1990-522 ... .. .. ... ..-. .... '- _ .,i . is -L., ,..t__. _ .1_�:... : _� •_ .b'.. : ,...r •-_ .r -.'�'.� _ - .• ...
CERTIFICATE OF,COMPLIANCE
TOWN OF QUEENSEIUME,
WARREN COUNTY, NEW YORK
Date dhnaaary 1t! .19 a1
2c1q - --
This
is to certify that work requested to be done as shown by Permit No. 90_922
has been completed.
This structure may be occupied as a
peaked roof offer mobile home
Location
( . 06 Luzerie..' gd 136 Homestead Village
RUTH I. BEAMES
Owner
By Order Town Board
TOWN OF QUEENSBURY
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Director of Bldg. do Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 90-522
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to RUTH I. BEANIES Z
OWNER of property located at 136 Homestead Village Street,Road'Ave.
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in the Town of Queensbury,To Construct or place a roof over mobile home ,I
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
Homestead Village
Luzerne Rd -d
Queensbury NY 21804
2. CONTRACTOR or BUILDER'S Name
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James Mallory
3. CONTRACTOR or BUILDER'S Address
4. ARCHITECT'S Name
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5. ARCHITECT'S Address
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6. TYPE of Construction— (Please indicate by X)
( *Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications
No. Peaked roof over mobile home (12'x60') as per plot plan, specifications and
application.
8. Proposed Use
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a)
Roof (peaked)
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40.00 PERMIT FEE PAID —THIS PERMIT EXPIRES February 14 19 90 0
(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.)
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14th ` 19 August 90
Dated at the Town of Queensbury this Da /of � m
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SIGNED BY hf,,, / for the Town of Queensbury
Building and Zo ing Inspector
TOWN OF QUEENSBURY
� REVIEWED BY
,/; FEE PAID $ Li O F QU,B�
s PERMIT NO. 0-3 2� Cif!/ D V '
BUILDING PERMIT APPLICATION AUG Z 0 7990
• BLDG. c COD d"Ep t
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.
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
The owner of this property is: VA \--\\ -I. , \- -.Q. (3rn -P
P.O. Address Tel. 7 ? ? (�/ 73
Property Location ) 3(, 1-10Mi'v S�-1'-P� (Oc1 I 31 'dip_ C1- uee n,ktxt x Map No. 9.i/ o 1/
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Has there been any split of this property since October 1, 1988? / X
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
THE PERSON RESPONSIBLE FORIIf SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
c) (3,,m 5 1 a 1� o
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NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF -
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Construction of a new building • CONSTRUCTION: $ a-
Addition to a building • COMPLETE INFORMATION REQ TIRED BELOW:
* Size of property L ft x ft.
Alteration to a building , • Existing Buildings(3) Siz-■' . x ft.
(no change to exterior dimensions) •
Proposed building - dist=n fr,,m property line:
_Other work (Describe) • Front yard ft. R = yard ft.
.-P•qc-k.1� P} O Side yards ft. and ft.
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GROSS AREA OF PROPOSED STRUCTURE • If on corner, setback from side street ft.
1st Floor sq. ft. • OCCUPANCY INFORMATION
•
2nd Floor sq. ft. • • Prima Building -
• One Family Dwelling
Other Floors sq. ft.
(not cellar or basement) • Two Family Dwelling
TOTAL FLOOR AREA sq. ft. • Multiple Dwelling/Number of units
Size of new structure ft x(5ft. Ni ' Business
Foundation-pier/slab/crawl/partial/full •' Industrial
(circle one) • Other
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No. of stories (habitable space) A •
Height (grade to ridge) 1 ft. , If addition, what will use be?
If residential, no. of families (� •
No.-of rooms(excluding bat )ill • Accessory Building
No. of bedrooms , ' Detached Garage ONE/TWO Car
No. of bathrooms • _
Primary heating system_ • __Attached Garage ONE/TWO Car
Type of fuel_ • _Private storage building
No. of fireplaces to be installed_ •
Will a wood stove be installed • Other
Central Air conditioning f---7---
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OV• ER 5c iAl-- Og
BUILDING PERMIT .APPLICATION CONTE 4L•ED -
BUILDING SPECIFICATIONS:
Tape of construction, wood frame, fire safe. etc. d 0Cj,
Will any second-hand or upgraded lumber be used? If so. for what? . /Y%
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 porti 9 sq ft. Type of use?
,Type of roof s oped/ at/shed/othr Material of roof /6204-tV7/-/p
Size, wood stu "x " sp 'n " o.c. length ft. /70:7 //
Joists (floor beams) 1st floor ,' " spacing "o.c. span ft.
Joist (floor beams) 2nd floor " " spacing "o.c. span ft.
Overlays (ceiling beams) 1__--"x C/spacing ' o.c. span ft. _ ��,)'e-- 7/ '✓
Roof rafters 1„-"x si ' spacing , o.c. span /7,- ft.
e
Roof trusses (pre-engineered) spacing " o c. span ft.
Exterior wall finish //Aof what material?
Interior wall finish
If a garage is to be attached, describe 4ahrials to be used for FIRE SEPARATION:
Is there to he 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 aoove roof ft.
Depth of chimney foundation below grade ' .
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)
NAME OF BUILDER ADDRESS TEL. NO.
NAME OF PLUMBER ADDRESS TEL. NO.
NAME OF MASON ADDRESS TEL. NO.
NAME OF ELECTRICIAN 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 all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
ell 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
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OP THE PERMIT:
BY -
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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 ep Pam F.? J ( 1X c 1'\
LOCATION / 3 to tt�Sl"fes �'-�C1 I//���I
DATE / `� PERMIT # V
X� j APPROVED
9- `1(-"U YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS a
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING ;4 ' •
ELECTRICAL ROUGH-IN '
INSULATION:
FOUNDATION
FLOORS.
WALLS •
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT t t
ROOFING •r' c%
SIDING
EXTERNAL PORCHES/STEPS (.
STAIRS-CLEARANCE & RAILS fir,
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM%PRIVACY DOORS t,
FINISHED FLOORS
GARAGE FIREPROOFING ,
DOOR CLOSER'(S)
SMOKE DETECTORS •
FINAL ELECTRICAL INSPECTION '
.FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE 'C/O OR •C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!'
REMARKS:
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S'O
ARRIVE L
4005
DEPART _
• / I PECTOR
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TOWN OF QULENSBU w.. Y c z. co
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.BaSed ON our limipd e)iamingion, BUILDING & ' - . •.;i, ,,,,,. _t_:. li_,,::-_ _,
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' liancerwith Our co ments sha comq i rfl , _i
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not be conitrued as indicatint the
REVIEWED BY , ....H. ..-:. ,....4 . ,
plan and sipecificationi are hp full
I comqtiancq with fhe cofle. 44.1
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RECEIVED
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BLDG. & CODE DEPT. 1
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