1986-161 r
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
I\� Date 19 —
LOG I 3 86-161
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a One-Family Dwelling - additional living area
Clements Road
Lactation
Donald and Joan Goodsell
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No 86-161
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Donald and Joan Goodsell
OWNER of property located at Clements Road Street,Road or Ave.
in the Town of Queensbury,To Construct or places Addition to dwelling (living area) -o
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 Star Route Box 63 �.
Glens Falls, New York o
2. CONTRACTOR or BUILDERS Name
0
Wm. A. Cooley
ID
r
3. CONTRACTOR or BUILDERS Address
15 Bascom DRive
Ft. Edward, New York
4. ARCHITECT'S Name
n
B
5. ARCHITECTS Address
n
6. TYPE of Construction—(Please Indicate by X) p'
Ix)Wood Frame ( 1 Masonry 1 1 Steel 1 1
7. PLANS and Specifications
No. 16'x30' per plot plan, specifications and application submitted.
8. Proposed Use n
O
One-Family Dwelling (additional living area)
$).UU C/O Paidto
$ 10.00 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
town of Oueendwry before the expiration date./ w
Dated at the Town of Queensbury this 23rd Day of April 19 86 H.
SIGNED BY ✓,r - " a' rO' '"T Y.I(/ for the Town of Queensbury 00
Building and Zoning Inspect M
m
TOWN OF QUEENSBURY Spare inside meek In It surd in In
WARREN COUNTY, NEW YORK • Budding Inns)
Application for tl gdlralhm No. •
Prrnul Inroad In.
BUILDING AND ZONING PERMIT P„oil *spires. 19
/snore I1i,lre.i
• .._.. - ,:,Erse cal Work$ �//�
one copy of a PLOT PLAN, Oriwn to scale Aix . +I In
showing the .surd dimension* of the lot to be built limo iiKf
upon, The met ike. and location on the lot of the
,building to be erected or altered MUST BE SUB-
MITTED WITH THIS APPLICATION.
• TOWN C< 4U 3`^N=
. . . . .%ZZ.�0 is a '�
7_ 2_ /5.. 2 note
A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK ""
APR 2 2 1RH
ANSWER ALL OF THE FOLLOWING.
_ 6 .,,�
The endenigeed hereby applies for a permit to do the following work Ak1.tz 2 44 M'
which will be done In *accedence with the description, plans and sp.cifi• 71$19 ,�1} �1 /1, 1 .1
cello.., and suck special neditiens as may be indicated on the permit. // eta
The owner of this property i Op,. th3 ...iiiVVVIKK����---
. . . N.N:I.d..' S-nf At. . 0,4gA, .4: - R RoLd Q C.G-A.(o.0..C7ie45F ri
1 ALI
The person responsible for supervision of the work insofar as the Building Code and the Zoning Ordinance apply is: • i
��� ttheirB /r(7 // I./n/anflllanl ✓ /
Nomeof Builder.(!//7/art (Ce "r Address/$TIt££O,`'t O/1! �C 9;a7-- 1
Name of Plumber �� Address e.. i4 . . .sr,„i
Name of Mason Address /2 2 r✓ /.e
Lot Number Unit Estimated value of proposed work Fl a S
Name of Ville (QW.�.. . .4f�.j7. .�v.e.°e_.IN b.wt- 1
Naar of Street . .?rle:tYl>-1U:�. . .I;ZDY d Side of street: north El.emit O. south O.west 0
Nearest Cross Street Distance from this trors street D.
Property is north ❑,south 0,east G.west 0 from Cross Street
If on Camer,'which corner.northeast L7, northwest 0. southeast O.southwest
(Daignar by marking with an"X"in the correct space.)
NATURE OF PROPOSED WORK • OCCUPANCY
9._„reerthruction of a new building. Main Balding
r Addition to.building. One-family dwelling 01
❑ Alteration to a building. Two-family dwelling 0
0 Demolition of a building. . . . -family apartment hour 0
Store building ❑
-car attached garage 0
Other:
Accessory Building
One-car detached garage ❑
❑ Other work. Describe. Two-tor detached pr.ge 0
Private chicken house 0
Private storage building 0
Other:
ZONING SPECIFICATIONS. Fill in for new building,or addition to existing building,or.change of oaupeney.
• • I Indicate on the plot plan street nears.Ike location and
size of the property,the location,site and whacks of pro-
NORTH posed buildings,and the looliat of all eaiaiug buildings.
Show proposed building(*) in dotted line and raining
puildingls) in solid line.
Site of property ft. a h.
t ! •,JA-i a Size and use of existing buildings,if any
S. J ,
w 1 }�c� I a / a It.
a I _ _I w Size of proposed building o R.a
Height(from grade to ridge) It.
