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1992-059 r CE RTI FICATE flF COIMPLIANCE � TOWN OF QUEENSSURY WARREN COUNTY, NEW YORK I i Date Z3 19 ,e This is to certify that work requested to be done as shown. by Permit No. 92-059 has been completed. i This structure may be occupied a s _ Changing flat roof to Rabl a Roof I ovation _ lt11ft�i7 rlM jndJ ana Ayentiea -- [owner Fredrick i By Order Town Board TOWN OF QUEENSBURY f Director of Bldg. & Code Enforcement J� I i BUILDING PERMIT x TOWN OF +QUEENSBURY LC No. 92-059 WARREN COUNTY, NEW YORK � V PERMISSION is hereby granted to Fredrick H. Rawlins 1 can OWNER of property located at Indiana Avenue Street, Road or Ave. in the Town of Queensbury, To Construct or place a Alteration to Duel l i ng 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. a. 1. OWNER'S Address is Same I' ,. Ra. 2. CONTRACTOR or BU1 LDER'S Name 36 Bruce Kaxam and Pierre Rawlins M PKM 3. CONTRACTOR or BUILDER'S Address R. 4, ARC'HITECT"S Name P� fCD S. ARCHITECT'S Address OMNI eh 0 6. TYPE of Construction -- (Please indicate by X) I 1 Woad Frame ( ! Masonry ( ) Steel ( -. W 7. PLANS and Specifications ti'1 No. Eliminating 10 ' aide x 30 ' long flat roof and replacing with Gable Roof as per plot planspec'ifications and application ` S. Proposed Use Changing flat roof to Gable Roof $ 20_ 00 PERMIT FEE PAID — THIS PERMIT EXPIRES 14ar,ch 7 ,� 19�� (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 2nd Day of March 1992 SIGNED BY : • . J for the Town of Queensbury Building and Zo ni rsg I napahi& TOWN OF QUEENSOURY 4(i aw REVIEWED BY : FEE PAID • � � - TOWN OF QUEENSBURN RECEIVED PERMIT NO . : ^� FES 2 7 1992 BUILDING PERMIT APPLICATION BLDG. & CODE DEPT. A PERMIT MUST BE OBTAINED BEFORE BEGINNING CONSTRUCTION . NO INSPECTIONS WILL BE FADE UNTIL APPLICANT04AS RECEIVED A VALID BUILDING PERMIT . All applicants spaces on this applicati ^n MUST be completed and the signature of the applicant MUST appear on the reverse si •ie of this application . Owner of Property : 6^)� , C y H R2j'Z j:0% P . O . Address : R.D" OX- 162__ 'A ;633iX A1/ Veers , si. �N ?° �'1 PHONE ` `S Property Location : -E nA ,j, ) �' , ��E /V, ! , Tax Map No . 5 �kV3)4- 0©j Has there been any split of this property since October 1 , 19887 Yes No If yes , Planning Board Review is necessary . Subdivision Name , if applicable : Lot No . 703 THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : r 1.' L.,L '-f[_ 'e) )( ,!i` a f � ' NATURE OF PROPOSED WORK : * ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION : $ cfCO Addition to building Alteration to building * COMPLETE INFORMATION REQUIRED BEL€,':l : ( no change to exterior dimensions ) * Size of Property : L ft . x t0 0 ft . Other work ( describe ) * Existing Buildin Size : * � Z) _ ft . x * 5 ft . * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE : * property 'line : Ist Floor Sq . Ft . * Front Yard ft . Rear yard ft . * Side Yards ft . and ft . 2nd Floor Sq . Ft . * If on corner , setback from side street- ft * Other Floors Sq . Ft . (not cellar or basemen! * OCCUPANCY INFORMATION • * TOTAL FLOOR AREA : Sq . Ft . * Pripary Building - * 1 / One Family Dwelling Size of New Structure : ft . x ft . * Two Family Dwelling Foundation : _ * '� Multiple Dweiling/No . of Units Pier/Slab/Crawl /Partial /Full ( Circle One ) * Business * Industrial No . of stories ( Habitable space ) * Other Height ( grade to ridge ) ft . If residential , no . of families : * If addition , what will usP be ? No . of rooms ( exclud ' ng baths ) : �,� No . of bedrooms : No . wa bathr-ooms : * Accessory Building : Primary heating system : _ vrrTVQo e r * Detached Garage - One/Two Car Type of fuel : et D * Attached Garage - One/Two Gar No . of fireplaces to be installed : * Private Storage Building Will a woodstove be installed ? : * Other Central Air Conditioning : Yes No * �} ;n � ' j � ; t�� 6 �i3o�' InnQ rkai_ Rcs ( OVER ) w6 e- Y19 BUILDING 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 : Depth of Foundation below grade ( to bottom of footing ) : Will there be a cellar? Heated or Unheated ? Floor Sq . Footage : ".4il1 there be a basement ? Will any portion be used as living space ? If so , what portion ? Sq . Ft . Type of Use ? 