1987-046 1
CE�R.TIFI+CA �. .i..�! OF` OCC�[J�',P�l`'3�C�'
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
i
H �
Date March 11, I9 89 y
This is to certify that work requested to be done as shown byPermit No.
87-46
has been completed. S '1 4 ' 1( �i l `
Second Story Ad�iti+ac t One Fa3nrily Dwelling,
inr;
This structu may be occupied as a
Qer &Belle Avenue l.J
i.ocaaon
Charley 1'. illeb a��+l
Ovmer
By Order Town Board
~TOWN OF QUEENSBURY
Building !V Zoning Inspector
I
I
BUILDING PERMIT
TOWN OF QUEENSBURY No. 87-46
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Charles Hillebrand x
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OWNER of property located at 2 Belle Av Street, Road or Ave.enue r
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in the Town of Queensbury. To Construct or place a Addition to dwellin ( second stare W
at the above location in accordance to application together with plot plans and other information hereto filed and G
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
F1 , OWNER'S Address is 2 Belle Ave .
Queensbury , New York 12801
ONTRACTOR or BUILDERS Name Lancette Const . na
ID
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3_ CONTRACTOR or BUILDER 'S Address
P . O . Box 121 c
Hudson Falls , New York 12839
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rS.4- RCHITECT'S Name
ARCHITECT'S Address
B_ TYPE of Construction — jPlease indicate by XI
lXf Wood Frame i ) Masonry l l Steel 1 }
7. PLANS and specifications
24 ' x32 ' per specifications and application submitted
No. using existing septic system .
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B. Proposed Use
One-Family dwelling (second story addition) o
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$ 5 . 00 C / 0 Sept . 1 Zg 87 ~
$ 30 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES w
;If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the l7G
town of QueensburY before the expiration date.}
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Dated at the Town of Queensbury this
27th pay of February 19 87 0
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SIGNED BY ,'✓ for the Town of Queensbury un
rt
Building and Zoning Inspector o
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To BE COMPLETED BY BLDG . DEFT .
� Application No .
�7ow►t 01 Quee" Aury Permit Issued 19 f TOWN OF QUEcn,�If7SL&0rf�V�-r�'-�,
BUILDING and ZONING DEPARTMENT Permit Expires 19 L
Bay and Havitand Road, R. D. 1 Box 98 zoning Designation �lu1D�L�II` �C
Oueensbury, New York 12801 variance No . FEB
8�
Site P view No2 7-_
l d _ 007 17 Appr ed �by BUILDING 8c CODN CREPT.
APPLICATION FOR 3TS c
BUILDING AND ZONING PERMIT - - (AJCG-
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 : �1 1 ,_ r � � t L�y
P. O. Address d �4 A#j 6 .. �� `/ Tel .
Property Location : '3k rcLl� 14JF Tax Map No .
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS :
Name _ P . O . Address Tel . No .
Name of builder I"1 ► Address Q / '.� N V Tel . � 3 "c•C "! T
Name of plumber Ir Address a Te1 .���
Name of mason. A Address Tel .
NATURE OF PROPOSED WORK : 70NING 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 build ' 0
(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
* whether interior or corner lot . Show location
FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED . * of septic disposal area .
* COMPLETE INFORMATION REQUIRED BELOW .
* Size of property 4t/ ft X_66 'ft .
Existing building ( s ) Size ft x _ft _
*
PROPOSED BUILDING AND USE : * Exist incy-Building ( s ) Use n!�
Size of new structure qq ft x 3Zft * _ ��.�' i '. 07 ,U%77 0q (
Foundation-pier/slab/crawl/parial/full Proposed building , distance from property line
t
(circle one)
* Front yard r1 ft Rear yard LQ ft
No . of stories (habitable space) _ * Side yards _ � ft and & ft
Height ( grade to ridge ) 0 7 ft . If on corner , setback from side street ft
If residential , no . of families /r
No . of rooms ( excluding baths ) 3 * OCCUPANCY INFORMATION
No. of bedrooms
PRIJ4ARY BUILDING, -
No . of bathrooms _ of One family dwelling
Primary heating system i4ly„_ +�+ Two family dwelling
Type of fuel lFr'
,� Multiple dwelling / Number of units
No . of fireplaces to be installed ['1 Permanent occupancy
Will a wood stove be installed? (V�97 Transient occupancy
Central Air conditioning? Aer0
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
* Other
Ranch Contemporary Log cabin If addition , what will use be?
