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1988-728 t , CERTIFICATE OF OCCUPANCY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date November 15 19 88 • (324AThis is to certify thIt work requested to88-728 q be done as shown by Permit No. has been completed. This structure may be upied as a Single Family Dwelling/Alterations Location " (t.149 Owner Charles Purchla By Order Town Board TOWN OF QUEENSBURY • Building & Zoning Inspector BUILDING PERMIT TOWN OF QUEENSBURY No. 88-728 . - WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Charles Purchla . w OWNER of property located at Rte. 149 Box 3265 Street, Road or Ave. in the Town of Queensbury,To Construct or place a Alterations/Close in 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 c] w S S 2. CONTRACTOR or BUI LDER'S Name r rt Al Morgan Jr. I� w 3. CONTRACTOR or BUILDER'S Address 5 ,Race Avenue South Glens Falls,N.Y. 4. ARCHITECT'S Name rt (D r 5. ARCHITECT'S Address 0 6. TYPE of Construction—(Please indicate by X) rn Ui ( )Wood Frame ( ) Masonry ( )Steel ( 1 7. PLANS and Specifications No.Alterations/Close in Porch, as per plot plan and application. 8. Proposed Use Single Family Dwelling/Alterations rt rD n rt 5.00 C/0 0 $ 10.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 1 19 89 0) (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the I town of Queensbury before the expiration date.) 0 Dated at the Town of Queensbury this—13th Day of October 19 88 �D SIGNED BY /_ We, for the Town of Queensbury o 'B"ui ding and Zoning Insp ctor 1 • 5- _ M1_ • au ,1 4 Queelisiur, r i u►LDIt' G and ZONING DEPARTMENT • ge-- Day.and Haviland Road, R.O. 1 Box 98 Queenubury, New York 12801 _ 1- 3el /457 �/ Approved . y: jdil- APPLICATION FO12 7 BUILDING AND ZONING PERMIT it it it it it it it it it it it * it it it it it it 'rt it it it it it iF it * it it it it it it it it it it it 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; ('h a v�� S p u "^G 4 / . 1'.0. Address Ad 3 0 • 7 e.4 Te1.792 ,ei.z Property Location: Xi-- / /9 (6.4 eJ/ /aek 7 r��.� Tax Map No.v?7 / / /�5�/ Street number or building lot number Subdivision name (if' applicable) THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS: Naruu Y F tf G�i�s7f P.O. Address Tel. Nu. • Name of builder 0 [ Da ur•_) AZvred 4—•Address S G /=. t✓. ,, Tel. )9 g- Name of plumber Address ' Tel. Name of mason Address Tel. • 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, /jlflteration 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 FORDL'r10LI`1'ION P1sRMI'1', S'1'AfPI: 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 � ft X e, ft. * Existing building(s) Size ft X . ft. * PROPOSED BUILDING AND USE: * Existing building (s) Use Size of new structure ft 'X ft • * Foundation-pier/slab/crawl/partial/full * Proposed building, distance from property line (circle one) No. of stories (habitable space) *• Front yard ft Rear yard ft Height (grade to ridge) ft. * Side yards ft and ft Ir residential, no. of families * If on corner, setback from side street ft No. of rooms(excluding baths) * OCCUPANCY INFORMATION No, of bedrooms • * PRIWY BUILDING - t,o. of bathrooms' c * One family dwelling Primary heating system Two 'family dwelling • Type of fuel *• ' Multiple dwelling ./ Number of units No. of fireplaces to be installed p Permanent occupancy Will a wood stove be installed.,, * Transient occupancy Central Air conditioning? * p y . * Dusiness BUILDING STYLE, PRIMARY STRUCTURE ' Industrial ' ' Other ' * Ranch 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 * ' �petached 