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1987-239 I ' CER MR TOWN "SUP 7�T OF QUEEMSBUR Y 1 Y WARREN COUNTY, NEVN Y04 K Date This is ro cerrifY that Work reques !4 87 has been cornplerrd � be dons � sh onr n � L� r7 This �{ ,� Y Pennar No, 8 7��g v7 - strete �� �'f art 4b y�,, t}�Y � �'vpied �. �� j il1 Location 1 a '� y—r�-Additiara t� � lel ots Z ? `� ©ne►rfamily awe] Iin$ ' 1 O"er a t an Lane art r BY Ardor Tovr� Ord TOWN OP Q[JE 18$iJRY $ NEld 6 Zoninr Inspect } BUILDING PERMIT TOWN OF QUEENSBURY No. 87-239 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Blame Rekdal Lots 17 , 18 Sheraton Lane OWNER of property rt p party located at Street. Road or Ave. m in the Town of Queensbury, To Construct or place a Addition to dwelling VV at the above location in accordance to application together with plot plans and other information hereto filed and f" approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. ~ [2- 7CONTFRIACTO ddress is Box 51 Sheraton Lane Queensbury , New York m rt 0 R or BUILDER'S Name r Ken White 03 m 3. CONTRACTOR or BUILDER'S Address 4_ ARCHITECTS Name S. ARCHITECT'S Address a F•w rt E. TYPE of Construction — (Please indicate by X) O t5 f Wood Frame i I Masonry l ! Steel i I rt 0 7. PLANS and Specifications E fD No. 12rxl4t per plot plan , specifications and application F~ H• 0G B. Proposed Use One—Family Dwelling (additional living area) $5 , 00 C/o $ 46 * Of) PERMIT FEE PAID -- THIS PERMIT EXPIRES Dec 1 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of Ousensbury before the expiration date.) Dated at the Town of Queensbury this 1')2,t-h /JDay of May ig 87 SIGNED BY 97 ti. AQkO2 for the Town of Queensbury Building and Zoning Inspector c TOWN OF w,eiiEs ilras�-. TO BE COMPLETED BY BLDG . DEFT . � f ( U � Application No . }� _ /ow" o/ Quee► Jgury Permit Issued 19 uL� MAY 6 1987 BUILDING and ZONING DEPARTMENT Permit Expires 19 Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation BUILDING CDD p�pT� Queensbury, New York 12801 variance ,No. i Site Plan Review No . � .- Approved by APPLICATION FOR Ad 3 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 . - -----_ .........-..........-.......-3-A�" --------------------_-__---------------------- The owner of this property is :' 4 l� �� ,+1t`��- P . O. Address ` >� t � P• 6 } �!V L � `?�Y=7C� �� Tel . Property Location : �z ( '2s�1 i- A' r,3 f � �4 � �' ( � Tax Map NoS G f �J / Street number or building lot number Subdivision name ( if applicable) ram- L-C 1 (\� G P, k. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : Name P . O . Address Tel . No . Name of builder ION ( Address iAl f�' L*:bfC(4 e= Tel . Name of plumber Address Tel ..- , Name of mason Address Tel . NATURE OF PROPOSED WORK : ZONING INFORMATION : -y�•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 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. 0 j[ If • XLq? ft X 4::;'7CD6' cat ft . Existing building ( s ) Size 45 X ft . * PROPOSED BUILDING AND USE : * Existing building ( s ) Use Size of new structure 14Q ft X �'rj1 ft Foundation-pierrawl/partialffull Proposed building , distance from ,property line (circle one ) �' ,� Front yard �+ � _ft Rear yard f�� ft No . of stories (habitable space ) ft ,� * Side yards ��'/ � .