1989-247 w; r
CERTIFICATE OF Q LIANCE
TOWN OF QUEENSBURY
j WARREN COUNTY, NEW YORK
DateFebruary 13 19 90
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This is to certify that work requested to be done as shown by Permit No.
has been completed.
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This structure may be occupied as a Deck w roof
Location G Edgewood Drive ---
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Owner
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By Carder Town Hoard
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY No 89-247
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to Frederick 8 Carol Beahan ry
OWNER of property located at 6 Edgewood Drive Street, Road or Ave. ,p
in the Town of Queensbury, To Construct or place a Roof over existing deck
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.
t_ OWNER'S Address is
Same
C7E
2. CONTRACTOR or (BUILDERS Name
V
D A p Construction T
3_ CONTRACTOR or BUILDER'S Address R
264 Main Street
Hudson Falls ,N . Y . 12839
s>h
4. ARCHITECT'S Name
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S. ARCHITECT'S Address
B- TYPE of Construction — (Plans* indicate by X)
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( } Wood Frame 1 ) Masonry ( ) Steel ( ) 0
R'
7. PLANS and Specifications I
No. 22 ' x 10 ' roof over existing deck as per plot plan , specifications ,
and application .
S. Proposed Use rr
Deck w/roof
c/c incl .
$ 15_ 00 PERMIT FEE PAID — THIS PERMIT EXPIRES November 1 19__zq �
(If a longer period is required an appaication for an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration date_) �►
C
Dated at the Town of Queensbury this Day of . k ri 1 19_. � r?
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SIGNED BY V&Bundg
� """";'�""� for the Town of Queensbury and Zoning In ctor n 7 V
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"I'C}ti N C3F UL�ENSI3URY APPLICATTON FOR BUILDING AND ZONTNG PERMIT u
I? ecs cued TU;i' 1 CF QUEENSBURy
Reviewed RECEIVED
.- APR or�34 _; 1989
Fee Paid -
BUILDINC, AND CODES f_.►1 :PAXWEVf Dote 7.6.6ued BLDG. & CODE DEFT.
FAY and HAvXLAND ROADS RD 1 BOX 98 OUEENSBURY, NEIJ Yc3RK .I2804 peAjnZt No . St; jLx Z*�
Tol . (518 ) 792-58.32 Ext -204
x ., ■ , sr r w . , a. . . * lk , r x i . w
A PERDiIT MUST BIB OBTAINED BEFORE BEGINNING CONSTRUCTIOI4 . NO INSPECTIONS
WILL L1L""• ]MADE UNTIL APPLICANT 11AS RECEIVED A VALID BUILDINC PERMIT .
All applicable spaces on this application must he completed and the
+ ;Filature of the arpllcant must all car . on the reverse sick of this sheet .
*k A A K w. * is * * k * A * * * MA A * * it * * *! * * * * * * X * a * * * *
h ci Te owner f his property is - e:f & le
T �- � 92 ( � +' I� l (. /fm& /
Pool Address r � if 0 0 ���� {� � � � S is I— � �TCL ? �- = �d
property location ricn. `PAX MAP
Has there boen any split of this property since October 1 , 1900 ? /, .�.•-�"
yes no
if yes , Planning Board Review is necessary .
