1988-653 CERTIFICATE F OCCUPANCY •
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
;, ( (,
Date t. ; L'JL- i_' 19�1() .
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This is to certify that work requested to be done as shown by Permit No. 00__01,.
has been completed.
This structure may be occupied as a One Family - Addition
Location Rte 149
Owner James 6c Elizabeth Cartel..
• By Order Town Board
TOWN OF QUEENSBURY •
(k ,ilk IL- c1 - ( ;(r„�-r�t%�� •
Building dilZoning Inspector
BUILDING PERMIT
TOWN : OF QUEENSBURY t �.
No. 88-653
WARREN COUNTY, NEW YORK
0
PERMISSION is hereby granted to James J & Elizabeth Carter
OWNER of property located at Rte 149 - - - Street, Road or Ave.
•
in the Town of Queensbury,To Construct or place a Addition—Porch, 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.
1: OWNER'S Address is
RD #1 Box 1327
W. Fort Ann, N.Y.
2. CONTRACTOR or BUILDER'S Name
tr1
Reg Hay
3. CONTRACTOR or BUILDER'S Address
P.O.Box 350
Lake George, N.Y. 12845 -°.
4. ARCHITECT'S Name
5. ARCHITECT'S Address
C
6. TYPE of Construction_(Please indicate by XI .
( Wood Frame ( 1 Masonry ( )Steel ( )
7. PLANS and Specifications
No. 14' x 27' as per plot plan, specifications and application
8. Proposed Use 0
Addition to one family -porch & office o
• n
$5.00 C/O R°
$ 21.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1,' 19 89 O
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the-,. n
town of Queensbury before the expiration date.) (D
Dated at the Town of Queensbury.t ' 31st Day of: August _ 19 88
SIGNED BY . &jfJ for the Town of Queensbury
Building and Zoning n pector
TO.',AN Cr- QUETAFEL7
ic7 i / -71' IT., 1-1.:;) T:- :
-,OWIl of Queeitibury • v ,j_b- kli ..2 ,b
I ,
BUILDING and ZONING DEPARTMENT - AUG29 1988
Bay and Haviland Road, R.O. 1 Box 98
Oueensbury, New York 12801 , BUILDING & CODE DEPT.
,APPLICATION FOR
BUILDING AND ZONING PERMIT - \ / , 26.
* * * * * * * * * * * * * * * * * * * * • * * * * * * * * * * *• * * * * * * *::.*
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.. -
•
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The owner of this property is: ,..)Ftry 1 4 (4 , 4.' •F-4,1zA-1)-elti A-, Orfp..747x- '
P.O. Address RT.)* ) ft-R n y 4 I 2,7 td. R ry--Aim i itt...5
Property Location: r- i 4-9 - - - - 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:
Name P.O. Address Tel. No.
Name of builder uee-4 /111-4.4 -Of.ielrAddress --/I?c, fere% "St' Lk 9.11b Tel. 2 9'517/C"
Name of plumber A tepee Address Tel.
Name of mason e,ec ie-/41, Address ,PC) ffey 330 irk coo Tel. 79_,..4'776
NATURE OF PROPOSED W3RK: , ZONING INFORMATION:
Construction of anew-building 4. TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
ViCadition 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 , . ..„,
FOR DEMOLITION PERMIT, STATE SIZE AND
* whether interior or corner lot.. Show location -
*LOCATION OF STRUCTURES AFFECTED. • of water supply and location and configuration -,--i
,I.
of septic disposal area. , -.....s
-
N. COMPLETE INFORMATION REQUIRED BELOW. 4'A-e....
L..-P
* Size of property /, 513/ 1 7 ft X g95- ft.
* Existing building(s) Size Jo ft X 40 ft. • •
V16 I 2-5-X 3.0 -7,SA/Z4-2-6 X 2.40 -Si.11e) mi 2 Ceri
PROPOSED BUILDING AND USE: /40a1 ) awr a vs-22_
* Existing building (s) Use 7?,44,,,,c, --Alitrbae„ -ro.9ffarrja
Size of new structure IL,! ft X2.7 ft * fkilld-CAtvite/U R-Cteft c - 91--C-
Foundation-pier s ab crawl/partial/full * Proposed balding, distance from property line
ircle one) ,
if Front yard 2 0 0 ft Rear yard /4,0 7 ft
No of stories (habitable space). /;:'/ * . - .
