1988-806 -,,
c.
CERTIFICATE , OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
August 24 90
Date 19
This is to certify that work requested to be done as shown by Permit No. 88-806
has been completed.
This structure may be occupied as a One Family Dwelling/Living Room
Fort Amherst & North Road
Location
Owner Marion Wilhelm
By Order Town Board
TOWN OF QUEENSBURY
Building Et. Zoning Inspector
•
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 887806 zz
o
WARREN COUNTY, NEW YORK
I-
- li o
PERMISSION is hereby granted to Marion Wilhelm i
OWNER of property located at • Fort Amherst & North Road Street, Road or Ave..
in the Town of Queensbury,To Construct or place a Addition/Living Room it
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.
r•
1. OWNER'S Address is
Same
2. CONTRACTOR or BUILDER'S Name H
Gary Strasser
3. CONTRACTOR or BUILDER'S Address
RD#1 Box 503 ii n
Glens Falls,New York 12801
4. ARCHITECT'S Name •
5. ARCHITECT'S Address
�J
0
rtt
6. TYPE of Construction—(Please indicate by X)
( 1 Wood Frame ( ) Masonry ( )Steel ( ) cn
rt
7. PLANS and Specifications
• z
0
No. 20'x6' Addition as per plot plan, specifications, and- application.
I A 8. Proposed Use 0
One Family Dwelling with Alterations.
•
25.p0 C/O
$ 16.00 PERMIT FEE PAID—THIS PERMIT EXPIRES MAY 1 19 89 . a
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the a'
town of Queensbury before the expiration date.) i ~
O
Dated at the Town of Queensbury this • 17th Day of October 19 88
4
N-
_ SIGNED BY sL� ,i� for the Town,of Queensbury - o�n
Building and Zoning Inspector "tie !I
O
p
' d
I
' II
TOWN OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT
177)
:�,, .` �A•S / 4"- /(,) Reviewed ' . .:7! .:,-•.'
•I'' • ,,r�,. Fee Paid fi , 1, CST 121988
BUILDING AND CODES DEPARTMENT Date Ibdued .) W BUILDING C DE DE T,,�
BAY and HAVILAND ROADS RD 1 Box 98 r / Uv�
pUEENSBURY,NEW YORK 12804 Pe)UnLt No• �7�� l.: ` P� (r� [�,��
Tel. (518) 792-5832 'Ext -204
* * * * * * "* * ;* * * * * * * * * * * * * * * * * ,_*• * * * * * * * . .%_ /�
A PERMIT MUST BI OBTAINED BEFORE BEGINNING CONSTRUCTION. NO ,INSPECTIONS q//4
1+.'ILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicable spaces on this application must• be completed and the
sicr ature of the applicant must appear on the reverse side of this. sheet .
* k * * * * * * * * * * * * * * * * * * *I, * .* * * * * * * * * * * * J* *
The owner of this property is : •P0 PS$�Oi'�ry Lu a V�'e1
P. O. Address `6R1 NIA lt 1 s TrZ.ip OK TEL. / ^ '65S
4tl `., `PAX MAP NO.
Property location � ��
Has there been any split of this property since October 1, 1988?' yes no
If yes , Planning Board Review is necessary. •
SUBDIVISION NAME, IF APPLICABLE _ _ LOT NO.
The person responsible for supervision of work as regards Building _tCodes is :
GNA.Mt • P .O . ADDRESS ��_ ' TEL.. ,{
Name of builder w/gtl JL k Address e,1p g-k FGy 5O 3 (�,sri.5 P 4 fry Tel'-((Al- \.z.`1-#
Name of Plumber - Address Tel
Name of Mason mitst- Dusr4R Address Tel
,
NATURE OF PROPOSED WORK: * ZONZNG INFORMATION (Office use only)
•
Construction of a new building * ZONING DESIGNATION OF PROPERTY S r.g- / 0
)( Addition to a building • * PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alteration to a building * , _
(no change to exterior dimensions)
* REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
Other work (describe) * SITE PLAN REVIEW # APPROVED DATE
* ..
* VARIANCE # APPROVED DATE '
GROSS AREA OF PROPOSED, STRUCTURE.
*
sq ft . *
Remarks: •
1st Floor 1,�C�
2nd Floor sq •f t . * COMPLETE INFOIMATION REQUIRED BELOW.
* Size of property rI5- ft X 1.60 ft.
Other Floors sq ft • * Existing building(::) Size 5/) ft X E 0 ft.
