94-055 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 26 19 96
This is to certify that work requested to be done as shown by Permit No. 94055
has been completed.
This structure may be occupied as a ONE CAR ATTACHED GARAGE
1 MANNIS RD.
Location
Owner DAVIES , H/M RONALD
TAX Order Town Board
HAP NO. 60. -6-6
\; TOWN OF QUEENSBURY
t f'
\ a,t chttMA
Director of Bldg. do Code Enforcement
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 21 19 96
This is to certify that work requested to be done as shown by Permit No. 94055
has been completed.
This structure may be used as a ONE CAR ATTACHED GARAGE
Location 1 MANNIS RD
Owner DAVIES , M/M RONALD
By Order of Town Board
TAX HAP NO. 60. -6-6 TOWN OF QUEENSBURY
Director of Buil ing & Code Enforcement
BUILDING PERMIT
ro
TOWN OF QUEENSBURY No 94-055 P
WARREN COUNTY, NEW YORK
rn
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PERMISSION is hereby granted to MR. & MRS. RONALD DAVIES rn
rn
OWNER of property located at 1 Mannis Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a One Car Attached Garage
at the above location in accordance to application together with plot plans and other information hereto filed and 0
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance.
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1. OWNERS Address is cn
same
2. CONTRACTOR or BUI LDER'S Name
0
Ken Mattson
sv
3. CONTRACTOR or BUILDER'S Address
64 Blind Rock Rd
Queensbury NY 12804
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) I S
X
( )Wood Frame ( )Masonry ( )Steel ( ) (I)
7. PLANS and Specifications
16 'x17 . 5 ' One Car Attached Garage as per plot plan,
No. specifications and application.
0
8. Proposed Use
One Car Attached Garage
25 . 00 April 25 95
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 p�
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the n
town of Queensbury before the expiration date.) �
Dated at the Town of Queensbury this�,-` Day of April 19 94
SIGNED BY for the Town of Queensbury
Buildi and Zoning In�Tctor
TOWN OF QUEENSBURY REVIEWED BY:
COMMUNITY DEVELOPMENT DEPARTMENT glek
BUILDING & CODE ENFORCEMENT t5At FEE PAID:
5 31 BAY ROAD , �
QUEENSBURY, NEW YORK 12804 PERMIT NO. 4 S
(518) 745-4447
BUILDING PERMIT APPLICATION -
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 application form.
OWNER OF PROPERTY: 0112. . ' W5, O{. Ls Ar7 Y1 t
Mailing Address: M At41415 12 Q�
Telephone Number(s) : Work Home. l 5. 4 13 Other
PROPERTY LOCATION:
Tax Map Number: Section 600 Block to Lot C.
Subdivision Name: Lot No. /
NATURE OF PROPOSED WORK: ESTIMATED''MARKET VALUE OF THEO °
CONSTRUCTION: $ el 100 a c
NEW BUILDING:
RESIDENCE/COMMERCIAL OCCUPANCY INFORMATION:
O BUILDING: PRIMARY BUILDING - L./
RESIDENCE OMMERCIAL = Single Family Dwelling
ALTERATION TO BUILDING: Two Family Dwelling
RESIDENCE/COMMERCIAL Family Dwelling
(NO CHANGE TO EXTERIOR SIZE) Otice
OTHER WORK (DESCRIBE BELOW) Mercantile
Warehouse
Manufacturing
Other
GROSS AREA OF PROPOSED STRUCTURE:
1ST FLOOR 2 SQ. FT.
IF�♦AD DPI USE OF NEW ADDITION:
2ND FLOOR SQ. FT.
OTHER FLOORS SQ. FT. k
(not unfinished cellar oribasement) ACCESSORY BUILDINGS:
Detached Garage - O. - Two Car
TOTAL FLOOR AREA: .e° SQ. FT. )< Attached Garage - (Two Car
Private Storage Bui ding
SIZE OF NEW STRUCTURE: Commercial Storage Building
(( FEET X ( ( % �� FEET Other
Foundation Type: age,. J ,,,, Will any second-hand or ungraded
Number of Stories: ( lumbere e;`used? If so, for what?
(habitable space only) /— w`�
Height (grade to ridge) : 1 feet Type of Heating System:
Number of fireplaces : d/or woodstove (circle all which applies)
to be installed: 00 Electric / Oil / Gas / Wood
Forced Hat Air / Baseboard / Other
PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NAME OF BUILDER/ADDRESS/PHONE: MA 64 & ilk, � • �4 Wit
NAME OF PLUMBER/ADDRESS/PHONE: ,,
NAME OF MASON/ADDRESS/PHONE: Doiwg 800.& 04 W. Fer. 1104g 141 ,
NAME OF ELECTRICAN/ADDRESS/PHONE: 1
DECLARATION
To the best of my knowledge the statements contained in this appli-
cation, 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 noted, and that such work is authorized by the owner.
