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1987-573 CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date I >tx _ c} . U 19 2' `L `-'► - �3 This is to certify that work requested to be done as shown by Permit No. 87-573 has been completed. hooiu ) This structure may be occupied as a One-Fami?y Dwellln�; (Additf.on of Sur_ Luzerne Pl Location Gary Doberr Ovvner Sy Order Town Board TOWN OF QUEENSDURY / f Wr Building & Zoning Inspector I BUILDING PERMIT � TOWN OF QUEENSBURY No 87-573 K WARREN COUNTY, NEW YORK te� PERMISSION is hereby granted to Gary Dobert j 00 OWNER of property located at 7 Luzerne Pl . Street, Road or Ave. in the Town of Queensbury, To Construct or place a Addition—Sun Room 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 isPO c� 7 Luzerne PI Queensbury , N . Y . 19801 a c 2. CONTRACTOR or BUILDER'S Name rf rr Len Taylor 3. CONTRACTOR or BUILDER'S Address. Pattens Mills Rd . Fort Ann , N . Y . 4_ ARCHITECT'S Name i t-' F N H H 5. ARCHITECT'S Address �o l-� 6. TYPE of Construction — (Please indicate by X1 I4 Wood Frame I I Masonry I ) Steel I } 7. PLANS and Specifications 9 R No. 15 ' x 20 ' per plot plan , specificationsand application rot �- 0 S. Proposed Use o I Addition of Sun Room to One Family 0 $5000 C/o El $ 14 . 00 PERMIT FEE PAID -- THIS PERMIT EXPIRES March 1 , 1988 I I f 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 dare.) Dated at the Town of Queensbury this y� 26th Day/of August 19 87 SIGNED BY /i / for the Town of Queensbury Building and Zoning Inspector �/ TO BE COMPLETED BY BLDG , DEPT . Application No . yt? —""-~ �Jf�lvn fi �4leen � EsL[r Permit Issued 19 w BUILDING and ZONING DEPARTMENT Permit Expires 19 � Bay and Haviland Road, R. D. 1 Box 98 Zoning Designation II ! Queensbury, New York 12801 Variance No . Site Plan Review No . AUG 1 U Approved by : FOR pp I�UlL.9eSiNG � CC;r;}� L3E�'� FUILDING AND ZONING PERMIT r ' 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 : Sr a T RAER J P . Q . Address ! 4,0 Z IF. e�z Tel . Property Location : {� L Eh S f`J1` dl� s Tax Map No . f / street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODE'S IS : FArri6A0 fekt S rrIP T ,41V,41e /sr Name P . O. Address Tel . No . Name of builder 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 ft ?G ft . " Existing buildings) Size ft x ft . PROPOSED BUILDING AND USE : " Existing building ( s ) Use (2I4/f= L �' ►y l� Size of new structure _ft X .Zd ft Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line (circle one ) Front yard -- ft Rear yard - ft No . of stories (habitable span ft *d * Side yards � j' £t and ft Height ( grade to ridge ) _ - f _ If on corner , setback. from side street ft if residential , no . of families No . of rooms ( excluding baths ) — OCCUPANCY INFORMATION No . of bedrooms PRIMARY BUILDING - No . of bathrooms One family dwelling Primary heating system E~ G G Tic, 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? Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Ranch Contemporary Log cabin * Other if addition , what will use be? C1C1 /� Raised ranch Mansion Duplex split level Old style Bungalow Cape Cod Cottage Othe 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 ESTIMATED MARKET VALUE OF Other CONSTRUCTION _ _ - - - INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ? Form BPA 4/86 and-vl s BUILDING PERMIT APFLICAT dm CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . LyLo 6 ,0 Will any second-hand or ungraded lumber be used? If so , for what ? /fed Foundation wall material " 43 eLr11 /P`�/ Thickness Depth of foundation below grade (to bottom of footing ) !{ /` Will there be a cellar?�j Heated or unheated? Floor sq . footage _ sq ft Will there be a basement? /p will any portion be used as living space? ( if so , what portion? ft . - - Type of use? Type of roof - slope flat/she Cher Material of roof ] Gl, �, P�, - /�� r /'L 'r Sine , wood studs /� " x " spacing / r,7 "o . c . length '! -ft0 Joists ( floor }creams ) Ist . floor "X " spacing "o . c , span ft . Joists ( floor beams ) 2nd . floor "X '" spacing "o . c . span ft . Overlays ( ceiling beams ) "X IL r spacing " of,c . span £t . Roof rafters -"X�" spacinq__Lf o . c . span�l5 _£t . Roof trusses (pre-engineered) spacing " o . c , span ft , Exterior wall finish �+ ,� � Fpf,gfp fj Of what material? Interior wall finish At o•e ' ,e =� ,fjcrec 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 tr�epair or new installation of septic system ) Town of Queensbury County of warren H I D 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-- --------------------------------------.- Owner , owner ' s agent , arcnziect , contractor day of 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 following : 10 Gross floor area d 2 Type of heat. � G. 3 . is the building mechanically cooled ? 