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1987-164 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Daft 19 aqa Dro This is to Certify that work requested to be done as shown by Permit No. k k 87-164 has been completed. This structure may be occupied as a Addition to one family dwelling for solar room Location 25 Kiley Lane Owner Ronald and Phyllis Williams By Order Town Board TOWN OF QUEEN3BURy Building & Zoning Inspector ' BUILDING PERMIT TOWN OF QUEENSBURY No_ 87- 164 WARREN COUNTY, NEW YORK x PERMISSION is hereby granted to Ronald and Phyllis Williams o w OWNER of property located at 25 Kiley Lane Street, Road or Ave. P4 W in the Town of Queensbury, To Construct or place a Addition to dwelling ( solar room) er,p , 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. r 1 . OWNER'S Address is 25 Kiley Lane 0 Queensbury , NY 12801 ram• 2. CONTRACTOR or BUI L17ER'S Name t � Connelly s Custom Construction 3. CONTRACTOR or BUILDER'S Address Bloody Pond Road Lake George , New York 12845 x 4_ ARCHITECT'S Name I--' ro °C r su 5. ARCHITECT'S Address S. TYPE of Construction — (Please indicate by XI (g) wood Frame ( ) Masonry I ) Steel ( ? 7. PLANS and Specifications 16 ' x2O " per plot plan , specifications and application submitted No_ ( l0 ' x8 ' deck to be removed) N• rt F"• O 8. Proposed Use fine—Family Dwelling ( solar addition) n rt a $5000 CIO F� $ 28 . DO PERMIT FEE PAID - THIS PERMIT EXPIRES Nov . l 19 $7 (1f 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.) ^ cn O Dated at the Town of 0ueensbury this . 16th Day of April 19 $7 SIGNED BY aa for the Town of Queensbury ro Building and ; Inspector O 04 V TO BE COMPLETED BY BLDG . DEFT . h V ui. "wt: �] Application No , _future u Esee►e3fiur L:r ' ju ',� Permit Issued 19 BUILDING and ZONING DEPARTMENT IM Permit Expires 19 I Rrih 1 C lAL� Bay and Haviland Road. R. D. 1 Box 98 Zoning Designation APR .! d Iw7V QueensfJury, New York 12801 Variance No , ......_ _.._.. .._... ;GILDING & CODE: DEPT. Site Plan Review No . F� r� Approved by : APPLICATION FOR ✓' - doe BUILDING AND ZONING PERMIT _ � �- CO 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 propertyis : }�,oO&LP f t Pu7 �.0 S Kw W tLU f M S P* O, Address 45 K I LEA i` LAN e Tel . j - 495 J5 1 Property Location : _ k, 11� { . �,rf Tax Map No . -5-0/ I / z5,59 Street number or building lot number Subdivision name ( if applicable) vvC �s� THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : R,o .tAL%�) 'P WILL'A'As 25 tiLo LpisC Gcgr4s -9�-A-ULS �793 - 495 1 Name CO r)ei ) c� ���� P . O. Address Tel . ,rNo . ^� Name of builder C.2 C3��4'"uC+�On dress r Tel . F,, l --G� -39 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 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 * whether interior or corner lest . Show location FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . 1L4 X8 'DECK 0rt , "AQV4% of septic disposal area . * Zed" A60_V6 6KADE * COMPLETE INFORMATION REQUIRED BELOW, 2xra r' A7^dS�i� 'aCTI01 . Size of property 169 ft x 158 €t . * Existing building s) Size ft X 2.4 ft . PROPOSED BUILDING AND USE : * Existing building ( s ) Use �;I �] C•1 C-f� Size of new struct e +.�_ft X �4 � ft Foundation-pier slab crawl/partial/full * Proposed building, distance from property line circle one ) Front yard A40 ft Rear yard � p ft No . of stories (habitable space ) � * Side yards 5 1 ft and 50 ft Height ( grade to ridge ) ( 2.. 