1988-159 -• - , • r -1'
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
1
Date 1Tannnry lQ
rra 11
This is to certify that work requested to be done as shown by Permit No. 38-159
has been completed.
This structure may be occupied as a One Family Dwelling - Addition(Porch)
Location r)Q\ Nelson Rd. Courthouse Estates
Owner Raymond Bender
By Order Town Board
TOWN OF's4C/EENSBURY
Building & Zoning Inspector
_ _ : BUILDING PERMIT
TOWN OF QUEENSBURY No. 88-159
WARREN COUNTY, NEW YORK 0
Raymond Bender
PERMISSION is hereby granted to I
#75 Nelson Rd. Courthouse Estates
OWNER of property located at Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition—Porch
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. 7:1
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1. OWNER'S Address is 0
Same
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2. CONTRACTOR or BUILDER'S Name ID
Peter Walsh
3. CONTRACTOR or BUILDER'S Address C]
2373 Reservoir Rd. o
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Fort Edward, N.Y. 12828 0 1
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4. ARCHITECT'S Name 0 U
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5. ARCHITECT'S Address CD
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6. TYPE of Construction—(Please indicate by X)
(X)Wood Frame ( I Masonry ( ) Steel ( )
7. PLANS and Specifications
No. 14' x 12' as per plot plan, and application
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8. Proposed Use �
Porch to one family dwelling 0
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$5.00 C/0
$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES November 1, 19 88
(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.)
Dated at the Town of Queensbury this 20th Day of April 19 88
SIGNED BY /77CLC�� CSC . � �� for the Town of Queensbury
Building and Zoning Inspector /G •
TO BE COMPLETED BY BLDG. DEPT. r94`N r." c
�UEEiv
cc�� Application No. N
Jou,n 0/ Queen:SA ttrtg I
Permit Issued 19 �ulls
BUILDING and ZONING DEPARTMENT Permit Expires 19 APR 151988
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation
Queensbury, New York 12801 Variance No. BUILDING etCODE DEPT.
Site Plan Reviewao. •
-c 5 Approved by: �" -� PAr-.4APPLICATION FOR it
sAf CL..'• IL .
BUILDING AND ZONING PERMIT
* * * * * * * * * * * * * * * * * * * * 3F 3F iF iF * iF * dF iF iF 9F iF IF * *.. * * iF #
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. ANSWER ALL OF THE FOLLOWING.
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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 e ,4- _, ' v '� �, 'Ile, //N90/ Tel. 2t�- -S-73Property Location: �/J��_�1 g• � N Tax Map No. / /
treet number or building lot number
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Subdivision name (if applicable)
THE PERSON RESPONI`BLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Pe )-y, (. ,tie-).Jo
Name P.O. Address Tel
No. J
Name of builder ,JOj�7, fiend IS �t .Address a373st'ec fda j,- Tel. j9..?, _/9--6)
Name of plumber SQ,-,r,,p Address sa�.-e Tel. .
Name of mason ,�„,.,e Address S.- .e_ Tel. S�- ,-.A_
' NATURE OF PROPOSEDWORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
D(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 RECQUIRED BELOW. �r'� r.
* Size of property 07,(i � , ft X g/o -'ft.• .
-S
* Existing building(s) Size , ft X ri7,0 ft.
* . . . . . . . .
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PROPOSED BUILDING AND USE: -
,. * Existing building(s) Use „j-,,..U. ---
Size of new structure /' ft X «-ft * •
Foundation-pier/slab/ P partial/full * Proposed building, distance from property line
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(circ e one) * Front yard 1 ft Rear yard 70 ft
.No. of stories (habitable space) �/ * Side yards ?0 ` ft and ft
Height (grade to ridge) /,_ /,4e ft.
* If on corner, setback from side street ft
If residential, no. of f dies / •
No. of rooms(excluding baths) . j?,j * OCCUPANCY INFORMATION
No. of bedrooms /.,' * PRIMARY BUILDING -
No. of bathrooms fa e *•0( One family dwelling
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Primary heating systep �__ � r / Two family dwelling
Type of fuel � � / �n-� Multiple dwelling / Number of units
No. of fireplaces to be insta led ' Permanent occupancy
Will a wood stove be installed? *. .
* Transient occupancy
Central Air conditioning? Q Business
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BUILDING STYLE, PRIMARY STRUCTURE *• . Industrial
* Other •
yam- Contemporary Log cabin * If addition, what will use be?
Raised ranch Mansion Duplex .
Split level Old style Bungalow *
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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
* * * * * * * * * * * * * * * * * * . . Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ Ve0®p co- * .
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 -
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BUILDING SPECIFICATIONS: . . , .•.,::
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Type of construction, wood frame, fire safe,etc. Af40-065)-1-p-re .. .
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Will any second-hand or ungraded lumber be used? If so, for what?
