1986-179 BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-179
✓v t P.--1 APOWARREN COUNTY, NEW YORK
PERMISSION is hereby granted to James and Jody Coffey
OWNER of property located at Pinello Road Street. Road or Ave.
in the Town of Queensbury,To Construct or places Addition to mobile home (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 P. O.Box 367 Pinello Road
3
Glens Falls, New York m
w
Z. CONTRACTOR or BUILDER'S Name
Dick Haxten
a
3. CONTRACTOR or BUILDERS Address '"^
Reservoir Road
m
Glens Falls, New York
4. ARCHITECT'S Name cd
H.
N
0
5. ARCHITECTS Address 'b
0
0
a
6. TYPE of Construction—(Please indicate by X) •
(x)Wood Frame ( )Masonry 1 )Steel 1 1
7. PLANS and Specifications
12'x16' per plot plan, specifications and application submitted.
No. H.
H
0
7
B. Proposed Use
rf
Mobile Home Dwelling (living area added)
o
r o
C
C 1+
r-0
^J N
$ 10.00 PERMIT FEE PAID—THIS PERMIT EXPIRES November 1 1g86 u o
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the ID0 El
N
town of Oueensbury before the expiration date.)
Dated at the Town of Queensbury this 30th0� Day of April 19 86
SIGNED BY ,/I41f a /Do,. "22) for the Town of Queensbury
Building and Zoning Inspect
TO BE COMPLETED BY BLDG. DEPT.
TO.?! '
Application No. __,a�
Own of Queenitury Permit Issued 19 I __ '.
BUILDING and ZONING DEPARTMENT Permit Expires 1.9 it ,i I- . 'J L.
Bay and Haviland Road. R.D. 1 Box 98 Zoning Designation I
Queensbury, New York 12801 variance No. OR 2 3 I986
Site Plan Review No. MA. /6 (d Ge-c r /L„I
Approved by: 7Ig1Q11213141516
APPLICATION FOR a
BUILDING AND ZONING PERMIT
* Y ♦ * ♦ * * * * * * * * * * * * * * * * * * * N • * M N • * M M M N * R * *
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 /p/�roperty is: n�a Mt 3 J 4—SO C�I� L C o f cu.
P.O. Address e0.13(V- _3 fol 1),' n�e,I I o IC CT ( ) —Thre1. 7 q.) G-,3 9•-/
Property Location: Pi NCfJ fl VA - Tax Map No./17 / / / 7 y
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name 1 , P.O. Address Tel. No.
Name of builder bj(',� ko}xf n J Address te6eJOI r cld-. Tel. 19-i C ''f I a
Name of plumber Address Tel.
Name of mason 5c/ Cori-, Address L[7(7 IC Cf` cg. Tel.
NATURE OF PROPOSED WORK: * ZONIING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
"TAddition 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
* whether interior or corner lot. Show location
FOR DEMOLITION PERMIT, STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 7 5 ft X c200 ft.
* Existing building(s) Size jc ft X 3-6 ft.
PROPOSED BUILDING AND USE: hiobi/r Mon
// * Existing building(s) Use
Size of new structure 1cR ft X�(p ft *
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
(circle one) *
No. of stories (habitable space) /
* Front yard ft Rear yard ft
Height (grade to ridge) ft. • Side yards ft and ft
, If on corner, setback from side street ft
If residential, no. of families f No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms *
, PRIMARY BUILDING -
No. of bathrooms , One family dwelling
Primary heating system
, _ dwelling / Number of units
Two family dwelling
Type of fuel
No. of fireplaces to be installed * Multiple
Will a wood stove be installed? * _Permanent occupancy
* _Transient occupancy
Central Air conditioning? * Business
BUILDING STYLE, PRIMARY STRUCTURE , _Industrial 11
Ranch Contemporary Log cabin • Other Ged 1 I C71,N,V
Raised ranch Mansion Duplex . If addition, what will use be?
Split level Old style Bungalow * Ctri-C 1 I ( 'Ti' 1-1Q R b o iv-)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 VALUE OF * Other
CONSTRUCTION $ I 5 O O_ *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED:
torn. HIA 4/86 m_v1
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS: (1
Type of construction, od frame, fire safe,etc. yJcd 'Qarn'e
Will any second-hand or ungraded lumber be used? If so, for what? NO
Foundation wall material Leffl r+ TbGk5 Thickness 9 / p C Y /(o
Depth of foundation below grade (to bottom of footing) cf
Will there be a cellar? WO Heated or unheated? Floor sq. footage sq ft
Will there be a basement? /\/C) 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 Sj)lif\T C`>
Size, wood studs "X " spacing "o.c. length ft.
Joists(floor beams) 1st. floor a "X " spacing ) (o "o.c. span ft.
Joists (floor-beams).-2nd-,-floor-----"X' — -spacing p ft.
Overlays(ceiling beams) "x " spacing "o.c. span ft.
Roof rafters A IX ci - spacing / (c o.c. span ft.
Roof trusses(pre-engineered) spacing IC, "o.c. span ft.
Exterior wall finish_ }-Q y +ufL I - 1 ( Of-wiwkb-materi-al?
Interior wall finish c1'\ec* Qc,c IC
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-lined 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 Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
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 NE THIS Signature (\ � 1,J� _ -Uy`n
Owner,/owner' agent,ar itec , ontractor
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 he obtained before beginning work.
ANSWER ALL of the following:
1. Gross floor area is X/ &
2 . Type of heat PCras-enre. & rOGCF )
3. Is the building mechanically cooled? ' (V O
4 . Percentage of area of windows and doors
A. Over0,16% Only
1. uN value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2. Floor over ' - ated spaces YES NO
a. Are founds on walls' insulated? YES NO
1. If YES, = t i6 the R value?
3. Slab on grade YES NO
a. If YES, what is the value of insulation around
perimeter of floor?
