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1992-090 � �"'" CERTIFICATE OF %C +X` CUPAN ICY TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date,. 19 1 � This is to certify that work requested to be done as shown by Permit No, 92-090 has been completed. This structure may be occupied as a Cl ©Set L�aaon Hmlock Roads Glen Lake Ourner Mrs . Gerry Bodette By Order Town Board TOWN OF QUEENSBURY Director of BIdg, oode Enforcement BUILDING PERMIT TOWN OF QUEENSBURY AC No_ 92-090 Q �' WARREN COUNTY, NEW YQRK p PERMISSION is hereby granted to Mrs . Gerry Sodette rW 1 OWNER of property located at Hemlock Road , Glen Lake Street. Road or Ave. co 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. Qa g. t. OWNER'S Address is tD PO BOX #1381 tb++ South Glens Falls . MY II7 en 2. CONTRACTOR or BUI WERS Name „`SI Hilltop Construction 3 t/1 3. CONTRACTOR or SUI LDER'S Address 234 Queensbury Avenue Queensbury, MY 12604 4. ARCHITECT'S Name Z O r'S Sc' 5, ARCHtTECT'S Address CL IQ7 fp 6. TYPE of Construction -- (Please indicate by X} d 7R` LD ; k Wood Frame ( ) Masonry ; } Steel ( l 7. PLANS and Specifications No_ 42 sq ft Alteration to Dwelling as per plot plan specifications and application t+ S. Proposed Use Or Cl oslet uz t4 $ 4_€ 0 PERMIT FEE PAIL] — THIS PERMIT EXPIRES March 25 , zg 93 (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 thi 5th D if rch 1992 SIGNED BY for the Town of Queensbury Building and Z rng Inspector TOWN OF QUEENSSURY .,, REVIEWED BY : c. TCrr ,w ; r� .. .aCLa x FEE PAID : PERMIT NO . : ^ NEAR 2 1992 gU1LD1N & GDDE oePT. BUILDING PERMIT APPLICATION 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 . * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Owner of Property : r r- 4 c) E' � P . O . Address : 2)CD?C r r�;� j l���crr-7 cry� t �.S_ _ _ PHONE l9c,q 'Q01 `1 Property Location : L � �_ trC CY7 +� ' I'1 Tax Map No . Has there been any split of this property since October 1 , 1988? Yes No ✓ If yes , Planning Board Review is necessary . Subdivision Name , if applicable : Lot No . THE yPE�RSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS : �'J 1 114-6f' Conte ru_cf Dn c Y n"r-7 CGS I r {r � , 7C , NATURE OF PROPOSED WORK : "° ESTIMATED MARKET VALUE OF THE Construction of new building * CONSTRUCTION : $ Addition to building Alteration to building * n COMPLETE INFORMATION REQUIRED BELOW : ( no change to exterior dimensions ) * N n Size of Property : ft . x ft . Other work ( describe ) * Existing Building Size : ft . x ft . * Proposed building - distance from GROSS AREA OF PROPOSED STRUCTURE : * + property line : 4 5L_ * y 1st Floor , (a 5q . Ft . VfTont Yard ft . Rear yard ft . k ' * Side Yards ft . and ft . Znd Floor `s Sq . Ft . * If on corner , setback from side street- ft . Other Floors Sq . Ft . ( not cellar or basement)' * OCCUPANCY INFORMATION : * TOTAL FLOOR AREA : Sq . Ft . Primary Building u Dwelling Size of New Structure : ft . x ft . * ✓ Two Family Dwelling Foundation : * Multiple Dwelling/No . of Units Pier/Slab/Crawl /Partial /Full ( Circle fine ) * Business * Industrial No . of stories ( Habitable space ) / * Other _ Height ( grade to ridge ) Exc�+, r� _ C ft . If residential , no . of families : * If addition , what will use be ? _ No . of rooms ( excluding baths ) : * _ No . of bedrooms : No . of bathrooms : * Accessory Building : Primary heating system : * Detached Garage - One/Two Car Type of fuel : * Attached Garage - One/Two Car No . of fireplaces to be installed : ►") c- n e * Private Storage Building Will a woodstove be installed ? : r"r4 * Other Central Air Conditioning : Yes No ( OVER ) BUILDING PERMIT APPLICATION CONTINUED : BUILDING SPECIFICATIONS : Type of construction : wood fram , fire safe , etc . Will any second- hand or ungraded lumber be used ? If so , for what ? i Foundation Wall Material : C6jC7C l� ;_ Thickness ; Depth of Foundation below grade ( to bottom of footing ) : Will there be a cellar? iIC1 Heated or Unheated ? Floor Sq . Footage : Will there be a basement ? Will any portion be used as living space ? If so , what portion ? Sq . Ft . Type of Use ? Type of Roof : 11 1 at/ Shed/Other Material of Roof �-) h i " <s.4 e I Size , wood studs " x C,� "' ; spacing 114P It o . c . ; length ft . Joists ( floor beams ) : 1st Floor x ) 0 spacing 1 Cam o . c . ; span ! ft . Joists ( floor beams ) : 2nd Floor "' x spacing "' o . c . ; span ft . Overlays ( ceiling