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Foundation wall material (1,..4.4"i„4' ala, Thickness clP "
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Depth of foundation below grade (to bottom of foorly s-, 2 . •
Will there be a cellar? )10 Heated or unheated? Floor sq. footage /4,P sq ft :. :...
Will there. be a basement? ?i.,(9 Will any portion be used as living space? /04,---- • .1 . l.:,
(If so, what por ' _ - sq.ft. - .- pe f use? . ..
• Type of, roof slope "lat/shed/other Material,•of roof
_pi • f''-'7 • .
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Size, wood st. ' "X 6 " spacing "o.c. length jo ft. .
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Joists(floor beams) 1st. floor ,.2_ "X p " spacing // ' "o.c. span / - ft. . . • .: .....
Joists (floor beams) 2nd. floor • "X " spacing "o.c. span ft.
Overlays(ceiling beams) „7, "X 6 - spacing .Ac "o.c. span /.2.... ft. .. . • • :...:,
. Roof rafters „)..._L "X 6 " spacing 4 o.c. span 9 ft.
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Roof trusses(pre-enginee5pd) acing . "o.c. span ft.
' i''' . .Exterior wall finish wha material? ;, 4%
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Interior wall finish 4.- .' --C-
If a garage is to be attached; describe materials to be used for FIRE SEPARATION:
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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? V../..0 Height above roof _7 ft. • ' • ' ..
Depth of chimney foundation below grade ./..c-i- ft.
Depth of- fireplace hearth' / ft. in. ' '
Water supply - Municipal or private well • '
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SEPTIC SYSTEM Distance from ANY private well(including adjoining properties
_(A separate application is necessary for any repair or new installation of septic system) • .,. •1
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Town of Queensbury A F F. .il 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 • .. .i
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," owner's agent,arcnirect,contractor . _-.
day of 19 •
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Notary Public, Warren County, N.Y. •
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* * * * * * *- *- * * *. * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * . ..-
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SPECIAL CONDITIONS OF THE PERMIT: • .'. . . • •••'.,!'
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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 /6"f , i c'
• 2 . Type of heat j e , /r 1
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors 3 ;(e-a _
A. Over 16% Only
1 . U value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions C5
2 . Floor over heated spaces YES 0
a. foundation walls insulated? YES NO
1. Ifs S, what is the R value?
3 . Slab on grade E NO
a. If YES , what is th R v e of insulation around
perimeter of floor g ''
4 . Is basement h ed? YES NO
a. R val of insulation
5. T e of insulation
B. Under 16% Only
1. R value of roof and floors exposed to ambient conditions
ri-
2 . R value of exterior walls r R
3 . R value of glazed area X Zr Q
4 . R value of doors / " /4
5. R value of floors over unheated spaces 2
6. R value of slab edge insulation - unheated slab /14
7 . R value of slab insulation - heated slab w/� -
8 . R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar walls (below grade)
10 . Type of insulation kis Zf LAss
C. Controls
1 . Thermostat maximum heat setting
D. Duct Systems
1 . Is duct system installed in unheated spaces? Y}F� NO
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_ 7.?l
2 . R value of pipe insulations:
F. Service Water Heating
1 . Performance efficiency
2. Temperature, control setting maximum
G. For Swimming Pool Only
1. Maximum heating
Telephone No. / -�
(a licant '' ig ature)
MIDDLE DEPARTMENT INSPECTION AGENCY, INC.
National Headquarters
900 Haddon Ave., Collingswood, N.J. 08108
APPLICANT COMPLETES THIS SECTION D ate: . ���}-) '
City, Town or Township (�/ • •i.-0 v`%>17-�:� t County �'' �"��f Sri State / /.�r� 1
�J
Location/Address ( " VL'L�-7"'�`-t_.. .�--- ��---,
�(If Located in ral Area - Please Attach Directions) Pole #
� . `4 •
Owner d v 4-". Permit #
Occupied As , Building: Newt I Old
Occupant
Work Area in Building (Floor #,etc.):
App. for: Wiring❑ Service Ti or: Ready for Inspection:
Fee Remitted-$ Cash n Check n M.O. I I Make Payable To: M.D.I.A.