3 ; �;G of Roof : S1 oiled/F1 atlShed/ether C� ,C' Material of Roof Size , wood studs W12 " x 6" ; spacing " o . c . ; length ft . Joists ( floor beams ) : Ist Floor �2 x _ " ; spacing _ _ " o . c . ; span _ ft . Joists ( floor beams ) : 2nd Floor "' x spacing IF o . c . ; span ft . Overlays ( ceiling beams ) : _ x �f _ •.. " ; spacing ( & o . c . ; span tl ft . Roof rafters : IF x "' ; spacing o . 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 . Uep �h of f i rep ldco= ijear tri . ft . Water supply - Municipal or private well : SEPTIC SYSTEM : Distance from AM private well ( including adjoining properties : ft . (A separate application is necessary for any repair or new installation of septic system . ) NAME OF BUILDER & ADDRESS : PHONE NAME OF PLUMBER & ADDRESS : _ PHONE NAME OF MASON & ADDRESS : PHONE NAME OF ELECTRICIAN & ADDRESS : PHONE DECLARAT ' O4 To the best of my knowledge and belief the s .atements contained in this application , together with the plans and specifications submit '-led , are a true and complete statement of all proposed work to be done on the described pre; iises and that all provisions of the BUILDING CODE , THE ZONING ORDINANCE , and all othe ' laws pertaining to the proposed work shall be complied with , whether sped fled or not , and t; : at Erk i ath i zed r the owner . 0. r C a Owner , owner's agent , ? rchitect Contractor .................---......-.......___............. . . .......... SPECIAL CONDITIONS OF THE PERMIT: By : Code Enforcement Officer 5own OQueenl Zut B D I L. D I N G & C n D E S D E P T , THE PLANS SUBMITTED HAVE BEEN REVIEWED AND HAVE BEEN FOUND TO LACK SUFFICIENT DETAIL FOR PROPER PLAN REVIEW . WE HAVE ISSUED THIS PERMIT WITH THE FOLLOWING STIPULATIONS : 1 , THE WORK WILL BE INSPECTED AND MUST CONFORM TO ALL PROVISIONS OF PREVAILING CODES . 2 . IF DEFICIENCIES ARE FOUND THEY MUST BE COR - RECTED BEFORE WORK CONTINUES . 3 . FAILURE TO COMPLY WILL RESULT IN REVOCATION OF THE BUILDING PERMIT ? r Code Enfo cement Officer Da e Building Permit # COMMENTS : The Bu.itdi.ng VepaAtment accep.t4 dAawi.ng.a 6Aom homeowneA,6 bon bmatt pnojec,e , know,.ng that .they cannot pkov.ide r'A06e.e,5.i.0nat ptanb . Howeve. A; wtthou. t att a.6pect,6 o f ..the wo),Lk shown on .the d.kaw.ingz , we -*Le.eeAve .the At Zqh t .to rcequin *c e p&ope con,6tAuc ion i.n eongonmance with Bu.itd� ng Codea . The&e6oAe. - WE ENCOURAGE THE APPLICANT TO ASK FOR INFORMATION ON ANY PORTION OF CONSTRUCTION THAT THEY ARE NOT FAMILIAR WITH . We wou d &"herc help w4 th pfLobtem.s begone they occuA, Aathen .than neru.iAe eoat.ty change.a aj.tvc the wo&k has been done . THIS PLAN TO BE ON PROJECT SITE AT TtNIYli of QUDDE& „►, q, alp 111111111,1110111M ALL TIMES FOR I* to*MalmoTHE DURATION OFF «Ons a" "New 0040 so . ..»�... CONSTRUCTION pi 1,4 TOWN OF QUEEN5BURY BUILDING AND O ROAD DEPARTMENT QTELEPHONE � ( 518�}NEW 0R 45- 4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME � LOCATIO14,ondiaAa _ DATE PERMIT # TYPE OFJCTURE APPROVED RECHECK N/A I YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURS FOLLOWING THE PLACEMENT OF THE CONCRETE . MATERIALS FOR THIS PURPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING BACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN LA PLUMBING UNDER SLAB FRAMING : JACK STUDS/HEADERS - - BRACING IBRIDGING �....... JOIST HANGERS JACK POSTS /MA BEAM HEATING ROUGH- INSULATION : FOUNDATIO WALLS INTERI R- FOUNDATI WALLS EKTERIO. , R- FLOORS WALLS : C E I L I N DUCT W RK OR PIPING IN UNHEATED SPACES C at& Vet. 4% !�' ARR I V E___ ,� �r DEPART Z 3 o - INSPEC OR ssr�ssuRN tL °w'� REr vs FEB 27 IS 2 ft ' Fs17 ' r , BUDG. & CODE DEPT. 10 04 J7 � 4