1988-938 CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date February 2 19 89
az- 3o
This is to certify that work requested to be done as shown by Permit No. RR-9:18
has been completed.
This structure may be occupied as a Mobile Home/New Roof
(( ci- 1$C'0%0
to I )w -=e=1t Avenue
Location
Owner Richard Carpenter
By Order Town Board
TOWN OF QUEENSBURY
iL
Director of Bldg. & Code Enforcement
A BUILDING PERMIT
TOWN OF QUEENSBURY
No. 88-938
WARREN COUNTY, NEW YORK
•
PERMISSION is hereby granted to Richard Carpenter
OWNER.of property located at 5 Winseonsin avenue Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Alterations to roof of existing Mohil Home
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 trJ
SAME1-3
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2. CONTRACTOR or BUILDER'S Name
Pat Brean
3. CONTRACTOR or BUILDER'S Address
RD#4 Box 131
Queensbury, Nw York 12804
4. ARCHITECT'S Name
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5. ARCHITECT'S Address _ 0
6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) -
7. PLANS and Specifications by
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No. 70' x 14' roof over existing mobile home as per plot plan,specifications, and
application.
8. Proposed Use 0>
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Mobile Home
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10.00 C/C 0
80.00 PERMIT FEE PAID —THIS PERMIT EXPIRES July 1 19 89 rn
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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 0
town of Queensbury before the expiration date.) ri
0
15th December 88 '-''
Dated at the Town of Queensbury this Day of 19 0 0
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SIGNED BY ` �,��� for the Town of Queensbury co X
Building and Zoning pector ~'
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TOWN OF QUEENSBURY• • APPLICATION FOR BUILDING AND. ZONING PERMIT
- . Pate,- - _ . .
- Pec i.eued I, -tt - '. •• "
. ' .. . .—. - Rev'. ed :(1-4‹..,.10. . -, ' ' -,' - .r 93') ..:-: . (.1'r - -'
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BUILDING AND. CODES UI:PARTMEWf . Date Iaaued . igrIS .
H3AY and IIAVILAND ROADS RD 1 Box 98 ..
- PUEENSBURY,NEW'YO/J • 12804 .,•. PPlum t NO -- -
Tel . (518)- 792-5832 'Ext -209. ' .‘ •
.. .* - * *.• * *. *,..r* * 1 * * * * * w ,*.. a...* ,*, * * ,a., * . * * *:`•a'. * •. a a '* • * • *' * a: *• .. .
• A PERMIT MUST' BI OBTAINED B,EFORE... BEGINNING CONSTRUCTION. . NO INSPECTIONS , '
t"ILL BE MADE UNTIL APPLICANT HAS RECEIVED A VALID BLILDINC .PERMIT.
•
All applicable spaces.' on this` application' d :b uste ' completed and the
• si ii ature of. the applicant must '.app'ear 'on the reverse side of this sheet..
A 1 A A A * * * * A *' A A * . $..'*'A * * * A' A * A * A A A * A A' A * A * *
The owner .of " this .pr•cp.erty is: . P 1 eI /r'c/ ' (214- 0' -6 f-0?2 _
P . O. Address loi6ea0/60dv- F1//i.e_ np,s,2,14,%. r,n/;y, l 'U.v .' TEL.
Property location kips=-/-t-Art-erne 0 lep,Ar- .:!). A .�.F . "2"ip r-OH PCa.6( - TAX MAP NO. /a-1�/• / / 4
tlas there 'been any split "of this property since =October . 1, •.19.88? /, - . . •
yes
If yes, Planning Board ..Review is necessary. .
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SUBDIVISION NAME, IF APPLICABLE • - LOT NO
The. person responsible .ror supervision of work 'as' regards Building Code.s :isc
NAME ... • P .O. .ADDRESS . .• " .. TEL. NO. •
rs i 1 . �" -•-e Tel ' 7 l P /a cc(- _
Name of builder 4i 13F�Rnt Address p rs .G %� 't {'�E t�«
Name of Plumber - . . " Address- • . - . - '`. -`' , Tel
Name of Mason ' - Address - - . : . Tel
• • ,
NATURE Or PROPOSED 6ORK: -. ZONING..INFORMATION (Office. use o y)
_Construction of a n.:w •building ; ZONING DESIGNATION OF PROPERTY i`1k_ S
Addition to a building ' - •- . i PERMITTED PRINCIPAL PERMITTED ACCESSORY
Alteration to-a. building . # k .. . . . '
^(no change to exterior -dimensions) ,;} REVIEW REQUIRED PLANNING BOARD ZONING BOARD
. Other work . (des crib.:) /nr5% CL I oi, . ••; SITE PLAN REVIEW It APPROVED DATE
* VARIANCE II APPROVED DATE
CROSS AREA OF PROPOSED STRUC`1'URE . .. _
1st Floor sq _ ft . .�.
