1988-693 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 1 19 90
3 OD 4/ 17
This is to certifythat work re ue�ted to be done as shown byPermit 88-693
q rma No.
has been completed.
This structure may be occupied as a One Family Dwelling-Addition
Location 31 Winterrreen Rd.
Owner John Daley, Sr.
By Order Town Board
TOWN OF QUEENSBURY
Building & Zoning Inspector
BUILDING RMIT x a
TOWN BUILDI OF QUEENSBURYPE No 8R-693
WARREN COUNTY, NEW YORK Z
PERMISSION is hereby granted to John Daley, Sr. co
cn
OWNER of property located at 31 Wintergreen Rd Street, Road or Ave. -
in the Town of Queensbury,To Construct or place a Front Porch
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
Same z
2. CONTRACTOR or BUILDER'S Name
3. CONTRACTOR or BUILDER'S Address
Same
4. ARCHITECT'S Name
r+
CD
N
5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
(S)Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications
6' x 16' as per plot plan, specifications and application
No.
0
8. Proposed Use ,fir
ro
Front porch to existing dwelling
$5:00 C/O
10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES April 1 19 89
(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 th' 20th Day of Sept. 19 88
SIGNED BY LJ✓' f for the Town of Queensbury
Building and Zoning Ins ector
_^//
BUILDING and ZONING DEPARTM NT f . _ D -.;.,:, .L._,,,, . , •....,:, -_._. . i
Bay and Haviland;Road, R.D. 1 Box 98, -..
0u. ensbury, New York 12801 . 2EP• ` '�
,.,. •
: .BUILDING & CODE DEPT.
�J Approved
1 I /o
" I •`APPLICATION _. FOR ---•• ,.,. ,...: ,��/' . . ... . . ... . . . S . •.
BUILDING:. AND.:70NING PERMIT /5-. '
* * * * * * *:,. * * * *•:* •* *• * •* * * * *• * * * * * * * if.' *• .*. * .*• *...* *• * •*.. *:.*
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: ZO 11L) I✓ Al ,%- y SP •
P.O. Address 3 1 DJ e Tel c.fi-L uJ R Tel:'77f C)3S'
Property Location: ! (A',) a Ynr r 12-c.e cJ 12 Tax Map No. //9/ $/ 7
Street number or building lot number
Subdivision name (if applicable)
THE PERSON RESPONSIBLE..FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
D\ C-^L D1r4 G E. c Si: 3 1 I,O iJ7 l 22 27(•C•e iv 4 . ... . 9,.l 65. "
Name P.O. f ddress ; Tel No: '
Name of builder. Address Tel. :`
Name of plumber Address . . . . Tel..
Marne of mason . Address Tel.
NATURE OF PROPOSED WORK: * ZONING•...INFORMATION:,
_Construction of anew building * TWO PLOT PLANS MUST BE PREPARED AND SUBMITTED,
Addition to a.'building ., drawn reasonably-.to scale.and attached hereto,
' VAlteration to a building ". showing clearly and distinctly, all. buildings,
(no change to .exterior dimensions)_ ' _- * whether existing or proposed and indicate all.
Other w rk (describe). ffLo6J h * set-back dimensions from property lines. ,Give.
t�o/2-C-`- *..street..and number or. lot number and indicate
FOR DEMOLITION` PERMIT, STATE SIZE AND * whether interior or.•cornea lot. Show location,• : ..
LOCATION OF STRUC u1uu•'s AFFECTED. of water supply .and location.and configuration
. .,of septic.,disposal-area. ,,< , ,
,` COMPLETE INFORMATION REQUIRED BELOW. '
* Size of property /Ls . ft X /d ft. .
* Existing building(s) Size ,2.4� ft X mod. ft. • •
PROPOSED BUILDING AND USE: .- . •. . *.,_Existing building(s) Use, ®N L-• Fk,f,/.Ur
Size of new structure 4 ft X /'6 ft * '- - . (4 i s . j I ' r
Foundation- slab/crawl/partial/full * Proposed building, d�lstance f
-- - rom property line
.. (circle one) * Front ft Rear
No. of stories (habitable spa e) * yardyard ft
Height (grade to-':ridge) ft. * Side yards ft• and ft
If reside:ntial, `no. `of families *' If on corner, setback'from side street _ ft_ , •
No. of rooms(excluding baths) 6e'10•e- * : OCCUPANCY INFORMATION
No. of bedrooms — *
No. of bathrooms r'PRY BUILDING -
Primary;Primary,-heating system
_-r *• One family dwelling
gTwo family dwelling '
'type of fuel 4. * . Y 9
No. fireplaces: to be installed- '.. * Multiple dwelling / Number of units -
Willa wood stove be installed. •.
* Permanent' occupancy
Transient occupancy
Central Air-conditioning.,. .� *•
Business `
* _
BUILDING STYLE, PRIMARY STRUCTURE ,„'"—Industrial '
. . Other '
- Contemporary Log cabin
* If addition, what will use be?
Raised ranch Mansion •; :Duplex * . . .
