1990-199 //r!� r _r
4,411
1�l
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date (pi2() 1990
30 l , 13 - 1-13
This is to certify that work requested to be done as shown by Permit No.
90-199
has been completed.
This structure may be occupied as a addition to dwelling
Location Lot 106 Mohawk Trail
FOREST%VOOD HOMES
Owner
By Order Town Board
TOWN OF QUEENSBURY
))51
& Code Enforcement
Director of Bldg.
BUILDING PERMIT
N
TOWN OF QUEENSBURY -
No. 90-199
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to FOREST WOOD HOMES °O
OWNER of property located at Lot 106 Mohawk Trail Street,Road or Ave. °'
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.
0
1. OWNER'S Address is
HC-02 Box 286P
Warrensburg NY 12885
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2. CONTRACTOR or BUILDER'S Name 0
same
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3. CONTRACTOR or BUILDER'S Address
CP
4. ARCHITECT'S Name
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5. ARCHITECT'S Address O
pa
1-3
6. TYPE of Construction—(Please indicate by X)
k )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 196 sq. ft. Addition as per plot plan, specifications and application.
8. Proposed Use -
O
Addition to dwelling z
I.
a
16.00 October 25 90 ro
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19
(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 Queensbury thish Day of April 19 90
f SIGNED BY C,/ (P for the Town of Queensbury
Building and Zoning" Inspector -
TOWN OF QUEENSBURY 411
6 O V" i OF Q1#P'''\KMUR\
REVIEWED BY FF1EcElvaD
1S1 FEE PAID $ o
PERMIT NO. �_ Se
APR 2 3 1990
BUILDING PERMIT APPLICATION BLDG. & CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the,signature of the
applicant MUST appear on the reverse side,of this application.
• • • • • • • • • • • • • • • • • • • • • • • • • • • •. • • • • • • • • • • • • •
The owner of this property is: Ff)vVS J ',tDDd iipwas
P.O. Address ,--Oa h0,',2 / UU G{i✓1^li t t 6yP f, Tel. �r2� P��j f
Property. Location IDi 10 4 bto/K J, i I Tax Map No:
Has there been any split of this property since October 1, 1988? / t/ / O 6.
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE 7JtcJ(9Oi
LOT NO. /6/0
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
i v e 1a MOO/ 140-,AADS _
NATURE OF PROPOSED WORK: • ESTIMATED MARKET VALUE OF
Construction of a new building • CONSTRUCTION: $ 9,in()
COMPLETE INFORMATI BELOW:
Addition to a building • ON REQUIRED 7,o
* Size of property �D ft x '== ft.
Alteration to a building • Existing Buildings(3) Size ag ft. x 6.9 ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) • Front and
•
y -S-l) ft. Rear yard qS ft.
Side yards ac_ ft. and 31) ft.
•
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor i(Yh sq. ft. •
• OCCUPANCY INFORMATION
2nd Floor sq. ft. • Primary Building -
Other Floors sq. ft. • I One Family Dwelling
(not cellar or basement • Two Family Dwelling
TOTAL FLOOR AREA f' /� sq. ft. • Multiple Dwelling/Number of units
Size of new structure I y ft x l y ft. • Business
Foundation-pier/slab crawl rtial/full •• Industrial
(circle one) • Other
No. of stories (habitable space) ! •
•
Height (grade to ridge) I yt/ , ft. • If addition, what will use be?
If residential, no. of families I
No. of rooms(excluding baths) ! •
Accessory Building
No. of bedrooms •
Detached Garage ONE/TWO Car
No. of bathrooms •
Primary heating system ;L_c�,'r • _Attached Garage ONE/TWO Car
Type of fuel n • _Private storage building
No. of fireplaces to be installed . •
• Other
Will a wood stove be installed_
Central Air conditioning . •
OVER
BUILDING PERMIT .APPLIC.ATION CONT[vLED -
BUILDING SPECIFICATIONS: '
Type of construction, wood frame, fire safe. etc. 34-)%E h1A f-1- tAi cloci
Will any second-hand or upgraded lumber be used? If so, for what?
Foundation wall material C_ -v ,c,�re� C Thickness 2. '
Depth of foundation below grade (to bottom of footing). Li
Will there be a cellar? h c2 Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? h 0 Will any portion be used as living space?
(If so, what portion? sq ft. Type of use?
Type of roof - sloped at/shed/other Material of roof
Size, wood studs ."x " spacing f ' " o.c. length . ft.
Joists (floor beams) 1st floor a "x c, " spacing [ , "o.c. span , y ft.
Joist (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 aLt " o.c. span I y / ft.
Exterior wall finish c_P(Q"- of what material?
Interior wall finish _sI, r c, , 1� � i cooda." d
If a garage is to be attached, describe materials Ito be used for FIRE SEPARATION:
Is there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? Height above roof ft.
Depth o.f 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)
NAME OF BUILDER i fl e.S I� fnJnflni (�?,. ADDRESS Ye-i 7 box �� — TEL. WO. �a3 -
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON G;,,f le,. i kte,fivig, ADDRESS i/e--5,31 c;NA ii TEL. NO. 7 O Uaa
NAME OF ELECTRICIAN .0> ,�/16,1--;)1j ADDRESS l�U/,%'LP/LgM/ ' e TEL. NO. - -
DECLARATION
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.
