1986-678 CERTIFICATE. OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Feb. 3 19 87
fiD\
This is to certify that work requeste to be done as shown by Permit No. 86-678
r'
has been completed.
This structure may be occupied as 'a Addition to one family dwelling
Location 8 Helen Drive`,
Edgar and Katherine Doubleday
Owner
By Order Town Board
TOWN OF QUEENSBURY ;
Building & Zoning Inspector
= y BUILDING PERMIT
TOWN ' OF QUEENSBURY No. 86-678
WARREN COUNTY, NEW YORK '`
to
PERMISSION is hereby granted to Edgar and Katherine Doubleday w
8 Helen Drive
OWNER of property located at Street,Road or Ave. a,
Addition to dwelling (living area)
in the Town of Queensbury,To Construct or place a - r,
at the above location in accordance_to application together with plot plans and other information hereto filed andht
co
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. " �.
m
1. OWNER'S Address is 8 Helen Drive t7
Glens Falls, New York
to
CD
2. CONTRACTOR or BUILDER'S Name w
Tim Boucher
3. CONTRACTOR or BUILDER'S Address
East St.
Hartford, NY 12838
4. ARCHITECT'S Name oo
ro
p..
t1
5. ARCHITECT'S Address - n
. C .
ro
6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( ) Masonry ( ,)Steel ( )
7. PLANS and Specifications y
a.
No. 22'x26' per plot plan, specifications and application submitted w
rt
N.
U
8. Proposed Use
One-Family Dwelling (additional•living area). - o
a.
1
$5.00 C/O
crq5
$ 50.00 PERMIT.FEE PAID —THIS PERMIT EXPIRES May 1 79 87
(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.) ~' -
4
N.
Dated at the Town of Queensbury this 10th Day-of October 1g 86 .
SIGNED BY 7/1 GCJ a: N_ga-vk
for the Town of Queensburya)
Building and Zoning Inspector • ,
TO BE COMPLETED BY.BLDG. DEPT.
�c�] Application No.
Jown of Queenitury Permit Issued 19 - - TOWN OF UEE[ BQJFv'Y
BUILDING and ZONING DEPARTMENT Permit Expires 19 IFICIEliVED
Bay and Haviland Road, R.D. 1 Box 98 'Zoning Designation
Queensbury, New York 12801 Variance No. i OCT 2 190 DI
J �i IC -.. _ Site Pl Review o. P.M. 5.j LIc ,
5 ��- Vd - 7 f3 Appro ed, b . ' ��+
APPLICATION FOR ,,
J�`4: ` ± t
. �301u -L
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
spedial danditioiis as may be indicated Oh the Permit.
The owner of this property is: EZ)[n4-/ N Y-
, kA / JE 4 , Po (..MLEf)? Y
P.O. Address 8 (f ECr N , i / 1/E A GLENS J=/1L(kS 1 iv, Y' Tel.???^06 2Q
Property Location: g E LE rV b f 1 Lie- L0 T • 44F Tax Map No. / /
Street number or building lot number
.Subdivision name (if applicable) DL/E7p eR eE A.) -
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: .
geName CTac_mF O. Address Tel. No.
Name of builder//M g0(.1C/-/M Address 7 ST1 1/.0e aIN,y/z?-387'e1.623,2 - _- 1 c?0
Name of plumber Address ' Tel. .
Name of mason Address Tel. •
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 ing 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' ' ' [6 S . ft X /00 ft.
• ' * Existing building(s) Size �41 . ft X 2.6 ft.
PROPOSED BUILDING AND USE:
p * Existing building(s) Use o(v .�A rvuLy DGIELCmNG�
Size of new structure .22 ft X,.r.("p ft . * ,
Foundation-pier/slab/craw artial/full * Proposed building, distance from property line
(circle one)
.* Front yard '.' S/ ft Rear yard 69 g ft
No. of stories (habitable space) ( * Side yards /'7 ft and / ft
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 /
Primary heating system EC.EC/ ( C * Ore family dwelling
Type of fuel' CL60--l2/C * Two family dwelling
No. of fireplaces to be installed /t'OIVE * Multiple dwelling / Number of units
Will a wood stove be installed? AA * Permanent occupancy
Central Air conditioning? Jf * Transient occupancy
'� 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 * �STEAG eGbNl'
Ca e Cod Cottage Other * ACCESSORY BUILDING-
Colonial 1 Row Town House * - Detached garage/one car/ two car/ . car
( CIRCLE ONE PLEASE ) *.-777Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * ' Private storage building
ESTIMATED MARKET VALUE OF * Other, - . -
CONSTRUCTION
$ 251000
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. (06100 Fr4ME)
Will any second-hand or ungraded lumber be used? If so, for what? (/0
•
Foundation wall material AuRE.) c�• '' (A)0LC_ Thickness F '' FCi TJc �X /6 ' aka,
' Depth of foundation below grade (to bottom of footing) g FE&%
Will there be a cellar? /V, Heated or unheated? - Floor sq. footage sq ft
Will there be a basement? ('1C2 Will any portion be used as living space? - -
(If so, what portion? sq.ft. - - 11,
pe of use?
