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1987-766 ar TM f 1' +CERTIFI+CA.TE +�]F +C�CCUi'AI'�T+C`A' TOWN OF QUEENSBURY , WARREN COUNTY, NEW YORK U+rte_ July 27 , 19 $ This is to certify that work requested to be dons as shaven by Permit Now has been eotnPleted. occupied as a Doctor ' s Of f 1ce- 1 This structure 3,� P .� Bay RdLocation tamer Robar Brasses By Order 'Town Board VI OF QUEENSDURY Suildi¢Il & ZI lnspsator BUILDING PERMIT � TOWN OF QUEENSBURY Iw t o. 87- � � o WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to Roger Brass I Street, Road or Ave. OWNER of property located at 382 Ba Rd . ' N in the Town of Queensbury, To Construct or place a Addition— Dr ' s Office 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. F2. wNE WS Address is Same 7d Q 6C S9 H t:c1 H ONTRACTOR or BUILDER'S Name W w John Hughes 3. CONTRACTOR or BUILDER'S Address 375 Bay Rd . Glens Falls , N . Y . 12801 4. ARCHITECT`S Name LO Oo N Co `C 5. ARCHITECT'S Address a [7. P PE of construction — (Please indicate by Xi ( x} Wood Frarne ( ) Masonry i ) Steel ( ) ANS and Specifications Na28 ' x 72 ' as per plot plan , specifications and application/ oposed Use Addition to Dr ' s off ice a 0 a 0 rir a $ 5 . 00 C/O June 88 0 160900 M �, PERMIT FEE PAID — Tl-il5 PERMIT EXPIRES a, (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the town of ChAeonsbury before the expiratian date.) �-n W n Dated at the Town of Queensbury this 16th J Day of I3overaber SIGNED BY ` .�c.� f for the Town of Queensbury Building and Zoni nsp ng Iector �/�1j TO BE COMPLETED BY BLDG . DEPT // Application No . flown Jown o f Queenshury Permit Issued 19 BUILDING and ZONING DEPARTMENT Permit Expires 1g ry �q zoning Designatio Bay and Haviland Road, R. D. 1 Box 9$ Variance No . ' Queensbu y, New York 12801 Site Plan Review No'. , r� Approved by : �} APPLICATION FOR re 5--CW �� � � BUILDING 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 tion , plans and specifications submitted , and such be done in accordance with the descrip special conditions as may be indicated on the Permit . _--_ ....... The owner of this property is . OL& t" Tel _ P . O. Address 3 � Tax Map No . Property Location : Street number or building lot number Subdivision name ( if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : ` a'" r2 e ti r 7 z- Name P . O. Address Tel . No . Name of builder `�+✓' �"�� Address Tel * 792 - y7t? C,� o�n.n !7 � Tel . Name of plumber � " 7a6 j(?W Address Tell Fs' Coe Name of mason_ ,K',�� � .,� Address -� NATURE OF PROPOSED WORK : ZONING INFORMATION : Construction of a new building A PLOT PLAN MUST BE PREPARED AND SUBMITTED , ddition to a uxlding * drawn reasonably to scale and attached hereto , Alteration to a boil incg 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 , SPATE SIZE AND * of water supply and location and configuration LOCATION OF STRUCTURES AFFECTED . * of septic disposal area . COMPLETE INFORMATION REQUIRED BFLOW . �� /q/. 7'wr Size of property ft X 411MUROL ft . * Existing building ( s ) Size 80 __ft X G+ £t . * PROPOSED BUILDING AND USE : * Existing building ( s ) Use 0 Size of new structure Zgj ft X7Z ft property line Foundation-pier/slab craw partial/full Proposed building , distance from prop y (circle one ) Front yard Gaar ft Rear yard Q5 ft Noe of stories (habitable space ) * Side yards _ ft and Z ft Height (grade to ridge) Z,L-- ft If on corner , setback from side street ft if residential , no . of families OCCUPANCY INFORMATION * No * of rooms ( excluding baths ) " No . of bedrooms PRIMARY BUILDING No . of bathrooms One family dwelling Primary heating system ,eay]", _-...