1990-342 _ _, •, , •
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CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
• WARREN COUNTY, NEW YORK
Date 19
301 a-sa
This is to certify that work requested to be done as shown by Permit No. 911-R49,
has been completed.
This structure may be occupied as a alterations to residence
20 Heinrick Circle
Location
W. ROBERT GODSIL
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
.
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-342
WARREN COUNTY, NEW YORK 1-3
e
PERMISSION is hereby granted to W. ROBERT GODSIL
OWNER of property located at 20 Heinrick Circle Street, Road or Ave.
O
in the Town of Queensbury,To Construct or place a Alterations to residence
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.
ND
1. OWNER'S Address is
same
2. CONTRACTOR or BUI LDER'S Name
Robert Imrie O
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address t\
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6. TYPE of Construction—(Please indicate by X)
( )Wood Frame ( ) Masonry ( )Steel ( ) C
7. PLANS and Specifications
No. 224 sq ft Alterations to building as per plot plan, specifications and
application.
8. Proposed Use i
fD
•s
Alterations to residence
0
$ 8.00 PERMIT FEE PAID —THIS PERMIT EXPIRES December 4 ,19
(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.)
CD
Dated at the Town of Queensbury this 4th Day of , June 19 90
SIGNED BY /,j( for the Town of Queensbury
Building and Zoning nspector
TOWN OF QUEENS/WRY
REVIEWED BY ti // -OWN R EIVEDS13UR�"
_ ,;- RECEIVED
.• � � FEE PAID $ S 'D
� St if
PERMIT NO. oro 3 2 JUN
BUILDING PERMIT APPLICATION BLDG. & CODE DEPT.
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE MADE UNTIL. APPLICANT HAS RECEIVED A VALID BUILDING PERMIT.
All applicants spaces on this application MUST be completed and the signature of the
applicant MUST appear on the reverse side of this application.
« « * * * a * a * „* a * « « « * * * * * * * * * s « a a a * « « a « * a « « a a
The owner of this property is /� v �/ CY 5 / / T -
'
4P O. Address a a 7 7 h )' e_ (IF e-C 11v L Tel. /`
4Property Location Tax Map No..gQ /±/ /a(J
Has there been any split of this property since October 1, 1988? / K
If yes Planning Board Review is necessary. yes no /.3
SUBDIVISION NAME, IF APPLICABLE A/ -~-- LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
,
:' -c Lvrf k / r • _--------
NATURE OF PROPOSED WORK: • ESTIMATED MAR LUE OF •
Construction of a new building „ CONSTRUCTI N: $
Addition to a building • COMPLETE INF TION RER-E'D BELOW:
• Size of property ft x ft.
Alteration to a building • • Existing Buildings(3) Size ft. x ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) • Front yard ft. Rear yard ft.
•
Side yards ft. and ft.
•
GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor 2._Z--t sq. ft. •
• OCCUPANCY INFORMATION
2nd Floor sq. ft. • ' Primary Building -
Other Floors sq. ft. • One Family Dwelling
(not cellar or basement • Two Family Dwelling
TOTAL FLOOR AREA sq. ft. • Multiple Dwelling/Number of units
Size of new structureI'ft x /6 ft. • Business
FoundatIon�ier slab/crawl/partial/full • IndustrIal
(circle one) Kis Tn , • Other
•
No. of stories (habitable space)_ •
Height (qt.ade to ridge) ,' ft. • If addition, what will use be?
If residents al, no. of families°_ •
No. of room (excluding baths •
Accessory Building
No. of tiedroo •
No. of bathroo •
____Detached Garage ONE/TWO Car
Primary heats sy tem_ • _Attached Garage ONE WO Car
Type of fuvvece,
• __private storage building
No. of ft/Places tailed •
. __Other
Will a hood •stove be installed
•
Cerdral Air conditioning
OV• ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame fire safe, etc.
Will any second-hand or upgraded lumber be used? If so. for what? ✓/ ,�- .
Foundation wall material pa.s./....1)-xLsriv‘ Thickness
Depth of foundation below grade (to bottom of footing) (S I AJ(0
Will there be a cellar? A fa Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? A /r) Will any portion be used as living space? A J`r)
(If so, what portion? (------ sq ft--Ty:pemoLuse?
Type of roof - sloped/flat/shed/other Material of roof_)u,S-1---f,tif,
Size, wood studs 2_ "x y
" spacing )C " o.c. length , ft.
JJeis-ts-(flcjorb'eams)-l.s.t floor— "x " spacing "o.c. span ft.
Joist(floor"beams)-2ndll'oor Zx w " spacing "o.c. span ft.
Overlays-(ceiling=beams) - 'x:_—_-_'_spacing " o.c. span ft.