Front yard It.
(( Side yards ft. and It.
C.,Le 4"Yv e flL t-C < r1 Rear yard It.
7 SOUTH • If on corner,setback from side sweet It.
Note! All distances are sec, es measured freer sweet side
lute to nearest part of building.
on.,
7-73-N
1
•
BUILDING SPECIFICATIONS. (coned.)
Kind of construction: Wood home,fire safe,eta a LA.)e a
Will any second-hand lumber be used? II so, for what?
Material of foundation walls .. . . . .. . .a?`.'
Depth of foundation walls below grade r Thickness
Will there be a cellar? / b_ If so, material of cellar floor Continuous foundation?
Type of roof: Sloped or flat? .A.' 4 1'?, 3- . . Material of roof V V t
Size,wood studs "a
Size, floor beams, lit floor " spacing • "o.c., length • ft.
Su ""a ".spacing
"
Size, floor beams,grad Boor "o.c••span It.
a spanng •Sim,ceiling beams "a "o.c..span ft.
Site, roof rafters or beams -i ". spacing "o.c.,a / ;.` .. spacing span h.
l�'/ JV.f c. „., "oa:.,span ft.
Exterior finish
Finish of interior walls With what material?
If garage is to be attached, of what material is wall between garage and main budding to be constructed?
Is there to be an opening betwwen garage and building?
Kind of heating system ( e c A CT
Will a flue-lined chimneybeOil burner coal?
provided? Depth of chimney foundation below grade
Hight of chimney above roof
Will there be a fireplace? ,
Will a toilet be installed? . ADepth of fireplace hearth
Will a kitchen sink be installed and connected to water supply? •'ft)
Water supply(public water supply or pump)
Distance of cesspool from any private well
Will drainage system be provided with required trope.cleanouu,and venta? last
Town of Queensbury AFFIDAVIT
County of Warren
Sate of New York
I swear that w tr. baps wr kmwWp and belW tti wawaeaw amtalnsd In We
mined. err a truo and e.... sty saunumi et all averred work w .kw dotty application;d r oorder. 5 with t aRlaas.ad INO CODE,THE ZONING ORDINANCE.and all other laws °Aw�"'i� t�arrows that aO �v'
and dwt elek nark u audwsiaad PwaaJ[,te so as pnpossd prk vents al dw BUILD•
tNywew. �!/YP.yl cfx/-lCT//l•�dC" M whether speWyd ar WC
9nom w brine aim xis Sipsesaa .
OWNER.OWNER'S AGENT.aRCN1reCT. TRACTOR
dose of
_ NOTARY PUMA c. wuRaN COUNTY. N. Y. _.. _. ._
SPECIAL CONDITIONS OF THE PERMIT,
By
TOWN OF QUEENSBDRY
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 ,VF,4227jj/T/Ow- A ' 1/(13a /
2 . Type of heat fled e c
3 . Is the building mechanically cooled?
4. Percentage of area of windows and doors
/661
A. Over 16% Only
1 . Uo value of gross area of walls , roof/ceiling and f oors9' e,
n
exposed to ambient conditions W6"S
2. Floor over heated spaces NO
a. Are foundation walls insulated? NO
1. If YES, what is the R value?
3. Slab on grade ag, NO
a. If YES , what is the R value of insulation around
perimeter of floor? j10C
4 . Is basement heated? YES
a. R value of insulation/ /;
5. Type of insulation fi �j/" (, r)
B. Under 16% Only
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 �� �'
1. Thermostat maximum heat setting
D. Duct Systems
1. Is duct system installed in unheated spaces? YES
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 ,1 n�/_p 0
Telephone No. & ✓1"'i'ao `. 2
(applicant ' s signature)
TOWN OF QUEENSBURY
Building Department
hamsters Report Date .004700
Name .e sf//
' Location (7/ ,.LiLA)7r7R_D
' Permit Na A(n — / 4/ Weather
Remarks
Excavation
Footing Forms
Footing s Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Surve
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs s Railings
Cellar Dr. Tile
Concrete Floors
Plbq. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval Floors
Foundation
Insulation Walls
Ceilin
Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
Name
Rat Date S/24-4
D ad-c L
Lotionhig /t-M,r, CulS 12m- 0144-l1ro./
Permit No. 2 4- it. i Weather
Remarks
Exca.atdon
Footing Forms C.
Footing & Piers „-
Foundation
✓
Cement Coat
Waterproofing
Backfill Y ineic
Final Survey
Framing-
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs b Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls JI
Ceiling
"'G! �ng Inspe
REMARKS
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