(not cellar or basement) * °-
TOTAL. FLOOR AREA_a O sq f t . * Existing building(s) Use (iQ 5 eL l/ -t
size of new structure 7 O ft X ( ft *
1•'otndation-pier slag crawl/partial/full * Proposed building, distance from property line
circle one). * front yard 1't Rear yard 41 ft
No. of stories (habitable space) 1 * Side yards �j ft and _ � ` ft
Height (grade to ridge) s ft. * If on corner, setback from side street IO O# ft
if residential, no, of families A
No. of rooms(excluding baths) 1 * OCCUPANCY INFORMATION •
No. of bedrooms ** PRIMARY BUILDING -
No. of bathroom:; - )( One family dwelling
Primary heating system / p'(�., -d1.� * _Two family dwelling
Type of. fuel 7► Multiple dwelling / Number of units
No. of fireplaces to be installed none * •ic Permanent occupancy
Will a wood stove be installed? f6 * `Transient occupancy •
Central Air conditioning? `s * Business
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Other
Ranch Contemporary Lon cabin * If addition, what will use be? L(.ua,vict l2f.10v"t
Rai
sed aised ranch Duplex
:split level 0 • style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial how
Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/___ . car
„ * * * * * * * . A A A * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
-
CONSTRUCTION $ 4 j � Q00
•
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 10/88 vl
r
bUILDING PEIU•MIT APPLTChTIOLI CONTINUED - '
•
BUILDING SPECIFICATIONS: • ��5�
TYpe of construction, wood frame, fire safe,ete.
Will any second-hand or ungraded lumber be used? If so, for what?
row dation wall m C Thickness;aterial COn Z r�
Depth of foundation below grade (to bottom of footing)Will there be a caller?�► ft
d_Heated or unheated? Floor sq. footage 1 Z O sq
Will there be a basement? Pip Will any portion be used a5 living space?
a of use?
(If so, what portion? sq'tt' �1� Material of roof cry ��
Type of roof - slo ed/flat/shed/other , o �t.
�� g "o.c. length
Size, wood studs � 2 ��X� spacin �� "o.c. span ft.
"X 11 spacing "o.c. span ft.
Joists(floor beams) 1st. floor ��X spacing
Joists (floor beams) 2nd. floor ) a spacing 1�.. 6
�� �� "o.c. ;;pan�_f t.
overlays ceiling beatns)
Roof rafters "X_i2=2 spacing \2 o.c. span-jrt.
Roof
oof trusses (pre-engineered) spacing "o.c. span
Exterior wall finish .022a ,\ 0.f 6AILIt m
Of what aterial?
Interior wall finish S . lik _ Jx_
If a garage is to be attached, describe materials to be used for FIRE SEPARA'1'
� If so will a Firurratcd •
Is there to be an opening between garage and dwelling.
door, enclosure, and self-closing device be provided? ft.
Will a flue-lined chimney be installed? �0 tHeight above roof
Depth of chimney foundation below grade
Depth•of fireplace hearth ft. in.
Water supply - Municipal or private well
adjoining properties ft.
S1:P'PIC SYSTEM _ Distance from ANY private nylrepairuornnc:w installation of septic system)
(A separate application is necessary
D E C LAR .AT I ON
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 tlh dd scribedall otherprew ses andninattall
provisions of the BUILDING CODE, THE `GONIN�IORDLrIN specified or not, and that such work is
the proposed work Sli..11 bu complied wrth,
uthoriz d by the owner. .
Signature Ada ontractor
Owner, Qwne agent,architect,c
l
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * It * * * A * * * * * * * * * * * *
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: •
tad
1 . Gross floor area /z
2 . Type of. heat arc," j co,
3 . Is the building mechanically cooled?
4 . Percentage of area of windows and doors
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 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 expos,Pd torambient conditions
2 . R value of exterior walls f - (1
3 . R value of glazed area ✓/ka d1°97,6,-
4 . . . R value of doors I
•
5 . R value of floors over unheated spaces
6. R value of slab edge insulation - unheated slab` / L/
7 . R value of slab insulation - he Ce —slab
8. R value of heated basement/cellar walls (above grade)
9. R value of heated basement/cellar. walls (below grade)
10. Type of insulation
C. Controls
1. Thermostat maximum heat. setting
D. Duct Systems
I.., 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 No.
(app is nt ' s signature)
INTERIM BUILDING , PERMIT
PERMIT APPLICANT !//, //
•CONSTRUCTION LOCATION . .
EFFECTIVE DATE O�
APPROVED. BY Aliff,041-
SPECIAL CONDITIONS
iyvi/ e... -
•
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 processing .
