1988-701 i.
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date November 4 19 88
300
This is to certifythat wok requested to be88-701
q done as shown by Permit No.
has been completed.
This structure may be occupied as a Addition-Sun Room to One Family
I ocarion�)� Tut Hill Rd.
Owner Dr. Michael Pall
By Order Town Board
TOWN OF QUEENSBURY
(13 ,././2
Building & Zoning Inspector
BUILDING PERMIT y
TOWN OF QUEENSBURY 88-701
No.
WARREN COUNTY, NEW YORK
O
PERMISSION is hereby granted to Dr.. Michael Pall w
OWNER of property located at Tut Hill Rd. Street, Road or Ave. c..�
c•o
in the Town of Queensbury,To Construct or place a Addition—Sun Room
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
RD 2
Tut Hill Rd.
m
Queensbury, N.Y. 12801 b
2. CONTRACTOR or BUILDER'S Name
Alpine Cedar Homes
3. CONTRACTOR or BUILDER'S Address
c
10055 Saratoga Rd
•
4. ARCHITECT'S Name
5. ARCHITECT'S Address -
6. TYPE of Construction—(Please indicate by X) ,y
(Rood Frame ( ) Masonry ( )Steel ( ) ,r
O.
7. PLANS and Specifications
No. 10' x 9' as per plot plan, specifications and application
8. Proposed Use
Addition of Sun Room to One Family dwelling
$5.00 C/O
33.00 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 this 2gth Day of - September 19 88
SIGNED BYCa!L/'�' for the Town of Queensbury ..
Building and Zoning Inspector
f' .
cc I TO`_-:iA7 C �.."
�� ti
_Juwii u/ Quct•ir.lburii
BUILDING and ZONING DEPARTMENT D . __ . e
• Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801 .SEP 1.5 1,983.
``� g� F4 BUILDING & CODE DEPT.
./1 A, d � .: /� �/
I� APPLICATION FOR ' mI % Iry ! w / I
3840 /Az, C/o - .
BUILDING AND ZONING PERMIT A.
it it it it it it it it it it it it it it it it it it it. it it it t •µ'i it it it it it it it. it .it it it it :}tit
A PERMIT MUST BE OBTAINED BEFORE BEGINNING -`• STRUCTION. 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: n M i c.4 A-61 i -LI
• P.O. Address - etop # 02 •7 i 1L L /f,/ Kle,w 66 .4 Tel. 7 9,27 79
Property Location: - Tax Map No. /�3/ / /
Street number or building lot number 2 TZ- 54-
•
Subdivision name (if applicable) '
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Willie P.O. Address Tel. N .
Name of builder a I, Q,,,, /4„,� • Address `i90c -14/24/off AV Tel. 9 if 1r�S'
Name of plumber Address Tel.
Name of mason RFly /A Ea Address 70 WAisd �tl06a4, ,04,1tES Tel. 2 771`/
G.-l�,✓s it-
NATURE OF PROPOSED WORK: * : 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) *' set-back dimensions from_property lines. Give
" * street and number or lot number and indicate
FOR DEMOLITION PERMIT, STIOE SIZE AND * whether interior or corner lot. Show location
LOCATION OF STRUCTURES AFFECTED. of water supply" and location and configuration
* of septic disposal area.
-*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property 7,c" ft X z/O j ft.
* Existi 06 ) Size ,. /, ft X yo ft.
PROPOSED BUILDING AND USE: * A newmrvmfarres
> L $41:81140t1U-iny (s) Use 9n4 r
Size of'new structure /O ft X 9 ft . * ,,,,,,,,,,...;.ja." i t'' 'J" '
Foundation-pier/slab/crawl/partial/full .*.Proposed building, distance from property line
(circle one) ' ' *
„ 'Front yard a() ft Rear yard �,'0 0 ft
No, of stories (habitable space)_-� Side ands o ft and o a ft
Haight (grade to ridge) /0 ft.
