89-056 v 4
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 4, 19 89
This is to certify that work requested to be done as shown by Permit No. 89-56
has been completed.
This structure may be occupied as a Addition to Sinvle Family Dwellini:
Location Rockhurst
Owner Margaret 13unke
By Order Town Board
TOWN OF QUEENSBURY
rThi
Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 89-56
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Margaret Bunke
OWNER of property located at Rockhurst Street,Road or Ave.
in the Town of Queensbury,To Construct or place a Addition & Foundation
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
17 Stuyvesant Oval, Apt. 3H
New York, N.Y. 10009
2. CONTRACTOR or BUILDER'S Name
Sunsoval, inc.
3. CONTRACTOR or BUILDER'S Address - F
Cleverdale, N.Y.
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) V
( )Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
No. 16 ' x 24 ' addition and foundation as per plot plan,
specifications , " and application. Site Plan — 60-88 -
8. Proposed Use ~
Single Family W/Addition & Foundation ' •
•
. c
E
$ 90 . 00 PERMIT FEE PAID—THIS PERMIT EXPIRES September 1 1989 "
(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 this 17 th Day of " February 1989 •
SIGNED BY . / zfe f(ZL for the Town of Queensbury
Building and Zoning Inspector/Lff
' TO BE COMPLETED BY BLDG. DEPT.
cn / Application No.
u(un OF---Qiieenilurl Permit Issued 19
' -BUILDING and ZONING DEPARTMENT Permit Expires 19 .
• Bay and Haviland Road, R.D. 1 Box 98 • Zoning Designation
1 Oueensbury, New York 12801 varia e N
• Site Plan Revi •. 60 --R _' 550
• ed.
Appr v 'S-
APPLICATION FOR )0/ .7
BUILDING AND ZONING PERMIT (< <0
* * * * * * * * * * * * * * * * * * * * * * * * * * * .*. * * * * * * * * * * ::*
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 property is: Margaret E . Rnnke
212-5n -1516
P.O. Address 17 Stuyvesant Oval, Apt. 3H, New York, NY 10009 Tel.
Property Location: Rockhurst Tax Map No. 15/ 1 /' 8
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
•
John A. Mason P.O. Box 86; Cleverdale, NY • 656-9956
Name P.O. Address Tel. No.
•
Name of builder Sunsoval, Inc. Address Cleverdale , NY Tel. 656-9956
Name of plumber Suns oval, Inc. Address' Cleverdale, NY Tel. 656-9956.
•
Name of mason Sunsoval, . Inc. Address Cleverdale, NY Tel. 656-9956
NATURE OF PROPOSED WORK: * ZONING INFORMATION:
. _Construction of a new building * A.PLOT PLAN MUST BE PREPARED AND SUBMITTED,
X 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
X Other work (describe) riew •.,• - . * set-back dimensions from property lines. Give
foundation;new windows & siding; •* street and number or lot number and indicate
waterline to lake .* whether interior or corner lot. Show location
•
FOR DEMOLITION PERMIT, STATE SIZE AND *
LOCATION OF STRUCTURES. AFFECTED. of water supply and location and configuration
* of septic disposal area.
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 35 ft X 81 ft.
* Existing building(s) Size 16 ft X 74 ft.
. • * . .
PROPOSED BUILDING AND USE: • * Existingbuilding (s) Use
9 residential
Size of new structure 16 "ft x 24 ft * '
Foundation-pier/slab/crawl/partial/4W * Proposed building, distance from property line
(circle one) *• Front yard 8 ft Rear yard 40 ft
No. of stories (habitable space) 2 * Side yards 4 • ft and 8
ft
Height (grade to ridge) 26 ft.