Raised ranch Mansion Duplex
split level Old style Bungalow
a e Cod Cottage Other ACCESSORY BUILDING-
Colondal Row Town House * Detached garage/one car/ two car/ car
{ CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * It If * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION
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 . 4jogep
Will ahy second-hand or ungraded lumber be used? If so , for what ? h/4T
Foundation wall material AtA= Thickness ,/tIA
Depth of foundation below grade (to bottom of footing ) !+
Will there be a cellar? Heated or unheated? Floor sq , footage sq ft
Will there he a basement? will any portion be used as living space? ���
( If so , what I _sq . ft . - - Type of use?
Type of roof f ssloped fiat/shed/other Material of roof tr3f, ,. p
Size , wood studs "'X Ce it spacing ._"o . c . length ft .�
Joists ( floor beams ) ist . floor "X spacing�..�_ �....._ P g �. "o . c . span�f t . .
Joists ( floor beams ) 2nd . floor � _ "' Syr p g-j -0.
X s acin o _ c , span/4� ft .
Overlays (ceiling beams ) — _ spacing "o . c . span ft . 4ALa4rA.,1A7i F71
Roof rafters "X " spacing o . c . span ft .
Roof trusses (pre-engineered) spacingt�C "o . c . span . ft .
Exterior wall finish_ u
�1 �ONGr Of what material? f / y
Interior wall finish it S�F_ '- lfN y
If a garage is to he attached , describe materials to he 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 he installed? i '+'"r.-- Height above roof ft _
Depth of chimney foundation below grade ft . ie�S�iJG
Depth of fireplace hearth in ,
water supply - Municipal private well f'Y►S}�J � t� AC.'� 4 fu
SEPTIC SYSTEM Distance from ate well ( including adjoining properties ft ,
(A separate application is necessary for any repair or new installation of septic system)
Town of A F F I D A V I T STATE OF NEW 'YORK
eensbury
Warren
County off Warren
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 ag nt ri�t, contractor -
day of lg - _
Notary Public , Warren County , N . Y ,
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT :
APPLICATION FOR SEPTIC DISPOSAL PERMIT
DATE
LOCATION OF PROPERTY FOR INSTALLATION
Owner's Name: QFl rj ( 1�'I� 'Telephone: . ,{7 3 31 -----
Address:
Installer's Name: Telephone:
`f. '4L 5 /�/c7 i YST tr+ r S r S f�cJ C `— — S
Number of bedrooms (residential only) A,/0 [
Total daily flow (compute @ 150 gal per bedroom) J
Topography: circle one: Flat Rolling Steep Slope % of slope
Sail Natures circle one: Sand Loam Clay Other / Depth: feet
Ground. Water; At what depth? feet
Bedrock or Impervious Materials At what depth? _ feet
Percolation test: circle one: not required required / rate min. inch.
Domestic ,cater supplys circle one: Municipal Well Other
IF domestic water supply is a Well:
Separation: Watersupply from Septic absorption _ feet
PROPOSED SYSTEM: Septic Tank gal. (minimum size: 1 ,000 gal.)
TILE FIELD: Each Trench feet / Total system length ^ feet
SEEPAGE PIT(S) : Number of / Size each feet by feet
Size of stone to be used it / Depth or Thickness feet
I M P O R T A N T
.,_Please.._LIST NEW EQUIPMENT TO BE INSTALLED
(over)
Section II Septic System Inspections:
A. All applications for septic system installation, alteration or repair, as
required by the Town of Queensbury Sanitary Sewage Ordinance, shall
be submitted to the Building Department at least 24 hours before start
of construction and shall include a plot plan showing:
1.) the proposed location of the system
2.) location and distance to lot lines
3.) location and distance to structures
4.) location and distance to any water supply
5.) size and dimensions of all tanks, distribution
boxes, tile fields and/or drywells
B. No system shall be covered before inspection and approval by the building
Inspector. Failure to comply with this requirement may result in the
uncovering of the system by the installer and a fine of up to $2500000
Co. An approved copy of the plot plan shall be available on the construction
site. Failure to produce said plot plan at time of inspection may result
in an immediate work stoppage.
D. Should unforeseen problems during construction prevent proper installation,
alteration or repair of an approved, system, a new proposal must be submitted
to the Queensbury Building Department before further construction.
