1986-373 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date - 19
This is to certify that work requested to be done as shown by Permit No. 86-373
has been completed.
This structure may be occupied as a Addition- to one family dwelling -
Location Lot 76 Surcingle Drive
Owner Peter and Dorothy Lo Sacco -
By Order Town Board •
- TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN •OF QUEENSBURY No. 86-373
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Peter and Dorothy Lo Sacco
OWNER of property located at Lot 76 Surcingle Drive Street, Road or Ave. n
in the Town of Queensbury,To Construct or place a Addition to dwelling (sun room)
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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. t7
1. OWNER'S Address is #3
RD rt
Glens Falls, New York �c
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2. CONTRACTOR or BUI LDER'S Name Marc Connelly
3. CONTRACTOR or BUILDER'S Address
RR #2
Lake George, New York
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4. ARCHITECT'S Name rt
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) ro
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(xI Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 20'x20' per plot plan, specifications and application submitted.
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8. Proposed Use 0 H.
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One—Family Dwelling (sun room added) o
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$5.00 C/0 Paid w a
$ 40.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 87 0
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.) , I"
QQ
Dated at the Town of Queensbury this 3rd Day of July 19 86
SIGNED BY )r, 0-4 a ,ate for the Town of Queensbury
Building and Zoning Inspect.
TO BE COMPLETED BY BLDG. DEPT.
Jown of Quei.ni/uryAPPlication No. `TO HWN OF QUEENSBUBUILDING Permit Issued 19 I 1 LE U ' LE
and ZONING DEPARTMENT Permit Expires 19
[01-
Bay and Haviland Road, R.D. 1 Bpl, :• , Zoning Designation
Queensbury, New York 12801 Variance No. JUL 2 1986
/ " ' Site Plan Review No.-�
A.M. Z ,._ .M. .
APP 6e 71g1g1191 p2)3)4J51.
APPLICATION FOR . -'. a
BUILDING AND ZONING PERMIT CIO (` 4_'
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * :;*
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.
Tie r-e<-- La s cz c c c,
The owner of this property is: yUtyz. ,j_ (M !_�S , Lea S A c. . v
P.O. Address M. D 3 LUh,C:I►AI )e. 0 2 (n 1,...,„: `i-C a S h. 1 . Tel. rj a z — zgf.3
Property Location: 2. 4 --7E 76 Tax Map No. l /
Street number or building lot number
Subdivision name (if applicable) el y. C L v S e
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
slave.. Cotv,rielLi P.a. 2 Rox29 4 .3 Lw-kc 6c6 -5 e Wy s -,23-4, &. - 358
Name I r /� P.O. Address Tel. No.
Name of builder(r,kx•e,I lc, (4sw�c („x..s-1.Address QQ-2 :Sox 29�F 3 i-•G. ?/Tel. G(� '9'-a 5 FS
Name of plumber l 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,
X 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 0 0 ft X ,?D U -E ft.
* Existing building(s) Size 36 ft X 60 ft.
* . . . . . . . . . . .
PROPOSED BUILDING AND USE: '
* Existing building(s) 'Use S ltAl le_ --P ...),1
Size of new structure ,20 ft X o2O ft �
* . . P S f cI
�t...e_e-
Foundation-pie (:,crawl/partial/full *. Proposed building, distance from property line
(circle one)
No. of stories (habitable space) * Front yard /A1/4 ft Rear yard (, 7 ft
Height (grade to ridge) 13 ft. * Side yards Q' S� ft and !J ft
If residential, no. of families I * If on corner, setback from side street ft
No. of rooms(excluding baths) if * OCCUPANCY INFORMATION
No. of bedrooms 41 *
No. of bathrooms •3 * PRIMARY BUILDING -
Primary heating system E/e grad- a,vc., * one family dwelling
Type of fuel Fl,2 - * Two family dwelling
No, of fireplaces to be installedp * Multiple dwelling / Number of. units
Will a wood stove be installed? Q * Permanent occupancy
Central Air conditioning? CD * 'Transient occupancy
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other '
Raised ranch Mansion Duplex * If additio• pp '� A f�
n, what will use be? � oCTn4
Split level Old style . Bungalow * S�� p`'O�
Cape Cod Cottage Other * ACCESSORY BUILDING-
.(Coloni4) Row Town House * ' Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * • * * * * * * * * Private storage build' g
ESTIMATED MARKET VALUE OF * Other `v g .
CONSTRUCTION *
$,� .adt0OD
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BF--A /uI.". ma-vt
..+ ..1:J,.. .• .._ S.: , .i 1.6:. .... ...:"1....,. 1..�.s S..�il l.'c.....• •s
•
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. . /jJOOcL -C/l61"/y`.€
Will any second-hand or ungraded lumber be used? If so, for what? Al 6 • •
Foundation wall material rre. /;' `/oc�L Thickness G/
Cb
Depth of foundation below grade (to bottom of footingl 9 "
Will there be a cellar? J'U0 Heated 'or unheated? Floor sq. footage 406. sq ft
Will there be a basement? ifjo Will any portion b used as living space? `v/,�q
(If so, what portion? }�/ sq.ft. - - Type of. use? /a/d
Type of roof - sloped/flat/shed/other Material• of roof
Size, wood studs 7. "X ( ., " spacing / G• "o.c. length , • ft.
Joists(floor beams) 1st. floor /✓if"X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor Pp "X " spacing "o.c. span ft.
Overlays(ceiling beams) Z "X (, " spacing /G "o.c. span /9' ft.