500' 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Number of Rough Wiring Outlets Elect. Heat
Switches
Lighting rl Amp. Service Surface Unit Dishwasher Range
r' Water Heater Air Conditioner Dryer Pump
Receptacles
Number of Fixtures Oven Garbage Disposal Wiring and Controls for Burner
Amp. Receptacles - Fractional H.P. Vent Fans
Other Equipment:
MOTORS H.P. 1/201/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4' 1 11/2 2 3 5 71h 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
lF �
Applicant's T �Gr "
Signature t' I/' License # • Permit #
T/A r"n Utility:
i^ (NAME) (OFFICE LOCATION)
Applicant's .2--3 .• rri- f` ---, 3 -- /��
(City) /_ ;, L ✓" ),(State - r (Zip)1 Service Request #
Phone # r _ Electrician:
MDIA USE ONLY DATE RECEIVED: DATE INSPECTED:
Correct Location: Same as AboveI I or:
Red Notice Label
Rough Wiring Outlets Surface Unit Oven
Switches Range Garbage Disposal
Receptacles Water Heater Dishwasher
Fixtures Air Conditioner Dryer
Amp. Service Equipment Burner, Wiring &Controls for Amp. Receptacle
Amp. Service Conductors Pump Vent Fans
MOTORS H.P. 1/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 5 71/2 10 15 20 25 30 40 50 75 100
Mark Number
of Each Size
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Elect. Heat
CERTIFICATIONS I USE FOR INITIAL VISIT ONLY NOTIFIED DATE CORRECTFEE FEE PAID
RW Progress: Inc.I I LKD I I Contractor
❑ CFT Violation: Work Comp.I I Inc. ❑ I I
n L/A Owner CASH
Ti L/A Fee CHK #
Due MO #
IPA Municipal
INV #
Date: Other Sided Utility Applicant ❑
Owner
Cut in Card Temp # Date
Final # Date INSPECTORS SIGNATURE
APPLICATION FORM NO. 250 EL 11/86
_; *Aaki.)„_,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED A- 3
NAME _ ---
LOCATION ' S l44 L jV\ -
DATE \\ 1-0).CA PERMIT # -,S C
1APPROVED
?+ YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING 1, ' '{
•
ELECTRICAL ROUGH-IN .1
INSULATION:
FOUNDATION . ,r
• FLOORS
WALLS •
/ CEILING
✓ FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING !'
SIDING {'
EXTERNAL PORCHES/STEPS?
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS i/
GARAGE FIREPROOFING —
DOOR CLOSER(S)
SMOKE DETECTORS j'
FINAL ELECTRICAL INSPECTION i'
FINAL APPROVAL OF dONSTRUCTION ' ' �//
i
I. .
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM TThk BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
------
REMARKS:
t y
i f
N.
INSPECTOR
TJown of Queeniur1j
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR' S REPORT
NAME /6' 1(./-c-./
LOCATION /c� Y7-1,'�(�
Date/ ,-?O/O(f Permit No. "jL5�9
* * * * * * * * * * * * * * * * * * * * * * *
✓ = 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
t�/INSULATION:
Foundation
Floors \\-)
Walls PT 4 t H-/ /
Ceiling K- 3b v
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
Bui ding Inspe or
6/86 and-vl
G _Jo tun f Queenilury
Pfi.
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801'
BUILDING INSPECTOR' S REPORT
NAME <r)(?pc '
f�>
LOCATION 2 4z,,J
Date y/,2c--- Permit N.
* * * J * * * I * * * * * * * * '* * * * * *
P' = APP•.VED - YES / NO
Footing/Pier F rms
Foundation
Waterproofing
Backfill
:Framing ,/
Roofing L
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railin•
Cellar Drain Ti e
Concrete Floor-
Plbg. Fixture
Gar. Fireproo ing
Door Closers
Smoke Detec .rs
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL EL CTRICAL INSPECTION
DRIVEWAY APPROVAL
Final B ilding Survey
Next s eduled inspection (call when ready)
Remarks- 415isoCUU 5L 1.tbr J4A.14 74^-)
n
Building nspecto
6/86 and-vl
own ol Queeniur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME -7* } t
LOCATION \) iatlyTh
_ }
Date 8 / 4 Permit No. . ,
✓ = APPROVED - YES / NO
Footing/Pier Forms
- Foundation
Waterproofing
Backfill
Framing vr
Roofing
Siding
Masonry Vene.r
Rough Plumbin•
Relief Valves
Ext. Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg. Fixtures
Gar. Fireproof. g
Door Closers
Smoke Detecto s
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
\ r )4/\_,
Buil'di j Inspector
6/86 and-vl
•
•
Jown of Queenitur1
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
•
• 6/1:1 --
BUILDING INSPECTOR ' S REPORT
NAME /ray- �,/iG/ 1 •
LOCATION /.(5 Lfb, tl&2/ �rL
Date ?.-/ / Permit No. Of-/5
—47
* * * * * * * * * * * * * * * * * * * * * * *
✓ — APPROVED - YES / NO
noting/Pier Forms XP
Foundation
Waterproofing
Backfill
. Framing
Roofing •
Siding
.Masonry Ven .r
Rough Plumb'n!
Relief Valv s
Ext. Porches
Finished Floods
Interior Trim\
Stairs & Railings ' '"
Cellar Drain Tile •
Concrete Floors
Plbg. Fixtures
Gar. Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION:
Foundation
Floors
Walls
Ceiling
FINAL ELEC RICAL INSPECTION
DRIVEWAY A_PROVAL
Final Buil ing Survey
Next schedule inspection (call when ready)
Remarks-
B •
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uild ,n /nI- s ector /
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6/86 and-vl
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