1987-315 x
. CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSSURY
WARREN COUNTY, NEW YORK
Date April 26 199(
This is to certify that work requested to be done as shown by Permit No. 57- 315
has been completed.
Addition to mobile Home dwelling
This structure may be occupi
LAXMtiOn LP
Leo Street
D a W. Chadwick
Owner
By Order Town Sward
TOWN OF QUEENSBURY
f rr
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 87-315
WARREN COUNTY, NEW YORK
6
PERMISSION is hereby granted to Donald W . Chadwick
t1
C+1NN E R of property located at Leo St . a
Street, Road or Ave. �
in the Town of Queensbury, To Construct or place a Addition to mobile home dwellingzr
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at the above location in accordance to application together with plot plans and other information hereto filed anti•
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approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. E
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f. cIWNER S Address is Box 130 Leo St . RD #3 �
Queensbury , New York
2. CONTRACTOR or BUILDER'S Name
same m
O
[n
3- CONTRACTOR or BUILDER'S Address **
same
4. ARCHITECTS Nana
FARCHITECTS Address
struction — {Please indicate by X}
( X') Wood Frarne ( ) Masonry [ } Steel { }
7- PLANS and Specifications
No. 15 ' x36 ' per plot: plan , specifications and application a
y OA
8- Proposed Use p
Mobile Home Dwelling (living area and storage added) O
$5 . 00 C/o or
$ 16 . 00 PERMIT FEE PAID - THIS PERMIT EXPIRES ~
ro
] an 1 19 88 c
{If a longer Period is required an application for an extension must be made to the Building and ZoningO
town of Queensbury before the expiration date.} inspector of the
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Dated at the Town of Queensbury this � jd ._Day of ,Tune 19 87 ro
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SIGNED BY _ c;� for the Tawn of Queensbury o:a
BuRding and Zoning Inspector
TO BE COMPLETED BY BLDG . DEPT . I
Application No .
Permit Issued 19 6UILDING and ZONING DEPARTMENT Permit Expires
Bay and 1 faviland Road, R. D. 1 Box 98 Zoning Designation u u M � 2 �
Queensbury, New York 12801 Variance No .
Site Plan Review o .
Approved
BUILDING & C00E D�
I' '
APPLICATION FOR � 'R
BUILDING AND ZONING PERMIT - V `
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 thelPermit .
The owner of this property is : L2QItJ l.<J', C✓tS /� l _
P . O. Address_ c3 X /1 a -G}� S tt L� J� �J +` A&_4;S /' � Zr rg6' f Tel 23 !
Property Location : Tax Map Na .
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 ep Address Tel "
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 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 C.� ft X � £t .
* Existing buildings) Si2ca../ ft X C — £t -
AM
PROPO5ED BUILDING AND USE : * -- r rl 'P�
Existing buildings ) Use
Size of new structure ' -_ft x-j kft
Foundation-pier/slab/crawl/partia ul Proposed building , distance from rop rty line
(circle one) Front yard +-,� ft
E� �Reaar ' ,
No . of stories (habitable space) _ „_ �. _
Side yards ft and ft
Height (grade to ridge) ft .
If residential, no . of families * If on corner , setback from side street ft
No . of rooms ( excluding baths ) OCCUPANCY INFORMATION
No . of bedrooms ,� PRIMARY BUILDING -
No , of bathrooms One family dwelling
Primary heating system to A`
* Twa family dwelling
Type of fuel_ * Multiple dwelling / Number of units
No . of fireplaces to be installed
Permanent occupancy
Will a wood stove be installed? 0 *
'Transient occupancy
Central Air conditioning? 0 *
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
Other
nclI Contemporary Log cabin
If addition , what will use be?
Raised ranch Mansion Duplex
� o'
split level old style Bungalow * rD .
Cape Cod Cottage Other * ACCESSORY BUILDING-
colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE } Attached garage/one car/ two car car
* * * * * * * * * * * * x * * * * Private storage building
ES MATED MARKET VALUE C7F * Other
C UCTIaN
TION ON BUILDS ECIFICATIfJ , oN REVERSE SIDE OF THIS SHEET , To BE COMPLETED !
IPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS ,
Type of construction , wood frame , fire safe , etc .� L -ic010
W±1-1 any second-hand or ungraded lumber be used? If so , for what ?
A
Foundation wall material_- 5' , Thickness
Depth of foundation below grade (t6lNottom of footing )
Will there be a cellar? Heated 1br unheated? _Floor sq. footage sq ft
Will there be a basement? Wil ny portion be ixsed as living space?
( If so , what portion? sq , ft , - Type of use?
Type of roof - sloped/flak/shed/other c4-,!
�71 Material of roof
Size , wood studs "X spacing "o . c . length J ft .
.foists ( floor beams ) lst . floor L ftc d--spacing "o _ c _ span ft ..
