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1987-738 w Y I CERTIFICATECOF C7+CCLJPA�'�T TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK Llate r { 19 ` This is to certify that work requested to be done as shown by Permit Na. $ 8 has been completed. This structure may be occupied as a One Family Dwelling Location Rt e 9 L !a 59 &VA C George Johnson Owner By Order Town Board TOWN OF Q[JEENSBURY tJ . Buildin Zoning lnspestor BUILDING PERMIT TOWN OF QUEENSBURY No 87_738 � WARREN COUNTY, NEW YORK 4 ' PERMISSION is hereby granted to 'George Johnson w Rte 9L I OWNER of property located at Street, Road or Ave. i 4�- in the Town of Queensbury, To Construct or place a Addltlon—Mudroom 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 . OWNEWSAddressis Rte 1 Box 1152 Lake George , N . Y . 12845 o ac ro 2. CONTRACTOR or BUI LDER'S Name Same 0 uu 3. CONTRACTOR or BUILDER 'S Address 4, ARCHITECT'S Name rr ro 5. ARCHITECT'S Address L—' 6. TYPE of Construction — (Please indicate by X) (x) Wood Frame ( ? Masonry ( ) Steel i 1 7. PLANS and Specifications rt No. 12 ' x 14 ' per plot plan , Specifications and application ±xK*wAtxg H. S. Proposed use Mudroom connecting house to garage , new roof for existing garage . 0 $5000 C /o $ 10 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES MAY 1 , 19 88 Ilf a longer period is required an application for an extension must be mada to the Building and Zoning inspector of the town of Queensbury before the expiration date_I Dated at the Town of Queensbury this 30th Dayyof October 1987 SIGNED BY �� � f f r� "'e� for the Town of Queensbury Building and Zoning Inspector TO BE COMPLETED BY BLDG . DEPT . Application No . L , % Permit Issued 19 OCTI -Itl BUILDING and ZONING DEPARTMENT Permit Expires 19 ?AU 0 1987 Bay and Haviland Road, R.Q. 1 Box 98 Zoning Designation Oueensbury, New York 12801 variance No , �� � � Site Pla Revi w N _ f7A- I 1� tom( f �tj / \ Appro p , APPLICAT ON FOR BUILDING AND ZONING PERMIT �a 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 : G445irg 0- P . O. Address Aft. I Box 1 hF Z ' LP.LG 6ko-o --+.-� JWY-� t �l S' Tel . 4o!�o $ -�►r� Q , Property Location : QL O/"1 �� 10&0 ' A �IGi tCpe Tax Map No . Street number or b ' lding lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : e rdje Jo' k n - Se e. Alma ✓4 Name P . O . Address Tel . No . Name of builder & r�Coe _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 340 ft x Z046vft . Existing building ( s) Size jM ft X ft - PROPOSED BUILDING AND USE : r ' j � Existin building ( s ) Use Size of new structure ZZ. ft X1! ft s + ttr Foundation pier slab/crawl/partial/full Prop sed building , distance from property lin a � (circle one ) y ft Rear and 3iS ft �. Front yard ��G.+' Y No . of stories (habitable space),_ ft Side yards �,�_ ft and Height ( grade to ridge ) J ?. ft . If on corner , setback from side street ft if residential , no . of families ! No . of rooms ( excluding baths ) J OCCUPANCY INFORMATION No. of bedrooms * PRIMARY BUTLDING No . of bathrooms C7 one family dwelling Primarys : d heating system�t� Two family dwelling Type of fuel s • Multiple dwelling / Number of units No _ of fireplaces to be installed) ,,___ Permanent occupancy Will a wood stove be installed? 