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1989-489 axk ' 4 r i i i.RTInCAT' OF OCCUPANCY i TOWN OF QUEENSSURY i WARREN COUNTY, NEW YORK Efate February 13 lq 90 This is to certify that work requested to be clone as shown by Permit No. 89- 489 r E has been completed, I "This structure array be occupied as a Second Story Addition L.ocatiion oo I Owner Jeffrey & Marcia Dark i By Order Town Board TOWN OF QUEENSSURY Director of Bldg. do Code Enforcement i f 1 BUILDING PERMIT TOWN OF QUEENSBURY 89 489 C' WARREN COUNTY, NEW YORK co r R :v PERMISSION is hereby granted to Jeffrey & Marcia Dark c' OWNER of property located at 240 Stonegate Drive Street, Road or Ave. in the Town of Queensbury, To Constructor place a Second Story Addition 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 x RD# 1 Sox INK 240 Queensbury , N . Y . 12004 , -�l �i 2. CONTRACTOR or 8UI LUE R'S Name � Tom Burke ¢t K 3. CONTRACTOR or BUILDER'S Address n P . O . Box 105 Lake George , N . Y . 12845 4. ARCHITECT'S Name , r. 5. ARCHITECT'S Address c' C: r? m B. TYPE of Construction — (Please indicate by X) { ) Wood Frame { ) masonry 1 1 Steel i ) 7_ PLANS and Specifications two car garage No. 24 ' x 26 ' Second Story Addition to as per plot plan , specifications , and application , 8_ Proposed Use 4 ro t� Second Story Addition c r $ 48 , 00 PERMIT FEE PAIL) — THIS PERMIT EXPIRES X*KXdXj1X February 1 19 90 � (If a longer period is required an application for art extension must be made to the Building and Zoning inspector of the � G town of Queensbury before the axpiration date.) [ c Dated at the Town of Queensbury this 5th pay of jul y 19 89 c SIGNED SY for the Town of Queensbury Olding and ning ctor TOWN OF QUEENSBURY APPI. TCATTON rOR RLJTLP- rNc ANT) ZONING; Pr-. RNQT Roc cue t TOWN OF OUEENSBURY ^� RECEIVED • � Reu.t:eiued W, e 10 Fee Paid fi�% JUN 2 6 1989 t)'U I LD I NC; AND CODES D1 'J 'AffDTF..l4T Date T.aa ued BL DG, & CODE DEPT. :;.et Y and NAV'ILAND ROAD& ,R.D 1 pox 98 ,tir nUE'ENsBVRYeNE1V YORE: 12804 PcAmit No . _ I. Tel . ( 519 ) 792- 5932 Ext 204 * w ■ s s s 's w a s : w s s s r s s s s w w w s ■ w w w • • w w w : A l' ERHIT MUST D13 OBTAINED BEFORE BEGINNING CONSTRUCTION . R INSPUCrfi6NS 11' ILL BE MADE UNTIL, APPLICANT HAS RECEIVED A VALID BUILDI-N P 'EnNIIT . All applicable spaces on this application must be complete ' anti the p q -1onature of the aplicant must appear on the reverse si of this shoot . fi The owner of this pro erty is : 4-( .a2 [' Cs . Addrra.ss J0 F � TEL . " 4" iroperty 2''ac - , ) n > ' % `TAX MAP NO . e`��l teas there been any split of this property since October 1 , 1988 ? yes no If yes , Planning Board Review is necessary . l7 s (. BolvISION NAME . IF APPLICABLE LOT NO . `Zt� The person responsihohe�fo� �� �+ ision of work as regards Building Codes is : r� NAME CS ..-,,�• O �,�AP,D& CSS C' {'� TEL �t , <-� c� L C Qr a& of bui��dTa 'Lr, r- t� C � Tel tdame� of Plumber 1 7 ? leddress , y -7 • Tel r L� Tel V,-7 67-- flame o Address tt,tiTuRk Car PROPOSED NURI� : * 70NINC, INFORMATION ( Ot-Cice usc3 Only ) _('nn :; cruccion of a [xew buildin.7 " ZONING DESIGNATION OF PROPERTY ./AdaitiOn to a builJillg r PERMITTED PRINCIPAL PERMITTED ACCESSORY AlLt.:C"tion to a l.uilding ` � ( a �6 ClL.414c7� to excurior rtilnent ion3 ) ; REVIEW REQUIRED - PLANNING BOARD ZONING DOARD� i Ucl,ur work { ]ascriu�e ) * SITE PLAN. REVIEW # APPROVED DATE I t kOSS ARL'' .