Roof rafters 2, "X g " spacing Ai, o.c. span /y ft.
Roof trusses(pre-engineered) spacing N/f?"o.c. span ft. •
Exterior wall finish g/Glipt..4 Of what material? /(6 ,defile a/ e'ea6;tik,
Interior wall finish er iu�--//
If a garage is to be attache, describe materials to be used for FIRE SEPARATION:
Is there to be an opening between ,P 9 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( of my knowledge and belief the statements contained
in this ap1?lication, tog th/ with the plans and specifications submitted, are a.t 'ue and
complete statement of b proposed work to be done on the described premises and that all
provisions of the BUI. ING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed rk s All be complied with, whether specified or not, and th t such work is
authorized by t e ner. •
SWORN TO BEFO • THIS Signature
r, o ri agent,ar Itect,contractor
day of 19
Notary ublic, Warren Co ty, N.Y. .
* * * * * * * * * * * * * * * * * * .* * * a *. * * * * .
* * * * * * * * * * * * * * * * * * *
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 '7W Sr //
2 . Type of heat E/C . 74 1) /4',AA.-
3 . Is the building mechanically cooled? Y is
4 . Percentage of area of windows and doors 6_S.64'
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? NO
1 . If YES, what is the R value?
3 . Slab on grade ® NO
a. If YES, what is the R value of insulation around
perimeter of floor? r1,•Z
4 . Is basement heated? YES NO ���
a. R value of insulation
5. Type of insulation t
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
►2-- 30
2 . R value of exterior walls R-l7
3 . R value of glazed area Lit 2_
4 . R value of doors '-I. Z (Glass IDoos ..s.) •
5. R value of floors over unheated spaces A-)/4
6. R value of slab edge insulation - unheated slab ( , 2
7 . R value of slab insulation - heated slab
8. R value of heated basement/cellar walls (above grade) 4
9 . R value of heated basement/cellar walls (below grade) 11A;
10 . Type of insulation • -P16.e.AliAgs
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 N/V
b. R value of duct in other areas
E. Piping Insulation
1. Size of hot water or cooling carrying age t pipe
• 2 . R value of pipe insulation I)
F. Service Water Heating )/
1 . Performance efficiency
12
2 . Temperature control setting maximum /E//r
G. For Swimming Pool Only
1 . Maximum heating
Telephone No. �--
( lic,ay, signatur
•
C -,69 1 ! ( c- 5rili6 cM
...awn o/ Queenihury •
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
t Queensbury, New York 12801
l—/ ',Ov-hSa,
•
I p--DUILDING INSPECTOR ' S REPORT
NAME pC rel- L 0 Sq cc d
LOCATION £7- en SLcrs•in 0, lc. j))-
Date !�5 /P, Permit No. ef 6 - 3 73 •
i_
* * * * * * * * * * * * * * * * * * * * * * *
K�l�f�'L- .�}ODiTeT^K — APPROVED - YES / NO
• Footing/Pier Forms
Foundation .
Waterproofing
Backfill
Framing
4 fing ar
L4iding n.N
Masonry Venee.
Rough Plumbing •
Relief Valves
t. Porches 8 l f U6L- .
' naished Floors Q,(
'Interior Trim Ofk
•
\j/Stairs & Railing IvF-Ga ki4440 , li _
Cellar Drain Til_
Concrete Floors
IsPlbg. Fixtures pi,K.
•
Gar. Fireproof ng
Door Closers •
Smoke Detectors
Chimney
INSULATION:
Foundation
- Floors -
Walls
Ceiling
FINAL ELEITRICAL INSPECTION, .
Final Bui ding Survey ///
Next schedu -. Inspection(call when ready)
4
Remarks- - ti
0.4061 -10
611
6II �aL y
(,0170 AA
. ' Building Inspector
6/86 and-vl
Jocun of Queen.4ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME /6. <
LOCATION )
Date /t / cf(to Permit No. 151—31 3
* * * * * *. * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
B�ckfill
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- -
(#14/2),AJE)
Building Inspector
6/86 and-vl
� ( • fown o
y
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
• Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME I'e( etr P d,o L0
LOCATION LA-- G cud G t wls 1
Date 47// / rj, Permit No. 76 -- 3 /3
* * * * * *..* * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms S["`tiro '&e 9 '4d9,
Foundation
Waterproofing
/Backfill ��~~ C� dc-;
Framing
Roofing
. Siding •
•
Masonry Veneer •
I/Rough Plumbing r �
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings '-
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar.. Fireproofing
Door Closers � 1
Smoke Detectors '"\
Chimney
INSULATION:
Foundation
Floors •
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
• Final Building Survey . •
Next'scheduled Inspection(call when ready)
Remarks- -
A/ez-ec- jt,A_
(Tu
Building Inspector
6/86 and-vl
Jown of Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION Ler'7 (p Siaz
Dateq' e� //to Permit No. O ‘ 37..
APPROV D - YES / NO
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
Concrete Floors
Plbg. Fixtures
Gar.. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors •
Walls
Ceiling ></i
FINAL ELECTRICAL INSPECTION
Final Building Survey .
Next scheduled Inspection(call when ready)
Remarks- -
ti
L,60/154.4..
Building Inspector
6/86 and-vl
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T herebT acknowledge receiptvof a copy of
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this survey.
I further acknowledge that possible set bact
problems for set back from Triphammer -Lane has been
called to mp•attention.
_
In view. of two years statute of limitation
and passing.of - same, I has elected to accept title without
title insurance*
Dated: August 8, 1983
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