• mar• Remarks.: ,_ -
2nd Floor sq ft . : COL.tPLEEr INFORMATION REQUIRED-BELOW. .
w Size ofproperty ft X • ft. .
other Floors sq- ft . •!. Lxi:;ting building(::) •Sir.e .60 rt X It( rt. .
(not cellar or basement)
TOTAL FLOOR AREA sq ft . *- Existing building(s) .Us.:, rKc(I ' ra�►..y '�i-5r( tc� .
'.'ize of new structur.: 70 - ft X /5-ft ' -
v'oi dation-pier/slab/crawl/partial/full .. It Nropor;"ed buildin.g m, ' distance fro property. line . . . -
yr • - •
(circl.: one) /�' .* Front. yard :ft Roar •yard ft
No. of stories:. (habitable space) ,• Side yards .. ' -f t and ft
•height (grade. to ridge) r-d/4 f t• w It on corner, :;c:tback ,from side :street_ r t
` 1 e. residential,• no. ,of families i "
• '..00CUPANCY, 1,NFORMAT I ON . '
No. . of- rooms(excluding: baths( i3��' , _ :
No:. of. bedrooms - Jt/ Or
PRIMARY BUILDING
NO. •of' bathrooms ---,kV A;�. �/ w �YOrie family dwelling .
iirim;,ry heating: system rillld'' y two t uru.ly dwell ny
:Type.of .fuel •
l' Multipl.: dwelling:/ Number .of units
No. of:".fireplaces to be _installed. 1ennanent occup_ ►- •
Will 'a wood stoveb.:" installed' �1'ran::iunt occul�aricy
C:entr:.l Air conditioning? ,* _Business
BUILDING-STYLE,LD1NG.STYLE, PR ttWRY S�'RUCTURE r` ': industrial
� --
Ocher .
Fc:.inch ,: ` ,Contemporary .Log cabin Y 'ifn'�'O�.thct on, ss what1."w�',1,1 'u:;e be?_ ('OAN.ST r
• Raised rant(►. Mansion ' Duplex K�� OiV M66i b,• wt,.
tip 1it •l.:vel old: style ' .1sui►y.Low ~
Cape Cod Cottage c wr_.j . . * ACCESSORY BUILDING- .,
Colonial 1.oWr:,,.. louse ' - Detached garage/one cur/ two car/ car
:. ( CIRCLE ONE PLEASE 1 ' a - Attached garage/ono. car/ two car) Cur' . .
• A *" * :'t :* A * •:A A A A. ■ It 7 At . I. ' a .- Privet.: storage building .
ES•t'IMATED MAR}:ET • VALUE OF - ' Other
CON::TKUCTION '.- .: iorb - ► . .
]NFORMATION ON BUILDING SPECIFICATIONS, ON REVERSE SIDE OF THIS SHEET, TO BE COMPLETCDI .
Form BPA 10/88 v1
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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 "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? 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)
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.
- 7 ,a
Signature r ::Ir) _:4_:� •
Owner, owner's agent, architect,_contractor-)
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
•
SPECIAL CONDITIONS OF THE PERMIT:
•
By
si
i,
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804.,
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST P9:' INSPECT N RECEIVED
NAME i'e ,P6-� L
LOCATION U5-Gerle si u /
DATE / ,3/ /gj PERMIT # ( 7z g
/ APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
FOUNDATION
FLOORS
WALLS
OILING
Iv`-I-NAL INSPECTION:
CHIMNEY HEIGHT L./
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 v
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
REMA
2°42( 471114?de-
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INSPECTOR
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 r'1;c2 /
NAME _Ca ai- ,
LOCATION it./23-6:,-, -....-7 etjy-e
DATE /0 -)L -$% PERMIT # J2 9 67
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUG1-IN
INSULATION:
FOUNDATION i'
FLOORS ,\ ,7
WALLS \ r�
CEILING \ <°
FINAL INSPECTION: \
CHIMNEY HEIGHT N•,
ROOFING . /
SIDING 5
EXTERNAL PORCHES/STEPS\
STAIRS-CLEARANCE/& RAILS
PLUMBING FIXTURES/RELIEFAVALVE
INTERIOR TRIM/. RIVACY DOORS
FINISHED FLOORS ?'.
GARAGE FIREPROOFING ` ,
DOOR CLOSER(S) '1
SMOKE DETECTORS \
FINAL ELECTRICAL INSPECTION \
FINAL APPROVAL OF CONSTRUCTION \
l
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT•;BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
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