SUBDIVISION NAMEa IF APPLICABLE LOT NO *
The person responsible for supervision of wort: as regards Building Codes
Pool ADDR • SS TEL . No . [�
NAML yy l` f �f T+e1
Name of builder cr.slra4�i .y Acldress�' � i aic yc �
N[.ams .' of Plumber T.ddress `Tel
Name of Mason Addross Tel
IlATURE OF fROPOSCD WRK : OwlZONING lNFORHA`I• ION ( office use OnIy )
_ronwtrucciork of a rauw building ZONING DESIGNATION OF PROPERTY
_.Adaiicion to a buil4itYg ` PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alta:ratioa to a building 'w '
( no clt:arulu to excuri.ar clirnons ions I r REVIEW REQUIRED - PLANNING BOARD ZONING BOARD
other work Wascriuk') I W SITE PLAN REVIEW APPROVED DATE
CUOSS AREA Lai' NROPOSLD, STRUCTURE " VARIANCE APPROVED BATE
1st Floor dam (///`''' sq ft . Remarks :
2nd Floor sq f t . CDa•iDr�L'SL: , INi'CsJUTA'i'I+PN itl llUl1cLD U l..u"
' Sira of prola� rty r 441_ / x !�5 S_ f t x �{7r � Y fc`1�t
Ocher Floors sc( fr. , LacistiatirJ buil.li1h9 ( s)
( not cellar or SQmenc ) W _
TOTAL FLOOR AREAj_a . u sq f t . � Lxiia�g baaildinAj ( a ) Us+�f�'s !r!frh re�2
L• ixa of now s cturkj 2' ft 1:1�ft
* � a►=+cd:xtion icr slab/crawl/partial/ full YxQj4)O :ed building , di:: cancu from l,roporty lirwu
� itl .s-tlAl G (CirCIL: One ) * front yard_ ` [ f t Rear yard
No * of .:uc►ries (h:►bit:xhla 113ace ) w Sida: yards �� fc and . it
ar 1i�ighC ( grade to ridge ) -. ft . } If an corner , :ic: Cb:aa:IC xrola 5idc: scS•aot ft
If reuidunLlale no . tai farm is i;
No . of roorns ( oxcluding b"- cha ) " OCCUPANCY INFORMATICN
Now of bcdroorns PR, Y LUILDINCOWN
No * of b40iroom:3 Ona f4auily dwelling
PrIM;Ary I14ating Two f" ily dwulliny
oryp� of fuel * Multiple alwe:lling / bluinber of units „_
No . of firepiaca; to b+: wowlowool�ermzlnc :►t occuri:asrcy
Will 4 waaud acoVu k+u installaad? ^/ mummo + •gran=:iurrt raccul�:+nc y
contrral Air corwrl4LtiQ11!ng:' A/ wwomw Y3usinass
EIUILDING STYLC, PRIMARY STRuCTU2C Industrial
,� Och+cr
li:araah , Conta+ul;oor"ry Lon cabin Yf zaddiciatr , wli az will ustu b.:?
...ast1 ranc11 M"ntai.[+al Du1Ala;x
aIplit la:Va:l Old atyla ULItayalOw �-
C.;alac: Cod Cott.:aga oclaa<r � ACCESSORY 13UILOING-
Colanial 1ww Towra Douse ` L►utachacl g:arza�ga/ants curl two czar/ car
( CIRCLE ONE PLEA:E I � Accuchua g:.araga:/ozla: car/ two c:ar/ cza ►'
r w i • a . r : • x • s as x s * t priv" co storuga' building
L .
L: 0Y' IMAT2D MARKi�T VALUE: OF .Othasr
CON 2 4r RUCTION '
INPORKATTON ON nUILDIN+C SPrCIFrCATIONSa CAN REVERSE: SIDE OF `rills MILL' T, To BE COMPLCTL01
Form FPA 10/88 V'1
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe , etc .
Will any second-hand or ungraded lumber be used? If so , For w t ? 'ey
Foundation wall material Thickness
Depth of foundation below grade (to bottom of footing )
Will there be a cellar?Heated or unheated? Floor sq. footage sq ft
Will there be a basement? /y Will any portion be used as living space ?
( If so , what portion? _sq . ft . - - Type of use?
Type of roof - oped, flat/shed/other Material of roof � , �'+�-
Size , wood stud "x "' spacing_ j "o . c . length ft . \
Joists ( floor beams ) St . floor "x " spacing '"o . c . .span ft . (: s.,r�ry - 7 X/ s?�� �f J}
.joists ( floor beams ) 2nd . floor , /q "x spacing "o . c . span.ft ,
Overlays ( ceiling beams ) "X ? ' �'" spacing "a _ c , span ft .
Roof rafters "X 1 , spacing-4-L-00 _ 00 spa n�-ft *
Roof trusses (pre--engineered) spacing "' o . c . span ft . kr /
Exterior wall finish 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 be provided?
Will a flue-lined chimney be installed? height above roof ft .
Depth of chimney foundation below grade f t .
Depth of fireplace hearth ftw 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)
DEC LA RATION
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 ne complied with , whether specified
or not, and that such work is authorized by the owner.
