1988-857.,
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date 19
9%q C)-1 1 .3—I ("P
This is to certify that work requested to be done as shown by Permit No. 88-857
has been completed.
This structure may be occupied as a One Family Dwelling w/Porch,Deck
Location O Easy Street
Owner William West
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
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BUILDING PERMIT 1-3
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TOWN OF QUEENSBURY . -No: 88-857
WARREN COUNTY, NEW YORK o
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PERMISSION is hereby granted to William West
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OWNER of property located at ,10 Easy Street '. Street,Road or Ave.
in the Town of Queensbury;To Construct or place a Addition—Porch/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.
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1. OWNER'S Address is -
SAME
2. CONTRACTOR or BUILDER'S Name C�rJ
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SAME . .
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3. CONTRACTOR or BUILDER'S Address N
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4. ARCHITECT'S Name .
5. ARCHITECT'S Address .
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6. TYPE of Construction—(Please indicate by X) cn
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( 1 Wood Frame ( 1 Masonry ( 1 Steel ( )
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7. PLANS and Specifications
No. 16' x 20' addition—porch/deck as per plot plan,photo, and application.
8. Proposed Use
One. Family Dwelling w/addition—porch /deck c,9
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10.00 C/C
$ 24.00 PERMIT FEE PAID —THIS PERMIT EXPIRES -June 1 1989 .
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(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of-the - o
town of Queensbury before the expiration date.)
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Dated at the Town of Queensbury this 3rd Day of . NOvember - 19.88 co
SIGNED BY for the Town of Queensbury
Building and Zonin Inspector
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_/utun u . .Queii1su.ijc•
BUILDING and ZONING DEPARTMENT
Bay and Haviland Road, R.D. 1 Box 98 / 7
Oueensbury, New York 12801'
Y APPr d
APPLICATION FOR., . ` �L°
BUILDING._AND.''ZONING PERMIT : ,.- [-. :
* * . * i it ii * * * it i: * * * .* * * # i * * *. * * * *. * . *. * * * . * _* * *. .*:,*
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: Id (', \iG (AA ,S Ccri.r (II JQ_ ..
P.O. Address 10 0 Sc S r - Q !_yQ`( Tel. 's--yeo y
Property Location: - • Tax'Map No. / / I J_
. Street number or building lot number
Subdivision name (if applicable) Al
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THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES IS
�U I i G IA, S C O "1- LE ie C i - i,6 ...f. s . Set::,,, 0 6 j'L8o"(, 7
Name . P.O. Address Tel. No.
Name of buildern S'()M 'P • Address Tel, 793-9/(v,. .
Name of plumber 'Address Tel.
Name of mason` . . . Address . Tel.
NATURE OF PROPOSED MARK:
* :._.. . : ZONING _., INFORMATION
4. TWO PLOT PLANS'MUST BE PREPARED AND SUBMITTED,
Construction of a new building
NAddition°to a building * drawn reasonably to scale and attached hereto,
_Alteration to' 'a building 4' showing clearly and distinctly all buildings; •
(no change to'Sxterior dimensions) * whether existing or proposed and .indicate all":-.:,- ,'
Other work. (describe) * set=back dimensions from property lines. 'dive,
*.street and number._ or lot number and indicate
FOR DEMOLITION PERMIT, STATE SIZE AND. * whether interior or. corner. lot. Show location
LOCA" STRUCTURES AFFECT * of water supply• and location and con-figuration.
*..of,septic ,disposal area.
ice .
* COMPLETE INFORMATION REQUIRED BELOW.
/' \ * Size: of property ft X . ft.
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a- Existing-.building(s) Size ft X ft. • .
PROPOSED BUILDING AND USE:
4-Existing building(s) Use .
Size of new structure . /(D . ft X c9Oft
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
Hight (grade to ridge)' ft. * Side. yards ft•.and - ft
If residential, .no. of families * If on corner, . setback from side street ft
No of rooms(excluding baths) * - OCCUPANCY INFORMATION
No. of bedrooms'..:;° •
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No. of `bathrooms - - * pRARY BUILDING -
Primary heating;`system One family dwelling • .
• 'Pvo of fuel *' Two family dwelling :�.5- .' •
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No. of 'fireplaces; to ,be installed * Multiple dwelling,/ Number of, units
Will- a wood stove be installed? * �ermanent occupancy '
Central Air conditioning? * Transient occupancy`
* Business
BUILDING STYLE, PRIMARY STRUCTURE „.* Industrial ". ;"
Ranch Contemporary Log cabin * Other
Raised ranchMansion Duplex *• If addition, what will use be?
Split level Old style Bungalow * I - FZ.c14 ✓/ (t/C-
Cape Cod Cottage. . Other .: * ACCESSORY BUILDING-
Colonial Row` ' . Town House * ' Detached garage/one car/ two'car/ car,
( CIRCLE ONE PLEASE .)..:. . :. . . 4' �kt'tached garage/one car/ two cam/ car
* * * *..* * * *. . * * * ' * * * * *. .* 4 Private storage .building . _
ESTIMATED MARKET VALUE OF ! _Other
CONSTRUth',ION
INFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED!
Form BPA 4/86 and-v1
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LUILDIt1C PEkMIT APPLICATION CONTINUED - -
. BUILDING.SPECIFICATIONS: . '(Q - ''`
Type of construction, wood frame, fire safe,etc. ('
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Will any second-)1and or ungraded lumber be. used? If so, for what? .
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Foundation wall material' ejwc.1 -R. kit-OC 'Thickness - gS " . '
Depth of foundation below grade (to bottom of footing) A/8'"
Will there be a'cellar?' -y Heated or unheated? Floor sq. • footage qa D sq ft .
will there be a basement? YL() Will any portion be used as living space? -- ..o -
(If so; what portion? 'sq.ft. - - Type of use?
Type of roof - sloped/flat/shed/other - Material..of roof
Size, wood studs: ' "X ° spacing "o.c. length ' '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 • 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? jyl u If so will a Fire-rated .'
door, enclosure, and self-closing device 'be pxovided? '
Will a. flue-lined chimney be installed? ' Height above roof ft.
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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 'AC i I� I T STATE OF NEW YORK
County or Warren. . I '1- D. '. ` .
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 'tree and
complete statement of all 'proposed work to be done `on the described premises and that all
'provi:sions of the BUILDING CODE, THE ZONING ORDINANCE,' and all other laws pertaining to •
the proposed work sh. 1 be complied with, whether specified or not, and that such work is -
authori ed by the o, ner. _ .
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SWORN '1'0 EVOKE T11IS Signatu _ L 4.04...\4/4)...e,24--
Owner, owner's agent,arcnitect,contractor
da of ' 19
Notary Publi. Warren County, N.Y.
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* * * * it. * * *_ * * * '* * * * * *. * * * * * Or * * * * * * * ,t * * * * * * * * * * *
• SPECIAL Cs DITIONS. O1' THE ,PERMIT: . - . .
. p&rtAiAl--7.6- B-;--A4,t) 616 iL GuJ-8�' r4.�cx
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- Al—Tyk_cklo HA40--v70 3.. Nc=c„frp- 7-1-- -0 tikf ILA-061- 'Q• 172 -2-4A1-5; '' ' ' - '
TE5- R-. Icioca.‘,--1-6 .D1,--e/4. .0A./.(4 /4-71-7" .,rifis: :,n.-.A1 -16-.- . ...; '. - '
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TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENTAZ-G-4,4
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR (INSPECTION RECEIVED
NAME ✓/, _ !'% A7.&/
LOCATION / ) 066
DATE, ?//, / PERMIT # (r fz7
TYPE OF STRUCTURE 44/! (I'f i?67 4efl
RECHECK APPROVED
N/A YES NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE t
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING It
THE PLACEMENT OF THE CONCRETE. ,r
MATERIALS FOR THIS PURPOSE Off SITE
FOUNDATION/WALL POUR A . if
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL /'
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ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE1 ./
PLUMBING UNDER SLAB
FRAMING: i
JACK STUDS/HEADERS ; ,/
BRACING/BRIDGING . s'
JOIST HANGERS
JACK POSTS/MAIN BEAM I
HEATING ROUGH-IN
INSULATION: f"
FOUNDATION WALLS INTERIOR;R-
FOUNDATION WALLS EXTER'IOR',R-
FLOORS
„p .R-
WALLS �R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
a0free444t 44—
ARRIVE
DEPART fi
/ INSPECT''
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION S-?• I Zk -T
DATE PERMIT # r- -S '7
J'O fl C t f-/1.16 C:/ APPROVED
_. YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED 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:
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P& MIT l= P i R te.)
INSPECTOR
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