88-642 i t►
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date f I I( (4 19 Gj
This is to certify that work requested to be done as shown by Permit No. 88-642
has been completed.
This structure may be occupied as a Garage - addition
Location North Shore - Glen Lake
Owner George Cooke
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoni jInapector
BUILDING PERMIT
Iv
TOWN OF QUEENSBURY No. 88-642
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to George Cooke
OWNER of property located at Glen Lake — North Shore Street,Road or Ave.
in the Town of Queensbury,To Construct or place a addition — garage
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
RD#1 — Box 1697 — Glen Lake Rd. °t
Glens Falls, N.Y. 12801
2. CONTRACTOR or BUILDER'S Name o
Same f D
3. CONTRACTOR or BUILDER'S Address
Same
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address p
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6. TYPE of Construction—(Please indicate by X) 0I
( )Wood Frame ( 1 Masonry ( 1 Steel ( )
7. PLANS and Specifications
No. 6' X 11' as per plot plan, drawing and application
a,
8. Proposed Use re
addition to garage N.
oa
5.00 C/0 n
$ 5.00 1 PERMIT FEE PAID —THIS PERMIT EXPIRES March 1 19 89cro
(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.)
29th August 88
Dated at the Town of Queensb s Day of 19
SIGNED BY / for the Town of Queensbury
Building and ning Inspector
T A
INTERIM BUILDING PERMIT
PERMIT APPLICANT Coo/ P
CONSTRUCTION LOCATION /6,
EFFECTIVE DATE Oy/Av
APPROVED BY /
SPECIAL CONDITIONS :
This will certify that all submittals for a Building
Permit have been received and fee has been paid .
During the processing of the Permit , the above named
may begin construction per plans submitted . It is the
responsibility of the applicant to obtain the Permit
from the Building Department, following processing .
POST THIS INTERIM PERMIT IN A CONSPI ‘ OUS LOCATION ! !
Building & Codes Department
TOWN OF QUEENSBURY
TOWN OF GHET.'`' rV 1 Y
�OWII o� Q , .1 4-try �I
BUILDING and ZONING DEPARTMENT `' i !)
7 Bay and Haviland Road, R.D. 1 Box 98 AUG 2 198 L
Queensbury, New York 12801
BUILDING & CODE DEPT.
Approved
APPLICATION FOR / y
s•
BUILDING AND ZONING PERMIT /o`' /'
* * * * * .* * * * * * * * * * * * * * * * * * * * * * *• * * * * * * * * * *:.*
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: - 4 Ccg��=-e
P.O. Address /; 97 oL/,. -•rem / Tel. _ .5g/
Property Location: cj e0,77 `,2 _...-1/6edi(5 - /6 7 Tax Map No. 4/3/07 / 0
Street number or building lot number
Subdivision name (if applicable)
T11E PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Name P.O. Address Tel. No.
Name of builder - ,vL� Address Tel.
Name of plumber Address Tel.
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
•
_Construction of a new building * TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
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
LOCATION OF STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property e7 ft X /50 ft.
* Existing building(s) Size ft X ft.
*
PROPOSED BUILDING AND USE: * Existing building (s) Use
Size of new structure 6 ft X // 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 ft and ft
Height (grade to ridge) 71 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 One familydwelling
Primary heating system * Two family
Type of fuel * y dwelling
No. of fireplaces to be installed * Multiple dwelling ./ Number of units
•
Will a wood stove be installed? * Permanent occupancy 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,ct:Lcar.;) car
( CIRCLE ONE PLEASE ) * Attached garage/one car/ two car/ car
` * * * * * * * * * * * * * * * * * _Private storage building
ESTIMATED MARKET VALUE OF * Other addrz-TA - , ".04.ez.e
CONSTRUCTION $ * -
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-vl
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood fr , fire safe,etc.
Will any second-hand or ungraded lumber be •used? If so, for what?
Foundation wall material ' 4lEfs,19„. 7e/T,ivOThickness
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 Material• of ro,pf
Size, wood studs a "X " spacing A, "o.c. length 6 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.
oof rafters "X 7 " 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
County of Warren STATE OF NEW YORK
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 donelon 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.
.(2? b
SWORN TO BEFORE ME THIS Signature__ _ - -
Owner, owne s agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * 'At * * * x * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
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 t sl(j QU
NAME
LOCATION
DATE 51,190 PERMIT # d f (04.2
�p
APPROVED
d �ee - JAA-01, YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
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 VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
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:
fL�
INSPECTOR
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