1989-521 f
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY , NEW YORK
Date September 24 lq 91
89- 521
This is to certify that work requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a _..
addition to dwelling
Lorcation
Diane Olsen
Owner
By Order Town Board
TbW N OF QUEENSAURY
Director of Bldg. 'code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 89-521
WARREN COUNTY, NEW YORK r'*
1
PERMISSION is hereby granted to 'Kathleen I 62PICald Pecne ---------- a�cy
OWNER of property located at EX Bass Road Street, Road or Ave.
in the Town of Queensbury, To Construct or place a Addi t7 n to single Fermi 1 y
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.
'a
t . OWNERS Address is
RD#4 Sox 546 Big Bay Road
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f'n
Queensbury. N . Y . 12W4
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2. CONTRACTOR or BUILDER'S Name r+
Self
ro
Ike
3. CONTRACTOR or BUILDER'S Address
Same
a
4. ARCHITECT'S Name qe�
E'!t
N
to
S. ARCHITECT'S Address �p
O
G. TYPE of Construction — (Please indicate by XI
( I Wood Frame ( 1 Masonry { } Steel { }
i. PLANS and Specifications
CL
No. 8 ' 3" x 20 ' 3" Addition to Single Family as per plot plan , specifications , x CL
and application
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J,
S. Proposed Use
Addition to Single Family c
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$ PERMIT FEE PAID — THIS PERMIT EXPIRES February 1 19 90 f°
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_)
J.
�C
Dated at the Town of Queensbury 14tFly�/j Day of r3ul y 19 89
SIGNED BY N^ 7, % for the Town of Queensbury
Building and Zoning inspector
'! V � Y ., Y* LJl - �., 4r G�G. 4 ELi Cr* !S 1 nn r � , " ?] i,� 71 F ' ; � :1. 'V ?-) "y ^ [fir' ? tiSr 4
C?
-s`-, F'r1 0IUEpN'S81j 1'CW
Fee Paid t
l'PU I LDI NG AND CODES ut PARTt +EN!T Va.te Ta.5ued ��� 798.9
..tr n � O = x ]3
UEENSaURNEiRJ YORJ%lr IJQ4 PCAPVu't NO
Tel . ( 5: 81 792 - 5c332 £xc 204
• * • • w * • a . w • w t w • • ■ ■ ■ ■ ■ • r ■ w w a • s w • r ■ w * • +
A vmWIT MUST D12 OBTAINED UEraRE LECINNINC CONSTRUCTION * NO INSPECTIONS
VILL BI: r` ADE UNTIL APPLICANT I111S RLCEIVED A VALID BUILDINC PERMIT .
All applieable spaces on this application must be Completed and the
r* Dature of the applicant must appear on the reverse side of this sheet ,
■r * * * -A * * * * A In * A * * * * * * * * * * * * * * * *
41' 11e owner of this property is :4%�/l��
t' . Q , A d d r e s s :f`, 11' 44�V .�' .o:!5;�Oe6 . gs. 2 '/ .&.
,rAX MAP NO
iroperty location
Has there been any split of this property since October 1 , 19BB ?
yes no
If yes , Planning Board Review is necessary .
�EUBDIV I5ION NAME , II' APPLTCAnLE LOT NO ,
The person responsible for sup .arvision of worst as regards Building Codes is :
NAME F^ , G . ADORCzS TEL . No .
Sjalme of Guilder Address Tel
t4"Mia of Plumber 1.c3drCss TcTel
N*AMe of Matson 1 A1dcc .