beams ) : x to ; spacing "' o . c . ; span ft . Roof rafters ; CW x (r� " ; spacing o . c . ; span ft . Roof trusses ( pre-engineered ) ; spacing " o . c . ; span ft . Exterior Wall Finish : 1C4 r r-) C' of what material ? X 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? r-) C) Height above roof ft . Depth of chimney foundation below grade ; ft . Depth of fireplace hearth : ft . in . Water supply - Municipal or private well : Y-\ 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 . ) tj 0 NAME OF BUILDER & ADDRESS ; � : { t� °C, v� f- , PHONE NAME OF PLUMBER & ADDRESS : PHONE NAME OF MASON & ADDRESS : -� PHONE NAME OF ELECTRICIAN & ADDRESS : � c ��, �. � _ l`T�'� U r _� ��� c� r' y �17,�-c7 PHONE 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 . f Si gnature �z t Owner , wner s agent , architect contractor SPECIAL CONDITIONS OF THE PERMIT : By : Code Enforcement Officer TOW OF 9OM!SBURY 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE ( 518) 745-4 O dUILOIN6 INSPECTOR` S REPORT FINAL INSPECTION REQUEST FOR INSPECTION RECEIVED NAME I LOCATION 4LL •: n /J. GATE PERMIT# t? TYPE OF STRUCTURE �" Jf RECHECK FIRE MARSHAL APPROVAL (COMMERIC AL STRUCTURE) —'FOOTING FOUNDATION BACKFI e 'RAMING ROUGH PL RBING FINArELECT CAL SEPTIC :RfINSULATION WOWSTOVE/FIRED ACE REMARKS NO CHIMNEY HEIGHTILOCATIO "/A YES NO B VENT/LOCATION PLUMBING VENT ROOFING SIDING D£CK/P RELIEF VALVES FURNACE/HOT WA INTERIOR TRIM/PRIVACY OOR FINISH FLOORS : BATH/KITCHEN WATER GHT OTHER FLOORS SWEEP BLE OTHER FLOORS CARP ED STAIR CLEARANCEIRAI ING SMOKE DETECTORS DOOR CLOSERS BATHROOM FAN ALL PLUMBING GARAGE FIRE PROOFI G_ DOOR CLOSERS OTHER FIRE S FIRE/DEMISE WALLS FINAL ELECTRICAL Olt TO ISSUE CIO - - N lt} �)A r p65125 ARRIVE�� DEPART. .,_ THE NEW YORK BOARD OF FIRE UNDERWRITERS .11 BUREAU OF ELECTRICITY 41 STATE STREET, ALBANY, NEW YORK 12207 Date J Lj1.-V 16 . Y '`,}" ' :.: Application . an file 4 _ i214111 .3`_? ::: r �'� THIS CERTIFIES THAT only the electrical equipment as described below and introdswed by the t nmme4 on the above OPPliewtion nssnsber in the pre+ssises Of r in the faltoewingtocation; ❑ Basement CX let Ft. ❑ Brsd Ft. Section Block Lot1~ examined on ju%X 02, r 2 and fo"n+d to be in cornptian..ce with the requirements of this Board. FIXTURES R ERSAN�iilES COOKING KS OVENS DISH WASH EXHAUST R%tL1IZE CE fAA1S FIXTURE LETS BPT'ACLES SWITCHES MCAP40ESCEKT Ft. W GTHEH AMT. K. W, AMT. K_ W. AMT. K.wO . DRYERS FURNACE MOTORS FUTURE APPI.tANCE F§MERS SPECIAL REC'PT TIME CLOCKS am UNIT HEAtERS InULTI tiLITLEI DYNlMERS SYSTEMS AMT. K. W. COL H. w GAS H. ►. AMT. N+o. A. W. G- AMT. AMP. AMT. AMrS• TRANS- AMT. N. P, tld. ITT AMT. WARS - i SERVICE DIET N4. of S E It Y 1 C E e METER PFn. or CC. CWb. A. w. GG,, Mo. Of IN-lEG A. W. G. No. or raUTKAL% EUdRAE AMT. AMP. TYPE �FM. X Zw 1 Jr 3w 3 X 9w 9�s' 4W PeK x of CC. CQ 4M Glc HI•urG OTHER APPARATUS: A 9 i 7 r i3r�lafl iEilsfrY AVENUF: BRANCH MANAGER AI R PORT ] NE) . VAI:,F . rtk Per This certificate must not be altered in any manner return to the office of the Board if incorrect. Inspectors may be identified by Chair credentials. Copy FOR BUILDING DEPARTMENT. THIS COPY OF CERTIFICATE MUST NOT BE ALTERED IN ANY MANNER. TOWN OF QUEENSBURY BUILDING AND COPES DEPARTMENT 531 BAY ROAD QUEENSBURY , NEW YORK 12804 TELEPHONE (518 ) 745-4447 BUILDING INSPECTOR' S REPORT REQUEST FOR INSPECTION RECEIVED NAME An ti G l'o LOCATION .v DATE PERMIT PERMIT # TYPE OF STRUCTUREe97 y ✓ RECHECK APPROVED N/A IYES NO FOOTINGS/PIERS MONOLITHIC POUR REINFORCEMENT iN PL GCE - THE CONTRACTOR IS R SPON IByLE FOR PROVIDING PROTE ION FROM FREEZING FOR 48 HOURI. FOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR THIS PURPOSE ON SIfE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE FOUNDATION/DAMPROOFING SACKFILL APPROVAL ROUGH PLUMBING PLUMBING VENT/VENTS IN P £ PLUMBING UNDER SLAB FRAMING : JACK STUDS/HEADERS BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN 8 A HEATING ROUGH- IN INSULATION: 1p FOUNDATION WALLS INTERIORR— FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS j R- CEILING f R DUCT WORk OR PIPING IN UNHEATED SPACES REMARKS : r ARRIVE DEPART I PEoTOR Jos CoNsn nATIF PO BOX 30SA C"WCKgo By HUDSON FALLS. NY 12839 (57 61796-0330 OAft SCALE d d lei d d dd 0 k BUILDING L d r I d i'o Z r d SLI V. r NZ L d 7 I ...qpqpqpqpqm R p I d i 0 r L L III! k 3c Zj It X d C d d d -6 rim fill III A n n-u r rp