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 a• 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 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 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 - sloped/flat/shed/other . Material. of roof Size, wood studs 2 "X / " spacing /6 "o.c. length ,7 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 "o.c. span ft. Exterior wall finish G.d r r <-h ,os-/r_c 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 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) Town of Queensbury AFFIDAVIT STATE OF NEW YORK County of 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 donelon 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.SWORN TO BEFORE ME THIS Signature _a_fa'‘? Owner, owner's agentr,arclitect,contractor day of 19, Notary Public, Warren County, N.Y. * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * SPECIAL CONDITIONS OF THE PERMIT: By i MAIN OFFICE ATLANTIC-INLAND, INC. 997,McLean.Rd. - NEW YORK Cortland,New York 13045 MEMBER OF N.F.P.A.AND I.A.E.I. . Phone: (607)753-7118 FIRE UNDERWRITERS (607)753-7809 -3 2 6 8 0 (607)753-1396 . (Electrical.and Fire Inspection-Enforcing and Consulting Service) (Incorporated in the State of New York) Desiring Certificate of Approval,application is made for inspection of electrical installation in the.premises described below.On demand applicant agrees to pay for inspection service in accord with schedule of charges. . APPLICATION FOR ELECTRICAL INSPECTION—PLEASE PRINT OR TYPE. THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION 9. 2 - rf F-- CITY,TOWN.VILLAGE �J ,/G e 4 S n r-/ fry COUNTY �/ . ,.N r �'J STATE !/)I STREET / . -[• / ADDRESS 2['/ 3 Pr) h 3 7 6 J' BUILDS.NO. RURAL DIRECTIONS G_,,,/ /G c /. (-r r-M) TtU 0 h S oc. et. C r ,veelGC/-[-r� C, d r1%'S . POLE NO. OWNER'S - - • NAME C r y/C S P[.f ,-C 1 / 4 OCCUPIED AS S'.n /r• -f-e4 5i',11/ OCCUPANT (own ., LA' BUILDING—New 0 Old!Anil-RK—New(@'Additional 0 OWNER'S P.O. ADDRESS 4,2 3 n n X C�/ — READY FOR INSPECTION APP.FOR—ROUGH WIRING CI FIXTURES 0 OR 19 FEE REMITTED—$ BY CHECK 0 CASH 0 MONEY ORDER 0 MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK • Number of Rough Wiring Outlets Fixtures Add Installation Swtch• Li'tng Recep. KW Med. Mogul Fluor.-. 500 r 750 1000 1250 1500 1750 2000 2250 2500 2750 3p00 • Heat Base Base Elect Heat / / 3. Amp.Service Water Htr. Burner - Air Cond. Surface Unit Oven Range Gr.Disp: Dish W. Dryer H.P.Pump Ex.Fan Hood OTHER EQUIPMENT(Specify Type 8 Capacities) iTYPE OF SIZE OF SUB BRANCHES NO.OF WIRING /�-2 OPEN 0 CONCEALED❑OTHER MAIN (�O _ t oip MAIN CIRCUITS APPLICANT'S. __,, //,� I� SIGNATURE GC.l�a` L ,V. " Q • LICENSE M" - PERMIT X APPLICANTS _ % d v . NAME OF. • ADDRESS .S f 4 C C // (J' UTILITY i CITY. ^ STATE r . ZIP CODE OFFICEENOTIFIED TO _ �1 BE ' '''SPACE BELOW FOR USE OF INSPECTORS ONLY ' ' 4- . ' ROUGH WIRING AMP SERVICE- K.W.SURFACE • OUTLETS EQUIPMENT UNIT SWITCHES • - AMP SERVICE K.W.OVEN CONDUCTORS H.P.GARBAGE RECEPTACLES H.P.PUMP DISPOSAL UNIT MEDIUM BASE - - K.W. FIXTURES K.W.DRYER DISHWASHER • MOGUL BASE K.W.WATER FIXTURES HEATER K.W.RANGE FLUORESCENT H.P.AIR AMP. RECEPTACLES FIXTURES CONDITIONER MERCURY VAPOR OR WIRING 8 CONTROLS FOR - -- BURNER, . SMOKE FRAC.H.P. QUARTZ FIXTURES DETECTORS VENT FANS MOTORS,H.P. 1/20 1/12 1/10 1/8 1 1/6 1/4 1/3 1/2 3/4 1 11/2 2 3 • 5 ' 71/2 10 15 20 25 30 40 50 75 100 MARK NUMBER - OF EACH SIZE 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 APPARATUS Elect.Heat - MISC.INFO, Received y '/ Inspected FEE PAID Stanley Gn1) at11 a ❑PROGRESS uaf'( e ,J TOTAL.