1986-278 t r
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Daft 19 —
3 a3 1 I '
This is to certify that work requested to be done as shown by Permit No. 86-278
has been completed.
Addition to TV Repair and Sales
This structure may be occupied as a
Corner Dix and Queensbury Avenues
Location
William Fox — Quaker TV
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-278
WARREN COUNTY, NEW YORK
William Fox - Quaker TV 'n
PERMISSION is hereby granted to %
OWNER of property located at Car. Dix and Queensbury Avenues Street, Road or Ave.
p
03
in the Town of Queensbury,To Construct or places Addition to TV repair and sales
ise
at the above location in accordance to application together with plot plans and other information hereto filed and ,1Dy
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
1-3
I. OWNER'S Address is Dix and Queensbury Avenues
Glens Falls, New York
2. CONTRACTOR or BUILDERS Name
Daniel DelSignore
0
3. CONTRACTOR or BUILDERS Address p
87 MainSt.
Hudson Falls, New York
x
4. ARCHITECTS Name p
o.
c
m
6. ARCHITECTS Address ❑
m
C
H
6. TYPE of Construction—(Please indicate by X) 0
q
Ixl Wood Frame ( ) Masonry 1 1 Steal 1 1
N
7. PLANS and Specifications
301x301 per plot plan, specifications and application submitted.
No.
a
H.
8. Proposed Use n
Addition to TV Repair and Sales o
0
rt
$5.00 C/0 Paid
$ 20.00 PERMIT FEE PAID-THIS PERMIT EXPIRES Jan. 1 1987
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the to
town of Queensbury before the expiration date.) 1f
H.
86
Dated at the Town of Queensbury this 4th Day of MaY 79
SIGNED BY //! (Lc/ Q' ^' for the Town of Queensbury w
Building and Zoning Inspector
TO BE COMPLETED BY BLDG. DEPT.
CJ Application No.
Own of Queenstury Permit Issued 19 rowN OF QUEENSF.
BUILDING and ZONING DEPARTMENT Permit Expires 19 �� �,
Bay and Haviland Road. R.D. 1 Box 98 Zoning Designation �( E 0 �i='' u V L'' C
Oueensbury, New York 12801 Variance No. � NO ,� q`�
Site Plan Review 2
/1 / - 5-- 1 Approved by: A.M. Zj aW' P
APPLICATION FOR r ?I8190 0� I ' I I •I'
BUILDING AND ZONING PERMIT t� ^�0 iucL
* * * * Y A * M * M A M M N * M N M ♦ Y • Y * * * Y • * * M M N • N • N • Y ::a
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: fl/// /CP"(
P.O. Address flay c' e/Vve 4 Odeen.fla'J /244l Tel.7T1- ?.?G/
Property Location:219i- )/%wC V q/Zen.rdlUilt fu-e Tax Map No. / /_
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS RM'ARDS BUILDING CODES IS:
YnRni. Ant/ 0".en -c, 17 /r70//4/ Jf ///-- 7 7 S 2S
Name / P.O. Address Tel. No. �/
Name of builder �H/ / Si)Ndrjddress /2 -7/jjo/N Ji /7 Tel. Jy%t-.r .li /
Name of plumber ✓✓ Address Tel.
Name of mason // Address Cl Tel. /�
NATURE OF PROPOSED MURK: ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
Y Addition to a building * drawn reasonably to scale and attached hereto,
!`I—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 /O7 'Z J ft X327.7/ft.
* Existing building(s) Size 7 y ft X 5'0 ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use %plant
Size of new structure . lO ft X3Oft *
Foundation-pier C/crawl/partial/full * Proposed building, distance from property line
*
,1/
ircle one) * Front yard .- ft Rear yard CO ft
No. of stories (habitable space) / * Side yards 6,f- ft and /pd ft
Height (grade to ridge) /S` ft. * If on corner, setback from side street Cr ft
If residential, no. of families
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms *
* PRIMARY BUILDING -
No. of bathrooms One family dwelling
Primary heating system * Two family dwelling
Type of fuel * Multiple dwelling / Number of units
No. of fireplaces to be installed * Permanent occupancy
Will a wood stove be installed? Transient occupancy
Central Air conditioning? * ,Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Other
Ranch Contemporary Log cabin *
* If addition, what will use be? .974:4,,,-y e
Raised ranch Mansion Duplex
Split level Old style Bungalow *
Cape Cod Cottage 1hei * 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 $_- q en)
*
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. u/pvc.2/SP'�rj/
Will any second-hand or ungraded lumber be used? If so, for what? it-1
Foundation wall material f 'rtMrC/f4 ,(f/oc hickness F -
Depth of foundation below grade (to bottom of footing) 5/--
Will there be a cellar?44 Heated or unheated? tier Floor sq. footage fou sq ft
Will there be a basement? any portion be used as living space? Aif(If so, what porti.,? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other/tom. Material of roof
Size, wood studs "X S/ " spacing /Q "o.c. length /o ft.
Joists(floor beams) 1st. floor "X
Joists (floor beams) 2nd. floor " spacing "o.c. span ft.
"s spacing "o.c. span ft.
Overlays(ceiling beams) � "X �/spacing "o.c. span rSU ft.
Roof rafters "X ,{ spacing o.c. san 0 ft. riff - J. t,/ 742 li
Roof trusses(preLengineered) s aci g �� over V
P g f span ft.
Exterior wall finish T/-// Of what material?#jajf-tiy„`/
Interior wall finish y '� ,j,�lAoe� .QoAio/
If a garage is to be }atttched, describe materials to be used for FIRE SEPARATION:
,41 ///Y Me-4 J:447/oc/r
Is there to be an opening between garage and dwelling? /,tf If so will a Fire-rated
door, enclosure, and self-closing device be provided? � f
Will a flue-lined chimney be installed? tiJ,/ 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
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
Owner, owner's agent,arcnitect,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:
1 . Gross floor area 4/0
/b c S /--t
2. Type of heat 4/O //ent
3 . Is the building mechanically cooled? /I/O
4. Percentage of area of windows and doors
A. Over 16% Only
1. Uo v. ue of gross area of walls , roof/ce ' - ing and floors
expose. to ambient conditions
2 . Floor over - ated spaces Y . NO
a. Are found. tion walls i . -ulated? YES NO
1 . If YES, what is e R value?
3 . Slab on grade Y : NO
a. If YES, what s the R value of insulation around
perimeter . flo• .?
4. IS basement heated? Yc 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_
43 / 9
2 . R value of exterior walls jp //
3 . R value of glazed area E ) 1b 1 INL Uhf GO L+) I o Y;F \7F.-US to.
4 . R value of doors :51.10L '•jL ?, r' Opr) YL.
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 //,6«�'/iq r)
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 heating
Telephone No. 7 ,1-3t
(applicant ' s gnature)
TOWN OF QUEENSBURY
Building Department
Impeetors Report D Y/Q�/
Name !/ n 7. ✓ C��/fTec
Locatim b u0¢s ,7 Z�
Peru No. 86-.271� Weather
Remarks
Excagation
Footing Forms it nt.ua /fir.. 4 a 4J
Footing & Piers gAzeQ
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 6 Railings
Cellar Dr. Tile
Concrete Floors
PIbg. Fixtures
Gar. Fireproofing
Door Closers
Chimney
Water Meter Inst.
Septic Approval
Floors
Insulation Foundation.
Walls
(��//��t, - 1
Ceiling
Building Inspector
REMARKS
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