1986-426:,c
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19 -
GR. LI- 86-42�
This is to certify that work requested to be.done as shown by Permit No.
has been completed.
This structure may be occupied as a Addition to one family dwelling •
-1)iS v In
Location 49 KPnC•A„8ten Road
Thomas and Mena Mazza
Owner -
-' By Order•Town Board
• TOWN OF QUEENSBURY
Building.& Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY 86-42G
No.
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Thomas and Mena Mazza
OWNER of property located at 49 Kensington Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition to dwelling
at the above location in accordance to application together with plot plans and other information hereto filed and p,
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. cn
w
1. OWNER'S Address is 49 Kensington Road
Glens Falls, New York
w
2. CONTRACTOR or BUILDER'S Name
Hilltop Const. Co.
3. CONTRACTOR or BUILDER'S Address
RD #1 Box 308A
Hudson Falls, New York
4. ARCHITECT'S Name
co
p
5. ARCHITECT'S Address
Cm
rt
0
p
6. TYPE of Construction—(Please indicate by X) 0
w
a
( X1 Wood Frame 1 1 Masonry ( )Steel ( 1
7. PLANS and Specifications
No 16'x16' per plot plan, specifications and application submitted
and Var. 1110 granted July 17, 1986.
a.
8. Proposed Use rt
N•
One—Family Dwelling (addition for bedroom)
rt
0
5.UU C/O Paid a'
28.00 CD
$ PERMIT FEE PAID—THIS PERMIT EXPIRES Feb. 1st. 1g 87
N
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the p
town of Queensbury before the expiration date.) cfg
Dated at the Town of Queensbury this 24th Day of July 1g 86
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
33 f TO BE COMPLETED BY BLDG. DEPT.
_Dowse of Queenilury Application No.
Permit Issued 19 TOWN OF QUEENSBU Y BUILDING and ZONING DEPARTMENT Permit Expires 19 • RV E IT
Bay and Haviland Road, R.D. 1 Box .• Zoning Designation tj
Queensbury, New York 12801 Variance No. ( No
Site Plan Review No. . UL 2 419$6
Approve y: 71$19j 12)i 2I3t4 I6
APPLICATION FOR . L d ,-
BUILDING AND ZONING PERMIT : ' k 6.-id f,,ea.:_-
* * * * * * * * * * * * * * * * * * * * * * * * * * * 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: Ilion/MS & Pl ra Mazzq ,
P.O. Address `/q Ken:,a n�`-0.k/ 1 l R . Gw-/en,5 Fa 116 7 / Of Tel. M -O7" ®'y
Property Location: `5e'ne5" Tax Map No./U// g/ /6
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
1-/i ll ilo 2or5f, ( ' R ,£Ox' i�w/ /i vcz5io r//' /1 V 79,E-03.s= •
Namei
/ P.O. Address ' 'Tel. No.
Name of builder .'//f/, aY9,57L. Address Tel.
Name of plumber /1/6/U Address • Tel.
Name of mason //0/7 0/0 /0n5Y". Address Tel.
NATURE OF PROPOSED WORK: * 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,
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 ,q5 7 ft X R5* ft.
* Existing building(s) Size 3,2, ft X ,3, ft.
*
PROPOSED BUILDING AND USE:
* Existing building(s) 'Use
Size of new structure //eft X //.ft * . . . .
Foundation-pier/slab/e ar wJ/partial/full * Proposed building, distance from property line
(circle one) *•
No. of stories (habitable space) * Front yard ft Rear yard /cif ft
Height (grade to ridge) ire/ ft. * Side yards ,?Q ft and 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 * One family dwelling
Type of fuel * Two family dwelling
* Multiple dwelling / Number of units
No. of fireplar�es to be installed
will a wood stove be installed? * 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? jeedrOotH
Split level Old. style Bungalow *
Cape Co: 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 $../3� Q c
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
•
Form BFA .;/`ii. ma-vl
tat; .ai iG PERMIT Ak. .,..._,..i:ii: i CO 1`l1,..,. ;
BUILDING SPECIFICATIONS:
Type of construction, 6Ood frame, fire safe,etc. .
Will any second-hand or ungraded lumber be used? If so, for what? J •
•
Foundation wall material P° I"OUCi //ji5 . Thickness p/°
Depth of foundation below grade (to bottom of footing) .,10gi/
Will there be a cellar? fiJQ Heated or unheated? • Floor sq. footage 4°57,, sq ft
Will there be a basement? Wil1 any portion be used as living space? AID
(If so, what portion? sq.ft. - - Type of use? /� ji�--
Type of roof - Ls ope /flat/shed/other Material• of roof_ }'h�Y�/ClSS'f5�h°'nG/g,S
Size, wood studs o? "X [p " spacing i "o.c. length X ft.