46�(2- _ Transient occupancy Central Air conditioning?_ AAD Business BUILDING STYLE, PRIMARY STRUCTURE Industrial Other Ranch Contemporary Log cabin � If addition what will use kae . Raised ranch Mansion Duplex '" 11r �wQ�� •i� , f, a �G qh p a w !' split level Old style Bungalow Cape Cod Cottage Che * ACCESSORY BUILDING- Colonial Row Town House Detached garage/one car/ two car/ car ( CIRCLE ONE PLEASE 3 * Attached garage/one car/ two car/ car * * * * * * * * * _Private storage building ESTIMATED MARKET VALUE OF Other ��� IQOo7Fdr �'S� ��lA CONSTRUCTION $ / 000 J INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPFCIFICATiONS : Type of construction , wood frame , fire safe , etc . Waoaoa . Will any second-hand or ungraded lumber be used? if so, for what ? �y/D Foundation wall material ^ &r& ._ �Kt*�fia � Thickness Depth of foundation below grade (to bottom of footing) Will there be a cellar?_-)9.0Heated or unheated? Floor sq* footage sq ft Will there be a basement? AL42.Will any portion be used as living space? ( If so , what portion? sq . ft . - - Type of use? Type of roof— o flat shed other Material of roof Size , wood studs 10spacing "o . c . length _ft . Joists ( Ploor beams ) 1st . floor 7m ^mix 40 `" spacing /dp "o . c . span / V ft . Joists ( floor beams ) 2nd . floor --• "X spacing "o . c . span ft . Overlays (ceiling beams ) "x �i� spacing"o . c . span =aft . Roof rafters Z "X—► , -_" spacing—/f&.o . c . span 7 ft . Roof trusses (pre-engineered) spacing "o . c . span ft . Exterior wall finish Of what material-.' @, 4P Interior wall finish If a garage Ls to be attached , d scribe materials to - beAused• for FIRE SEPARATION : 46% ACV�' #& COAL Is there to be an opening between garage and dwelling? Y,�prS If so will a Fire-rated door , enclosure , and self-closing device be provided? yr'4, 5 Will a flue-lined chimney be installed? Alb Height above roof ft . Depth of chimney foundation below grade ft .. Depth of fireplace hearth ft * in . Water supply - Municipal or private well gX/ 7"J ,ye wAll SEPTIC SYSTEM _ Distance from ANY private well ( i.nc .uding adjoining properties ft . (A separate application is necessary for any ►rlepair 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 , a ' s a n , arcn37e_ct , contractor day of 19 Notary Public , Warren County, N . Y . SPECIAL: CONDITIONS - OF -.THE PERMIT : B TOWN Ol' QULLPN `.; BURY 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 II 2 , Type of heat 0 [ +7 o 1 O..; e ' 3 . Is the building mechanically cooled ? A10 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 Z . Floor over heated spaces YES NO a . Are foundation walls insulated ? YES NO 1 . If YES , what is the R value ? 