1990-727 ..e'
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date August 73 19Al
g
This is to certify that work requested to be done as shown by Permit No. 90-727
has been completed.
This structure may be occupied as a new foundation
Location Holly Lane, Assembly Point
Dorothea Meldrum
Owner
By Order Town Board
TOWN OF QUEENSBURY
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY
No. 90-727 -nv
WARREN COUNTY, NEW YORK
PERMISSION is hereby granted to DOROTHEA MELDRUM N
OWNER of property located at Holly La, Assembly Point Street,Road or Ave. o
in the Town of Queensbury,To Construct or place a Alteration to dwelling
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
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2. CONTRACTOR or BUILDER'S Name
William J. Caprood o
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3. CONTRACTOR or BUILDER'S Address
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278 2 Broadway
Fort Edward NY 12828
4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X)
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( )Wood Frame (X) Masonry ( )Steel ( ) tn
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7. PLANS and Specifications
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No. 30 sq ft Alteration to dwelling as per plot plan, specifications and
application. 0.
8. Proposed Use c+
New foundation
$ 25.00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 22 19 91 D
(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.) -5
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c+
Dated at the Town of Queensbury this Day of 19 90 0
SIGNED BY for the Town of Queensbury 0
Building and Zoning n ctor C
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TOWN OF QUEENSBURY
T REVIEWED B / it'll/
1 1 ii
FEE PAID $" ; — OF',icI QLI`ENvSURY
41
PERMIT NO.- %u—far "'F=`> .71:,ED
•
BUILDING PERMIT APPLICATION OCT 1 7990
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.
* * « * * * * * * * * * * * .* * * * • * * * * * * * * * * * * * * * * * * * * * * *
The owner of this property is: /7O O2I/A 21,7.'/ORa .
P.O. Address Ass v a- y 2.fr%a/� Tel. 4 cc-2 gg r
Property Location /411' 1, Z.6 y L/d iU 1: ^ LI G(-- Lid 48i Tax Map No. 6 /4//o ' i
er
Has there been any split of this property since.October 1, 1988? 4 /
If yes Planning Board Review is necessary. yes no
SUBDIVISION NAME, IF APPLICABLE LOT NO.
i'HE PERS N RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:1)
l (i A il 7 efi efi d a , I` l 715"‘J
* -
IATURE OF PROPOSED WORK: * ESFIMATED MARKET VALUE OF
Construction of a new building * CONSTRUCTION: $
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:'
* Size of property ft x ft.
(no change to exterior dimensions)
* Existing Buildings(3) Size 3L ft. x 4/0 ft.
Proposed building - distance from property line:
Other work (Describe) ( if4 '' /Z * Front and y 3:t. ft. Rear yard _s ', ft.
I ..2 .5c,r 500.04,7 i aw GI0// * Side yards 3 6 ft. and ft.
* If on corner, setback from side street ft.
3ROSS AREA OF PROPOSED STRUCTURE *
*
1st Floor sq. ft.
* OCCUPANCY INFORMATION
2nd Floor sq. ft. * - Primary Building -
Other Floors sq. ft. * JC One Family Dwelling
(not cellar or basement * Two Family Dwelling
5 • Multiple Dwelling/Number of units
COTAL FLOOR AREA_sq. ft. I
Size of new structure ft x ft. 0v * Business
Foundation-pier/slab/crawl/ r/full
* Industrial
(circle one) •. Other
•
!to. of stories (habitable space) / ,
ieight (grade to ridge) `% ft. , If addition, what will use be? C,of f
f residential, no. of families *
No. of rooms(excluding baths) • •
Accessory Building
No. of bedrooms ' _Detached Garage ONE/TWO Car
No. of bathrooms *
Primary heating system Cd i( • ,___Attached Garage ONE/TWO Car
Type of fuel 0; ( . * Private storage building
__
No. of fireplaces to be installed *
* ck Other et A
Will a wood stove be installed_
Central 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 L'o6VQ--.. Thickness c-,//
Depth of foundation below grade (to bottom of footing) /
Will there be a cellar? Aid Heated or unheated? Floor sq. footage sq ft.
Will there be a basement? /tJd Will any portion be used as living space? Ai°
(If so, what portion? • sq ft. Type of use? .
Type of roof - sloped/flat/shed/other Material of roof
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 o.c. span ft. .
•
Roof trusses (pre-engineered) spacing " o.c. span ft.
Exterior wall finish of what material?
anterior wall finish
:f a garage is to be attached, describe materials to be used for FIRE SEPARATION:
s there to be an opening between garage and dwelling? If so will a Fire-rated door, enclosure,
;elf-closing device be provided?
gill a flue-lined chimney be installed? Height above roof ft.
)epth of chimney foundation below grade ft.
•
)epth of fireplace hearth ft. in.
Nater supply - Municipal or private well &A .Z /i
iEPTIC SYSTEM Distance from ANY private well (including adjoining properties ft.
