89-588 BUILDING PERMIT
TOWN OF QUEENSBURY
No. 89-588
WARREN COUNTY, NEW YORK
ca
PERMISSION is hereby granted to Richard & Dorothy Mellor
OWNER of property located at Box 267 Cleverdale Road Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Two Car 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
Same
Cleverdale N.Y. 12820 r-
2. CONTRACTOR or BUILDER'S Name
Self
Q,
3. CONTRACTOR or BUILDER'S Address
20
Same o
0
0
4. ARCHITECT'S Name
5. ARCHITECT'S Address
0
x
6. TYPE of Construction—(Please indicate by X) rn
V
( )Wood Frame ( 1 Masonry ( )Steel ( 1 n
TTJ
CD
7. PLANS and Specifications CD
No. 20' x 32' Two Car Garage as per plot plan, specifications, and
application. rD
7,
8. Proposed Use 0
Two Car Garage a.
$ 35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 1 19 90
---I
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the 0
town of Queensbury before the expiration date.)
c-)
Dated at the Town of Queensbury this 31st Day of July 19 09
1
SIGNED BY ' for the Town of Queensbury a
Building and Zoni nspector
rD
t
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 24, 19 90
This is to certify that work requested to be done as shown by Permit No. 89-588
has been completed.
This structure may be occupied as a
Two Car Garage
1Mation Box 267 - Cleverdale Road
Owner Richard & Dorothy Mellor
By Order Town Board
TOWN OF QUEENSBURY
(
Director of Bldg. & Code Enforcement
TOWN OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT
Pate-
,...,; Reci.eved _ TOWN OF
QUEENSSURY
'� Reviewed ' , RECEIVED
' Z-J.Y;S3 : F, �� •' /
AlFee Paid .fi 3 ' - 6 1989
BUILDING AND CODES W:PAI:TPIEMf Vote Ioeued BLDG. & COD
4Y and HAVILAND ROADS RD 1 Box 98 � GC/ E.DePT,
PUEENSBURY,NEW YORK 12804 PClumi t No. �� -�d _
Tel . (518) 792-5832 Ext •204
* * * * * * '* * 1 * * * * * * * * * * * * * * * * * * * a * * * * * * * •
A PERMIT MUST B1 OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
. WILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicable spaces on this application must be completed and the
r•ixuature of*the*applicant*must appear*on the reverse side*of this*sheet .
The owner of this property is : RICNFt2D + DozontY AAELL02.
P . O. Address Box 2.67 I CLEveR.MLE , IU•Y• 12$zo TEL. (0SG7- go74
Property location CLEVE( .DIILE RI) , C LE VEI2bil-La TAX MAP NO. /3 / 3 / 3
Iles there been any split of this property since October 1, 1988? yes no
NO
If yes , Planning Board Review is necessary. N •A
SUBDIVISION NAME, IF APPLICABLE N.O . LOT NO.
•
The person responsible for supervision of work as regards Building Codes is :
NAME P .O. ADDRESS Tel
TELl . NO.
Name of builder SELF Address ft8OVE T
Name of Plumber MA, Address / Tel /
Name of Mason N•H• Address /
iATURE OF PROPOSED hORK: * ZONING INFORMATION (Office use only)
X Construction of a new building * ZONING DESIGNATION OF PROPERTY
Addition to a building a PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alteration Coa building * '
_
* REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
(no change to exterior dimensions) __
Other work (de:crib:) Nr
SITE PLAN REVIEW # APPROVEDDATE
*
* VARIANCE # - APPROV•D 1. DATE '
CROSS AREA OF PROPOSED, STRUCTURE / /, ROV .
1st Floor
Lt.'s sq f t . . emarks: k9c7-//7 0 "/
2nd Floor IJA sq ft . * COMPLETE I iFOW4Ai'ION 1UQUIUED aE1. 1.
Other Floors N sq ft .
* Size of property c)OO ft X (00 ft.
* Existing building(:%) SI e 31 ft X £4 2- ft.
(not cellar or basement) * 18 x .24
TOTAL FLOOR AREA(14.0 sq f t . a Existing building(s) U:e home
'_:iee of new struc e aO ft X32, ft a �toFacie,
voandation-pie gar crawl/partial/Cull * Nroposed building, distance from property line
(circle one) a
Front yard ..50 ft Rear yard 11-1_ ft
No. of stories (habitable space) I * Side yards O_,3 ft and 3I ft
height (grade to ridge) ft. * If on corner, 14c:tback from side street _ fc
If residential, no. of families A1R
No. of rooms(excluding baths) N(i- * OCCUPANCY INFORMATION
uo. of bedrooms NA a
* PRIMARY LUILDINC -
No. of bathrooms NA
* One fondly dwelling
ype of heating :;yt:cuu, NA Two family dwelling
Type of fuel NA , r Multiple dwelling / Number of units
Nu. of fireplaces to be installed WI Pcr►nane:t►t oecupar►ey
Will a wood stove be installed? NO * '1'rrmaner►c occupancy
Central Air conditioning? NO a* Business
BUILDING STYLE, PRIMARY STRUCTURE N 1. a —Ocher
Industrial
Oher
a
Ranch Contemporary Lon cabin a if addition, what will use be?
Raised ranch Mansion Duplex
*lit level Old style bungalow a
Cape Cod Cottage Ocher * ACCESSORY BUILDING-
Colonial Row Town House * _Detached garage/one cur/
aro car
( CIRCLE ONL: PLEASE ) * Attached .garage/one car/ two Gar/ • CaL.
* a a a a * * * * * a Private storage building
ESTIMATED MARKET VALUE OF * Ocher
CONSTRUCTION $^-I g 0--rD *
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF TUTS SHEET, TO BE COMPLETED!