- ft and Height ( grade to ridge ) a £t . If an corner , setback from side street ft If residential , no. of families� � No . of rooms ( exclu ng baths ) _/d OCCUPANCY INFORMATION No . of bedrooms No . of bathrooms * P ;rIFMARY BUILDING - * LJ One family dwelling Primary heating system GiJe7o7 S cr * Two family dwelling Type of fuel Multiple dwelling Number of units Now of fireplaces to be installed f * / Will a wood stove be installed? C,. * -*Permanent occupancy a� �s� * Transient occupancy Central Air conditioning? A.LQ Business �r BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex If addition , what will use Yee . * �c'il"'�,[,f�_ �'�,�1�y Split level Old style Bungalow * `� Cape Cod Cottage Other * ACCESSORY BUILDING- 0 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 $ -�� - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , To BE COMPLETED ! Farm BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , mire safe , etc . f �+ lc� Will any second-hand or ungraded lumber be used? If so , for what? )p '4 aundation wall material Q�;�aA,]` " Q-i{ Thickness �oflDepth of foundation below grade (to bottom of footing ) Will there be a cellar?v 0 Heated or unheated? {}I' AC.P,I EJ_)-Floor sq. footage ( cj:�' sq ft Will there be a basement? Will any portion be used as living space? ( If so, what portion? I �K- sq . ft , - - Type of use? .r rF7N , t I q mac] 1✓\ Type of roof e flat/shed/other Material of roof 1=r Sirf�J- _ 'a iZe , wood studs "X ^ spacing I C� "o . c . length -- �f t . Joists ( floor beams ) lst . floor "X ^ spacing '"o . c . span ft . Joists ( floor beams) 2nd . floor "x " spacing "o . c . span ft , Overlays ( ceiling beams ) "X " spacing �( "'p , C . span ` � ft , Roof rafters _ "� "'X Aiir acing c, 0 . c . spans- ft . Roof trusses (pre-engineered) spacing " o . c . span ft , Exterior wall finish 5 ` CaoAtzl CL4 P pf what material? C i4f- Interior wall finish Px a garage is to be attached , describe materials to be used for FIRE SEPARATION : Jeg there to be an opening between garage and dwelling? If so will a Fire-rated. 456r , enclosure , and self-closing device be provided? ill a flue-lined chimney be installed? /'EfC? Height above roof Depth of chimney foundation below grade � ft . Depth of fireplace hearth_ ft . Water supply - Municipal or private well ` r,1._� 55215TIC SYSTEM i Distance from ANY private well { including adjoining properties ft . (A separate application is necessary for nangy repair or new installation of septic system) Town of f Warren R F F I D A V I T 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 , and all other laws pertaining to the proposed work shall be complied with, whether spec "if I not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS ' ent , archlceot, contractor day o f �j ✓��jf 19 � /� Notary Public , Warren County, N . Y . SPECIAL CONDITIONS OF THE PERMIT : 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 c.` 't ' 'ate; "� L ! / c7AJ 2 . Type of heat f j=f 4fUr 3 . Is the building mechanically cooled ? 1L!O 4 . Percentage of area of windows and doors / ----- A . Over 1. 6 % 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 ? `-'E NO � 1 . if YES , what Is the R value ? 3 . Slab on grade YES NQ a . If YES , what is the R value of insulation around perimeter of floor ? 4 . Is basement heated ? YES a . R value of insulation 5 . Type of insulation B . Under 16 % only 1 . R value of roof and floors exposed to ambient conditions_ c� 2 . R value of exterior walls 43 3 . R value of glazed area c> R value of doors J: 2 �� `�✓ I (A 5 . R value of floors over unheated spaces [n 6 . R value of slab edge insulation - unheat 7 . R value of slab insulation - heated sl 'b 1 , 5 8 . R value of heated basement/ cellar walls above grade ) 9 . R value of heated basement/cellar walls (below grade ) 100 Type of insulation �fC "i v- `� Tz?'rraw{ct�' C . Controls 1 . Thermostat maximum heat setting 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 Piping Insulation 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation Service Water Heating / 1 . Performance efficiency 2 . Temperature control setting maximum � B . For Swimming Pool Only i . Maximum heating Telephone No . c` ( app a. c § nature ) t M _ f QIueeros6ure� BUILDING and ZO,,NG DEPARTMENT Bay and "aviland Road. R.D. I Box 98 Queensbury, New York 12801 BUILDING If35pECTC►R ' S REPORT NAME p LOCATION Moe ,,..