1989-852 j M
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CERTIFICATE C3F' CO P'LIANCE
TOWN OF +QUEENSSURY
WARREN COUNTY, NEW YORK
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giLeFebruary 13 lq 90
'Mis is to certify that work requested to be done as shown by Permit No. aq-AS2
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has been completed.
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This strucdUre may be occupied as a roof oyer mobile .. ome
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L.ocatiott Minnpirnta Avenue
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Owner Walter Chatterton
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By Order Town Board
j TOWN OF QUEEN58URY
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Director of Hldg* do made Enforcement
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r BUILDING PERMIT
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TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK c �
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PERMISSION is hereby granted to WA T R CHATTERTON
OWNER of property located at Minnesota Avenue Street, Road or Ave. w
in the Town of Queensbury, To Construct or place a rorif nvpr mobile home
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. OwNE WS Address is
RD #4 - Box 119 ty
Minnesota Avenue
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2. CONTRACTOR or BUILDER 'S Name m
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3. CONTRACTOR or BUILDER'S Address r
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4. ARCHITECT'S Name
5. ARCHITECTS Address
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G. TYPE of Construction — (Please indicate by XI
j()o wood Frame I I Masonry { I Steel { }
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7. PLANS and Specifications
No. new roof over mobile home as per plot plan , application and
specifications ,
8. Proposed Use
Roof over mobile home .
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$ 94 _ f} PERMIT FEE PAID — THIS PERMIT EXPIRES June 1
(If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the m
town of Queensbury before the expiration date.,} �--i
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Dated at the Town of Queensbury this Day of N vpmhpr 989 _.._._
SIGNED BY l for the Town of Queensbury
Building and Zo6Kv Inspector
TO BE COMPLETED BY BLDG . DEPT .
// Application No . �-
rJrl�rr ASP trecre .sL+ aer� Permit "sued 19
BUILDING :,nu ZONING DL= 1'.4knTML:NT Permit Expires 19 O�Cl Q�Bay and Havifand Road, R. D. 1 ,Box 98 Zoning Designation [+ E'
Quuujisbury, New York 12801 Variance No . ] F/llj��I�/5��./
Site Plan Review N 6i �S �r
Approved by . , , ��aQ
APPLICATION FOR - - - ��{ 1004D
BUILDING AND ZONING PERMIT
A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . ANSWER ALL OF THE FOLLOWING .
The undernigned hereby applies for a Building Permit to do the following work which will
he done in accordance with the description , plans and specifications submitted , and such
special conditions as inay be indicated on the Permit .
The owner of this property is :
P . O. Address i P 4*4 A_ ' 7�.�
36(Property Location : . Tax Map No . 1 7/
Street number or building lot number
Subdivision name ( if applicable)
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS BUILDING CODES ISO
N:zuAe� P, O . Address Tel . No .
Name of builder r d _ Address Tel
Name of plumber Address Tel .
Name of treason Address Tel .
NATURE OF PROPOSED LvIC1RK : * ZONING INFORMATION :
Construction of a new building " A PLOT PLAN MUST BE PREPARED AND SUBMIT`T`ED ,
_Addicion to a building * drawn reasonably to scale and attached hereto ,
Alteration to a building * showing clearly and distinctly all buildings .
/ U(no change to exterio dimensions ) * whether existing or proposed and indicate all
V .
y ther work (describe) * set-bask dimensions from property lines . Giv4
street and number or lot number and indicate
* whether interior or corner lot . Show lo4ation
FOR DEMOLITION PERMIT , STATE: SIZE AND
LOCATION OF STRUCTURES Ark'ECTED , of water supply and location and configuration
* of septic disposal area .
*
* COMPLETE INFORMATION REQUIRED BELOW .
* Size of property, .lc) x / d,-?
* Existing buildings ) S12C , 'd .ft X rt .
PROPOSED BUILDING AND USE : " Existing building ( s ) Use
Size of new structure ft X ft
T'oundatiort-pier/slab/crawl/partial/full * Proposed building, distance trout property line
( circle ono ) Front yardlr, ft 'Rear yard_ Ld-f- ►�, £t
Np , of stories (habitable space ) * Sidra yards , ft and t.s ' ft
freight ( grade to ridge ) fr - * If on corner, setback from side street ft
If residential, no . of families
No . of roollis ( excluding baths ) OCCUPANCY INFORMATION
No . of be ciroarns "
No , of Ysatlrrooms * PRIMARY BUILDING •-
Prinury heating sy: tem r One family dwelling
Type of fuel * eeeeeee,eeTwo family dwelling
Na . of fireplaces to be installed • Multiple dwelling / NUALZer of units
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Will a wood stove be installed? * L.Yermanent occupy
Central Air conditioning? Transient occu panc y
* Business
BUILDING STYLE, €'R I MARY STRUCTURE * Industrial
Ranch Contemporary Log cabin * Other
„ If addition , what will use be?
