1991-392 WI' ••- '70`
•
•
•
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSEURY
WARREN COUNTY, NEW YORK
Date June 17. 19 92
This is to certify that work requested to be done as shown by Permit No. 91-392
has been completed.
2-Car Detached garage
This structure may be occupied as a
• Location nentrwarctr aria
Owner Paul C. & Catherine B. Pickett
By Order Town Board
• TOM rsi OF QUEENSBURY
5C-
Director of Bldg. & Code Enforcement
BUILDING PERMIT -�
a
TOWN OF QUEENSBURY
No. 91-392
WARREN COUNTY, NEW YORK
Iv
& Catherine Pickett
PERMISSION is hereby granted to Paul
crt
OWNER of property located at Gurney Lane Street,Road or Ave.
in the Town of Queensbury,To Construct or place a 2-Car Detached Garage n
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
RR5 Box 249
Queensbury, NY 12804
2. CONTRACTOR or BUILDER'S Name a
t+
rD
SAME
3. CONTRACTOR or BUILDER'S Address
CJ
O
r
C,
4. ARCHITECT'S Name
rD
--1
5. ARCHITECT'S Address C)
G7
'S
a
6. TYPE of Construction— (Please indicate by X)
(X)Wood Frame ( ) Masonry ( ) Steel ( )
7. PLANS and Specifications
No.728 sq ft 2- Car Garage Detached as per plot plan specifications
and application
8. Proposed Use
Garage
$ 35.00 PERMIT FEE PAID —THIS PERMIT EXPIRES June 7, 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 7th Day o ' June 19 qi
SIGNED BY for the Town of Queensbury
Building and Z `ng Inspector
f
I
TOWN OF QUEENSBURY
REVIEWED B
j
1 FEE PAID $ �, 35
r, PERMIT NO. J -A E_
NSBURY
RECEIVED
BUILDING PERMIT APPLICATION
J U N 41991
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: 11}9GL1- 2 9/ 62 j/"Cg/jVE I, fD/e./i'gT
P.O. Address /6°6 ,QoX 01 4"9 ePage• iS,Qt[,t y Tel. 393 '/9,3,
3a35,)Q
Property Location ye:1Gl RN Fy /4iVr Tax Map No. 3,2, / // S.
Has there been any split of this property since October 1, 1988? /
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:
, u� D. P/c<E Ti
*
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF •
CONSTRUCTION: $ 1
NA Construction of a new building * j
Addition to a building * COMPLETE INFORMATION REQUIRED BELOW:
* Size of property ft x ft.
Alteration to a building * Existing Buildings(3) Size qs- ft. x ,/ g ft.
(no change to exterior dimensions) •
Proposed building - distance from property line:
Other work (Describe) * Front yard id. 6' ft. Rear yard /// ft.
•
Side yards q / ft. and / ' 7 ft.
•
GROSS AREA OF PROPOSED STRUCTURE * If on corner, setback from side street ft.
1st Floor ' 8' sq. ft. •
OCCUPANCY INFORMATION
•
2nd Floor sq. ft. * ' Primary Building -
Other Floors sq. ft. * One Family Dwelling
(not cellar or base:^ent * Two Family Dwelling
TOTAL FLOOR AREA o+Y sq. ft. • Multiple Dwelling/Number of units
Size of new structure a f ft x A 8 ft. ' Business
Foundation-pier/slab/crawl/partial/full * Industrial
(circle one) • Other _
•
No. of stories (habitable space) 4/4
•
Height (grade to ridge) / c-p ft. • If addition, what will use be?
If residential, no. of families //// •
No. of rooms(excluding baths) i(/41 •
Accessory Building
No. of bedrooms *iq •
X
No. of bathrooms * Detached Garage TWO Car
Primary heating system • Attached Garage ONE/TWO Car
Type of fuel /1//9 • __Private storage building
No. of fireplaces to be installed if/, *
* Other
Will a wood stove be installed Ng'
Central Air conditioning aT/i3 •
OV' ER
BUILDING PERMIT APPLICATION CONTINUED -
BUILDING SPECIFICATIONS:
Type of construction, wood frame, fire safe, etc. Ze200,1)
Will any second-hand or upgraded lumber be used? If so, for what? We)
Foundation wall material ( ,�/o c Thickness
Depth of foundation below grade (to bottom of footing) 9/_('."
