1987-045 rc:.'.. : r.'.' .p( n-
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I
I CERUFICAT"E OF CUPAN+�"')L7 71
f TOWN OF QUEENSBURY
` WARREN COUNTY, NEW YORK
Duce May 5 lq 89
1 � .� QC
This is to certifyr that work requested to be done as shown by Permit No. _ 87-4,5„
I
has been completed.
TUis structure may be occupied as a Two Car attached Garage
7..ocation t�.
Corner West Mt. b Bronk Dr_ In b'rC+VN� 1.�Y,
: Owner Lawrence Larson
By Order Town Board
TOWN OF QUEENSBURY
p'�zo 4L k--
Director of Bldg. do Code Enforcement
l
I
t BUILDING PERMIT
TOWN OF QUEENSBURY No -
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to Lawrence R . Larson
OWNER of property located at Corner West Mountain Road and Bronk Drive Street, Road or Ave.
Lot lO west Mountain Park Subdivision £
in the Town of Queensbury, To Construct or place a Two—Car Attached Garage H
at the above location in accordance to application together with plot plans and other information hereto filed and m
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. t"
26 LaFauette St / '
F2CONTRACTOR
WNER`S Address is w
Hudson Falls , New York 12$39
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or Blll LC3ER$ Name
Custom Crafted Homes
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a CONTRACTOR or BUILDERS Address ro
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20 Saratoga Ave . £
South Glens Falls , New York 1D
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4_ ARCHITECT'S Name
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S. ARCHITECT'S Address
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6- TYPE of Construction — [Please indicate by X) ,
I'') Wood Frame [ ) Masonry I ) Steel 1 1 t=:P
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PS. Proposed
NS and specifications
No 24 ' x3O ' two-car attached garage per plot plan , Specifications and
application submitted . See Permit 86-846 for Modular Dwelling . o
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Use rWt
Two-Car Attached Garage
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$ 10600 PERMIT FEE PAIL? - THIS PERMIT EXPIRES Sent 1
(if a [anger 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_)
f0
Dated at the Town of Queensbury this _ 2 h 'Day of __ Fehru ry 19- - 97
for the Town of Queensbury
SIGNED BY
Building and Zoning Inspector
TO BE COMPLETED BY BLDG . DEPT .
7c Application No . "rC
otvn o/ Quee" JI"ry Permit Issued 19 �"� h+ 4F +� { IEE d � F
BUILDING and ZONING DEPARTMENT Permit Expires 19 D , C L [I
Bay and Haviland Road, R.D. 1 Box 98 zoning Designation
I J1
Dueensbury, New York 12801 variance No . FEB 261987
Site P Review
I C -.GF-
� �' d1
Ap d} BUILD G & CODE DPT.
APPLICATION FOR. dog 04 {
BUILDING AND ZONING PERMIT
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 : ti��l �!++,-tip F 'S� . ! u::—Xo ha
P . O. Address 'r�y�.`�1 („�"r2 L 1 �. '-} 1L t-�� Tel .
Property Location : ` Tax Map No .
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS ;
�—�,,_re,�,, �^ c�.,�� �� '2�� �A `mac—�_�� t�,,..�-��!�`'--J, r�`�'�{-•
P . O . Address Tel . No . 713 _ 3icjq
Marne
Name of builder +�tiy b� AQirli� Address Tel
Name of plumber Address Tel .
Name of mason Address Tel .
NATURE OF PROPOSED WRK : ZONING INFORMATION :
_Construction of a new building A PLOT PLAN 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) set-back dimensions from property lines . Give
* street and number or lot number and indicate
whether interior or corner lot . Show location
FOR DEMOLITION PERMIT , STATE SIZE AND * of water supply and location and configuration
LOCATION OF STRUCTURES AFFECTED. * of septic disposal area .
*
COMPLETE INFORMATION REQUIRED BELOW .
* Size of property ft X_!'-�ft -
Existing building ( s) Slze..22Z_ftft -
*
PROPOSED BUILDING AND USE : * Existing buildings ) Use
Site of new structure `�� ft X 430 ft
undation pier/slab/crawl/Martial/full * Proposed building , distance from property line
(circle one ) ,� Front yard I "tt ft Rear yard esf a � ft
No . of stories (habitable space) V` ft
Side yards ft and
Height { grade to ridge) I I ft . If on corner , setback from side street 2 ' ft
If residential , no . of families r4A
No . of rooms ( excluding baths ) hL OCCUPANCY INFORMATION
No . of bedrooms 11
--,- x��PRIMARY BUILDING -
No . of bathrooms 1 .1Li V One family dwelling
Primary heating system �1Yi
* Two family dwelling
Type of fuel Multiple dwelling / Number of units
No . of fireplaces to be installed
�, Permanent occupancy
Will a wood stove be installed? _ * Transient occupancy
Central Air conditioning?.- * Business
BUILDING STYLE, PRIMARY STRUCTURE Industrial
,� Other
Ranch Contemporary Log cabin If addition , what will use be?