Signature7(qO��rner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
WARREN COUNTY, NEW Y:RK
•
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 !loos area /. Ti
2 . • Type of heat ac,f
Aft 2 leca "
3 . Is the building mechanically cooled? ,m?_
4 . Percentage of area of windows and doors Wzi,
B WO.di, ,/
A.- Over 16% Only
1. Uo value of gross area of walls , roof/ceiling and floors
exposed to ambient conditions -
2. Floor over heat- i spaces YES NO
a. Are foundat on walls insulated? YES NO
1. If YES , what is the . R value?
3. Slab on grade YES NO -
a. If YES , wh .t 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 exposed to ambient conditions •
r-3fij
2 . R value of exterior walls g- 19
3 . R value of glazed area k
4. R value of doors to
S. R value of floors over unheated spaces re-iq
6. R Value of slab edge insulation -. unheated slab
7. R value of slab insulation - heated slab
8. R value of heated basement/cellar Malls (above grade)
9. R value of heated base
�ment/cellar walls (below grade)
10. Type of insulation -)l k 1 SS
C. Controls U o
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 K',-- 1
b. R value of duct in other areas •
S. Pijina Insulation
1. Size of hot water or cooling carrying agent pipe_
2. R value of pipe insulpt'"—
.t. Service Water Heating
1. Performance efficiency W.) 19X
2. Temperature control setting maximum MO-
G. For Swimming Pool Only •
1. Maximum heating
Telephone so. A,61; ~07%
(-applicant' s signature)_
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK I280A. /�
TELEPHONE (5 8) 792-5832
BUI': IING INSPECTOR'S REPORT
REQUEST FOR I .PECTION RECEIVED //1 77�0
NAME
LOCATION vi'-/ 0r/r> L/"!7G/.�i
DATE „h L) PERMIT #
7
/J�+ ,� /
APPROVED
(!d%'a /01,0 I YES NO
FOOTING/PIERS
MONOLITHIC POUR FP' S
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL I
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
( FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/ST' P
STAIRS-CLEARANCE & ' S
PLUMBING FIXTURES/ 'ELI..F VALVE
INTERIOR TRIM/PRI ;'CY I•ORS
FINISHED FLOORS
GARAGE FIREPROOF: G
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL , NSPECTIO
FINAL APPROVAL 0 CONSTRUC ON
OK TO ISSUE C/O hR C/C
A SIGNED CERTIF CATE OF OCC 'ANCY MUST BE
OBTAINED FROM E BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
ARRIVE
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DEPART
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT . 19/q
BAY & HAVILAND ROADS 1
QUEENSBURY, NEW YORK 1280k 1
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FO' '. SPECTION 'ECEI ED /^ / °II 41
1
F
NAME loll I ••1 _.Ji ieII,_11
-1211,2011117,51,211r -/
DATE _7r(C ) PERMIT #1 go -R? .
7
APPROVED
1/1 & ( j YES NO
FOOTING/PIERS 1
MONOLITHIC POUR FORMS 1
FOUNDATION/DAMP—PROOFING I
BACKFILL APPROVAL 1 /�
ROUGH PLUMBING -
FRAMING „ ' . V
ELECTRICAL ROUGH—IN 1*
INSULATION: [
FOUNDATION /
FLOORS , 1
WALLS
CEILING . . . i
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING 'Y . I
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & RAILS .
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS' /
GARAGE FIREPROOFING
DOOR CLOSER(S) '`,j
SMOKE DETECTORS /
FINAL ELECTRICAL INSPECTION "
f
..FINAL APPROVAL OF /CONSTRUCTION '
- OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
. i 11
It
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I
c'-- 0
, ARRIVE
DEPART .. c SV . -
INSPECTOR
TOWN OF QUEENSBURY •
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND !ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
i •
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED .410d
NAME Ai1
LOCATION 4i //, 2 .�d -� 4 / •
DATE JPAd PERMIT #E' 9n -/qq
I( Da ?' // APPROVED
.lri ARIA& etkly YES NO
FOOTING/PIERS t' X
/ MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL f •
ROUGH PLUMBING
FRAMING n
ELECTRICAL ROUGH-IV
INSULATION: {
FOUNDATION $,
FLOORS . . • .
WALLS • .
CEILING Ia
FINAL INSPECTION: ' 'J
CHIMNEY HEIGHT I a
i
ROOFING g \ ,
SIDING
EXTERNAL PORCHES/STEPS • NJ(
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTTRES/RELIEF VALVE
t
INTERIOR TRIMMPRIVACY DOORS
FINISHED FLO }RSA
GARAGE FIREP OOFING
DOOR CLOSER(S) 1.
SMOKE DETECTORS %,
FINAL ELECTRICAL INSPECTION .
_FINAL APPROVAf OF CONSTRUCTION
• OK TO ISSUE C1O OR •C/C
A SIGNED CERTkFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDINGtDEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED`!;
REMARKS: f `t 1.
iervicas
C),OAT - /
; 9,Ahu&D-\---0 - 1-1-3-1-:
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ARRIVE •
DEPART :3
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INS ECTOR
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