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1987-039 +CE .'TIF`ICA 1 E CIF - TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Ilatc 19 �3D1 I k Ptrrs►it No. 87-39 This is to certify that work requested to be doge as shown by hss been cotnPleted. Addition to one family dwelling This structure may be occupied as a 4 Centennial Drive IIIIIIII Location Arthur and N Owner By order Town Board TToWN of QUEENSSURY Building N Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 87-39 WARREN COUNTY, NEW YORK Arthur and NanCY Yannotti PERMISSION is hereby granted to G OWNER of property located at 4 Centennial Drive Street, Road or Ave. rt Addition to dwelling ( living area) a 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 w approved and in compliance with the Town of Queensbury BulIding and Zoning Ordinance. n rC F2. WNER'S Address is 4 Centennial Drive w Queensbury , NY 12801 to r'r rt Y ONTRACTQR or BUI LDER S Name L . F . Rourke n n 3. CONTRACTOR or BUILDERS Address rt Leonard St . M ro Gansevoort , NY ram• w 4_ ARCHITECT'S Name Ly rt r C tD S. ARCHITECTS Address 6. TYPE of Construction — (Please indicate by x) { 1 Wood Frame l ) Masonry ) Steel [ } CIA P" w rt 7. PLANS and Specifications 16rxl4t per plot plan , specifications and application submitted . 0 No_ h a B. Proposed Use a t-+ One—FatnilY Dwelling (+dining room addition) � no $5 . 00 C /O Sept . 1 1987 $ 21 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES � c (If a longer period is required an application for an extension must be made to the RuiIding and Zoning inspector of the town of QueensbuwV before the expiration dste.l N of Feb . 19 87 Dated at the Town of Queensbury this 25th Da Y SIGNED BY /// �_ 't 4 for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BL;DG . DEFT . lC'� Application No . TOWN Os Ye..1�r\ i3i is i aw" o/ Queenigury Permit Issued 19 [ ( ] Tlj7 {? ����--�``jj���}} BUILDING and ZONING DEPARTMENT Permit Expires 19 # 1.�J Bay and Fiaviland Road, R. D. 1 Box 98 Zoning Designation Oueensbury, New York 12801 variance No . FF B X ?98 Site Plan Review Now i proved 1 BUIL Dil 1. ,at L:00E DEp'r. Ap APPLICATION FOR 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 Tis . A ut fz < 'PNON Fay .1 Y616LAA P . O. Address Car S 5 Tel . Property Location : pn Tax Map No . L0./�^,r}� Street number or building lot number Subdivision name ( if applicable) _ Vim'-A6 THE PERSON RESPONSIBLE FOR SUPERVISION /OF WORK AS REGARDS BUILDING CODES IS : t' C* fn. Ioe1ls " 5 -Z - 07 c( i Name P . O . Address Tel . No . Name of builder A04a-4 r)r.' Address Lcr>)Iard gnsrucacr Tel .- '7 q-i �3 jja Name of plumber A/p n4.a Address Tel . Name of mason . F ur fC P Address f Po rtaYul $ 6"Qn.Sevr,o d f Tel . - ? ce3 ' 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 buildingsr � (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 ,,,later supply and location and configuration LOCATION OF STRUCTURES AFFECTED. * of septic disposal area . COMPLETE INFORMATION REQUIRED BELOW . * Size of property J ['7C1 ft K Ir .s Of * Existing building s) Size ZCo ft x ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use C'aj nc* Size of new structure 1 (n ft Aft Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line ft (circle one) * Front yard [� � ft Rear yard � No . of stories (habitable space) ft and ��.w ft -----�-- Side yards ac F37 Height ( grade to ridge ) ft . If on corner , setback from side street ft If residential , no . of families_ No . of rooms ( excluding baths ) * OCCUPANCY INFORMATION No. of bedrooms PRIMARY BUILDING - No . of bathrooms }' One family dwelling Primary heating system F_I Ir+r. * Two family dwelling Type of fuel Multiple dwelling / Number of units No . of fireplaces to be installed 0 Permanent occupancy Will a wood stove be installed? ,� Transient occupancy Central Air conditioning? Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin * If addition , what will use be? Raised ranch Mansion Duplex Q6, s evel Old style Bungalow '� "-- 1e Cape Cc Cottage Other ACCESSORY BUILDING- a Row Town House * Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE ) Attached garage/one car/ two aX/ car * * * * * * * * 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 . Will any second-hand or ungraded lumber be used? I £ so , for what'21 Foundation wall materials �Wr(.'� {� �p�^�.ThlCkneSS r+C� Depth of foundation below grade (to bottom of footing ) Will there be a cellar? e�-!