Raised ranch Mansion Duplex * - .-"'� nr]Ohl _
Split level. 01d style Bungalow
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House * Detached garage/one car/ two car/ car
{ CIRCLE ONE PLEASE ) * Attached garage/one car/ two ca car
* * * * * * » * * * * * * * * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTION
. - - - - - - - -
INFORMATION ON BUILDING SPECIFICATIONS , ON REVERSE SIDE OF THIS SHEET , TO BE COMPLETED !
Form BPA 4/86 and-vl J -e < /.Y/a'y . Pe,._ dr 6 - J-yG � " //i 17
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc . r�.y j"AOL
Will any second-hand or ungraded lumber be used? If so , for what ? t�
Foundation wall material Thickness Aa "&
Depth of foundation below grade (to bottom of footing )
Will there be a cellar? _3%�Heated or unheated? tsLrA.Floor sq. footage 7 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 - slope /flat/shed/other 611 M Material of roof
Size , wood studs " X spacing "o . c . length �ft .
Joists ( floor beams ) lst . floor t�l� "X IF spacing "o . c , span ft .
Joists ( floor beams ) 2nd . floor a4 -"'X IT spacing "o , c . span ft ,
Overlays ( ceiling beams ) ITspacing_ 7�"o , c . span. _ft .
Roof rafters "X „ spacing O . C . span ft ,
Roof trusses {pre-engineered} spacing " o . c . span �ft .
Exterior wall finish `ti} ► S, rA . Of ,what material ?
Interior wall finish
If a garage is to be attached , describe materials to be used for FIRE SEPARATION :
012
Is there to be an opening betty en garage andwig m4 If so will a Fire-rated
door , enclosure , and self-closing device be p ��'c `?
Will a flue-lined chimney be installed? _tAA Height above roof ft ,
Depth of chimney foundation below grade'_tJA__ft ,
Depth of fireplace hearth 1Vlyft . 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 se-pt--iic �sy�stem)
Town of Queensbury
County of Warren A F F I D A V I T STATE OF NEW YORK
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 ORDINANCEr 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 �}'J -----------
r,,� MAR)0 � ,fR?�Tt , architect . contractor
day of Q
_1471 notary Pubic, State of New York
Washingto4i t;� nty.47J I .'30
GoMrWs$lon Expires 30 1
O ary Iic , rn.._...e COuntyr N . YIT IT IT IT IT IT IT IF IT
SPECIAL CONDITIONS OF THE PERMIT :
Hy
THE NEW YORK BOARD OF FIRE UNDERWRITERS airs'
�4057381 BUREAU OF ELECTRICITY
jf 41 STATE STREET. ALBANY, NEW YORK 12207 hate August 10 , 1987 Application No- on file 011868-87 A 6 d ol 085
THIS CERTIFIES THAT
anly the electrical equip&nom[ as deecr"!bed belonw +a*+d introduced by applicant named ors ehe aboe/e appiica[+Ean nxs+nbar in the pro+r+%+ea of
Mr . A. ,A.
Tel] ter corner of Bronk ,'fir . S West Xt . Rd . Glens Falls , NY
in thefallaLaing location; $asement Ist Ff. ❑ End Ft. putSl.dle Section Slack Lot s
s
was examined on 7 /22 /$7 and found to be in compliance with the requirements of thin Board.
NXTURE FIXTURES RANGES C0OKIW4 MKICS OVENS DESH WASHERS EXHAUST FANS
ACLES SWITCHES INCAI,NESCENr FLL/011ESCENT y AIAT, K. W. M T. K. W. AMT-
4 1 2 4 €
PRYERS FURNACE MOTORSp1rURE AFFUANCE FEEDERS STECIAL REC'FT TIIAR CIOC%S RELL tMOT
MOTORS EIEwTERS MLULt4olATiET LMEKMERS
TRANS. AMr. H. P, SYSTEMS AMr. wATrs
AMT- K. W. Cot H_ P. GAS H. P. AMY- NO, A. W. G- AMT. AMP, AMT- AMPS. NO. OF FEET �.
ae
SERVICE DISCONNECT Ho.1CW S E R G V 1 C E
METER Na. PER XCONb. OF C.C. b. A' W' G' NO, fiF NEUTRALS A.