2. 4 ft. * Side yards ,0 p ft and f",, gq ft
Height (grade to ridge)
* If on corner, setback from side street K ft
If residential, no. of families /
No. of roo:ns(excluding baths) / * OCCUPANCY INFORMATION
No. of bedrooms 0 . *
N. PRIMARY BUILDING
No.. of bathrooms e.)
,. ./ZOne family dwelling
Primary heating system 41...Ec,„
Two family dwelling
Type of fuel &-t_ce * —
* Multiple dwelling / Number of units
No. of fireplaces to be installed 6
7Permanent occupancy.
Will a wood stove be installed? ,ve * —
Transient occupancy
Central Air conditioning? .44-/W at
—Business
• *
BUILDING STYLE, PRIMARY STRUCTURE _Business
* Other '
Ranch Contemporary Log cabin — i
If additon, what will use be? porej4 --
Raised ranch Mansion Duplex * - C 44 r,o ••
• _ vel Old style Bungalow * -
Cape Cad" Cottage . Other * ACCESSORY BUILDING-
C• • a]. . Row . Town House * _g_petachecl garage/one car/ two car/ car,
( CIRCLE ONE PLEASE ) * _ Attached garage/one car/ two car/ car--
* * * * * * * * * * * * * * * * * * .EPrivate storage. building
ESTIMATED MARKET VALUE OF . * Other
CONSTRUCTION it
'H.
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form SPA 4/86 md-vl
•
BUILDING PEIMI'T APPLICATION CONTINUED
BUILDING SPECIFICATION:
Type of construction, wood frame, fire safe,etc. tk Ck)'0el Fe itiva.
Will any second-hand or ungraded lumber be used? If so, for what? fid
Foundation wall material 10 etc Thickness el lc '
Depth of foundation below grade (to bottom of footing) t,:
Will there be a=.cellar? f.f g Heated or unheated? Floor sq. footage zly sq ft
Will there be abasement? r(d Will any portion be used as living space? - fGv
(If so, what portion? �fe sq.ft. - Type of use?
Type of roof. sloped/flat/shed/other S49 Pc( Material. of roof S'4'
Size, wood studs 2 "X 4, " spacing /fn "o.c. length ,, ft.
Joists(floor' beams) 1st. .floor S/p"X " spacing. "o.c. span ft.
Joists (floor beams)„-2nd. floor ' _ "o.c.
T "X � " spacing /�� span fA ft.
Overlays(ceiling beams) ,7 "X 1 " spacing /c "o.c. span ,' ft.
Roof rafters -.,? "X " spacing /-- o.c. span 14. ft
Root trusses(pre,engineered) spacing "o.c. span _ft. '
Exterior wall. finish //02 430• Of what material? ;r i4yP
Interior wall finish pro the// .5741e ,/_r®r i Y ii1,7I;147
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? y/ If so will -a Fire-raced- .
door, enclosure, and self-closing device be p ovided?
Willa flue-lined chimney be installed? ile. Height above roof ft.
Depth of chimney foundation below grade ft..
Depth or 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 suptic system). ' .
Town of Queensbury n ceI D AV I T STATE OF.NEW YORK
County or Warren rt I I r1 U.
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 ton 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 '1'0 BEFORE ME THIS Signature e ' it-0,f�t�
O r, ownr's agent,ercnitect_,contractor '
day of.. 19
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 '2 Rr Ec3"'
2 . Type of heat :Q!` /LGC'_,
3 . Is the building mechanically cooled? 7- el
/4 . Percentage of area of windows and doors 6tI o o
A. Over 16% Only
1 . U value of gross area of walls , roof/ eiling and floors
exposed to ambient conditions
2 . Floor over heated spaces ' S NO
a. Are foundation walls sulated? YES NO
1 . If YES , what ' the R value?
3 . Slab on grade . S NO
a. If YES , w at is the R value of insulation around
perime -er of floor?