. iATuRt or morosLO ZONING iNl O101,L. Ctariice use ansyl
_..^.an:; cruccicrr of u rsuw builain.-I or ZONING; OLSICNATION OF PROPERTY
_Ad: Aci.licion to a Lruilainc7 � PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alt%or"L. ion to " LuLlding
� ( iro CIi.,, . 3 � to .:xc .: ri�ar 4r1xinen:.- ion3 ) ' REVIEW REQUIRED - PLANNING BOARD ZONING IiOARD�
Uct « r work i,.lu:;crLu.• 1 SITE PLAN 'REVIEW # APPROVED DATE
. ktL7yS AkL .� Ca' i' RCPt33GD. + 'rrEuC 'L' LiEtTi. ` VARIANCE 0APPROVED DATE
• Remarks
1 t floor sq ft , :
2 nd Floor sq, Cc scLi U L I L'A uL LJhAJ o
' 3ie.0 of l�rol,urey J �_rc xCc .
Other Floors sq ft `
.
( not cellar or baasemanzl t=xi - tir�t� t�uil .4aiw.] i : l � + -u tr: x .. / ad"
TOTAL FLOOR AREA / .� /� `+ q f t , r Lxl :.0 L ag 37ui L�l �rrr{ ( :. ) Llaw ��4"..LZ.1�;1,92 '
u c+ r nc.w :: S, ruCtur%2 T
I'ual�rd:+ cion-nicr/ tlaL/cruwl/1a3rc :.. tul ' t+rb��o;.uc1 buLlu �ng , +1� :. t:.ncw crow 1,rat�srty 11lt46:
( circle oncl , Front yard f -- r t Rear yard ft
N3 . Of caries (ka:slaic .blQ ;1�aaCe ) Sides y"rdu r'e':y ' rt and rt
E1%; ighC ( Urado to ridgw ) , .+ri � fc . Ir' on cc+rnar, :,uc15a4k frola 414w ::truuc - rc
1 i rrlaisiwnci:al , noo of f amiliems
Igom of roomostexcludinrl b"thy1 ' OCCUPANsm;Y INFORMATION
Ito . of budroomy .� PRIMARY LUILDING oio
No . ofi►thC4aNi'r� � �onc f,anu.ly dwelling
t' riurary tau.ncilarj 26;yut .04 'F' + TWO eL&Ma6iy dwulliny
Typ„ of fuQl Multaplu .lwulling / flu:comer of units _,�,�,_
No . of fjruplacu6 tci b" ingti&llwd.� occup"Xicy
Will 4 wwl *%I Qv i Lw lnutalltn;d?
OWN
• 1'r:ansiwcct c�uculx:sr�c y
iLancrv`1 Air w � 19us1nuS3
BUILDING STYLC, PRIMARY STRUCTURE • Ir►duSL' rial
Iw«ala Corrcwurl:Gr.+ry L.Qq cabin �► other —
;.aie:.:d rant 1 Man*A'406& oupL "x . It +additlun , w1r�G will u:.w b4s7
ulrliG TWv+il Oid scyl.: uuakywlow
C.. o Ccd cott"44 Orfm: r ACC9%!SO1Y LsuiLGINC-
C4LGi1i.♦1 1++0w '1•owir House • i.w: tachdd y,+r:+90/01nQ cur/ twa c" C/ " r
( Clacul; CCU PLEASE 1 Attaachwl cjGar:ai] 4:/o,1s Cat/ two C:ar/ c.aa'
♦ • s • • ■ • • a . ■ • • • ■ • • * Priv" Cw S "C"94 building
-
L'zo6rIMATv# 0 MARKe'I' VAI, uc or ° othwr
CONSTkUCTIGN � - ;
GW .�w..�i .. ,.
3NFORanATTON ON BUTLCITNC spnCIFICATTONS , ON rtCVER.SE S. Jon OF 'TILTS CRUET, To Be COMPLGTLOi
Form BPA 10/88 V2
SC I u I "IG PE RIM NAPPLICAT.
5L-; IL_ JIN'G SPE IFICATIONS :
y; c of con �ntructlorl , Wood fra.T.E ,
1L1 ade� 1 � , er be � �L.d : L
any second- hand or ungr �4 . for What ?
Found,at lon wal l mater ial �i,.�,7� _Th . ckness
Depth of fcur.dation below INI ( to bottom of footir.q ) � '
Will there be a cellar rC'q.. foot
�,��d or unheated ' Floor sq . footage sq pt
Will there be a basemenr� . yam .r 1, any portion be used as living space ?
