1987-831 o i� idwe i}„ �V
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F �
CEFi rn]RCA�TE +C)F CT,. I',A N
TOWN OF QUEEN5BURY
WARREN COUNTY, NEW PORK
Date is j
4
j a7-ssl
This is to certify that work requested to be done as shown by Permit 1Voo
has been completed.
jonde--Family Dwelling (Addi-tion )
Thu'] structure may be occupied as a
Sunnysidde Rd .
Location
l meter Stephen Hoag
1
l
By Order Town Board
TDVYN OF QUEENSDURY
i r Buiiding & Zoning Inspector
4
a
BUILDING PERMIT H
TOWN OF QUEENSBURY No 87--831 �
WARREN COUNTY, NEW YORK
Stephen Hoag
PERMISSION is hereby granted to j
E . Sunnyside Rd . Street, Road or Ave.
OWNER of property located at
in the Town of Queensbury, To Construct or place a Addlt ion 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-
t_ OWNER'S Address is
RD 1 Box 386
Glens Falls , N . Y . 12801 d
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ro
2. CONTRACTOR or BUI LDE R'S Name �
Same o
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ua
3_ CONTRACTOR or BUl LOER'S Address
4. ARCHITECT'S Name
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5, ARCHITECT'S Address of
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B. TYPE of Construction — (Please indicate by X)
{ x) wood Frame I I Masonry l ) steel 1 1
7. PLANS and Specifications
P•
P-
lyo, 20 ' x 24 ' as per plot: plan , specifications and application -
0
8. Proposed Use Addition of two bedwooms to one family dwelling
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$3400 C/O w
16 . 00 PERMIT FEE PAID — THIS PERMIT EXPIRES July 1 , ryg $$
IIf a longer period is required an application for an extension must be made to the Building and Zoning inspector of the
town of Queansbury before the expiration dare.)
Dated at the Town of Queensbury this SthR Day of December 1987
SIGNED BY Y// /./ --' or the Town of Queensbury
Building and Zoning Irrspecltor
To BE COMPLETED BY BLDG . DEPT .
c7■ / Application No .
�JOWn O/ Queg?" 3 [7+G ry Permit Issued 19
Li
BUILDING and ZONING DEPARTMENT Permit Expires 19 C O 4 1987
Bay and Haviland Road, R. D" 1 Box 98 zoning Designation 57 2 - 3 c>
0ueensbury, New York 12801 Variance No . '. '. ' i
1 Site P n Review No , .
`A App ej� f Ar f. C�/U
APPLICATION FOR
FUILDING AND 7.ONING 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 : / e _ Q %3 20 26
Pe ow Address J c 2.� �F✓ rr O P; /i 1 ZZQ s� ?Ale �a �/` fCI Y TeI . J,�Lff 2
Tax Map Lao . /
Property Location : /
Street number or building lot number
Subdivision name Cif applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION of WORK AS REGARDS BUILDING CODES IS :
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 *
y 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 X. '� � ft .
Existing building ( s ) Size y ft X , 6 ft .
PROPOSED BUILDING AND USE : * Existing building ( s ) Use /7cTfr1�
Size of new structure ft }Lft
Foundation-pier/slab/crawl/partial/full Proposed building , distance from property line
't f t
(circle one ) Front yard ft Rear yard
No . of stories (habitable space ) u� --- Side yards ft and ft
Height ( grade to ridge ) / ft ` If on corner , setback from side street ft
If residential , no . of families OCCUPANCY INFORMATION
No . of rooms ( excluding baths ) __,,,
No . of bedrooms FRS Y BUILDING -
No . of bathrooms one family dwelling
m
Primary heating systeLG Two family dwelling
Type of fuel M ltiple dwelling / Number of units
No . of fireplaces to be installed W Permanent occupancy
Will a wood stove be installed? Transient occupancy
Central Air conditioning?� Business
BUILDING STYLE, PRIMARY STRUCTURE ~-Industrial
�' Other
Winch Contemporary Lag cabin If addition , what will use be?
Raised ranch Mansion Duplex G
Split level Old style Bungalow
J
* ACC SSORY BUILDING-
Cape Cod Cottage Other / car
Town House Detached garage/one car/ two car/
Colonial Row car
{ CIRCLE ONE PLEASE )
� Attached garagc�/one car/ two car/
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
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . tl)o p fj t_ 77^ a,-sd6-
Will any second-hand or ungraded lumber be used? If so , for what ? /
Foundation wall material Grn� rz e / c f/,?_Zr>yerThickness
Depth of foundation below grade (to bottom of footing ) J- 1�rr
Will there be a cellar? es Heated or Uahgs tad? .0Qe1Q _Floor sq. footage sq ft
Will there be a basement? gj.Ca Will any portion be used as living Space?-
( If so , what portion? sq. ft , - - Type of use? h
Type of roof - slopedfflatfshedfother Material of rooms^r
Size , wood studs A "X� G spacing / 6, "o , c . length �ft .