�C Two family dwelling Type of fuelIac - k P� Multiple dwelling / Number of units No . of fireplaces to be installed k. * permanent occupancy Will a wood stove be installed? * Transient occupancy Central Air conditioning?J� � * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial other Ranch Contemporary Log cabin * If addition , what will use be? a 'r Raised ranch Mansion Duplex Split level old style Bungalow Cod Cottage Other ACCESSORY BUILDING- CCape * Detached garage/one cars' two car/ car Colonial Row Town Rouse car ( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ Private storage building ESTIMATED MARKET VALUE OF `Other CONSTRUCTION)(.� . S , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED ! INFORMATION ON BUILDING SPECIFICATION Form BPA 4/86 and-vl BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : 1 Type of construction , wood frame , fire saferetc . (A)"a o-✓r+ 2 Will any second-hand or ungraded lumber be used? If so , for what ? Nc� Foundation wall materal i co Thickness 3 /& " Depth of foundation below grade (to bottom of footing ) gJ3it Will there be a cellar ? Alo Heated or unheated? Floor sq . .footage sq ft Will there be a basement? /V'�, Will any portion be used as living space ? { If so , what portion? sq. ft . - - Type of use? Type of roof - sl0 a flat/shed/other Material of roof (� , af�f + ZY _7/e .15 _ Size , wood studs + K �2 spacing. /� "'o . c . length ft . Joists ( floor beams ) lst . floor "X '" spacinq____Z.& "o . c . spans/ ft . Joists ( floor beams ) 2nd . floor Z "X- spacing_ r�''o . c . span�ft . Overlays ( ceiling beams ) 'Z_ "X ,�> " spacing_��"o . c . span /G ft . Roof rafters X_ a__ spacing____Z7 ,�0 . c . span_+q_ft . Roof trusses (pre-engineered) spacing '' o . c . Span ft . Exterior wall finish &)Ood S,�Q,• Of what material ? Interior wall finishIf 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 chimneys be installed? AJO Height above roof ft , Depth of chimney foundation below grade ft . Depth of fireplace hearth ft . in . / Water supply - Municipal or private well Aa r4c A SEPTIC SYSTEM _ Distance from ANY private well ( i eluding adjoining properties ft . {A separate application is necessary for any repair or new installation of septic system} Town of Queensbury I D A ,` I T County of Warren A F F V I 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 . SwOR.N TO BEFORE ME 'PHIS X Signature err owner ' s gens day of 19 , arCniLeCt , COntraCtOr 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 . 1 . Gross floor area t 2 , Type of heat_ 3 . Is the building mechanically cooled ? TE- 1r 4 . Percentage of area of windows and doors !> oca A . over 16 % Only 1 . U value of gross area of walls , a 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 . Slam 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 , 3 . R value of glazed area Q + 4 . R value of doors S , R value of floors over unheated spaces / 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 ) NJr� g . R value of heated basement / cellar walls ( below grade ) 10 . Type of insulation C . Controls 1 , Thermostat maximum heat setting D . Duct Systems es NO1 . is duct system installed in unheated spac ? 3 YE a . If YES ■ R value of duct instal lationu b . R value of duct in other areas E . Piping Insulation agent pipe ,�� � 1 . Size of hot water or cooling carrying 2 . R value of pipe insulation - Zpqpqpq F . Service Water Heating t? 3 `fa 1 . Performance: efficiency. -- 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating r Telephone No . applicant " S signature ) 4000532 _ THE NEW YORK BOARD OF FIRE UNDERWRITERS BUREAU OF ELECTRICITY 41 STATE STREET, ALB ANY, NEW YORK 12207 ,p11 % 1ely 21 F 1988 Applieation Na. on Jile !3 {} 2 9 5 ] /� R $ A 7019284 THIS CERTIFIES THAT only the electrical" equipment