AMT. AMP. TYPE QUIT. 1 .02W 1 X 3W 3 P 3W 3.a 4W Na. Ur r+Y-LEG OF HI-LEG CYF NEUITIAL =
1 20 cb 1 x 410 2Iv
OTtIER A"ARATUS:
1=
Era Electric C4 . C% !
7 8i.reh Lane BRANCH MANAGER
Glens Falls , NY 12801 '
PCr�
This certificate must not be altered in any manners return to the office of the Board if incorrect. Inspectors may be identified by their credentials. aa
COPY FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK .132Q4-
TELEPHONE ( 51 $ )
BUILDING INS'PEGTOR' S RUORT
REQUEST FOR INSPECTION RECEIVED
NAME ,
LOCATION
PERMIT #
DATE APPROVED
YES N{7
FO'f`OSJTc�•INGI PI ERS
MONOLITHIC POUR FORMS
FOUNDATIONIDAMPIIIIIIPROI
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS
WALLS
RILING
V4eICNAL INSPECTION1
CHIMNEY HEIGHT
RO0FJ NG s
SIDING
EPS
EXTERNAL PORC NCE & RAT
STAIRS—CLEARANCE ESIREL F VALV
PLUMBING FIXTU
INTERIOR TRIM/PRIVAC DOORS
FINISHED FLOORS
GARAGE FIREPROOFI
f
FINAL ELEC RICAL INSPECTIO
DOOR CLOSERS
SMOKE DETECTORS N ...�_
FINAL APPROVAL PF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM
PREMISES THE
THESE PRE OCCUPIES DEPARTMENT BEFORE
REMARKS :
NSPECTOR
I�
flown �uQer+ y � etr+�
flown of
BUILDING and ZONING DE g RTMENT
98
Bay and Haviland Fload, R.
Queens�ury. New York 12801
BUILDING INSpECTOR ' S REPORT
NAME
LOCATION
Dair.ei�ermii i3o
APPROVED
ooting/Pier Forms
Foundation
Waterproofing
Backfi11
Framing
Roof ing
siding �----
masonry veneer
Rough plumkiing
Relief Valves
Ext . Porches
Finished Floors
Interior Trirn
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg - Fixtures
Gar _ Fireproofing
poor Closers
smoke Detectors
Chimney
INSULATION
Foundation
Floors
Walls
Ceiling --
FINAL ELECTRICAL IATSPECTIC7N�_
DRIVEWAY APPROV S r�rey��
Final Building
Next scheduled inspection (call when ready )
Remarks-
'Building Inspec�r
E,,/g� and-vl
f�
TOWN OF QUEENSBURY
.BUILDING AND CODES DEPARTMENT G`
PAY & HAVILAND ROADS
QUEENSBURY, NEW YORK I2804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTIONL�RECEIVED
NAME o(CL ,
LOCATION .7�c /
DATE f- - / PERMIT #! �/ '
APPROVED
YES NO
FOOTTNGI PI ER'S
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
.BACKFILL APP`4ROVAL
ROUGH PLUMBIMW
FRAMING
ELECTRICAL ROU -IN
INSULATION: w.
FOUNDATION
FLOORS
WALLS x
CEILING
6, rXNAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAI
PLUMBING FIXTURES/REL EF VA { E
INTERIOR TRIM/PRIVAC�d DOORS
FINISHED FLOORS'
GARAGE FIREPROOFING
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
A SIGNED CERTIFX( ATE OF OCCUPANCY MUSS' BE
OBTAINED FROM THE BUILDING DEPARTMENT ,BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS��
1
INSPECTOR
OfAV/t dccPen3tsur+�
gI )ILCDING and ZONING DEPARTMENT
Bay and Haviland Road, R.O. I Box 98
()ueensbury, New York 12601
BUILDING INSPECTOR ' S REPORT
NAME 6% V5Qh
LOCATIONDate
* * «
* * * * * ' It APPROVED - YES N[3
rioting/'Pier Forms +
Foundation
Waterproofing
Backfill
Framing
Roof ing
Siding
Masonry veneer
Rough Plumbing
,Relief Valves
Ext . porches
Finished Floors
interior Trim
Stairs & Railings
Cellar Drain Tile
,Concrete Floors
pjbq , Fixtures
Gar . Fireproofing.