Joists ( floor beams ) lst . floor �_ " spacing ^f ._ span f -z ft .
Joists ( floor beams ) 2nd . floor 11
1 " spacing "o . c . span ft ,
overlays (ceiling beams ) —si....__."X spaoing J6 "O . C . span s ft .
Roof rafters 9�1 „X spacing �o . c _ span_4g, -ft .
Roof trusses (pre-engineered) spacing "o . c . span ft .
Exterior wall finish Of what material?
Interior wall finish yy e, ,J L
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
T�y repair or new installation of septic system)
Town of
County off Warren A A F F I D V I T STATE OF NEW YOR 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
complet statement of all proposed work to be done on the described premises and that all
provisio s of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to
the propo ed work shall be complied with , whether specified or not , and that such work is
authorized y the owner
SWORN TO BEFO THIS Signature ___
Owner owner ' s agent , a�cnxrect , contractor -
ay of 19
Notary Public , Warr County , N . Y .
It * * * IF IF * * * _ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * IF
SPECIAL CONDITIONS OF THE PERMIT :
By
TOWN OF QUEENSBURY
WARREN COUNTYr 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 � 1 - F •
2 , Type of heat
3 , is the building mechanically cooled ?
4 , Percentage of area of windows and doors
A , Over 16 % Only
10 Uo value of gross area of walls , roof / ceiling and floors
exposed to ambient conditions
2 , Floor over heated spaces YES ' '
a . Are foundation walls insulated ? E NO
1 , If YES , what is the R value ? � 4.. PHA
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
a . R value of insulation
5 . Type of insulation E p� Oecv[L662S
B . Under 16 % Only
vv
1 , R value of roof and floors exposed to ambient conditions_
2-3 qsr�' 11
2 . R value of exterior walls GO iC.i too
3 . R value of glazed area LG' W
�.�
46 R value of doors POA-r,," Tj9j� E CAIC2 "t, L- �i •I g k'_- t124e�
5 . R value of floors over unheated spaces ! oN P �- 3 '� R `�
w Am u..5
6 . R value of slab edge insulation - unheated slab �% 3t7Mj;�,
7 , R value of slab insulation - heated slab
8 , R value of heated basement / cellar walls ( above grade ) f�!" tCD
9 . R value of heated basement /cellar walls ( below grade ) 2 � d
lO , 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 Nov
ja llcantls sig tune )
0/c�r
y 7.4" 01 Queenslury
/ l BUILDING and ZONING DEPARTMENT
rj 1 ay and Haviland Road. R.D. 1 Sax 98
Ilyy Queensbury, New York 12801
BUILDING INSPECTOR ' SSREPORT
NAME
LOCATION'
Date 'c p / Perm No
riio .
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 s Railings f
Cellar Drain Tile --
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
r)ca()Or C1oSerS
:.make DetcCtOrs�
Chimney
INSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVA
Final Building S rvey
Next scheduled�I ection (ca3_lW� hen ready )
Remarks- QA I"�' +�T /l�c"I.� f,/ �AeC
IBAldi &Inspect
6/86 and-vl
ej .Jarwn Of Queer� s � ure�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. i Box 98
Queensbury, New York 12801
30
Btl LD I NNG I NS PECTOR ' S REPORT
NAME
LOCATION ;57� �+ ry
Date f / CJO Permit lr3c> . / `
APPR0VEIJ* -* YES* NO �
Footing/Pier Forms
Foundation
waterproofing
Backfill
F rami.ng
Roo f ing
siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg _ Fixtures
Gar . Fireproof ' g
Door Closers
Smoke Detect s
Chimney
INSULATION
Fo un da t i.on
Floors
Walls
Ceiling
FINAL ELEC RICAL INSPECTION
DRIVEWAY PROVAL
Ali[ Final Building Survey -.---
`•Next scheduled insvection (call when ready )
Remarks-
r2° [Ys - C'L� /` r far
Bu " ding Inspector
6/86 and-vl
THE NEW YORK BOARD OF FIRE UNDERWRITERS
BUREAU OF ELECTRICITY
41 STATE STREET, ALBANY„ NEW OT K 1 207
Date AP.RIL 25 , 1985 Application ,No. ""file � 37 A 7 .i
� 46123
THIS CERTIFIES THAT
arty the electrical equipment as described below and sntrodwced by the appileant na"Wd on the above a/►P edan number in tine premises of
STLI'ilfdti y ii l k is i4t)AGS L� SUl 4NEY;iIojr !tGA.I) 1W I BivjX 3:36r i`LENS FAi4LSr l:t.:v :'r pF v
in thefollowing Gacat!r (q Basement ❑ Ist Fl. ❑ 8nd Fl. Section .54Block 1 Lot 34
wan exornirwd cm .7 T t3�5 and f"and to be ire compliance with the regnirernenta of this Board.
