1991-724 •
J s
CERTIFICATE OF COMPLIANCE
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date L. 2,7?//rAdXla 719 ±/
This is to certify that work requested to be done as shown by Permit No. 91 724
"has been completed.
This structure may be occupied as a
fLteration to Roof �- .
Location 52 Greg mood Cic1e
Owner Pat Chausey
• By 'Order Town Board
TOWN OF QUEENSBURY ,
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Director of 'Bldg. do Code Enforcement
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BUILDING PERMIT
TOWN OF QUEENSBURY a
No. 91-724
WARREN COUNTY, NEW YORK
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PERMISSION is hereby granted to PAT CHAUSEY •
1-1
OWNER of property located at 52 Gregwood Circle Street, Road or Ave.
• 1.
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in the Town of Queensbury,To Construct or place a Alteration to Roof iU
at the above location in accordance to application together with plot plans and other information hereto filed and to
approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. w
1. OWNER'S Address is
Same
2. CONTRACTOR or BUILDER'S Name
Jack's MFG Home Service
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3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name
5. ARCHITECT'S Address
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6. TYPE of Construction—(Please indicate by X) a
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( )Wood Frame ( ) Masonry ( ) Steel ( ) mi▪'
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7. PLANS and Specifications CD
No. Alteration to Roof as per plot plan specifications and
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application -,
8. Proposed Use 0
Alteration to Roof 0,
$ 8_00 PERMIT FEE PAID —THIS PERMIT EXPIRES October 16, 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 Day f October 19 91
SIGNED BY for the Town of Queensbury
Building and Zoning Inspector
i
TOWN OF QUEEN !URY
TOWN OF QUEENSBURt'
. REVIEWED BY. RECEIVED
IOW, FEE PAID: .& - OCT 9 1991 .
PERMIT NO. : a f_10
[3L,DG. & CODE DEPT. •
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: 2,4 ii-u 5 ' y
P.O. Address: i PHONE? 9 3 -3 ,i 7
Property Location: .52 6 rz e G L3-c. o C'. ,2 ) 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: Fite . ? ''i &i_ )c PIO k )e 00eke Lot No. 5
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THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS .TO BUILDING CODES IS:
jig c jc' 5 m_-c' G 9SGy,.1 r a.c3 . C ‘P.
NATURE OF PROPOSED WORK: - * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ 6
Addition to building *
>c Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior dimensions) * Size of Property: ft. x ft.
Other work (describe) /te /� * Existing Building Size:
y'� * ft. x ft.
* Proposed building - ' to c from
GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor Sq. Ft. * Front Ya ft. e r rd ft.
* Side rds ft. d ft.
2nd Floor Sq. Ft. * on corner, s ack from side street-
ft
Other Floors Sq. Ft.
(not cellar or basement) * OCCUPANCY INFORMATION:
*
TOTAL FLOOR AREA: Sq. Ft. " * Primary Building -
g3RiL * ,c< One Family Dwelling
Size of New S• : fa.ft. x IL/ ft. * Two Family Dwelling
Foundation: * Multiple Dwelling/No. of Units
ie /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 wi , use be?
No. of rooms (excluding baths):
No. of bedrooms: 2 *
No. of bathrooms: I * • Accessory B ' ?if/I--Primary heating system: a r -i(� * D acher ge - e/Two Car
omType of fuel : 0 t . * ttachea a - One/Two Car
No. of fireplaces to be installed: 4,-0 * Private St age Building
Will a woodstove be installed?: .me) * Other
Central Air Conditioning: Yes • No /
Mo3ILe- ge i4i- -P✓�-iQ2S TZ 00/ (OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING`SPECIFICATIONS: ,
Type of construction: w od fram- fire safe, etc. M9gri �JLf6
Will any second-hand or ungraded lumber be used? If so, for what? y C)
Foundation Wall Materi l . T ickness:
Depth of Foundat. below grade (to bo footing) :
Will th e a cellar? Heated or U ated? F r Sq. Footage.
Wil there be a ment? Wi ny portion be used iving space?
If so, portion? q. Ft. Type of .
Type of Roof: lope _ lat/Shed/Other Material of Roof _
U x " ; spacing " o.c. ; length ft.
Joists .floor beams) : 1st Floor " x "-; spacing " o.c. ; span ft.
J ) : 2nd Floor " x " ; spacing _' o.c. ; span ft.
Overlays (ceiling beams) : " x " ; spacing -,Z " o.c. ; span 7 ft.
Roof rafters: " x " ; s cing o.c. ; s an ft.
Roof trusses (pre-engineered) : pacing " o . ; span ft.
Exterior Wall Finish: of material ?
Interior Wall Finish:
If a garage is to " a attached escribe 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 provide.? '
Will a flue-lined chimney be install Height above roof ft.
Depth of chimney foundation be 0 grade: ft.
Depth of fireplace hearth- ft. in.
Water supply - Munic' . 1 or private well :
SEPTIC SYSTEM: ' stance from any priva - well (including adjoining properties: ft.