3:0 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 s . Type of insulation 8 . Under 16 % only le R value of roof and floors exposed to ambient conditions_ 2 . R value of exterior walls - lg 3 , R value of glazed area Ae 3 . "3 4 go R value of doors w- -5 Tg 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 AriLar/ a. t -4 f I�A " 41I esd. rw C . Controls 1 . Thermostat maximum heat setting $ i7 • D , Duct Systems 1 . Is duct system installed in unheated spaces ? YES a . If YES , R value of duct installation b . R value of duct in other areas E . Piping Insulation , I 1 . Size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating 1 . Performance efficiencyT f/ Z . Temperature control setting inaximum..._. G . For Swimming Pool only 1 . Maximum heating Telephon%. No . ( a Ypl ' nt " s ignatura TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVXLAND ROADS QUEENSBURY, NEW YORx 1280ir TELEPHONE ( 518) 792-5832 BUILDING INSPECT ' S REPORT REQUEST FOR INSPECTION R EIVED a NAME LOCATION DATE d ERMIT ##_ � I Y APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FO FOUNDATION/DAMPR FIND BACYXXI L APPROVa L ROUGH PLUMBING FRAMING ELECTRICAL ROUGH INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORC S/ST S —� STAIRS-CLEARA CE & ILS PLUMBING FIX RES/RE EF VALVE INTERIOR TRX PRIVAC DOORS FINISHED FLO S - GARAGE FIRED O0FING DOOR CLOSER ( I .SMOKE DETEC RS FINAL ELECTRI L INSPECTX FINAL APPROVA OF CONSTRU ION ox TO ISSUE Q OR C/C A SIGNED CER FICATE OF C C CPAR MUST BE pANCOBTAINED FRO THE BUILDING pARTMENT BEFORE THESE pREMIS S ARE OCCUPIED! REMARKS: ARRIVE DEPAR'C �" INSPECTOR t"w/�L++Yr�LsZ'"/'t�VstY'M�'le�11a7+�G+iC/wr�vv-��vv-r-v w MIDDLE TM�Ff1 0M}N:# 14aj 06 OSAGEN INC. 900 00 Hrdd Hmd44n _ (1 :.. .-` Dole July 9 , 1989 Cie rtlf[P$ that ��, ` electrical equipment listed has been examined and,ir approved as being in accord with the National Electrit�i doge, applicable governmental, utility and Age iuies_ W ` f 142K, +C' eorge Jolilzs % Owner: ; araY ' 4�`. Same t i #:� s4 occupant: Rt 9L , C�uee bL13Cji ; ( r;7a>�n �:_ � y ih -'�7'hlfjCBr fiCafe d'3varp tkw aleCRr ICQ1-Squ+pment arvtl in sta Matron +nspCCtetl 1Ms Location,' dale. rr additional epu+pment :*hQiAd be Introduced or alteral+ons mane +a exrahnQ system Ihr'V CAFIIFICate shah be null and void. and aprAGRIPon for 2,C7 t� t'i.lfl�7 S er i�-c� insoect+on sho old tie submd led pr*l"ptly to this Agency Equipment: .t.3 ' Holder of this oertif+cate ahputd isk"ont same to his property +nsoranee Carnet (agent or Comps ny) as evidence orcertr hca lion or elactr ICel eq u+pmanl approved a5 spocil+ed 1 CeorGe .Xu�ls.l "u6rCi,#: . .. #'d�`mt J ` ; J Z.i Applicant: Ri r� L „ "' No . 15 - 0255211 La1ce Geor e . i1Y' 128115 .* _' ,;mac .. .... +C�, fsS lYY /`a '�+ ,� { ll� - V tit Y '✓' "'V� Fpnp" No. 7031 EL 14.7 ces .+ YJ�ir/i�"i+"Ja9�6s.-.a.L+ ■ cam MUDDLE DEPARTM €� H AGENCY, INC. �� 140� , "' ore"° f 1 90 sa ^. r .. Data April 28 , 1989 Al ( Certlflee; that JeJ t cat equipment listed has been exarritne an approved as being in accord with the National Elect ' Zr�! ,applicable governmental , utility and A'� er" s_ f a, _ owner,, George 3ohnso / p$ °•F a lzag t Occupant: Same f S LOC liC1 r1; Rt 9L, Queen 46 ryficate t ni ris c be intro uc d or atian manacled to #1-\ tl&.te. If atlCitipna! Bq ui nt !yh at null and Y or and a o application mane to existing system thit{ C�IGeMMs