1986-502 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19.L504IP
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This is to certify that work requested: to be done as shown by Permit No. 86-502
has been completed. •
This structure may be(occupiedas a Addition to one family dwelling
3J1 Patton Drive
Location
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Myron Major
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY No. 86-502
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Myron Major -4
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OWNER of property located at 11 Patton Drive Street, Road or Ave.
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Addition to dwelling
in the Town of Queensbury,To Construct or place a
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 11 Patton Drive
Glens Falls, New York
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2. CONTRACTOR or BUI LDER'S Name W
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Donald Carberry o
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3. CONTRACTOR or BUILDER'S Address N.
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Main St. rD
Bolton, NY
4. ARCHITECT'S Name
5. ARCHITECT'S Address
In
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6. TYPE of Construction—(Please indicate by X) I
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(X)Wood Frame ( ) Masonry ( )Steel ( ) 0
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7. PLANS and Specifications
P..
12'x14' per plot plan, specifications and application submitted..-
No.
8. Proposed Use o4
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One—Family Dwelling (additional living area) 1-'
$5.00 C/O °Q
$ 12.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 87 n
(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.)
Dated at the Town of Queensbury this 19th Day of August 19 86
ThiaSIGNED BY a • for the Town of Queensbury
Building and Zoning Inspector $
TO BE COMPLETED BY BLDG. DEPT.
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Application No.
own of Queeniturtj Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 ,-OWN OF QUEENS BUY `
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation — n 11C1 ^��
Queensbury, New York 12801 Variance No. I , 1 •
L
p Site Plan Review No. %
d• . 11 - f - •g /•y Approved by: AUG 1 '1 ��,
APPLICATION FOR • 1X77// 718191141102)1)213)41519
A.M.
BUILDING AND ZONING PERMIT
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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.
ft1-rim- •
The owner of this property is: /7I % /'') (jam/' J��,41-,/''J — .
P.O. Address // /A-77Q.04-/ O2 Gu a Q(1 1=-((%.Rl c r.2r y Tel. 7 9 3 ?Y
Property Location: rj rim Tax Map No. / /
Street number or building lot number
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Subdivision name (if applicable) '
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.U. Address . . Tel. No.
Name of builder✓OO/,4 C.le6.6,e.R y Address//4/,f/J 4(30,e7VW,C4/VP/ o Tel. (. q L/ _2.3` 7
Name of plumber. NO A/ r Address Tel.
Name of mason 3-4--7^, r=" 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, $IZE AND. * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of 'water supply and location and configuration
* of septic:di.spoal area.
*
. * COMPLETE INFORMATION REQUIRED BELOW.
* Size of property / 0 6 ft X /1/45 0 ft.
* Existing building(s) Size 5 a ft X 4p ft.
* . . . . .
PROPOSED BUILDING AND USE: * Existing-building (s) Use / l=,g cr-fl.Z`1 9 ws/Ah)ni,tu
Size of new structure ft X/y ft *
Foundation-pier/slab crawl/partial/full * Proposed building, distance from property line
(circle one) *•
* Front yard 8,-0 ft Rear yard (, Z, ft
No. of stories (habitable space) / * Side yards - CFO ft and .3--0 ft
Height (grade to ridge) ft.
If residential, no. of families * If on corner,. setback from side streetjuog F ft
No. of rooms(excluding baths) ' ' /' * OCCUPANCY INFORMATION
No. of bedrooms jN/CS/V/ *
* PRIMARY BUILDING -
No. of bathrooms N'(a ii/L5--- . *' '�( One family dwelling
Primary heating system //O�'t.4),¢Tw/2 k /\ Two family dwelling
Type of fuel / , * ' Multiple dwelling / Number of units
No. of fireplaces to be installed /VOA/, —
Will a wood stove be installed?//p v�1' * Permanent occupancy
Central Air conditioning? AR.)A/% * Transient occupancy
Business
*
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
' Other ' '
CRanchb Contemporary Log cabin *
If addition, what will use be?
