1988-522 1 ,
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CERTIFICATE OF OCCUPANCY
TOWN. OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date July 11 19 90
This is to certify that work requested to be,done as shown by .Permit No. 88-522
has been completed.
Retail Business
1101 is s may occupied.as a
1 - 4 Bay Road
Location
Owner F. T. Collins
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY Na 88-52211)
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to F. T. Collinsust
OWNER of property located at 274 Bay Road Street, Road or Ave.
ti
in the Town of Queensbury,To Construct or place a Alterations
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
14 Dix Avenue 3
Glens Falls, N.Y. 12801
I
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2. CONTRACTOR or BUILDER'S Name
to
Same
3. CONTRACTOR or BUILDER'S Address
Same
LC
4. ARCHITECT'S Name
0
5. ARCHITECT'S Address
41
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6. TYPE of Construction—(Please indicate by X) h
ri-
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No, new walls (Sheetrock) , new ceiling and new door installed as per
application.
8. Proposed Use
Alterations
1
5.00 C/O
$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 1989
(If 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 date.)
Dated at the Town of Queensbur 19th Day of July 19 88
SIGNED BY for the Town of Queensbury
Building and Zoning nspector
TO BE COMPLETED BY BLDG. DEPT.
�J Application No.
/uwn u/ 2UJL),JJLtgrzj Permit Issued 19 ; Ili
BUILDING and ZONING DEPARTMENT Permit Expires 19 " 'LS QJ , -- 11
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation JUL
Queensbury, New York 12801 Variance No.
• Site Plan Review No.
6UIL 1N & CODE DEPT.
• Approved by: v/O.Gt0
APPLICATION FOR /, ck -.
BUILDING AND ZONING PERMIT • z S
* * * * * * * * * * * * *. * * * * * * * .* *. * * * * * * * * * * * * * * * *::*
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.
1
The owner of this property is: L ��!yi' / „/
P.O. Address a/ �/ -1�
— 12 g i`7 't-i XI /�, ,� `/'
Property Location: 7 Y iJO"/ fa_ Tax Map No. /,j/ / / //
Street number or building lot number
Subdivision name (if applicable) '__
THE PERSON RESPONSII FOR SUPERVISION OF/ WORK AS REGARDS BUILDING 'CODES IS:
7---7 , ��l%r '
Name P.O. Address Tel. No: •
Name of builder .lJ / ` • 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,
y 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
FOR DEMOLITION PERMIT, STATE SIZE AND * whether interior or corner lot. Show location .
LOCATION OP STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
* .
* COMPLETE INFORMATION REQUIRED ,BELOW.
* Size of property ff t• /�o�
* Existing building(s) Size `�}ft X 3(a ft '
* �l� �f - � :1t,r 52�G�
PROPOSED BUILDING AND USE: 0 �?G1/7 .
;� * F.‘ sti g uilding (s) Use .. /%�" °
Size of new structur L ft X ft *
Foundation-pier/slab c ,wl/partial/full * Proposed building, distance from property line
(cir le ;) N * Front yard '1' ft Rear yard ft
*
No. of stories (habit ble ; ••ace)
Height (grade to $'dge ft. * Side yards 1�ft and ft
* If on corner, setback from side street ft
If residential, o. of f' ili s
No. of rooms(ex- udir bat''s) * OCCUPANCY INFORMATION
No. of bedrooms *
* PRIMARY BUILDING -
No. of bathrooms
Primary heating sys em , * One family dwelling
Type of fuel *'_Two family dwelling
* Multiple..dwelling / Number of units
No. of fireplaces to )3e installed
Will a wood stove be installed? * Perin ent occupancy
Central Air conditionin T nsient occupancy
g' ** usiness
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Ranch Contemporary Log cabin * Other
Raised ranch Mansion Duplex *.If addition, what will use be?
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/_ car
* * * * * * * * * * * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF/ . * !_Other
CONSTRUCTION $--- •i ( // rd� e* ,
INFORMATION ON BUILDING l PECIFICATIIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form 13 A 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. •
Will any second-hand or ungraded lumber be used? If so, for what?
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing)
Will there be a cellar? Heated or unheated? Floor sq. footage sq ft
,Will there be a basement? Will any portion be used as living space?
(If so, what portion? sq.ft. - - Type of use?
• Type of roof - sloped/flat/shed/other Material. of roof
Size, wood studs "X " spacing "o.c. length ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. - span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters "X " spacing o.c. span _ ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish Of what material?
Interior wall finish
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 repair or new installation of septic system)
Town of Queensbury AFFIDAVIT 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 l-ws pertaining to
the proposed work shall be complied with whether' specified-or-not, a d.-that_su h work is _ •
authorized by the owner.
SWORN TO BEFORE ME THIS Signature__ 1/ _
0 , owner's agent,arcnitedt,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
By
- .}
TOWN OF QUEENS.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 APPPo • %a,?d, '
2 . Type of heat /t.W ,
3 . Is the building mechanically cooled? //,
4 . • Percentage of area of windows and doors 8.1 /
A. Over 16% Only
1. Uo 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 40 NO
a. If YES , what is the R value of insulation around
perimeter of floor? N ; , 4?-)()
4. Is basement heated? YES NO
a. R value of insulation
5. Type of insulation c- /, �l r_ �� /,�6' ,:e1,114
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 Gcv it-- e- s .
4 . R value of doors %C
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 w,/®�( .
8. R value of heated basement/cellar walls (above grade) IVL1
9 . R value of heated basement/cellar walls -(below grade) 0
10 . Type of insulation d) C 'i '-' '� �)%b /2/21.1-5
C. Controls
1 . Thermostat maximum heat setting .
D. Duct Systems •
1. Is duct system installed in unheated spaces? YES 43)
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 (i4
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. 7".5 7 C /'�,4 41i, v'
( plicant ' s signature)
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TOWN OF QUEENSBURY •
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832 .
BUILDING INSPECTOR'S REPORT
REQUEST FOR •NSPECTION RECEIVED, �f/9C�
NAME /f 71 a „...4
LOCATION ?t7y J/ Ed
DATE ,-30090
PERMIT #1 Ori j�a�c7
/, I f/l APPROVED
1f q',:(/.l / YES NO
+
FOOTING/PIERS4 /
MONOLITHIC POUR FORMS f
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL / •
ROUGH PLUMBING • 1
FRAMING 1 1 .
ELECTRICAL ROUGH-IN /
INSULATION: 1 I
FOUNDATION', 1
FLOORS ! 1
WALLSI.
CEILING \
FINAL INSPECTION: /
CHIMNEY HEIGHT
ROOFING / �j
SIDING \ I L'
EXTERNAL PORCHES�STEPS (�
STAIRS-CLEARA C 1 & RAILS (,
PLUMBING FIXTURES/RELIEF. VALVE ("Tv
NI
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS;
.-k '' '
GARAGE FIREPROOi ZING I�
DOOR CLOSER(S)I �l !
SMOKE DETECTORS \
FINAL ELECTRICAL INSPECTION '
FINAL APPROVAL/OF C NSTRUCTION
1
A SIGNED CERTIFICATE'OF OCCUPANCY MUST BE
OBTAINED FROM/ THE BUI DING DEPARTMENT BEFORE
THESE PREMISES ARE OC UPIEDI
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REMARKS:0,,,t F ,, ,, � r
o,„ � • . .(261, -,-).
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ZSCIA .
6 Se-- . /26-&°1 ---. .- • .
INSPECTOR