1989-139 FA
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CERTIFICATE OF OCCUPANCY
TOWN 4F QUEEN58URY
WARREN COUNTY, NEW YORK
Mte June 12 19 89
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This is to certify that work requested to be done as shown by Permit N4 13 9 !
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has been completed. Sjf)
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This structure may be occupied as a il=c lc I' aaa ,. Dt: I lii,c / _ .c c:
corn YZ C.) E'.E'. J.
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By Or er Town Board
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i TOWN OF QUEENSBURY
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Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY
No. 8 9zI G o
WARREN! COUNTY, NEW YORK
PERMISSION is hereby granted to Robert Seeley
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OWNER of property located at Morgan Drive Street, Road or Ave. l�
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in the Town of Queensbury, To Construct or place a Addition to Dwelling
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. o WN E WS Address is
SAME to
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2. CONTRACTOR or BUILDER 'S Name
self
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3. CQNTRACTOR or 8UILDER`S Address f9
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Same
4. ARCHITECT'S Name
Richard Janes Associates �
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5, ARCHITECT'S Address pr
119 Aviation Road
Queensbury , AwYe 12804
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6- TYPE of Construction — ;Please indicate by X) C
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Wood Frame I } Masonry I I Steel ;
7• PLANS and Specifications
No. 15 ' x 121 addition to dwelling as per plot plan , specificati ns
and application . f
$, Proposed Use >
Single Family Dwelling w/Addition
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$ 16000 PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 1g 89 ct
(if a longer period is required an application for an extension musk be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.) l=
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Dated at the Town of Queensbury this l l th Day of April 19 89 F
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SIGNED BY it for the Town of Queensbury LQ
'ff'uiIding and Zions rsb I nspector
TO BE COMPLETED BY BLDG . DEPT .
/ Application No . �l (Jo
/OW►7 OueensfilC� I't Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19
Bay and Haviland Road, R. D, 1 Box 98 Zoning Designation
Oueensbury, New York 12801 Variance No .
Site P'a74n Review No .
Appr y :
APPLICATION FOR
FUILDING 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
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 : 4-' 4 ' Sr' � c� f� � ��tT i 7493 6-) ��-r/
P . O . Address GS - Lich �►� [a f Tea . ` 3G' ` r
Property Location : Tax Map No ./ /
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS : 51WLj Ac g
k� �L1otsUr< � c�.� [<` t
dame �G�. + Ck ��r �J++ n�F . 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 X�(yft _
* Existing building ( s) Si.ze.I ^ ft X '3Z ft .
*
PROPOSED BUILDING AND USE : * Exist -in building ( s ) Use
Size of new structure ft X 12, ft * T 1 �' I L -f 4z L ' 1
Foundation-pier/slab/ raw partial/full " Proposed building , distance from }property line
(circle one )
Front yard G> ft
No . of stories (habitable space) * f ft Rear yards -
Height ( grade to ridge ) 1121 6r " ft . * Side yards . ft and ft
If residential , no. of families * If on corner , setback
settbaba ck from side street
reet ft
No , of rooms ( excluding baths )� r '" OCCUPANCY INFORMATION
No . of bedrooms
No . of bathrooms �7 PMARY BUILDING -
Primary heating system ( T ; y %� * One family dwelling
_ * Two family dwelling
Type of fuel ,
Q * Multiple dwelling / Number of units
No , of fireplaces to be installed
will a wood stove be installed? * Permanent occupancy
Transient occupancy
Central Air conditioning?
* Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
nc Contemporary Log cabin * Other,Raised ranch Mansion Duplex If addition , what will use be ,.
Split level Old style Bungalow * — � _ + f�l
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 OFF * Other
CONSTRUCTION
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS 'SHEET , TO BE COMPLETED !
Form BPA 4/BG and-vl
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BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fare safe . etc .
Will any second-hand or ungraded lumber be used? If so , for what ? -
Foundation wall material ! = 1 ��•a_-� c�4c Thickness
Depth of foundation below grade (to bottom of footing ) A.0. 1-1 .3 ,
Will there be a cellar? I. 0 Heated or unheated.? - Floor sq. footage sq ft
Will there be a basement? 00 Will any portion be used as living space? } � c,
( If so , what portion? - sq. ft . - - Type of use?
Type of roof - sloped/flat/shed/other S E p Material, of roof 6p Ze � GG� I ba
Size , wood studs '! "X_ � " spacing�"o . c . length ft . -
Joists ( floor beams ) lst . floor spacing_ I&P "o . co span is ft ,
Joists { floor beams } 2nd . floor - "]{ It
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 j � , ft .
Exterior wall finish ' )o ,�("t,, Of what material ?_ tif'lp - L .%bi t� f 1,7C�
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 Eire-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 ,A, F F I D A V I T STATE OF NEW YORK
eensbury
Warren County off 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 doneion 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 _-- _dC��
Owner,
day of 19
Notary Public , Warren County , N _ Y .
,t rF k 1k %' * at Me rt * yr * ,k it tk ,h * ik * * it * * "t * • yt it '!, rt rY k Yr * * k * fr !r fr * ! rt sk sY it
SPECIAL CONDITIONS OF THE PERMIT :
TOWN OF QUEENSBU RY
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 f 7g:� 7 a
2 , Type of heat t51 tt%N
3 . Is the building mechanically cooled ? C?
4 . Percentage of area of windows and
A . Over 16 % Only
1 , U0 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
~ 10 If YES , what is the R value ?
