1986-151 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date June 17 19 87 .-
This is to certify that work requested to be done as shown by Permit No. 86-151
has been completed.
Thu structure may be occupied as a One—Family Dwelling
Location Fitzgerald Road and on Glen Lake
Gary R. LaVoy
Owner
By Order Town Board
TOWN OF QUEENSBURY
dam. 3
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-151
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Gary A. LaVoy
ct
Fitzgerald Road and on Glen Lake
OWNER of property located at Street,Road or Ave. .�
in the Town of Queensbury,To Construct or place a
One—Family Dwelling
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 Box 167
Glens Falls, New York
2. CONTRACTOR or BUILDER'S Name
Byron Rist
w
3. CONTRACTOR or BUILDER'SAddress m
RR 111
Lake George, New York
4. ARCHITECT'S Name w
p
a
5. ARCHITECTS Address
G
re
q'
6. TYPE of Construction—(Please indicate by X) co
w
Wood Frame 1 1 Masonry 11 Steel 11
7. PLANS and Specifications
26'x34' per plot plan, specifications and application
No. submitted. Sewage system under permit 86-75.
8. Proposed Use
One-Family Dwelling 0
9
511410 H.
$5.00 C/0 Paid
$ 77.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1 1986
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ry
town of Queensbury before the expiration date.) ~
H.
Dated at the Town of Queensbury this 22nd Day of april 19 86 0o�.
SIGNED BY }7 a - for the Town of Queensbury
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT.
Application No.
O[un O Queenitury Permit Issued 19 TOWN CF 4U- {ire ni,�^Y
BUING and ZONINGPerit Expires 19 ' ( I e
Bayl and Hawland Road, R D. 1 BoxN98 Zoning Designation irz - -0 Ily E 1�J1 ,E u u .4 Queensbury, New York 12801 Variance No. 4* lel IlY 1f1OCL
Site Plan Review No. AI ,' _ APR 21 I9Jt,31Vn
442
Approved by: 011, A.M 'Ky BZ- "✓
APPLICATION FOR - 71819 , p�1s
BUILDING AND ZONING PERMIT L
* • • • • N • • • • • • • • * * * * • * • * * • * • • f • * * * * * * * * •::•
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: 6AR'/ le LA of
P.O. Address RID I ` the 16.7 41,44 s Falls Tel. 793 " it 3 I
Property Location: F/fj yy
1l rklI/ /.ta Tax Map No. Y/ / / / /
Street number or building lot number
Subdivision name (if applicable)
THE
F
S
THE PNdameN RESPONSIBLE FOR SUPERVISIONQ 4.O. ddk es WORK �S^M<� BUILDING/ CODES IS:1.
SiName of builder SyCC/�'O�J/L !(�rQQl f' /L//^�Address iD ( e ("5 ic,f S Tel. 71, - / p I i
Name of plumber / Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: ZONING INFORMATION:
XConstruction 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 .2. 7-2 ft X 5 7 ft.
* Existing building(s) Size )y!' ft X ? ft.
*
PROPOSED BUILDING AND USE: ''// Existing building(s) Use
structure ZL ft X 3 7ft *
Foundation-pie /slab/crawl/partial/full * Proposed building, distance from property line
(circle one) *
No. of stories (habitable space) 2 * Front yard /NC2 ft Rear yard 9 V ft
Height (grade to ridge) /S( ft. * Side yards /0 ft and 2 / ft
If residential, no. of families / * If on corner, setback from side street ft
No. of rooms(excluding baths) (i * OCCUPANCY INFORMATION
No. of bedrooms 3 *
No. of bathrooms / * PRIMARY BUILDING -
Primary heating system eleti-n,t * )(One family dwelling
Type of fuel P.I••-F,_t � * _Two family dwelling
No. of fireplaces to be installed Q * _Multiple dwelling / Number of units
Will a wood stove be installed? Jt/(J * X Permanent occupancy
* —Transient occupancy
Central Air conditioning? �D
* Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Ranch Contemporary Log cabin * Other
ranch Mansion Duplex * If addition, what will use be?