a deeerlbed below and introduced by the applicant named on the above applications number in the premseee of Dr . Brassil 382 nay Rd . Glens Falls , NL ew York in thefollowing location; ❑ m ri_ Base ent ® let Ft. _I 8nd Fi. outs1da Section Block Lot leas examined an � "' � � �� $ and found to be in compliance with the requirements of this BOOM- RANGES ISGSRS sWeTCF1E5 RXTURES RANGES COOKING DECKS OVENS DISH WASHERS EXHAUST FANS OUTLETS MNCAIrDESClNT FLLJOEESRE S MAT- K- w- AM7. K. W, AMr- K-W, AM1T. K. W. AMT- H, r- r 35 9 €3 41 12 23 DRYERS FURNACE MOTORS FurURE A"UANCE FEEDlift SF%0AL REC'FT TIME MOCKS me" LiNeT HEATERS, M SYSTEMS DIMUNERs AMr. WATTSAMT, K. W. p AS L H. F. GASH r- AµT. rro, A- W. G. MAT- M+YP- MAT, AMPS. TRANS. AMr. H- P. no. OF FEET 2 hwt 10 E R V 1 C METER E SERVICE DISCONNECT era. of cc. corn. A. w G. NO. OF HI-LEG A• W. o Ho. of HELITEAIS A W, G- AMt. AAW, TTFE Eourlr. I .X 2w I Ar sw s At sw 310 4w F c - of cc. ca►w. of HI-LEG of HEurw 2 200 b 3 x 4 / 0 OTHER APPARATUS: Sam w . Corhouse 11 Potter Rd . BRANCH MANAGER Gansevoortr T-ly 12831 Per , This certificate must not be altered in any manner return to the office of the Board if incorrect. Inspectors may be identified by their credentials. COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. ' Down o� �ueertsbure� y BUItC)11VG and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 /y] Queensbury. New York 12801 p BUILDING INSPECTOR ' S REPORT •/� NAME LOCATION vs;F� Date I�i►/ Permit No . f APPROVED YES NO Footing/pier Farms Foundation waterproofing Backf. ill Framing Roofing Siding Masonry veneer Rough Plumbing Relief Valves F,Xt . Porches Finished Floors Interior Trim Stairs & Railings _ Cellar Drain Tire Concrete Floors Plbq . Fixtures Gar . Fireproofing i >aor closers Sm(3ke Detectors chimney LNSVLATION : Foundation Floors Walls Ce i I Ing FINAL, E FCTtlCP,L INSPECTION_ i)RIVEWAY APPROVAI, Final Building Survey - [3ext scheduled inspection (call when ready } Rc.snarks- / A/1 Building Inspector 6/86 and-vl 'Joeeii1 0j Queerest ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.O . 1 Sox 98 Oueensbury. New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION - Date •s.� Permit * * * * * * * �✓'* * APPROVED YES NO � Footing/Pier Farms Foundation Waterproofing Backfill 4kraming Roofing Siding Masonry* Veneer )dT,Lough Plumbi Relief Valves Ext . Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Til Concrete Floors Plbg . Fixtures Gar . Fireproo ing Door Closers Smoke Detect rs chimney - iN SL7I,AT I ON Foundation Floors Walls Ceiling FINA14 FL ' ICAL INSF'ECTIC7N DRIVEWAY APPROVAL Final 'Building Survey Next scheduled inspection ( call when ready ) ^ Huildin Inspector G/86 and-VI too 7awn o/ Qaeeri .Sitery BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCAT I ON slate-AIL � 'Permit No . APPROVED - ]CFS NO Forms �J -- Foundation Waterproofing Backfill Framing Roofing Siding Masonry Ven er Rough Plumbi g Relief Valves Ext . Porches Finished Floor Interior 'Trim. Stairs & Railings Cellar Drain Tile Concrete Floors Plbg . Fixtures Gar , Fireproofing Door Closers Smoke Detectors Chimney ti INSULATION Foundation Floors Walls Ceiling FINAL ELECT CAL INSPECTION DRIVEWAY AP ROYAL -- Final Build ng Survey Next scheduled inspection (call when ready3 Remarks- Building Inspector 6/86 and-vl BUILDING DEPT. COPY OF APPLICATION FORM 46-EL, NEW YORK BOARD OF FIRE UNDERWRITERS. FILE THIS COPY WITH BUILDING DEPT. WHEN REQUIRED. TEMP. iF DATE VILC c-. TOWNSHIP COUNTY STREET AND MO. DR . ROAD AND POLE NO. '.i ! n emwl IYMU r �[ r�r POLE NO PCR C�S�STRLEETSTEO7 � �� - •y— OCCUPANT'S SFtiCT10N BLOCK /� LOT NAME BU ILDINO 'coon t7CCUPANCY t r OWNER'S NAME AND ADDRESS �. J .