1992-084CERTIFICATE, ®F COMPLIANCE
TOWN -OF' QUEENSBURY
WARREN COUNTY, NEW YORK
Date ll)ewj_. 2la 19
This is to certify that work requested to be done as shown by Permit No.92-084
has been completed.
This structure may be occupied as a
Detached 2-Car Garage
Location 140 Dawn Road
Owner Larry CLute
CONVITIONAL CERTIFICATE: By Order Town Board
StMage use only
TOWN OF QUEENSBURY
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Director of Bldg. & Code Enforcement
BUILDING PERMIT
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TOWN OF QUEENSBURY No. 92-084
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Larry Cl ute o
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OWNER of property located at 140 Dawn Road Street, Road or Ave. o
in the Town of Queensbury,To Construct or place a 2-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.
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1. OWNER'S Address is
RR6 Box 140A
Queensbury, NY 12804
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2. CONTRACTOR or BUI LDER'S Name 1
Same
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) In
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A Wood Frame ( ) Masonry ( )Steel
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7. PLANS and Specifications
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No. 2-Car Garage as per plot plan specifications and application
8. Proposed Use
Detached 2-Car Garage
35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES March 19, 1993
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 19 Day of % March 19 92
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SIGNED BYf for the Town of Queensbury
Building and Zoning ctor
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TOWN OF QUEENSBURY
REVIEWED BY: (;AN\
se
FEE PAID:
OWN OF C1UEEhD58UH}
ElteFn
PERMIT NO. : D
MAR 18 1992
BUILDING PERMIT APPLICATION BLDG. O®DE DEPT.
A PERMIT MUST BE OBTAINED BEFORE. BEGINNING CONSTRUCTION. NO INSPECTIONS WILL BE MADE UNTIL
APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
Owner of Property: _ Ur r-
P.O. Address: t2(CP gc>e Ig0A bee L 45__ PHONE
Property Location:CC-10 bau QA c
ax Map No. tPo / j /&(,a(
Has there been any split of this property since October 1, 1988? Yes No
If yes, Planning Board Review- is necessary.
LS Name, if applicable: Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK: 1/ ESTIMATED MARKET VALUE OF THE
Construction of new building
J
CONSTRUCTION: $ QCX_X3.00
Addition to building -
Alteration toebuilding COMPLETE INFORMATION REQUIRED BELOW:
no change to exterior dimensions) *Size of Property: aCXD ft. x _r>O C7 ft.
her work (describe) Existing Building Size:
ft. x ft.
Proposed building - distance from
GROSS A EA OF PROPOSED STRUCTURE: property line:
1st Floor Sq. Ft. Front Yard '7 7 ft. Rear yard ft.
Side Yards cL ft. and - s- ft.
2nd Floor Sq. Ft. If on corner, setback from side street-
ft.
Other Floors Sq. Ft.
not cellar or basement)OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: Sq. Ft. Primary Building -
One Family Dwelling
X Size of New Structure: ft. x ft. * Two Family Dwelling
Foundation: Multiple Dwelling/No. of Units _
Pier/Slab/Crawl/Partial/Full (Circle One) Business
Industrial
No.. of stories (Habitable space)Other
Height (grade to ridge) ft.
If residential , no. of families:If addition, what will use be?
No. of rooms (excluding baths) :
No. of bedrooms:
No. of bathrooms: Accessory Building:
Primary heating system:Detached Garage - On wo Car
Type of fuel : Attached Garage - One/ wo ar
No. of fireplaces to be installed: Private Storage Building
Will a woodstove be installed?: Other
Central Air Conditioning: Yes No
OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATIONS:
Type of construction: frame, ire 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:
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 V spacing (o" 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 a-IL o.c. ; span ft.
Exterior Wall Finish: "V L( Q(!2,y 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, 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. )
NAME
NAME OF BUILDER & ADDRESS: C c.F r —fie C.PHONE ! a7 7
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: PHONE
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 pro isions of the
BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining th proposed work shall
be complied with, whether specified or not, and that such work autho _i b he owner.