ftuised ranch M:.rnsictl Duplex
Split luvul old style Bungalow
Cape Cod Cottagu thcr � ACCESSORY BUILDING-
Coloni" I Row Tatars Ilous * Detached garage/one car/ two car/ car
( CIRCLE ONE PLEASE ) " Attached garage/one car/ two car/ cr� r
Private storage building
ESTIMATPD 14ARKET VALUE 0,P * "Other
CC3NS 'T' S'cUC 'T' T +.� IJ iP
TNPOfU4ATTON ON ISLIILPTNG SPL:CIPICATIONS , ON REVERSE SIDE OF THIS SItEEY' , TO BE COMPLETED !
Form RPA 4/86 md--vl
f:UILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS :
Type of construction , wood frame , fire safe etc .
Will any second-hand or ungraded lumber be used? If so , for what ? �_
Foundation wall material Thickness ' .
Dr�:pth Of foundation below grade (to bottom of footing )
Will thur+e be a cellar? Heated or unheated? Floor sqo footage se; ft
Will there be a basement? will any portion be used as living space?
( If s-o , what portion? sq . ft . - - Type of use?
"Type of root - slops d flat/s;hed/other. Material- ,Of woof &y,b
Size , wood studs "X " ::pacing "o . c . length ft . '
JOiS " t:[f100r beaWs ) lst . floor "X spacing "o . c . span ft .
J01-`stS ( floor buwiu,;) 2nd . floor "X " spacing."o . cm span ft .Over
Roof rafterilaleg b4.ams ) "X—t" spacing / � "o . c . span /zz., tt,
1Zoor' rafters c� '.x ' spacing o . co span ft .
Roof trusses (pry-engi egad) spacing "o . c . span ft . ,E..
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 t21er4 to bu an opening between garage and dwelling? If so will a Fire-rated
door , enclosure , and self-closing device be provided?
Will a flue-lined chilnne:y be installed? Height above roof € t .
Depth of chimney foundation below grade ft .
Depth of fireplace hearth ft . in .
Water supply - Municipal or private well
S11,P ' IC SYS'TRM Distance from ANY private well ( including adjoining properties ft .
(A separate application is nec.::ssary for any 1r�eplair or new installation of septic system)
Town y f Warren A F F Y L A Y i T STATE of NEW YORK
County of Warren
I swear that 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 dascribe:d premises -and that all
Provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all other laws pertaining to
the proposed work shall be complied with,, specified or not , and that such work is
"uthOri�ed by the owner . , whether
SWORN TO BEFORE ME THIS Sin
SWORN
-Owner, owner ' s ac3ent , aranatect , contractor �
day of 19
Notary Public , Warren County , N . Y .
w ar x x w x w x w , x w w w x w * w w w w w w w w w air w w w w w w w w w w w w x x w * x w w w
SPECIAL CONDITIONS Or THE PERMIT ;
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TOWS OF QUEENSBURY
BUILDING AND CODES ,DEPARTMENT
BAY 6 HAVILA D ROAYODS I280�
QUEENSBURY. NEW
TELEPHONE (518 ) 79"2`5832
BUILDING INSPECTORT S REPORT
REQUEST FOR INSPECTION RECEIVED00
NAME
LOCATXON
PERMIT #eq- _
DATE II APPROVED
YES NO
FOOTING/PIERS Z.
MONOLITHIC POUR FORMS
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FOUNDATIONIDAMP � —
BACKFILL APPROVAL
ROUGH PLUMBINGG
t+RAMING
ELECTRICAL ROUGH—IN
INSULATION:
FOUNDATION
FLOORS
WALLS
CEILING
FINAL INSPECTION= v \t
CHIMNEY HEIGHT z
ROOFING
SIDING EPS
EXTERNAL PORCHESI �—
STAIRS—CLEARANC IEF VALVE
PLUMBING FIXTURE V REL CY DOORS;
INTERIOR TRIM/P
FINISHED FI )ORS
GALtAGE FIaREPROOPING
DOOR CLOSER (S)
SMOKE DETEC TL7R TNT~ION��_
FINAL ELECTRICA F CONSTRUCTION
FINAL APPROVAL
A SIGNED CERTI BUILD OF
Up.ANCy MUST BE
THESEBEFORE
OBTAINED FROM HE
THESE PREMISES 'AR F OCCUPIED,
RKS = / A4 r,
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PECTOR
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TOWN OF QUEEMS8tJRY
BUILDI -N:G & Cot
DEPT,
REVIEWED BY /f /./I
DATE �.....r.., r
NEW `Roo Fr
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