1988-913 CERTIFICATE OF OCCUPANCY
TOWN OF.QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 25 19 91
)7(39) r
This is to certify that work requested to be done as shown by Permit No. 88-913
has been completed.
This structure ma be occupied as a addition to single family dwellinc
West Mountain Road
Location 1
Ethel O'Rourke
Owner
By Order Town Board.
TOWN OF QUEENSBURY
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Director of Bldg. & Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY 22.
No. 88-913
WARREN COUNTY, NEW YORK
N
In
PERMISSION is hereby granted to Ethel O'Rourke
OWNER of property located at West Mountain Road Street, Road or Ave. 1
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 O
SAME o
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2. CONTRACTOR or BUILDER'S Name
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SAME
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3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name CD
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5. ARCHITECT'S Address rt
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6. TYPE of Construction—(Please indicate by X) • aay
( )Wood Frame ( ) Masonry ( I Steel ( ) N
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7. PLANS and Specifications 0
No. 8' x 40' addition as per plot plan,specifications, and application. r w
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8.•Proposed Use
. One Family Dwelling w/Addition
10.00 C/C
$ 20.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 1 19 89 pa
N.
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the rt
town of Queensbury before the expiration date.) p
Dated at the Town of Queens this 21st Day of November 19 88 _
SIGNED BY Cad for the Town of Queensbury
Building and oning Inspector
TbkVN OF QUEENSBURY APPLICATION FOR TBUILDING AND ZONING` PERMIT
Pate.- - - ; .
•
`*• >?eaiev ed /� d • TOWN OF QUEENSBURY -
-,;-/k ,#x -3 J Rau iew 1 l ) RECEIVED
df si '
i � y1 3 a � - F,, • Nov �Z, �_.- .
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• " �� � " 4�.�, Fee Paid
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BUILDING AND CODES UI PARTOE1;"f Vate Iaaued I ihs J� • • - 8 DEPT.
,FAY and IIAVILAND ROADS RD 1 Box 93 Ile_ II•C)•. 2d
pUEENSDURY,NEW YOf K 1280�1 Perm-L- Na. yg-99/. . co
Tel . (518) 792-5832 Ext-•209 .
I, * a x * a •x a 1 a * * a * x x x * x x x * x x x * a a x .a a a x x a r w
A PERMIT MUST 111 OBTAINED BEFORE. E1:GINHING CONSTRUCTION. NO INSPECTIONS
RECEIVED A -VALID .BUILDING PERMIT. -
G'IL1, BE MADE UNTIL AP1'LICAI'!T HAS
All applicable spaces on this application must be completed and the • •
~mature of the applicant must appear on, the reverse side of this sheet. -.
w x A is n A A A * A A /: A * A lc A ' * * * A * * * * "A -A * ;A A A A n -* A A A
The owner of this property is : e�T-1-4-(L-t_ 0 Q-ct,).4IZ- v -
P . O. Address • Puktig.pg....m. )
�� ..,TEL.
Property location �.17Z�' 'ij4? it t1 . rn 1.--
TAX MAP NO.`ZS /. / 3f
Has there been any split of this property since October 1, 1908? /,
. Yes no
] f yes , ' Planning Board Review is necessary.
SUBDIVISION NAME ; IF APPLICABLE _ LOT NO.
The person responsible for supervision of work as regards Building Codes is : .
mot) kJ&
NAME P .O . ADDRESS TEL. NO.
C Cc)RL%r� — Address • Tel
Name of builder Tel
Nome of Plumber f.ddress•
Name of Mason • Address . . Tel
NATURL OF PROPOSED V.OIK: .r ZONING; INFORMATION (Office usso only)
Construction of a new building - + ZONING DESIGNATION OF PROPERTY 5e— (4- •
Y Ad-1ition co a building ~ PERMITTED. PRINCIPAL - PERMITTED ACCESSORY
Alcur:,tion Co a building „ ,REVIEW REQUIRED, -:PLANNING HOARD ZONING BOARD_
• lne chaliOu CO excur.ior dimensions). .
Ocher cork Wa:criU.:l # SITE.-PLAN REVIEW It APPROVED DATE
.
r VARIANCE It , APPROVED DATE • •
CItOJJ AREA OF PROPOSED, STRUCTURE , •
sq f t . • Remarks:1st floor �� x
s I t - M r �
2ndCOMPLET1 INFORMATION REQUIRED UELOW. ii,
Floor q - -
'. Size.: of property 4'0 ft x Li -f() ft:..
Qt . r Floors /// sq ft . Exiting building(::) Sisu`Z:l ft X 60 ft--- -
( not cells-rear basument) „ .
TOTAL FLOOR AREA^?— sq ft, w l:xi::cing building(s) Use i tl'kl-:lit 44r '-
Ei::e of new structure ft a /Oft ' *
voundation ier► slat/crawl/partial/Cull ' proposed building, distance from property line
(circlu 'one) Front and n...54 I't Rear yard Z.-CO ft
No. of :stories (habicable space) 6 # Side yards �� rt and 7s7®�G- Ct
Height (grade to ridge) �I✓� -- • ft.