r * If on corner, setback from side street - ft
. If residential, no, of families 1
No. of rooms(excluding baths) 3 * OCCUPANCY INFORMATION
No. of bedrooms 1 * PRIMARY BUILDING •
-
No. of bathrooms 1
Primary• heatingsystem * X One family dwelling
Y baseboard * _Two family dwelling
Type of fuel electric * Multiple dwelling / Number of units
No. of fireplaces to be installed 0
* Permanent occupancy
' Will a wood stove be installed? no * Transient occupancy
Central Air conditioning? no '
* Business
•
BUILDING STYLE, PRIMARY STRUCTURE * Industrial_
* Other
Ranch Contemporary Log cabin * If addition, what will use be? foundation-
Raised ranch Mansion Duplex • * storage; loft . studio _
Split level Old style �Sungalow�
Cape Cod Cottage Other '•* ACCESSORY .BUILDING-
Colonial Row Town House • * Detached garage/one car/ two car/ car_
C CIRCLE ONE PLEASE ) ' * Attached garage/one car/ two car/ car_
* * * * * * * * * * * * * * * * * . * _Private, storage building
ESTIMATED MARKET VALUE OF : * Other •
CONSTRUCTION •
$_:?5„0 00J'0 0 . •
INFORMATION ON BUILDING' SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 hid-vl 1
•1
BUILDING PERMIT APPLICATION CONTINUED -
• BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. wood frame
Will any second-hand or ungraded lumber be used? If so, for what? no
•
Foundation wall material cement blocks Thickness 10"
Depth of foundation below grade '(to bottom of footing) over 4 ' 0"
Will there be a- cellar? yesHeated or unheated?unheatecf'loor sq. footage 384 sq ft
Will there be a basement? yes Will any portion be used as living space? no
(If so, what pa 'on? - sq.ft. - - Type of use? -
Type of roof - slope flat/shed/other Material of roof asphalt shingles
Size, wood studs: . "X 4 " spacing 16"o.c.. length 8 ft.
Joists(floor beams) 1st. floor - "X - " spacing - "o.c. span__- ft.
Joists (floor beams) 2nd. floor 2 "X 6 " spacing 16 "o.c. span 8 ft.
Overlays(ceilir,g beams) _ "X _ " spacing - "o.c. span _ ft.
Roof rafters _ 2 "X , 10 " spacing 241o.c. span . 10 ft.
Roof trusses (pre-engineered) spacing _ "o.c. span _ ft.
Exterior wall finish s i d ng Of what material? vinyl
Interior wall finish shi etrork
• 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? N/A If so will a Fire-rated
door, enclosure, and self-closing device be provided? N/A
Will a flue-lined chimney be installed? N/A Height above roof N/A ft.
Depth of chimney foundation below grade N/Aft.
Depth of fireplace hearth N/pft.N/pin.
Water supply - Municipal or private well Lake George
SEPTIC SYSTEM Distance from ANY private well(including adjoining properties N/A 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 Warred
•
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 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 ' - �L
Own-, , . o er's agent,arcnitect,contractor
10th day of Oct . 19 88
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * * * •* * * * * * * .* * * * * * * * * * * * * * * * * * * * * '* * * *
SPECIAL CONDITIONS OF THE PERMIT:
•
•
•
•
•
•
•
By ----
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-T RECEE VED 772741
NAME _
LOCATION
DATE -'—t.S`C5 PERMIT #
APPROVED
YES ' NO
FOOTING/PIERS
MONOLITHIC POUR FORMS r'
FOUNDATION/DAMP-PROOFING /'
BACKFILL APPROVAL
ROUGH PLUMBING '
FRAMING
ELECTRICAL ROUGH-IN ;s7
INSULATION: ` d
FOUNDATION \
FLOORS \ Y
WALLS \ I
CEILING/INAL INSPECTION: �� k
CHIMNEY HEIGHT /
ROOFING /
SIDING
EXTERNAL PORCgES/STEPS
STAIRS-CLEARANCE & RAIL'S /
PLUMBING FIXTURES/RELIE \VALVE �/
INTERIOR TR+CM/PRIVACY DOGS
FINISHED F ORS �l
GARAGE FIRkPROOFING \
DOOR CLOShR(S)
SMOKE DETECTORS �\
FINAL ELEC RICAL INSPECTION /f�
FINAL APPROVAL OF CONSTRUCTION \ ✓
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS: ,eg6e ( 4a `
lam'
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 NSPECTION RECEIVED 7?% /''
NAME '� a/ f� / l
LOCATION ,
DATE PERMIT #
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING f'
BACKFILL APPROVAL /
ROUGH PLUMBING\,
FRAMING
ELECTRICAL ROUGH,-IN /
INSULATION:
FOUNDATION
FLOORS
WALLS
�CEILING
NAL INSPECTION: \,
CHIMNEY HEIGHT !
