1986-771 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK -
Date 19
This is to certify that work requested to be done as shown by Permit No. 86-771
has been completed.
This structure may be occupied as a Marianne Walton
Location Lot 71 Triphammer Road
Owner Marianne Walton
By Order Town Board
TOWN OF QUEENSBURY
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Building & Zoning Inspector
BUILDING PERMIT -
TOWN OF QU.EENSBURY No 86-771
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to
Marianne Walton
Lot 71 Triphammer Road
OWNER of property located at 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 - R) #3
Queensbury, NY 12801
2. CONTRACTOR or BUILDER'S Name w
Terry Usher
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3. CONTRACTOR or BUILDER'S Address
9 Cortland St. H
Glens Falls, NY o
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( If Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications ri
No. 16'x22' per plot plan, specifications and application submitted. a.
8. Proposed Use
One—Family Dwelling (living area added)
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$5.00 C/0. rt
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$ 18.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 1987
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(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.)
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Dated at the Town of Queensbury this 6th Day of • November 19 86
SIGNED BY ili for the Town of Queensbury oQ
Building and Zoning Inspector e.12)
TO BE COMPLETED BY BLDG. DEPT.
�] Application No.
Jo[un of Quee,iitury Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 J � -1(
a a a v e a , .-.! -
Bay n v a,
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation ! (�
Queensbury, New York-12801 Variance No. 616I ii i-NTc � iL
'fir I°. - t $`
Siten
Review No.
/ d 5-- 5 l Appry: , .86 9 g lad'
APPLICATION FOR h a [A II a 0 a ,,J
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BUILDING AND ZONING PERMIT `,...n .e,
. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ::*
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
The undersigned hereby applies for a Building Permit to do the following work which will
be done in accordance with the description, plans and specifications submitted, and such
special conditions as may be indicated on the Permit.
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The owner of1athis property is: Th&$la�.,na2�?„ �°/tO Rl -3 `A
P.O. Address 1 1 r% 45IA aeta.or® .. •e.® 6fe � (5i •18 /z} o/ Tel. 7?3 2 f
Property Location: ie ft o is ex, ,E r ir,4. glaAirest CIOfe Tax Map No. / /
Street number or building lot number
Subdivision name (if applicable) 14Alcret cla g.la •
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address �/ Tel. No. .
Name of builder ��erm s1, Address 9 e rt 4. Si': ®P'a Tel. ' ®/
Name of plumber , Address Tel.
Name of masonbmj,t;k thtiet,ea.r. Address 60Fs Tel.
NATURE OF PROPOSED W3RK: * 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) * set-back dimensions from property lines. Give
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* street and number or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location
* of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal:area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property n1 6 ft X 2®Lf.f'ft.
* Existing building(s) Size 12, ft X 1140 ft.
*
PROPOSED BUILDING AND USE:
* Existing building (s) Use e* /� � �;/4 ,°Q41'4 4
Size of new structure /4 ft X 'Zft
Foundation-pier/slab crawpartial/full * Proposed building, distance from property line
(circle one) *
* Front yard • 1 ft Rear yard ft
No, of stories (habitable space) Sideyards •1 ft and ft
Height (grade to ridge) /� ft. * Q &
* If on corner, setback from side street ft
If residential, no. of families UtAaugle
' No. of rooms(excluding baths) 1 ' i' * OCCUPANCY INFORMATION
No. of bedrooms *
* PRIMARY BUILDING -
No. of bathrooms NC One family dwelling
I
Primary heating system ia& ® C�aa a ,*i* . Two family dwelling
Type of fuel g��G . —
No. of fireplaces to be installed * Multiple dwelling / Number of units
Permanent occupancy
Will a wood stove be installed? * Transient occupancy
Central Air conditioning? * Business
*
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
'777Ranch Contemporary Log cabin * Other '
If addition what will se be?
*
*
Raised ranch Mansion Duplex ��®�ain3 ®0.
Split level Old style Bungalow —
Cape Cod Cottage Other * ACCESSORY BUILDING-
.... .....-
Coloni.- 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
CONSTRUCTION $ �0`—*-
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. 470® A101.0mbe
Will any 'second-hand or ungraded lumber be used? If so, for what? Ales
Foundation wall material 14 cete. l®c Thickness 9 ®®
Depth of foundation below ade (to bottom of footing) if
Will there be a cellar Bated or unheated? A/0 Floor sq. footage sq ft
Will there be a basement? , Will any portion be used as living space? Nae
(If so, what portion? sq.ft. - - Type of use?
Type of roof - lope. flat/shed/other Material, of roof Atter71,2,1co 47#1407/e 5 •
Size, wood stu.s 02, "X " spacing /t "o.c. length A'o ft.
Joists(floor beams) 1st. floor 7, "X /® " spacing ,/4 "o.c. span // ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span ft.
Roof trusses(pre-engineered) spacing "o.c. span ZZ ft.
Exterior wall finish do...Apid.�r ,r Of what material? ,r,d4p
Interior wall finish y7>e,„ fir/
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? If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? 10> Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply -, Municipalor private well
SEPTIC SYSTEM — Ds" ance 'from ANY private well(including adjoining properties ft.
