
(Designate by marking with an "X" in the correct space.)
NATURE OF PROPOSED WORK OCCUPANCY
Main Building
❑/ Construction a new building. One-family dwelling
iCJ Addition a building. Two-family dwelling ❑
C Alterationmoo to a building. -family apartment house ❑
❑ Demolition of a building. Store building 0
-car attached garage ❑
Other:
Accessory Building
g One-car detached garage ❑
❑ Other work. Dexribe• )i0 p1)Jb a- tD a(D r)Aza Two-car detached garage ❑
/ Private chicken house U
�A4 i� 4- Obc fr" Private storage building
Other:
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or a change of occupancy.
Indicate on the plot plan street names.the location and
size of the property, the location,site and setbacks of pro-
posed buildings,and the location of all existing buildings.
NORTH Show proposed buildings) in dotted line and existing
iaeln — IWildings) in solid line.
Size of property 1 aO ft. x NO. ft.
Size and use of existing buildings, if any
4,..,c.ce fo,w,Ls- Iz-ec.re =I4
M i L ft.
it u Size of proposed building 2,, . ft.x
Height(from grade to ri e)
2 Z. ft.
Front yard _ 4 c ft.
Side yards .2b ft. and i ft.
(# Z& ft.
hTzGL«ncnl 1 OrL(ulrb THv . - rPf33 l�r✓) Rear yardft.
SOUTH If on corner,setback from side street
Note: All distances are net, as measured from street side
line to nearest part of building.
(OVER)
7-73-N
(coned.)
BUILDING SPECIFICATIONS,
Kind of construction: Wood frame,fire safe, etc.? . . . .
Will any second-hand lumber be used? "'I 0 If so, for what'
Material of foundation walls Thickness
Depth of foundation walls below grade Continuous foundation?
Will there be a cellar? If so, material of cellar floor
Type of roof: Sloped or flat? zAP,so Material of roof . . . . Aspni")4 �+p _IC CcCS
Sae,wood studs "x 4- " spacing I (q„"o.c„ length 8- ft.
Size, floor beams, 1st floor " x ", spacing "o c, span ft.
Size, floor beams,2nd floor .aZ " x I O " spacing lea "o.c., span +2- ft.
Size, ceiling beams - . " x ", spacing 4et "o.c., span - ft.
Size, roof rafters or beams 2. . . "x . . . . . . . . .I C? .",spacing l 4?."o r.,span I b ft
p .
Exterior finish 1 4 With what material? / f/ 1-1-h0'°,D /°O.d=C
Finish of interior walls . .. . . . .+'mot?. . . . . . . . . . . . . . . . . .
If garage is to be attached, of what material is wall between garage and main building to be constructed?
Is there to be an opening between garage and building?
Kind of heating system G LGC Oil burner or coal?
Will a flue-lined chimney be provided? a/O • Depth of chimney foundation below grade
Height of chimney above roof )
Will there be a fireplace? W O Depth of fireplace hearth
Will a toilet be installed?. .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . .
Will a kitchen sink be installed and connected to water supply? O
Water supply(public water supply or pump) 1-n+4-E
Distance of cesspool from any private well feet
Will drainage system be provided with required traps, cleanouts, and vents?
Town of Queensbury AFFIDAVIT
County of Warren
State of New York
I swear that to to M lof my knowledge and belief the statements contained in this applies ,torther with the plans and specifications rub
'tted, area true and fete statement of all proposed went to be done on the premises and that all of dm BUILD-
INGm...p w . .
mYO CODE,THE ZONINGORDtNANn and all other laws pertaining pro be compiled wit l�whethr specifiedornot.au
and that such work is authorised by the owner. te., D
Sworn to before me this SignatmeNEn 0 a5 AGENT.SACHITECT.CONTRACTOR
19
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 Ca'SCJ
2 . Type of heat 4CaE0712/O
3 . Is the building mechanically cooled? hic)
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 roof and floors exposed to ambient conditions
8 -29
2 . R value of exterior walls r2-/ 3
3 . R value of glazed area f2— /d8
4 . R value of doors /2- /.t
5. R value of floors over unheated spaces
2 - J5
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 Ft FERG4/0 SS
C. Controls
1. Thermostat maximum heat setting 800
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. 95a- 5 $/ 7 4
(applica s ' nature)
i c7
Jown of Queenelury
BUILDING and ZONING DEPARTMENT
Bay Oueensbu Y New YorkD z 98
and Raviland Road, 12601
BUILDING INSPECTOR' S REPORT
NAME
LOCATION ��((((//��
Date e /1 permit No.a
* * * * * * * * * * * * * * * * * * * *
10/ = APPROVED - YES NO
Footing/Pier Forms _
Foundation _
Waterproofing
Backfill531,21
LA/lamingS
Roofing _
Siding
Masonry Veneer _
Rough plumbing NM
Valves ISI Ext. Porches _
Finished Floors . _
Interior Trim MI
! Stairs & Railings �_
Cellar Drain Tile �_
Concrete Floors I —_plbg. Fixtures —_
SOSGar. Fireproofing
Door Closers ®_
Smoke Detectors Sala
■INSULATION:
Foundation
Floors NM
11111
Ceiling11111
�! FINAL ELECTRICAL INSPECTION
Final Building Survey IIIII Next scheduled Inspection(call when ready)
Remarks- -
I
Building Inspector
1 6/86 and-v1
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BUILDING and ZONING
Queen-dirt ���
Bdypuee and nsVila dR au DEPARTMENT
bury, New York 12801 98
BUILDING
i Re
NAME INSPECTOR 'S REPORT
LOCATION
Odte (6 /g264roe_0 0,
eclifigAa°
• + x x Fermi t No, I
Footing/Pier + x ✓x- + *
x to
Undation Po - APPROVE + x x *
ackfWaterplofing D _ YES NO
ramn4 �>�
Siding/
Nan
NIS
g �"� _
'i Masonry, R Rough lambinglaa
Finished Porches
_
Stairs inter/
or Trim
Floor
�,-
ncret Draain 1T 9eAt
41.1111111
Plbg e Floors
WO
Oar. •
Fixtures
EYgreproO _
alai
INSULATION: 11111
Smoke Detectors
__Foundation _
Walls
Chiphey
Ndlls
WWI
Ceiling
FINAL ELECT Ploors ale
i Final Build CAL Survey
B Sa INSPECTION
Y _
Next schedule d I _
Remarks- nspectio
n(call when ready)
•6/86 md_vl EDilding Inspector
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