FIXTURE EPTACLES SWITCHES RXTURES RANGES COOKING DOCKS OVENS DISH WASHERS EXHAUST FANS
OUTLETS INCANDESCENT ftUOMSCEPLT v A A7. K. W. AMT. K. W. AMT. K.W. AMT, K. W. AMT. M. P.
i7 11 4
DRYERS FURNACE MOTORS FUTURE APFUANCE RIONES ISMICIAL RECOPY TIME CLOCKS f�L UNIT HEATEES �xTI-OUTLET plY{mnn
AMT_ K. W. CWL N. P. aJ15 M. P. AMT. NO, h W. G. AMT. AMP. AMT. AMPS. TRANS. A,MT. M, P SYSTEMS AMT. WATM
NO.SYSTEMS
FEET
SERVICE DISCONNECT NO, OP S E It V L C E
AMT. AMP, TYPE'. 1 ,0 7W 1 X 3W S Ar 3W 3,0 4W Nb' R CrJPLD' # CC. CGiiU, NC. 4F MI-LEG A• Na. CIF NEUTRALS OAKEUTUAL
arKER APPAEArUs:
r'EI. ECTRIC R{: MA !kKA%ER ;
400 KW
2,-- 1 . 0 KW
12
S3 L I'i2E1. Ht3rLG /P +rT ram .....-s- ��.+�._...�.
_. f.7iC t3C 1 ' 3'3. l �T LS P NE WYOR
BRANCH MANAGER
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.
Qmeens6ulrc�t
BUILDING and ZONING DEPARTMENT"
Say and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECT
OR ' S REPORT
NAME
LOCATION
Date /-�//_r4rr Permit No - ',1Cf
Footing/Pier Forms — APPROVED - YES NO
Foundation
Waterproofing
Backfill
�aming _
Roofing
Siding
Masonry Veneer
Rough Plumbin
Relief Valves
Ext . Porches
Finished Floo s
Interior Trim
Stairs & Raili gs
Cellar Drain Ti e
Concrete Floors
PZbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Ch ' ey
SULATION
Foundation
Floors
Walls ,
XGeiling ,
,FINAL ELE L INSPECfTION
DRIVEWAY APPR VAL
Final Buildin Survey
Next scFeeduled inspecCion ( call when ready )
Remarks-
6 f 86 and-vl Bualiffing Inspector
f � ,J"nwri o� �ueen .sbure�
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. I Box 98
Oueensbury, New York 12801
BUILDING INSPECTOR " S REPORT
NAME
LOCATION �
Date± /{.: / ' Pe it No _ `
✓ = APPROVED - YE / NO
Footing/Pier Forms
�undation
Waterproofing
Backfill —
e.aming
Roofing
Siding
Masonry Vene
Rough Plumbin
Relief 'Valves
Ext . Porches
Finished, Floors
Interior Trim
stairs & Railings
Cellar Drain Tile
Concrete Floors --
Plbg - Fixtures
Gar , Fireproofin
Door Closers
Smoke Detector
Chimney
2NSULATION :
Foundation
Floors
Walls
Ceiling
FINAL ELECT ICAL INSPECTION
DRIVEWAY AP ROVAL _
Final Bull ing Survey
Next scheduled inspectlo n (call when ready )
Remarks-
Buildin nspector
6/E36 and-*✓1
J 16 �} /
fl ,ry / Jvwit n/ Queenahurcy
r f' BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R. D. 1 Box 98
Queensbury, New York 12801
fill/r
BUTLDING INSPECTOR ' S REPORT
NAME
_ � ` �►
E O�A Tk p��
Date .p / Permit No . f
✓ = APP QVED - YES NC7
sooting/Pier Farms
foundation
Waterproofing
I3ackfiII
Framing
Roofing
Siding
Masonry venee
Bough Plumbing
Relief valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . F'irepraofi
Door. Closers
Smoke Detector --
Chimney
TNSUI.ATTON :
Foundation
Floors
Walls
Ceiling
FINAL EIE TRTCAL INSPECTION
DRIVEWAY A PRDVAL
Final Buil ing Survey.
Next scheduled inspection (call when ready )
Remalrks-
OF
Building Inspector
6/86 and-Vl
s
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