Roof=raftecs— ----- --'x�--- -u"_-spacing'o.c, span ft.
Rdbf trusses-(pre-engineered)---sparing===-----"o c s"p in~--:--'—ft:`
exterior wall finish 7--- /- / I Of what material?
Rnterior wall finish Y2 5h e:v / YoC k
If a garage is to be attached, describe materials to be used for FIRE SEPARATION:
A/ .
Is there to he an opening between garage and dwelling? /tor1(-- If so will a Fire-rated door, enclosure,
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. . 1/A ,-
Water supply - Municipal or private well „
SEPTIC SYSTEM Distance from ANY private well�(')ncluding adjoining properties ft.
(A separate application is necessary fos jjas.erfair or new installation of septic system)
tV Z1
FAME OF BUILDER (�''J4- I711'(/ ADDRESS ‘Q Gt e( S 1/a0K TEL. NO. 7 0� � b /0
FAME OF PLUMBER ADDRESS TEL. NO.
FAME OF MASON ADDRESS TEL. NO.
FAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION
To the best of my Imowledge and belief the statements contained in this application, together with the
tans and specifications submitted, are a true and complete statement of all proposed work to be done on
ie described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
1 other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
ich work is authorized by the owner.
Signature ���Z %(
Owner, owner's agent, architect, contractor
'ECIAL CONDFFIONS OP THE : CCoscN( (A) o f 4-1-t�;r,Lki9 / '
L / Sty T�5v P P 2�' 0A/�cJ r- 1 a-4(A- c--
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801-
TELEPHONE (5 8) 792-5832
BUI ING INSPECTOR'S REPORT
REQUEST FOR I SPECTION RECEIVED 1p / J
NAME 1,10•
J f/JJ
LOCATION /.-.-�� IsleuYL/I�Y'.,j vt/ r
DATE 611 Q/ PERMIT # 0 .22F.�
/� APPROVED
l75 4./L0 %42M P , YES )TO
x FOOTING/PIERS V
MONOLITHIC PO FORMS
FOUNDATION/DAM —PROOFING
BACKFILL APPRO AL
ROUGH PLUMBING
FRAMING ) '
ELECTRICAL ROUG —IN '
INSULATION:
FOUNDATION
FLOORS /
WALLS ' .
CEILING " '
FINAL INSPECTION: �
CHIMNEY HEIGHT
__ ROOFING
SIDING
EXTERNAL PORCHES ,.T PS ' . .. . .
STAIRS—CLEARANCE
PLUMBING FIXTURES '•ELIEF VALVE
INTERIOR TRIM/PRI ''CY DOORS
FINISHED FLOORS
GARAGE FIREPROOFI GI
DOOR CLOSER(S)
SMOKE DETECTORS
FINAL ELECTRICAL INSPE ION . . .. " '
FINAL APPROVAL OF CONST UCTION ' "
OK TO ISSUE C/O •- C/C
A SIGNED CERTIF ATE OF • CUPANCY MUST BE
OBTAINED FROM T%E BUILDINt DEPARTMENT BEFORE
THESE PREMISES 'RE OCCUPI of
REMARKS: 110 Y,LITfi'!C jrV ' / x IL/6 IE4 H-
I,`c /,s-r f,z 5 Girv.v z/ S LA-6
F`rlIIS ;5 Tb EL- /46 16 CAS 6A--G6 C'A-ct..-
ARRIVE / /
DEPART l �tlz�
INSP CTOR
,,,, _ __,),
5
BUILDING & CODES DEPT.own oi QtteenJIU,T
THE PLANS SUBMITTED HAVE BEEN REVIEWED AND
HAVE BEEN FOUND TO LACK SUFFICIENT DETAIL'
FOR PROPER PLAN REVIEW.
WE REALIZE THAT ENGINEERED DRAWINGS ARE
NOT EASILY OBTAINED AND SOMETIMES NOT RE-
QUIRED . WE HAVE ISSUED THIS PERMIT WITH THE
FOLLOWING STIPULATIONS :
1 . THE WORK WILL BE INSPECTED AND MUST CONFORM
TO ALL PROVISIONS OF PREVAILING CODES .
2 . IF DEFICIENCIES ARE FOUND THEY MUST BE COR
RECTED BEFORE WORK CONTINUES .
3 . FAILURE TO COMPLY WILL RESULT IN REVOCATION
OF THE BUILDING PERMIT
,0/401,!/
Code orc=ment Officer
FILE
COPY 57:5,,,
to
Building Permit #
TOWN OF QUEENSBURY BUILDING DEPARTMENT
Based on our limited examination,
compliance with our comments shall
not be construed as indicating the
plans and specifications are In full
compliance with the code.
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