4 . Is basement heated? YES N•
a. R value of insulation
5. Type of insulation —
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls f�/ 1
3. R value of glazed area
4. R value of doors= ' (
5. R value of floors over unheated spaces f
6. R value of slab edge insulation - unheated slab
7: R value of slab insulation - heated slab
R value of heated basement/cellar walls (above grade)
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 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
'J heating
Telephone No. '7 �7 02 G3 / 7
(applicant ' s signature)
THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY a(� I l 1q
41 STATE STREET,ALBANY,NEW YORK 12207
Bate July 22, 1986 Application No.on file 013761 -86 A 664685
THIS CERTIFIES THAT • _
c only the Nee tried equipment as dscribed&Now end introduced by the applicant named on the obese application number in the premises of =
Jives J. Coffey, Pinello I Rd., West Glens Falls, New York
ly
in the following location; ❑ Basement 1st Fl. ❑ End Fl. outside. Section 14'Aloeh 1 Lot 79
was examined on6/25/86 and found to be in compliance with the requirements of this Board.
RXTUM 9TAC1lS SWIICINf RETURES RANGES CONKING DICKS OVENS DISHWASHERS EXHAUST FANG =
WHETS IMC/.WFSRM-,lWIKIM y,�q IMi. [.W. AML, Y.W. AMt R.W. ANI, [.W. ANI. NJ.
1 6 2
DER N S MENACE MOTORS RNUK APPIIANCE IMGMS SPECIAL RK'R TIME CLOCKS RBS UNIT HRATuM MUITIOUTIE DIMES T DIERS
MU K.W. al N., aK N.r nAi. NO caw.n. AMR. MV. MU. MVS. SUNS. MO. N.r. srsiWS MO. wAm
No.a RNr
_ SERVICE DISCONNECT MO.O S E I (.� V I C E
.W.i. Y.V. N GAM
n E I/2w I/SW 3°SW 3°4W Na Op CDND. Of V'e&,n. NO M HI.IIG of ' No a4E:mA4 OfAZAAL a.
OMER APPARATUS:
_ INSPECTION FEE PAID
Janes J. Coffey 7-,
1
RD 4 Box 367, Pinello Rd. �� BRANCH MANAGER __
West Glens Falls, !DIY 12801 /I C___
Per t.
This certificate must not be altered in any manner;return to the office of the Board if incorrect. Inspectors may be identified by their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
Building Department
ie'°°etac' x°°at_ --- Date G 'pi-
Name_ Z.Itir
_N�
Location £&t 14,V .
Permit Plea Weather
Remarks
ExcaOation
Footin• Forms
Footin• & Piers
Foundation
Cement Coat
Water•roofin-
Backfill
Final Survey
Framin•
Sheathin•
Roof Felt
Roofin•
Siding
Masonr Veneer
Roush P1 .•.
Relief Valves
Wall Board S—
Ext. Porches
Finished Floor
Interior Trim
Stairs & ile•s Sit
Cellar Dr. Tile Sass
Concrete Floors
Pi.. . Fixtures
Gar. Fire.roofin.
Door Closers
Chimne
Water Meter Inst.
Se.tiC A..roval
Floors
Foundation
Insulation Walls
Ceilin
Building Inspector
REMARKS
Q
TOWN OF QUEENSBURY
Building Department
Inyauors Report Date V/30-4
Name Co
Location )NS-cto A9.
Permit No. (a- 1 ? 9 Weather
Remarks
Excavation
Footing Forms
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill Q. K
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
WallBoard - \
Ext. Porches
Finished Floor
Interior Trim
Stairs a Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
Ceilin
g
/
01
Li /1311
1B� Building Inspector
REMARKS
TOWN OF QUEENSBURY
Building Department
t _ Date V. )5-, R(o
Name
Lemke
Permit No. RC, - ! 79 Weather
Remarks
Excapation
Footing Forms Le". o !K,
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer /\
Rough Plbg. .,
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst. '.
Septic Approval
Floors
Insulation Foundation
Walls
Ceiling
Building Inspector
REMARKS
g ,C 070
TOWN OF QUEENSBURY
Building Department
impeders Ryoet Date {/�' 2/i9/i
Name rl
Locatiea
Permit Na Ab- i7 g Weather
Remarks
Excavation
Footing Forms t/ SFa l3FZC04)
Footing & Piers
Foundation
Cement Coat
Waterproofing
Backfill
Final Survey
Framing
Sheathing
Roof Felt
Roofing
Siding
Masonry Veneer
Rough Plbg.
Relief Valves
Wall Board
Ext. Porches
Finished Floor
Interior Trim
Stairs & Railings
Cellar Dr. Tile
Concrete Floors
plbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation
Walls
' Ceiling
'
w"� Inspector
REMARKS
1 0 ,v7d /Tht(4 F IC k•-
€1, nal
. /J
%Ash/N5 N
411. \ . 1;7(4
at71( - /6 0-C-
1 _
___ j c/Nsut4flow- R- /9
1 �Si u'-c yt4ZIA.t I- i
k. b‘d Iwo'wow
344 E
1
i-
x
4-tNSVtftim R-/I
,,
'V 1l1P
r ytcrxi6 Stec*
kw
C±Is
I ++ 2222
-Htr -2
1. \ I
IIfi i
I i
I
•
•
6'_ I
\ P
4-- - E > , �I
T 'I
�'1
If I
I
.c?c F i.
rb
r : -- �
tit I y
•
o I