Type of roof - sloped/flat/shed/others/2 f'17C}} Material.'of roof 2x4-7P(,(SS
Size, wood studs 2-. "X ¢. " spacing /6 "o.c. length 2 ft.
Joists(floor beams) 1st. floor 9___ "X /0 " spacing / Co "o.c. span / 2 ft.
Joists (floor beams) 2nd. floor "X ". spacing "o.c. span ft.
Overlays(ceiling beams) 2. "X LI " spacing f 6 "o.c. span 2.2 ft.
Roof rafters 2. "X y " spacing /6 o.c. span 2 2 ft.
Roof trusses (pre-engineered) spacing /( "o.c. span 2_2 ft.
Exterior wall finish /4 C GSM(,A/V,,1k S/p//t/G-Of what material? (41C(,((I //U CO"
Interior wall finish )4 J' 3/4 CE(j—D C K___
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? YES If so will a Fire-rated
door, enclosure, and self-closing device be/provided? 'YES
Will a flue-lined chimney be installed? (i!o Height above roof ft. --
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ----ft. ,__in..
Water supply - Municipal or private well / IN(C/PAL
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties V— 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 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, ard. 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. . .
lyi
SWORN TO BEFORE ME THIS Signature__ _ _ (i e-
__ ___ _ _-
O ear , ow er's. agent,architect,contrac or
( day of j pi, 19 ��D'� G, e �, ;��, P g
WotaTy Ptaulic; Stara § N nY14,
0
county of warren i o. O1M c.8.3 53
o�rsiissior�Gtpises Etiaar.3C,1
9,57
.r 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 572r
2 . Type of heat EL5C7--fe., / C
3. Is the building mechanically cooled? 14
4. Percentage of area of windows and doors
A. Over 16% Only 1
1•. U0 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
1/- B. Under 16% Only
1. R va ue of roof ad floors exposed to--Imbient conditions
'
2 . R value of exterior walls /FR (-5A /7)
3 . R value of glazed area /A/SC/61-767/) 621-4S-S‘
4. R value of doors MiSUL/1-76-7) D00/ ‘
5. R value of floors over unheated spaces / 7k
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 /17,61E-R6pc/qs-.3
C. Controls 0
1. Thermostat maximum heat setting SS-
D. • Duct Systems
1. Is duct system installed in unheated spaces? YES • (TOD
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-, 4
2. R value of pipe insulation, K((
II. . asy19219 .1
1. Performance efficiency -ss F •C-Ki5-77 tik
2. Temperature control setting maximum
G. For Swimming Pool Only
1. Maximum heating
Telephonte No. 7P1OZO <et
;5
(applicant ' s signature
BUILDING DEPT.COPY OF APPLICATION FORM 46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS.
FILE THIS COPY WITH BUILDING DEPT.WHEN REQUIRED.
•
!TEMP.# IDATE I ( - (� I•j
CITY OR i`} r A c /) `/ l ,
VILLAGE (s\ Cd r_ !-!v r��" / TOWNSHIP COUNTY {/ti 1 t`,��'`� -f,
ROAD AND POLE NO. ;•) (STREET AND NO.ORL� �L� �`✓ ��/\� (l L. POLE NO.