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 Pe One family dwelling g ,� Two family dwelling Type of fuel _ BASF B O * / No . of fireplaces to be installed Number of units -�- Multiple dwelling will a wood stove be installed? {•,]l, * Permanent occupancy Central Air conditioning? _�]tS * 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 Cape Cod Cottage Other '" ACCESSORY BUILDING- onia 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 . . . . - . Sb I - - - - - - - - - - - - INFORMATION ON BUILDING SPECIFICATION'S , 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 .� WOOO f&AMIE Will any second-hand or ungraded lumber be used? if so , for what ? NI Q h Foundation wall material _ CANCK% Thickness Q Depth of foundation below grade (to bottom of footing ) Will there be a cellar? WO Heated or unheated? Floor sq. footage sq ft Will there be a basement? WO Will any portion be used as living space? ( If so , what portion? sq . ft . - - Type of use? Type of roof - sloped/flat/shed/other` Material of roof �Xri SPitUC CKSPHQ�t��C' Size , woad studs 'Z " X spacing "o . c . length ft . Joists ( floor beams ) 1st . floor "X " spacing "o . c . span ft . Joists ( floor beams ) 2nd . floor "X "' spacing "o . c . span ft . overlays ( ceiling beams ) "X s acing "o . c . span t f . Roof rafters " X " spacing o . c . span ft . Roof trusses (pre-engineered) spacing " o . cl span� ft . Exterior wall finish CLAP6' D&IM _ of what material? WO( E) Interior wall finish [ yc el" K PANEL�h1C3 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? 1,AO 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 f Warren A F F I D A Y I T STATE of NEW YORK County of Warren I swear that to the best of my knowledge and belief the statements contained its 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 . 01 SWORN To BEFORE ME THIS Signature _.......................... -Owner . owner ' s agent . arcn3.rect. contractor day of 19 Notary Public , Warren County , N . Y . III * * ** * * * do * * * * it * * * * * * * * * * * * * * * * * * * it * * * * * * * * * * * it * 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 3ZO 2 , Type of heat EUECTR l c. 3 , Is the building mechanically cooled ? NO 4 . Percentage of area of windows and doorsc �i¢ A . Over 16 % Only 1 . Uo value of gross area of walls , roof /ceiling and floors exposed to ambient conditions 0062. 2 . Floor over heated spaces YES ND 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 the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES NO a . R value of insulation -^-- 5 . Type of insulation -(c)Mr+1 4' B . Under 16 % Only 1 . R value of roof and floors exposed to ambient conditions. 2 . R value of exterior walls 3 , R value of glazed area 4 . R value of doors 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 c . Controls 1 . Thermostat maximum heat setting a} Q + 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 area s 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 - Telephone No . l 93 ! 49S I ( applicant ' s signature ) '(46 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING I NSP�E�CTTOR ' S REPORT NAME LOCATION ] Date__ Permit NO . I' APPROVED - YES NO Footing/Pier Forms Foundation Waterproofing ack£il3, F raining £ing Siding Masonry Veneer Fdough Plumbing Relief Valves Ext . Porches FIAWkshed Floors erior Trim airs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors IULATICN : mney undation Zoars lls eiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection {call when ready Remarks- Building Insp 6/86 and-vl 7ocvn crfJ} ueeresbetrtdl BUILDING and zONING DEPARTMENT LI-r $ay and Haviland Road, R-D- 1 Box 96 Queensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME a C& 4 Cs &NIX5 Dateg �/ Permit No . * * * * * * * y+'* * RP* ROVED* -* 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 Car . Fireproofing Boor Closers Smoke Detectors Chimney INSULATION : Foundation Floors walls CeiIi.ng3 FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey -- Next scheduled inspection (call when ready) Remarks- Z;A oomev vrm Ruiiding Inspector rf.,/f35 and-vl oW,n © "VefiJI " ry BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 rD. 3V � BUILDING INSPECTOR ' S REPORT NAME kit LOCATION Date Yf / Permit No 2— t * * ** * * k * ✓* * * * * * * * YE * NO . // APPROVED "Faoting/Fier Forms Foundation waterproofing aackfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Flbg , Fixtures Gar . Fireproofing Door Closers. Smoke Detectors Chimney INSULATION -- Foundation Floors Walls Ceiling FINAL ELECTRICAL IIVSPECTION� DRIVEWAY APPROVAL. Final Building Survey* -� T3exC scheduled inspecticon (call when ready ) Remarks- - Building nsppectOr 6/86 OF BUILDING DEPT, COP'YIOE T�L•COATTIPY �TFORMBUI 464E=Lo NEW DEFT. ORKWHE BOARD OUIRED IRE UNDERWRITERS. �r TEMR . DATE OR CITY COUNTY yv&fk^p►`EN VILLAGE 'U{ J s,,,l iJ('�L € TOkWiFBiYiYP STREET AND NO. OR L/ '" �' ROLE NO. ROAD AND POLE NO. 25 K � 1 ,y� CROSjjETWS STRIPE" WHAT TWO ��, ��� LOT 477 CROSS STREETS IS f� l'tjY V Y w w' SECTION PREMISES OCATEO>' OCCVPANT"S �. ` y. 1^� BUILDING `^y p .. HAME ,�,©,OWNIER"S NAME (}P i"I ��..'�. r�1. '1 '+ �F �1r1i- 1�'�[`� BUILDINNCY %4C1eP3�%/"� L- AND ADDRESS CURRENT SUPPLIED iV I A k si FROM THEIR G%-tiC4 y_,.*.s OFFICE BUILDING '1 Y-- �} DEFECTS is NEW O OLIO Uq IYISIORK NEW ❑ AGOI-rIONAL REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of Fixfuraa A BRANCH OFFICE USE NUMBER OF OUTLETS Lame RteaePtacMa MOTORS HEATERS CIRCUITS ONLY Low Ham- warm A-W'G' INSPECTION Side Ateech't Swleeh Pamdaltt Bracket No. Type Eaeh Ne. Each Fl e' Gaspe Caillpie waM Reeaple Out- slde SWr terra Base tat 'FL 1F.� 2nd Ft. and FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: 00 NOT USE THIS SPACE- This application it. intended to cover the aha+a-Noted equipmant to ha inspxtad but it at time of inspection theta is found additional equipment not abana Fisted, you are authontad to make the inspection and adiust the fee to cp~ the additional equipment, m errovidad by the applicant. ELECTRIC SIGN TOTAL SIZE OF ���.,,A FEEDERS LAMPS WATTS MA"" �i CHARACTER ,+'' ,,, ]�' EXPOSED GAS TUBE SIGN OF WORK 6..• ""'�^ � �"� CONCEALED TRANSFORMERS OF VA WORK TO BE /� ryp (NUMBER) iCAPACITYI STARTED TI' '11 CONIPLETED SIZE Of SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS D/S OF SIGN BUILDING INSPECTION REQUESTED ON OR AS NEAR AS NEW OLD POSSIBLE AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION- ALL SPACES DATE Of MUST BE FILLED IN OR APPLICATION MAY BE RETURNED- APPLIC r I_".'..__ PRINT NAME AND ADDRES SIGNATURE N., AAME OF PPLICANT KO NA L �,,r OF APPLICANT . ~ STREET ADDRESS Z5 K !r L CY -- LAIN 1E TELEPHONE # PCITY an ZIPOST OFFICE C=kLCI-S .5 EJ - Lw CODE I Z WHEN APPLICABLE 46 EL (REV. 1/66) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING j 6;2< 62rh c2 y LAKV COST SLOG. COS'► - - • PURCR. PRICE - I?.:'+ ', :f i I PURCH. DATE - ✓ - � a.P *EMOU. COSTNP d LA L 1 P C 7 oil ~cam \j `� L C O p (�� A W o W z \ X Q .� 2'/ 8S/ ;g0- 0 90-/�/YJ y o p o ) o m°yne9 • 0 oa r KILEY LANE S - Be - 02' - E 169.18 ft. v- m i tn RONALO P & PHYLLIS K WILLIAMS 25 KILEY LANE GLENS FALLS, NY 12801 RPWLOT.473 Last Rev 5 Rpr 87 I