*
Raised ranch Mansion Duplex
Split level Old style Bungalow *
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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 " A/ 6 A &-
CONSTRUCTION 0'0 *
$ ja66
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE. SIDE' OF THIS SHEET, TO BE COMPLETED:
Form BPA 4/86 and-vl
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BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. (-r O O O•
Will any second-hand or ungraded lumber be used? If so, for what? AJO
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Foundation wall material P 6 0 L '7 CoA/c&tZ7 Thickness
Depth of foundation below grade (to bottom of footing) -/D-.//
Will there be a cellar?X,'O Heated or unheated? 4j G Floor sq. footage /�, g sq ft
Will there be a basement? N'o Will any portion be used as living space? A/ 6
(If so, what portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/others .64 L Material. of roof 2. T n S P X-r •
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Size, wood studs "X (e. " spacing •7 "o.c. length ,Q'_ft.
Joists(floor beams) 1st. floor r .i�
� "X /(� " spacing �(Q "o.c. span// ft.
Joists (floor beams) 2nd. floor �"X " spacing "o.c. span ft.
Overlays(ceiling beams) "X (, " spacing / (p "o.c. span o/ ft.
Roof rafters "X ( " spacing /(, o.c. span/4 ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish C 6/6 e, 6 C Of what material?
Interior wall finish -J_; •
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? /..j (j If so will a Fire-rated
door, enclosure, and self-closing device be provided? •
Will a flue-lined chimney be installed? ,/(5 Height above roof ft.
Depth of chimney foundation below grade 4c() ft.
Depth of fireplace hearth,yG ft. in.
Water supply - Municipal or private well 4? 5'7/•A-C 45
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining propertiesfxr5-7—ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFFIDAVIT County of Warren STATE OF NEW YORK
.•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
complete statement of all proposed work to be done on the described premises and that all
provisions of the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining to
the proposed work .shall be complied with, whether specified or not, and that such work is
authorized by the owner.
SWORN TO BEFORE ME THIS Signature
Owner, owner's; agent,arcnitect,cor actor
/oL day of . 19 K
Notary Public, Warren County, N.Y.
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SPECIAL CONDITIONS OF THE PERMIT:
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By---� G%Z//4"
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 / 4
2 . Type of heat /4-0 7_... ui E' le d -4 2,
3 . Is the building mechanically cooled? A. (
4 . Percentage of area of windows and doors
A. Over 16% Only
1 . Uo value of gross area of walls , oof/ceiling and floors
exposed to ambient conditions
2 . Floor over heated spac : YES NO
a. Are foundation w. is insulated? YES NO
1. If YES, wh. t is the R value?
3 . Slab on grade YES NO
a. If YES, wat is the R value of insulation around
perimet: of floor?
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4 . Is basem: t heated? YES NO
a. R value of insulation
5. Type of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
2 . R value of exterior walls 2 -1
3 . R value of glazed area -
4 . R value ,of doors g
5. R value of floors over unheated spaces - 11
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 --eg.5ir)
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 value of pipe insulation
F. Service Water Heating ____---
1. Performance efficiency
2 . Temperature control setting maximum
G. For Swimming Pool Only
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1 . Maximum heating -
Telephone No.
(applicant ' s signature)
Ca II 9icr�/Y6, /,' 36 /rh
_Down o Queenidur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING "INSPECTOR' S REPORT
NAME I rOyl Ma -(- 6)--
LOCATION j f P per.
Date ZC /126 . Permit No. 0 -SO Z-
* * * y
* * * * * *" * * * * * * * * * * * *
APPROVED - YES / NO
Footing/Pier Forms i
Foundation
Waterproofing
Backfill
-A-F rami ng Qc
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 r""
Smoke Detectors ,' •
Chimney
INSULATION: i,
Foundation
Floors \
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
Next scheduled Inspection(call when ready)
Remarks- -
it in Bug Inspector
ector
6/86 and-vl
CC77 1.1/V/ 9
16 ��
1j _Jowl? u o/ •Queen3 r/ •
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s'BUILDING and ZONING DEPARTMENT •
i eV 'Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
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' BUILDING INSPECTOR ' S REPORT
NAME /atc-....— i°uL , ` -Z
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LOCATION I ( pc...
Date 02�/ “i, Permit No. 1 to - 6-0Z '
* * * * * * * * * * * * * * * * * * * * * *
i/ = APPROVED - YES/ NO
, �r oting/Pier Forms t
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
/ Nt\, ,
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
Final Building Survey
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Next scheduled Inspection(call when ready)
Remarks- - ,,/� // / /�,��i
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Ge/ .-16L-
. ' Building Inspector
6/86 and-vl
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