1988-811 •
O CERTIFICATE OF' OCCUPANCY
PAi .CY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date April 19 19 90
D\06
This is to certify that work requested to be done as shown by Permit No. 88-811
has been completed.
This structure may be occupied as a Two Car. Garage/Addition
lo�C
Location RRIAS r 1X 221 West Mountain Road
Owner Garry L. & Barbara J. Hamlin
By Order Town Board
• TOWN OF QUEENSBURY
•
•
• Building & Zoning Inspector
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-811
WARREN COUNTY, NEW YORK o
PERMISSION is hereby granted to Garry L & Barbara J. Hamlin
OWNER of property located at RR#5 Box 321 West Mountain Road Street, Road or Ave. N.)
in the Town of Queensbury,To Construct or place a Addition
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
RR#5 Box 321 West Mtn. Rd.
Queensbury, New York 12804
2. CONTRACTOR or BUILDER'S Name H
SAME
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name ¢'
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5. ARCHITECT'S Address
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) ui
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7. PLANS and Specifications o
No. 24' x 12' addition as per plot plan specifications, and application
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8. Proposed Use 0
Two car garage/addition
$ 28_00 C/0 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 1989
(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.) y
Dated at the Town of Queensbury thi 1st Day of November 1988 rt
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0
SIGNED BY a for the Town of Queensbury
Building and Zoning Inspector
TOtiV& O1-3. QUEENSBURY
APPLICATION FOR BUILDING AND ZONING PERMIT
iDatel ,r,1
Rec i.eved irri ` TOWN OF QIJEr 3r'.J
Lni -±, b -- - i : I-1
, 7
07
,, )lig%.,4 . 3 CCT 1 't 1988
i d
,;� :;1r,, Fee Paid J
• �'��`�'� BUILDING & CODE fDEP7".
BUILDING AND CODES .DEPARTMENT Date I44ued '�b g '
BAY and HAVILAND ROADS RD 1 Box 98
pUEENSBURY,NEW YORK 12804 Puura,t Na. -Sl/ T.. £3r ar,. e I
Tel . (518) 792.-5832 Ext •204
.. .. .* * * * * it :'It * ,* * * * * * * * * * * * * * * * * ~'*. * * * * * * * . * *,
A PERMIT MUST BI OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
l+.'ILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All. applicable spaces on this application must be completed and the
s-inature of the applicant must appear on the reverse side of this sheet .
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
The owner of this property is : GA-rr y t 4 16106 0 ki 1 1 'P . O. Address �/
TEL. 3Q(-- Lf '1
��5 fib x �?fl -1v.eST �.-t► ��Ynn , �'��,.e-v�c Flats, ���cj
Property location ,,m4.E' tq"Jj fli3trtic. TAX MAP NO. ,9v / 1 / -
Has there been any •split of this property since • October 1, 1988? yes no
If yes , Planning Board Review is necessary.
SUBDIVISION NAME , IF APPLICABLE _ LOT NO.
The person responsible for supervision of work as regards Building Codes is :
NA. E P .O . ADDRESS . TEL., NO.
Name of •builder Address Tel
Name of Plumber Address Tel
Name of Mason Address Tel
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NATURE OF PROPOSED WORK: • * ZONING INFORMATION (Office use only)
Construction of a new building * ZONING DESIGNATION OF PROPERTY
Addition to a building * PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alteration to a building
(no change to exterior dimensions)
* REVIEW REQUIRED - PLANNING BOARD ZONING BOARD__
Other work (describe) * SITE PLAN REVIEW # APPROVED DATE
*
* VARIANCE # APPROVED DATE '
GROSS AREA OF . PROPOSED STRUCTURE
•
*
1st Floor as
sq f t . Remarks:
2nd Floor sq f t . N. COMPLETE INFORMATION REQUIRED BELOW.
* Sir` of property ft X ft.
Other Floors sq ft . * Existing building(s) Size -91t ft Xa- V7 ft.4 —
(not cellar or basement) ItTOTAL FLOOR AREA - „?._A sq f t . * Existing building(s) Use
Size of new structure 3.ti ft X )Zft at
Foundation-pier/slab/crawl/partial/full * Proposed- building, distance from property lime
(circle one) • * Front yard ft Rear yard ft
No. of stories (habitable space) ft and ft
•
* Side yards
Height (grade to ridge) �f ft. * If on corner, setback from side street ft
if residential, no. of families
No. of rooms(excluding baths) * OCCUPANCY INFORMATION
No. of bedrooms *
PRIMARY BUILDING - •
No. of bathrooms One family dwelling
Primary beating system * Two family dwelling
Type of fuel * Multiple dwelling / Number of units
No, of fireplaces to be installed Permanent occupancy
Will a wood stove be installed? _ * Transient occupancy
Central Air conditioning•:
--Business
.
BUILDING STYLE, PRIMARY STRUCTURE *' Industrial
Other
1�:►rlch Contemporary Lon cabin * If addition, what will use be?
liaised 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/orne car/ two car/ cap
„ * * * * * * * . A A * Private storage building
ESTIMATED MARKET VALUE OF * Other
CONSTRUCTIONQ.$ L1(� *
•
]NFORmATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 10/88 vl
BUILDING PEIMIT APPLICn'i'IOi CONTINUED - '
BUILDING SPECIFICATION. :-
Type of construction, wood frame, fire safe etc._
Will any second-hand or ungradea lumber be used? If so, for what?