{{ g ! 1 Per�t+it N0 - Date —f-~- * sr * * * * * ✓ APPROVED - YES No Footing/Pier Forms Foundati01n Waterproofing ga,ckf ill Framing Roofing Siding Masonry veneer Bough Plumbi Bo ng Relief Valves�� �- Ext . Porchesr �— Finished Floors�� Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors P1bg . Fixtures Gar . F i reproof ing Door Closers Smoke Detectors Chimney ztasvLATzorz Foundati-On Floors 'mails CeitingEI,ECTRICAL T.NSPECTIC " Fzr4AL _ qvnVEWA'Y A'PPROVAbrvey al Building Su r1exC scheduled inspection icall when ready) Remarks- 17 r IIiL� i _y Building Inspector 6/a,F+ and-vl 4237615 THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY � f 4T STATE STREET. ALBANY. NEW YORK 12207 � y Date September 22 , 1987 Application .No. on file OZ Z321-87 � V 9 4 3 J 6 THIS +CERTIFIES THAT VW -if V4, ovaly the electrical egaipnswnt as described behno and introd"Cowl by the applicant named an the abode applicatlan nw"Iber In the preATalses of Bjarte dal , Box " Sheraton Lane , Queenabury, NY in thefe"o""nls location, W Beaemeest 60 1st Fl. ❑ Znd Ft. outside Section 56 Stock 5 Lot 9 was examined on 8125/87 andfoand to be in compliance with the requirements of this Board. FIXTUEE FIXTURES RANGES COOKOM CECKS OVENS DISH WASHERS EXHAUST FANS OITTLlT3 EPTACLES SWITCHES INCANbESCEIVT FLUOiIESCENT AMT- K. W_ MIST. K. W- AMT. K-W. AMT- I K. W. AMT. N, P- -. 3 8 21-- 1 L I DRYERS FURNACE MOTORS RiTLMIE AF'iIANCE FEECEES ISPECIAL J1wVrTj TIME CLOCKS REII LOOT HEATERS MULTI-OUTLET DUAAEAS AMT- K. W- OIL H. P. GAS H_ s, AYLT- NO. A. W. G. AMT. AMP. AMT. AMFs. TRANS. A1MT_ H. R SYSTEMS AMT. WATTS No. OF FEET SERVICE ILISCGINNECT NO. OP S E R C, V 1 C / 4W 1 .e' sw 3 a• E p AMT. AMP. iYF'E EQUIP. 3W 11F eW ' �CrCONb. OF tC COND. NO. OF M49G OF-}{Wj_L G. NO, OF NEUTRALS I'EVTRAL OTHER APPARATUS: La Kevin 'White 34 Burdick Avenue ! BRANCH MANAGER Warrensburg , NY 12885 s This certificate must not be ahlered in any manner; return to the office of the Board if incorrect. Inspectors may be identified by their credontiafs. _ COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. Me JkA " {� -•r'`�PC A 1I1 aecrr� o iee�r� s�itr+ © BUILDING and ZONING DEPARTMENT Bay and Haviland Roadl, R_O. 1 Sox 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION Date APPROVED i ermi No APPROVED* -*YES* NO Footing/Pier Forms Foundation Waterproofing 8ackfiII }[ Framing goof ing Siding ,Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Tram stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures - Gar . Fireproofing Door Closers Smoke Deteetors Chimney INSU ATICN Foundation Floors Walls Ceiling Ilk FILIAL ELECTRICAL INSPECTIOi3__, DRIVEWAY APPROVAL_., Final Building Survey _ Next hcheduled inspection (call when ready Remarks- . � Build ng Insp tar 6/86 and-VI Dorn a� Quee" Jkury BUILDING and ZONING DEPARTMENT Bay and Haviland Road. R.D. i Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME e f , [r' LOCATION .1 !/!t` 'f d rr+Y 6"'s7'5W a Date d / 4? l Permit No . "7_ °2 37 OV ED N0 Footing/P; Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rouge 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 IN SUI ATION Foundation Floors Walls Ceiling FINAL P:J.ECTRiCAL INSPECTION -�- 1]IiIVEWAl' A'I'PROVAL Final Building Survey__!