1989-791 ` 3
t
i
k CER.TIFICATE +DF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
i
Late C C / rji z, 19 �f
This is to certify that work requested to be done as shown by Permit No. 89- 791
!i has been completed.
I "Mis structure may be occupied as a attached two car garage _ __
i
i
I' Location 3 John C1 gndon Road
Owner •_ Gerard & Kim K 3 car
I
jBy Order Town Board
f
TOWN OF QLIEENSL3URY
Director of Bldg. & Code Enforcement
I
kI I I d I 1 11 -- -
BU I L DI I' G PERMIT x
TOWN OF QUEENSBURY Q
No.
WARREN COUNTY, NEW YORK Co
r�s
ru
PERMISSION is hereby granted to Gerard & Kim Kaiser
OWNER of property located at 3 John f l ondon Road Street, Road or Ave. `
in the Town of Queensbury, To Construct or place a Attached two car gari% ga
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
Same
V
2- CONTRACTOR or BU1 LDER'S Name rG
o:
Carl Ross
r�
3. CONTRACTOR or BUILDER 'S Address Lake Shore Road
KXK*x9K5MX*XR618
Crown Point , N . Y .
4, ARCHITECTS Name
w
G.
S. ARCHITECT'S Address
CIO
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6. TYPE of Construction — (Please indicateby X) dL
cs
i 1 Wood Frame 11 Masonry 1 1 Steel { )
a
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CX
7. PLANS and Specifications
No. 22 ' x 28 ' Attached two car garage as per plot plan , specifications ,
and application .
B. Proposed Use
'x
Attached two car garage r
w
n
CD
m
c+
$ 35 . 00 PERMIT FEE PAID — TEAS PERMIT EXPIRES May 5 19..—_gj0L �
(lf a longer period is required an application for an extension must be nude to the Building and Zoning inspector of the +�
town of Queensbury before the expiration data.) n
dy
Dated at the Town of Queensbury this r Day of netnher 3
s�+
SIGNED BY for the Town of Queensbury 9
Building and Zoning l rfspector
Ea
4
Pew F. e i'a.. t-�
wILDINC, AND CODES ui l 'AR7? (E,KT 1Jwte Ie� sued /d -� � OCT == ?9�3�
AY" OUE! N.; {IURYeD ile YOR RIB 1 Box ] 3 •�_�C:i. 4c ��j �Y: sicu T
�UEENSJ9URY , NEiJ YG1f?i: I ? dOJ PeJu}t�..t NU . � f _
Tel . ( 518 ) 302- 5aJ : Ext 204
A l' CIttI IT MUST IsI3 OBTA I tJE O UPI ORE BEC I ,NNI NC CONSTRUCT ION . NO INSPUCT IONS
!•' ILL DC MADC UNTIL ArPLICAMT 11AS C.LCLIVED A VALTD BUILDINC PERMIT .
Ali applicable spaces on this application must be completed and the
%0paature of the applicant must appear on the reverse side of this sheet .
x * x A x r x a x k x A x t a • k * x a * x x x x ,x x * x ■ * x x * * a x
i1Yf fCCc s r'
'l` lee owner of this property is : [•9'Ei/,¢LYc! n , .!
V . O . Address j,J, C_n 14eridoo kid . a� a Px7 :S.,�i ,��(y`A! • ]' _... T E L % 7,,7, IS'` S'
, ' roperty location 5' r� h /I �' �Pa- don kd- M&ldv.rr, Vt . rAx tlAP NO . �^�/ �' / �.
iias there been any split at this property since October
yes nor
if yes . Planning Board Review is necessary .
. (UDDIVISION NAIVE . Ir APPLICAnLE LOT NO .
ne person responsible tar supervision of work as regards Building Codes is :
I' ' 055 04n R C-4o✓
NAME + F . G . ADOR6 � S t~ 4_ sS sGd4 .-SCO, TEL . NOV
:tumor or builder ( n a 4' d <,,:5 Address t ry�hQQQ� CcA C� �4 r�aM+ Tel�'�;�6C3
;:..1rw of Tel
risme of r+lason cz - C' Gi r ldrass cR P►.-ii'a ct Tel_ s�
�ATwRE OF f'ROPOSCO WORK. : * CANLNC* INi O101,%.'1' I0N 10tfscat uses an .l
k onr.truCtil Of .a burr buiIdirc7 * ZONING DLSICNATION OF PROPERTY
X:Aclrxit &on to :A l�ui. i .linq ` PERMITTED PRINCIPAL PERMITTED ACCESSORY
_AILVC Uion to .s L" t. lding
Ota to .: xC � rLar r1xla�neionsl * REVIEW REQUIRED - PLANNING SOARD ZONING QOARD]
006k: r rrari: { 1�SCr >.Lx�n1 * SITE PLAN REVIEW 0 APPROVED DATE
1tO5S A LAOFL} ROt' O3L' G. :. 'rr. uc'L' ldRfr" * VARIANCE /caly 1P/kROVED J/ BATES yy'.�
I 42 - x Remarks :
It f t .
