1991-726 h i ,
CERTIFICATE OF OCCUPANCY
TOWN OF QUEENSBURY
WARREN COUNTY, NEW YORK
Date January 6 , 19 92
This is to certify that work requested to be done as shown by Permit No. • 91 726
has been completed.
This structure may be occupied as a
Location 18 Pine Street
Owner Teal 8 Lois -iarimond
By Order Town Board
TOWN OF QUEENSBURY
2 // -- -
Director of Bldg. & Code Enforcement
BUILDING PERMIT
TOWN OF QUEENSBURY No 91_726 a
WARREN COUNTY, NEW YORK
ry
PERMISSION is hereby granted to Tom & Lois Hammond
1-A
OWNER of property located at 18 Pine Street Street, Road or Ave.
in the Town of Queensbury,To Construct or place a Addition 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.
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1. OWNER'S Address is C
Sane 0
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2. CONTRACTOR or BUILDER'S Name
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O
Same v►'
3. CONTRACTOR or BUILDER'S Address
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4. ARCHITECT'S Name -'•
CD
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5. ARCHITECT'S Address CD
6. TYPE of Construction—(Please indicate by X)
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(` )Wood Frame ( ) Masonry ( )Steel ( )
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7. PLANS and Specifications p.
No. 288 sq ft Addition to dwelling as per plot plan specifications
and application
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8. Proposed Use O
Storage
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$ 15_00 PERMIT FEE PAID —THIS PERMIT EXPIRES Ortober 11 , 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 on Day of / October 19 91
SIGNED BY for the Town of Queensbury
Building and Zoninx spector
TOWN OF QUEENSBURY •
REVIEWED BY: TOWN OF QUEEN SuPm
Aft • RECEIVED
i4 FEE PAID:
` � 9 1991
PERMIT NO. : OCT
BLDG. & 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: 77,14 ,- yr ,'/ffu�,, '
P.O. Address: /,' /.. er— ,r;7 PHONE j7 /3a ;7:
Property Location: Tax Map No. /6//O /
Has there been any split of this property since October 1, 1988? Yes No X
If yes, Planning Board Review is necessary.
Subdivision Name, if applicable: Lot No.
THE PERSON RESPONSIBLE FOR SUPERVISION OF WORK AS REGARDS TO BUILDING CODES IS:
o ;/7/,11.-7.yl0.✓O
NATURE OF PROPOSED WORK: * ESTIMATED MARKET VALUE OF THE
Construction of new building * CONSTRUCTION: $ c 6'0
X Addition to building
Alteration to building * COMPLETE INFORMATION REQUIRED BELOW:
(no change to exterior di-mensions) - * Size of Property: ft. x - ft. - '
Other work (describe) * Existing Building Size:
* A ft. x a-`f ft.
* Proposed building - distance from
,GROSS AREA OF PROPOSED STRUCTURE: * property line:
1st Floor 2i-oexi- Sq. Ft. * Front Yard Rear yard o v 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 basement) * OCCUPANCY INFORMATION:
TOTAL FLOOR AREA: Zffr Sq. Ft. * Primary Building -
* One Family Dwelling
Size of New Structure: /..Z ft. x Z? ft. * Two Family Dwelling
ggLig%Crawl/Partial/Full
* Multiple Dwelling/No. of Units
(Circle One) * Business
* Industrial
No. of stories (Habitable space) / * Other s,-7o, cam-'
Height (grade to ridge) ft. * _
If residential , no. of families: _ __ _ If additicn; -::ham w5 i r use bey �,.d —
-_No.,—of r -baths
^vvTS �eXL I U(I1-f�� � : *�
No. of bedrooms: *
No. of bathrooms: _ -- K --`Accessory Building:
Primary heating system: ,✓o Detached Garage - One/Two Car.