tat null end void. and appiicatipn Inr p __v 1 0 O o4de pn anould tyC subrntisa(! P tIY to this AgencY. Equipment: t? Qltt 1@ tg ! ce t C1es 1 +T� r V ! �! Alder at this cagl{ficafe al+q1�ufAtd nt same to his property insurance car her agent or comp yy sa evtda�MG lfication of elect rtcal equ i p men t ap proved as tpectfHad. FGeorge Johnson S NICE 181a3� Applicant_ Rt 9L b ` 15-026063 tQueensbury , 'NY 12804 Fees No, M EL 1 i3 TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ORK TELEPHONE Y+ NEW Y ELEPHONE (518 ) 792- 5832D BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME LOCATION DATE APPROVED ` YES NO r` FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP- PROOFING BACKFILL A PROVAL ROUGH PLUMB r' FRAMING ELECTRICAL RO H-IN INSULATION: FOUNDATION FLOORS WALLS CEILING .FINAL INSPECTION : CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST PS� STAIRS-CLEARANCE 6 RAILS PLUMBING FIXTURES RELIEF CY VA VE RS .INTERIOR 'TRIM/P FINISHED FLOORS GARAGE FIREPR PING DOOR CLOSER (S) SMOKE DETECTO S FINAL ELECTRIC L INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY -��T BE OBTAXNED FROM ESTHE EDJ UILDINDEPARTMENT BEFORE THESE REMARKS*- Iff r/VtS }} � f" c1l v 6- J'l -I zNSP TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE { 518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR XNSPECT19P RECEIVED NAME LOCATION lie 1 k I �y ,p- DATE�Q" ' PERMIT # CJ / / O APPROVED YES NO FOOTINGJPIERS MONOLITHIC POUR FORMS FOUNDATIONIDAMP "PROOFING BACKFILL AP VAL RO�U TH PLUMBIN 44PIFAMING , ELECTRICAL ROUGH N INSULATION: FOUNDATION ` FLOORS WALLS CEILING FINAL INSPECTION: 1p CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES STEPS STAIRS-CLEARANC & RAILS i PLUMBING FIXTU SIRELIEF 'VALVE INTERIOR TRIM) RIVACY DOORS FINISHED FLOO S GARAGE FIRED PING DOOR CLOSER ( ) SMOKE DETEC ORS FINAL ELECTR CAL INSPECTION FINAL APPRO L OF CONSTRUCTION A SIGNED ERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE P MISES ARE OCCUPIED! REMARKS : o cz OW INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORE 12801 TELEPHONE ( 518 ) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR JNSPECTXON RECEIVED NAME _ _ 4 LOCATION jrr� �- ,�.,l ,L --- DATE Z O PERMIT # X � ` APPROVED YES NO FOOTINGIPIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL' RO H PLUMBING MING ELECTRICAL ROUGH-IN INSULATION. FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION. f CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/ST PS STAIRS-CLEARANCE & ILS PLUMBING FIXTURES/ ELIEF VALVE INTERIOR TRIM/PRIV CY DOORS FINISHED FLOORS GARAGE FIREPROOFS G DOOR CLOSER (S) - SMOKE DETECTORS FINAL ELECTRICAL I SPECTION FINAL APPROVAL OF ONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT .BEFORE THESE PREMISES ARE OCCUPIED! REMARKS. INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY 6 HAVI LAND ROADS 7 � , y�7) 'y'e'/cf✓'C QUEENSBURY, NEW YORK 22802 vf` TELEPHONE (528) 792-5832 BUILDING INSPECTOR' S REPORTfI REQUEST FOR PECTION RECEI ED NAME ( � 'Gl '" LOCATION 77 -e 4 DATE PERMIT #T� PPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDA ON/DAMP—PROOFING BACKFILL