� CSL` PROP OSCQ. ; 'TLtUt '1' UItE • VARIANCE R APPROVED DATE.. 1st Floor sq ft . * Remarks : We 2 nd >" 10o r sq f t . COtHP ! �'1'l» lN1'LZi;tV►'L'lON 1rL r4tilllu:A Las=Lu4J . �J ft ft Other Floors sq ` ft , of LxrOLsurty ( not cellar or ba ement ) ; i=' ti [rr] },uil .Siir�] l : ) S i m• TOTAL FLOOR AREA Ll4 sq f t . '" Lxiatil�g owi1.3irtU ( : 1 U5u i -=u of new sstructur. ft ? �ft " 1'oLutd:scion-pier/slab./crawl/L)art !LLi/ full " PzQpo::Cd builaLng , d"C'11nau iron[ pro1+crty lir►u (cirel.: one ) ' ft Num of acories (IvAbit.blo ppace ) * Front yard ft Rear yard. 1: Sick y:ardu t c :and c ssui.ghc ( grade to ridq.: ) _�744w ft • a It an cc,rnar � :.ur�i:ack £rota sir3c: :trust: rc If r0a+iduntial , no4 car' f"milies t1ow of room3 tQxcludinU b:.4ths ) a'7 - OCCUPANtrY INFOr4OATM4 [too of budrooms I • ON „ PRIMARY LLIILDINC Noe of b;A01rootua a - Orin family dwelling trriltxary � i{:LLtll4ij sy;:c . ur . rwo e"Ul .ly dwelling •ry " of fuel Mu1tiL,l+ dwQlling / Number of units No . of firul1l .acu4 ca b,: in :tullud l�erttwnet►t accuL�:artcy Hall :.a W*>Qd ys:ovaa k,� inst:. 11ud? WOMMOMPOPM• * '1'ran::iu1tt o+_ cull;arscy Luntrul Air 11usinesX BUILDING STYLE, PRIMARY STRUCTURE * Industrial c) Concwstpor..ry Log cabin . Ocher ia.:d ranch KAnZ11e6ji% oulhi ,:x r It ldditiun , ►rt4at will uuu 1]u ? l+..a Old ticyle L1uJty.+ loW a' Pea Cod CQLC" %.! OC14�: r ' ACCESSORY LiUILDINC- colanial tcov 'rowtr House ' U:atachea 9"r:ago/ono cur/ two car/ czar { CIRCLL OME PLEA.r.E 1 * Acczacha:Gt 9"raqu/on4 car/ two cLLr/ ctxa' w s s ■ s s a s . w s w + s * s * Ilr.iV:at4 stOr::aga building L: .SOVIMRTED MARICr#Jm VAxAju OF t: tltV ::'1 tcUC't' IGlM IN['0r:1o[ATION ON BUTLOTNC SPrCIFTCATIONS , ON TZEVERsc sIoC OF TttiS C�t=%T, TO BE COMPLCTLDI Form BPA 10/88 v1 BUILDING PERMIT APPLICATION CONTINUED - BUILDING SPECIFICATIONS : Type of construction , wood frame , fire safe , etc . cc,-` 0 C; '9 r"` /_.j /"7 e 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 por � sq . ft , - - Type of use? Type of roof - sloped 'fla shed/other Material of roof Size , wood studs k�j . '• X " spacing " o . c , length �ft . Joists ( floor beams ) 1st . floor " x spacinq "a . c . span ft _ Joists ( floor beams ) 2nd . floor _"x spacing"o . c _ span� ft . Overlays ( ceiling beams ) mix spacing " o . c , span ft . Roof rafters " x spacing o . co span ft . Roof trusses (pre-engi Bred) spacing" o . c . span ft . Exterior wall finish•, Of what material ? interior wall finish V4� + If a garage is to be att ched , describe materials to be used for FIRE ISEPARATIOK . 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 ) D E C L A R A T I O N 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 laws pertaining to the proposed work shall be complied with, whether specified or not , and that such work is authorized by the owner. Signature �t Owner, owner's agent , architect, contractor SPECIAL CONDITIONS OF THE PERMIT : R`1.......___......._.......___.......... 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 Y 1 2 . Type of heats 3 . Is the building mechanically cogged ? ,r 4 . Percentage of area of windoand doors A . Over 16 `k Only 1 . Uo value of Bros area of walls , roof / eiling and floors exposed to amb ' nt conditions 2 /A , eated spaces YES NO undation walls insuI ted ? YES NO �(" f YES , what is the vat-ue ? 