91-810 g tt ;44, Pi" 1
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK -
Date de.ii0X/ 19 .e.2
This is to certify that work requested to be done as shown by Permit No. 91-810
has been completed.
This structure may be occupied as a Larger Bedroom
Location Reardon Rd
Owner Dominic & Kathleen D. Martino
By Order Town Board
TOWN OF QUEENSBURY r'
Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY 1-3
No. 91-810 <.<
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to IMartino, Dominic & Kathleen o
OWNER of property located at Reardon Road 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. tv
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1. OWNER'S Address is
Same
2. CONTRACTOR or BUILDER'S Name
Same
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3. CONTRACTOR or BUILDER'S Address
Reardon Road
4. ARCHITECT'S Name 0
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5. ARCHITECT'S Address Q'
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6. TYPE of Construction—(Please indicate by X)
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( X Wood Frame ( ) Masonry ( ►Steel ( )
7. PLANS and Specifications
No. 80 sq ft Addition to dwelling as per plot planspecifications
and application
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8. Proposed Use O,
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Larger Bedroom
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$ PERMIT FEE PAID —TMIS PERMIT EXPIRES November 14, 1992
(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 his 14th Day of November 19 91
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SIGNED BY ,� L'� v - for the Town of Queensbury 0
Building a Zoning Inspector
(D
TOWN OF QUEENSBURY
OftREVIEWED BY:
� 1 FEE PAID:
PERMIT NO. : `--� / — : f(,
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 reverse side of this application.
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Owner of Property: �1011//,�//e I kA74 /f ,k Di m, 7 0
P.O. Address: PHONE Sib- 5S3- y/)6
Property Location: �iP .,f?ov Tax Map No. .5y/ ,--? /�6
Has there been any split of this property since October 1, 1988? Yes No 1/
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ YCIOO
\— Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: 70 ft. x /47 ft.
Other work (describe) * Existing Building Size:
* on ft. x AO ft.
* Proposed building - distance from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
*
1st Floor ) Sq. Ft. * Front Yard 50 ft. Rear yard 61 ft.
* Side Yards dO ft. and y,S ft.
2nd Floor Sq. Ft. * If on corner, setback from side street-
* ft.
Other Floors Sq. Ft. *
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: h5O Sq. Ft. * P.Cimary Building -
* �/ One Family Dwelling
Size of New Structure: ,g- ft. x fv ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
Pier/Slab/Crawl/Partial (Circle One) * Business
* Industrial
No. of stories (Habitable space) / * Other
Height (grade to ridge) 10' ft. *
If residential , no. of families: / * If addition, what will use be? RIiro
No. of rooms (excluding baths): * —awl
No. of bedrooms: / *
No. of bathrooms: * Accessory Building:
Primary heating system: - A!2 * Detached Garage - One/Two Car
Type of fuel: li/ * Attached Garage - One/Two Car
No. of fireplaces to be installed: Private Storage Building
Will a woodstove be installed?: — * Other
Central Air Conditioning: Yes Not * .
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: wood frame, fire safe, etc. 1j10/ ci;Arlt
Will any second-hand or ungraded lumber be used? If so, for what? it/0
Foundation Wall Material : C,4n776,14 Thickness:
Depth of Foundation below grade (to bottom of footing) : 5'
Will there be a cellar? /;95 Heated or Unheated? et/A49A7;t1 Floor Sq. Footage: -O
Will there be a basement? Will any portion be used as living space? I0
If so, what portion? Sq. Ft. Type of Use? ��,,,,��
Type of Roof: Sloped/Flat/Shed/Other S/cad Material of Roof ells, 4-I--,/
Size, wood studs p` " x cj "; spacing /1 " o.c. ; lengthivol ft.
Joists (floor beams) : 1st Floor 6,7 " x C' spacing /4 " o.c. ; span 7's ' ft.
Joists (floor beams) : 2nd Floor " x " ; spacing " o.c. ; span ft.
Overlays (ceiling beams) : ai- " x 4; " ; spacing jL " o.c. ; span g" ft.
Roof rafters: ,, " x 4 " ; spacing a o.c. ; span 8' ft.
Roof trusses (pre-engineered): spacing " o.c. ; span ft.
Exterior Wall Finish: „X4 Gt/ 401 5-e 4( of what material ? &)OQcI
/
Interior Wall Finish: -L. S, aitA6f
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, 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 aim. private well (including adjoining properties: ft.
(A separate application is necessary for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: PHONE
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: PHONE
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 authorize the owner.
Signature /C .
• Owner, owner agent, architect
co tract r
1 1 .
By:
Code Enforcement Officer
TOWN OF QUEENSBURY �f)
/OW' 531 BAY ROAD411111101
•, /
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME /65-2-Y2.41a;C: )(41-1#19---J
LOCATION 4iC1.jj den fG/
DATE 40/9/ PERMIT# 9/-(F/D
TYPE OF STRUCTURE .(di' d ( -
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL-- SEPTIC
INSULATION WOEDSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAIL NGS
RELIEF VALVES
FURNACE/HOT WATER OP )M1TING
BASEMENT INSULATION/,OUTWORK
INTERIOR TRIM/PRIVgY D9ORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE `.