•
Thickness
Foundation wall material - r
Depth of foundation below grade (to bottom of footing) footage sq ft
Floor sq.
Will there be a casement✓ Heated or portion be used as living space? /
Will there be a basement? ,,/Will any p e of .use?
(If so, what portion? sq.ft. - - Typ ; '�
Ci Material•-of roof pr, I ° `
'Type of roof - sloped/flat/shed/other � K � 0:,_4�
j spacing "o.e. length _ft. i z 8
Size, wood studs X � " p �— „ "o.c, span�ft• i
ioists(floor beams) 1st. floor "X " spacing, "o.c. span ft.
t�X spacing —
.7oists (floor beams), 2nd, floor spacing_ ,;,,_"o•c• span�j--ft• '
Overlays(ceiling. beams) o•c: span i�l tt•
„X�" spacing__
Roof -rafters ' "o.c: span ft. -
Roof trusses(pre-engine:erred) spacing Of what manorial?
Exterior wall finish_
____ _________Of
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 Firerrated
door, enclosure, and self-closing device be provided? ft above roof .
Will a flue-lined chimney be installed? Height
ft.
Depth of chimney 'foundation below grade
Depth of fireplace hearth ft. _ in.
Water supply - Municipal or private 'well____-----------------
well adjoining propertie:s____ _ft•
SEPTIC SYSTEM. J
Distance from ANY private well(ineluding
' (A separate application is necessary for any repair or new installation of septic system)
DECLARATION •
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•
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
com lete: statemennt of all proposed work to be done on the. described
escriib drrew premisese andntthat
taall p THE ZONING ORDINANCE,provisions of the BUILDING CODE, whether specified o not, and that such work is
the proposed work shall be complied with,
authorized by the owner. 7
Signature_ _ - - -- tractor
Owne ,
ne agent,arcnte.ct c
* * * * * A * * *. * *. * * * * * * * * * * * * * * * it * . * ■ * * * * * * k_ * *
SPECIAL CONDITIONS OF TUE PERMIT:
•
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT 1)21
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED;L///
NAME x0h1up i CI I`tz-L z VVn�f 4
LOCATION ( - g4/ )1p ii, "66
DATE 141-619b PERMIT �# ,f f'- //
APPROVED
aQj
/1C/G/f,bC116 �Q J YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS k
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL '
ROUGH PLUMBING
FRAMING a. •
ELECTRICAL ROUGH-IN ' I '
INSULATION:
FOUNDATION ", ; '
FLOORS •
WALLS ' ` I '
CEILING s
FINAL INSPECTION:
CHIMNEY HEIGHT f
ROOFING '
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY \DOORS
FINISHED FLOORS Y4
GARAGE FIREPROOFING ' •
DOOR CLOSER(S)
SMOKE DETECTORS ' ,
FINAL ELECTRICAL INSPECTION A1/4-
_FINAL APPROVAL OF CONSTRUC x
- OK TO ISSUE C/O OR C/C /_ "
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES 'ARE OCCUPIED!.
REMARKS: wOrci<
C.M p L j-,,,_fe
CL D C9J-C- P2--Yuut
ARRIVE
DEPART
INS ECTOR
ID
TOWN OF QUEENSBURYi�`s
BUILDING AND CODES DEPARTMENT ��..tt���
BAY & HAVILAND ROADS £ '` j�w�i
QUEENSBURY, NEW YORK 12801 ////��� o
TELEPHONE (518) 792-5832 9
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED .4-U
NAME 71�LV,
LOCATION .,} /6d r
DATE i2-/9 PERMIT # OVV//
-7 APPROVED!
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS \ I
;WILING \ /
INAL INSPECTION: ,/
CHIMNEY HEIGHT /
ROOFING \ _ / L/
SIDING \;f"
EXTERNAL PORCHES/STEPS
STAIRS-CLEARAfCE\& RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TR. M/PRIVACY DOORS
FINISHED FLOORS \\ (�
GARAGE FIR PROOFING \ --
DOOR CLOS.R(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPR/VAL OF CONSTRUCTION I.
A SIGNED ERTIFICATE OF OCCUPANC 5MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS: /� V
igz/Yf 041
J
7 . phi-. ( f ,I (-€,/
,J,"
, . / ,
/ / '
INSPECTOR
INFORMATION FOR BUILDING DEPARTMENT
WE ARE IN THE PROCESS OF ISSUING A CERTIFICATE '
1
OF COMPLIANCE FOR THE ELECTRICAL INSTALLATION '
AS COVERED IN AN APPLICATION FILED WITH OUR
DISTRICT OFFICE.
THE NEW YORK BOARD OF FIRE UNDERWRITERS
APPLICATION NO. U C.
•
LA k,,,,4
LOCATION
z /c ,� O
DA NSPECTOR
FORM 1BD(REV.1/86)
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