9 3rade YES N S , what is the value of insulation;"around eter of floor � 4nt heated ? YES NOue of insulation 5 . Type of insulation B . Under 16 % Only 1 . R value of rn f a C� ours exposed to .ambient conditions _ 2 . R value of exterior walls `] 3 . R value of glazed area. *2 4 . R 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 8 . R value of heated basement / cellar walls ( above grade ) '"�'- 9 . R value of heated basement / cellar walls ( below grade ) -`-',-�— 10 . Type of insulation R - R._.Jf ti' Co Controls 1 . Thermostat maximum heat setting D . Duct Systems Y . 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 . Pipin2 Insulation 10 size of hot water or cooling carrying agent pipe 2 . R value of pipe insulation F . Service Water Heating Y . Performance efficiency 2 . Temperature control setting maximum G . For Swimming Pool Only 1 . Maximum heating Telephone No * ( applicant s signature ) TOWN OF QUEENSBURY j3UILDING AND CODES DEPARTMENT pAy & HAVILAND ROADS QUEENSBURY, NEW yORK 12809% TELEPHONE (518) 792-5832 BUILDING INSPECTOR ' S 'REPORT REQUEST R INSPECTION NAME I -Lf ��� PERMIT DAATETE � APPROVED YES NO FOOTING/P I E14S MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-IN INSULATION= FOUNDATION FLOORS WALLS CEILING VI FINAL INSPECTION : G CHIMNEY HEIGHT ROOFING ,SIDING EXTERNAL PORCHES/STEP,5 STAIRS-CLEARANCE & R PLUMBING PXXTURES/REDIEF VALVE -.- INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING DOOR CLOSER (S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION FINAL APPROVAL OF CONSTRUCTION A SIGNED CERTIFICATE PF OCCUPANCY MUST BE OBTA, NED FROM THE BUADING DEPARTMENT BEFORE TFfESE PREMISES ARE OCiCUPIED! REMARKS : INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVXLAND ROADS JJJ QUEENSBURY, NEW YORK 1280&t TELEPHONE (528) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTXON RECEIVED NAME LOCATION DATE fd ' ;;2 / ��fZ PERMXT # APPROVED YES I No FOOTING/PEERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFrLL APPROVAL ROUGH PLUMBING FRAMING ELECTRICAL ROUGH-XN XNSULATXON: FOUNDATION FLOORS WALLS CEILING I..'eiINAL INSPECTION; CHIMNEY HEIGHT ROOFING SIDING ti EXTERNAL PORCHES/STEP. �. sTArR.s--CLEARANCE & R.SI'Ls PLUMBING FXXTURES/R LIEF V LVE INTERIOR TRFM/PRIVY DOORS '= FINISHED FLOORS=CONSTRUCTION� GARAGE FIREPROODOOR CLOSERS) SMOKE DETECTORS FINAL ELECTRICAL FINAL APPROVAL O A SIGNED CERTI XCATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE TH SE PREMISES ARE OCCUPIED! . REMARKS: t.. rN PECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS ,r,� QUEENSBURY, NEW YORK 1280k TELEPHONE (518) 792-5832 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED - NAME LOCATION q_� DATE 1C"y _ RMIT # + s APPROVED YES NO FOOTING/PIER$; MONOLITHIC PO4R FORMS � FOUNDATION/D -PROOFING BACKFILL APPRO L C �ROUGH PLUMBING L-•Y'RAMI NG ELECTRICAL ROUG IN L ,,,ZWSULATION: FOUNDATION FLOORS WALLS CEILING FINAL INSPECTION: CHIMNEY HEIGHT ROOFING SIDING ` EXTERNAL PORCHE /STEPS STAIRS-CLEARANC & RAT PLUMBING FIXTU ES RELIEF VALVE INTERIOR TRIM/ RIVACY DOO'US FINISHED FLOG S GARAGE FIRE P FING DOOR CLOSER ( ) _ - SMOKE DETEC RS - FINAL ELECTR CAL INSPECTION FINAL APPR AL OF CONSTRUCTION A SIGNED CERTIFICATE OF OCCUPANCY M T BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED ? REMARKS: INSPECTOR M19BLE"� EVAR"� WNT INSPEC'E ON �► ENG`4'; 1IyC. 1 National Headquarters f / clon`Ave., Collingswood, N.J. k]BtflB arr>•. --- Date. � or Township County— I�'� —State AIZ Cary. k jr f Address .,: 42 t- {Cf;t..ok*Aq Rural Area Please Attach Directions) Pale # .