Type of fuel : * Attached Garage - One/Two Car
No. of fireplaces to be installed: * Private Storage Building
Will a woodstove be installed?: * Other
Central Air Conditioning: Yes No
(OVER)
BUILDING PERMIT APPLICATION CONTINUED:
BUILDING SPECIFICATI.ONS:.
•
Type of construction: wood frame, fire safe, etc.
Will any second-hand- or ungraded lumber be used? If so, for what? /-1O
Foundation Wa11 ;'Ma-terial : Thickness: •RY/d
Depth of Foundation below grade (to bottom of footing) : � 7
Will there be a cellar? ,c/o Heated or Unheated? c4,io' w7,10 - Floor Sq. Footage: ,35'y
Will there be a basement? ,,J4.7 Will any portion be used as living space? ,/c7
If so, what portion? Sq. Ft. Type of Use? (5, o2A7 Cd7-
Type of Roof:(Sl opedLiat/Shed/Other Material of Roof/�j� weep
s �f ,�- --
ad- n . length
-- .f.t.. �%CccJ'
P g /� 7 o.c. ; l S' .
Joists (floor beams) : 1st Floor ,2 " x iv "-; spacing Z‘ " o.c. ; span /oZ ft.
Joists (floor beams)-: 2nd Floor " x "; spacing " o.c. ; span ft..
Overlays (ceiling beams) : ,2. " x " ; spacing _a o.c. ; span /,2-. ft.
Roof rafters: " x " ; spacing l( o.c. ; span /o' ft.
Roof trusses (pre-engineered) : spacing " o.c. ; span, ft. . •
Exterior Wall Finish: /�, s/� '" of what material ? er/oo o
Interior Wall Finish: do L /
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.
_Depth_of,firep]ce-hearth:
Wate.r_supply - Municipal--or--private wel-1 : - = = - ---
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 & ADDRESS: �1�r�i�sd�vd /��� ,c S; ')4,te.;.,;,r , PHONE 7F/yso7
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 shal
be complied with, whether specified or not, and that such work is a thorized ,by the, owner:
Signature
• e r, owners gent, architect
Br ,
contrac-tor
•
SPECIAL CONDITIONS OF THE PERMIT:
By: •
Code Enforcement Officer
•
•
4_,
Y,, TOWN OF QUEENSBURY
531 BAY ROAD
"1144e2kZ QUEENSBURY, NEW YORK 12804
`..�;_W f " TELEPHONE (518) 745-4447
" "* BUILDING INSPECTOR'S REPORT
FINAL INSPECTION
REQUEST FOR INSPECTION °RRECEIVED //d�/v� ,
,
NAME kri.,�Y�Qri..r)) 0,01+ --Cri3O
LOCATION/ /' el'a€ S t i -(
DATE [ _PERMIT§ 67) f -- t4;) 62
TYPE OF STR CTl9RE 4W/1' IT' 1y 40 et
RECHECK - 1 ,c-I vc� S [Q --n'- 0y���Mev
_FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
FOOTING FOUNDATION BACKFILL FRAMING
ROUGH PLUMBING _FINAL ELECTRICAL _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS
APPROVAL
N/A' YES NO
CHIMNEY HEIGHT/LOCATION
B VENT/LOCATION
PLUMBING VENT
ROOFING
SIDING
DECK/PORCH/STEPS/RAILINGS
RELIEF VALVES
FURNACE/HOT WATER OPERATING /
BASEMENT INSULATION/DUCTWORK4