PPROVAL - ROUGH PLU NG �RAMING ELECTRICAL R H—IN INSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES TEPS STAIRS—CLEARANCE & RAILS PLUMBING FIXTUR /RELIEF VALVE_ INTERIOR TRIM/ IVACY DOORS FINISHED FLOOR GARAGE FIREPR FING DOOR CLOSERS SMOKE DETECT S FINAL ELECTRIC L INSPECTION FINAL APPROVA OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIEDI REMARKS: J 6 J I INSPECTOR BUILDING DEPT. COPY OF APPLICATION FORM 46-ELr NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING-DEFT, WHEN REQUIRED. f �' TEMP s zo- q CITY OR VILLAGE TOWNSHIP COUNTY STREET AND NO. OR POLIE NO- ROAD AND POLE NO- SE TWEEN WHAT TWO ! C ROSS STR E ETS 1S �" Y 1 l f r {�C�, /I'G �^{I fy' d, SECTION '" BLOCK LOT PREMISES LOCATED? MUPANT'S _ � !3 � BUILDING % +' . U '/r ,r .^ OCCUPANCY A p ADDRESSEROS "ice, f �j�'i !f /� L-4. e, ,t+„p { ,Z yC TEL U + � S LIED All .�u _ � , Gig vhto 146h u;f� FROM THEIR t,• .t',.t't'T OFFICE BUIi.DFNG a �{ WORK ' . •.. OE F EC IS NEW ❑ OLD,► I 1$ NEW ❑ AOOITIONAL REMOVED ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Me. of Flitu rse # BRANCH OFFICE w E USE NUMBER OF OUTLETS Lamp RMet+akee MOTORS HEATERS CIRCUITS ONLY tioit Side Attech't H,P. Wetts A.W.G. Cenkm Wall Recap•1r Switch Pendant Bracket No. Type Each Na Eacli tie. C#etUa INSPECTION sk%b aiila Sub• bow Beat rnaflt at FI, 2nd FI. Sid FI. REMARKS: LIST OTHER ELECTRICAL OEV IC ES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application if intended to cover the abpva_listad equipment to Ise inspected but If at time of impaction there is leand edditionsi acluipment nut above listed, you are suthMizryd to make the inspection and adult the fee W cover the additional e4uiPm6M. as Provided by the applicant. ELECTRIC SIGN TOTAL 512E OF FEEDERS LAMPS WATTS MAINS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE iNUMBERI ICAPRCiTY) STARTED COMPLETED SIZE OF SIGN SERVICE OVERHEAD UNDERGROUND MAKER ENTERS OF SIGN iLOIN INSPECTION REQUESTED ON OR AS NEAR AS NEW OLD pOSS{BLE AVOID DELAY BY GIVING FULLAND ACCURATE INFORMATION. ALL SPACES DATE OF MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. APPLICR 1 N PRINT NAME AND ADDRESS �/r / - NAME OF { �„ 'j �Lr41 FI `�,�.? X OF APPLICANT.. APPLICANT / STREET ADDRESS `` tom' y r PHONE CITY OR 7 - L' f� COI WH LICENISE MO. POST OFFICE .i-fff------ ` v t,., '� # F "" t CODEW—Wk 1NH Efi1 APPLICABLE 46 EL (REV. ,Its) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING e4 Oro IL 5I} ry 't`p CgwCiY lw /5 w_ •!."("fi'-� _ - . � � !Yl Cl "' 'v� �..� O ti r+ R-d e 4 .v R Y' � .b•"""F fh i�"J� � � O c 1 � S ft w+"i Flo rr? a � �; y 4 �� � •j � Pa�.r �� . p Oct R' ► h pjr arm i i l A , 1 ,1w• A/tgj,/C er k n l. 157 r4• !3 ;Iq rt .i .00 N47'S c7 �- C L Y L7 e� f3�'rni•G �".v.r�r of GCsr '`�S �.�2�n.rG ,f-r .il?r.,... "T.2.�►c�- 7—,7 rv.+✓ ap Q u�l� .v.'5 8 vXe' Vy .v .e .e 100 or J&r wti/_ C o GO A- r.-a. 1 pd:d&~sgal 9iB 5 � n � l llt f r l a fie, l A � ape O 'L, C V / ea 1 m A a ��. +yL 5, r +l ♦ py, A4 x� F dy,e-1 i 1 x 37- w a 3,70 $„ MA• k T' �•ixe-o � , AM P<ger oomloT ' 8 F, ?�nrcrt jlflru, 7t gcr "roW" oOC- Qu Aj Y - Yt�R � �•u Ca . - N. `r