4 . Is ba ment heated? YES NO
. a . 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 K-- /Q
3 . R value of glazed area
4 . R value of doors �^ 1:
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
8 . R value of heated basement/cellar walls (above grade) /4404e
9 . R value of heated basement/cellar walls (below grade) / `
10 . Type of insulation /7 4j �r6-jtr.c.c /72�
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 A/d
b. R value of duct in other areas
E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe r"ion/2
2 . R value of pipe insulation /40
F. Service Water Heating
1 . Performance efficiency /1-/G H ,t,
2 . Temperature control setting maximum
G . For Swimming Pool Only
1 . Maximum heating /(P
Telephone No . /...Y-9 %., 'ti �il�►l.L�l / %1/JiE'��
(aylicant ' s signature)
� r
INTERIM BUILDING PERMIT
W -6 513
PERMIT APPLICANT . Uapveg % jdIC 4 e
CONSTRUCTION LOCATION '
EFFECTIVE DATE ,a:/hr
APPROVED BY /` .e-! /1. i-e-
SPECIAL CONDITIONS :
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit , the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following ssing.
POST THIS INTERIM PERMITIN A C SPICU S ! !
Bui ing & Codes Department
TOWN OF QUEENSBURY
,• - - - YOU ARE HEREBY REQUESTED TO- l, ' - - I. - -
- - INSPECT"AND.ISSUE CERTIFICATES`
- _- FOR THE FOLLOWING ELECTRICAL''
.. EQUIPMENT .TO-BE.INSTALLED-BY. : '
THE UNDERSIGNED
. - . TEMP ft - .' DATE " ' !�'ii - / J..., .
CITY OR VILLAGE - TOWNSHIP '. - COU TY .
r �, . ..
- i • . .
_STREET AND NO.OR •ROAD :. _ .•-, •-. _ - .:. .-. -- - .
POLE NUMBER -
- ,
•
BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCATED? .SECTION� - ,,,..' BLOCK - tom.LOT.
/;. r , �!.J ') ,r :,IJ7.1 ' f( `() 1 3.. - . .
OCCUPANTS NAME -BUILDING OCCUPANCY • • - -
�..-- 'ram ! . , . ".
OWNER'S NAME AND A DRESS` • HOME TELEPHONE NUMBER ,. . -
,!� • l
CURRENT SUPPLIED BY/ ' . • FROM THEIR' • OFFICE • � , WORK TELEPHONE NUMBER ..
. - : /I/: f 1.i 0 •i y _.-/�1 G/� • - •
BUILDING IS / - - . I.
•
_ :NEW:❑ - - OLD - - WORK IS NEW❑ . ADDITIONAL I • DEFECTS REMOVED 0 ,'
- - LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED
NUMBER OF OUTLETS No.of Fixtures& • MUIORS HEATERS BRANCH OFFICE USE
• Lode- - Lamp.Receptacles - . CIRCUITS - ONLY .
lion Side Attach't H.P. - - Watts A.W.G.
Ceiling' . Wall Recep'Is. Switch Pendant Bracket No. Type Each NO Each NO Gauge INSPECTION
- ..
•
_ SIDE _
SUB- - • - - -
BASE .
BASE- _
MENT ' -
•
•
1st - • _. • - . - • - - -
FL. - • - . - _ .
end • .
FL.- - . . . . . - -
_3rd - . __ - _ _.
- FL. _ . --
•
` REMARKS:LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE:. - - .
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-LISTED EQUIPMENT TO BE INSPECTED,BUT IF AT TIME OF INSPECTION,THERE IS - '
' . FOUND ADDITIONAL EQUIPMENT NOT ABOVE LISTED,YOU ARE AUTHORIZED TO MAKE THE INSPECTION AND ADJUST THE FEE TO COVER
THE ADDITIONAL EQUIPMENT,AS PROVIDED BY THE APPLICANT.- .- .
