89-580 r _
•
CERTIFICATE) OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date October 24 19 89
This is to certify that work requested to be done as shown by Permit No. 89-580
has been completed.
This structure may be occupied as a Foundation under Si ng1 P Family del l i ng
Location Mayflower Lane
Owner Shirley Armstrong
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
1
a a BUILDING PERMIT
s
TOWN OF QUEENSBURY
No. R9-5p,0
WARREN COUNTY, NEW YORK v
ft
PERMISSION is hereby granted to Shirley Armstrong
OWNER of property located at Mayflower Lane Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Foundation Alterations
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
283 Valley Road 7
Schenectady, N.Y. 12309
7
2. CONTRACTOR or BUILDER'S Name
G
John Mason Sunsoval
3. CONTRACTOR or BUILDER'S Address
a
P.O.Box 86
Cleverdale, N.Y. 12820
4. ARCHITECT'S Name
5. ARCHITECT'S Address
O
6. TYPE of Construction—(Please indicate by X)
tti
( 1 Wood Frame ( ) Masonry ( 1 Steel ( ) ra
m
7. PLANS and Specifications
No. 36' x 36' Foundation Alterations as per plot plan, specifications,
and application.
8. Proposed Use '
T
O
Foundation under Single Fmaily HIM § Dwelling
$ 10.00 C/C Onl yPERMIT FEE PAID —THIS PERMIT EXPIRES February 1 1990
(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.)
(to
-S
Dated at the Town of Queensbur • 26th D of July 19 89
0
SIGNED BY for the Town of Queensbury v'
Building and o ing Inspector
t
TOWN OF QUEENSBURY APPLICATION FOR BUILDING AND ZONING PERMIT
I!eci.eved • TOW OF QUEENSBURY
q%_ RECEIVED
, - Reviewed
JUL 24 1989
Fee Paid $ ' - 4-
BUILDING AND CODES.. !J):1'ARTi1E TF Data Iaaued �'`/* . ;-`-' • BLDG. & CODE DEPT.
AY and NAVILAND ROADS RD 1 Box 93
PUEENSBURY,NEW YOf K 12804 P'vu7LC.t NO. ; i' ~. .; 1
Tel . (518) 792-5832 Ext •204 •.► _
,• * * * * * * •* * J * * * * * * * * * * * * * * * * * • * * * * * • * * * ■ M
A PERMIT MUST B1 OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS
. tILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDINC PERMIT.
All applicable spaces on this application must be completed and the
sir'uature of the applicant must appear on the reverse side of this sheet .
*. * * * x * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
The owner of this property is : Miss Shirley Armstrong
P. O. Address 283 Vly Rd. , Schenectady, NY 12309 TEL. 656-9850
Property location Mayflower Lane, Pilot Knob TAX MAP NO. 153/ 1 / 12
Has there been any split of this property since October 1 , 1988? 4 X
yes no
If yes , Planning Board Review is necessary.
SUBDIVISION NAME, II` APPLICABLE LOT NO .
The person responsible for supervision of work as regards Building Codes is :
John A. Mason, Sunsoval . Inc . . P..g. _Box 86 , CleverslaJP , NY 12820 656-995Q
NAME P .O. ADDRESS TEL . NO.
Name of builder Suhsoval , Inc Address Cleverdale , NY Tel 656-9956
Name of Plumber Sunsoval, Inc .Mdress Cleverdale , NY Tel 656-9956
Name of Mason Sunsoval, Inc .nddress Cleverdale, NY Tel 656-9956
NATURE Of PROPOSED WOI:t:: ,, ZONING INFORMATION (Office use only)
Construction of a Jctiu building * ZONING DESIGNATION OF PROPERTY
Addition to :e buil.i:,Jg } PERMITTED PRINCIPAL PERMITTED ACCESSORY
7—Alteration to a building see enclosure
_(no change to exterior dimensions) * REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
Ocher work (describe) ' SITE PLAN REVIEW # APPROVED DATE
CROSS AREA OF PROPOSED, STRUCTURE • VARIANCE I{ APPROVED DATE •
•
1st Floor sq ft . * Remarks: •
_
2nd Floor sq f t . r COttPL ET1i.IWORmATION REQUIRED ulrt_ub1.
' dine of property 68 ft X 20 ft.�
Other Floors sq ft . 9
(not cellar or basement) ' Existing building(s)building(s) Si:u 36 ft X 36 Cc.
