1989-657 +CERZ"IkCATE OF +CC3MPLIAT "al
TOWN OF QUEENSBUR'Y
WARREN COUNM NEW YORK
February 1. 3 l9 90
Date
E � rn 89- 657
This is to certify that i3requested to be done as shown by Permit No.
has been completed.
This structure may be occupied as a One Car Garage -
Location
C7ovner Richard Die 1
Ely Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
9W
BUILDING PERMIT
TOWN OF QUEENSBUR i a
No. 89- 657
WARREN COUNTY, NEW YORK �
f
as
PERMISSION is hereby granted to Richard Diehl ro
OWNER of property located at Chestnut Lane Street, Road or Ave.
in the Town of Queensbury, To Construct or place a One Car Garage
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.
m
s
r—
FOWNEROSAddressis
4 Forest View Drive
KKKLon Valle N . J .RACTOR or BUI LDER'S Name s2
Self
3. CONTRACTOR or BUILDERS Address
Same
c-3
A_ ARCHITECT'S Name
rs-
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r-
5. ARCHITECT'S Address s"
l0
s. TYPE of Construction — (Please indicate by X)
I ) Wood Frame I ) Masonry l ) steel I ?
7. PLANS and Specifications
No. 16 ' x 26 ' One Car Garage as per plot plan , specifications , and
to
application .
c-:
a. Proposed Use
One cAr Garage awl
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ua
$ _ 9c; nn PERMIT FEE PAID — THIS PERMIT EXPIRES March 1 19 90
0f a larger period is required an appiication far an extension must be made to the Building and Zoning inspector of the
town of Queensbury before the expiration data.)
Dated at the Town of Queensbury this Day of Aug St l9 09
SIGNED BY for the Town of Oueensbury
Building and Zoning I ctor
TOWN OF QUEENSBURY To IV
R.EVTEWED BY
FEE PAID $ b�- t�;,ti;7 p
PERMIT NO. stz
BUILDING PERMIT APPLICATION '4(J
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A 1
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A PERMrr MUST BE OBTAINED BEFORE BEGUINMG CQNSTRUC'TION. NO IINSPECTIC �
WILL BE MADE UNTO. 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.
The owner of this property is:
420 e7G - 71 7z
P .O. Address f o)ej 55r iJije4✓ O JC_ 4. p .✓C-r iJ, r_c 4CIL N :s TeL Si to - Co�4v
Property Location s✓ "¢tee- y ++5!SF M j3Ly Pr.,. Tax Map No. �/v
Has there been any split of this property since October 1 , 1988 ?
If yes Planning Board Review is necessary * yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FOR SUPERVISION OF 'WORK AS REGARDS TO BUILDING CODES ISO
IF
NATURE OF PROPOSED WORK : ESr,MATED MARKET VALUE OF
>e Construction of a new building CONSTRUCTION : S .gyp
Addition to a building » COMPLETE INFORMATION REQUIRED BELOW:
" Size of property 7 5r ft x eft.
Alteration to a building * Existing Buildings( 3 ) Size ft* x ft.
(no change to exterior dimensions) »
Proposed building - distance from property lines
Other work (Describe) » Front yard 7 ! ft. Rear yard ft.
Side yards b' ft . and S / it.
GROSS AREA OF PROPOSED STRUCTURE If on corner, setback from side street ft.
1st Floor f Cv sq. ft. * OCCUPANCY INFORMATION
Znd Floor sq, ft. * Primary Building
Other Floors _ _ __. sq* ft.
s One Family Dwelling
(not cellar or basement * Two Family Dwelling
TOTAL FLOOR AREA 'W6 sq. ft. » Multiple Dwelling/Number of units
» Business
Size of new structure..L&ft x ft. Industrial
Foundatia *r slab/crawl/partial/full
le one) " �Other
Now of stories (habitable space) AJ
»
Height (grader to ridge) / `{ tt. » If addition, what will us* be?