Will there be a cellar? l/d Heated or unheated? 4 , k.e, � Floor sq. footage 72 ' ' sq ft.
Will there be a basement? A/0 Will any portion be used as living space? //o
(If so, what portion? sq ft. Type of use?
Type of roof - sloped/flat/shed/other.9.D,eD Material of roof ,.j,P,_1/. /y/c 7-, /21)0/4=//1/45
Size, wood studs 02 "x " spacing /6 " o.c. length g ft.
Joists (floor beams) 1st floor "x " spacing "o.c. span ft./✓,4
Joist (floor beams) 2nd floor "x " spacing "o.c. span ft. ///,4
Overlays (ceiling beams) "x " spacing " o.c. span ft. ///9
Roof rafters "x " spacing o.c. span ft. /1///
Roof trusses (pre-engineered) spacing o?/ " o.c. span 0262 ft.
Exterior wall finish e. „9,0,60,5 of what material? /77 56.d//%t
Interior wall finish /1/4///-
If a garage is to be attached, describe materials to be used for FIRE SEPARATION: /09
Is there to be an.opening between garage and dwelling? A1/4 If so will a Fire-rated door, enclosure,
self-closing device be provided?
Will a flue-lined chimney be installed? /[//a Height above roof ft.
Depth of chimney foundation below grade ft.
Depth of fireplace hearth ft. in.
Water supply - Municipal or private well
SSEPTIC 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 / l/,Z /6/CA"&— ; ADDRESS,eR eox c 4/9 TEL. NO. 4/9/3
NAME OF PLUMBER ADDRESS TEL. NO.
ff Bog /3
NAME OF MASON j2 ) /q,/crc2l v! ADD RESSS,cc29•e).pi,r/krct//S Rd TEL. NO. -79 ^/37/
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 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.
Signature J � ,(7
Owner, owner's agent, architect, contractor
SPECIAL CONDITIONS OF THE PERMIT:
BY
MAIN OFFICE ATLANTIC-INLAND, INC.
997 McLean Rd.
Cortland,New York 13045 NEW YORK
MEMBER OF N.F.P.A.AND I.A.E.I.
Phone: (607)753-7118 FIRE UNDERWRITERS
(607)753-7809 101710
(607)753-1396 (Electrical and Fire Inspection-Enforcing and Consulting Service)
(Incorporated in the State of New York)
Desiring Certificate of Approval, application is made for inspection of electrical installation in the premises described below. On demand applicant agrees to pay for
inspection service in accord with schedule of charges.
APPLICATION FOR ELECTRICAL INSPECTION —PLEASE PRINT OR TYPE
THIS SECTION TO BE COMPLETED BY APPLICANT DATE OF APPLICATION . "..--i ? g/
CITY,TOWN,VILLAGE �%� 'Q rf -, +J Cis 1, j{ COUNTY l L'' ° i' STATE '7{ I !
STREET //� 7 �'
ADDRESS /} A, o 14' �- 4, C' Cr i4. I''67•C )7 .l-^L{ Lq `L"? BUILDG.NO.
RURAL Ii '2 l'j P (' ' %r J r-- j
DIRECTIONS r ✓ -� r`/ �.t�G L�J r}� / / C/ .�+= _� POLE NO.
OWNER'S 12,
/ ' /'
NAME ( tt L3/ !� r✓C. rC'e-';'/— • OCCUPIED AS U--mil I--eq. Cf _._..Q._
v
OCCUPANT BUILDING—New O-Old❑WORK—New❑Additional❑
OWNER'S P.O.
ADDRESS
APP.FOR—ROUGH WIRING 0 FIXTURES❑OR READY FOR INSPECTION 19
FEE REMITTED—$ BY CHECK 0 CASH❑MONEY ORDER❑ MAKE PAYABLE TO ATLANTIC-INLAND,INC—NEW YORK
Number of Rough Wiring Outlets Fixtures Add Installation
Swtch Li'tng Recep. KW Med. Mogul Fluor.
500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000
Heat Base Base .
Elect.Heat
Amp.Service Water Htr. Burner Air Cond.
Surface Unit Oven Range Gr.Disp. Dish W.
