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1986-385 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 19 C2-3C .\ "— , This is to certify that work reques ed to. be done as shown by Permit No. 86-385 has been completed. This structure may be occupied as a Addition to one family dwelling (living area) Location 42 Wintergreen Road Owner Gregory Leonard By Order Town Board TOWN OF QUEENSBURY _ Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 86-385 WARREN COUNTY, NEW YORK ht PERMISSION is hereby granted to Gregory Leonard m 0 crg OWNER of property located at 42 Wintergreen Road Street, Road or Ave. m in the Town of Queensbury,To Construct or place a Addition to dwelling (living area) w at the above location in accordance to application together with plot plans and other information hereto filed and n a. approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 1. OWNER'S Address is 42 Wintergreen Road Glens Falls, New York 2. CONTRACTOR or BUI LDER'S Name same N 3. CONTRACTOR or BUILDER'S Address same H. rt m n oQ 4. ARCHITECT'S Name n CD CD 0 7y 0 w 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (X) Wood Frame ( ) Masonry ( I Steel ( ) 7. PLANS and Specifications a No. 12'x36' per plot plan, specifications and application submitted. r, 0 8. Proposed Use o One—Family Dwelling (additional living area) a CD $5.00 C/0 Paid p $ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES FEb. 1 19 87 °Q (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the I-' town of Queensbury before the expiration date.) H. 0 Dated at the Town of Queensbury this 10th Day of July 19 86 CM) CD SIGNED BY - a= for the Town of Queensbury a: Building and Zoning Inspector} TO BE COMPLETED BY BLDG. DEPT. Application No. _ own of Que&'ni/,ur0 Permit Issued 19 TOWN OF QUEENSBURY BUILDING and ZONING DEPARTMENT • Permit Expires 19 E G E �7 i nU Bay and Haviland Road, R.D. 1 Box , Zoning Designation i3 t3 U Queensbury, New York 12801 Variance No. J U L 3 1966 pp Site Plan Review No. • ,\p - - !3 ' - APProvied b : A. M. • . 9q+1 11LL-2 4 5.6 (;/.1(4-A ret e e r/e ' eIa I a l aI APPLICATION FOR � BUILDING AND ZONING PERMIT i * * * * * * * * * * * * * * * * * * * * * * * * * * * *.* * * * * * * * * * :.* 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 gis: )Z. ���% 1 . P.O. Address �,,fj, Qpy, JiCQ.14 A ' 'Tel.Property Location: 7'2 /4/ J /Z,A2 // f Tax Map No. / 3 / SA Street number or buildingi lot number Subdivision name (if applicable) THE P ON RES SIBL FOR SUPERVISION OF WORK AS REGARDS B[IILDING CODES ISt ape a d' — 02—Ok . / me P.O. Address Tel. No. Name of builder Address Tel. 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, 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 ordot number and indicate whether interior or corner lot. Show location FOR DEMOLITION PERMIT, STATE SIZE AND * LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. / * Size of property( 70 ft X 50 ft.06e� * Existing building( ') Size �r.,z ft X ft. *. . . . . . . . . 1 PROPOSED BUILDING AND USE: 2 * Existing building(s) `Use zr, �� rl � „4� Size of new structure /2.ft X J 6t * • . • • Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) / No. of stories (habitable space) 1 * Front yard/Uv,_ 40 . ft Rear yard u,C'56 ft Height (grade to ridge)i6¢e ft. * Side yards, . ft and ft if residential, no. of amili / * If on corner, setback from side- street ft No. of rooms(excluding baths) 7-. * OCCUPANCY INFORMATION No. of bedrooms * • No. of bathrooms * PRIMARY BUILDING - Primary heating system i , * One family dwelling ��J * Two family dwelling Type of fuel On to N No. of fireplaW to be installed0 * Multiple dwelling / Number of units Will a wood stove be installed? MAD * Permanent occupancy Central Air conditioning? * 'Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial `ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition what will use be? L V � Split level Old style ; Bungalow * .4.4-r77ti 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 $ 400-÷ * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BFA4/ff. ma-vl ISI„i.:•- ••tic. 5•, 1(ifi.i.T >,., ....... .._,.c.,, ....i.JT.tNLaLD - BUILDING SPECIFICATIONS: Type of construction, wood frame, .fire safe,etc. . 4b1414--, Will any second-hand or ungraded lumber be used? If so, t what? Aid Foundation wall material A- Thickness O ti Depth of foundation below grade (to bottom of footing) I i�r+.O.4A/- Will there be a cellar? ()Heated or unheated? F o sq. footage sq ft Will there be a basementbWill any portion be used as living space? 0(If so, what por on sq.ft. - - Type of use? Q (,Type of roof - slope /flat/shed/other. Material. of roof -�! _r , . Size, wood studs "X " spacing "o.c. length • g ft. — n Joists(floor beams) 1st. floor L.- "X " spacing A, "o.c. span /Lit. Joists or beams) 2nd. floor r�"X " spacing "o.c, span ft. Overlays(ceiling beams) X , spacing / "o.c. span Jr?