" nd r ioor sq f c . CQrtPLL '1'L ir4l'01%C1r1'L'L M It1 ;?UL1tL:L1 1sL' L4ra .
) they �' laorx sq ft , * SiZQ of vrols� rty IOU , Lt x 1 �r
fc .
( not ccll .lr or b4s. Qmenc ) Laci�ta+ �g Lui11a + �+GIs: ) Sx ,.t_ 1` ti x 7 ac .
rOTAL FLOOR AREA sq f t . ► La ;�tLuq ay. LL1ir�•� ( s. 1 U �� eft ^r
'. i~u cur nraw &;tr let u eft a, fr
�`uvasdation-pie Slat. r.1w1/l�artt.si/ tail * aYsalso:.ccl auslssnq , vi:. c.►nCu tra.r► l.cdiw:rCy Li sr��
'IfJirC1U O[16 ) * Front yµrdw i Illlllpr' t Roar ywrd ft
N%l of scorics (hwbi "blj s•l'4Ce ) r r t and c t
Sides y:.rd.:
nwight, (grade CO ridqu ) ft . ` Ic on clorrssr , UQCML;i.sCk from sAlld" itrQ(ot�• r' t
If no * Of f:.milia3i T}
tso . of racwsal l sxxcludinsl b.+that) * OCCuPAI•Ns.Y INFORMATION
s(o* of txxdrooas,r PRI?IARY DUIL.DINCIllP
no . of b:acl�roow� * <( Ona famaply dwolling
( riuury Iswrtisu� a:y: l: vsss * •I'wO =.;.uaily dwulls.ny
'ayy}.. of Lull xuic4lt+l6+ %Iwcsllinq / Number of unit&
No . Of 'ticliALAACua: t" U%& irlst:•llssd * I}eY+awncee►c oceu s u►CV
M a 1 L u wawa v ivav,p tow itaat c:s 1 1 wl''�
a � 'a'�C:sna.it:sE1G tir:CLL�:rlar-y
Ugsntr.•1 Air CO�siLitiLin+JN]: i3usincsscx
BUILDING STYLE, PRIM AY STRUCTURE * Tncluscr ial
lussClt COatwwawr..ry Lyn cabin . Otllsar y
14+Ya lwd ranals DuVl "a * It .sdaicissn . r•!wt will us.rs tars?
[L 2_ �e " lic
ulaltt lrsv.al Old astyl.a uus►j low
C"Plu Cod Cotrwill Oclswx * ACCESSORY 4UZLOINGi
CcjILon All"l crow iowse }louse * Lss: cacn�lu 94rut7o/ono Ca.r/ two CQC/ Crr
I clac is Olin: PL!'AEE 1 Aet4ch4a y..r:►gu/as1.a Car/ cwo c:st/ ,oZ c
• s a a ■ * * a r • • • ■ x x r * 1srlV.atri stor"So building
UCTIMATED MAARKC*r VVA�. 16UC OF ' Ochwr
CON ::'r kUC't• I QH �
INPORs1ATION ON QU ILDINC spectP TCATIONS , ON RCVLRSE t lnr OF '!TITS E►IL.>:'T, TO BE CCIMLETL:D I
Foray SPA 10/88 v1 r
construction , wood fraxe , a0et r0C)0 vne .
i � y se -cnd- hand or ungra ad tier ce sad " _ _ s - : or «? ,at ? lvb
F.LL . dation wall material -e c PCf' ry� f " hlkz ' e �ry +i _
taowr � - xr: .. ss rF � 1i , GL.I_..
: epth of four. 3ation below gra ,3e = u bottom of foot :.r.gi
W :. 11 there be a cellar ? Vj Mi�ated or unheated ?unh v `
eated ? Uj!L loor sq . footage 5; rt
t
Will there be a basemen ' Will any por "lon to used as living space ?_
If so , what portion ? �` sq . ft . - - e of use ?
yro of roof sloped flat/ shed/otr. er +iatzr : al of rooff O "?, � i T?5 . hE+ � F SG okLrn
- • ve , wood studs " X 4_" spacing o . c . Length `ft .