Joists(floor beams) lst. floor cq "X /a " spacing /(., "o.c. span /ry ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engin er d) s cingy "o.c. span /f ft.
Exterior wall finish Lean r ela 89,./I Of what material?
Interior wall finish 51�2Ef-roc(
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? . tub 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 a lication, together with the plans and specifications submitted, are . true. and
complete s tement of Xl proposed work to be done on the described premises and that all
provisions f the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed ork s 11 be complied with, whether specified or not, and that such work is
authorized by the owner.
SWORN TO BEFO THIS_ Signature _J' ,
• Owner, ow_ is agent,architect,contractor
d of 19
Notary Public, Warren County, N.Y. •
* * * * * * * * * * * * * * * * * * .* * * * *. * * * * * * * * * * * * * * * * * * * * * *
•
SPECIAL CONDITIONS OF THE PERMIT: •
•
By
WARREN COUNTY , NEW PORK
Application tors BUILDING PERMIT IN COMPLIANcE WITH THE NEW PORK
STATE LNERGY .CONSERVATI' N .CODE
4 A permit must be obtained before beginning work .
ANSWER ALL of the followings
1 . Gross floor area
2 . Type of heat /✓ c i .i
3 . Is the building mechanically cooled? 7.7 .•. �
4 . Percentage of area of windows and doors +`
A. Over 16% Only
1 . U value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions
2. Floor over heated spaces YES NO
a. Are tauniiation walls •insulated;? , YES NO
1 . If YES, what is the R value?
a
3 . Slab on grade YES NO
a. If YES, what is the R valu,e of insulation around
perimeter of floor?
•
4. Is basement heated? YES N.O
a . R value of insulation
5. Type of insulation
B. Under- 16% Only a
1 . R. value of r.o-o& annA floors exposed to ambient conditions
//cam
' 2 . R value of extufior walls /
3 . R value of glazed area / Z . 6
4 . R value of doors ,� / .�
5.. R value of floors over heated spaces /
6. R value of slab edge insulation - unheated slab______/_
7 . R value of slab insulation - heater- slab
i T
8. R value of heated basement/cellar walls (above grade)P 3
9. R value of heated basement/cellar walls (below grade) /J
10. Type of insulation f,/ �7/ 3-cf GE ...Srt r— •
C. Controls ��
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct systlsm installed in unheated 'pease'? YES • .0
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 /,/y
2. R value of pipe insulation
F. Service Water Heating
1 . Performance efficiency /47 JO, .
2. Temperature control setting maximum__
G. For Swimming Pool Only , '2 '
1 . Maximum heating ; . /J/
7,
AM •
Tr�cphone. No. 17 -(933 ? • , 1. •
N (a,pplic nt ' s signature)
i_ 7/1
Jown of Queniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Z74-
LOCATION Iq kt6,v5
b6/6 Trm/-
Date q/ / - Permit No. F6 ,17z TCo
* * * * * * * * * * * * * * * * * * * * * * *
i� = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill���Y�
)(Framing if iLe
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 9
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
l24--1 u-5 J1lf ,Aid 0.U4fr 7Z1-€.41,4—
kt_c.' CA-1-C-
GUW3
Building Inspector
6/86 and-vl
c.a Nam° 8-/iyi'1C I rill
i1 `It6r _town 0/ Queen.i‘uru
C-olsr 'BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME l Yea WICL5 IYl-4 Z q
LOCATION Lif, Of I�eh J I n, lei
Date , / K/_J t' Permit No. t G
* * * * * *. * * * * * * * * * * * * * * * * *
✓ = PP OVED - YES / NO
V 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 q j
INSULATION:
Foundation
Floors \
Walls
Ceiling
FINAL ELECTRICAL INSPECTION \
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- - p /e,---01te ,..44,1
LA ' ,
Building Inspector
6/86 and-vl
'14
EX+S7,
0 15 E
FEDMT F-LEV47-)DAJ
Y4"- C-0
z
NoALBAMENK 54,Ss r- ARCH ITKCYS'STAKDARD FO*VA
kv DZl*Et*E_,
;U)JL) NWV,4u,JJ6
:4,, rAwiA —
XA, S Loa rau-t
IV C &UT. LW
t',KA'"LW--
V :MT,
00—
CO-OVI
FW-F_hY— s A)eFArarj
\-.0-_.. �Sap— T2,Kjf
:. 24"06,A—,
Icr-A Or T, i ♦�,
Z`x IZ" 17L., .401!p-r
AMO o P_
5L 0 P9
AN
R-00L 'PLLO.
4
W i L L 710 P .!Lgas r
LO 'A�t> I MAZ,-ZA
StA"
W* 10"V
VI"a
V