____ _-- Next scheduled inspection (call when ready ) Remarks- Building inspector 6/86 and-vl t !3oFr"� /tI CC77 �r _./ow,n 0/ Quee,nshury BUILDING and ZONING DEPARTMENT Bay and Hawiland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME )Z LC7CAT IrJN �_,-- L I�3 Date I / .�__,° permit Na . _ $ ' _ •�i 3 APPROVED - "YES NO Footing/Pier Farms 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 r1bg . Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION L-Ft5un da t ion Floors walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL_ Final Building Survey ----- Next scheduled inspection (call when ready) Rema rks- -- suilding Inspector 6/86 and-vl f T __/a1 0 ����J/}r fJ _ m/i't 0/ Qr44eIE+n31bfA! I`1� BUILDING and ZONING DEPARTMENT Say and Haviland Road, R,D, 1 'Box 98 Queensbury, New York 12601 BUILDING INSPECTOR ' S REPORT NAME leis ,, e, I- 7 /? 1Cre ;rre LOCATION r/ •� +/ f7 �o r-�r /1� Date / Permit No . ? — �r APPROVED - YES NO Doting/Pier Forms F undation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors — — interior Trim__ a Stairs & Railings Cellar Drain Tile --- concrete Floors Plbg . Fixtures Gar . Fireproofing _ Door Closers Smoke Detectors Chimney INSUTATION Foundation Floors Walls Ceiling FINAL ELECTRICAL IN CTION DRIVEWAY APPROVAL Final B%Xilding Survey _ Next scheduled inspection {call when ready) Remax'ks- f Huilding Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORK! 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. F1LE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. B DATEe / .i: STREET AND NO. OR s x. -. ! + -) s • : !�E I POLE NO. Ile ROAD AND POLE NO, -- -.- -. BETWEEN WHAT TWO - _ - CROSS STREETSIS o 0 , ? . PREMISES LOCATED? -'" "' f ? - SECTION ' — BLOCK LOT OCCUPANT'S -.. BUILDING . . NAME I... , .{ ; r tT^ :: r, t i OCCUPANCY �4 r r ._...._. OWNERS NAME TEL. - AND ADDRESS f- �� } "'- c-+ i Jr # r SUPPLIED �' FROM THEIR .,,,f OFFICE BY BUILDING rye' NKIRK DEFECTS 1-1 IS NEW 0 OLD 1—' i IS NEW 0 ADDITIONAL 1210� REMOVED L_I LIST BE LOIN ALL EQUIPMENT WHICH YOU INSTALLED No- of Flxturee # MOTORS HEATERS CIRCUITSSHANIT OFFICE USE NUMBER OF OUTLETS Lamp ReolptaelesONLY Lca t10+� Side Atneh't H-P. Wato Wax RespAttsa Ie SvAtch Pendent Bracket Na Type Each Na. Eeeh No Gessie INSPECTION out- Sub- wee Bane- mwtt list FI. 9rd Ft. Std Ft. REMARKS: LIST OTHER ELECTR H ICAL DEVICES NOT SET FORT ABOVE: DO NOT USE THIS SPACE. This application is intended to Coeer the ebore•listed egUlpment to be inspected but if at time of inspection there is found additional equipment not abora listed, you am authorised to make the Inspection and ednst the fee to corer the additional equipment, as prorided by the applicant_ SITE OF EL ECTR MC SO GN TOTAL MAINS FEEDERS LAMPS WATTS CHAPIACTER - EXPOSED OAS TUBE SIGN OF WORK - � � /' CONCEALED TRANSFORMERS OF VA WORK TO BE -� r' - (NUMBERI ICAPACITYI STARTED COMPLETED SIZE OF SIGN SERVICE. OVERHFAO VNDERGROUND MAKER ENTERS �„,// OF SIGN UILDI INSPECTION REQUESTED ON OR AS NEAR AS New El OLD POSSIBLE AVOID DELAY BY GIVING FVLLAND ACCURATE INFORMATION. ALL SPACES • DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. PRINT NAME AND ADDRESS FF _ SIGNATURE LICAPPANT -r OF APPLICAI ....+,e. STREET ADDRESS ! � [ `f"� TELEPHONE t , CITY OR ialr : .- ' f zIP f LICENSE NO. POST OFFICE �� ) CODE WHEN APPLICABLE P 46 EL (REV. 3I00) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING r { { s 5 - -r T F. F d� ..Sr+� r z £t SCAIMs / DRAWN d1 1 v"Dr`