Form SPA 10/88 vl
BUILDING PERMIT APPLICATION CONTINUED -
•
BUILDING SPECIFICATIONS:
Type of construction wood frame fire safe,etc. WOO b FieM+U e
Will any second-hand or ungraded lumber be used? If so, for what? (U h
•
Foundation wall material Comae-re 8 cock, Thickness g �I
Depth of foundation below grade (to bottom of footing) 4 P71... ,L4iA) iLjL -f
Will there be a cellar? ttO Heated oraTTET=D Floor sq. footage - .� Q sq ft
Will there be a basement? A.10 Will any portion be used as living space? N b
(If so, what portion? / sq.ft. - - Type of use? . / _
Type of roof -sloped)flat/shed%other Material, of roof MC(o sig'/ 1sP he /t
Size, wood studs a "X LI " spacing "o.c. length ft. 4-4f s I ShitIOS
kNPJoists(floor beams) 1st. floor / "X / spacing / "o.c. span / ft.
r �Joists (floor beams) 2nd. floor / "X / " spacing / "o.c. span / ft.
Overlays(ceiling beams) 02.. "X (o " spacing /(p "o.c. span 2-1 ft.
Roof rafters ,,,Z "X (p " spacing /(p o.c. span /Z4ft.
0 Roof trusses(pre-engineered) spacing / "o.c. span / ft. - ,build OGV/L-
Exterior wall finish o./Idioq Of what material?_jjC _
Interior wall finish (,Z/)t'Ijlrshed
If a garage is to be attached, describe materials to be used for. FIRE SEPARATION: AM.
Is there to be an opening between garage and dwelling? /UO• If so will a Fire-rated
door, enclosure, and self-closing device be provided?
Will a flue-lined chimney be installed? ND Height above roof / ft. /
Depth of chimney foundation below grade / ft.
Depth of fireplace hearth / ft./ in-.
Water supply - Municipal or private well pji3 .
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties /V.R. ft.
(A separate application is necessary for any repair or new installation of septic system)
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 authorized by the owner.
Signature
Owner, owner's age , architect, contractor
•
* * * * *. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
By
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT,
BAY & HAVILAND ROADS
QUEENSBURY, NEW\YORK 92-58320k 41)/L'
TELEPHONE (518) 7
BUILDI G INSPECTO"S REPORT
REQUEST FOR INSP TION REC IVED
NAME ,. .// ; i4 Jir .1L/_� .I/_' -'
i� ilirM i i
LOCATION r� % _
a,jrl �� - "�` ry
DATE •,,IT # i d .
APPROVED
YES NO
FOOTING/PIERS 1111111111111111111111A
MONOLITHIC POUR FO' _
FOUNDATION/DAMP-PR** e _
BACKFILL APPROVAL _
ROUGH PLUMBING ®�_
FRAMING _
ELECTRICAL ROUGH-IN 111
INSULATION: 111111.11
FOUNDATION , _
FLOORSU11.1.11 _
WALLS _
CEILING ■
�( FIROOFCHIMNEY HEIGHTINSPECTION• �-
,` ROOFING
1111111011
SIDING 1111.11111111111111110111
•S _
EXTERNAL PORCHES/S LS MN
STAIRS-CLEARANCE 'EF VALVE
PLUMBING FIXTURES DOORS
111111
INTERIOR TRIM/PRI INN
EnFINISHED FLOORS _ �
GARAGE FIREPROOF
DOOR CLOSER(S) _
SMOKE DETECTORS 1111111111111111111.111
FINAL ELECTRICAL SPECTI>+N
11111
FINAL APPROVAL OF CONSTRUETION o`
OK TO ISSUE C/O O• C/C
A SIGNED CERTIFI*'TE OF OC' PANCY MUST BE
OBTAINED FROM TH: BUILDING ,EPARTMENT BEFORE
THESE PREMISES A'E OCCUPIED.
REMARKS:
1
191 / /
ARRIVE V,,,,,,,,,d
DEPART______—_-_ INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST INSPECTION RECEIVED
NAME /�GC_1f Z
LOCATION e((�
DATE -1 PERMIT #
APPROVED
YES NO
FOOTING/PIERS 11111
MONOLITHIC POUR FORMS
FOUNDATION/LAMP-PROOFING
BACKFILL APPROVAL _
ROUGH PLUMBING _
LAMING _
ELECTRICAL ROUGH-IN 11111
INSULATION:
FOUNDATION
FLOORS
WALLS _
CEILING11111
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 FROM THE ATE OF OCCUPANCY BUILDING DEPARTMENT BEFORE
BE
OBTAINED F BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280k
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST- FOR INSPECTIO RECEIVED
NAME nn
n �
LOCATION \7 CY."t/ /
- �^ `� G
DATE q -s � PERMIT # - --O
r APPROVED
YES NO
FOOTING/PIERS
MQNOLITHIC POUR FORMS MINI
FOUNDATION/DAMP-PROOFING'
L/DACKFILL APPROVAL EMI
ROUGH PLUMBING _
FRAMING
ELECTRICAL ROUGH-IN
INSULATION: ■
FOUNDATION
FLOORS EMIWALLS MIN 11111
FINALL INSPECT,�ON:
CHIMNEY HEIGHT EllROOFING ' _
SIDING
EXTERNAL PORCHES/STEPS _
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS _
GARAGEFIREPROOFING _
DOOR PLOSER(S)
SMOKk 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:
INSPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED - Cj
NAME V\ C e.9
LOCATION d k_.a (el t_ C9.il 7_0aid
DATE - - 9 PERMIT # �9 - 5
APPROVED
YES
[/-'OOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
t'
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 CLOSERS]
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CER'r'IFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
INSPECTOR
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