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1987-519 i I 1 I CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK I •�ry� yf Date t y9i 87- 5i9 This is to certify that work requested to be drone as shown by Permit No, has been completed. d \ i( AD Off. 'MA mM This structure may be occupied as a QAdditian to Une--Family ri atian 301 Tut Hill Rd * zs �" ' �� Clarence J . $easnes 1 ►c- s Owner By Order Town Board TOWN OF QUEENsBURY Bu' ing & Zoning Inspector BUILDING PERMIT � TOWN OF QUEENSBURY No, $7-519 a WARREN COUNTY, NEW YORK N PERMISSION is hereby granted to Clarence J . Beanies r OWNER of property located at 301 Tut Hill Rd . Street, Road or Ave. w in the Town of Queensbury, To Construct or place a Addition to One—Family 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. 1 . OWNER'S Address is RD n l_" 113 301 Tut Hill Rd . Queensbury , N , Y . 12801 � ro 2. CONTRACTOR or BUI LDER'S Name ca Same M ro So 3. CONTRACTOR or BUILDER 'S Address (D V3 4_ ARCHITECT'S Name w 0 H V ff 5. ARCHITECT'S Address x M- r 6. TYPE of Construction — ;Please indicate by X) 94 Wood Frame ( ) Masonry 1 ) steel ( } 7. PLANS and Specifications No- 12 ' x 26 ' per plot plan , specifications and application . r,�' C r- B. Proposed Use Addition (Bathroom) to One-Family Dwelling o 0 0 $5 . 00 C /o R' 16a00 1 $ PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 , 1g SS m (if a longer period is required an application for an extension must be made to the Building and Zoning inspector of the lam• town of Queensbury before the expiration dated ..� Dated at the Town of Queensbury this 11th pay of August 19 87 SIGNED BY Q� �� for the Town of Queensbury Buiidirg and Zoning Inspector �/ _ To BE COMPLETED BY BLDG . DEPT . T(DVV '^i ' Application No . U _/otvn 01 Quee►'t3+of "ry Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 19 AUG 41981 Bay and Haviland Road, R .D. 1 Box 98 Zoning Designation C)ueensbury, New York 12801 Variance No . BUILD 4 CODE DEPT. Site P1 Re iew No . / /fJ Approv d ��, S y `\ APPLICATION FOR FUILDING 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 . The owner of this-property- is - i � Y "I- Poo, Address d 2 �a / It' X+s FAA is, � '' Nf K,. Tel . Property Location , 0 ct 7} 4 (� �{'1nS pA�l#S Tax Map No . / l Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : ame P . O. Address Tel . No . Name of builder roq m e Address Tel . Name of plumber S "1"'"^ Address Tel . Name of mason ddress Tel . NATURE OF PROPOSED WORK : * ZONING INFORMATION : coristruction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED , � ddition 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 _ Shaw 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 /�`+ ' 1 C' . _ft X ft . Existing buildings) Size_,JA.(,.ft X. * PROPOSED BUILDING AND USE : * Existing building ( s ) Use �GfffrBge o28 Ki�� Size of new structure /&;L €t XcvZ67 ft * Foundation-pier/ slab craw artial/full * Proposed building , distance from property line ( circle one ) * Front yard �� r ft Rear yard e, Po ft No . of stories (habitable space ) Side yards S ft and /e93 /' ft Height ( grade to ridge) f �t ft . * If on corner , setback from side street ft if residential , no . of families / No . of rooms ( excluding baths) 1 " OCCUPANCY INFORMATION * No . of bedrooms PRI RY 'BUILDING - No . of bathrooms /` 11 One family dwelling Primary heating system �t✓cn _ * Two family dwelling Type of fuel Multiple dwelling / Number of units * No . of fireplaces to be installed1V'owe * permanent occupancy Will a wood stove be installed? N4' Transient occupancy Central Air conditioning? �tro * Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin If addition , what will use be? s',gfh / � ed ranch Mansion Duplex Split level Old style Bungalow " Other * ACCESSORY BUILDING- Cage Cod Cottage car Colonial Row Town House * Detached garage/one car/ two car/ ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/..car � �,. �vate storage building ESTIMATED MARKET VALUE OF * ` filer CONSTRUCTION $ pe 0 4 INFORMATION ON BUILDING SPECTFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of constructio wood frame fire safe , etca will any second-hand or ungraded lumber be used? If so, for what ? 40 / Foundation wall material�•' � ,rr�� yr) �i'�aC/L..S, Thickness Depth of foundation below grade (to bottom of footing ) 740* , Will there be a cellar? Heated or cuiheated loor sq, footage ! i sq ft Will there be a basement? tj will any portion be used as living space? * ro ( If so , what portion? ___sq. ft . - - Type of use? - — Type of roof sloped lat/shed/other Material of roof Site , wood stu _ "'K�" spacing_'f "'o . c . length " f ft . Joists ( floor beams ) lst . floor "X spacing / (G, "o . c . span /.^ ft . oor -- Overlays ( ceiling beams ) "X " spacing "o . c . spany ft . Roof rafters "X spacing__/AL-o . c . span Roof trusses (pre-engine��ferred) spa ang "o . c . span ft . Exterior wall finish A�. ltl I Of what material? Interior wall finish ee74 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? 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 lrrepiair or new installation of septic system) Town of f Warren A 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 specified or not , and that such work is authorized by the owner . SWORN TO BEFORE ME THIS Signature -Owner , owne.�0 day of agent , arcnirect , contractor 19 �/ Notary Public , Warren County, N . Y . 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 fallowing : 1 . Gross floor area� � 2 , Type of heat,Wvo +r—yy+- �• [, e7rc Ch "V87 f}ry � 3 , Is the building mechanically cooled ? 4 , Percentage of area of windows and doors A . Over 16 % only 10 U 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_ 2 . R value of exterior walls 9 '" 11 3 . R value of glazed area 4 . R value of doors 5 , R value of floors over unheated spaces K -2 7 6 . R value of slab edge insulation - unheated slab 7 , R value of slab insulation - heated slab s . R value of heated basement / cellar walls ( above grade ) 9 , R value of heated basement /cellar walls ( below grade ) 100 Type of insulation C , Controls 1 . Thermostat maximum heat setting 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 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 7 he�atling � L Telephone No , / oppy/ ! � ( ^" ( applic nt s signature ) THE NEW Y© RK BOARD OF FIRE UNDERWRITERS I 19UREAU OF ELEC.TRIC.fTY 41 STATE STREET. ALBANY. NEW YORK 12207 !?ate i ,*;i ; ': fi't ''1 3 . L ' ,,, } Application, le THIS CERTIFIES THAT i•r 1,• nl i r ;' F. ]. '; only the electrical equipment as described below and introduced by t mad an the aboove application number in the premises +a{ 1 9^ f '. i i . • 3 . 