89-587 CERTIFICATE 'OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date Sept. 13, 19 89
This is to certify that work requested to be done as shown by Permit No. 89-587
has been completed.
This structure may be occupied as a Porch
Location Box 61 Ridcgc Rnad
Owner Thomas & Doris Dickinson
By Order Town Board
TOOWN OF QUEENSBURY
„21,L
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY o
No. 89-587
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Thomas & Doris Dickinson
OWNER of property located at Box 61 Ridge Road Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Porch
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
Same to
2. CONTRACTOR or BUILDER'S Name cn
Self
s
3. CONTRACTOR or BUILDER'S Address 0
say
U)
Same r�
0
4. ARCHITECT'S Name ^s
to
5. ARCHITECT'S Address
0
x
w
6. TYPE of Construction—(Please indicate by X)
70
( )Wood Frame ( ) Masonry ( )Steel ( )
co
rD
7. PLANS and Specifications
sL
CL
No. 24' x 10' Porch as per plot plan, specifications, and application.
8. Proposed Use
Porch
$ 16.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19_90— 0
(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 this st Day of 19 89
SIGNED BY for the Town of Queensbury
Building and Zonin nspector
TO BE COMPLETED BY BLDG. DEPT. 9 , (U/6 = /2.Er .,.
a�] Application No.
wn of QueeniLry Permit Issued 19
BUILDING and ZONING DEPARTMENT Permit Expires 19 TOWN OF QUEENSBURY
Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation RECEIVED
Queensbury, New York 12801 Variance No.
Site Plan Review No.
JUL 2 6 1989
Approved
APPLICATION FOR ��;_ �/ ,,, - BLDG. & CODE DEPT.
PUILDING AND ZONING PERMIT
* * * * * * * * * * * * * * * * * * * * * * * * * * * 4*. * * * * * * * * * *::.*
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.
The owner of this property is: /t1Clildi II-1 bobs- /11• i i(4cFwc--,
P.O. Address .` £2 I 6 6"K b i �-Z a' r jtc) 9 6.9Z4 -/c t (-7i• 2/ %2,ke/ Tel. /zrc,i J PC"
Property Location: /3 c 7; (- , l;12-4(Fp t-, Ci , Tax Map No.U~J/ / / /
Street number or'building lot number s;"/7
Subdivision name (if applicable)
TilE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
///0'///K - ,c✓`:--(4�ron t2 i-c t t3 c x to i s x
Cs '�(n / ) •rig I IC ,'v � 1 r 71,L- /.30 7
Name P.O. 'ddress I Tel. No.
Name of builder7ttc-m,/s Z;ckt,,,,i Addressr2 � �c, (c� t � t2: 6 f. h t4 Tel. •7 92_ "/3O7
Name of plumber Address ice/ Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
Construction of a new building * A PLOT PLAN MUST BE PREPARED AND SUBMITTED,
jC Addition 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
of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property ) 1 j ft X /34 ft.
* Existing building(s) Size b4. ft X 24• ft.
*
PROPOSED BUILDING AND USE: * Existing building(s) Use
Size of new structure ft X -'8 ft * .
Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line
*
(circle one)
* Front yard ft Rear yard ft
No. of stories (habitable space) * Side yards 5:Z ft and ft
Height (grade to ridge) ft. * If on corner, setback from side street ft
If residential, no. of families
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
*
No. of bedrooms * PRIMARY BUILDING -
No. of bathrooms X One family dwelling
Primary heating system * _Two family dwelling ,
Type of fuel * Multiple dwelling / Number of units
No. of fireplaces to be installed Permanent occupancy
Will a wood stove be installed? * Transient occupancy
Central Air conditioning?
* Business
BUILDING STYLE, PRIMARY STRUCTURE * Industrial
* Other '
Ranch Contemporary Log cabin * If addition, what will use be?
Raised ranch Mansion Duplex
Split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/__ car
* * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION $ s *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form RPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. 6ff-1,1 . 19�
Will any second-hand or ungraded lumber be used? If so, for what? Al
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 portion? sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other %c Pc Material, of roof LOc ocV
Size, wood studs Z "x -4. " spacing "o.c. length ft.