Dryer H.P.Pump Ex.Fan Hood
OTHER EQUIPMENT(Specify Type&Capacities) .
TYPE OF SIZE OF SUB-
' BRANCHES NO.OF
WIRING ,- OPEN 0 CONCEALED❑ OTHEE! MAIN MAIN CIRCUITS
APPLICANT'S (t ' /1 j1' / ' ,
Io- SIGNATURE ,......1-> ' 0- --•, .L../ - /rv(2,"-� • LICENSE# PERMIT#
_ APPLICANT'S NAME OF
ADDRESS UTILITY
• OFFICE TO
CITY STATE ZIP CODE BE NOTIFIED
SPACE BELOW FOR USE OF INSPECTORS ONLY
ROUGH WIRING AMP SERVICE K.W.SURFACE
OUTLETS EQUIPMENT UNIT
SWITCHES AMP SERVICE K.W.OVEN
CONDUCTORS
H.P.GARBAGE
' RECEPTACLES H.P.PUMP DISPOSAL UNIT
MEDIUM BASE K.W.
FIXTURES K.W.DRYER DISHWASHER
MOGUL BASE K.W.WATER
FIXTURES HEATER K.W.RANGE
• FLUORESCENT H.P.AIR AMP. RECEPTACLES
FIXTURES CONDITIONER •
MERCURY VAPOR OR WIRING&CONTROLS FOR BURNER SMOKE FRAC.H.P.
QUARTZ FIXTURES DETECTORS VENT FANS
MOTORS,H.P. 11/20 1/12 1/10 1/8 1/6 1/4 1/3 1/2 3/4 1 11 2 3 5 71/2 10 15 20 25 30 40 50 75 100
MARK NUMBER
OF EACH SIZE
• 500 750 1000 1250 1500 1750 2000 2250 2500 2750 3000 •
APPARATUS Elect.Heat
MISC.INFO. • Received Inspected FEE PAID
❑PROGRESS TOTAL$
❑DEFECTIVE
Check No.
❑Rough Wiring Certificate
0 Temporary Service Money Order
❑FINAL CERTIFICATE Cash
❑Dup.Cert.Req.
CIMUNICIPAL Charge
MUN.ADDRESS
ATTN:
•
Temp.Cut-in Card No. Final Cut-in Card No.
Inspector
Al-01 MUNICIPALITY
Member N.F.P.A.&LA.E.I. •
ATLANTIC - INLAND, INC. - NEW YORK Ttectrica( Certificate
Electrical and Fire Inspection-Enforcing&Consulting Service
997 McLean Road,Cortland,NY 13045 DATE:,07/3 6/ 2 C-1_Q17?�)
CERTIFICATE NO.:
OWNER: Paul D. Pickett AS APPROVED FOR:
Gurney Lane •
ADDRESS: Queensbury, N n 1_, '-31 Garage:
100 Amp Sub reed/.--sw.i 5-GFCI recept./2--
mel.laase fix.DO(X
ELECTRICIAN: Paul B. Pickett
PR 45, Box 249
ADDRESS: Queensbury, NY• 12804
he conditions following governed the issuance of this certificate,and any certificate previously issues,
1 .5 's ancelled:
€'11 This certificate only covers the electrical equipment listed and installation conditions as of date.Upon
R. t introduction of additional equipment or alterations,application shall be promptly made for inspection.
• Inspectors of this Company shall have the privilege of making inspections at any time,and if its rule.
are violated,the Company shall have the right to revoke this certificate.
Al-27
•
INFORMATION FOR BUILDING DEPARTMENT �.
LENDING AGENCY
Atlantic-Inland, Inc. is in the process of issuing a Certificate of
Occupancy/Compliance for the electrical installation/
construction project as covered in an application filed with
our main office.
Date Inspector
NEW YORK ATLANTIC-INLAND, INC.