Door 'Closers
Smoke Detectors
Chimney
INSULATION
Foundation
Floors
Walls
Ceiling
FINAL ELECTRICAL INSPECTION__ _
DRIVF.WAY APPROVAL
Final Building 5urveY
all when ready
Next scheduled inspection (c _
Remark::-
Building Inspector
6/8+6 and-VI
Jown 01 Queer2.41urey
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D_ 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAMEa5 + lI
L{]cAT I ON 3
Date 2 / qR7 permit No ..
APPROVED - YES
'► Footing/Fier Forms^ , 14 ter
Foundation
Waterproofing
Backf ill
Framing
Roofing
Siding
Masonry Veneer
Rough Plumbing
Relief Valves
Ext . Porches
Finished Floors
Interior Trim
Stairs & Railings
Cellar Drain Tile
Concrete Floors
Plbg . Fixtures
Gar . Fireproofing
Door Closers
Smoke Detectors
Chimney
INSULATION :
Foundation
Floors
walls
Ceiling
FINAL ELECTRICAL INSPECTION
DRIVEWAY APPROVAL
Final Building Survey
1Vext scheduled Inspection (call when ready )
Remarks--
<1 •V AfV rL r*P4 '�it 0 -
Bui1 ing Inspec
6/86 and-vl
TOWN OF QUEENSBUR'Y
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK I280!&
TELEPHONE (518) 792-5832
BUILDING INSPECTOR ' S REPORT
REQUEST, FgR XNSPECTXON RE+CEXVE
NAME
LOCATION � 1 '
DATE 7 PERMIT #
.g a APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFXLL APPROVAL
ROUGH PLUMB
FRAMING
ELECTRICAL ROU7H-IN :
INSULATION.
FOUNDATION
FLOORS
WALLS
CEILING
1/FXNAL XNSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEP
STAIRS-CLEARANCE & I
PLUMBING FXXTURES/ LIE VRLVE
INTERIOR TRXMIPRI CY D S
FXNISHED FLOORS
GARAGE FIREPROOF NG
DOOR CLOSERS)
SMOKE DETECTOR
FINAL ELEC "RSCA IN
_ �-
FSNA2. APPROVAL F CONSTRUCTION
A SIGNED CERT FICATE OF OCCUPANCY MUST BE
OBTAINED FRO THE BUILDING DEPA MENT BEFORE
THESE PREMXS S ARE OCCUPXEDJ
REMARKS:
#2rzv trrnl, 01 rfCA.JAZ, Lo" =.
IN PEC R
00A/ jg��)Av) CZ� N>L� L-j V&R ff A/ A4^ I L- GO le
FILE COPY !
CLUEENSBUKY TOWN OFFICE BUILDING
BAY AT HAVILAND ROAD
BUILDING E ZONING DEPELf2TMEtIT QUEENSHURY, NEW YORK , 12801
TELEPHONE : ( 518 ) 792-5832
The building permit process requires a series of inspections
proceeding the approval of a structure for occupancy . Following
is a list of those inspections and indication as to the date that
it was made .
Lawrence Larson 87-45
Name of permit F7oldor_ Permit #
Location Corner Ales t Mt , & Bronk Dr . ( TWO CAR ATTACHED GARAGE)
Date of
REQUIRED INSPECTIONS : i inspection
4/28/87--- of approved
1 . Foundationcoatings 4128f87 --- of approved
beforreep pouourinngg concrete . 511187---- Approved
2 . Foundation inspection none
before backfill .
3 framing none
before any closing in of the
frame work
4 . Electrical inspection required 10/5 87 Approved
pproved
by NY board of Fire Underwriters ,
5 . Septic system, before covering . Ar/A
5 . Final Inspection before Certificate
ref Occupancy is i Ssned _ NO OCCUPANCY NONE
OF BUILDING WITHOUT APPROVAL OF THE
BUILDING DEPARTMENT ,
THE BUILDING DEPARTMENT SHALL ASSUME NO RESPONSIBILITY FOR ANY PORTION OF
CONSTRUCTION THAT HAS NOT BEEN INSPECTED .
REMARKS :
THIS PERMIT HAS EXPIRED . All required inspections have not .been done .
Please contact this office at once to make arrangements for inspection
of framing and FIRS .SEPARATION ------ BEFORE USE OF THE GARAGE!
Building Spector
Date 12114188
SETTLED 1763 HOME OF NATURAL BEAUTY . . . A GOOD PLACE TO LIVE