1991-073 ..1
CERTIFICATE OF OCCUPANCY
TOWN OF ,QUEENSBURY
WARREN COUNTY, NEW YORK
Date /7 19 9/
,- -
This is to certify that work requested to be done as shown by Permit No. 91-073
has been completed.
This structure may be occupied as a riffirrac.
Location ' 237 Bay Road, Glens Falls
Owner Kubrickv Construction
By Order Town Board
TOWN OF QUEENSBURY
C
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY X
No. 91-073 *.
WARREN COUNTY, NEW YORK vw
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PERMISSION is hereby granted to Kubricky Construction Co. • c
V
OWNER of property located at 237 Bay Road Street, Road or Ave. N
in the Town of Queensbury,To Construct or place a Interior Alteration
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 pe
Same
C,
2. CONTRACTOR or BUILDER'S Name
Same o
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3. CONTRACTOR or BUILDER'S Address
O'
4. ARCHITECT'S Name C+
5. ARCHITECT'S Address
CO
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C.
6. TYPE of Construction—(Please indicate by X) I'
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(X)Wood Frame ( ) Masonry ( )Steel ( ) _ rti
7. PLANS and Specifications 0
No. 1,474 sq ft interior alterations as per plot plan specifications
and application
8. Proposed Use a)
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0
Offices =
$ 50.00 PERMIT FEE PAID—THIS PERMIT EXPIRES March 14, 19 92
(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.)
Dated at the Town of Queensbury this 14th _ Day of March 19 91
SIGNED BY —_ / for the Town of Queensbury
Building and Zoning Inspector
TOWN OF QUEENSBURY
REVIEWED BY
,`1 FEE PAID # TOWN OF OUEENSBURY
RECEIVED
11". PERMIT NO. i/-O'1 i
BUILDING PERMIT APPLICATION MAR 1991
BLDG. & CODE DEPTi
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.
* * * • * * * * * *. * * * * * * * * * *. * * * a * * a a a a * * * * * * * * * * a
The owner of this property is: "Kb e/c. 1 4 a/S y
}te-
P.O. Address i¢ o!¢ Q - 7G e 'S V`-.741/ c Tel. - .S'86
Property Location . -Sr�6 Tax Map No. / /
Has there been any split of this property since October 1, 1988? / yL
If yes Planning Board Review. is necessary. - yes no
SUBDIVISION NAME, IF APPLICABLE. LOT NO.
THE 'PE 11
ON RE SIBL O UPE VISION OF WORK AS REGARDS TO BUILDING CODES IS:
NATURE OF PROPOSED WORK: E.- I-MATED MARKET VALUE OF •
•
Construction of a new building • CONSTRUCTION: S /U, OW
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) * - Front yard ft. Rear yard ft.
•
Side yards . ft. and ft.
GROSS AREA OF PROPOSED STRUCTURE ' , If on corner, setback from side street ft.
1st Floor /�/ 7`� sq. ft. " � . � � -
OCCUPANCY INFORMATION
„
2nd Floor sq. ft. * Primary Building -
Other Floors sq. ft. .
P/ „ One Family Dwelling
(rot cellar or base::.ert Two Family Dwelling,
TOTAL FLOOR AREA_ sq. ft. • Multiple Dwelling/Number of units
Size of new structure __ ft x ft.
• _Business
�� * Industrial
Foundation-pier/slab/c:.,•::; ;jrtiai/full
(circle urk.:g . * 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
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 ' .
Other
Will a wood stove be installed
Central Air conditioning *
OV' ER - .
BUILDING PERMIT APPLICATION CONTINUED -
1L( ,rgZ e) . - lOo Cft /OKJ %G�SSl9e
BUILDING SP'ECIFICaTIONS:
Type of construction, wood frame, fire safe, etc. Vo0 ���dit - cF,6"°c
Will any second-hand or upgraded lumber be used? If so, for what?
Foundation wall material �.4 Thickness
Depth of foundation below grade (to bo tom of footing) nj-i-
Will there be a cellar? 1d 4- Heated or unheated? / Floors . footage/U/� q /1-P7 sq ft.
Will there be a basement? V/l9- Will any portion be used as living space? ..! ria-
af so, what portion? . sq ft. Type of use?
Type of roof - sloped/flat/shed/other Material of roof
Size, wood studs "x " spacing " o.c7 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 materia : `
Interior wall finish
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: 0/,'
Is there to be an opening between garage and dwelling? /11 If so will a Fire-rated door, enclosure,
self-closing device be provided? -
Will a flue-lined chimney be installed? if/��f- -Height above roof - ft.
Depth of chimney foundation below grade #Ylp- ft.
Depth of fireplace hearth ft. in.. f -
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 BUILDERO,ef� l o vs rADDRESS/,� loig/iUci TEL. NO. ./—,5� -
NAME OF PLUMBER ADDRESS TEL. NO. - -
NAME OF MASON 1?)//4 ADDRESS TEL. NO.
NAME OF ELECTRICIAN er ADDRESS /,%/ cAll(/iCal ' TEL. NO. 69
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
all other laws pertaining to the proposed work shall be complied with, whether specified or not, and that
such work is authorized by the owner.
Signatur / �- - .
Owner, owner's agent, architect, ntractor
SPECIAL CONDITIONS OF THE PERMIT:
BY - -
/WO Ar-
14' TIMI OF QUEENSBURY
`!�...°, 531 BAY ROAD
`315 QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
FINAL INSPECTIONI
REQUEST FOR INSPECTION RECEIVED '//l� /
NAME /( 1,-/.64 l 72•
�
LOCATION (-73 2 a
DATE ,//6/ / PERHIT# %/-Q 7y
TYPE OF STRUCTURE 07 !I C ti ,.J -M / 4
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING t4INAL ELECTRICAL SEPTIC
INSULATION WOODSTOVE/FIREPLACE
SITE PLAN/VARIANCE REQUIREMENTS YES NO
REMARKS
APPROVAL
N/A YES NO
CHIMNEY HEIGHT/LO` ATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING �� I
DECK/PORCH/STEPS/RAILIyNGS i.
RELIEF VALVES
FURNACE/HOT WATER OPERATLtG
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS`, I
FINISH FLOORS: \ f
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABLE h
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS I �,
SMOKE DETECTORS
BATHROOM FANS/WHOLEHOUSE FANS
ALL PLUMBING .FIXTURES OPERAT NG
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER . �
FINAL EL CTRIC L [
OK TO ISSUE C/O OR C/C '
COMMENTS:
Ic , //4 06 3 gS%
ARRIVE // •' 3a
DEPART • .35 44
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