If residentlal, no* of families ---- »
Non of rooms(*xcluding baths) "— •
Accessory Building
Now of bedrooms Detached Gar ONE WO Car
Noe of bathrooms »
Primary heating system
�_ ,. Attachod Garage ONE/TWO Car
Type of Reel --- " Private storage building
Nov of fireplaces to be installed
,�, Other
Will ■ wood stove be installed
Central Air conditioning
Off" '8R
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING 3PFCIFICATIONIS:
T , pe of construction, wood frame, fire safe. etc . C, / 0 Fo-e
Will any second-hand or upgraded ltimther be used? If so. for what ? A� o —
Foundation wall material Cawc_ PC ,,E rif Thickness
Depth of foundation below grade fto bottom of footing) L4
Will there be a cellar? L3 Heated or unheated ? Floor sqw footage sq ft .
Will there be a basement ? 0 Will any porti01L be used as living space ?
(If so, what portion? sq ft . Type of use?
NOW
Type of roof - sloped/ flat/shed/other SLoWO :Material of roof
Size, wood studs "x " spacings" o. c. length $' ft. --
Joists (floor beams) 1st floor "x " spacing "o.co span ft.
Joist ( floor beams) 2nd floor spacings"o. c. span �ft.
Overlays (ceiling beams ) Q FT G " spacing / g " o. c. span Ib ft.
Roof rafters "x��" spacing / & o. c. span ft.
Roof trusses (pre-engineered) spacing " o. c, span ft.
Exterior wall finish V/ Awl y [ _ �.::i / D / A' 6 of what material?
Interior wall finish ,� r , _� it,
If a garage Is to be attached, describe materials to be used for FIRE SEPARATION:
Is there to br: an opening between garage and dwelling? 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 Ao" ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or ,private well A,/ / A
SEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft, �
(A separation application is necessary for any repair or new installation of septic system )
NAME OF BUILDER e ADDRESS ' L +�.+ TEL. NO. G -�_ yV67f
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON_... ADDRESS TEL. NO.
NAME OF ELECTRICIAN JC , 17 � ADDRESS TEL, NO.
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 ail PP^vvisions of the BUILDING CODE, THE PC7 poseING QRDINAbe do and
all other laws pertaining to the proposed work shall be compiled with, whether specified or not, and that
such work is authorixsd by the owner. r?
Signature 4C .
Owner, owner's agent, architect, contractor
SPECIAL CONDMONS OF THE PERMIT:
BY
TOW
N OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
,BAY & HAVILAND ROADS
Ty� NEW Y 0�
ELEPHONE (519) 792-5832
BUILDING INSPECTOR' S REPORT
��CT/I�N R eEIV �' --
REi)21EST -FOR I��G- T /C1�
NAME
LOaAT ION
U PERMIT
DATE
APPROVED
I f YES NO
FOOTXNGG/PXERS
MC?NOI,.rTHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APP VAL
UGH PLUMB.Ir
RAMING .IN LkCTRICAL ROU
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL rNSPECTIONZ
CHIMNEY HEIGHT ---�-�-
t4;
ROOFING
,SIDING
EXTERNAL PORC �_�
STAIRS-CLEARANCE it RAILS
PLUMBING FIXTURE /RELIEF _ VALVE
INTERIOR TRIM/PIVACY pOOR6 '
FINISHED FLOORf
GARAGE FIREPR FING
DOOR CLOSER ( )
SMOKE DETEC RS
FINAL ELECTRI AL INSPECTION
FINAL APPI OF CONSTRUCTION
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
E BUILDING DEPARTMENT BEFORE
OBTAINED FROM TH
THESE PREMISES ARE OCCUPIED!'
REMARKS :
I SPECTOR
MAIN OFFICE ATLANTIC-INLAND, INC.