4 . Percentage of area of windows and doors A . Over 16 % Only 1 . U value of gross area of walls , roof / ceiling and floors exposed to ambient conditions 01" -- 2 a 9- :n !:- N-1 / 2 . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES N3 10 if YES , what is the R value ? 3 . Slab on grade YE NO 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 _ 2 . R value of exterior walls 3 . R value of glazed area �i" � /� ,5 � 4 . R value of doors 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 ) 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 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 heating 'Telephone No . f 7i - 4� ' ;Z� ::2 - ( applicant ' signature ) TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & ,HAVILA ROADS I28C7� OUEENSBURY, NEW YORK y2- 512S TELEPHONE ( 518 ) 832 BUILDING INSPECTOR' S REPORT REg[1EST FOR INSPECTION RECEIVED NAME LOCATION PERMIT #�=�+'��=.— - DATE APPROVED YES NO FOOTINGIPIERS FORMS MONOLITHIC POD -PROOFING FOUNDATIONIDAP BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH N INSULATION: FOUNDATION FLOORS WALKS CEILING 41/TSNAL INSPECTION : F �- CHIMNEY HEIGHT ROOFING ~� F SIDING EXTERNAL P+ORCHESI EPS STAIRS-CLEARANCE/%RRAIL VALVE��� , r.c PLUMBING FIX'TUF S INTERIOR TRIM RIVACY FINISHED FLOORS -< GARAGE FIREPROOFING DOOR CLOSER (S) •�- SMOKE DETECTORS���_ FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTIO A SIGNED CERTIFICATE CtF OCCUPANCY MUST BE THE BUILDING DEPARTMENT BEFORE OBTAINED FROM THESE PREMISES ARE OCCUPIED REMARKS : f INSPECTOR BUILDING DEPT. COPY OF APPLICATION FORM 4E-EL. NEW YORK BOARD OFFIRE UNDERWRITERS. f 'FBI LE THIS COPY WITH BUILDING DEPT, WHEN REQUIRED.CI OR VILLAGE t I f�- 1{ TOWNSHIP COUNTY STREET AND NO. OR �rr ROAD AND POLE NO .L� C- • { IV iG^' POLE NO. BETWEEN WHAT TWO P. .3 I �] y ��lq' („ � PREMI ES LOCROSS ST Ft E ATED?` J1 {S SECTION BLOCK LOT OCCUPNAME OCCUPANT'S BUILDING R IYT RC w r OCCUPANCY Ld Ffi.r L- L. L AND ADD ESSEtvUR`RENT SUUPPLIED FROM THEIR t OFFICE BUILDING 11--II Y ( WORK DEFECTS IS NEW I_I OLD REMODELED iGY IS NEW X ADDITIONAL REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED No. of F cac BRANCH NUMBER OF OUTLETS LAMPS Lamp Receptacles MOTORS HEATERS s CIRCUITS Loca- tien Side Attsch't H_ P. Wetu A.W.G. EACH ATTS Ceiling WaB AtuvcwtRacuptml Switch Pendant Bracket No. Type Each No. Each No- Gw,� NO. Out- side Sub- base ist FL znd Fl. Srd FI, REMARKS: LI ' ADTrH,E,R E.L:�eR , €�V I^CES/'� t�S,y OR "1. 0 o p ., f� a y�� y� 6D NOT USE THIS SPACE. C ,�i*/F �f f L.0 •A V I f tFV* 7 /7 4 ,� f4 A V 41; C4 #&) IL h' IV A 1'" This application is intended to corer the above-listed equipment to be Inspected but if at time of insllect5on these is found additional "wipmem not shone listed, you see authorized to make the inspection and adjust the fee to corer the additional equipment, as Provided by she applicant. SIZE OF ELECTRIC SIGN TOTAL MAINS FEEDERS l LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN WORK ,.-. CONCEA TRANSFORMERS OF VA RK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN SERVICE MAKER ENTERS OF SiON VMOIN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW Ej OLD AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION_ ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED, NAME OF I 7"AeL �"} #P , h DATE OF � 1(f4 APPLICANT.._, �'� �//' / APPLICATION STREETADDRESS /©4 I-�^ / 'T 4 CITY OR '9 �,�1y �/' CODE LICENSE PLI POST OFFICE / +' WHEN APPLICABLE A SEPARATE APPLICATION MUST BE FILED FOR EACH 'SEPARATE BUILDING THE NEW YORK BOARD OF FIRE UNDERWRITERS = BUREAU OF ELECTRICITY 41 STATE .STREET. ALBANY. NEW YORK 12207 !late ' ! f Application No. on file . THIS CERTIFIES THAT only the electrical equiprreent as described below and introduced by the applicant rse.med on the obe wpp"mriaew rwumber in the premises of in thefoll"wing location; ❑ Basement ` ❑; Sal Fl. I_F 'Ind FT. Section Black Lot ,Leona examined on d ' k 1 11 1and found to be in compliance with the requirements of this Board. R'XTURE EPTACt.ES SWITCHES RXTURES RANGES COOKING DECKS OMENS DISH WASHERS EXHAUST FANS OUTIITS INCANDESCENT FLUOaESCENT OTv1ER AMT, K. W. AMT- K- W. AtAt. K-W, A/AT. K. W. AMT. N. P. DRYERS FURNACE MOTORS PUTURE APPLIANCE FEEDERS ISPEC&At REV PT TIME CLOCKS /ELL UNITHEATERS MUtTM)"TIET DIMMERS TOMS AMT. K. W. ale H. P. GASH. P. A1MT. No. A. W. G. AMT. AMP. AMT. AMPS.. TRANS. AMT. M. r. No Of AS 'T ATTS SERVICE OtSCONNECT NO. OF S. E R V I C E AMT. AMP_ tTPE METER 1 0 7w 1 ./ 3W 3 Af sw 3 X 4w PKI. pf CC. CC1ND_ A. w. G. Na, of HI-LEG A. W. 4. NO. OP NEUTRALS A. W. G. Mffvmn. PER It Df CC.—cm-.— DF HI-TEG CJF W, G,AI OTHER APPARATUS: rp I di t� S f BRANCH MANAGE 1 This certificate must not be altered in any manner; return to the office of the Board if incorrect. Inspectors moy be identified by Their credentiak. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER, Inj rr . . � V OP .+ 0 l .r M1 ejAi S% w7Vd VIP alri