( If so , what portion ? s t , - - Tvwe of use ?
'^/pe of " h roof - slopedlflan e trier .+r� l� Matari3l of roof Qp20'54 ',!!Z�P ,{ p, Q',r4!:FZ7-
wood studs " xNft spacing" o . c . length ���ft .
Joists( f loor beams ) lst . floor INX " spacinct " o , c . span
Joists ( floor beams ) 2nd . Floor " x IN spacing 9o . c . span ft , ,,A ,
Overlays ( ceiling beams ) " x spacrng " o . c . span ft .
Roof rafters '' " x�' IN spacing_ t o . c . span ft .
Roof trusses (pre-engineered) spacing " o . c . s _an ft .
Exterior wall finishG� ��p _ Of what material ?
Interior wall finish ;n���
if a garage is to be attached describe materials to be used for FIRE SEPARATICN :
Is there to be an opening etween garage and dwelling? If so will a Fire - rated
door , enclosure , and self- closing device ba rovided ?
will a flue -lined chimney be installed ? ��eight above roof ft .
Depth of chimney foundatiolow grade ft .
Depth of fireplace hearth � ft . in .
water supply - Municipal or ,private well
SEPTIC SYSTEM Distance from ANY private we ll ( including adjoining properties ft .
(A separate ap_lication is necessary for any repair or new installation of septic system )
D E C L A R A T 1 0 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
Owner, owner's agent , architect, contractor
* * * * * ♦ R N * * * * * * * R * It R * 1k * * !
NO
SPECIAL CONDITIONS OF THE PERMIT :
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 . Type of heat �lGt�P
3 . Is the building mechanically cooled '.' -
cT
4 . Percentage of area of windows and doors
A . Over 16 % Only
1 . U value of gross area of walls , roof / ceiling and floors
o
exposed to ambient conditions T /t'/'0 t '_k.�0y CJ�e
2 . Floor over heated spaces 02ES NO
a . Are foundation walls insu ated ? ES NO
�,
1 . If YES , what is the R value ? .�c
3 . Slab on grade YES (- NO
a . if YES , what is the value of insulation around
perimeter of floor ?
4 . is basement heated ? YES NO
a . R value of insulation
S . Type of insulation
B . Under 16 % Only
1 . R value of roof and floors exposed to ambient conditions _
2 . R value of e .; teric Wally —
3 . R value of glazed area
4 . R value of doors
5 . R value of floors over heated 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
C . Controls
1 . Thermostat maximum heat setting
D . Duct Systems_
1 . Is duct system installed in unheated spaces ? YE ' NO
a . If YES , R value of duct installation �Xm�7
b . R value of duct in other areas /7
E . Piping Insulation
1 . Size of hot water or cooling carrying agent pipe%e
2 . R value of pipe insulation /
F . Service Water Beating
1 . Performance efficiency
2 . Temperature control setting maximum
G . For Swimming Pool Only
1 . Maximum heating
Telephone No . { - -
( applicant ' s sig ature )
<--'L 'l l
�'%� c.-�G7[
TOWN OF QUEENSBURY i
BUILDING 53 BACODES ROAD DEPARTMENT ,1 g
QUEENSBURY , NEW
YORK 12804 �j � ?�
TELEPHONE
5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTI(W RECEIVED
NAME
LOCATION
DATE PERMIT If
TYPE OF STRUCTURE
APPROVED
RECHECK NIA YES NO
FOOT1llbzO IERS -------
MONOLITHIC POUR ORM
REINFORCEMENT IN PLACE
THE CONT _"t IS RESPONSIB
RA
FOR PROVIDING PROTECTION FROM
FREEILACEMENT HOURS
OF THECONCRE'TN6
THE P
FOUNDATION/ WALL FOR
THIS PURPOSE ON SITE
REINFORCEMENT IN PLACE ��-
FOUNDATION/DAMPROOFING�
Id
BACKFILL APPROVAL y
ROUGH PLUMBING
PLUMBING UNDERPLUMBINGVSLAB IN LA
FRAMING :
JACK STUDS /HEADERS��
BRACING/ BRIDGING -
JOIST HANGERS____
JACK POSTS /MAIN BEAM
FIRESTOPPING
WALLS
CEILING
FIREWALLS
HEATING ROUGH- IN
INSULATION :
FOUNDATION WALLS INTER R
FOUNDATION WALLS EXT ER10 RR!
