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88-420 r CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date August 22 19 88 This is to certify that work requested to be done as shown by Permit No. 88-420 has been completed. This structure may be occupied as a One Family Dwelling - Deck Location Cleverdale Road Owner William & Lorraine Keis By Order Town Board AS PER INSPECTIONS ON CA��D TOWN OF QUEENSBURY Fosej Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 88-420 a WARREN COUNTY, NEW YORK 0 PERMISSION is hereby granted to William & Lorraine Keis w OWNER of property located at Cleverdale Road Street, Road or Ave. L„ in the Town of Queensbury,To Construct or place a Deck", 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. 1-4 1. OWNER'S Address is 3—NE Lane Ballston Lake, N.Y. 2. CONTRACTOR or BUILDER'S Name O Adirondack Decks, Inc. CD CD 3. CONTRACTOR or BUILDER'S Address RD3 Route 9 ce,. Ballston Spa, N.Y. 12020 4. ARCHITECT'S Name CZ N CD C CD N CZ 5. ARCHITECT'S Address CD W 6. TYPE of Construction—(Please indicate by X) (X)Wood Frame ( ) Masonry ( )Steel ( b 7. PLANS and Specifications tD n No. 23' X 20' as per plot plan, specifications, and application 8. Proposed Use Deck • 5.00 C/O $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES January 1 19 89 (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 Queensbur this 22nd Da of June 19 88 SIGNED BY for the Town of Queensbury Building and o ing Inspector INTERIM BUILDING PERMIT 41 PERMIT APPLICANT %� / eic CONSTRUCTION LOCATION ete Uee e °Q EFFECTIVE DATE (- /S- r APPROVED BY &(77 / 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 CONSPICUO LO T N ! ! - Building & Codes Department . TOWN OF QUEENSBURY TO BE COMPLETED BY BLDG. DEPT. : O' // Application No. TO . F QLlE` ' "r _Down o f Queeitil urn Permit Issued 19 -� BUILDING and ZONING DEPARTMENT Permit Expires 19 _ u L Lit Bay and Haviland Road, R.D. 1 Box 98 Zoning Designation _ 1 . Oueensbury, New York 12801 Variance No. JUN 151988 -1 -Site Plan Review N cl �� r`� Appr•ve• b, BL ' DIN & CODE D!~PT'. ) APPLICATION FOR I -Re fo-_5! eO BUILDING AND ZONING PERMIT /VW --s�J * * it *• * * * * * * * * * * * * * * * * * * * * it * it • # it * * * iti. itit * :: . 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 propertyis; h ✓o .A�ogRs3, ,, /i /� s/ i _ P.O. Address -..1 7/ C pecv,-.- 04 L 4 s Iciv 4-7 ke rE /4/ y `Eel. .` ' 775 Y/p Property Location: C-11/FG /- 4J &• Tax Map No. /3 / 3 / -25-- Street number. or building lot number Subdivision name (if applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF g WORK AS REGARDS BUILDING CODES IS: /7/?/1 ,"-c' Ri? FLL R0 , ' / ,O4I/ d7c),/ f'®# • N V / 20 2 Name P.O. Address Tel. No.,3'/g- ,3', y 7- es3 Name of builder Address SIA163 Tel. 0 4 AI Name of plumber Address 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, 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) D, e /e' * 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 „24t) 0 ft X 9.0 ft. * Existing building(s) Size ,?e. ft X 30 ft. * PROPOSED BUILDING AND USE: * Existing building(s) Use Size of new structure 2:3 ft X .20ft * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) * Front yard Are ft Rear yard go ft No. of stories (habitable space) Height (grade to ridge) • ft. * Side yards 3,S ft and 2 SJ ft If residential, no. of farni * If on corner, setback from side street ft No. of rooms(excluding bA h' I * OCCUPANCY INFORMATION No. of bedrooms A * No. of bathrooms MEW * PRIMARY BUILDING - * One family dwelling Primary heating system 'MINIM Type of fuel MEN * Two family dwelling No. of fireplaces to be -i alled * Multiple dwelling / Number of units Will a wood stove be insta led? * Permanent occupancy Central Air conditioning? * Transient occupancy * Business BUILDING STYLE, PRIMARY STRUCTURE * Industrial Ranch Contemporary Log cabin * Other Raised ranch Mansion Duplex * If addition, what will use be? 