1986-357 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
SOI273
This is to certify that work requested to be done as shown by Permit No. 86-357
has been completed.
This structure may be occupied as a Addition to dwelling (sun room)
Location 29 Helen Drive
Gary and Carlene Poster
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 86-357
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Gary and Carlene Poster
OWNER of property located at 29 Helen Drive Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling (sun room)
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. w
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1. OWNER'S Address is 29 Helen Drive
Glens Falls, New York a.
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2. CONTRACTOR or BUILDER'S Name
Kevin Toomey 6
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3. CONTRACTOR or BUILDER'S Address rt
Box 580 A Rockwell Road
Glens Falls, New York
4. ARCHITECT'S Name
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5. ARCHITECT'S Addressro
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6. TYPE of Construction— (Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
8'x13' per plot plan, specifications and application submitted.
No.
a.
8. Proposed Use a'
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One—Family Dwelling (sun room added)
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$5.00 C/O Paid 0
$ 18.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 87
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date.)
as
Dated at the Town of Queensbury this 26th Day of June 19 86 cn
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector 2t p
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TO BE COMPLETED BY BLDG. DEPT.
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Application No.
_ wn of Qteenitu9, Permit Issued 1.9
BUILDING and ZONING DEPARTMENT Permit Expires 19 OWN OF QUEENSBURY
- Bay and Haviland Road, R.D. 1 Box Zoning Designation . (� E [I V E ET
Queensbury, New York 12801 ' Variance No. A �t tU!
r�U Site Plan Review �. JUN 96
`� Approved by:
A.M. t-- 111P.M.
APPLICATION FOR 7)8)9)g0)11)11)2)3 4ISlS
EUILDING AND ZONING PERMIT
ttol CL_ G
* * * * * * * * * .* * * * * * * * * * * * * * * * * * * * * * * * * * * * *::*
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: avc, C 47 6,77�^P.O. Address 1 /,-/—A Tel.
Property Location: Tax. Map No. / /
Street number or building lot number
Subdivision name (if applicable) �% �/�
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
tree
Name P.O. Address Tel. No.
Name of builder,,// 41 (fUcrAddress $_r `�J/� 0 J d'/d4 Tel. C1Zr;
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION: '
Construction'Of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
,A/ 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 dot 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 i OV ft X /VD ft.
* Existing building(s) Size ft X ft.
PROPOSED BUILDING AND USES * 2u...X.'4 S' —1`-1
* Existing buildings) 'Use '
Size of new structure g ft X Oft * 0' & (',Ifs; _ 2o� g —CA— .-[ '
Foundation-pier/slab/crawl/partik1/full * Proposed building, distance from property line
(circle one) * i
No. of stories (habitable space) ' * Front yard co ft Rear yard -to -I— ft
Height (grade to ridge) I),. / ' ( ft. * Side yards (� ft and r ft
If residential, no. of families * If on corner, setback from side street.—.-...._ft
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms
No, of bathrooms * PRIMARY BUILDING -
Primary heating system 6-�/ * x One family dwelling
Type of fuel * I Two family dwelling
No. of fireplaces to be installed * Multiple dwelling / Number of units
Will a wood stove be installed? (OP * Permanent occupancy
Central Air conditioning? IVO * Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE ,', Industrial
Ranch Contemporary Log cabin * Other '
Raised ranch Mansion Duplex * If addition, what will use be?
Split level Old style Bungalow * S`)N f2oo A,‘,
C e Cod Cottage Other * ACCESSORY BUILDING-
Colo is 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 $ lab f a *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! '
Form BPI\ - /ttr. ma—vi
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, .fire safe,etc. . l.(JOa 4
Will any second-hand or ungraded lumber be used? If so, for what? /D O
Foundation wall material ��
0l�jC . Thickness
Depth of foundation below grade (to bottom of- footings I
Will there be a cellar? /jj0 Heated or unheated? F1 or sq. footage f0 e9 sq ft
Will there be a basement? yvo Will any portion be used as living space? • -
(If so, what portion? sq.ft. - - Type of use?
Type of roof -Ca oped7flat/shed/other Material, of roof 6E4-1
Size, wood studs , "X " spacing 14e "o.c. length ft.
Joists(floor beams) 1st, floor -= "X -- " spacing -- "o.c, span --- ft.
Joists (floor beams) 2nd. floor "X - " spacing "o.c. span _- ft. -
Overlays(ceiling beams) zD "X J-" spacing `ram ."o.c. span J ft.
Roof rafters 2 "X fQ " spacing r(p o.c. span f ft.
Roof trusses(pre-engineered) spacing "o.c. span --- ft. , ,
Exterior wall finish e(exi 5, Ler Of what material?
Interior wall finish VP:06 _ •
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? J-
Will a flue-lined chimney be installed? Height above roof ft. •
Depth of chimney foundation below grade •____.f-t.
Depth of fireplace hearth —ft. :
Water supply - Municipal or private well .
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties eft.
(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, axe. a_ _true and
complete statement of all proposed work to be done on the described premises and that all
provisions o the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed ork shall be complied with, whether specified or not, and that such work is
authorized by the owner. •
SWORN TO BEFORE THI Signature;___ L-r
Own r, owner's agent,arcnitect,u,'ntractor .
day=of 19
Notary Public, arreq Co ty, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE P IT: -
•
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 .`" v11
2 . Type of heat Iry
3 . Is the building mechanically cooled? kd
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 an floors exposed to ambient conditions
gd , „ _ e 304 J
• 2 . R value of exterior walls v/ s. . /3
3 . R value of glazed area �,/3
4 . R value of doors • /.3
5 . R value of floors over unheated spaces ny ,,,,1U�
•
6. R value of slab edge insulation - unheated slab tG . 6
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7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade)
9 . R value of heated basement/cellarl walls (below grade)
•
10 . Type of insulation '/es5
C. Controls
1. Thermostat maximum heat setting 0d
D. Duct Systems ,�
1. Is du`'ctsy-„ stem installed in unheated spaces? YES U
a. If YES-, R' value of duct installation
b. \R value o.f duct in other areas
E . Piping Insulation
1. . Size of of water or cooling carrying agent pipe e.164J6"--
• 2 . R value ofs-pipe insulation
F. Service Water Heating fn �
1 . Performance efficiency ry 4``NZC
2 . Temperature control setting maximum G. ForlmIping Pool Only
1 . Maximiiii -hating
.' ftia-c )04 (PO,„:„.--, ., .
Telephone No. -76 52,77 , �d
(applicant ' s sign ure)
Town of Qaeenitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME vM• " {ec j'L-.mac `
LOCATION -LC"( --1-6,u gnat ti
Date 7/29/ �' Permit No. S (, ^ 36-
* * * * * *. * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
4103P0 PAire.r—IAL —
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:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
C7Iz. As C'om �L£ -
1 I% �Uw Ooac S Cvs 1 rb
uSGI r. �5 S 6-c— l 6'\oL
///7:\
Build ng Inspec 'or
6/86 and-vl
awn o/ gQueen3t ur/
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
-NAME �
-eimif 46/71e1
LOCATION o) ? 44.4 ,,s `
Date(v � '/ Permit No. gI - 3S1
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms 1
Foundation
Waterproof in
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:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
5 r
Building nspector
6/86 and-vl
KEV/N S TOONEY
084
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