1987-318 CERTIFICATE CJF C]C+GUPANCaN004Y
TOWN OF QUEENSSURY
WARREN COUNTY. NEW YORK
Date 19
87-318
This is to certify that work requested to be done as shown by Permit No.
has been completed.
occupied
b ied as a One—Famlly Dwelling — alterations
'T his structure may p
t� Stevens Road
Jon Senecal
Owner
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning inspector
M1
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 137-318
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Jon Senecal
OWNER of property located at Stevens Read Street, Road or Ave.
ti
nsbu Alterations to dwelling 0
in the Town of Quee
rY. To Construct or place a
at the above location in accordance to application together with plot plans and other information hereto filed and r�o
approved and in compliance with the Town of Oueensbury Building and Zoning Ordinance. m
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w
t . OWNER'S Address is RD #4 Box 451
Queensbury , New York 12801
2_ CONTRACTOR or BUI LVER'S Name Same
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
6. TYPE of Construction — (Please indicate by X)
fc } Wood Frame t } Masonry f ) Steel ( }
7. PLANS and Specifications
alterations to existing dwelling per specifications and application
No. rt
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8. Proposed Use
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One—Family Dwelling , .
0
$5 . 00 CIO
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$ 20 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES Ian ' 1 19 $8 ~
N-
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the pq
town of Ousensbury before the expiration date_)
Dated at the Town of Queensbury this 4th Day of �] June 19 87
SIGNED BY for the Town of Queensbury
Building and Zoning I nspector Val
TO BE COMPLETED BY BLDG . DEPT .
t� Application No .
_lrauvn Qacee4njg"r'y Permit Issued 19 TOWN OF QUEENScs`. '- '•
BUILDING and ZONING DEPARTMENT Permit Expires 19 t rr
Bay and Haviland Road, R. D. 1 Box 98 zoning Designation
Queensbury, New York 12801 Variance No . 111,r r� L+ 1Op7
Site Plan Review No . s MFII X+ V FJ[il
Approv BUILDING & CODE DEPT.
APPLICATION FOR
BUILDING AND ZONING PERMIT I _._..
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 is : &
P . O. Address -11;6 Tel .
Property Location : 11--OT- Tax Map No / f
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING, CODES IS :
Name (� P. O. Address Tel _ No .
Name of builder Address �Sq�C }f � '�j�LPcfa Tel , 2- �
Name of plumber f Address Tel 'C
Name of mason Ir Address Afr 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 btaildings ,
(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 ,/s3 C ft X ft .
Existing buildings) Size.: .ft X 37 _ _ ft .
PROPOSED BUILDING AND USE : * r
��,e Existing building (s ) Use �+' � }� � +}
Size of new structure �7 ft X��ft * 4e
Foundation-pier/slab/crawl/partial/full Proposed bUildinej , di Lance from property line
(circle one)
No . of stories (habitable space) 60./457� * Front yard 5Y ft. Rear yard / ft
Height ( grade to ridge ) / T ` "' ft . Side yards /5 ft and ' ' { ft
If residential , no . of families 8" * If on corner , setback from side street ft
No , of rooms ( excluding baths ) OCCUPANCY INFORMATION
No. of bedrooms
No . of bathroo PRIMARY BUILDING
Primary heating system Le6ne family dwelling
Two family dwelling
Type of fuel [syro
No * of fireplaces to be installed Xi * Multiple dwelling / Number of units
Will a woad stove be installed? /tJd
* Permanent occupancy
Central Air conditioning? Transient occupancyBusiness
x
BUILDING STYLE, PRIMARY STRUCTURE Industrial
Contemporary Log cabin * Other
Raised ranch Mansion Duplex * If addition , what will use be?
Split level Old style Bungalow
Cape Cod Cottage Other " ACS�NSSORY BUILDING-
Colonial Row Town House Detached garage one c two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
* * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ �f�'/' - - - - - -. -. - - - - -
- -
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETEDI
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe, etc . k, 4. Pgtt!nE
Will any second-hand or ungraded lumber be used? If so , for what ?
Foundation wall material �17.+�TC/Z7Zr 6C� Thickness-
I,
Depth of foundation below grade (to bottom of footing ) e
Will there be a cellar? P Heated or unheated? Floor sq. footage sq ft
Will there be a basement ^c. Will any portion be used as living space? ,+..+� o
( If so , what portion? sq . ft . - - pe of rise?
Type of roof - slo(flat/shed/other t Material of roof ,ram lel#"C �Ree x
Size , wood studs__;' "X�� " spacing.�"o . c . length 47 ft .doi.sts ( floor beams ) 1st . fluor a "X-�" spacing_Z_&."o . c . span & ft .
.]oists ( floor beams) 2nd . floor "X spacing "o . c . span ft .
Overlays (ceiling beams ) '"" "x� " spacing f, _"o . c . span /2 ft .
Roof rafters "X_ j _" spacing o . c . span' =ft .
Roof trusses (pre-engineered) spacing "o . c . span ft .
Exterior wall finish (� p T of what material ? €�(,' 4.ff r�r
Interior wall finish e-�;r ,r'C
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? , .g Height above roof ft .
Depth of chimney foundation below grade Z ft .
Depth of fireplace hearth ft . in .
Water supply - Municipal or private well fCor
SEPTIC SYSTEM _ Distance from ANY private well ( includ ng adjoining properties jv-e ft .
(A separate application is necessary for any repair or new installation of septic system)
Town of Queensbury
County of Warren. A F F I D A V I 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 .
SWORN TO .BEFORE ME THIS Signature __
e owner ' s agent , architect , contractor
day of 190
Notary Public , Warren County, N . Y .
* tt * rr vt * dt it it * %' tk * * * * * * at * * * * x it * t4 Yt * * ak * * * fe 9r * * * 'k * * iA• * �
SPECIAL CONDITIONS OF THE PERMIT :
13Y... ________._______......
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
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.
. 3 C)
2 . R value of exterior walls
3 . R value of glazed area
4 . R value of doors
5 . R value of floors over heated spaces
6 . R value of slab edge insulation - unheated slab
7 . R value of slab insulation - heated slab
$ . R value of heated basement/ cellar walls ( above grade )
9 . R value of heated basement /cellar walls ( below grade )
10 . Type of insulation fig/ S z k
FCr:�t++-'
C . Controls
1 . Thermostat maximum heat setting
1
D . Duct Systems �-
1 . is duct system installed in unheated spaces ? 0� 5 --' NO
a . If YES , R value of duct installation fc' -- 5
b . R value of duct in other areas
E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe 3 ew '?'..
2 . R value of pipe insulation
F . Service water Heating r
1 . Performance efficiency-� <e� l U2e`C �Jf� :—r
2 . Temperature control setting maximum ' 'r-
G . For Swimming Pool Only
1 . Maximum heating
Telephone No . ,
plica ' s s i g n a re }
gown o/ Q"eensbury
BUILDING and ZONING DEPARTMENT
Bay and Maviland Road, R.D. 1 Sox 98
Oueensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
L C1 C A T I � � u '�
Date / Permit No .* * * * * * * * * * * * * * * *
✓ APPROVED - NO
opting/Pier Forms
Foundation
Waterproofing
Sackfill
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 . Fi reproof ing�
"Door Closers _.
Smoke Detectors
Chimney
INSULATION
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION _
DRIVEWAY APPROVAT.
Final Building Survey. _
Next scheduled inspection (call when ready
Remarks-
Building Inspector
6/86 and-vl