>Heated or unheated? Floor sq . footage sq ft Will there be a basement? Will any portion be used as living space? ( I£ so , what portion? sq. ft . - - Type of use? Type of roof - sloped/flatfshed/other -- Material of roof Size , wood studs_ _ - •7{ ,^ spacing 1 (0"o . c . length $ ft . Joists ( floor beams ) 1st . floor g ",X_ip spacing_ 12, ^o . c . span �ft . Joists (floor beams ) 2nd . floor + "'X ,• spacing ""o . c _ span ft . Overlays ( ceiling beams } Z '"X 8 spacing 14b "a . c . span 141- ft . .Roof rafters _ 7 49X_ _Sq spacing 1E," o . c . span 10Aft . Roof trusses (pre-engineered) spacing " o . C . span_.�ft . Exterior wall finish klw v:.� Of what material ? Interior wall finish 1y � witt_[ �, If a garage is to be attached , describe mates als 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? 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 Queen sbury t Y r T County of Warren A F F I D A 1 T 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 . �n SWORN TO BEFORE ME THIS Signature ----- - day of lg Clwner , owner agent , architect, contractor Notary Public , Warren 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 1T 2 . Type of heat 3 . Is the building mechanically cooled ? 4 . Percentage of area of windows and doors ' A . Over 16 % OnIY 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 foundation walls insulated ? YES NO 1 . If YES , what is the R value ? 3 . Slab on grade YES NO a . if YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement 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_ Kf _ Y L/ �^�" 2 . R value of exterior walls 0 ` 3 . R value of glazed area II 4 . R value of doors i 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 e>6 e-&L Co Controls o 1 . Thermostat maximum heat setting 5 Dm 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 k . 2 . Temperature control setting maximum ---� -- G . For Swimming Pool Only 1 . Maximum heating Telephone No . ( applicant ' s signature ) gown o� �r��,�n .s6ure� BUILViNG and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR " S REPORT NAME LOCAT I O ,/{/] + r Date_/, �'� _ Permit No APPROVED YES NO Footing/Pier Forms ^ Foundation Waterproofing Backfill Kraminq 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 Ire SULATION : Foundation Floors �alls k qecling �FINAL 'ELECTRICAL II35PECTIClti DRIVEWAY APPROVA Final Building Survey Next scheduled inspection (tail wttien ready ) Remarks- Building Inspector 6/66 and-vl . J'aurn of Queendbury BUILDING and ZONING DEPARTMENT Bay and Maviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT + (Anno NAME �r LOCATION Date_3 / 4!� Permit No . P VED - YES NO Doting/Pier Forms Foundation Waterproofing Backfili F rami.ng Roo f1ng 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-- . 4� Y � - { Buildi. g Inspector 6/86 and-vl HuiLD1NG DEPT- COPY OF APPLICATION FORM 46-EL, NEW OF BOARD O FIRE LfJNDERWRJTERS. FILE THIS COPY WITH BUJLDING PORK B OEPT. WHEN ARD RED, CITY OR VILLAGE f STREET AND i ROAD ANb NO. OR TOWNSHIP POLE NO, .r' ?•' COUNTY CRO�STREETS Is O PREMI POLE N . OCCUPANT'S !! ` _ °. "��. NAME f '} SECTION OYYIYERS NAME + BUILDING /„ : I BLOCK AND ADDRESS o -^ s OCCUPANCY /1 t i C t BY�LfEb TEL. # Is FROM!FROM THEIR NEw� OLD .® WORM '� `"�'� OFFICE LJST BE LOyy d I5 NEw ADDITIONAL DEFECTS ALL [� Loot NUMBER OF OUTLETS Na of Eisler&& EOUIPMENT WHICH YOU INSTALLED REMOVED IJ don LAMP RaoaadM MOTORS HEATERS BRANCH gilNq >w� RA t SVA.� t Brpta�H C1RCum OFFICE USE 3 No. TyPa H Each Na W N ONLY sideAa G. INSPECTION e5a+�. Bart m&at In FI. 'z 2nd FL 3rd FL REMARKS: LIST OTHER ELECTRM=AL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE, This apPlica flan is intended You era &other£ Io cower iha &bows-IistW+sd to malls the inspaction and adjust tIb Ira ent o 'nutted bct if at times SIZE OF to corer tha additional a ui of inaPection tharc is found MAINS V pmsnt. at prowided by the a additional e4uipmant not ahova ! CHARACTER FEEDERS ELECTRIC SIGN PPlicant. .atad, OF WORK LAMPS TOTAL WORK TO BE EXPOSED GAS TUBE SIGN WATTS CONCEALED TRANSFORM STARTED ERS OF SERVFCE OVERHEAD CiC'IMPLETED INUliIBERi VA ENTERS UNDEflGROUNb SIZE OF SIGN U L I (CAPACITY) INSPECTION REQUESTED MAKER ON OR AS NEAR AS OF 51GN P0=4BLE AYOlO DELAY BY low an FUL6 AN8 ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. NENf OLD Q PRINT NAME AND ADDRESS NAME OF DATE OF APPLICANT �" } ' . . -' APPLICATION - c: C7i SIC{NATUAav STREET ADDRESS �F CITY OR F APPLICANT7 .I . {5 l POST nrr. /"' } ,:_ _ �}' •i—�_-- TELEPHONE ZIP / CODE� l cr__„7_r J_�WHFN APPLObABLE ` APPLICATION MUST 13E FILED FOR EACH SEPARATE BUILDJNG } 1 • r OF E . ,`r a• ' '.rj �RtXignG� }0 , 0*1 eq IF IF 4 DoorA IF f7, IF �. . _ Mao l FIFFIFFIFFII t ; Nutt �. .` 1 ;_ r � IF I IF .. / Din,%y �oo+n Add,4�on • IF IF 1 . 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