+rw Permit # — IleBuilding: New ?4dEj A V&trk Area in BWIdin Floor #. etc.) : ` or: M.D.t,A. of' Ratlgh Wiring C�rtTiata Elect. Heat �yoo ;7sa xgpa x#A sa zaoa xx5 • ; + s Arnp. Service � , - Surface Unit Dishlsslffi Range 3 _ Water Heater Air Conditioner Oryerr ` ' Pump lam . Oven Garbage Disposal Wiring and Cantraks .far Burner inter of Fixtures ► mp. Receptacles Fractional H.P. Vent Fans " Other Equipment: 1/2 1/1 1f10 1/6 1/fi 114 ;/3 1/2 314 I l�h 2 3 5 7312 10 15 20 225 3a 40 50 7S 100 rk er ;. r , , f Elie size Applicant's License fPernii Signature } # T1A Utility : NAME) lornct LOCATION Applicant's`i4i dTils3: " r (City) (State) (zip) Service Request # Phone # Electrician- DATE RECEIVED: DATE INSPECTED: Correct Location: Same as Above Red Notice label 0 Rough Wiring Outlets Surface Unit Oven Switches Ran Garbage, Disposal " Receptacles water Heater Dishwasher, Fixtures Alt- Conditioner Dryer Amp. Service Equipment Burner, Wiring & Controls for Amp: .Fans acie Am . Service Conductors Pump Vent Fans MOTORS H.P, 1/20 1/12 1/10 1/e 1/6 1/4 1/3 1/2 314 1- lvz E 3 5 orw 10 15 20 25 0 40 50 1 TO 1 100 Mark Number of Each Size Elect. Heat I 500 1 758 fl0011250 150a 175e 20OC 2250 2500 27511 3090 Q <i MILE RW i ` ` Progress : Inc. LKD Contractor © CFT` Violation : Work Comp. O Inc. CASH 0 . LIA .` Owner Fee . CHK # Due �f LIA MO # IPA Municipal INV # APPI i can t Data Other Side n Utility7 Owner Cut in •Card ED Temp # Data INSPECTORS SIGr4^TURE 4 # Final # Date APPLICATION FORM NO. 250 EL 11/86 YOU ARE HEREBY REQUESTEJJ TO INSPECT AND ISSUE CERTIFICATES FOR THE FOLLOWING ELECTRICAL EQUIPMENT TO BE INSTALLED BY THE UNDERSIGNED CITY OR VILLMa l -----NfP r . k 1 J' /� COUNTY STREET AND NO �....!`" POLE IB NUMIER BETWEEN WHAT TWO CROSS STREETS IS PREMISES LOCRFEOy BEC,TION ' 'TOK K LOT OCCUPANT 8 OCGU OWNER'S NAME ANCI,pDDRESS HOME TELEPHONE NUMBER CURRENT SUPPLIED BY FROM THEIR OFFICE %K RK TELEPHONE NUMBER al.ILDING IS NEW ❑ OLD ❑ WORK IS NEW ❑ ADDITIONAL ❑ iFEGTS REMOVED LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED Lora- NUMBER OF OUTLETS Na of Fixtures A MC7rORS 1-)EATERS BRANCH OFFICE USE ' Lamp ReCeptaCles CIRCUITS ONLY (IOR Side Attwh't H_P. Watts A.WG. Ceiling Wall Rerxip'Is Switch 3Zndant Bracw No- Type EacIT No. E, h No- � INSPEG"ffC7N OUT- SIDE SUB- BASE EASE- MENT ist FL. 2nd FL. 3rd FL. REMARKS! LIST QT{-IEfi 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 SIGNBALAMPS TOTAL v""S CHARACTER OF WORK C= EXPOSED GAS TUBE SIGhUTRANSFORMERS OF 11A CONCEALED DATE WORK TI[5 BE STARTED. DATE COMPLETED SIZE OF SIGN(NUMBER) CAPACITY SERVICE ENTERS BUILDING MANUFA 7PURER OF SIGN ❑ OVERHEAD ❑ UNDERGROUND DaE INSPECTION REQUESTED ON (OR AS NEAR AS POSSIBLE) MUST EfI APPU AW!"S WENT1FICATIION NUMBER: " AWO AY$ BY GIVING ANO ACCURATE INFORMATION. ALL SPADES M BE FILLED IN OR APPLfCATION MAY BE fmTURNEp PRINT NAME AND ADDRESS NAME OF APPLCANY PATE OF APPLICATION 81OW&U0W OF APPLICANT Q lGc50� 1 .STREET AID DIRE TEL CITY OR POST OF E � LICENSE NO, WHEN APPLICABLE ❑ 85 John Street ❑ 41 State Street ❑ 594 Delaware Avenue ❑ 217 Lake Avenue ❑ 202 Arterial Road NEW YO•RK, NY 10038 I ALBANY, NY 12207 BUFFALO, NY 14202 � ROCHESTER, NY 14608 I SYRACUSE, NY 13206 THE NE.AALy1aRK BOARD OF FIRE. UNDERWRITERS C. 4 11 TAk?/4 , , r toru SA TOWN OF QUEENSBUAY Zoning Adminis de,tc r /� b