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1991-340 ' r f CERTIFICATE OF COMPLIANCE TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Date 7'4(0.4 (0 19 r This is to certify that work requested to be done as shown by Permit No. 9.- 340 has been.completed. This structure may be 'occupied as a Roof over Deck Location RD#2 Luzerne Mtn Rd Owner Betty Pl. Potter By Order Town Board TOWN OF QUEENSBURY C sit . _ Director of Bldg. aCode Enforcement BUILDING PERMIT TOWN OF QUEENSBURY No. 91-340 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to Betty M. Potter cri OWNER of property located at RD#2 Luzerne Mtn Rd Street, Road or Ave. o e+ r+ in the Town of Queensbury,To Construct or place a Al tprati on 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. co 1. OWNER'S Address is Same I— N 2. CONTRACTOR or BUILDER'S Name fp SAme 3. CONTRACTOR or BUILDER'S Address O. 4. ARCHITECT'S Name r•} t-F 0 5. ARCHITECT'S Address cal 6. TYPE of Construction— (Please indicate by X) ( X Wood Frame ( ) Masonry ( )Steel ( ) 7. PLANS and Specifications No.216 sq ft Alteration to Dwelling as per plot plan specifications and application 8. Proposed Use Roof over Deck $ 8.00 PERMIT FEE PAID —THIS PERMIT EXPIRES May 28, 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 28th Day of // May 19 91 SIGNED BY c� �J'e‘/L. for the Town of Queensbury Building and Zoningrl.ispector 7 TOWN OF QUEENSBURY !" i I�, � 41 REVIEWED BY j�'q "� i ,��1�� FEE PAID $ � j. ( ()d IOW PERMIT NO. -9>% (- O MAY 2 21991 - BUILDING PERMIT APPLICATION 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: 0 4 Ai p,_.p4_, 0 P.O. Address Property Location 4'ft 7 ff A)e- 47. e , Tax Map No. / / Has there been any split of this property since October 1, 1988? / z----- If yes Planning Board Review is necessary. yes no SUBDIVISION NAME, IF APPLICABLE LOT NO. THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS: * NATURE OF PROPOSED WORK: * ESf;MATED MARKET VALUE OF Construction of a new building * CONSTRUCTION: $ ��� Addition to a building * COMPLETE INFORMATION REQUIRED BELOW: / * Size of property kV_ ft x —L-'ft. tg'- Alteration to a building , • * / a�� `L Existing Buildings(3) Size /P- ft. x /Y 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 sq. ft. * OCCUPANCY INFORMATION 2nd Floor sq. ft. * ' Primary Building - Other Floors sq. ft. • One Family Dwelling , (not cellar or baset Two Family Dwelling TOTAL FLOOR AREA ag0 sq. ft. • Multiple Dwelling/Number of units ®�— Size of new structureft x ft. * Business Foundation-pier/slab/crawl/partial/full ' Industrial (circle one) • 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 - BUILDING 'SPECIFICATIONS: Type of construction, wood frame, fire safe, etc. 'f2.p, el (A/ -FC, Will any second-hand or upgraded 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? /o Heated or unheated? Floor sq. footage sq ft. Will there be a basement? pp Will any portion be used as living space? (If so, what portion? sq ft. Type of use? Type of roof - sloped/flat/shed/other-50 Material of roof IA) (g 4 ,G s -e - Size, wood studs "x "spacing " o.c. length e ft. G 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 G " spacing /5?' " o.c. span /7 ft. Roof rafters 6 "x c " spacing / ro.c. span (. ft. Roof trusses (pre-engineered) spacing " o.c. span ft. Exterior wall finish Am t. of what material? Interior wall finish f// , LIf 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? /16 Height above roof ft. Depth of chimney foundation below grade ft. Depth of fireplace hearth ft. in. 