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1988-751 ate, CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date March 14 19 89 This is to certify that work requested to be done as shown by Permit No. 88-751 has been completed. This structure may be occupied as a Single Family Duelling Location Rockhurst Road Owner Lena Hall By Order Town Board TOWN OF QUEENSBURY Building & Zoning Inspector _ BUILDING PERMIT TOWN OF QUEENSBURY No. '88-751 0 WARREN COUNTY, NEW YORK _ • - oN . PERMISSION is hereby granted to Lena Hall _ _ - OWNER of property located at - Rockhurst Road. Street,Road or Ave: in the Town of Queensbury,To Construct or place a• Single Family Dwelling/Renovation 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 - - - Star Route•Rockhurst Road ' , Glens Falls,New York 12801. m • r 2. CONTRACTOR or BUILDER'S Name - r John Demar ► - - p a 3. CONTRACTOR or BUILDER'S Address . . Unknown 4. ARCHITECT'S Name - • . _ S , - _ o . 0 5. ARCHITECT'S Address - . • - - - - 0 ' Cl) rt - 0 - 6. TYPE of Construction—(Please indicate by X) a. ( ).Wood Frame ,(- ) Masonry ( )Steel ( I - .' , 7. PLANS and Specifications , No. Burnt Home Renovation.XX(Interior) as per application. 8. Proposed Use . . - - - • ' Single Family Dwelling • . - - - o - rr • •5.00 C/0- _ 0 $ . 10.00 • PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 ' 1989 - 0 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the . 7 CD town of Queensbury before the expiration date.) • - _ . 0 - - o d Dated at the.Town of Queensbury,this 19th Day of October 19 88 - lb SIGNED BY . ' _ - �� • for,the Town of Queensbury . . • Building and Zoning Inspector .- Afe_. . - E 1E - ' �uwii u nutc�rdGurr 111 l� i� ! ''C f .BUILDING and ZONING DEPARTMENT SEP 2a1988` Day and !-laviland Road, R.O. 1 Box 98 . -- w ' Oueensbury, New York 12801• • - " • - - - ' = BUILDING'& CODE DEPT. • a • Approved". ,. . .• . .4' ,/• ,• ./a 4"% rB. ' APPLICATION. I'OR / .S� e, D. BUILDING AND ZONING PERMIT • �� * * * * . * * . * * * * *. * * * .* * . * * * * * * *. * * *' * •* - * 4 * *.. * * * *;:•* ' . A' PERMIT MUST BE .OBTAINED BEFORE =BEGINNING CONSTRUCTION. ANSWER ALL.OF..TIlE FOLLOWING. • " The "undersigned 'hereby applies 'for a Building -Permit to do the following work`which will I • be done in accordance with the description, -plans and specifications submitted, and such ' - - :special conditions ,as may beindicated on the-Permit. - . . • The owner of thifproperty is: 'LENA BABCOCK HALL . . , 'P.O. Address • .' Star Route,- •Rockhur8t•jRd • Glens' Fall8, 'N.Y. '1'e1.85,6 3482 Property Location: • Rockhurst -Rd. ' Tax Map Ne. ./6 /' (/ _ / - Street nuruber or building lot number: •• . Subdivision name (if applicable) " . - - - • ' _ . . • T111 PERSON RESPONSI E FOR- SUPERVISION OF WORK AS REGARD S 'BUILD1NC -CODES IS: ' Name P.O. Address- / • Tel.'Nu. 'Name of uilder.34 4-l/.�1 ' _ Address Oev��; 4�c Tel. Gr% 917Z . • Name of. plumber ' • • Address - . Tel. - - Name of• 'mason -. ' ' • ' ,Address ' - Tel. ' • - - . : NATURE OF PROPOSED"W3RK: - * • . " 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) Interior' .. - , * set-back dimension s .From ,property-:linesGive- - r - ' Ph w ah k, Ne shingle' on -•roof. -' * street and number or- lot number- and indicate ' FOR DEMOLITION PERMI'P, S'1'AtPI? tSI2L' AND . * whether interior or corner lot. ' Show location . ' LGCAPION. OF S'PRUC1�U1t1:S Ar1L'CTL•'D.• - - of water supply and location and configuration • * of -septic disposal area. ' • • . , - - - - * -COMPLETE INFORMATION REQUIRED BELOW. - - * Size of property ft X ft. * Existing building(s) Size- • ft x ft. . . - * . PROPOSED: BUILDING AND USE: • ' ' * Existing .building-(s) Use . . . • - Size of new structure ft. X ' ft . *. • - - 1•'oundation-pier/slab/crawl/partial/full * Proposed-building, distance from property line :. (circle one) ; •Front yard • ' f.t .Rear yard• - ft No. or stories (habitable space) ;� Side yards ft- and' ft Haight (grade to ridge:) ft. If on corner, setback from' tide street ft' If _residential, no. of families * . No.. of rooms(excluding baths) * OCCUPANCY - INFORMATION' . , . - . ' • No. of bedrooms * PRIMARY BUILDING - - - - No.. of bathrooms.' Primary heating system - One family dwelling Type of. fuel . ' - * Two family dwelling . - _ . - No. of• fireplaces.to be installed , - • * Multiple dwelling,/ Number' of'•units, Will a wood stove be installed? * Permanent