ROOFING
SIDING
EXTERNAL PORCHES/STEPS: _ t/
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEFiVALVE 2.,•/
INTERIOR TRIM/PRIVACY DOORS (.//
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION '. �✓
FINAL APPROVAL OF CONSTRUCTION L/
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:A•eda`�
k f-c ,
INSPECTOR
TOWN--OF QUEENS BURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
+QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
,
NAME a -41
LOCATION X(
DATE ‘..-/9 p.G�9 PERMIT # O / - '�f�
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
sINSULATION: e.
FOUNDATION \ /r P
FLOORS \ .fir
WALLS \ a..
CEILING \ /'
FINAL INSPECTION: r.
CHIMNEY HEIGHT \ /
ROOFING \ I
SIDING \ //
EXTERNAL PORCHES/STEWS
STAIRS-CLEARANCE & 1RA,ILS
PLUMBING FIXTURES/pRELIEF VALVE
INTERIOR TRIM/PRIVACYDOORS
FINISHED FLOORS / j _
GARAGE FIREPRO ING
DOOR CLOSER(S)/
SMOKE DETECTOSS I
FINAL ELECTRIC L INSPECTION'S
FINAL APPROVA OF CONSTRUCT.f N
A SIGNED CER IFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
??1/1/
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 _
NAME -/ zer.
LOCATION 8-�l��4,S*
DATE ,5-/ PERMIT # 4,7 J1
• APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
• FOUNDATION/DAMP-PROOFING J
BACKFILL APPROVAL \ ,, `s
ROUGH PLUMBING
FRAMING /
ELECTRICAL ROUGH-IN \ y
INSULATION: r'
FOUNDATION
FLOORS \ I
WALLS X
CEILING I
FINAL INSPECTION: /r
CHIMNEY HEIGHT °
ROOFING /
SIDING /
EXTERNAL PORCHES/STEPS 'k
STAIRS-CLEARANCE & RAILS 1,
PLUMBING FIXTURES/RELI F VALVE 'N
INTERIOR TRIM/PRIVACY DOORS \
FINISHED FLOORS i
GARAGE FIREPROOFING I j,
DOOR CLOSER(S) I ''\.
SMOKE DETECTORS / +:
FINAL ELECTRICAL INSPECTION
tt \
FINAL APPROVAL OF CJONSTRUCTION \
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
1\i, s
I SPECTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280i
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME 'lard R i.4_
LOCATION \
DATE L)J. LJ I h !)PERMIT # l-J
/ APPROVE
YES O
(/FOOTING/PIERS ,,
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL /
ROUGH PLUMBING\ ,f
FRAMING \ "
ELECTRICAL ROUGH IN ;
INSULATION: q /
FOUNDATION \, /
FLOORS '�� /
WALLS /
CEILING ',
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING I �•
EXTERNAL PORCHES/STEPS ' 't.,
STAIRS-CLEARANCE`& RAILS ',, _
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM// RIVACY DOORS
FINISHED FLOORS
GARAGE FIRED OOFING
DOOR CLOSER( )
SMOKE DETEC�'ORS
FINAL ELECTRIdALC INSPECTION •
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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 filaa_/Lo}
LOCATION (/mil ... ' As 7/
DATE `j - 07 -PERMIT #` 19-.3 t
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
•
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROU H PLUMBING
MING _ - .
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)t
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:
• 4/1///
• INSPECTOR