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 storage building
ESTIMATED MARKET VAIUE OF * Other ,l)O ye
CONSTRUCTION $ do0 *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
I. rn. MA n ' 1 I.
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: �/
Type of construction, wood frame, fire safe,etc. LJOD/ 4.iem C.
Will any second-hand or ungraded/p lumber be used? If so, for what? ND
Foundation wall material � yreI /�a, 04 Thickness O U
L
Depth of foundation below grade (to bottom of footing) V'
Will there be a cellar? :L/j Heated or unheated? trip Floor sq. footage 6 2Z/ sq ft
Will there be a basement a Will any portion be used asp living space? eS
(If so, what por asp ', sq.ft. - - Type of use? B 7
Type of roof - R /flat/shed/other / Material of roof 1/y y
4 Lg y / 2pr 54,uc/4
Size, wood studs 2, "X n " spacing /b "o.c. length 7'L"ft.
Joists(floor beams) 1st. floor 2. "X /It " spacing //r "o.c. span /Z ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft. ,e
Roof trusses(pre-engineered) spacing "o.c. span ad/ft. _Zx9
Exterior wall finish Ramat�� }f��- M�1A O/p what material? -pjp_t
Interior wall finish /' „ s..c oCK
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
11.
Is there to be an opening between garage and Era_
lling? i'V/ If so will a Fire-rated
door, enclosure, and self-closing device be provided? At fie
Will a flue-lined chimney be installed? D0 Height above roof ft.
Depth of chimney foundation elow grade 49 ft.
Depth of fireplace hearthA 4 ft. in.
Water supply - Municipal o private well top,
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties /420./-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.
SWORN TO BEFORE ME THIS Signature A'�'�y{�(�q� ek
Owner, ownky's agent,arc i ct,contractor
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:s� y/ /
1. Gross floor area _`/032. ' V
2 . Type of heat Cc-4:(-T21G .
3. Is the building mechanically cooled? Or
4 . Percentage of area of windows and doors 2, 1
0
A. Over 16% Only
1. Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions , )N Cal 6 .,c,
. o5ZIls
2 . Floor over heated spaces '�E S� NO
a. Are foundation walls insu ated? <Virg-, NO
1. If YES, what is the R value?.k-/Y'
3 . Slab on grade YES NO
a. If YES, what is the ' val,ue of insulation around
perimeter of floor? lif /
4 . Is basement heated? CD a. R value of insula . RAM. < 1
5. Type of insulation rrrlIIhrreGi43 4- 1-t,-P JNP--v:u
B. Under 16% Only l
1. R value of roof and floors exposed to ambient conditions_
2. R value of exterior walls
3. R value of glazed area
4 . R value of doors
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 d��
1 . Thermostat maximum heat setting
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 41. Size of hot water or cooling carrying agent pipe
2. A value of pipe insulation 12- 13
F. Service Water Heating
1. Performance efficiency , il
2. Temperature control setting maximum / 35 '
G. For Swimming Pool Only y, I r
1 . Maximum heating / N, rPVL
Telephone No. 773 " ZSb3 , 4% n '
(appld s sign �ure)
3a
Down of Q.eenibuty
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING ��INSPECTOR'S REPORT
NAME 7i ✓ l'� "1 �Uv �+��
LOCATION 1,-tA 4aC p/ .I
Date ( //C//�fr2 ermit No. n 4 -1 s7
* * x « � = APPROVED R*YES*J*NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves ✓'
. Porches 59 nP " beck_
Floors/p6 Co tPLtT"Ek d/
��rior Trim
t-afairs & Railings DEckd 57W ✓/
Cellar Drain Tile
Con9p�rete Floors (/
1.Fibg. Fixtures
Gar. Fireproofing
Dogs Closers N/A.