997 McLean Rd. NEW YORK
Cortland, New York 13045
MENDER OF N.F.P.A AND I A.E_I
Phone' {607) 753-7116 FIRE UNDERWRITERS(607) 753 Tana (Electrical and Fire Inspection- and Consulting Service C 60649
f607) 753-1396 9 $ )
(Incorporated In The Slate of New York)
Desiring Certiticate of Approval. application is made for inspection of electrical installation in the premises described below. On demand applicant agrees 10 pay for
inspection service in accord with schedule of charges, �,Q[�'
APPLICATION FOR ELECTRICAL INSPECTION — PLEASE PRINT OR TYPE Pe Irl'n r f 16 S
THIS SECTION TO �BE` Q'� COMPLETED BY APPLICANT DATE OF APPLICATION pay
CITY. TOWN, VILLAGE �+a� -S ABC, Ip COUNTY I..✓,,4 Ar IL L Aj STATE +A"'f il
STREET �+. l I
ADDRESS 6.-•�5 T-JCrf L.?1 � l� S'S �' /H BW- f �.1 B.U,Ii�i,31C.. NO.
RUL
DIRECTIONS A4554EA4 oSL YI0I oCZ o 5 jr -rwt) 14doje r, S " le44 to
OWNER'
S
NAME OCCUPIED AS ���rr
OCCUPANT . BUILDING — NewM Old O WORD( — New ❑ Additional ❑
OWNER'S P.O ,/� ,ram ,r y
ADDRESS 7 Fmc Jej'S-' Li il E [w/ � /'r. Lr t7 K"A i L' � f"' V Q z f" 3
A PP. FOR — ROUGH WIRING ❑ FIXTURES ❑ OR READY FOR INSPECTION 19
FEE REMITTED — $ RY CHECK O CASH E] MONEY ORDER C MAKE PAYABLE To ATLANTIC-INLAND, INC -- NEW YORiK
Number of Rough Wiring Outlets Fixlbu Add Inaiallation
Swtch Li tn9 Recep. KW Be d- �gul Fluor. 500 750 1000 1250 1500 1750 200D 2250 2500 2750 3000
Elect most
Amp. Service too Water Htt Durner Air Cond.
Surface Unit Owen Range Gr. Diep, Dish W.
Oryer H.P. Pump Ex. Pan Hood
OTHER EQUIPMENT (Specify Type S Capacibei
TYPE OF WE OF SUB.-
WIRII4G OPEN MAW C CONCEALED ❑ OTHER MAIN t D C7 BRANCHES CIRCUITS j
6+.
APPLICANTS ,f��
SIGNATURE �+(',�„/ LICENSE a PERMIT s
ADDRESS !-'L" T+. �'T NAME OF
I 1► T� IL...1 UTILITY
OFFICE TO
crTy La IJ(f UAc+w XYSTATE /r� 1 % VP CODE c7 -ret 3 BE NOTIFIED
BELOWSPACE O OF • ONLY
ROUGH WIRING AMP 5ERYICE K.W. SURFACE
OUTLETS EQUIPMENT UNIT
SWITCHES AMP SERVICE KW. OVEN
CONDUCTORS
RECEPTACLES H.P. PUMP H.P.GARBAGE
DISPOSAL UNIT
MEDIUM BASE
FIXTURES KW, DRYER
DISHWASHER
MOGUL BASE KW. WATER
FIXTURES a HEATER K.W. RANGE
FLUORESCENT H.P. AIR AMP. RECEPTACLES
FIXTURES CONDITIONER
MERCURY VAPOR OR WIRINGS CONTROLS FOR BURNER SMOKE FRAC_ HP.
QUARTZ FIXTURES I DETECTORS VENT FANS
MOTORS. H.P_ 1120 w12 1F1B 1!B tiB 1l6 1/3 112 314 1 11h 2 3 5 Tyr 10 15 20 25 30 40 50 75 1p0
MARK NUMBER
OF EACH S2E
500 750 1 1000 1 1250 1wo 1750 2000 2250 2500 2750 00 80
APPARATUS Fact Host
MISC, INFO, ReeeFved Inspected FEE PAID
e?..,,!r - / ,�,�/' �,fr ❑ PROGRESS TOTALS
c�Araof ey Mai ezk [ ❑ DEFECTIVE
Al z. # �2. Ao�z 6i r 0 Rough Winn9 Cere�,�n�fe
Check No.
V ❑ Temporary ` Money order
t,{'�IUEeresricli, .M. y: f21JF�3�t _.. .
Mon.-Fri, 6-74 ?r'
518-692
518-6"
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