$ R.D..D . 2, Box 60 ❑DEFECTIVE ❑Rough Wiring Certificate Check No. Greenwich, N.Y.1Y 128,34 ❑Temporary Service Money Order Mon. -Fri. 6 - ,30 A.M• ❑FINAL CERTIFICATE / Cash . ❑Dup.Cert.Req. - 518-692-9295 0 MUNICIPAL Charge 5181 6 r( 3 8-6 3 39 MUN.ADDRESS i S INTERIM BUILDING PERMIT PERMIT APPLICANT Aere 40ime" 1./ CONSTRUCTION LOCATION Rite /ri9 EFFECTIVE DATE 5//,;) 6V) APPROVED BY /1 ;6/ Ne. . , 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, following processing . POST THIS INTERIM PERMIT IN A CONSPICUOOC pON Building & Codes Department . TOWN OF QUEENSBURY REQUIRED INSPECTIONS: 24 HOURS NOTICE REQUIRED!! 1. Foundations Footings, before pouring concrete. 2. Foundations Inspections and Waterproofing, before Backfill. 3. Rough Plumbing, Heating and Frame Inspections before Closing in the Framework. 4. Insulation - Foundation, Floors, Walls, Ceiling. 5. Inspection of Electrical Installations before covering (rough in) and on completion of job. Final inspection certificate is necessary for issuance of CERTIFICATE OF OCCUPANCY. 6. All new septic systems or repairs before covering any work. 7. Final Inspections before Certificate of Occupancy is issued. THERE IS TO BE NO OCCUPANCY OF THE BUILDING WITIIOUT APPROVAL OF THE BUILDING DEPARTMENT. J .. _ ne�jt l 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 _. 9 NAME C/ /;5, U2 C 4/'2 LOCATION g/9 /V5 DATE 1/4 PERMIT # 86 --�,g h // � f/ APPROVED / YES NO FOOTING/PIERS / MONOLITHIC POUR FORMS FOUNDATION/DAMP—PROOFIN,r BAC FILL. APPROVAL ROUG PLUMBING FRAMI ELECTR ,AL ROUGH—IN INSULATI N: FOUNDATION FLOORS WALLS CEILING \ FINAL INSPECT ON: CHIMNEY HE GHT\ ROOFING SIDING EXTERNAL PORCHES/Ss PS STAIRS—C EARANCE & ILS PLUMBING FIXTURES/REL F VALVE INTERIO' TRIM/PRIVACY D RS FINISHEI FLOORS d GARAGE FIREPROOFING . DOOR CLOSER(S) SMOKE DETECTORS FINAL ELECTRICAL INSPECTION - i/ ,,- FINAL APPROVAL OF CONSTRUCTION S i/ A SIGNED CERTIFICATE OF OCCUPANCY MUST BE OBTAINED FROM THE BUILDING DEPARTMENT BEFORE THESE PREMISES ARE OCCUPIED! REMARKS: ' ( li( INSPECTOR 1 , INFORMATION FOR BUILDING DEPARTMENT I, LENDING AGENCY Atlantic-Inland,Inc. is in the process of issuing a Certificate of Occupancy/Compliance for the electrical installation/ construction project as covered in an application filed with our main office. /� 9'Date Inspector NEW YORK ATLANTIC-INLAND, INC. Down o f Queeniur, BUILDING and ZONING DEPARTMENT c()r, ay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 • BUILDING INSPECTOR' S REPORT • NAME £? c;,qLt LOCATION k 012 ; S/ a. / e . Date/Q/� / Permit No. k -72 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing ,/ Siding . Masonry Veneer Rough Plumbing / Relief Valves • a` Ext. Porches Finished Floors Interior Trim Stairs & Railings ,;/ ;� Cellar Drain Tile/ Concrete Floors ,f Plbg. Fixtures 9 Gar. Fireproofibg ^, Door Closers Smoke Detector "�, Chimney k INSULATION: • Foundation Floors Walls r - V • Ceiling FINAL ELEC RICA INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- • • • . Building .Inspector 6/86 and-vl ih ! ...-------n t ...a; ,„ e / .-P 0/ .1), 1 m .. Goa r5 ' ov 4111:4a1duJ , 7 , i/7s7`Rl/ 4 i I ! r/D A ' ® s//I/4. g S /as5 deoe . he.c.ei - vt -to Le- 2 x8' ,La//I/ 4cc/ ci - R. T / / &r, :t6 : 4G 1_ s 7e- uds , /��� ,P r o o t pcb• c h cc s/4z � x / 0 /6 o, c • t:n re-v/2 c v G par +• & et// li ed /;I S 7Ia # / eda// s cd: /� /2 / r G //,✓//.M • a.- 1---h I' e e //' e C /=,.."4-s , ( K ) ehet.15 C- dad .- Loc, cc'Le" 014 fie, cc/ ;i do ea (c-AL jy'Su/c/e ©uui4N ice' ev /7/ ..- i 4/ Sly kJ ae/%S