1988-734 CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
June 29 89
Date 19
This is to certify that work requested to be done as shown by Permit No. RR-7:14
has been'completed.
This structure may be occupied as a Shed
Location 3 Hummingbird Lane
Owner JAPP Btannatt
By Order Town Board
TOWN OF QUEENSBURY
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Building 6(igi-aing Inspector
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BUILDING PERMIT y
TOWN OF QUEENSBURY No 88-734
WARREN COUNTY, NEW YORK ro
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PERMISSION is hereby granted to Jere & Cynthia Bennett Jr. o
OWNER of property located at 3 Hummingbird Lane Street, Road or Ave. i'
in the Town of Queensbury,To Construct or place a Shed
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-4
P.O. Box 2379
3 Hummingbird Lane ea
Queensbury, N.Y. 12801 m
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2. CONTRACTOR or BUILDER'S Name
Same
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
5. ARCHITECT'S Address ct9
CT
6. TYPE of Construction—(Please indicate by X) N
(X Wood Frame ( ) Masonry ( )Steel ( )
7. PLANS and Specifications U)
• (D
No. 10' x 12' as per plot plan, specifications and application.
8. Proposed Use
xx Shed
$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 this 29th Day of September 19 88
i
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
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UWN Oi Queela.1 I 14,y
BUILDING and ZONING DEPARTMENT M
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Bay and Haviland Road, R.D. 1 Box 98 r
Queensbury, New York 12801 SEP .2 1�. 1
J • Approved by: BUILT ec c,,,,,.- — D
g3- (-/ /fg-e ,,,A ��APPLICATION I'012 ��ccBUILDING AND ZONING PERMIT •
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s, .* it it * it it it if it it it it * it * it * it it * it it * it• it it * it it it it . ,t it ::,t
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: ��Jt�Q.je A I C &J -- , L I e/r/,L)ex7 (,
P.O. Address 2(/ i v �`, /, Gie�5" A Tel. / ? /W$
Property Location: 66�N/7 i/04 .1.2' /f`UP Tax Map No. 2-3 / 3 / /0
Street number br building lot number
Subdivision name (if applicable)
ThE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS:
Idrue P.O. Address 'Tel. Nu.
Name of builder. /9,7, ,(s ctb • .e Address Tel.
Name of plumber. - Address Tel. '
Name of mason Address Tel.
NATURE OF PROPOSED WORK: * ZONING INFORI1ATION:
_Construction of a new building •* TWO PLOT PLANS MUST DE 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
I'O12 DL'h10LI`1'ION !?ER1dI'1', S'1'AtTI: SIZEAND * whether interior or corner lot. Show location
LOCATION OP STRUCTURES AFFECTED. of water supply and location and configuration
* of septic disposal area.
*
* COMPLETE INFORMATION REQUIRED BELOW.
* Size of property /3 1 ft X / ?5 ft.
* Existing building(s) Size �( ft X o ft.
*
PROPOSED BUILDING AND USE:
* Existing buildings) Use
Size of new structure /d ft X /eft *
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 y'' ft and ft
If residential, no. of families * If on corner, setback from side street 9 ft.
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of. bedrooms . * .
No, of bathrooms * PRIMARY BUILDING -
Primary heating system * One family dwelling
Type of fuel * Two family dwelling
No, of fireplaces to be installed * Multiple dwelling ./ Number of units
Will a wood stove be installed? * Permanent occupancy
* Transient occupancy
Central Air conditioning?
. business
BUILDING STYLE, PRIMARY STRUCTURE *• Industrial
•
Ranch Contemporary Log cabin * Other '
Raised ranch Mansion Duplex
* If addition, what will use be?
split level Old style Bungalow *
Cape Cod Cottage Other * ACCESSORY BUILDING-
Colonial Row Town ]louse , , *' • Detached garage/one car/ two car/ car
( CIRCLE_ ONE PLEASE ) * Attached garage/one car/ two car/_ car
* * * * * * * * * --*--* * *. * * * * Private storage building
ESTIMATED MARKET VA E',OF . * +Other '
CONSTRUCTION• $ �� "• ..v77 P6p! ‘1-47
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE C
OMPLETED!
Form BI'A 9/86 and-vl _ � � l �� G4 :// 140--7-- s A. y7 " �'
r • .�.
BUILDING PEIMIT APPLICATION CONTINUED -
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BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe,etc. d p cb-
Will any second-hand or ungraded lumber be used? If so, for what? / '0
Foundation wall material - Thickness -------
Depth of foundation below grade (to bottom of footing) Cp
Will there be a cellar? ,rtJ O Heated or unheated? Floor sq. footage /2.0 sq ft
Will there be a basement? /0 J Will any portion be used as living space? d)v
(If so, what portion? sq.ft. - - Type of use?
'lope of roof -(glopes ?flat/shed/other • Material of roof ti l D o
Size, wood studs "X " spacing /(, "o.c. length 9{ ft.
Joists(floor beams) 1st. loor "X ( " spacing /( "o.c. span /0 ft. •
Joists (floor beams) 2nd. floor "-v - I—spacing —='o.c. span ft.
Overlays(ceiling beams) "X " spacing "o.c. span ft.
Roof rafters 2 "X (f " spacing /e o..c. span 77
Roof trusses(pre-engineered) spacing "o.c. span i ft. l
Exterior wall finish �'p u, /// Of what material?- c 00c
Interior wall finish 47 n nl-e
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: ti cp
Is there to be an opening between garage and d elling? If so will a Fire-rated
door, enclosure, and self-closing device be• pro ided
Will a flue-lined chimney be installed? H i 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 w 1(includi adjoining properties ft.
(A separate application is necessary for y repair or n -w 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 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.
SWORN TO BEFORE ME THIS Signature__
Owns. , owner's agent,arcnitect,contractor
day of 19
Notary Public, Warren County, N.Y.
* * * * * * * * * * * * u * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
By
TOWN OF QUEENSBURY /44
BUILDING AND CODES DEPARTMENT !
BAY & HAVILAND ROADS /J
QUEENSBURY, NEW YORK 12804..
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME2ti>ve C "l,�t 1�J-`
LOCATION �3 a"A.,.,� Y 7/ C .U•
DATE //2!/r1 PERMIT # 2f 73`J
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR\FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-AN
INSULATION: 1
FOUNDATION
FLOORS a'
WALLS
/ CEILING
'/FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING '‘ ,F
SIDING '\
EXTERNAL PORCHES/STEPS,'
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/REL1fFF VALVE
INTERIOR TRIM/PRIVAC/DOORS
FINISHED FLOORS
GARAGE FIREPROOFING/
DOOR CLOSER(S) p ��
SMOKE DETECTORS d �4
FINAL ELECTRICAL INSPECTION 4,
FINAL APPROVAL OF CONSTRUCTION
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A SIGNED CERTIFICATE OF OCCUPANCY\MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
NSPECTOR
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