Signatur
Own ow er s agent, architect
contract
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
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TOWN OF QUEENSBURY '
BUILDING & CODE ENFORCEMENT
531 BAY- RD., QUEENSBURY NY 12804
INSPECTOR'S REPORT: AR DEPART I
REQUEST FOR INSPECTION RECEIVED:
NAME
LOCATION
DATE PERMIT #
TYPE OF STRUCTURE:
RECHECK APPROVED
N A YES NQi
FOOTINGS PIERS'
MONOLITHIC POUR FORM
REINFORCEMENT IN PLA E
THE CONTRACTOR IS
RVPROVIDINGPROTETIO
FOR 48 HOURS FOLLOW
MENT OF THE CONCRET
MATERIALS FOR THIS
FOUNDATION WALLPOUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPPROOFING
BACKFILL APPROVAL
PLUMBING VENT/VENTS IN PLACE
ROUGH PLUMBING
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS MAIN B AM
AIR INFILTRATION BARRIER
HEATING ROUGH-IN
r
INSULATION:
FOUNDATION WALLS IN ERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS
WALLS R-
CEILING
DUCT WORK OR PIPIN IN
UNHEATED SPACES R-
TOLT OF QUEERSOURY
BUILDING AND CODES DEPARTMENT
532 BAY ROAD
QUEENSBURY fl NEW YOREt 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
REQUEST FOR RNSPECTIOW RECEHVED hL.
RME
LOCATION1
DATE ' >PERNIT 0
TYPE OF STRUCTURE
RECHECK APPROVED
N/A YES
OOTINGS/PIERS
MONOLITHIC POUR FORM_
REINFORCEMENT IN PLACE
THE CONTRACTOR IS- RESPONSIBLE
FOR PROVIDING PRQTECTION FR&-%I
FREEZING FOR 48 HOURS FOLLOWIRG
THE PLACEMENT OF THE CONCRETEo
MATERIALS FOR TH S PURPOSE ON SITE
FOUNDATIONAIALL P' UR 1'
REINFORCEMENT IN GLACE
FOUNDATION/DAMPRO'FING
BACKFILL APPROVALI
ROUGH.PLUMBING
PLUMBING VENT/VENTJ PN PLACE
PLUMBING UNDER SLAB.
FRAMING:
JACK STUDS/HEAD R
BRACING/BRIDGING t
JOIST HANGERS/ _ g
JACK POSTSAf AlN BEAM
HEATING ROUGH-IN
INSULATION:
FOUNDATION .',4ALLS INTERIOR R-
FOUNDATION 14ALLS EXTERIOR R-
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
ARRIVE
DEPART
INSPECTOR
TOWN OF QUEENSBURY
531 BAY ROAD
2 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME_ GZtUz
LOCATION
DATE PERMITO
TYPE OF STRUCTURE-:4f-
RECHECK
FI tE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
OOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
CHIMNEY HEIGHT/LOCATION /
N/A YES NO
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING J
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS$
FINISH FLOORS: f
BATH/KITCHEN WATERTIGHT,rt
OTHER FLOORS SWEEPABLE ,,r
OTHER FLOORS CARPETED .Y
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS 1
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS1.
ALL PLUMBING FIXTURES$ OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS I
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL .
OK TO ISSUE C/O (R C/C
COMMENTS:
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OWN
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QUEEN 1111111101111 Mmwff MAR 18 1992 Based as
our MW mWmdb% complismwbcar elaffAW1111111111
BLDG. & CODE DEPT.
not becodmedUl N' 111191611111 plans and speciiWm
a b Id Compliance with the
QW6. NOTICE Use of
these
plans without written permission from Northern Homes,
Inc, is prohibited. Do not scale
these drawings. Use only the
dimensions shown. Owner and contractors
shall: Consult applicable building
codes to Insure that plans and details
conform to all requirements. They shall verity
all dimensions before construc- tion work and
shall not" Northern Homes Draft- ing Department of
any discrepancies before warm; Is pe1cjmied R
EVIF Dales
Homes The
Science
ot
Building The Art of
Design 0 51 Glenwood
Avenue
Queensbury, NY 12804
The Plans Drawn
For: CL LJ T
E_ City/Town: 64(
j&_ Title: V Drawn
by:."
Page
heets FILE
COPY of
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