Late Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROV.
)6tYnal Building Survey
GCJ .
Next scheduled inspection (call when ready)
Remarks-
w z vb .l eck 41)1J D azR-le-- _
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Gi
Buil ng Inspector
6/86 and-vl
Jown of Queenalury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME G ak7 R_ 1- 4 UO7
LOCATION F�r y Qr aa
Date 3/y /8y Permit No. ? -/* 5/
* * *
*/*- * * * * * * * *
APPROVED -YES J eNO
Footing/Pier Forms '
Foundation
Waterproofing
Backfill • '
AFraming Z/
Roofing
Siding
Masonry Veneer f_'/
4 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 Kr )?. /4 ,
Ceiling 9 -30 .F1
FINAL ELECTRICAL INSP C ION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
kt D Mai 494F-76lNsot,
/N 6-6ZZXL2 7L///ci oR
o viz)fiertoA/ 60A-4G5 rE
fcA /WG.t/r To /3t PS,en1.
Building . �-
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6/86 and-vl
sown of QUeenitury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME /"f Vil
LOCATION Y/ Izye rA II !/l.�J/
Date k?/0 / g"/p Permit No. OIF- 151
* * * * * * * * * * * * * * * * * * * * * * *
� ✓ = APPROVED - YE I NO
L? oting/Pier Forms 0,
Foundation 1\
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing i
Relief Valves
Ext. Porches
Finished Floors
.Interior Trim
Stairs S Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
//YII ,
Building Inspector
6/86 and-vl
llk?
i ,...orefro., /1:30 1 Swp Y4 r
os
C'�
✓own 0/ renJturtf
BUILDING and ZONING -PARTMENT
Bay and Haviland Road, R. 1 Box 98
Oueensbury, New York 1 Of
cDu,ti,Nfo Q boAM /ant
BUILDING INSPECTOR 'S REPOt\T
NAME / A V° v •
LOCATION Ier
frz al-reAC al PoAn
Date M R / FS& Permit No. O to - 1 5...,1
• ♦ * * * * * * e ♦ * * * * * * * * * * *
✓ = APPROVED - YES / NO7
Foo mgj'ier Forms I /
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: i
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- 4 / /7�uU d2
Building Inspector
6/86 and-vl
wo T
Jown of Queendtury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box 98
Dueensbury, New York 12801
BUILDING /I NNSSPECTOR' S REPORT
NAME
LOCATION
Date // f/S f permit No. B4 l
* * * * * * * * * * * * * * * * * * * * * * *
v APPROVED - YE NO
yF ooting/Pier Forms 0.47W L-r, ; =
Foundation _
waterproofing
Backfill _
Framing Roofing _
Siding _
Masonry Veneer _
Rough Plumbing _
Relief Valves _
Ext. Porches _
Finished Floors _
Interior Trim _
Stairs 6 Railings _
Cellar Drain Tile Win
Concrete Floors -==
Plbg. Fixtures
Gar. Fireproofing
Door Closers I
Smoke Detectors
Chimn
11
ey ,�INSULATION:
Foundation _
Floors _
Walls _
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
f
Next scheduled Inspection(call when ready)
Remarks- -
Ph F_ 7AL- //J9P
\;lr '
Building Inspector
6/86 and-vl
3 c7ON
1 // Jown of Queenabury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road. R.D. 1 Box98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME hQ /�
LOCATIONN / GZ?z�`Od/ [�
Date/(/Zit/ permit No. . -Ii
* * * f* * * * * * * * * * * * * * * * * * *
or' = APPROVED - S 0
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 al
Concrete Floors
Garreproof WIIIII
WSW
Gar.. Fireproofing
Door Closers MOM
Smoke Detectors ==
Chimney SII
INSULATION:
Foundation
Floors MIS
Walls _
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
I APT1lRC.. g i
Buil ing Inspector
6/86 and-vl
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