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 BUILDER (6 y # R ifP/Z ADDRESS atar_yl/ e TEL. NO. 7 f'l---seeL V U NAME OF PLUMBER ADDRESS TEL. NO. NAME OF MASON ADDRESS TEL. NO. NAME OF ELECTRICIAN ADDRESS TEL. NO. DECLARATION To the best of my knowledge and belief the statements contained in this application, together with the plans andspecifications 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. Signature fri(1- __________ Owner, owner's agent, architect, contractor SPECIAL CONDITIONS OP THE PERMIT: BY TOWN OF QUEENSBURY &V BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 , BUILDING INSPECTOR'S REPORT REQUEST FOR/INSPECTION RECEIVED NAME • U )14 `' V) LOCATION huCce_ �� I(�d_• DATE !)-41r. PERMIT # TYPE OF STRUCTURE (V l?1 k-0 RECHECK APPROVED .N/A YES NO FOOTINGS/PIERS MONOLITHIC POUR FORM REINFORCEMENT IN PLACE THE CONTRACTOR IS RESPONSIBLE FOR PROVIDING PROTECTION FROM FREEZING FOR 48 HOURSFOLLOWING THE PLACEMENT OF THE CONCRETE. MATERIALS FOR (THIS P RPOSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PL E FOUNDATION/DA PROOF NG BACKFILL APPROVAL ROUGH PLUMBING\ PLUMBING VENT/VEN IN PLACE PLUMBING UNDER S.L B FRAMING: JACK STUDS/HE ADERS BRACING/BRIDG NG, JOIST HANGER \ JACK POSTS/MAIN BEAM HEATING ROUGH-IN INSULATION: / FOUNDATION9 WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- FLOORS / R- WALLS d R- CEILING ' R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: n ARRIVE ��/ 5 DEPART S- (30 IN PE OR ` ) TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 745-4447 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED NAME ,15 th `/ )-tL 'lk LOCATION J)4'LL. /f . 4�t DATE `//.3U,19,'_ PERMIT I 944-34) TYPE OF STRUCTURE a1 L /v (46491 - RECHECK APPROVED N/A 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 PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING I. JOIST HANGERS JACK POSTS/MAIN\BEAM HEATING ROUGH-IN , :^ INSULATION: FOUNDATION WALLS: INTERIOR R- . FOUNDATION WALLS EXTERIOR R- FLOORS R- WALLS r R- CEILING R- DUCT WORK OR PIPING1U N UNHEATED SPACES ti REMARKS: - t I U 4 i A,V y) \l c-_ ARRIVE 1110 DEPART //-),1) tr4,6L INSPECTOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR°S REPORT REQUEST FOR INSPECTION RECEIVED NAMEyie,� ,,}&�--) LOCATION ' l, ,d' , DATE /71/%/ PERMIT # Jam/�91O TYPE OF STRUCTUREy/4 RECHECK APPROVED N/A 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 PLACE PLUMBING UNDER SLAB FRAMING: JACK STUDS/HEADERS BRACING/BRIDGING ;i JOIST HANGERS JACK POSTS/MAIN BEAM a FIRESTOPPING rr WALLS CEILING FIREWALLS HEATING ROUGH-IN / INSULATION: / FOUNDATION WALLS INTERIOR R- ' FOUNDATION WALLS EXTERIOR R- FLOORS (` R- WALLS / R- CEILING R- DUCT WORK OR PIPING IN UNHEATED ", SPACES • REMARKS: ff 'n Cyr e- i� rot_ LLJ(-f l r M o th ARRIVE 3s5� DEPART Tm-e?S INSP TO TOWN OF QUEENSBURY Bay at Havitand Road, Queensbury, NY 12804-9725-518-792-5832 Building & Codes Department INSPECTOR'S REPORT 011.V& 1 I 19W L Mx, cjpx-Q PROPERTY LOCATION - OWNER OR TENANT BUILDING-7( SEWAGE SIGN OTHER REMARKS: A 1T th ci FI COLT-"'Cc) £c u i kr- --rilE A/&uI s 14c)cz r Po5--s, s7-1A,G © TiW At&t,J GLock. 