POST THIS INTERIM PERMIT IN A CONSP C OU LOCATION ! !
Building & Codes Department
i
TOWN .OF. QUEENSBURY,
REQUIRED INSPECTIONS: . . 24 HOURS NOTICE REQUIRED!!
1. Foundations Footings, before pouring concrete.
2. Foundations Inspections and Waterproofing, before Backfill, 1
3: :; Rough Plumbing, Heating and Frame Inspections before Closing in the Framework.
4. . Insulation - Foundation, Floors, Walls, Ceiling.
5. ` Inspection of Electrical Installations before covering (rough in) and on completion
of job. Final inspection certificate is necessary for issuance of CERTIFICATE. OF
OCCUPANCY. .
6. All new septic systems or repairs before covering any work.,
7. Final Inspections before Certificate of Occupancy is issued.
THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITHOUT 'APPROVAL
OF THE BUILDING DEPARTMENT.
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
ILDING INSPECTOR' • REPORT
REQUEST FOR INSPECTION� / RECEI ED
NAME `�/ ,. W / / /
LOCATION_ll eafiit '' f/jf c�pDATE 7114
/1 3 'Q PERM T # d Q d 04
�,/
/ APPROVED
add, gym to ,1'20 YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-•ROOFING•
BACKFILL APPROVAi
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: AJ/4
FOUNDATION
FLOORS 34 :1'
WALLS sr
'/ i.'--
)(FIN(FINAL INSPECTION:
AL
HEIGHT IV
ROOFING4/) —
SIDING t/`
EXTERNAL PORCHE'/S ' PS
STAIRS-CLEARANC & ••ILS PI'
PLUMBING FIXTU• S/R:LIEF VALVE A/�
INTERIOR TRIM/rRIVA DOORS A/(A-
FINISHED FLOOR.
GARAGE FIREPRI•FING �/�
DOOR CLOSER(S ,!
SMOKE DETECT.•S
FINAL ELECTRIC L INSPECTION -
_FINAL APPROVAL OF CONST'UC ON
��
OK TO ISSUE C 0 OR C/C fir:%
A SIGNED CERT/TFICATE OF 'OCCUPANCY MUST BE
OBTAINED FRO THE BUILDI DEPARTMENT BEFORE
THESE PREMIS S ARE OCCUPI D!
REMARKS: P r4'%Sf� JoLA.2_
)Jo IJ&cd C—UGe- Err. Ow,r rz
4 Co5 - exit-- PC '
ARRIVE
DEPART 5=R)
IN'l•ECTOR
,„ t.
1 4-1,
_/own of Queen3bur,
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME `
1 l..94E7...i4
LOCATION F-1
Oa -t Es 1
- 1)0. a40‘:
Date I1-f4 / \ Permit No. \Sr—5/V6
* * * * * * * *\* * * * * * * * * * * * * * *
✓ = APPROVED - YES / NO
/
Footing/Pier Forms
Foundation \
Waterproofing \ %
Backfill \ /
tAaming \ /
Roofing \ /
Siding \ /
Masonry Veneer \ /
Rough Plumbing \/
Relief Valves A
Ext. Porches / \
Finished Floors / \
Interior Trim / \
Stairs & Railings / \
Cellar Drain Tile/ \
Concrete Floors / \
Plbg. Fixtures /
Gar. Fireproof ng
Door Closers / \
Smoke Detector
Chimney \
INSULATION: \
Foundation
Floors \
Walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
C\C \-1. %,-... 6
6d1) '&
Building In p�ctor
6/86 and-vl �J
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /e p75
NAME .r!:Ca��C / J`77-A-
e
LOCATION . ij��^pi
DATE /p/ PERMIT # Bs- 05'6
APPROVED
YES NO
MOOTING/PIERS
MONOLITHIC POUR ORMS 1
FOUNDATION/DAMP- '•OFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING (j
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION '
FLOORS ,
WALLS
CEILING h, ,
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RA LS
PLUMBING FIXTURES/RE IEF VALVE
INTERIOR TRIM/PRIVA Y DOORS
FINISHED FLOORS ,
GARAGE FIREPROOFIN
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:
INSPE TOR
i
j I
I
q+
I
STUD
W ! a
i
" t
i
OWN OF
BOX PC�
tE�V ilk Y. " k� Q 6 7r
(a c,
7_,
^
�
A
,
�
'
x1 '
,/
�� �---- ----- -- r--------------------'
~� ------ ------ �7�' -------�~
~
, �
'---'--'
`