FLOORS
WALLS R_
CEILING
DUCT WORK OR PIPING I UN EA E
SPACES
REMARKS : -
't
i
ARRIVE
DEPART NSP CTOR
e T J
ti
�.�,C� TOWN OF QUEEKSBURY
� LDING AND CODESDEPARTMENT
C 531 BAY ROAD
OTELEPHONE � 0
( 518) 792- 5832
BUILDING IKSPECII REPORT r� �
REQUEST FOR INSPECTION RECEIVED —
n
KAME
LOCAT ION —
DATE PERMIT
TYPE OF 5TR CTURE c�
APPROVED
RECHECK N/A YES NO
FOOTINGS/ IERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESP SIBLE
FOR PROVIDIKG 'PROTECTION FROM
FREEZING
PLACEMEIIT OF THE CO HOURS FOLLOWING
TNCR
rHE E &
MATERIALS FOUNDATION/WALL THIS PURPOSE ON SITE
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING��
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VEN IS
PLUMBING P A E
PLUMBING UNDER SLAB
FRAMING :
JACK STUDS/HEAD S --
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH- IN
INSULATION : R-
FOUNDATION ALLS N E
FOUNDATION WALLS EXTERP R-
FLOORS . R-
WALLS R-
CEILING
DUCT WORK OR PIP NG , UN EA ED
SPACES
REMARKS
,�, .ir J �.t. •�; ,.�• arc?
ARRIVE
DEPART
INS ECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT +
BAY & HAVILAND ROADS
CQUEENSBURY, NEW YORK 328d4�
TELEPHONE ( 518 ) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 3
LOCATIOjZ
DATE cX PERMIT #
APPROVED
YES NO
FOOTING/.PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBI
�RAMING
ELECTRICAL ROUGH-IN
��'NS ULA T.ION r
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION :
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE 6 RAILS�����
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
p SIGNED CERTYFICATE OF OCCUPANCY MUST BE
OBT 114ED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
= ECTOR
TOWN OF QUE.ENSBURY [
BUILDING AND CODES DEPARCMENT�
HAY & HAVILAND ROADS
QUEENSBURY, NEW YORK I2801-
TELEPHONE (5I8) 792- 832
BUILDING INSPECi'OR' S REPORT
REQUEST FOR NSPECT N RECEIVED�d
NAME u
LOCATION s
PERMIT #
DATE /7
APPROVED
( bt YES NO
FOOTING/PIERS
MONOLITHIC POUR FARM
FOUNDATION/DAM -PROOFING
BACKFILL APPRO L
ROUGH PLUMPING
�ING 'e
ELECTRICAL ROU -11N --
^�INSULATZON:
✓ FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STE
STAIRS-CLEARANCE & T
PLUMBING FIXTURES/ LIE VALVE
INTERIOR TRIM/PRIV Cy D06RS
FINISHED FLOORS
GARAGE FIREPROOF 'VG --
DOOR CLOSERS)
SMOKE DETECTORS
FINAL ELECTRICAL. INSPECTION
FINAL APPROVAL CONSTRUCTION
A SIGNED CERTIF CATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED".