13f ', ' I } : - 7tI .3 ] 1 # T I 1 1'1i? Ilk P �L: I, { f' r. . . ; lis It in the following location; EI Basemen[ 1 1st Fi, E 2nd FY. Section ] ;Block i Lot was examined on i># r , [ `}r� k ; ] .] 'r:,s and found to be in compliance with the requirements of this Board. FIXTURE FIXTURES RANOES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS ECE!'TACLES STfI1TCHE5 INC4► M3CENT I FLUORWSCtMT OTHER µ{r, [. W, AMr. K. W, AMT. K.W. AMT- K. W. AMT, H. P. DRYERS FURNACE htOTC!RS FUTURE JUVUANCE PGOVERS SMaAL RECFT TIME GLOCtC5 Egy UNIT HEATERS MULTI-OUTLET Dµ{NLIM TEMS AMT- K- W. aH H. P. GAS H. P. AMT- O. A. W. G. AMT. AMP. MT. AMP%. TRANS. MST. H. P. No N A T AMT. WATTS SERVICE DISCONNECT o, of S E R V I C E AMT. AMP. TY►E EQ{JIF, 9 X '14J 1 .► 3W 3 X SSN Fix •W " PPE OF cc XCGTMO. pr ccA. CGai/de. No. or NI-lEG cp M Na, or NEUTRALS c7P F EUtMAL OTHER A"ARATUSc BRANCH MANAGER %k L Per This certificate must not be altered in any manner, return io the office of the Board if incorrect. inspectors itmy be idem7fied by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURYo NE YORK 1280&- TELEPHONE (518 792-5832 BUI NG INSPECTOR' S REPORT REQUEST FOR IN ECTION R EIVED ()� NAME if LOCATION ATE P RMIT # APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR ORMS FOUNDATION/DAMP— OOF NG BACKFSLL APPROVA ROUGH PLUMBING FRAMING ELECTRICAL ROUGH— 11 INSULATION: FOUNDATION FLOORS WALIS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHE / TEPS I STAIRS—CLEARANC RAILS_ PLUMBING 2v. S LIEF VALVE INTERIOR TRIM/ CY DOORS — FINISHED FLDOR GARAGE FIREPR FIN DOOR CLOSER (S) SMOKE DETECTOR FINAL ELECTRICA INS TION FINAL APPROVA F CON TRUCTION OK TO ISSUE C/ O A SIGNED CERTI SCATE O OCCUPANCY MUST BE OBTAINED FROM HE 13UX NG DEPARTMENT BEFORE THESE PREMISE ARE OCC IED1 REMARKS: � � ARRIVE �v DEPART INSPECTOR TOWN OF 'QUEENSBURY BUILDING AND CODES DEPARTMENT BAY' & HAVILAND ROADS QUEEN.S'BURYP NEW PORK 1 .2804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPO RT RES?UEST INSPECTION RECEIVED NAME --Y�—S LOCATION DATE 1°ERMITd #�� r' APPROVED YES NO FOOTXmG/PIERS MONOLITHIC POU FORMS N�_ FOUNDATION/D.AMp tFx'OOF !1►G BAC"XLL APPROVA r" ROUGH PLUMB,rNG FRAMING ELECTRICAL ROUGH—XN INSULATION: FOUNDATIO]V FLOORS WALLS CEILING PINAL INSPECTION: CJ`+XJWRY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE & RAILS PLUMBING FIXTURgS/LIEF VALVE INTERIOR 2'1Z]!'j/PRXVACY L+OORS FINISHED FLOOI?S GARAGE F !EFROOFING — DOOR Co ER (S) SMOKE D TECTORS FIN1d L, EL TRICAL INSP^�ON FINAL Alp OVAL OF CONST'RUCTI OX TO IS C/O OR C/C A SIGNE CERTIFICATE OF OCCU NCY MUST BE OBTAINS FROM THE BUILDING RTMENT BEFORE THESE P ANISES ARE OCCUPIEDI REMARKS ARRIVE J r'T tr n.EpART� �f�r r INSPECTOR BUILDING and ZONING DEPARTMENT {� • Bay and Haviland Road, R. D. I Box 98 Queenshury, New York 12801 BUILDING INSPECTORTS REPORT NAME LOCATION Date Permit No . ; Footing/pier Forms APPROVED - yES NO Foundation waterproofing Backfill 4 Framing �Y Roofing Siding Masonry Veneer Rough Plumb ' ng Relief valy s Ext , Porche Finished Flo rs Interior Trim Stairs & Raili s Cellar Drain Ti � Concrete Floors Plbg , Fixtures Gar . Fireproofin Door Closers Smr�ke Detector Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRICAL. INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection ( call when ready ) Remarks- 6/$6 and-vl Building Inspector .. WAI o ieeer� E>' Eerr BUILDING and ZONING DEPARTMENT f(] Bay and Haviiand Road, R-D. 1 Box 98 G Queensbury, New York 12801 BUILDING .INSPECTOR " S REPORT NAM E � �" < �-�'+�'� LOCATION +�/✓ t ram'"" -G^c/ /�-r`r Date 4' �' ,r'� Permit Now ��/�" Y' APPROVED - YES NO Footing/pier Firms APPROVED 7d ndation 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 INSULATION = Foundation Floors JF Walls Ceiling FINAL ELECTRICAL INSPECTION DRTVEWAY APPROVAL Final Building Survey` Next scheduled inspection ( call when ready Remarks- Building Inspector 6/86 and-vl Y/ 4� cs u. rr o Queen.11 ury fC BUILDING and ZONING, DEPARTMENT Bay and Haviland Road, R.D. 1 BOX 98 Qu{eensbury, New York 12801 BUILDING INSPECT/O�ftOS� REPORT NAME ///J.*Jr{t'°y _,�'� �/� LOCATION0000 ~ Date c / Permit N0 . r�✓/r,�^=— Doting/Fier Forms APPROVED Y NO Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile eoncrete Floors Plbq . '`.Fixtures Gar . Fireproofing Door Closers Smoke Detectors Chimney INSULATION : Foundation Floors Walls Ceiling FINAL ELECTRIC L INSPECTIOri1 DRIVEWAY APPROVA Final Building Survey l`lext scheduled inspection (call when ready) Remarks- woo/ 47 r' Buil 4nq nspector �'��- 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46,EL, NEW YORK BOARO OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT WHEN REQUIRED, Cary OR a 1P. A DATE VILLAGE STREET AND NO, OR _ TOWNSHIP ROAD ANDp'OL£ ND. BETWEEN MIHAT TWO '-.i CR M STREETS IS POLE N PREMISE ? GCCIW^NT'S r - ' NAME or .y^., , , -r-.I .{``_ BUIL[iING TlON .r' BLOCK LOT OWNER'S NAME OCCUPANCY AND ADDRESS _. -.,Y'.77 I I I RSKIPPUFo ,/ b - EL. BUILDING -.! FROM THEIR IS NEW ❑ ��--II WORK OFFICE OLD t�l Is NEW ❑ ADDITIONAL ❑ DEFECTS LIST BELOW ALL EOUIPMENT WHICH YOU INSTALLED REMOVED ❑ NUMBER OF OUTLETS No. ed Fhtttirae ae Ilea Sadr A ;� - MOTORS GBRtµNCH HEATERS Cr:Ry 1rFeM Reetp/ % smu"OM Pwbdmt UITS OFFICE ONLY USE Bracket NO. TYPO H.P. yy,,am ONLY � Each Na Each No. Qom• INSPECTION Sob hew Kerr taett; let A. iad FI 3rd FI, REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE:. DO NOT USE THIS SPACE. This apprWwhOn is intended to cane tM yttn We +uNtori:ed to melee the ittlgtaetia.t ae Kt t/se ode irispec led but if of time of inspeetian that+ is faand additia�yN pmint not ibaW listed, SIZEMAI OF the a"tionak etwiPmaat, m peoeided tsy the agalMant, equi FEEDERS ELECTRIC SIGN CHARACTER LAMPS TOTAL OF WORK EXPOSED OAS U BE SIGN WATTS WORK TO Be CONCEALED T TRANSFORMERS OF STARTEDSER {NUMBER! VA EWE OVERHEAD COMPLETED 512E OF SIGN ICAB+ACITY! ENTERS UNDERGROUND IL I MAKER INSPECTION REQUESTED OF SIGN ON OR AS NEAR AS POSSIBLE AVOIB DELAY BY GIVING FULL AND ACCORATE INFOp NATION, ALL SPACES NEW MUST Be FELLEDAIBN1I OR APPLICATION MAY 8E RETURNED, OLD PRINT NAME /ylll[B ADDRESS —� DATE OF El NAME OF i ! a , APPLICATAO+4PPl K:ANT ,L, , . . , ;i f . . . BIGNATIJRE STREET ADDRESS ,,e� OF APPLICANT l k � r� � �'�— �T� �' pp CITY OR r POET OFFICE TELEPHONE .j i-r1 I/�.� ,' '�. - r LICENSE NO, zip <e EL [ftEv, Jse] A SEPARATE CODE OU -------__WHEN APPLBCABLE - " —. - APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING • 33�JNI �o SC IV V orfh j psi 41 144 �. r � a i �- % 1 S�J311�S SON V 7 N � , n .