(A separate application is necessar, for any repair or new installation of septic system. )
NAME OF BUILDER & ADDRESS: 'Ac.j'J en, r G Awt. ,J..e—t) c ,o PHONE 2?3-3 ,2) )
NAME OF PLUMBER & ADDRESS: PHONE
NAME OF MASON & ADDRESS: PHONE
NAME OF ELECTRICIAN & ADDRESS: 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.
Si gnature ,L„�
er, owner s agent, architect
o tractor
SPECIAL CONDITIONS OF THE PERMIT:
By:
Code Enforcement Officer
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
BAY & HAVILAND ROADS
QUEENSBURY, NEW YORK 1280�
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME C A4(-f) S 7i
LOCATION L L\ck e
DATE rcJ/`Zc{r( a PERMIT # 9 (—72
APPROVED
YES NO
FOOTING/PIERS
MONOLITHIC POUR FORMS
FOUNDATION/DAMP-PROOFING
BACKFILL APPROVAL
ROUGH PLUMBING
FRAMING
ELECTRICAL ROUGH-IN
INSULATION:
•
FOUNDATION
FLOORS
WALLS •
CEILING
FINAL INSPECTION:
CHIMNEY HEIGHT \ p
ROOFING
SIDING
EXTERNAL PORCHES/STEPS,;
STAIRS-CLEARANCE & RATLS
PLUMBING FIXTURES/RELIEF VALVE
INTERIOR TRIM/PRIVACY DOORS •
FINISHED FLOORS 1\
GARAGE FIREPROOF1lVG
DOOR CLOSER(S) ;'
SMOKE DETECTORS
FINAL ELECTRICAL INSPECTION
FINAL APPROVAL OF CONSTRUCTION \
A SIGNED CERTIFICATE OF OCCUPANCY MUST BE
OBTAINED/FROM THE BUILDING DEPARTMENT BEFORE
THESE PREMISES ARE OCCUPIED!
1 i
REMARKS: i
A< f- M f-C-- i Pti 0-M&
CEM PL:Pr&n.,
MM tic_ To C=�� c` -o)2_
p-pc.,(6
INSP CTOR
TOWN OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY, NEW YORK 12804
TELEPHONE (518) 792-5832
BUILDING INSPECTOR'S REPOR �y ,
REQUEST FOR INSPECTION RECEIVED L/
NAME Oryt
LOCATION u'e3j (-
�a .7v5Z ). -T'recx6CoOr),
DATE/Op ��( PERMIT # �
TYPE OF STRUCTURE TA) tz-0421-
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RECHECK APPROVED
/ N/A YES NO
FOOTINGS/PIERS /
MONOLITHIC POUR FORM /
REINFORCEMENT IN PLACE
THE CONTRACTOR IS RESOONSIBLE'
FOR PROVIDING PROTECTION FROM
FREEZING FOR 48 HOURSiFOLLOWING
THE PLACEMENT OF THE CONCRETE.
MATERIALS FOR THIS PURPOSE ON SITE
FOUNDATION/WALL POUR
REINFORCEMENT IN PLACE'3,f
FOUNDATION/DAMPROOFINGA
BACKFILL APPROVAL / A
ROUGH PLUMBING
PLUMBING VENT/VENTS/IN PLACE
PLUMBING UNDER SLAB
FRAMING:
JACK STUDS/HEADERS
BRACING/BRIDG,I'NG
JOIST HANGERS
JACK POSTS/MAIN BEAM
FIRESTOPPING/'
WALLS
CEILING /
FIREWALLS%
HEATING ,ROUGH-IN 4,
INSULATION: t
FOUNDATION WALLS INTERIOR R- \
FOUNDATION WALLS EXTERIOR R-
FLOORS R •
-
WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
LSD S 1:1)-(G (AV4L
ARRIVE 2= Zo 7
DEPART 2:30
I SP T
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 , f i Lr
/{
NAME \✓1 V l_0S(7 / `.,'CL,-
1 (�}}
LOCATION 5 2
DATE / Ol 1 ( CU PERMIT # 61
l
TYPE OF STRUCTURE SYJ
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: 4
JACK STUDS/HEADERS
BRACING/BRIDGING I,
JOIST HANGERS
JACK POSTS/MAIN BEAM',
FIRESTOPPING
WALLS
CEILING '
FIREWALLS
HEATING ROUGH-IN
INSULATION:
FOUNDATION WALLS INTERIORR-
FOUNDATION WALLS EXTERIOR .0R-
FLOORS R-
WALLS R.7
CEILING FOOL--D
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS:
(d IrM A G of) ;+z uSa,-s 2C.ai E-a ctn.rci-
X�{ C i.Aore-vs -W L L i N 44 6- ci fir
s co N-c-k G c A.r/-L5 r 1.+GiCC O 6c. ,-—!-5'1 r
'Ponce/, l A
,�5v z,i 6.0 (- voo S L ¢, r-* ,c1
ARRIVE
DEPART //;"3 5
INS EC OR
C I i► ti- LAJey 6 k e f 0 d c( C, k Q )
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TOW�p FE Mgt:
EIVED QUEENSQURY
l�'? a r�- R
OCT 91991
BLDG. & CODE DEPT.
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