Joists ( floor beams ) 2nd . floor ^ spacing "o . c , s an ft .
Overlays (ceiling beams ) V11),x spacing�"o . c . span%�- S`
Roof rafters "X ngo . c . span ft .
Roof trusses (pre- engln spacing " o . c . spanay ft _ �r! 40
Exterior wall finish ^y"J0rf Of what material? wt?40I'"'j
Interior wall finish AE7 �4::-^
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? p4jZ "ght above roof _ ft .
Depth of chimney foundation below grade ft .
Depth of fireplace.,hear� ft . in .
Water supply - �4unicipal or private well
SEPTIC SYSTEM _ 'Dis-taTC a 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 A F C T D A I T STATE OF NEW YOftK
County of Warren r 1 V ! _
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, urhethe spec ' ed or and at such wont is
authorized by the owner _
SWORN TO BEFORE ME THIS Signature_ _ __________~_____-_-----
er , owner ' s,, agent , arcnirect , conractar
day of 19
Notary Public , Warren County , N . Y .
SPECIAL CONDITIONS OF rHE PERMIT :
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Bye J-- ---- -----
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- TOWN OE` 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 y+ triw ,J (,.,/r'u� G S f'i f iS7 wr Jf� vS f I Tf7 I�Go ` S sf T�
2 . Type of heat� 5 �3 I I
3 . Is the building mechanically cooled ? / _"69.
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 a bient conditions
2 . Floor over heate spaces YES [�
a . Are foundation alls insula d ? YES NO
1 . 1f YES , what s the value ?
3 . Slab on grade YES
a . If YES , what is th R value of insulation around
perimeter of flo ?
4 , is basement heat ? YES XN
a . R value of nsulation
,. 5 . Type of in lation
B . Under 16 % Only
%R value of roof and floors exposed to ambient conditions_
Ike - CIC`I /i ,y
—2 . R value of exterior walls
- 3 . R value of glazed area
4 . R value of doors _ 2Lt
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 ) je/r?
9 . R value of heated basement / cellar walls ( below grade )
10 . Type of insulation
c . Controls /
1 . Thermostat maximum heat setting
D . Duct Systems
1 . Is duct system installed in unheated spaces ? YES C1p
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
Telcphone No . Ulle
Is
applicant ' s signature )
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK I2801-
TELEPHONE (528) 792-5832
WILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVEDC�_
NAME
LOCATION
DATE PERMIT
i APPROVED
YES NO
FOOTING/PIE
MONOLITHIC R FORM
FOUNDATION/DAMP-PROOFING
BACKFILL .APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAIL$
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED LOORS
GARAGE F REPROOFING
DOOR C ER (S)
SMOKE D ECTORS
FINAL 8LE TI ,
P OVAXCAL INSPECTION
FINAL A, L OF CONSTRUCTION
OK TO ISS C/O OR C/C
A SIGNE4zXSES
TIFICATE OF OCCUPANCY MUST
OBTAINEM THE BUILDING DEPARTMENT BE RE
THESE P ARE OCCUPIED!
REMARKSr /
/11
s s u :- I /
ARRIVE
DEPART
INSPECTOR
atv" O/ Q&Ie f1iji"ry
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
oueensbury, New Yank 12801
BUILDING INSPECTOR ' S REPORT
NAME r
LOCATION j C - r
Date , v � Permit I3c5 . /
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry Venee
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproof ' g
Door Closers
Smoke Detec rs
Irnney
`" INSUI,ATI
FDundati
Floors
✓ Wal:ls
1�Ce it ing
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready
Remarks-
Building Inspector
6/86 and-vl
,�pWl1Z 0� �Lf,BB1'lS �4lI'�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME
LOCATION f
Date J`✓ / Permit NO . f / 't yj z
ar 7 * ar ik se * it #vol APPRaVED* -*YES* NO
Footing/Pier Forms
Fouundation
Waterproofing
Backfill
Framing
Roofing
Siding
Masonry veneer
tough 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 APPROV��
Final Building Survey
Next scheduled inspection (call when ready
Remarks--
Building Inspector
6/86 and-vl
.gown 01 Queerzs6ury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING I /N'S�PECT,OOR f S REPORT
NAME e el I-e
LOCATION 4 v t) <" !I''t fir' � ) CJ
Date 4 / Permit No . z -2� / ,;5�
✓ = APPROVED - YES NO
Footing/Pier Forms
Foundation
waterproofing
ackfill
raming
Roofing
Siding
Masonry Veneer IL
Rough Plumbing,
Relief Valves
Ext , Porches
Finished Floors
Interior Trim TA
Stairs & Railings IL
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELEC ICAL INSPECTION
DRIVEWAY PROVAL
Final. But ding Survey _—
Next scheduled inspection (call when ready
Remarks-
uilding Inspector
6/86 and-vl