•
Split level ' •. Old .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 car/ •'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
BU1LDING PERMIT APPLICi 1OIt CONTINUED -
BUILDING SPECIFICATIONS:
Type of''construction,"wood frame, fire safe,etc. L)DOD
Will any second-hand or ungraded lumber be used? If so, for what? NIL,
• Foundation n wall material if cd_ Thickness � Q.S,
Depth' of `foundation below grade (to bottom of.footin ) tit • -
Will there be a cellar? 03 Hieated or hea d[L Floor sq. footage ?t in ft .
Will there be & basemen-C.770Z, Will any portion be used as living space? IJO
(If so, what portio ? • sq.ft. - - Type of use? .
Type of roof sloped -sat/shed/other Material..of roof,0)6e,-01/ af;h%:1,/ . c .
Size, wood studs "X " -spacing "o.c. length 'ft. . .
Joists(floor beams)-1st. floor "X 1 " spacing /(v "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 ratters "X C,, " spacing fa:. o.c. span la ft. . .
Roof trusses(pre-engineered) spacing "o.c. span ft. •
Exterior wall finish i,v n(3d. 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 beiprovided?
Will a 'flue-lined chimney 'be installed? . Heigh_t 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 now installation' of septic system)
Town of Queensbury A F F :I D A V I l STATE OF NEW YOItK
County or 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 .bedone4on the described premises and that, all.
provisions of .the BUILDING CODE, THE ZONING ORDINANCE, and all other laws pertaining 'to
the proposed- worst=Shall be complied- wi-ih, whether.--specifiod or.--not-;; and -that_su.'ch__work-is
authorized by, the owner. 1 :
SWORN TO BEFORE ME THIS Signature__ g 1't
. O er, owner's agent,arc 4tect,contractor .
day of 19
Notary.-Public, Warren County, N.Y.
* *' * * * * * * * * * •* * * * * * * * * * * • * * a a * * a .* * a * * * * * * * * a * a * *
SPECIAL CONDITIONS. OF THE,.PERMIT: .
•
. •
By ,
INTERIM BUILDING PERMIT
' - 6' 73
_
PERMIT APPLICANT J 4 d..21
7 CONSTRUCTION
LOCATION 3/ 4,9,--yjoe__
EFFECTIVE DATE 9/3/67.2)
APPROVED BY %1
SPECI AL 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 processing .
POST THIS INTERIM PERMIT IN A CON IC Lem% SON ! !
-/401
•
Building & Codes Department
. TOWN. OF QUEENSBURY
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 L
LOCATION, [J d Go\Ar`t:J_ i 2 zif
/_ j
DATE � f 3 f(PO PERMIT.p'# -(0 ci
( I APPROVED
-- i YES NO
•
FOOTING/PIERS I�
MONOLITHIC\POUR FORMS /
FOUNDATION/DAMP-PROOFING /
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN /
INSULATION: i f
FOUNDATION t
FLOORS , ]
WALLS 1
•
CEILING \, 1
F •
INAL INSPECTION:\ Od
�'CHIMNEY HEIGHT \
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE &
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL "INSPECTION ��
FINAL APPROVAL OF CONSTRUCTION X'
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED! •
REMARKS:
11/1/15 Ftt +
C (,e) & L'i c 1 611-,141.1-
9
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 ,,�4//57
NAME 22
LOCATION 3/ • �o
DATE /W 5/v PERMIT #
APPROVED
i° YES NO
FOOTIN PIERS
MONOLITH POUR FORMS I
FOUNDATION/ P—PROOFING n
BACKFILL APPR L
ROUGH PLUMBING
1/FRAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS w� I
WALLS "
CEILING I \
FINAL INSPECTION:
CHIMNEY HEIGHTit \
ROOFING if
SIDING
EXTERNAL PORCHES/STEP1' Yy
STAIRS—CLEARANCE & RAILS �a
PLUMBING FIXTURES/RE:'IEF VALVE ,
INTERIOR TRIM/PRIVAE; DOORS
FINISHED FLOORS
GARAGE FIREPROOFIN%
DOOR CLOSER(S)
SMOKE DETECTORS .''
FINAL ELECTRICAL INSPECTION .�
FINAL APPROVAL IF CONSTRUCTION
A SIGNED ERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
'4 V
2°
INSPECTOR
Jouin Of Queeniturey
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT
NAME0..i //ye .
LOCATION @ /
Date //5"/ g'' Permit No. �q/�* * * * * * * * * * * * * * * * * * * * *
✓ = APPROVED - 1 / NO
noting/Pier Forms
Foundation
Waterproofing . •
Backfill ✓
Framing 1'
Roofing vJ
Siding \\
Masonry Veneer / .
Rough Plumbing I
Relief Valves \ /
Ext. Porches \
Finished Floors \ I •
Interior Trim \ti
hY
Stairs & Railings N, /
Cellar Drain Tile f'
Concrete Floors ,!'\�
Plbg. Fixtures ,}q' \
Gar. Fireproofing j'
Door Closers
Smoke Detectors / `t
Chimney 1
INSULATION:
/ \
Foundation `•
Floors ; \
Walls ';
Ceiling
FINAL ELECTRIC 'I, INSPECTION
DRIVEWAY APPRO AL
Final Building Survey
Next scheduled inspection (call when ready)
•
Remarks- 12 a ,- &ar
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Building Ins e for
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