TOM OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST "INSPECTION
NAME U,G a ( ,/el/K"/a?�? t�i�
LOCATION !.�/�
DATE ' ` 9:2 PERMIT # 9 074
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
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDGING
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPP ING
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:
r-r-)-(1
ARRIVE
DEPART
INSPECTOR
aLefi-
-. TOWN OF QUEENSBURY
�r 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
cµe TELEPHONE (518) 745-4447
r.+ ' "' BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION RECEIVED
NAME
LOCATION . {b/J,41,/ �L—
DATE ;//�/11-/ PERFIIT# f/z39-2
TYPE OF STRUCTURE „?_�jw O -a,C?��_eZ
RECHECK
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
1YFOOTING FOUNDATION 4-BACKFILL FRAMING
ROUGH PLUMBING FINAL ELECTRICAL _SEPTIC
INSULATION W00DSTOVE/FIREPLACE
REMARKS
/
APPROVAL
(N/A,' YES NO
CHIMNEY HEIGHT/LOCATION '
B VENT/LOCATION /
PLUMBING VENT hj
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATINGr k'
BASEMENT INSULATION/DUCTWORK
INTERIOR TRIM/PRIVACY DOORS $
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT
OTHER FLOORS SWEEPABJI`_E
OTHER FLOORS CARPETED
STAIR CLEARANCE/RAILINGS
HANDICAPPED ACCESS / ?
SMOKE DETECTORS /
BATHROOM FANS/WHOLEHOUSE FANS !
ALL PLUMBING FIXTURES OPERATING
GARAGE FIRE PROOFING
DOOR CLOSERS /
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPSTER /
SITE PLAN/VARI7ANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/0 OR C/C
COMMENTS:
c y j_u-ert
f-I/kJ/-
ARRIVE / - .
7- 1
DEPART / / f I
INSP TOR/1
4
/69)
TOWN OF QUEENSBURY `i /
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0 4
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED ,(C / 33 61/
NAME i c
LOCATION ( -L Y\'� *JUN\Q-
DATE ( //,3/q/ PERMIT I
TYPE OF STRUCTURE 2-CGY C-CiYcioa -
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 SIT=E
FOUNDATION/WALL POUR /
REINFORCEMENT IN PLACE \ f
FOUNDATION/DAMPROOFING /
'3BACKFILL APPROVAL \ i
_ROUGH _P_LUMBING
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB ,/ \
FRAMING: / \.
JACK STUDS/HEADERS / \
BRACING/BRIDGING /
JOIST HANGERS
JACK POSTS/MAIN BEAM
HEATING ROUGH-IN /
INSULATION: /
FOUNDATION WALL INTERIOR R-
FOUNDATION WAL S EXTERIOR R- `\
FLOORS R-
WALLS R-
CEILING R-
DUCT WORK 0 PIPING IN UNHEATED
SPACES
REMARKS: 4( \ '�
r6 lock_/vdvOA(d 4J
r
ARRIVE -=�S
DEPART '
PSP CTO
TOWN OF QUEENSBURY It/kBUILDING AND CODES DEPART ocr\
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUES FOR INSPECTION RECEIVED (0/iC5,1 9
NAME
LOgAATION VN(\G'—.k..,\
f _
DATE Lefie, cuPERMIT # 7 t c )
1
TYPE OF STRUCTURE °' CGw 2 1--- 2
RECHECK APPROVE "
yf N/A /YE NO
FOOTINGS/PIERS • i
MONOLITHIC POUR FORM d" 1
REINFORCEMENT IN PLACE t' >"
THE CONTRACTOR IS RESPONSIBLE
FOR PROVIDING PROTECTION FROM ,f
FREEZING FOR 48 HOURS FOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SyI'TE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE 6 ,
FOUNDATION/DAMPROOFING U f
BACKFILL APPROVAL
ROUGH PLUMBING '
PLUMBING VENT/VENTS IN PLACE
PLUMBING UNDER SLAB
FRAMING: to
JACK STUDS/HEADERS ,fir
BRACING/BRIDGING / q
JOIST HANGERS A
JACK POSTS/MAIN BEAM
HEATING ROUGH—IN ,y
INSULATION: a
FOUNDATION WALLS INTERIOR R—
FOUNDATION WALLS EXTERIOR R—
FLOORS / 1 R—
WALLS f V R—
CEILING r` A R—
DUCT WORK OR PIPING IN UNHEATED
SPACES s
REMARKS:
•
ARRIVE j-5
DEPARTc3 ��
INSPECT R
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F(.N T. E-:L-EVAT ld N r()VV4 C)F QUEEP+fSS(jRi
RECEIVED
JUN 41991
SLDG,
TOWN `?�J SBUR
BUILDINIG) Et (ODES DEPT.
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