—ft. q �p Roof rafters "X spacing ��, o.c. span , Zo ft. ;;txy� ton- Ara� 4 Pit-�.�0 Roof trusses(pre-engineered) spacing "o.c. span ft. JJ Exterior wall finish p l,-c.4 r Of what material? (n e./14 Interior wall finish If a garage is to be attached, 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 b© rovided? Will a flue-lined chimney be installed? /Vo Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. L✓' � Water supply - Municipal or private well y SEPTIC SYSTEM J( Distance from ANY private ell(including adjoining properties 55 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 Warre i swear t at to thebest of my knowledge and belief the statements contained in this applicati n, together with the plans and specifications submitted, are , true_ and complete statement of all roposed work to be done on the described premises and that all provisions of the B I.LDI G CODE, THE ZONING ORDINANCE, and all other laws pertaining to the proposed work sh 11 be complied with, whether specified or not, and that such work is authorized by the own . 1 1 / SWORN TO BEFORE ME II Signature_ / Owner, o is agent,arcnitect,contractor day of \19 / / \ Notary Public, ,911rren Coun , 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: {f' 1. Gross floor area 6 x, g Lv 1 2 . Type of heat 3 . Is the building mechanically cooled? 4 . Percentage of area of windows and doors (1)6 /� /4 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 four ation walls insulated? -E NO 1. If YE what is the R values 3 . Slab on grade YE NO a. If YES, what is t alue of insulation around perimeter of floo . 4 . Is basement he ed? YES a. R valu of insulation 5. Ty of insulation B. Under 16% Only 1. R value of roof and floors exposed to ambient conditions_ - 2 . R value of exterior walls 41 // 3 3 . R value of glazed area //,Q,/,GQ,Q_,i ,,,,,a 4 . R value of doors , 5. R value of floors over unheated spaces R J 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 &fiat-y.0 C. Controls c J 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 pii3ee� • 2 . R value of pipe insulation /J F. Service Water Heating �/ 1 . Performance efficiency 4/ 2. Temperature control setting maximum Ai G. For Swimming Pool Only 1 . Maximum heating Telephone No. --77,2'683 0 -1) -� (app ' ca t s signature) V�� _loevn of Queen iur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT ezhar4 NAME 4)7 LOCATION to_ cam(.', Ar C Date/)/2 / 40 Permit No. ale- g3- * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill n�,n, ,,/ jI �aming ` �Y�P�L/ �`a.� c � 0 K 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 i INSULATION: Foundation i Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- Building Inspector 6/86 and-vl . own of Queen.it,ur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME Ver/X,—Z. (;) • LOCATION 7 ti Date/��7 / Permit No. ( � 3�5 * * * �* * * * * * * * * * * * * * * * * * * APPROVED - YES / NO Footing/Pier Forms Foundation WaterproofingBackfill ��, �raming �y� Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings . Cellar Drain Tile _ Concrete Floors 1 .� Plbg. Fixtures \ Gar. Fireproofing Door Closers ,a' \ Smoke Detectors Chimney / INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- ` e /!j l v�T �,•C�-� ; • Building Inspector 6/86 and-vl COL 7f3d/N Down of Qaeenitur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME C )'2 Day A 6.di,-ar'cY LOCATION <,Aa 0.// h,y-.e, 5,` , ,eiii Date 7/3o / 86 Permit No. 3 3 83 * * * * * * * * *. * * * * * * * * * * * * APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill t/Framing c1;i.2l!trir, 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 11 Door Closers \I Smoke Detectors Chimney /1\\\ INSULATION: 7 Foundation I Floors // Walls / Ceiling .// FINAL ELECTRICAL INSPtCTION Final Building Survey Next scheduled Inspection(call when ready) Remarks-• - ail a4;,15/� 5 ..-z,v, rex...e4 6r.vt ..... „(7,4.,,,,,ziA, 0,144) • ,/, ftrwal .41.4/1 ... 4,(4 �,� .►-,� `,..... ` - 9 2 S (A1)3/6 Building Inspector 6/86 and-vl (\l-A3I47 \'JO9M . own of Queeniar1 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME CrR6 3 .eo LOCATION Date \ \ /b Permit No.% 35 * * * * * *. * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill �r Framing PL ,�` thk 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 q' INSULATION: d ndation Floors . Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey . Next scheduled Inspection(call when ready) Remarks- - Building Inspector 6/86 and-vl Co Yac !2AtItIC(4-gown o/ Queenibur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME 1� '� P, LOCATION 47 ivreit_OU Air Date 7/ / 3-1C, Permit No. 16-- 3dJ * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - 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 FINAL ELECTRICAL INSPECTION Final Building Survey . 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