REMARKS: ry
A
� ` �� S SPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVSLAND ROADS
QUEENSBURY, NEW YORK 1280& r� 'TELEPHONE (518) 792-5832 G
BUILDING INSPECTOR ' S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
)4:� nd�;qz�,
DATE G� PERMIT ## --
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACXFXLL APPROVAL
ROUGH PLUMBING
L RAMSNG
ELECTRICAL ROUGH-IN
INSULATION,
FOUNDATION
FLOORS
WALKS
CEILING
FINAL INSPECTION,-
CHIMNEY HEIGHT
ROOFING
SIDING
.EXTERNAL PORCHES/ EP
STAIRS--CLEARANCE & RAT
PLUMBING FIXTUR /RELIE VALVE
INTERIOR TRIM/ IVACY
FINISHED FLCX?
GARAGE FIRE P FING
DOOR CLOSER ( )
SMOKE DETEC RS
FINAL ELECTR CAL INSPECTION
FINAL APPRO L OF CONSTRUCTION
A SIGNED Ck.RTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS,
SPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVTLAND ROADS
QUEENS,BURY, NEW YORK 1280!9�
TELEPHONE (518) 792--5832
BUILDINGG INSPECTOR ' S REPORT
REQUEST FO INSPECTION R CEIVED
NAME
LOCATION
DATE - / -- PERMIT #
APPROVED
YES I NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
j/�OUNDATIONIDAMP-PROOFING
.BACKFILL APPROV L
ROUGH PLUMBING
�RAMING
ELECTRICA ROUGH=IN
INSULATION:
FOUNDATTON
FLOORS
WALLS
CEILING
FINAL INSPECTION
CHIMNEY HEIGHT;
ROOFING
.SIDING
EXTERNAL PORC S/STEPS ` '.
STAIRS-CLEA CE & RAILS
PLUMBING FI URES/RELIEF VALVE
TNTERIOR T MIPRIVACY DOORS
FINISHED F RE
GARAGE FI EPROOFING
DOOR CLO ER (S)
SMOKE D TECTORS
FINAL EL CTRICAL INSPECTION
FINAL A ROVAL OF CONSTRUCTION
A .SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
RRMARKS.
-INSPECTOR
*..�
TOWN OF UEENSBURY
BaY at HavNand Road, Queensbary, NY 1 2804-9 725-5 1 8-792-5832
August 22 , 1991
Ms . Diane C . Olsen
PO Box 3275
Glens Falls , New York 12801- 3275
RE : Tax Map # 142- 1- 19 , Boss Road
Building Permit # 89- 521 , Addition to dwelling
Building Permit # 88-826 , Basement Addition
Dear Ms . Olsen :
The above captioned building permits were issued to the previous owners ,
Kathleen and Gerald Pecue . All of the required inspections by this Department
for the work have not been completed ,
Please contact this office at 745- 4447 within seven ( 7 ) days of receipt
of this letter to discuss this matter . Since a Certificate of Compliance and
Certificate of Occupancy have not been issued , you are in violation of the
Town of Queensbury Code , Chapter 88 , Section 88- 19 , Subsections A . B and C
which pertain to occupancy of a structure without a Certificate of Compliance
or Certificate of Occupancy being issued .
Sincerely ,
DAVID HATIM , DIRECTOR
BUILDING & CODE ENFORCEMENT
DH : lm
CERTIFIED
"HOME OF NATURAI HFAUTY . . A GOOD PLACE TO I iVE '"
5L7TI_FC7 97fi.'t
...�" TOWN OF QUEENSB URY
aay at Havdand Road, CX$"nsbufy, IVY 12804-9725-518-792-5832
February 20 , 1991
Diane Olsen
Rte 4 Boss Road
Queensbury , NY 12804
RE : Building Permit #88-826 - Basement addition
#89- 521 - Addition to Livingroom
Tax Map No . 142- 1- 19
Dear Ms . Olsen :
The Building Permits noted above were filed by the previous owner and
have expired . Our records indicate that all required inspections have not
been completed .
Please contact our office to discuss this matter .
Very truly yours ,
DAYID HATIN , DIRECTOR
Building 8 Code Enforcement
DH : se
"HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE"
SETTLED 1763