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury AFF IDAV IT STATE OF NEW YORK
County of War;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
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.
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SWORN TO BEFORE ME THIS Signature � / /
Owner, owne s agent,arcnitect,contractor
day of 19
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
2 . Type of heat
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors /Va. 90
A. Over 16% Only
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
2 . R value of exterior walls Afe..49
3 . R value of glazed area - z
4. R value of doors
5. R value of floors over unheated spaces ®®
ty
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) momb
9 . R value of heated basement/cellar walls (below grade)
' 10. Type .of insulation i'® /A, 55
C. , Controls
1 . Thermostat maximum heat setting 75
D. Duct Systems
1. Is duct system installed in unheated spaces? YES
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
. 1. Maximum heating
Telephcnet No. ?ill-- /`7 try
(applicarr ' s signature)
/llad /5(0
Jown of Queenihur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME r'1atr, q Yt VI Ja/tb
LOCATION /� Tr� h,t,ni a G - / 044
Date it lal / yt Permit No. Ns -7 .7/
* * * * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
i
Framing
Roofing 1 it
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 — b 9
Ceiling ?t t2)ir L('}t )
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Tery 1 u.sJtiel. Con'?--Q.&tUL,
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Building Inspector
6/86 and-vl
_town of Qu 'enitur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION ( __ '2 I r ! laA
Date /4/2// h., Permit No. N - 6 7/
* * * * * * * * * * * * * * * * * * * * * * *
fe/ = APPROVED - YES / 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
/\/:'‘
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- r., / /,)
I 2 e4< _ ,
Building Inspector
6/86 and-vl
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DO NOT SCALE THESE DRAWINGS. THEY MAY NOT BE TO EXACT SCALE. USE ONLY THE DIMENSIONS SHOWN.
OWNER AND CONTRACTORS SHALL: CONSULT APPLICABLE BUILDING CODES TO INSURE THAT PLANS AND DETAILS CONFORM TO ALL REQUIREMENTS. THEY SHALL VERIFY ALL DIMENSIONS BEFORE PROCEEDING WITH
CONSTRUCTION WORK AND SHALL NOTIFY NORTHERN HOMES DRAFTING DEPARTMENT OF ANY DISCREPANCIES BEFORE WORK IS PERFORMED.
NORTHERN HOMES SHALL NOT BE RESPONSIBLE FOR ANY ADDITIONAL COST OR STRUCTURAL PROBLEMS RESULTING FROM THE FAILURE TO FOLLOW THESE PLANS AND THE DETAILS AS OUTLINED IN THE
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REFERENCE DETAIL PRAMRS GLEES FALLS, N. Y.
THE USE OF THESE PLANS FOR CONSTRUCTION OR ANY OTHER PURPOSE WITHOUT WRITTEN PERMISSION FROM NORTHERN HOMES INC. IS PROHIBITED.CUSTOM DESIGNED FOR:
DO NOT SCALE THESE DRAWINGS. THEY MAY NOT BE TO EXACT SCALE. USE ONLY THE DIMENSIONS SHOWN.
MALTQ-W-26- U5,HE LOCAL -
CONSTRUCTION WORK AND SHALL NOTIFY NORTHERN HOLIES DRAFTING DEPARTMENT OF ANY DISCREPANCIES BEFORE WORK IS PERFONS VENTS. THEY SHALL VERIFY ALL DIMENSIONS BEFORE PROCEEDING WITH
OWNER AND CONTRACTORS SHALL: CONSULT APPLICABLE BUILDING CODES TO INSURE THAT PLANS AND DETAILS CONFORM TO ALL REGWRE
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MES SHALL NOT BE RESPONSIBLE FOR ANY ADDITIONAL COST OR STRUCTURAL PROBLOMS RESULTING FROM THE FAILURE fAm- 13, DATE:
NORTHERN HOMES CONSTRUCTION GUIDE. TO FOLLOW THESE PLANS THE DETAILS AS OUTLINED IN THE
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THE USE OF THESE PLANS FOR CONSTRUCTION OR ANY OTHER PURPOSE WITHOUT WRITTEN PERMISSION FROM NORTHERN HOMES INC, IS PROHIBITED.
00 NOT SCALE THESE DRAWINGS. THEY MAY NOT BE TO EXACT SCALE. USE ONLY THE OIMENSIONS SHOWN.
OWNER AND CONTRACTORS SHALL: CONSULT APPLICABLE BUILDING CODES TO INSURE THAT PLANS AND DETAILS CONFORM TO ALL i�C�1iR1 MENTS, THEY SHALL VERIFY ALL DIMENSIONS BEFORE PROCEEDING WITH
CONSTRUCTION WORK AND SHALL NOTIFY NORTHERN HOMES DRAFTING DEPARTMENT OF ANY DISCREPANCIES BEFORE YIK}RK I8 PERl�ORMED.
NORTHERN! HOMES SHAH NOT BE RESPONSIBLE FOR ANY ADDITIONAL COST OR STRUCTURAL PROBLEMS RE SULTING FROM THE FAILURE TO FOLLOW THESE PLANS AND THE nvmn c sc ruin wren s.� 11.
NORTHERN HOMES CONSTRUCTION GUIDE,
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