OTHER FLOORS CARPETED
STAIR CLEARANCFy%RAILINGS
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FAN /WHOLEHOUSE FANS
ALL PLUMBING, FIXTURES OPERATING
GARAGE FIRE/PROOFING_
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRI„ fO'530Z-
OK TO ISSUE 4 OR C/C
COMMENTS:
ARRIVE 3.).6
DEPART 3)(16
TOWN OF QUEENSBURY 7//2.2
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVEDV
NAME L/1 4/
LOCATION igd
DATE 11/C(/17/ PERMIT# / -fi()
TYPE OF STRUCTUREdf. (Za) 1
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL--_SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LOCATION ,
B VENT/LOCATION
PLUMBING VENT ✓
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS ✓f
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTW K ✓
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGWT
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPET
STAIR CLEARANCE/RAILINNGS ✓
HANDICAPPED ACCESS r
SMOKE DETECTORS
BATHROOM FANS/WHOL OUSE FANS
ALL PLUMBING FIXTU ES OPERATING f,
GARAGE FIRE PROOFI G
DOOR CLOSERS
OTHER FIRE SEPARA1ION
FIRE/DEMISE WALLS ✓
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS ✓"
FINAL ELECTRICAL k ✓�
OK TO ISSUE C/0 OR C/C
COMMENTS:
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ARRIVE =,;, /S ---
DEPART c
INS
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT pill
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT no
EQUEST FOR INSPECTION RECEIVED nil/ I
MC
OCATION ) (i)c' \ ' ��J
ATE L4� �i 01 PERMIT # I -- vC)
,,
YPE OF STRU TURE
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 FOLLOWING
'HE PLACEMENT OF THE CONCRETE.
ATERIALS FOR THIS PURPOSE ON SITE
OUNDATION/WALL POUR
EINFORCEMENT IN PLACE
OUNDATION/DAMPROOFING
ACKFILL APPROVAL \\4E
OUCH PLUMBING
LUMBING VENT/VENTS IN PL
LUMBING UNDER SLAB f
RAMING:
JACK STUDS/HEADERS if
BRACING/BRIDGING
JOIST HANGERS r
JACK POSTS/MAIN BEAN
IRESTOPPING
WALLS i
CEILING r
IREWALLS
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
EMARKS:
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LANDS OF STARK = i
LANDS TO BE CONVEYED
TO STARK =
TOTAL ACREAGE = i
MAP REF. NO I
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Map Ref. NO 2
166.9 '& — —
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iv _ • J
00 OF STARK a°
,. E LANDS 7 t Ac. Z
8,-00 0.4.6 -
N ?0.,5 ;m
1
\St
• �, 112 ' ` Drilled C7\
N Deck 2 Story \.\Sty Well O
3 Wood 1 Shed
Q Gar.
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2 V0 prise U 156.72'
Macadanl S 804%.25 w
X Approx. Location Underground
.267t Ac.
.017f Ac.
284 f Ac.
Box
LANDS OF
IRENE MORGAN
( 793-125 )
i0 " W Utilities. Exact Location Unknown
S ?6 I _4
\ LAND TOT3ESTARED
c.0N 0.017t AG
w
LANDS OF
MARGARET DANKELMAN
( 697-627 )
( ALSO KNOWN AS MARGARET
MAP REFERENCES:
I. Map of Lot #22 prepared for Marie E. Winchell. Town of
Queensbury, dated July 1981 by W. J. Rourke Associates, L.L.S.
2. Map of lands fbo be con,�e•Yed to Irene Morgan, Town of
4ueensbury, dated May 25, 1990 by W. J. Reuirke-Associates, L.L.S.
3. Warren County. Town of Queensbury
Tax Map No. 44-2-26
Liber 616/Page 795
L EGEND-
TOGETHER with the rights of the Grantors to'the lands under the
•
FOUND IRON MNARKE
waters of Glen Lake. including marshy lands fronting the portion
SET IRON ROD W1rH
CAP
marked "Reserved for ' use of back tots" in so -far as those rights
p
POINT
apply to the property here -by conveyed.Also the roads as shown
£ —
POWER LINE
on said map subject to the rights of the other owners of adjacent
property to the
STONE WALL
use there -of in common with the Grantors here -in
their heirs and
assigns.
—x—r—
FENCE
The map referred to being "Map Of Part Of The Reardon Property'
dated July 7. 1934.
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N
a
Unauthorized
Alteration to this
map is a
violation
of Section 7209, S
bdivision
z
J J 2 of the
New York State Educ
tion Law.
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LANDS OF
ALAN & SANDRA WILSEY
( 623-770 )
0
MAP OF SURVEY
of lands of
JOHN J. � EL A lNE E. S TA RK
TOWN OF QUEENSBURY, WARREN COUNTY, NEW YORK
SCALE: I" = 30' JUNE 13, 1991
SEVM. JUW /70N - to show correc"en h arras+ tdW
WILLIAM J. ROURICE, LICENSED LAND SURVEYOR N949098
W. ✓. ROURKE, ASSOCIATES
L icensed Land Surveyors
10264 Saratoga Rood, R 0. Box 1434
South 6/ens Falls, N. Y. 12803
J06 Ns
9/-l4- 8
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