I have read the regulations above and agree to abide by these and all requirements
of the Town of Queensbury Sanitary Sewage Disposal Ordinance.
Signature of responsible person: C- „p
Date:
Town of Queensbury
Building and Code Department
Bay at Haviland Road
Queensbury, New York 12801
(518) 792-5832
SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A GOOD. PLACE TO LIVE
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 :
�r
1 . Gross floor area E1 r7
2 . Type of heat £7fti' C n�- r^�
3 , Is the building mechanically cooled ? f �+' �7
4 . Percentage of area of windows and doors
A . Over 16 % only
10 U value of gross area of walls , roof/ ceiling and floors
p
exposed to ambient conditions
2 . Floor over heated spaces YES NO
a . Are foundation walls ins ted ? YES ( Nq
1 . if YES , what is the R value ? -�
3 , slab on grade YES
a . if YES , what is the value of insulation around
perimeter of floor ?
4 . Is basement heated ? YES NO Wtsa �o,�
a . R value of insulat d�✓
50 Type of insulation
B , Under 16 % Only
1 . R value roof and floors exposed to ambient conditions.
2 . R value of exterior walls - �
3 . R value of glazed area 3. 33
4 . R value of doors E'`/
5 . R value of floors over unheated spaces A14-
6 , R value of slab edge insulation - unheated slab Al—A
79 R value of slab insulation - heated slab ;*III
Be R value of heated basement/ cellar walls ( above grade ) !
9 . R value of heated basement/cellar walls ( below grade )
10 , Type of insulation P+ TCZrr 145'3
C . Controls
1 . Thermostat maximum heat setting 1J --
D , Duct 'Systems
le Is duct system installed in unheated spaces ? YES NO
a . If YES , R value of duct installation
be R value of duct in other areas
E . Piping Insulation_
1 . size of hot water or cooling carrying agent pipe
29 R value of pipe insulation
F , service Water Heating
10 Performance efficiency � 5 f I /�j �tS
2 . Temperature control setting maximum
G , For swimming Pool Only
le Maximum heating
Telephone No . % =2444 ' y
( applicant ' s si. gnatur &)
' OW14 OF QUEEPiS]3URY
UILDING AND COVES DEPARTMENT
B
BAy & HAVILAND ROADS I280+k
QUFENSBURY f NEf8 YC7 92^ 5832
TELEPHONE ( 5� ) 7
Bu.Tlij)ING INSP'ECTC3R' s REPORT
1Va'"PE TION
REQUEST FOR I
,RECEIVED_,__
NAME
-
LOCATION PERMIT #
DATE 3 APPROVRD
YES NO
FOOTING/Pf UR FORMS
MONOLITHIC
pj
OOFIMG
FOUNDATION/DAP9P -
BACX, IY'I" AFP340VAL
ROUGH PLUIyBING
FgAMXNG
ELECTRICAL RC3UGH-IN
INSULATION =
FOUtTDA'xION
FLOORS
WALLS
CEILING TIflN :
,/FINAL :rNSPEC r
CHIMNEY HEIGHT'
ROOFING
SIDING RCHES STEPS_��
EXTERNAL NC & RAILS -- ----
STAIRS--CLEAP ES/RELIEF VA E
PLUMBING FIxTu IVACY DOORS
INTERIOR TRIM pP
PS
FINISHED FLO ROOFING
GARAGE FIRE
DOOR CLOSE (S )
T
SMOKE DET ORS ICAL INSPECTION
FINAL ELECTVAL OF CONSTRUCTION
FINAL APPR
CUPANCy MUST BEING DEPARTMENT BEFORE
A, SIGNED CEjjS OF C7C
OB.- FTAINED RC]M TARE OCCUPIED !
THESE PREMISES
REMARKS : .� ��( �(i 0
INSP CTOR
.,Josun a� �uepnshure�
I I eltr
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
11 �J Queensbury, New York 12801
` LDING INSPECTOR ' S REPORT
IL
LOCATION ^
Date Permit No . I' -
✓ = APPROVED - YES NO
F44tirlg/Pier Forms _
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer.