� rt TEL. # BSUPPLIEb FROM THEIR '6F 1'+'4,,"(r S OFFICE SU+;� WORK DEFECTS NE OLOX iS NEW ADDITIONAL Q REMOVED I�l L157 BELOW ALL EQUIPMENT WHICH YOU INSTALLED NUMBER OF OUTLETS No. of Fixtures At BRANCH Lam, Lamp FlwalptNMs MOTORS HEATERS CIROI,JlT$ OFFICE use dam ONLY Owung Well R up'1t Swiad Pendant Bracket No. Type E� No. E� No. A.W.G. etloa INSPECTION owe Sbasee Barr mart tat FL ?nd FI. Said Fq_ REMARKS: LIST OTHER ELECTRICAL EVICES NOT SET FORTH ABOVE: DO NOT USE THIS SPACE. This application is intended tb cower the abt "Acted equiPmanl to be inspected but it at time of inapectibn thery is fbond additional equipntant not above listed, You are awtilorized to make the inspection and adjust the Fee to cower the additional equipment, as provided by the applicant. SMAINSIZE OF ELECTRIC SIGN TOTAL FEEDERS LAMPS WATTS CHARACTER EXPOSED GAS TUBE SIGN OF WORK CONCEALED TRANSFORMERS OF VA WORK TO BE (NUMBER) (CAPACITY) STARTED COMPLETED 512E OF SIGN ENTERS OVERHEADRS UNOERGROVNp MAKER ILOt OF SIGN INSPECTION REQUESTED ON OR AS NEAR AS POSSIBLE NEW OLD AVOID DELAY BY GIVING FULL ARD ACCURATE INFORMATION. ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. DATE OF PRINT NAME AND ADDRESS APPLICATION ._` NAME OF r r V SIGNATURE f :- APPLICANT '� �'� f ler(` /F\ r r ' OF APPLICANT '"" . ,""'` :�.•" •..._- ` I STREET ADDRESS "� . - "� y+ y +:.-' C7o TELEPHONE # - r '�•r .r CITY OR POST OFFICE r' ri - f y ^ // �,- f CODE - , f WHEN APPLICABLE 46 6L (REV. 1/66) A SEPARATE APPLICATION MUST BE FILED FOR EACH SEPARATE BUILDING -i _ .�. r Wn OlQueen4lary CZUEENSBURY TOWN OFFICE BOILblNG BAY AT HAYILAND ROAD QUEENSBURY, NEW PORK , 12801 TELEPHONE : (518) 792- 3832 0 TO : The Building Department Town of Queensbury FROM : N . W . / Bode/nweiser , Fire Marshal - DATE s 7I ,q cl I �� SUB : Certificate of Occupancy Name : . Address : It is the opinion of this office that the above named premises has complied with all sections of the N . Y . S . Fire & Building Code regarding fire prevention N . W . Bodenweiser Fire Marshal SETTLED 1763 . . . HOME OF NATURAL BEAUTY . . . A 0000 PLACE TO LIVE B 50WIZ V QUEEaN SB�UY�K/ Y,�V(T�/(///—//'+O N OFFICF BUILDING BAY AT HAVILAND ROAD QUEEN5BURY , NEW YORK , 12801 TELEPHONE : (518) 792-5832 TO : Dr . Roger Brassel 382 Bay Road Glens Falls , New York L2801 FROM : No W . Bodenweiser , Fire Marshal DATE : July 6 , 1988 SUB : Fire Prevention Section of the New York State Fire and Building Code Prior to issuance of your Certificate of Occupancy , it will be necessary to complete t'-ie following : 1 . Erect lighted exit sig - is . A . Main south wall directional exit sign pointing to main entrance . B . Outside face of '.�raura ' s office wall directional sign to main entranc'e . Co Sign up over waiting roam door on the interior side . 2 . A . Place a " NO EXIT " sign on north hall door . B . Place a " NO EXIT' °' sign on east wall , 3 . Emergency lights . Am One ( 1 ) unit - main reception room area . B . One ( 1 ) unit - main hallway . C . One ( 1 ) unit main waiting room . N . W. Bodenweiser Fire ,Marshal NWB/gP SETTLED 1763 . . HOME OF NATURAL BEAUTY . . A GOOD PLACE TO LIVE < Ce cc BAY ROAD NI %-.11TI LA I Is ACL. s C A LZ 701 EC7 IORTH ..... 'A I aAwr iie; ri k�( G,o AAAo Kj t-4 14M � 6tIUAI-47-I ry 45 Gdj"oM 1r ,4TM I pj, pf� 1:.rvmA4 Pl iz - ONJEIQ-� ti-f Gg-r�►� Z - ►, 4 4- PU FAH oA 2- Zyy" 2 �z.M • F-0-P MA?LeA. A+Ivofzv.A t"yf '.'rl Nu •Pk.q4c�i, Vvr w _321 \ 17 7 & A • I• -to- , N I \ t .' - � �Knt�iTiar-ice �i�c� S �� •': -' _ •— — — -- -- — -- — — / / .41 00/ M i i , E,W.P loo i A1�DITIDNS � ��TC-{�d,T1 dN 5 GI.�Ns P 1 0 5 10 2,0 MS!G.t BY: LANDSCAPE MAMENANCE CORPFORAMN i l -1 S KATHERIIVE SITM I GLENS FALLS, NEW YORK 12801 (518) 792-2021