If on corner, SUCback gran side scr.uc:c �//r tc
if residuntia % no. of families OCCUPANCY 1NFQ('J�IATICN
No. of room:• excludintj baths) '
No. of bud ooms a PRIMARY IsUILDINC - .
No. of Irroou►:: Onc fu,uily dwelling
Primary tearing systuu� Two family.dwullin�j
Type fuel . multiple-dwelling / Number of units
No. f fireplaces t be inec llcd w • ` i'ennar►cnt occupancy .
Wi :► wood scov = e insc:, .:d? 'Transient occupancy . •
L' ncral. Air co ait' iny? * business -
r Industrial
LUlLDING CT L , PRIMARY SIRUCTJRI .`
. ocher.
Inch Conceuij r:ar Lc.►7 cabin 1f-- u.cl�iit°on., _ 1•►a.r. w•L•ll 0,:.:;a bit')_ --- -
-r::►i::ed clt .1►r►:ilc.,,► _ '-f u1�luX ` I .0�-• to :.6"-c_ie.
•
Uplic l...v�l Old >c a Uu►►►i al w `•
Cape Cod S- . Cott, cJe Oche .' ACCESSORY UUIL..DINC
Col nial. -!:o T n House a uetachad garagt/one. car/ two car/
car
( CI RCL.•, ONli PLEAS .' nctuch►.d garage.:/One car/ fwo c.rj . cae
� .' ) �
a- x x • ■ a:_ ■-. tc x ... x a w a a- a * Private storage,. building
ESTIMATED MARKET VALUE OF S\Oher
CON::'1'ItUCTIUN - - a
INFORMATION ON .BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETED! • '
Form DPA -10/88 v1 .
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BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECTFI'CATIONS: •
Type of construction, wood frame, fire safe,etc. Ql� ` ) / ,
Will any second-ha'itd or ungraded lumber be used? If so, for what? AJO
Foundat'ioi wal'1'material A)-( 52k=T4- Thickness ' C ) Ic; 1
Depth of foundation below grade (to bottom of footing)
.Wj�L t nr�re be a r �Ll Heated or unheated? Floor sq. footage sq ft
he a-basement? Will any portion be used as living space?
( f—so,—w.ha _norti�_ ' sq.ft. Type of use? •
T ae_of_r-aof----sl-epee-�f-l-at/shed/other Material of roof
•�i�P,�woac�—strrd3 "�C� " spacing "o.c., length • • -ft.
Joists(floor beams) 1st. floor . "X -- " spacing "o.c. span ft.
,. opt-s-( -1-eer_beamsl d. floor "X " spacing • "o.c. span ft.
"X ". spacing "o.c. span ' ft.
-Ro raftc—r "X " spacing o.c. span ft.
Roof trusscs (pre-engineered) spacing "o.c. span ft.
=e-. *•�i � ��nish • Of whab material?
iar—wa-H--fi-lz i s h
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to be an opening betwe garage and dwelling? If so will .a Fire-rated
door, enclosure, and self-- osing device be provide
Will a flue-lined chi mfiey be installed? —Height above roof _t.
Depth of chimney---f undation below grade ft.
Depth of f.'--r place hearth ft. in.
Water -apply -' Municipal or F ivate well •
S IC SYSTEM _ Distance--from ANY private well(inclu i- adjoining proper ies ft.
(A separate applies on is necessary for any epai-oor new installat}on of septic system)
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DECLARATION
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.
signature tki , C/ q,i J/f ,
Ow , owner' age t, . rchitect, contractor
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* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
SPECIAL CONDITIONS OF THE PERMIT:
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By
-Apt -015
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT /'
posss(e / ,ncb 0-n ICJ)
REQUEST FOR(INSPECTION RECEIVED/ I
NAME (_ IC `0(}1ke_, J L�'f'i1p L
LOCATION U)��,\--- 1 1j'n i ill\
DATE c9-�dc `-1 !/ PERMIT # :T-I L 5
TYPE OF /STRUCTURE \=_c-(_-'
RECHECK APPROVED
N/A YES' NO
FOOTINGS/PIERS
MONOLITHIC POUR FORM
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.;'.
MATERIALS FOR THIS PURPOSE ON .iSITE,!
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE
FOUNDATION/DAMPROOFING
BACKFILL APPROVAL :;, r
ROUGH PLUMBING
PLUMBING VENT/VENTS IN PLACE "`
PLUMBING UNDER SLAB (' /
FRAMING: i/
JACK STUDS/HEADERS
BRACING/BRIDGING /'
JOIST HANGERS f::
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN r i
INSULATION:
FOUNDATION WALLS INTERIOR R';
FOUNDATION WALLS EXTERIOR
FLOORS
WALLS 124,
CEILING R;;,
DUCT WORK OR PIPING IN UNHEATED
SPACES
� G
REMARKS:
' Y
ARRIVE
DEPART
NSPECTOR
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