Further it is understood that I/we shall sub it prior to a Certificate of
Occupancy or Certificate of Compliance bei issue , an AS BUILT PLOT PLAN
drawn to scale, showing actual location of rojec n e
Signature
(Owner, owner s ag nt, architect, contractor)
FOR ANY SPECIAL PROVISIONS - SEE REVERSE SIDE:
TOWN OF QUEENSBURY
BUILDING & CODE ENFORCEMENT
742 BAY ROAD
QUEENSBURY NY 12804
(518)745-4447
ARRIVE: /2i313 DEPART: if/'VZS INSP /
FINAL INSPECTION REPORT - RESIDENTIAL
DATE INSPECTION REQUEST RECEIVED: g'/(0 .L 5
NAME \) S c
LOCATION I a y\IN; s
DATE - /7-9 5 PE IT N 4914 -053
TYPE OF STRUCTURE ) Ct" /4" tCq�Q_
FOOTINGS FOUNDATION BACKF 'LL FRAMING
ROUGH PLUMBING _ SEPTIC _ IN•ULATION
FINAL ELECTRICA WOODSTOVE •K FIREPLACE _
'CUYwlwr.aUYr+Q4s-
N/A YES NO
CHIMNEY HEIGHT/B NT/HEIGHT
PLUMBING VENT
ROOFING
EXTERIOR FINISH
DECK/PORCH/STEPS/RAILINkS
RELIEF VALVES
FURNACE/HOT WATER OPERATI
INTERIOR TRIM/PRIVACY DOeRS
FINISH FLOORS:
BATH/KITCHEN WATERTI'•HT
OTHER FLOORS SWEEPA:LE
OTHER FLOORS CARPE'ED
STAIR CLEARANCE/RAI NGS /�
SMOKE DETECTORS
BATHROOM FANS
PLUMBING FIXTURES
FOUNDATION INSU ION
GARAGE FIRE PROOFING
DOOR CLOSERS
FINAL ELECTRICAL
SITE PLAN/VARIANCE REO.
FINAL SURVEY PLOT PLAN
1.7
OK TO ISSUE C O F4/
RC/C /
/ e4 &t /C6(2
,fir/ o, -4-
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 34
531 BAY ROAD �� ��ll
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ..6 i/l5/
NAME z' 1 r7i / o-tiA
LOCATION / 74 4 t 4.
DATE ,17 2/4 y PERMIT # 91 p,
TYPE OF STRUCTURE fik' &e', ei,e4 ,?e
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLA
PLUMBING UNDER SLAB
" FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH—IN
INSULATION:
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS R—
WALLS R—
CEILING R—
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART 0410
NS C OR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
EQUEST FOR INSPECTION RECEIVED or
AME A',//eed
OCATION ` 7j p,,/bor,44 /Ps
ATE j��if PERMIT / AitC
YPE OF STRUCTURE /Clr . die/ 4 9
ECHECK APPROVED
N/A YES NO
OOTINGS/PIERS •
ONOLITHIC POUR FORM
EINFORCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE
OR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLL WING
HE PLACEMENT OF THE CONC TE.
ATERIALS FOR THIS PURPOS ON SITE
OUNDATION/WALL POUR
EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING J�
ACKFILL APPROVALF h
OUGH PLUMBING
LUMBING VENT/VENTS IN PLACE
LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
EATING ROUGH-IN
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMAT:
ro,c. ‘a_- 'tt)ifyrt-)
L'a a (fie`C ,f-i C —
RRIVE
EPART
INSP CTO
, v,- n/f1
1' TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
EQUEST FO NSPECTION RECEIVED $4<75(
AME G,lii
OCATIONi A A42, &re—
ATE `CJ 574f PERMIT # 9/11-05C
YPE OF STRUCTURE Y4j1ftt
ECHECK APPROVED
N/A YES/NO
ROTINGS/PIERS �/
ONOLITHIC POUR FORM
EINFORCEMENT IN PLACE
HE CONTRACTOR IS RESPONSIBLE
OR PROVIDING PROTECTION FROM
REEZING FOR 48 HOURS FOLLOWING
HE PLACEMENT OF THE CONCRETE.
ATERIALS FOR THIS PURPOSE ON SITE
DUNDATION/WALL POUR
EINFORCEMENT IN PLACE
DUNDATION/DAMPROOFING
ACKFILL APPROVAL
DUGH PLUMBING
LUMBING VENT/VENTS IN PLACE
LUMBING UNDER SLAB
RAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
EATING ROUGH-Its
NSULATION:
FOUNDATION WALLS INTERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
EMARKS:
RRIVE a;eE)
EPART Z'. (-� a
INSP CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME \D Ai)
LOCATION -To:N ol4,
DATE `z,�194 PERMIT # cA k -c
TYPE OF STRUCTURECA -•
RECHECK APPROVED
N/A Y`Ej$
x , 1/�
F00TINGS/PIERS D���'�-
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS I E'IOR R-
FOUNDATION WALLS XTE' OR R-
FLOORS \ R-
WALLS \ R-
CEILING N. R-
DUCT WORK-+R PIPING IN UNHEATED
SPACES
REMARKS:
NO T /.'E/9-- y
ARRIVE k0U, S _
DEPART `
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TOWN OF QUEENSBURY BUIL ING DEPARTMENT ��"�� 3'� ������ � iBased on our limited exa in FILE �+
compliance with our com eats shall
_ not be construed as indicating the TOWN OF..
.j E� Yap 3�.Q ► '` i plans and specifications rein full
compliance with the cod BUILDING CO S pY,
RE�11LD BY � f• ���° '
DATE