JoiststfLoor beams. ) Ist . floor " spacing o . c . span fit ,
Joists ( floor beams ) 2nd . floor " {- sac r.g O . C . span ft .
%lverlays ( ceiling beams ) � lIx spaci ^r, — " o . c . span — ft .
Root rafters " X „ spacing C . C . sYan - -- ft .
Roof: trusses ( pre-engineered ) 5pac1ng �7t�r. " o . c . s _an lift .
Exterior wall finish r.i„ / Gf what material ?
Interior wall finish ,Aliody'c-
If a garage is to be attached , describe materials to be used for '':' IRE SEPARATION :
-�. 4,6
Is t-here /tc5 be an opening between garage ^,d dwelling ? € so will a Fire- raLed
door , enclosure , and self-closing device be provident?
will a flue - Lined chimney be installed? Height above root - ft . -
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ' ft . ---- in . 3 _
water supply - Municipal or private well
SEPTIC SYSTEM _ Distance from ANY private well ( inc uding adlointng properties ft .
( A separate application is necessary for any repair or new instalLation of sop i system )
D E C L A R A T 1 0 X
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 Z04NING ORDINANCE, and all
other laws pertaining to the proposed work shalt be complied with , whether specified
or not, and that such work is authorized by the owner .
Signature
Owner, owner'4anZt, architect , con actor
Ar
SPECIAL CONDITIONS OF THE PERMIT :
gy- __� ____ __-____-__-
X ) '531 SAY ROAD
f V Y ► r
Tom OF wwmtm-M'(
QUEEMSBU'AY , NEW YORK 12804
32
TEMPHOME ( 518 3 5 2 rmvRT
REQUESTFOR INSP'IeC?Ica REGEIYEOr�
LOCATI�
'PERMIT!DA`TE,lDAaaLcA
TYPE OF
RECHECK --._� .
FIR£ MARSHAL APPROVAL (Cgq KFILLL FRAM'MG�
,�FOOTIMG FOUNDATION _
_ROUGH PL�BIMG FINA�ELECTRICAL SEPTIC
WO
VImSULATION TE PL,AN/VARIWRCE REQUIREMENTSLACE YES KO
REMARKS
f
1 N/A Y ' NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/P f
RELIEF VALVES
FURNACE/KOT WAS
BASEMENT INS ULATION/DUC
INTERIOR TRIM/PRIVACY DOD
FINISH FLOORS :
BATH/KITCHEN WATERTIGHT
OTHER FLOORS 5WEEpABLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILING
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/WK L TI
ALL PLUMBING FIXTUR
GARAGE FIRE PROOF'
DOOR CLOSERS
OTHER FIRE S
FIRE/DEMISE WALL
DUMPSTER
FINAL EL
OTC TO ISSUE C/O
DEPART /
TOiMI OF QUEENSBURY
531 SAY ROAD
QUEENSBURY , NEW YORK 12804
TELEPHONE ( 618 ) 792- S832
BUILDING INSPECTOR' S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEI11En
NAME L v- "" Kt m
LOCATION Cl e/V.JQ-vA
DATE 'e� f PERMIT#
TYPE OF STRUCTURE. _uk7 �� '
RECHECK
IRE MARSHAL APPROVAL (COMMER IAL UCTURE )
_ OOTING FOUNDATION BACKF LL FRAMING
ROUGH PLUMBING FINAU�ELFC IC -` SEPTIC
'-INSULATION WOMUSTOVE/FIRE LA
* TTE PLAN/YARiANiICE REQUIREMENT YES NO
REMARKS
APPROVAL
CHIMNEY HEIGHT/LOCATION H/A YES NO
B VENT/LOCATION
PLUMBING VENT if I
ROOFING Ar
SIDING
DECK/P / _ _ .
RELIEF VALVES
FURNACE/HOT WATER R '
BASEMENT INSULATION/DUCT/
INTERIOR TRIM/PRIVACY D
FINISH FLOORS :
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPAWLE
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILXN9
HANDICAPPED ACCESS
SMOKE DETECTORS
BATHROOM FANS/ L � '
ALL PLUMBING . FIXT ES OPE4T€M
GARAGE FIRE PROOF-ING
DOOR CLOSERS r'
OTHER FIRE SEPAqATION
FIRE/DEMISE WALLS
DUMPSTER I
FINAL EL
OK TO ISSUE C/O O
COWNTS
r
ARRIVE
DEPART _ v � c.�
National,—Headquarters
!O w Hadt]on r Awe:." iCcill rigswood, WJ. 08108
Hate;
City, Town or Township // �ryy 1,,,
County t��t'! +'" One 'State Az
Location/Address
(if Located In Rural - rea Pleas@ Attach Directions
Owner Pole #
rc rrrr ii }""` Permit # .w
Occupied As _ c wilding:. NewvL. . , r - Old [
Occupant •f _
Wort Area in Build!no Floor #, etc,l:
for: Wiring Slowrvioe or: Re for Ins on'
Fee Remitted $ ,: Cash` Check M. IYAaICe able To: M.D. LA.