* y If oncorner, setback from side street ft
If residential, no. of families / • * �'
No. of rooms(excluding baths) 4 * OCCUPANCY INFORMATION
No. of bedrooms 3 • *
No. of bathrooms * PRIMARY BUILDING -
�'L,,, �r: One family dwelling
Primary heating system `2\
Type of fuel ��t� * Two family, dwelling
No. of fireplaces -to be installed iy,NF * • Multiple dwelling ./ Number of units
Permanent occupancy
Will a wood stove be installed? /1/0 * Transient occu arc
Central Air conditioning? NO * Business p y
*
BUILDING STYLE, PRIMARY STRUCTURE 4. Industrial •
Other '
Ranch Contemporary Log cabin * If addition, . what will use be?
Raised ranch Mansion Duplex
Split level' Old style Bungalow * • S-r.A-it/ /enoril
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town House *' • De ached garage/one car/ two car/ car
( .CIRCLE ONE PLEASE ) * 4---Attached garage/one car/ two car/ -scar
* * * ' a * * * * * ' * Private storage building
ESTIMATED MARKET VALUE OF . * Other '
CONSTRUCTION $R-- 6- BWO
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
FormBPA 4/86 and-vl
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BUILDIIIG PEIR!•IIT APPLICATION COI•(TINUED -
BUILDING SPECIFICATION:
Type of construction, wood frame, fire safe,etc. L,i bn AM , d- 67
Will any second-hand or ungraded lumber be •used? If so, for what? /4
•
Foundation wall material 64 41_/D GA r Thickness ; p
Depth of foundation below grade (to bottom of footing) 'fit
Will there be a cellar? /RIJ, Heated or unheated? / Pa ¢gyp Floor sq. footage '7 D sq ft
Will there be a. basement? N„ Will any portion be used. as living space? t'C
(If so, what porti '', ' qn sq.ft. - - Type of use? _�r�N �M. J
Type of roof - loped/flat/shed/other • Material.-of roof -Wpow L ,��,�.CI
Size, wood studs- "X 6 " spacing 3-c, "o.c. length 7 ft.
Joists(floor beams) , 1st. floor "X " spacing "o.c•. span ft. /" .l496 JSoo Ptj
Joists (floor beams) : 2nd. floor "X " spacing "o.c, span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
hoof rafters - "X " spacing - o.c. span . it.
Roof trusses(pre-engineered) spacing "o:c. span ' ft.
Exterior wall finish 67.. A-3 S • Of what material? • 1 A s:.%
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 n •pp y - 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 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 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. Q
SWORN TO BEFORE ME THIS Signature • .
Owner, owner' ..c n cnitect,(eon actor .
lJ= day of 19 ✓ ,,/ •
JUANITA K.ARMSTRONG
!MARY PUBLPA STATE Or raw You
r • a-ry Public, Warren County, oY. SARATOGA COM Na 4866041
: * *:* * * * * * * * ,. * * * * * *M)ralsose * * : * * * * * * * * x * * * *
SPECIAL CONDITIONS OF THE PERMIT: .
• .
•
•
. By .
rimer fallb
INTERIM BUILDING PERMIT
PERMIT APPLICANT toe, Il14Ml
PArtoi-
CONSTRUCTION LOCATION 2.1061 .1..1041Up. %Ca
EFFECTIVE DATE • °A7•11qtit
APPROVED BY C4°11.°
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, • llowing processing.
POST_ THIS INTERIM PERMIT IN A •- ISPIC •US LOCATION ! !
. - I .�
Building & • .des Department
TOWN OF ► EENSBURY -
f
TOWN OF QUEENSBURY -6%;/„./
BUILDING AND CODES DEPARTMENT /J
BAY & HAVILAND ROADS dL�I
QUEENSBURY, NEW YORK 12801
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ,10/31 V
NAME _-_ 1 L, � 1
LOCATION
DATE 1 1 j Lj i;$r PERMIT # 701
APPROVED
YES NO
FOOTING/PIERS /
MONOLITIIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL`\APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL OUGH-IN
INSULATION:
FOUNDATION //
FLOORS 1
WALLS \ '
L/fINAL INSPECTION: /
CHIMNEY HEIGHT
ROOFING
SIDING I vl
EXTERNAL PORCHES/SS/ ////
STAIRS-CLEARANCE & RAA,S
PLUMBING FIXTURES/RELFE VALVE Jf/ 9,
INTERIOR TRIM/PRIVACY DOS
FINISHED FLOORS
GARAGE FIREPROOFING '7\17
DOOR CLOSER(S)
SMOKE DETECTORS l
FINAL ELECTRICAL INSSPECTION \� )
FINAL APPROVAL OF CONSTRUCTION \,
A SIGNED CERTIFICATE OF OCCUPANCY MUST\BE
OBTAINED FROM THE BUILDING DEPARTMENT B FORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
G�s (63 C'
INSPECTOR
—`i MIDDLE DEPARTMENT INPPECTION AGENCY, INC.
