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1986-431 f % CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date February 10 19 87 )6\ -- 1--- a 86--431 This is t ertify that work requested to be done as shown by Permit No. . , has been completed. This structure may be occupied as a Addition to dwelling Lf 4,4 North Church Lane Location Owner Carl Elmore By Order Town Board TOWN OF QUEENSBURY 40,dom n Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY 86-431 No. WARREN COUNTY, NEW YORK - PERMISSION is hereby granted to Carl Elmore 0 OWNER of property located at 5 North Church Lane Street,Road or Ave. in the Town of Queensbury,To Construct or place a. Addition to dwelling (living area) 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. 1. OWNER'S Address is RD #3 Glens Falls, New York 2. CONTRACTOR or BUILDER'S Name same • " 3. CONTRACTOR or BUILDER'S Address 0 1-1 rr same 1-1 4. ARCHITECT'S Name CD 5. ARCHITECT'S Address 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame .( 1 Masonry ( )Steel ( ) 7. PLANS and Specifications No. 10'x26' per plot plan, specifications and application submitted. rt 0 8. Proposed Use One—Family Dwelling (additional living area) _ $5.00 C/O •$ •32.00 PERMIT FEE PAID —THIS PERMIT EXPIRES Feb. 1 19 87 OQ (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.) 1-6 - Dated at the Town of Queensbury this 25th Day of July19 86 a a' ,6 OQ SIGNED BY • for the Town of Queensbury • ro Building and Zoning Inspector ,424) • TO BE COMPLETED BY BLDG. DEPT. Application No. awn o f Queenitury Permit Issued 19 TOWN OF QUEENSBURY BUILDING and ZONING DEPARTMENT Permit Expires 19 k ( -` Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation RECI. OV '.s- Queensbury, New York.12801 Variance No. Site Pla.- eview No. JUL 1 41986 !a S Approv sby: ') 7!8 111121 2 i4 .�. APPLICATION FOR iLL-'( '� •�. ��as�///•+ ° ° e p e e a I a I A BUILDING AND ZONING PERMIT 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: C' \t I F/riC)r2.e P.O. Address ff Tel. 77Z—YZG3 Property Location: S �, CilbaGh Z•lake Tax Map No. / / Street number or}}?�bui• 4in lot umber Subdivision name (if applicable) Ue( ,;Zd S-C THE PERSONS RESPONSIBLE FOR SUPERVISION�O'(iF� WO AS REGARDS BUILDING CODES IS: { ( +leI EI1,,,„.. 5I`�. C1U LCC Lteit qSL l—y-z(l...J Name P.O. Address Tel. No. Name of builder Address Tel. Name of plumber Address /( Tel. Name of mason moo,,,, LA (Sy2v i Address 1:-edeh aph,liel s ' GIB„•F,.« Tel. 192- jOi/ NATURE OF PROPOSEDWORK: * 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 andlindicate all Other work (describe) . r * 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 S�I�.ZE AND * LOCATION OF STRUCTURES AF CTED of water supply and location and configuration * of septic disposal area. * * COMPLETE INFORMATION REQUIRED BELOW. / �� * Size of property Zi?Z ft X Jrz- ft. * Existing building( '1 Size q r./ ft X all ft. * . PROPOSED BUILDING AND USE: �/ * Existing buildingssr' Use v Fi,�ti«l� p1.s, aet Size of new structure 0 ft X 2t% ft * Foundation-pier/slab/ /partial/full * Proposed building, distance from property line (abitrc .ne) ii * Front yard ft Rear yard ,� eft No. of stories (habitable space) I * Side yards ft and &O ft Height (grade to ridge) /'?�S ft. 7 If residential, no. of families I * If on corner, setback from side street 0 p S ft • No. of rooms(excluding baths) * OCCUPANCY INFORMATION No. of bedr oms * No. of bat rooms �n * PRIMARY BUILDING - Primary ating system * ` e family dwelling Type offuel * Two family dwelling No. of fireplaces to lie installed * Multiple dwelling / Number of units i * iPermanent occupancy Will wood stove b installed? * Transient occupancy Cent�al. Air conditi ning? * 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 * Cape Cod Cottage Other * ACCESSORY BUILDING- olonia' Row Town House Detached garage/one car/ two / car CIRCLE ONE PLEASE ) * *attached garage/one car/ wo car car * * * * * * * * * * * * * * * * * * Private storage building ESTIMATED MARKET .VALUE OF * Other CONSTRUCTION $ j`• #GvQ * INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS: Type of construction; wood frame, fire safe,etc. j,{/�rd '44I LAM( Will any second-hand or ungraded lumber be used? If so, for what? NO • Foundation wall material ecmc-n,.L . �/„ Thickness /0 to 4c2, Depth of foundation below grade (to bottom of footing) S1.,,c.4,1 Will there be a cellar? Nti Heatedd or unheated? Floor,sq. footage sq ft Will there be a basement? "11 any portion be as living spa . (If so, what porti ? sq.ft. - - o use? Type of roof - loped/flat/shed/other Material. of roof /c a J �/„S, Size, wood stud "X /( " spacing /t "o.c. length /,S ft.J0 // Joists(floor beams) 1st. floor ? "X /0 " spacing It "o.c. span /p ft. Joists (floor beams) 2nd: l-ear "X —"---spacing ft. Overlays(ceili-ny beem�j--�y� 7 ti Roof rafters p4x " spacing 3) o.c. span /0 ft. Roof trusses( re-engineered s acin 50 "o.c. span J0 ft. Exterior wall finish S f what material? Interior wall finish S .ec If a garage is to be attached, descYjibe materials__to be used..for FIRE SEPARATION: Is there to be an opening between -image and dwelling? - If so will a Fire-rated door, enclosure, and self-cl 'ng device be provided? Will a flue-lined chime e installed? Heigh above roof /ft. Depth of chimney f ation below grade Depth of fire ce hearth ft. Water supra- y - Municipal or private w 1 SEPTIQ- YSTEM _ Distance from ANY rivate well(including ad'.o3ning properties ft. (A separate application is n ssary for any repair or installation of septic system) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of Warr„pn •-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 complet- statement .f all proposed work to be done on the described premises and that all provisio s of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws liertaining to the proposed wor shall be complied with, whether s.- -0 or , and that such work is authorize. by t - owner. SWORN TO BEFo r4 ME THIS Signature )\ 11114 'Lett Owner, owner's agent,arcnitect,contractor day of 19 • Notary P,fiblic, Warr-n 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 / 0 1(2 (, 2 . Type of heat J[ah AJ ?rc h.cri 3 . Is the building mechanically cooled? Y415 4 . Percentage of area of windows and doors 504 A. Over 16% Only 1. U value of gross area of walls , roof/ceili and floo s exp sed to ambient condi1tions �d�/�� ��a (�,, he 4 o,p i,, Gc., SC,k;� c+i;i), 2 . Floor over heated spaces YES NO a. Are foundation walls insulated? ��ES ) NO 1 . If YES, what is the R value? 3 . Slab on grade YES NO a. If YES, what is the value of insulation around perimeter of floor? 1CI 4 . Is basement heated? YES NO a. R value of insulation ) 9 5. Type of insulation rt hcvi gross B. Under 16% Only 1 1. R value of roof and floors exposed to ambient conditions 2 . R value of exterior walls 3 . R value of glazed area 4 . R value of doors • 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 C. Controls 1 . Thermostat maximum heat setting ' fS 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 valu f pipe insulation _- • F. Service Water Heating 1 . Performance efficiency 2. Tempera/e control setting'maximum G. For Swimming Pool Only 1 . Maximum heating Telephone No. 773- 4eZu_ app icant ' s signature) ® \ _ !i„,...C.���ati1./,1.1,../.ah,1t1„1....1f.�.1, t{.a,.i,.N�.l.�.t,t,,.,LC.,t,„U,..„...,.a.�..1.,.a r..,t.�,„(_?(.a�ya�,,,,.i.,,„..,.ka.,!..".a.,„., ..„..i..,..,,..,.,.a i.?.�„a.".�.i.,,,.�..,.,.,..,..N.„..,.�.i_,.,.. ,.i,j.,.•1, y 1i THE NEW. YORK BOARD. OF FIRE UNDERWRITERS 1, nik 1; c BUREAU OF ELECTRICITYI,\ 1; I A0Ya 41 STATE STREET,ALBANY.NEW YORK_ 12207/ 1+\ EE Date Nay 12, 1 937 Application No.on file '- 136 �+ 5� _ THIS CERTIFIES THAT • ''>': .. • I +. only the electrical equipment as described below and introduced by the applicant named thebove application number in the premis on a es of Carl Elmore, 5 N. Church Lane, Queensbury, New `.fork y 1` 1kl . ' in the following location; ❑ Basement ❑ 1st Fl. El 2ndFl. Section Block /'lot . p 1;; was examined on 2 J 0,37 and found to be in compliance with the requirements of this Board. k, 1 i ;1. • t \ FIXTURE FIXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS : OUTLETS RECEPTACLES SWITCHES INCANDESCENT-FLUORESCENT •VAPOR AMT. K.W. AMT. K.W. AMT. K.W. s AMT. K.W.' AMT. H.P. si 41 4 1, 'i DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS BELL UNIT HEATERS MULTI-OUTLET' DIMMERS .