INTERIOR TRIM/PRIVACY DOORS
FINISH FLOORS:
BATH/KITCHEN WATERTIGHT S
OTHER FLOORS SWEEPABLE
OTHER FLOORS CARPETED 1
STAIR CLEARANCE/RAILINGS 3
HANDICAPPED ACCESS I
SMOKE DETECTORS i 1
BATHROOM FANS/WHOL MOUSE FANS
ALL PLUMBING FIXTJJR ES OPERATING
GARAGE FIRE PROpFING i
DOOR CLOSERS R
OTHER FIRE XPARATION
FIRE/DEMIS'E WALLS F _
DUMPSTER'l i
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C il"
COMMENTS:
CoN' cz az_c-ri CI,u-___ 1 _ • -
n 2-0-5 & 6 cri:- Pi-':',e A/1 ' I
ARRIVE i( :C1J - f/` 7)
DEPART4rr ' S' 1 .�Z/ ,>✓�
I SP T
TOWN OF QUEENSBURY` , WI. ,tr Y 531 BAY ROAD
QUEENSBURY, NEW YORK 12804
,.. TELEPHONE (518) 745-4447
BUILDING INSPECTOR'S REPORT
FINAL INSPECTION f
REQUEST FOR INSPECTION RECEIVED Op-3 t P i
NAME V\C v\-\.i.rxC�c) . ) t-
Y� , C I
` )
LOCATION l �;'y\..Q, y � ,
DATE 1 ,)\416 CI t PERMIT# 9 1 - '2-J-C.c
1
TYPE OF STRUC RE Acc1 r,`—0 \ ,--N-1-e .,_
RECHECK c \,h 4\'
FIRE MARSHAL APPROVAL (COMMERCIAL STRUCTURE)
--FOOTING FOUNDATION BACKFILL V:FRAMING
_ROUGH PLUMBING FINAL ELECTRICA _SEPTIC
INSULATION WOODSTOVE/FIREPLACE
REMARKS I
APPROVAL
N/AI YES NO
CHIMNEY HEIGHT/LOCATION \\ /
B VENT/LOCATION
PLUMBING VENT
ROOFING J
SIDING
DECK/PORCH/STEPS/RAI NGS
RELIEF VALVES -
FURNACE/HOT WATER PERATIPIIG
BASEMENT INSULA ON/DUCTWORK
INTERIOR TRIM/ /RIVACY DOO S _
FINISH FLOOR :
BATH/KITC EN WATERTIGH
OTHER F ORS SWEEPABLE
OTHER OORS CARPETED
STAIR C EARANCE/RAILINGS
HANDIC PPED ACCESS
SMOKE DETECTORS 1
BATHROOM FANS/WHOLEHOUS FANS
ALL PLUMBING FIXTURES 0 ERATING
GARAGE FIRE PROOFING
DOOR CLOSERS
OTHER FIRE SEPARATION
FIRE/DEMISE WALLS
DUMPS TER
SITE PLAN/VARIANCE REQUIREMENTS
FINAL ELECTRICAL
OK TO ISSUE C/O OR C/C _
COMMENTS: P /O
Prop - - )ID 5-cc . Zeouc,&-E A/
b SI/7 -tom e10.-S, C_tSIAKSVP' %%1••tea'
Ire
ARRIVE f/
DEPART /(:1 ) /t
1 INSP T
/ ///4/
TOMI OF QUEENSBURY
BUILDING AND CODES DEPARTMENT
531 BAY ROAD
QUEENSBURY,
NEW 0
TELEPHONE 792-5832
3
BUILDING INSPECTOR'S REPORT
REQUEST FOR INSPECTION RECEIVED
NAME . % / t d K )fi972d
LOCATION J,/7 4'W?; 41
DATE /*/9/ PERMIT
TYPE OF STRUCTURE l/r/// ,; - l.Q.f ?r
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 4
BRACING/BRIDGING'
JOIST HANGERS 1 I
JACK POSTS/MAIN BEAM p
FIRESTOPPING
WALLS
CEILING , k
FIREWALLS
HEATING ROUGH-IN \I
INSULATION:
FOUNDATION WALLS IN°TERIOR R-
FOUNDATION WALLS EXTERIOR R-
FLOORS WALLS R-
CEILING R-
DUCT WORK OR PIPING IN UNHEATED
SPACES
REMARKS: (.7 V, c�'z
oigeo
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ARRIVE
DEPART
SPE TOR
. TOWN OF QUv RIVED
OCT 91991 __
BLDG. & CODE DEPT.
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