Joists(floor beams) 1st. floor "X " spacing "o.c. span ft.
Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters Z. "X k " spacing /4 "o.c. span ft.
Roof trusses(pre-engineered) spacing "o.c. span ft.
Exterior wall finish Of what material?
Interior wall finish
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? 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)
Town of Queensbury AFFIDAVIT STATE OF NEW YORK
County of Warren
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 `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.
,.
SWORN TO BEFORE ME THIS Signature_
Owner, owner's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED 9-
NAME *Qry-y c\-7-0 1-d- ru2:7?-9
LOCATION ATV
Y� / Grey l- cz,-d
DATE 61-// - 1 PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
.F12AMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
41•INAL INSPECTION:
CHIMNEY HEIGHT /
ROOFING ✓
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETEC 'ORS
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:
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED it 2 V\
_\._
NAME ``Ai '
LOCATION l41 —'\e 1t AD R .
DATE q PERMIT # q 5
APPROVED
YES i10
FOOTING/PIERS \
MONOLITHIC POUR ''FORMS
4FOUNDATION/DAMP- 2OOFI NG
BACKFILL APPROVAL £
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN \
INSULATION:
FOUNDATION \
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT '
ROOFING
SIDING
EXTERNAL PORCHES/STEPS `\
STAIRS-CLEARANCE & RAILS \
PLUMBING FIXTURES/RELIEF VALE
INTERIOR TRIM/PRIVACY DOORS -
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S) 'il
SMOKE DETECTORS i _
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:
6 IL ---A,
` r
{
{ _ 0
NSPECTOR
PLOT PLAN ' CSAA► LE OIU Ly) —
I
I\
Ig)
TOWN OF QUEE',SEi Ry
.
TFyn A
Zoning Adinini!tratqf
� u ' '
,,5---7 F- 12cFa2 5ET3ncK..
Sr pTI C_
' 7 C/ ` ' "- l l.Li /it.L O)
■
1,! S6 P r,C
..( (7—ipicAt_. 1 i ,
SC-zrAGE) I -
,' Pirs \ 1
,1 _ I ' _
n
r,: p����1 vG
1 1-1. Fr x 'f. FT
•
-- < i
fr
Sint: SCE-(Mc<
Si of SQ-rl3Ac►c.+
(I) I
y✓r
t
--j
F-►2on,r
,3 rr Sc-r-3,4cK.
\,/ 4FROp6a Y l %NE
r
Ye/
N4 Al
C--- 7.4 t `—>
i 6 ,;,„,.i,.,, tom. ( L &a/f-?4 t q
ki - 1'z E
er_____
, ,„ ,,......
,15_
___L ti_...1_ _____
Tt 7 1
A.,4„,,,,,,,
}
en-
2.12 x 1(......s, / q S, 3/6 r: /e) 41", CO' :IN
I X ?X% .3 fr 4 C r /7, 2?)
i 'gib, a" X ti x Alk-'-ilrit "
eC vutf, 31' 47..(3)0 leiv l l , gd
z.:6
f---.1,,,
-/-A14:2--h4
;r irA-4....0 ' r 41 X r gq)4-1-44
CauM 2/ )( PX 9"442.-------1/
TO'‘`til,1: q .; ' ',: ' ' 7 "4.45(714:1W %. 44/ -- 0
BTU's. : <.... .... - -, -4, t ",•Ar/ .-7,---- �'
REV , �.— L41 ��' ` `m %L.- _ L
c el.0 1 '7710/71/I'S if- t:)I Ck
11% me Y(0 f- kP 1 cot ao I
.ilied 67-el/LA; -Azad kr).4,t) 44 /dike/
)
Nii _be,e4,4,
1
I .
?
1 1 ,
I
i
I
1. estJP ! 1
I i
i + • 1 t,C)Cat7 :
!------- iiti
)t- I
! 9.
/el ktt '44.r
;
, . . ------1 I
4
6. 7 ..Iei
]__.
i I r7P. 1
1
i
i
i
I
1
1
1 .
; 1
i
I
1 Zoning Adrriidistr r
Date..
I
34 "i•j6:4'
%Jo-