so fooa xmso 11 1790 moan xxso mao0 o s0o0 .
Number of 'Rough Wiring Outlets Elect, Heat
Swi
hes
Lighting
— Anip. Servfbal ' - ' ?9'E Cif Unit Dishwas'Y38r- . Range
Receptacles Water Heater Air Conditioner ° ' : ' Pump
Number of Fixtures Oven � -Garbage Disposal Wiring and Controls far Burner
A+ p.{Rec@ptecles �Fractl one I H.P. Vent Fans .
Other Equipment: ae .
MOTMark NRmba¢ 1/ ill 1/ 1/a i/5 .i/q 1/3 1/2 3/4 i 13
4
2 5 • ,7`W 16 15 20 ' 25 . 30: . 4DM1 SIJ 79 , 100
of Each Size _
r.
Applicants -F.. ..
Signature boense gMt f #
T/A -- �.: Utility* NA
Applicant's Addrew:
r. .
(City) [State)- - [?ital -. r Service Request #
Phone p!: gleptfthpn.
f iAfi E JiECE1 V @b: ,r, . r DATE 1NSpEctEb•
Corn@cc Location : Same as Above or: . t ,
al
Red Notice LabelLk _
Rough Wiring Outlets Surface Unit Oven
Switches Ran ar- ,y . _ sii6e. Qt'slaos$E. :; .
Receptacles -W r. Heater " sAwtireher�
Fixtures 'A4VC6nditi'jner L W
Amp, Servioe Equipment "Burner, Wiring & [;orittols for Amp: 140e00tacla
Service Conductors L Pump Vent Fans
MOTORS H.P, 1/20 1/32 1/1a 1/a /@ 1/4 1 1/2 ,1 _ - 2 3 7 10 15 20 25Sol" +F4 ' S0' S ]Bo'
Mark Number .
of Each Size j
" F
EI@Ct, Heat Asa so0o txaa ia0o xiw xoaa mesa 0900 ,s7 Pq?o
,.
7i ' a -
0 RW Progress: Inc. LkO Contractor
F] CF n :Violatio Work Comp. F� lna _ Comer CASH
C] L/A _ _ . Fee CH K # .
Q. IPA , . , Mlrn+# - Due
.,,w,. .;. ."> - .,, . s..+ . : ,. .. .. . -"-''i• "w"-^'-�r�ler'ss-de�i - "' I�llflty' _- .-'" , )CF+3?f�ra[�}'` _ 01-��.._
Cut in Card Tem # . . D. !�Sf +Y
'p ate ,r s ir'1.
r _ rL
-
Final # - Date
eu
A
_� _ .
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAy & HAVILAND ROADS
QUEENSSURY, NEW PORK 228046
TELEPHONE (528) 792-5832
BUILDING INSPECTOR' S REPORT
r A,1
REQUEST FOR IN ECTXON RECEIVED - 'yF--
NAME
LOCATION
DATE PERMIT #
APPROVED
YES NO
FOOTXNGIPIERS
MONOLITHIC POUR FORMS
FOUNDATIONIDAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
/FRAMING
LECTRICAL ROUGH—TN,
INSULATION:
FOUNDATION '
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHESISTE S
STAIRS—CLEARANCE & ReS
PLUMBING FIXTURESIREL F VALVE
INTERXOR TRIMIPRXVACY
FINISHED PLOORS
GARAGE FIREPROOFING ~—
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL XNSPE TION
FINAL APPROVAL OF CONS RUCTIO
A SIGNED CERTIFICATE F OCCUPANC MUST BE
OBTAINED FROM THE BU ING DEPAR ENT BEFORE
THESE PREMISES ARE UPIED/
REMARKS:
/ . 30
/ ' q of
INSPECTOR
TOWN
RY
BUILDING A14D CODES DEPARTMENT
BAY & HAVILAND ROADS r
QUESNSBURY. NEW
YojzK 320
TELEPHONE
BUILD NG INSPECTOR' S REPORT
REQUEST FOR IN PE TION RECE'VED �_! --
NAME
LOCATION _ l 1
PERMIT #
DATE
APPROVED
�r YES NO
�'"FOQTING/PIERS
MONOLITHIC FOUR F S
FOUNDATION/DAMP- PING
rBACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-I
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING
EXTERNAL PORCHESISTE S
STAIRS-CLEARANCE & _"'_.�--- -
PLUMBING FIXTURES/
L EF VALVE
INTERIOR TRIMIPRIV Cy OORS
FINISHED FLOORS
GAGE FIREPROOF' G
DOOR CLOSER (S)
SMOKE DETECTORS
FINAL ELECTRICAL NSPECTS
FINAL APPROVAL QF CONSTRUC . ON��__
A SIGNED CERTIF CATE OF OCCU NCY MUST BE
OBTAINED FROM E BUILDING DE RTMENT BEFpRE
THESE PREMISES ARE OCCUPIED!