Signature L rfi . e
Owner, owner's agent , architect, contractor
SPECIAL CONDITIONS OF THE PERMIT :
............. . --------
Alilrl:�r� CERTIFICATE OF INSURANCE ISSUE DATE (MWDDfYY1
4 / 3 / 89
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
ING RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
VAN DYKE AGENCY , INC . EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW
6 E . WASH ST .
GLENS FALLS ,
COMPANIES AFFORDING COVERAGE
, N . Y .N 12801
COMPANY LELETTERA NATIONAL GRANGE MUTUAL INS . CO .
y
CODE 3 1 — 8 9 6 sue-cons
COMPANY B
INSURED LETTER
HENRY PELTON , JR . , HENRY PELTON 111x�eaYC
& GEORGE DUNPHY , JR . D/ S / A
b & P CONSTRUCTION COMPANY
LETTER
264 MAIN STREET
HUDSON FALLS , N . Y . 12839 COMPANY
°MPRY E
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REOUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCL1SiONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS-
CO
LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION ALL LIMITS THLIQ_,__,Olt$ANDS
DATE (MWDDIYV) DATE IMMIDDFYYI
A GENERAL LIABILITY GENERAL AGGREGATE $ 21000
X COMMERCIAL GENERAL LMBILITY PRODUCTS-COMP?O PS AGGREGATE $ 2 r O O 0
CLAIMS MADE X OCCUR. MP U 3 5 598 2 / 2 8 / 8 9 2 / 2 8 / 9 0 PERSONAL & ADVERTISING INJURY a 16000
OWNER'S & CONTRACTOR'S PROT.. SACK OCCURRENCE s 1 , 000
FIRE DAMAGE (Any area lire) S 500
MEDICAL EXPENSE (Any one person) S 10
AUTOMOBILE LIABILITY COµ6I1YED
ANY AUTO SINGLE S
LIMIT
ALL OWNED AUTOS BODILY
SCHEDULED AUTOS INJURY
(Per parson)
HIRED AUTOS BODILY
NON-OWNED AUTOS INJURY S
(Per sooitlanl)
GARAGE LIABILITY PROPERTY $
DAMAGE
EXCESS LIABILITY EACH AGGREGATE
OCCURRENCE:
$ s
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY
A AND WCU35598 2 / 28 / 89 2 / 28 / 90 $ 100 4EACHACCIDENT)
EMPLOYERS' LIABIUTY ; 500 (DISEASE—POLICY LIMIT)
$ 100 ;DISEASE—EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERA t iourmJLOCATIONSh'1EMFCizAiRESTRICTIoNwseFCIAL R"EMS
THOSE USUAL TO CARPENTRY & ELECTRICAL. WIRING CONTRACTOR
CERTIFICATE HOLDER w CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
FREDERICK & CAROL BEAHAN EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
6 EDGEWOOD DRIVE MAIL 15 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
QUEENSHURY , N . Y . 12804 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
LIABILITY OF ANY KIND UPON THE ANY, ITS A ENTS OR REPRESENTATIVES,
AUTHORIZED REPRESENTATIVE ,
VAN DYKE AGENCY , NC .
ACORD 25-S (3/88) CACORD CORPORATION 1888
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
(}. UEENSBURYt NEW YORK 5$320�
TELEPHONE C
BUILDING INSPECTOR' S REPORT
REQUEST FOR INSPECTIOG� V�
NAME r �.
LOCATION � C]
1 PERMIT # r�
DATE r
APPROVED
YES NO
TxNG/PIERS
MONOLITHIC UR FORMS`���--�
FOUNDATION/D P-PROOFING
BACXFILL APPROVAL
R09GH PLUMBING'
AMING
ELECTRICAL ROUGH
xNSULATION.
FOUNDATION
FLOORS
WALZS
CEILING
FINAL INSPECTION :
CHIMNEY HEIGHT_��_
ROOFING
SIDING
EXTERNAL PORCHESIS Rps
STAXRS-CNCE RAILS - -
PLUMBIN`GLFIXTURE IRELIEF VALVE
INTERIOR TRIMIP IVACY DOORS
FINISHED FLOOR
GARAGE FIREPR FING
DOOR CLOSERC
,SMOKE DETEC RS
FINAL ELECTRI AL INSPECTION
FINAL APPRQTI OF CONSTRUCTION
A SIGNED CE TIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED !
REMARKS :
PECTOR
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TOWN OF QUEENSBURY
BUILDING & OD DEPT..
REVIEWED BY
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