1990-618 .- ,�._. ,rti . +t",.vv vc.�_;,7 1 Gh" 1 r — � _.,-, -ra -r,.._w+._u• _.. 4 r v
"f
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date September 12. 19 91
This is to certify th at ork requested to be done as shown by Permit No. 9n-61 R
has been completed.
This structure may be occupied as a basement foundation (nartial )
Location �eadow Lane
SHAWN & PAMELA O'LEARY
Owner -
By Order Town Board
TOWN OF QUEENSBURY
V
Director of Bldg. Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY 90-618
No. D
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to SHAWN & PAMELA 0'LEARYcri
OWNER of property located at 14 z Meadow Lane Street, Road or Ave. w
in the Town of Queensbury,To Construct or place a Repairs to basement foundation (partial )
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
r
m
2. CONTRACTOR or BUILDER'S Name
L.P. Daigle 5
a
3. CONTRACTOR or BUILDER'S Address
16 Reservoir Drive
Queensbury NY 12804 -
fro
4. ARCHITECT'S Name Q'
5. ARCHITECT'S Address
Nr
CD
0
a_
6. TYPE of Construction—(Please indicate by X)
( 4 Wood Frame ( ) Masonry ( ) Steel ( ) r-
7. PLANS and Specifications
No. Repairs to basement foundation (partial ) as per plot plan, specifications
and application.
8. Proposed Use a
Basement foundation
N
c-f•
40.00 September 14 91
$ PERMIT FEE PAID —THIS PERMIT EXPIRES 19 w
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the re
town of Queensbury before the expiration date.)
rD
14th September 90
Dated at the Town of Queensbury this Day of p 19 -1
SIGNED BY for the Town of Queensbury o.
Building and Zoning In ctor
0
.a
f1
r•F
•
TOWN OF QUEENSBURY ,R,N' (Thr-- iPEvBURY
REVIEWED BY d
FEE PAW $
SEP 13 1990
g � PERMIT NO. go_ (nIP
BLDL,.
BUILDING PERMIT APPLICATION ��®E DEPT.
•
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION. NO INSPECTIONS
WILL BE-MADE UNTIL. APPLICANT HAS RECEIYED.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.
• • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • * • • • •
rrr) 1CHISc
The owner of this property is: -5H4 /''. A friel4 a` LSAit
P.O. Address /4 9 .44.4-Anele, L9/f b Tel. 7 9 . 7a
Property Location Tax Map No. -
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 IS:
L-7A
•
NATURE OF PROPOSED WORK: ; ESI'IMATED MARKET VALUE OF •
Construction of a new building * CONSTRUCTION: $
Addition to a building • COMPLETE INFORMATION REQUIRED 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) ;11g4g311 • Front yard ft. Rear yard ft.
eaviA . e- /
/ YLi.G 41AI( Side yards ft. and ft.
•
If on corner, setback from side street ft.
GROSS AREA OF PROPOSED STRUCTURE, •
1st Floor sq. ft. ' OCCUPANCY INFORMATION
•
2nd Floor sq. ft. • Primary Building - -/
Other Floors • /One Family Dwelling
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_ft. • Business
Foundation-pier/slab/crawl/partial/full • _Industrial •
(circle one) • Other
•
No. of stories (habitable space)__ •
Height (grade to ridge) ft. • If addition, what will use be'
If residential, no. of families / •
No,of rooms(excluding baths) •
Accessory Building A
No. of bedrooms •
No. of bathrooms •
Detached Garage ONE/TWO Car
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 '
OV• ER
BUILDING PERMIT .APPLICATION CONTINUED -
BUILDING SPECIFICATIONS':
Type of construction, wood frame, fire safe. etc. Y6' J PA'i4 /riL
Will any second-hand or upgraded Limber be used? If so, for what? A"T
Foundation wall material C,"46 1)Pdr' iofge Thickness 8 .Ztic/jam
'Depth of foundation below grade (to bottom of footing) f
Will there be a cellar? He'tedf r unheated? Floor sq. footage sq ft.
Will there be a basement? tViSSai ic: I be used as living space?
(If so, what portion? sq ft.- Type of use.
Type of roof - sloped/flat/shed/other3 ,4. Material of roof A51,94
Size, wood studs "x " spacing " o.c. length ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft.
Joist (floor beams) 2nd floor "x " spacing "o.c."span ft.
Overlays (ceiling beams) "x " spacing " o.c. span ft.
Roof rafters "x " spacing d.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,
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)
•
DAME OF BUILDER ADDRESS TEL. NO.
JAME OF PLUMBER ADDRESS TEL. NO. •
9
�AME OF MASON L1PPASG/a �A SS/1 B5L rirw-oe 0,0 - TEL..No.79J.3/ I
JAME OF ELECTRICIAN ADDRESS TEL. NO.
DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the
,laps and specifications submitted, are a true and complete statement of all proposed work to be done on
he described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
11 other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
uch work is authorized by the owner;
Signature
g,
. Owner, owner's agent, architect, contractor
IPECIAL CONDITIONS OP THE PERMIT:
•
BY -
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS 41
QUEENSBURY, NEW YORK 12804.
TELEPHONE (518) 792-5832
BUILDING; INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED I o f/a
NAME �2[Q,L6-7�J 1y�,(,ynwa r -P17)t
0
LOCATION /7/2�`a1 e/7,1/nzi /7
DATE /QJJ��O/ `O'U PERMIT # J-6
LO CS APPROVED
(PQ,_ .) YES NO
FOOTING/PIERS 1,1
MONOLITHIC POUR FORMS
X FOUNDATION/DAMP—PROOFING '
BACKFILL APPROVAL I'
ROUGH PLUMBING 1 •
FRAMING
ELECTRICAL ROUGH—INIc: • • • • /'
INSULATION: g
FOUNDATION
FLOORS i
WALLS i
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING
SIDING •
EXTERNAL PORCHES/STEPS
STAIRS—CLEARANCE & `,RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING;
DOOR CLOSER(S) a
SMOKE DETECTORS s
FINAL ELECTRICAL INSPECTION . '
n
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR .C/ 1
A SIGNED CERTIFICATEsOF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
f 1 .
REMARKS:
•
ARRIVE ) 4s
DEPART ib 55AL . //
• rnscp•-rmnp
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12804-
TELEPHONE (518) 7c92-5832
BUILDING INSPECTOR'S REPORT
REQUEST FO INSPECTION RECEIVED
NAME C � � 44-- �./ j
,,rai.....Ye-47
LOCATION 12-5 � :
11
DATE y a%Ui PERMIT # QD - �i f
r APPROVED
¢' YES NO
FOOTING/PIERS 'y; l`
MONOLITHIC POURiFORMS r
FOUNDATION/DAMPjPROOFING
BACKFILL APPROVAL
ROUGH PLUMBING I
FRAMING jj
ELECTRICAL ROUGH-IN l
INSULATION: I
FOUNDATION r / .
FLOORS a. 1 .
WALLS i1 I " • '
CEILING }i 1 ' ' '
FINAL INSPECTION:
CHIMNEY HEIGHT
d .
ROOFING '44 .
SIDING 7 '
EXTERNAL PORCHES/STEPS "
Hm
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM4PRIVACY DOORS
FINISHED FLOOiZS 1;
GARAGE FIREPROOFING
DOOR CLOSER(Si)
SMOKE DETECTORS t
FINAL ELECTRICAL INSPECTION . . . . ' •
FINAL APPROVAL1)OF CONSTRUCTION . "
OK TO ISSUE C/O OR C/C
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM1THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!•
REMARKS: a
1\ Ly
34
ARRIVE -i/ ,97- 1\ .
�
DEPART ' -
4 - /
_ -%:, •••• ;" -4 '4( L.- • - ,A
I N ib gddR5:_r Ce/VCA'6-727- SZAo' C-4 4 7 40-t
L A fr roP
APR or,/
-fig .vi-AEMEs .
T ge,Ace elcdiriev•fte
,-) f 041 y 30440*
10 4/ X16:
. — -3-
_ -
3•
si 5CA L5 1 Ea zig Ls i)
0-20AA9/
• ME/11,AP Z4/7/8 aei -5/Pfolsiv/
Sr>:
In
LL I al Ig2 w
0 ill ip ;
:LLIE 1-41:7) C1
0(Z Q. . od
U.1
CO d
L: caa-'-:
. . ..
7\„, . . ..
. . . .. • . .. . ,
ELI
, 1 . '1
A ,
11 . • •
. ,. .
, . .
FILE copy
. •
. . ,- • .., ., ..
. .. .
, .. . •
. -
. .
. .. .
.OF 1/0111/111/1"NUMB sirsumou
ladmaribildimillit. . G..,44 AC.5
aushrieureurielifill
astkumbeelatiallinagas .
. .
limadimilhisareilfill .
imIlleseellbesesda.
• . . .
. . .
. ,
. .
. .
• TOWN OF . QUEENSBURY .
.•,.. '
BUILDING & CODES EPT..
. . _
...,_ . REVIEWED B • . .
.. .
- DATE vi4r. 3'/116) . . . ,. • •
• •
.. ...
r --- — — IL r . • - . _ . , _ _ '7-----t to
- -
. .
._ _._ _____ ___ . -, - ••
_________ .
‘.. •
• .
. . . .
• .• .
r? - -.'.f.,, r',., ----• . .5'cA LE: ,,,' Ea u.q LC /Y ..
r 1.. e .17 0
'RES:TD ,1/7-ff-/C#8 /1/1/f,l/147eS, ,0-9/..5AN y
NI' /VtA7JITk, 4 Ail/5 6? res5/v,fz-ux, iiv,y,_