A separate application is necessary for any repair or new installation of septic system)
AME OF BUILDER .Z114, eAcgo c1 y ADDRESS o? 58gO0, TEL. NO. `7y? 77i$—
AME OF PLUMBER f ADDRESS TEL. NO.
etME OF MASON ADDRESS TEL. NO.
�ME OF ELECTRICIAN ADDRESS TEL. NO. ---
DECLARATION
To the best of my knowledge and belief the statements contained in this application, together with the
ins and specifications submitted, are a true and complete statement of all proposed work to be done on
P. described premises and that all provisions of the BUILDING CODE, THE ZONING ORDINANCE, and
other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
:h work is authorized by the owner. _-
SIgnature
Owner, owner's agent, architect, contractor
ECIAL CONDITIONS OF THE PERMIT:
BY
- --/ D 90-72,1
...111ft
TOWN OF QUEENSBURY X4l1i
Bay at Haviland Road, Queensbury,NY 12804-9725-518-792-5832
Building & Codes Department
INSPECTOR'S REPORT?7,,,,
19
PROPERTY LOCATION
�Le b17/ C1G6L
OWNER OR TENANT �r a da/66
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BUILDING SEWAGE SIGN OTHER/ �
REMARKS: 7�
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% dfriee.:71t�. ,-"e4'er*ga,
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CONTACT THIS OFFICE WITHIN
NS CT
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"HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE"
SETTLED 1763
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 id l4krAt 0 aata91-
LOCATION /, 4
DATE J�// `Q PERMIT # D - 7,47
I APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR `FORMS
FOUNDATION/DAMP-PROOFING
X BACKFILL APPROVAL\
ROUGH PLUMBING 'tl
FRAMING \
ELECTRICAL ROUGH-IN `,
INSULATION:
FOUNDATION
FLOORS v
WALLS
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT
ROOFING 1
SIDING f
EXTERNAL PORCHES/STEPS f
STAIRS-CLEARANCE & RAILS 1
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOOR'S \
FINISHED FLOORS
GARAGE FIREPROOFING :I \•
DOOR CLOSER(S)
SMOKE DETECTORS II
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION
OK TO ISSUE C/O OR •C/C/' y - "
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT 'BEFORE
THESE PREMISES ARE OCCUPIED!
REMARKS:
ARRIVE 3
DEPART I�
7v DWt+mnn
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 / j 4 2
NAME
LOCATION „��
DATE `jX,. g19,0 PERMIT # 7,0 - 777
APPROVE
YES
FOOTING/PIERS
MONOLITHIC POU"-z'^""''
FOUNDATION/DAM
BACKFILL APPRG
ROUGH PLUMBING -t1
FRAMING
ELECTRICAL ROC t6 (
INSULATION: J
FOUNDATION_
FLOORS
WALLS 1 •
CEILING f
FINAL INSPECTION: /
CHIMNEY HEIGHT
ROOFING /
SIDING /` j •
EXTERNAL PORCHES/STEPS
STAIRS-CLEARANCE & RAILS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS
FINISHED FLOORS
GARAGE FIREPROOFING \.
DOOR CLOSER(S) '\ •
SMOKE DETECTORS 1 .
FINAL ELECTRICAL INSPECTION . '
FINAL APPROVAL OF CONSTRUCTION'`
OK TO ISSUE 1C/O OR •C/C '� --
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!• 0
•
REMARKS:
•
ARRIVE P 12(43
DEPART I/0 L`�
•
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 12801- •
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT •
REQUEST FOR INSPECTION RECEIVED f 6 �'J
NAME /0oU,,44'L .
LOCATION0a `
DATE //.2 Z•L/ PERMIT # 9).-7z7
f APPROVED
( / YES ,NO/,
F OOTING/PIERS 1 ' ,
MONOLITHIC POUR\FORMS ,/ •
FOUNDATION/DAMP-PROOFING d
N.
BACKFILL APPROVAL, .1 •
ROUGH PLUMBING A . 1
FRAMING \ I
ELECTRICAL ROUGH-INS if
INSULATION: \ /
FOUNDATION \, g
FLOORS. . . . . \I . .
WALLS . A .
CEILING • I• \ •
FINAL INSPECTION: it
CHIMNEY HEIGHT
ROOFING 1
SIDING / N
EXTERNAL PORCHES/STEPS ``ti
STAIRS-CLEARANCE & RAILS N.
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS v
FINISHED FLOORS 0 _
GARAGE FIREPROOFING
DOOR CLOSO(S)
SMOKE DE ECTORS
FINAL ELEC• RICAL INSPECTION ' .
.FINAL APP//OVAL OF CONSTRUCTION
OK TO ISSUE C/O OR C/C \ -
A SIGNED/CERTIFICATE OF OCCUPANCY MUST BE l
OBTAINED FROM THE BUILDING DEPARTMENT BEFORE \,
THESE PREMISES ARE OCCUPIED!.
1
REMARKS:
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BLDG. & CODE DEPT.
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