SIZE OF MAINS - FEEDERS. - ELECTRIC SIGNS/LAMPS . • TOTAL WATTS-• ,
CHARACTER OF WORK ' 0 EXPOSED GA.STUBE SIGN/TRANSFORMERS OF' - .. . -VA -. -
_
•
. 0 CONCEALED • -
DATE WORK TO BE STARTED ' - DATE COMPLETED' SIZE OF SIGN(NUMBER) - - CAPACITY
•
' SERVICE ENTERS BUILDING- ' - . . • - MANUFACTURER OF SIGN - -
' • ❑ OVERHEAD . . 0 UNDERGROUND ' ' • • • • • •. - -
DATE INSPECTION REQUESTED ON(OR AS NEAR AS POSSIBLE) - _ IDENTIFICATION NUMBERS
AVOID DELAYS BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES MUST BE FILLED IN OR APPLICATION MAY BE RETURNED.
PRINT NAME AND ADDRESS -
NAME F APPLICANT �^ - DATE,,OF PPLICPfTI fN G)JATURE OF APPLIC,A�NM1I y
�. \ -- -4-1 / " . _ X 21T-&E lam, _ 6/7
STRE.TjAD R SS. - - _ _.„ . - _ - l_ Qa p•
•
CITYR OST OFFICE -ZIP CODE LICENSE NO.WHEN APPLICABLE
^- Ali.r�r�' •
/`, - 1 • '/� .,P. -
� / I . .. • -
❑ 85 John Street• -❑-41 State'Street • ❑ 584 Delaware Avenue 0 217 Lake Avenue :. .- ❑ 202 Arterial Road•' .
NEW YORK,NY 10038- ,ALBANY,NY 12207.. BUFFALO:NY 14202 . - ROCHESTER,NY 14608 SYRACUSE,NY 13206
TNF NFW PORK BOARD OF-FIRE UNDERWRITERS . -
THE NEW YORK BOARD. OF FIRE UNDERWRITERS f' , €d
i BUREAU OF ELECTRICITY
�, 41 STATE STREET,ALBANY,NEW YORK 12207
-4 Application No.on file , . ,
0
. i. Date ,7SiNE r' i 1YJ ,t.,0I_:i,_,i,, . .i Ti i! _ .9 o
t "J
THIS CERTIFIES THAT PERMIT.ITT Zi' YI o
only the electrical equipment as described below and introduced b .0 , , named on the above application number in the premises of
o
o
J.'".NE_,/I_,i IZI':.l ET'I'I C. I'�` R. RT. i 'lam`. !.�iJI~'•T''"fSBIIR , N.Y, •
,' in the following location; ❑ Basement ❑.`1st Fl. ❑ 2nd Fl. Section Block Lot ,+
1. was examined on -pi Ay 2._• 1 n 0 0and found to be in compliance with the requirements of this Board.
FIXTURE I FIXTURES • li
RANGES COOKING DECKS OVENS _DISH WASHERS EXHAUST FANS
RECEPTACLES SWITCHES
OUTLETS INCANDESCENT.FLUORESCENT OTHER AMT. K.W. AMT. K.W. AMT. K.W. AMT. K.W. AMT. H.P.
t.- 1 ? .'
'' -. DRYERS FURNACE MOTORS FUTURE APPLIANCE FEEDERS SPECIAL REC'PT. TIME CLOCKS UNIT HEATERS MULTI-OUTLET DIMMERS o
BELL SYSTEMS u
- : AMT. K.W. OIL H.P. GAS H.P. AMT. NO. A.W.G. AMT. AMP. AMT. AMPS. TRANS. AMT. H.P. NO.OF FEET AMT. WATTS
1
i
.. o
►; SERVICE DISCONNECT NO.OF S E R V" _ I C E
�. MAT. AMP. TYPE EMQEU�P 1,0 2W 1$3W 3 ff 3W 3,0 4W NO.OFF C CiCOND. OF CC.COND.. NO.OF HI-LEG OF HI-"LEG NO.OF NEUTRALS OF NEUTRAL ® R
ID i
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�: OTHER APPARATUS:
�., PADDLE I`__3- 1
E:R 1. .?. C. 1-;CYiP1 IlLJ TEI:C;.y l .'�, I:. ". . .1." I\.,i
so
ri
. �:•.`1D:. ! T TT-rZ -
i_at
� RD' 1 r, r BRANCH MANAGER
l �:;`RT .'.rlt�. N 1,-,r.._,7 =1
:'
Per .,. .3 1,- tiv. CI,1
: 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. i `
1 •
nfYACiA i•w Ywi iai 4,1-1.YYbf'iii-iAY'i•YYA7YA YAY'iArY•-riii-iai-4,Y4-ei. M ® ri 0 0 maw ® 0 0 0 0 0 0 0 0 ® r' 0 ® tiiio
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT A/
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804. .