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 $ c��0 c' ._ ® * y INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! Form BPA 4/86 and-vl • iUILDING PERMIT APPLICATION CONTINUED - IUILDING SPECIFICATIONS: eype of construction, (wood frame J fire safe,etc. 4il1 any second-hand or ungraded lumber be used? If so, for what? /Y U ?oundation wall material Thickness )epth of foundation below grade (to bottom of footing) dill there be a cellar? Heated or unheated? Floor sq. footage sq ft dill 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 roof Size, wood studs "X " spacing "o.c. length ft. Joists(floor beams) 1st. floor 02 "X 4 " spacing 2 Y "o.c. span 7 ft. Joists (floor beams) 2nd. floor "X " spacing "o.c. span ft. Overlays(ceiling beams) "X " spacing "o.c. span ft. Roof rafters "X " spacing 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) Coven of Queensbury AFFIDAVIT STATE OF NEW YORK :ounty 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 :omplete 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 /�_ �__ `^—� 1' 1 Owner, owner's agent,arcnu.tect,contractor day of 19 Notary Public, Warren ,County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By -own of Queen JCur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 1. •:1,447' Queensbury, New York 12801 ye irc BUILDING INSPECTOR' S REPORT NAME -/S LOCATION /''• /i,ciocer , /e, Date S� , a/ eg Permit No. b� `96 c? * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRIC:L INSPECTION DRIVEWAY APPR J AL • Final Building Survey Next scheduled inspection (call when ready) Remarks- P j/ � C n pector 6/86 and-vli awn of Queensbury V., BUILDING and ZONING DEPARTMENT )e(j Bay and Haviland Road, R.D. 1 Box 98 opQueensbury, New York 12801 () d BUILDING INSPECTOR ' S REPORT NAME G(L/Aetv)w .//r ; LOCAT ION— drL . � : Date 4 p /gr Permit No. 8,- L * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YE / NO Footing/Pier Forms Foundation Waterproofing Backfill / Framing // Roof ing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation \ Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL ' Final Building Survey Next scheduled inspection (call when ready) Remarks- itff Bu lding I iPector 6/86 and-vl 1•••••4.4.*4....... ........0=1••••01=0.4•1•0••••••••••....m..................••••••••10 .111 .1--.............m............. .--- • - .‘,. ,.:,‘....,......, ,e, .. -.... m•cs.. --%-.-.- ....4.-.1”!'"'"7----...-..- ..:..-,:... ... .. . V a .;., .',../ • . 2,../G .. • .. , ,.. .. • :•'•••'. • 4-,!:.;' •.,;.'. ,, - - -: : ''. •.; •........ / • 1- • 1 .......... . • .\1 .... ...... . l'i' . .. ; . . • ,...„„..................... .... i . ........ ..................---....... , .. • I • • - ---- i5 _,.qa'VOL' , , 3 , .• • ,...; . ..;; i 2)(1/ . . .. . . • 1 :: .. • ..., . . -1•• . • .,: : ' ,---. ----- 2. 2 15 C2C• ---------,--4 ' • ( . . • . ! 1 f . . • . ' ! .• • . • , 6. • . .• • -,'' '' 1 ! . . 'r. .• , . ..:-, ....„, ;il ‘ 1 • . 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R.D. 3 Route 9 Malta Ballston Spa, N.Y. 12020 I — A t • �s KF _ • e - s r CR fie.*1 10 Al bd ADIRONDACK s f��.ri,3 •:. ,r- - .. .: -. .. t ps '. . { A ._ i 'YF^fie^'.-._ ...,4 . ��1�� �`�- 7�� ' ti F F _ } � a • 4 t jj j( t YYYYffff •.' k • , t SYee - � - - , i � � i � - i• �•' �� ....._... _-�'_ ^�c...., '.•+ - -y ' jSt ' III t a I s f � f - _ kY'. - st R.D. 3 Route 9 Malta t t }w , Ballston N.Y. i •i, '�' � - �� �' _ -. ._.r. .._. �....•... y4 '.'v,y'ww'",4_„y'w•sr'ar .i^+1•sa.Y+i.•v MOVED S � � a .