' shed - 10'x16
TOTAL FLOOR AREA sq ft . a
Existing building(s) Use
:.•ize of new structure 36 ft X 36 ft ' residential
Foundation-pier/slab/crawl/partial/full ` Proposed building, distance from property line
(circle one) ' ''
No. of stories (haliic..hle ::pace) 1 . Front yard 115 ft Rear yard 49 ft
Side yards 17 f c and 15 Cc
Height (grade to ride;,) 16 ft.
If on corner, setback from side: street ft
If residential, no. of families 1 ' '
No. of rooms(excludW) baths) 7 A OCCUPANCY 1NFORMATIQ'J
No. of bedrooms 2 # PRIMARY BUILDING -
No. of bathrooms 1 . X One family dwelling
Iu t rimary .acing system electric
Type of fuel - . Two family dwelling
No. of fireplaces to , a installed - r multiple dwelling / Number of units
Permanent occupancy
Will a wood stove be installed? - • Transient occupancy
Central Air conditioning? - 1 1
„ Business
BUILDING STYLE, PRIMARY STRUCTURE s Industrial
Ocher
Ranch Conteu l r ,ry c abin • if . ddition, what will use be?
Raised ranch mansion Duplex
split level Old style bungalow w
Cape Cod , Cottage Ocher * ACCESSORY bUILDING-
Colonial 1:ow . Town House ' becached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) ' Attached garage/one car/ two car/ cur
• R a ■ ■ * * * „ a R * r x * * * * private storage building
ESTIMATED MARKg'r VALUE OF * Ochec shed
CONSTRUCTION w 5 000. 00
]NFORmATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO RE COMPLETED:
Form BPA 10/88 v1 •
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. cement block foundation
Will any second-hand or ungraded lumber be used? If so, for what? no
Foundation wall material cement block Thickness 10"
Depth of foundation below grade (to bottom of footing) 4 ' 0"
Will there be a cellar? no Heated or unheated? _ Floor sq. footage 1296 sq ft
Will there be a basement? no Will any portion be used as living space? no
(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 - "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.
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 private well
SEPTIC SYSTEM _ Distance from ANY private well(including adjoining properties 50+ 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 ,W>,---f._ 61,./L-----1_
Ow,rier, owner's agent, architect, contractor
•
* * * * * * * * * * * * * •* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
•
SPECIAL CONDITIONS OF THE PERMIT:
'!
By
TOWN OF QUEENSBURY a
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION
DATE /r 1= ' / /PERMIT # �/ "
APPROVED
2-(./..77G� "`7/ Cie/ YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP—PROD INGCnTA �
CKFILL APPROVAL r�.e,_det_ C.1rCj
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION h'
FLOORS
WAL T.S
ILING
INAL INSPECTIQIV:
CHIMNEY HEIGHT
F
ROOFING ;
SIDING
EXTERNAL/PORCHES/STEPS
STAIRS—G'LEARANCE & 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:
141; INSPECTOR
s
1
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
NAME '
LOCATION ~ }� `�la� �`-r .41
UV
DATE /C2--'-.-S- 1 PERMIT # () - J a lJ
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
L-F`OUNDATION/DAMP-PROOFING Z
irj
+.- ACKFILL APPROVAL
ROUGH PLUMBING ,
FRAMING
ELECTRICAL ROUGH-IN
i
INSULATION:
FOUNDATION
FLOORS
WALLS �'
CEILING
i \,
FINAL INSPECTION: f .
CHIMNEY HEIGHT
ROOFING
SIDING ti
EXTERNAL PORCHES/ TEPS
STAIRS-CLEARANCE RAILS
l
PLUMBING FIXTURE /RELIEF VALVE_
INTERIOR. TRIM/P VACY DOORS
FINISHED FLOORS
GARAGE FIREPROO ING
DOOR CLOSER(S) ;
SMOKE DETECTOR
FINAL ELECTRICAL, INSPECTION
FINAL APPROVAL 4F CONSTRUCTION
I
A SIGNED CERTI1!ICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES/ ARE OCCUPIED!
I
REMARKS:
d `4, ( oh,d, /,,,,,,4g,,,;�_.
Gr5-24,4/V) c
117
INSPECTOR
i
---
Pit,orb6 4
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT �ry�
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED /4/—SS'
NAME
LOCATIONDATE C 1.5--5rCri PERMIT
APPROVED
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:
INSPECTOR
t