26 J(-0-P,PoFz. (,VC I fe. f Lar S-Mvc�; rt--- M fie) ;z.r77f&1Zo 0 i 1 �'CpG 130A-2-D5 , UPIZ►6 t-f-PO Yr J / *L.00 fZ. 13 ox I r:a ---r Ajk-cu 5-0No far- T I 1 ��Oj i.l.l(p �- 1 CONTACT THIS OFFICE WITHIN )4- ( INSPECTOR G—>LP "HOME OF NATURAL BEAUTY.. .A GOOD PLACE TO LIVE" SETTLED 1763 , 'OF 'Li TOWN OF QUEENSBURYc rc\ ' \Q., BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR INSPECTION RECEIVED (V f(31 fl NAME R)� 941-12.e LOCATION il' � 1 JO 20Y/1Q— ptit R DATE CQ I (t? � I q q PERMIT #9 /-3 L -() 1 TYPE OF STRUCTURE �7 RECHECK �c� '16Y-�( c�}?v 0V 4f- APPROVED X . N/A 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 ONCRETE. MATERIALS FOR THIS PU OSE ON SITE FOUNDATION/WALL POUR REINFORCEMENT IN PLACE / FOUNDATION/DAMPROOFING / BACKFILL APPROVAL f ROUGH PLUMBING \ PLUMBING VENT/VENTS IN PLACE PLUMBING UNDER SLAB \ / FRAMING: \ / JACK STUDS/HEADERS \/BRACING/BRIDGING JOIST HANGERS JACK POSTS/MAIN BEAM // � HEATING ROUGH-IN I \ INSULATION: FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- \ FLOORS R- \ WALLS 1 R- \ _ CEILING I R- \ DUCT WORK OR PIPING IN :UNHEATED SPACES REMARKS: • f&ii-\T-T-A-eti-i—° ARRIVE (O;00 jtT pi!lj ;Li --g' ' INS ECT/ R TOWN OF QUEENSBURY /a BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST F R INSPECTION RECEIVED NAME '"�i-L-" - LOCATION L uZL w,4-/tIre, ._,-DA-kg DATE 6/ / T/ PERMIT # 9/_--,54D TYPE OF STRUCTURE RECHECK APPROVED N/A 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 PLACE ,' PLUMBING UNDER SLAB ,C FRAMING: J -e/,'C JACK STUDS/HEADERS 1 BRACING/BRIDGING JOIST HANGERS 1 JACK POSTS/MAIN BEAM 1 4J FIRESTOPPING 1r WALLS A CEILING FIREWALLS f HEATING ROUGH-IN 3' INSULATION: 1 ;y FOUNDATION WALLS INTERIOR R- FOUNDATION WALLS EXTERIOR R- ? FLOORS / R- f WALLS / R- •\, CEILING / R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS.: ,!n J900 i'c T k,cJ ,5/-CuPS Cf PU2i yO6J_ C5 i 3 A- WL Ocsc crssn - C_ & c:_ I r - Th►►,t' i,�� �`�- n r�// ARRIVE /( 7 S-- DEPART /i' 3e Icilkikt."___ I NS'PEC TOR TOWN OF QUEENSBURY BUILDING AND CODES DEPARTMENT 531 BAY ROAD QUEENSBURY, NEW YORK 12804 TELEPHONE (518) 792-5832 BUILDING INSPECTOR'S REPORT REQUEST FOR/� INSPECTION RECEIVED NAME bits 7)2. &-tt ) LOCATION AO A 4yv, , if)d DATE ,fj1-9/r(f PERMIT I 9/-34d TYPE OF STRUCTURE RECHECK APPROVED N/A 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 PLACE PLUMBING U SLAB FRAMING: JACK STUDS FADERS BRACING/BRIDGING 'i JOIST HANGERS JACK POSTS/MAIN BEAM I' FIRESTOPPING WALLS CEILING FIREWALLS HEATING ROUGH-IN INSULATION: FOUNDATION WALLS INTERIOR R= FOUNDATION WALLS EXTERIOR R= FLOORS R= WALLS R= CEILING R- DUCT WORK OR PIPING IN UNHEATED SPACES REMARKS: 5-‘001-41.___To (Ap& ARRIVE DEPART I 'd ' S� INSP TO w r TOWN OF QUEENSBURY 7%3'� 2 / Bay at Haviland Road, Queensbury, NY 128049725-5?8=79258B2- Building & Codes Department INSPECTOR'S REPORT 6-Ly6?rye p./ PROPERTY LOCATION OWNER OR' /TENANT BUILDING 6' SEWAGE SIGN OTHER REMARKS: r'777/ r---7g-- -S.e _5-,J,Z-r?,/ 47,— G? 14,/7 .7/4-1/e" 453e/:-`21iY .4::- 1--49s/t-- roz / CONTACT THIS OFFICE WITHIN 6/`7 jf 7 c-' ...,4,, INSPECTOR • "HOME OF NATURAL BEAUTY...A GOOD PLACE TO LIVE" SETTLED 1763 - � / QU��NSS��R� / ~ ~~'^ / 88�� ���� 1991 mw�x / _Z-- / BLDG. & CODE DEPT. __'__ {� \ ' Y` it -OWN OF QUEENSBURy8URDM0MRW-"/�---- not be Wn*UW IS Wmft the REVIL-WiM BY plans OW SwIftaom am in tul DATE -'---'-'-- - - '-'- - -- '-----------'----- ---