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /y /41
NAME I/1.l1/J yG ci)(Y,�,cj% L.C j
LOCATION oiL i2Ap
DATE 1�/ A/.) PERMIT # . 4 O -CO-67
\liGI L1 APPROVED
- ��'S!'� I/ a/ ! YES NO
D�/Gl ,
FOOTING/PIERS I
MONOLITHIC POUR FORMS 7
FOUNDATION/DAMP-PROOFING�_L---`—
BACKFILL APPPno_ 1
ROUG #� !, t
FRAM. .
ELEC'. ;, ' �
IN e `
l FO / Yam"- ,
FOL I,,
FLO, 22;, I,
WAL; ��J !'' �� 1
CEL .
FINAL �/
CHIN
200E /�/
/(x e/
SIDL / vi
EXTES JZG01U l/
STAII
PLUMB `
INTER 1
FINISi � -'
GARAG1 -
DOOR CLOSER(S) 1 \W
SMOKE DETECTORS 1
FINAL ELECTRICAL INSPECTION '
FINAL_APPROVAL OF CONSTRUCTION '
- OK TO ISSUE C/O OR .0 - •
A SIGNED CERTIFICATE/OF/C OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
. s
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çE7KS: cli j!Le, 4�• i
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=11 61-%.5" (11'19'1;1.7 --(e--t)4-e:
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ARRIVE I . 3 ...__.
DEPART ! • �J(/
INSPECTOR
TOWN OF QUEENSBURY 77/2
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /0
NAME 6Z4Zd
LOCAT N �j� /4 9
DATE ,/ /y -a PERMIT # C ' �
_ / APPROVED
YES NO
J
FOOTING/PIERS
MONOLITHIC POUR FORMS ;i
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL I
ROU H PLUMB G ,,i'
MING
ELECTRICAL RO -IN 1
INSULATION: '4
FOUNDATION 1
FLOORS
WALLS
CEILING � .v�
FINAL INSPECTION: -V:
CHIMNEY HEIGHT •59)
'
ROOFING
SIDING Y '
EXTERNAL PORCHES% TEPS
STAIRS-CLEARANCF,l& RAILS
PLUMBING FIXTURgS/RELIEF VAY,VE
INTERIOR TRIM/PRIVACY DOORS L
FINISHED FLOGS
GARAGE FIREP;••FING ,\
DOOR CLOSER J.)
SMOKE DETE • ORS
FINAL ELECT'r'CAL INSPECTION
FINAL APPR.''AL OF CONSTRUCTION _
A SIGNED CERTIFICATE OF OCCUPANCY_MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
///
INSPECTOR
Jown o/ Queenilury
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME C
LOCATION /g `4/
Date �- '� / fr Permit No. rev- 4'��
✓ = APPROVED - YES / NO
Footing/Pier Forms
o udation/ UA �T j !HLG('�
Waterproofing A/ /4
Backfill
Framing
Roofing
Siding /'
Masonry Veneer
Rough Plumbing
Relief V Ives, /
Ext. Por es ;'
Finished loors /
Interior T 'm
Stairs & Rai ings
Cellar Drain le
Concrete Floor ,'
Plbg. Fixtures N. /
Gar. Fireproofing
Door Closers V
Smoke Detectors / \
Chimney / \
INSULATION: ' \\
Foundation / `..
Floors / \
Walls \
Ceiling
FINAL ELECTRIC L INSPECTION
DRIVEWAY APPRO AL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
15LoCrC U/ — e�e� riLc.�j
Building nsp ctor
6/86 and-vl
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