occupancy w 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- - - - Colon.ial " -Row -.' Town House *' • 'Detached garage/one-car/ two- car/ car' ' ' ( 'CIRCLE 'ONE PLEASE ) ' * Attached garage/one car/"`two car/_- -• car a * * * * * * * '* * a *- *- * * * * • * Private storage building . ESTIMATED MARKET VALUE OF * Other -_ • ' • CONSTRUCTION - " * . INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE.OF THIS SHEET, TO BC COMPLETED! . Form BPA 4/86 •md-v1, BUILDING. PERMIT PERMIT APPLICATION CONTINUED - • • BUILDING SPECIF.ICANONS:. Type of construction, wood frame, fire safe,etc. • Will any second-hand or ungraded lumber be used? If so, for what? Foundation wall material Thickness 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 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 • 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 STATE OF NEW YORK County 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 complete statement of all proposed work to be done ion the described premises and that all provisions of-the-BUILDING_CODP„ THE ZONING ORDINANCE, and all other laws pertaining to the proposed work shall be complied with, W_hether spe ified or not, -that such work is authorized by the owner. • SWORN TO BEFORE ME THIS Signature_ 0 r, owner's agent,arcnztect,contractor day of 19 Notary Public, Warren County, N.Y. * * * * * * * * * * * * x * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF Tt1E PERMIT: • By INTERIM BUILDING PERMIT PERMIT APPLICANT I. ,C?/i 1 /14// CONSTRUCTION LOCATION G,E , j� /C1 • ' • EFFECTIVE DATE V,201/c-t---- APPROVED BY aypt-yve_y � 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 ibcessing, POST THIS INTERIM PERMIT IN A C SP ATION ! ! Bu lding Codes Department TOWN OF QUEENSBURY REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!! 1. . Foundations Footings, before pouring concrete. 2. Foundations Inspections:and Waterproofing, before Backfill. 3. Rough Plumbing, Heating and Frame Inspections before'Closing in the'Framework. 4. Insulation - Foundation, Floors, Walls, Ceiling. • 5. Inspection of Electrical Installations before covering (rough in) and on completion of job. Final inspection certificate is necessary for' issuance of CERTIFICATE OF OCCUPANCY. 6. All new septic systems or repairs before covering any work. 7. Final Inspections before Certificate of Occupancy is issued. - THERE IS TO BE NO .-OCCUPANCY" OF THE BUILDING. WITHOUT APPROVAL OF THE BUILDING DEPARTMENT. --- TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT //,4,_ BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED /4277- / NAME __ LOCATION DATE /07-//9 PERMIT # f APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING FRAMING ' ELLE�ECTRICAL 'ROUGH-IN r', L 1 ULATION: \ / FOUNDATION \ 1 FLOORS WALLS - 4787 CEILING 9- 36'2 FINAL INSPECTION: {, CHIMNEY HEIGHT ROOFING SIDING EXTERNAL PORCHES/STEPS STAIRS-CLEARANCE & RAILS \ PLUMBING FIXTURES/RELIEF VALVE, INTERIOR TRIM%PRIVACY DOORS °; A C FINISHED FLOORS GARAGE FIREPROOFING 't 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: ' r f INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12801 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED Zeq , NAME LOCATION ��,(� /) ,4 DATE /,7- !O PERMIT # ( �� / 5 j APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS .FOUNDATION/DAMP-PROOFING BACKFILL APPROVAL ROUGH PLUMBING AMING V'� ELECTRICAL ROUGH-IN INSULATION: FOUNDATION ' ` FLOORS 1 WALLS CEILING FINAL INSPECTION: / CHIMNEY HEIGHT •f� ROOFING \ Or SIDING ,J. EXTERNAL PORCHES/STEP/ '\ 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: r71Tcn'mmmnn • TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT BAY & HAVILAND ROADS QUEENSBURY, NEW YORK 12804, TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT r,/ REQUEST FOR INSPECTION RECEIVED! NAME _ /�i�p% <;�� �� LOCATION �'� S DATE 3/q- l PERMIT # < - ,J/ APPROVED YES NO FOOTING/PIERS MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFING BACKFILL APPROVAL 1 ROUGH PLUMBING \ FRAMING 1 ELECTRICAL ROUGH—IN !` ' INSULATION: FOUNDATION A FLOORS 5� WALLS I CEILING ` e FINAL INSPECTION: ti I CHIMNEY HEIGHT y� ROOFING 5 \ • SIDING A '+,, EXTERNAL PORCHES/STEPS STAIRS—CLEARANCE & RAILS \ PLUMBING FIXTURES/RELIEF VALVE. INTERIOR TRIM/PRIVACY DOORS FINISHED FLOORS GARAGE FIREPROOFING!` \ DOOR CLOSER(S) SMOKE DETECTORS +� t. 1/ 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