REMARKS :�
INSPECTOR
YOU ARE HERE13Y REQUESTED TO
INSPECT AND ISSUE CERTIFICATES
FOR THE FOLLOWING ELECTRICAL
EQUIPMENT TO 131E INSTALLED BY
THE UNDERSIGNED
TEMP 1111
70wNSFI1P LO
POLE NUMBER
AND NO. OR RUJ46 LOT
Bt-OGK
B IdIIIIII0 III,
N WHAT nyJ CROW IS PRFM Lbw
BUIL NG OCGVPANCY
I
'B NAIAE � �� FIpdE ENVMB
OWNER'S NAME ANP ADDRESS WORK T N R
FROM THEIR � =
CU2VII'SI-IPPLEO BY
NEW Q AOPITIC)11 01 DEFECTS REMOVED
BUILDRJG IS OL �� �'
NEW ❑ IST ELOW ALL. EQUIPMENT w"Icf-1 YOU INSTALLS BRANCH OFFICE USE
NUMBER OF OUTLETS Nz+. Fwlftures & M01t:1RS HEATERS CIRCUITS ONLY
Loca Lamp Receptacles H.P. No. h No Gauge INSPECTION
tion Side AtlHch'trtch pgndenl araciml No. Type EaC'h
ceiling Well ReoeP'la
OUT-
SIDE
sueI E
4 0I
MEN7
FL-
FL-
2nd
FL.
3rd
FL.
REMARKS: III OTHER ELECTRICAL DEVICES NOT SET Fd RTH ABOVE.
AI EQUIPMENT NOT COVER
ABOVE E ABO, YOU ARE AUTHORIZED To
MAKE THE INSPECTION AND ADJUST THE FEE 7C1 COVER
THIS APPLICATION IS INTENDED TO COVER THE ABOVE-I-48 ED EQUIPMENT TO BE INSPECTED, BU7 IF A7 TIME OF INT THE FEE
THERE 5S
FOUND ADQfTIflN 'rcRAl-'Aw^s
THE ADDITIONAL EOUIPMEN7 AS PROVfDED By THE APPFEI�R ELC,Ly RIC SIGN'SAAMPS
U1%
SIZE OF MAINS
GAS BE gIGNy'ff}ANSR]RMERS OF
❑ EKPO�.+EP GAPACRY
CHARACTER OF y FK '❑ CO MALE6
U fE ODMPLETED SIZE OF SIGN(NUMBER]
DATE WORK TO BE S'A ID
µANUF14C1'URER OF SIGN
SERVICE ENTERS BUILDING Q OVERNFA'D ❑ UNDEfTf+ROUND
MUST EKI
DATE 1NSPECIBON REQUESTED ON l� AS NEAR AS POSSIBLE)
A l? R tOTi.
1011 �`
PRINT NAME AND ADDRESS DATE OF APrtP'l.-CATION . ,. .
NAM APPLICANT 'iC7ELEPH NE
1 \
^y-fFEET ADDRE$'^,�� ` rA cooEt LICENSE N0. WHEN APPLICABLE
Cn-y p,OST OFFICE - V
1 ❑ 202 Arterial Road
Q 4i to StreYet i ❑ 57fl Delaware A G]venue C7 217 fake Avenue SYRACUSE, NY 132D6
❑ 85 John Street 1 BUFFALO, NY 14202 ` RC1 TESTER, NY 141
6
NEW YORK. NY 10038 ILBANY, N 122U7
THE NEW yoFRKVSOAFRD OF FIRE UNDERWRITERS
PLAN ror Vr r]
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