�_ ' AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS— SYSTEMS ';"' W _ ,1\ \\ SERVICE DISCONNECT NO. 5 E R V I' C E la E —_ METER NO.OF CC.COND. A.W.G. A.W.G. A.W.G. 'i= AMT. AMP. TYPE mum 1,6'2W 1 if 3W 3 If 3W 3,A 4W PER B OF CC.COND._ NO.OF HI-LEG OF HI-W.EGG. NO.OF NEUTRALS 1.OF NEUTRAL — OTHER APPARATUS: Aii 0 1 — Hot: Tub to 1 - G.FOC.I. . ®- �Ir7...1` ,._ Elmore := 5 Carl. Church ch Lane = 1 Glens Falls, Now York ry, - BRANCH MANAGER -P -e Per • This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors may be identified'by their credentials. is _ 'Y 1lfvrflft111 lit alit llt IIVI IIII0ftIllt Ililiii.A'/FILL VLf l 1111v,11r$u]2!.*el111Lvc,r[Yr(mvf[,v lei littlat ISMS/AWL'1ffi lilt v&liir Ailt 1St IMIZCI.rr]f[.ffimllrYAi , — COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ulpl // gown of Queeniurcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME /� , lI��CC�'P LOCATION r 1 ,/j /'��2G`, %A?e Date // O/ 57 Permit No. - * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES NO °Footing/Pier Forms Foundation Waterproofing Backfill Framing itRoofing i,k Siding Qj.►( Masonry Veneer Rough Plumbing Relief Valves LiKt. Porches - 1linished Floors ©t� lterior Trim (9dC Stairs & Railings Cellar Drain Tile Concrete Floors lllbg. Fixtures (7,K Gar. Fireproofing Door Closers Smoke Detectors Chimney / INSULATION: /' Foundation // Floors Walls Ceiling FINAL ELECTRICA , INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- g -° A44_ 0.1ajt\--' lc Building Inspec or 6/86 and-vl 79'3 -LJzo3 , awn of Queen3bur/ Wti BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME / NO/2/4-- LOCATION 3 xio n Cvf-vi4 t1 Date /f J ' Of Permit No. �?(0 ,431 * * * * * * * * * * * * * *, * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill k raming c -400 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 DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- n �� G � �„Q p_=6,_,,, , ,y��C !ram /60-K_ fte„,a.lie, Ar,zecV„)? /1-7/L-1-~ &A1/6 Building Inspector 6/86 and-vl Jown o f Queeniurcy BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME � Won" LOCATION 4147 Date ?é7t Permit No. �� — 3* * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing C�Backfill ��.�-dry � .\ Framing Roofing Siding Masonry Veneer Rough Plumbi g Relief Valve Ext. Porches Finished Floors \ Interior Trim / Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures ,. Gar.. Fireproofing,/ Door Closers / N. Smoke Detecto 7 Chimney INSULATION: Foundation Floors / Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - ,/6(214° re-11-e— Cit Building 6/86 and-vl Jocun o/ Queenilury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME CAPS�q LOCATION f4,6r� ct t i�✓Z�a9' G"4.cf Date 7 / ZZ-/ S"- Permit No. F/0 •-737 = APPROVED - YES / NO Footing/Pier Forms [/ Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches f/ 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- - 3' 60A - /0 a ZEIdi (4//13 Building Inspector 6/86 and-vl . -; e I ,/ ..4“.4 J • ioc 0 : . :. s . p _ _ � ct - 17 , . • .7. _ _ • : .2',.' . ... t t,'N i -._2_: Ci) Lo m fc 4 • =_ .1 ��'"`'�,�. of ' I • . • 7: 0 �FI`R f L M-P/16r^1 y- , •.a .• 5. • . . . : : , • - -- — — —� --- - '— — -- - —. —•— = — • - .-.— � _y�F/N/sN —FZoo,e —y • EL INSTALLATION • - . . i I�NUAL FA&E 27 • • -,--4 ~ ,r . I �' I- -6ET7iTU -PAGE?,E ' ;, • ' - ' C7 EZ EL M RE - -=• - •- q % -.� • ST LGILEA V_ K.N-EE_w_/LJC1i El Gl-LT• ---- r-' 1- c j 0 • GR�.EN Ft6U�E��� lo_ ys _.- W , ' 1---.1 '-i--2 • r - . o ;, �40\- - � J x i` P O i C a n w 3 / , 1 " • , a v Y 2 . S-I Ir 'in / • 7 OVFR. At/. / NGTH rd1 kXIEFWALL! / ' pFTA K_-:__.. -_.. '/6 1-1-iv-FR Al' t FN6rM c GRff5NfHou.cE ' . 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