o ' Electrical-Builf'tng-Pluming-Fire Inspections
Date -
ea
co h I lector
Tf coIPP-nstitutes certification that the
a above installation, but not the equip-
CZ) ment itself, has been visually inspected..
as of this date pursuant to the applic-.
able codes. If additional equipment".
should be introduced or alterations
made to the existing system or struc-
ture, application for inspection should
0 be submitted promptly to this Agency.
Z
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801 1—V11
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED/�/0�C,W
NAME _ ,C/t✓-L_ /�/� O CU%a-J/ , &//LOCATION Y✓L-mil_ :V /21
DATE X0---k-S, PERMIT # ; ,F— i
— \
APPROVED
,AYES NO
FOOTING/PIERS \ /`
MONOLITHIC POUR F RMS
FOUNDATION/DAMP—PR OFING /
BACKFILL APPROVAL /
ROUGH PLUMBING \ /
I.-FRAMING /
ELECTRICAL ROUGH—IN l
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PO"CHES/STEPS
STAIRS—CL ARANCE & RAILS
PLUMBING IXTURES/RELIEF V•LVE
INTERIO TRIM/PRIVACY DOORS
FINIS1ED 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: i c
/, 7ZA7k7. (1-4/4 --- 4277/ ,
INSPECTOR
Jown of Queeniurj
frBUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
/i,
Queensbury, New York 12801
•
BUILDING INSPECTOR ' S REPORT
NAME zG .
1-.??W//
LOCATION -/, 7,/�R .
ie.Date t1? ,5 / 0/ Permit No. Yr- 7O/
✓ = •APPROVED - YES /
Footing/Pier Farms ,
Foundation �'+ 1� '
Waterproofing i
1
Backfill j
Framing
Roofing ,i
Siding ;•ti,
Masonry Veneer
Rough Plumbing �, ff
Relief Valves
Ext. Porches ;!
Finished Floors r i
Interior Trim ' •
Stairs & Railings ,t";J
Cellar Drain Tile /
Concrete Floors
Plbg. Fixtures /
Gar. Fireproofing I 1
Door Closers /
Smoke Detectors /
Chimney / ,
INSULATION: ,f/
Foundation ; t 1"
Floors •r' 1 •
Walls / 1g
Ceiling • $
FINAL ELECTRICAL INSPECTION Fjk
DRIVEWAY APPROVAL 1
Final Building Survey ' .1 .
• tl '
Next scheduled inspection (call when ready)'.
•
Remarks- •
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Building Inspector
6/86 and-vl '
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R\a• _Down of Qaeeniurey
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98
Queensbury, New York 12801
BUILDING INSPECTOR ' S REPORT.
NAME
t"D\ , qt-..kg,ork) t %
LOCAT I ONr��,f'r�C u P-C\CILLel
Date 0 (/ gp Permit No. es- fogy
* * * * * *. * * * * * * * * * * * * * * * * *
✓ = APPROVED - Y / NO
noting/Pier Forms
Foundation
Waterproofing
Backfill
Framing
Roofing\
Siding N.
Masonry Veneer /
Rough Plumbing
Relief Valves
Ext. Porches,
Finished Flooris /
Interior Trim \ `.
Stairs & Railings / _
Cellar. Drain Tillh /
Concrete Floors A
Plbg. Fixtures / ,A
Gar. Fireproofing \
Door Closers / }t,
Smoke Detectors
Chimney /
INSULATION
" • ' \\
Foundation
Floors_
Walls 1
Ceiling ''q.
FINAL ELECTRICAL INSPECTION \
DRIVEWAY APPROVAL
Final Building Survey
Next scheduled inspection (call when ready)
Remarks-
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Building Inspec or
6/86 and-vl .