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 NO
a , R value of insulation
5 , Type of insulation
a . under 16 % Only
1 . Et val
u
e of roof and floors exposed to ambient conditions_
2 , R value of exterior walls l l
3 , R value of glazed area
A . n 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
a , R value of heated basement/cellar walls ( above grade )
90 R value of heated basement/cellar walls ( below grade )
10 , Type of insulation.
C . Controls ' 7
1 , Thermostat maximum heat setting,
D . duct Systems
1 , is duct system installed in unheated spaces ? YES kNO
AV if YES , R value of duct installation
b , R value of duct
l in other areas
E . Pil2ing Insulation IVIA
1 , size of hot water or cooling carrying agent pipe
2 . R value of pipe insulation
F . Service Water Heating
1 . Performance efficiency ✓'1
2 . Temperature control setting maximum
G . For Swimming Pool Only IV IA
1 . M &aximum heating / ,t' f
Telephone No . �.f'.7` ...tL C . .CG4d / -
( applicant ' s sig Lure )
: OWN OF ( LuFENSBURY
BUILDING AND CODES DEPARTMENT (!
BAy & HAVILAND ROADS
Q y' NEW Y0
TELEPHONEf5 8 ) 792-5832RK D
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED ��
NAME
LOCATION
y y P RMIT # 3
DATE AppyVED
4 YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: `
FOUNDATION
FLOORS
WALLS
,,// CEILING
✓FINAL INSPECTION,-
CHIMNEY HEIGHT,, --
ROOFING
SIDING
EXTERNAL PORCH /STEPS
STAIRS-CLEARAN E & RAILS_._—�---ri
PLUMBING FIX T RES/RELIEF VALVE �
INTERIOR TRI. /PRIVACY DOORS
FINISHED F Rs
GARAGE FIR ROOFING
DOOR CLOSE (S)
SMOKE DET CTORS
FINAL ELEC ICAL INSPECTION
FINAL ApPR VAL OF CONSTRUCTION
A SIGNED ERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING
DING DEPARTMENT BEFORE
THESE PR MISES ARE OCCUPIED !
REMARKS
INSPEC O4' R
TOWN OF QUEENSBUR'Y
BUILDING AND CODES DEPARTMENT
BAY v HAVILAND ROADS
QUEENSBURY, NEW YORK 1280&
TELEPHONE (518 ) 792- 5832
BUILDING INSPECTOR ' S REPORT
BEQUEST F-`DR, INSPECTION RE+CETVED
NAME 'C` G
L0CATION
DATE p;;oEc " PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOiPXTHIC POUR FORMS
FOUNDATIONIDAMP-PROOFI N+G
BACKFILL APPROVAL
ROUGH PLUMBING
i_.,v(RAMING
ELECTRICAL. ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS t`
CEILING
FINAL INSPECTION: �•_
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCH IST PS
STAIRS-CLEARAN E & R)tILSr
PLUMBING FIX RES/RELWEF VALVE
INTERIOR TRI /PRIVACY "RS
FINISHER F RS
GARAGE FIR ROOFING_^
DOOR CLOSE (S)
SMOKE VET TORS
FINAL ELECTRICAL INSPECTION
,FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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INSPECTOR
TOWN OF Q S
BUILDING ANDD CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY. NEW YORK I2809-
TELEPHONE (5I8 ) 792- 5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION ;RECEIVED y
NAME O �
LOCATION
DATE J � PERMIT
APPROVED
YES I NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
XFOUNDATION/DAMP-PROOFING
XBACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION :
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHESISTEP.S
STAIRS.CLEARANCE & RAILS
PLUMBING FIXTURSS/RELIEF VALVE
INTERIOR TRIMJr#RIVACY DOQRS
FINISHED FLOORS
GARAGE FIREPROOFING _
DOOR CLOSER (,S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: } 'ti._J 00�3ig
.r
INSPECTOR
TOWN OF QUEENSBUR'Y
BUILDING AND CODE'S DEPARTMENT
BAY & HAVILAND ROADS ,
QUEENSBURYo NEW YORK 1280g-
TELEPHONE ( 528) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION ! Y�
DATE PERMIT #
APPROVED
yb YES NO
LrrOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROOFING
BACKFXZL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROU —IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAZES _
PLUMBING FIXTURES/RE EF VALV
INTERIOR TRIM/PRIVAC .DOORS
FINISHED FLOORS
GARAGE FIREPROOFING*
DOOR CLOSER (SJ
SMOKE DETECTORS
FINAL ELECTRICAL IN PECTION
FINAL APPROVAL OF rSTRUCTXON
A SIGNED CERTIFIC TE C)F OCCUPANCY MUST BE
OBTAINED FROM THE ( BUILDING DEPARTMENT BEFORE
THESE PREMISES AR OCCUPIE
D:
REMARKS: 67A r 4 )_O
XNA>ECTOR
M ' Y
RfCHARD E. JONES
ASSOCIATES, ARCHITECTS
119 Aviation Road LETTER
GLENS FALLS, NEW YORK 12801
(528) 7934015 Date 4 / 5 / 89
o Town of Queensbury Subject Seeley Residence ,
Building and Codes Department Morgan Drive
Bay & Haviland Roads , Queensbury , IVY 12804
Attention Vic L .
Regarding the insulation for the proposed addition , please be advised that there
will be a 3 /4" thick layer of high-"R" insulation installed under the vinyl siding .
This will match the remainder of the residence that was just resided last year .
Should you have other questions , please do not hesitate to contact me .
cc : Robert Seeley
E] Please reply ❑ No reply necessary SIGNED Richard E . Jones , . I . A.
FORM 1"-2 Available from Gialoa Maw%01471.Tn ordct 71fWE TUEL FNEIE S +gW?Zg.fi,'i80
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