Rough Plumbing1114
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings Ar
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICA INSPECTION
DRIVEWAY APPROV
Final Building rvey
Next scheduled inspection ( call when ready
Remarks- j
C / / �F
l I t il,I v we !',. a /7d .a ll
'000
09
Building Inspector
6/86 and-vl
! awn v Queenshur
IleBUILDING and ONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Oueensbury, New York 12801
UI LDING INSPECTOR ' S REPORT
NAME ` ' / ,,,.,. �G t! . �`/{ '%ECG•
r ,
LOCATION
Date / / / Permit Noe
✓ APPROVE - 'YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding IL
Masonry Venee
Rough Plumbing
Relief Valves
Exte Porches
Finished Floors
Interior Trim
stairs & Railings
Cellar Drain 'file
Concrete Floors
Plbg . Fixtures
Gar _ Fireproo ng
Door Closers
Smoke Detec rs
Chimney
INSULATION
Foundatio
Floors
Walls
Ceiling
FINAL E CTRICAL INSPECTION_ _...�
DRIVEWA APPROVAL
Final Building Survey
Next scheduled inspection (call when ready )
Remarks-
fQSON2 'j A�'
UJ
Buildin Ins ecto
6/86 and-vl
4124554 THE NEW YORK BOARD OF FIRE UNDERWRITERS
F— j fe BUREAU OF ELECTRICITY
.Tune 16 , 19 $ 7 41 STATE STREET, ALBANY, NEW YORIK 12207 � }y
Date Application .Vo. on file O 4 5 0 4 O —8 7 � ii i i
17382
THIS CERTIFIES THAT
only the electrical egeupment as described below and introduced by the apVJicant named an the above application ft"mber in the premises of
Charles HIllbrand , 2 Belle Avenue , Quee:nsbury , Now York. �
in thefollowing locatiorg / 1�aasement r] lst F'l. L��—�C, outside Snd III .Section 1 Wack � Lot 1 9
Boas examined on tt I and fa"nd to be in compliance with the requirements of this Board. -
N]CTURE FIXTURES FLANGES COOKING QECKS OPENS DISH WASHERS EXHAUST FANS
OUTLETS RICIPTACUS SWITCHES INCANDt5LEN7 FWOKESCEMn ATAMT, I K, W. I AMT- I K. W. I AIAT. K-W. AMT. K. W. AMP. H. P.
10 21 1s
DRYERS FURNACE MGTORS FUTURE APPIUANCE !ElORRS S*RCIAL RECAiPT TIME CLCMYrS "LL LMIMT HEATRRS M UETI-CUTLET WMMERB
SYSTEMIS
AMT. K. W, OIL H. P- GAS H. P. AMT. NO. A- W. G. AMT. AMP. AAAT. AMPS. TRANS. AMT. H. P, NO of FM AMT. WATTS
"3
SElVICE DISCONNECT No_ Of S E R V I C:METER
E
AALT. AMP. TYPE 10 2W 1 ► 3W 3 X 3W 3 X eW �P'ERi►CON6. Of CC COHO, NO. CW HI-LEO OF HI LEG NO. OF NEUTRALS Of M E47 RAL
OTHER AFV$&ATUS-
I - gfci
1 - sTuolkkedetector
electric heater 2 2 . 0 'kw .
1 1 . 5 kw
1 1 . 0 1cw �
1 . 5 kw
Laneette Construction
Po Box 1 2 1 BRANCH MANAGER
Hudson Falls , New York 12634
Prr
This certificate must not be altered in any manner return to the office of the Board if incorrect. Inspectors may be identified4 y their credentials.
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
._.Down a/ Q99eens6u4ry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Oueensbury, New York 12801
BUILDING INSPECTTOR ' S REPORT
NAME j ( rLL
LOCATION ( EA=�, & 11
Date f ' Permit No .
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Yt,'F'raming
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 IN PECTIGN
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection ( call when ready
Remarks--
A-k CD «�
Building Inspe for
6/86 and-vl
Y/�l�7 9 : /S"
._.Jasur� n� �ueenaf64ere�lr
BUILDING and ZONING DEPARTMENT
Bay and Hawiland Road, RAJ, 1 Box 98
Queensbury, New York 12801
BUILDING, INSPECTOR ' S REPORT
NAME
LOCATION Z rJ < r < _ A-LI
Date `, , / Permit No .
✓ APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
yC 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
INFSULATIONi
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready
Remarks-
Clj A ti G •E .�-'r
,5--./+A lot C L4.'.Arrz. A ,vrc,�
Building Inspec or
6/86 and-vl
_,_ �1.