BETWEEN WHAT TWO
CROSS STREETS IS
PREMISES LOCATED? SECTION �-� BLOCK ;h LOT "-'
OCCUPANT'S._ !fir'_ ; /( �. /, l r .. `BUILDING -- /
NAME i=. . I 1�� l/1C !�/V 1 .J �rf�/OCCUPANCY �-� J ff
OWNER'S NAME np �j], /
AND ADDRESS i' 9!/`•` rS" / .,_ -. ,�jt�_ �' 7 ,'r_. I r-, TEL.Tr et ✓' C.'i i j - -Jr` !,i i;'lC:i'r � .. tr f ��I�,h, i",l"�. J r';%' t�t tl^ l
CURRENT - ) /
SUPPLIED
BY FROM THEIR OFFICE
BUILDING WORK DEFECTS
IS NEW❑ OLD❑ IS NEW ❑ ADDITIONAL❑ REMOVED ❑ -
LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
No.of Fixtures& BRANCH OFFICE USE
NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS
Loca- ONLY
tion Side Attach't H.P. Watts A.W.G.
Coiling Wall Recep'Is ,Switch Pendant Bracket No. Type Each No. Each No. Gauge INSPECTION
Out-
side
Sub-
base
Base-
ment
1st FI.
2nd Fl.
3rd Fl.
REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE.
This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed,
you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant.
SIZE OF ELECTRIC SIGN , TOTAL
MAINS FEEDERS LAMPS WATTS
CHARACTER EXPOSED GAS TUBE SIGN
OF WORK CONCEALED TRANSFORMERS OF VA
WORK TO BE (NUMBER) (CAPACITY)
STARTED COMPLETED SIZE OF SIGN -
SERVICE OVERHEAD UNDERGROUND MAKER
ENTERS OF SIGN
BUILDING
INSPECTION REQUESTED
ON OR AS NEAR AS
POSSIBLE NEW 171 OLD
AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF
MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLIC QN !
PRINT NNAM F AMEIANQ DLI1EjS.,, // // /�//�//r!7 J �[
APPLECANT („ : f j�J !'•� /1 , -.')6/ l i (,�/V/2/ / /\OF APPLICANT
r` j� i
STREET ADDRESS jP(� TELEPHOAIE#]:
_ r
CITY OR 0�.,. /f )/ - {n, j ZIP ,J Q LICENSE NO,
POST OFFICE t-' L.tr � 1 ° r�� CODE i"� �d j WHEN APPLICABLE
46 EL (REV. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING
awn of Queensbury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
)AOIJrQueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
•
NAMEtV)0(-;./., - D./8r/
LOCATIONAfeste.-ifi
Date 7- / ' '1 Permit No. 86 (0 2 d
* * * * * * * * * * * * * * * * * * * * * * *
= APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim r�
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures / /
/
Gar. Fireproofing / t
Door Closers
Smoke Detectors /� v
Chimney
INSULATION: V
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL IN PECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks- f ,0k-k-I RJ b
•
Bui d g Inspe t.r
6/86 and-vl
f1own o/ Queeni4ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME A90._ (/eja•
LOCATION g. g f e
Date l �/ y Permit No. (Y----6 -6 / R
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
easonry Veneer
Rough Plumbing C)c
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-
Building nspector
6/86 and-vl
e a ll-d //l 51 c /-i o0-/
awn of Queeniurcy
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME �d 7qh Do./lc cfc,7
LOCATION 0 //e/eh ,0r1U-2
Date ///2 / 6 Permit No. j)(O --6 7?
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES I NO
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 / 1
Concrete Floors / \
Plbg. Fixtures
Gar. Fireproofing
Door Closers //// `
Smoke Detectors
Chimney
)(INSULATION:
F undation
oors ���, •
lls
i e.
eiling sg,
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
0L/����S
Building Inspector
6/86 and-vl
flGn �G'cluc i'
Down of Queni l ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME Vôcr
LOCATION we"
��� �
Date I / I J e mit No. g&-Q�(�
* * * * * * * * *. * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
chroming or�
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 I. \\,
Door Closers N
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls f
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
t AB/
Building Inspector
6/86 and-vl
o c ii- /6 /ill/g6 /
_town of Queenibur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME d G} q DO aide- cki
LOCATION I-1 e /,&; i'1N.i V
Date /Db j/ g G Permit No. yo-6 78
* * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
'Backfill O Q
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves /
Ext. Porches /
Finished Floors
l
Interior Trim �
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers / \
Smoke Detectors
Chimney j
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Building Inspector
6/86 and-vl
Called .s/b',// 6/ i /
J jamown of t2ueeni /ur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME Ed)„,_ D u u `l d cLli
LOCATION f i e.4 Dr,
Date /6 1;7/ en, Permit No. g6 -(9 7r
* * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YE / NO
,(jFooting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim 1,
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-
1
I' kort V S
Building Inspector
6/86 and-vl
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